Lub neej zoo ntawm cov neeg uas raug kev txom nyem los ntawm bronchial hawb pob tawm ntau yam xav tau. Kev xaiv kho kom raug yuav pab kom txo tau tus neeg mob tus mob. Nws yuav txo qhov kev siv thiab zaus ntawm exacerbations. Ib feem tseem ceeb ntawm kev kho mob yog cov tshuaj, cov txheej txheem ntawm kev txiav txim uas tsis tsuas yog nres qhov kev mob hawb pob, tab sis kuj txo qhov kev pheej hmoo ntawm nws txoj kev loj hlob.
Kev lag luam kws tshuaj muaj ntau yam tshuaj tiv thaiv kab mob hawb pob thiab tshuaj, tab sis kev xaiv ntawm cov tshuaj ib txwm nyob ntawm tus kws kho mob. Qhov no suav nrog tus yam ntxwv ntawm txhua tus neeg mob, cov tsos mob tshwm sim, zaus thiab qhov hnyav ntawm kev tawm tsam.
kho mob hawb pob
Txhua cov tshuaj tiv thaiv kab mob hawb pob tau muab faib ua ob yam tseem ceeb: kev saib xyuas xwm txheej ceev rau kev tawm tsam (kev kho mob); tshuaj los tswj tus kab mob (pab kho mob). Kev kho mob yuav raug txiav txim siab ua ntej.
Symptomatic therapy
Nws muaj nyob rau hauvkev siv cov tshuaj uas tso cai rau koj kom tsis txhob muaj mob hawb pob: ua tsis taus pa, hnoos, hawb pob, hnoos qhuav. Bronchodilators yog cov tshuaj pab thawj zaug rau mob hawb pob. Lawv muab faib ua peb hom:
- beta 2-agonists;
- xanthines;
- cholinolytics.
Rau exacerbations, siv tshuaj los ntawm pab pawg ntawm beta 2-agonists. Thaum muaj kev tawm tsam, lawv muaj peev xwm txo tau tus neeg mob tus mob, lawv yuav luag tam sim ntawd. Muaj ob lub sijhawm ntev thiab luv luv. Cov tshuaj ua haujlwm ntev muaj xws li: "Formoterol", "Salmeterol". Rau cov tshuaj luv luv - "Berotek", "Ventolin", "Fenoterol", "Salbutamol". Kev nthuav qhia: hnab tshos metered dose inhaler.
Yog tias tsis kam ua rau beta 2-agonists, tus neeg mob yuav raug tshuaj anticholinergics. Lawv ua qeeb dua, tab sis txhawm rau kom tsis txhob muaj mob hawb pob, qhov tshwm sim yog qhov zoo. Anticholinergics muaj xws li: "Atrovent", "Platifillin", "Atropine", "Belloid", "Troventol". Lawv yog tsim nyob rau hauv daim ntawv ntawm ib tug metered aerosol los yog ampoules rau txhaj.
Basic Therapy
Kev kho mob yooj yim muaj nyob rau hauv kev noj cov tshuaj uas kho cov mob hawb pob bronchial, tiv thaiv kev loj hlob ntawm kev tawm tsam, thiab txhim kho lub neej zoo. Lawv yog npaj rau kev siv txhua hnub. Kev siv cov tshuaj no txo o ntawm bronchi, relieves inflammatory txheej txheem tsim nyob rau hauvua pa ib ntsuj av, txo susceptibility rau tej allergens. Cov kev npaj tseem ceeb suav nrog:
- tshuaj tiv thaiv kab mob;
- corticosteroids;
- tshuaj tiv thaiv kab mob;
- cromons;
- glucocorticosteroids;
- pab pawg.
