Kuv puas yuav tsum noj tshuaj tua kab mob ua npaws thiab mob khaub thuas?

Txhua tus kws kho mob kawm tiav muaj kev paub ruaj khov ntawm qhov tseeb tias kev kho tshuaj tua kab mob rau khaub thuas thiab mob khaub thuas yog qhov tsis muaj qab hau. Cov kws kho mob hauv zos thiab cov kws kho mob hauv tsev kho mob paub txog qhov no. Txawm li cas los xij, cov tshuaj tua kab mob tau sau tseg, thiab feem ntau ua raws li kev tiv thaiv. Tom qab tag nrho, tus neeg mob uas tau tig mus rau tus kws kho mob xav tau kev kho mob los ntawm nws.

Yog tias koj nug tus kws kho mob seb puas yuav haus cov tshuaj tua kab mob ua npaws thiab mob khaub thuas, ces cov lus teb yuav tsis zoo. Tag nrho cov kev kho mob rau ARVI tsuas yog los haus dej kom ntau, pw tsaug zog, noj cov vitamins, noj zaub mov zoo, ntxuav lub qhov ntswg, gargling, inhalations thiab kho cov tsos mob. Cov tshuaj tua kab mob tsis tas yuav tsum tau, tab sis feem ntau tus neeg mob nws tus kheej insists rau lawv, lus nug tus kws kho mob rau lub sij hawm.

Hauv kev xyaum menyuam yaus, cov tshuaj tiv thaiv kab mob feem ntau raug muab rau lub hom phiaj ntawm kev rov ua pov thawj, kom tsis txhob muaj kab mob tshwm sim tawm tsam keeb kwm ntawm tus kab mob. Yog li, tus kws kho mob pom zoo kom siv tshuaj zoo rau cov niam txiv, hu nws ua "cov menyuam yaus" tshuaj tua kab mob, txhawm rau tiv thaiv lawv tus kheej los ntawm cov lus nug tsis tsim nyog. Txawm li cas los xij, cov teeb meem tuaj yeem zam tau yooj yim los ntawm kev muab tus menyuam haus dej rau lub sijhawm, ua kom cov huab cua nws ua pa, ntxuav nws lub qhov ntswg thiab siv lwm yam kev kho mob. Lub cev, nrog rau kev txhawb nqa txaus, yuav tiv thaiv tus kabmob ntawm nws tus kheej.

Cov lus nug tseem ceeb heev txog vim li cas tus kws kho mob tseem tab tom sau tshuaj tiv thaiv kab mob khaub thuas thiab SARS. Qhov tseeb yog tias qhov kev pheej hmoo ntawm kev mob khaub thuas thiab mob khaub thuas hauv cov menyuam kawm ntawv preschool yog qhov tseeb heev. Lawv lub cev tiv thaiv kab mob tsis zoo, thiab lawv txoj kev noj qab haus huv feem ntau cuam tshuam los ntawm kev noj zaub mov tsis zoo, ib puag ncig tsis zoo, thiab lwm yam. Yog li ntawd, yog tias muaj teeb meem tshwm sim, tsuas yog tus kws kho mob yuav raug liam. Nws yog nws leej twg yuav raug liam tias tsis muaj peev xwm, txawm tias raug foob thiab poob haujlwm tsis raug txiav tawm. Qhov no yog qhov ua rau ntau tus kws kho menyuam yaus pom zoo kom siv tshuaj tua kab mob nyob rau hauv rooj plaub uas lawv tuaj yeem muab faib rau.

Ib qho kev qhia rau kev teem caij tshuaj tua kab mob yog qhov sib ntxiv ntawm cov kab mob, uas yog ib qho teeb meem ntawm tus mob khaub thuas thiab mob khaub thuas. Qhov no tshwm sim thaum lub cev tsis tuaj yeem tiv thaiv tus kabmob ntawm nws tus kheej.

