Ntawm ntau hom kab mob ntsws, qhov txaus ntshai tshaj plaws yog purulent. Tus kab mob tshwm sim tam sim ntawd. Yog tias koj tsis pib kho raws sijhawm, cov teeb meem loj tsis tuaj yeem txiav tawm.
Mechanism ntawm kev loj hlob ntawm pathology
Purulent bronchitis yog ib yam kab mob inflammatory. Nws chav kawm yog nrog los ntawm kev tso tawm ntawm cov hnoos qeev, uas ua rau ua pa nyuaj heev.
Cov kab mob muaj lub luag haujlwm rau cov kab mob txaus ntshai. Feem ntau, kab mob tshwm sim nrog pneumococci, Haemophilus influenzae thiab streptococci. Lawv tuaj yeem nkag mus rau hauv lub cev los ntawm cov qog ua pa los yog los ntawm cov kab mob lymphatic. Thaum kis tus kab mob, lub puab txheej ntawm lub bronchi yuav npog nrog ib tug mucopurulent txheej. Raws li qhov tshwm sim, txoj hlab cua raug thaiv.
Tsis muaj zog tom qab raug mob khaub thuas lossis SARS, lub cev tsis muaj peev xwm muab kev tiv thaiv zoo rau cov kab mob flora. Cov kab mob sib kis sai sai provoke o ntawm bronchi, ua tsis taus pa thiab cov hnoos qeev tuab. Kev haus luam yeeb tsis txaus, huab cua paug thiab kev tsis haum tshuaj tsuas yog ua rau muaj tus kab mob hnyav. Nyob rau tib lub sijhawm, bronchi ua rau cov kab mob yooj yim dua.
Nyob rau hauv cov txheej txheem pathologicalNws yog kev cai kom paub qhov txawv 2 theem:
- Pib, uas cov alveoli thiab bronchi puas lawm.
- Secondary. Cov txheej txheem inflammatory kis mus rau lwm yam kabmob ntawm lub ntsws.
Kev txhim kho ntawm purulent bronchitis siv sijhawm ntev. Yog tias koj paub nws raws sijhawm thiab pib kho tam sim ntawd, koj tuaj yeem cia siab rau qhov kev pom zoo. Txwv tsis pub, cov txheej txheem pathological yuav dhau mus ntev.
Qhov laj thawj tseem ceeb
Cov tsos mob ntawm purulent paug feem ntau yog ua ntej los ntawm kev kho mob tsis raug ntawm daim ntawv mob bronchitis. Cov tshuaj tua kab mob uas tau sau tseg tsis tuaj yeem tshem tawm qhov ua kom pom tseeb ntawm cov kab mob pathogenic vim qhov tsis zoo ntawm cov tshuaj tom kawg rau cov tshuaj.
Tsis tas li ntawd, cov kws kho mob txheeb xyuas ib pawg ntawm yam uas nws cuam tshuam rau lub cev ua rau mob purulent:
- kub hloov pauv sai;
- kev tiv thaiv kev tiv thaiv;
- kab mob sinus;
- mob khaub thuas.
Cov kws kho mob feem ntau kuaj mob bronchitis hauv cov neeg haus luam yeeb. Sij hawm dhau mus thiab thaum tsis kho, tus kab mob tuaj yeem hloov mus rau hauv daim ntawv purulent.
Ntau yam ntawm pathology
Pulmonary teeb meem ntawm tus kab mob tau muab faib ua 3 hom los ntawm pulmonologists:
- Catarrhal. Pathology yog manifested los ntawm ib tug mob hnoos thiab profuse expectoration. Thaum kuaj mob, qee zaum cov leukocytes tau pom hauv kev tshuaj xyuas cov hnoos qeev.
- Obstructive. Hauv cov hnoos qeev, purulent los yog ntshavstreaks.
- Ntawm. Qhov no yog ib daim ntawv sluggish ntawm pathology, uas yog tus yam ntxwv los ntawm lub sij hawm ntawm remission thiab relapses.
Qhov phom sij loj tshaj plaws yog obstructive purulent bronchitis. Nws tsim tawm tsam keeb kwm yav dhau ntawm exacerbation ntawm cov kab mob sib kis los ntawm kev ua haujlwm ntawm pathogenic microflora. Nyob rau hauv rooj plaub no, tus neeg mob qhov kub thiab txias nce, muaj mob hauv cov pob qij txha thiab cov leeg. Txhua qhov kev ncua sijhawm thiab tsis muaj kev kho mob tuaj yeem ua rau muaj kev hloov pauv tsis tau hauv lub ntsws, kev tuag.
daim duab kho mob
Tus kab mob feem ntau tshwm sim nws tus kheej thaum lub caij ntuj no. Nws cov tsos mob tseem ceeb yuav zoo li tus kab mob ua pa hnyav lossis mob khaub thuas. Ua ntej, mob caj pas tshwm, uas yog noj rau mob caj pas lossis tonsillitis. Tom qab ib ntus, hnoos qhuav tuaj koom nrog nws. Txhua qhov kev tawm tsam tuaj yeem nrog mob hauv siab. Qee zaum cov neeg mob pom tias nws ua tsis taus pa vim qhov loj ntawm cov hnoos qeev hauv lub bronchi. Ib me ntsis tom qab, hnoos yuav ntub, thiab hnoos qeev daj thaum expectorated.
Ntawm lwm cov tsos mob ntawm tus mob bronchitis, kws kho mob txheeb xyuas:
- tawm hws ntau dhau;
- kev qaug zog;
- nce me ntsis hauv qhov kub thiab txias rau qib subfebrile;
- ua tsis taus pa.
Tus kab mob tuaj yeem ua rau 2-3 zaug hauv ib xyoos. Hypothermia los yog mob khaub thuas ntev feem ntau ua rau rov mob dua. Nyob rau hauv cov ntaub ntawv no, daim duab kho mob yuav ua tau ntau pronounced: hnoos intensifies, thiab ntim ntawm secreted mucus nce heev.
Yuav ua li cas thiaj paub tus kab mob ntev npaum li cas?
Hauv cov kab mob purulent bronchitis nrog hnoos, txog li 250 ml ntawm cov hnoos qeev tau tso tawm ib hnub. Nws cov xim txawv ntawm daj daj mus rau ntsuab. Ntshav streaks yuav pom nyob rau hauv cov kua paug.
Tus kab mob yog tus yam ntxwv los ntawm kev kawm txuas ntxiv nrog qhov yuav tsum tau nce hauv bronchial obstruction. Nws qhov teeb meem txaus ntshai tshaj plaws yog mob ua pa tsis ua haujlwm. Yog tias tus neeg mob ua pa ntev thiab ua kom nruj, thaum lub suab qw qhuav tshwm, nws yog lub sijhawm los suab lub tswb. Cov tsos mob zoo li no qhia tau tias muaj kev puas tsuaj loj hauv kev noj qab haus huv.
Txoj kev kuaj mob
Yog tias koj hnoos hnyav lossis ua tsis taus pa, koj yuav tsum nrhiav kev qhia ntawm tus kws kho mob. Nws yog tus kws kho mob tshwj xeeb no uas yuav tuaj yeem kuaj tau kom raug, thiab tom qab ntawd sau cov kev kho mob tsim nyog.
Kev kuaj tus qauv ntawm tus neeg mob uas xav tias muaj mob ntsws purulent muaj xws li cov haujlwm hauv qab no:
- Sputum analysis.
- X-ray. Nws ua rau nws muaj peev xwm ntsuas qhov kev puas tsuaj rau lub bronchi, txhawm rau txheeb xyuas cov kab mob foci.
- Bronchoscopy. Tso cai rau koj paub qhov txawv ntawm daim ntawv purulent ntawm tus kab mob los ntawm theem nrab, tshwm sim los ntawm tuberculosis lossis mob ntsws.
- kuaj ntshav. Yuav tsum tau ntsuas qhov kev noj qab haus huv ntawm tus neeg mob.
Yog tsis ua tsis tau, tus kws kho mob yuav tsum tshuaj xyuas tus neeg mob, kawm nws keeb kwm thiab cov yam ntxwv ntawm daim duab kho mob. Kev saib xyuas ncaj qha yog them rau cov tsos mob purulent bronchitis nrog.
Kev kho tus kab mob ib txwm muajtau ua tiav. Ua ntej koj yuav tsum tshem tawm cov exudate los ntawm bronchi. Rau lub hom phiaj no, expectorants thiab mucolytics yog muab. Hauv cov xwm txheej siab, bronchoscopy yuav tsum tau ua. Cov ntsiab lus ntxiv txog txhua txoj kev kho mob yuav raug piav qhia hauv qab no.
Kev siv tshuaj tua kab mob
Lub sijhawm mob purulent bronchitis ib txwm yuav tsum tau pw tsaug zog, haus luam yeeb thiab txwv tsis pub muaj kev cuam tshuam rau lub ntsws. Kev mus pw hauv tsev kho mob ntawm tus neeg mob tsuas yog qhia thaum muaj xwm txheej ceev, thaum tus kab mob hauv qab tau ntxiv los ntawm kev qaug cawv lossis lub plawv tsis ua haujlwm.
Txoj kev tseem ceeb ntawm kev kho mob yog kev siv tshuaj tua kab mob. Cov tshuaj hauv qab no feem ntau siv:
- Macrolides ("Sumamed", "Azitrox"). Lawv muaj kev puas tsuaj rau cov txheej txheem ntawm cov protein synthesis hauv cov hlwb ntawm cov kab mob pathogenic, uas txo lawv lub peev xwm los faib ntxiv.
- Aminopenicillins ("Amoxiclav"). Cov tshuaj no muaj kev cuam tshuam tsuas yog rau cov kab mob cov ntaub so ntswg, tsis ua mob rau tib neeg lub cev. Txawm li cas los xij, lawv siv feem ntau nrog kev tsis haum tshuaj.
- Cephalosporins ("Ceftriaxone", "Cefazolin"). Tshuaj tua kab mob los ntawm pab pawg no provoke inhibition ntawm synthesis ntawm cov tshuaj uas yog lub hauv paus ntawm cov kab mob cell membrane.
- Fluoroquinolones ("Ofloxacin", "Ciprofloxacin"). Lawv muaj kev puas tsuaj rau DNA ntawm cov kab mob, uas ua rau lawv tuag. Kev siv sij hawm ntev feem ntauyog qhov ua rau mob hnyav dysbacteriosis.
Tshuaj tua kab mob rau cov kab mob purulent bronchitis yuav tsum tau muab tshuaj tom qab tshuaj xyuas cov hnoos qeev rau qhov rhiab heev ntawm cov kab mob pathogenic. Txwv tsis pub, lawv daim ntawv thov yuav tsis ua haujlwm.
kev kho mob nyuaj
Ntxiv rau cov tshuaj tua kab mob, cov tshuaj mucolytic ib txwm raug muab tshuaj los tshem tawm cov txheej txheem pathological. Lawv pab ua kom cov hnoos qeev ntws nrawm. Antihistamines tuaj yeem siv los txo cov ntaub so ntswg o thiab tshem tawm kev tsis haum tshuaj.
Kev kho mob nyuaj kuj suav nrog ntau cov txheej txheem kho lub cev, chaw so thiab chaw so sanatorium. Ua zoo cuam tshuam tus neeg mob tus mob:
- nqus tau nrog "Muk altin" thiab "Hydrocortisone";
- poov tshuaj iodide electrophoresis;
- kev ua kom sov tob.
Tom qab tus mob zoo lawm, nws yog ib qho tseem ceeb rau kev mus koom kev noj qab haus huv massage, ua pa ce.
Kev ua haujlwm bronchoscopy
Bronchoscopy yog ib txoj kev endoscopic siv rau kev kuaj mob thiab kho lub hom phiaj. Nrog nws cov kev pab, tus kws kho mob tshem tawm cov pa ntawm cov hnoos qeev. Nrog purulent bronchitis, 2-4 cov txheej txheem raug sau tseg, thiab ntawm lawv yuav muaj qhov sib txawv ntawm 3 hnub mus rau ib lub lis piam.
Cov chav kawm ntawm bronchoscopy yeej ib txwm ua tiav nrog endobronchial debridement. Los ntawm ib tug tshwj xeeb syringe thiab ib tug saj zawg zog catheter, tus kws kho mob txhaj tshuaj. Nws tuaj yeem yog "Furacilin", "Dimexide" lossis "Rivanol". Tag nrho cov txheej txheem yog ua raws litshuaj loog hauv zos.
Muaj feem cuam tshuam
Tus mob purulent bronchitis, raws li kws kho mob thiab cov neeg mob, xav tau kev kho mob kom zoo thiab raws sijhawm. Txwv tsis pub, tus kab mob tuaj yeem hloov mus rau hauv daim ntawv mob ntev lossis mob ntsws.
Thaum lub sijhawm txhim kho cov txheej txheem pathological, cov kua paug tawm ntawm cov phab ntsa ntawm lub bronchi. Cov txheej mucous pib o. Raws li kev mob tshwm sim, nws tob zuj zus mus rau hauv cov ntaub so ntswg ntawm phab ntsa. Tus kab mob yuav siv sij hawm ib tug loj daim ntawv, uas yog yus muaj los ntawm kev cuam tshuam ntawm lub bronchi, kua dej, atrophy ntawm cov phab ntsa ntawm cov mucous membranes.
Mucopurulent chronic bronchitis yog qhov txaus ntshai vim nws feem ntau nrog cov kab mob hauv qab no:
- bronchiectasis thiab asthmatic syndromes;
- hemoptysis;
- emphysema;
- diffuse pneumosclerosis;
- txoj cai ventricular tsis ua haujlwm ntawm lub plawv.
Txawm li cas los xij, ua raws li txhua tus kws kho mob cov lus pom zoo tso cai rau koj kom tsis txhob muaj cov txiaj ntsig tau teev tseg.
Cov lus pov thawj tus neeg mob
Cov kab mob purulent ntawm bronchitis yog ib qho mob hnyav thiab tib lub sijhawm muaj kab mob thoob plaws. Raws li cov neeg mob kev tshuaj xyuas, nws txoj kev loj hlob tuaj yeem zam tau yog tias txhua tus mob khaub thuas tau kho raws sijhawm thiab saib xyuas kev noj qab haus huv.
Thaum tsis tuaj yeem tiv thaiv qhov pib ntawm tus kab mob, koj yuav tsum ua raws li kws kho mob cov lus pom zoo kom kho. Raws li cov neeg mob, cov txheej txheem kev kho mob suav nrog kev siv tshuaj tua kab mob thiab tshuaj mucolytic. Nyob rau hauv tsawg zaus, nws yog tsim nyog losbronchoscopy.
