Taw qhia: Nkag siab qhov tseem ceeb ntawm cov tshuaj tua kab mob rau dev tom

Cov dev tom tuaj yeem ua rau muaj kab mob hnyav yog tias tsis kho sai thiab kho kom raug. Cov tshuaj tua kab mob ua lub luag haujlwm tseem ceeb hauv kev tiv thaiv thiab kho cov kab mob no. Kev nkag siab txog cov tshuaj tua kab mob twg yog muab rau cov dev tom yog qhov tseem ceeb rau ob tus tswv tsev thiab cov kws kho mob. Tsab ntawv xov xwm no tshawb txog cov xwm txheej cuam tshuam rau kev xaiv tshuaj tua kab mob, cov kab mob uas muaj nyob hauv cov dev tom, thiab cov kev xaiv tshuaj tua kab mob zoo tshaj plaws rau qib sib txawv ntawm cov dev tom. Nws kuj tseem tham txog qhov kev txhawj xeeb loj zuj zus ntawm cov tshuaj tiv thaiv kab mob thiab muab kev taw qhia txog lub sijhawm ntawm kev kho mob, qhov tshwm sim tshwm sim, thiab kev ceev faj cuam tshuam nrog kev siv tshuaj tua kab mob hauv dev tom.

Cov yam ntxwv cuam tshuam rau kev xaiv cov tshuaj tua kab mob rau dev tom

Ntau yam cuam tshuam rau kev xaiv cov tshuaj tua kab mob rau dev tom. Cov no suav nrog qhov mob ntawm qhov tom, hom thiab qhov chaw ntawm lub qhov txhab, tus neeg mob keeb kwm kev kho mob, thiab kev pheej hmoo ntawm kev kis kab mob los ntawm cov kab mob tshwj xeeb. Tsis tas li ntawd, tus kws kho mob yuav txiav txim siab txog qhov muaj cov kab mob uas muaj tshuaj tua kab mob hauv zos thaum xaiv cov tshuaj tua kab mob.

Cov kab mob nquag pom nyob rau hauv dev tom: Qhov cuam tshuam rau kev kho mob

Cov dev tom feem ntau cuam tshuam nrog ntau yam kab mob, suav nrog hom Pasteurella, Staphylococcus aureus, Streptococcus hom, thiab cov kab mob anaerobic xws li Fusobacterium thiab Bacteroides. Cov kab mob Pasteurella yog cov kab mob uas nquag cais tawm thiab feem ntau nkag siab rau ntau hom tshuaj tua kab mob. Txawm li cas los xij, lwm cov kab mob xws li Staphylococcus aureus thiab Streptococcus hom yuav xav tau cov tshuaj tua kab mob sib txawv vim lawv cov qauv sib txawv.

Cov chav kawm tshuaj tua kab mob pom zoo rau kev kho tus dev tom

Cov tshuaj tua kab mob pom zoo rau kev kho tus dev tom poob rau hauv ntau chav kawm, suav nrog penicillins, cephalosporins, fluoroquinolones, thiab macrolides. Cov chav kawm no muaj kev ua haujlwm dav dav tiv thaiv cov kab mob uas feem ntau pom hauv dev tom, ua rau lawv xaiv tau zoo rau kev kho mob thawj zaug.

Txiav txim siab qhov hnyav ntawm tus dev tom: cuam tshuam rau kev xaiv tshuaj tua kab mob

Qhov hnyav ntawm tus dev tom ua lub luag haujlwm tseem ceeb hauv kev xaiv tshuaj tua kab mob. Cov dev me me, uas muaj qhov txhab tawv nqaij yam tsis muaj cov tsos mob ntawm tus kab mob, feem ntau xav tau cov tshuaj tua kab mob nqaim, xws li amoxicillin-clavulanate. Cov dev me me, uas muaj qhov txhab tob dua lossis cov tsos mob ntawm tus kab mob, yuav xav tau cov tshuaj tua kab mob dav dua xws li ampicillin-sulbactam lossis thawj tiam cephalosporin. Cov dev raug mob hnyav, uas cuam tshuam nrog cov ntaub so ntswg ntau puas lossis pom cov tsos mob ntawm cov kab mob hauv lub cev, feem ntau xav tau cov tshuaj tua kab mob dav dua xws li cephalosporin thib peb lossis fluoroquinolone.

Pom zoo tshuaj tua kab mob rau me nyuam dev tom: Ib qho kev piav qhia

Rau cov dev me me, amoxicillin-clavulanate feem ntau pom zoo ua thawj kab tshuaj tua kab mob. Nws npog feem ntau ntawm cov kab mob uas feem ntau pom nyob rau hauv cov kab mob no thiab muaj kev ruaj ntseg zoo.

