Qhov kab mob kis tau yooj yim tshaj plaws yog feem ntau yuav luag tag nrho. Thaum mob phaum mob, txhua tus neeg uas tsis muaj ntawv cog lus qoob loo thiab raug rau nws, nws muaj mob. Kev mob hnyav tuaj yeem rov qab tshwm sim tom qab 3-4 xyoo, thaum muaj menyuam coob tus neeg raug tus kab mob. Qee leej neeg ntawm tus kab mob qhua pias yog ib txwm muaj. Vim hais tias kev mob siab rau kev qaug tshuaj, nws cuam tshuam rau cov me nyuam yaus ntawm preschool thiab thawj hnub nyoog kawm ntawv. Measles, feem ntau, cuam tshuam cov me nyuam hauv cov pab pawg me nyuam. Cov kab mob pauv kis tau tawm ntawm kev tiv thaiv kab mob kev nyuab siab. Cov me nyuam mos liab thaum lub sij hawm thawj 3-6 lub hlis hauv lub neej muaj kev tiv thaiv kev kis tau los ntawm lub tsho me nyuam ntawm niam. Thaum muaj kev tiv thaiv tsis tau lub cev, muaj kev tiv thaiv kab mob tsis zoo, tab sis, thaum muaj kab mob, qhov kawg yuav pib hauv me me, atypical daim ntawv. Tus menyuam uas yug los ntawm leej niam uas tsis muaj qhua pias, nws tsis muaj kev tiv thaiv kab mob.
Clinical duab.
Qhov tsim kom ncu - los ntawm lub sijhawm ntawm tus kab mob mus rau thaum pib ntawm pob khaus - kav 14 hnub.
Prodromal lub sijhawm . Hauv ob lub lim tiam ntawm lub latent lub sij hawm, muaj kub cev, los ntswg, hnoos, conjunctivitis. Cov catarrhal phenomena ua kom zoo. Kev hnoos yuav mob heev, muaj qhov muag plab, photophobia. Swollen eyelids stick ua ke. Cov mucous membrane ntawm lub qhov ncauj thiab caj pas yog hyperemic. 2-3 hnub ua ntej qhov pom ntawm lub exanthema, qhov kub poob rau ib lub sij hawm luv luv. Nyob rau lub sijhawm no, tus yam ntxwv ntawm measles yog pom: nyob rau hauv hyperemic mucosa ntawm lub puab tsaig tawm tsam me me molars muaj dawb me ntsis, qhov loj ntawm ib tug pinhead ncig los ntawm ib tug liab ciam - qhov chaw ntawm Filatov-Koplik.
Yuav luag ib txhij nrog cov pob no los yog sai tom qab ntawd, muaj qhov tshwm sim rau ntawm qhov mucous membrane ntawm lub qhov muag thiab muag daj: liab qe, uas qee zaus muaj peev xwm tau txais tus cwj pwm ntawm hemorrhages. Qee lub sij hawm yog cov kab mob tonsillitis. Tus nplaig yog nteg, muaj cov kab nrawm rau ntawm ob daim di ncauj, lub ncauj tsev menyuam cov qog ntshav qab zib yog mob qis dua.
Lub sij hawm ntawm cov pob liab liab. Tom qab 24-48 teev tom qab lub tsos ntawm Filatov-Koplik stains tshwm exanthema. Lub phenomena ntawm kev qaug zog thoob plaws yog ua kom nrov dua. Tus menyuam, qaug dab tsi, kub taub hau, pw tsis tsaug zog, ua tsis paub, tsis zoo thiab zoo li mob hnyav. Nyob rau lub sij hawm no tom qab lub pob ntseg, nyob rau lub ntsej muag, lub caj dab, lub taub hau tshwm liab me ntsis, qhov loj ntawm lentils. Tom qab ntawd cov pob tawm ua kis mus rau lub cev, pob tw thiab npog lub cev tag nrho ob hnub. Pib, cov ntsiab lus ntawm cov pob khaus muaj cov cim ntawm cov pink papules, ces tig mus rau hauv loj, tsaus liab cov pob zeb uas tom qab tau txais xim liab-xim liab. Cov ntsiab lus ntawm cov pob liab liab, sib koom ua ke, tawm ntawm cov tawv nqaij dawb xwb hauv daim ntawv me me. Cov kaab khaus pob yog tawm ntawm lub ntsej muag thiab lub cev.
