Cia peb saib seb qhov mob bronchitis txawv li cas bronchitis. Qhov no yog ib hom kab mob ntawm cov kwj dej hauv qab, uas yog tus cwj pwm los ntawm cov txheej txheem inflammatory hauv bronchial mucosa. Cov tsos mob thiab tactics ntawm kev kho yog nyob ntawm daim ntawv nyob rau hauv uas cov txheej txheem pathological tshwm sim: mob los yog ntev. Tsis tas li ntawd, theem ntawm kev loj hlob ntawm tus kab mob plays lub luag haujlwm. Nws yog ib qho tsim nyog yuav tau kho xws li pathology ntawm ib qho ntawm nws cov ntaub ntawv tag nrho thiab raws sijhawm. Qhov tseeb yog tias cov txheej txheem inflammatory hauv lub bronchi tsis tsuas yog cuam tshuam rau lub neej zoo, tab sis kuj tseem txaus ntshai nrog cov teeb meem loj hauv daim ntawv ntawm mob ntsws, kab mob ntsws ntev, ua haujlwm tsis zoo ntawm lub plawv thiab cov hlab ntsha. Yog li dab tsi yog qhov txawv ntawm obstructive bronchitis thiab bronchitis zoo tib yam, nws yog ib qho tseem ceeb kom paub seb.
Kev faib kab mob
Muaj ob yam tseem ceeb: mob thiab mob ntevdaim ntawv. Lawv yuav txawv ntawm qhov tshwm sim, cov tsos mob, cov kab mob thiab cov kev kho mob.
Acute bronchitis
Yuav kom nkag siab qhov sib txawv ntawm tus mob bronchitis thiab obstructive bronchitis, koj yuav tsum tau piav qhia hauv txhua hom kab mob. Mob tshwm sim, raws li txoj cai, dheev, dhau mus sai heev thiab, nrog rau kev kho kom raug, kav ntev li kaum hnub. Thaum kawg ntawm lub sijhawm no, cov hlwb cuam tshuam ntawm phab ntsa bronchial pib rov tsim dua tshiab, thiab tam sim ntawd kev rov zoo tag nrho yog tias muaj kab mob los yog kab mob etiology tshwm sim tom qab peb lub lis piam. Cov kab mob bronchitis no tsis muaj kev cuam tshuam thiab obstructive. Cia peb kawm seb qhov txawv ntawm lawv yog dab tsi.
Hom mob uas tsis muaj kev cuam tshuam: cov tsos mob hauv cov neeg laus
hom kab no tseem hu ua daim ntawv yooj yim, uas yog tus cwj pwm los ntawm kev txhim kho catarrhal inflammatory txheej txheem hauv lub bronchi thiab tsis muaj qhov thaiv ntawm lub cev los ntawm cov ntsiab lus inflammatory. Feem ntau ua rau muaj ntau yam kab mob no yog kis kab mob nrog rau cov tsis muaj kab mob. Raws li tus kab mob loj hlob nrog kev kho kom tsim nyog, hnoos qeev tawm hauv lub cev thaum hnoos, thiab nyob rau theem no kev ua pa tsis ua haujlwm tseem tsis tau tsim.
Qhov txawv ntawm cov tsos mob: obstructive kab mob
Dab tsi yog qhov txawv ntawm obstructive bronchitis thiab bronchitis zoo tib yam, tsawg tus neeg paub. Nyob rau hauv daim ntawv obstructive, cov txheej txheem inflammatory feem ntau purulent los yog catarrhal nyob rau hauv cov xwm, npog lub bronchi ntawm me me thiab nruab nrab caliber, thiab blockage tshwm sim.exudate lumen. Cov phab ntsa ntawm cov leeg tuaj yeem cuam tshuam kev cog lus, ua rau spasms. Kev ua pa tsis ua haujlwm tshwm sim, uas ua rau cov pa oxygen tshaib plab. Qhov txawv ntawm bronchitis thiab obstructive bronchitis tuaj yeem txiav txim siab los ntawm tus kws tshaj lij.
Daim ntawv obstructive tshwm sim hauv cov neeg laus li cas?
