Mukati
Asthmatic bronchitis chirwere che allergic chinokanganisa nhengo dzekufema dzine nzvimbo yakawanda mukati uye yakakura bronchi. Chirwere ichi chine hutachiona-hwehu, hunoratidzwa nekuwedzera kuvharidzirwa kwehutu, kuputika kwemadziro ebronchi uye spasm yavo.
Hazvina kururama kubatanidza asthmatic bronchitis nebronchial asthma. Musiyano mukuru pakati pebronchitis ndewekuti murwere haazotamburi nekurwiswa kweasthma, sekunge ane asima. Zvisinei, njodzi yemamiriro ezvinhu aya haifaniri kurerutswa, sezvo vanotungamirira pulmonologists vachiona asthmatic bronchitis sechirwere chinotangira asima.
Maererano nenhamba, vana vechikoro chekireshi uye zera rekutanga chikoro vanobatwa zvakanyanya neasthmatic bronchitis. Izvi ndezvechokwadi kunyanya kune avo varwere vane nhoroondo yeallergic zvirwere. Inogona kuva rhinitis, diathesis, neurodermatitis yeallergic nature.
Zvikonzero zveAsthmatic Bronchitis
Zvikonzero zveasthmatic bronchitis zvakasiyana, chirwere chinogona kutsamwisa zvese zvinotapukira uye zvisingatapukire allergenic. Kutapukirwa nemavhairasi, mabhakitiriya uye fungi zvinogona kutariswa sezvinhu zvinotapukira, uye zvakasiyana-siyana zvinokonzeresa izvo mumwe munhu ane sensitivity zvinogona kutorwa sezvinhu zvisingatapukirwe.
Kune mapoka maviri makuru ezvikonzero zvinokonzera asthmatic bronchitis:
Infectious etiology yechirwere:
Kazhinji kazhinji, staphylococcus aureus inova chikonzero chekukura kwebronchial pathology munyaya iyi. Mhedzisiro yakafanana yakaitwa pamusana pehuwandu hweinoculation yayo kubva pachivande chakaparadzaniswa netrachea uye bronchi.
Zvinokwanisika kukudziridza chirwere chinopesana nemashure ehutachiona hwehutachiona hwehutachiona, semugumisiro wefuruwenza, gwirikwiti, chikosoro, pneumonia, mushure metracheitis, bronchitis kana laryngitis.
Chimwe chikonzero chekukura kweasthmatic bronchitis kuvepo kwechirwere chakadai seGERD.
Non-infectious etiology yechirwere:
Sezvo zvipembenene zvinotsamwisa madziro ebronchi, guruva reimba, pollen yemugwagwa, uye inhalation yemvere dzemhuka zvinowanzoitika.
Zvinokwanisika kukudziridza chirwere ichi kana uchidya zvokudya zvine zvinodzivirira kana zvimwe zvinogona kuva nengozi.
Muhuduku, bronchitis yechimiro cheasthmatic inogona kukura inopesana nemashure ekudzivirira kana mwana ane allergic reaction kwairi.
Pane mukana wekuratidzwa kwechirwere nekuda kwemishonga.
Chinhu chenhaka hachifanirwe kubviswa, nekuti chinowanzo tsvakwa mune anamnesis yevarwere vakadaro.
Polyvalent sensitization ndiyo imwe njodzi yekukura kwechirwere, kana munhu ane kuwedzera kwekunzwa kune akati wandei allergens.
Sezvo vanachiremba vanocherechedza varwere vane asthmatic bronchitis vanocherechedza, kuwedzera kwechirwere kunoitika zvose panguva yemaruva emiti yakawanda, kureva, muchirimo nezhizha, uye munguva yechando. Kuwanda kwekuwedzera kwechirwere zvakananga kunoenderana nechikonzero chinobatsira pakukura kwechirwere, ndiko kuti, pane inotungamira allergic chikamu.
Zviratidzo zveAsthmatic Bronchitis
Chirwere chacho chinowanzogara chichidzoka, nenguva yekudzikama uye kuwedzera.
Zviratidzo zveasthmatic bronchitis ndezvi:
Paroxysmal chikosoro. Vanowanzowedzera mushure mekushanda kwemuviri, vachiseka kana kuchema.
Kazhinji, murwere asati atanga kumwe kurwiswa kwekukosora, anongoerekana asangana nemhino, iyo inogona kuperekedzwa nerhinitis, kurwadziwa kwehuro, kunyoro malaise.
Munguva yekuwedzera kwechirwere, kuwedzera kwekushisa kwemuviri kune subfebrile mazinga kunogoneka. Kunyangwe kazhinji inoramba yakajairika.
Zuva mushure mekutanga kwenguva yakaoma, chifukidziro chakaoma chinoshanduka kuva chakanyorova.
Kutadza kufema, kupera simba kwekufema, kufema kune ruzha - zvese izvi zviratidzo zvinoperekedza kurwiswa kwakanyanya kwekukosora. Pakupera kwekurwisa, sputum inoparadzaniswa, mushure mokunge mamiriro emurwere anogadzikana.
Zviratidzo zveasthmatic bronchitis zvinodzoka zvakasindimara.
Kana chirwere chikatsamwiswa neallergic agents, ipapo kurwiswa kwekukosora kunomira mushure mekuita kweiyo allergen kumira.
Nguva yakaoma yeasthmatic bronchitis inogona kugara kubva maawa akawanda kusvika kumavhiki akati wandei.
Chirwere chacho chinogona kuperekedzwa nekuneta, kutsamwa uye kuwedzera kwebasa rezviputi zve sweat.
Kazhinji chirwere chinoitika chinopesana nemashure ezvimwe zvirwere, zvakadai se: allergic neurodermatitis, hay fever, diathesis.
Kazhinji kazhinji murwere ane kuwedzera kweasthmatic bronchitis, iyo inowedzera njodzi yekuva nebronchial asthma mune ramangwana.
Kuongororwa kweasthmatic bronchitis
Kuzivikanwa uye kurapwa kweasthmatic bronchitis kuri mukati mehunyanzvi hweallergist-immunologist uye pulmonologist, sezvo chirwere ichi chiri chimwe chezviratidzo zvinoratidza kuvepo kwehurongwa hwehutachiona.
Panguva yekuteerera, chiremba anoongorora kufema kwakaoma, nekuridza muridzo yakaoma kana nyoro, zvese zvakakura uye zvinotubwida zvakanaka. Kurovana pamusoro pemapapu kunotemesa bhokisi toni yeruzha.
Kuti uwedzere kujekesa kuongororwa, x-ray yemapapu inodiwa.
Kuongororwa kweropa kunoratidzwa nekuwedzera kwenhamba ye eosinophils, immunoglobulins E uye A, histamine. Panguva imwecheteyo, kuzadzisa titers kunoderedzwa.
Mukuwedzera, sputum kana kushambidza kunotorwa kune tsika yebhakitiriya, izvo zvinoita kuti zvikwanise kuziva zvinogona kutapukira. Kuti uone iyo allergen, scarification ganda bvunzo uye kubviswa kwayo kunoitwa.
Kurapa kweasthmatic bronchitis
Kurapa kweasthmatic bronchitis kunoda nzira yemunhu kune murwere wega wega.
Therapy inofanira kuva yakaoma uye yakareba:
Hwaro hwekurapa kweasthmatic bronchitis yeallergenic nature ndeye hyposensitization neyakazivikanwa allergen. Izvi zvinokubvumira kuderedza kana kubvisa zvachose zviratidzo zvechirwere nekuda kwekugadzirisa mubasa rekudzivirira muviri. Mukuita kurapwa, munhu anobayiwa jekiseni reallergen nekuwedzera zvishoma nezvishoma mumadhora. Saka, immune system inogadzirisa kuvepo kwayo nguva dzose mumuviri, uye inorega kupa kuita zvechisimba kwairi. Mushonga wacho unogadziriswa kusvika kune yakanyanya kushivirira, uye ipapo, kwemakore maviri, kurapwa kwekugadzirisa kunoenderera mberi nekuiswa kweperiodic ye-allergen. Specific hyposensitization inzira inoshanda yekurapa kudzivirira kukura kwebronchial asthma kubva kuasthmatic bronchitis.
Zvinokwanisika kuita non-specific desensitization. Nokuda kweizvi, varwere vanopiwa majekiseni e histoglobulin. Iyi nzira yakavakirwa pakunzwa kune allergen sekudaro, uye kwete kune yayo chaiyo mhando.
Chirwere chinoda kushandiswa kwe antihistamines.
Kana chirwere chebronchial chikaonekwa, ipapo mishonga inorwisa mabhakitiriya inoratidzwa, zvichienderana nekunzwa kweiyo yakaonekwa mycobacterium.
Kugamuchirwa kwe expectorants kunoratidzwa.
Kana mhedzisiro yekurapa kwakaoma isipo, murwere anorongerwa kosi yenguva pfupi yeglucocorticoids.
Kubatsira nzira dzokurapa ndiko kushandiswa nebulizer kurapa ne sodium chloride uye alkaline inhalations, physiotherapy (UVR, drug electrophoresis, percussion massage), zvinokwanisika kuita kurovedza muviri kurapa, kurapa kushambira.
Mafungiro ekuzivikanwa uye kurapwa zvakakwana asthmatic bronchitis inowanzova yakanaka. Nekudaro, vanosvika makumi matatu muzana evarwere vari panjodzi yekushandura chirwere ichi kuita bronchial asima.
Kudzivirira asthmatic bronchitis
Matanho ekudzivirira anosanganisira:
Kubviswa kwe-allergen nekugadzirisa zvakanyanya kwezvakatipoteredza uye kudya kune murwere (kubvisa mukamuri kubva pamakapeti, kuchinja kwevhiki nevhiki kwemucheka wemubhedha, kusabatanidzwa kwemiti nemhuka dzinovaraidza, kurambwa kwezvokudya zveallergenic);
Iyo ndima ye hyposensitization (yakananga uye isiri chaiyo);
Kubviswa kwefoci yechirwere chisingaperi;
kuomesa;
Aeroprocedures, kushambira;
Dispensary yekutarisa kune allergist uye pulmonologist kana paine asthmatic bronchitis.