Mob yog ib yam kab mob ntawm ntau yam kab mob. Tab sis qhov no yog ib lub tswv yim dav dav heev. Nws tuaj yeem ua tau ntse, rub, pulsating, me, mob. Localization ntawm qhov mob syndrome kuj txawv. Nws yog ib qho cim tseeb tias ib yam dab tsi tsis ncaj ncees lawm hauv lub cev. Tab sis nws tsis yog ib txwm ua tau rau ib tus kws kho mob tshwj xeeb kom nkag siab los ntawm kev hnov mob ib leeg uas lub cev "cim" teeb meem.
Lub ntsws puas tuaj yeem mob nraub qaum? Cov tsos mob no tshwm sim li cas? Nws tham txog kab mob dab tsi? Peb yuav muab cov lus teb rau cov lus nug tseem ceeb no hauv kab lus.
Yuav kuaj tus kheej puas ua tau?
Mob ntsws los ntawm sab nraub qaum, tsis kub. Lub xeev no yuav hais li cas? Txhawm rau txheeb xyuas qhov ua rau muaj tus tsos mob, nws yog ib qho tseem ceeb uas yuav tsum tau coj mus rau hauv tus account tsis yog qhov tseeb ntawm nws lub xub ntiag, tab sis kuj muaj ntau tus yam ntxwv:
- Kev mob hnyav.
- Localization.
- Qhov mob.
- Lub sijhawm mob.
- Kev koom ua ke ntawm cov tsos mob no nrog rau lwm yam mob - hnoos, nqus pa / exhalation, qee yamzog.
- Ua npaws, hnoos, ua pa tawm thiab lwm yam tsos mob.
Vim li cas thiaj nyuaj rau txiav txim rau koj tus kheej?
Lub ntsws puas tuaj yeem mob nraub qaum? Raws li txoj cai, tsuas yog tus kws kho mob tuaj yeem teb cov lus nug no. Ib tus kws kho mob uas tsis yog tshwj xeeb tuaj yeem ua yuam kev yooj yim "mus taug kev" mob ntawm tus txha nraub qaum rau qhov mob hauv lub ntsws. Nws kuj tseem tuaj yeem ua tau yooj yim tsis meej pem cov tsos mob ntawm tus kab mob ntsws nrog cov kab mob plawv.
Yog li ntawd, qhov no, kev kuaj tus kheej yuav tsum tsis txhob ua. Yog tias hauv qab ntawm lub ntsws mob los ntawm sab nraub qaum, qhov kev daws teeb meem zoo tshaj plaws yog hu rau tus kws kho mob sai li sai tau. Nws yuav txheeb xyuas qhov laj thawj kom raug.
Qhov mob tseem ceeb
Koj lub ntsws puas zoo li mob nraub qaum sab laug lossis sab xis? Lub ntsiab ua rau mob yog raws li nram no:
- Osteochondrosis.
- Herniated disc.
- mob ntsws.
- Pleurisy.
- Pulmonary tuberculosis.
- Tumor development.
- YIntercostal neuralgia.
Raws li koj tuaj yeem pom, muaj ntau tshaj qhov laj thawj txaus rau tus mob. Vim li cas koj yuav tsum tsis txhob koom nrog kev kuaj mob tus kheej thiab kho tus kheej. Qhov kev xaiv zoo tshaj plaws yog mus ntsib kws kho mob sai li sai tau. Tom qab tag nrho, nws yooj yim dua kom tshem tau cov kab mob thaum nws nyob rau theem pib.
Puas ntsws mob sab xis ntawm sab nraub qaum? Cia wb mus saib qhov tseem ceeb ntawm cov tsos mob no.
YPneumonia, pleurisy, tuberculosis
Lub ntsws puas tuaj yeem mob nraub qaum? Ntau tus neeg nug cov lus nug no tawm ntawm kev ntshai mob ntsws. Tseeb, xws li localizationmob feem ntau qhia tau hais tias mob ntsws.
Lub ntsws ua rau sab nraub qaum thaum mob ntsws? Lub ntsiab insidiousness ntawm tus kab mob no txaus ntshai yog hais tias nws tsis manifest nws tus kheej mus ntev. Ntawd yog, nrog rau qhov mob ntawm lub ntsws, tus neeg tsis hnov mob. Nws tshwm tsuas yog thaum pleurisy lossis myositis koom nrog mob ntsws.
