Bronchitis ndi kutupa ndi kukhumudwa kwa mababu a bronchial, omwe ali mpweya m'mapapu anu. Ngati muli ndi bronchitis, ntchentche yakuda ingapangidwe mumtunda wanu, mwinamwake kupangitsa kuti zikhale zovuta kupuma. Mankhwalawa akhoza kuyamba pambuyo pa matenda a mapapu, ndipo akhoza kukhala ochilomboka. Kachilombo koyambitsa matendawa, ndi matenda a m'mapapo, osati matenda, ndipo sali otheka.
Zizindikiro
Zizindikiro za bronchitis ndi matenda a bronchitis aakulu ndi ofanana. Kachilomboka kamayamba nthawi kapena chimfine, pomwe matendawa amayamba chifukwa cha njenjete kapena zaka zambiri, chifukwa nthawi zambiri amasuta fodya.
Bronchitis
Bronchitis ndi vuto lalifupi limene lingakhalepo pamene muli ndi matenda opuma. Kawirikawiri, bronchitis yoopsa imayamba pafupifupi patatha sabata pambuyo poyambira matenda a kupuma, zomwe zimaphatikizapo kupweteka, kupweteka kapena kupweteka, kupweteka mutu, malungo ndi kutopa. Mankhwalawa amatha kwa milungu ingapo, ndipo nthawi zambiri amasankha okha.
Zizindikiro za bronchitis zovuta zikuphatikizapo:
- Kuthamanga kwafupipafupi
- Kuwotcha madzi kapena msuzi wambiri, omwe nthawi zambiri amadziwika ngati matsamba, omwe ndi msuzi wothira mankhwalawa
- Kupukuta pamene mupuma
- Kutulutsa minofu yanu pachifuwa kuchokera ku chifuwa chopitirira
Bronchitis Yosatha
Bronchitis Yachilendo ndi chikhalidwe cha nthawi yaitali chomwe chimadziwika ndifupipafupi, nthawi zambiri tsiku ndi tsiku, zizindikiro zomwe zimatha kwa miyezi ingapo.
Matendawa amayamba chifukwa cha kusuta fodya, kusuta kwachiwiri, kutentha kwa mpweya ndi chilengedwe. Matenda opatsirana ndi kupuma angapangitse kuti mukhale ndi matenda aakulu, ndipo akhoza kuwonjezera vutoli. Ngati muli ndi matendawa , nthawi zambiri mumakhala ndi matenda opatsirana amapapu.
Zizindikiro za matendawa ndi:
- Kuthamanga kwa nthawi yaitali
- Akung'amba
- Kudula magazi
- Kupuma kumafuna khama
- Kuthamangitsira mobwerezabwereza m'khosi mwanu
- Ululu mu chifuwa, chomwe chimakhala choipa kwambiri ndi kupuma
- Kupuma pang'ono komwe kuli kovuta ndi ntchito, koma ukhoza kupezeka
- Chifuwa chanu chikhoza kuwonjezeka ndi nyengo yozizira, kutentha, ndi zinthu zomwe zimapsa mtima m'mapapo, monga fodya kapena utsi.
Kudziwa
Kuzindikira kwa bronchitis kumadalira mbiri yanu ya zamankhwala, chilengedwe ndi ntchito, ndi mbiri ya kusuta. Kuyezetsa magazi kungathandize kuthandizira matenda a bronchitis ndipo mukhoza kuthetsa zifukwa zina za chifuwa chanu.
Mbiri Za Zamankhwala
Ngati muli ndi chifuwa chopitirira, chomwe chimapangitsa kuti muthetse kwa milungu ingapo, mungakhale ndi bronchitis. Ngati mwakhala mukugwedezeka kosalekeza kwa miyezi itatu pa nthawi kwa zaka ziwiri mzere, mukhoza kukhala ndi matenda a bronchitas.
Mayesero Opatsirana
- Chifuwa cha X-ray: chifuwa X-ray ikhoza kuwona kutupa kwa bronchi, ndipo imatha kudziwa mavuto ena, monga chibayo
- Kuchuluka kwa magazi: Mwazi wa magazi ukhoza kusonyeza zizindikiro za matenda
- Chikhalidwe cha chibwibwi: Chikhalidwe chachithunzi chimatha kukula mabakiteriya kapena zamoyo zina zomwe zingafune antibiotic kapena mankhwala ena
- Mayankho a Pulmonary (PFTs) : Ngati muli ndi matenda a khate, mapapu anu sangagwire bwino. Ngati muli ndi bronchitis yovuta, simungathe kukhala ndi PFT. Kuyezetsa uku kumafuna mgwirizano wanu pamene mupuma mu chipangizo chomwe chimayesa mphamvu zanu za kupuma, koma siyeso yovuta. PFTs ikhoza kuthandizira madokotala anu kudziwa momwe matendawa amathandizira pamapapo anu, omwe angathandize kulongosola mankhwala anu.
- Oxetry Pulse: Imeneyi ndi mayeso ofulumira omwe amagwiritsa ntchito chipangizo chaching'ono chogwiritsidwa ntchito pa chala chanu. Kuyesera kwa oximetry ndi kuyesa koyezetsa magazi komwe kukhoza kutentha kwa oxygen m'magazi anu. Mayesowa sangakhale achilendo ngati muli ndi matenda akuluakulu a m'mapapo.
- Mayeso a gazi a m'magazi: Awa ndi kuyezetsa mwazi komwe magazi amachotsedwa ku mitsempha yanu, osati mitsempha yanu, yomwe ndi nthawi yomwe mumakhala ndi magazi anu okwera magazi. Magazi amagazi amagazi angakhale osasangalatsa kwambiri kusiyana ndi kutenga magazi kuchokera mu mitsempha yanu. Kawirikawiri, magazi anu othetsera magazi adzapezeka kuchokera mu mitsempha ya m'manja mwanu. Mayesowa amapereka ndondomeko yolondola ya mpweya wanu wa oxygen, zomwe zimapangitsa kuti thupi lanu liziyenda bwino kuposa kupimidwa kwa oximetry.
- Bronchoscopy : bronchoscopy ndi njira imene madokotala amagwiritsira ntchito kupeza minofu kapena maselo opweteka pafupi ndi bronchi. Mayesowa amagwiritsidwa ntchito poyesa khansa, komanso m'mapiritsi apamaphunziro apamwamba, angakuthandizeni kupeza matenda.
Chithandizo
Zolinga zazikulu pochiza bronchitis ndizoti zisawonongeke ndi kutupa ndi ntchentche kuti athe kuchita bwino. Kupewa zinthu zomwe zingapangitse khwangwala, monga mafungo kapena matenda a mapapu, akhoza kuteteza kulemala kwina.
Njira zothandizira ndizo:
- Mankhwala osakaniza
- Maantibayotiki (ngati matenda a bakiteriya alipo)
- Zojambulajambula
- Mzere wamadzi ndi chifuwa physiotherapy: Iyi ndi njira yomwe mungalowe m'malo omwe amalola kuti ntchentche isambe, ndi kuthandizira kuwomba madzi. Mukhoza kuchita izi kwa dokotala wanu kapena ofesi ya kupuma, ndipo wodwalayo angakuphunzitseni momwe mungachitire bwinobwino kunyumba.
- Mankhwala otsekemera kapena olankhula kuti achepetse kutupa. Komabe, izi sizilandiridwa ngati muli ndi matenda, chifukwa steroids ikhoza kupangitsa kuti matenda anu akhale ovuta.
- Phosphodiesterase 4 inhibitors (PDE4 inhibitors) kuti achepetse kutupa
- Kukonzekera kwaulendo
Pewani kusuta fodya
Kupewa kusuta fodya ndi ndudu n'kofunika ngati muli ndi bronchitis, ngati utsi ukhoza kuwonjezera zizindikiro za matenda a bronchitis, ndipo amatha kupangitsa kuti matendawa akhale oopsa kwambiri. Kusuta kwachiŵiri komweku kumakhalanso kosasangalatsa.
Kusuta kumayambitsa mpweya m'mapapo kuti ukhale wochepetseka ndipo umapweteka cilia, zomwe zimathandiza mapapo kuchotsa tinthu tomwe timakhumudwa.
Lankhulani ndi dokotala wanu ngati mukufuna kusiya kusuta, koma simukudziwa kumene mungayambe. Zosankha zambiri zilipo kwa omwe akufuna kusiya kusuta koma samapindula okha, kuphatikizapo kusiya zotsalira , magulu othandizira, ndi uphungu.
Mawu Ochokera
Khansa yachilendo komanso yovuta kwambiri imakhala ndi zizindikiro zofanana, koma ndizosiyana matenda. Bronchitis yambiri imasinthika ndipo imachitika chifukwa cha matenda. Matenda otchedwa bronchitis ndi matenda osasinthika omwe amapezeka chifukwa cha kutupa kobwerezabwereza kwa bronchi, kawirikawiri chifukwa cha kusuta.
Ngati muli ndi bronchitis yovuta, simuyenera kudandaula za umoyo wa mapapo anu. Ngati muli ndi matendawa, ndiye kuti mukufunika kusintha moyo wanu kuti mukhale ndi mpweya wabwino komanso kupuma. Matenda otchedwa bronchitis ndi achilendo, ndipo pali njira zothandizira zothandizira kwambiri zomwe zingakuthandizeni pamene mukukhala ndi matenda a khate.
> Zotsatira:
> Jacinto CP, Gastaldi AC, Aguiar DY, Maida KD, Souza HC. Mankhwala othandizira njira yowonongeka kwa kayendedwe ka kayendedwe kabwino kamene kamathandiza kuti ana azisamalidwa bwino m'maganizo mwa ana omwe ali ndi bronchiolitis.
Braz J Phys Ther. 2013 Nov-Dec; 17 (6): 533-40. lembani: 10.1590 / S1413-35552012005000120. Epub 2013 Nov 1.
> Hooper LG, Young MT, Keller JP. et al. Kuwononga Mpweya Woipa ndi Bronchitis Yachilendo ku Cohort ya US Women. Pakati pa Atawona Zaumoyo. 2018 Feb 6; 126 (2): 027005. lembani: 10.1289 / EHP2199.