Bronchitis yog ib yam kab mob ua pa ntau tshaj plaws. Nws kuj yog insidious nyob rau hauv hais tias, nyob rau hauv tsis muaj kev kho mob kom zoo, nws yuav tig mus rau hauv ib tug ntev daim ntawv. Raws li niaj hnub kev txheeb cais, nws tshwm sim hauv cov neeg ntawm txhua lub hnub nyoog, tab sis nws yog qhov hnyav tshaj plaws hauv cov menyuam yaus. Yog li ntawd, cov niam txiv yuav tsum paub tias qhov hnoos nrog bronchitis yog yam ntxwv. Qhov no yuav tso cai rau koj ua haujlwm raws sijhawm thiab tiv thaiv qhov teeb meem. Feem ntau, bronchitis yog tshwm sim los ntawm kev kis kab mob.
Dab tsi yog pathology
Cia peb pib nrog dab tsi bronchi. Nws yog qhov tseem ceeb tshaj plaws ntawm kev ua pa. Los ntawm lub bronchial system, oxygen xa mus rau lub ntsws. Lawv saum npoo yog npog nrog cov hnoos qeev thiab rhiab cilia uas coj rov qab cov hnoos qeev uas nyob rau hauv ntau yam laj thawj.
Y Bronchitis yog ib qho mob ntawm cov mucous membrane. Yuav muaj ntau qhov laj thawj rau qhov no, peb yuav rov qab mus rau qhov no hauv qab no. Tus kab mob tuaj yeem ua tau yooj yim lossis cuam tshuam hauv qib kev loj hlob. Bronchitis tuaj yeem mob hnyav lossis mob ntev. Raws li qhov hnoos qeev nrog mob ntsws, tus kws kho mob tuaj yeem hais qhia qhov teeb meem.
- Obstructive bronchitis yog ib hom kab mob uas muaj zog tshaj plaws ntawm cov hlab ntsws lumen tshwm sim. Qhov ua rau tej zaum yuav yog mucus buildup los yog spasm.
- Yog qhov mob mus rau hauv lub ntsws, peb tab tom tham txog tracheobronchitis.
- Yog tias lub ntsws koom nrog cov txheej txheem pathological, peb tab tom tham txog bronchopneumonia.
Kev kuaj mob yuav tsum muaj kev paub thiab kev paub. Tej zaum nws yog ib qho nyuaj rau tus neeg mob zoo tib yam los piav qhia seb qhov hnoos zoo li cas. Hauv bronchitis, feem ntau yog mob thiab ntev - qhov no yog tib yam uas tuaj yeem piav qhia.
Cov tsos mob tseem ceeb thiab cov cim
Ntau zaus, cov neeg mob tsis mus ntsib kws kho mob txog thaum lawv hnov qhov kev puas tsuaj loj hauv lawv tus mob. Kev hnoos thiab hnoos qeev hauv peb lub neej tsis suav tias yog cov tsos mob hnyav, yog li lawv tsis quav ntsej. Tsis tas li ntawd, nws yog ib qho nyuaj rau kev txiav txim siab seb qhov hnoos li cas hauv bronchitis yog tus yam ntxwv, vim nws nyob ntawm daim ntawv ntawm tus kab mob.
- Nws tuaj yeem qhuav lossis ntub. Nws yuav tsum tau muab sau tseg tias qhuav yog yam ntxwv tsuas yog rau atypical los yog kab mob bronchitis. Nws yog mob ntau dua, hysterical thiab tsis nrog hnoos qeev. Paub txog qhov hnoos uas muaj kab mob ntsws hauv cov neeg laus feem ntau yog nrog kev tawm tsam spasmodic uas ua rau mob taub hau, kws kho mob sau tshuaj,ua haujlwm ntawm qhov chaw hnoos hauv lub hlwb thiab thaiv cov reflex. Qhov no tsis yog qhov tseem ceeb, tab sis tsuas yog kev pab kho mob xwb.
- hnoos ntub nrog cov hnoos qeev ntsuab yog cov tsos mob ntawm cov kab mob bronchitis. Yuav tsum muaj tshuaj tua kab mob los txhim kho tus mob.
Primary diagnostics
Ntawm no peb faib cov kab mob mus rau qhov mob hnyav thiab mob ntev. Hauv txhua qhov xwm txheej no, daim duab kho mob yuav txawv heev. Cia peb pib nrog hom hnoos li cas hauv cov mob bronchitis. Feem ntau cov no yog cov muaj zog tawm tsam, tom qab ntawd nws ua rau mob taub hau. Ib tug neeg tsis hnov mob tom qab kev tawm tsam. Ntawm qhov tsis sib xws, nws hnov mob hauv nws lub hauv siab thiab caj pas. Tsis tas li ntawd, cov cim qhia ntawm theem mob hnyav suav nrog:
- nce hauv lub cev kub txog 39 degrees.
- Kev qaug zog thiab qaug zog.
- Nyob zoo ib tsoom phooj ywg.
- Sweating.
- Nyob zoo ib tsoom phooj ywg.
- ua tsis taus pa thiab mob hauv lub sternum. Qhov no yog ib yam rau mob bronchitis.
Daim ntawv mob hnyav feem ntau yog luv luv. Txawm tias nrog kev kho mob ntawm pej xeem cov tshuaj, qhov hnoos yuav tsum tsis pub ntev tshaj 14 hnub. Nws feem ntau yog nrog los ntawm rhinitis ntawm qhov sib txawv.
Hom thiab hom kab mob hnyav
Txoj kev ntawm tus kab mob:
- Bronchitis tuaj yeem kis tau yog tias nws tshwm sim los ntawm kab mob lossis kab mob. Kev nqus pa tsis raug tuaj yeem yog qhov ua rau muaj kev loj hlob ntawm tus kab mob. Ob qho kev xaiv no yog tus cwj pwm los ntawm hnoos ntub nrog cov hnoos qeev ntau.
- Pib lossis theem nrab. Qhov ntawd yog, txawm tias nws loj hlob raws li tus kab mob ywj pheej lossis yog ib qho teeb meem ntawm tus kab mob thawj zaug.
- Los ntawm qhov chaw, bronchiolitis, tracheobronchitis thiab bronchitis cuam tshuam rau nruab nrab bronchi yog qhov txawv. Tus kws kho mob mloog hawb pob nrog lub stethoscope kom kuaj tau qhov tseeb.
- Los ntawm qhov mob, bronchitis tuaj yeem ua rau purulent lossis catarrhal. Hauv thawj kis, hnoos yog nrog kua paug, thiab hauv qhov thib ob - hnoos qeev.
- Qhov taw qhia tseem ceeb yog qhov ua txhaum ntawm lub ntsws ua pa. Paub txog qhov hnoos nrog obstructive bronchitis yog qhov zoo rau cov neeg mob feem ntau, koj tuaj yeem sau tshuaj kho kom raug thiab txo qhov mob. Hauv daim ntawv obstructive, bronchioles thiab me me bronchi raug cuam tshuam, uas yog, ntxiv rau txhua yam, ua pa nyuaj. Yog pom daim di ncauj xiav, ces nws yog ib qho tsim nyog hu rau lub tsheb thauj neeg mob.
Chronic form
Yog tias koj tsis mus ntsib kws kho mob raws sijhawm thiab tsis pib kho kom raug, ces qhov tshwm sim tau tshwm sim. Cov tsos mob maj mam ploj mus thiab tus neeg ntseeg tias nws kho tau tag nrho. Tab sis ob peb lub lis piam dhau mus, thiab thaum koj taug kev hauv txoj kev ntawm hnub txias, koj xav tias koj tau mob dua. Yuav ua li cas hnoos nyob rau hauv bronchitis ntev yuav hu ua raug? Nws feem ntau rov tshwm sim tom qab ib qho kev tawm dag zog lub cev thiab nrog cov hnoos qeev. Nyob rau tib lub sijhawm, syrups lossis tshuaj hnoos tsis tuaj yeem ua rau mob. Nrog tus kab mob zoo li no nyuaj rau tus neeg tham ntev, los qhuab qhia.
Yog li, nrog daim ntawv no nws yog yam ntxwv:
- Cuagnrog phlegm.
- Hasting pa thaum lub sij hawm ua si.
- Kub kub.
Tab sis ntawm no nws yuav tsum nco ntsoov tias txhua tus neeg muaj tag nrho cov tsos mob yog tus kheej. Tsis tas li ntawd, nyob rau hauv lub chav kawm ntawm kev loj hlob ntawm tus kab mob, lawv muaj peev xwm nce los yog, conversely, ploj mus. Yog li ntawd, nws tsis yog ib qho yooj yim los qhia qhov hnoos nrog bronchitis zoo li.
Tab sis hemoptysis hauv tus kab mob no tsis yog ib yam. Tab sis qee zaum, kev hnoos hnyav tuaj yeem ua rau muaj kev puas tsuaj ntawm cov hlab ntsha hauv cov mucosa. Ntshav hauv cov hnoos qeev yog ib txwm txaus ntshai, yog li tham txog qhov no nrog koj tus kws kho mob. Nws muaj cov txiaj ntsig ntawm tes thiab paub yuav ua li cas kom tus neeg mob siab.
Chronic Bronchitis Variants
Lub sijhawm ntawm no yog qhov nyuaj los txiav txim siab. Ib tug neeg tuaj yeem kis tau tus mob khaub thuas thaum menyuam yaus lossis hluas, thiab ntau xyoo tom qab ntawd ntsib qhov tshwm sim ntawm kev kho mob tsis raug lossis tsis raws sijhawm ntawm bronchitis. Qhov hnoos zoo li cas tus neeg mob yuav tsum muaj kuj yog nyob ntawm daim ntawv thiab cov xwm txheej uas tus kab mob tawv ncauj rov qab los:
- Koj kuj yuav tsum paub qhov txawv ntawm thawj thiab theem ob bronchitis.
- Raws li qhov tso tawm thaum hnoos, lawv muab faib ua catarrhal, purulent thiab sib xyaw.
- Bronchitis nrog thiab tsis muaj kev cuam tshuam.
- Ntau yam hauv zos.
Nyob rau hauv daim ntawv mob, peb tuaj yeem soj ntsuam cov kab mob tsis ua npaws. Cov tsos mob ntawm tus mob bronchitis yam tsis ua npaws tuaj yeem ua rau mob taub hau hnyav, apathy thiab ua tsis taus pa. Yog hais tias, thaum hnoos, tus neeg mob hnov qhov mob uas kis mus rau sab, ces tus kab mob bronchitis tuaj yeem xav tias yog.kev cuam tshuam ntawm lumen ntawm bronchus. Kev kho mob hauv qhov no, ib yam li lwm tus, yuav tsum tau ua los ntawm kws kho mob.
Kev mob ntawm cov menyuam yaus
Raws li kev txheeb cais, cov teeb meem loj tshaj plaws tshwm sim thaum muaj hnub nyoog txog li 5 xyoos. Daim ntawv mob hnyav, raws li txoj cai, tsim tawm tsam keeb kwm ntawm kev puas tsuaj rau lub cev los ntawm tus kab mob khaub thuas, adenoviruses thiab lwm yam kab mob uas ua rau cov kab mob ua pa. Mob ntsws obstructive bronchitis tuaj yeem tshwm sim los ntawm kev sib ntxiv ntawm mycoplasmas thiab chlamydia, uas tuaj yeem pom hauv bronchial swabs.
Yuav ua li cas hnoos nrog bronchitis hauv cov menyuam yaus tuaj yeem suav tias yog qhov zoo? Moist, nruab nrab, nrog zoo mucus tawm. Tab sis feem ntau, nyob rau theem pib ntawm tus kab mob, hnoos qeev yog tuab thiab khov, uas yog ib qho khoom noj nruab nrab rau kev loj hlob ntawm cov kab mob pathogenic. Tsuas yog thaum lub sijhawm mob hnyav dhau lawm nws pib txav mus deb heev.
Ua pa tsis ua haujlwm
Qhov no yog ib qho teeb meem loj tshaj plaws, uas feem ntau yog tus yam ntxwv ntawm menyuam yaus, nyob rau thaj tsam li 2 txog 6 xyoo. Nyob ntawm seb hom hnoos li cas nrog mob ntsws ntsws hauv cov menyuam yaus, cov kws kho mob tuaj yeem xav tias qhov xwm txheej zoo li no thiab sau ntawv kho mob raws sijhawm. Obstructive bronchitis tshwm sim vim spasm ntawm lub bronchi thiab tsub zuj zuj ntawm viscous hnoos qeev nyob rau hauv qhov chaw ntawm lawv nqaim, ua rau ib tug hysterical hnoos.
Yog tus me nyuam muaj qaug dab peg, ces koj yuav tsum hu rau kws kho mob tam sim ntawd. Tib lub sijhawm, ua tib zoo mloog seb nws ua pa li cas. Tus kab mob no yog insidious heev, thiab feem ntau tus me nyuam ua tsis taus pa ib txwm, exhalation yog ib qho nyuaj heev. Hauv qhov no, nws yuav tsum tau uatsev kho mob.
Nws yuav tsum nco ntsoov tias cov tsos mob ntawm obstructive bronchitis nyob rau hauv cov me nyuam loj hlob sai sai. Cov no suav nrog:
- Kev qaug zog thiab qaug zog.
- Ntxhis hawb pob ntawm exhalation.
- Qhov kub nce mus txog 38 degrees.
Thaum pib tus kab mob no, hnoos yuav qhuav heev. Nws ua rau tus menyuam hnoos thiab nws ua tib zoo ua kom zoo li sai tau. Kev kho kom zoo muaj nyob rau hauv thinning thiab tshem tawm cov hnoos qeev, tawm tsam keeb kwm ntawm kev kho tshuaj tua kab mob. Kev kho mob ntawm cov menyuam mos tuaj yeem nyuaj tshwj xeeb. Yuav ua li cas hnoos nrog bronchitis yuav tsis tshwm sim, nws tseem yuav tso cov crumbs. Ntxiv rau qhov no ib txoj hauj lwm kab rov tav, kom cov hnoos qeev tsis tawm. Hauv qhov no, koj yuav tsum tau mus pw hauv tsev kho mob thiab kev txhawb nqa ntawm tus kws kho mob muaj peev xwm. Kev noj tshuaj rau tus kheej yog fraught nrog cov teeb meem loj.
Diagnosis
Tsis txhob noj tshuaj rau tus kheej, txawm tias tus menyuam hnoos zoo li cas. Nrog bronchitis, tus kws kho mob tsim nyog yuav tsum mloog nws. hnoos qhuav lossis ntub, ua tsis taus pa, ua tsis taus pa thiab kub taub hau yog txhua yam uas yuav tsum tau hu rau tus kws kho mob hauv tsev. Rau kev kuaj mob tus kws kho mob:
- Ua tib zoo mloog tus menyuam ua pa kom paub cov yam ntxwv hloov pauv.
- Yog xav tau, xa rau x-rays.
- Sau daim ntawv xa mus rau kev kuaj ntshav thiab zis. Hloov cov mis leukocyte yuav qhia rau kev kuaj mob thiab kho.
ntsuas ntsuas
Qhiakev siv tshuaj tua kab mob tseem qhib. Ntawm no, txhua rooj plaub yuav tsum tau txiav txim siab nyias. Lawv yuav tsum siv:
- Yog cov txheej txheem inflammatory provoked los ntawm ib tug kab mob.
- Yog muaj kab mob sib kis tau koom nrog.
Kev xaiv cov tshuaj yog classic: penicillins, cephalosporins, macrolides. Piv txwv li, Sumamed, Amoxicillin, Cefazolin, Cefadroxil, Erythromycin, Azithromycin. Nyob ntawm lub xeev kev noj qab haus huv thiab hnub nyoog, xaiv ib lossis lwm txoj kev kho mob.
Yog tus kws kho mob xav tias tus kab mob kis tau tus kab mob, ces kev siv cov tshuaj tsim nyog qhia nws tus kheej. Tab sis tsis muaj pov thawj tshuaj tiv thaiv kab mob nrog cov pov thawj muaj txiaj ntsig, qhov no yog qhov tseeb. Tab sis muaj cov kws kho mob uas muaj kev ntseeg siab rau lawv qhov kev cuam tshuam zoo rau kev kho mob. Txog niaj hnub no, cov no yog cov tshuaj interferon thiab oseltamivir.
Nyob zoo ib tsoom niam txiv kwv tij neej tsas sawv daws
Lwm pab pawg loj, yam tsis muaj kev kho mob ua tau. Bronchitis ib txwm pib nrog ib tug qhuav, nruj hnoos. Yog li ntawd, cov tshuaj uas muaj cov teebmeem hauv qab no yog siv:
Txhim kho expectoration.
thawj pab pawg suav nrog cov tshuaj uas yuav txhawb nqa qhov hnoos hauv nruab nrab ntawm lub hlwb. Cov no yog cov nyom thermopsis, ntau cov roj tseem ceeb, ammonium chloride thiab lwm yam. Siab heevNws yog ib qho tseem ceeb uas yuav tau ua raws li cov lus pom zoo, txwv tsis pub lub cev yuav hnov mob ntuav thiab qhov ntswg congestion.
Cov tshuaj thib ob yog mucolytics. Ntawd yog, cov tshuaj uas dilute cov hnoos qeev tsis ua rau muaj qhov nce hauv nws qhov ntim. Cov no yog "Bromhexine", "Ambroxol", "Tus kws kho mob niam", "Alteika" thiab ib tug xov tooj ntawm lwm yam tshuaj uas muaj cov nyhuv zoo sib xws.
kev pab ntxiv
Physiotherapy ua haujlwm zoo heev rau bronchitis. Txhawm rau ua qhov no, koj yuav tsum mus ntsib tsev kho mob, tab sis cov nyhuv tsim nyog. Muaj ntau cov txheej txheem pom zoo, tab sis kev nqus pa, zaws thiab ua pa tawm ua haujlwm tau ua pov thawj zoo. Inhalation yog nqa tawm nrog kev daws ntawm ntsev thiab dej qab zib, cov roj yam tseem ceeb, "Ambrobene". Kub kub yog contraindication.
Ua pa gymnastics thiab zaws feem ntau yog muab thaum tus kab mob tau txo qis thiab tsuas yog tau tso cai los ntawm tus kws kho mob tuaj koom. Qhov no muaj tseeb tshwj xeeb thaum kho tus menyuam.
Zoo kawg
Kev kuaj mob thiab kev kho mob bronchitis muaj ntau yam nta. Txhua daim ntawv tuaj yeem sib txawv, thiab nws tsis yog ib txwm yooj yim los piav qhia seb koj muaj hnoos li cas. Yog li ntawd, nws tsis yooj yim sua kom kho tus kheej. Tus kws kho mob tshwj xeeb yuav mloog lub ntsws, xa mus yog tias tsim nyog rau x-ray, thiab tom qab ntawd sau cov kev kho mob uas tsim nyog tshaj plaws hauv koj rooj plaub. Sai sai koj pib ua raws li cov lus pom zoo, sai dua koj yuav hnov zoo dua, thiab kev pheej hmoo ntawm tus kab mob mus ntev yuav tsawg.
