Feem ntau, mob hawb pob yog tshwm sim los ntawm kev ua xua. Nws manifests nws tus kheej nyob rau hauv daim ntawv ntawm o ntawm txoj hlab pas, nyob rau hauv uas mob bronchospasm yog nrog los ntawm ib tug nce nyob rau hauv cov hnoos qeev secretion.
Cov tsos mob
Txhua tus niam txiv yuav tsum paub tias mob hawb pob tuaj yeem tshwm sim nws tus kheej li cas. Cov cim qhia hauv tus menyuam feem ntau yog hais. Tus me nyuam pib bronchospasm, uas cov kws kho mob hu ua bronchial obstruction. Qhov no yog qhia raws li nram no. Tus me nyuam pib hnoos qhuav paroxysmal. Sij hawm dhau mus, cov hnoos qeev pib tawm.
Koj tuaj yeem nkag siab tias qhov kev cuam tshuam tau pib los ntawm kev ua pa. Yog hais tias nyob rau hauv ib tug noj qab nyob zoo tus me nyuam lub sij hawm ntawm inhalation thiab exhalation yog kwv yees li qub, ces nrog rau kev loj hlob ntawm asthmatic nres, ua tsis taus pa luv tshwm. Nws yog yus muaj los ntawm ib tug luv luv inhale thiab ib tug ntev exhale. Hauv qhov no, tus neeg mob hawb pob, uas tau hnov ntawm qhov deb.
Tseem muaj cov npe hu ua thawj cov tsos mob ntawm tus mob hawb pob hauv cov menyuam yaus, uas tau pom txawm tias ua ntej qhov pib tshwm sim. Yog li ntawd, tus me nyuam pib hnoos, qhov ntswg congestion thiab khaus ntawm daim tawv nqaij.
Thaum muaj kev tawm tsam, cov menyuam loj tuaj yeem yws txogkev xav ntawm tsis muaj cua, nyem rau hauv lub hauv siab cheeb tsam. Pw tsaug zog yog cuam tshuam rau cov me nyuam mos, lawv ua whiny, chim siab, lethargic.
Txhob Cia Siab
Txhawm rau tiv thaiv kev loj hlob ntawm tus kab mob, koj yuav tsum paub tias yam twg tuaj yeem ua rau muaj teeb meem. Cov kws tshaj lij suav nrog huab cua muaj kuab paug, kev hloov pauv hauv huab cua siab, paj ntawm cov nroj tsuag tsis haum thiab txawm tias muaj kev puas siab puas ntsws tsis zoo hauv tsev raws li qhov ua rau muaj qhov tshwm sim.
Yog tias koj muaj cov neeg muaj kab mob ua xua hauv koj tsev neeg, koj yuav tsum xub paub seb tus mob hawb pob tuaj yeem tshwm sim hauv tus menyuam li cas. Cov tsos mob yuav tsum paub kom tsis txhob nco qhov pib ntawm teeb meem. Kuj tseem muaj kev pheej hmoo yog cov menyuam yaus uas muaj exudative catarrhal diathesis.
Allergen uas ua rau bronchospasm tuaj yeem yog paj paj ntoo, qee yam khoom noj, haus luam yeeb, tshuaj, plua plav hauv tsev. Cov tshuaj tiv thaiv tuaj yeem pib los ntawm kev nqus cua txias lossis los ntawm kev tawm dag zog lub cev.
Thaum thawj kev sib cuag, lub cev zoo li tau ntsib nrog cov khoom txawv teb chaws, tab sis tom qab "kev sib ntsib" nws twb pib ua phem heev. Lub cev tiv thaiv kab mob tsim cov tshuaj tiv thaiv, thiab lawv, dhau los, tso cov tshuaj lom neeg lom neeg, uas ua rau mob hawb pob hauv cov menyuam yaus. Cov tsos mob thiab cov tsos mob ntawm ua tsis taus pa luv, hnoos tsis tu ncua, thiab ua pa nyuaj yog ib qho nyuaj rau nco.
