Me Nyuam Mob hawb pob: Cov tsos mob, kuaj mob, thiab kev kho mob

Cov txheej txheem:

Me Nyuam Mob hawb pob: Cov tsos mob, kuaj mob, thiab kev kho mob
Me Nyuam Mob hawb pob: Cov tsos mob, kuaj mob, thiab kev kho mob
Anonim

Me Nyuam Mob Asthma yog dab tsi?

Me Nyuam hawb pob yog tib yam kab mob ntsws uas cov neeg laus tau txais, tab sis cov menyuam yaus feem ntau muaj cov tsos mob sib txawv. Cov kws kho mob kuj hu tus mob hawb pob no.

Yog tias koj tus menyuam muaj mob hawb pob, lawv lub ntsws thiab cov hlab ntsws tuaj yeem kis tau yooj yim thaum lawv txias lossis nyob ib puag ncig yam xws li paj ntoos. Cov tsos mob yuav ua rau nws nyuaj rau koj tus menyuam ua haujlwm txhua hnub lossis pw tsaug zog. Qee zaum, mob hawb pob tuaj yeem ua rau muaj kev mus rau tom tsev kho mob.

Tsis muaj tshuaj kho mob hawb pob hauv menyuam yaus, tab sis koj tuaj yeem ua haujlwm nrog koj tus menyuam tus kws kho mob los kho nws thiab tiv thaiv kev puas tsuaj rau lawv lub ntsws loj hlob.

Cov tsos mob thiab cov tsos mob ntawm Me Nyuam Mob Asthma

Tsis yog txhua tus menyuam yaus muaj cov tsos mob xws li mob hawb pob. Ib tug me nyuam txawm muaj cov tsos mob sib txawv ntawm ib ntu mus rau lwm qhov. Cov tsos mob thiab cov tsos mob ntawm tus mob hawb pob hauv cov menyuam yaus suav nrog:

  • Ib hnoos tsis ploj (uas tej zaum yuav yog tus tsos mob nkaus xwb)
  • hnoos hnoos uas tshwm sim ntau zaus, tshwj xeeb tshaj yog thaum ua si lossis tawm dag zog, hmo ntuj, huab cua txias, lossis thaum luag lossis quaj
  • Ib hnoos uas hnyav zuj zus tom qab kis kab mob
  • Tsawg zog thaum ua si, thiab nres ua pa thaum ua si
  • Kev zam kev ua kis las lossis kev sib raug zoo
  • Teeb meem pw tsaug zog vim hnoos lossis ua tsis taus pa
  • ua pa nrawm
  • plab nruj lossis mob
  • ntxhi, xuav lub suab thaum ua pa hauv lossis tawm
  • Seesaw motions hauv siab (retractions)
  • Ua tsis taus pa
  • Ntxoov caj dab thiab hauv siab cov leeg
  • Xav qaug zog lossis nkees
  • Teeb meem noj, lossis yws yws thaum noj mov (hauv menyuam mos)

Koj tus menyuam tus kws kho mob yuav tsum kuaj xyuas seb muaj mob twg ua rau lawv ua tsis taus pa.

Cov kws tshaj lij qee zaum siv cov lus "reactive airways disease" thiab "bronchiolitis" thaum tham txog hawb pob ua tsis taus pa los yog hnoos hauv cov me nyuam mos thiab cov me nyuam me. Kev ntsuam xyuas yuav tsis tuaj yeem paub tseeb tias mob hawb pob hauv cov menyuam yaus hnub nyoog qis dua 5.

