Ntev npaum li cas tus kab mob ntsws kho rau cov neeg laus: kev kho mob thiab kev saib xyuas ntawm cov tshuaj

2024 Tus sau: Curtis Blomfield | [email protected]. Kawg hloov kho: 2023-12-16 21:10

Bronchitis yog ib yam kab mob loj heev. Uas yog feem ntau nrog los ntawm ib tug muaj zog hnoos vim lub loj tsub zuj zuj ntawm mucus nyob rau hauv lub bronchi. Thaum tus neeg mob tsis pib kho raws sijhawm, theem purulent-inflammatory pib. Nws yog ib qho nyuaj rau teb raws nraim li cas bronchitis yog kho nyob rau hauv cov neeg laus, vim muaj cov mob tshwj xeeb tshaj yog mob, muaj teeb meem loj. Thaum pib, tus neeg mob yuav tsis hnov zoo heev vim qhov hnoos qhuav qhuav, uas maj mam ua rau hnoos nrog hnoos qeev. Nws yog ib qho tseem ceeb los tiv thaiv cov teeb meem uas yuav tshwm sim nrog kev kho tsis raug, yog li nws yog ib qho tseem ceeb uas yuav tsum tau noj tshuaj nyob rau hauv kev saib xyuas ntawm tus kws kho mob. Nws raug nquahu kom pib kho sai li sai tau, cov txiaj ntsig zoo tuaj yeem ua tiav tsuas yog thaum muaj qhov txaus txaus los ntawm kws kho mob tsis pub dhau ob mus rau plaub hnub tom qab kuaj pom thawj cov tsos mob ntawm tus mob.

Cov yam ntxwv dav dav

Thaum tus neeg muaj cov ntaub so ntswg obronchi, nws yog ib qho tseem ceeb los tiv thaiv lawv kis mus rau tag nrho cov ua pa ib ntsuj av tau raws sijhawm. Tus kab mob no yooj yim heev rau kev ceeb toom vim tus neeg mob yuav muaj cov tsos mob xws li:

1. mob hnyav tshwm sim hauv thaj tsam hauv siab.
2. Ua tsis taus pa tshwm.
3. Ib qho hnoos hnyav pib, uas ua rau mob.
4. Muaj qaug zog hauv lub cev tag nrho.

Cov kab mob hnyav xws li staphylococci, streptococci thiab pneumococci tuaj yeem ua rau mob. Tab sis nws tsis yog qhov tsim nyog uas tus kab mob ntsws yuav tshwm sim los ntawm qhov muaj cov kab mob, qee zaum qhov tshwm sim ntawm cov kab mob tshwm sim los ntawm kev ua haujlwm tsis zoo, kev haus luam yeeb ntev thiab nyob hauv thaj chaw tsis zoo nrog huab cua tsis zoo.

Kev faib tawm

Kev kho mob bronchitis hauv cov neeg laus yog qhov ua tau. Tab sis tsuas yog tom qab tus kws kho mob tuaj yeem kuaj xyuas qhov tseeb. Nyob rau hauv cov tshuaj, muaj ob peb hom bronchitis, ntawm lawv muaj mob thiab mob ntev. Yog hais tias tus kab mob tshwm sim nyob rau hauv ib tug mob, ces lub mucous qauv ntawm lub bronchi raug kev txom nyem ua ntej ntawm tag nrho cov. Pathology nyob rau hauv daim ntawv mob hnyav tuaj yeem ua tau raws li:

1. yam yooj yim.
2. Obstructive view.
3. Bronchitis, uas yog hom obliterating.
4. YBronchiolitis.

Nws yog hom kab mob uas suav tias yog feem ntau ntawm cov neeg laus, yog li hauv ib xyoos, tib neeg tuaj yeem mob tsawg kawg peb zaug. Nyob rau hauv cov ntaub ntawv no, nws yog ib qho tseem ceeb heev kom ua tiav cov kev kho mob mus txog rau thaum xaus, txwv tsis pub tus kab mob yuav tig mus rau hauv ib tug protracted daim ntawv. Thiab qhov no yuav provokekev loj hlob ntawm cov teeb meem. Protracted bronchitis nyob rau hauv cov neeg laus tuaj yeem sai sai. Muaj ntau ntau hom ntawm daim ntawv no:

1. Cov kab mob tsis muaj kab mob, uas yog hom yooj yim, yog me me thiab tsis ua rau muaj teeb meem ua pa.
2. Cov kab mob uas tsis muaj kev cuam tshuam nrog kev tawm purulent kuj yuav tsis cuam tshuam rau tus neeg ua pa.



3. hom mob ntev yog hais txog kev mob bronchitis, uas tuaj yeem ua rau muaj teeb meem loj rau kev ua pa.

Nws yuav tsum tau muab sau tseg tias txhua yam kab mob no tau muab faib ua ntau theem ntawm qhov hnyav thiab thaj chaw, thiab cov kws kho mob kuj yuav tsum tau coj mus rau hauv tus account asthmatic syndrome.

Yuav ua li cas thiaj paub txog bronchitis thiab nws cov tsos mob

Thaum tus neeg mob kis tus kab mob xws li mob ntsws, hnoos tam sim ntawd tshwm sim, nws yog ib qho tsim nyog los tiv thaiv lub cev. Nws yuav tsum tau muab sau tseg tias qhov kev mob ntawm ib tug neeg kuj tseem phem dua, piv txwv li, qab los noj mov yuav ploj mus, qaug zog tshwm sim thiab kub nce. hnoos, raws li txoj cai, yog qhuav los ntawm thaum pib, tab sis tom qab ntawd nws yuav ua tau ntau dua, cov hnoos qeev yog sib cais nrog nws. Thawj plaub hnub ntawm kev mob yuav zoo li nyuaj tshaj plaws, nws yog lub sijhawm no uas tus neeg tuaj yeem hnov mob li sai tau. Nyob rau tib lub sijhawm, hnoos hnyav tuaj yeem ua rau mob hauv siab. Txhawm rau kom tsis txhob pib tus kab mob, nws yog ib qho tsim nyog yuav tsum pib kho kom tsim nyog raws sijhawm, uas yuav tau muab los ntawm tus kws kho mob.

Diagnosis

teb cov lus nug kom meej npaum li casbronchitis nyob rau hauv cov neeg laus yog kho, nws yog ib qho nyuaj rau ib tug yooj yim yog vim li cas - koj yuav tsum xub paub seb tus kab mob nyob rau theem twg. Yog tias pathology tsis saib xyuas, tom qab ntawd txoj kev kho yuav siv sijhawm ntau dua li qhov xav tau; hauv daim ntawv me me, bronchitis tuaj yeem kho sai dua. Txawm li cas los xij, sai li sai tau thaum thawj cov tsos mob tshwm sim, koj yuav tsum tau sab laj nrog kws kho mob tam sim ntawd, tom qab kev ntsuam xyuas tag, yuav muaj peev xwm sau tau cov kev kho mob zoo. Txhawm rau txheeb xyuas tus kab mob, feem ntau siv cov kev ntsuas hauv qab no:

1. Tus neeg mob tau teem sijhawm mus kuaj X-ray kom tsis suav nrog mob ntsws lossis lwm yam kab mob uas tuaj yeem ua rau hnoos zoo li no. Feem ntau, cov txheej txheem zoo li no tsim nyog rau cov neeg haus luam yeeb thiab cov neeg uas tau tso tus cwj pwm no.
2. Cov kev kuaj mob ntsws tuaj yeem raug txiav txim siv lub cuab yeej tshwj xeeb hu ua spirometer. Nws cov ntsuas tau qhia meej txog kev ua haujlwm ntawm lub ntsws.



3. Cov kev tshawb fawb hauv chav kuaj, xws li kev kuaj ntshav thiab zis, kuj tsis suav nrog, lawv ua cov kab mob bacteriological ntawm cov hnoos qeev.

Thaum tau txais tag nrho cov txiaj ntsig, raws li lawv, tus kws kho mob yuav muaj peev xwm xaiv cov tshuaj zoo uas yuav tshem tawm cov kab mob sai sai.

Kev kho yog dab tsi

Thaum nug yuav ua li cas kho mob ntsws ntsws sai sai rau tus neeg laus, txhua tus yuav tsum paub tias nws txoj kev kho yuav tsum ua kom tiav. Nov yog tib txoj hauv kev kom ua tiav cov txiaj ntsig zoo. Kev kho mob tsuas yog ua tiav nrog kev pab los ntawm kws kho mob, thiab ntxiv rau, tus neeg mob, yog tias nws xav tau, tuaj yeem siv qee txoj hauv kev hauv tsev. Tab sis qhov no tsis txhais hais tias koj tuaj yeem tsis kam noj tshuaj. Raws li txoj cai, tus kws kho mob tshwj xeeb tau sau ntau yam tshuaj zoo, kev nqus pa tuaj yeem siv tau, qee yam tshuaj vitamin complex yog muab los txhim kho kev noj qab haus huv. Qee zaum, ua kom sov lub hauv siab tau zoo heev.