Kev xaiv tshuaj tua kab mob zoo tshaj plaws rau kev mob siab rau dev tom: kev txiav txim siab

Cov dev me me yuav xav tau cov tshuaj tua kab mob dav dua vim qhov mob tob dua lossis cov tsos mob ntawm tus kab mob. Ampicillin-sulbactam los yog thawj tiam cephalosporin, xws li cephalexin, feem ntau tau sau rau hauv cov xwm txheej no. Cov tshuaj tua kab mob no muab kev pab tiv thaiv ntau yam kab mob, suav nrog Staphylococcus aureus thiab Streptococcus hom.

Hnyav dev tom: Kev xaiv tshuaj tua kab mob thiab cov lus qhia txog kev kho mob

Kev raug mob hnyav, uas cuam tshuam nrog cov ntaub so ntswg ntau puas lossis cov tsos mob ntawm tus kab mob, yuav tsum tau siv tshuaj tua kab mob hnyav dua. Thib peb tiam cephalosporins, xws li ceftriaxone los yog ceftazidime, los yog fluoroquinolones zoo li ciprofloxacin, feem ntau pom zoo rau cov mob no. Cov tshuaj tua kab mob no muaj cov haujlwm dav dav thiab tuaj yeem tsom mus rau ntau yam kab mob.

Tshuaj tiv thaiv kab mob hauv dev tom kab mob: Ib qho kev txhawj xeeb loj hlob

Tshuaj tiv thaiv kab mob yog ib qho kev txhawj xeeb loj zuj zus hauv cov kab mob tom dev. Kev siv ntau dhau lossis siv cov tshuaj tua kab mob tsis raug tuaj yeem ua rau muaj kev txhim kho ntawm cov kab mob resistant. Nws yog ib qho tseem ceeb uas yuav tau ua raws li cov lus qhia kho mob thiab siv cov tshuaj tua kab mob kom txo tau qhov kev pheej hmoo ntawm cov tshuaj tiv thaiv kab mob. Cov kws kho mob yuav tsum xav txog cov qauv tshuaj tua kab mob hauv zos thaum muab tshuaj tua kab mob rau dev tom.

Duration ntawm kev kho tshuaj tua kab mob rau dev tom kab mob

Lub sijhawm ntawm kev kho tshuaj tua kab mob rau cov kab mob tom dev feem ntau yog li ntawm 3 mus rau 14 hnub, nyob ntawm qhov mob hnyav thiab tus neeg mob cov lus teb rau kev kho mob. Nws yog ib qho tseem ceeb uas yuav tau ua kom tiav tag nrho cov tshuaj tua kab mob raws li tau hais tseg, txawm tias cov tsos mob zoo dua, kom paub meej tias kev tshem tawm tag nrho ntawm tus kab mob.

Tej yam tshwm sim thiab kev ceev faj ntawm kev siv tshuaj tua kab mob hauv dev tom

Zoo li txhua yam tshuaj, tshuaj tua kab mob siv rau hauv cov dev tom tuaj yeem muaj kev phiv. Cov kev mob tshwm sim feem ntau suav nrog kev cuam tshuam hauv plab hnyuv, kev tsis haum tshuaj, thiab muaj peev xwm ua rau mob plab raws plab. Cov kws kho mob yuav tsum coj mus rau hauv tus neeg mob cov keeb kwm kev kho mob thiab txhua yam kev ua xua tshwm sim thaum muab tshuaj tua kab mob. Nws yog ib qho tseem ceeb uas yuav tsum tau ua raws li cov tshuaj uas tau sau tseg thiab tshaj tawm cov txiaj ntsig tsis zoo tam sim ntawd.

Xaus: Ua kom muaj txiaj ntsig zoo tshuaj tua kab mob rau dev tom

Xaiv cov tshuaj tua kab mob tsim nyog rau cov dev tom yog qhov tseem ceeb hauv kev tiv thaiv thiab kho kab mob. Qhov hnyav ntawm qhov tom, hom thiab qhov chaw ntawm lub qhov txhab, thiab cov kab mob koom nrog yuav tsum tau txiav txim siab thaum xaiv cov tshuaj tua kab mob. Ua raws li cov txheej txheem kev kho mob, xav txog cov qauv tshuaj tiv thaiv kab mob, thiab ua kom tiav cov tshuaj tua kab mob tag nrho yog qhov tseem ceeb los xyuas kom muaj kev kho mob zoo. Los ntawm kev nkag siab txog qhov tseem ceeb ntawm cov tshuaj tua kab mob, ob tus tswv dev thiab cov kws kho mob tuaj yeem ua lub luag haujlwm tseem ceeb hauv kev txhawb nqa kev noj qab haus huv ntawm tib neeg los ntawm cov dev.