Yuav ua li cas yog COPD? kab mob cov tsos mob

Cov kab mob ntawm cov pa system, nyob rau hauv uas yog ib tug ua txhaum ntawm zaj ntawm huab cua rau pneumatic paths yog cov nquag mus tsis tu ncua kev vam meej thiab irreversible sib hu ua mob obstructive koj muaj teebmeem kev kab mob, los yog COPD kom luv luv. Cov tsos mob ntawm tus kab mob no yog hais nyob rau hauv cov pab pawg neeg qhov dyspnea, tshwj xeeb tshaj yog nyob rau hauv mob sij hawm khov hnoos nrog expectoration. Pathogenesis ntawm COPD cov tsos mob nyob ntawm seb raws li ntawm cov ntaub so ntswg kev puas tsuaj los ntawm lub teeb tej yam etiological yam. Bronchial hnoos qeev hypersecretion tshwm sim, nws viscosity nce thiab, raws li ib tug tshwm sim, slime ua hauj lwm evacuated los ntawm caj pas. Yog hais tias nws tshwm sim hais tias muaj yog ib tug kab mob los yog kab mob, COPD exacerbated nrog ua kub, deterioration ntawm kev mob, cov tsos mob hypoxia thiab ua pa tsis ua hauj lwm.

Nws yuav tsum tau muab sau tseg hais tias COPD yog ib tug kab mob yus muaj los ntawm ib puas-evolving flow, nrog alternating lub sij hawm ntawm exacerbation thiab txheeb ze twj ywm ntawm lub pathological txheej txheem. Feem ntau tus kab mob no yog amenable rau kev kho mob yog ib qhov nyuaj, yuav tsum tau ib qhov txais tos ntawm txij nkawm tshuaj thiab ua raws li nrog rau txoj kev txoj kev ua neej. Cov neeg mob, tshwj xeeb tshaj yog cov neeg laus, yog rau kev tsis taus, kev kawm ntawv, thiab ib ce muaj zog kam nrog firmness poob.

Mob obstructive koj muaj teebmeem kev kab mob yog koom nyob rau hauv lawv lub npe ob peb cov kab mob ntawm lub pa system: mob obstructive bronchitis, mob pulmonary kab mob plawv, mob hawb pob, mob ntsws thiab, raws li ib tug mob tus kab mob no, koj muaj teebmeem kev tawg.

Cov ua rau COPD

Thaum obstructive koj muaj teebmeem kev kab mob cai pathological kev hloov ntawm lub ntsws cov ntaub so ntswg, qhov no yuav tsis rau tag nrho cov neeg, yog ib tug kev tshuaj ntsuam genetic predisposition, tsis muaj antitrypsin. Ua yam yog feem ntau: ib tug ntev lub sij hawm ntawm kev haus luam yeeb, teeb meem ntau lawm (ua hauj lwm kev ruaj). Nyhuv dejnum rau lub ntsws thiab xis mas silicon hmoov av, paj rwb plua tshauv hais los yog nplej rau lub elevator los yog thaum lub sij hawm sau qoob loo. Tsis tas lub luag hauj lwm ua si los ntawm cov neeg pluag tej yam kev mob. Etiological yam, stimulating lub secretory hlwb ua hypersecretion ntawm bronchial kua. Hloov ciliated epithelium yuav tsis khiav tawm khov hnoos qeev nyob rau hauv txaus kom muaj nuj nqis, thiab nws stagnates muaj yog ib tug txhaws (rhuav txhua) txoj kev sib txawv ntau. Hyperextension ntawm ua pa nqaij ua rau lub tsim ntawm foci ntawm nce airiness. Txawm li cas los ntawm qhov ua rau ntawm COPD, nws cov tsos mob zoo sib xws nyob rau hauv txawv cov kab mob.

Cov tsos mob ntawm COPD cov tsos mob sib txawv mob

Obstructive ntev bronchitis yog yus muaj los ntawm ib ntub dej hnoos nrog nyuaj expectoration. Nce hnoos tshwm sim nyob rau txias, huab cua txias. Bronchial secretion yuav khov thiab yooj yim xyaum, feem ntau nrog los ntawm cov uas tsis muaj-qib kub ib ce. Nyob rau hauv loj heev zaum, tej zaum yuav tsim bronchospasm nrog ua pa tsis ua hauj lwm.

Nyob rau hauv mob hawb pob no tshwm sim pathological mob ntsws expansion haumxeeb Cheebtsam - lub alveoli, ua rau lawv kom airiness, hyperextension ntawm lub alveolar phab ntsa thiab lub cev tsis muaj lub cev nkev pauv. Tus kab mob muaj feem xyuam rau lub ntsws nqaij yog tas (focal) thiab diffuse. Teeb li zoo li cov txiv hmab. Yus muaj los ntawm ib qho kev daim ntawv ntawm lub hauv siab, nws yuav chim zoo vim ntau heev huab cua. Cov neeg mob tsis txaus siab ntawm qhov ua tsis taus pa, yuav visually nco ntsoov kev koom tes los ntawm ntxiv leeg nyob rau hauv ua tsis taus pa. Yog hais tias obstuchal siab percussion, lub thawv suab auscultated.

Txoj kev ntawm treating COPD

Lub hom phiaj tseem ceeb ntawm COPD txoj kev kho no yog los tshem tawm qhov ua rau tus kab mob thiab tau slowing ntawm tus kab mob mob. Tus neeg mob yuav tsum tau tsis txhob haus luam yeeb, yog muaj hauj lwm tsis muaj, hloov hauj lwm. Nws yog ib advisable mus tsis tu ncua koom nyob rau hauv lub cev txoj kev kho, ua pa ce. Nws yog ib qho tseem ceeb heev kom tsis txhob tus mob khaub thuas. Exacerbation kho nrog tshuaj, dilyatiruyuschimi bronchi. Cov no yog cov derivatives ntawm tiotropium (Spiriva, Atrovent) uas yog siv nyob rau hauv ib tug nqus tau pa daim ntawv. Txo o thiab cov nqaij mos edema cov tshuaj hormones (prednisolone, hydrocortisone, dexamethasone). Thaum cov kab mob kab mob chaw uasi mus rau kev siv cov tshuaj tua kab mob.

Expectoration ntawm phlegm thiab thinning tshwm sim los mucolytics.

Yog hais tias ua pa tsis ua hauj lwm yog pab tau masked nqus tau pa ntshiab oxygen.