Txawm hais tias nws tuaj yeem nkag siab raws li kev txheeb xyuas, cov tshuaj tua kab mob dab tsi tsim nyog?

Nws yog, ntawm chav kawm, muaj peev xwm nkag siab los ntawm kev txheeb xyuas tias yuav tsum muaj kev kho mob antibacterial.

Txawm li cas los xij, lawv tsis ua tiav hauv txhua kis:

• Kev sau cov zis los yog hnoos qeev rau kab lis kev cai yog ib qho kev sim kim, uas cov kws kho mob nrhiav kom txuag tau cov peev nyiaj uas muaj;

• Feem ntau, ib qho smear yog muab los ntawm lub qhov ntswg kab noj hniav thiab pharynx nrog tus mob caj pas. Ib tug swab yog noj ntawm ib tug pas Lefler, uas yog ua rau kev loj hlob ntawm kab mob diphtheria. Tsis tas li ntawd, cov kws kho mob tuaj yeem xa tus neeg mob mus rau lub qhov ntswg los ntawm cov tonsils rau kab mob kab mob yog tias tus neeg mob raug haunted los ntawm tonsillitis ntev. Lwm qhov kev tsom xam yog xaiv cov zis kab lis kev cai rau pathologies ntawm cov zis;

• Kev nce hauv ESR thiab qib ntawm leukocytes, nrog rau kev hloov pauv hauv cov mis leukocyte mus rau sab laug, yog qhov qhia tsis ncaj uas cov kab mob o tshwm sim hauv lub cev. Koj tuaj yeem pom daim duab no los ntawm kev kuaj ntshav.

Yuav ua li cas to taub los ntawm kev noj qab nyob zoo uas muaj teeb meem tshwm sim?

Qee lub sij hawm koj tuaj yeem nkag siab tias muaj kab mob tshwm sim ntawm koj tus kheej.

Qhov no yuav raug qhia los ntawm cov cim hauv qab no:

• Qhov zais cia uas tau muab cais los ntawm ENT kab mob lossis los ntawm lub qhov muag ua huab, hloov daj lossis ntsuab. Feem ntau, qhov tso tawm yuav tsum yog pob tshab;

• Ua ntej muaj kev txhim kho, thiab tom qab ntawd qhov kub thiab txias nce ntxiv. Qhov thib ob dhia hauv lub cev kub yuav tsum tsis txhob ignored;

• Yog hais tias cov kab mob tua cov kab mob hauv cov zis, cov zis yuav pos huab, cov av qeeg yuav pom hauv nws;

• Yog hais tias tus kab mob no cuam tshuam rau txoj hnyuv, ces hnoos qeev los yog kua paug yuav tshwm sim hauv cov quav. Qee zaum txawm tias ntshav impurities pom, nyob ntawm qhov hnyav ntawm tus kab mob.

Raws li rau tus kab mob ua pa nyuaj, qhov sib ntxiv ntawm cov kab mob flora tuaj yeem xav tias muaj cov tsos mob hauv qab no:

• Tawm tsam keeb kwm yav dhau los ntawm tus mob khaub thuas uas twb muaj lawm, muaj qhov kub thiab txias ntawm lub cev, uas pib txo qis rau hnub 3-4, tab sis tom qab ntawd dhia rov mus rau qib siab. Feem ntau qhov no tshwm sim nyob rau hnub 5-6 ntawm kev mob, thiab lub xeev ntawm kev noj qab haus huv rov qab deteriorates sharply. hnoos ua kom muaj zog, ua pa luv tshwm sim, mob hauv siab tshwm sim. Feem ntau, tus mob no qhia txog kev loj hlob ntawm mob ntsws. Saib ntxiv: cov tsos mob ntawm mob ntsws;

