Kev ntxhov siab ntawm qhov mob hauv thaj tsam hauv siab feem ntau pom tau tias yog lub teeb liab ntawm kev cuam tshuam hauv kev ua haujlwm ntawm lub cev. Thiab, rau feem ntau, kev ua xyem xyav tau lees paub. Qhov chaw no muaj ntau yam kabmob uas tseem ceeb heev: lub plawv, piv txwv li. Tsis tas li ntawd, muaj ntau lub nkoj, nrog rau cov loj loj. Lawv cov kab mob tsis zoo yog tias koj tsis hu rau tus kws kho mob tshwj xeeb hauv lub sijhawm thiab kuaj xyuas. Yog li, qhov mob nyob rau hauv nruab nrab ntawm lub hauv siab thaum nqus pa qhia tau hais tias muaj peev xwm ua tau pathology thiab, tau pom cov cim qhia, koj yuav tsum mus rau tom tsev kho mob tam sim ntawd.
Yuav ua li cas mob
Mob hauv nruab nrab ntawm lub hauv siab thaum nqus tau yog qhov tshwm sim zoo thiab tuaj yeem tshwm sim los ntawm ntau yam kab mob. Nrhiav kom paub tseeb tias qhov ua txhaum cai ua rau muaj kev xav tsis zoo yog qhov nyuaj ntawm koj tus kheej. Yog li ntawd, nws yog qhov zoo dua los tso siab rau nws rau tus kws tshaj lij. Yog li, piv txwv li, mob hauv siab thaum nqus tau sab xisUa tim khawv muaj nyob:
- kab mob ntawm cov hlab plawv;
- pathology ntawm cov kab mob ua pa;
- teeb meem hauv plab hnyuv;
- intercostal neuralgia;
- kev puas tsuaj vim kev raug mob.
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Cov laj thawj saum toj no feem ntau, tab sis cov npe tsis txwv rau lawv. Qhov kawg ua rau mob tsuas yog txiav txim tau tom qab kuaj xyuas tiav, suav nrog kev kuaj xyuas thiab kev tshawb fawb ntxiv.
Symptomatics
Thaum hu rau tsev kho mob, qhov kev tsis txaus siab tseem ceeb ntawm cov neeg mob yog qhov mob hauv siab nce ntxiv thaum nqus tau, uas tuaj yeem ua tus yam ntxwv:
- raws li qhov chaw: sab laug, hauv nruab nrab, hauv qab, nruab nrab ntawm tav lossis hauv qab;
- raws li qhov mob ntawm lub hauv siab: tua, stabs, squeezes, whines, burns, pulsates;
- by kev siv: qaug zog, nruab nrab lossis muaj zog;
- by duration: luv or long-term;
- raws li qhov tshwm sim: mob hnyav thiab maj mam nce ntxiv;
- rau kev cuam tshuam rau lwm yam kabmob thiab cov ntaub so ntswg: mob radiates rau caj dab, sab caj npab lossis lub plab mog;
- suav nrog cov kev hloov pauv uas tshwm sim los ntawm kev ua pa tob, hnoos hnyav, kev xav lossis kev tawm dag zog lub cev, lossis txav mus.
Qhov tshwm sim ntawm cov tsos mob ntawm qhov mob hauv siab yog ntau haiv neeg thiab yuav txawv nyob ntawm tus kheej tus yam ntxwv ntawm lub cev, qhov kev xav ntawm tus neeg mob, qhov chawlocalization, lub sij hawm ntawm tus kab mob thiab mechanisms ntawm kev loj hlob ntawm pathology nws tus kheej. Txawm li cas los xij, feem ntau, cov tsos mob zoo sib xws, thiab vim muaj qhov tshwj xeeb ntawm cov tsos mob ntawm txhua yam kab mob, tom qab kev kuaj thawj zaug thiab nug, tus kws kho mob tuaj yeem kuaj xyuas ua ntej.
mob plab vim kab mob plawv
Qhov mob hnyav tshaj plaws ntawm lub hauv siab thaum nqus tau yog cov kab mob ntawm cov hlab plawv, vim lawv tuaj yeem ua rau muaj qhov tshwm sim loj. Piv txwv li, mob plawv nres, mob stroke, lossis aortic aneurysm tuaj yeem ua rau muaj kev phom sij rau lub neej thiab xav tau kev saib xyuas sai.
Mob tshwm sim los ntawm cov kab mob ntawm lub plawv lossis cov hlab ntsha, feem ntau muaj lub zog los yog nias thiab muab rau thaj tsam subscapular ntawm sab laug tes. Qhov mob hnyav heev thiab kav ntev tshaj kaum feeb. Tsis tas li ntawd, nws tau nrog:
- hloov ntshav siab (siab tuaj yeem nce thiab poob);
- tshwm sim ntawm arrhythmia;
- ua pa luv txawm tias so;
- cyanosis saum lub duav;
- daim tawv nqaij daj ntseg thiab tawm hws txias;
- hnoos ntshav;
- kev ntxhov siab.
