Yog tias thaum tus neeg hnoos hnoos qeev nrog cov ntshav, qhov no yuav qhia tau tias muaj kev puas tsuaj rau lub bronchi lossis lub ntsws cov ntaub so ntswg. Feem ntau, yuav tsum tsis muaj ntshav. Thaum hemoptysis thab koj ntev, koj yuav tsum mus ntsib kws kho mob. Qhov ua rau tuaj yeem yog kab mob tuberculosis lossis muaj cov neoplasms. Cov tsos mob no feem ntau pom nyob rau hauv cov neeg laus. Yog li, cia saib seb dab tsi yog qhov ua rau cov hnoos qeev nrog cov ntshav, thiab dab tsi yuav tsum yog txoj kev kho mob.
Qhov ua rau ntawm qhov tsos mob no
Cov tsos ntawm cov ntshav thaum hnoos yog qhov deb ntawm cov tsos mob tsis zoo ntawm cov neeg mob uas muaj kab mob ntawm cov kab mob ua pa. Muaj ntau ntau yam hauv qab no ntawm hemoptysis:
- True form of hemoptysis.
- Small pulmonary form.
- Middle pulmonary hemoptysis.
- Profuse hemoptysis.
Nyob hauv cov hnoos qeevtej zaum yuav muaj cov kab mob ntshav streaks. Pulmonary los ntshav kuj tuaj yeem tshwm sim. Cov ua rau hnoos qeev nrog cov ntshav streaks yog ntau haiv neeg. Cov kws kho mob saib hemoptysis thaum muaj cov kab mob ntsws hauv qab no:
- Kev mob ntsws cancer hauv nruab nrab.
- Kev txhim kho tuberculosis.
- Tshuaj mob ntsws ntsws hauv cov neeg mob.
- Qhov tshwm sim ntawm lub ntsws infarction.
- Sputum nrog ntshav hauv bronchitis yog tshwm sim.
- Kev txhim kho ntawm qhov abscess.
- Kev muaj kab mob parasitic.
- Tshuaj mob ntsws qhib thiab kaw.
- Kev txhim kho ntawm silicosis.
- Kev txhim kho hemosiderosis.
Qee zaus hnoos qeev nrog ntshav tshwm sim hauv qee yam kab mob ntawm bronchi. Cov pawg no suav nrog bronchiectasis nrog mob bronchitis. Lwm yam yuav ua rau hnoos ntshav yog cystic fibrosis nrog rau mitral valve stenosis, systemic lupus erythematosus, leukemia, hemophilia, sarcoidosis, thiab endometriosis. Ntshav feem ntau nkag mus rau hauv cov hnoos qeev los ntawm caj pas, qee zaum los ntawm qhov ncauj. Qhov ua rau hauv qhov xwm txheej no yuav ua rau cov pos hniav los ntshav los yog raug mob ntawm tus nplaig.
Tom qab kev kho mob kho mob
Qhov no txhais tau li cas? Qee zaum hnoos ntshav tuaj yeem ua tau tom qab ua cov txheej txheem kho mob, piv txwv li, tom qab bronchoscopy, biopsy, kev phais, thiab lwm yam. Tsis yog ib txwm nrhiav pom cov ntshav streaks hauv cov hnoos qeev qhia tias muaj kab mob. Qhov ua rau tuaj yeem yog qhov tawg ntawm cov hlab ntsha me. Xws litejzaum nws hnoos muaj zog. Cov hnoos qeev los ntshav yuav tshwm sim los ntawm kev siv qee yam tshuaj, xws li tshuaj tiv thaiv coagulants.
Qhov tshwm sim ntawm tus kab mob no hauv tuberculosis
Sputum nrog ntshav feem ntau yog cov tsos mob ntawm lub active theem ntawm tuberculosis. Qhov no pathology yog ib qho ntawm feem ntau intractable kab mob ntawm lub ntsws. Hmoov tsis zoo, tus naj npawb ntawm cov neeg mob tuberculosis tau nce txhua xyoo. Ntau tshaj li plaub lab tus tib neeg tuag txhua xyoo los ntawm tus kab mob loj no. Cov kab mob ua rau cov kab mob yog cov kab mob mycobacteria, uas yog cov kab mob hauv nruab nrog cev uas tiv taus ib puag ncig, thiab, ntxiv rau, ntau cov tshuaj tua kab mob.
