Swine flu: mob, kev kho mob thiab kev tiv thaiv

Tus kab mob swine flu (Californian) yog ib yam kab mob kis tau yooj yim heev los ntawm tus kab mob H (H1N1), uas yog tus kab mob virulence (infectiousness), uas yog qhov feem pua ​​ntawm cov neeg tuag ntawm cov neeg muaj kev pheej hmoo (poj niam cev xeeb tub thiab cov neeg muaj mob hnyav), thaum kawg, cim kab mob ntsws.

Cov tsos mob ntawm swine flu tib neeg

Lub tsev kho mob (H1N1) zoo tib yam rau cov tsos mob ntawm "khaub thuas raws caij nyoog", qhov txawv yog tib yam - hauv 20-25% ntawm cov neeg mob tus kab mob no tshwm sim tawm tsam ntawm dyspepsia (raws plab, ntuav, xeev siab). Kev mob ua npua nrog tus kabmob npua yog pib los ntawm lub sijhawm pib "pib", hnub 2-3 nws kis mus rau kab mob pneumonia, hloov ntshav hauv lub cev, ua rau nws cov coagulability, ua rau lub plhuav, plhuav khoob pob, mob ntsws. Cov tsos mob ntawm tus kab mob nyob hauv tus neeg laus:

• ua pa tsis txaus;
• kub cev rau 38-39 degrees;
• ua daus no, mob hauv pob qij txha / cov leeg pob txha;
• mob taub hau, qhuav hnoos;
• zawv plab, xeev siab, ntuav;
• mob ntawm cov hlab plawv mob: txo cov ntshav siab, tachycardia, lag ntseg ntawm lub plawv suab,

Tus kab mob swine flu tshaj plaws yog qhia los ntawm pyretic temperature (siab tshaj 39 degrees), qhov hnoos hlav tsis huv, phaj siab, mob caj pas, mob caj pas, mob ua pa nyuaj, hemorrhagic syndrome (nasal / pulmonary hemorrhages, hemoptysis). Tus kab mob swine flu tshaj plaws yog tus xeeb ceem los ntawm kev txhim kho ntawm ib qho kev nyuab siab ntsig txog mob nyhav - mob ua pa nyuab siab. Cov tsos mob ntawm tus menyuam qhov mob:

• ib qho hnyuv ntxaug qhuav qhuav;
• kev tsis muaj zog, kub cev (38.5-40 degrees);
• mob hauv cov pob qij txha, ua pa nyuab;
• mob taub hau, zawv plab;
• plab (mob plab) (mob plab);
• mob caj pas, xeev siab, ntuav.

Tsis zoo li cov neeg laus, cov menyuam yaus raug kuaj nrog cov kab mob loj tsawv uas tsis muaj teeb meem. Tshaj li catarrhal syndrome (los ntswg, mob caj pas, hnoos), qhov kev ua rau qaug zog predominates (tsis muaj zog, mob taub hau, kub cev). Cov kab mob ntawm txoj hlab plawv (ntuav, raws plab) feem ntau tau muab sau cia rau cov menyuam hnub nyoog txog 6 xyoo, ntawm lub hauv siab xoo hluav taws xob ntawm infiltrative hloov tsis pom. Feem ntau, tus kab mob H (A) (H1N1) hauv cov menyuam yaus yog tus cwj pwm tsis zoo los tiv thaiv qee yam mob tsis zoo hauv cov kev kuaj tsis tau ntawm cov ntshav peripheral.

Swine flu: kev kho mob

Phaum mob A (H1N1) hauv teb chaws Russia pib hauv lub Ib Hlis - pib ntxov dua qub. Lub ntsiab qhov txawv ntawm xyoo 2016 kev mob yog kev tuag ntawm kev noj qab haus huv cov tub ntxhais hluas 25-40 xyoo, lub tsev kho mob loj heev uas tuaj sai sai rau hauv cov kab mob viral-bacterial bilateral pneumonia uas muaj purulent-hemorrhagic xwm. Raws li kev soj ntsuam ntawm Epidemiology ntawm Lavxias teb sab Federation, tus kab mob kis thoob plaws lub teb chaws cov cheeb tsam, ntau tus neeg mob tuag los ntawm ib qho kab mob txaus ntshai, 175,000 tus neeg muaj tus kab mob. Cov kws kho mob hu rau Russians tsis ceeb, thiab thaum pom cov tsos mob tshwm sim tam sim ntawd nrhiav kev pab kho mob. Nyob rau hauv cov ntaub ntawv ntawm txaus thiab raws sij hawm kev kho mob, qhov kev ntsuam xyuas yog feem ntau txaus siab.

Kev kho kab mob swine flu

Dua los kho tus kab mob npuas dej? Tsuas yog cov tshuaj uas tsim los kho A (H1N1) xwb yog cov tshuaj hu ua neuraminidase: zanamivir thiab oseltamivir. Qhov lawv txiav txim yog raws qhov thaiv ntawm qhov kab mob khaub thuas tawm ntawm kab mob B thiab A ntawm cov sialic acid residues uas ua rau cov glycoprotein receptors nyob rau ntawm daim nyias nyias ntawm cov kab mob ntawm cov kab mob, uas ua rau cov kev sib ntxiv ntawm qhov sib ntxiv ntawm viv. Kuj A (H1N1) rau Oseltamivir 0.5-0.7%, Zanamivir kuj tsis kaw. Kev txais tos ntawm Zanamivir (Relenza) thiab Oseltamivir (Tamiflu) yog pom zoo:

• Cov neeg uas muaj hnub nyoog qis dua 19 xyoo uas tau txais cov tshuaj acetylsacyl acid;
• cov neeg muaj kab mob HIV thiab muaj mob loj;
• cov poj niam cev xeeb tub,
• cov menyuam yaus hnub nyoog qis dua 5 xyoos, cov laus tshaj 65 xyoos;
• cov neeg mob uas muaj pov thawj keeb kwm ntawm A (H1N1) tus kab mob;
• nyob rau hauv ob leeg ntawm cov tau teev tseg: tsis muaj teeb meem qhov ntswg, hnoos qhuav, ua pa tsis ua haujlwm, ua npaws, mob caj pas.

Cov ntaub ntawv ntawm A (H1N1) yog kho nrog ob peb ntawm cov tshuaj antiviral: Arbidol + Viferon + Tamiflu, Tamiflu + Cycloferon, Panavir + Cycloferon + Tamiflu. Nruab nrab-hnyav - ua ke ntawm Viferon + Tamiflu, Arbidol + Tamiflu, Viferon + Arbidol. Cov tsos mob: vascosstrictive ncos rau ntawm qhov ntswg, febrifuge (Ibuprofen, Paracetamol), tshuaj rau hnoos nyem (Ambroxol, Tussin), antihistamines (Zodak, Claritin).

Kev tiv thaiv swine flu: tshuaj

Swine flu yog ib qho kab mob txaus ntshai uas yuav yooj yim dua los tiv thaiv. Txog hnub, kev tivthaiv, tivthaiv tus kabmob A (H1N1) tau tsim, kev npaj Arbidol, Tamiflu, Viferon yog qhia rau cov tshuaj tsis tseeb tshwjxeeb.