Zamkatimu
Asthmatic bronchitis ndi matupi awo sagwirizana matenda amene amakhudza kupuma ziwalo ndi ambiri kumasulira m`kati ndi lalikulu bronchi. Matendawa ali ndi matenda-matupi chikhalidwe, yodziwika ndi kuchuluka katulutsidwe wa ntchofu, kutupa kwa bronchial makoma ndi kuphipha.
Sikoyenera kugwirizanitsa asthmatic bronchitis ndi mphumu ya bronchial. Kusiyana kwakukulu pakati pa bronchitis ndikuti wodwalayo sangavutike ndi mphumu, monga ndi mphumu. Komabe, kuopsa kwa matendawa sikuyenera kuchepetsedwa, monga akatswiri otsogolera a pulmonologists amaona kuti asthmatic bronchitis ndi matenda omwe amayamba kupuma.
Malinga ndi ziwerengero, ana azaka zapakati pasukulu ndi achichepere amatha kutenga matenda a asthmatic bronchitis. Izi ndizowona makamaka kwa odwala omwe ali ndi mbiri ya matupi awo sagwirizana. Kungakhale rhinitis, diathesis, neurodermatitis wa matupi awo sagwirizana chikhalidwe.
Zomwe Zimayambitsa Asthmatic Bronchitis
Zomwe zimayambitsa matenda a asthmatic bronchitis ndizosiyana, matendawa amatha kuyambitsa matenda opatsirana komanso osagwirizana ndi matenda. Kutenga ma virus, mabakiteriya ndi bowa kumatha kuonedwa ngati zinthu zopatsirana, ndipo zotumphukira zosiyanasiyana zomwe munthu wina ali nazo zitha kuonedwa ngati zinthu zopanda matenda.
Pali magulu awiri akuluakulu omwe amayambitsa asthmatic bronchitis:
Infectious etiology ya matendawa:
Nthawi zambiri, staphylococcus aureus amakhala chifukwa cha chitukuko cha matenda a bronchial mu nkhani iyi. Mfundo zofanana zinapangidwa pamaziko a pafupipafupi katemera wake ku katulutsidwe wosiyana ndi trachea ndi bronchi.
N`zotheka kukhala matenda motsutsana maziko a kupuma tizilombo matenda, chifukwa cha chimfine, chikuku, chifuwa, chibayo, pambuyo tracheitis, chifuwa kapena laryngitis.
Chifukwa china choyambitsa matenda a asthmatic bronchitis ndi kukhalapo kwa matenda monga GERD.
Etiology yosapatsirana ya matendawa:
Monga zowononga zomwe zimakwiyitsa makoma a bronchi, fumbi la m'nyumba, mungu wa mumsewu, ndi kupuma kwa tsitsi la nyama ndizofala.
N’zotheka kudwala matendawa mukamadya zakudya zokhala ndi zinthu zoteteza m’thupi kapena zinthu zina zomwe zingakhale zoopsa.
Muubwana, chifuwa cha mphumu chikhoza kukula motsutsana ndi maziko a katemera ngati mwanayo ali ndi matupi awo sagwirizana nawo.
Pali kuthekera kwa chiwonetsero cha matenda chifukwa cha mankhwala.
Chobadwa nacho sichiyenera kuchotsedwa, chifukwa nthawi zambiri chimapezeka mu anamnesis a odwala otere.
Polyvalent sensitization ndi chiopsezo china cha chitukuko cha matendawa, pamene munthu ali ndi chidziwitso chowonjezeka chamagulu angapo.
Monga madokotala akuyang'ana odwala omwe ali ndi asthmatic bronchitis, kuwonjezereka kwa matendawa kumachitika nthawi yamaluwa ya zomera zambiri, monga masika ndi chilimwe, komanso m'nyengo yozizira. Kuchuluka kwa exacerbation ya matendawa mwachindunji kumadalira chifukwa chomwe chimapangitsa kuti pakhale chitukuko cha matenda, ndiko kuti, pamagulu otsogolera a matupi awo sagwirizana.
Zizindikiro za Asthmatic Bronchitis
Matendawa amakonda kubwereza pafupipafupi, ndi nthawi yabata komanso kukulitsa.
Zizindikiro za asthmatic bronchitis ndi:
Paroxysmal chifuwa. Amakonda kuwonjezeka pambuyo pochita zolimbitsa thupi, pamene akuseka kapena kulira.
Nthawi zambiri, wodwalayo asanayambe kuukira kwina kwa chifuwa, amakumana ndi kusokonezeka kwa mphuno kwadzidzidzi, komwe kumatsagana ndi rhinitis, zilonda zapakhosi, malaise wofatsa.
Pa kuwonjezereka kwa matendawa, kuwonjezeka kwa kutentha kwa thupi kwa subfebrile ndikotheka. Ngakhale nthawi zambiri zimakhala zachilendo.
Pakangotha tsiku limodzi kuyambika kwa nthawi yovuta, chifuwa chowuma chimasandulika kukhala chonyowa.
Kupuma movutikira, kupuma movutikira, kupindika kwaphokoso - zizindikiro zonsezi zimatsagana ndi kutsokomola koopsa. Kumapeto kwa chiwonongeko, sputum imalekanitsidwa, kenako mkhalidwe wa wodwalayo umakhazikika.
