Chikosoro chakaoma ndicho chikonzero chakajairika chekubvunza chiremba. Icho hachisi chirwere, asi chiratidzo, icho chiduku pachacho asi chinogona kuva nezvikonzero zvakawanda.

Chikosoro chikamwe kamwe uye chinomanikidzwa kufema kwemhepo reflex, iyo inofanirwa kuita kuti zvikwanise "kuchenesa" nzira yekufema. Kusiyana neanonzi chikosoro chemafuta, chifukidziro chakaoma hachibudisi sputum (haisi kubereka). Kazhinji kazhinji chikosoro chinogumbura.

The chikosoro vangava voga kana achiperekedzwa nezvimwe zviratidzo, zvakadai fivha, runny mhino, muchipfuva kurwadziwa, etc. Uyezve, zvinoitika kuti yakaoma chikosoro zvino anozora mafuta, pashure pemazuva mashoma, sezvo panyaya bronchitis somuenzaniso.

Chikosoro hachina kumbobvira chakajairika: hachisi chokwadi chakakomba, hongu, asi chinofanira kunge chiri nyaya yekubvunzurudzwa kwechiremba, kunyanya kana ikava isingaperi, kureva kana ikaramba ichienderera kweanopfuura mavhiki matatu. Muchiitiko ichi, x-ray yemapapu uye kuongororwa kwechiremba kunodiwa.

Chikosoro chakaoma chinogona kukonzerwa nemamiriro akawanda.

Kazhinji kazhinji, inoitika kumusana we "chando" kana chirwere chekufema uye inogadzirisa zvega mukati memazuva mashoma. Kazhinji kazhinji hutachiona hunobatanidzwa, hunokonzera chikosoro chinosanganiswa ne nasopharyngitis, laryngitis, tracheitis, bronchitis kana sinusitis, nezvimwewo.

Chikosoro chisingaperi (kupfuura mavhiki matatu) chinonyanya kunetseka. Chiremba achafarira kukura kwake uye mamiriro ekuitika kuedza kunzwisisa chikonzero:

• Chikosoro chacho kazhinji usiku here?
• kunoitika mushure mekurovedza muviri here?
• murwere anoputa here?
• iko chikosoro chinokonzereswa nekusangana kune allergen (katsi, mukume, nezvimwewo)?
• Pane kukanganisa here pamamiriro ezvinhu (kusarara, kuneta, nezvimwewo)?

Kazhinji kazhinji, x-ray yechipfuva inoda kuitwa.

Chikosoro chisingaperi chinogona kuva nezvikonzero zvakawanda. Pakati pezvinowanzoitika:

• posterior nasal discharge kana posterior pharyngeal discharge: kukosora kunonyanya mangwanani, uye kunoperekedzwa nekusagadzikana muhuro uye mhino inoyerera. Zvikonzero zvinogona kunge zvisingaperi sinusitis, allergic rhinitis, chikosoro chehutachiwana, nezvimwe.
• 'kukweva' chikosoro mushure memwaka wechirwere chekufema
• asthma: kukosora kunowanzo kukonzerwa nekushanda nesimba, kufema kunogona kunge kuri kufema
• gastroesophageal reflux chirwere kana GERD (inotarisirwa 20% yechikosoro chisingaperi): chikosoro chisingaperi chinogona kunge chiri chiratidzo chega.
• kushatirwa (kuvapo kwemuviri wekunze, kusangana nekusvibiswa kana zvinogumbura, nezvimwewo)
• kenza yemapapu
• Heart failure
• Chikosoro (characteristic coughing fits)

Mishonga yakawanda inogonawo kukonzera chikosoro, icho chinowanzooma, chinonzi iatrogenic chikosoro kana chikosoro chemishonga. Pakati pemishonga inonyanya kupomerwa:

• ACE inhibitors
• beta-blockers
• nonsteroidal anti-inflammatory drugs / aspirin
• nzira dzekudzivirira pamuviri muvakadzi vanosvuta vanopfuura makore makumi matatu nemashanu

Kukosora kunogona kushandura zvakanyanya kunaka kwehupenyu, kunyanya kana kuri husiku, zvichikonzera kushaya hope. Mukuwedzera, kukosora kunotsamwisa nzira yekufema, iyo inogona kuita kuti chikosoro chiwedzere. Kutenderera kwakashata uku kunowanzokonzera chikosoro chisingaperi, kunyanya mushure mekutonhora kana hutachiona hwekufema hwemwaka.

Saka zvakakosha kuti usarega kukosora "kudhonza kunze", kunyange kana ichiita sechinhu chiduku.

Uye zvakare, zvimwe zviratidzo zvekukomba zvinogona kuperekedza chikosoro chakaoma uye zvinofanirwa kukukurudzira kuti ubvunze chiremba nekukurumidza sezvinobvira:

• kuderera kwemamiriro ezvinhu
• kunetseka kufema, kunzwa kuoma
• kuvapo kweropa musputum
• chikosoro chitsva kana chakachinja mumunhu anoputa

Chikosoro hachisi chirwere, asi chiratidzo. Kunyange zvazvo mimwe mishonga inogona kudzvinyirira kana kuderedza chikosoro chakaoma (chikosoro suppressants), zvakakosha kuziva chikonzero nokuti mishonga iyi haisi mishonga.

Kazhinji, kushandiswa kwe-over-the-counter-cough suppressants naizvozvo hakukurudzirwi, uye kunofanira kudziviswa kana chiri chikosoro chinoramba chiripo, kunze kwekunge charayirwa nachiremba.

Apo chikosoro chakaoma chinorwadza zvikuru uye chinovhiringidza kurara, uye / kana kuti pasina chikonzero chinozivikanwa (chikosoro chinogumbura), chiremba angasarudza kupa mushonga wekudzivirira chikosoro (kune marudzi akawanda: opiate kana kwete, antihistamine kana kwete, nezvimwewo).

Mune zvimwe zviitiko, kurapwa kunosiyana zvichienderana nechikonzero. Asthma, semuenzaniso, inogona kudzorwa neDMARD, nemishonga inotorwa sezvinodiwa mukurwiswa.

GERD inobatsirawo kubva kumishonga yakasiyana-siyana inoshanda, kubva nyore "gastric mabhandeji" kusvika kune mishonga yemishonga seproton pump inhibitors (PPIs).

Munyaya yeallergies, kurapwa kwedesensitization dzimwe nguva kunogona kutariswa.