YAntihistamines
Cov tshuaj tiv thaiv tsis haum yog ib feem tseem ceeb ntawm kev kho mob bronchial hawb pob, vim nws feem ntau muaj kev fab tshuaj. Yeej, tus kws kho mob tau sau ib tiam tshiab ntawm cov tshuaj tiv thaiv kab mob hawb pob uas ua rau nees nkaum plaub teev. Cov nyiaj no muaj peev xwm txwv tsis pub tso tawm cov tshuaj histamine, thaiv qhov ua rau muaj kev phom sij ntau ntxiv: "Cetrin", "Erius", "Claritin"
YCorticosteroids
Rau kev kho mob hnyav thiab nruab nrab ntawm cov mob hawb pob bronchial, cov tshuaj uas koom nrog pawg corticosteroids tau siv. Cov tshuaj no txo qis ua pa luv, bronchial obstruction, tuaj yeem siv los nres qhov kev tawm tsam. Lawv yog cov tshuaj hormonal, muaj ntau contraindications. Yog li ntawd, qee cov tshuaj kho mob hawb pob tsis muaj nyob hauv lub txee. Corticosteroids suav nrog: Hydrocortisone, Prednisolone, Dexamethasone.
tshuaj tiv thaiv kab mob
Cov tshuaj no tshem tawm cov kab mob bronchospasm los ntawm cov txheej txheem inflammatory uas tau tshwm sim hauv cov mucous daim nyias nyias ntawm cov kab mob ua pa. Lawv ntxiv cov kev kho mob tseem ceeb, lawv siv rau lub sijhawm ntev txaus. Rau cov noCov tshuaj muaj xws li: "Zafirlukast", "Zileuton", "Montelukast"
Cromons
Qhov no yog ib pawg tshuaj uas muaj carboxylic acid. Cov tshuaj raws li cov tshuaj no txo qhov tsim ntawm mast hlwb, yog li tshem tawm qhov tshwm sim bronchospasm. Cov nyiaj no tsis yog siv thaum lub sijhawm exacerbation, tab sis tsuas yog hauv kev kho mob yooj yim: Ketotifen, Ketoprofen, Intal.
YGlucocortisteroids
Cov tshuaj no muaj zog tiv thaiv kab mob, txhawb cov hnoos qeev, txo qhov o, txo qhov mob. Vim muaj cov kev phiv ntau, cov tshuaj ntawm hom no tsuas yog siv raws li kws kho mob sau tseg: Becloment, Ingakort, Bekotid, Pulmicort.
Andrenomimetics
Qhov kev txiav txim ntawm cov tshuaj ntawm pab pawg no yog tsom rau dilating lub bronchi. Tsis pub dhau kaum ob teev, cov nyhuv ntawm kev siv tshuaj kav ntev. Cov tshuaj no yog npaj rau kev siv mus ntev, txij li qhov tshwm sim ntawm lawv qhov kev ua yuav pom tau tsuas yog tom qab ib ntus. Cov no suav nrog: Spiropent, S altos, Foradil.
Vim txoj kev kho mob yooj yim yog tsim los siv mus ntev, tus neeg mob raug yuam kom noj qee yam tshuaj tiv thaiv kab mob hawb pob thoob plaws hauv nws lub neej. Nws yog ib qho tseem ceeb heev uas yuav tsum tau ua raws li cov koob tshuaj pom zoo nyob rau hauv tus txheej txheem ntawm noj ib yam tshuaj. Koj tsis tuaj yeem tshem tawm qhov kev txais tos los ntawm nws tus kheej lossis muab tshuaj kho tshiab rau koj tus kheej yam tsis tau sab laj nrog kws kho mob. Yog ibtxoj kev kho yog xaiv kom raug, nws muaj peev xwm ua kom mob ntsws asthma nyob rau hauv tswj.
Txoj kev niaj hnub ntawm kev kho mob hawb pob tuaj yeem txhim kho lub neej zoo, txo qhov zaus ntawm kev tawm tsam. Hmoov tsis zoo, nws tsis tuaj yeem kho tus mob no, tab sis yog tias koj ua raws li txhua tus kws kho mob cov lus pom zoo thiab noj tag nrho cov tshuaj tiv thaiv kab mob hawb pob, qhov kev cia siab ntawm tus kab mob yuav txhim kho ntau zaus.
