hnoos qhuav yog ib qho laj thawj heev rau kev sab laj kev kho mob. Nws tsis yog kab mob, tab sis yog cov tsos mob, uas tsis tseem ceeb hauv nws tus kheej tab sis tuaj yeem muaj ntau yam ua rau.

Qhov hnoos yog qhov xav tau sai thiab yuam kom ua pa ntawm qhov ua pa, uas yuav tsum ua rau nws tuaj yeem "ntxuav" cov pa ua pa. Tsis zoo li qhov hu ua fatty hnoos, hnoos qhuav tsis tsim cov hnoos qeev (nws tsis tsim nyog). Feem ntau nws hnoos hnoos.

Kev hnoos tej zaum yuav raug cais tawm lossis nrog lwm cov tsos mob, xws li ua npaws, los ntswg, mob hauv siab, thiab lwm yam Ntxiv rau, nws tshwm sim tias hnoos qhuav tom qab ntawd ua rau oily, tom qab ob peb hnub, zoo li mob ntsws ua piv txwv.

Kev hnoos yeej tsis zoo li qub: nws tsis tas yuav mob hnyav, tab sis nws yuav tsum yog lub ntsiab lus ntawm kev sib tham txog kev kho mob, tshwj xeeb tshaj yog tias nws mob ntev, uas yog hais tias nws mob ntev dua peb lub lis piam. Hauv qhov no, xoo hluav taws xob ntawm lub ntsws thiab kuaj mob yog qhov tsim nyog.

Kev hnoos qhuav tuaj yeem tshwm sim los ntawm ntau yam mob.

Feem ntau, nws tshwm sim tawm tsam keeb kwm ntawm "mob khaub thuas" lossis kab mob ua pa thiab daws nws tus kheej hauv ob peb hnub. Nws feem ntau yog tus kab mob uas cuam tshuam, ua rau hnoos nrog rau nasopharyngitis, laryngitis, tracheitis, bronchitis lossis sinusitis, thiab lwm yam.

hnoos ntev (ntau tshaj 3 lub lis piam) muaj kev txhawj xeeb ntau dua. Tus kws kho mob yuav txaus siab rau nws cov laus thiab xwm txheej tshwm sim los sim nkag siab qhov laj thawj:

• hnoos feem ntau nocturnal?
• nws puas tshwm sim tom qab qoj ib ce?
• tus neeg mob puas haus luam yeeb?
• puas yog hnoos tau tshwm sim los ntawm kev kis mus rau tus ua xua (miv, paj ntoos, thiab lwm yam)?
• Puas muaj kev cuam tshuam rau tus mob (insomnia, qaug zog, thiab lwm yam)?

Feem ntau, yuav tsum xoo hluav taws xob hauv siab.

hnoos ntev tuaj yeem muaj ntau yam ua rau. Ntawm qhov nquag nquag:

• tom qab tso tawm qhov ntswg los yog tom qab tso pa tawm ntawm lub qhov ncauj: hnoos feem ntau yog thaum sawv ntxov, thiab nrog kev tsis xis nyob hauv caj pas thiab qhov ntswg. Qhov ua rau tuaj yeem ua rau mob sinusitis, tsis haum rhinitis, kab mob khaub thuas hnoos, thiab lwm yam.
• hnoos 'txuas' tom qab kis kab mob raws caij nyoog
• mob hawb pob: hnoos feem ntau yog ua los ntawm kev ua pa, ua pa yuav hawb pob
• gastroesophageal reflux disease lossis GERD (lub luag haujlwm rau 20% ntawm hnoos ntev): hnoos ntev yuav yog qhov tsos mob nkaus xwb
• irritation (nyob ntawm lub cev txawv teb chaws, raug cov pa phem los yog irritants, thiab lwm yam)
• mob ntsws cancer
• Lub plawv tsis ua haujlwm
• Mob hnoos hawb pob (yam ntxwv hnoos haum)

Ntau yam tshuaj kuj tuaj yeem ua rau hnoos, uas feem ntau qhuav, hu ua hnoos iatrogenic lossis hnoos tshuaj. Ntawm cov tshuaj feem ntau tau ua txhaum:

• ACE inhibitors
• beta-blockers
• nonsteroidal anti-inflammatory tshuaj / tshuaj aspirin
• tshuaj tiv thaiv kab mob hauv poj niam haus luam yeeb ntau dua 35

Kev hnoos tuaj yeem hloov pauv lub neej zoo, tshwj xeeb tshaj yog thaum nws yog yav tsaus ntuj, ua rau tsis tsaug zog. Ib qho ntxiv, hnoos ua rau cov pa ua pa, uas tuaj yeem ua rau hnoos hnyav dua. Lub voj voog phem no feem ntau yog lub luag haujlwm rau hnoos tas mus li, tshwj xeeb yog tom qab mob khaub thuas lossis mob ua pa raws caij nyoog.

Yog li nws tseem ceeb heev kom tsis txhob hnoos "rub tawm", txawm tias nws zoo li tsis tseem ceeb.

Ib qho ntxiv, qee qhov cim ntawm qhov hnyav tuaj yeem ua rau hnoos qhuav thiab yuav tsum qhia koj mus ntsib kws kho mob sai li sai tau:

• kev puas tsuaj ntawm cov xwm txheej dav dav
• ua pa nyuaj, xav tias nruj
• muaj ntshav nyob hauv cov hnoos qeev
• tshiab lossis hloov hnoos hauv tus neeg haus luam yeeb

Kev hnoos tsis yog kab mob, tab sis yog cov tsos mob. Txawm hais tias qee cov tshuaj tuaj yeem txo qis lossis txo qis hnoos qhuav (cov tshuaj tiv thaiv hnoos), nws yog ib qho tseem ceeb kom paub qhov laj thawj vim tias cov tshuaj no tsis yog kev kho mob.

Feem ntau, kev siv tshuaj tiv thaiv hnoos tom tsev yog li ntawd tsis pom zoo, thiab yuav tsum zam yog tias nws yog hnoos tas mus li, tshwj tsis yog qhia los ntawm kws kho mob.

Thaum hnoos qhuav yog mob heev thiab cuam tshuam rau kev pw tsaug zog, thiab / lossis tsis pom qhov ua rau (ntxhiab hnoos), tus kws kho mob yuav txiav txim siab los sau tshuaj tiv thaiv hnoos (muaj ntau hom: opiate lossis tsis, antihistamine lossis tsis, thiab lwm yam).

Hauv lwm qhov xwm txheej, kev kho mob txawv nyob ntawm qhov ua rau. Piv txwv li, mob hawb pob tuaj yeem tswj tau nrog DMARDs, nrog rau kev kho mob yuav tsum tau noj raws li qhov xav tau ntawm kev tawm tsam.

GERD kuj tau txais txiaj ntsig los ntawm ntau yam tshuaj muaj txiaj ntsig, los ntawm "yooj yim qhwv txoj hnyuv" rau cov tshuaj raws li cov tshuaj tiv thaiv kab mob (proton pump inhibitors) (PPIs).

Yog tias ua xua, qee zaum kev kho kom tsis txaus siab tuaj yeem txiav txim siab tau.