Koj tus me nyuam puas muaj teeb meem ua pa thaum mob khaub thuas? Cia peb kawm txog Bronchiolitis!

Koj tus me nyuam puas mob khaub thuas thiab ua pa nyuaj? Tej zaum lawv ua suab nrov hauv lawv lub hauv siab. Yog tias yog, qhov no yuav yog ib yam mob hu ua bronchiolitis uas koj tus menyuam muaj. Tsis txhob txhawj, cia peb tham txog nws kom meej, nws yog dab tsi, vim li cas nws thiaj tshwm sim, cov tsos mob yog dab tsi, thiab peb yuav tsum ua li cas.

Kab mob ntsws bronchiolitis yog dab tsi?

Hais yooj yim xwb, mob ntsws bronchiolitis yog ib qho kab mob kis rau lub ntsws ntawm cov menyuam yaus hnub nyoog qis dua ob xyoos . Qhov tshwm sim hauv qhov no yog tias cov hlab cua me me hauv tus menyuam lub ntsws, hu ua bronchioles , yuav o thiab nqaim. Xav txog nws zoo li cov yeeb nkab dej daig hauv qab koj lub caj pas, ua rau nws nyuaj rau tus menyuam ua pa.

Tej zaum koj yuav pom tias koj tus menyuam muaj cov tsos mob ntawm tus mob khaub thuas (xws li ntswg ntws thiab hnoos), nrog rau lub suab ua pa nrov thaum ua pa. Qhov mob no feem ntau tshwm sim ntau dua thaum huab cua txias, xws li lub caij ntuj no thiab thaum ntxov caij nplooj ntoos hlav .

Feem ntau, qhov no tsis yog qhov mob hnyav, tab sis qee zaum nws tuaj yeem mob hnyav heev. Yog li ntawd, yog tias koj tus menyuam muaj cov tsos mob no, koj yuav tsum ua tib zoo saib xyuas lawv txoj kev ua pa thiab mus ntsib kws kho mob tam sim ntawd yog tias lawv ua pa nyuaj.

Tus mob no feem ntau tshwm sim li cas?

Kab mob ntsws (bronchiolitis) yog ib qho kev kis kab mob ntawm txoj hlab pa qis ntawm lub ntsws uas pom muaj rau cov menyuam yaus hnub nyoog qis dua ob xyoos .

Puas yog mob bronchiolitis kis tau?

Yog, yeej muaj tseeb. Cov kab mob uas ua rau mob bronchiolitis sib kis tau . Cov kab mob no kis tau los ntawm cov tee dej uas ua pa ('respiratory droplets') uas tawm thaum tus neeg mob hnoos lossis txham. Cov tee dej no tuaj yeem nqus tau mus rau hauv huab cua, lossis lawv tuaj yeem tsaws rau ntawm cov chaw uas kov ntau zaus, xws li cov khoom ua si thiab cov qhov rooj, thiab tom qab ntawd kis mus rau koj tus menyuam lub qhov ncauj thiab qhov ntswg los ntawm kev kov lawv.

Qhov txawv ntawm Bronchiolitis thiab Bronchitis yog dab tsi?

Ob lub npe no zoo sib xws me ntsis, yog li ntawd lawv yuav tsis meej pem. Cov tsos mob kuj zoo sib xws me ntsis. Ob qho mob no yog tshwm sim los ntawm kev kis kab mob viral, thiab ob qho tib si cuam tshuam rau txoj hlab pa hauv lub ntsws.

Tiam sis ntawm no yog qhov txawv:

• Kab mob ntsws (bronchitis) cuam tshuam rau txoj hlab pa loj (bronchi) hauv lub ntsws. Feem ntau nws tshwm sim rau cov menyuam yaus loj dua thiab cov neeg laus.
• Kab mob ntsws (bronchiolitis ) cuam tshuam rau cov hlab pa me me (bronchioles) hauv lub ntsws. Qhov no yog qhov tshwm sim rau cov menyuam yaus, tshwj xeeb tshaj yog cov menyuam mos hnub nyoog qis dua ob xyoos.