• Diphtheria thiab tonsillitis kuj yog ib qho teeb meem ntawm SARS. Koj tuaj yeem xav tias lawv qhov pib los ntawm mob caj pas, uas tshwm sim tawm tsam keeb kwm ntawm lub cev kub, txheej txheej ntawm cov quav hniav ntawm cov tonsils. Qee lub sij hawm muaj kev hloov pauv hauv cov qog nqaij hlav - lawv loj tuaj thiab ua rau mob;

• Tshem tawm ntawm pob ntseg thiab qhov tshwm sim ntawm qhov mob uas nce ntxiv thaum lub tragus nias yog cov cim qhia ntawm otitis media, uas feem ntau tshwm sim hauv cov menyuam yaus;

• Yog hais tias qhov mob yog nyob rau hauv lub hauv pliaj cheeb tsam, nyob rau hauv lub ntsej muag cheeb tsam, lub suab ua qhov ntswg thiab rhinitis yog pom, ces sinusitis los yog sinusitis yuav tsum tau muab tshem tawm. Xws li ib tug kos npe rau ib qho kev nce nyob rau hauv mob thaum lub taub hau yog tilted rau pem hauv ntej thiab tsis hnov ​​tsw tuaj yeem paub meej tias qhov kev ua xyem xyav.

Yog tias xav tias muaj kab mob tshwm sim, nws yog qhov ua tau heev vim tias cov tsos mob ntawm tus kab mob thiab kev noj qab haus huv tsis zoo, ces tsuas yog tus kws kho mob tshwj xeeb tuaj yeem xaiv cov kab mob tshwj xeeb.

Qhov no yog cuam tshuam los ntawm ntau yam, suav nrog:

• Localization ntawm o;

• Lub hnub nyoog ntawm tus neeg mob;

• Kev kho mob keeb kwm;

• Ib tug neeg intolerance rau ib qho kev kho mob tshwj xeeb;

• Kev tiv thaiv kab mob rau cov tshuaj tua kab mob.

Thaum twg cov tshuaj tua kab mob tsis qhia rau tus mob khaub thuas lossis tsis nyuaj rau SARS?

• Rhinitis nrog purulent-mucous tawm, uas kav tsawg dua 2 lub lis piam;

• Viral conjunctivitis;

• tonsillitis ntawm tus kab mob viral;

• Rhinopharyngitis;

• Tracheitis thiab mob ntsws me me tsis muaj lub cev kub;

• Kev loj hlob ntawm tus kab mob herpetic;

• Kev mob ntawm lub larynx.

Thaum twg nws tuaj yeem siv tshuaj tua kab mob rau cov kab mob ua pa tsis yooj yim?

• Yog tias muaj kev cuam tshuam hauv kev ua haujlwm ntawm lub cev tiv thaiv kab mob, raws li qhia los ntawm cov cim tshwj xeeb. Cov no yog cov mob xws li HIV, mob qog noj ntshav, nce lub cev kub tsis tu ncua (subfebrile kub), kab mob kis tau tshwm sim ntau tshaj tsib zaug hauv ib xyoos, kev tsis haum xeeb hauv lub cev.

• Cov kab mob ntawm cov kab mob hematopoietic: aplastic anemia, agranulocytosis.

• Yog hais tias peb tab tom tham txog ib tug me nyuam mus txog rau lub hlis, ces nws yuav raug pom zoo kom noj tshuaj tua kab mob tiv thaiv keeb kwm yav dhau ntawm rickets, nrog rau lub cev tsis txaus thiab muaj ntau yam malformations.

