Pseudomembranous mob plab

Pseudomembranous mob plab yog hais txog mob, uas loj cov kab mob ntawm cov nyuv. Txoj kev loj hlob ntawm tus kab mob txuam nrog kev siv ntawm tshuaj tua kab mob. Pseudomembranous mob plab yog tsiag ntawv los ntawm tsim thiab sib cais ntawm faeces membranous khoom. Cov lug yog sawv cev fibrin thiab hnoos qeev.

Pseudomembranous mob plab tej zaum yuav manifested los ntawm raws plab hauj sim los yog dhia nyob rau hauv mob loj heev cov ntaub ntawv. Tus kab mob yog yus muaj los ntawm mob thiab recurrent kawg.

Raws li ib tug txoj cai, pseudomembranous mob plab muaj feem xyuam rau cov neeg nyob nruab nrab ntawm lub hnub nyoog ntawm plaub caug rau xya caum-tsib xyoo. Nyob rau hauv lub tsev kho mob nyob rau hauv hais txog kaum rau nees nkaum feem pua ntawm cov neeg mob ntes Clostridium difficile enterotoxins (co kab mob kis thoob plaws).

Nws yuav tsum tau muab sau tseg tias kev vam meej ntawm tus kab mob nyob rau hauv tus neeg mob cai ntawm kuj ntawm lub microorganism rau tshuaj tua kab mob tshuaj uas muaj peev xwm ntawm suppressing lub neej kev ua seem microflora nyob rau hauv cov hnyuv. Nyob rau hauv cov ntaub ntawv no, ceev loj hlob ntawm cov kab mob txhais los ntawm tsis muaj kev sib txeeb. Nrog rau no, muaj ib tug ceev cia hnab khib co toxins.

Feem ntau cov feem ntau cov kab mob kev raws li ib tug tshwm sim uas tau txais clindamycin, ampicillin. Txawm li cas los, nws yuav tsum tau muab sau tseg tias kev siv ntawm cov tshuaj, muaj antimicrobial kev ua si (e.g., penicillin, chloramphenicol, erythromycin, tetracycline) tej zaum yuav ua rau kom lub inward mob ntawm tus kab mob.

Risk yam tseem ceeb yuav tsum muaj, nyob rau hauv tas li ntawd mus ib ncua kev siv ntawm tshuaj tua kab mob, cov kws khomob (methotrexate, fluorouracil, thiab kev cuab yeej), phais nyob rau hauv lub plab hnyuv cheeb tsam, uremia, ischemia nyob rau hauv lub GI huam, hlwb pob txha hloov.

Pseudomembranous mob plab. cov tsos mob

Cov feem ntau manifestation yog qhov tso quav heev. Raws li ib tug txoj cai, nws zoo nkaus li mus rau thaum xaus ntawm lub lim tiam thib ob ntawm qhov kev siv ntawm tshuaj tua kab mob raws li ib tug kev kho mob. Nyob rau hauv tsawg tus neeg mob, cov tsos mob tshwm tom qab lawv ntsoos ntsoos (tej zaum tom qab rau lub lim tiam).

Dej quav muaj ib tug ntsuab xim, ib tug unpleasant tsw, yuav tsiv mus nyob rau hauv ib lub ntshav raws plab impurities. Ua ke nrog cov quav faib membranous khoom. Tus txheej txheem ntawm defecation yog nrog los ntawm ntswj kev mob kev nkeeg nyob rau hauv lub qis qhov chaw hauv lub plab.

Ib tug yam ntxwv cov tsos mob no kuj ua npaws. Nws yuav tsum tau muab sau tseg hais tias kaum feem pua ntawm cov neeg mob nws tsuas yog tib manifestation ntawm tus kab mob.

Pseudomembranous mob plab. kev kho mob

Lub ntsiab thiab lub thawj kho kev ntsuas yog qhov kev tshem tawm ntawm provoking kab mob tshuaj tua kab mob. Qhov kev ntsuas no, nyob rau hauv Feem ntau, tshwj xeeb tshaj yog nrog yam ntaub ntawv ntawm tus kab mob, tiv thaiv tau qhov muaj mob ntawm pseudomembranous mob plab.

Therapeutic kev ua ub no muaj xws li lub sij hawm teem etiotrop kev kho mob. Nws yog kev siv ntawm antibacterial tshuaj uas cuam tshuam rau cov kab mob Clostridium difficile. Raws li ib tug txoj cai, rau cov hom phiaj yog muab metronidazole thiab vancomycin. Cov yav tas muaj cov neeg pluag haum nyob rau hauv lub plab. Ncauj thawj coj provokes ib tug sai nce nyob rau hauv lub concentration.

Metronidazole yuav raug muab tso intravenously (nyob rau hauv cov ntaub ntawv ntawm qhov ncauj thawj coj fix).

Nws yog ib yam uas tseem ceeb heev thiab pathogenetic txoj kev kho. Qhov no yog tshwj xeeb tshaj yog muaj tseeb ntawm cov neeg mob uas muaj teebmeem pseudomembranous mob plab. Nws lub ntsiab lus qhia yog kho protein metabolism thiab dej-ntsha tsis txaus. Nyob rau hauv tas li ntawd, cov kev tshwm sim yuav muaj lub kho tshiab ntawm lub qub nqi koj tshuav ntawm lub plab hnyuv microflora thiab cov losis tswvyim dabtsi ntawm cov taug-ua kab mob. Cov lus hais rau dej-ntsha mob koom nrog txoj kev siv cov ib tug txaus intensive kev saib xyuas.