Zizindikiro za mphumu ya mphumu zimabwereranso mouma khosi.
Ngati matendawa akwiyitsidwa ndi matupi awo sagwirizana, ndiye kuti kutsokomola kumayimitsa pambuyo posiya allergen.
Nthawi yovuta ya mphumu ya bronchitis imatha kuyambira maola angapo mpaka milungu ingapo.
Matendawa akhoza limodzi ndi ulesi, irritability ndi kuwonjezeka ntchito zopangitsa thukuta.
Nthawi zambiri matendawa amapezeka motsutsana ndi maziko a ma pathologies ena, monga: matupi awo sagwirizana neurodermatitis, hay fever, diathesis.
Nthawi zambiri wodwala akamakula kwambiri ndi chifuwa cha mphumu, m'pamenenso amakhala ndi chiopsezo chachikulu chokhala ndi mphumu ya bronchial m'tsogolomu.
Kuzindikira kwa asthmatic bronchitis
Kuzindikiritsa ndi kuchiza mphumu ya mphumu ndi mkati mwa luso la allergenist-immunologist ndi pulmonologist, popeza matendawa ndi chimodzi mwa zizindikiro zosonyeza kukhalapo kwa dongosolo la ziwengo.
Pomvetsera, dokotala amazindikira kupuma movutikira, ndi kuyimba mluzu kowuma kapena zonyowa, zonse zazikulu komanso zotumphukira bwino. Kugwedezeka pamapapu kumatsimikizira kamvekedwe ka mawu.
Kuti mudziwe zambiri za matendawa, x-ray yam'mapapo imafunika.
Kuyeza magazi kumadziwika ndi kuwonjezeka kwa eosinophils, immunoglobulins E ndi A, histamine. Panthawi imodzimodziyo, titers zowonjezera zimachepetsedwa.
Kuonjezera apo, sputum kapena kutsuka kumatengedwa chifukwa cha chikhalidwe cha bakiteriya, chomwe chimapangitsa kuti athe kuzindikira chotheka choyambitsa matenda. Kuti mudziwe allergen, kuyezetsa khungu ndi kuchotsa kwake kumachitika.
Chithandizo cha asthmatic bronchitis
Chithandizo cha asthmatic bronchitis chimafuna njira ya munthu payekha kwa wodwala aliyense.
Therapy iyenera kukhala yovuta komanso yayitali:
Maziko a chithandizo cha asthmatic bronchitis ya allergenic chikhalidwe ndi hyposensitization ndi chodziwika allergen. Izi zimakuthandizani kuti muchepetse kapena kuthetseratu zizindikiro za matendawa chifukwa cha kuwongolera mu ntchito ya chitetezo cha mthupi. Pochiza, munthu amabayidwa ndi jakisoni wa allergen ndikuwonjezeka pang'onopang'ono kwa Mlingo. Chifukwa chake, chitetezo chamthupi chimasintha kukhalapo kwake kosalekeza m'thupi, ndipo chimasiya kuchita zachiwawa. Mlingo ndi kusintha pazipita analekerera, ndiyeno, kwa zaka zosachepera 2, yokonza mankhwala anapitiriza ndi nthawi kumayambiriro allergen. Specific Hyposensitization ndi njira yabwino yothandizira kupewa kukula kwa mphumu ya bronchial kuchokera ku chifuwa cha mphumu.
Ndi zotheka kuchita osakhala enieni deensitization. Pachifukwa ichi, odwala amapatsidwa jakisoni wa histoglobulin. Njirayi imachokera ku kukhudzidwa kwa allergen monga choncho, osati ku mtundu wake weniweni.
Matendawa amafuna kugwiritsa ntchito antihistamines.
Ngati matenda a bronchial apezeka, ndiye kuti maantibayotiki amawonetsedwa, kutengera kukhudzika kwa mycobacterium yomwe wapezeka.
Kulandila kwa expectorants kumawonetsedwa.
Pamene zotsatira za zovuta mankhwala kulibe, wodwalayo amapatsidwa njira yochepa ya glucocorticoids.
Wothandizira achire njira ntchito nebulizer mankhwala ndi sodium kolorayidi ndi zamchere inhalations, physiotherapy (UVR, mankhwala electrophoresis, percussion kutikita), n`zotheka kuchita masewera olimbitsa thupi, achire kusambira.
Kudziwikiratu kwa asthmatic bronchitis yodziwika ndikuchiritsidwa moyenera nthawi zambiri kumakhala kothandiza. Komabe, mpaka 30% ya odwala ali pachiwopsezo chosintha matendawa kukhala mphumu ya bronchial.
Kupewa asthmatic bronchitis
Njira zodzitetezera ndi monga:
Kuchotsa allergen ndi kusintha kwakukulu kwa chilengedwe ndi zakudya kwa wodwalayo (kuchotsa chipindacho kuchokera ku makapeti, kusintha kwa bedi mlungu uliwonse, kusakhalapo kwa zomera ndi ziweto, kukana zakudya za allergenic);
Ndime ya hyposensitization (mwachindunji ndi nonspecific);
Kuchotsa foci ya matenda aakulu;
kuumitsa;
Aeroprocedures, kusambira;
Kuwona kwa dispensary kwa allergist ndi pulmonologist ngati muli ndi asthmatic bronchitis.