Ntxiv rau qhov mob, cov cim qhia ntawm tus kab mob ntsws yog:
- Kev qaug zog, qaug zog.
- Hmoov hnoos hnoos.
- Tau ua tsis taus pa.
- Thaum hnoos, lub ntsws mob sab nraub qaum. Ntxiv mus, qhov no tsis yog mob hnyav, tab sis tsuas yog tsis kaj siab tingling. Tej zaum kuj yuav hnov thaum ua pa tob.
Tus kws kho mob txiav txim siab qhov mob ntawm sab nraub qaum los ntawm palpation (palpation). Hais kom tus neeg mob ua pa tob tob thiab exhale. Auscultation (kev mloog lub ntsws) kuj tau ua ntawm no. Nrog mob ntsws, ib qho crunch, me ntsis crackling, suab zoo li kev sib txhuam yog hnov.
Cov mob pleural yog qhov txaus ntshai vim lawv tuaj yeem qhia qhov pib ntawm tuberculosis. Cov tsos mob ntawm tus mob ntsws ntawm sab nraub qaum yog dab tsi? Nyob rau hauv cov ntaub ntawv no, qhov mob yuav localized nyob rau hauv lawv sab sauv. Ntawd yog, nyob rau sab nraub qaum, tus neeg mob yuav hnov nws hauv thaj tsam ntawm cov leeg trapezius.
txhawm rau kuaj mob ntsws, koj xav tau x-ray. Yog tias xav tias muaj kab mob ntsws, yuav tsum tau kuaj tshwj xeeb txhawm rau txheeb xyuas tus kab mob.
Nyob rau hauv cov ntaub ntawv ntawm mob ntsws, kev kho mob complex yog muab. Ua ntej tshaj plaws, qhov no yog kev noj cov tshuaj tua kab mob nrog cefazolin, ampicillin, oxacillin. Antitussives, tshuaj uas pab cov hnoos qeev thiab tshem tawm ntawm cov hlab ntsws kuj tau sau tseg. Cov no yog "Ambrobene", "Bromhexin", "Libeksin"
Txhawm rau txo qhov kub, tus neeg mob tau muab tshuaj "Aspirin", "Paracetamol". Yog hais tias qhov mob mob hnyav heev, ces cov tshuaj analgesics tau ntxiv.
Cancer
Thaum twg lub ntsws sab xis mob sab nraub qaum? Qhov no kuj tseem yuav qhia tau tias muaj mob neoplasm. Mob ntsws cancer yog qhov txaus ntshai vim nws yog asymptomatic ntev. Thiab qhov mob uas twb tau tshwm sim rau tus kws kho mob uas tsis yog tshwj xeeb tuaj yeem yooj yim tsis meej pem nrog lub vertebral.
Tsis tas li ntawd, tus kab mob tshwm sim nws tus kheej raws li hauv qab no:
- hnoos hnoos nrog cov hnoos qeev tawm nrog cov ntshav (ib yam tsos mob tuaj yeem pom muaj tus kab mob khaub thuas).
- ua pa hnyav, ua tsis taus pa.
- Tsis muaj zog.
- ntxub tawm hws.
- Kev tsis zoo ntawm qhov xwm txheej.
- Lub cev kub tsis sib xws.
- poob ceeb thawj.
Kev kuaj mob hauv qhov no suav nrog kev x-rays, biopsies, MRI, CT, bronchoscopy. Raws li cov txiaj ntsig ntawm cov txheej txheem no, kev saib xyuas kev noj qab haus huv, kev kho mob phais raug kho.
mob plab
Mob nraub qaum nyob rau theem ntawm lub ntsws yuav qhia tau tias mob mobntaub. Yog vim li cas yog hypothermia, raug mob, kev faib khoom tsis raug ntawm cov leeg nqaij. Ntawm no nws yuav zoo li tias nws yog lub ntsws uas mob. Mob yog aggravated los ntawm kev txav mus los. Tab sis feem ntau qhov mob yog tas mus li. Thaum koj nias rau ntawm cov leeg mob, nws zoo li nws nyob hauv spasm.
