Koj puas tau muaj qhov no tshwm sim rau koj? Koj tau dhau los ntawm tus mob khaub thuas thiab tau zoo dua, tab sis koj qhov hnoos tsis tu ncua. Koj tau hnoos tau ntau lub lis piam. Qee zaum, koj sawv thaum koj tab tom ua ib lub rooj sib tham tseem ceeb lossis thaum hmo ntuj ntsiag to thiab pib hnoos. Qhov no ua rau koj ntxhov siab thiab tsis xis nyob. Txawm hais tias hnoos yog ib qho kev tiv thaiv hauv peb lub cev, nws tsis yog ib txwm muaj rau nws txuas ntxiv mus li no. Hnub no, peb yuav tham txog qhov hnoos tsis tu ncua no, lossis qhov peb hu ua 'Hnoos Ntev'.
Qhov hnoos ntev no yog dab tsi?
Hais yooj yim xwb, hnoos ntev yog hnoos uas ntev tshaj 8 lub lis piam rau ib tus neeg laus thiab ntau tshaj 4 lub lis piam rau ib tus menyuam . Hnoos yog ib qho zoo. Nws pab tshem tawm cov hmoov av thiab cov kab mob uas nkag mus rau hauv peb txoj kev ua pa. Txhua tus neeg hnoos qeev. Tab sis hnoos ntev li no feem ntau yog ib qho tsos mob ntawm lwm yam teeb meem kev noj qab haus huv. Qhov no yog qhov laj thawj tseem ceeb uas tib neeg mus ntsib kws kho mob.
Yog li ntawd, nws tsis zoo rau kev tsis quav ntsej qhov no. Kev hnoos ntau zaus ua rau lub cev nkees heev. Tsis tas li ntawd, nws ua rau nws nyuaj rau taug kev hauv pej xeem, thiab ib tug xav tias, "Thaum twg qhov hnoos no yuav rov qab los?" Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum nrhiav qhov ua rau qhov no thiab tswj nws kom zoo.
Lwm cov tsos mob uas tshwm sim nrog hnoos
Nyob ntawm seb ua li cas koj thiaj hnoos ntev, tej zaum yuav muaj lwm yam tsos mob tshwm sim nrog rau qhov hnoos. Saib daim ntawv hauv qab no kom paub seb koj puas muaj ib qho ntawm cov no.
| Cov tsos mob | Kev piav qhia |
|---|---|
| Ua npaws | Kub lub cev nce ntxiv. |
| Mob plab | Kev o ntawm lub plab ua rau muaj kua qaub nkag mus rau hauv caj pas. |
| Mob hauv siab | Mob thaum hnoos los yog thaum ua ub ua no ib txwm. |
| Lub suab nrov nrov | Lub suab hloov pauv, lub suab qaj. |
| Ua pa nyuaj | Ua tsis taus pa lossis ua pa nyuaj. |
| Qhov ntswg ntws los yog txhaws | Mob qhov ntswg, zoo li mob khaub thuas. |
| Kev ntxuav caj pas ntau zaus | Nquag ntxuav caj pas vim nws zoo li muaj qee yam daig hauv caj pas. |
Cov ua rau muaj qhov hnoos tsis tu ncua no yog dab tsi?
Muaj ob peb yam tseem ceeb uas ua rau hnoos ntev. 90% ntawm lub sijhawm, qhov ua rau hnoos tuaj yeem yog ib lossis ntau yam ntawm peb yam no.
| Qhov laj thawj tseem ceeb | Ib qho lus piav qhia yooj yim |
|---|---|
| Mob hawb pob | Qhov ua rau hnoos ntev tshaj plaws. Qee zaum, kev raug cua txias/qhuav, plua plav, pa luam yeeb, thiab lwm yam tuaj yeem ua rau hnoos hnyav dua. |
| Cov kua dej tom qab qhov ntswg | Qhov no kuj hu ua 'Upper Airway Cough Syndrome (UACS). Hais yooj yim xwb, qhov no yog qhov uas cov hnoos qeev los ntawm lub qhov ntswg mus rau caj pas . Kev ua xua ua rau cov hnoos qeev ntau dhau los sib sau ua ke hauv lub qhov ntswg, uas tom qab ntawd mus rau hauv caj pas thiab ua rau khaus cov hlab pa thiab lub ntsws, ua rau hnoos. |
| Kab mob Gastroesophageal Reflux (GERD) | Qhov no yog thaum cov kua qaub hauv plab ntws rov qab mus rau hauv txoj hlab pas. Cov kua qaub no hlawv cov nqaij mos ntawm lub caj pas, uas tuaj yeem ua rau hnoos. |
| Lwm yam kab mob ntsws | Lwm yam kab mob ntsws xws li mob ntsws bronchitis, COPD, thiab mob ntsws kuj tuaj yeem ua rau hnoos ntev. |
Lwm yam laj thawj
Ntxiv rau cov laj thawj tseem ceeb saum toj no, muaj ntau lwm yam uas ua rau hnoos ntev.