Tshuaj

Txhua yam kev kho mob rau cov kab mob bronchitis hauv cov neeg laus yuav tsum ua haujlwm feem ntau ntawm cov kab mob ua pa, phlegm thiab chaw hnoos. Raws li txoj cai, cov kws kho mob pib sau tshuaj expectorants. Lawv pab kom sai sai tshem tawm cov hnoos qeev, thiab nws tuaj yeem khaws ntau rau ntawm phab ntsa ntawm bronchi. Expectorants suav nrog cov hauv qab no:

1. Syrups xws li Pertussin, Lazolvan, Bromhexidine yog suav hais tias yog feem ntau, qee zaum tus kws kho mob yuav sau ntawv kom yaj Muk altin ntsiav tshuaj.
2. Nyob rau theem pib ntawm tus kabmob, cov tshuaj xws li Stoptussin thiab Broncholitin tau zoo.



3. Kev npaj kho mob uas ua rau txoj hauv kev nyuaj kuj paub dav. Piv txwv li, xws li: "Gerbion", "Codelac" thiab "Sinekod".

Tsi txhob noj tshuaj yam tsis muaj tus kws kho mob paub, vim qee qhov txwv tsis pub siv tib lub sijhawm, txawm tias yuav muaj kev phom sij rau lub neej. Vim lub fact tias ib tug loj tus naj npawb ntawmCov hnoos qeev hauv lub ntsws, bronchitis tuaj yeem ua rau mob ntsws.

Vim li cas peb thiaj xav tau cov tshuaj bronchodilator? Nta thiab nuances

Txhua yam tshuaj rau cov kab mob bronchitis hauv cov neeg laus yuav tsum yog txhawm rau nthuav cov ceg ntawm cov kab mob ua pa thiab txhim kho cov hnoos qeev. Hauv qhov no, cov neeg laus tuaj yeem raug tshuaj "Salbutamol", "Eufillin" thiab "Teotard". Nws tsis yog txhua yam tsim nyog los siv cov tshuaj kim kim, lawv cov analogues pheej yig dua tuaj yeem siv tau, qhov twg nws tuaj yeem hloov tau lawv nrog Muk altin thiab Termopsol. Tus kws kho mob tshwj xeeb yuav tau sau ntawv "ACC", vim nws muaj kev cuam tshuam ncaj qha rau qhov tseeb tias cov hnoos qeev tawm yooj yim li sai tau. Tab sis ntawm no nws yog ib qho tseem ceeb kom tsis txhob thab nrog cov koob tshuaj - yog tias cov tshuaj no raug tsim txom, ces tus neeg mob yuav ntuav thiab kub siab heev yuav pib. Ntev npaum li cas bronchitis raug kho rau cov neeg laus nrog cov tshuaj no feem ntau yog nyob ntawm qhov hnyav, tab sis feem ntau cov ntsiab lus tsis pub dhau ob lub lis piam.

Lub luag haujlwm ntawm cov tshuaj tua kab mob hauv kev kho

Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias cov kab mob yog cov kab mob ua rau mob ntsws, yog li kev noj tshuaj tua kab mob tsis yog ib txwm suav tias yog qhov kev txiav txim siab. Tab sis nws tshwm sim hais tias nyob rau lub sij hawm ntev qhov kub tsis txo qis, ib tug neeg xav tias tsis muaj zog thiab tsis muaj zog, nws ua tsis taus pa thiab copious hnoos qeev pib sawv, nyob rau hauv cov ntaub ntawv no nws yog tsis yooj yim sua ua tsis muaj tshuaj tua kab mob. Cia peb xav txog qhov nthuav dav yuav ua li cas kho bronchitis rau cov neeg laus, cov tshuaj uas muaj nyob rau hauv cov chav kawm ntawm cov tshuaj tua kab mob thiab lawv cov nyhuv ntawm lub cev:

1. Aminopenicillins feem ntau yog tshuaj. Cov tshuaj no suav nrog Amoxiclav, Amoxicillin thiab Augmentin. Txoj hauj lwm ntawm cov tshuaj tua kab mob no yog tias lawv rhuav tshem cov phab ntsa ntawm cov kab mob, ua rau lawv tiv thaiv lwm yam tshuaj, thaum tsis muaj kev phom sij rau lub cev.



2. Ntxiv mus, macrolides tuaj yeem raug tshuaj. Cov tshuaj no suav nrog "Macropen", "Sumamed". Lawv khaws cov microbes los ntawm kev sib txuas ntxiv.
3. Tus kws kho mob tuaj yeem sau tshuaj fluoroquinolones xws li Ofloxacin, Levofloxacin, thiab Moxifloxacin rau nws tus neeg mob.

Txhua pawg tshuaj tua kab mob yuav tsum tau siv raws li kws kho mob tau sau tseg, txij li thaum siv ntau zaus lossis tsis raug, teeb meem plab tuaj yeem tshwm sim, thiab qee zaum txawm tias tib neeg lub cev tiv thaiv kab mob tsis zoo.

