Los ntawm Pediatrician Sarah Lallaman, DO
Yog tias koj yog ib tus ntawm ntau tus neeg uas xav tias koj lossis koj tsev neeg tau raug mob los ntawm tus kab mob strep los yog plaub, koj tsis nyob ib leeg. Rau cov kab mob uas paub zoo thiab muaj ntau, nws zoo li kev sim thiab kev kho mob yuav yooj yim dua. Txawm li cas los xij, thaum tag nrho cov ntsiab lus raug txiav txim siab, nws tsis yooj yim li ntawd. Peb tau txais ntau cov lus nug txog kev kuaj strep, thiab kuv vam tias yuav tshem tawm qee qhov tsis meej pem. Strep caj pas feem ntau tshwm sim hauv cov menyuam yaus hnub nyoog kawm ntawv (5 xyoos -15 xyoos) thaum lub caij txias dua los ntawm lub caij nplooj zeeg mus rau lub caij nplooj ntoos hlav. Lub xub ntiag ntawm cov tsos mob tshwj xeeb pab peb txiav tawm strep los ntawm lwm yam ua tau. Nrog rau mob caj pas, kub taub hau ntau dua 101 degrees feem ntau tshwm sim nrog rau qhov tsis muaj lwm yam mob khaub thuas, xws li hnoos lossis congestion. Lwm cov tsos mob tshwm sim nrog mob caj pas muaj xws li mob taub hau, mob plab, ntuav thiab pob khaus. Ib tug me nyuam yaus yuav muaj qee cov tsos mob ua pa, tab sis cov no feem ntau me me thiab tsis tas yuav tsum tau kho. Strep caj pas tuaj yeem tshwm sim hauv lwm pab pawg hnub nyoog, tab sis tus neeg mob yau dua, peb yuav tsum ceev faj ntau dua. Kev tshawb fawb kho mob tau pom tias cov menyuam yaus hnub nyoog qis dua 2 xyoos tuaj yeem yog cov neeg nqa khoom ntuj thiab chaw nres nkoj strep tshaj 25 feem pua ntawm lub sijhawm yam tsis muaj teeb meem. Tsis tas li ntawd, thaum cov menyuam yaus muaj feem yuav nqa strep (thiab kuaj qhov zoo), lawv kuj yog tsawg dua kom muaj tus kab mob strep ua rau lawv mob. Cov me nyuam yaus tsis tshua muaj kev cuam tshuam vim tias lawv muaj tsawg dua cov receptor hlwb hauv lawv lub caj pas kom tso cai rau strep ua qhov teeb meem. Rau tib lub laj thawj, cov me nyuam me thiab cov me nyuam mos muaj qhov pheej hmoo tsis zoo rau qee qhov teeb meem loj ntawm strep. Thaum strep yog qhov ua txhaum tiag tiag ua rau muaj teeb meem, nws yog ib qho tseem ceeb uas yuav tsum tau txheeb xyuas. Kev kho mob yog qhia los pab txo qhov mob hnyav thiab ntev ntawm cov tsos mob, tiv thaiv kev kis mus rau lwm tus thiab tiv thaiv cov teeb meem loj, xws li mob rheumatic fever thiab kab mob plawv tsawg. Mob rheumatic kub taub hau ua rau mob plawv muaj teeb meem rau lub neej. Nws yog qhov tsim nyog los kuaj xyuas tus menyuam hnub nyoog kawm ntawv lossis tus neeg laus, yog tias cov tsos mob zoo li ua rau mob caj pas. Ib qho kev xav tsis zoo yog tias tus menyuam tau kuaj pom tus kab mob strep zoo, cov neeg hauv tsev yuav tsum tau sim. Kev kho mob, tsuas yog cov neeg mob uas muaj tsos mob yuav tsum tau kuaj tshwj tsis yog tias muaj lwm yam tshwm sim. Kev kuaj thiab kev kho mob tsis pom zoo rau cov neeg hauv tsev neeg lossis cov neeg nyob ze tshwj tsis yog lawv muaj mob. Qee lub sij hawm, qhov xwm txheej yuav tshwm sim ntawm tus neeg mob tau kis tus kab mob strep caj pas. Thaum peb sim qhia qhov tseem ceeb ntawm kev nyiam huv los tiv thaiv kev kis kab mob, nws tuaj yeem ua kom yuam kev. Hloov mus rau ib tus txhuam hniav tshiab thaum kho cov tshuaj tua kab mob thiab ntxuav lossis pov tseg lwm yam uas niaj hnub mus rau hauv lub qhov ncauj yog pom zoo. Kev sib cuag hauv tsev tuaj yeem qee zaum yog vim li cas rau tus neeg muaj ntau lub sijhawm ntawm strep. Muaj kev sib cav seb kev sim thiab kho txhua tus neeg hauv tsev puas tsim nyog thiab siv tau - tshwj xeeb tshaj yog paub tias nws nyuaj dua rau kev tshem tus neeg uas muaj tus kab mob strep dua li tus neeg uas muaj tus kab mob strep. Qee qhov xwm txheej, Winona Health tso cai rau kev taug kev hauv strep kuaj, tab sis tsuas yog nyob rau hauv qhov xwm txheej raug. Muab qhov tsawg zaus ntawm tus kab mob strep uas tsis muaj zog thiab tsis tshua muaj kev pheej hmoo rau cov teeb meem strep, peb tsis niaj hnub ua cov kev ntsuam xyuas taug kev rau cov menyuam yaus hnub nyoog qis dua 2 xyoos. Peb mam li nug cov lus nug los txiav txim seb puas yuav tsum tau mus ntsib tus kws kho mob. Yog tias xav tau kev teem sijhawm, peb ua qhov zoo tshaj plaws los pab cov neeg kom sai li sai tau.