Mob ruas los yog mob ruas, tseem hu ua Hansen tus kab mob, yog kab mob tshwm sim los ntawm cov kab mob thiab tuaj yeem ua rau cov tawv nqaij puas thiab puas tsuaj, puas rau lub paj hlwb thiab qhov muag, thiab lwm yam teeb meem. Hmoov zoo, tus kab mob tuaj yeem kho tau siv tshuaj. Yog kho tau zoo, cov neeg uas mob ruas tuaj yeem coj lub neej zoo thiab rov zoo los ntawm tus kab mob.
Kauj ruam
Ntu 1 ntawm 2: Nrhiav Kev Kho Mob
Kauj Ruam 1. Nrhiav kev kho mob sai li sai tau
Mob ruas tuaj yeem kho nrog tshuaj, thiab cov neeg mob feem ntau tuaj yeem txuas ntxiv lawv lub neej ib txwm tom qab kho. Tus kab mob no kis tau me ntsis yog tias tsis kho, thiab thaum tus neeg mob noj tshuaj, nws lossis nws tsis tuaj yeem kis mus rau lwm tus ntxiv. Txawm li cas los xij, tus mob ruas tuaj yeem ua teeb meem loj hauv txhais ceg (taw thiab txhais tes), qhov muag, tawv nqaij, thiab qab haus huv yog tias tsis kho.
Kauj Ruam 2. Ceev faj tsis txhob kis tus mob ruas mus rau lwm tus
Hansen tus kab mob yog kis tau zoo heev yog tias tsis kho. Tus kab mob no tuaj yeem kis tau los ntawm huab cua, piv txwv li thaum koj txham lossis hnoos. Nco ntsoov npog koj lub ntsej muag thaum koj hnoos lossis txham txhawm rau tiv thaiv qhov ntswg tawm ntawm tus kab mob mus rau lwm tus los ntawm huab cua kom txog thaum koj tuaj yeem ntsib kws kho mob thiab pib kho.
Kauj Ruam 3. Nug tus kws kho mob kom txiav txim seb hom kab mob ruas uas koj muaj
Qee zaum mob ruas tsuas yog tshwm sim raws li qhov txhab ntawm daim tawv nqaij, thiab qee zaum nws hnyav dua. Txoj kev kho mob tseem ceeb ua raws yuav yog nyob ntawm hom mob ruas tau ntsib. Cov kws kho mob tuaj yeem kuaj pom qhov no.
- Mob ruas tuaj yeem kuaj pom tau tias yog paucibacillary lossis ntau yam sib kis (mob hnyav dua).
- Cov mob ruas kuj tseem raug cais ua tuberculoid lossis mob ruas (mob hnyav dua, ua rau muaj pob loj thiab ua pob rau ntawm daim tawv nqaij).
Kauj Ruam 4. Noj ntau yam tshuaj kho (MDT) muab los ntawm kws kho mob
Cov tshuaj tua kab mob ntau tus (feem ntau yog ua ke ntawm dapsone, rifampicin, thiab clofazimine) tau sau tseg los kho tus mob ruas. Cov tshuaj no yuav tua cov kab mob uas ua rau mob ruas (Mycobacterium leprae) thiab kho tus neeg mob. Cov kws kho mob yuav sau ntawv tshuaj noj raws li qee kis mob ruas tau ntsib los ntawm tus neeg mob.
- Lub Koom Haum Saib Xyuas Kev Noj Qab Haus Huv Ntiaj Teb lossis WHO muab MDT pub dawb rau cov neeg uas muaj tus mob ruas thoob ntiaj teb los ntawm Ministry of Health ntawm lawv lub tebchaws. Hauv tebchaws Indonesia, kev kho tus mob ruas tau muab los ntawm Tsoomfwv Indonesia, hauv qhov no los ntawm Ministry/Ministry of Health.
- Tom qab pib siv tshuaj, tus neeg mob tsis tuaj yeem kis tus mob ruas mus rau lwm tus ntxiv. Cov neeg mob ruas tsis tas yuav raug cais tawm.
- Hauv ntau tus neeg mob ruas, txhua hnub/hli ntawm dapsone, rifampicin, thiab clofazimine tuaj yeem muab tshuaj rau 24 lub hlis.
- Yog tias mob ruas tsuas yog qhia pom cov tsos mob ntawm daim tawv nqaij, tus neeg mob tuaj yeem qhia kom noj cov tshuaj no rau rau lub hlis.
- Hauv tebchaws Indonesia, cov neeg mob ruas nrog ntau hom kab mob sib kis yuav tsum tau kho 1 xyoos thiab hom paucibacillary xav tau 6 lub hlis.
- Yog hais tias mob ruas tshwm sim raws li ib qho nqaij tawv, tus neeg mob tuaj yeem kho nws tsuas yog siv ib zaug ntawm dapsone, rifampicin, thiab clofazimine.
- Hom kab mob sib kis ntau yam no yuav tsum muaj ntau txoj kev kho mob kom kho.
