Botulism yog dab tsi thiab yuav kho li cas

2024 Tus sau: Malcolm Clapton | [email protected]. Kawg hloov kho: 2023-12-17 03:58

Muaj ib qho tsos mob uas tsis tuaj yeem tsis meej pem nrog txhua yam. Yog tias koj muaj, tam sim ntawd hu rau lub tsheb thauj neeg mob.

Kuv muaj 14 xyoos thaum kuv txiv thiab kuv tau kuaj mob botulism. Cov ntaub ntawv classic: los ntawm cov ntses dej qhuav yuav ntawm lub khw ze tshaj plaws. Peb noj hmo, thiab hmo ntuj Daddy raug coj mus rau hauv lub xeev ib nrab-swooning los ntawm lub tsheb thauj neeg mob.

Hauv chav xwm txheej kub ntxhov, lawv muab tso rau hauv kev lom lossis mob stroke, thiab tsuas yog los ntawm qhov txuj ci tseem ceeb ntawm tus kws kho mob hlwb uas tau khiav dhau lub gurney, pom tias tus neeg tuaj tshiab tsis muaj kev xav, xav tias muaj qee yam tsis raug. Ua tsaug rau nws, txiv tau txais kev cawmdim, txawm hais tias nws hloov tawm mus rau peb lub lis piam hauv kev saib xyuas hnyav: lub sijhawm - ntawm lub tshuab ua pa, qee zaum - tsis nco qab. Ces kuv txiv kawm ua pa dua, zaum, taug kev.

Cov kws kho mob tom qab hais tias "Botulism tau pom cov tsos mob tsis pom kev," Tias yog vim li cas nws thiaj li txiav txim siab lig dhau lawm, thaum tus neeg tsis tuaj yeem pab tau lawm.

Kuv lub cev hluas ua tau zoo dua. Cov tsos mob tshwm sim tsuas yog nyob rau hnub ob, thaum sawv ntxov. Kuv sawv, qhib kuv lub qhov muag thiab pom ib tug pos huab ib ncig.

Txog thaum ntawd, kuv niam thiab kuv tau rov nyeem tag nrho cov ntawv kho mob uas peb tuaj yeem ncav cuag. Thiab kuv zoo kawg nkaus to taub qhov ntawd txhais li cas. Kuv ntim kuv lub hnab rau kuv tus kheej thiab hu lub tsheb thauj neeg mob. Kuv xav tias phem heev nyob rau hauv lub tsheb. Hmoov zoo, tsis ntev - tsuas yog tsib hnub thiab tsis muaj resuscitation. Kuv muaj hmoo.

Tab sis hmoov tsis luag rau sawv daws. Yog li ntawd, nws yog ib qho tseem ceeb kom nkag siab tias thaum twg hu rau lub tsheb thauj neeg mob. Nws tuaj yeem cawm koj txoj sia.

Dab tsi yog botulism

Botulism Botulism yog lom los ntawm cov khoom pov tseg ntawm cov kab mob ntawm Clostridium botulinum hom. Microbes nyob hauv cov av, nrog rau hauv cov hnyuv ntawm ntau cov tsiaj thiab ntses - feem ntau yog cov benthic sawv daws yuav, uas tuaj rau hauv kev sib cuag nrog xuab zeb thiab av. Nyob rau hauv lub xeev no, botulinum microbes yog conditionally harmless. Lawv ua qhov txaus ntshai thaum lawv nkag mus rau hauv ib puag ncig uas muaj cov pa oxygen tsawg.

Nyob rau hauv ib puag ncig tsis muaj oxygen, cov kab mob nquag sib xyaw thiab tso cov co toxins - ib qho tshuaj lom neeg muaj zog tshaj plaws uas paub txog Botulism.

Botulinum toxins thaiv lub paj hlwb thiab ua rau cov leeg tuag tes tuag taw thoob plaws lub cev, suav nrog cov neeg ua haujlwm ua pa thiab lub plawv dhia.

botulism tuaj qhov twg?

Muaj peb txoj hauv kev tseem ceeb Botulism kis rau lub cev nrog cov kab mob botulinum.