Cov lus qhia rau kev teem caij tshuaj tua kab mob

Cov lus qhia rau kev teem caij tshuaj tua kab mob yog:

• Angina, cov kab mob ntawm cov kab mob uas tau lees paub los ntawm kev kuaj sim. Feem ntau, kev kho mob yog nqa tawm nrog kev siv tshuaj los ntawm pawg macrolides lossis penicillins. Saib kuj: tshuaj tua kab mob rau angina rau ib tug neeg laus;

• Mob ntsws nyob rau theem mob, laryngotracheitis, relapse ntawm mob ntsws bronchitis, bronchiectasis yuav tsum tau noj tshuaj tua kab mob los ntawm pawg macrolide, piv txwv li, Macropen. Txhawm rau tiv thaiv kev mob ntsws, yuav tsum tau x-ray hauv siab kom paub meej tias mob ntsws;

• Noj tshuaj tua kab mob, mus ntsib kws kho mob thiab kws kho mob hematologist yuav tsum muaj kab mob xws li purulent lymphadenitis;

• Tus kws kho mob otolaryngologist kev sab laj txog kev xaiv cov tshuaj los ntawm pawg cephalosporins lossis macrolides yuav tsim nyog rau cov neeg mob uas kuaj mob otitis media nyob rau theem mob. Tus kws kho mob ENT kuj kho cov kab mob xws li sinusitis, ethmoiditis, sinusitis, uas yuav tsum tau teem caij tshuaj tua kab mob txaus. Nws muaj peev xwm paub meej tias qhov teeb meem no los ntawm kev kuaj X-ray;

• Kev kho mob nrog penicillins yog qhia rau mob ntsws. Nyob rau tib lub sijhawm, kev tswj hwm nruj tshaj plaws ntawm kev kho mob thiab kev lees paub ntawm kev kuaj mob nrog kev pab los ntawm X-ray duab yog qhov yuav tsum tau ua.

Qhov qhia tau zoo heev ntawm cov tshuaj tsis txaus ntawm cov tshuaj tua kab mob yog ib qho kev tshawb fawb uas tau ua nyob rau hauv ib qho ntawm cov chaw kho mob me nyuam yaus. Yog li, kev soj ntsuam ntawm cov ntaub ntawv kho mob ntawm 420 tus menyuam yaus hnub nyoog preschool qhia tias 89% ntawm lawv muaj ARVI lossis mob ua pa nyuaj, 16% muaj mob bronchitis, 3% otitis media, 1% mob ntsws thiab lwm yam kab mob. Nyob rau tib lub sijhawm, kev kho tshuaj tua kab mob tau raug sau tseg hauv 80% ntawm cov neeg mob kis kab mob, thiab rau mob ntsws thiab mob ntsws hauv 100% ntawm cov neeg mob.

Cov kws kho mob tau pom tias paub tias kev kis kab mob tsis tuaj yeem kho nrog tshuaj tua kab mob, tab sis tseem sau tshuaj tua kab mob rau cov laj thawj xws li:

• Daim ntawv qhia kev teeb tsa;

• Cov menyuam hnub nyoog qis dua 3 xyoo;

• Qhov xav tau los tiv thaiv qhov teeb meem;

• Tsis muaj siab xav mus xyuas cov menyuam hauv tsev.

Nyob rau tib lub sijhawm, cov tshuaj tua kab mob tau pom zoo kom noj rau 5 hnub thiab noj me me, thiab qhov no yog qhov txaus ntshai ntawm kev txhim kho cov kab mob tsis zoo. Tsis tas li ntawd, tsis muaj kev sim ntsuas, yog li nws tsis paub tias tus kab mob twg ua rau tus kab mob.

Meanwhile, nyob rau hauv 90% ntawm cov neeg mob, cov kab mob yog ua rau malaise. Raws li cov kab mob, lawv feem ntau provoked los ntawm pneumococci (40%), Haemophilus influenzae (15%), staphylococci thiab mycotic kab mob (10%). Cov kab mob xws li mycoplasmas thiab chlamydia tsis tshua muaj txiaj ntsig rau kev loj hlob ntawm tus kab mob.

Koj tuaj yeem noj cov tshuaj tua kab mob tsuas yog tom qab kev sab laj kev kho mob. Tsuas yog tus kws kho mob tuaj yeem txiav txim siab qhov tsim nyog ntawm lawv lub sijhawm teem sijhawm tom qab sau cov anamnesis, suav nrog lub hnub nyoog ntawm tus neeg mob thiab qhov hnyav ntawm cov kab mob.

