Qhov Tseem Ceeb Qhov txawv - RSV vs Bronchiolitis
Cov menyuam yaus feem ntau ntsib cov kab mob ua pa nquag thaum lawv tseem yau. Txawm hais tias feem ntau ntawm cov kab mob no yog txwv tus kheej, qee qhov kab mob xws li bronchiolitis thiab mob ntsws muaj peev xwm ua rau muaj kev phom sij rau lub neej. Bronchiolitis yog tus kab mob loj tshaj plaws uas tshwm sim thaum cev xeeb tub. Hauv 80% ntawm cov neeg mob, tus neeg sawv cev ntawm tus kab mob bronchiolitis yog RSV. Nws tuaj yeem tshwm sim los ntawm tus mob khaub thuas, parainfluenza, adenovirus, rhinovirus, human metapneumovirus, thiab Mycoplasma pneumonia. Yog li, qhov sib txawv tseem ceeb ntawm RSV thiab bronchiolitis yog RSV yog ib qho kab mob thaum bronchiolitis yog kab mob uas feem ntau tshwm sim los ntawm RSV.
RSV yog dab tsi?
RSV yog tus kab mob ntawm tsev neeg Paramyxoviridae. Paramyxoviridae replicates nyob rau hauv lub Upper pa ib ntsuj av tau thiab ua rau cov kab mob sib txawv. Feem ntau, hauv cov kab mob ntawm tsev neeg no, hemagglutinins thiab neuraminidase yog ib feem ntawm tib yam glycoprotein spike tab sis hauv RSV, ob qho tib si hemagglutinin thiab neuraminidase tsis tuaj.
RSV muaj qhov sib txawv ntawm qhov sib txawv thiab feem ntau muab faib ua ob pawg ua pawg raws li pawg A thiab B. Ob pawg pawg yuav tuaj yeem ncig hauv zej zog ib txhij ua rau muaj kev sib kis. Cov kab mob RSV feem ntau tshwm sim thaum lub caij ntuj no.
Daim duab 01: Electron micrograph ntawm RSV virions (xiav)
Viral Morphology
- Has negative single stranded RNA,
- Feem ntau, 7-8 ntu ntawm RNA pom
- Nws muaj helical symmetry,
- Lub hnab ntawv muaj lipids
- Replication tshwm sim nyob rau hauv lub nucleus
RSV yog tus neeg kis tus kabmob kis tau zoo uas suav nrog feem ntau mob ntsws ntawm cov menyuam mos. Ntxiv nrog rau bronchiolitis, nws ua rau mob khaub thuas thiab mob khaub thuas. Kev cog lus ntawm RSV tsuas yog ib zaug tsis ua rau tus neeg mob tiv thaiv kab mob tag nrho tab sis qhov kev tiv thaiv ib nrab tau txais yuav pab txo tus kab mob mus rau lub ntsws sab sauv thaum kis kab mob tom ntej. Cov menyuam mos uas muaj kab mob hauv lub plawv, cov kab mob hauv lub ntsws, thiab lub cev tsis muaj zog yog qhov muaj feem yuav kis tau tus mob hnyav.
Kev kho mob
- Palivizumab (Monoclonal antibody tiv thaiv RSV, muab IM)
- Ribavirin
YBronchiolitis yog dab tsi?
Bronchiolitis yog qhov mob ntawm bronchioles uas cuam tshuam nrog edema thiab tsub zuj zuj ntawm cov khib nyiab ntawm tes thiab hnoos qeev hauv bronchioles. Qhov no pathology ntawm bronchioles ua rau muaj kev nce nqi, atelectasis, cua ntxiab, thiab qhov cua-perfusion mismatch. Bronchiolitis yog tus kab mob ua pa ntau tshaj plaws ntawm cov menyuam mos. RSV yog tus neeg sawv cev tseem ceeb ntawm bronchiolitis. Lwm yam kab mob xws li mob npaws, parainfluenza, adenovirus, rhinovirus, human metapneumovirus, thiab Mycoplasma pneumonia tuaj yeem ua rau tus kab mob no.
Daim duab 02: Atelectasis
Cov me nyuam mos muaj kev cuam tshuam rau txoj hlab ntsws vim tias txoj hlab pa me me, ua rau muaj kev sib tsoo ntawm txoj hlab pa thiab qhov sib txawv ntawm cov tracheal rings. Txiv neej poj niam txiv neej, muaj neeg coob coob, cov menyuam mos uas tsis pub niam mis, cov menyuam mos ntawm cov niam hluas thiab niam txiv haus luam yeeb yog qhov muaj feem cuam tshuam rau kev loj hlob ntawm bronchiolitis.