Kwv yees li ob lab tus tib neeg thoob ntiaj teb tau kis tus kabmob mycobacteria no. Nrog rau kev tiv thaiv zoo, tus kab mob, raws li txoj cai, tsis tshwm sim. Ib qho tseem ceeb hauv kev loj hlob ntawm tuberculosis yog kev haus luam yeeb nrog hypothermia, kev ntxhov siab, kev haus dej cawv, muaj ntshav qab zib mellitus, thiab, ntxiv rau, mob plawv pathologies nrog rau hypovitaminosis thiab muaj kab mob HIV tuaj yeem yog qhov ua rau. Tuberculosis feem ntau yog nrog cov tsos mob hauv qab no:
- xov nplawm cov ntshav.
- nce me ntsis hauv lub cev kub.
- Ntxhais lub qhov ntswg.
- Zoo hawb pob hauv ntsws.
- Cov qog nqaij hlav o.
- Ntxhis hmo ntuj tawm hws.
- Kev txhim kho ntawm qhov tsis muaj zog thiab tsis txaus ntseeg.
Thaum tuberculosis tshwm simsputum streaked nrog ntshav. Nws kuj tuaj yeem ua purulent. Feem ntau qhov no tshwm sim thaum sawv ntxov. Hemoptysis nrog qhov kev kuaj mob no tau tshwm sim nyob rau hauv cov theem tom ntej ntawm pathology. Nquag tshem tawm ntawm cov ntshav impurities tuaj yeem ua rau mob ntshav qab zib. Tuberculosis, thiab lwm yam, kuj yog ib qho kab mob sib kis. Nws muaj peev xwm kis tau txawm tias los ntawm huab cua zoo ib yam.
Dab tsi ua rau hnoos qeev thaum sawv ntxov?
Kab mob kab mob ua rau hemoptysis
Yog hais tias ib tug neeg muaj helminths nyob rau hauv lub cev, tej zaum yuav muaj xws li hnoos qeev. Muaj ntau ntau yam helminths. Lawv muaj peev xwm nyob hauv yuav luag txhua lub cev, tsis hais lub siab, gallbladder, hlwb lossis lub ntsws. Yog li, cov hnoos qeev los ntshav feem ntau hnoos rau cov neeg uas muaj kab mob hauv qab no:
- Kev txhim kho ntawm paragonimiasis.
- Kev muaj zogyloidiasis.
- Cov tsos mob ntawm echinococcosis.
- Nyob ntawm kab nuv ntses.
- Kev muaj tus kab mob trichinosis.
- Qhov tsos ntawm ascariasis.
Txoj Kev ntawm Ascaris Kab Mob
Ascarids tuaj yeem nyob hauv txoj hnyuv lumen, thiab thaum muaj xwm txheej tsis zoo tshwm sim, lawv nkag mus hauv lub ntsws, ua rau raug mob rau lub cev. Kev kis kab mob ntawm tib neeg uas muaj kab mob tshwm sim ntawm qhov ncauj, thaum siv cov khoom noj tsis zoo los yog dej tsis huv. Koj tuaj yeem kis tau los ntawm kev sib cuag ntawm daim tawv nqaij. hnoos nyob rau hauv lub xub ntiag ntawm helminthiasis yog feem ntau qhuav. Cov tsos mob ntxiv ntawm cov kab mob parasiticCov kab mob tuaj yeem ua rau poob phaus nrog rau xeev siab, mob plab, hawb pob hauv ntsws, mob taub hau thiab ntuav. Feem ntau tshwm sim uas hnoos txhawj cov neeg mob thaum sawv ntxov.
