Ukunakekelwa eziphuthumayo somoya bronchial. Amalungiselelo somoya bronchial

isifuba somoya bronchial - isifo esingelapheki iguliswa ngokuhlaselwa ka Ukuphelelwa noma choking. Ukugula kwenzeka kokubili ngabantwana nangabantu abadala. Minyaka yonke isibalo sabantu abaphethwe yilesi sifo lukhula. Amazwe amaningi abaye baqaphela sina yenkinga, ngonyaka ukwaba tibalo esiningi ngelashwa salezi ziguli. Kwesine Meyi lugujwa usuku emhlabeni wonke emzabalazweni somoya.

iyona isifo kanjani?

isifuba somoya bronchial e abadala kanye nezingane - kuyinto ibonakalisa atopy okuthiwa. Lokhu kusho ukuthi umzimba wesiguli iyaphendula engafanele kuya ezishukumisa evamile kwabanye abantu. Lapho abantu abayimiqemane ngabe awuboni the allergen Suffocate somoya ukuxinwa yisifo okungazelelwe. Ochwepheshe ungakakwazi ukucacisa Imbangela ukuthuthukiswa isifo. Kukholakala ukuthi izifo atopic zizuzwe (noma kunalokho, ukuthambekela uhlobo oluthile yokungezwani komzimba). Kuyaqapheleka futhi nomthelela omubi yezinto eziyingozi kwemvelo on ukuthuthukisa somoya.

ngezigaba

Kuye imbangela isifo, isifuba somoya bronchial sehlukaniswe iguliswa futhi nonallergic. Esimweni sokuqala, inkinga ingase ibe impova, isilwane dander, ukudla angajwayelekile noma ukuthatha imithi ethile. Exacerbation yesifuba somoya kuleli cala ngokucacile uboshelwe ukuxhumana allergen, futhi, njengoba umthetho, ukunquma kahle impela imbangela yalokhu kuhlasela.

isifuba somoya Non-iguliswa ngokuvamile eba phezu zasemuva zezinye izifo bronchopulmonary. Kulokhu, ukuhlaselwa kwakhe isifuba somoya zenzeka ngesikhathi ukutheleleka acute, ukucindezeleka, noma yimuphi omunye izimbangela akuhlobene isenzo allergen. ukwelashwa okuphuthumayo yesifuba somoya bronchial ezimweni zombili kuhilela ukusetshenziswa kwezidakamizwa, nokususa bronchospasm abuyele isiguli sikwazi ukuphefumula ngokugcwele.

Izici lesi sifo

Kungakhathaliseki ukuthi iyini imbangela ukuqhubeka isifo, ukuhlinzeka 4 kobukhulu somoya bronchial. Ukumazi lokhu ngezigaba ikuvumela ukuba ukhethe ukwelashwa okufanele ngesikhathi futhi kuvimbele ukuthuthukiswa ukuhlaselwa.

1 degree - ngakanye. Ngo esigabeni sokuqala lesi sifo musa ukuthuthukisa nokuquleka ezingaphezu kuka 1 isikhathi ngesonto emini 2 ebusuku kanye ngenyanga. Exacerbations esifushane, bronchopulmonary uhlelo umsebenzi kahle kancane.

2 degree - okuncane eziphikelelayo. Ukuhlaselwa zenzeka izikhathi ezingaphezu kwesisodwa ngesonto. exacerbation lesi sifo isikhathi eside, ayephuli isimo jikelele, umsebenzi ngokomzimba futhi ubuthongo.

3 degree - ngokulinganisela eziphikelelayo. Exacerbations yesifuba somoya zenzeka nsuku zonke, kuphumele ekuwohlokeni okuphawulekayo izinga lempilo. ukuhlaselwa Night aphindaphindwe masonto onke. isimo ngasinye kudinga ukusetshenziswa esiyisibopho izidakamizwa ezithuthukisa bronchi.

Libanga 4 - ezinzima eziphikelelayo. ukuhlaselwa njalo - izikhathi eziningana ngosuku, hhayi ukunqampunwa izidakamizwa ezivamile ze-non-hormone. Ukuvivinya umzimba ancipha kakhulu, ukulala iphazamiseke ebusuku.