- Tshuaj tsis haum rau cov kev kho no yog tsawg.
- Qhov tshwm sim ntawm cov tshuaj no feem ntau me me. Nug koj tus kws kho mob yog tias koj muaj lus nug txog mob ruas.
Ntu 2 ntawm 2: Tswj Cov tsos mob thiab Txheej Txheem Kho Kom Zoo
Kauj Ruam 1. Noj tshuaj tua kab mob raws li kws kho mob hais
Mus txuas ntxiv noj cov tshuaj tua kab mob los ntawm kws kho mob raws li cov lus qhia tau muab. Yog tias koj tsis noj tshuaj tua kab mob raws li qhia, koj tuaj yeem rov mob ruas dua.
Kauj Ruam 2. Saib xyuas kev txhim kho ntawm ib qho kev phom sij lossis teeb meem
Tham nrog kws kho mob yog tias koj pom qhov hloov pauv ntawm koj lub cev, hnov mob, thiab lwm yam. Feem ntau, cov neeg mob ruas yog cov ua rau cov teeb meem hauv qab no:
- Neuritis, neuropathy ntsiag to (tsis mob lub paj puas), mob, hnov mob, tingling, thiab loog yuav tshwm sim sai li sai tau. Cov teeb meem no tuaj yeem kho nrog corticosteroids. Yog tias tsis kho, cov teeb meem no tuaj yeem ua rau raug mob lossis poob haujlwm tas mus li.
- Iridocyclitis, lossis o ntawm qhov muag ntawm qhov muag, kuj tseem tuaj yeem tshwm sim. Yog tias iridocyclitis tshwm sim, koj yuav tsum mus ntsib kws kho qhov muag tam sim. Iridocyclitis tuaj yeem kho nrog cov tshuaj tshwj xeeb tab sis tuaj yeem ua rau muaj kev puas tsuaj tas li yog tias tsis kho.
- Orchitis, lossis o ntawm cov noob qes, kuj tuaj yeem tshwm sim. Orchitis tuaj yeem kho nrog corticosteroids, tab sis qhia koj tus kws kho mob tam sim yog tias koj pom cov gel vim tias nws tuaj yeem ua rau muaj menyuam tsis taus.
- Mob ruas tuaj yeem ua rau mob txhab rau ntawm taw. Tus kws kho mob tuaj yeem tsim txoj phiaj xwm kho mob kom daws tau qhov teeb meem los ntawm kev siv cov khau tshwj xeeb ua ke thiab hnav lub qhov txhab.
- Kev puas hlwb thiab teeb meem ntawm daim tawv nqaij cuam tshuam nrog mob ruas tuaj yeem ua rau xiam oob qhab thiab tsis ua haujlwm ntawm tes thiab taw. Ib txoj kev npaj los tiv thaiv thiab/lossis tswj cov tsos mob no, raws li qhov xwm txheej koj tab tom ntsib, tuaj yeem muab los ntawm kws kho mob.
Kauj Ruam 3. Saib xyuas kom tsis txhob raug mob
Mob ruas tuaj yeem ua rau loog. Yog tias qhov no tshwm sim, koj yuav tsis pom yog tias thaj chaw cuam tshuam ua rau mob thiab thaj chaw tuaj yeem raug mob yam tsis tau hnov dua. Ua tib zoo saib xyuas kom tsis txhob raug mob xws li kub hnyiab thiab ua xua rau thaj chaw loog.
Hnav hnab looj tes lossis khau tshwj xeeb tuaj yeem tiv thaiv koj tus kheej yog tias muaj kev loog tshwm sim hauv koj txhais taw thiab txhais tes
Kauj Ruam 4. Mus ntsib kws kho mob txuas ntxiv
Saib xyuas koj qhov kev vam meej thaum kho txheej txheem, thiab sau cov tsos mob uas koj tau ntsib. Mus ntsib koj tus kws kho mob txhawm rau tshuaj xyuas koj tus mob, thiab nco ntsoov nug cov lus nug uas koj muaj.
Lub tswv yim
- Tiv tauj tus kws kho mob txog cov lus nug txog kev kuaj mob thiab kho tus mob ruas.
- Feem coob ntawm cov neeg hauv ntiaj teb (kwv yees li 95%) tiv thaiv kab mob uas ua rau mob ruas.
- Armadillos tuaj yeem nqa tus mob ruas, yog li zam cov tsiaj no, tshwj xeeb tshaj yog tias koj tab tom mus xyuas thaj chaw nyob rau yav qab teb Asmeskas.
- Kev lig kev cai, tus mob ruas tau suav tias yog tus kabmob sib kis tau zoo, thiab cov neeg mob tau raug cais thiab cais tawm. Cov lus tseeb tam sim no qhia tias mob ruas tsis kis tau yog tias kho tau, tab sis tseem yuav muaj kev ntxub ntxaug hauv zej zog txog tus kab mob. Nug kev txhawb nqa los ntawm tsev neeg, phooj ywg, thiab kws pab tswv yim yog tias koj muaj kev ntxhov siab.
