Nyob tsis tshua muaj, cov menyuam yaus tuaj yeem tsim teeb meem ntawm COVID-19 hu ua multifactorial inflammatory syndrome. Dab tsi yog nws thiab yuav ua li cas kom tsis txhob cuam tshuam qhov xwm txheej txaus ntshai nrog ua npaws liab?
Thaum tus kabmob coronavirus tau tshwm sim thawj zaug hauv peb lub zeem muag, nws tau ntseeg tias cov menyuam yaus xyaum tsis muaj mob - thiab cov niam txiv thoob ntiaj teb ua pa me ntsis. Tab sis lub sijhawm dhau mus, thiab nws tau pom tias txhua yam nyuaj me ntsis.
- Cov me nyuam mob ntau npaum li cov neeg laus, tab sis tus kab mob no feem ntau asymptomatic.
- Cov menyuam yaus thiab cov tub ntxhais hluas muaj kev cuam tshuam rau qhov teeb meem - multisystem o syndrome hauv menyuam yaus (MSIS). Qhov no tsis tshua muaj tshwm sim, tab sis tseem ceeb thiab tsim nyog yuav tsum paub txog nws.
Multisystemic Inflamation Syndrome yog tus yam ntxwv kub taub hau thiab feem ntau ua pob khaus ntawm daim tawv nqaij, yog li cov niam txiv yuav ua rau nws ntxhov siab vim kub taub hau, pib kho tsis raug, lossis ncua mus ntsib kws kho mob.
Multifactorial inflammatory syndrome nyob rau hauv cov menyuam yaus thiab cov hluas
Cov menyuam yaus thiab cov tub ntxhais hluas uas muaj kev mob ntau yam mob ua rau muaj kev tiv thaiv kab mob. Nws cuam tshuam rau cov hlab ntsha thiab cov hlab ntsha, ua rau lub cev o tuaj yeem ua rau lub plawv thiab lwm yam kabmob puas tsuaj.
SMSD yog qhov tsawg heev - raws li cov ntaub ntawv muaj, nws tau tsim hauv 2% ntawm cov menyuam yaus uas muaj tus kabmob coronavirus nrog cov tsos mob pom tseeb. Kev txiav txim siab ntau npaum li cas cov menyuam yaus yog cov neeg mob asymptomatic, nyob rau hauv tag nrho cov qauv ntawm cov neeg uas tau zoo los ntawm tus mob coronavirus, qhov zaus ntawm cov teeb meem no yuav tsum suav nrog feem ntawm ib feem pua. Nws tseem nyuaj rau muab cov lej tseeb.
Dab tsi yog cov tsos mob ntawm tus mob multifactorial o?
SMDS cov tsos mob zoo ib yam li tus kab mob Kawasaki, uas yog tus cwj pwm los ntawm kev mob ntawm cov hlab ntsha thiab toxic shock syndrome.
Cov paib sab nraud (tsuas yog qee qhov tshwm sim):
- kub ntev tshaj 3 hnub thiab nce
- mob plab, ntuav lossis raws plab
- qhov muag ntshav, tsis muaj kab mob ua paug
- pob khaus
- hloov xim ntawm daim tawv nqaij, uas tej zaum yuav muaj xws li daj ntseg, patchiness lossis blueness
- pub mis lossis haus dej nyuaj
- nyuaj lossis ua pa nrawm
- mob hauv siab lossis palpitations
- tsis meej pem, chim siab lossis tsis txaus siab
chij liab rau niam txiv:
- o thiab liab ntawm tes thiab ko taw
- redness lossis tawg daim di ncauj / tus nplaig
- o cov qog nqaij hlav hauv caj dab
Cov tsos mob tus kws kho mob yuav pom:
- nce qib ntawm cov cim inflammatory
- hypotension lossis shock
- cim qhia ntawm myocarditis, pericarditis, valvulitis lossis kab mob coronary artery
- cim qhia ntawm coagulopathy
ISMS kho?
Yog, thiab zoo nkauj heev. Tom qab tsim kev kuaj mob thiab txiav txim siab tawm lwm yam ua rau cov txheej txheem inflammatory (piv txwv li, kab mob Kawasaki thiab kab mob uas ua rau cov tsos mob ntawm kev poob siab). Kev kho mob feem ntau yog nrog immunoglobulins thiab corticosteroids.
Dab tsi yog qhov tshwm sim ntawm kev mob plab hnyuv ntau yam?
Ntau yam teebmeem tseem tsis tau paub. Tom qab rov zoo, kev soj ntsuam los ntawm kws kho plawv thiab kws kho mob rheumatologist tau pom zoo.
Scarlet fever
Scarlet fever yog ib qho kab mob uas tuaj yeem tshwm sim hauv cov neeg mob pharyngitis. Nws yog tus cwj pwm los ntawm cov pob liab liab ntawm lub cev, feem ntau nrog kub taub hau thiab mob caj pas. Scarlet fever yog tshwm sim los ntawm pawg A streptococcus - tib yam uas ua rau pharyngitis.
Feem ntau, cov menyuam yaus hnub nyoog 5 txog 15 xyoos tau mob ua npaws liab, tab sis muaj tsawg zaus, tus neeg laus kuj tuaj yeem kis tau. Ua ntej qhov tshwm sim ntawm cov tshuaj tua kab mob, qhov ua npaws liab liab tau suav tias yog kab mob txaus ntshai thaum yau, tab sis hnub no nws kho tau zoo thiab tsis tshwm sim ntau.