Nws muaj qhov pib sai sai thiab pib nrog qhov tsis xis nyob hauv thaj tsam hauv siab, mob bouts ntawm cov hnoos qhuav qhuav tuaj yeem ua tau, uas ua rau mob hnyav thaum hmo ntuj thiab ua rau mob hauv cov leeg diaphragmatic thiab pectoral. Tej zaum yuav muaj tshwm sim nyob rau hauv daim ntawv ntawm intoxication ntawm lub cev, tsis muaj zog, mob taub hau, hnov mob, hyperthermia, rhinitis, mob caj pas thiab lacrimation.
hnoos hauv tus kab mob no yog ib qho kev tiv thaiv uas pab tshem tawm exudate los ntawm bronchi. Nrog rau kev kho kom raug, tsib hnub tom qab qhov pib ntawm tus kab mob, ib theem nrog cov hnoos qeev tshwm sim, uas ua rau muaj kev ntxhov siab. Moist rales tau hnov hauv siab tiv thaiv keeb kwm ntawm kev ua pa.
Qhov txawv ntawm obstructive bronchitis thiab chronic bronchitis yog dab tsi?
Nyob rau hauv lub xub ntiag ntawm daim ntawv mob ntev, cov tsos mob ntawm cov txheej txheem inflammatory nyob rau hauv cov phab ntsa bronchial tuaj yeem pom nyob rau hauv cov neeg mob li peb lub hlis lossis ntau dua. Qhov tseeb, qhov no yog qhov sib txawv tseem ceeb ntawm ntau yam mob ntawm tus kab mob, uas dhau mus sai dua. Cov tsos mob tseem ceeb ntawm tus kab mob bronchitis yog ib qho hnoos tsis zoo uas tshwm sim thaum sawv ntxov tom qab pw tsaug zog. Ua tsis taus pa luv, uas yuav nce nrog lub cevloads.
Qhov laj thawj tseem ceeb ntawm cov kab mob ntsws no yog qhov ua rau muaj kev phom sij rau kev ua haujlwm (kev haus luam yeeb, kub hnyiab, soot, roj, tshuaj fumes, thiab lwm yam). Feem ntau provocateur yog haus luam yeeb nyob rau hauv cov ntaub ntawv ntawm active los yog passive haus luam yeeb.
Nws tsim nyog sau cia tias daim ntawv mob ntev yog feem ntau rau cov neeg laus. Hauv cov menyuam yaus, nws tsuas yog tshwm sim nyob rau hauv cov ntaub ntawv ntawm kev tiv thaiv kab mob, kev tsis txaus ntseeg nyob rau hauv cov qauv ntawm qhov qis qis ntawm cov hlab ntsws, thiab ua rau muaj mob hnyav.
Tus mob bronchitis txawv li cas bronchitis hauv cov menyuam yaus?
Symptomatics of obstructive bronchitis in me
Tus kab mob no tau kuaj pom hauv cov neeg mob hluas hnub nyoog qis dua peb xyoos nrog ntau zaus ntawm ib mus rau plaub, uas yog, txhua tus menyuam thib plaub ua ntej hnub nyoog peb xyoos raug kev txom nyem tsawg kawg ib zaug los ntawm tus kab mob no. Kev rov tshwm sim ntau zaus ua rau muaj qhov tshwm sim ntawm cov kab mob ntev thiab emphysema.
Nws yog qhov xav tau rau cov niam txiv kom muaj lub tswv yim txog qhov sib txawv ntawm tus kab mob bronchitis thiab obstructive bronchitis hauv cov me nyuam. Kev hnoos tsis yog qhov yuav tsum tau tshwm sim; hauv cov menyuam mos los yog cov menyuam yaus tsis muaj zog, qee zaum nws tsis tuaj yeem ua ke. Ua pa tsis ua haujlwm ua rau cyanosis (xiav ntawm daim tawv nqaij). Thaum ua pa, lub zog ntawm kev thim rov qab ntawm qhov chaw intercostal tuaj yeem nthuav tawm, nrog rau kev nthuav dav ntawm tis ntawm lub qhov ntswg. Qhov kub, raws li txoj cai, tuaj yeem khaws cia rau hauv qhov subfebrile ntau thiab tsis pub tshaj peb caug-tsib degrees. Nrog concomitant kab mobKev kis kab mob, qee qhov kev tshwm sim catarrhal tuaj yeem pom nyob rau hauv daim ntawv ntawm qhov ntswg qhov ntswg, mob caj pas, lacrimation, thiab lwm yam. Qhov txawv ntawm bronchitis thiab obstructive bronchitis tuaj yeem nyuaj qhia.
