Hnoos nrog ntshav: ua rau thiab kho

Cov txheej txheem:

Hnoos nrog ntshav: ua rau thiab kho
Hnoos nrog ntshav: ua rau thiab kho

Video: Hnoos nrog ntshav: ua rau thiab kho

Video: Hnoos nrog ntshav: ua rau thiab kho
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Anonim

Ib qho cim tseem ceeb ntawm cov kab mob ntawm cov kab mob ua pa yog hnoos. Nyob rau tib lub sijhawm, tib neeg feem ntau yws txog qhov tshwm sim xws li hnoos ntshav. Cov tsos mob no tsuas yog tshwm sim los ntawm cov hlab ntsha me me tawg thaum hnoos nres, lossis nws yuav qhia tau tias muaj cov txheej txheem loj dua tshwm sim hauv tib neeg lub cev. Ua li ntawd, yog tias muaj qhov tshwm sim tau pom, muaj txhua qhov laj thawj rau kev txhawj xeeb. Tom ntej no, peb yuav saib seb dab tsi yog qhov ua rau hnoos ntshav thiab yuav kho li cas hauv cov menyuam yaus thiab cov neeg laus.

hnoos ntshav ua rau
hnoos ntshav ua rau

tus kab mob no hais li cas?

Cov xwm txheej zoo li no feem ntau ua rau neeg ntshai heev. Tab sis muaj cov ntshav nyob rau hauv cov hnoos qeev qhia tau hais tias, feem ntau yuav, ib lub nkoj tsuas yog tawg hauv lub ntsws. Raws li kev txheeb cais, hauv cuaj caum feem pua ntawm cov neeg mob, hnoos nrog ntshav tsis ua rau muaj mob hnyav. Feem ntau qhov no qhia tias tsis muaj vitamin K,lub luag haujlwm rau cov ntshav txhaws. Tab sis yog tias cov tsos mob no rov tshwm sim hauv ib tus neeg rau lub sijhawm ntev txaus, nws tseem yuav tsum tau sab laj nrog kws kho mob kom muaj kev ntsuam xyuas zoo.

Thaum twg kuv yuav tsum mus ntsib kws kho mob?

Thaum hnoos muaj ntshav, txhais tau li cas, tsawg tus neeg paub. Cov kws kho mob xav kom cov neeg uas pom lawv tus kheej nyob rau hauv xws li ib tug paug tawm ntawm qhov ncauj kab noj hniav tam sim ntawd hu rau lub tsheb thauj neeg mob. Tab sis qhov kev txiav txim siab hnyav no tsuas yog yuav tsum muaj nyob rau hauv cov xwm txheej hauv qab no:

  • Thaum hnoos muaj zog pib sai sai nrog cov ntshav, uas tam sim no nyob rau hauv lub xeev kua heev los yog, conversely, nyob rau hauv daim ntawv ntawm txhaws.
  • Tib lub sijhawm hnoos hawb pob, muaj cua tsis txaus nrog rau qhov mob ntawm lub sternum.
  • Thaum qhov tshwm sim ntawm hnoos los ntshav yog ncaj qha ntsig txog kev raug mob lossis poob.
  • Thaum cov hnoos qeev nrog cov ntshav impurities tshwm sim tam sim ntawd, txawm hais tias qhov txheej txheem no tsis tau ua ntej los ntawm qee qhov kev raug mob nrog rau qhov hnoos hnyav thiab ntev.
  • Thaum qhov tshwm sim no tau pom ob peb hnub yam tsis muaj kev txhim kho hauv cov neeg mob kev noj qab haus huv.
  • hnoos ntshav muaj ntau heev rau cov neeg uas niaj hnub siv nicotine. Hauv qhov no, koj yuav tsum sab laj nrog kws kho mob.

Nws tuaj yeem ua qhov kev kuaj mob kom raug rau tus neeg uas tau hais qhov tsis txaus siab zoo sib xws rau tus kws kho mob tsuas yog tom qab kuaj tag nrho. Feem ntau hauv cov xwm txheej zoo li no yuav tsum mus dhau ntau tus kws tshaj lij sib txawv ib zaug.

