Allergic tracheobronchitis yog ib qho ntawm cov kab mob sib kis. Nrog nws, cov mucous daim nyias nyias ntawm tsob ntoo tracheobronchial cuam tshuam los ntawm kev cuam tshuam ntawm qee yam stimuli. Cov no tuaj yeem yog kab mob, nicotine, lossis ua xua.
Feem ntau, tracheobronchitis yog txuam nrog, tau kawg, nrog kev haus luam yeeb, tsawg zaus nrog cov kab mob ua pa ntawm cov kab mob lossis kab mob uas ib tug neeg raug mob ntawm nws ko taw. Tab sis qee zaum, o ntawm cov mucous daim nyias nyias ntawm lub trachea, bronchi thiab bronchioles tshwm sim vim yog allergens uas tau nkag mus rau hauv lub pa system nrog cua.
Cov ntaub ntawv tseem ceeb
Xav txog tracheobronchitis, nws cov tsos mob thiab ua rau, nws yuav tsum tau muab sau tseg tias cov txheej txheem inflammatory no feem ntau yog diffuse. Ntawd yog, nws tsis muaj qhov tshwj xeeb foci ntawm localization, thiab nws npog cov mucous daim nyias nyias ntawm cov pa hauv qab yuav luag tag.
Lub sijhawm ntawm tus kabmob, cov yam ntxwv ntawm nws cov chav kawm feem ntau yog txiav txim ncaj qha los ntawm nws daim ntawv. cov tsos mob tseem ceeb thiabKev kho mob ntawm tracheitis kuj tseem nyob ntawm seb cov kab mob tshwm sim li cas, txawm hais tias muaj ntau cov tsos mob tshwm sim - piv txwv li, hnoos (feem ntau qhuav, txawm hais tias qee zaum muaj cov hnoos qeev tawm), mob hauv siab, qee zaum ua npaws, kev tsis zoo ntawm cov kab mob. kev noj qab nyob zoo, zoo li hawb pob thiab ua tsis taus pa.
For information
Yuav kom ua qhov kev kuaj mob zoo li no, cov tsos mob uas tau teev tseg lossis auscultation ib leeg tsis txaus. Ib qho kev kuaj ntxiv feem ntau raug sau tseg, piv txwv li, hauv siab X-ray, tracheobronchoscopy, kuaj hnoos qeev. Yog tias peb tab tom tham txog kev tsis haum tracheobronchitis, ces nws yog ib qho tsim nyog los txheeb xyuas qhov tseem ceeb thiab cov kab mob sib kis, uas cov kev ntsuam xyuas tsim nyog tau ua tiav.
Kho tus kab mob, ob qho tib si tshuaj kho mob yog siv, uas suav nrog kev siv cov tshuaj expectorants thiab mucolytic agents, nrog rau cov tshuaj tiv thaiv kab mob hauv cov ntaub ntawv tsis haum, thiab txoj kev tsis siv tshuaj. Cov tom kawg suav nrog kev kho ua pa tawm dag zog, zaws, thiab lwm yam.
Thaum xav txog tracheobronchitis, hom, tsos mob thiab txoj kev kho mob, nws yuav tsum tau coj mus rau hauv tus account comorbidities thiab teeb meem.
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Nyob ntawm seb cov kab mob twg coj mus rau txoj kev loj hlob ntawm tus kab mob, muaj xws li tracheobronchitis xws li:
- kis tau, tshwm sim los ntawm kab mob, kab mob lossis sib xyaw keeb kwm ntawm kev kis kab mob;
- ua xua, qhov mob yog tshwm sim los ntawm cov tshuaj tiv thaiv kab mobrau stimuli;
- cov ntawv sib xyaw.
Tus kab mob tuaj yeem mob hnyav lossis mob ntev. Xav txog tus mob tracheobronchitis, kev kho mob thiab cov tsos mob ntawm kev sib cuam tshuam, nws yuav tsum tau muab sau tseg tias nws feem ntau muaj cov kab mob sib kis, thiab cov kab mob hauv qhov no ua lub luag haujlwm tseem ceeb.
Qhov tshwm sim siab tshaj plaws ntawm daim ntawv no feem ntau poob rau lub caij tawm, vim qhov tseeb tias cov neeg mob SARS tau nce ntxiv. Tsis tas li ntawd, nws paub tias cov txheej txheem inflammatory feem ntau kis mus rau bronchi lossis trachea los ntawm cov kab mob ua pa sab saud, uas yog thawj tus raug mob nrog cov kab mob.
