bronchitis yog dab tsi? Ntau tus neeg laus ntsib qhov teeb meem no. Qee lub sij hawm lawv xav tias qhov hnoos qeev yog qhov tshwm sim ntawm kev loj hlob ntawm tus kab mob no. Tab sis nws tsis yog li ntawd. Bronchitis muaj cov tsos mob meej thiab txoj kev kho mob. Peb yuav tham txog qhov no hauv kab lus.
bronchitis yog dab tsi?
Tus kab mob no tuaj yeem tshwm sim ntawm nws tus kheej lossis tshwm sim raws li qhov teeb meem ntawm SARS thiab lwm yam kab mob. Feem ntau hloov "ntawm ob txhais ceg" txias ua rau txoj kev loj hlob ntawm bronchitis. Thiab tseem qee qhov kab mob kis tau tuaj yeem cuam tshuam rau lub ntsws hauv lub sijhawm luv luv. Piv txwv li, banal pox feem ntau ua rau muaj teeb meem hauv daim ntawv ntawm bronchitis lossis mob ntsws.
Kev mob ntawm lub bronchi thiab cov hnoos qeev nyob rau hauv lawv ua rau kev loj hlob ntawm tus kab mob. Qee zaum tus mob no tshwm sim los ntawm cov kab mob. Qhov xwm txheej no tshwm sim hauv 80% ntawm cov neeg mob. Tab sis cov kab mob kuj dhau los ua cov neeg ua txhaum hauv kev txhim kho cov txheej txheem inflammatory hauv bronchi. Cov kab mob hauv qhov no yuav nyuaj thiab kev kho mob yuav ntev dua.
Views
Bronchitis tuaj yeem ua tau ntau yam. Nyob ntawm cov tsos mob, lawv txawv:
- Mob - tshwm sim tawm tsam keeb kwm ntawm SARS. Cov kab mob ua pa hauv lub ntsws yog nrog los ntawm cov hnoos qeev ntau lawm thiab hnoos muaj zog, nrog rau kev kho kom zoo nws ploj hauv 10-14 hnub thiab tsis muaj qhov tshwm sim.
- Ntseev - tsim los ntawm ntau cov txheej txheem inflammatory hauv lub bronchi thaum lub xyoo, ua rau muaj teeb meem thiab xav tau kev kho mob mus sij hawm ntev.
- "Cardiac" - tsis cuam tshuam nrog cov kab mob sib kis. Yuav tsum tau kho mob hauv tsev kho mob kom tsis txhob mob plawv lossis mob stroke.
- Kev tshaj lij - pom nyob rau hauv cov neeg uas nws cov haujlwm ua haujlwm cuam tshuam nrog cov khoom tsis zoo (cov miners, metallurgists, chemists hauv kev tsim khoom).
Tsuas yog tus kws kho mob, tau tsim qhov kev kuaj mob kom raug, yuav muaj peev xwm sau tau kev kho mob txaus rau ib hom kab mob.
Raws li hom kab mob ntsws raws li ICD-10, nws muaj nws qhov kev faib tawm thoob ntiaj teb, uas feem ntau siv rau hauv kev rho tawm thiab tawm mob. Cov kev xaiv no pab kom paub qhov kev kuaj mob tsuas yog los ntawm cov cai hauv ntau lub tebchaws.
Piv txwv li, mob ntsws mob ntsws yog coded J20, thiab mob ntsws ntsws ntev yog coded J41. Obstructive form - J44. Kev ua xua hnoos tshwm sim los ntawm ib qho kev khaus khaus hais txog J45 code. Tib qhov encryption muaj bronchial hawb pob.
Tus mob bronchitis tshwm sim li cas?
Tib neeg feem ntau ntseeg tias qhov tsos ntawm hnoos twb qhia txog kev loj hlob ntawm tus kab mob no. Qhov no tsis yog tseeb kiag li. hnoos tshwm sim los ntawm kev ua xua ntawm ib lossis lwm yam kabmob ntawm lub ntsws ua pa vim kev nkag mus ntawm cov kab mob.
Nyob rau hauv rooj plaub no, nrog kev kho kom raug, cov phab ntsa ntawm lub bronchi tsis ua mob. Tus neeg mob hnoos yograu 5-7 hnub thiab suav hais tias yog cov tsos mob ntawm tus mob khaub thuas. Nyob rau hauv rooj plaub thaum tus kws kho mob mloog cov rales moist thiab cov pa hauv cov hlab ntsha muaj cov hnoos qeev uas nyuaj dhau, ib tus tuaj yeem hais txog kev loj hlob ntawm tus mob bronchitis.
Tus neeg mob yuav yws yws ntawm hnoos thiab mob hauv siab. Tej zaum lawv yuav mus tas li lossis tshwm sim thaum muaj kev tshoov siab tob. Feem ntau, cov tsos mob no tshwm sim ob peb hnub tom qab pib mob bronchitis.
Qee lub sij hawm muaj kev xav thaum muaj mob, thaum txhua yam nyem hauv siab thiab ua pa nyuaj. Whistling rales tau hnov ntawm exhalation txawm nyob deb ntawm tus neeg mob. Hauv qhov no, peb tuaj yeem tham txog kev o ntawm bronchi. Tawm tsam nws keeb kwm yav dhau, obstructive bronchitis tshwm sim.
Nyob rau hauv cov ntaub ntawv no, huab cua permeability nyob rau hauv lub ua pa lub cev tsis ua kom tiav tag nrho thiab cov viscous zais cia stagnates nyob rau ntawd. Ib qho hnoos qhuav pib, thiab txawm tias mob hawb pob. Qhov xwm txheej txaus ntshai no yuav tsum tau hu rau lub tsheb thauj neeg mob tam sim.
kab mob chronic
Txhua yam kab mob yog yooj yim kho rau theem pib. Yog tias tus neeg mob ncua sijhawm mus ntsib kws kho mob thiab hnoos ntev dua ib hlis, ces peb tuaj yeem tham txog kev txhim kho tus mob bronchitis.
Nws tshwm sim tawm tsam keeb kwm yav dhau los ntawm cov txheej txheem inflammatory hauv cov pa. Cov neeg haus luam yeeb thiab cov neeg nyob ze ntawm kev lag luam muaj kev phom sij kuj raug tus kab mob no.
Tus kab mob ntsws ntev ua rau muaj teeb meem loj yog tias koj tsis siv cov kev ntsuas tsim nyog los kho nws. Piv txwv li, mob hawb pob yuav sai lossis tom qab dhau los ua ib tus neeg mob mus ntev hauv cov neeg mob no.
Symptoms
Bronchitis hauv cov neeg laus tuaj yeem nrog los ntawm kev nce hauv lub cev kub txog 38-39 ° C. hnoos qhuav pib nrog cov hnoos qeev nyuaj. Tus neeg mob xav tias tsis muaj zog thiab qaug zog ntau dhau.
Tom qab ob peb hnub, hnoos ntub tshwm, uas maj mam hloov mus ua ib qho khoom tsim tau. Kev sib cais ntau ntawm cov hnoos qeev los ntawm bronchi pib. Qhov no yog ib qho cim zoo, txhais tau hais tias tus neeg mob nyob rau hauv txoj kev ncaj mus rau qhov zoo.
Ntau zaus, qhov kub thiab txias hauv bronchitis tsis nce siab dua cov duab subfebrile lossis khaws cia rau hauv ib txwm muaj. Qhov no tsis tau txhais hais tias tus kab mob tsis xav tau kev kho mob. Ntawm qhov tsis sib xws, cov neeg mob raug kev txom nyem xws li mob ntsws ntsws "ntawm lawv ko taw" thiab tau txais ib qho teeb meem hauv daim ntawv ntawm mob ntsws. Qhov kev kuaj mob no yuav coj tus neeg mob mus rau tsev kho mob.
Tus kab mob bronchitis muaj cov tsos mob tsis pom kev. Feem ntau, cov neeg mob tsis yws txog qhov nce hauv lub cev kub. Yog tias nws nkag mus, nws tsis tseem ceeb, uas txhais tau hais tias tus neeg mob yuav tsis pom nws.
Cov tsos mob tseem ceeb yog hnoos tas li. Nws teb tsis zoo rau cov tshuaj expectorant thiab tuaj yeem nres rau lub sijhawm luv luv.
Twb tom qab 2-4 lub lis piam, cov tsos mob no tshwm sim dua. Tus neeg mob pib tawm tsam nws ntawm nws tus kheej, thiab qhov no tuaj yeem kav ntev tshaj li ib xyoos, kom txog rau thaum thawj qhov ua tsis taus pa tshwm sim. Thiab qhov no, peb tuaj yeem tham txog mob hawb pob.
Diagnosis
bronchitis yog dab tsi? Ntau tus neeg xav tias qhov no tsis yog ib qho mob hnyav, tshwj xeeb tshaj yog tias nwshla tsis tau nce qhov kub thiab txias. Kev xav yuam kev heev. Tus kab mob no tsuas yog yuav tsum tau kho raws sijhawm kom tsis txhob muaj teeb meem.
Feem ntau, txhawm rau kuaj pom tseeb, nws txaus rau tus kws kho mob mloog tus neeg mob cov lus tsis txaus siab thiab mloog nws lub hauv siab. Qee zaum x-ray yuav tsum tau.
Nyob rau hauv mob bronchitis, yuav tsum kuaj ntxiv. Ntawm no koj tsis tuaj yeem ua yam tsis muaj spirography, kuaj ntshav rau immunoglobulin E, kuaj hnoos qeev.
Thiab kuj yog ib txoj hauv kev kuaj pom tseeb hauv qhov no yog bronchoscopy. Cov txheej txheem no tsis kaj siab heev, tab sis cov ntaub ntawv. Ib qho kev sojntsuam yog ntxig los ntawm tus neeg mob lub qhov ncauj, qhov kawg ntawm lub koob yees duab. Nws ncav cuag lub bronchi, thiab tus kws kho mob pom cov mucous daim nyias nyias ntawm qhov screen, soj ntsuam nws tus mob.
Nrog kev pab los ntawm cov cuab yeej tshwj xeeb, tus kws kho mob tuaj yeem kuaj cov hnoos qeev tsim nyog lossis tshem tawm lub cev txawv teb chaws. Kev noj cov khoom khib nyiab los yog cov khoom me me ua rau mob hauv lub ntsws thiab, raws li, hnoos.
Ntau zaus, tsis pom lub cev txawv teb chaws nyob rau lub sijhawm, cov kws kho mob muab cov neeg mob kuaj tsis raug. Kev kho mob hauv qhov no tsis pab, thiab dhau los ntawm kev kuaj mob ntxiv, pom qhov ua rau hnoos ntev.
Kev kho mob
Nyob ntawm hom kab mob, kev kho kom tsim nyog raug sau tseg. Thaum thawj cov tsos mob ntawm bronchitis, nws yog ib qho tsim nyog yuav tau pib kho. Yog hais tias qhov kub thiab txias, ces nws yog tsim nyog los coj nws nrog antipyretics. Paracetamol thiab aspirin feem ntau siv rau cov hom phiaj no.
Cov neeg laus kuj tuaj yeem siv tshuaj analginntawm qhov tsim nyog noj. Nws yog ib qho tsim nyog yuav tsum nco ntsoov tias koj yuav tsum txo qis qhov kub siab tshaj 38.5 ° C. Yog tias cov ntawv nyeem ntawm tus pas ntsuas kub qis dua, ces nws yog qhov zoo dua kom tsis txhob noj tshuaj. Koj yuav tsum cia lub cev tawm tsam tus kab mob ntawm nws tus kheej, tshwj xeeb tshaj yog thaum kis kab mob.
Feem ntau, thawj hnub ntawm tus kab mob, hnoos nrog bronchitis yog qhuav. Ua ntej tshaj plaws, nws yuav tsum tau muab txhais ua ib qho khoom tsim tau. Ua li no, koj tuaj yeem siv tshuaj thiab ob peb txoj cai yooj yim rau kev teeb tsa lub neej:
- cua tshuab 2 zaug hauv ib hnub;
- av noo hauv chav yuav tsum tsawg kawg 60%;
- kub tsis siab tshaj 20 ° C;
- ntub huv txhua hmo.
Cov lus qhia yooj yim no yuav pab koj kom tsis txhob muaj teeb meem. Yog li, cov mucous membranes yuav tas li moistened, thiab cov hnoos qeev yuav tsis stagnate.
Txhawm rau ua kom hnoos tau zoo, koj yuav tsum haus dej tsawg kawg 2.5 litres ib hnub. Rau cov hom phiaj no, sov compotes, tshuaj yej thiab tsuas yog dej tseem yog zoo meej.
Nws kuj tseem pom zoo kom pib noj cov tshuaj uas ua rau cov hnoos qeev hauv lub bronchi kom nws tawm tau yooj yim dua thaum hnoos:
- "Pectolvan ivy";
- "Gederin";
- "Broncholithin";
- "Gerbion", thiab lwm yam.
Yeej, txhua yam tshuaj uas muaj cov nyhuv no muaj cov tshuaj rho tawm los ntawm cov nroj tsuag, yog li cov neeg muaj kev fab tshuaj yuav tsum siv ceev faj. Yog tias qhov hnoos qeev hauv thawj hnub tsis tso cai rau koj ua lub neej ib txwm muaj, ces koj tuaj yeem noj "Sinekod".
Puas yog ua tau nrog mob ntswssiv cov tshuaj no hauv kev kho mob? Thawj hnub lossis ob hnub, nrog hnoos paroxysmal, "Sinekod" yuav pab txo qhov mob. Tab sis nws yuav tsum nco ntsoov tias nws tsis tuaj yeem ua ke nrog lwm cov tshuaj expectorants.
"Sinekod" txo qhov hnoos reflex ntawm qib ntawm lub paj hlwb. Yog li ntawd, thaum lub sij hawm no, hnoos qeev yuav tsis raug tshem tawm. Thiab yog tias koj noj lwm yam tshuaj nyob rau tib lub sijhawm uas ua rau cov hnoos qeev ntws, nws yuav stagnate hauv bronchi thiab cov kab mob yuav tsim muaj, uas tuaj yeem ua rau mob ntsws.
Thaum hnoos tau ua tiav, koj tuaj yeem pib siv cov tshuaj expectorants. Feem ntau siv:
- "Ambroxol";
- "Lazolvan";
- "ACC";
- "Flavomed";
- "Ambrobene" thiab lwm tus
Lawv nce phlegm, thiab nws tawm sai dua thaum hnoos. Bronchitis nyob rau hauv cov neeg laus yog me ntsis mob dua li cov me nyuam. Qhov no yog vim qhov tseeb tias cov menyuam mos tsis muaj zog txaus los hnoos cov hnoos qeev ua rau tag nrho.
Yog tias lub tsev muaj lub tshuab nqus tsev compressor, tom qab ntawd nqus pa rau cov kab mob ntsws yuav pab tiv thaiv tus kab mob sai dua. Thaum hnoos qhuav, koj tuaj yeem ua cov txheej txheem nrog dej ntsev lossis dej Borjomi (nco ntsoov tso cov pa roj ua ntej).
Yog li, cov mucous daim nyias nyias yuav zoo moistened, thiab hnoos yuav maj mam tig mus ua ib tug tsim. Yog obstructivebronchitis, nws yog ib qho tsim nyog yuav tsum tau ua kom nqus tau nrog "Ventolin" lossis "Berodual".
Cov tshuaj no pab qhib lub bronchi, thiab cov hnoos qeev yuav pib tawm. Nyob rau hauv cov ntaub ntawv ntawm mob hnyav nyob rau hauv lub ua pa system, hormonal npaj nyob rau hauv daim ntawv ntawm inhalations yuav raug sau. Feem ntau siv yog Pulmicort thiab Flixodit.
Nrog cov tshuaj no koj yuav tsum tau ceev faj thiab tsis txhob siv yam tsis muaj kws kho mob sau ntawv. Xws li kev kho mob tuaj yeem kav 7-10 hnub. Thiab tam sim no nyob rau hauv lub tsev muag tshuaj koj muaj peev xwm yuav "Lazolvan" thiab "Ambrobene" nyob rau hauv ib tug daws rau inhalation. Cov tshuaj no yuav pab tshem cov phlegm thaum hnoos twb dhau los ua ib qho khoom tsim tau.
Txoj kev ua neeg
Tsis ntev los no ib tug tuaj yeem hnov cov lus ntawm tib neeg: "Kuv kho mob ntsws nrog kuv pog txoj kev". Cov txheej txheem zoo li no tau tsim nyog yog tias siv nrog kev kho mob raws li kws kho mob sau los yog thaum tus kab mob tshwm sim ncaj qha los ntawm cov kab mob kis.
Yog cov ntshav suav tag qhia tias muaj kab mob, ces cov tshuaj tua kab mob tsis tuaj yeem zam tau. Tab sis nyob rau hauv cov ntaub ntawv no, koj muaj peev xwm kuj kho bronchitis nrog lwm txoj kev. Feem ntau, lawv pab tshem phlegm sai sai.
Cov tshuaj hauv qab no pab tshem tawm hnoos qhuav zoo heev:
- Ymis - 100 ml;
- butter -1 tbsp. l.;
- zib ntab - 1 tbsp. l.;
- vodka 1 tbsp. l.
thawj peb yam khoom sib xyaw ua ke hauv lub lauj kaub me me, uas yog hluav taws kub. Cov sib tov yuav tsum tsis txhob coj mus rau ib tug boil. Thaum lub saucepan twb tau tshem tawm ntawm lub qhov cub, vodka yog ntxiv ntawm no. Tag nrhocov khoom xyaw sib tov zoo. Cov tshuaj yog noj 3 zaug ib hnub twg rau ib tablespoon. Nws yog cua sov ua ntej siv.
Zoo rau hnoos Lwm txoj kev yooj yim heev. Nws yog ib qho tsim nyog yuav tau yuav ib lub radish dawb loj thiab txiav ib lub qhov nyob rau hauv nws. Ib diav ntawm zib mu yog poured rau hauv nws. Yog tias tus neeg mob ua xua rau cov khoom no, ces qab zib tuaj yeem siv.
Zaub yuav tsum tau muab tso rau hauv txoj kev no rau 10-12 teev. Lub radish yuav tso cov kua txiv hmab txiv ntoo, thiab qhov chaw so yuav puv tag nrho. Cov kua no yuav tsum tau noj hauv ib tablespoon 3 zaug hauv ib hnub.
Kev tshuaj xyuas zoo muaj kev kho mob raws li kev siv peb cov tshuaj ntsuab, nws ua haujlwm zoo tshwj xeeb hauv kev mob ntsws ntev. Txhawm rau npaj nws, koj yuav tsum sib tov 1 tsp. Cov nroj tsuag qhuav:
- chamomile;
- sage;
- coltsfoot.
Tom qab ntawd lawv nchuav nrog 200 ml ntawm dej npau npau thiab infused rau yam tsawg 40 feeb. Koj yuav tsum noj ib decoction ntawm 100 ml 2-3 zaug ib hnub twg.
Thiab kuj muaj ntau yam rub thiab compresses yog qhov tseem ceeb thaum cov hnoos qeev twb tau zoo lawm. Koj tuaj yeem yooj yim grease lub hauv siab thiab rov qab rau sab sauv zoo nrog zib ntab thiab npog nrog cellophane rau saum. Xws li compress yuav tsum tau khaws cia tsawg kawg 2-3 teev.
Qos yaj ywm ncuav qab zib zoo heev rau hnoos. Yuav kom npaj lawv, koj yuav tsum tau boil ob peb tubers thiab ua ib tug puree yam tsis muaj kua. Ib tablespoon ntawm vodka thiab zib mu ntxiv rau nws. Cov ncuav qab zib yog tsim thiab qhwv hauv cellophane.
Lawv muab tso rau hauv siab thiab nraub qaum. Kev xav tau saum toj kawg nkausqhwv koj tus kheej hauv ib txoj phuam qhwv caj dab. Qhov no compress yog khaws cia kom txog thaum cov qos yaj ywm txias tag. Tom qab cov txheej txheem, daim tawv nqaij yog lubricated zoo nrog ib tug rog cream.
Rau leej twg nws yog contraindicated siv cov zaub mov uas siv cov khoom xyaw uas muaj cawv, koj tuaj yeem sim lwm yam tshuaj. Nws yog ib qho tsim nyog kom sov 50 ml ntawm mis nyuj thiab ntxiv 1 tbsp. l. "Borjomi". Txoj kev no yuav pab txo qhov hnoos qhuav.
Kev tshuaj xyuas
Ntau tus neeg tau ntsib ntau yam kab mob ntsws hauv lawv lub neej. Cov neeg mob tau sim ntau txoj kev kho mob ntawm lawv tus kheej, thiab tuaj txog qhov kawg uas cov tshuaj thiab pej xeem txoj kev pab tau zoo tshaj plaws.
Piv txwv li, koj tuaj yeem pom ntau cov lus pom zoo txog kev kho mob ntsws ntsws. Kev tshuaj xyuas yog sab laug los ntawm cov neeg uas tau yuav cov tshuaj nebulizers thiab txaus siab rau cov txiaj ntsig ntawm kev kho mob. Lawv nco ntsoov tias nrog kev pab los ntawm kev nqus pa nrog saline, hnoos qhuav hloov mus ua ib qho khoom tsim hauv 1-2 hnub.
Tsis tas li, cov cuab yeej no dhau los ua ib yam khoom tseem ceeb rau kev mob ntsws ntsws. Inhalations nrog "Ventolin" tshem tawm o ntawm cov mucous daim nyias nyias twb 15 feeb tom qab cov txheej txheem. Tom qab ntawd ob peb hnub ntxiv ntawm kev siv cov kev kho mob no tshem tawm cov mob obstructive tag nrho.
Los ntawm cov tshuaj, cov neeg mob uas muaj mob ntsws emit "Lazolvan" thiab "Flavomed". Los ntawm cov lus pom ntawm ntau qhov chaw thiab cov rooj sab laj, ib tus tuaj yeem nkag siab tias cov tshuaj no tshem tawm cov hnoos qeev zoo thiab pab tshem tawm hnoos.
Los ntawm pej xeem txoj kev, ntau yamcompresses thiab rubbing. Decoctions ntawm tshuaj ntsuab kho tau zoo heev nrog hnoos. Tshwj xeeb tshaj yog siv nyob rau hauv kev kho mob ntawm coltsfoot.
Ntau cov lus pom tau hais txog kev noj tshuaj tua kab mob. Feem ntau, rau cov kab mob bronchitis, kws kho mob sau tshuaj cephalosporin:
- "Cefix";
- "Sorcef";
- "Cedex";
- "Ceftriaxone";
- "Ceftoxime"
Thiab broad-spectrum macrolide tshuaj tua kab mob kuj tau siv:
- "Fromilid";
- "Summamed";
- "Azithromycin", thiab lwm yam.
Cov neeg mob nco ntsoov tias yuav tsum haus qee yam probiotics thaum noj lawv. Nws tuaj yeem yog "Linex", "Bio-gaya", "Yogurt", thiab lwm yam. Thiab koj yuav tsum haus kefir ib hnub. Nws pab kho lub plab hnyuv microflora, uas raug rhuav tshem los ntawm cov tshuaj tua kab mob nrog rau cov kab mob kab mob.
Hauv cov lus koj tuaj yeem nyeem tau tias cov neeg uas muaj mob ntsws "ntawm lawv ko taw" feem ntau ntsib teeb meem. Yog li ntawd, nws yog qhov zoo dua los muab kev thaj yeeb nyab xeeb rau tus neeg mob thaum muaj mob thiab tsis muaj teeb meem mus ua haujlwm, txawm tias mob ntsws ntsws tshwm sim tsis ua npaws.
Nyob rau hauv tsab xov xwm no, cov lus teb rau lo lus nug ntawm dab tsi yog bronchitis thiab yuav ua li cas kho nws. Yog li ntawd, siv cov lus qhia, koj tuaj yeem tiv tau tus kab mob no sai sai.
