All About somoya bronchial. Izimpawu ze-Asthma

Asthma ngokuthi isifo samaphaphu ngokuhlaselwa ka Ukuphelelwa nge ukuphelelwa isikhathi esinzima kakhulu, okuyinto kuphakama ngenxa yokwephula bronhoprohodimosti. Ngokuvamile, ukuhlukumeza phambili bronchi engu-: ukuvuvukala evele mucosal ze- bronchi, bronchospasm, kanye kumiswa slime entsha.

Eqinisweni, isifuba somoya - a polietilogicheskaya isifo, kodwa indima esemqoka e ukuvela play yayo kuyo izinto ezixabana nomzimba. Kanye kunomthelela ekuthuthukiseni lesi sifo yilabo: ukuthambekela komzimba, ufuzo, yansukuzonke zokuphefumula ipheshana ukutheleleka (rhinitis, inyumoniya, ukucinana kwemigudu yokuphefumula), futhi-ke, ukuba khona ukucinana kwemigudu yokuphefumula okungamahlalakhona womuntu nzima nge ingxenye isifuba somoya. Iziguli ne ukucinana kwemithambo yomoya emaphashini babonakala bethambekele kakhulu ukubukeka somoya bronchial, ngakho badinga ukuqapha eduze isimo sabo, ukuze ungalahlekelwa izimpawu zokuqala yesifuba somoya.

Izimbangela somoya - izinto ezixabana nomzimba, okungase imvelaphi ezithathelwanayo futhi okungezona ezithathelwanayo. Ngoba amaqembu kakhulu pathogenic izakhiwo ezithathelwanayo amabhaktheriya esifo (aureus ezimhlophe, saprophytes, Staphylococcus aureus), isikhunta (imvubelo, isikhunta) amagciwane (parainfluenza, rhinovirus), kanye helminths. Kodwa ngokusho izibalo, nomzimba non-esithathelanayo avame imbangela somoya.

Yini siphathelene neqembu noninfectious? Nomzimba kuleli qembu, esikhundleni salokho, zihlukaniswe subgroups ezinhlanu. Eyokuqala - emkhayeni, isibonelo, izimpaphe, uthuli, ekhaya, isikhunta. I iqeqebana sesibili sihlanganisa yemifino kanye isilwane izinto ezixabana nomzimba, ezifana dander isilwane, impova, ensimini olwehlelayo nabanye. Okwesithathu - lena nomzimba ukudla: amaqanda, izinhlanzi, izinkukhu, ezisawolintshi, sitrobheli ushokoledi. Ukuthuthukisa somoya kungadala eside ngokwanele kwemithi elwa namagciwane kanye amavithamini (iqeqebana lesine). iqeqebana Kugcine (lesihlanu) - a ezizihluphayo chemical (powder, alikhali kanye nosawoti).

The main futhi ebaluleke kakhulu ukubonakaliswa basemtholampilo somoya - ukuhlaselwa isifuba somoya. Ngaphezu kwalokho, isiguli ukukhwehlela samanje, iphika, futhi auscultation crackles izwakale. Njengoba ojwayelekile, at the stage of ukuthethelelwa isiguli cishe lutho sikhathazeke, ie izimpawu somoya bengekho. Azikho ukubonakaliswa kuze bephambana ezinye allergen, umsebenzi noma ukucindezeleka. Uma lokhu kwenzeka, ukuhlaselwa isifuba somoya iqala.

Isigaba ngokuhlasela Ukuphelelwa. Isigaba sokuqala - inkathi kukamanduleli. Ubonakala okwesikhashana (a amahora ambalwa noma izinsukwana) ngaphambi kokuphelelwa crisis. Kulesi sigaba izimpawu somoya abe evelele: isiguli azizwa ekhaleni stuffy nasesifubeni yobunzima. Kanye ukungakuthandi ukudla, ukucobeka, sneezing, nokugenca ukukhwehlela livela.

Eyesibili isigaba - kwesikhathi crisis. Kulesi sigaba, kukhona kokuziklinya nge ubunzima obukhulu exhaling. Ukuphefumula iba umsindo kakhulu, ephelezelwa kwesifuba spacers nge isici umsindo (amakhwela, kuyachwaza). Njengomthetho, iziguli kule nkathi, ethatha indawo ngokunethezeka, ukuthi uphoqelekile. Ngaphezu ndonda, kukhona tachycardia, ngisho phlegm bungeke.

Esesithathu nezokugcina isigaba - kwenkathi ukugunyazwa. Isiguli iba lula kakhulu ukuphefumula, uqala anyakaze phlegm. Kuyinto viscous, okunamathelayo, nzima ukuhlukanisa. Kukhona umuzwa ukukhathala okwedlulele noma ukuba buthakathaka. ukuhlaziywa ezincane wembulani inani eosinophils isikhwehlela anda, kanye iqukethe sikaCharcot-Leyden zinhlayiya, futhi kuvunguza Kurshmana. Auscultation walalela crackles. Emva kwalesi sikhathi izimpawu somoya ziphelelwa evelele.

Uma kwesokunxele somoya ingelashwa, it kwandisa nengozi engathi sína ngokwengeziwe. Lezi zihlanganisa:

• isimo somoya - kwedlulela yesifuba somoya;
• pneumothorax okuzenzekelayo - ekuqongeleleni amagesi noma emoyeni ngalo ingaphakathi pleural ;
• emphysema;
• nokuvaleka kwemigudu yokuphefumula.

Ukuxilongwa somoya njalo iqala ngamadijithi anamnesis. Isinyathelo esilandelayo - ukuhlolisisa, ibhekisela: auscultation kanye eshaywayo. Emva ukuhlangana yonke idatha ezidingekile, baqhuba izifundo laboratory. Qiniseka ukuba amiswe: segazi egcwele, erythrocyte sedimentation izinga lapho bheka, leukocyte futhi eosinophils; isikhwehlela; ukubeka ukuhlolwa intradermal. Olunye ucwaningo okubalulekile spirography kanye x-reyi.

Ngokuhambisana Imiphumela udokotela ekunika ngokwelashwa nokuvimbela.