Qhov Tseem Ceeb Qhov txawv – Whooping Cough vs Croup
Kab mob ua pa tuaj yeem faib ua ob pawg xws li kab mob ua pa sab saud thiab kab mob ua pa hauv qab. Cov kab mob ua pa sab saud feem ntau pom hauv cov menyuam yaus thiab feem ntau tshwm sim los ntawm cov kab mob. Croup thiab hnoos hawb pob yog kab mob ua pa sab sauv uas nquag pom thaum menyuam yaus. Croup yog ib hom kab mob viral, thiab nws ua rau cov kab mob ntawm cov hlab ntsws, uas ua rau hnoos qeev thaum hnoos hawb pob los yog pertussis yog cov kab mob keeb kwm thiab muaj tus yam ntxwv paroxysm ntawm hnoos nrog ib qho whoop. Nov yog qhov txawv ntawm qhov hnoos hawb pob thiab croup.
Croup yog dab tsi?
Croup, uas tseem hu ua laryngotracheobronchitis, yog txuam nrog mucosal o thiab nce secretions. Tab sis qhov tseem ceeb tshaj plaws yog qhov edema, uas ua rau muaj qhov nqaim ntxiv ntawm cov trachea hauv cov menyuam yaus. Qhov mob hnyav tshaj plaws tuaj yeem pom hauv cov menyuam yaus hnub nyoog qis dua 3 xyoos. Tus kab mob uas tshwm sim tshaj plaws ntawm croup yog tus kab mob Para influenza. Lwm cov kab mob xws li tib neeg metapneumovirus, RSV, qhua pias, adenovirus, thiab mob khaub thuas kuj tuaj yeem ua rau tib neeg mob.
Daim duab 01: Tus kab mob khaub thuas Para influenza
Tshuaj Kho Mob
Tus kab mob no tshwm sim los ntawm hnoos hnoos, hnoos, thiab stridor. Cov tsos mob Coryzal thiab kub taub hau kuj tuaj yeem tshwm sim. Cov tsos mob yuav hnyav dua thaum hmo ntuj. Recessions ntawm cov nqaij mos ntawm caj dab thiab lub plab yuav tshwm sim vim qhov tsis tu ncua ntawm txoj hlab pa. Lub hauv siab recessions thiab stridor tej zaum yuav ploj mus thaum tus me nyuam nyob rau hauv so yog hais tias tus kab mob ntawm cov hlab ntsha tau ploj mus. Kev nyuaj siab ua pa thiab cyanosis kuj tuaj yeem pom nyob rau hauv cov mob hnyav.
Kev tswj hwm
Nyob hauv croup, tus menyuam feem ntau tuaj yeem tswj hwm hauv tsev. Tab sis cov niam txiv yuav tsum tau saib xyuas tus me nyuam kom muaj kev mob hnyav.
Tsev Kho Mob yog qhov tsim nyog yog tus neeg mob muaj cov lus qhia hauv qab no;
- mob hnyav thaum so
- progressive stridor
- mob ua pa nyuaj
- hypoxia
- kev nyuaj siab
- txo qis sensorium
- kev kuaj tsis paub tseeb
Chav nqus pa yog siv dav, tab sis kev txhim kho cov tsos mob tsis ntseeg. Qhov ncauj prednisolone, qhov ncauj dexamethasone thiab nebulized steroids (budesonide) feem ntau yog siv los ua cov tshuaj tiv thaiv. Nebulized epinephrine nrog oxygen lub ntsej muag lub ntsej muag tuaj yeem muab kev pab cuam hauv kev cuam tshuam loj ntawm txoj hlab pa sab saud. Nws yog ib qho tseem ceeb kom paub tseeb tias cov kua dej ntawm tus neeg mob txaus. Kev soj ntsuam ze yog tsim nyog tom qab kev tswj hwm ntawm epinephrine vim tias cov tsos mob tuaj yeem rov zoo dua thaum kwv yees li ob teev dhau los ntawm kev tswj hwm cov tshuaj.
Tus mob hnoos hawb pob yog dab tsi?
hnoos hnoos, uas tseem hu ua pertussis yog teeb meem kev noj qab haus huv thoob ntiaj teb. Nws yog kab mob ntawm cov menyuam yaus, nrog 90% ntawm cov neeg mob tshwm sim hauv qab hnub nyoog 5 xyoos. Tus kab mob pertussis kis tau zoo heev thiab kis los ntawm cov kua ua pa tawm thaum tus neeg mob hnoos. Nws tuaj yeem ua rau muaj kab mob sib kis hauv txhua 3-4 xyoos vim qhov sib txuam ntawm cov menyuam yaus uas tsis muaj kev tiv thaiv kab mob. Txij li thaum tsis muaj tsiaj reservoir ntawm cov kab mob ua rau kab mob pertussis, cov neeg laus asymptomatic ua lub luag haujlwm tseem ceeb hauv kev kis tus kab mob. Pertussis yog tshwm sim los ntawm gram negative coccobacillus, Bordetella pertussis. Ib hom kab mob me me yog tshwm sim los ntawm B.parapertussis thiab B.bronchiseptica. Colonization ntawm cov kab mob hauv lub pharynx yog pab los ntawm cov tshuaj lom tshwj xeeb uas yog tsim los ntawm cov kab mob lawv tus kheej. Cov yam ntxwv kho mob ntawm tus kab mob yog xav tias yuav tsum tau kho immunologically kho. Pertussis feem ntau tshwm sim thiab hnyav rau cov poj niam dua li cov txiv neej.