Tus yam ntxwv ntawm tus kab mob hauv cov menyuam mos
Txhua tus menyuam mos ua ntej mob hawb poblub sijhawm hu ua prodromal tau sau tseg. Lub sijhawm no, koj tuaj yeem pom qhov sib txawv ntawm qhov ua pa. Cov kua paug pib sawv tawm ntawm lub qhov ntswg, khaus tshwm thiab qhov txham tas li cuam tshuam nrog nws, hnoos qhuav. Tus kws kho mob tuaj yeem mloog ib leeg qhuav rales, pom cov tonsils o. Cov no yog thawj cov tsos mob ntawm tus mob hawb pob hauv cov menyuam yaus hnub nyoog qis dua ib xyoos.
Tsis tas li, tus kab mob cuam tshuam rau lub paj hlwb. Tus me nyuam yuav nyob tsis tswm, chim siab, nws pw tsaug zog deteriorates. Kev ua txhaum cai kuj raug pom ntawm ib feem ntawm lub plab zom mov - cem quav yuav pib lossis cov quav xoob tuaj yeem tshwm sim.
mob hawb pob tshwm sim hauv cov menyuam mos, feem ntau yog nyob ntawm keeb kwm ntawm cov kab mob ua pa. Tsuas yog hauv cov xwm txheej tshwj xeeb, nws qhov tsos tuaj yeem yog vim muaj kev ntxhov siab. Nyob rau hauv cov ntaub ntawv no, cov tsos mob ntawm hawb pob nyob rau hauv cov me nyuam mos tshwm sim maj mam. Qhov no yog vim qhov tseeb tias qhov o ntawm bronchial mucosa thiab hyperemia loj hlob qeeb qeeb.
Kev tawm tsam nws tus kheej tuaj yeem nyob ntev li ob peb feeb mus rau ob peb hnub. Nws yuav nrog rau hawb pob uas tuaj yeem hnov txawm nyob deb deb, ua pa luv luv.
Nws tsim nyog sau cia tias qee zaum thawj cov tsos mob ntawm tus mob hawb pob hauv cov menyuam yaus hnub nyoog qis dua ib xyoos mus tsis pom. Lawv tuaj yeem tshwm sim tsis tu ncua tsis tu ncua, nyob rau lub sijhawm sib txawv. Nyob rau tib lub sijhawm, lawv tuaj yeem dhau ntawm lawv tus kheej, yam tsis muaj kev kho. Thiab nyob rau lub sijhawm ntawm kev tawm tsam, cov niam txiv tsis pom qhov sib txawv.
Nws kuj tseem tsis tuaj yeem xav tias muaj tus kab mob loj hlob hauv cov menyuam yaus. Cov tsos mob ntawm tus mob hawb pob hauv tus menyuam hnub nyoog 2 xyoos tuaj yeem pom qhov muag tsis pom. Piv txwv li, ntawmlawv tuaj yeem ua tau ntau zaus thiab ua tsis taus pa thaum pw tsaug zog. Nws kuj tshwm sim thaum lub cev tawm dag zog.
Tus yam ntxwv tshwm sim ntawm tus kab mob kuj muaj xws li txham, hnoos ib ntus, pw tsis tsaug zog. Feem ntau cov menyuam yaus tsis txawm pom tias lawv hnoos thaum lawv pw tsaug zog. Qhov no tshwm sim reflexively. Yog hais tias tus me nyuam pw nyias, ces cov niam txiv yuav tsis hnov cov hnoos. Yog li ntawd, yuav tsum tau saib xyuas tus menyuam, yog tias tus kws qhia ntawv hauv kindergarten hais, ces tus menyuam hnoos thaum pw tsaug zog.
Cov menyuam kawm ntawv preschool tsis tuaj yeem piav qhia lawv txoj kev xav, yog li cov niam txiv yuav tsum saib xyuas lawv tus mob. Piv txwv li, cov tsos mob ntawm tus mob hawb pob hauv tus menyuam muaj 5 xyoos tuaj yeem tshwm sim thaum ua si. Nws yog ib qho tsim nyog mus ntsib kws kho mob yog tias, tom qab ib ntus, tus me nyuam pib hnoos. Kev tawm dag zog tuaj yeem ua rau mob hauv siab, zoo li nyem.
Cim mob hawb pob hauv cov menyuam kawm ntawv
Tus menyuam loj dua, qhov ntau thiab qhov tseeb nws piav tau nws tus mob. Yog li ntawd, nws yog ib qho yooj yim me ntsis los txiav txim tus kab mob hauv cov menyuam kawm ntawv. Tab sis qhov no tsuas yog ua tau yog tias koj paub tias cov tsos mob ntawm tus mob hawb pob hauv cov me nyuam tuaj yeem ua tau li cas.
Raws li cov menyuam kawm ntawv preschool, hauv cov menyuam yaus hnub nyoog kawm ntawv, tus kabmob yog qhia los ntawm kev hnoos thaum pw tsaug zog thiab tom qab siv lub cev. Cov neeg mob tuaj yeem tham txog qhov kev ntxhov siab uas tau tshwm sim hauv thaj tsam hauv siab. Tsis tas li ntawd, tau ntes tau qhov kev sib txuas ntawm lub cev ua si thiab qhov tshwm sim tsis xis nyob, cov menyuam yaus sim khiav kom tsawg li sai tau, zam kev ua si ua si. Txawm nyob hauv qhov tsis muajCov kev tsis txaus siab yuav tsum tau saib xyuas rau cov tub ntxhais kawm uas tsis kam mus kawm cov chav kawm qhia lub cev, sim tsis txhob khiav, zaum ntsiag to thaum so.
Thaum tus me nyuam hnoos zoo, nws nyuaj rau nws zaum ntsug. Nws sim kho nws tus mob, khoov, humpbacks, leans rau pem hauv ntej. Koj tuaj yeem pom pallor ntau dhau. Cov menyuam kawm ntawv preschool thiab cov menyuam yaus hnub nyoog pib kawm ntawv yuav ntshai thiab txawm quaj thaum muaj kev tawm tsam.
Raws li txoj cai, thaum muaj hnub nyoog 12-14, qhov kev kuaj mob tau tsim. Thaum muaj hnub nyoog no, nws yog ib qho tseem ceeb uas yuav tau qhia koj tus menyuam kom paub txog thaum mob hawb pob pib. Cov cim qhia hauv tus menyuam, raws li txoj cai, yeej ib txwm zoo sib xws. Nws yuav tsum tau nrog nws ib txwm muaj ib qho tshuaj inhaler tshwj xeeb los ntawm kws kho mob. Cov niam txiv yuav tsum xyuas kom meej tias cov tshuaj tsis khiav tawm ntawm lub raj mis thiab hloov lub thawv siv raws sijhawm.
Cov tsos mob ntawm tus kab mob hauv cov menyuam yaus hnub nyoog nruab nrab thiab cov laus kawm ntawv tsis txawv tshwj xeeb ntawm cov menyuam yaus. Tab sis cov tub ntxhais hluas twb muaj peev xwm tswj tau tus kab mob no, uas txhais tau hais tias lawv tuaj yeem tiv thaiv kev mob hnyav.
Nws tsim nyog sau cia tias txawm tias muaj coob tus neeg muaj kev tawm tsam thaum qoj ib ce, cov hluas uas muaj mob hawb pob yuav tsum ua kom lub cev ua haujlwm. Tsuas yog ua ntej cov loads, koj yuav tsum tau noj cov tshuaj uas kws kho mob tau sau tseg thiab saib xyuas koj qhov ua tsis taus pa. Nws yuav tsum yog txawm thiab sib dhos.
qaug dab peg tuaj yeem tshwm sim los ntawm kev ua xua. Tab sis cov tub ntxhais hluas yuav tsum paub tias cov tshuaj twg provoke tus kab mob. Yog tias ua tau, lawv yuav tsum zam lawv. Yog hais tias kev tsis haum tshuaj provoke cov nroj tsuag raws caij nyoog, cesNws yog ib qho tsim nyog yuav tsum noj tshuaj tsis tu ncua uas thaiv lawv txoj kev loj hlob.
Kev zam txim feem ntau pib thaum muaj hnub nyoog no. Tag nrho cov tsos mob ntawm tus mob hawb pob ploj mus, thiab cov niam txiv txiav txim siab tias lawv tus menyuam tsuas yog "tawm" tus kab mob. Tab sis qhov tseeb, bronchial hyperreactivity tshwm sim. Yog hais tias ib tug hluas ntsib ntau yam provokes, ces tus kab mob yuav rov qab. Qee zaum nws tshwm sim thaum laus. Feem ntau muaj cov xwm txheej uas mob hawb pob ploj thaum hluas thiab rov tshwm sim hauv cov neeg laus.
Diagnosis
Txhawm rau txiav txim siab seb tus menyuam puas muaj mob hawb pob, nws tsis txaus kom paub thawj cov cim thiab cov tsos mob tseem ceeb ntawm tus kabmob no. Ua tsis taus pa, ua pa sai thiab nyuaj, hnoos obsessive tuaj yeem tshwm sim nrog obstructive bronchitis. Yog li ntawd, tsis muaj kev sab laj kws kho mob ua tsis tau. Ua ntej tshaj plaws, koj yuav tsum mus ntsib kws kho mob. Nws twb yuav muab cov lus qhia rau txhua qhov kev xeem uas tsim nyog thiab xa koj mus rau tus kws kho mob. Yog tias tsim nyog, koj kuj yuav tau mus ntsib kws kho mob pulmonologist.
Ntxiv rau kev kuaj ntshav thiab zis, hnoos qeev kuj tuaj yeem coj mus kuaj. Hauv kev mob ntsws asthma, nws pom tias muaj cov ntsiab lus ntxiv ntawm eosinophils, Kurschmann spirals (cov hnoos qeev los ntawm txoj hlab ntsws), Charcot-Leiden crystals (lysophospholipase tso tawm los ntawm eosinophils), Creole lub cev (sau ntawm cov hlwb epithelial).
txhawm rau tsim kev kuaj mob, tus kws kho mob yuav tsum ua raws li cov ntsiab lus ntawm tus menyuam lub neej. Nws yuav tsum paub yuav ua li cas thiab thaum twg qaug dab peg pib. Txawm tias raws li cov lus piav qhia no, qee zaum tus kws tshaj lijNws paub meej tias qhov twg yog qhov ua xua rau tus menyuam. Nws tseem yog ib qho tseem ceeb rau tus kws kho mob kom paub seb tus me nyuam ua li cas rau cov tshuaj bronchodilators. Mob hawb pob yuav raug qhia los ntawm kev txhim kho ib ntus hauv keeb kwm yav dhau los ntawm kev siv.
Kev kuaj mob muaj nyob rau hauv kev sim tshwj xeeb. Ib qho ntawm feem ntau yog kev kuaj tawv nqaij ua xua. Rau cov laj thawj no, muaj peev xwm ua xua tau siv rau qhov chaw khawb me ntsis ntawm lub hauv pliaj. Tom qab 20 feeb, tus kws kho mob soj ntsuam cov txiaj ntsig. Lawv saib raws nraim qhov chaw ntawm daim tawv nqaij hloov liab tshaj plaws.
Qhov no tso cai rau koj txheeb xyuas qhov ua xua, tab sis tsis ua rau nws nkag siab tias kev ua haujlwm ntawm lub ntsws puas cuam tshuam. Cov niam txiv lawv tus kheej tuaj yeem txiav txim siab qhov no, paub txog cov tsos mob ntawm bronchial hawb pob. Daim ntawv hnoos hauv cov menyuam yaus yuav tsum tau kuaj xyuas kom meej. Txhawm rau txiav txim siab qhov ua haujlwm ntawm lub ntsws, kev kuaj tshwj xeeb yog nqa tawm - spirometry. Nws yog siv los ntsuas qhov kev ua haujlwm tsis zoo ntawm cov pa ua pa.
Ua li no, ntsuas qhov ntim ntawm exhalation-inhalation ua nrog rau kev siv zog thiab tag nrho lub peev xwm ntawm lub ntsws. Thawj zaug, cov kev ntsuas no raug coj los tsis muaj tshuaj. Tom qab ntawd qhov kev ntsuam xyuas rov qab ua dua tom qab noj cov tshuaj bronchodilator. Yog tias lub ntsws ntim tau nce ntau dua 12%, ces tus qauv yog suav tias yog qhov zoo.
Keem ntsuas bronchial hyperreactivity tom qab kev tawm dag zog. Yog tias qhov yuam kev tas sij hawm txo qis los ntawm 20%, qhov no qhia tias tus neeg mob me muaj mob hawb pob. Cov cim qhia hauv tus menyuam, txawm li cas los xij, tuaj yeem hais tau kom meej meejsurvey.
Kev kho mob tshwm sim
Nws yuav tsum nkag siab tias hauv cov menyuam mos feem ntau tsis tuaj yeem kuaj xyuas vim qhov tseeb tias qhov mob obstructive tshwm sim nrog bronchitis. Hauv ob peb hnub, lawv hnoos, cov tsos mob tshwm sim, qhia txog kev ua pa tsis zoo, thiab hnov mob hawb pob. Raws li txoj cai, kev kho mob tsis yog tsuas yog noj brocholytics, tab sis kuj yog tshuaj tua kab mob, tshuaj tiv thaiv kab mob. Nrog rau SARS tom ntej, cov tsos mob ntawm kev mob ntsws ntsws tuaj yeem tshwm sim.
Cov tsos mob ntawm tus mob hawb pob hauv cov menyuam mos yog qhov tsis meej, yog li kev saib xyuas tshwj xeeb rau keeb kwm, nug cov niam txiv txog qhov pib ntawm tus kabmob thiab kuaj lub cev.
Tus kab mob no tuaj yeem muab faib ua 3 theem:
- Ncaj nraim. Mob suffocation tshwm sim vim qhov nyuaj nkag. Nws yog ua ntej los ntawm theem ua ntej qaug dab peg, uas tuaj yeem kav ntev li ob peb feeb mus rau 3 hnub.
- Lub sijhawm exacerbation. Nws yog tus cwj pwm los ntawm kev ua tsis taus pa luv, qhov tsos ntawm lub sijhawm xuav xuav, hnoos obsessive thiab nyuaj rau expectorating hnoos qeev. Lub sijhawm no, kev tawm tsam hnyav tuaj yeem tshwm sim ib ntus.
- Txhob Cia Siab. Lub sijhawm sib txawv ntawm tus menyuam tuaj yeem ua lub neej ib txwm muaj, nws tsis muaj kev tsis txaus siab. Kev tshem tawm tuaj yeem ua tiav, tsis tiav (txiav txim siab los ntawm qhov ntsuas ntawm kev ua pa sab nraud) lossis tshuaj tshuaj (kwv yees thaum noj qee yam tshuaj).
Nws yog ib qho tseem ceeb uas yuav tsum muaj peev xwm paub txog cov tsos mob thaum ntxov ntawm tus mob hawb pob hauv cov menyuam yaus thiaj li tsis uativ thaiv kev txhim kho ntawm qhov mob hnyav. Yog tias tsis muaj peev xwm tiv thaiv tau, ces cov niam txiv thiab ib puag ncig tam sim ntawd ntawm tus menyuam yuav tsum paub tias yuav tsum ua li cas. Nws tseem ceeb heev kom nkag siab tias kev tawm tsam yog qhov txawv ntawm qhov hnyav ntawm bronchospasm.
qhov nyab xeeb tshaj plaws yog qhov me me. Nrog xws li kev tawm tsam, hnoos spasmodic pib, ua pa nyuaj me ntsis. Kev noj qab nyob zoo ntawm tus me nyuam tseem zoo, hais lus tsis cuam tshuam.
Nyob rau nruab nrab, cov tsos mob tau hais ntau dua. Tus me nyuam txoj kev noj qab haus huv zuj zus, nws ua capricious thiab nyob tsis tswm. Qhov hnoos yog paroxysmal nyob rau hauv cov xwm, tuab viscous hnoos qeev nyuaj dhau. Ua pa tsis nrov thiab hawb pob, ua pa luv yog tam sim no. Daim tawv nqaij tib lub sij hawm tig daj ntseg, daim di ncauj ua bluish. Cov menyuam yaus tsuas yog hais ib lo lus lossis nqe lus luv xwb.
Kev tawm tsam hnyav yog qhov tshwm sim ntawm qhov ua pa luv, uas tau hnov ntawm qhov deb. Lub plawv dhia hauv cov menyuam yaus nrawm, hws txias tshwm ntawm lub hauv pliaj, pom cyanosis ntawm daim tawv nqaij, daim di ncauj yog xiav. Cov tsos mob ntawm tus mob hawb pob hauv cov menyuam yaus hnub nyoog 6 xyoo thiab laus dua yog tus cwj pwm los ntawm qhov tseeb tias tus neeg mob tsis tuaj yeem hais lus, nws muaj peev xwm hais tau ob peb lo lus luv luv xwb. Cov menyuam yaus, raws li txoj cai, tsis tuaj yeem piav qhia lawv tus mob, lawv tsuas yog quaj thiab qhia kev ntxhov siab rau txhua txoj hauv kev.
Cov mob hnyav tshaj plaws yog hu ua xwm txheej asthmaticus. Qhov no yog ib qho mob uas mob hnyav heev ntawm tus kab mob tsis tuaj yeem tso tseg rau 6 lossis ntau teev. Ntawmtus me nyuam muaj tshuaj tiv thaiv.
Txoj kev ntawm tus kab mob
Nws yog ib qho tseem ceeb kom paub tias mob hawb pob tuaj yeem tshwm sim nws tus kheej ua ntej pib qhov kev tawm tsam. Cov cim qhia hauv tus menyuam tuaj yeem yog: capriciousness, irritability, tearfulness, mob taub hau, obsessive hnoos qhuav.
Feem ntau, kev tawm tsam pib thaum yav tsaus ntuj lossis hmo ntuj. Thaum xub thawj, muaj hnoos, ua pa nrov, ua pa luv. Cov menyuam yaus feem ntau ntshai, pib quaj, tossing hauv txaj. Thawj qhov tshwm sim ntawm kev mob hawb pob hauv cov menyuam yaus feem ntau tshwm sim nyob rau hauv daim ntawv ntawm broncho-obstructive syndrome nyob rau hauv mob ua pa kab mob. Tsis tas li ntawd, tawm tsam keeb kwm ntawm mob khaub thuas, kev tawm tsam ntawm hawb pob bronchitis tuaj yeem pib. Nws yog tus cwj pwm los ntawm kev ua pa luv, ua pa nyuaj, thiab hnoos ntub.
Atopic bronchial hawb pob yog tus cwj pwm los ntawm kev loj hlob sai ntawm kev tawm tsam. Kev siv bronchospasmolytics raws sij hawm tso cai rau nws nres. Tab sis nrog rau daim ntawv kis-kev tsis haum, kev tawm tsam maj mam, cov tsos mob nce zuj zus. Nws yog deb ntawm tam sim ntawd tuaj yeem nres qhov kev tawm tsam los ntawm kev noj bronchospasmolytics.
Tom qab ua kom tus mob zoo li qub, hnoos qeev pib hnoos, ua tsis taus pa ploj. Qee zaum, tus mob no tsuas yog tom qab ntuav xwb.
Parents' actions
Txawm tias muaj hnub nyoog li cas ntawm tus menyuam uas tau kuaj pom tias muaj mob hawb pob, nws cov txheeb ze yuav tsum saib xyuas kom tsis txhob muaj kev tawm tsam thiab txo lawv cov zaus. Txhawm rau ua qhov no, nws yog ib qho tsim nyog yuav tsum ua raws li tag nrho cov lus pom zoo ntawm kws kho mob, haus cov tshuaj kws kho mob thiabzam kev tsis haum tshuaj.
Nyob rau hauv kindergarten, txhua tus kws qhia ntawv, tus nais maum, tus neeg ua haujlwm suab paj nruag yuav tsum paub txog qhov xwm txheej. Nws tseem yog ib qho tseem ceeb uas yuav tsum tau muab lawv cov npe ntawm cov tshuaj tsis haum uas yog vim li cas mob hawb pob pib hauv menyuam yaus. Nws kuj tseem pom zoo kom qhia cov tsos mob ntawm qhov pib ntawm kev tawm tsam rau lawv. Hauv qhov no, lawv yuav xa tus menyuam mus rau tus kws saib xyuas kev noj qab haus huv lossis hu rau niam txiv raws sijhawm.
Yog tias cov neeg zov me nyuam paub tias tus me nyuam tsis haum dab tsi, lawv tuaj yeem pab kom tsis txhob sib cuag nrog cov tshuaj no. Piv txwv li, koj tuaj yeem hloov paj hauv lub tsev kawm ntawv preschool yog tias qee qhov ntawm lawv provoke qhov pib ntawm kev tawm tsam. Tsis tas li ntawd, cov kws qhia ntawv muaj peev xwm saib xyuas cov khoom noj ntawm tus menyuam. Tau kawg, txawm tias ob xyoos crumbs yuav tsum tau piav qhia tias lawv yuav tsum tsis txhob noj. Tab sis tsis yog ib txwm menyuam yaus tswj tau nws tus kheej.
Hauv tsev kawm ntawv, cov kws qhia ntawv yuav tsum paub txog tus menyuam cov teeb meem. Ua ntej tshaj plaws, nws yuav tsum tau qhia rau tus kws qhia hauv chav kawm tias tus menyuam muaj mob hawb pob. Hauv cov menyuam yaus, cov tsos mob thiab cov tsos mob yuav tshwm sim maj mam. Piv txwv li, yog tias muaj kev sib cuag nrog cov khoom ua xua hauv tsev kawm ntawv, tus menyuam yuav pw tsis tsaug zog thaum hmo ntuj, hnoos thaum so, nws ua tsis taus pa yuav tsis meej pem. Hauv qhov no, yuav tsum nug tus menyuam kom ntxaws txog qhov nws tau ua thaum nruab hnub, nws noj dab tsi thiab hauv chav twg nws nyob.
Cov kws qhia cev nqaij daim tawv yuav tsum tau ceeb toom. Tab sis yog tias tus kws kho mob pom qhov xav tau, nws yuav xa tus menyuam mus rau pawg thawj coj, qhov twg nws tuaj yeem raug zam ib nrab lossis ua tiav kev zam ntawm lub cev hauv tsev kawm ntawv.
Tab sis nco ntsoov: tus menyuam yuav tsum tau maj mam ua kom haumkev ua neej nquag. Kev mob ntsws asthma tsis yog ib qho kev cuam tshuam rau feem ntau cov kis las. Txawm tias qee tus neeg ncaws pob Olympic tau raug mob los ntawm tus kab mob no thaum yau. Nws yog ib qho tseem ceeb kom qhia tus me nyuam kom saib xyuas lawv tus mob thiab paub txog thawj cov tsos mob ntawm bronchial hawb pob. Cov menyuam yaus yuav tsum muaj kev tiv thaiv zoo. Koj tsuas yog yuav tsum tau piav qhia rau tus menyuam tias nws yog ib qho tseem ceeb uas yuav tsum tau nres thiab rov ua pa txawm tias muaj qhov tsis xis nyob.
Kev kho mob tactics
Nws tsis tuaj yeem txiav txim siab ntawm koj tus kheej yuav ua li cas yog tias thawj cov tsos mob ntawm tus mob hawb pob tshwm. Kev kho mob yuav tsum tau sau los ntawm tus kws kho mob, qee zaum kev ua haujlwm nyuaj thiab kev koom tes ntawm tus kws kho mob pulmonologist yuav tsum tau ua. Qhov tseem ceeb sib npaug yog tus cwj pwm raug ntawm niam txiv. Tsis tas yuav ntshai, tab sis tsis tas yuav tsum tsis muaj zog. Yuav tsum muaj kev sib tham nrog tus me nyuam, sib tham txog qhov ua tau ntawm kev loj hlob ntawm tus kab mob, qhia dab tsi ua tau thiab ua tsis tau.
Yuav ua li cas rau tus mob xws li mob hawb pob hauv menyuam yaus? Kev kho mob (Komarovsky, los ntawm txoj kev, thov hais tias nws tsuas yog tsim nyog) muaj nyob rau hauv kev siv cov tshuaj los tiv thaiv kev loj hlob ntawm kev tawm tsam thiab muab tus neeg mob mus rau hauv lub xeev ntawm remission.
Koj tuaj yeem nres tus mob nrog kev pab ntawm glucocorticosteroids. Ua ntej, koj yuav tsum tau siv cov tshuaj nqus tau sai. Kev kho mob yuav tsum txhawb nqa. Yog tias nws tsis tuaj yeem ua tiav cov txiaj ntsig xav tau nrog Nedocromil lossis cromoglycic acid, tom qab ntawd nqus tau nrog glucocorticosteroids.
Kho yuav tsum tau qhia ntawm:
- tshem tawm ntawm kev kho mob tshwm sim;
- ua pa ua haujlwm tau zoo;
- txo kev xav tau rau cov bronchodilators;
- Tiv thaiv kev txhim kho ntawm kev ua phem rau lub neej.