Kev kho tsis tu ncua yog fraught nrog qaug zog, thiab tom qab ntawd cov leeg nqaij atrophy. Cov tshuaj tua kab mob thiab tshuaj tiv thaiv kab mob, kev kho mob qoj ib ce thiab zaws (tom qab exacerbation) raug tshuaj raws li kev kho.
Y Osteochondrosis
Lub ntsws puas tuaj yeem mob nraub qaum? Feem ntau, qhov mob hauv cheeb tsam tshwj xeeb hauv cheeb tsam ntawm lub ntsws yog vertebral hauv qhov xwm txheej. Tshwj xeeb, nws hais txog osteochondrosis, uas cuam tshuam rau tus txha caj qaum. Ib tug neeg hnov mob vim pinched paj hlwb. Nws tsis yog tus kws kho mob tshwj xeeb tuaj yeem ua rau nws yooj yim cuam tshuam nrog pulmonary.
Yuav ua li cas nkag siab tias yog vim li cas osteochondrosis? Kev mob siab rau overtakes ib tug neeg thaum khoov, nqa hnyav, ntse tig ntawm lub cev. Qhov mob kuj yuav khaus thaum ua pa tob.
Raws li txoj cai, qhov mob mob hauv qhov no yog nres los ntawm kev noj NSAIDs (uas yog, tshuaj tsis-steroidal anti-inflammatory). Qee lub sij hawm pw tsaug zog txaus rau qhov mob ploj mus.
Tab sis, tau kawg, tus kws kho mob tshwj xeeb tsis kuaj osteochondrosis raws li ib qho tsos mob xwb. Txhawm rau ua qhov kev kuaj mob no, yuav tsum muaj cov txheej txheem hauv qab no:
- Magnetic resonance imaging.
- X-ray ntawm tus txha caj qaum.
- Yog xav tau, xam tomography.
Yog kho tus kab mob no cestus kws kho mob tau sau ib txoj kev kho mob rau tus neeg mob. Raws li txoj cai, nws suav nrog cov tshuaj tiv thaiv kab mob (Diclofenac, Ortofen, Voltaren), cov tshuaj uas nres qhov mob ntawm nws tus kheej (Spazmalgon, Trigan, Spazgan). Kev kho mob zaws thiab kev kawm tshwj xeeb ntawm lub cev feem ntau pab txo tus neeg mob tus mob.
Ischemic mob plawv
Lub ntsws puas tuaj yeem mob nraub qaum? Xws li mob, nyob rau hauv cheeb tsam ntawm lub thoracic qaum, feem ntau qhia lwm yam teeb meem. Qhov no yog kab mob plawv (CHD). Nws feem ntau tuaj yeem tawg mus rau thaj tsam ntsws, hauv qab lub xub pwg hniav thiab mus rau sab caj npab.
Yog li, tsis yog cov kab mob hauv lub plawv nkaus xwb, tab sis kuj angina pectoris, nrog rau cov mob infarct thiab pre-infarction. Yog li ntawd, xws li cov tsos mob txaus ntshai rau lub neej thiab kev noj qab haus huv yuav tsum tsis txhob ignored. Tom qab tag nrho, kev muab kev kho mob tsis raug raws sijhawm tuaj yeem ua rau muaj kev nyuaj siab.
teeb meem plawv tshwm sim lawv tus kheej tsis yog qhov mob ntawm sab nraub qaum ntawm lub ntsws. Cov tsos mob ntxiv ntawm no yuav yog:
- mob hnyav uas daws tsis tau nws tus kheej.
- Ntxhais tawv nqaij.
- ntxub tawm hws.
- ua pa nyuaj.
- High heart rate.
- Nyob xeev khuam, panic.
Hauv qhov no, koj yuav tsum hu lub tsheb thauj neeg mob. Kev ncua sij hawm tuaj yeem ua rau tib neeg tuag taus.
Kev kuaj mob ntawm cov hlab ntsha ntawm cov hlab ntsha feem ntau nyuaj - kuj tseem muaj cov kab mob atypical. Qhov no kuj yog fraught nrog qhov tseeb tias lawv tuaj yeem nrog ntau yam teeb meem - arrhythmia, aneurysm, cardiogenic shock.
