Bronchitis yog ib qho mob ntawm bronchi, thaum muaj qhov nqaim ntawm lawv cov lumen, ua pa nyuaj, hnoos nrog phlegm tshwm. Cia peb piav ntxiv seb qhov mob bronchitis yog dab tsi. Cov tsos mob thiab kev kho tshuaj tua kab mob ntawm tus kab mob no yuav raug tham hauv kab lus.
Tus kab mob no, raws li txoj cai, tshwm sim vim nkag mus rau hauv lub cev. Feem ntau cov no yog cov kab mob (parainfluenza, influenza, adenovirus), kab mob (staphylococci, Haemophilus influenzae, pneumococcus, streptococci), intracellular parasitic ntsiab. Thaum lub caij txias, cov pa ua pa. Tam sim no 100 microbes paub tias ua rau tus kab mob no. Cov kab mob xws li kab mob MS, mob khaub thuas, ncaj qha mus rau bronchi thiab twb nyob rau hauv thawj hnub ntawm tus kab mob ua rau bronchitis. Raws li txoj cai, tus kab mob kis tau tus kab mob (piv txwv li, thaum mob khaub thuas) yog hloov los ntawm tus kab mob.
Txhua yam ntawm bronchitis
Nws muaj peev xwm cais tau cov hauv qab no uas ua rau muaj tus kab mob no:
- lub cev yam ntxwv -damp, cua txias;
- Ntshav kub hloov pauv;
- hluav taws xob, plua plav thiab pa taws;
- tshuaj lom neeg - tshuaj nyob hauv huab cua xws li carbon monoxide, ammonia, hydrogen sulfide, acid pa taws, luam yeeb;
- tus cwj pwm phem - cawv, haus luam yeeb;
- kab mob ua rau stagnation hauv cov ntshav ncig;
- kab mob ntawm qhov ntswg, piv txwv li, sinusitis, sinusitis, tonsillitis;
- congenital pathology thiab hereditary predisposition;
- mob plab.
Txhais qhov txawv ntawm qhov mob ntev thiab mob bronchitis.
Kev kho mob hnyav suav nrog:
• pw so.
• Haus dej kom ntau ua rau cov phlegm thinning.
• Siv cov tshuaj tua kab mob thiab tshuaj tiv thaiv kab mob.
• Tshuaj tshuaj mucolytic thiab antitussive.
Kev kho mob bronchitis rau cov neeg laus nrog tshuaj tua kab mob yog lub sijhawm nyuaj tshaj plaws, qhov kev txiav txim siab uas yuav tsum tau coj mus rau hauv tus account qhov siv tau ntawm kev siv cov tshuaj no.
Qhov laj thawj tseem ceeb ntawm tus mob bronchitis yog suav tias yog kev kis kab mob, yog li kev siv tshuaj tua kab mob tsis muaj qhov xav tau kho. Tsis tas li ntawd, kev siv cov tshuaj tsis tsim nyog tuaj yeem ua rau mob plab hnyuv dysbacteriosis, uas ua rau txo qis hauv kev tiv thaiv kab mob, ua rau cov kab mob ua rau lawv, thiab ua rau muaj kev tsis haum tshuaj.
Prophylactic tshuaj ntawm cov tshuaj tua kab mob cuam tshuam rau txoj kev khocuam tshuam tsis zoo. Thiab kev kho mob bronchitis thiab mob ntsws nrog tshuaj tua kab mob, xws li Levomycetin, Penicillin, Erythromycin, Tetracycline, tuaj yeem ua rau lub cev tsis muaj zog.
Feem ntau, cov tshuaj tua kab mob raug xaiv empirically, uas yog, tsis tau ua qhov kev kawm tsim nyog ntawm lub cev microflora rau kev raug rau cov tshuaj no.
Kev kho mob ntsws ntsws rau cov neeg laus nrog tshuaj tua kab mob ua tiav nrog cov tsos mob hauv qab no:
• Kub nce siab tshaj 38 ° C rau ntau tshaj peb hnub.
• ua pa nyuaj.
• qaug qaug cawv.
• Kev kuaj pom ntawm leukocytosis hauv cov ntshav (tshaj 12 txhiab hauv ib microliter), hloov mus rau sab laug ntawm leukoformula.
mob bronchitis: kho
Kev kho mob feem ntau ua tom tsev ntawm tus neeg mob sab nraud.
• hom - ib nrab txaj.
• Haus dej kom ntau, ob zaug ntawm qhov xav tau txhua hnub.
• Cov khoom noj mis nyuj-neeg tsis noj nqaij, txwv tsis pub noj zaub mov tsis haum thiab zaub mov ntsim.
• Antiviral therapy: 5 caps. tshuaj "Interferon" rau 6 zaug ib hnub twg. Rau tus mob khaub thuas, cov tshuaj "Remantadine" raug sau tseg, thiab rau qhov tshwm sim ntawm cov kab mob ua pa hnyav, cov tshuaj "Immunoglobulin" raug sau.
• Cov tshuaj "Azithromycin" yog siv tau tsib hnub thiab feem ntau kho mob bronchitis.
