Bronchitis yog ib qho tseem ceeb heev thiab, tib lub sijhawm, muaj kab mob ntau. Ntau tus neeg tsis nco qab txog kev sab laj nrog tus kws kho mob rau tus kab mob no, cia siab rau lawv tus kheej thiab xyaum tu tus kheej. Txawm li cas los xij, ib tus yuav tsum paub tias bronchitis yuav ua rau muaj teeb meem loj yog tias tsis kho lossis tsis kho, los yog mus rau ib daim ntawv ntev. Yog li, feem ntau, cov neeg mob nrhiav kev pab kho mob thaum lub ntsws muaj kev koom tes rau txoj kev mob nkeeg, thiab yuav tsum kho ntau yam.
Obstructive bronchitis yog ib hom kev mob ntsws (bronchitis) uas ua rau txoj hlab ntim rau hauv qhov mucous membrane ntawm lub bronchi yog nrog ib qho qeeb ntawm lawv cov lumen (thaiv) thiab ua txhaum ntawm cov huab cua. Qhov no yog vim muaj cov hnoos qeev ua los yog cov pob txha. Qhov kab mob ua rau tus kab mob no feem ntau yog kis tus kab mob, tab sis nws kuj tuaj yeem tshwm sim los ntawm cov kab mob pathogenic thiab cov teebmeem ntawm kev sib txawv ntawm ntau yam.
Cov tsos mob tseem ceeb ntawm obstructive bronchitis:
- ua tsis taus pa hauv thiab tawm;
- hawb pob thaum ua pa;
- ib qho kev hnoos hnoos heev - qhuav los yog nrog tawm ntawm yellowish phlegm;
- ntxiv zog kub cev;
- ua tsis taus pa luv luv.
Nrog rau kev mob sai sai ntawm tus txheej txheem, muaj tej yam tshwm sim ntawm kev ua pa tsis ua haujlwm:
- cyanosis lossis pallor ntawm daim tawv nqaij;
- ib qho kev nce hauv siab nyob hauv kev loj me me;
- tachycardia;
- xeev siab;
- tsis nco qab.
Tus mob no yuav tsum tau ceev nrooj.
Kev kuaj ntawm obstructive bronchitis
Yuav kom xaiv txoj kev kho kom haum, yuav tsum muaj ntau yam kev tshawb nrhiav txog kev tshawb nrhiav, xws li:
- kev kuaj lub cev (kev kuaj mob ntawm qhov mucomos membranes ntawm oropharynx, percussion, auscultation, thiab lwm yam);
- Xoo hluav taws xob ntawm lub ntsws - kom tshem tawm cov kab mob ntsws;
- spirometry - ntsuas ntawm ntim cov cim ntawm sab nraud respiration;
- pikfloumetriya - ib txoj kev rau kev soj ntsuam cov degree ntawm lub zais ntawm lub bronchi los ntawm kev ntsuas tus nqi khiav qis;
- pneumotachography - kev kawm txog kev ua pa kws kho, raws li sau cov kev ceev ntawm lub zog thiab qhov cua ntawm nqus tau pa thiab pa tawm;
- bronchoscopy - kev kuaj mob ntsws ntsws cov hnoos qeev nrog hnoos qeev rau kev ntsuam xyuas;
- ntshav thiab cov zis, thiab lwm yam.
Kev kho mob ntawm obstructive bronchitis
Kev kho mob ntawm cov nyhav obstructive bronchitis yog ua nyob hauv tsev. Lub ntsiab lus tseem ceeb hauv kev kho mob:
- ua kom tiav so;
- Nyob hauv tsev nrog nyob nrog huab cua txias txias nrog cov av noo (tsis pub tsawg tshaj 50%);
- nquag thiab tshaj haus.
Tshuaj kho mob, ua ntej ntawm tag nrho cov, yog tswj ntawm restoring bronchial patency, tsam lawv lumen thiab kev txhim kho cov ntshav ntawm lawv. Raws li ib txoj cai, lub ntsiab tshuaj nyob rau hauv kev kho mob ntawm tus kab mob yog:
- spasmolytic thiab bronchodilating neeg ua hauj lwm (rau sab hauv kev tswj xyuas los yog hauv daim ntawv ntawm inhalations);
- mucolytics;
- anti-inflammatory thiab antipyretic cov neeg ua haujlwm;
- corticosteroid preparations nyob rau hauv daim ntawv ntawm inhalation (raws li indications).
Cov tshuaj tua kab mob kuj yuav raug sau tseg, thiab rau cov kab mob ntawm ob sab phlu tiv thaiv kab mob los yog thaum muaj kab mob uas muaj kab mob tshwm sim, nrog tshuaj tua kab mob. Yog tias obstructive bronchitis yog tshwm sim los ntawm cov kab mob uas tsis ua rau, cov tshuaj antiallergic kuj yuav raug sau tseg. Cov tshuaj tiv thaiv no tsuas yog siv rau cov hnoos qeev ua rau ob sab hnoos xwb (thaum hmo ntuj).
Cov kws kho tus mob yuav tsum tau ua kom yooj yim rau cov hnoos qeev thiab cov cua nkag ntawm lub ntsws:
- UHF-kev kho;
- electrophoresis;
- aeroionotherapy;
- kev co ntawm zuaj nplaum;
- pa gymnastics, thiab lwm yam.
Feem ntau, obstructive bronchitis teb zoo rau kev kho mob.
Cov kev ntsuas los tiv thaiv obstructive bronchitis:
- thim txoj kev coj tsis zoo;
- ntsuas kom tiv thaiv ARI;
- tshem tawm kev sib cuag nrog kev phiv;
- kev kho mob ntawm cov kab mob ntev;
- nce kev tiv thaiv .