Kev kho mob raws sij hawm ntawm tus kab mob bronchitis yog qhov tseem ceeb heev. Qhov no yog ib qho mob hnyav heev, tus neeg raug tsim txom tuaj yeem yog tus neeg laus thiab menyuam yaus. Qhov mob no tshwm sim feem ntau nyob rau hauv tus kab mob khaub thuas lossis adenovirus, thaum lub bronchial mucosa cuam tshuam. Qhov siab tshaj plaws ntawm kev kis tus kab mob tshwm sim nyob rau lub caij nplooj zeeg-lub caij ntuj no. Los ntawm kab lus no koj tuaj yeem kawm txog cov tsos mob ntawm tus kab mob no thiab yuav kho li cas, qhov no pathology txawv ntawm cov kab mob bronchitis.
Yog vim li cas
Txhawm rau pib kho tus kab mob bronchitis nyob rau lub sijhawm, koj yuav tsum nkag siab nws cov laj thawj thiab tshwm sim. Cov menyuam yaus feem ntau muaj kev pheej hmoo, txawm tias cov neeg laus kuj mob ntau zaus. Kev nthuav dav ntawm cov menyuam yaus yog piav qhia los ntawm lub cev tsis muaj zog tiv thaiv kab mob thiab kev mus xyuas cov chaw muaj neeg coob - tsev kawm ntawv,kindergartens. Txhua yam no ua rau muaj kev kis tus kabmob.
Ntawm cov neeg laus, cov neeg mob uas tsis muaj zog tiv thaiv kab mob uas ua rau txoj kev ua neej tsis zoo raug kev txom nyem los ntawm tus kab mob bronchitis. Tag nrho qhov no yog qhov phem dua los ntawm qhov xwm txheej ib puag ncig tsis zoo.
Tus kab mob nws tus kheej tshwm sim vim tsis muaj lossis kho tsis txaus ntawm cov teeb meem nasopharyngeal. Hauv particular, pharyngitis, laryngitis, sinusitis, rhinitis, sinusitis. Tsis tas li ntawd, tus kab mob bronchitis dhau los ua ib qho teeb meem ntawm cov kab mob ua pa nyuaj lossis mob khaub thuas.
Tus neeg mob hloov pauv sai sai rau tus kabmob kis loj. Koj tuaj yeem kis tus kab mob tsis yog thaum nws hnoos lossis txham xwb, tab sis kuj yog nyob hauv tib chav. Lub sij hawm incubation ntawm tus kab mob yog peb mus rau xya hnub.
Symptoms
Ua ntej pib kho tus kab mob bronchitis, nws yog ib qho tseem ceeb kom nkag siab txog etiology ntawm tus kab mob no. Nyob rau hauv nws tus kheej, bronchitis feem ntau yog kab mob thib ob. Nws tshwm sim thaum cov kab mob los yog kab mob taug kev los ntawm txoj hlab pa sab saud mus rau qhov chaw ua pa. Yog li ntawd, nws yog ib qho tseem ceeb kom paub qhov txawv seb tus neeg mob puas muaj kab mob los yog kab mob bronchitis.
Tus kab mob variant yog ntau dua. Cov kab mob kis mob hnyav dua, feem ntau ua rau muaj cov kab mob purulent uas tawm ntawm lub bronchi. Lawv hu ua purulent sputum. Cov kab mob uas tuaj yeem ua rau kab mob bronchial yog: staphylococcus, streptococcus, chlamydia, mycoplasma, pneumococcus, Haemophilus influenzae.
Nrog cov kab mob bronchitis, qhov kub nce siab tshaj 38.5 degrees, khaws cia raupeb hnub. Lwm cov tsos mob classic yuav tsum nco ntsoov suav nrog:
- hnoos hnyav uas ua rau tus neeg mob ib ncig ntawm lub moos;
- hws hmo ntuj;
- Kuv teb cov kua paug thiab ntshav;
- ua tsis taus pa txawm tias me me;
- cov tsos mob ntawm kev qaug cawv nrog mob taub hau, ua daus no, photophobia, tsis muaj zog, malaise.
Cov tsos mob ntawm tus kab mob bronchitis yuav tso cai rau koj paub tus kab mob no tam sim ntawd. Thaum tus kab mob nkag mus rau hauv lub bronchi, o thiab o ntawm lub puab mucosa pib. Vim li no, lub lumen ntawm bronchi nqaim heev. Qhov xwm txheej no hnyav zuj zus los ntawm kev tsim cov hnoos qeev, vim li ntawd, lub cev pib ua pa nrog hnoos. Cov tsos mob tseem ceeb ntawm tus kab mob bronchitis yog raws li nram no:
- chills, kub taub hau txog 38 degrees;
- hnoos nrog hnoos qeev nyuaj;
- xav nkees, ua tsis taus pa;
- tus yam ntxwv hawb pob uas tuaj yeem hnov nrog lub stethoscope.
Qhov mob hnyav yog nyob ntawm tus neeg mob lub cev tiv thaiv kab mob. Txij li thaum cov txheej txheem ntawm kev rov qab los ntawm lub bronchi tom qab o yog ntev heev, hnoos nyob rau hauv daim ntawv ntawm ib tug residual phenomenon tseem nyob rau qee lub sij hawm txawm tias tom qab tus kab mob no yeej.
Cov lus qhia
Thaum kho tus kab mob bronchitis rau cov neeg laus, ob lub ntsiab lus tseem ceeb yuav tsum tau them rau. Hom kab mob (mob ntev lossis mob hnyav) thiab daim ntawv ntawm tus kab mob pab txiav txim siab txog kev kho mob.
Nws yog ib qho tseem ceeb uas kev kho mob ntawm tus kab mob bronchitis yuav tsum tau ua kom tiav. Raws li txoj cai, tshuaj ib leeg yuav tsis txaus.
Kev ua neej thiab niaj hnub
Ib qho ntawm cov xwm txheej tseem ceeb rau kev rov qab los yuav yog qhov tsim kom muaj qhov chaw zoo tshaj plaws rau kev kho lub cev ua pa.
Hauv chav uas tus neeg mob nyob, yuav tsum muaj huab cua ntub. Tsis tas li ntawd, nws yuav tsum tau muab cov kua dej ntau. Koj tuaj yeem haus txhua yam tshwj tsis yog dej qab zib. Ob yam no ib leeg yuav tsim kom muaj huab cua zoo kom cov txheej txheem ntawm cov hnoos qeev sib cais pib thiab hnoos qhuav tau kov yeej.
Ntxiv rau, thawj peb hnub, kev ua si lub cev yog contraindicated rau tus neeg mob, nws yuav tsum tau saib xyuas lub txaj so. Koj yuav tsum txiav luam yeeb tag. Kev taug kev luv luv tsuas yog tom qab ob peb hnub xwb, thaum muaj kev txhim kho.
noj tshuaj tua kab mob
Kev siv tshuaj tua kab mob rau cov kab mob bronchitis hauv cov neeg laus tseem yog ib qho kev sib cav. Feem ntau cov kws kho mob tau pom tias lawv txoj kev siv tsuas yog siv tau yog tias mob ntsws ntsws nrog cov kab mob sib kis los yog tsim muaj teeb meem.
Hauv qhov no, nws raug nquahu kom noj cephalosporins, penicillin, macrolides. Tab sis nrog tus kab mob bronchitis, feem ntau, kev siv tshuaj tua kab mob tsis ua rau muaj txiaj ntsig. Ntxiv mus, lawv tuaj yeem ua rau mob broncho-obstructive syndrome, thaum bronchial obstructive tshwm sim vim mucosal edema.
Ib tus tsos mob ntawm bronchitis uas qhiaqhov xav tau tshuaj tua kab mob yog cov hnoos qeev interspersed nrog cov kua paug. Nyob rau hauv rooj plaub no, tus kws kho mob sau ib qho kev tshawb fawb ntxiv, cov txiaj ntsig ntawm kev sau ntawv tuaj yeem sau tau. Nws yog txwv tsis pub noj tshuaj tua kab mob ntawm koj tus kheej.
Antivirals
Cov tshuaj tseem ceeb rau tus kab mob no yog tshuaj tiv thaiv kab mob. Nrog rau tus kab mob bronchitis, lawv tau sau ntau zaus, txawm hais tias qee tus kws kho mob ntseeg tias tsis muaj cov tshuaj ntawm hom no uas muaj pov thawj zoo, thiab koj tuaj yeem kov yeej tus kab mob los ntawm kev tsim cov kev mob zoo rau lub cev kom rov zoo.
Ua ntej tshaj plaws, cov tshuaj tiv thaiv kab mob yog siv los kho tus mob bronchitis, uas feem ntau yog nrog tus neeg mob mus pw hauv tsev kho mob.
Eufillin
Ib qho piv txwv ntawm cov tshuaj muaj zog - "Eufillin" hauv ampoules. Hauv cov lus qhia rau kev siv tshuaj, nws tau sau tseg tias nws qhov kev ua yog vim cov ntsiab lus ntawm theophylline. Ib qho tseem ceeb feature ntawm lub active tshuaj yog muaj peev xwm ntawm dissolution nyob rau hauv dej thiab intravenous tswj. Nws txo qhov tsis kam ntawm cov hlab ntsha, so cov leeg ntawm bronchi, txo cov ntshav siab hauv cov hlab ntsha, uas ua kom lub raum ntshav khiav. Cov tshuaj inhibits qhov adhesion ntawm platelets, inhibits cov kev ua ntawm phosphodiesterase, txo cov theem ntawm ionized calcium nyob rau hauv cov leeg nqaij hlwb.
Cov lus qhia rau kev siv "Eupyllin" hauv ampoules qhia siv nws rau kev mob ntsws ntev, nrog raubronchial hawb pob, Cheyne-Stokes syndrome, pulmonary hypertension, cerebrovascular kev huam yuaj, migraine.
Thaum muaj xwm txheej ceev, cov neeg laus tau muab cov tshuaj thauj mus rau hauv cov hlab ntsha ntawm tus nqi ntawm 5.6 mg / kg. Yog tias tus neeg mob tau noj "Theophylline yav dhau los", qhov koob tshuaj tuaj yeem txo qis, tab sis tsis pub ntau tshaj ob zaug.
Rau cov neeg laus, cov tshuaj yog muab ib mus rau peb zaug ib hnub twg. Qhov siab tshaj plaws pub koob tshuaj yog nyob ntawm qhov hnyav ntawm lub cev, txij li 400 txog 800 mg (raws li 10 mg / kg). Thawj thawj zaug, nws raug tso cai nkag tsis pub ntau tshaj 200-250 mg. Rau cov menyuam yaus hnub nyoog 6 txog 17 xyoo, koob tshuaj txhua hnub yuav tsum tsis pub tshaj 16 mg / kg, thiab rau cov menyuam yaus hnub nyoog qis dua 6 xyoo - tsis pub ntau tshaj 13 mg / kg. Nws kuj yog qhov tsim nyog los faib tag nrho cov ntim ntawm cov tshuaj rau hauv ob peb koob.
Qhov no, tus kws kho mob yuav tsum tswj cov ntshav siab, lub plawv dhia thiab ua pa. Lub sijhawm ntawm kev kho mob tuaj yeem yog los ntawm ob peb hnub mus rau ob lub lis piam.
Viferon
"Viferon" hauv bronchitis yog siv los ua cov tshuaj tiv thaiv kab mob immunomodulatory, uas muaj cov kab mob tsis ncaj ncees. Tsis tas li ntawd, nws muaj ib tug xov tooj ntawm cov yam ntxwv pharmacological kiag li.
Nws muaj nyob rau hauv peb hom tshuaj (raws li tshuaj pleev, qhov quav suppositories thiab gel). Txhua tus ntawm lawv muaj peev xwm muab tau ib qho uas tsis yog-invasive thiab yooj yim raws li txoj kev ntawm kev tswj hwm thiab daim ntawv thov, uas yog tshwj xeeb tshaj yog muaj feem xyuam nyob rau hauv pediatrics thiab neonatology, nrog rau thaum yuav tsum tau kho tus kheej nyob rau hauv tsev.
"Viferon" tau noj thaum lub sijhawm kho mob rau txhua yam kab mob sib kis thiab mob, uas suav nrog bronchitis. Tshwj xeeb tshaj yog feem ntau nws yog tshuaj rau tus kab mob bronchitis rau cov me nyuam.
Nyob zoo ib tsoom niam txiv kwv tij neej tsas sawv daws
Thaum pib, bronchitis ib txwm nrog hnoos qhuav thiab hnyav. Yog li ntawd, tib pab pawg neeg ntawm cov tshuaj uas yog indispensable rau tus kab mob no yog expectorants. Muaj ob hom tshuaj xws li: ua kom hnoos qeev thiab ua kom expectoration.
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Cov tshuaj uas hnoos qeev kuj hu ua mucolytics. Lawv ua tiav cov txiaj ntsig los ntawm kev rhuav tshem cov nyiaj disulfide hauv acidic mucopolysaccharides. Ib qho tseem ceeb ua ntej rau lawv siv yog viscous hnoos qeev, uas yog tsim nyob rau hauv cov kab mob ntawm cov kab mob ua pa, nrog rau thaum lub sij hawm bronchitis. Cov feem nrov txhais tau tias ntawm hom no muaj xws li "Bromhexine", "Ambroxol", "Trypsin", "Tus kws kho mob niam".
Physiotherapy
Hauv kev tawm tsam tus kab mob bronchitis, kev siv ntau yam kev kho lub cev yog qhov tseem ceeb heev. Piv txwv li, inhalations. Qhov tseem ceeb tshaj plaws yog tiv thaiv kev kub nyhiab ntawm cov mucous.
Rau bronchitis, inhalations siv dej qab zib thiab saline yog suav hais tias zooKev daws, cov roj yam tseem ceeb ntawm mint, ntoo thuv, tsob ntoo eucalyptus, kev npaj "Ambrobene", "Lazolvan"
ua pa ua pa
Muaj ntau yam ua pa ua pa rau cov kab mob zoo li no. Koj tus kws kho mob yuav pab koj xaiv qhov yog.
Txhua qhov kev tawm dag zog ua qhov tseem ceeb hauv kev hloov pauv hauv kev ua haujlwm ntawm cov kabmob vim muaj kev cuam tshuam rau cov kab mob ua pa, pab txhawb kev loj hlob ntawm cov khoom khaws cia ntawm cov kab mob hauv lub ntsws. Qhov tseem ceeb tshaj plaws nyob rau hauv cov xwm txheej zoo li no yog kom nco ntsoov tias nws yog ib qho tseem ceeb uas yuav tsum tau ua cov chav kawm hauv huab cua ntshiab, uas nyob rau hauv nws tus kheej yuav muaj txiaj ntsig zoo rau lub xeev ntawm kev ua pa.
