Broncho-obstructive syndrome nyob rau hauv cov me nyuam

Nrog ua pa nyuaj nyuaj siab los ntawm cov laus thiab cov me nyuam. Thiab yog hais tias lub xov tooj ntawm ib tug neeg laus kab mob txuam nrog bronchial rhuav txhua, tsuas yog ib ob peb, nyob rau hauv Pediatrics xws tej yam kev mob npaum li cas uas tsim ib co teeb meem nyob rau hauv qhov mob ntawm no syndrome.

Broncho-obstructive syndrome - ib tug complex ntawm cov tsos mob txuam nrog bronchial rhuav txhua, uas yog tshwm sim los ntawm narrowing ntawm lub bronchi los yog nrhiav lawv nyob rau hauv ib tug neeg txawv lub cev. Nyob rau hauv thaum ntxov thaum yau lub xeev no yog cov feem ntau txaus ntshai.

Bronchial rhuav txhua, ua rau

Nyob hauv ib lub hnub nyoog (mus txog 3 xyoos) feem ntau yog ib tug mob cai tiv thaiv ua pa kab mob. Nws plays ib tug tseem ceeb luag hauj lwm, thiab kev tsis haum predisposition.

Tab sis muaj kuj yog xws li kab mob nrog bronchial rhuav txhua raws li congenital mob thiab bronchial malformations, immunodeficiency lub xeev, raws li zoo raws li kab mob plawv, cua nab, aspiration ntawm ib tug txawv teb chaws yam khoom, ua qog thiab hlav.

Hauv plawv ntawm txoj kev loj hlob ntawm lub syndrome yog ib tus mob o ntawm lub bronchial mucosa, lawv narrowing thiab compression, raws li zoo raws li txhaws.

Tus kab mob - lub feem ntau ua pa kab mob, thaum lub sij hawm uas tsis tau tsuas yog kub lug bronchial mucosa, tab sis yog tsis haum los ntawm cov co toxins rau lub mucosa.

predisposing yam

Nta ib tug me nyuam lub cev, uas ua rau kom txoj kev loj hlob ntawm bronchial rhuav txhua:

• mos pob txha mos ntawm lub bronchi;

• kuj nqaim bronchi;

• khov dua hnoos qeev nyob rau hauv lub bronchi;

• nquag quaj;

• Nws yog nyob rau hauv ib tug kab rov tav txoj hauj lwm nyob rau hauv kev twb kev txuas nrog ib tug ntev txaj.

Nws tau raug pom tias cov me nyuam uas nws niam thiab txiv raug kev txom nyem los ntawm tsis haum, haus luam yeeb thiab thaum ntxov pauv mus rau dag noj me nyuam mos, feem ntau ntsib nrog bronchial dab tsi thaiv.

Bronchial rhuav txhua, chaw kuaj mob thiab diagnostics

Kuaj ua thaum muaj xws li cov tsos mob li hnoos, hawb pob, txog siav li koj tso pa tawm, inflated siab, lub thawv suab rau percussion, nyuaj ua tsis taus pa thiab qhuav hawb pob thaum lub sij hawm auscultation. Ib tug tag nrho ntau yam ntawm cov tsos mob yeej tsis tshwm sim, tab sis hnoos thiab hawb pob yog txaus rau mob.

Tus kws kho mob yuav tsum nqa tawm ib differential mob ntawm lub syndrome ntawm kab-kev tsis haum xwm thiab aspiration. Yog hais tias tus nres pib tiv thaiv lub keeb kwm ntawm tag nrho noj qab haus huv tom qab niam tsis saib xyuas thiab yog nrog los ntawm txhawm chim, peb yuav xav hais tias cov me nyuam yog coj mus rau hauv lub qhov ncauj ib tug kwv ntes tau nyob rau hauv lub ua pa ib ntsuj av tau tom qab nqus tau pa.

Bronchoobstructive syndrome, kev kho mob

Nyob rau hauv cov kev kho mob ntawm bronchial rhuav txhua yog ib qho tseem ceeb raws sij hawm kev pab raws li tus me nyuam lub cev tsis muaj peev xwm sib ntaus rau ib tug ntev lub sij hawm nrog ib tug tsis muaj oxygen.

Qhov zoo tshaj yog kev siv ntawm nqus tau cov pa formulations rau bronchiectasis ( 'Salbutamol', 'Berotek "). Qhov no yog vim lub fact tias lawv tam sim ntawd tau mus rau hauv lub ntsws huam, los tsim muaj ib tug siab concentration thiab pib ua sai sai. Nyob rau hauv tas li ntawd, lawv tsis txhob sau cov hlab ntsha thiab muaj tsis muaj sab nyhuv.

Ib txhia pab pawg ntawm cov tshuaj siv nyob rau hauv cov me nyuam kom tshem tawm chua, pom tau hais tias tsis zoo. Cov no muaj xws tshuaj "Tsis muaj-spa" thiab "papaverine". Lawv relaxing cov nqaij ntshiv ntawm lub bronchi, ua rau nws "qaug zog", uas yuav thab mob ntsws tsis ua hauj lwm. Tsis tas li ntawd tsis muaj pov thawj yuav tsum tau zoo nyob rau hauv bronchial antiallergic agents.

Cov kws kho mob xav kom ua raws li nram no manipulation, yog hais tias muaj yog bronchial rhuav txhua nyob rau hauv cov me nyuam:

• kev siv cov tshuaj txau;

• heev siv cov mucolytics (tshuaj uas ua rau kom tus nqi ntawm cov hnoos qeev);

• daim ntawv thov ntawm compresses, herbal inhalation, salves, mustard plasters;

• unjustified siv tshuaj tua kab mob.