Cia peb saib lub ntsiab ua rau hnoos ntshav.

Qhov laj thawj tseem ceeb

Thaum hnoos, raws li koj paub, hnoos qeev tau pom ntau zaus, uas yog hnoos qeev los ntawm lub bronchi. Nws feem ntau muaj cov kab mob nrog rau cov plua plav thiab lwm yam me me. Tab sis yog tias tsis muaj kab mob nyob rau hauv txoj kev ua pa, ntshav yuav tsum tsis txhob muaj nyob rau hauv cov hnoos qeev. Txawm li cas los xij, txawm li cas los xij, cov txheej txheem zoo li no tau raug kuaj pom, nws yog ib qho tseem ceeb kom paub txog txhua qhov laj thawj txhawm rau muab kev kho mob rau tus neeg mob. Yog li, hnoos ntshav yog tam sim no muaj cov kab mob loj hauv qab no thiab cov kab mob pathological ntawm lub cev:

hnoos qeev nrog ntshav thaum hnoos ua rau
hnoos qeev nrog ntshav thaum hnoos ua rau
  • Ib tug neeg muaj mob ntsws cancer. Thaum hnoos ntshav tshwm sim tawm tsam keeb kwm ntawm hnoos, peb tuaj yeem tham txog qhov cim no raws li cov tsos mob ntawm lub ntsws cancer. Nyob rau hauv cov ntaub ntawv no, ntshav yog feem ntau tam sim no nyob rau hauv lub excreted secrets nyob rau hauv daim ntawv ntawm scarlet bright streaks. Tab sis koj yuav tsum tsis txhob xav tam sim ntawd txog cov kab mob txaus ntshai no yog tias tus neeg mob tsis yws txog cov tsos mob hauv daim ntawv ntawm kev poob phaus sai, tawm hws thaum hmo ntuj, kev xav tsis muaj cua thiab mob hnyav tom qab lub sternum. Cov kab mob zoo sib xws feem ntau tshwm sim hauv cov neeg haus luam yeeb uas yog cov neeg nyob ntawm nicotine rau feem ntau ntawm lawv lub neej. Dab tsi yog lwm yam ua rau cov neeg laus hnoos ntshav?
  • Kev txhim kho bronchitis. Nrog bronchitis, ntxiv rau cov ntshav thaum hnoos, tus neeg mob mob zuj zus ntxiv, ntxiv rau qhov kub thiab txias. Tham txog qhov muaj mob bronchitis yuav tsum yog nyob rau hauv cov xwm txheej uas hnoos torments ib tug neeg rau ntau tshaj peb lub hlis ib xyoos, thiabtawm tsam keeb kwm ntawm cov hnoos qeev, cov ntshav streaks pom nyob rau hauv nws, uas yog tov nrog cov kua qaub.
  • Cov tsos mob ntawm bronchiectasis. Cov tsos mob tseem ceeb ntawm tus kab mob no yog ntev thiab nyob rau tib lub sij hawm debilitating hnoos nrog hnoos qeev, nyob rau hauv uas muaj streaks ntawm cov ntshav. Ntawm lwm yam, tus neeg mob yuav yws yws ntawm ua tsis taus pa, tsis muaj zog thiab kub.
  • Yog tias koj hnoos ntshav, qhov no yuav qhia tau tias qhov tshwm sim ntawm lub ntsws abscess. Cov kab mob zoo sib xws feem ntau tshwm sim hauv cov neeg tom qab mob ntsws. Qhov no yog vim lub fact tias thaum lub sij hawm kev kho mob ntawm tus kab mob no, ib tug neeg lub cev tsis muaj zog heev. Tib lub sijhawm, cov neeg mob yuav hnov qhov saj ntawm cov ntshav hauv qhov ncauj tom qab hnoos. Tsis tas li ntawd, feem ntau txawm tias cov neeg nyob ib puag ncig muaj peev xwm hnov cov ntxhiab tsw ntawm tus neeg mob lub qhov ncauj, uas cuam tshuam nrog kev tsim cov kua paug hauv lub ntsws. Ntawm lwm yam, tus kab mob no tuaj yeem nrog qhov kub thiab txias, tsis muaj zog, tawm hws ntau dhau thiab qab los noj mov.