Dab tsi yog cov tsos mob ntawm tus kab mob liab liab?
yam ua pob khaus
Cov tsos mob tseem ceeb uas paub qhov txawv ntawm qhov kub taub hau los ntawm pharyngitis yog pob liab liab. 12-48 teev tom qab pib cov tsos mob thawj zaug, cov tsos mob liab tshwm. Nws yog me me (txog 1 hli), liab thiab zoo li nyuaj "goosebumps" rau qhov kov. Thaum nias, cov pob liab liab tig daj ntseg. "Favorite" qhov chaw ua kom pob khaus yog lub caj dab, lub luj tshib creases, armpits, puab tais. Tom qab cov pob khaus ploj lawm, daim tawv nqaij yuav pib tev tawm - tshwj xeeb tshaj yog ntawm lub ntsej muag thiab xib teg.
Lwm cov kev hloov ntawm daim tawv nqaij cuam tshuam nrog kev kub taub hau muaj xws li:
- daim duab peb sab nasolabial tseem muaj pob khaus-dawb
- Tsaus, thaj chaw hyperpigmented hauv daim tawv nqaij folds
- Bright raspberry blush on cheeks
- "Cimson Tus nplaig": liab o ntawm tus nplaig nrog cov txheej dawb. 2-4 hnub muaj mob
Lwm cov tsos mob
Vim liab liab yog tshwm sim los ntawm cov kab mob tib yam li pharyngitis, ob yam kab mob pib nrog cov tsos mob zoo sib xws:
- Kub kub: Nrog liab liab kub, nws tuaj yeem nyob ntawm 38 txog 39.5 degrees. Yog tsis muaj tshuaj tua kab mob, qhov kub yuav nyob mus li 5-7 hnub.
- Mob caj pas: lub caj pas thiab tonsils yuav liab thiab o, feem ntau npog dawb paug. Cov qog hauv caj dab kuj tuaj yeem o thiab ua rau mob rau qhov kov. Scarlet fever ua rau nqos.
- Tus menyuam mos yuav tsim tau lwm yam tsos mob xws li kab mob - xeev siab, ntuav, ua daus no, mob taub hau, mob plab thiab tsis qab los noj mov. Tus mob yuav zoo ib yam li mob caj pas.
Ib tug me nyuam uas kub taub hau tuaj yeem kis tau 2-5 hnub ua ntej nws mob. Tus kab mob kis tau los ntawm tus neeg mob cov kua qaub ncaug, qhov ntswg qhov ntswg, txham lossis hnoos.
Qhov no txhais tau hais tias leej twg tuaj yeem ua npaws liab yog tias lawv nkag mus rau cov kua dej ncaj qha thiab tom qab ntawd kov lawv lub qhov ncauj, qhov ntswg lossis qhov muag. Staph tuaj yeem kis tau los ntawm cov khoom siv sib koom thiab qee kis los ntawm cov zaub mov tsis huv.
Nyob rau hauv qee tus neeg, cov kab mob no tuaj yeem ua rau daim tawv nqaij kis kab mob thiab o ntawm cov ntaub so ntswg subcutaneous (cellulitis), thiab kis tau los ntawm kev kov thaj chaw. Nrog liab liab ua npaws, qhov xwm txheej txawv - nws tshwm sim vim lub cev cov tshuaj tiv thaiv rau toxins, uas txhais tau hais tias cov kab mob kis tsis tau los ntawm cov pob liab liab.
Yuav ua li cas kho tus kab mob npaws liab?
Kev kho mob npaws liab yog txhawm rau tua cov staph thiab txo cov tsos mob. Yog li, tus kws kho mob tau sau cov tshuaj tua kab mob, kho mob caj pas, ua kom sov, thiab ua kom cov av noo.
Cov tshuaj tsis muaj tshuaj tiv thaiv kab mob tuaj yeem txo qhov kub taub hau thiab txo qhov mob hauv lub cev.
Dab tsi yog qhov txawv ntawm qhov ua npaws liab liab thiab ntau yam kab mob o?
- Qhov txawv tseem ceeb tuaj yeem suav hais tias mob caj pas - nws tsis tshwm sim nrog SMSD.
- Scarlet fever yog tus cwj pwm los ntawm lub ntsej muag daj thiab tus nplaig, kab mob plaque, pallor ntawm nasolabial daim duab peb sab.
- SMSD tuaj yeem tshwm sim nrog cov kab mob zoo li qhov muag liab ntawm qhov muag, o thiab liab ntawm tes thiab ko taw, thiab daim di ncauj tawg.
- Scarlet fever yog tshwm sim los ntawm kev kis kab mob, ntau yam kab mob o tuaj yeem cuam tshuam nrog tus kab mob coronavirus yav dhau los.
Txawm li cas los xij, kev kuaj mob yuav tsum tau ua los ntawm tus kws kho mob uas tuaj yeem txiav txim siab tsis yog los ntawm cov cim sab nraud, tab sis kuj yog cov txiaj ntsig ntawm kev sim. Qhov kub thiab txias hauv tus menyuam ib txwm yog vim li cas thiaj hu rau tus kws kho mob.