Tab sis kev tsis haum tracheobronchitis, cov cim qhia ntawm yuav tau tham hauv qab no, feem ntau yog mob ntev lossis rov tshwm sim. Thawj qhov kev xaiv txhais tau hais tias qhov khaus tshwm sim yuav luag txhua lub sijhawm hauv lub cev lossis ib puag ncig.
Cov xwm txheej tshwm sim txhais tau hais tias raug cuam tshuam rau qhov ua rau muaj qhov tshwm sim (piv txwv li, caij nplooj ntoo hlav ntawm cov nroj tsuag uas nws paj ntoos ua rau muaj kev cuam tshuam zoo sib xws).
Yog vim li cas
Yog tias muaj tracheobronchitis, cov tsos mob thiab ua rau tus kab mob no yuav tsum tau txiav txim siab kom meej. Tom qab tag nrho, nws yog tsim nyog los tshem tawm cov yam uas ua rau pathology. Piv txwv li, ib qho mob tracheobronchitis feem ntau tshwm sim los ntawm kev mob khaub thuas, kab mob adenovirus, qhua pias. Tsawg zaus, nws nrog hnoos hawb pob, mycoplasma thiab chlamydial kab mob.
Muaj daim ntawv purulent ntawm tracheobronchitis. Txawm li cas los xij, nws yog siv los ua neeg tsim, vim lub ntsiab yog vim li cas siv lub sij hawm ntev ntawm xws li ib txoj kev zoo li cua tshuab cua.lub ntsws. Tsis tas li ntawd, tus kab mob no tshwm sim ntau zaus, txog li 35-40% ntawm cov neeg uas tau txais kev cuam tshuam zoo li no.
Vim qhov tseeb tias cov txheej txheem no cuam tshuam kev khiav tawm ntawm cov zais zis los ntawm lub bronchi, qee zaum txawm tias aspiration mus rau hauv cov hlab ntsws ntawm ib feem ntawm lub plab zom mov. Qhov no ua rau muaj qhov tseeb tias cov kab mob pathogenic microbes pib ua kom nquag plias thiab muaj cov txheej txheem inflammatory.
Raws li twb tau sau tseg lawm, mob tracheobronchitis feem ntau tshwm sim hauv cov neeg haus luam yeeb, nrog rau cov neeg ua haujlwm hauv kev lag luam hnyav thiab raug yuam kom ua pa plua plav lossis pa phem. Tab sis nicotine lossis cov pa phem uas tau hais tseg tsis yog ua xua (txawm tias qee cov tshuaj muaj peev xwm ua rau muaj kev cuam tshuam zoo sib xws).
Txhob Cia Siab
Allergic tracheobronchitis yog ncaj qha los ntawm kev ua xua ua pa, thiab nws tshwm sim los ntawm kev sib cuag nrog cov neeg ua haujlwm xws li:
- tsev plua plav;
- paj paj ntoos (cov nyhuv no tsis yog tsuas yog los ntawm ragweed xwb, tab sis kuj los ntawm lwm yam cereals, nrog rau birch catkins, dandelions, lwm yam tshuaj ntsuab, shrubs thiab ntoo);
- tsiaj plaub hau;
- cua fresheners, naj hoom, tshuaj hauv tsev nyob rau hauv daim ntawv ntawm cov tshuaj tsuag uas yuav muaj allergens;
- mold.
Daim ntawv tsis haum ntawm tracheobronchitis yuav tsum txawv ntawm cov tshuaj lom neeg. Nrog rau qhov kawg, cov kab mob ua pa puas los ntawm qee yam tshuaj lom, piv txwv li, tub rog lossis kev lag luam.
Cov niam txiv feem ntau txhawj xeeb txog kev mob ntsws ntsws ntawm cov menyuam yaus, cov tsos mob thiab kev kho mob. Bronchitis, qhov tseeb, hauv cov menyuam mos vim kev tsis haum tshuaj tshwm sim ntau zaus. Thiab tsis tas li ntawd, kev loj hlob ntawm txhua hom kab mob tracheobronchitis yog yooj yim los ntawm cov yam ntxwv xws li hypothermia, nce paj hlwb thiab lub cev kev ntxhov siab, zoo rau cov menyuam kawm ntawv, tsis muaj zog tiv thaiv kab mob thiab hypovitaminosis, thaum tus me nyuam tsis muaj cov vitamins thiab minerals.
Yuav ua li cas thaum koj mob
Pathological hloov pauv hauv kev tsis haum tracheobronchitis feem ntau tshwm sim hauv nruab nrab thiab loj bronchi, thaum lub mucous daim nyias nyias ntawm me me bronchi tsis zoo. Yog li, bronchospasms, uas nyob rau hauv lub neej txhua hnub hu ua mob hawb pob, tsis tshwm sim nrog ib qho kev tsis haum tshuaj.
