Chisamaliro Emergency mu mphumu bronchial. Kukonzekera mphumu bronchial

Bronchial mphumu - aakulu awo sagwirizana matenda yodziwika ndi matenda breathlessness kapena kutsamwa. matenda amapezeka ana ndi akulu omwe. Chaka chilichonse chiwerengero cha anthu odwala matenda kukula. Mayiko ambiri anazindikira kuopsa kwa vuto, chaka kuonetsetsa limanena ndithu kwa mankhwala ndi konzanso wa odwalawo. Wachinayi wa May chikondwerero tsiku lonse za kulimbana ndi mphumu.

Kodi matenda?

Bronchial mphumu akuluakulu ndi ana - ndi chiwonetsero cha atopy otchedwa. Izi zikutanthauza kuti thupi wodwalayo Yankho zosayenera kwa zikuchitika mwachizolowezi anthu ena. Kodi wathanzi anthu osati zindikirani allergen mphumu suffocate ku vuto mwadzidzidzi. Akatswiri akadali sangathe kudziwa chifukwa chenicheni cha chitukuko matenda. Akukhulupirira kuti matenda atopic ali tinatengera (kapena kani, chizolowezi mtundu winawake wa ziwengo). Amagwiritsidwanso anatchulapo mmene chokhwima zinthu zoipa chilengedwe pa zomwe mphumu.

Gawo

Malinga chifukwa cha matenda, bronchial mphumu lagawidwa matupi awo sagwirizana ndi nonallergic. Mbali yoyamba, vuto lanu lingakhale umuna, Pet dander zakudya sankadziwa kapena mukumwa mankhwala. Exacerbation mphumu mu nkhani iyi ndi bwino womangidwa kwa kukhudzana ndi allergen, ndipo monga ulamuliro, osatha bwino kwambiri kudziwa chifukwa cha nkhondo.

Non-matupi awo sagwirizana mphumu zambiri akufotokozera pa maziko a matenda ena okhalitsa bronchopulmonary. Pankhaniyi, kuukira mphumu kumachitika nthawi matenda pachimake, nkhawa, kapena zinthu zina zilizonse zosagwirizana ndi zochita za allergen lapansi. Emergency chithandizo cha bronchial mphumu milandu onse zimaphatikizapo kugwiritsa ntchito mankhwala, kuchotsa bronchospasm n'kubwerera wodwala kupuma mokwanira.

Features matendawa

Kaya chifukwa cha kupitilira matenda, kupereka 4 kusalekerera mphumu bronchial. Chidziwitso cha gulu ili amalola kusankha chithandizo choyenera nthawi ndi kupewa kuukira chitukuko.

1 digiri - likukulira. Mu gawo loyamba la matenda alibe kukhala khunyu oposa 1 nthawi pasabata masana ndi 2 usiku kamodzi pamwezi. Exacerbations lalifupi, bronchopulmonary dongosolo ntchito ndi kuwona pang'ono.

2 digiri - pang'ono chosatha. Kuukira zimachitika kuposa kamodzi pa sabata. exacerbation la matenda yaitali, kuphwanya chikhalidwe ambiri, masewera olimbitsa thupi ndi kugona.

3 digiri - zolimbitsa chosatha. Exacerbations mphumu zimachitika tsiku lililonse, chifukwa mu kuwonongeka kwambiri khalidwe la moyo. kuukira usiku abwerezedwa pa maziko mlungu uliwonse. Iliyonse amafuna kugwiritsa ntchito kuvomerezedwa mankhwala kuti kumapangitsanso bronchi.

Kalasi 4 - aakulu chosatha. Amadwala - kangapo patsiku, osati cropped ochiritsira mankhwala si m'thupi. zolimbitsa thupi yafupika kwambiri, kugona akusokoneza usiku.

Kodi chiwembucho?

Pa kukhudzana ndi allergen kapena zina irritant sitepe koyamba dyspnea. Wodwala yolimba kupuma, sikutheka pokoka mpweya kuchuluka kwa mpweya. Akulowa kutsamwa, zikayamba chifukwa cha bronchospasm. Patapita nthawi, pali mokweza wheezing, lomveka kutali. Pali chifuwa poyamba youma, ndiye yonyowa ndi ntchofu viscous. Kulumikizana otsiriza chizindikiro kusamvana amalankhula za kuukira ndi kuchoka wodwala ku boma.

Aakulu nkhawa, mantha ndi maganizo a imfa zikuvutitsa wodwalayo. Ngati chisamaliro pangozi mphumu si anapereka pa nthawi, zosokonezeka kukhala, n'koopsa thanzi la munthu ndi moyo. N'chifukwa chake yense Wopirira ndi wofunika kwambiri kwa nthawi zonse mankhwala ena, cropped zoyenera. Zotsatira panthawi yake pa bronchi ndi kupewa kuwonongeka ndi kuchita popanda njira yaikulu.