Daim ntawv tsis muaj kev cuam tshuam rau menyuam yaus
Hom kab mob ntsws no thaum yau, raws li txoj cai, ua tiav ib yam nkaus li cov neeg laus: txhua yam pib nrog hnoos qhuav thiab cov tsos mob ntawm kev qaug cawv, ces tus kab mob mus rau theem ntawm cov hnoos qeev, uas tshwm sim rau hnub thib tsib. Lub sijhawm tag nrho ntawm tus mob, piv txwv li tsis muaj teeb meem, feem ntau yog peb lub lis piam.
Daim ntawv no suav hais tias yog qhov zoo tshaj plaws ntawm qhov kev cia siab rau kev rov zoo, tab sis feem ntau yog cov menyuam kawm ntawv thiab cov tub ntxhais hluas. Cov menyuam kawm ntawv preschool, vim yog cov yam ntxwv ntawm kev ua pa, feem ntau yuav kis tau tus mob bronchitis. Tom ntej no, peb tig mus rau qhov teeb meem ntawm kev kho mob ntawm ntau hom kab mob no. Cia peb xav seb yuav ua li cas obstructive bronchitis txawv ntawm ib txwm ib txwm nyob rau hauv cov nqe lus ntawm kev kho.
Kev kuaj kab mob
txhawm rau kuaj xyuas tus kab mob, txiav txim siab nws qhov laj thawj, theem ntawm kev loj hlob thiab muaj qhov teeb meem, cov kws kho mob siv cov kev tshawb fawb hauv qab no:
- Kev nqis tes ua ntawm anamnesis nrog rau kev tshuaj xyuas cov neeg mob tsis txaus siab, kuaj pom, mloog cov suab ua pa nrog lub stethoscope.
- kuaj ntshav thiab hnoos qeev.
- X-ray kom txiav tawm lossis paub meej tias mob ntsws ua rau mob ntsws.
- Ua qhov kev kuaj spirogram los txiav txim siab theem ntawm kev cuam tshuam thiabua tsis taus pa.
- Kev ua haujlwm ntawm bronchoscopy yog tias xav tias qhov kev loj hlob ntawm lub cev tsis zoo, muaj lub cev txawv teb chaws hauv bronchi, qog hloov pauv, thiab lwm yam.
- Computed tomography raws li indications.
Txoj kev yooj yim ntawm kev kho rau ntau hom kab mob bronchitis
Kho mob ntsws thiab obstructive bronchitis. Qhov txawv yog dab tsi?
Raws li cov xwm txheej hauv kev txhim kho tus kabmob, ua ntej tshaj plaws, cov kws kho mob tau sau cov tshuaj uas ua rau cov kab mob, peb tab tom tham txog cov tshuaj tiv thaiv kab mob, tshuaj tua kab mob, tshuaj tua kab mob, thiab lwm yam.
Kev kho etiotropic, kev kho mob yuav tsum tau siv ua ke hauv kev siv tshuaj tua kab mob, tshuaj mucolytic (Acetylcysteine, nrog rau Ambroxol) thiab cov tshuaj uas ua rau hnoos reflex.
Nyob rau hauv cov ntaub ntawv no, siv cov kev npaj dav dav thiab hauv zos (piv txwv li, inhalers, instillation thiab tshuaj tsuag rau hauv qhov ntswg, thiab lwm yam). Cov txheej txheem ntawm kev kawm lub cev lub cev, zaws, uas pab txhawb kev sib cais thiab tshem tawm cov hnoos qeev, nrog rau cov gymnastics, ntxiv rau kev kho tshuaj.
Hauv kev kho mob bronchitis, lub luag haujlwm tseem ceeb yog ua los ntawm kev cais tawm ntawm cov txheej txheem uas ua rau cov txheej txheem inflammatory hauv cov ntaub so ntswg, txawm tias nws yog kev phom sij rau kev ua haujlwm, ib puag ncig, kev haus luam yeeb, thiab lwm yam. Tom qab tshem tawm cov provocateurs, kev kho mob mus sij hawm ntev yog nqa tawm nrog kev pab los ntawm mucolytic,bronchodilators thiab cov tshuaj kho kev noj qab haus huv. Nws tuaj yeem siv kev kho cov pa oxygen, nrog rau kev so sanatorium.