Ukuhlasela kanjani?

Lapho ukuxhumana allergen noma ezinye isinyathelo ecasulayo sokuqala ibonakala dyspnea. Isiguli kuba nzima ukuphefumula, akunakwenzeka donsa isilinganiso esifanele emoyeni. Uhlanganisa kokuziklinya, esifubeni yobunzima kubangelwa bronchospasm. Ngemva kwesikhathi esithile, kukhona kwesifuba elikhulu, ezwakalayo buqamama. Kube ukukhwehlela ekuqaleni ezomile ke ezimanzi izimbici viscous. Ukujoyina zokugcina uphawu isinqumo ukhuluma ngalokhu kuhlasela uphinde uphume lesiguli kusukela kulesi sifundazwe.

ukukhathazeka okukhulu, ukwesaba nemicabango sokufa uhlupho isiguli. Uma ukunakekelwa okuphuthumayo somoya singanikezwanga ngesikhathi, ukuxakeka ukuthuthukisa, ingozi empilweni yomuntu futhi ukuphila. Yingakho zonke nesineke kubaluleke kangaka ukuba zihlale ezinye izidakamizwa, ukunqampunwa kufanelekile. imiphumela okufika ngesikhathi mayelana nokusebenza bronchi ukugwema ukuwohloka wenze ngaphandle ukungenelela okukhulu.

Isimo asthmaticus - kuyini?

Lesi simo ingenye yezinkinga njalo iningi somoya. bronchospasm ophikelelayo, izidakamizwa hhayi ukunqampunwa kubangele ukuhlaselwa kwakhe isifuba somoya. Uba ukukhwehlela ongatheli, phlegm akuyona ahlukaniswe. Isiguli kuthatha isikhundla ophoqelelwe - uhlezi noma umile ne ukuthambekela umzimba phambili. Lokhu ukuma ikuvumela ukuphungula ezinye umoya bese ulinda ukufika ambulensi. Uma ungatholi ukwelashwa, nesineke ilahlekelwa ukwazi. Ezimweni ezimbi kakhulu isimo somoya kungaholela nokuvaleka kwemigudu yokuphefumula kanye nokufa.

Okunye yezinkinga somoya bronchial

Esimeni lapho imishanguzo eyenziwa ngesikhathi noma ubelokhu kuphumelele futhi angagcina kwale mibandela elandelayo:

• congestive ukuhluleka kwenhliziyo;
• ukwehluleka oyingozi zokuphefumula;
• pneumothorax

ukunakekelwa eziphuthumayo somoya

Isinyathelo sokuqala siwukuba ukususa allergen ezibangele kuhlasela. Uma umthombo le nkinga ayaziwa, ngakho kufanele basuswe lapho isiguli zonke zezinto ezingase zibangele ukuthuthukiswa zokuhlasela. Duzane somoya akufanele kube abantu abaningi. Uma izimo zivumele, isiguli kufanele ashukumiseleke ukuba ikamelo ethule elinokuthula lapho uzokwazi ukubhekana nezimo kuhlasela noma ukulinda ukufika nge-ambulense.

Ngaphambi kokufika ochwepheshe kufanele athathe izidakamizwa ezibangela bronchiectasis. Ngokuvamile, ngamunye uphatha i isifutho somoya ngokushesha nangempumelelo akhulule somoya kuhlasela. Uma isandla kwaba hhayi yilona khambi elidingekayo, kufanele ahlale isiguli kule sikhundla ukhululekile kakhulu kuye (nge emthambekeni esifubeni phambili, sithembele izandla)

Uma imbangela kuhlasela ukudla equkethe izinto ezixabana nomzimba, basisize carbon isebenze noma ezinye sorbents. Ungagxambukeli antihistamine, kanye ezihlukahlukene anti-ukukhathazeka izidakamizwa. Ukudambisa usizo esimweni unyawo efudumele okugeza.

