Qee zaum peb hnoos tawm cov hnoos qeev tuab tuab, puas yog? Nws nyuaj heev rau tshem nws tawm ntawm peb lub hauv siab. Nws zoo li ib daim pos hniav lo rau hauv peb lub hauv siab. Qhov no yog qhov tshwm sim thiab ua rau cov neeg uas muaj kab mob ntsws ntev xws li mob hawb pob thiab COPD ntxhov siab heev. Hnub no peb yuav tham txog ib hom tshuaj tshwj xeeb uas pab ua kom cov hnoos qeev tuab thiab nplaum tawm thiab ua rau nws yooj yim dua rau hnoos tawm. Peb hu cov no ua Mucolytics.
Hauv lwm lo lus, mucolytic no yog dab tsi?
Tshuaj mucolytic yog ib hom tshuaj uas pab rhuav, ua kom cov hnoos qeev tuab hauv koj lub ntsws xoob, thiab ua kom nyias nyias kom nws yooj yim ua pa tawm. Xav txog nws zoo li muab me ntsis dej rau hauv cov kua nplaum tuab thiab yaj nws.
Txawm hais tias cov no feem ntau yog tib pawg li cov tshuaj expectorants, lawv ua haujlwm txawv me ntsis ntawm cov tshuaj expectorants uas peb noj rau mob khaub thuas. Peb mam li tham txog qhov ntawd tom qab. Tam sim no, nco ntsoov tias cov tshuaj mucolytics yog ib hom tshuaj uas muab rau kev tshem tawm cov hnoos qeev tuab, tshwj xeeb tshaj yog los ntawm cov kab mob ntsws ntev.
Cov tshuaj no siv rau cov kab mob dab tsi?
Cov kws kho mob feem ntau pom zoo kom siv hom tshuaj mucolytic no rau cov neeg uas muaj cov hnoos qeev tuab uas tshwm sim los ntawm cov kab mob ntsws ntev (mob ntev). Cia peb saib seb cov kab mob no yog hom kab mob dab tsi.
| Mob nkeeg | Ib qho lus piav qhia yooj yim |
|---|---|
| Mob Cystic Fibrosis | Qhov no yog ib yam kab mob uas los ntawm noob caj noob ces. Cov kua qaub ncaug uas tawm hauv lub cev, tshwj xeeb tshaj yog hauv cov ntsws, yuav tuab thiab nplaum heev. |
| Kab mob ntsws | Vim tias cov hlab pa hauv lub ntsws tau dav thiab puas tsuaj tas mus li, cov hnoos qeev tuaj yeem yooj yim sib sau ua ke thiab ua rau muaj kev kis kab mob. |
| COPD (Kab Mob Ntsws Hlwb Ntev) | Ib yam kab mob ntsws uas feem ntau tshwm sim rau cov neeg haus luam yeeb. Nws ua rau ua pa nyuaj thiab hnoos qeev tuab. |
| Mob hawb pob | Ib txhia neeg mob hawb pob kuj tuaj yeem muaj cov hnoos qeev tuab. Tab sis cov kws kho mob ceev faj heev thaum sau cov tshuaj no. |
Cov tshuaj no ua haujlwm li cas hauv lub cev?
Nws yooj yim heev. Lub luag haujlwm tseem ceeb ntawm cov hnoos qeev hauv ib tus neeg noj qab haus huv lub ntsws yog tiv thaiv lawv los ntawm kev ntes cov hmoov av thiab cov kab mob hauv huab cua uas peb ua pa. Cov hnoos qeev no ces raug thawb mus rau hauv caj pas los ntawm cov qauv me me zoo li plaub hau (cilia) hauv lub ntsws, thiab thaum peb hnoos, nws tawm los.
Tiamsis cov hnoos qeev uas tsim nyob rau hauv lub ntsws ntawm ib tus neeg uas muaj cov kab mob uas peb tau tham ua ntej yog tuab heev thiab nplaum. Yog li ntawd, nws tsis yooj yim raug tso tawm. Cov kab mob tuaj yeem yooj yim raug ntes hauv cov hnoos qeev tuab no, thiab qhov muaj feem yuav kis tau kab mob kuj siab.
Yog thaum cov tshuaj mucolytic los pab. Cov tshuaj no rhuav tshem cov tshuaj sib txuas (molecules) uas ua rau cov hnoos qeev tuab. Qhov no ua rau cov hnoos qeev nyias dua thiab ua kua ntau dua, ua rau nws yooj yim dua rau hnoos tawm.
Cov Hom Tshuaj Mucolytic thiab Yuav Siv Li Cas
Muaj ob hom tshuaj mucolytic tseem ceeb:
1. Acetylcysteine (NAC) : Qhov no yog hom siv ntau tshaj plaws. Ntxiv rau qhov ua kom cov hnoos qeev xoob, nws kuj muaj cov khoom tiv thaiv kev o thiab antioxidant. Tej zaum koj yuav tau hnov tias nws kuj siv ua tshuaj rau kev noj tshuaj paracetamol ntau dhau.