Lub ntsej muag ntawm tus neeg mob hauv qhua, puffy, nrog puffy eyelids, yog tus cwj pwm; lacrimation, photophobia, los ntswg, pob liab liab.
Thaum cov pob khaus ncav cuag nws lub cev, cov tsos mob ntawm kev txuam tsis tau pib. Qhov kub poob, ces, tom qab 2-3 hnub, ua ib txwm. Lub qoob loo ntawm cov pob khaus tshwm sim nyob rau hauv tib yam li cov pob khaus tshwm sim. Tom qab 4-5 hnub, lub ntsiab ntawm cov pob thoob rau ntawm lub cim ntawm lub teeb xim av me ntsis. Qhov pigmentation no muaj peev xwm pom tau rau 2 lub lis piam. Ib txhij nrog cov kev tuag ntawm cov pob ua pob pib me me-pancreatic ntawm daim tawv nqaij.
Cov duab saum toj no sib raug rau cov kab mob ntawm qhov mob loj. Muaj cov kab mob sib kis me me, uas cov pob liab liab thiab cov tsos mob tshwm sim yog qhia me ntsis. Zoo li muaj lwm yam kabmob, muaj cov kabmob malignant.
Measles yog txaus ntshai ntawm nws tus kheej vim nws cov teeb meem.
Ib qho kev nyuab siab dua yog cov qoob. Pib hauv cov kabmob catarrhal thiab cov kabmob qog ua kom tsis pom zoo, uas pom tau hais tias yuav luag txhua zaus ntawm cov qoob qhwv, yuav ua rau tus cwj pwm mob hnyav vim yog txoj kev loj hlob ntawm laryngeal stenosis. Hoarseness strengthens txoj cai mus txog rau aphonia.
O ntawm nruab nrab pob ntseg. Mob plab (oog) tshwm sim nyob rau lub sij hawm catarrhal los yog thaum ntxov nyob rau hauv lub sij hawm ntawm convalescence.
Bronchopneumonia. Mob nyhav heev rau cov menyuam mos thiab cov me nyuam yau, nrog rau cov me nyuam tsis muaj zog.
Encephalitis. Qhov feem ntau nyuaj, zoo hmoo, ib qho yooj yim tsawg nyuaj ntawm measles. Tshwm sim tom kawg ntawm cov pob khaus, los yog nyob rau cov hnub thaum ntxov ntawm lub sij hawm ntawm kev sib deev, nrog kev nce siab hauv qhov kub thiab qhov mob hnyav.
Kev kho mob ntawm cov kab mob yog symptomatic. Nws yog ib qho tsim nyog ua kom tau pw so hauv lub lim tiam thiab mus txog ob lub lim tiam ntawm kev kho mob hauv tsev. Vim yog photophobia, tus me nyuam zoo dua hauv qhov tsaus ntuj. Kom mitigate qhov hnoos heev, cua hauv chav tsev yog moistened nrog cov moisturizer lossis cov ntawv ntub dej. Yog tias tsim nyog, muab tshuaj tua kab mob thiab tshuaj tua kab mob ntsws. Yog thaum mob nyhav, yuav siv cov tshuaj tua kab mob.
Ib lub lis piam tom qab kev rov zoo li qub, kev cais ntawm cov neeg mob ce lawm. Tam sim no muaj kev tiv thaiv kab mob npaws tiv thaiv kab mob. Kev txhaj tshuaj tiv thaiv yuav tau nrog kev nce hauv qhov kub thiab qhov tshwm sim ntawm rudimentary exanthema.
Qhov tshwm sim ntawm tus kab mob yog nyob ntawm tus neeg mob lub hnub nyoog, kev loj hlob ntawm cev, kev sib xyaw ntawm cov kab mob measles thiab lwm yam mob. Measles yog ib qho kab mob txaus ntshai rau cov me nyuam muaj mob muaj nkeeg ntawm dystrophy. Cov menyuam hnub nyoog loj dua peb xyoos mas nws ua rau nws zoo siab.