Koj puas tau pom tias thaum koj hnoos hnyav, muaj ntshav me ntsis tawm los sib xyaw nrog cov hnoos qeev? Nws yog ib qho ib txwm muaj uas yuav ntshai thiab poob siab me ntsis thaum koj pom ib yam dab tsi zoo li ntawd. Tej zaum koj yuav xav tias, "Auj, kuv puas muaj ib yam dab tsi loj heev?" Tab sis qhov tseeb, feem ntau, qhov no tsis yog ib yam dab tsi uas yuav tsum ntshai. Txawm li cas los xij, kev paub meej tias qhov no yog dab tsi, vim li cas nws tshwm sim, thiab thaum twg peb yuav tsum txhawj txog nws yog qhov tseem ceeb heev rau koj txoj kev thaj yeeb nyab xeeb thiab kev noj qab haus huv .
Kab mob hemoptysis (hnoos ntshav) yog dab tsi tiag?
Hais yooj yim xwb, qhov no yog los ntshav los ntawm qhov qis ntawm koj lub cev ua pa, uas txhais tau tias los ntawm koj lub ntsws lossis caj pas . Cov ntshav no uas tawm los thaum hnoos feem ntau yuav ua npuas thiab npuas. Qhov no yog vim nws tawm los sib xyaw nrog cov hnoos qeev thiab cov qaub ncaug. Qee zaum nws zoo li xim liab, liab dawb, lossis xim xeb. Feem ntau, nws yog ib qho me me xwb.
Tiam sis, qhov no txawv ntawm kev ntuav ntshav. Cia peb saib qhov ntawd.
Hnoos ntshav thiab ntuav ntshav puas yog tib yam?
Yog, qhov no yog ib qho chaw uas ntau tus neeg tsis meej pem. Ob qho xwm txheej no txawv kiag li.
- Hnoos ntshav (Hemoptysis): Qhov no los ntawm koj txoj kev ua pa (ntsws, caj pas). Feem ntau nws yog me me ua npuas ncauj, sib xyaw nrog cov hnoos qeev thiab cov qaub ncaug.
- Kev ntshav tawm hauv lub cev: Qhov no los ntawm sab saud ntawm koj lub cev zom zaub mov (plab, txoj hnyuv me). Feem ntau nws yuav muaj ntshav tawm ntau heev ib zaug. Qhov no feem ntau yog ib qho cim qhia tias muaj kev ntshav tawm hauv lub cev.
Yog koj ntuav ntshav, nws yuav tsum raug suav hais tias yog xwm txheej ceev thiab koj yuav tsum mus ntsib kws kho mob tam sim ntawd . Zoo tshaj plaws tsis txhob ncua sijhawm.
Qhov no puas yog qhov teeb meem loj heev?
Cov lus teb rau lo lus nug no yog "yog, nws ua tau" thiab "tsis yog, nws ua tau." Nws nyob ntawm seb vim li cas koj thiaj los ntshav thiab cov ntshav ntau npaum li cas.
Qhov xov xwm zoo yog tias feem ntau cov ua rau mob tsis loj heev thiab tuaj yeem kho tau yooj yim. Piv txwv li, hnoos tawv tuaj yeem ua rau muaj qhov txiav me me hauv caj pas thiab ua rau muaj ntshav me me tawm los. Txawm li cas los xij, qee zaum qhov no tuaj yeem yog ib qho cim ntawm kev kis kab mob loj lossis mob hnyav, xws li mob qog noj ntshav hauv lub ntsws. Tsis tas li ntawd, hnoos ntshav ntau heev ib zaug tuaj yeem ua rau tuag taus.
Nco ntsoov tias, txawm yog vim li cas los xij, tsuas yog koj tus kws kho mob thiaj li qhia tau qhov mob hnyav rau koj. Yog li ntawd, nws yog ib qho zoo uas yuav tsum nrhiav kev pab kho mob es tsis txhob kwv yees.
Ua cas ho ua rau hnoos tawm ntshav?
Muaj ntau yam ua rau. Cia peb faib ua ntau yam thiab tsawg yam. Lub rooj no yuav pab koj nkag siab zoo dua.
| Ua rau | Ib qho lus piav qhia luv luv |
|---|---|
| Cov laj thawj feem ntau pom | |
| Mob ntsws | Kev kis kab mob ntawm txoj hlab pa. Feem ntau cov hnoos tawm cov hnoos qeev. |
| Mob ntsws o | Kev kis kab mob hnyav hauv lub ntsws. |
| Kab mob ntsws | Ib qho kab mob bacterial uas cuam tshuam rau lub ntsws. |
| Lwm yam ua rau muaj tau | |
| Kab mob ntsws | Ua rau cov hlab pa hauv lub ntsws dav zuj zus mus tas li. |
| Kev Mob Ntsws Plawv | Qhov no yog ib qho mob hnyav uas xav tau kev kho mob thaum muaj xwm txheej ceev. |
| COPD (Kab Mob Ntsws Hlwb Ntev) | Kab mob ntsws mus sij hawm ntev, tshwj xeeb tshaj yog cov neeg haus luam yeeb. |
| Mob qog nqaij hlav ntsws | Qhov kev pheej hmoo no tshwj xeeb tshaj yog rau cov neeg haus luam yeeb uas muaj hnub nyoog tshaj 40 xyoo. |
| Kev Mob Plawv Tsis Ua Haujlwm | Cov kua dej sib sau ua ke hauv lub ntsws vim yog lub plawv ua haujlwm tsis zoo. |
| Kev siv cov tshuaj thinner ntshav | Cov neeg noj cov tshuaj no feem ntau yuav los ntshav. |
| Khoom txawv teb chaws daig hauv txoj hlab pa | Nws yog ib qho tshwj xeeb tshaj yog rau cov menyuam yaus. |
Tus kws kho mob yuav nrhiav qhov ua rau qhov no li cas?
Thaum koj mus ntsib kws kho mob, nws yuav xub nug koj ob peb lo lus nug.
- Ntshav poob ntau npaum li cas?
- Qhov xwm txheej no tau muaj ntev npaum li cas lawm?
- Koj los ntshav pes tsawg zaus hauv ib hnub?
- Cov ntshav sib xyaw nrog cov hnoos qeev ntau npaum li cas?
- Koj puas haus luam yeeb? Puas muaj lwm yam tsos mob?
Raws li koj cov lus teb rau cov lus nug no, koj tus kws kho mob tuaj yeem tau txais lub tswv yim ntxhib ntawm qhov ua rau. Tom qab ntawd, lawv yuav ua qee qhov kev kuaj mob kom paub meej tias yog qhov ua rau, xws li:
- X-ray hauv siab: Txhawm rau kuaj xyuas seb puas muaj qog, kua dej, lossis lwm yam tsis zoo hauv lub ntsws.
- Kev thaij duab CT hauv siab: Kev saib tob dua ntawm qee yam uas pom ntawm X-ray.
- Bronchoscopy: Ib qho kev kuaj uas siv ib lub raj me me uas muaj lub koob yees duab hla dhau cov hlab pa kom paub qhov chaw uas los ntshav.
- Kev suav cov ntshav tag nrho (CBC): Xyuas seb lub cev tau poob ntshav ntau npaum li cas thiab seb puas muaj cov cim qhia tias muaj kab mob.
- Kev kuaj mob hnoos qeev: Coj ib qho qauv hnoos qeev los xyuas seb puas muaj cov kab mob sib kis xws li cov kab mob bacteria thiab cov kab mob viruses.
- Kev Kuaj Ntshav: Tshawb xyuas seb puas muaj teeb meem nrog kev txhaws ntshav.
Cov kev kho mob rau qhov no yog dab tsi?
Kev kho mob nyob ntawm seb los ntshav ntau npaum li cas thiab nws ua rau muaj li cas.
Yog tias kev los ntshav hnyav heev:
Yog koj poob ntshav ntau heev ib zaug, koj yuav raug xa mus rau chav kho mob hnyav (ICU) thiab thawj qhov uas yuav ua yog tswj kev los ntshav. Qhov no yuav suav nrog kev kuaj lub ntsws.Ib qho ua tau kom tshem tawm cov ntshav txhaws lossis ua kev kho mob hu ua Bronchial Artery Embolization , uas thaiv cov hlab ntsha.
Kev kho mob raws li qhov ua rau:
Thaum twg tswj tau qhov kev los ntshav lawm, lossis yog tias qhov kev los ntshav me me xwb, tus kws kho mob yuav sau ntawv kho mob raws li qhov ua rau muaj qhov no.
- Cov tshuaj tua kab mob: Yog tias qhov ua rau yog kab mob bacterial xws li mob ntsws lossis mob ntsws.
- Cov tshuaj steroids: Yog tias qhov ua rau mob.
- Kev phais thiab kev kho mob qog noj ntshav: Yog tias qhov ua rau yog qog nqaij hlav hauv lub ntsws.