Imithi esetshenziswa kuhlasela

Amalungiselelo somoya imithambo emaphashini ezihlukahlukene kakhulu. Ngesikhathi sigaba wokuphindisela usizo lokuqala ukuba le evame ukusetshenziswa kakhulu nesifutho salbutamol. Lokhu elula b-blocker receptor adrenic kusiza ekudambiseni izinhlungu zibe futhi kwandise bronchi, lula isiphelo sesimiso isikhwehlela viscous kusuka emzimbeni. Yilokho ikhambi kufanele kube atholakale yonke somoya, ukwazi mayelana nentuthuko kuhlasela kungenzeka. Lapho kuvela izimpawu zokuqala of choking kuyinto 1-2 nomoya. Uma kudingekile, emva kwemizuzu 5 ezibonisa ukuthi uhogele kungaba liphindwe.

umphumela Excellent unika izidakamizwa glucocorticosteroid. Basuke ezivezwa ephefumula sanikwa iziguli kabani kuhlasela akuhlobene wayeka b-blocker. Amalungiselelo somoya bronchial butholakale phezu kwemithi emakethe futhi zonke somoya Ungakhetha ithuluzi elifanele bona ngemva kokubonisana uchwepheshe. It waphawula ukuthi iziguli usebenzisa corticosteroids imuncwe kungakapheli iminyaka emibili kuqala, kakhulu ngcono izinga lempilo kanye kunciphisa ukuvama ukuhlaselwa kwakhe isifuba somoya.

ukwelashwa okuphuthumayo yesifuba somoya bronchial sihlanganisa ukusetshenziswa "aminophylline" - ukulungiselela esakaza bronchi. Njengomthetho, isetshenziswa ambulensi wokusiza ngesikhathi kuhlasela lapho isiguli wayengekho imithi imuncwe. "Eufillin" iqondiswa ngemithambo yegazi, ngokuvamile kuhlangene 'prednisone "noma namanye amanxusa hormone. Zizonke, lezi izidakamizwa ekudambiseni ukuvuvukala, constrict le bronchi kanye kulula expectoration okukhiphayo. Ezimweni eziningi, isimo lesiguli ngcono kakhulu emva usebenzisa "aminophylline".

Lapho somoya isimo umthamo izidakamizwa ukwandisa, plus wanezela "heparin" umjovo. Endabeni ikhoma, ukwelashwa wenziwa khona ngaphansi kwezimo of esegumbini labagula kakhulu. Ukuvimbela hypoxia wasebenzisa umoya-mpilo humidified ngokusebenzisa imaski ngesimo inhalations.

Izinkinga yesifuba somoya bathambekele zidinga esibhedlela legatsha zokwelapha. With ukuthuthukiswa ukwehluleka cardio-zokuphefumula kungadinga isiguli ukuba baphathe uhlaka ahlanganiswe ukupholisa uhlelo. Esibhedlela futhi kuyadingeka ekuthuthukisweni kwe-ukuhlaselwa, musa ukususa hhayi ephefumula "Salbutamol" noma corticosteroids, kanye esimweni isimo asthmaticus.

ukuba nombono ongafani ngeke

Ngeshwa, ezimweni eziningi, isifo siqhubeka, esiholela ekuveleni yezinkinga ezihlukahlukene. isifuba somoya Okungalapheki - into engavamile e abadala. Ukuthuthukisa ekuqaleni kuka ebuntwaneni, kuhambisana ukuhlaselwa njalo, kakhulu kuthuntubeza ikhono lomuntu izinga lesiguli zokuphila. Ekugcineni kwakhiwa emphysema, libhekene ukunwetshwa izingxenye distal ze- bronchi. Lung izicubu sisalokhu, akusiyo sikwazi ukunikeza umzimba nge-oksijini eyanele. Kusukela hypoxia kuthinta zonke izitho, ikakhulu inhliziyo kanye nobuchopho. Progressive nokuvaleka kwemigudu yokuphefumula kudinga amaqembu izidakamizwa ngokuya sina.

Ngeshwa, ngisho nazo zonke izinyathelo zokuvimbela ayikwazi ukuqinisekisa ukungabi oluphelele ukuhlaselwa. Abantu abaphethwe somoya, kufanele ngaso sonke isikhathi imithi yakho salbutamol. usizo Esifike Ngesikhathi ngeke kuphela usizo ukuqeda izimpawu ezingemnandi, kodwa futhi ukuvimbela ukuthuthukiswa yezinkinga ezihlukahlukene.