- Qee cov tshuaj kho ntshav siab: Ib txhia neeg noj qee cov tshuaj, tshwj xeeb tshaj yog cov uas hu ua ACE inhibitors, tuaj yeem ua rau hnoos qhuav. Tab sis nco ntsoov, tsis txhob tsum noj cov tshuaj no yam tsis tau koj tus kws kho mob qhia.
- Kev ua xua: Kev ua xua rau tej yam xws li hmoov av, paj ntoos, thiab lwm yam.
- Lub Plawv Tsis Ua Haujlwm: Hnoos kuj tseem tuaj yeem tshwm sim vim yog lub plawv ua haujlwm tsis zoo.
- Haus Luam Yeeb: Nws tsis yog qhov xav tsis thoob uas cov neeg haus luam yeeb muaj hnoos ntev hu ua "smoker's cough."
- Kab mob ua pa: Cov kab mob xws li hnoos qeev tuaj yeem ua rau hnoos ntev li ntau lub lis piam tom qab zoo lawm.
Qee zaum, txawm tias tau kuaj ntau yam lawm los xij, tseem nrhiav tsis tau qhov ua rau hnoos. Hauv cov xwm txheej zoo li no, cov kws kho mob hu qhov mob no ua "Chronic Refractory Cough."
Qhov no kho li cas?
Qhov tseem ceeb tshaj plaws yog tias kev kho mob nyob ntawm seb ua rau hnoos li cas. Qhov no txhais tau tias nws tseem ceeb dua los kho qhov mob uas ua rau hnoos dua li noj tshuaj txwv hnoos.
Koj tus kws kho mob yuav muab ib txoj kev npaj kho mob uas haum rau koj. Qhov no suav nrog kev siv tshuaj thiab kev hloov pauv hauv lub neej.
Hom tshuaj
- Rau GERD: Tswj cov kua qaub hauv plab nrog cov tshuaj xws li 'antacids', 'H2 blockers', lossis '(PPIs)'.
- Rau cov kab mob bacterial: '(Antibiotics)'.
- Rau kev ua xua thiab mob rhinitis: Antihistamines thiab tshuaj tsuag ntswg.
- Yuav kom tso cov hnoos qeev tawm: Cov tshuaj xws li "Expectorants" uas ua rau cov hnoos qeev nyias thiab pab kom nws tawm tau yooj yim dua.
- Yuav kom txo qhov o: Hauv cov mob xws li mob hawb pob, txo qhov o ntawm cov hlab pa nrog cov tshuaj steroids lossis cov tshuaj ua pa rau lub ntsws.
Tseem ceeb heev:Tsis txhob muab cov tshuaj hnoos/mob khaub thuas uas yuav tsis tas yuav muaj daim ntawv yuav tshuaj rau cov menyuam yaus hnub nyoog qis dua 6 xyoo yam tsis tau kev pom zoo los ntawm kws kho mob menyuam yaus.
Kev hloov pauv hauv txoj kev ua neej
Txawm hais tias cov no yuav zoo li yog tej yam yooj yim heev los xij, lawv yog ib qho kev pab zoo heev rau kev tswj kev hnoos.
- Pw tsaug zog txaus .
- Noj zaub mov kom sib npaug .
- Haus dej ntau.
- Yog koj xav tias koj muaj GERD, pw nrog lub taub hau ntawm lub txaj siab me ntsis .
- Tham nrog koj tus kws kho mob txog tej yam ua rau koj hnoos (piv txwv li, haus luam yeeb, ntxhiab tsw phem, qee yam khoom noj), thiab tom qab ntawd npaj kom tsis txhob hnoos.
Yog tias tsis kho ces yuav ua li cas?
Hnoos ntev tuaj yeem ua rau pw tsis tsaug zog. Qhov qaug zog thiab kev ntxhov siab uas nws ua rau tuaj yeem cuam tshuam rau koj tag nrho ib hnub. Koj kuj tseem yuav raug rho tawm hauv zej zog vim yog txaj muag ntawm kev hnoos tas li.
Qee zaum mob hnyav, hnoos kuj tuaj yeem ua rau:
- Qhov muag los ntshav
- Pob txha tav tawg
- Kiv taub hau thiab mob taub hau
- Kab mob Hernia
- Tsis muaj peev xwm tswj tau lub zais zis (muaj me ntsis zis tawm thaum hnoos)
- Mob hauv siab thiab mob plab
Thaum twg koj yuav tsum mus ntsib kws kho mob?
Txoj cai yooj yim tshaj plaws yog, yog tias koj hnoos ntev tshaj 10 hnub, thiab koj tsis paub qhov ua rau mob, koj yuav tsum mus ntsib koj tus kws kho mob.