Tshuaj Kho Mob
Yeej, muaj 3 theem ntawm tus kab mob,
- catarrhal theem
- paroxysmal theem
Tus neeg mob kis tau zoo heev thaum lub sijhawm catarrhal. Hauv 90% ntawm cov neeg mob, kab lis kev cai ntawm kev ua pa tawm hauv lub ntsws ua rau muaj txiaj ntsig zoo thaum lub sijhawm no. Cov tsos mob Coryzal, malaise, thiab conjunctivitis tuaj yeem pom.
Tom qab kwv yees li ib lub lim tiam, theem paroxysmal uas yog tus cwj pwm los ntawm paroxysms ntawm hnoos, ua raws li qhov ua rau muaj kev ntxhov siab, pib. Whoop pom nyob rau hauv cov tub ntxhais hluas vim muaj kev cuam tshuam ntawm txoj hlab ntsws los ntawm kev zais thiab edema. Nws feem ntau yog qhov phem tshaj thaum hmo ntuj thiab xaus nrog ntuav. Ulceration ntawm frenulum, conjunctival suffusion, thiab petechiae yog lwm yam cim los nrhiav thaum lub sij hawm tus kab mob no.
Daim duab 02: Mob khaub thuas
Cov tsos mob maj mam txo qis thaum lub sijhawm convalescent.
Kev nyuaj siab
- pneumonia
- atelectasis
- qhov quav prolapse
- hernia hernia
Diagnosis
Txawm hais tias nws yooj yim los txog ntawm kev kuaj mob vim muaj cov tsos mob tshwj xeeb, txhawm rau txhawm rau paub meej qhov kev kuaj mob nws yog ib qho tsim nyog yuav tsum tau coj mus kuaj lub nasopharyngeal swab.
Kev tswj hwm
- Macrolides yuav txo qhov mob hnyav yog tias muab thaum lub sijhawm catarrhal.
- Azithromycin feem ntau yog siv 5 hnub.
- Cov neeg nyob ze tuaj yeem tau txais prophylactic erythromycin.
Kev Tiv Thaiv
Raws li tus kab mob pertussis kis tau zoo heev, cov neeg mob yuav tsum raug cais tawm. Kev txhaj tshuaj tiv thaiv tau yooj yim tiv thaiv kab mob pertussis.
Dab tsi zoo sib xws ntawm Whooping hnoos thiab Croup?
- hnoos hnoos thiab croup yog kab mob ua pa sab sauv.
- Ob qho xwm txheej feem ntau pom ntawm cov menyuam yaus.
- Airway mucosal o thiab edema yog cov kev hloov pauv loj hauv ob qho tib si pertussis thiab croup.
Qhov txawv ntawm Whooping hnoos thiab Croup yog dab tsi?
Haws hnoos vs Croup |
|
| hnoos hawb pob yog ib yam kab mob uas tshwm sim los ntawm qhov hnoos hnoos tom qab los ntawm tus kab mob, feem ntau cuam tshuam rau menyuam yaus. | Croup yog hom kab mob ntawm txoj hlab pa sab saud feem ntau pom hauv cov menyuam yaus thiab tshwm sim los ntawm tus kabmob. |
| Tus Neeg Uas Muaj Cai | |
| Causative agent is a bacteria. | Tus neeg sawv cev ua rau yog tus kabmob. |
| Cov tsos mob tseem ceeb | |
| Tus neeg mob tsim tus yam ntxwv paroxysm ntawm whoop nrog hnoos. | Tus neeg mob hnoos hnoos |
| Qhov no kis tau ntau heev; Yog li, cov neeg mob cuam tshuam yuav tsum raug cais tawm. | Qhov no tsis kis tau. |
| Tshuaj tiv thaiv | |
| txhaj tshuaj tiv thaiv kab mob. | Kev txhaj tshuaj tsis muaj. |
| Kev kho mob | |
| Tshuaj tua kab mob yog siv los kho mob hnoos hawb pob. | tshuaj tiv thaiv kab mob yog siv rau hauv kev tswj hwm. |
Summary – Whooping Cough vs Croup
Qhov txawv ntawm qhov hnoos hawb pob thiab croup yog lawv qhov ua rau; hnoos hawb pob muaj cov kab mob hauv paus chiv keeb thaum croup muaj keeb kwm viral. Txij li thaum ob tus kab mob ua pa no kis tau zoo heev (tshwj xeeb yog kab mob pertussis) nws yog ib qho tseem ceeb uas yuav tau txhaj tshuaj tiv thaiv thiab ua lwm yam kev ceev faj kom txo qis cov kab mob thiab tiv thaiv kev kis tus kab mob.
Download PDF Version of Whooping Cough vs Croup
Koj tuaj yeem rub tawm PDF version ntawm kab lus no thiab siv nws rau offline lub hom phiaj raws li daim ntawv ceeb toom. Thov download PDF version ntawm no Qhov txawv Ntawm Whooping Cough thiab Croup.