Txoj kev kho mob ntawm obstructive bronchitis rau cov neeg laus
Thaum lub sijhawm kho, tus neeg mob yuav tsum tau saib xyuas kom zoo nrog rau cov kua dej ntau, noj zaub mov, thiab noj zaub mov nplua nuj. Hauv cov txheej txheem ntawm kev siv tshuaj, cov kws kho mob siv cov tshuaj bronchodilators nrog rau cov tshuaj vasoconstrictor, tshuaj tua kab mob thiab tshuaj ua ke. Hauv cov xwm txheej hnyav, nrog rau kev kuaj mob ntawm "obstructive bronchitis", kev npaj tshuaj hormonal yog siv nyob rau hauv daim ntawv ntawm inhalations, intravenous txhaj, thiab lwm yam. Cov tshuaj mucolytic xws li Ambroxol, Acetylcysteine, Bromhexine thiab lwm yam tau siv los tiv thaiv tus kab mob.
kev kho mob ntev
Thaum lub sij hawm exacerbation ntawm xws li mob ntsws bronchitis, yuav tsum muaj kev sib txawv ntawm cov txheej txheem kho mob. Ua ntej tshaj plaws, nws yuav tsum yog kev kho mob. Tab sis ntxiv rau cov tshuaj uas tawm tsam tus kab mob, nws tseem ceeb heev uas yuav tsum siv cov vitamin complexes txhawm rau txhawb kev noj qab haus huv ntawm lub cev. Raws li ib feem ntawm kev tiv thaiv ntawm exacerbation ntawm tus mob bronchitis, cov neeg mob yuav tsum tau ua raws li kev noj zaub mov kom zoo, normalizing lawv tsaug zog thiab wakefulness lub sij hawm, thiab lawv kuj yuav tsum tsis txhob muaj hypothermia. Physiotherapy kuj tseem yuav ua txoj hauv kev zoo hauv kev kho mob.
Kev kho mob ntawm obstructive bronchitis hauv menyuam yaus
Sib ntaus tawm tsam qhov noCov txheej txheem pathological yuav tsum yog qhov nyuaj, tsom tsis yog tsuas yog txo qhov hnoos qeev (uas ntawm ntau leej niam thiab txiv ua qhov yuam kev tshaj plaws), tab sis tseem ceeb tshaj plaws ntawm kev tshem tawm spasms, o thiab o ntawm bronchi. Tsis muaj qhov tseem ceeb tshaj yog kev tawm tsam cov kab mob sib kis uas tau hu rau kev txhim kho tus mob hauv tus menyuam. Koj tseem yuav xav tau kev txhawb nqa dav dav ntawm lub cev tiv thaiv kab mob ntawm cov crumbs nrog rau kev kho cov plab hnyuv microflora thiab cov tshuaj vitamin kho.
Kev Tiv Thaiv Kev Tiv Thaiv Kab Mob
hom kab mob bronchitis no feem ntau tshwm sim. Txhawm rau tiv thaiv koj tus menyuam thiab koj tus kheej los ntawm nws, nws yog ib qho tsim nyog kom tsis txhob muaj kev sib cuag nrog cov neeg mob khaub thuas, nrog rau mob khaub thuas thiab lwm yam otolaryngology. Nws yog ib qho tseem ceeb sib npaug kom tsis txhob hypothermia. Cov kws kho mob pom zoo kom ua si kis las, ua kom koj lub cev tawv, noj ntau cov vitamin complexes txhawm rau txhim kho kev tiv thaiv kev tiv thaiv.
Peb tau saib yuav ua li cas thiaj paub qhov txawv ntawm cov kab mob bronchitis ntawm qhov qub. Tus kab mob suav hais tias yog kab mob inflammatory. Lub bronchi ua haujlwm raws li lub hauv paus ntawm kev ua pa, uas txuas rau lub ntsws thiab lub ntsws. Hauv qhov no, tsis muaj cov txheej txheem inflammatory tshwm sim nyob rau hauv qhov chaw ntawm lub cev, txwv tsis pub muaj teeb meem loj, uas yuav cuam tshuam rau kev ua pa zoo. Nyob rau hauv qhov kev tshwm sim ntawm ib tug pathology, tsis hais nws daim ntawv, nws yuav tsum tam sim ntawd pib muaj peev xwm kho.