2. Dornase alfa : Qhov no yog ib yam tshuaj uas muab tshwj xeeb rau cov neeg mob cystic fibrosis.
Muaj peb txoj kev tseem ceeb los noj cov tshuaj no:
- Lub Tshuab Nqus Pa: Qhov no yog ib lub tshuab me me. Thaum koj muab cov tshuaj ua kua rau hauv, nws yuav ua rau nws ua ib lub pa me me. Tom qab ntawd koj tuaj yeem ua pa hauv lub npog ntsej muag. Qhov no yog ib txoj hauv kev zoo heev vim tias cov tshuaj mus ncaj qha rau hauv koj lub ntsws.
- Tshuaj txhaj rau hauv cov hlab ntsha (IV): Qee zaum, cov tshuaj no raug muab ua kev txhaj tshuaj rau hauv cov hlab ntsha.
- Cov Tshuaj: Kuj tseem tuaj yeem nqos tau ua cov tshuaj.
Puas muaj tej yam tshwm sim los yog tej yam txaus ntshai?
Ib yam li lwm yam tshuaj, qhov no tuaj yeem muaj cov kev mob tshwm sim me me, tab sis tsis yog txhua tus neeg tau txais lawv.
Tseem ceeb heev: Yog tias koj muaj mob hawb pob , koj yuav tsum ceev faj heev thaum noj Acetylcysteine.Vim tias qee zaum cov hlab pa tuaj yeem nqaim dua (bronchospasm). Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum qhia rau koj tus kws kho mob tias koj muaj mob hawb pob. Nws yuav sau ntawv kom koj noj tshuaj zoo.
Cov kev mob tshwm sim feem ntau muaj xws li:
- Xeev siab los yog ntuav
- Mob plab (Raarrhea)
- Mob pob khaus ntawm daim tawv nqaij
- Mob caj pas
- Kev hloov pauv lossis poob ntawm lub suab
- Ua pa nyuaj (Dyspnea)
- Mob hauv siab
Yog tias koj muaj cov tsos mob no , nrog koj tus kws kho mob tham tam sim ntawd. Tsis tas li ntawd, ntau tus neeg hais tias Acetylcysteine muaj ntxhiab tsw qab me ntsis. Nws tsis yog ib qho teeb meem loj, tab sis nws zoo kom paub.
Mucolytic thiab Expectorant: qhov txawv yog dab tsi?
Qhov no yog qhov uas ntau tus neeg tsis meej pem. Cov tshuaj kua uas ua rau cov hnoos qeev nyias (piv txwv li, cov uas muaj Guaifenesin) uas peb yuav los ntawm lub tsev muag tshuaj rau mob khaub thuas thiab hnoos hu ua Expectorants. Tab sis Mucolytics txawv.
| Tshooj | tshuaj mucolytic | Tshuaj Expectorant |
|---|---|---|
| Kev ua haujlwm | Nws rhuav tshem cov molecules ntawm cov hnoos qeev tuab thiab ua rau nws xoob. | Ntxiv dej rau hauv cov hnoos qeev ua rau nws nyias thiab ua rau yooj yim dua los tawm. |
| Siv cov ntaub ntawv | Rau cov kab mob ntsws ntev xws li Cystic Fibrosis thiab COPD. | Rau cov kab mob luv luv xws li mob khaub thuas thiab mob ntsws. |
| Tau txais | Feem ntau yuav tsum tau daim ntawv sau tshuaj. | Koj yuav tau ntawm lub tsev muag tshuaj yam tsis tas yuav muaj daim ntawv yuav tshuaj los ntawm kws kho mob (yuav tau ntawm lub txee). |
Yog li ntawd, yog tias koj hnoos ib txwm muaj cov hnoos qeev, cov tshuaj expectorant yuav tsim nyog. Tab sis yog tias koj muaj cov hnoos qeev tuab vim yog mob ua pa ntev, koj tus kws kho mob yuav txiav txim siab seb koj puas xav tau cov tshuaj mucolytic lossis tsis xav tau.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Mucolytic yog ib hom tshuaj tshwj xeeb uas muab rau kom ua kom cov hnoos qeev tuab thiab nplaum uas tshwm sim los ntawm cov kab mob ntsws ntev.
- Cov no txawv ntawm cov tshuaj expectorants uas peb noj rau mob khaub thuas.
- Cov tshuaj no feem ntau tsuas yog yuav tsum tau noj raws li kev pom zoo ntawm tus kws kho mob .
- Yog tias koj muaj lwm yam mob, xws li mob hawb pob, nco ntsoov qhia rau koj tus kws kho mob txog nws ua ntej pib noj cov tshuaj no.
- Yog tias koj muaj tej yam tshwm sim tsis zoo li qub thaum noj tshuaj lossis muaj lus nug txog cov tshuaj, nrog koj tus kws kho mob tham tam sim ntawd.
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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