Bronchiectasis

Yuav ua li cas yog bronchiectasis, kab mob cov tsos mob thiab lwm yam teeb meem yuav tsum tau tham nyob rau hauv no tsab xov xwm. Bronchiectasis implies lub nyob rau hauv lub ntsws ntawm bronchiectasis (pathologically hloov thiab kho kom zoo nruab nrab thiab me me bronchi). Extending, nyob rau hauv daim ntawv lawv zoo li thooj voos kheej kheej. Nyob rau hauv ib tug kho bronchial tsob ntoo yog yuav luag ib txwm muaj ib tug keeb ntawm o. Lub pathological txheej txheem yog feem ntau ib ncig nyob rau hauv nruab nrab thiab qis lobes ntawm lub ntsws.

Bronchiectasis yog qhov kawg ntawm ib tug congenital anomaly bronchial lug (bronchial tsis ua hauj lwm pob txha mos cov ntaub so ntswg fibrosis, Kartagener tus syndrome), mob loj heev mob ntsws los yog ntsws uas tau kis nyob rau hauv thaum ntxov thaum yau. Qhov ua rau ntawm tus kab mob no yuav ua tau ib tug txo nyob rau hauv lub tiv thaiv cov tshuaj tiv thaiv ntawm lub bronchial tsob ntoo thiab cov tiv thaiv kab mob (gamma globulin tsis muaj peev xwm thiab phagocytic kev ua si li al.), Raws li tau zoo raws li lwm leej lwm tus nyob rau hauv lub loj heev hauv daim ntawv ntawm tus kab mob no.

Bronchiectasis nyob rau hauv cov xwm tej zaum yuav thawj los sis theem nrab. Qhov ua rau ntawm thawj bronchial deformation yog feem ntau congenital kho raws cov ntaub so ntswg kev loj hlob uas tau nyob rau hauv thooj ntawm bronchial week. Ib tug abnormality tshwm sim hnoos qeev khiav tawm thiab, thiaj li, pub ntxiv tshaj theem nrab kab mob. Secondary deformation tshwm sim vim tej teeb bronchial kua muaj nuj nqi (functional los yog organic). Kuaj pom ntawm ib qhov mob mob ua rau cirrhosis ntawm bronchial phab ntsa.

Bronchiectasis pom heev hnoos nrog expectoration ntawm purulent hnoos qeev. Tej zaum neeg laus bronchiectasis tsis exacerbation tshwm sim hemoptysis. Koj muaj peev xwm mloog lub txhav ua tsis taus pa thaum nws hawb pob exacerbation noo xwm. Vim rau cov neeg pluag roj pauv nyob rau hauv lub ntsws phab ntsa, tus neeg mob yog nyob rau hauv qhov hypoxia. Ib tug ntawm nws tus yam ntxwv yog cov sab nraud uas paub txog ib tug kev hloov ntawm cov ntiv tes li drumsticks , thiab tus ntsia thawv phaj. Lawv zoo li cov teev iav.

Tus kab mob yuav pab soj ntsuam ntawm cov neeg mob, sau kev tsis txaus siab. Nyob rau hauv siab X-ray qauv pom cylindrical kab noj hniav, mob ntsws atelectasis thiab yuav txo tau nyob rau hauv loj. Thaum lub sij hawm exacerbation ntawm pom cov ntaub so ntswg infiltration. Niaj hnub nimno diagnostic txoj kev tso cai rau los yog txiav txim rau ntawm qhov chaw ntawm tus kab mob thiab lub pathological txheej txheem. Cov kev no muaj xws li computer tomography, tiav bronhografii nrog zoo. Nws yog siv los qhia ntxiv rau cov loj heev ntawm tus txheej txheem thiab kev txiav txim tactics ntawm kev kho mob los yog phais mob.

Bronchiectasis, kev kho mob thiab raug ntawm tus kab mob

Kev kho mob nyob rau hauv lub loj heev ntawm tus kab mob no cov txheej txheem, zaus thiab qhov ntawm exacerbations. Lub hom phiaj ntawm kev kho mob kev kho mob yog los normalize los yog los txhim kho lub kua muaj nuj nqi. Ua li no, siv bronchodilators. Lawv muab ib tug ceev dilatation nyhuv, xa hawb pob thiab mob hawb pob tawm tsam, normalizing nkev pauv. Bronchodilators yog siv nyob rau hauv daim ntawv ntawm cov aerosols rau nqus tau pa. Taw los ntawm lub expectorant tshuaj. Tus neeg mob yog ib qho tseem ceeb kom tsis txhob muaj hypothermia, hnyav loads, raug allergens thiab kab mob. Tsis muaj exacerbation nws yog obligatory rau kev ua tsis taus pa ce. Muaj yog ib tug txheej ntawm ce uas ntxiv dag zog rau lub cev, lub pa nqaij, pab txoj kev ntshav thiab activates lub metabolism. Zaws siab nrog tapping (postural kua) yeej txhawb zoo dua kua. Thaum lub sij hawm exacerbation nyuaj rau koj khiav lag luam hnoos qeev bronchial kev ntxuav tu siv ib tug bronchoscope. Exacerbations yog kho nyob rau hauv ib tug lub tsev kho mob.
Yog hais tias nws kim heev txhab ntawm ntau feem los yog sib qhia, hypoxia, phais kho mob yog muaj. Nws yog tseem nqa tawm nrog luag bronchiectasis thiab cov tub ntxhais uas muaj hnub nyoog.

Tus kab mob no, nrog rau txoj kev kho mob, raws sij hawm kev lag luam thiab kev ncaj ncees ntawm lub kab noj hniav, nyob rau hauv Feem ntau, muaj ib tug dej siab raug.