• Kev kho tshuaj tua kab mob tau sau tseg thaum muaj cov kab mob pom tseeb, kev hloov pauv hnyav pom hauv kev kuaj ntshav dav dav,nrog rau ib tug nyiam mus rau tus kab mob ntev.
• Nws raug nquahu kom ua nqus pa - dej qab ntsev, dej qab zib.
• Yog tias nws nyuaj rau expectorate hnoos qeev, nws raug nquahu kom noj cov tshuaj expectorants ("Pertussin", licorice cag syrup, "Muk altin", hauv siab sau, "Thermopsis") thiab cov tshuaj mucolytic uas siv rau cov hnoos qeev ("Bronchicum", "Erespal", "Mukopront", "Ambroxol", "Lazolvan", "Ascoril") nyob rau hauv ntau npaum li cas.
• Nrog ntau cov hnoos qeev tawm, kev vibration massage yog sau.
• Antitussives ("Sinekod", "Kofeks") yog tshuaj rau hnoos qhuav, thawj hnub uas muaj mob.
Kev siv tshuaj ntsuab expectorant npaj (marshmallow, anise, thermopsis, psyllium, elecampane) pab tswj bronchial peristalsis, thiab tseem ua rau kev txhim kho cov hnoos qeev tso zis.
Obstructive bronchitis: kho nrog tshuaj tua kab mob
Hom kab mob ntsws no tshwm sim nws tus kheej hauv daim ntawv ntawm kev nqaim ntawm lumen ntawm me me bronchi thiab mob hnyav bronchospasm. Nws cov tsos mob yog leukocytosis, kub taub hau, ua tsis taus pa, hnoos, intoxication ntawm lub cev.
Kev kho tus kab mob no suav nrog kev pw tsaug zog, haus dej sov kom ntau, siv tshuaj tua kab mob. Thaum qhov kub thiab txias, cov tshuaj tua kab mob tau muab tshuaj.
Antibacterial agents rau obstructivebronchitis yog siv yog hais tias nws yog kab mob keeb kwm. Feem ntau, cov tshuaj los ntawm pawg macrolides yog siv:
• Tshuaj "Erythromycin". Nws yog tus cwj pwm los ntawm bacteriostatic thiab bactericidal kev txiav txim. Tus kws kho mob tau sau ntau npaum li cas.
• Tshuaj "Rovamycin". Nws muaj kev ua siab ntev ntev, nrog rau nws kev kho mob bronchitis nrog tshuaj tua kab mob hauv cov neeg laus yog qhov zoo. Cov koob tshuaj yog muab los ntawm tus kws kho mob, raws li qhov hnyav ntawm tus neeg mob thiab qhov hnyav ntawm cov txheej txheem o.
• Tshuaj "Azithromycin". Qhov no yog ib qho tshuaj zoo heev, zoo zam los ntawm ntau tus neeg mob. Tus kws kho mob txiav txim siab npaum li cas ntawm cov tshuaj, raws li lub hnub nyoog ntawm tus neeg mob, qhov hnyav ntawm chav kawm ntawm tus kab mob, tus neeg yam ntxwv ntawm nws lub cev. Lub undoubted kom zoo dua ntawm lub cuab tam yog yooj yim ntawm kev siv. Cov tshuaj "Azithromycin" yog siv ib hnub ib zaug. Lub sijhawm kho yog rau hnub.
mob ntsws ntsws: kho nrog tshuaj tua kab mob
Hauv hom kab mob ntsws no, tshuaj tua kab mob tsis tshua muaj, vim nws feem ntau tshwm sim vim muaj kab mob tawm tsam cov tshuaj no tsis muaj zog. Yog li ntawd, cov tshuaj no rau mob bronchitis tsuas yog muab thaum nws txoj kev kho mob nyuaj los ntawm cov kab mob loj heev. Hauv cov xwm txheej zoo li no, cov tshuaj tua kab mob ntawm cov pab pawg penicillin feem ntau yog siv. Yog tias tus neeg mob tsis haum rau penicillins, ces cov tshuaj xws li Azithromycin lossis Macropen thiab lwm yam tuaj yeem muab tshuaj.
Tshuaj tua kab mob rau cov mob ntsws ntev
Tsis zoo li mob ntsws bronchitis, cov tshuaj tua kab mob ntev yog siv rau yuav luag txhua kis. TABSISYog hais tias muaj purulent bronchitis, kev kho tshuaj tua kab mob yog ib txoj hauv kev zoo los tua tus kab mob. Cov kws kho mob tseem ceeb uas siv los kho cov mob ntev ntawm cov kab mob no yog cov tshuaj, uas peb yuav xav txog tom ntej.
YMacrolides
Cov no yog Macropen, Clarithromycin, Erythromycin. Lawv yog cov tshuaj tua kab mob zoo, muaj qhov dav dav ntawm kev ua haujlwm thiab tshem tawm cov kab mob phem tshaj plaws. Zoo zam los ntawm cov neeg mob.
Penicillins
Cov no suav nrog cov tshuaj xws li: "Flemoxin", "Solyutab", "Panklav", "Amoxiclav", "Augmentin". Cov tshuaj tua kab mob ntawm cov pab pawg no yog lub hauv paus rau kev kho mob ntawm cov mob ntev ntawm cov kab mob raws li kev xav. Kev kho mob bronchitis nrog tshuaj tua kab mob hauv cov neeg laus feem ntau pib nrog lawv. Lawv muaj cov kev mob tshwm sim tsawg, tab sis, hmoov tsis, lawv tsis pab ntau hauv kev sib ntaus tawm tsam tus kab mob siab heev. Yog li, yog tias tus kab mob ua rau tus kab mob tsis teb rau cov tshuaj penicillins, tshuaj tua kab mob ntawm lwm pab pawg raug tshuaj.
YFluoroquinolones
Fluoroquinolones yog cov tshuaj "Ciprofloxacin", "Moxifloxacin", "Levofloxacin". Lawv, tsis zoo li tag nrho lwm cov tshuaj tua kab mob, muaj cov qauv tshuaj lom neeg tshwj xeeb thiab keeb kwm. Siv los tiv thaiv mob bronchitis. Fluoroquinolones ua haujlwm hauv bronchi thiab muaj qee qhov kev mob tshwm sim. Cov tshuaj tua kab mob ntawm pawg no tsuas yog muab tshuaj yog tias cov kab mob ntawm cov kab mob bronchitis tiv taus rau lwm pab pawg.tshuaj tua kab mob.
YCephalosporins
Cov no yog Ceftriaxone thiab Cefuroxime. Cov tshuaj tua kab mob tshiab no yuav tso cai rau kev kho mob bronchitis hauv cov neeg laus nrog tshuaj tua kab mob. Cov tshuaj txhaj yog kws kho mob sau tseg. Tsis tas li ntawd, cov tshuaj no muaj ntau yam kev phiv.
Tshuaj tua kab mob bronchitis hauv cov poj niam cev xeeb tub
Raws li txoj cai, hauv cov niam uas muaj kev cia siab, lub cev tiv thaiv kab mob feem ntau tsis muaj zog thiab tsis tuaj yeem tiv taus ntau yam kab mob thiab kab mob. Yog li ntawd, mob bronchitis yog tshwm sim nyob rau hauv cov poj niam cev xeeb tub. Tus poj niam muaj zog hnoos, hnoos qeev tawm. Qhov no txaus ntshai rau leej niam thiab tus menyuam.
Cov tshuaj tua kab mob muaj zog tsis qhia thaum cev xeeb tub (tshwj xeeb tshaj yog thawj 3 lub hlis). Cov tshuaj tua kab mob tsuas yog muab rau thaum muaj kev hem thawj tiag tiag rau kev noj qab haus huv ntawm tus menyuam hauv plab thiab niam. Raws li txoj cai, tshuaj tua kab mob ntawm pab pawg penicillin raug pom zoo rau cov poj niam cev xeeb tub, vim tias lawv tsis muaj teeb meem tsawg.
Koj tuaj yeem siv cov tshuaj tua kab mob "Bioparox", uas nkag mus rau hauv bronchi los ntawm kev nqus pa thiab ua haujlwm hauv zos, yog li kev nkag mus los ntawm cov placenta tsis suav nrog.
Kev kho tus kheej ntawm bronchitis nrog tshuaj tua kab mob hauv cov neeg laus tsis raug tso cai, tshwj xeeb tshaj yog rau cov poj niam cev xeeb tub. Tsuas yog tus kws kho mob thiaj li sau tau lawv!
Kev txhaj tshuaj rau bronchitis
Kev txhaj tshuaj rau tus kab mob bronchitis yuav tsum tsuas yog kws kho mob tau sau tseg, tom qab kuaj xyuas qhov tsim nyog.
1. Yog tias kho mob bronchitis nrog tshuaj tua kab mob, tsuas yog yuav tsum tau txhaj tshuajtus kws kho mob. Tsis tas li ntawd xwb, tsuas yog ib tus kws kho mob tshwj xeeb sau cov tshuaj noj xwb.
2. Raws li txoj cai, cov tshuaj tua kab mob tau sau ib txhij nrog decoctions ntawm cov tshuaj ntsuab thiab cov ntsiav tshuaj ("Muk altin").
3. Feem ntau, thaum kho bronchitis nyob rau hauv cov neeg laus nrog tshuaj tua kab mob, txhaj tshuaj yog txhaj intravenously nrog ib tug daws ntawm cov tshuaj "Benzylpenicillin". Qee zaum, nws yog diluted nrog tshuaj Streptomycin.
Kev kho mob ntsws ntsws nrog cov tshuaj tua kab mob hauv cov neeg laus yuav tsum tau ua ke nrog lwm cov tshuaj. Yog li ntawd, tsis txhob tso tseg cov lus pom zoo thiab muaj txiaj ntsig zoo rau kev kho mob thiab siv txhua txoj hauv kev los pab koj kom rov zoo dua. Feem ntau cov neeg uas muaj mob bronchitis tau qhia kom tsis txhob haus luam yeeb, haus cov dej sov ntau dua thiab haus tshuaj ntsuab tshuaj ntsuab.