Xav txog peb lub ntsws zoo li ib tsob ntoo. Cov ceg loj ntawm tsob ntoo ntawd hu ua "bronchi". Cov hlab cua me tshaj plaws hauv lub ntsws hu ua "bronchioles", uas zoo li cov ceg me me uas tawg tawm thaum lawv tawg. Hauv bronchiolitis, nws yog cov hlab cua me me uas raug cuam tshuam.

Cov tsos mob ntawm tus mob bronchiolitis yog dab tsi?

Thaum xub thawj, cov tsos mob no zoo ib yam li cov mob khaub thuas.

Cov tsos mob thaum ntxov:

• Mob ntsws (sinusitis)
• Kub taub hau me me (kub taub hau qis dua 101 degrees Fahrenheit lossis 38 degrees Celsius)
• Hnoos
• Qaug zog, nkees (`(qaug zog)`)
• Cov menyuam mos quaj ntau zaus, tsis so, thiab tsis xav noj mov ("(fussiness lossis irritability)")

Vim tias tus kab mob no cuam tshuam rau tus menyuam txoj kev ua pa, qee cov tsos mob ntsig txog kev ua pa yuav tshwm sim:

• Ua pa sai los yog ua pa tob
• Ua pa nrov nrov (lub suab nrov thaum ua pa)
• Cov suab nrov nrov thaum ua pa
• Kev ua pa ntawm lub qhov ntswg thaum ua pa

Thaum twg yuav tsum nrhiav kev kho mob thaum muaj xwm txheej ceev (ua tib zoo saib xyuas cov tsos mob no!):

Yog tias koj tus menyuam muaj teeb meem ua pa, lossis yog tias lawv muaj cov tsos mob ntawm tus mob bronchiolitis loj heev , hu rau koj tus menyuam tus kws kho mob tam sim ntawd lossis coj lawv mus rau chav kho mob ceev hauv tsev kho mob ze tshaj plaws.

• Nyuaj siab nqus thiab/lossis nqos (txhais tau tias tus menyuam tsis tuaj yeem noj lossis haus tau zoo)
• Qhov ntswg ua pa nrov heev thiab ua pa nrov thaum ua pa
• Lub hauv siab rub thaum ua pa (daim tawv nqaij ntawm tus menyuam lub hauv siab lo rau ntawm cov tav thiab zoo li nkag mus rau hauv - peb hu qhov no "lub hauv siab rub")
• Xim xiav, grey, lossis daj ntseg ntawm daim di ncauj, cov ntiv tes, lossis cov ntiv taw (cyanosis). Qhov no tshwm sim thaum lub cev tsis tau txais oxygen txaus.
• Qhov ncauj qhuav, tsis muaj lossis tso zis me ntsis, tsis muaj kua muag thaum quaj (cov no tuaj yeem yog cov cim qhia tias lub cev qhuav dej )

Dab tsi yog cov ua rau mob ntsws bronchiolitis?

Qhov ua rau muaj tus mob no yog los ntawm kev kis kab mob viral . Muaj ntau hom kab mob uas ua rau mob bronchiolitis:

• Kab mob ua pa (RSV): Qhov no yog qhov ua rau mob feem ntau.
• Kab mob khaub thuas: Tus kab mob uas ua rau mob khaub thuas uas peb feem ntau hu ua "mob khaub thuas."
• Adenovirus
• Tus kab mob Parainfluenza (Parainfluenza)
• Metapneumovirus
• Tus kab mob SARS-CoV-2: Qhov no yog tus kab mob uas ua rau muaj COVID-19 (COVID-19).

Leej twg muaj feem yuav mob no ntau dua?