Koj tuaj yeem siv cov tshuaj tua kab mob hauv qab no:

• Kev npaj ntawm penicillin series. Semi-synthetic penicillins raug pom zoo thaum tsis muaj kev fab tshuaj rau lawv. Nws tuaj yeem ntxuav Amoxicillin thiab Flemoxin Solutab. Yog tias tus kab mob hnyav heev, cov kws tshaj lij pom zoo kom noj cov tshuaj tiv thaiv penicillins, piv txwv li, Amoxiclav, Augmentin, Flemoclav, Ecoclave. Hauv cov kev npaj no, amoxicillin yog ntxiv nrog clavulanic acid;

• macrolide tshuaj tua kab mob siv los kho mob ntsws thiab mob ua pa los ntawm chlamydia thiab mycoplasmas. Qhov no yog Azithromycin (Zetamax, Sumamed, Zitrolid, Hemomycin, Azitrox, Zi-factor). Nrog bronchitis, kev teem caij ntawm Macropen yog ua tau;

• Los ntawm cov tshuaj cephalosporin Nws muaj peev xwm sau tau Cefixime (Lupin, Suprax, Pantsef, Ixim), Cefuroxime (Zinnat, Aksetin, Zinacef), thiab lwm yam;

• Los ntawm fluoroquinolone series sau tshuaj Levofloxacin (Floracid, Glevo, Hailefloks, Tavanik, Flexid) thiab Moxifloxacin (Moksimak, Pleviloks, Aveloks). Cov menyuam yaus hauv pawg tshuaj no yeej tsis tau sau tseg vim qhov tseeb tias lawv lub cev pob txha tseem raug tsim. Tsis tas li ntawd, fluoroquinolones yog cov tshuaj uas siv tshwj xeeb tshaj yog mob hnyav, thiab lawv sawv cev rau ib qho chaw cia uas cov kab mob ntawm tus menyuam loj hlob tuaj yuav tsis tiv taus.

Cov ntsiab lus xaus

• Kev siv tshuaj tua kab mob rau tus mob khaub thuas uas muaj kab mob kis tsis tau tsuas yog tsis muaj txiaj ntsig, tab sis kuj tsim kev puas tsuaj. Lawv yuav tsum tau kho tus kab mob.

• Cov tshuaj tua kab mob muaj cov npe dav dav ntawm cov kev mob tshwm sim: lawv tuaj yeem cuam tshuam tsis zoo rau kev ua haujlwm ntawm daim siab thiab lub raum, tuaj yeem ua rau muaj kev fab tshuaj, muaj kev nyuaj siab rau lub cev, thiab cuam tshuam cov microflora hauv lub cev.

• Rau lub hom phiaj prophylactic, kev siv cov tshuaj tua kab mob yog tsis tsim nyog. Nws yog ib qho tseem ceeb uas yuav tau saib xyuas tus neeg mob tus mob thiab sau tshuaj tua kab mob tsuas yog tias muaj teeb meem tshuaj tua kab mob tshwm sim tiag tiag.

• Cov tshuaj tiv thaiv kab mob tsis zoo yog tias lub cev kub tsis txo qis tom qab 3 hnub txij li pib nws cov thawj coj. Hauv qhov no, lub cuab yeej yuav tsum tau hloov.

• Feem ntau tus neeg siv tshuaj tua kab mob, cov kab mob sai dua yuav tsim kev tiv thaiv rau lawv. Tom qab ntawd, qhov no yuav xav tau kev teem sijhawm ntawm cov tshuaj hnyav dua uas muaj kev cuam tshuam tsis zoo rau cov kab mob pathogenic nkaus xwb, tab sis kuj rau lub cev ntawm tus neeg mob nws tus kheej.