Thaum mloog, raws li txoj cai, cov suab nrov hauv lub plawv, pom muaj cov suab nrov ntawm cov kab mob thiab cov kev hloov pauv hauv cov atherosclerosis. Moist rales nyob rau hauv lub ntsws kuj tau sau tseg. Tus neeg mob feem ntau yog mob hnyav.
Mob kab mob ntawm cov kab mob ua pa
Yog tias muaj mob hauv nruab nrab hauv siab thaum nqus tau,Nrog hnoos, nws muaj peev xwm hais tias pathology tshwm sim nyob rau hauv ib qho chaw ntawm lub ntsws. Qhov no tuaj yeem yog qhov txhab ntawm cov kabmob xws li lub ntsws, bronchi, trachea lossis pleura. Koj tuaj yeem pom cov tsos mob hauv qab no:
- hnoos (qhuav lossis ntub);
- tshwm sim ua pa luv;
- kev ua npaws;
- hnoos qeev (nws tuaj yeem ua rau purulent, ntshav lossis mucous);
- xav txog kev qaug zog.
Kev mob hnyav tuaj yeem pom thaum ua pa tob thiab hnoos. Tus kws kho mob tuaj yeem txiav txim siab tsuas yog tom qab kev soj ntsuam thiab kuaj xyuas.
Mob kab mob hauv plab hnyuv
Hauv thaj tsam hauv siab, tsuas yog txoj hlab pas tsuas yog nyob ntawm lub plab zom mov, yog li qhov mob hauv siab hauv siab thaum nqus pa tuaj yeem yog vim muaj hernia ntawm lub diaphragm thiab qhov txhab ntawm qhov mucous ntawm txoj hlab pas. Tab sis tsis txhob hnov qab tias qhov mob tuaj yeem tshwm sim thiab tshwm sim vim mob plab, cholecystitis lossis pancreatitis. Tag nrho cov kab mob no muaj cov tsos mob sib txawv, tab sis ntawm lawv yog:
- xav mob, gagging;
- iab saj hauv qhov ncauj;
- hloov cov quav sib xws;
- bloating.
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Qhov tshwm sim ntawm cov cim qhia no yog qhov tshwm sim ntawm kev ua txhaum ntawm kev noj haus thiab tsis nyob ntawm kev ua haujlwm ntawm lub cev thiab ua pa ua pa.
Mob vim kab mob ntawm tus txha caj qaum
Yog qhov mob kuj nrog rau qhov stabb hauv cheeb tsamrov qab thiab hauv siab, nws yog ib qho tsim nyog yuav tau kuaj xyuas seb puas muaj pathologies ntawm tus txha caj qaum, xws li hernia, osteochondrosis lossis spondylarthrosis. Nyob rau hauv cov ntaub ntawv no, tej zaum yuav muaj mob nyob rau hauv lub hauv siab ntawm sab laug thaum nqus tau pa, thaum txav lub cev, thaum lub sij hawm ua pa tob, luag los yog txham. Kuj qhia txog cov kab mob neuralgic:
- txo qis qhov rhiab ntawm sab laug ceg;
- xav loog lossis tingling hauv nws;
- muscle tsis muaj zog;
- tshwm sim ntawm dermographism;
- hloov xim ntawm daim tawv nqaij.
Feem ntau mob hauv siab hauv nruab nrab thaum nqus tau nrog cov cim qhia txog kev hloov pauv hauv kev ua haujlwm ntawm cov kab mob hauv nruab nrog cev: tsam plab, hloov pauv hauv cov ntshav siab lossis lub plawv dhia ceev. Qhov no yog ua tau vim muaj kev hloov pauv uas ploj mus thaum ua tiav ntawm kev tshem tawm ntawm qhov chaw - compression ntawm cov paj hlwb.
Intercostal neuralgia
Intercostal neuralgia kuj tuaj yeem nrog qhov mob hauv nruab nrab hauv siab thaum nqus tau. Qhov no pathology feem ntau tshwm sim los ntawm hypothermia los yog muaj zog lub cev kev nyuaj siab. Nyob rau hauv rooj plaub no, qhov mob hauv siab nce nrog kev tshoov siab, thiab nws tuaj yeem ua tus cwj pwm ntse, nyob ntawm ib sab lossis girdle. Tsis tas li ntawd, qhov mob yuav tshwm sim thaum lub cev txav mus los. Palpation tsis qhia qhov mob.
mob hauv siab hauv siab vim kev puas tsuaj
Mob hauv siab hauv siab kuj tuaj yeem yog vim muaj cov neeg kho tshuabraug mob los ntawm kev raug mob. Hauv qhov no, kev hnov mob tshwm sim thaum ua pa thiab lub cev txav. Cov tsos mob sib xws nyob ntawm qhov hnyav thiab hom kev raug mob. Feem ntau qhov txawv:
- edema thiab bruising ntawm cov ntaub so ntswg;
- nqaij tawv thiab pob txha;
- hloov lub hauv siab;
- tsis xis nyob thaum soj ntsuam.