Antivirals

Kev kho mob bronchitis ntau npaum li cas rau cov neeg laus kuj nyob ntawm tus kab mob uas ua rau tus kab mob. Tsis muaj kev kho mob mus yam tsis muaj tshuaj tiv thaiv kab mob. Rau cov neeg laus, tus kws kho mob yuav sau cov tshuaj xws li:

1. "Amixin".
2. "Arbidol".
3. "Remantadine".
4. "Amizon".

Cov tshuaj no suav tias yog siv tau, thiab lawv cov nqi pheej yig rau txhua tus neeg, yog li tsis muaj kev txiav txim siab xaiv cov tshuaj kim dua uas tau tshaj tawm yam tsis tau tham nrog kws kho mob. Nws yog ib qho tseem ceeb uas yuav tau pib noj cov tshuaj tiv thaiv kab mob tsis pub dhau ob hnub ntawm qhov pib ntawm tus kab mob, vim hais tias cov nyhuv yuav tsis tshwm sim.ceeb toom.

Lub luag haujlwm ntawm kev nqus pa. Kuv puas tuaj yeem tau?

Kev nqus pa rau cov kab mob ntsws yog qhov tsim nyog rau cov neeg laus, lawv suav tias yog ib txoj hauv kev zoo tshaj plaws ntawm kev kho mob. Lawv ua raws li cov tshuaj tua kab mob zoo, thiab feem ntau lawv siv tshuaj xws li Rivanol thiab Dioxidin. Yog tias kev kho mob tau ua kom raug, ces qhov kev ntsuas yuav zoo heev, thiab kev rov zoo yuav tuaj hauv peb lub lis piam. Ib tug nebulizer yuav siv tau rau inhalation.

Kev kho lub cev thiab kev mob nkeeg

Txawm li cas los nws yuav zoo li txawv txawv, tab sis kom rov qab ua tiav, tus neeg mob yuav tsum tau ua raws li kev noj zaub mov tshwj xeeb. Lub cev tsis muaj zog xav tau cov vitamins sib txawv, yog li nws yog ib qho tsim nyog los xyuas kom meej lawv cov khoom noj. Yog tias koj txaus siab rau cov lus nug ntawm yuav ua li cas kho mob ntsws ntsws hauv tsev rau cov neeg laus, nws yog ib qho tseem ceeb uas yuav tau xav txog tias, ua ntej ntawm tag nrho cov, koj yuav tsum ua raws li kev cai tshwj xeeb.

Txhawm rau txo qhov mob, nws raug nquahu kom ua ua pa ua pa. UHF suav nrog hauv kev kho tshuaj. Kev sov ntawm lub hauv siab yog qhov tsim nyog txhawm rau txhawm rau tshem tawm cov teeb meem ntxiv. Tsis tas li thaum lub sijhawm no, koj yuav tsum tau noj cov vitamins ntau dua.

Kev nyuaj siab

Bronchitis yeej tsis yog ib yam kab mob yooj yim. Feem ntau nws yog tus yam ntxwv los ntawm cov teeb meem loj. Xav txog cov tseem ceeb:

1. Hloov tsob ntoo bronchial.
2. mob hawb pob, uas nws thiaj li dhau los ua bronchial.
3. Broncho-pneumonia.
4. Emphysema.

Tab sis tsim nyog sau ciaYog tias cov tshuaj uas kws kho mob tau sau tseg rau hauv lub sijhawm, kev kho mob bronchitis hauv cov neeg laus tau txais txiaj ntsig zoo, yog li koj yuav tsum tsis txhob hnov qab mus ntsib kws kho mob thaum thawj cov tsos mob ntawm tus mob.

Kev Tiv Thaiv

Muaj qee yam kev tiv thaiv uas yuav pab kom zam tau tus kab mob. Xav txog lawv kom ntxaws ntxiv:

1. Koj yuav tsum tsis txhob haus luam yeeb yam.
2. Tom qab ib tug neeg sawv los ntawm kev pw tsaug zog, nws yuav tsum mob siab rau ob peb feeb rau kev ua pa.
3. Hnav khaub ncaws sov thaum lub caij txias.
4. Tiv thaiv hypothermia.



5. Nco lub qhov cua hauv chav uas tus neeg mob nyob.
6. Nyob rau hauv lub cev los ntawm hardening.
7. Ua raws li kev noj zaub mov kom raug.

Raws li koj tuaj yeem pom, cov neeg laus tsis tuaj yeem hais tias dab tsi yog cov tshuaj zoo tshaj plaws rau kev mob ntsws, vim tias tag nrho cov tshuaj siv los kho. Thiab nws yuav yog qhov zoo tshaj los saib xyuas thiab sim ua kom tsis txhob muaj tus kab mob no. Ntxiv mus, rau qhov no koj tsuas yog yuav tsum ua raws li cov lus qhia tiv thaiv.