Koj tus me nyuam puas muaj teeb meem ua pa? Cia peb kawm txog bronchiolitis!

Koj tus menyuam puas mob khaub thuas thiab ua pa nyuaj me ntsis? Puas muaj tej lub sij hawm nws hnoos me ntsis thiab ua suab nrov hauv nws lub hauv siab? Nws yog ib qho ib txwm rau koj ua ib leej niam uas ntshai heev thaum qhov no tshwm sim. Feem ntau, qhov no tshwm sim rau cov menyuam yaus vim yog ib qho mob hu ua bronchiolitis. Yog li, cia peb kawm seb qhov no yog dab tsi thiab yuav ua li cas yam tsis ntshai.

Kab mob ntsws bronchiolitis yog dab tsi?

Hais yooj yim xwb, mob ntsws bronchiolitis yog ib qho kev kis kab mob uas tshwm sim los ntawm ib tug kab mob hauv cov hlab pa me me ( bronchioles ) hauv peb cov menyuam yaus lub ntsws. Xav txog nws li no: peb lub ntsws muaj ntau lub raj me me, zoo li cov ceg ntoo. Cov no yog cov raj uas peb ua pa. Cov raj me tshaj plaws, loj li cov plaub hau, hu ua bronchioles.

Yog li ntawd, thaum tus kab mob nkag mus rau hauv, cov hlab ntsws no yuav o tuaj sab hauv thiab cov kua dej zoo li cov hnoos qeev yuav sib sau ua ke. Ib yam li thaum cov av qias neeg daig hauv cov kav dej, nws nyuaj rau cov dej ntws, thaum cov hlab ntsws no raug thaiv, nws nyuaj rau tus menyuam ua pa. Qhov no hu ua bronchiolitis.

Tus mob no feem ntau tshwm sim rau cov menyuam yaus hnub nyoog qis dua ob xyoos, tshwj xeeb tshaj yog cov menyuam yaus hnub nyoog qis dua rau lub hlis. Nws feem ntau tshwm sim thaum huab cua txias, xws li thaum lub caij los nag.

Qhov zoo tshaj plaws yog, feem ntau qhov no tsis yog ib qho mob txaus ntshai. Nws tuaj yeem kho tau nrog kev saib xyuas zoo hauv tsev. Tab sis qee zaum muaj cov cim qhia kom ceev faj me ntsis. Cia peb tham txog qhov ntawd thiab.

Vim li cas thiaj muaj mob bronchiolitis?

Zoo li kuv tau hais ua ntej lawm, qhov ua rau muaj qhov no yog kev kis kab mob los ntawm cov kab mob sib txawv . Nws tuaj yeem tshwm sim los ntawm ntau hom kab mob sib txawv.

• Qhov tseem ceeb tshaj plaws yog tus kab mob respiratory syncytial virus (RSV). RSV yog tus ua rau muaj li xya txog yim ntawm txhua kaum tus neeg mob bronchiolitis hauv cov menyuam mos.
• Tsis tas li ntawd xwb, tus mob no kuj tuaj yeem tshwm sim los ntawm lwm cov kab mob, xws li rhinovirus, uas ua rau mob khaub thuas , thiab tus kab mob influenza.

Tus kab mob no kis tau yooj yim heev ntawm ib tus neeg mus rau lwm tus.

• Los ntawm cov tee dej me me uas nkag mus rau hauv huab cua thaum tus neeg mob hnoos lossis txham.
• Thaum koj kov ib qho chaw uas muaj tus kab mob nyob rau ntawd (xws li khoom ua si lossis lub qhov rooj) thiab tom qab ntawd kov koj lub qhov ntswg, qhov ncauj, lossis qhov muag nrog tib txhais tes.

Leej twg muaj feem yuav muaj qhov teeb meem no ntau dua?

Txawm hais tias ib tug me nyuam yaus twg los xij muaj peev xwm mob bronchiolitis, qee tus me nyuam muaj feem yuav mob hnyav dua.

• Cov menyuam yaus hnub nyoog qis dua ob xyoos,Tshwj xeeb tshaj yog cov menyuam mos uas muaj hnub nyoog qis dua 6 lub hlis, vim lawv lub cev ua pa thiab lub cev tiv thaiv kab mob tseem tsis tau loj hlob tag nrho.
• Cov menyuam mos yug ua ntej hnub yug : Cov menyuam mos yug ua ntej hnub yug.
• Cov menyuam yaus uas muaj kab mob plawv lossis mob ntsws txij thaum yug los.
• Cov menyuam yaus uas lub cev tiv thaiv kab mob tsis muaj zog (piv txwv li, cov menyuam yaus noj qee yam tshuaj, lossis vim muaj lwm yam mob).
• Cov Menyuam Yaus Uas Raug Pa Luam Yeeb Thib Ob: Yog tias ib tug neeg hauv tsev haus luam yeeb, nws yuav ua rau tus menyuam yaus raug mob heev.
• Cov menyuam yaus uas mus kawm ntawv zov menyuam : Cov kab mob kis tau yooj yim vim muaj ntau tus menyuam yaus nyob ua ke.

Cov tsos mob ntawm tus mob bronchiolitis yog dab tsi?

Feem ntau, nws pib zoo li mob khaub thuas.

• Qhov ntswg ntws ( qhov ntswg tawm ).
• Hnoos me ntsis.
• Tej zaum kub taub hau.

Tom qab ob lossis peb hnub, cov tsos mob no yuav nce ntxiv me ntsis. Thaum ntawd cov tsos mob tshwj xeeb ntsig txog mob ntsws bronchiolitis pib tshwm sim. Xav txog, koj tus menyuam tau hnoos tau ob lossis peb hnub, thiab muaj kub taub hau me ntsis. Tam sim ntawd, tus menyuam pib ua pa sai heev, nws lub hauv siab nkag mus rau hauv, thiab nws ua lub suab me ntsis ua pa nrov nrov ... Thaum ntawd koj yuav tsum xav txog mob ntsws bronchiolitis.

Cov tsos mob tseem ceeb yog:

• Ua pa ceev heev : Tus me nyuam pib ua pa sai heev, zoo li nws tab tom ua pa tsis taus. Cov kws kho mob hu qhov no (Tachypnea) .
• Ua pa nrov nrov: Tej zaum yuav hnov ​​​​​​lub suab hu nkauj los ntawm lub hauv siab thaum ua pa nkag thiab tawm.
• Hnoos: Qhov hnoos yuav maj mam nce ntxiv, thiab qee zaum yuav ntuav me ntsis mis nyuj nrog rau qhov hnoos.
• Tsis kam noj/haus mis nyuj: Tus menyuam yuav muaj teeb meem nqus mis lossis noj mov vim ua pa nyuaj.
• Lub hauv pliaj ntsws ntsws, lub qhov ntswg ntsws tawm: Cov cim no yuav pom tau thaum sim ua pa.
• Lub hauv siab rub rov qab: Thaj chaw ntawm cov pob txha hauv siab thiab hauv qab caj dab zoo li rub rov qab thaum ua pa. Qhov no qhia tau tias tus menyuam yaus tab tom ua pa nyuaj.
• Quaj ntau zaus, tsis so, lossis tsaug zog ntau dhau.
• Thaum mob hnyav heev: Daim di ncauj, tus nplaig, lossis rau tes yuav xiav (cyanosis) . Qhov no yog xwm txheej ceev!

Thaum twg peb yuav tsum mus ntsib kws kho mob? (Cov cim qhia txog kev phom sij)

Txawm hais tias qhov mob no feem ntau yuav ploj mus nrog kev kho mob hauv tsev, tab sis muaj qee cov cim ceeb toom uas yuav tsum tau kho mob tam sim ntawd. Cia peb nrhiav seb cov cim no yog dab tsi:

• Ua pa nyuaj heev:
• Yog tias tus me nyuam ua pa sai heev (piv txwv li, tus me nyuam hnub nyoog qis dua 2 lub hlis ua pa ntau dua 60 zaug hauv ib feeb, thiab tus me nyuam hnub nyoog ntawm 2-12 lub hlis ua pa ntau dua 50 zaug hauv ib feeb).
• Yog koj ua pa nrog koj lub qhov ntswg qhib dav thiab zoo li koj tab tom pw tsaug zog.
• Yog tias lub hauv siab zoo li rub rov qab rau hauv lub plab (retractions).
• Yog koj ua pa nrov nrov thaum koj ua pa.
• Yog koj daim di ncauj, tus nplaig, lossis daim tawv nqaij tig xiav (cyanosis): Qhov no txhais tau tias koj lub cev tsis tau txais oxygen txaus. Qhov no yog xwm txheej ceev thiab koj yuav tsum mus rau tsev kho mob tam sim ntawd.
• Yog tias haus mis/khoom noj tsawg heev lossis pom cov cim qhia tias lub cev qhuav dej:
• Yog tias tus naj npawb ntawm cov ntaub so ntswg ntub ib hnub tsawg (yog tias daim ntaub so ntswg tsis ntub tsawg kawg yog 6 teev nruab nrab).
• Yog tias lub qhov ncauj thiab tus nplaig qhuav.
• Yog tias kua muag tsis los thaum koj quaj.
• Yog tias tus me nyuam tsaug zog heev thiab zoo li tsis muaj sia nyob.
• Kub taub hau heev: Tshwj xeeb tshaj yog tias tus menyuam mos hnub nyoog qis dua 3 lub hlis kub taub hau txog 100.4°F (38°C) lossis siab dua.
• Yog tias tus me nyuam tsis muaj zog, tsis muaj zog, lossis nyuaj rau sawv.
• Yog tias koj tus menyuam yug tsis tau lub sijhawm, muaj kab mob plawv lossis kab mob ntsws, lossis muaj cov tsos mob uas tau hais los saum toj no, mus ntsib kws kho mob tam sim ntawd.

Nco ntsoov tias, yog koj muaj kev tsis ntseeg lossis kev ntshai txog koj tus menyuam, qhov zoo tshaj plaws yog nrog kws kho mob tham. Tsis txhob hais tias, "Auj, nws tsuas yog ib qho me me xwb."

Tus kws kho mob/poj niam kuaj qhov no li cas? (Kuaj mob)

Feem ntau, tus kws kho mob yuav kuaj mob bronchiolitis los ntawm kev nug koj txog cov tsos mob ntawm koj tus menyuam thiab kuaj koj tus menyuam.

• Tus kws kho mob yuav mloog tus menyuam lub hauv siab nrog lub stethoscope los xyuas seb puas muaj suab nrov lossis lwm yam suab txawv txawv.
• Xyuas tus menyuam txoj kev ua pa thiab tus cwj pwm ua pa.
• Qee zaum, ib lub cuab yeej me me zoo li clip hu ua pulse oximeter muab tso rau ntawm tus menyuam tus ntiv tes los ntsuas qhov oxygen saturation hauv cov ntshav.
• Feem ntau, tsis tas yuav kuaj lwm yam. Txawm li cas los xij, yog tias cov tsos mob hnyav heev, lossis yog tias xav tias muaj lwm yam mob, lawv yuav:
• Yuav tsum tau muab ib daim ntaub so ntswg los kuaj seb puas muaj RSV lossis lwm yam kab mob (qhov no tsis yog ib txwm ua).
• Tej zaum yuav hais kom koj thaij duab X-ray hauv siab (qhov no tsuas yog ua yog tias tus kab mob hnyav heev lossis kev kuaj mob tsis meej).

Koj ua tau dab tsi rau koj tus menyuam hauv tsev? (Kev Saib Xyuas Hauv Tsev)

Feem ntau cov menyuam mos uas muaj mob bronchiolitis tuaj yeem kho thiab kho tau hauv tsev. Tsis txhob txhawj. Nov yog qee yam uas koj tuaj yeem ua tau:

• Muab dej ntau ntau: Nws yog ib qho tseem ceeb heev kom tiv thaiv kom tus menyuam tsis txhob qhuav dej.
• Yog koj tus menyuam noj niam mis, pub mis me me rau ntau zaus. Nws yuav nyuaj rau pub mis ntau ntau ib zaug.
• Yog koj tus menyuam noj mis mos, ces muab me me rau nws noj tas li.
• Yog tus me nyuam muaj hnub nyoog tshaj 6 lub hlis, koj tuaj yeem muab dej thiab kua zaub rau lawv noj.
• Khaws koj lub qhov ntswg kom huv si: Yog tias koj tus menyuam lub qhov ntswg raug thaiv, nws yuav nyuaj rau lawv ua pa.
• Muab cov tshuaj saline rau hauv qhov ntswg, uas koj tuaj yeem yuav tau ntawm lub tsev muag tshuaj, rau hauv koj tus menyuam lub qhov ntswg thiab maj mam nqus cov hnoos qeev nrog lub koob txhaj tshuaj me me raws sijhawm. Nws yog qhov zoo tshaj plaws ua qhov no ua ntej pub mis/pub mis thiab ua ntej muab koj tus menyuam pw tsaug zog.
• Ntxiv cov dej noo rau hauv huab cua: Huab cua qhuav tuaj yeem ua rau hnoos ntau ntxiv.
• Yog tias koj muaj lub tshuab ua kom huab cua noo , siv nws (lub tshuab ua kom huab cua txias zoo tshaj plaws).
• Los yog, qhib lub qhov dej kub hauv chav dej, cia cov pa dej puv chav, thiab coj koj tus menyuam thiab nyob ntawd li 10-15 feeb. Kev nqus cov pa dej yuav pab koj tus menyuam ua pa tau yooj yim dua.
• Khaws koj tus menyuam lub taub hau kom siab me ntsis: Thaum pw tsaug zog, muab ib daim phuam me me lossis ib yam dab tsi tso rau hauv qab lub txaj kom tsa tus menyuam lub taub hau me ntsis. (Tsis txhob muab ib lub hauv ncoo tso rau hauv qab tus menyuam lub taub hau rau cov menyuam yaus hnub nyoog qis dua ib xyoos.) Qhov no yuav pab lawv ua pa yooj yim dua.
• So: Cia tus me nyuam so kom zoo.
• Kev tswj qhov kub taub hau: Yog tias koj tus menyuam muaj qhov kub taub hau, koj tuaj yeem muab tshuaj paracetamol rau lawv yog tias koj tus kws kho mob qhia. Tsis txhob muab tshuaj aspirin rau cov menyuam yaus yam tsis tau kev qhia los ntawm kws kho mob.
• Tsis txhob haus luam yeeb kiag li! Yog tias muaj ib tug neeg hauv tsev haus luam yeeb, tsis txhob haus thaum nyob ze koj tus menyuam. Cov pa luam yeeb tuaj yeem ua rau mob bronchiolitis hnyav zuj zus thiab ua rau nws muaj feem ntau dua.
• Cov tshuaj hnoos thiab mob khaub thuas uas yuav tsis tas yuav muaj daim ntawv yuav tshuaj: Cov no tsis haum rau cov menyuam yaus (tshwj xeeb tshaj yog cov menyuam yaus hnub nyoog qis dua 2 xyoos). Lawv tsis pab kho qhov mob thiab tej zaum yuav ua rau muaj kev phiv. Tsis txhob muab cov no yam tsis tau kev qhia los ntawm kws kho mob.

Muaj kev kho mob dab tsi nyob hauv tsev kho mob? (Kev Kho Mob)

Feem ntau cov menyuam yaus tsis tas yuav mus pw hauv tsev kho mob. Txawm li cas los xij, yog tias tus menyuam muaj teeb meem ua pa ntau, qhuav dej, lossis muaj cov pa oxygen tsawg, cov kws kho mob yuav txiav txim siab coj tus menyuam mus rau tsev kho mob. Kev kho mob uas muab rau hauv tsev kho mob suav nrog:

• Kev kho mob siv oxygen: Muab oxygen los ntawm ib lub raj me me uas muab tso rau hauv lub qhov ntswg (nasal cannula) lossis los ntawm ib lub npog ntsej muag uas muab tso rau ntawm lub ntsej muag.
• Cov kua dej hauv cov hlab ntsha (cov kua dej IV): Yog tias tus menyuam tsis tuaj yeem haus cov kua dej los ntawm qhov ncauj, cov kua dej xws li saline yuav muab rau hauv cov hlab ntsha hauv caj npab kom tiv thaiv kev qhuav dej.
• Kev nqus: Qee zaum cov cuab yeej tshwj xeeb raug siv los tshem tawm cov hnoos qeev ntawm lub qhov ntswg thiab caj pas.
• Cov tshuaj bronchodilators: Cov kws kho mob qee zaum sim qee cov tshuaj hawb pob (piv txwv li, salbutamol), tab sis tsis muaj pov thawj ntau tias cov no muaj txiaj ntsig zoo rau bronchiolitis.
• Tshuaj tua kab mob: Cov no yuav tsis kho tau tus mob bronchiolitis, vim nws yog kab mob viral, tsis yog kab mob bacterial. Tsis muab tshuaj tua kab mob tsuas yog tias xav tias muaj kab mob bacterial (piv txwv li mob ntsws).
• Cov tshuaj steroids: Cov no kuj tsis pom zoo rau kev mob bronchiolitis.

Yuav ua li cas thiaj tiv thaiv tau koj tus menyuam kom tsis txhob mob ntsws (bronchiolitis)? (Kev Tiv Thaiv)

"Zoo dua los tiv thaiv tus kab mob dua li raug kev txom nyem los ntawm nws." Yog li, muaj ob peb yam uas peb tuaj yeem ua tau los tiv thaiv peb cov menyuam yaus ntawm tus kab mob bronchiolitis no:

• Ntxuav koj txhais tes ntau zaus: Koj thiab leej twg uas kov koj tus menyuam yuav tsum ntxuav lawv txhais tes kom huv si nrog xab npum thiab dej, tshwj xeeb tshaj yog ua ntej npaj zaub mov, ua ntej pub mis rau menyuam, ua ntej kov koj tus menyuam, thiab tom qab siv chav dej.
• Khaws koj tus menyuam kom deb ntawm cov neeg mob: Tsis txhob cia koj tus menyuam nyob nrog cov neeg uas mob khaub thuas lossis kub taub hau.
• Tsis txhob mus rau qhov chaw uas muaj neeg coob coob: Tsis txhob coj cov menyuam yaus mus rau qhov chaw uas muaj neeg coob coob (xws li cov khw loj, cov kev ua koob tsheej), tshwj xeeb tshaj yog thaum lub sijhawm uas muaj mob bronchiolitis ntau (lub caij txias, los nag).
• Kev Pub Mis: Mis niam muab kev tiv thaiv kab mob rau tus menyuam, yog li pab tiv thaiv kev kis kab mob. Nws yog qhov zoo tshaj plaws kom pub mis niam ntev li ntev tau.
• Ib qho chaw tsis pub haus luam yeeb! Kuv yuav hais qhov no dua, qhov no tseem ceeb heev. Tsis pub leej twg haus luam yeeb hauv tsev uas muaj menyuam mos.
• Khaws cov khoom ua si thiab cov chaw ua si ntawm tus menyuam kom huv si: Khaws cov khoom ua si uas siv ntau zaus thiab cov chaw uas tus menyuam kov (rooj, rooj zaum) kom huv si.
• Tshuaj tiv thaiv kab mob Palivizumab: Qhov no yog tshuaj tiv thaiv tshwj xeeb. Nws raug muab txhua hli thaum lub caij RSV los tiv thaiv cov menyuam yaus uas muaj feem yuav kis tau kab mob RSV (piv txwv li, cov menyuam mos uas yug tsis tau lub sijhawm, cov menyuam uas muaj kab mob plawv lossis mob ntsws hnyav txij thaum yug los) los ntawm RSV. Nws tsis yog muab rau txhua tus, thiab koj tus kws kho mob yuav txiav txim siab seb puas tsim nyog.

Qhov no puas txawv ntawm mob ntsws (bronchitis)?

Yog lawm, txawm hais tias ob qho no tuaj yeem ua rau me ntsis tsis meej pem, cov no yog ob qho xwm txheej sib txawv.

• Kab mob ntsws (Bronchiolitis): Raws li peb nyuam qhuav tham txog, qhov no yog kev kis kab mob rau cov hlab pa me me (bronchioles) hauv lub ntsws . Feem ntau nws tshwm sim rau cov menyuam yaus hnub nyoog qis dua 2 xyoos.
• Mob ntsws: Qhov no yog kev kis kab mob rau txoj hlab pa loj (bronchi). Nws tuaj yeem tshwm sim rau cov neeg laus thiab cov menyuam yaus loj dua.

Qhov teeb meem no feem ntau kav ntev npaum li cas? (Kev kwv yees)

Cov tsos mob ntawm tus kab mob bronchiolitis feem ntau yuav mob siab tshaj plaws tom qab 3-5 hnub thiab tom qab ntawd maj mam ploj mus.

• Feem ntau cov menyuam yaus yuav zoo li qub hauv ib lossis ob lub lis piam .
• Txawm li cas los xij, qhov hnoos yuav kav ntev li ob peb lub lis piam (tej zaum txawm tias ib hlis). Tsis txhob txhawj txog nws, nws yog ib txwm muaj.

Qhov zoo tshaj plaws yog tias feem ntau cov menyuam yaus uas muaj tus kab mob bronchiolitis zoo tag nrho, thiab cov teeb meem mus sij hawm ntev tsis tshua muaj.

Cov Lus Xaus Kawg coj mus tsev

Zoo, yog li kuv vam tias koj nkag siab zoo txog bronchiolitis los ntawm yam peb tau tham txog. Nov yog qee yam tseem ceeb uas yuav tsum nco ntsoov:

• Kab mob ntsws (bronchiolitis) yog ib qho kab mob kis rau cov hlab pa me tshaj plaws hauv cov menyuam mos.
• Feem ntau, qhov no tsis yog ib qho mob txaus ntshai thiab tuaj yeem kho tau nrog kev saib xyuas hauv tsev.
• Txawm li cas los xij, ceev faj txog cov cim qhia txog kev phom sij xws li ua pa nyuaj, xiav, thiab qhuav dej . Yog tias koj pom ib qho ntawm cov no , mus ntsib kws kho mob tam sim ntawd.
• Nyob hauv tsev, nws yog ib qho tseem ceeb heev uas yuav tsum muab dej rau tus menyuam ntau ntau, ua kom lub qhov ntswg huv, thiab muab nws so .
• Tiv thaiv koj tus menyuam kom tsis txhob raug pa luam yeeb kiag li.
• Kev tiv thaiv yog txoj hauv kev zoo tshaj plaws los tiv thaiv koj tus menyuam. Koj tuaj yeem tiv thaiv koj tus menyuam los ntawm kev ntxuav koj txhais tes ntau zaus thiab ua kom lawv nyob deb ntawm cov neeg mob .

Yog koj tus me nyuam muaj cov tsos mob no, tsis txhob ntshai, tsis txhob ntshai, nrhiav kev pab kho mob yog tias tsim nyog, thiab saib xyuas koj tus me nyuam kom zoo. Txhua yam yuav zoo sai sai no!

Kab mob ntsws ( Bronchiolitis), Kab mob ntsws (Bronchiolitis), Cov kab mob thaum yau, Cov kab mob ua pa, Ua pa nyuaj, Kab mob RSV, Kev noj qab haus huv ntawm menyuam yaus