Tshuaj Kho Mob
Ib tug me nyuam muaj kev cuam tshuam tej zaum yuav muaj keeb kwm sib cuag ntawm tus mob ua pa me rau tus me nyuam loj los yog ib tug neeg laus. Cov tsos mob ntawm sab sauv xws li rhinorrhea thiab txham tuaj yeem pom. Cov tsos mob Coryzal tuaj yeem ua rau hnoos qhuav thiab ua tsis taus pa. Tus me nyuam tuaj yeem ua mob febrile thiab anorexic. Kev ua pa nyuaj tuaj yeem txheeb xyuas tau los ntawm tachypnea, kev ua pa ntau ntxiv, lub qhov ntswg flaring, tracheal rubing, subcostal & intercostal recesses thiab siv ntau dhau ntawm cov leeg nqaij.
Ntawm kev kuaj xyuas tus neeg mob zoo-kawg inspiratory crackles, hawb pob siab, tachycardia, cyanosis lossis pallor tuaj yeem txheeb xyuas.
Diagnosis
Hauv cov neeg mob tsis yooj yim, kev kuaj mob tuaj yeem ua tau tsuas yog nyob ntawm cov tsos mob thiab cov tsos mob. PCR tsom xam ntawm nasopharyngeal secretions kuj yuav pab tau. Yog tias lub hauv siab xoo hluav taws xob ua tiav, patchy atelectasis thiab hyperinflation vim muaj qhov cuam tshuam me me tuaj yeem pom. Pulse oximetry yog siv los saib xyuas cov hlab ntsha oxygen saturation.
Kev tswj hwm
Mainstay yog kev tswj hwm kev txhawb nqa. Tus neeg mob tuaj yeem kho tau. Humidified oxygen tuaj yeem xa los ntawm lub qhov ntswg cannula. IV kua yog muab. Qhov ncauj thiab qhov ntswg yog nqus tawm kom tus menyuam xis nyob.
Cov tshuaj tiv thaiv kab mob tshwj xeeb xws li Ribavirin yog siv rau cov neeg mob CLD thiab CHD. Cov kev kho mob ntxiv xws li nebulization nrog salbutamol / ipratropium, steroids, hypertonic saline, thiab adrenaline tsis tau txheeb xyuas kom muaj txiaj ntsig los txo qhov mob hnyav thiab ntev ntawm tus kab mob.
Cov menyuam mos feem ntau zoo tag nrho hauv 2 lub lis piam txij thaum pib kis tus kab mob. Qee tus yuav muaj hnoos thiab hawb pob. Tsis tshua muaj, nyob rau hauv tus kab mob adenovirus, kev puas tsuaj mus tas li rau cov hlab ntsws (bronchiolitis obliterans) yuav tshwm sim.
Kev Tiv Thaiv
- Raws li RSV kis tau zoo heev, txoj kev huv ntawm tes yuav tsum tau xyaum.
- Tus kab mob tuaj yeem tiv thaiv tau los ntawm RSV immunoglobulin thiab Palivizumab.
Qhov txawv ntawm RSV thiab Bronchiolitis yog dab tsi?
RSV vs Bronchiolitis |
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| RSV (Respiratory syncytia virus) is a virus of Paramyxoviridae family. | Bronchiolitis yog ib qho mob hnyav ntawm bronchioles uas feem ntau tshwm sim los ntawm tus kab mob kis |
| kev sib raug zoo | |
| RSV is a pathogen. | Bronchiolitis yog tus kab mob tshwm sim los ntawm RSV. |
Summary – RSV vs Bronchiolitis
Bronchiolitis yog ib qho mob hnyav ntawm bronchioles uas feem ntau tshwm sim los ntawm tus kab mob kis. Tus kab mob lub luag haujlwm rau feem ntau ntawm cov mob bronchiolitis yog RSV. Yog li, qhov sib txawv tseem ceeb ntawm RSV thiab bronchiolitis yog tias bronchiolitis yog kab mob thaum RSV yog cov kab mob feem ntau ua rau tus kab mob no.
Download PDF Version of RSV vs Bronchiolitis
Koj tuaj yeem rub tawm PDF version ntawm kab lus no thiab siv nws rau offline hom phiaj raws li daim ntawv ceeb toom. Thov download PDF version ntawm no Qhov txawv Ntawm RSV thiab Bronchiolitis.