Thaum tau txais kev kho mob xwm txheej ceev

Kev mob hawb pob hnyav xav tau kev kho mob tam sim ntawd. Saib xyuas cov paib no:

  • Sau nruab nrab ntawm kab lus kom ua pa
  • Siv plab leeg ua pa
  • Lub plab uas nkag rau hauv qab lawv tav thaum lawv sim cua
  • lub hauv siab thiab ob sab uas rub tawm thaum lawv ua pa
  • hawb pob
  • hnoos hnyav
  • Teeb meem taug kev lossis hais lus
  • daim di ncauj xiav lossis cov ntiv tes
  • Ua tsis taus pa ntau ntxiv nrog qis hawb pob
  • qhov ntswg dav
  • Lub plawv dhia nrawm
  • tawm hws ntau dua li ib txwm
  • mob plab

Caus thiab Ua rau Me Nyuam Mob hawb pob

Cov kev tshwm sim muaj xws li:

  • kab mob hauv Airway. Qhov no suav nrog mob khaub thuas, mob ntsws, thiab kab mob hauv qhov ntswg.
  • Allergens. Koj tus menyuam yuav ua xua rau tej yam xws li kab laum, plua plav mites, pwm, tsiaj dander, thiab paj ntoos.
  • Irritants. Tej yam xws li huab cua muaj kuab paug, tshuaj lom neeg, cua txias, tsw ntxhiab, lossis haus luam yeeb tuaj yeem cuam tshuam rau lawv txoj kev ua pa.
  • Kev tawm dag zog. Nws tuaj yeem ua rau hawb pob, hnoos, thiab lub hauv siab nruj.
  • Stress. Nws tuaj yeem ua rau koj tus menyuam ua tsis taus pa thiab ua rau lawv cov tsos mob hnyav dua.

Me Nyuam Mob Asthma Risk Factors

mob hawb pob yog qhov ua rau mob mus ntev rau cov menyuam yaus. Nws cuam tshuam txog 7 lab tus menyuam yaus hauv Tebchaws Meskas. Cov lej ntawd tau nce mus, thiab cov kws tshaj lij tsis paub meej tias yog vim li cas.

Cov menyuam yaus feem ntau muaj cov tsos mob thawj zaug thaum muaj hnub nyoog 5 xyoos. Tab sis mob hawb pob tuaj yeem pib thaum muaj hnub nyoog.

Yam uas tuaj yeem ua rau menyuam yaus muaj mob hawb pob muaj xws li:

  • Nasal allergies (hay fever) or eczema (allergic skin rash)
  • Ib tsev neeg keeb kwm ntawm mob hawb pob lossis ua xua
  • Muaj kab mob ua pa ntau heev
  • yug me nyuam qis
  • Kev haus luam yeeb haus luam yeeb ua ntej lossis tom qab yug me nyuam
  • African-Asmeskas lossis Puerto Rican qhovntsej thiaj tsis mob
  • Nyob rau hauv ib puag ncig tau nyiaj tsawg

Kev kuaj mob ntsws asthma thaum yau

Koj tus menyuam cov tsos mob hawb pob yuav ploj mus thaum koj mus rau ntawm tus kws kho mob lub chaw haujlwm. Koj muaj lub luag haujlwm tseem ceeb hauv kev pab koj tus kws kho mob kom nkag siab tias muaj dab tsi tshwm sim. Kev kuaj mob yuav suav nrog:

  • Nug txog keeb kwm kev kho mob thiab cov tsos mob. Koj tus kws kho mob yuav nug txog cov teeb meem ua pa uas koj tus menyuam muaj, nrog rau txhua tsev neeg keeb kwm mob hawb pob, ua xua, eczema, lossis lwm yam mob ntsws. Piav qhia koj tus menyuam cov tsos mob kom ntxaws, suav nrog thaum twg thiab ntau npaum li cas lawv tshwm sim.
  • Kev kuaj lub cev. Koj tus kws kho mob yuav mloog koj tus menyuam lub siab thiab lub ntsws thiab saib hauv lub qhov ntswg lossis qhov muag kom pom kev ua xua.
  • Tests. Koj tus menyuam yuav tau X-ray hauv siab. Yog tias lawv muaj 6 xyoos lossis laus dua, lawv tuaj yeem kuaj mob ntsws yooj yim hu ua spirometry. Nws ntsuas cov huab cua hauv koj tus menyuam lub ntsws thiab seb lawv tuaj yeem tshuab tau sai npaum li cas. Qhov no yuav pab tus kws kho mob paub tias lawv mob hawb pob hnyav npaum li cas. Lwm qhov kev ntsuam xyuas tuaj yeem pab nrhiav pom tus mob hawb pob. Tej zaum lawv yuav suav nrog kev kuaj tawv nqaij ua xua, kuaj ntshav (IgE lossis RAST), thiab X-rays qhia seb puas muaj kab mob hauv qhov ntswg lossis kab mob gastroesophageal reflux (GERD) ua rau mob hawb pob. Ib qho kev ntsuas uas ntsuas qib nitric oxide (eNO) hauv koj tus menyuam txoj kev ua pa kuj tseem tuaj yeem taw qhia rau cov pa ua pa.

Kev kho mob ntsws asthma thaum yau

Raws li koj tus menyuam keeb kwm thiab qhov mob hawb pob hnyav npaum li cas, lawv tus kws kho mob yuav tsim ib txoj kev npaj saib xyuas, hu ua asthma action plan. Qhov no piav qhia thaum twg thiab yuav ua li cas koj tus menyuam yuav tsum tau siv tshuaj kho mob hawb pob, yuav ua li cas thaum mob hawb pob mob hnyav, thiab thaum twg los nrhiav kev kho mob xwm txheej ceev. Xyuas kom koj nkag siab txog txoj kev npaj no, thiab nug koj tus menyuam tus kws kho mob cov lus nug uas koj muaj.

Koj tus menyuam txoj kev npaj ua mob hawb pob yog qhov tseem ceeb rau kev tswj lawv tus mob hawb pob. Khaws cia kom nco ntsoov koj tus menyuam txoj kev tswj hwm txhua hnub, nrog rau coj koj thaum koj tus menyuam muaj mob hawb pob. Muab cov ntawv luam rau koj tus menyuam cov neeg saib xyuas, cov kws qhia ntawv, thiab tus neeg tsav tsheb npav kom lawv paub yuav ua li cas yog tias tus menyuam muaj mob hawb pob tawm hauv tsev.

Ntxiv rau kev ua raws li koj tus menyuam txoj kev npaj ua kom mob hawb pob, koj xav kom paub tseeb tias kev kis tus mob hawb pob raug txwv, thiab zoo dua zam.

Cov tshuaj asthma twg tuaj yeem cov menyuam yaus noj tau?

Cov tshuaj mob hawb pob uas muab rau cov neeg laus thiab cov menyuam loj tuaj yeem muab tshuaj rau cov menyuam yaus thiab cov menyuam yau. Cov tshuaj uas pom zoo rau cov menyuam yaus yog muab nyob rau hauv cov koob tshuaj kho raws li lawv lub hnub nyoog thiab qhov hnyav. Nyob rau hauv cov ntaub ntawv ntawm cov tshuaj nqus tau pa, yuav tsum muaj ib tug sib txawv khoom xa tuaj raws li tus me nyuam lub hnub nyoog thiab muaj peev xwm. (Ntau tus menyuam yaus tsis tuaj yeem koom tes ua pa zoo txaus los siv lub tshuab nqus pa.)

Muaj ob hom tshuaj kho mob hawb pob:

  • tshuaj kho sai pab nrog cov tsos mob tshwm sim. Koj tus menyuam yuav coj lawv mus pab sai thaum muaj mob hawb pob.
  • tshuaj ua kom ntev tiv thaiv kev mob ntsws thiab ua kom mob hawb pob. Koj tus menyuam tej zaum yuav coj lawv txhua hnub.