Kab mob ntsws (bronchiolitis) yog ib yam mob uas feem ntau cuam tshuam rau cov menyuam yaus hnub nyoog qis dua ob xyoos . Cov neeg laus kuj tuaj yeem kis tau tus kab mob no, tab sis nws tsis tshua muaj. Koj tus menyuam yuav muaj feem yuav mob ntsws hnyav dua vim yog cov laj thawj hauv qab no:

• Ib tug me nyuam yug ua ntej 37 lub lis piam ntawm kev xeeb tub (peb hu lawv ua "cov me nyuam yug ua ntej lub sijhawm").
• Yog koj muaj mob ntsws lossis mob plawv txij thaum yug los.
• Yog tias tus me nyuam muaj lub cev tiv thaiv kab mob tsis muaj zog (`(lub cev tiv thaiv kab mob tsis zoo)`) .
• Yog tias koj feem ntau nyob hauv cov chaw muaj neeg coob coob xws li chaw zov menyuam.

Qhov no ua rau muaj teeb meem dab tsi?

Kab mob ntsws (bronchiolitis) tej zaum yuav ua rau muaj lwm yam teeb meem. Cov teeb meem tseem ceeb yog:

• Mob ntsws o
• Mob hawb pob (qee tus menyuam yaus muaj feem yuav mob hawb pob tom qab hauv lub neej)
• Kev ua tsis taus pa

Tseem Ceeb: Kab mob ntsws (bronchiolitis) yog ib yam mob uas yuav ua rau koj tuag taus yog tias koj tus menyuam muaj cov tsos mob hnyav uas cuam tshuam rau lawv txoj kev ua pa. Yog li ntawd, yog tias koj pom tias koj tus menyuam ua pa nyuaj, hu rau 1990 (kev pabcuam tsheb thauj neeg mob thaum muaj xwm txheej ceev hauv Sri Lanka tam sim ntawd), lossis coj koj tus menyuam mus rau chav kho mob thaum muaj xwm txheej ceev hauv tsev kho mob ze tshaj plaws.

Cov kws kho mob kuaj mob li cas?

Koj tus menyuam tus kws kho mob yuav kuaj mob bronchiolitis los ntawm kev kuaj koj tus menyuam lub cev thiab ua cov kev kuaj yog tias tsim nyog . Thaum lub sijhawm kuaj lub cev, tus kws kho mob yuav kuaj xyuas koj tus menyuam cov cim qhia tseem ceeb, qhov kub thiab txias, thiab mloog koj tus menyuam txoj kev ua pa nrog lub stethoscope ("auscultation") muab tso rau ntawm lawv lub hauv siab.

Tus kws kho mob kuj tseem yuav nug koj cov lus nug txog koj tus menyuam cov tsos mob. Piv txwv li:

• Tus me nyuam muaj cov tsos mob no ntev npaum li cas lawm?
• Tus me nyuam puas tau kub taub hau?
• Tus me nyuam puas tau sib cuag nrog lwm tus neeg uas nyuam qhuav muaj mob?

Tus kws kho mob yuav muab ib lub cuab yeej me me hu ua pulse oximeter txuas rau ntawm tus menyuam lub ntiv tes lossis ntiv taw kom kuaj xyuas tus menyuam cov ntshav oxygen .

Yog tias tsim nyog, yuav tau kuaj cov kua ntswg kom paub seb yog hom kab mob dab tsi. Yog tias tus me nyuam muaj cov tsos mob hnyav, yuav tau thaij duab X-ray hauv siab thiab.

Cov tsos mob ntawm tus kab mob bronchiolitis puas zoo ib yam li lwm yam kab mob?

Yog, cov tsos mob ntawm tus kab mob bronchiolitis zoo ib yam li lwm yam kab mob ua pa, xws li mob ntsws bronchitis thiab mob ntsws pneumonia. Tsis tas li ntawd, lub suab ua pa thaum ua pa tuaj yeem yuam kev rau tus mob hawb pob. Qee zaum, nws tuaj yeem xav tias tus menyuam tau nqus ib yam dab tsi ('(aspirated)').