Kuv puas yuav tsum mus ntsib kws kho mob tam sim ntawd?
Qhov no yog qhov tseem ceeb tshaj plaws. Thaum twg peb yuav tsum xav txog qhov no ua xwm txheej ceev?
Yog tias koj los ntshav ntau tshaj ob peb diav me me, lossis yog tias koj tau los ntshav ntau tshaj ib lub lim tiam, mus ntsib kws kho mob.
Yog tias koj los ntshav nrog cov tsos mob hauv qab no, mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd.
| Ceeb Toom! Yog tias koj muaj cov tsos mob no, mus rau ETU tam sim ntawd. | |
|---|---|
| Ua npaws | Ua pa nyuaj |
| Mob hauv siab | Kev poob phaus sai lossis sai |
| Kev hws hmo ntuj | Kiv taub hau los yog tsaus muag |
| Ntshav nyob rau hauv cov zis los yog quav | |
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Feem ntau cov ntshav me me thaum koj hnoos tsis yog qhov mob hnyav, tab sis tsis txhob tsis quav ntsej nws.
- Yog tias qhov ntshav ntws ntau dhau, lossis yog tias nws kav ntev tshaj ib lub lim tiam, lossis yog tias koj muaj lwm yam tsos mob xws li mob hauv siab, ua pa nyuaj, lossis kub taub hau, nrhiav kev pab kho mob tam sim ntawd.
- Qhov tseem ceeb tshaj plaws yog nrhiav qhov ua rau mob thiab nrhiav kev kho mob kom zoo. Yog li ntawd, tsis txhob ntshai mus ntsib kws kho mob.
- Ob yam mob uas ua rau lub cev tsis ua haujlwm zoo (hemoptysis) thiab ua rau lub cev tsis ua haujlwm zoo (hematemesis). Ntshe ntshav nrog rau hnoos ntshav tuaj yeem yog qhov xwm txheej ceev heev.
👩🏽⚕️ Cov Lus Nug Ntxiv (FAQs)
💬 Cov tshuaj Nisoldipine (Nisoldipine / Sular) siv rau cov kab mob dab tsi?
Qhov no yog Calcium Channel Blocker (CCB) uas tau tsim los tswj cov ntshav siab. Nws yog ib qho ntawm cov tshuaj ntshav siab muaj zog tshaj plaws hauv ntiaj teb! Qhov tshwj xeeb ntawm qhov no yog tias nws muaj cov nyhuv qis dua rau lub plawv dhia dua li lwm cov tshuaj (CCB) (Vascular Selectivity). Yog li ntawd, nws tsis ua rau lub plawv puas tsuaj, tab sis ua haujlwm ncaj qha los so cov hlab ntsha.
💬 Noj cov tshuaj ntsuas ntshav siab no (Nisoldipine) yuav ua li cas thiaj txo tau peb cov ntshav siab?
Yuav kom cov hlab ntsha loj thiab siab nce, cov 'Calcium' me me yuav tsum nkag mus rau hauv cov leeg ntawm cov hlab ntsha! Thaum cov tshuaj no nkag mus rau hauv cov ntshav, nws thaiv/kaw thiab xauv tag nrho cov calcium gates (L-type calcium channels) hauv cov hlab ntsha ntawd 100%! Vim tias calcium tsis nkag mus, cov hlab ntsha tsis loj thiab xoob heev (Vasodilation). Tom qab ntawd cov ntshav ntws tau yooj yim thiab siab poob qis.
💬 Cov kev mob tshwm sim tsis zoo ntawm kev noj cov tshuaj no (Nisoldipine) yog dab tsi? Vim li cas thiaj hais tias tsis txhob noj nrog zaub mov/roj (pluas noj uas muaj roj ntau)?
Qhov teeb meem loj tshaj plaws yog tias koj yuav tsum tsis txhob noj 'pluas noj uas muaj roj ntau' thaum noj cov tshuaj no! Yog tias koj ua li ntawd, qhov nqus ntawm cov tshuaj rau hauv lub cev yuav nce / txo qis tsis zoo (Hloov pauv kev nqus) thiab lub siab yuav poob qis thiab koj yuav tuag. Lwm cov kev phiv loj tshaj plaws yog tias qhov no yuav ua rau 'o ntawm pob luj taws / ceg (Peripheral Edema)' thiab lub plawv dhia ceev / liab ntawm lub ntsej muag (Reflex tachycardia / Flushing).
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