hnoos ntshav nrog mob khaub thuas
hnoos ntshav nrog mob khaub thuas
  • Mob hnoos los ntshav nrog mob khaub thuas. Cov kab ntshav feem ntau tshwm sim thaum hnoos hnoos qeev hauv cov neeg uas muaj kab mob xws li mob ntsws.
  • Kev txhim kho tuberculosis. Cov tsos mob tseem ceeb ntawm tus kab mob no yog qhov tshwm sim ntawm hnoos los ntshav, uas feem ntau tshwm sim thaum sawv ntxov. Ntxiv nrog rau cov ntshav streaks, hnoos qeev yuav muaj purulent impurities.
  • Kab mob ntawm cov hlab ntsha thiab lub plawv. Qee zaum, nrog qee cov kab mob plawv, muaj kev ua txhaum ntawm cov ntshav ncig, vim qhov no nwsstagnates nyob rau hauv lub ntsws. Koj yuav hnoos tau ntshav. Ib qho tshwm sim zoo sib xws hauv cov tshuaj hu ua pulmonary hypertension. Lwm qhov tshwm sim ntawm tus txheej txheem no yog suav tias yog ua tsis taus pa hnyav, tshwj xeeb tshaj yog ua rau hnyav hnyav los ntawm kev tawm dag zog lub cev.
  • Kev txhim kho pulmonary embolism. Raws li txoj cai, embolism tshwm sim nyob rau hauv cov neeg uas tsis ntev los no yuav tsum tau ua qee yam kev ua haujlwm. Tsis tas li ntawd, embolism tshwm sim nyob rau hauv lub xub ntiag ntawm cov kab mob ntawm cov hlab ntsha ntawm qis extremities, piv txwv li, nrog thrombophlebitis. Ntxiv nrog rau qhov ua tsis taus pa ntawm hnoos nrog cov qog ntshav, cov neeg mob muaj qhov mob hnyav tom qab lub sternum nrog rau ua tsis taus pa luv. Dab tsi ua rau hnoos ntshav tsis ua npaws?
  • Qhov tsos ntawm cystic fibrosis. Cov kab mob no tuaj yeem tau txais txiaj ntsig, nws tshwm sim los ntawm kev mob khaub thuas thiab hnoos nrog cov ntshav thiab cov kua qaub. Feem ntau, tib lub sijhawm, cov neeg mob tsis xyuam xim rau cov hnoos qeev nrog cov ntshav impurities, ntseeg tias cov txheej txheem zoo li no yog ib qho tshwm sim ntawm hnoos thaum mob khaub thuas vim yog kev puas tsuaj ntawm vascular.
  • Lwm yam ua rau hnoos qeev nrog cov ntshav thaum hnoos yog qhov muaj kab mob ntawm lub plab zom mov. Nyob rau hauv cov ntaub ntawv ntawm kev ua txhaum ntawm cov kev ua ntawm lub digestive kabmob, xws li txoj hlab pas, lub plab los yog txoj hnyuv, cov ntshav yog excreted los ntawm lub qhov ncauj yam tsis muaj hnoos. Hauv cov xwm txheej zoo li no, nws feem ntau muaj xim liab tsaus. Los ntshav tshwm sim ntau heev.

Tsis txhob txhawj yog tias tom qab siv qee txoj kev kuaj mob, kuaj pom cov hnoos qeev nrog cov ntshav. Qhov tseeb yog tias qhov tshwm sim no tuaj yeem tshwm sim los ntawm kev cuam tshuam sab nraud. Qhov no feem ntau tshwm sim tom qabua tus txheej txheem biopsy lossis bronchoscopy, ntxiv rau, vim noj cov tshuaj. Hauv qhov no, tsis muaj kev hem thawj rau tib neeg kev noj qab haus huv.