Muaj hnoos qeev nrog ntshav hauv ntsws.
mob ntsws
Ntshav thaum hnoos tuaj yeem tso tawm thaum mob ntsws. Qhov no feem ntau tshwm sim thaum tus kab mob ua rau tus kab mob yog staphylococcus aureus, legionella lossis pseudomonas. Pneumonia yog ib qho mob mob ntawm lub ntsws. Feem ntau, tus kab mob no kis tau rau hauv cov xwm txheej. Nws qhov kev nthuav dav ntawm cov pejxeem yog sib npaug rau kaum tsib kis ntawm ib puas txhiab tus neeg. Cov menyuam yaus feem ntau raug kev txom nyem los ntawm cov kab mob no. Pneumonia yog qhov txaus ntshai heev rau nws cov teeb meem. Feem ntau nws ua rau tus neeg mob tuag. Cov tsos mob ntawm cov ntshav hauv cov hnoos qeev yog qhov tshwm sim ntawm lobar pneumonia.
Cov tsos mob tseem ceeb ntawm mob ntsws
Cov tsos mob tseem ceeb ntawm daim ntawv no yog hnoos nrog rau kub taub hau, qaug zog, ua tsis taus pa thiab mob hauv siab. Thaum xub thawj, hnoos qhuav, ces nws ua tau ntau dua. Hauv qhov no, hnoos qeev yog tawm nrog ntshav. Nrog mob ntsws, nws muaj xim cib. Cov tsos mob ntawm tus kab mob no feem ntau thab tus neeg txog li ob lub lis piam. Tawm tsam keeb kwm ntawm mob ntsws, ib ntu ntawm lub ntsws lossis nws lub lobe koom nrog cov txheej txheem mob. Heev feem ntau, tag nrho o tuaj yeem txhim kho. Pneumonia ua rau muaj teeb meem nyob rau hauv daim ntawv ntawm abscess, gangrene ntawm lub ntsws, kev loj hlob ntawm ua pa tsis ua hauj lwm, endocarditis los yog myocarditis.
Sputum tsom xam yogtseem ceeb heev rau kev kuaj mob. Hauv qhov xwm txheej uas muaj cov txheej txheem sib kis, ces qee cov kab mob yuav pom nyob rau hauv cov hnoos qeev. Hauv cov xwm txheej uas xav tias muaj kab mob ntsws, kuaj mantoux tau ua.
pom cov hnoos qeev ntshav hauv qog noj ntshav
Hemoptysis yog ib qho ntawm cov cim qhia ntawm mob qog noj ntshav. Qhov no yog lub feem ntau formidable pathology. Zoo li lwm yam qog nqaij hlav, mob ntsws cancer mus dhau ntau theem. Cov txiaj ntsig ntawm kev kho mob feem ntau yog nyob ntawm kev kuaj mob raws sij hawm ntawm pathology. Predisposing yam uas ua rau kev loj hlob ntawm mob ntsws cancer yog cov hauv qab no:
- Kev haus luam yeeb. Nws tsis muaj teeb meem yog tias nws yog passive lossis nquag.
- Kev muaj lub nra hnyav.
- Kev muaj kab mob ntev ntawm cov hlab ntsws thiab bronchi.
- Zoo ntawm cov kab mob endocrine.
- Kev muaj teeb meem kev ua haujlwm, piv txwv li, tiv tauj nrog asbestos, nrog rau kev nqus plua plav.
- Kev cuam tshuam nrog cov tshuaj phem, xws li ntsev ntawm cov hlau hnyav lossis arsenic.
- Ua hauj lwm hauv cov mining los yog roj hmab cog.
Kuv yuav tsum hais tias mob ntsws cancer ntau dua ntawm cov txiv neej. Cov pa phem kuj tseem ceeb heev. Qhov no pathology yog tus yam ntxwv los ntawm muaj cov tsos mob hauv qab no:
- Zoo hnoos.
- poob phaus.
- ntxub tawm hws.
- Zoo tsis muaj zog lossis ua tsis taus pa.
Sputum nrog ntshav tsis muajQhov kub thiab txias ntawm keeb kwm ntawm mob qog noj ntshav tau pom ntau zaus. Hauv qhov no, cov ntshav sib xyaw nrog cov hnoos qeev. Qee zaum cov ntshav foamy tuaj yeem tawm. Nyob rau hauv cov ntaub ntawv uas cov ntshav yog tshiab, nws yuav muaj xim liab, thiab clotted yog tso tawm nyob rau hauv daim ntawv ntawm tsaus clots. Nyob rau tib lub sijhawm, hnoos qeev tuaj yeem kuaj pom hauv cov hnoos qeev. hnoos hauv cov neeg mob no yog mob heev, thiab, ntxiv rau, hoarse. Raws li tus kab mob no zuj zus, cov tsos mob nce. Feem ntau, hemoptysis tuaj yeem ua ke nrog ua pa luv. Tawm tsam keeb kwm yav dhau los ntawm kev mob qog noj ntshav peripheral, cov tsos mob yuav tsis tuaj.
Tom ntej no, xav txog qhov kev kuaj mob twg los txiav txim seb qhov kev kuaj mob hnoos qeev nrog ntshav.
Kev ntsuas ntsuas
Kev kho mob tsuas yog ua tom qab txiav txim siab qhov ua rau hemoptysis. Kev kuaj mob hauv qhov no suav nrog cov txheej txheem hauv qab no:
- Kev xam phaj tus neeg mob kom ntxaws.
- Kev tshawb fawb txog kev tsom xam dav dav ntawm cov ntshav thiab zis.
- Kev kuaj lub qhov ncauj thiab caj pas.
- Gastroscopy.
- ua lub ntsws x-ray.
- Kev suav tomography thiab sib nqus resonance imaging.
- Kev ua bronchoscopy.
- Kev kuaj kab mob hnoos qeev kom pom cov kab mob.
- Ua ib qho electrocardiogram.
- Mloog lub ntsws.
- Ua ntsuas kub, mem tes thiab ntsuas siab.
Cov kev tshawb fawb no ua rau nws muaj peev xwm txheeb xyuas tautus neeg mob kis. Qee zaum lawv tseem tshuaj xyuas tus neeg mob lub hws. Qhov no yog ua tiav thaum xav tias muaj cystic fibrosis. Nyob rau hauv cov xwm txheej uas, nyob rau hauv parallel nrog hemoptysis, los ntawm lub sij hawm mus rau lub sij hawm los ntshav tawm kuj pom los ntawm lub qhov ntswg, ces yuav tsum tau kuaj xyuas ntawm cov ntshav pathology.
Kev kho cov hnoos qeev ntshav yog dab tsi?
Kev kho mob tactics rau cov kab mob no
Kev kho cov hnoos qeev los ntshav ncaj qha nyob ntawm tus kab mob hauv qab. Yog hais tias cov ntshav streaks nyob rau hauv cov hnoos qeev pom nyob rau hauv mob bronchitis, ces kev kho mob yuav tsum tau, ua ntej ntawm tag nrho cov, tswj so nrog haus dej kom ntau thiab siv mucolytics. Cov neeg mob kuj tau muab tshuaj expectorants thiab cov tshuaj uas tsis yog-steroidal anti-inflammatory.
Txhawm rau kom cov hnoos qeev nyias, cov tshuaj xws li, piv txwv li, Lazolvan, nrog rau Bromhexine thiab Ambrobene, tau siv. Thaum muaj mob hauv siab, siv cov compresses sov. Physiotherapy yog dav siv. Nyob rau hauv cov ntaub ntawv ntawm bronchial obstruction, cov neeg mob yog muab tshuaj bronchodilator. Tawm tsam keeb kwm ntawm bronchitis nrog tus kab mob kis, cov tshuaj tiv thaiv kab mob tau sau rau hauv daim ntawv ntawm Remantadine thiab Interferon.
