Mob ntsws ntev. Kev kho mob nyob rau hauv exacerbation thiab zam txim rau theem

Lub mainstay ntawm kev kho mob ntawm tus kab mob hlab ntsws yog lub tshem tawm ntawm lub etiological kab mob tau. Yog hais tias mob mob bronchitis, kev kho mob yuav tsum tau haus luam yeeb tas, cais tawm ntawm hauj lwm tsis muaj, kev ntxuav tu foci ntawm kab mob. Pw kho mob ntawm tus kab mob hlab ntsws rau cov neeg laus thiab txaj so yog kws kho rau mob tus kab mob nrog rau ib qho kev nce rau hauv kev ua pa thiab lub plawv tsis ua hauj lwm, cov tsos mob ntawm intoxication, koom mob mob ntsws los yog txawj pneumothorax, yog tias tsim nyog, lub sij hawm ntawm diagnostic thiab kho cov txheej txheem. Soj ntsuam kev noj haus yuav tsum tau feem ntau protein-vitamin, nyob rau hauv cov ntaub ntawv ntawm kev koom decompensated mob pulmonary txwv rooj ntsev thiab cov kua thiab ua poov tshuaj ntsiab lus.

Tag nrho cov kev siv zog hauv yooj yim tshuaj kho yuav tsum tau raws kev coj kom cov kev kho mob dab tsi thaiv. Mus tas li, txhawb txoj kev kho bronchial patency ua si ib tug loj luag hauj lwm nyob rau hauv lub high-koob anticholinergic. Yog hais tias muaj trapevticheskogo nyhuv, lawv yuav tsum tau muab nyob rau hauv daim ntawv ntawm ntev-lub sij hawm monotherapy. Muaj me ntsis hauj lwm, koj muaj peev xwm ntxiv beta-agonists ntawm luv luv txiav txim. Ib txhia neeg pom tau hais tias yuav qhov zoo tshaj thaum lawv tseem tshuaj muaj anticholinergic thiab beta-agonist. Anticholinergics thiab beta-agonists cov kws kho nqus tau pa.

Nrog ntxiv kev vam meej ntawm tus kab mob nyob rau hauv cov kev kho mob daim ntawv ntxiv methylxanthines, uas nrog rau lawv cov hlab ntsws qhib txiav txim txo qaug zog ntawm cov pa nqaij, tab sis muaj ntau lom, yuav tsum tau saib xyuas ntawm lub ntshiab concentration.

Cov theem tom ntej ntawm ntev-lub sij hawm kev kho mob ntawm tus kab mob hlab ntsws tej zaum yuav lub sij hawm ntawm glucocorticosteroids. Preference yog muab rau nqus tau cov pa ntaub ntawv. Sij hawm yuav tsum tau mauj corticosteroids xwb thaum lub sij hawm lub mob mob.

Thaum ncav tus soj ntsuam cov nyhuv rau peb mus rau plaub lub lis piam, uas yog paub tseeb hais tias los ntawm qhov zoo muaj zog ntawm lub ntsws cua muaj nuj nqi, nws yog pom zoo kom ib tug gradual yuav txo tau nyob rau hauv koob tshuaj ntaub ntawv ntawm cov kev hloov mus rau ib tug nqus tau cov pa glucocorticosteroid.

Ib qho tseem ceeb nyob rau hauv kev txhim kho bronchial rhuav txhua yog lub restoration ntawm ib txwm surfactant system uas yuav tsum tau mob obstructive ntsws. Kev kho mob yog nqa tawm thiab mucolytics mukoregulyatorami tsa los ntawm nqus tau pa, hais lus thiab parenterally. Qhov zoo tshaj tshuaj nyob rau hauv pab pawg neeg no yog ambroxol thiab acetylcysteine.

Mob ntsws ntev kev kho mob nyob rau hauv lub mob theem ntawm cov kab keeb kwm yuav tsum tau tshuaj tua kab mob. Advantageously tshuaj semisynthetic macrolides thiab ampicillin. Hoob no ntawm tshuaj tua kab mob tshuaj rau ib mus rau ob lub lim piam. Nyob rau hauv tas li ntawd mus noj tshuaj, lwm yam kev kho mob uas yuav tsum tau los mus kov yeej ntev bronchitis. Kev kho mob yog nqa tawm ib lub zuj zus xaiv ua tsis taus pa ce, noj cov zaub mov teem sij hawm mus normalize lub cev hnyav.

Txawm tias muaj tseeb tias mob ntsws - ib tug hnyav kab mob, zoo xaiv thiab raws sij hawm kev kho mob yuav qeeb txoj kev loj hlob ntawm bronchial rhuav txhua, tiv thaiv cov kev loj hlob ntawm cov teeb meem thiab txhim kho zoo ntawm lub neej ntawm cov neeg mob.

Txhim kho lub kua muaj nuj nqi ntawm bronchi tiav los ntawm muab siab massage, herbal tshuaj, postural kua. Detoxification txoj kev kho uas yuav tsum tau, yog hais tias aggravated nyob rau hauv suppurative ntev bronchitis. Kev kho mob yuav tsum tau ib tug yuav tsum xam nrog ntawm antibacterial txoj kev kho.

Thaum cov neeg mob tau raws li txoj kev zam txim nyob rau hauv feem ntau ntawm cov neeg mob muaj mus ntxiv kev kho mob. Cov neeg mob uas obstructive ntsws nyob rau hauv txoj kev zam txim tej zaum yuav dispense nrog tshuaj. Cov neeg mob uas obstructive ntsws yog luag yeej ib txwm yuam kom noj broncho-spasmolytic thiab expectorant.