Cov Kab Mob Sib Kis (Actinomycosis) Hauv Dev

2024 Tus sau: Daisy Haig | [email protected]. Kawg hloov kho: 2023-12-17 03:09

Actinomycosis hauv dev

Actinomycosis yog ib hom mob los ntawm gram zoo, ceg, pleomorphic (tuaj yeem hloov ntawm cov pas nrig thiab coccus), cov kab mob ntawm cov pas nrig ntawm cov genus Actinomyces, feem ntau yog hom A. viscosus. Muaj peev xwm muaj sia nyob nrog me me (microaerophilic) lossis tsis muaj oxygen (anaerobic), Actinomyces tsis tshua pom muaj kab mob rau tib neeg hauv ib lub qhov txhab. Nws yog feem ntau tivthaiv ntawm tus kabmob polymicrobial nrog ntau tus kabmob. Qhov tseeb, muaj qee zaum txawm tias sib txuam ntawm Actinomyces thiab lwm yam muaj sia.

Cov tsos mob thiab Hom

• Mob mob thiab kub cev
• Cov kab mob ntawm lub ntsej muag lossis caj dab; feem ntau hauv zos tab sis yuav kis tawm
• Daim tawv nqaij o los yog qog ua kua nrog kua paug; qee zaum daj granules
• Kev ua mob ntawm cov qog xov tooj rau tom qab lub peritoneum, daim nyias nyias du uas kab hauv lub plab (retroperitonitis)
• Kev mob pob txha los yog txha caj qaum (osteomyelitis), tshwj xeeb tshaj yog cov pob txha ntev xws li cov uas pom muaj hauv cov nqua; Qhov no yog theem nrab ntawm kev kis mob ntawm daim tawv nqaij
• Thaum muaj feem nrog txha caj qaum txhaws, lub cev muaj zog thiab cov tsis zoo (piv txwv li, teeb meem taug kev, kov, thiab lwm yam)

Ua rau

Actinomycosis xav tias tshwm sim los ntawm kev pheej hmoo; i.e., Actinomyces spp. yog ib txwm nyob ntawm cov dev lub qhov ncauj, tab sis txiav, khawb, lossis tom cov kiav txhab hauv cov nqaij mos lossis tawv nqaij yuav ua rau tsis txaus ntseeg ntawm cov kab mob microenvironment. Lwm yam kev pheej hmoo muaj xws li kab mob ncig thiab cov cev tsis muaj zog tiv thaiv kab mob.

Kev kuaj mob

Koj yuav tsum tau muab keeb kwm meej ntawm koj tus dev noj qab haus huv, suav nrog qhov pib thiab qhov tshwm sim ntawm cov tsos mob, rau tus kws kho tsiaj. Tom qab ntawd nws yuav kuaj lub cev tag nrho nrog rau cov ntawv qhia txog biochemistry, urinalysis, ua tiav cov ntshav, thiab lub ntsuas hluav taws xob. Xoo hluav taws xob ntawm cov dev nrog actinomycosis yuav feem ntau ua rau pom kev ua pob txha (sab txheej ntawm pob txha) lub cev pob txha tshiab, ua pob txha pob txha (mob pob txha), thiab osteolysis (pob txha pob txha).

Yog xav paub tseeb dua koj tus kws kho tsiaj yuav xa cov hnoos qeev los yog osteolytic pob txha tawg rau kev kuaj mob. Gram staining, cytology, thiab acid-fast staining kuj tseem siv tau.

Kev Kho Mob

Tus dev cov qog yuav tau hno thiab lav lav tau ob peb hnub. Qee qhov xwm txheej, tus cwj mem kua dej yuav siv, qhov chaw mos roj hmab tso rau hauv qhov chaw cuam tshuam kom tiv thaiv cov kua dej ntawm lub cev. Ua raws li qhov mob hnyav, koj tus kws kho tsiaj tseem yuav tsum tau ua kom daim tawv nqaij tawg (txiav thiab / lossis tshem tawm cov ntaub so ntswg) lossis tshem tawm cov pob txha, uas yuav xav tau phais.

Ntau tus kws kho tsiaj hais kom pom zoo rau kev siv tshuaj tiv thaiv kab mob tsawg kawg yog peb mus rau plaub lub hlis tom qab kev daws teeb meem ntawm txhua cov cim. Qhov no yuav pab sib ntaus sib tua tawm tsam lwm cov kab mob sib kis.

Nyob thiab Tswj

Saib thaj chaw uas raug cuam tshuam rau cov cim qhia tus kab mob thiab hu rau kws kho tsiaj yog tias cov cim hauv qab no tau sau tseg: khaus, o, liab thiab / los yog tso dej. Txwv tsis pub, koj tus kws kho tsiaj yuav teem caij rov qab mus soj ntsuam koj tus tsiaj kom zoo kom rov zoo tshwm sim. Kev txhim kho kev kis mob ntawm lub chaw pib yuav tsum yog ib nrab ntawm cov kis mob no.