Obstructive bronchitis nyob rau hauv cov me nyuam tuaj yeem dhau los ua ib qho teeb meem ntawm kev kis kab mob yog tias tus kab mob tsis kho raws sijhawm. Tus kab mob no yog tus cwj pwm los ntawm qhov tseeb hais tias thaum lub sij hawm nws kawm cov mucous daim nyias nyias ntawm lub trachea thiab bronchial ntoo raug cuam tshuam. Nws tuaj yeem tshwm sim hauv daim ntawv mob hnyav thiab mob ntev, thiab thaum kawg tig mus ua mob hawb pob bronchial. Kab mob kis kab mob thiab kab mob bronchial provoke qhov pib ntawm tus kab mob.
Nws yog ib qho tseem ceeb rau kev kho mob bronchitis rau cov me nyuam kom meej thiab raws sij hawm kom tsis txhob muaj teeb meem.
Kev tshwm sim
Cov menyuam yaus muaj feem ntau dua li cov neeg laus uas muaj teeb meem tom qab kis kab mob ua pa. Qhov no yog vim qee yam physiological yam ntxwv ntawm cov kab mob loj hlob thiab qee yam sab nraud. Cov laj thawj hauv qab no rau qhov tshwm sim ntau zaus ntawm kev mob bronchitis hauv cov menyuam yaus tuaj yeem txheeb xyuas tau:
- congestion hauv bronchi;
- kev tiv thaiv tsis tau;
- nqaim bronchi;
- predisposition to allergies;
- teeb meem ntawm kev yug me nyuam thiab kab mob hauv plab fetal pathologies;
- vitamin deficiency hauv lub cev;
- nquag kis kab mob;
- kev nyab xeeb tsis zoo;
- niam txiv haus luam yeeb.
Vim cov laj thawj no, cov menyuam kawm ntawv preschool muaj feem yuav mob ntsws ntsws ntau dua li cov menyuam loj. Tus kab mob tuaj yeem pib nrog kev kis tus kab mob ua pa los yog nrog hypothermia ntawm tus menyuam tsis muaj zog. Nyob rau hauv ib tug me nyuam muaj hnub nyoog ib xyoos, helminths tuaj yeem ua rau qhov tshwm sim ntawm tus kab mob no. Kuj tseem muaj lwm yam ua rau obstructive bronchitis nyob rau hauv cov me nyuam, piv txwv li, tsis zoo heredity. Yog tias cov niam txiv feem ntau raug tus kab mob no, ces muaj qhov tshwm sim ntau uas tus menyuam yuav raug cuam tshuam.
Cov tsos mob dav dav
Cov tsos mob ntawm obstructive bronchitis nyob rau hauv cov me nyuam tsis yog ib txwm txaus hais, raws li muaj ntau yam khaub thuas nrog hnoos. Kev hnoos tsis zoo yuav tsum ceeb toom cov niam txiv. Ntawm cov tsos mob tseem ceeb uas tshwm sim hauv tus menyuam thaum lub sijhawm mob ntsws, cov hauv qab no yuav tsum tau qhia:
- hnoos;
- hwb;
- ua tsis taus pa.
hnoos feem ntau tshwm sim thaum nruab hnub thiab hnyav dua thaum sawv ntxov, nrog rau thaum ua haujlwm lub cev. Kev hnoos nce ntxiv hauv qhov muaj cov tshuaj allergens uas ua rau lub ntsws ua pa. Qhov hnoos hnoos tuaj yeem ua rau muaj zog heev thiab ua rau tus menyuam ua pa.
hawb pob tuaj yeem tshwm sim vim tsis txaustus nqi ntawm cov pa oxygen. Lub suab tsis txaus siab feem ntau yog hnov thaum nqus tau. Tus me nyuam pib hawb pob, ua pa sai heev thiab sib cuam tshuam. Txawm li cas los xij, nws tsis tuaj yeem hnoos hnoos qeev. Hauv qhov no, nco ntsoov hu rau tus kws kho mob.
Hais txog kev mob bronchitis hauv cov menyuam yaus, Komarovsky hais tias lawv feem ntau ua tsis taus pa, tshwj xeeb tshaj yog thaum pw tsaug zog. Hauv cov xwm txheej hnyav, hypoxia, qaug zog, tawm hws thiab tsis muaj zog tuaj yeem tshwm sim. Qhov kub me me kuj tuaj yeem ua rau obstructive bronchitis hauv cov menyuam yaus. Ntau tus kws kho mob xav tias nws tsis yog kab mob ywj pheej, tab sis cov tsos mob uas tau pom hauv cov kab mob uas muaj qhov kub thiab txias, piv txwv li, nrog SARS lossis tonsillitis.
Thaum thawj cov tsos mob tshwm sim, koj yuav tsum sab laj nrog kws kho mob kom kuaj xyuas thiab kho kom tsim nyog.
Txoj kev ntawm cov kab mob hauv cov menyuam mos
Nws yog ib qho nyuaj rau kev kuaj mob bronchitis hauv cov menyuam yaus hnub nyoog qis dua ib xyoos, vim tus menyuam tsis tuaj yeem piav qhia nws tus kheej li cas nws txhawj xeeb. Txawm li cas los xij, cov kab mob tuaj yeem pom tau los ntawm cov cim hauv qab no:
- hnoos heev ua rau ntuav;
- lub hauv siab o ntau dhau;
- hwb;
- hoarse quaj;
- kub nce.
Tag nrho cov cim no yuav tsum ceeb toom cov niam txiv ntau heev, vim nws yog ib qho tseem ceeb heev rau tus menyuam mos kom kuaj tau tus kab mob kom raws sijhawm thiab ua haujlwm kho mob.
Chronic form
Kev kho mobobstructive bronchitis nyob rau hauv cov me nyuam yuav tsum tau pib tam sim ntawd thaum thawj cov tsos mob ntawm tus kab mob tshwm sim. Kev kho mob rau cov mob hnyav thiab mob ntev yog qhov txawv me ntsis. Daim ntawv mob ntev tshwm sim los ntawm kev nkag mus ntawm tus kab mob thiab nws qhov sib ntxiv hauv cov kab mob ua pa.
Thawj qhov tshwm sim zoo ib yam li kev tawm tsam ntawm bronchial hawb pob, tab sis tsis muaj cov tsos mob ntawm kev ua xua. Cov tsos mob nyob rau hauv daim ntawv mob tshwm sim, raws li txoj cai, thaum lub cev txawv teb chaws nkag mus rau hauv lub ntsws.
Diagnostics
Kev mob ntsws tsis zoo rau cov menyuam yaus tuaj yeem ua rau muaj teeb meem xws li mob ntsws thiab mob hawb pob, uas yog vim li cas thiaj li yuav tsum tau kuaj xyuas raws sijhawm thiab ua tiav, nrog rau kev kho kom zoo. Kev kuaj mob yog ua raws li cov hauv qab no:
- kuaj ntshav thiab zis;
- x-ray;
- spirometry;
- tshawb fawb lub cev;
- bronchoscopy.
Yog tias koj muaj mob ntsws, koj qhov kev kuaj ntshav yuav pom qhov nce ESR. X-ray hauv siab tuaj yeem pab txheeb xyuas qhov kev puas tsuaj rau lub ntsws cov ntaub so ntswg, nrog rau muaj cov kab mob sib kis.
Spirometry qhia cov yam ntxwv ntawm kev ua pa, qhov hnyav ntawm kev cuam tshuam, nrog rau qhov loj ntawm qhov ua pa tsis zoo. Kev kuaj lub cev pab txiav txim seb muaj lub suab qw nrov nrov thiab ua pa nyuaj. Nrog kev pab los ntawm bronchoscopy, tus mob ntawm bronchial mucosa yog txiav txim siab. Txawm li cas los xij, tus kws kho mob feem ntau kuaj pom tus kab mob raws li kev soj ntsuam sab nraud thiabmloog lub bronchi nrog phonendoscope.
Txoj kev kho mob
Kev kho mob ntawm obstructive bronchitis nyob rau hauv cov me nyuam muaj feem xyuam rau tsim lub feem ntau haum xeeb tej yam kev mob rau tus me nyuam, uas pab txhawb kom rov qab sai thiab normalization ntawm kev noj qab nyob zoo. Yog hais tias tus me nyuam kub taub hau thiab ua npaws, ces nws yuav tsum nruj me ntsis saib xyuas lub txaj. Ntawm qhov kub thiab txias, koj tsis tuaj yeem ua raws li txoj cai no, tab sis nws yog ib qho tseem ceeb kom tsis txhob suav nrog kev tawm dag zog lub cev.
Kev kho mob ntawm obstructive bronchitis nyob rau hauv cov me nyuam muaj ntau yam kev ua ub no. Yuav kom tshem tau tus kab mob, koj yuav tsum siv:
- tshuaj;
- kev kho mob;
- nqus pa.
Ntxiv rau, kev kho lub cev, zaws thiab gymnastics tau pom, uas yuav pab tshem tawm qhov mob thiab tshem tawm cov hnoos qeev sai dua.
kev kho mob
Obstructive bronchitis rau tus me nyuam hnub nyoog 2 xyoos thiab laus dua yog kho nrog kev siv tshuaj bronchodilator. Piv txwv li, siv tshuaj xws li Ventolin, Salbutamol lossis Salbuvent. Lawv txawv ntawm qhov sib xyaw ua ke thiab ua haujlwm ntev dua. Bronchodilators tuaj nyob rau hauv daim ntawv:
- syrups;
- tshuaj;
- hmoov rau kev nqus pa;
- aerosols hauv cov kaus poom.
Kev txiav txim siab xaiv cov tshuaj yuav pab nrog kws kho mob. Nyob rau hauv lub xub ntiag ntawm bronchial obstruction uas tau tshwm simtiv thaiv keeb kwm ntawm SARS, anticholinergics yuav zoo heev. Feem ntau cov kev tshuaj xyuas zoo tsim nyog tau txais cov tshuaj "Atrovent". Qhov tshwm sim ntawm kev siv cov tshuaj no yog pom tau hais tias 20 feeb tom qab nws siv.
Yog tias tus menyuam tseem muaj atopic dermatitis, nrog rau lwm yam kev ua xua tshwm sim, ces cov tshuaj antihistamines raug sau tseg. Rau cov menyuam mos, Zirtek tee thiab analogues ntawm cov tshuaj no yog qhov zoo, thiab cov menyuam loj tuaj yeem noj Claritin. Hauv cov kab mob hnyav, cov tshuaj glucocorticoids tuaj yeem raug tshuaj.
Tshuaj tua kab mob rau obstructive bronchitis nyob rau hauv cov me nyuam tsuas yog yog hais tias tus kub taub hau nyob rau ntau tshaj 3 hnub, thiab cov txheej txheem inflammatory tsis txo. Hauv qhov no, siv cov macrolides, cephalosporins lossis penicillins.
Ntxiv rau, kev siv tshuaj hnoos yog pom zoo. Ntawm cov ntau yam ntawm cov tshuaj no, nws yog ib qho tsim nyog los qhia txog cov tshuaj ambroxol, piv txwv li, Ambrobene, Lazolvan, Flavamed. Qhov ntau npaum li cas yog txiav txim siab tus kheej thiab nyob ntawm qhov hnyav thiab hnub nyoog ntawm tus menyuam. Tom qab kev kho mob, thaum hnoos tawm tsam mob tsawg dua, cov tshuaj expectorants raug muab. Qhov kev nyiam tshaj plaws yog muab rau cov tshuaj ntsuab hauv qab no:
- Bronchosan;
- Gedelix;
- Gerbion;
- Doctor Niam;
- "Prospan";
- Tussin.
Nyob ntawm tus yam ntxwv ntawm qhov ntwskab mob, tus kws kho mob kuj yuav sau lwm yam tshuaj raws li nws txiav txim siab.
nqus pa
Yuav kom tau sai thiab zoo kho mob bronchitis mob rau cov menyuam yaus, txo qhov o thiab ua kom yooj yim rau kev tso cov hnoos qeev, kev nqus pa yog siv los ntawm nebulizer. Txhawm rau tshem tawm cov hnoos qhuav thiab mob, nrog rau cov hnoos qeev uas nyuaj rau kev sib cais, siv mucolytics, uas ntxiv rau muaj cov nyhuv tiv thaiv.
Kev nqus tau nrog cov tshuaj ntsuab muaj txiaj ntsig zoo. Tag nrho cov tshuaj rau tus neeg mob yog xaiv los ntawm cov hnub nyoog thiab kev noj qab haus huv ntawm tus menyuam.
massage and gymnastics
Nrog obstructive bronchitis nyob rau hauv ib tug me nyuam muaj hnub nyoog 2 xyoos, massage thiab ua pa ce yog heev pab tau, raws li lawv pab kom cov hnoos qeev tawm sai. Koj tsuas yog yuav tsum maj mam coj mus rhaub ntug ntawm koj lub xib teg ntawm sab nraub qaum ntawm tus menyuam. Thaum muaj hnub nyoog laus zuj zus, cov menyuam yaus raug txhawb kom nqus pa thaum maj mam nias ntawm lub hauv siab.
Kev ua pa tshwj xeeb kuj raug pom zoo, uas txhawb lub cev thiab pab tshem tawm cov hnoos qeev. Piv txwv li, tus me nyuam yuav tshuab lub zais pa lossis tshuab taws tswm ciab.
kev kho neeg zoo
Thaum kuaj pom tus mob bronchitis hauv tus menyuam, cov tshuaj pej xeem siv tau tsuas yog tom qab kev sab laj nrog tus kws kho mob, thiaj li tsis ua rau tus menyuam mob hnyav dua. Cov txheej txheem tsis yog ib txwm siv tau ntev thiab tau tswj hwm los ua pov thawj lawvkev ua tau zoo.
Ntau yam kev ua kom sov sov tuaj yeem pab tau zoo, tab sis lawv yuav tsum tsis txhob noj yog tias tus menyuam muaj qhov kub thiab txias me ntsis. Txhawm rau kom tshem tawm cov hnoos qeev zoo dua, nws raug nquahu kom haus lingonberry syrup. Koj yuav tsum tsis txhob tso jars, mustard plasters, thiab tseem ua kom nqus tau cov roj yam tseem ceeb, vim tias cov kev ua no tuaj yeem ua rau mob bronchospasm.
Thaum twg yuav tsum tau pw hauv tsev kho mob?
Yog tias tus kab mob pib mus rau theem hnyav heev, tom qab ntawd obstructive bronchitis hauv cov menyuam yaus Komarovsky pom zoo kom kho mob hauv tsev kho mob nkaus xwb. Ntawm cov lus qhia tseem ceeb rau kev mus pw hauv tsev kho mob sai sai ntawm tus menyuam, nws yog qhov yuav tsum tau hais txog:
- me nyuam yau;
- tshwm sim ntawm kev lom ntawm lub cev;
- kev ua pa tsis ua haujlwm.
Yog tias ua pa ua pa ntau zaus, qhov no yog qhov laj thawj loj rau kev soj ntsuam ntxiv hauv tsev kho mob. Nrog rau qhov tsis muaj oxygen, pom tau hais tias cyanosis ntawm daim di ncauj.
Yog tus me nyuam tab tom kho hauv tsev, tsis txhob tso tseg cov lus pom zoo ntawm tus kws kho mob uas tuaj koom, vim qhov no tuaj yeem ua rau muaj qhov tshwm sim loj heev thiab txaus ntshai.
Yuav ua li cas yog qhov teeb meem?
Cov kab mob no nyuaj heev rau kwv yees ua ntej. Raws li txoj cai, thaum ua tiav kev kho mob kom raug, cov teeb meem tsis tshwm sim, tsuas yog cov tsos mob tsis zoo tuaj yeem tshwm sim ib ntus, uas ploj mus thaum muaj hnub nyoog qee yam. Txawm li cas los xij, nrog kev nce qib ntawm cov txheej txheem inflammatory, yuav muaj qhov tseem ceebtxo qis hauv zos tiv thaiv ntawm lub cev. Qhov no ua rau muaj teeb meem, uas yuav tsum tau ua kom pom tseeb:
- pneumonia;
- emphysema;
- bronchial hawb pob;
- mob ua pa tsis ua haujlwm.
Txhua yam txheej txheem pathological uas tsim tawm tsam keeb kwm ntawm kev mob ntsws ntsws tuaj yeem ua rau muaj kev phom sij rau nws tus kheej. Qee qhov teeb meem tuaj yeem tshwm sim hauv lub neej, txo nws lub sijhawm thiab ua rau muaj kev txom nyem. Cov mob hnyav hem tias cov txheej txheem rov qab los qeeb zuj zus, uas ua rau tus menyuam muaj mob hnyav thiab ua rau muaj kev phom sij txaus ntshai.
ntsuas kev tiv thaiv
Txhawm rau tiv thaiv qhov tshwm sim ntawm obstructive bronchitis thiab tom qab ntawd tiv thaiv kev txhim kho ntawm cov teeb meem txaus ntshai, nws yog ib qho tsim nyog yuav tsum tau ua qee yam kev tiv thaiv, uas suav nrog:
- txhaj tshuaj tiv thaiv kab mob kis rau menyuam yaus;
- kho raws sijhawm ntawm cov txheej txheem inflammatory hauv qhov ua pa;
- tshem tawm kev sib cuag nrog kev ua xua;
- tiv thaiv lub cev txawv teb chaws nkag mus rau hauv lub cev ua pa;
- zam kev hloov pauv tam sim ntawm qhov kub;
- maj mam hardening ntawm lub cev.
Yog tias ib tug me nyuam tsawg kawg ib zaug poob mob nrog obstructive bronchitis, ces muaj qhov tshwm sim ntawm relapse. Yog li ntawd nws yog ib qho tseem ceeb uas yuav tsum muaj cov nyiaj txiag uas yuav pab kom ceev cov thawj cov tsos mob ntawm tus kab mob.
