Kuzindikira kuti matendawa ndi oopsa kwambiri amayamba ndi mbiri yachipatala komanso kuunika kwa thupi. Chifuwa cha X-ray kapena chifuwa CT scan akhoza kupereka chithandizo chothandizira kwambiri, chifukwa mayeserowa amalola dokotala kuganizira momwe mapapu anu amaonekera. Mayeso a magazi, mapiritsi a ntchito, ndi bronchoscopy zingakhale zothandiza pakuzindikira ngati muli ndi bronchitis. Mayesero enawa ndi othandiza kwambiri pakulamulira zifukwa zina za zizindikiro zanu, kuphatikizapo matenda ena a mapapu, kulephera kwa mtima, kapena khansa.
Kuyesedwa / Kuyesedwa Kwapanyumba
Kawirikawiri, pali zizindikiro zomwe zimasonyeza kuti inu kapena mwana wanu muli zambiri kuposa kuzizira. Ndikofunika kuti mudzidziwe ndi zizindikiro za bronchitis chifukwa ndiwe munthu woyamba amene angazindikire kuti mungakhale ndi vutoli. Muyenera kuchipatala ngati muli ndi zizindikiro za bronchitis.
Mphuno yoopsa komanso yachilendo imadziwika ndi chifuwa chopatsa thanzi, chomwe chili chifuwa chophatikizika ndi mphukira zakuda. Ngati muli ndi zilonda zam'mimba, chifuwa chanu chikhoza kuwonjezeredwa ndi zinthu zachilengedwe, monga utsi kapena fodya wina.
Bronchitis
Kuphatikiza pa zizindikiro zomwe zimakhala zachilendo kaŵirikaŵiri ndi matenda aakulu, pali zizindikiro zomwe zimatanthawuzira ku bronchitis. Ngati inu kapena mwana wanu muli ndi kuzizira komwe chifuwa ndi chizindikiro chachikulu kwambiri, kapena ngati chimfine chikuwoneka chikuchedwa kwa nthawi yayitali, ndiye kuti izi zingakhale zowawa kwambiri.
Bronchitis Yosatha
Ngati muli ndi chifuwa cha tsiku ndi tsiku, mutatha miyezi itatu yotsatizana kwa zaka ziwiri kapena kuposerapo, ndiye kuti mukutheka ndi matenda a bronchitine osatha. Samalani ngati mukukumana ndikutopa komanso ngati mukupuma pang'ono ndi zochitika, chifukwa izi zilinso zizindikiro za matendawa.
Mapulogalamu ndi Mayesero
Mabala ndi ma test angapo angathandize kuthana ndi matenda a bronchitis, ngakhale kuti mayesero opatsirana okha sali okwanira kutsimikizira kuti muli ndi bronchitis.
Chikhalidwe cha Nkhanza
Chikhalidwe chachitupa chimagwiritsidwa ntchito kutsimikizira kukhalapo kwa mabakiteriya mumtundu wanu, zomwe zimasonyeza kuti muli ndi matenda opatsirana.
Ngati muli ndi bronchitis yovuta, chikhalidwe chokhala ndi chibwibwichi chimasonyeza kuti matenda ndi omwe amayambitsa zizindikiro zanu. Ngati muli ndi matenda a chifuwa chachikulu, nthawi zambiri mumakhala ndi matenda opatsirana ammapapo, kotero kuti mutha kukhala ndi chizoloŵezi chabwino chokhala ndi chibwibwi nthawi ndi nthawi.
Malipiro Okwanira Onse
Kuchuluka kwa magazi, kapena CBC, ndi kachitidwe ka magazi kawirikawiri komwe kumapatsa dokotala wanu chidziwitso chofunikira pa mitundu ndi kuchuluka kwa maselo a magazi m'thupi lanu. Zingathandizenso dokotala wanu kudziwa ngati muli ndi matenda, omwe ali ndi matendawa, koma amatha kudwala matenda a bronchitis.