Tus kab mob ntawm tus kab mob muaj qee yam nta. Yog hais tias, nyob rau hauv cov ntaub ntawv kis tau tus mob, cov mucous daim nyias nyias ntawm cov ntoo tracheobronchial tig liab nyob rau hauv tag nrho cov nto, ces daim ntawv ntev, nrog rau cov kev tsis haum tshuaj, yog yus muaj los ntawm ib tug daj ntseg liab tint.
Ntxiv rau, tsis zoo li cov kab mob ntawm cov kab mob hauv paus chiv keeb, qhov no tsis muaj qhov zais cia hauv lub lumen ntawm bronchi. Feem ntau, cov lus piav qhia tsuas yog ua rau nws nyuaj rau kev kuaj mob tracheobronchitis.
Txawm tias muaj daim ntawv no, cov mucous membrane tseem edematous thiab xoob, feem ntau muaj qhov nce hauv cov hnoos qeev. Nyob rau tib lub sijhawm, cov ntaub so ntswg tau hloov pauv loj, thiab lawv tsis tas yuav atrophy (txawm tias qhov no tshwm sim ntau zaus), qee zaum cov txheej txheem hypertrophic raug pom. Tab sis tsis muaj qhov nce hauv siab.
Symptomatics
Yog tias muaj tracheobronchitis, cov cim qhia, kev kho mob thiabKev kuaj mob yuav tsum tau txiav txim siab kom meej, vim tias tus kab mob tuaj yeem ua rau muaj qhov tsis zoo.
Daim ntawv mob hnyav feem ntau yog ib qho teeb meem ntawm lwm yam kab mob sib kis, thiab nws cov tsos mob tau pom nyob rau hauv ob lossis peb lub lis piam, qee zaum nws tshwm sim tias lawv nres tom qab ib hlis xwb. Ib tus kab mob yuav mob ntev thaum nws cov tsos mob tau pom tsawg kawg peb lub hlis.
Mob tracheobronchitis yog tshwm sim los ntawm cov tsos mob xws li mob caj pas, qhov ntswg congestion, mob thaum nqos, hoarseness hauv lub suab. Thiab hnoos yuav qhuav thiab mob. Lub cev kub nce siab me ntsis.
Tom qab ob peb hnub, daim duab kho mob hloov pauv. Qhov hnoos ua kom ntub thiab tsim khoom. Tab sis ib tug neeg muaj kev xav tsis muaj zog, muaj kev tsis zoo ntawm kev noj qab haus huv. Pneumonia tuaj yeem tsim muaj teeb meem.
Qhia qhov txawv
Yuav kom kev kho mob bronchitis hauv cov neeg laus hauv tsev kom ua tiav, nws yog ib qho tsim nyog yuav tsum paub qhov txawv ntawm cov kab mob hnyav thiab mob ntev. Nyob rau hauv rooj plaub no, hom kev tsis haum ntawm tus kab mob tsuas yog mob ntev. Nws yog tus cwj pwm los ntawm kev hloov lub sijhawm ntawm kev zam txim thiab exacerbation.
Nyob rau hauv kev zam txim, cov tsos mob tej zaum yuav mob me - qhov siab tshaj plaws yuav hnoos ib ntus. Tab sis nrog rau hom kab mob siab heev, ua tsis taus pa thaum lub cev ua haujlwm lossis mob hauv siab yuav tshwm sim.
Nyob rau hauv daim ntawv tsis haum, exacerbation tshwm sim ncaj qha thaum sib cuag nrog cov allergen. Qee cov tsos mob yuav zoo ib yam li lwm hom mob ntsws bronchitis.- Tsis muaj zog, nce hws. Cov hnoos qhuav qhuav tuaj rau pem hauv ntej. Tej zaum yuav muaj cov tsos mob ntxiv uas yog yam ntxwv ntawm lwm yam kev tsis haum tshuaj:
- rhinitis nrog kua ntshiab qhov ntswg tawm;
- dej qhov muag thiab qhov muag liab;
- daim tawv nqaij pob khaus khaus khaus.
Lub cev kub nyob li qub lossis nce me ntsis. Nyob rau tib lub sijhawm, tsis muaj kev tawm tsam ntawm kev tuag taus. Kev kuaj ntshav yuav qhia txog qib eosinophils nce ntxiv nyob ntawm qhov kev siv ntawm cov tshuaj tiv thaiv.