Nco ntsoov, yog koj xav tias koj tus menyuam ua pa nyuaj, mus ntsib kws kho mob tam sim ntawd. Tsuas yog kws kho mob thiaj li paub qhov txawv ntawm ib qho teeb meem ua pa thiab kuaj mob tau zoo.

Yuav kho qhov no li cas?

Lub hom phiaj tseem ceeb ntawm kev kho mob bronchiolitis yog kom txo cov tsos mob , uas txhais tau tias txo qhov tsis xis nyob uas tus menyuam tab tom ntsib.

• Cov tshuaj tiv thaiv kub: Piv txwv li, paracetamol.
• Cov tshuaj tua kab mob: Piv txwv li, yog tias tus mob khaub thuas yog los ntawm tus kab mob, cov tshuaj xws li oseltamivir yuav raug sau tseg (qhov no yog kev txiav txim siab los ntawm tus kws kho mob).

Tsis yog txhua tus mob bronchiolitis yuav tsum tau kev kho mob, yog li nws yog qhov zoo tshaj plaws los tham nrog kws kho mob yog tias koj tus menyuam muaj cov tsos mob. Nco ntsoov, qhov no yog kev kis kab mob los ntawm cov kab mob viral, yog li cov tshuaj tua kab mob yuav tsis pab.

Yog koj tus menyuam muaj teeb meem ua pa, tej zaum lawv yuav tau mus pw hauv tsev kho mob. Thaum mus txog tsev kho mob, tej zaum lawv yuav tau txais kev kho mob oxygen lossis cov kua dej hauv cov hlab ntsha (cov kua dej IV, uas yog saline) .

Yuav kho tus mob bronchiolitis li cas hauv tsev?

Txawm hais tias koj yuav tsum saib xyuas koj tus menyuam txoj kev ua pa tas li, koj tuaj yeem pab koj tus menyuam kom zoo dua los ntawm kev ua cov hauv qab no hauv tsev:

• Cia tus me nyuam so kom zoo.
• Yog koj tus menyuam tsis nyiam noj ib pluag mov loj ib zaug, pub me me rau nws noj ntau zaus thoob plaws hnub.
• Yuav kom tiv thaiv kom tsis txhob qhuav dej, muab dej rau koj tus menyuam haus ntau. Rau cov menyuam yaus hnub nyoog qis dua ib xyoos, mis niam lossis mis mos yog qhov zoo tshaj plaws. Rau cov menyuam loj dua, cov dej haus electrolyte xws li Pedialyte tuaj yeem muab tau raws li kev qhia ntawm kws kho mob.
• Muab lub tshuab ua kom noo noo rau hauv chav ntawm koj tus menyuam. Cov huab cua ntub yuav pab ua kom cov hnoos qeev thiab lwm yam kua tawm tawm yooj yim dua.
• Yog koj lub qhov ntswg raug txhaws, siv cov tshuaj saline rau qhov ntswg thiab lub cuab yeej nqus qhov ntswg.
• Muab tshuaj txo qhov kub taub hau rau koj tus menyuam, xws li paracetamol (Tylenol), raws li koj tus kws kho mob hais.

Ceeb Toom: Tsis txhob muab tshuaj aspirin rau menyuam yaus. Ua li ntawd yuav ua rau muaj tus mob txaus ntshai hu ua Reye's syndrome.

Kab mob bronchiolitis kav ntev npaum li cas?

Feem ntau cov menyuam yaus uas kuaj pom tias muaj tus kab mob bronchiolitis yuav zoo dua hauv ib lub lim tiam . Kev ua pa yuav zoo dua hauv ob peb hnub, thiab feem ntau cov tsos mob yuav ploj mus hauv ib lub lim tiam. Txawm li cas los xij, qee zaum, cov tsos mob me me yuav nyob ntev li ib lossis ob lub lim tiam. Tus menyuam hnoos yuav ntev txog ib hlis.

Yog tias kuv tus menyuam muaj mob bronchiolitis, kuv yuav tsum xav li cas?

Yog koj tus menyuam muaj mob bronchiolitis, lawv yuav muaj cov tsos mob li ib lub lim tiam. Thaum lub sijhawm mob no, koj tus menyuam yuav muaj teeb meem noj mov kom zoo thiab yuav tsis xav noj mov lawm. Yog li ntawd, sim pub lawv noj mov me me thoob plaws hnub es tsis txhob noj mov ntau ntau. Nws yog ib qho tseem ceeb kom koj tus menyuam haus dej kom txaus thaum lub sijhawm no, vim lawv muaj feem yuav qhuav dej ntau dua.

Nug koj tus kws kho mob seb yam twg zoo rau koj muab rau koj tus menyuam kom txo cov tsos mob thiab txo qhov kub taub hau. Tsis txhob muab tshuaj aspirin rau txhua yam laj thawj , vim nws tuaj yeem ua rau muaj tus kab mob Reye's syndrome.

Yog tias koj tus menyuam cov tsos mob tsis zoo dua tom qab ib lub lim tiam, lossis yog tias lawv hnyav zuj zus, mus ntsib kws kho mob. Yog tias koj tus menyuam muaj teeb meem ua pa, hu rau cov kev pabcuam thaum muaj xwm txheej ceev tam sim ntawd lossis mus rau chav kho mob thaum muaj xwm txheej ceev ntawm tsev kho mob.

Yog tias muaj ib txhia menyuam yaus uas mob ntsws bronchiolitis thaum lawv tseem yog menyuam mos, ces tej zaum lawv yuav mob ntsws hawb pob thaum lawv loj hlob tuaj. Tsis tas li ntawd xwb, mob ntsws kuj tuaj yeem tshwm sim tom qab mob ntsws bronchiolitis, tab sis qhov no tsis tshua muaj.

Puas muaj peev xwm mob bronchiolitis ntau tshaj ib zaug?

Yog. Vim muaj ntau hom kab mob uas ua rau mob ntsws bronchiolitis, nws muaj peev xwm ua rau koj tus menyuam kis tau tus kab mob no ntau dua ib zaug.

Puas tiv thaiv tau tus kab mob bronchiolitis?

Vim tias cov kab mob uas ua rau mob ntsws no muaj ntau heev, nws nyuaj rau tiv thaiv kom tsis txhob mob ntsws bronchiolitis tag nrho. Txawm li cas los xij, koj tuaj yeem ua cov kauj ruam no los txo qhov kev pheej hmoo ntawm kev mob ntsws bronchiolitis rau koj tus menyuam:

• Zam cov neeg uas muaj mob.
• Ua kom koj tus cwj pwm ntxuav koj txhais tes zoo (ntxuav koj txhais tes kom huv si nrog xab npum tsis tu ncua, thiab qhia koj tus menyuam kom ua tib yam li ntawd).
• Ib txwm ntxuav thiab tua kab mob cov khoom uas nquag kov xws li cov khoom ua si thiab cov pob qhov rooj.
• Tsis txhob sib koom tej yam xws li khob, diav, thiab diav rawg nrog lwm tus.

Cia koj tus menyuam nyob hauv tsev kom tsis txhob mus rau qhov chaw zov menyuam lossis lwm qhov chaw nyob ze kom txog thaum nws zoo, vim tias tus kab mob uas ua rau koj tus menyuam mob kis tau yooj yim.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Yog koj tus menyuam muaj cov tsos mob no, mus ntsib kws kho mob tam sim ntawd:

• Yog tias koj qhia tias koj qaug zog heev, tsis muaj zog lossis tsaug zog.
• Yog tias daim tawv nqaij, cov ntiv tes, lossis daim di ncauj ntawm tus menyuam zoo li xiav, grey, lossis dawb .
• Yog tias cov tsos mob hnyav zuj zus.

Yog koj xav tias koj tus menyuam tus mob tsis zoo dua, lossis yog koj txhawj txog qee yam, tsis txhob ntshai tham nrog kws kho mob.

Yog tias tus me nyuam ua pa nyuaj (piv txwv li, yog tias lub qhov ntswg qhib lossis lub hauv siab rub thaum ua pa) , hu rau 911 tam sim ntawd, lossis coj tus me nyuam mus rau chav kho mob ceev ze tshaj plaws.

Kuv yuav tsum nug kuv tus menyuam tus kws kho mob li cas?

Nws yog ib lub tswv yim zoo los nug koj tus menyuam tus kws kho mob cov lus nug zoo li no:

• Kuv puas yuav tsum muab tshuaj rau kuv tus menyuam? Yog tias muaj, kuv yuav tsum muab tshuaj rau nws ntev npaum li cas thiab pes tsawg zaus hauv ib hnub?
• Thaum twg kuv tus menyuam mam li zoo tag nrho?
• Kuv puas yuav tsum coj tus me nyuam rov qab los ntsib kws kho mob tom qab?
• Kuv puas yuav tsum coj kuv tus menyuam tawm ntawm tsev kawm ntawv lossis chaw zov menyuam ob peb hnub?
• Koj pom zoo kom siv cov tshuaj tua kab mob twg uas yuav tau yam tsis tas yuav muaj daim ntawv yuav tshuaj rau qhov kub taub hau thiab mob lub cev?
• Kuv yuav tsum tau ceev faj txog cov tsos mob twg?

Kab mob ntsws (bronchiolitis) yog ib yam mob uas cuam tshuam rau koj tus menyuam txoj kev ua pa. Nws ua rau nws nyuaj rau lawv ua pa. Tej zaum koj yuav pom tias koj tus menyuam muaj cov tsos mob ntawm tus mob khaub thuas thiab ua lub suab nrov thaum lawv ua pa. Yog tias koj txhawj xeeb txog koj tus menyuam txoj kev ua pa, mus ntsib kws kho mob. Muaj cov kev kho mob uas tuaj yeem pab koj tus menyuam cov tsos mob thiab pab lawv kom zoo. Nws yog ib qho uas koj tus menyuam yuav hnoos rau ob peb lub lis piam, txawm tias tom qab tus kab mob tau ploj mus lawm. Yog tias koj tus menyuam cov tsos mob hnyav zuj zus es tsis zoo dua, hu rau koj tus kws kho mob.

Thaum kawg, ob peb yam uas yuav tsum nco ntsoov

Kab mob ntsws (bronchiolitis) yog ib yam mob uas feem ntau tshwm sim rau cov menyuam yaus, tab sis nws yog ib qho tseem ceeb uas yuav tsum paub txog nws. Ua tib zoo mloog koj tus menyuam txoj kev ua pa. Yog tias muaj cov tsos mob loj xws li ua pa nyuaj lossis hloov xim tawv nqaij, nrhiav kev pab kho mob sai sai. Los ntawm kev saib xyuas kom zoo hauv tsev thiab ua raws li cov lus qhia ntawm tus kws kho mob, koj tus menyuam me tuaj yeem rov zoo sai. Nco ntsoov tias, koj tsis nyob ib leeg, thiab tsis txhob yig nrhiav kev pab kho mob txhua lub sijhawm!

Kab mob ntsws (Bronchiolitis), Kab mob ntsws (Bronchiolitis), Kab mob menyuam yaus (Pediatrics), Ua pa nyuaj (Pain Insomnia), Mob khaub thuas (Cough), Hnoos (Hnoos), Kab mob ntsws (Pneumonia), Kab mob kis los ntawm cov kab mob sib kis (Viral), Kab mob ntsws (Painway), Ua pa nrov nrov (Wheezing), Lub cev qhuav dej (Dehydration), Kev noj qab haus huv ntawm menyuam yaus (Menyuam yaus), Kev saib xyuas hauv tsev (Home Care), RSV