Pulse Oximetry
Pulojekiti yamakono ndi kachipangizo kakang'ono kamene kakhoza kulingalira kukwanira kwa oxygen m'magazi anu kudzera mu khungu lanu. Mayesowa angapereke kuwerenga mkati mwa masekondi angapo, ndipo amatha popanda nsapato kapena jekeseni. Mng'onoting'ono wochuluka wa mpweya womwe umadziwika ndi kuŵerenga kwapakati pafupipafupi umasonyeza kuti uli ndi matenda apamwamba kwambiri, pamene kuwerenga kwachibadwa sikungathe kutulutsa matenda a bronchitis.
Ntchito Yowonongeka
Kuyeza kwapayimenti (PFT) kumagwiritsa ntchito spirometry kudziŵa kukhalapo ndi mlingo wa chivomezi cha mpweya chimene chimayambitsa matenda a bronchitis. Mayeso a spirometry akhoza kuchitidwa ku ofesi ya dokotala, kuchipatala, kapena kuchipatala cha chipatala.
Ngati muli ndi bronchitis yovuta, mukhoza kukhala opanda PFT, koma zotsatira zoyesera ziyenera kubwereranso mwamsanga mutangoyamba kuchira. Ngati muli ndi matenda a bronchitis, PFTs yanu ikhoza kukhala yachilendo, kapena kuipiraipira popanda chithandizo.
Gesi Yamagazi Ogwiritsidwa Ntchito
Magetsi a m'magazi (ABGs) ndi mayesero a ma laboratory omwe amachitidwa pamagazi omwe amachokera ku mitsempha. ABGs onani momwe mapapu anu amathandizira oksijeni ndi kuchotsa carbon dioxide m'thupi lanu.
Kujambula
Maphunziro otsogolera akuthandizira kwambiri kuunika kwa bronchitis chifukwa maphunzirowa angapatse dokotala mwayi wakuwona kusintha kumene kukuchitika m'mapapu anu. Angathenso kudziwa ngati kusinthaku kukuchitika m'mapapu, bronchi, kapena m'malo ena opatsirana.
Chifuwa cha X Ray
Chifuwa cha X-ray si chida chothandizira kupeza matenda aakulu, koma X yanu imatha kusonyeza zizindikiro za kutupa kwa bronchi, zomwe zingakuthandizeni kutsimikizira kuti muli ndi bronchitis. Chifuwa cha X-ray ndi chida chotsimikizirira matenda a mapapo monga chibayo . Matenda osokoneza bongo (COPD ) omwe amachititsa kuti matendawa asapitirire , amakhala ndi matenda osapupa aakulu, kuphatikizapo bronchitis. Ngati muli ndi zizindikiro za COPD, zikutheka kuti dokotala wanu adzalandira chifuwa cha X-ray kuti awone mapapu anu.
Chifuwa CT
Chifuwa chachikulu cha CT chimapereka mapepala anu, omwe angathandize kudziwa matendawa, komanso amatha kuwonetsa zinthu zina monga matenda a mapapo, khansa yamapapo kapena kansa ya m'mapapo.
Bronchoscopy
Chiyeso chosavuta chomwe chimaphatikizapo kusonkhanitsa minofu ndi kuzungulira bronchi, mayeserowa angapereke chitsanzo kuti gulu lanu lachipatala likhoza kuyang'ana poyang'ana pansi pa microscope. Bronchoscopy ingathandize abulu anu a abulu a zachipatala ngati muli ndi kutupa, matenda, kapena matenda omwe akugwirizana ndi khansa kapena khansa isanakwane.
Kawirikawiri, bronchoscopy yachitidwa mothandizidwa ndi zitsogoleredwe kafukufuku wa zojambula, ndipo dera kapena malo omwe amasankhidwa kuti asonkhanitse minofu amatsimikiziridwa molingana ndi malo osazolowereka omwe amawoneka pazofukufuku zanu.