Kev kuaj kab mob
Yog tias muaj tracheobronchitis, kev kho mob tuaj yeem pib tsuas yog tom qab kuaj tag nrho. Ua li no, koj yuav tsum coj mus rau hauv tus account tag nrho cov ntaub ntawv keeb kwm, piv txwv li, seb tus me nyuam cov niam txiv puas muaj kev fab tshuaj, seb puas muaj cov xwm txheej zoo li no hauv tus neeg mob ua ntej, thaum twg thiab nyob rau hauv cov xwm txheej twg kev sib cuag nrog cov allergens tuaj yeem tshwm sim. Tus kws kho mob kuj coj mus rau hauv tus account lub chaw kho mob thiab auscultatory daim duab.
Yog tias mob tracheobronchitis, kev siv hluav taws xob tsis tau sau tseg, tom qab ntawd hauv cov ntawv mob ntev, suav nrog kev ua xua, nws suav hais tias yog cov ntaub ntawv tseem ceeb, txij li tus qauv pulmonary deformed nrog tus mob ntev. Tsis tas li ntawd, nws lees paub tias muaj lossis tsis muaj kev hloov pauv hauv lub ntsws.
Txawm li cas los xij, txoj kev qhia paub ntau ntxiv hauv cov xwm txheej zoo li no yog tracheobronchoscopy. Nws pab txheeb xyuas qhov o ntawm cov mucous daim nyias nyias ntawm daim ntawv tsis haum, muaj lwm yam kev hloov pauv, suav nrog fibrinous.overlays.
Tab sis yog qhov tsis pub leej twg paub tau tshwm sim tib lub sijhawm, qhov no yuav pab kom tshem tawm qhov tsis haum, vim qhov no tsis tshwm sim nrog nws.
Kuv puas yuav tsum tau xeem kuaj
Ntau tus ntseeg tias kev sim kuaj tsuas yog ua rau cov kab mob kis tau zoo ntawm tracheobronchitis. Qhov tseeb nws tsis yog. Nyob rau hauv daim ntawv tsis haum, ntawm qhov tsis tooj, kev ntsuam xyuas ntxiv tau ua. Piv txwv li, kev kuaj tawv nqaij ua xua tau tiav.
Kev tshuaj xyuas microscopic ntawm cov hnoos qeev kuj tseem xav tau kom tshem tawm cov kab mob qog noj ntshav thiab cov kab mob oncological, nrog rau mob hawb pob bronchial, uas cuam tshuam ncaj qha rau kev tsis haum tshuaj. Tsuas yog cov hnoos qeev hauv qhov no tsis tsim nyog.
Kev kho mob
Yuav ua li cas kho mob tracheobronchitis? Qhov no yog ib lo lus nug ceev rau cov neeg uas raug tus kab mob zoo sib xws. Hauv qhov no, tsuas yog cov tshuaj tau sau tseg, uas, thaum tsis muaj teeb meem, tuaj yeem nqa tawm hauv tsev, nrog rau cov txheej txheem kho lub cev.
Ua ntej, koj yuav tsum noj tshuaj tiv thaiv kab mob. Yeej, peb tab tom tham txog cov tshuaj tiam thib ob thiab thib peb - Claritin, Zirtek, Gistafen, rau cov menyuam yaus - Fenistil, uas tuaj yeem muab tau pib txij li hnub nyoog ob hlis.
Thib ob, cov tshuaj bronchodilator tuaj yeem raug sau. Piv txwv li, cov tshuaj "Eufillin" yog nrov.
Thib peb, kom tsis txhob cuam tshuam los ntawm hnoos qhuav,Cov tshuaj tau sau tseg uas cuam tshuam ncaj qha rau qhov hnoos chaw ntawm lub hlwb. Nws siv los ua Codeine, tab sis nws muaj kev phiv loj heev. Niaj hnub no, kev nyab xeeb thiab siv tau zoo "Sinecode" hloov pauv.
Kev ntsuas lub cev kho mob suav nrog kev kho ua pa tawm dag zog, kho UV, kho electrophoresis, vibration massage thiab oxygen therapy.
tiv thaiv kab mob
Txhawm rau tiv thaiv kev tsis haum tracheobronchitis, koj yuav tsum tsis txhob sib cuag nrog cov allergen, taug kev qhov tsis muaj cov nroj tsuag uas nws paj ntoos ua rau muaj qhov tshwm sim.
Yuav tsum tau tshem cov ntaub pua plag, cov ntaub hnyav hnyav, cov hauv ncoo zoo nkauj thiab lwm cov khoom siv plua plav hauv tsev. Kev ntxuav ntub dej yuav tsum tau ua tsis tu ncua.