1. Nrog zaub mov

Cov kab mob spores tuaj yeem pom hauv cov zaub mov hauv kaus poom yog tias lawv tau siav lossis khaws cia hauv qhov tsis muaj oxygen. Tsis tas li ntawd txaus ntshai yog cov khoom uas thawj zaug tsis zoo ntxuav thiab tsis zoo thermally ua tiav. Feem ntau qhov no yog:

• nqaij stew;
• kaus poom nceb, txiv hmab txiv ntoo, zaub (tshwj xeeb tshaj yog taum ntsuab, spinach, beets), seasonings;
• qos yaj ywm stewed nyob rau hauv ntawv ci;
• nqaij npua, sausages;
• qhuav, smoked, qhuav dej ntses;
• cov khoom noj uas npaj txhij noj hauv cov ntim cov pa oxygen tsawg.

Ib zaug hauv cov hnyuv, cov kab mob Clostridium botulinum pib ua cov tshuaj lom.

2. Los ntawm qhov txhab

Qee zaum cov kab mob nkag mus rau hauv lub cev los ntawm kev puas tsuaj tsawg tshaj plaws rau ntawm daim tawv nqaij. Cov tshuaj lom uas tsim los ntawm microbes ces kis los ntawm cov hlab ntsha thoob plaws lub cev. Cov kab mob botulism feem ntau tau sau tseg hauv cov neeg uas siv tus heroin. Cov tshuaj no yuav muaj cov kab mob txaus ntshai.

3. Los ntawm niam mus rau tus me nyuam

Me nyuam mos botulism yog ib yam kab mob ntawm thawj xyoo ntawm lub neej. Yog tias leej niam tau noj cov khoom uas muaj Clostridium botulinum, cov kab mob phem tuaj yeem nkag mus rau tus menyuam lub cev nrog rau cov mis nyuj. Tseem muaj qee zaus kis kab mob los ntawm zib mu los yog pob kws phoov, uas yog siv los lubricate lub pacifiers ntawm cov me nyuam mos.

Cov tsos mob ntawm botulism yog dab tsi

Tus kab mob no loj hlob sai, yog li thawj cov tsos mob tuaj yeem hla. Feem ntau, cov tsos mob ntawm kev lom tshwm sim 12 mus rau 36 teev tom qab noj cov zaub mov tsis huv. Txawm li cas los xij, nyob ntawm tus naj npawb ntawm microbes, lawv tuaj yeem txhim kho nyob rau lub sijhawm ntawm 4 teev txog 8 hnub.

Thaum xub thawj, cov tsos mob yog qhov muag plooj, tab sis muaj ib tus yam ntxwv.

Yog tias koj lub zeem muag tau poob qis - koj pom ob lub zeem muag, lub ntiaj teb nyob ib puag ncig koj zoo li poob rau hauv huab - thiab tib lub sijhawm koj nyuam qhuav noj cov kaus poom los yog cov ntses qhuav, hu rau lub tsheb thauj neeg mob sai.

Kev pom kev hloov pauv yog ib qho ntawm cov cim qhia ntxov tshaj plaws ntawm botulism. Nws yog nrog los yog me ntsis tom qab koom nrog lwm tus:

• kiv taub hau;
• mob hnyav tsis muaj zog;
• qhov ncauj qhuav;
• teeb meem nqos;
• kev xav tsis muaj cua, ua pa luv;
• deterioration ntawm kev hais lus - nws ua indistinct;
• me ntsis (tsis kub taub hau!) nce kub;
• poob ntawm daim tawv muag - ob qho tib si los yog ib qho;
• xeev siab, ntuav;
• raws plab los yog cem quav, tsam plab.

Yuav ua li cas yog tias xav tias botulism

Hu rau lub tsheb thauj neeg mob tam sim ntawd. Cov teeb meem txaus ntshai tshaj plaws ntawm botulism yog ua pa nres thiab mob plawv. Tus kab mob no tshwm sim unpredictably, thiab nyob rau hauv dab tsi taw tes tus neeg mob nres ua pa, piv txwv li, nws yog tsis yooj yim sua kom pom. Yog li ntawd, txhua tus neeg uas xav tias botulism yuav tsum tau mus pw hauv tsev kho mob.

Thov nco ntsoov: qhov ua ntej koj pib kho, qhov muaj feem ntau dua ntawm kev zam kom tsis txhob muaj teeb meem, thiab muaj sia nyob feem ntau.

Yog tias koj tau noj cov kaus poom los yog lwm yam khoom noj uas muaj kev phom sij sai ua ntej koj cov tsos mob, nco ntsoov qhia rau koj tus kws kho mob.

Nws tuaj yeem nyuaj rau kev kuaj mob Botulism kom raug: Ib qho kev sib tw kuaj mob, vim tias cov tsos mob ntawm botulism zoo ib yam li lwm yam kab mob - mob stroke, myasthenia gravis, Guillain-Barré syndrome. Yog li ntawd, cov ntaub ntawv hais txog yam koj noj yuav yog qhov tseem ceeb.

Yog tias cov kws kho mob tseem tsis txaus ntseeg, lawv yuav muab cov kev sim ntau. Cov no yuav suav nrog:

• Kev sim kuaj. Peb tab tom tham txog kev kuaj ntshav, tso zis, quav, ntuav, plab hnyuv kom paub txog botulinum toxin hauv lawv.
• Electromyography. Qhov no yog ib qho kev tshawb fawb txog kev ua ntawm cov paj hlwb hauv cov leeg nqaij kom paub tias lawv tuag tes tuag taw li cas.
• Kev tshawb fawb txog dej cerebrospinal.
• Lub hlwb scan.

Yuav ua li cas kho botulism

Tsuas yog nyob hauv tsev kho mob - kev kho mob hauv tsev yog qhov tuag taus. Nov yog qhov kws kho mob ua. Txhua qhov xwm txheej tau ua tiav sai, yog tias ua tau txawm tias ib txhij.

1. Ua pa rov qab

Yog tias tsim nyog, tus neeg mob txuas nrog lub tshuab ua pa.

2. ntxuav lub cev ntawm co toxins

Nyob rau hauv cov ntaub ntawv ntawm zaub mov lom, tus neeg mob yog ntxuav lub plab thiab muab enemas. Thaum nws los txog rau qhov mob botulism, tus kws phais tuaj yeem tshem tawm qhov txhab nrog rau cov ntaub so ntswg.

3. Qhia tshuaj tiv thaiv kab mob

Nws khi rau ib co toxins uas twb circulating nyob rau hauv cov ntshav thiab tau sau nyob rau hauv lub paj hlwb, thiab tiv thaiv nws los ntawm kev puas tsuaj rau cov hlab ntsha.

Cov xov xwm phem yog tias cov ntshav tsis tuaj yeem kho qhov kev puas tsuaj uas twb tau ua los ntawm cov tshuaj lom. Yog tias nws zoo heev, nws tsis tuaj yeem cawm ib tug neeg.

Qhov xwm zoo yog tias cov hlab ntsha rov zoo. Ntau tus neeg rov zoo tag nrho, tab sis nws tuaj yeem siv ntau lub hlis ntawm kev kho mob rov qab - koj yuav tsum rov kawm hais lus, nqos, ua pa, thiab taug kev.

4. Cov tshuaj tua kab mob yog muab rau cov kab mob botulism

Tab sis ntawm no nws yog ib qho tseem ceeb uas yuav tsum tau coj mus rau hauv tus account tias cov tshuaj tua kab mob yog categorically contraindicated nyob rau hauv lwm yam kab mob. Lawv tuaj yeem ua kom ceev cov tshuaj lom los ntawm cov kab mob.

Yuav ua li cas kom tsis txhob kis tus kab mob botulism

Lub Tsev Haujlwm Saib Xyuas Kabmob thiab Tiv Thaiv Kab Mob (CDC) pom zoo kom tiv thaiv kom ua raws li cov lus qhia txog kev nyab xeeb hauv qab no.

1. Ceev faj nrog zaub mov

• Tshawb xyuas hnub tas sij hawm ntawm cov khoom noj kaus poom. Tsis txhob noj lawv yog hais tias lub hub yog o.
• Yog tias koj ntim cov txiv hmab txiv ntoo, zaub, nqaij, ntses hauv tsev, ntxuav lawv kom huv si thiab ua kom tsis muaj menyuam hauv lub hub.
• Tsis txhob noj cov ntses qhuav, haus luam yeeb, ntsev yog tias tsis muaj kev lees paub ntawm nws qhov kev ua haujlwm zoo.
• Tshem tawm cov hnyuv ntxwm hauv tsev thiab cov nqaij haus luam yeeb los ntawm koj cov khoom noj yog tias koj tsis paub tseeb tias lawv tau ua kom zoo.

2. Tsis txhob muab zib ntab rau cov menyuam yaus hnub nyoog qis dua 12 lub hlis

Rau cov menyuam yaus txij li ib xyoos thiab laus dua, cov khoom no twb muaj kev nyab xeeb.

3. Ntxuav cov qhov txhab uas tshwm sim sai li sai tau thaum lawv tshwm

Nws yog qhov zoo tshaj los ua qhov no nrog xab npum thiab dej. Ceev faj.