Dab tsi ua rau cov hnoos qeev ntshav thaum tus menyuam hnoos?

Hemoptysis hauv me nyuam

Ntshav thaum hnoos hauv cov menyuam yaus yog ib qho teeb meem tshwm sim uas feem ntau tshwm sim tawm tsam keeb kwm ntawm kev txhaws ntawm txoj hlab pa nqaim nrog hnoos qeev. Vim tias cov txheej txheem no, cov hlab ntsha tuaj yeem tawg, thiab vim li ntawd, cov ntshav tawm. Ntawm lwm yam, hnoos ntshav hauv tus menyuam tuaj yeem ua rau:

  • Me nyuam muaj mob hawb pob.
  • Kev txhim kho mob bronchiolitis.
  • Kev tshwm sim ntawm cystic fibrosis.
hnoos ntshav tsis ua npaws
hnoos ntshav tsis ua npaws

Yuav kom txo tau cov me nyuam los ntawm hnoos los ntshav, lawv tau muab tshuaj expectorant. Tab sis tsuas yog tus kws kho mob yuav tsum tau sau ntawv rau lawv, vim tias kev noj tshuaj rau tus kheej tuaj yeem ua rau muaj teeb meem loj.

Cov poj niam cev xeeb tub

Kev cev xeeb tub yog ib yam mob uas tus poj niam lub cev raug mob hnyav. Cov tsos mob ntawm cov ntshav sib xyaw thaum hnoos yuav tsum yuam kom tus poj niam cev xeeb tub mus ntsib kws kho mob tam sim ntawd txhawm rau kom tsis txhob muaj teeb meem loj hauv daim ntawv ntawm cov hlau tsis muaj hlau tsis muaj ntshav, placental tear lossis nce suab nrov.

Feem ntau ua rau tus mob no los ntshav los nrog hnoos hawb pob. Xws li hnoos tuaj yeem tshwm sim vim yog kis kab mob los yog tshwm sim los ntawm bronchitis. Vim tas lihnoos bursts cov hlab ntsha hauv lub ntsws, uas ua rau pom cov ntshav hauv cov hnoos qeev. Yog tias hemoptysis tsim txom tus poj niam cev xeeb tub tsawg kawg yog ib lub lis piam, nws yuav tsum tau nrhiav tswv yim los ntawm nws tus kws kho mob hauv zos. Tus kws kho mob yuav xa tus neeg mob mus rau cov kws kho mob nqaim uas tuaj yeem kawm paub meej txog qhov teeb meem.

Kev tsis saib xyuas ntev ntawm qhov teeb meem no tuaj yeem ua rau muaj kev cuam tshuam loj hauv cov ntshav txhaws. Tsis tshua muaj, qhov tshwm sim no qhia tias muaj cov kab mob loj uas ua rau lub neej ntawm tus poj niam cev xeeb tub thiab menyuam yaus. Cov kws tshaj lij tawm tswv yim tawm tsam kev noj tshuaj rau tus kheej, nws yog qhov zoo tshaj plaws mus ntsib kws kho mob sai li sai tau.

Diagnostics

Txhawm rau txiav txim siab qhov ua rau hnoos nrog ntshav, koj yuav tsum tau kuaj xyuas qib siab, uas yuav suav nrog cov haujlwm hauv qab no:

  • Kev soj ntsuam cov hnoos qeev hauv chav kuaj. Txoj kev tshawb fawb no tso cai rau koj txheeb xyuas cov txheej txheem inflammatory tshwm sim hauv lub cev.
  • Kev kuaj ntsuas hws. Ua tsaug rau txoj kev tshawb fawb no, kev ua txhaum cai ntawm kev sib pauv tshuaj chlorine tau txiav txim siab, thiab cystic fibrosis kuj tuaj yeem kuaj tau.
  • Kev kuaj ntshav dav dav thiab biochemical. Hauv chav kawm ntawm txoj kev tshawb no, cov qe ntshav liab tau tshwm sim, uas yog siv los txiav txim qhov xwm txheej ntawm cov txheej txheem inflammatory.
  • Kev ua cov coagulogram. Txoj kev tshawb no qhia txog cov ntshav txhaws.
  • Ua lub hauv siab x-ray tso cai rau kev tshawb pom ntxov ntawm mob qog noj ntshav nrog rau mob ntsws,embolism lossis abscess.
  • Kev kuaj mob Bronchoscopic ua rau nws tuaj yeem kuaj lub lumen ntawm lub ntsws.
  • Echocardiography thiab electrocardiography yog ua los kawm txog kev ua haujlwm ntawm lub plawv, cov haujlwm uas cuam tshuam rau lub ntsws.
  • Ua FEGDS. Qhov no yog kev tshawb fawb ntawm txoj hlab pas, cov kab mob ntawm lub cev tuaj yeem pom lawv tus kheej hauv daim ntawv hnoos nrog ntshav.
  • Computed tomography.

yuav kho li cas yog muaj ntshav thaum expectorating thaum hnoos?

ntshav hnoos
ntshav hnoos

Yuav ua li cas kho tau?

Kev kho mob hemoptysis hauv ob tus menyuam yaus thiab cov neeg laus ncaj qha nyob ntawm qhov laj thawj ntawm qhov teeb meem no. Txhawm rau kom tshem tau nws, cov kws kho mob feem ntau sau tshuaj tua kab mob lossis tshuaj tiv thaiv TB. Muaj tsawg zaus, tawm tsam keeb kwm yav dhau los ntawm kev mob qog noj ntshav, abscess lossis embolism, qhov tshwm sim no tseem xav tau kev phais.

Yog tias qhov ua rau hnoos ntshav tsis yog pathological, lwm txoj kev kho mob tuaj yeem siv tau. Feem ntau, txhua yam tshuaj hemostatic yog siv rau qhov no hauv daim ntawv ntawm yarrow, chicory, nettle nplooj, plantain, nab knotweed, thiab lwm yam. Cov tshuaj ntsuab yuav tsum tau boiled, ces qhov kev kho mob yog qaug dej qaug cawv 100 milliliters peb zaug ib hnub twg.

Cov kab mob uas ua rau muaj qhov tshwm sim no hauv cov menyuam yaus lossis cov neeg laus muaj qhov sib txawv thiab xav tau kev sib txawv ntawm kev kho hnoos hnoos ntshav.

pab xub thawj

Nyob qhov twg thaum lub sijhawmhnoos ntau dhau ntawm cov ntshav, los yog thaum ib tug ntws los ntawm lub qhov ncauj txawm nyob so, ntawm chav kawm, nws yog tsim nyog hu rau lub tsheb thauj neeg mob. Tam sim ntawd ua ntej cov kws kho mob tuaj txog, koj yuav tsum ua cov hauv qab no:

hnoos ntshav thaum hnoos
hnoos ntshav thaum hnoos
  • Muab tus neeg mob so lub cev tag.
  • Tshem tawm tej yam uas ua rau ua pa nyuaj.
  • Txhawm rau kom tsis txhob muaj ntshav nkag mus rau hauv lub ntsws, nws yog ib qho tsim nyog yuav tsum muab tus neeg mob zaum hauv qhov chaw, tiv thaiv qhov kev txav mus rau pem hauv ntej. Lub taub hau yuav tsum tsis txhob tig rov qab.
  • Thaum tsis muaj sijhawm los zaum tus neeg mob, tsawg kawg yog sim tig tus neeg mus rau sab uas lub ntsws puas lawm.
  • Ice yog siv rau qhov chaw puas tsuaj nrog lub qhov txias txias, uas tau muab tshem tawm txhua 15 feeb kom tsis txhob txias rau tus neeg mob.
  • Saib tus neeg mob, koj yuav tsum tsis suav nrog nws cov lus sib tham thiab txhua yam kev txav. Noj lossis haus thaum lub sijhawm tus mob no tsis tuaj yeem txais.
  • Nws yog ib qho tseem ceeb kom tsis suav nrog kev cuam tshuam thermal, xws li da dej, da dej, mustard plasters thiab lwm yam.
  • Ib tug neeg yuav tsum tsis txhob tuav txoj kev xav.