Raws li qhov tshwm sim ntawm kev ua txhaum ntawm kev ncaj ncees ntawm cov tav, kev puas tsuaj rau lub ntsws thiab pleura, uas tuaj yeem ua rau los ntshav thiab pneumothorax. Txhawm rau txo qhov mob hnyav, nws raug nquahu kom txwv tus neeg mob lub zog thiab sim txo qhov tob ntawm kev nqus pa thiab exhalation.
mob plab tom qab haus luam yeeb
Cov tsos mob ntawm lub hauv siab tom qab haus luam yeeb tuaj yeem yog qhov qhia tau zoo rau kev txheeb xyuas cov kab mob hauv lub cev. Yog li, muaj 2 yam ua rau mob tshwm sim:
- Pulmonary. Mob tshwm sim vim cov pa luam yeeb ua rau lub ntsws puas. Qhov no tuaj yeem ua rau mob ntsws ntev, mob hawb pob, lossis mob ntsws.
- Txhob Cia Siab. Cov laj thawj no yog vim muaj cov kab mob pathologies hauv kev ua haujlwm ntawm lub plawv lossis cov hlab ntsha, cov kab mob hauv plab hnyuv lossis cov musculoskeletal system, suav nrog cov pob qij txha.
Yog hais tias tus txheej txheem ntawm kev haus luam yeeb nrog qhov mob ntawm lub sternum, koj yuav tsum xyuam xim rau qhov no thiab mus ntsib kws kho mob.
Yuav ua li cas thiab thaum twg hu lub tsheb thauj neeg mob
Thaum mob hnyav tshwm sim uas tuaj yeem cuam tshuam nrog kev ua pa ib txwm muaj, suav nrog qhov mob thaum nqus pa hauv nruab nrab ntawm lub hauv siab, ib txwm muaj lub siab xav hu lub tsheb thauj neeg mob. Nws yog qhov yuav tsum tau ua qhov no hauv qee kis:
- Yog tias, ua ke nrog kev hnov mob thaum nqus tau hauv thaj tsam hauv siab, muaj qhov xav tias nyem hauv qab hauv siab, qhov mob kis mus rau sab laug caj npab, thaj tsam ntawm lub xub pwg hniav, Lub puab tsaig qis thiab pom qhov ua tsis taus pa.
- Thaum xeev siab tshwm sim, hloov hauv lub plawv dhia, kiv taub hau, tawv nqaij hloov mus rau grey, ntshav siab, txo qis plawv dhia, kiv taub hau.
- Thaum tsis muaj kev txhim kho 20 feeb tom qab noj nitroglycerin, hnoos hnoos qeev, ua daus no, nqos nyuaj.
Koj yuav tsum hu lub tsheb thauj neeg mob tam sim ntawd tom qab kuaj pom cov paib tau piav qhia saum toj no txhawm rau kom tau txais kev pab tsim nyog raws sijhawm.
Diagnosis
txhawm rau txhawm rau kuaj xyuas zaum kawg thiab tshawb pom qhov ua rau mob hauv siab nrog ua pa muaj zog, nws yuav tsum tau ua cov kev tshawb fawb ntxiv, nyob ntawm cov ntaub ntawv tau txais thaum lub sijhawm soj ntsuam thiab kuaj thawj zaug. Nrog rau qhov kev kuaj mob ua ntej, tus kws kho mob yuav sau cov kev kuaj mob hauv qab no:
- kuaj ntshav biochemical;
- suav ntshav tag;
- coprogram;
- tshuaj xyuas cov kua dej ntawm lub pleura;
- X-ray ntawm lub ntsws thiab kab laug sab;
- ECG (cardiogram);
- Ultrasound ntawm lub cev hauv nruab nrog cev;
- gastroscopy;
- tsom xamhnoos qeev (kev kho mob thiab bacteriological).
Daim ntawv teev cov kev tshawb fawb no tsis yog qhov kawg thiab tuaj yeem muab ntxiv los ntawm tus kws tshaj lij nyob ntawm cov txiaj ntsig tau txais thiab cov kab mob. Tsis tas li ntawd, tej zaum koj yuav tau hu rau cov kws kho mob tshwj xeeb ntawm txhua qhov profile: tus kws kho plawv, pulmonologist, kws kho mob hlwb, kws kho mob hlwb, kws kho mob plab, kws kho mob plab thiab tus kws kho mob vertebrologist, kom paub meej ntxiv.
Vim li ntawd, qhov ua rau mob thaum nqus pa hauv nruab nrab ntawm lub hauv siab yuav qhia meej thiab kev kho mob txaus yuav raug sau tseg uas yuav txo tau tus kab mob thiab nws qhov tshwm sim.