Ntxiv mus, yog tias koj muaj ib qho ntawm cov cim ceeb toom hauv qab no, nrhiav kev pab kho mob tam sim ntawd. Yog tias tsim nyog, mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) ntawm lub tsev kho mob ze tshaj plaws.
| Cov cim ceeb toom uas xav tau kev kho mob tam sim ntawd | |
|---|---|
| Hnoos ntshav | Cov ntshav los yog cov ntshav liab tsaus sib xyaw nrog cov hnoos qeev. |
| Tawm hws ntau dhau thaum hmo ntuj | Tawm hws ntau heev ua rau daim ntaub pua chaw pw ntub. |
| Lub suab nrov tsis zoo dua | Lub suab qw tsis tau ploj mus rau ob peb lub lis piam. |
| Ua pa nyuaj | Ua tsis taus pa los yog ua pa sai. |
| Nyuaj nqos | Hnov mob los yog txhaws thaum nqos zaub mov los yog dej haus. |
| Kev poob phaus tsis paub meej | Poob phaus yam tsis tau koj sim. |
| Ua pa nrov nrov | Lub suab nrov ntawm lub hauv siab thaum ua pa. |
Kev hnoos ntev tsis yog ib yam dab tsi uas koj yuav tsum tau raug kev txom nyem. Muaj kev kho mob uas tuaj yeem pab tau. Kev kuaj mob kom raug yog thawj kauj ruam ntawm txoj kev no. Yog li ntawd, tsis txhob ncua sijhawm thiab mus ntsib koj tus kws kho mob.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Ib tug neeg laus hnoos ntev tshaj 8 lub lis piam los yog ib tug me nyuam hnoos ntev tshaj 4 lub lis piam hu ua 'Hnoos Ntev'. Tsis txhob tsis quav ntsej qhov no.
- Cov ua rau muaj qhov no feem ntau yog cov mob xws li mob hawb pob, kua ntswg tom qab ntswg, thiab kab mob gastroesophageal reflux (GERD).
- Kev kho mob nyob ntawm seb ua rau hnoos li cas, yog li nws tseem ceeb heev kom tau txais kev kuaj mob kom raug.
- Yog tias koj muaj cov cim ceeb toom xws li hnoos tawm ntshav, ua pa nyuaj, lossis poob phaus, nrhiav kev pab kho mob tam sim ntawd.
- Tham nrog koj tus kws kho mob thiab tau txais txoj kev npaj kho mob zoo tshaj plaws thiab cov lus qhia rau koj.
👩🏽⚕️ Cov Lus Nug Ntxiv (FAQs)
💬 Cov tshuaj Timolol (Timolol Systemic / Blocadren) siv rau kab mob dab tsi?
Txawm hais tias nws paub zoo tshaj plaws rau nws cov tshuaj qhov muag rau glaucoma / qhov muag siab, cov 'tshuaj' no yog hom tshuaj (Non-selective Beta-blocker) muaj zog tshaj plaws hauv ntiaj teb! Cov kws kho mob siv nws los tiv thaiv 'Ntshav Siab', mob taub hau hnyav, thiab txo qhov kev pheej hmoo ntawm kev tuag zaum ob tom qab muaj sia nyob 'Plawv Nres' los ntawm 100%.
💬 Koj yuav ua li cas thiaj tiv thaiv koj tus kheej kom tsis txhob muaj mob plawv nres/mob taub hau tom qab noj cov tshuaj phem no (Timolol)?
Lub suab ntawm koj lub plawv thiab cov hlab ntsha hauv koj lub taub hau hloov pauv vim yog cov lus 'Adrenaline (Epinephrine). Thaum cov tshuaj no nkag mus rau hauv lub cev, tag nrho cov rooj vag hauv lub plawv (Beta-1) thiab cov hlab ntsha/ntsws (Beta-2) raug thaiv/kaw 100% thiab xauv tsis raug (Tsis xaiv). Vim tias tsis muaj txoj hauv kev rau cov lus hla mus, lub plawv tsuas yog qeeb qeeb, thiab cov hlab ntsha hauv lub hlwb tsis nthuav dav yam tsis tsim nyog, tshem tawm qhov kev pheej hmoo ntawm mob taub hau/mob plawv nres.
💬 Vim li cas thiaj hais tias tsis txhob tsum noj cov tshuaj no (Timolol) tam sim ntawd? Cov Lus Ceeb Toom ntawm Lub thawv dub yog dab tsi?
Yog koj noj cov tshuaj no tau ntau lub hlis thiab tsis nco qab txog nws lossis 'tso tseg tam sim ntawd', tag nrho cov adrenaline receptors uas raug thaiv yuav qhib tam sim ntawd yam tsis tau tswj! Tom qab ntawd, hauv ob peb feeb, koj yuav muaj mob plawv nres hnyav thiab koj lub plawv yuav nres (Myocardial Infarction / Sudden Death) uas ua rau koj tuag tau! Tsis tas li ntawd, vim qhov no kuj thaiv lub ntsws, yog koj muab qhov no rau cov neeg uas muaj 'Asthma', lawv tuaj yeem ua tsis taus pa thiab tuag tau (txwv tsis pub haus dej!).
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus