Ntawm cov xwm txheej txaus ntshai uas cuam tshuam rau kev ua pa, broncho-obstructive syndrome tsim nyog saib xyuas tshwj xeeb. Lub pathology ntawm biofeedback, raws li kev txheeb cais qhia, tsis ntev los no tau pom nrog ntau zaus dua li ua ntej. Qhov tshwm sim yog complex, suav nrog ntau qhov tshwj xeeb tshwm sim vim qhov txo qis hauv bronchial lumen. Lub etiology ntawm cov txheej txheem no tuaj yeem sib txawv ntawm rooj plaub mus rau rooj plaub.
saib dav dav
Yog tias qhov kev kuaj mob ntawm "broncho-obstructive syndrome" yog tsim, koj yuav tsum tau ua lub luag haujlwm kho tus kab mob. Nyob rau hauv tus mob no, nyob rau hauv lub thoracic qhov chaw ntawm lub pa system, lub siab tsim nyog rau exhalation yog nce, thiab qhov no ua rau muaj kev cuam tshuam tsis zoo rau lub bronchi loj, provoking vibration. Exhaling, ib tug neeg ua lub suab qw, uas tuaj yeem siv los xav tias muaj mob thiab sab laj nrog kws kho mob.
Yog kuaj tauformulated kom raug, koj yuav tsum nruj me ntsis ua raws li cov lus pom zoo kho mob. Daim duab kho mob ntawm broncho-obstructive syndrome manifests nws tus kheej heev kom meej meej, lub exhalation yuav ntev, tus neeg mob tej zaum yuav raug kev txom nyem los ntawm suffocation, thiab feem ntau hnoos, uas tsis ua rau ib tug tseem ceeb nyem. Thaum lub sij hawm kuaj pom, tus kws kho mob sau tseg tias cov leeg koom tes koom tes ua haujlwm hauv kev ua pa. Yog tias muaj kev cuam tshuam, dhau sijhawm, kev ua pa ntawm lub ntsws nce, uas ua rau pom kev qaug zog ntawm cov leeg lub luag haujlwm rau kev ua haujlwm ntawm cov kab ke no. Nyob rau tib lub sijhawm, ib feem ntawm cov ntshav oxygen siab txo qis. Tus mob no sai lossis tom qab ntawd ua rau muaj qhov tshwm sim loj heev yog tias tsis kho raws sijhawm.
Risk group
Raws li tuaj yeem pom los ntawm kev txheeb xyuas kev kho mob, qhov tshwm sim ntawm broncho-obstructive syndrome hauv cov menyuam yaus muaj ntau dua. Cov lus pom zoo kho mob kom txo tau tus menyuam tus mob tsuas yog muab los ntawm kws kho mob ntawm qhov chaw txais tos. Tus kws kho mob tau sau ntawv tshwj xeeb rau kev kuaj mob, raws li nws tsim cov lus xaus rau ib qho xwm txheej. Nws paub tias qhov teeb meem yuav tshwm sim ntau dua rau cov menyuam muaj hnub nyoog peb xyoos thiab cov menyuam yaus. Qee zaum, tus kws kho mob txiav txim siab tsis hais txog biofeedback thaum tsim qhov kev kuaj mob zaum kawg. Cov xwm txheej zoo li no tsis raug tshuaj xyuas hauv cov ntaub ntawv txheeb cais.
Ntau zaus, xav tau kev pab rau broncho-obstructive syndrome yog tias tus menyuam tau kis tus kab mob ua pa uas cuam tshuam rau cov kab mob hauv qab. Kwv yees qhov siab npaum li casmuaj feem ntawm kev tsim biofeedback, txawv heev. Qee tus kws tshaj lij tham txog qhov pheej hmoo hauv tsib feem pua, thaum lwm tus hais txog 40%. Qhov yuav ntsib BOS yog nce ntxiv yog tias muaj kev tsis haum xeeb ntawm cov txheeb ze ze. Rau cov pab pawg no, biofeedback cia li kwv yees li ntawm 40% lossis ntau dua. Kuj tseem muaj kev pheej hmoo yog cov menyuam mos los ntawm kev kis kab mob ua pa rau 6 zaug hauv ib xyoos lossis ntau dua.
About statistics
Raws li tau pom los ntawm cov kev tshawb fawb tshwj xeeb, broncho-obstructive syndrome hauv cov menyuam yaus uas muaj hnub nyoog li peb lub hlis txog peb xyoos, uas tau kis tus kab mob ntawm cov hlab ntsws, tshwm sim hauv 34%. Tus kab mob no yuav tshwm sim ntau dua yog tias tus menyuam muaj mob ntsws, tab sis mob ntsws ua rau BOS nyob rau feem pua ntawm cov neeg mob tsawg dua. Tsuas yog me ntsis tsawg dua ib nrab ntawm tag nrho cov menyuam yaus hauv tsev kho mob yuav ntsib kev rov tshwm sim dua yav tom ntej. Qhov nruab nrab hnub nyoog ntawm cov neeg mob no yog ib xyoos thiab laus dua.
Danger
Broncho-obstructive syndrome feem ntau kuaj pom hauv cov menyuam yaus tawm tsam keeb kwm ntawm cell hyperplasia (glandular), vim muaj hnub nyoog ntawm qhov dav me me ntawm txoj hauv kev rau huab cua. Nws yog paub tias nyob rau hauv cov neeg mob hluas, hnoos qeev yog tsim ntau viscous, uas kuj muaj feem xyuam rau qhov zoo li biofeedback, ntxiv rau qhov tsis muaj zog ntawm kev tiv thaiv hauv zos. Lub luag haujlwm tseem ceeb yog ua los ntawm ib tus neeg tshwj xeeb ntawm cov qauv ntawm lub cev, tshwj xeeb, lub diaphragm.
Qhov kev pheej hmoo ntawm broncho-obstructive syndrome yog siab dua rau cov menyuam yaus uas nws cov txheeb ze raug kev tsis haum, nrog rau cov menyuam mos uas muaj rickets. BOS tuaj yeem ua tau yog tias pom muaj kev loj hlob txawv txavthymus (hyperplasia, hypotrophy). Qhov kev pheej hmoo siab dua yog cov yam ntxwv ntawm caj ces ua rau muaj feem cuam tshuam ntawm atopy. BOS hem nyob rau hauv lub xeev pathological ntawm lub hauv paus paj hlwb, vim lub sij hawm ntawm gestation. Feem ntau, tus mob no tshwm sim hauv cov menyuam yaus uas tau hloov mus rau cov khoom noj khoom haus.
Ua tib zoo mloog txhua yam
Cov kab mob ntawm cov kab mob broncho-obstructive muaj feem cuam tshuam rau cov xwm txheej ntawm qhov chaw nyob ib puag ncig. Cov kev tshuaj ntsuam tshwj xeeb tau pom tias BOS feem ntau yuav loj hlob hauv cov menyuam yaus uas nws cov txheeb ze ua phem luam yeeb. Kev haus luam yeeb tsis txaus yog suav tias yog ib qho kev pheej hmoo rau kev txhim kho ntau yam kab mob ntawm cov kab mob ua pa, suav nrog biofeedback. Tsis muaj qhov tseem ceeb yog qhov ecology ntawm thaj chaw uas tus menyuam nyob - qhov xwm txheej phem dua, qhov kev pheej hmoo ntawm kev cuam tshuam ntau dua.
Mutual influence
Kev txhim kho ntawm broncho-obstructive syndrome nyob rau hauv daim ntawv ntawm cov txheej txheem inflammatory mob uas cuam tshuam nrog kev ua xua ua rau nws tuaj yeem kuaj mob ntsws asthma. Pathology yog tsim nyob rau hauv lub complex cuam tshuam ntawm ib puag ncig yam thiab cov yam ntxwv ntawm tus neeg mob. Ntawm cov congenital nws yog ib txwm muaj xws li heredity, atopy, nce reactivity ntawm lub pa ib ntsuj av. Cov yam ntxwv no rau cov kws kho mob niaj hnub hauv lawv qhov ntau dhau los tswj.
Cov yam ntxwv ntawm ib puag ncig sab nraud uas ua rau mob broncho-obstructive syndrome muaj ntau haiv neeg, ntau, thiab hauv lawv cov khoom tuaj yeem kho thiab tswj tau. Nws yog nyob rau hauv lawv tus cwj pwm uas tshwm sim ntawm hawb pob pib, ib tug exacerbation yog pom. Qhov cuam tshuam tshaj plaws yogtes allergens, yog li nws yog ib qho tseem ceeb kom txwv tsis pub tus me nyuam qhov chaw los ntawm kev cuam tshuam ntawm cov tshuaj tsis zoo. Kab mob, kab mob nrog cov kab mob pathological tuaj yeem ua rau muaj mob hnyav ntawm BOS. Lub xub ntiag ntawm cov neeg haus luam yeeb hauv ib puag ncig niaj hnub ntawm tus menyuam ua lub luag haujlwm, kev hloov pauv thaum ntxov rau khoom noj khoom haus.
qhov teeb meem tuaj qhov twg?
txhawm rau tsim cov lus pom zoo rau broncho-obstructive syndrome hauv cov menyuam yaus, nws yuav tsum nkag siab txog qhov laj thawj ntawm kev loj hlob ntawm cov kab mob pathological. Cov tshuaj niaj hnub tau sau ntau cov ntaub ntawv hais txog etiogenesis ntawm qhov teeb meem. Hauv cov menyuam yaus hnub nyoog ib xyoos thiab ua ntej, raws li feem ntau tshwm sim, nws yog ib qho tsim nyog yuav tsum nco ntsoov tias kev nqhis dej cuam tshuam nrog kev nqos tsis raug, nrog rau cov teeb meem tshwm sim los ntawm kev txawv txav ntawm kev loj hlob ntawm nasopharynx (feem ntau yog congenital). Qee lub sij hawm biofeedback yog provoked los ntawm fistula ntawm lub trachea, bronchi, ib co ntaub ntawv ntawm reflux, malformations ntawm cov hlab ntsha, kev nyuaj siab syndrome. Qhov ua rau BOS tuaj yeem yog qhov tsis muaj kev tiv thaiv kab mob, kis kab mob thaum lub sijhawm cev xeeb tub los ntawm leej niam ntawm tus menyuam hauv plab, dysplasia ntawm bronchi, ntsws. Cov yam uas ua rau tus kab mob muaj xws li cystic fibrosis.
Broncho-obstructive syndrome nyob rau xyoo thib ob lossis thib peb ntawm lub neej tuaj yeem pom tawm tsam keeb kwm ntawm mob hawb pob, helminth tsiv teb tsaws, aspiration ntawm qee yam khoom, bronchiolitis. Tus mob yuav provoked los ntawm cov kab mob cuam tshuam rau cov kab mob ua pa - genetic txiav txim, congenital. Muaj qhov ua tau zoo ntawm biofeedback nrog lub plawv tsis xws luag uas ua rau pulmonary hypertension.
Cov lus pom zoo rau broncho-obstructive syndrome rauCov menyuam yaus hnub nyoog peb xyoos thiab cov menyuam loj dua yog nyob ntawm qhov laj thawj ntawm kev tsim teeb meem ntawm lub hnub nyoog ntawd. Feem ntau tus kab mob no tshwm sim los ntawm mob hawb pob, malformations ntawm cov kab mob ntawm lub pa system. Lwm yam kab mob uas tshwm sim los ntawm ib yam kab mob tshwm sim, congenital tuaj yeem ua lub luag haujlwm.
Vim li cas thiaj li tshwm sim?
BOS provoke reversible, irreversible mechanisms. Cov yav tas muaj xws li kis kab mob, o, nce mucus ntau lawm. Irreversible yog bronchial obliteration, stenosis thaum yug los.
Ntau zaus, cov kws kho mob raug yuam kom muab cov lus pom zoo rau broncho-obstructive syndrome, provoked los ntawm cov txheej txheem inflammatory. Qhov teeb meem feem ntau tshwm sim los ntawm kev kis kab mob, kev ua xua, lom ntawm lub cev, tab sis cov neurogenic, lub cev muaj peev xwm ua tau. Tus neeg nruab nrab tseem ceeb yog interleukin, tsim los ntawm phagocytes, macrophages nyob rau hauv kev cuam tshuam ntawm peculiar yam (tsis yog ib txwm muaj kab mob sib kis). Nyob rau hauv kev cuam tshuam ntawm tus neeg nruab nrab, kev tiv thaiv kab mob pib, txhawb kev tsim cov serotonin, histamine. Tsis tas li ntawd, eicosanoids raug tsim tawm, uas yog, hom thib ob ntawm cov neeg kho kom haum xeeb tus yam ntxwv ntawm qhov mob thaum ntxov.
Yuav ua li cas?
Kev saib xyuas xwm txheej kub ntxhov rau broncho-obstructive syndrome nyob ntawm qhov xwm txheej tshwj xeeb. Cov niam txiv yuav tsum yog thawj tus pab tus neeg mob. Feem ntau, BOS tau pom tam sim ntawd, thaum tus menyuam feem ntau noj qab haus huv, tab sis kev tawm tsam ntawm asphyxia dheev pib. Qhov no muaj peev xwm ua tau thaum ua si, noj zaub mov, vim qhov nkag ntawm lub cev txawv teb chaws mus rau hauv lub ntsws. Lub luag haujlwm ntawm niam txiv yog hu lub tsheb thauj neeg mobpab thiab sim rho tawm yam khoom uas tus menyuam choked.
Kev kho mob thawj zaug ntawm broncho-obstructive syndrome hauv cov kab mob ua pa yog tag nrho ntawm cov kws kho mob tsim nyog. Yog tias mob hawb pob raug pom ntawm qhov kub siab, qhov ntswg congestion, cov tsos mob ntawm kev lom lom ntawm lub cev, yog tias tus menyuam hnoos tsis tu ncua, nws yog ib qho tseem ceeb uas yuav tau hu rau lub tsheb thauj neeg mob hauv lub sijhawm, tau piav qhia tag nrho cov tsos mob ntawm tus mob hauv xov tooj. Raws li txoj cai, biofeedback manifests nws tus kheej poob nthav, thiab nyob rau hauv feem ntau yog piav qhia los ntawm ib tug sai heev ntawm tus kab mob. Yog tias tsis tuaj yeem hu rau tus kws kho mob sai sai, koj yuav tsum coj tus menyuam mus rau chav saib xyuas kab mob sib kis ntawm lub tsev kho mob, qhov chaw tus neeg mob tau muab tso rau hauv chav saib xyuas hnyav, saib xyuas cov cim tseem ceeb.
Yuav ua li cas ntxiv?
Qee zaum kev tshwm sim ntawm BOS tau pom thaum hnoos - qaug dab peg, xav tsis thoob, ua tsis taus pa. Nyob rau hauv xws li ib qho teeb meem, congestion thiab qhov ntswg tawm, nws yog ib qhov tsim nyog los xyuas qhov kub thiab txias. Yog tias qhov ntsuas qhov qub lossis me ntsis siab dua qhov nruab nrab, thaum tus menyuam muaj mob hawb pob, nws ua rau kev txiav txim siab xav tias muaj mob hawb pob. Hauv qhov xwm txheej zoo li no, kev kho mob ntawm broncho-obstructive syndrome muaj nyob rau hauv kev siv cov txheej txheem classical pom zoo los ntawm tus kws kho mob kom txo tau qhov mob hawb pob. Yog hais tias hnoos los ntawm qhuav stubbornly tsis ntub, hnoos qeev tsis cais, nws yog tsis muaj peev xwm tshem tawm cov manifestations ntawm spasm ntawm nws tus kheej, koj yuav tsum hu rau lub tsheb thauj neeg mob. Cov kws kho mob uas tuaj txog ntawm qhov chaw yuav txhaj tshuaj tshwj xeeb kom tsis txhob mob mob. Feem ntau tsis tas yuav mus pw hauv tsev kho mob.
Ib txoj hauv kev tshwj xeeb rau kev kho mob broncho-obstructive syndrome yog xav tau yog tias mob hawb pob tshwm sim ntev li ob peb hnub thiab tsis raug tso tseg los ntawm cov tshuaj hauv tsev. Hauv qhov no, tus neeg mob raug xa mus rau lub tsev kho mob somatic, muab tso rau hauv chav saib xyuas mob hnyav.
Tus kws kho mob ua dab tsi?
Tuaj txog ntawm lub xov tooj, tus kws tshaj lij tsheb thauj neeg mob nug cov neeg laus tias dab tsi nrog kev tawm tsam. Yog tias asphyxia tau pom, qhov mob hnyav, thaum tus menyuam feem ntau noj qab haus huv, qhov kev ntsuas zoo tshaj plaws yog intubation, ua pa tawm ntawm lub ntsws. Hauv qhov kev xaiv no, kev kho tus menyuam tus mob tsuas yog ua tau hauv tsev kho mob xwb, yog li tus menyuam raug xa mus rau chav saib xyuas mob hnyav.
Thaum tsis muaj asphyxia, lub cev txawv teb chaws hauv lub cev ua pa, kev kho kom txaus tsuas yog ua tau nrog kev kuaj mob kom raug ntawm broncho-obstructive syndrome, uas yog qhov ua rau muaj qhov tshwm sim. Qhov xwm txheej nyuaj tshwj xeeb yog tias tsis muaj keeb kwm ntawm mob hawb pob. Lub luag haujlwm ntawm lub tsheb thauj neeg mob tshwj xeeb yog kom nkag siab tias qhov ua rau muaj kev tawm tsam. Feem ntau qhov no yog qhov cuam tshuam ntawm kev ua xua, lossis kab mob ntawm lub cev. Tom qab tsim qhov kev kuaj mob thawj zaug, xaiv qhov ntsuas kev pab. Yog tias muaj kev tsis haum tshuaj, cov kev ntsuas zoo ib yam li kev pabcuam thawj zaug rau kev mob hawb pob, nrog rau kev kis tus kabmob, lub tswv yim sib txawv. Txawm li cas los xij, raws li pom tau los ntawm kev kho mob, ob qho xwm txheej no zoo sib xws, uas ua rau muaj kev kho mob tsis tu ncua nrog rau qhov tshwm sim loj rau tus neeg mob.
BOS thiab lwm yam pathologies
Raws li pom los ntawmRaws li cov ntaub ntawv khaws tseg thaum soj ntsuam cov xwm txheej zoo li no, biofeedback feem ntau nrog rau ntau yam kab mob, feem ntau ntawm cov kab mob ua pa. Cov txheej txheem o, kab mob, mob hawb pob twb tau hais los saum no, tab sis daim ntawv teev npe no nyob deb ntawm kev ua tiav, muaj txog li ib puas lub npe nyob rau hauv tag nrho. Ntxiv nrog rau kev ua xua, dysplasia, congenital malformations, tuberculosis yog tsim nyog sau cia. Muaj qhov ua tau ntawm tus mob syndrome thiab nrog cov txheej txheem qog uas cuam tshuam kev ua haujlwm ntawm bronchi, trachea. Muaj peev xwm soj ntsuam qhov tshwm sim hauv qee cov kab mob ntawm txoj hnyuv, plab, nrog rau qhov tsis xws luag, fistulas, hernia, reflux.
Differential diagnosis of broncho-obstructive syndrome yuav tsum coj mus rau hauv tus account qhov muaj peev xwm sib txuas ntawm qhov tshwm sim nrog cov kab mob ntawm cov hlab ntsha, lub plawv, nrog rau cov tsis xws luag, carditis, anomalies ntawm cov hlab ntsha (cov loj yog tshwj xeeb tshaj yog tseem ceeb). Cov kab mob CNS tuaj yeem cuam tshuam, suav nrog: tuag tes tuag taw, mob hlwb, myopathy, qaug dab peg. Muaj peev xwm ntawm biofeedback hauv hysteria, poliomyelitis, thiab lwm yam pathologies. Lub luag haujlwm tseem ceeb plays nws lub luag haujlwm, cov kab mob nyob ze rau rickets, kev tsim tawm tsis txaus ntawm alpha-one antitrypsin, Kartagener tus kab mob, lub cev tsis muaj zog. Qee lub sij hawm biofeedback raug kuaj pom los ntawm keeb kwm ntawm kev raug mob, tshuaj lom neeg thiab lub cev, kev qaug cawv, compression ntawm cov hlab ntsws los ntawm lwm yam.
Form Features
Qee zaum mob hnyav, ncua biofeedback. Thawj kis tau kuaj pom yog tias pom cov tsos mob tau kaum hnub lossis lub sijhawm ntev dua. Relapses, nruam relapses yog ua tau. Cov tom kawg yog ib txwm rau cov neeg uas muaj dysplasia ntawm bronchi, ntsws, bronchiolitis.
Nyob ntawm qhov mob hnyavpaub qhov txawv me me, nruab nrab, hnyav, zais. Txhawm rau muab rau ib pab pawg tshwj xeeb, nws yog ib qho tsim nyog yuav tsum tau soj ntsuam seb qhov hnoos hawb pob, ua tsis taus pa, seb cyanosis tau pom, qhov twg cov leeg nqaij ntxiv koom nrog hauv kev ua pa. Tus kws kho mob muab ntshav rau kev tshuaj ntsuam roj, ntsuas kev ua pa sab nraud. Xav txog qhov uas tus neeg mob hnoos.
Cov duab thiab qhov txawv tshwj xeeb
Hauv daim ntawv me me, tus neeg mob ua pa hawb pob, thaum so lawv tsis cuam tshuam los ntawm cyanosis, ua tsis taus pa, thiab kuaj ntshav muab qhov ntsuas ze li qub. FVD - kwv yees li 80% txheeb ze rau qhov nruab nrab. Tus neeg mob tus mob yog qhov qub. Cov kauj ruam tom ntej yog ua tsis taus pa thaum so, cyanosis, npog daim duab peb sab ntawm lub qhov ntswg, daim di ncauj. Raws li qhov chaw ntawm lub hauv siab yog retracted, thiab lub whistling thaum ua pa yog heev nrov, hnov nyob rau hauv qhov deb. Kev ua pa ua pa yog kwv yees li ntawm 60-80% ntawm cov qauv, cov ntshav zoo hloov pauv.
Daim ntawv mob hnyav yog nrog qaug dab peg, thaum tus neeg mob qhov kev noj qab haus huv tsis zoo. Ua tsis taus pa nrov, nyuaj, ntxiv cov leeg nqaij koom nrog. Cyanosis tau hais, cov ntshav suav sib txawv ntawm cov qauv, kev ua pa ua pa yog kwv yees li ntawm 60% lossis tsawg dua piv rau tus qauv. Cov chav kawm latent yog ib daim ntawv tshwj xeeb ntawm biofeedback uas tsis muaj cov cim qhia ntawm daim duab kho mob, tab sis kev ua pa ua pa tso cai rau peb los tsim cov lus xaus.
Formula a xaus
Yuav kom kuaj tau qhov tseeb, koj yuav tsum kuaj xyuas tag nrho nrog anamnesis. Npaj ua haujlwmtshawb fawb, cev. Kev xyaum siv spirography, pneumotachometry yog dav. Cov txheej txheem zoo li no muaj feem cuam tshuam ntau dua yog tias tus neeg mob twb muaj tsib xyoos lossis tus neeg mob laus dua. Thaum muaj hnub nyoog yau, cov neeg mob tsis tuaj yeem tiv nrog kev quab yuam exhalation. Kev sau cov ntaub ntawv hais txog tus neeg mob tus mob muaj xws li kev soj ntsuam ntawm tsev neeg keeb kwm ntawm tus kab mob, nrog rau kev qhia meej txog cov xwm txheej ntawm apy. Nws yog ib qho tsim nyog kom paub meej tias tus me nyuam muaj kab mob dab tsi ua ntej, seb puas muaj kev cuam tshuam rov qab los.
Yog tias biofeedback tau txiav txim siab tiv thaiv keeb kwm yav dhau los ntawm tus mob khaub thuas, nws tau ua hauv daim ntawv me me, tsis tas yuav muaj kev tshawb fawb tshwj xeeb. Nyob rau hauv cov ntaub ntawv ntawm rov tshwm sim, cov ntshav kuaj yuav tsum tau coj mus rau kev soj ntsuam, serological xeem, nrog rau kev txiav txim ntawm lub xub ntiag ntawm helminths, yuav tsum tau ua. Tus neeg mob yuav tsum tau kuaj xyuas los ntawm tus kws ua xua. Feem ntau, kev tshawb fawb tshwj xeeb muaj txiaj ntsig zoo: PCR, bacteriological. Bronchoscopy technologies yog siv, tshem tawm cov hnoos qeev los ntawm cov pa hauv nruab nrog cev, thiab smears raug coj los tshuaj xyuas cov nroj tsuag. Qee zaum, nws raug nquahu kom noj x-ray. Cov txheej txheem tsis tas yuav tsum tau ua, tab sis nws yog qhov tsim nyog yog tias tus kws kho mob pom tias muaj teeb meem, mob ntsws, lub cev txawv teb chaws, rov qab los. Nyob ntawm cov ntaub ntawv tau txais, lawv tuaj yeem raug xa mus rau CT scan, hws kuaj, scintigraphy, bronchoscopy.
Yuav ua li cas thiaj tshem tau?
Txoj hauv kev niaj hnub rau biofeedback suav nrog thawj zaug txiav txim siab qhov ua rau pathology, tom qab ntawd tshem tawm. Txhawm rau txo tus neeg mob tus mob, lawv ua kom cov kua dej ntawm lub ntsws, sivtxhais tau hais tias kom nres cov txheej txheem inflammatory, relieving bronchospasm. Qee zaum xav tau kev pab sai. Broncho-obstructive syndrome nyob rau hauv cov menyuam yaus tuaj yeem pom hauv daim ntawv hnyav, tom qab ntawd kev kho cov pa oxygen, kev siv tshuab ua pa yog tsim nyog. Normalization ntawm cov kua dej ntawm cov kab mob ua pa muaj xws li lub cev qhuav dej, kev siv cov tshuaj mucolytic, expectorants. Qee cov txheej txheem zaws tshwj xeeb, gymnastics, tso zis tom qab yog suav tias muaj txiaj ntsig.
Kev siv cov tshuaj expectorants, mucolytics tso cai rau koj los daws cov hnoos qeev, ua kom hnoos ntau dua. Cov tshuaj tuaj yeem siv los ntawm qhov ncauj thiab nrog kev pab los ntawm ib qho khoom siv tshwj xeeb - lub tshuab nqus pa. Qhov nrov tshaj plaws yog bromhexine, cov nquag metabolites ntawm no compound. Hauv cov khw muag tshuaj, muaj ntau yam khoom sib txawv. Qhov kev txiav txim ntawm cov nyiaj yog tsis ncaj, nruab nrab, suav nrog lub peev xwm los nres qhov mob thiab ua kom cov khoom tsim tawm ntawm surfactant. Kev ua xua rau bromhexine metabolites yog qhov tsawg heev. Cov tshuaj yog siv rau cov mob khaub thuas tom qab noj mov nyob rau hauv daim ntawv ntawm syrup, tov. Muaj nyob rau hauv daim ntawv ntsiav tshuaj. Cov koob tshuaj yog muab los ntawm tus kws kho mob, tsom rau lub hnub nyoog thiab qhov hnyav ntawm tus neeg mob. N-acetylcysteine yog suav hais tias yog qhov muaj zog tshaj plaws ntawm cov tshuaj uas tau nthuav tawm ntawm lub tsev muag tshuaj. Cov tshuaj nrog cov tshuaj no muaj txiaj ntsig zoo rau cov kab mob ntev. Qhov no mucolytic cuam tshuam rau lub cev ncaj qha, dilutes hnoos qeev, thiab nrog rau kev siv ntev yuav txo tau cov tiam ntawm lysozyme, IgA, uas.ua rau muaj ntau dua reactivity ntawm bronchopulmonary system nyob rau hauv ib feem peb ntawm cov neeg mob hnub nyoog peb xyoos thiab laus dua.