Tsis ceeb

Nws yog ib qho tseem ceeb heev thaum hnoos nrog ntshav tsis txhob ntshai lwm tus thiab sim ua kom tus neeg mob siab. Yog tias cov ntshav nce ntxiv thiab tus neeg noj qab haus huv tsis zoo, ua ntej lub tsheb thauj neeg mob tuaj txog, koj yuav tsum hu rau tus neeg xa xov, uas yuav qhia rau koj paub meej txog kev ntsuas ntxiv.

Raws li menyuam yaus, yog lawv muaj ntshav thaum hnoos, lawvkuj tsis pub zaub mov thiab dej haus. Tus me nyuam yuav tsum coj txoj hauj lwm zoo rau nws. Tsuas yog ua ntej lub tsheb thauj neeg mob tuaj txog, tus menyuam yuav tsum tsis txhob tso tseg.

Yuav siv tshuaj dab tsi los hnoos los ntshav rau tus neeg laus thiab menyuam yaus?

Kev kho tshuaj rau cov menyuam yaus thiab cov neeg laus

Kev kho tshuaj thaum muaj teeb meem xws li hnoos ntshav yog kws kho mob sau thiab ncaj qha nyob ntawm qhov ua rau. Yog li, nws yog ib qho tseem ceeb kom tshem tawm cov hauv paus hniav. Piv txwv li, nrog bronchitis los yog tawm tsam keeb kwm ntawm mob ntsws, cov neeg mob yog cov tshuaj uas ua rau cov hnoos qeev nyias. Bromhexine, Ambroxol syrups ua raws li cov tshuaj no.

hnoos hnyav heev
hnoos hnyav heev

Thaum hnoos ntshav, cov menyuam yaus thiab cov neeg laus tuaj yeem muab tshuaj tua kab mob nrog rau cov tshuaj tiv thaiv kab mob. Hauv tuberculosis, kev kho mob yog nqa tawm siv tag nrho cov npe ntawm cov tshuaj thiab cov txheej txheem, suav nrog kev kho phais. Cov tshuaj rau kev kho mob tuberculosis tau muab faib ua peb pawg, nyob ntawm seb lawv qhov kev ua haujlwm li cas. Txhua pab pawg raug tshuaj rau ib theem ntawm tus kab mob. Ntawm cov tshuaj uas pab kho tus kab mob no, nws tsim nyog hais txog Isoniazid, Ethambutol, Ethionamide thiab Thioacetazone.

Ntxiv rau cov tshuaj thiab cov txheej txheem uas tau muab rau cov menyuam yaus thiab cov neeg laus tom qab kuaj xyuas, cov kws tshaj lij tuaj yeem qhia kom sov thiab txo qhov khaus ntawm cov pa hauv nruab nrog cev. Nws yuav pab tau kom noj tshuaj ntsuab tshuaj yej nrog ntau yam infusions.

tshuaj ntsuab muaj ntau yamntau yam kev kho mob rau txhua yam mob, nrog rau qhov no. Qee cov zaub mov txawv tiag tiag pab txhawb txoj kev kho kom zoo los ntawm kev ua kom nrawm. Tab sis txawm li cas los xij, ua ntej siv lawv, yuav tsum muaj kev sab laj kev kho mob ua ntej.

Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias kev noj qab haus huv nyob ntawm seb qhov kev kuaj mob kom raug li cas. Tsuas yog qhov tsis txaus ntshai ntawm cov ntshav thaum hnoos yog cov hlab ntsha tawg. Tab sis daim ntawv teev cov kab mob txaus ntshai nrog qhov ua rau tuag taus nrog cov tsos mob no ntau dua. Hais txog qhov no, ib tug yuav tsum tsis txhob muaj kev pheej hmoo los ntawm kev tsis saib xyuas mus ntsib kws kho mob.

Pom zoo: