txheem
Asthmatic bronchitis yog ib yam kab mob ua xua uas cuam tshuam rau cov kab mob ua pa nrog rau qhov chaw nyob hauv nruab nrab thiab loj bronchi. Tus kab mob no muaj tus kab mob-kev ua xua, uas tshwm sim los ntawm kev tso tawm ntawm hnoos qeev, o ntawm phab ntsa bronchial thiab lawv cov spasm.
Nws tsis raug rau kev koom nrog kev mob ntsws asthmatic bronchitis nrog bronchial hawb pob. Qhov sib txawv tseem ceeb ntawm bronchitis yog tias tus neeg mob yuav tsis raug kev txom nyem los ntawm kev mob hawb pob, xws li mob hawb pob. Txawm li cas los xij, qhov txaus ntshai ntawm tus mob no yuav tsum tsis txhob poob qis, vim tias cov kws kho mob pulmonologists xav txog kev mob ntsws asthmatic bronchitis yog ib yam kab mob uas ua rau mob hawb pob.
Raws li kev txheeb cais, cov menyuam yaus ntawm preschool thiab cov hnub nyoog kawm ntawv ntxov muaj kev pheej hmoo rau mob ntsws asthmatic. Qhov no yog qhov tseeb tshwj xeeb rau cov neeg mob uas muaj keeb kwm ntawm kev tsis haum tshuaj. Nws tuaj yeem yog rhinitis, diathesis, neurodermatitis ntawm qhov tsis haum.
Ua rau Asthmatic Bronchitis
Cov ua rau mob hawb pob bronchitis muaj ntau haiv neeg, tus kab mob tuaj yeem ua rau ob qho tib si kis kab mob thiab cov kab mob tsis kis kab mob. Kev kis tus kab mob, cov kab mob thiab cov kab mob tuaj yeem suav tias yog cov kab mob sib kis, thiab ntau yam ua xua uas ib tus neeg muaj rhiab heev tuaj yeem suav tias yog yam tsis muaj kab mob.
Muaj ob pawg loj ntawm kev ua rau mob ntsws asthmatic:
Kab mob etiology ntawm tus kab mob:
Feem ntau, staphylococcus aureus dhau los ua qhov ua rau ntawm kev loj hlob ntawm bronchial pathology hauv qhov no. Cov lus xaus zoo sib xws tau ua los ntawm qhov ntau zaus ntawm nws qhov inoculation los ntawm qhov tso tawm cais los ntawm trachea thiab bronchi.
Nws muaj peev xwm tsim tau tus kab mob tiv thaiv keeb kwm yav dhau los ntawm tus kab mob ua pa, ua rau mob khaub thuas, qhua pias, hnoos hawb pob, mob ntsws, tom qab tracheitis, bronchitis lossis laryngitis.
Lwm qhov laj thawj rau kev txhim kho mob ntsws asthmatic yog qhov muaj cov kab mob xws li GERD.
Tsis muaj kab mob etiology ntawm tus kab mob:
Raws li allergens uas irritate phab ntsa ntawm lub bronchi, lub tsev plua plav, txoj kev pollen, thiab nqus tau pa ntawm cov tsiaj plaub hau yog ntau dua.
Nws muaj peev xwm tsim tau tus kab mob no thaum noj cov zaub mov uas muaj cov tshuaj tua kab mob lossis lwm cov tshuaj tsis haum uas yuav ua rau muaj kev phom sij.
Hauv menyuam yaus, bronchitis ntawm qhov mob hawb pob tuaj yeem tsim tawm tsam keeb kwm ntawm kev txhaj tshuaj yog tias tus menyuam muaj qhov tsis haum rau nws.
Muaj qhov ua tau tshwm sim ntawm tus kab mob vim yog siv tshuaj.
Qhov tseem ceeb ntawm heredity yuav tsum tsis txhob raug cais tawm, vim nws feem ntau taug qab hauv anamnesis ntawm cov neeg mob no.
Polyvalent rhiab heev yog lwm qhov kev pheej hmoo rau kev loj hlob ntawm tus kab mob, thaum ib tug neeg muaj kev rhiab heev rau ntau yam allergens.
Raws li kws kho mob soj ntsuam cov neeg mob uas muaj mob hawb pob bronchitis, exacerbations ntawm tus kab mob tshwm sim ob qho tib si thaum lub sij hawm flowering lub caij ntawm ntau cov nroj tsuag, uas yog, nyob rau hauv caij nplooj ntoos hlav thiab lub caij ntuj sov, thiab nyob rau hauv lub caij ntuj no. Qhov ntau zaus ntawm exacerbations ntawm tus kab mob ncaj qha nyob ntawm qhov ua rau muaj kev txhim kho ntawm pathology, uas yog, ntawm qhov ua tsis haum tshuaj tiv thaiv.
Cov tsos mob ntawm Asthmatic Bronchitis
Tus kab mob no yog nquag relapses, nrog rau lub sij hawm ntawm calm thiab exacerbation.
Cov tsos mob ntawm asthmatic bronchitis yog:
Paroxysmal hnoos. Lawv zoo li nce ntxiv tom qab kev tawm dag zog lub cev, thaum luag lossis quaj.
Feem ntau, ua ntej tus neeg mob pib mob hnoos qeev, nws muaj qhov ntswg qhov ntswg, uas tuaj yeem nrog rhinitis, mob caj pas, mob me me.
Thaum lub sij hawm exacerbation ntawm tus kab mob, qhov nce hauv lub cev kub mus rau qib subfebrile yog ua tau. Txawm hais tias feem ntau nws tseem zoo li qub.
Ib hnub tom qab pib ntawm lub sijhawm mob hnyav, hnoos qhuav hloov mus rau ib qho ntub dej.
Ua tsis taus pa nyuaj, ua tsis taus pa ntev, hawb pob - tag nrho cov tsos mob no nrog rau qhov mob hnoos heev. Thaum kawg ntawm qhov kev tawm tsam, cov hnoos qeev yog sib cais, tom qab uas tus neeg mob tus mob stabilizes.
Cov tsos mob ntawm asthmatic bronchitis rov qab tawv ncauj.
Yog hais tias tus kab mob yog provoked los ntawm kev tsis haum tshuaj, ces qhov hnoos tawm tom qab qhov kev txiav txim ntawm allergen nres.
Lub sijhawm mob ntsws asthmatic tuaj yeem kav ntev li ob peb teev mus rau ob peb lub lis piam.
Tus kab mob no tuaj yeem nrog kev qaug zog, kev chim siab thiab ua haujlwm ntawm cov qog hws.
Feem ntau cov kab mob tshwm sim tawm tsam keeb kwm ntawm lwm yam pathologies, xws li: tsis haum neurodermatitis, hay fever, diathesis.
Feem ntau tus neeg mob muaj kev mob ntsws asthmatic ntau dua, qhov kev pheej hmoo ntawm kev mob hawb pob bronchial yav tom ntej.
Kev kuaj mob asthmatic bronchitis
Kev txheeb xyuas thiab kev kho mob ntsws asthmatic yog nyob rau hauv kev muaj peev xwm ntawm tus kws kho mob-immunologist thiab pulmonologist, vim tias tus kab mob no yog ib qho ntawm cov tsos mob qhia tias muaj kev tsis haum rau lub cev.
Thaum mloog, tus kws kho mob kuaj mob ua pa nyuaj, nrog rau cov xuav qhuav lossis ntub dej, ob qho tib si loj thiab ua npuas ncauj. Percussion tshaj lub ntsws txiav txim lub thawv suab ntawm lub suab.
Txhawm rau kom paub meej ntxiv txog kev kuaj mob, yuav tsum tau x-ray ntawm lub ntsws.
Kev kuaj ntshav yog tus cwj pwm los ntawm kev nce ntawm eosinophils, immunoglobulins E thiab A, histamine. Nyob rau tib lub sij hawm, complement titers raug txo.
Tsis tas li ntawd, cov hnoos qeev los yog ntxhua khaub ncaws raug coj mus rau kab lis kev cai ntawm cov kab mob, uas ua rau nws muaj peev xwm txheeb xyuas tus kab mob kis tau. Txhawm rau txiav txim siab qhov ua xua, kev kuaj tawv nqaij scarification thiab nws tshem tawm yog ua.
Kev kho mob ntsws asthmatic
Kev kho mob hawb pob bronchitis yuav tsum muaj ib txoj hauv kev rau txhua tus neeg mob.
Kev kho mob yuav tsum yog complex thiab ntev:
Lub hauv paus ntawm kev kho mob asthmatic bronchitis ntawm ib qho kev ua xua yog hyposensitization los ntawm kev txheeb xyuas qhov ua xua. Qhov no tso cai rau koj los txo lossis tshem tawm tag nrho cov tsos mob ntawm tus kab mob vim yog kev kho hauv kev ua haujlwm ntawm lub cev tiv thaiv kab mob. Nyob rau hauv tus txheej txheem ntawm kev kho mob, ib tug neeg yog txhaj tshuaj allergen nrog ib tug maj mam nce nyob rau hauv cov tshuaj. Yog li, lub cev tiv thaiv kab mob yoog rau nws qhov muaj nyob hauv lub cev tsis tu ncua, thiab nws tsis ua rau muaj kev kub ntxhov rau nws. Cov koob tshuaj raug kho kom haum rau qhov siab tshaj plaws, thiab tom qab ntawd, tsawg kawg 2 xyoos, kev kho mob txuas ntxiv nrog kev qhia txog kev ua xua. Tshwj xeeb hyposensitization yog ib txoj hauv kev zoo ntawm kev kho mob los tiv thaiv kev txhim kho ntawm bronchial hawb pob los ntawm kev mob ntsws asthmatic.
Nws muaj peev xwm ua tsis tau tshwj xeeb desensitization. Rau qhov no, cov neeg mob tau txhaj tshuaj histoglobulin. Txoj kev no yog ua raws li qhov rhiab heev rau cov allergen xws li, thiab tsis yog rau nws hom tshwj xeeb.
Tus kab mob yuav tsum tau siv cov tshuaj antihistamines.
Yog tias kuaj pom tus kab mob bronchial, ces cov tshuaj tua kab mob tau qhia, nyob ntawm qhov rhiab heev ntawm cov kab mob mycobacterium.
Kev txais tos ntawm expectorants yog qhia.
Thaum tsis muaj qhov cuam tshuam ntawm txoj kev kho mob nyuaj, tus neeg mob tau sau npe luv luv ntawm glucocorticoids.
Cov kev pabcuam khomob yog kev siv cov tshuaj nebulizer nrog sodium chloride thiab alkaline inhalations, physiotherapy (UVR, tshuaj electrophoresis, percussion massage), nws yog ib qho ua tau los ua kev tawm dag zog, kho kev ua luam dej.
Qhov kev kwv yees rau kev txheeb xyuas thiab kho kom txaus asthmatic bronchitis feem ntau yog qhov zoo. Txawm li cas los xij, txog li 30% ntawm cov neeg mob muaj kev pheej hmoo ntawm kev hloov tus kab mob mus rau bronchial hawb pob.
Tiv thaiv kev mob ntsws asthmatic
Cov kev tiv thaiv muaj xws li:
Kev tshem tawm cov allergen nrog qhov siab tshaj plaws ntawm kev hloov ntawm ib puag ncig thiab kev noj zaub mov rau tus neeg mob (tshem tawm ntawm chav tsev los ntawm cov ntaub pua plag, hloov pauv ntawm cov ntaub pua tsev txhua lub limtiam, tshem tawm cov nroj tsuag thiab tsiaj txhu, tsis lees txais cov zaub mov tsis haum);
Txoj kev ntawm hyposensitization (tshwj xeeb thiab nonspecific);
Kev tshem tawm ntawm foci ntawm tus kab mob ntev;
hardening;
Aeroprocedures, ua luam dej;
Dispensary soj ntsuam ntawm allergist thiab pulmonologist nyob rau hauv cov ntaub ntawv ntawm asthmatic bronchitis.