COPD cov tsos mob thiab kev kho mob

COPD, los yog mob obstructive koj muaj teebmeem kev kab mob - ib tug kab mob tsiag ntawv los ntawm ntxaug ntawm huab cua zaj tej hlab cua txhob nws kom vam meej thiab kev muaj lub irreversible. Yog li muaj yog kev puas tsuaj ntsws cov ntaub so ntswg los ntawm raug pathological yam txawv secretion ntawm bronchial kua, hnoos qeev pib tam khoom. Txuam kab mob yuav ua rau COPD exacerbation, uas yog exacerbated thaum lub xeev ntawm kev zoo nkev pauv nyob rau hauv lub ntsws, npaj ua pa tsis ua hauj lwm.

Thaum lub sij hawm ntev obstructive koj muaj teebmeem kev kab mob, ib tug hnyav, nrog lub sij hawm ntawm exacerbation. COPD, cov kev kho mob ntawm tus kab mob no - ib tug ua hauj lwm, uas yuav tsum tau lub sij hawm. Tus kab mob yuav ua rau kev xiam oob qhab, kom tsis txhob noj qab haus huv thiab kev qoj ib ce. Lub ntsiab kev soj ntsuam mob dyspnea rau me me tom los yog thaum so, hnoos.

COPD - yog ib tug kaus lub sij hawm uas muaj xws li cov nram qab no cov kab mob: obstructive bronchitis, mob hawb pob, mob pulmonary kab mob plawv, koj muaj teebmeem kev tawg.

COPD etiology

By ntev kev haus luam yeeb ua rau tus kab mob, ua hauj lwm kev ruaj (ua hauj lwm nyob rau hauv ntau lawm txuam nrog rau silicon thiab cadmium hmoov av, MAAs, ua hauj lwm rau lub elevator, grain ntxawm thiab paj rwb), cov neeg pluag tej yam kev mob, kev tshuaj ntsuam genetic predisposition, antitrypsin tsis muaj peev xwm. Raws li, COPD, nws kev kho mob nyob rau qhov ua rau ntawm tus kab mob no.
Nyob rau hauv tus ntawm etiological yam tshwm sim voos ntawm cov secretory hlwb thiab muaj zog zus tau tej cov hnoos qeev. Yog hom twg ciliated epithelium yog ntxhov khiav tawm hnoos qeev, caj pas rhuav txhua tshwm sim nyob rau txawv muaj ntau seem. Bronchial spasm, hnoos qeev txhaws compounded los ntawm lub accession ntawm o. Cov tsis muaj zog ntawm lub pa nqaij ua rau muaj zog ntsws airiness (pulmonary gipreinflyatsii).

Soj ntsuam ces ntawm tus kab mob

Nyob rau hauv ntev bronchitis, ib tug hnoos uas hnoos qeev. Hnoos exacerbated los ntawm khaub thuas, mob kab mob. Purulent hnoos qeev los yog mucosa, muaj tshwm sim ntawm intoxication, tsawg-qib kub ib ce. Rau ntsws yog yus muaj los ntawm caj pas rhuav txhua, nyob rau hauv loj heev zaum, mus rau lub kev loj hlob ntawm bronchospasm.

Nyob rau hauv mob hawb pob no tshwm sim pathological mob ntsws expansion, muaj yog lawv nce lightness txawv alveolar phab ntsa. Mob hawb pob yuav muaj (focal) thiab diffuse. Nyob rau hauv cov neeg mob no, lub hauv siab yog deformed, kis ib tug chim lawm, lawv muaj kev txhawj xeeb txog qhov tsis taus ua tsis taus pa. Cov ua tsis taus pa nqaij yog muab kev koom tes ntau dua, percussion-box suab.

COPD kev kho mob

COPD kev kho mob thiab nws cov hom phiaj, yog txo mus rau lub qhia kom paub txog qhov ua rau ntawm tus kab mob. Thaum koj haus luam yeeb, nws yog ntshaw kom muab li no phem tus cwj pwm. Tib yam siv rau hauj lwm ruaj, nws yog advisable kom tsis txhob mus rau ib tug tsawg kawg nkaus qhov kev sib cuag nrog cov hmoov av. Nws yog ib qho tseem ceeb los tiv thaiv lub exacerbation ntawm tus kab mob, ua kom ib ce muaj zog kam rau ua, nqa tawm ib tug competent kho thaum lub sij hawm exacerbation thiab prophylactic kev kho mob rau txoj kev zam txim, txo tau lub neej.
COPD kev kho mob, tus kab mob exacerbation stoped tshuaj expanding bronchi (bronchodilators). Cov no muaj xws derivatives ntawm tiotropium (Spiriva, Atrovent), nqus nqus tau pa. Applied txais tos los yog Txoj kev lis ntshav ntawm glucocorticoids (prednisolone, dexamethasone) muaj cov lus hais anti-inflammatory kev txiav txim. Thaum tsiv mus rau lub nyem ntawm mob inhalable daim ntawv ntawm hormonal npaj.

Nws yog ib qho tseem ceeb uas nyob rau ntawm ib tug aggravation ntawm ib tug kab mob tshwm sim los ntawm ib tug kab mob tus kab mob, tsa tshuaj tua kab mob.

Thaum ua hauj lwm expectoration tsim nyog lub sij hawm mucolytic thiab expectorant tshuaj.

Nws pab txoj kev zoo ntawm lub neej rau cov pa txoj kev kho (nqus tau pa oxygen los ntawm ib tug daim npog qhov ncauj).

COPD kho mob pej xeem kev txwv txog kev siv tshuaj ntsuab uas ua rau kom zoo dua paug thiab thinning ntawm hnoos qeev, ntxiv dag zog rau lub cev. Cov tshuaj no muaj xws li licorice, thyme, niam thiab stepmother, thiab lwm tus neeg.