Kusanthula Kusiyanasiyana
Pali zinthu zambiri zomwe zingachititse zizindikiro zofanana ndi za bronchitis. Mayeso anu opatsirana ndi mbiri yachipatala angathandize kusiyanitsa pakati pa bronchitis ndi zina.
Chibayo
Chibayo ndi matenda a mapapu, pamene bronchitis ndi kutupa kwa bronchi. Bronchi ndi njira yomwe imatsogolera m'mapapo. Matendawa onse angayambitse kupuma komanso kutopa, koma matendawa amachititsa kuti chifuwa chachikulu chikhale chifuwa kuposa chibayo, ndipo matendawa sakhala ndi malungo, pamene chibayo chimatero. Pamene zizindikirozo zikufanana kwambiri, komabe zikhoza kukhala, chifuwa cha X-ray chingathandize dokotala kudziwa ngati muli ndi chibayo kapena bronchitis.
Phumu
Nthenda ya mphumu ingayambitse kupuma kovuta ndi kupuma, zomwe nthawi zambiri zimakhala zovuta kwambiri komanso zovuta kwambiri kusiyana ndi kupuma ndi kupweteka kwa khate. Komabe, chifukwa chifuwa cha mphumu ndi zizindikiro za matenda a bronchitis zimabwereranso, madokotala anu angafunikire kusiyanitsa matendawa ndi maphunziro a zachipatala komanso zojambula zapachifuwa.
Zotsatira Zomwe Zachitika
Zomwe zimayambitsa vuto zingayambitse kupuma pang'ono. Izi zimakhala zochititsa chidwi kwambiri kusiyana ndi mpweya wochepa umene mungakhale nawo ndi bronchitis. Komabe, chifukwa chithandizo cha zovutazo n'chosiyana, madokotala anu angafunike kuyesa zowononga ngati matenda anu sakudziwika bwino.
Emphysema
Emphysema ndi mkhalidwe umene alveoli, omwe ndi mpweya wa m'mapapo, umakhudzidwa ndi matenda a pulmonary nthawi yaitali. Mukhoza kukhala ndi emphysema ndi matenda a bronchitis, ndipo onsewa amadziwika ndi kupuma pang'ono komanso kutopa. Mapu anu ndi zojambula zojambula zingathandize madokotala anu kudziwa ngati muli ndi chimodzi kapena zonsezi.
Kulephera kwa Mtima
Mofanana ndi matenda a mtima , kupweteka kwa mtima kungakupangitseni kukhala ndi mpweya wochepa komanso kutopa ndi zochitika. Pali kusiyana komwe dokotala wanu angakuwoneni pa kuyang'ana pamtima pomvera mtima wanu ndi chifuwa ndi stethoscope. Si zachilendo kukhala ndi mtima wosalimba ndi matenda a bronchitis nthawi yomweyo, choncho gulu lanu lachipatala lidzagwira ntchito kuti mudziwe ngati muli ndi chimodzi kapena zonsezi.
Khansa
Khansara ikhoza kupanga zizindikiro zosiyanasiyana, kuphatikizapo chifuwa, kupuma, ndi kupuma pang'ono. Ngati matenda anu ali ndi khansa, dokotala wanu akhoza kuitanitsa mayeso ena ojambula ndi kuganizira zochitika ngati pali maonekedwe a khansara pamayeso anu onse ojambula.
> Zotsatira:
> Di Filippo P, Scaparrotta A, Petrosino MI. Chosachitidwa chifukwa cha chifuwa chachikulu: Protracted Bacterial Bronchitis. Ann Thorac Med. 2018 Jan-Mar; 13 (1): 7-13. lembani: 10.4103 / atm.ATM_12_17.
> Yıldız T, Dülger S. Bronchitis Osasemphana Osasemphana.
Turk Thorac J. 2018 Jan; 19 (1): 41-45. do: 10.5152 / TurkThoracJ.2017.17017. Epub 2017 Sep 27.