Momwe asthmaticus - ndichiyani?

boma ndi limodzi mwa mavuto zambiri mphumu. Lekeza bronchospasm, mankhwala si cropped chifukwa cholimbana ndi mphumu. Akhala wosabereka chifuwa, phlegm ndi sanasiyane. Wodwala amatenga udindo amakakamizidwa - atakhala kapena kuyima ndi maganizo a thupi patsogolo. kaimidwe Zimenezi zimathandiza kuthetsa mpweya ndi kudikira kubwera ambulansi. Ngati Popanda kuchitapo kanthu, wodwalayo wotaya kutsitsimuka. Zikavuta odetsedwa mphumu kungachititse kulephera kupuma ndi imfa.

mavuto ena a mphumu bronchial

Ngati kumene chithandizo sanali ikuchitika nthawi kapena sinathe ndipo angathe zinthu zotsatirazi:

• congestive mtima kulephera;
• pachimake kupuma kulephera;
• pneumothorax

chisamaliro Emergency mu mphumu

Sitepe yoyamba ndi kuchotsa allergen zomwe zinatipangitsa nkhondo. Ngati gwero la vutoli silidziwika, ayenera kuchotsedwa pa mtima zonse zimene zingachititse chitukuko cha kuukira. Mozungulira mphumu sayenera anthu ambiri. Ngati zinthu kulola, wodwala ayenera anasamukira ku chipinda chete mtendere komwe adzatha kukwera kuukira kapena kudikira kuti afike ambulansi.

Isanafike akatswiri ayenera kutenga mankhwala amene amayambitsa bronchiectasis. Childs, aliyense amanyamula ndi iye odwala mphumu mwamsanga ndipo mwaluso kuthetsa mphumu kuukira. Ngati dzanja sanali mankhwala oyenera, muyenera kukhala ndi mtima mu malo omasuka kwambiri kwa iye (ndi otsetsereka a torso patsogolo, kudalira manja)

Ngati chifukwa cha kuukira chinali chakudya munali allergens, kuthandiza adamulowetsa mpweya kapena sorbents ena. Saletsa ndi mankhwala, komanso zosiyanasiyana mankhwala odana ndi nkhawa. Kuchepetsa ena chithandizo cha boma ofunda phazi kusamba.

Mankhwala ntchito kumuukira

Kukonzekera mphumu bronchial ndi osiyanasiyana kwambiri. Pa gawo kubwezerana thandizo kwa zofala kwambiri ntchito inhaler salbutamol. Imeneyi B-blocker adrenic zolandilira amathandiza kuthetsa spasms ndi wokulitsa wa bronchi, zomwe mapeto a ntchofu viscous thupi. Zimenezo ndi zimene mankhwala ayenera kupezeka kwa aliyense mphumu, kudziwa za zinthu zotheka kuukira. Poyamba chizindikiro cha kutsamwa ndi 1-2 mpweya. Ngati ndi kotheka, pambuyo Mphindi 5 inhalation Mungathe kubwereza.

zotsatira kwambiri amapereka mankhwala glucocorticosteroid. Iwo amapangidwa ndi inhalation ndipo apatsidwa odwala amene kuukira si anasiya B-blockers. Kukonzekera mphumu bronchial m'zinenero pa pharmacological msika ndi aliyense mphumu akhoza kusankha chida yoyenera okha atakambilana Katswiri. Iwo anati odwala ntchito corticosteroids Mpweya pasanathe zaka ziwiri isanayambike, kwambiri bwino khalidwe la moyo ndi amachepetsa pafupipafupi kuukira mphumu.

Emergency mankhwala a mphumu bronchial mulinso ntchito "aminophylline" - kukonzekera kufalitsa bronchi. Monga ulamuliro, izo ntchito ambulansi mpumulo kumuukira pamene wodwalayo osati ndi mankhwala Mpweya. "Eufillin" kutumikiridwa m'nsinga, kawirikawiri pamodzi "prednisone" kapena wothandizila ena m'thupi. Pamodzi, mankhwala kuthetsa kutupa, constrict wa bronchi ndi kosavuta expectoration linanena bungwe. Nthawi zambiri, mmene alili kwambiri bwino akachoka "aminophylline".

Pamene mphumu mankhwala udindo mlingo kukula kuphatikiza anawonjezera "heparin" jekeseni. Pankhani ya chikomokere, mankhwala ikuchitika pansi zikhalidwe za anthu odwala mwakayakaya. Pofuna kupewa hypoxia ntchito humidified mpweya kudzera chigoba mu mawonekedwe a inhalations.

Zovuta mphumu amakonda amafuna hospitalization achire nthambi. Ndi chitukuko cha cardio-kupuma kulephera kungafune wodwala kunyamula machira ndi kulumikiza dongosolo mpweya wabwino. M'chipatala ndi zofunikira mu chitukuko cha nkhondo, musati kuchotsa inhalation "Salbutamol" kapena corticosteroids, komanso pa nkhani ya udindo asthmaticus.

kaonedwe

Mwatsoka, nthawi zambiri matenda ili m'kati, zikubweretsa maonekedwe a mavuto osiyanasiyana. Matenda mphumu - sizachilendo akuluakulu. Akutukuka ana aang'ono, izo limodzi ndi kuukira pafupipafupi, kwambiri impairs khalidwe la moyo wodwalayo. M'kupita anapanga ndiko kumayambitsa yodziwika ndi kukula kwa mbali wapotalikira wa bronchi ndi. M'mapapo minofu lidakali, si kupezera thupi ndi mpweya okwanira. Kuyambira hypoxia amakhudza ziwalo zonse, makamaka mtima ndi ubongo. Progressive kupuma kulephera amafuna magulu kunadetsa kwambiri mankhwala.

Mwatsoka, ngakhale ndi miyezo njira simungathe mutsimikizira anasiya kuukira. Anthu amene amadwala mphumu, nthawi zonse muyenera mankhwala anu salbutamol. thandizo panthawi yake osati kungakuthandizeni kuchotsa zizindikiro wosasangalala, komanso kuteteza chitukuko cha mavuto osiyanasiyana.