Yog tus me nyuam mos los yog tus me nyuam loj hlob muaj cov tsos mob ntawm tus mob hawb pob uas yuav tsum tau kho nrog cov tshuaj bronchodilator ntau tshaj ob zaug hauv ib lub lis piam thaum nruab hnub lossis ntau dua ob zaug hauv ib hlis thaum hmo ntuj, feem ntau kws kho mob pom zoo siv tshuaj tiv thaiv kab mob txhua hnub.

Ntau yam tshuaj mob hawb pob muaj cov tshuaj steroids, uas tuaj yeem muaj kev phiv. Lawv tuaj yeem ua rau koj tus menyuam lub qhov ncauj thiab caj pas. Qee qhov kev tshawb fawb qhia tau hais tias dhau sij hawm, lawv yuav ua rau kev loj hlob qeeb, teeb meem pob txha, thiab cataracts. Tom qab koj tus menyuam coj lawv, lawv lub cev yuav tsis tuaj yeem ua ntau yam tshuaj steroids. Tab sis tsis muaj kev kho mob, mob hawb pob tuaj yeem ua rau muaj teeb meem kev noj qab haus huv thiab mus ntsib tsev kho mob. Koj thiab koj tus kws kho mob yuav tsum tham txog qhov zoo thiab qhov tsis zoo ntawm cov tshuaj thaum koj ua ib txoj kev npaj ua mob hawb pob.

Kuv yuav muab tshuaj rau kuv tus menyuam li cas?

Koj tus menyuam tus kws khomob yuav qhia koj ntau npaum li cas muab tshuaj kho ua pa rau koj tus menyuam, raws li lawv qhov mob hawb pob hnyav npaum li cas.

Koj tuaj yeem muab rau koj tus menyuam (feem ntau yog rau cov menyuam yaus hnub nyoog qis dua 4 xyoos) cov tshuaj kho mob hawb pob uas siv lub tshuab nqus tsev, los yog lub tshuab ua pa. Ib tus kws kho mob muab tshuaj kho mob hawb pob, feem ntau yog cov tshuaj bronchodilators, los ntawm kev hloov lawv los ntawm cov kua dej mus rau qhov tsis zoo. Koj tus menyuam tau txais cov tshuaj los ntawm kev ua pa los ntawm daim npog ntsej muag. Cov kev kho ua pa no feem ntau siv li 10 mus rau 15 feeb thiab muab ntau zaus hauv ib hnub.

Yuav siv lub nebulizer:

  • ntxuav tes.
  • Muab tshuaj tso rau hauv nebulizer.
  • Txuas cov hlab los ntawm lub compressor mus rau hauv paus.
  • Txhob qhov ncauj los yog daim npog qhov ncauj.
  • Tig lub compressor thiab saib kom pom lub teeb pos huab los ntawm lub tshuab nqus tsev.
  • Muab daim npog qhov ncauj rau ntawm koj tus menyuam lub ntsej muag, lossis muab lub qhov ncauj tso rau hauv lawv lub qhov ncauj thiab kaw lawv daim di ncauj ib ncig.
  • Cia lawv ua pa tawm mus txog thaum lub sijhawm kho mob.
  • Tig lub nebulizer thaum cov tshuaj ploj mus.
  • Cia koj tus menyuam hnoos kom tshem tawm cov hnoos qeev.

Muaj cov lus qhia rau kev tswj tus mob hawb pob hauv cov menyuam yaus txog 4 xyoos. Qhov no suav nrog kev siv cov tshuaj kho sai (xws li albuterol) rau cov tsos mob tawm. Ib koob tshuaj tsawg ntawm qhov nqus tau steroid, lossis montelukast (Singulair) yog qib tom ntej. Tom qab muaj hnub nyoog 4 xyoos, kev tsom mus rau kev tswj cov tsos mob mus rau kev tswj kab mob. Yog tias koj tus menyuam tus mob hawb pob tswj tau tsawg kawg 3 lub hlis, lawv tus kws kho mob yuav txo lawv txoj kev kho.

Tshwj tsis yog lub tshuab nqus tsev, cov menyuam loj tuaj yeem siv tau lub tshuab nqus dej hydrofluoroalkane lossis HFA (yav tas los hu ua metered dose inhaler lossis MDI) nrog lub spacer.

A spacer yog lub chamber uas txuas rau lub tshuab nqus pa thiab tuav cov tshuaj tawg. Qhov no cia koj tus menyuam nqus cov tshuaj rau hauv lawv lub ntsws ntawm lawv tus kheej. Siv lub tshuab nqus pa nrog lub tshuab nqus tsev:

  • ntxuav tes.
  • Thawj zaug koj siv nws, thawj lub tshuab nqus pa los ntawm txau nws 4 zaug rau saum huab cua.
  • Muab lub tshuab nqus pa rau hauv qhov qhib ntawm qhov kawg ntawm qhov spacer.
  • Caw nws rau 10 vib nas this.
  • Cia koj tus menyuam tig taub hau mus rau sab thiab ua pa tawm.
  • Cia lawv kaw lub qhov ncauj ib ncig ntawm lub qhov ncauj ntawm lub spacer.
  • Qhia kom lawv ua pa tob tob.
  • Ua kom lawv tuav nws thiab suav rau 10.
  • Cia lawv maj mam ua pa tawm.
  • Yog tias koj tus kws kho mob tau sau tshuaj ob lub puffs, tos 1 feeb tom qab thawj zaug puff thiab rov ua dua.
  • Pab lawv yaug lawv lub qhov ncauj, txhuam hniav, lossis haus dej.

Kev Tiv Thaiv Menyuam Yaus Mob hawb pob

Txhawm rau tiv thaiv kev mob hawb pob lossis kom tsis txhob mob hnyav, tsom mus rau qhov paub ua rau muaj cov kauj ruam zoo li no:

  • Tsis txhob cia leej twg haus luam yeeb hauv koj lub tsev lossis lub tsheb.
  • Ntev txaj thiab ntaub pua plag ntau zaus los tiv thaiv cov plua plav.
  • Khaws cov tsiaj tawm ntawm koj tus menyuam chav pw. Lub tshuab lim cua tuaj yeem pab ua kom tsis haum.
  • Tau tshuaj tua kab kom tsis txhob muaj kab laum.
  • Kho cov dej ntws thiab siv cov dehumidifiers los tiv thaiv pwm.
  • Tsis txhob siv cov khoom siv tshuaj tsw qab lossis tswm ciab.
  • Tshawb xyuas huab cua zoo txhua hnub hauv koj cheeb tsam.
  • pab koj tus menyuam kom lub cev hnyav.
  • Yog tias lawv kub siab, tswj kom tswj tau.
  • Yog tias kev tawm dag zog yog qhov ua rau, koj tus menyuam tus kws kho mob yuav kom koj tus menyuam siv lub tshuab nqus pa 20 feeb ua ntej kev ua ub ua no kom lawv txoj hlab pa qhib.
  • Nco ntsoov tias lawv tau txhaj koob tshuaj txhua xyoo.

Kev mob ntsws asthma thaum yau

Thaum nws tswj tsis tau, mob hawb pob tuaj yeem ua teeb meem xws li:

  • Kev tawm tsam hnyav, qee zaum ua rau ER mus ntsib lossis nyob hauv tsev kho mob
  • Missed tsev kawm ntawv thiab lwm yam haujlwm
  • Nyob
  • ncua kev loj hlob lossis puberty
  • Kev puas tsuaj rau txoj hlab ntsws thiab mob ntsws
  • Kev tuag

Childhood Asthma Outlook

Tsis muaj kev kho mob hawb pob, tab sis koj tus menyuam tuaj yeem kawm tswj tau. Lawv yuav tsum muaj peev xwm:

  • Tiv thaiv cov tsos mob mus sij hawm ntev
  • Mus kawm ntawv txhua hnub
  • Tsis txhob ua mob hawb pob thaum hmo ntuj
  • koom nrog cov haujlwm niaj hnub, ua si, thiab koom nrog kev ua kis las
  • Tsis txhob mus ntsib kws kho mob sai, chav kho mob ceev, lossis tsev kho mob
  • Siv thiab kho cov tshuaj los tswj cov tsos mob uas muaj ob peb lossis tsis muaj kev phiv

Yog tias lawv muaj teeb meem ua tau raws li tag nrho cov hom phiaj no, nug lawv tus kws kho mob kom muab tswv yim.

Muaj ntau yam uas cov kws tshaj lij tsis paub txog tus menyuam mos lub ntsws ua haujlwm thiab mob hawb pob. Tab sis lawv ntseeg tias tus me nyuam muaj feem yuav raug kuaj mob hawb pob thaum muaj hnub nyoog 7 yog tias lawv tau muaj ntau zaus hawb pob, muaj niam muaj mob hawb pob, lossis muaj kev fab tshuaj.

Thaum tus me nyuam txoj kev ua pa ua rau lawv nkag siab, lawv nyob li ntawd mus rau lub neej. Tab sis kwv yees li 50% ntawm cov menyuam yaus pom qhov poob qis hauv cov tsos mob hawb pob thaum lawv mus txog lawv cov hluas. Tej zaum nws yuav zoo li lawv tau ua rau lawv tus mob hawb pob, tab sis qee qhov yuav muaj cov tsos mob dua li cov neeg laus. Tsis muaj txoj hauv kev los twv seb yuav muaj dab tsi tshwm sim rau koj tus menyuam.

Los ntawm kev kawm txog kev mob hawb pob thiab tswj nws li cas, koj ua ib kauj ruam tseem ceeb los tswj koj tus menyuam tus mob. Ua haujlwm ze nrog lawv pab neeg saib xyuas kom paub txhua yam koj ua tau txog kev mob ntsws asthma, yuav ua li cas kom tsis txhob tshwm sim, tshuaj dab tsi ua, thiab yuav muab kev kho li cas.

Pom zoo:

Nthuav cov khoom
Ua Haujlwm Nrog Koj Cov Kws Kho Mob Rheumatoid Arthritis
Nyeem ntxiv

Ua Haujlwm Nrog Koj Cov Kws Kho Mob Rheumatoid Arthritis

Koj puas pom tus kws kho mob rheumatoid rau koj tus mob rheumatoid? Nws tuaj yeem ua qhov txawv ntawm koj qhov RA mus li cas. Cov kws kho mob no kho mob caj dab thiab lwm yam teeb meem ntawm pob qij txha, pob txha, thiab cov leeg. Yog tias koj tsis muaj, nug koj tus kws kho mob kom xa mus.

Cov tsos mob mob caj dab: Koj Puas Yuav Hu Rau Tus Kws Kho Mob?
Nyeem ntxiv

Cov tsos mob mob caj dab: Koj Puas Yuav Hu Rau Tus Kws Kho Mob?

Mob, o, rhiab, thiab mob pob qij txha tuaj yeem yog cov cim qhia ntawm kev mob caj dab. Nov yog thaum koj yuav tsum xav txog mus ntsib kws kho mob rau cov tsos mob ntawm kev mob caj dab lossis kev sib koom ua ke. kev kho tsev tsis tau pab.

Mob caj dab caj dab thiab qoj ib ce
Nyeem ntxiv

Mob caj dab caj dab thiab qoj ib ce

Yog, koj tuaj yeem! Ua kom nquag plias yog ib qho zoo tshaj plaws uas koj tuaj yeem ua rau koj txoj kev noj qab haus huv, txawm tias koj muaj mob caj dab rheumatoid (RA). Koj tsuas yog yuav tsum paub ua haujlwm li cas hauv koj qhov kev txwv.