Neuralgia
Lwm qhov laj thawj yog intercostal neuralgia. Nyob rau hauv rooj plaub no, qhov mob syndrome tuaj yeem "dag" tus tsis yog tus kws tshaj lij. Piv txwv li, qhov mob ntawm sab xis tuaj yeem tawm mus rau sab laug ntawm lub hauv siab. Los yog pib pulsing hauv qab lub xub pwg hniav sab laug.
Neuralgia yog txiav txim siab los ntawm palpation raws cov hlab ntsha. Ntawm qhov chaw ntawm o, loog loog, poob ntawm rhiab heev yog ua tau. Kev kho mob suav nrog tshuaj tua kab mob, tshuaj tiv thaiv qhov ncauj, thiab kev kho zaws.
Diagnostics
Yog tias lub ntsws sab xis mob sab nraub qaum, tsis txhob xav tias qhov no yog qhov tseeb ntawm sarcoma lossis mob ntsws. Nws yog ib qho tseem ceeb uas yuav tsum tau mloog cov yam ntxwv ntawm qhov mob, nws nyob ntawm qee yam mob.
Ua ntej tshaj plaws, tus kws tshaj lij txiav txim siab qhov mob. Qhov no tso cai rau koj los txiav txim siab txog kev kuaj mob, ntsuas qhov rhiab heev ntawm lub cev. Tus kws kho mob ib txwm hais kom tus neeg mob tham txog qhov mob ntawm qhov mob. Nws puas nce nrog inhalation lossis exhalation. Puas yog qhov mob kis mus rau caj dab, plab, sab nraub qaum lossis hauv siab. Raws li qhov no, nws tuaj yeem txiav txim siab seb qhov ua rau mob nyob rau hauv lub ntsws, lossis hauv lwm yam kabmob thiab lub cev.
Thaum twg tsis hais txog lub ntsws?
Yog tias nws yog tus txha caj qaum, ces qhov mob yuav nce ntxivtxav, straining, thiab txawm hneev taub hau. Qhov no yog li cas osteochondrosis, vertebral hernias manifest.
Rau qhov mob hauv lub ntsws, tus kws kho mob uas tsis yog kws kho mob tuaj yeem ua qhov tshwm sim ntawm myositis ntawm cov leeg txha caj qaum. Thaum soj ntsuam, koj tuaj yeem pom tias lawv nruj. Ib qho o me ntsis tuaj yeem tshwm sim ntawm qhov chaw ntawm qhov chaw ntawm qhov mob. Feem ntau nws sov, kub dua li lwm qhov hauv lub cev. Nrog myositis, qhov mob tuaj yeem cuam tshuam thaum sawv ntxov, thaum hmo ntuj, ua kom hnyav nrog kev tawm dag zog lub cev thiab palpation ntawm qhov chaw mob.
Yog hais tias qhov mob syndrome yog tshwm sim los ntawm compression ntawm lub paj hlwb, ces cov hauv qab no kuj yuav hnov:
- xav tingling hauv ntsis ntiv tes, xav tias lawv yuav loog.
- Paleness (qee zaum muaj "marble" tawv nqaij) ntawm daim tawv nqaij.
- Tsis muaj zog hauv cov leeg.
- Tsawg pib rhiab heev ntawm qis extremities.
Yog tias koj pom qhov no nrog rau qhov mob hauv lub ntsws ntawm sab nraub qaum, ces nws yog qhov teeb meem sib txawv kiag li. Qhov no yog li cas osteochondrosis, ntau yam hernias, kev raug mob ntawm tus txha caj qaum, osteoporosis, spondyloarthritis, thiab curvature ntawm tus txha caj qaum manifest lawv tus kheej. Peb kuj tuaj yeem tham txog kev txhim kho ntawm cov kab mob oncological - feem ntau yog cov qog uas pinch cov hlab ntsha xaus.
Mob nraub qaum los ntawm ib sab ntawm lub ntsws, raws li koj tau pom, yog pom nyob rau hauv ntau yam pathologies. Yog li ntawd, kev kuaj tus kheej thiab kev kho tus kheej tuaj yeem ua rau muaj kev nyuaj siab ntawm no. Nrog rau qhov kev tsis txaus siab no, koj yuav tsum hu rau tus kws kho mob sai li sai tau.
