Koj tus me nyuam puas muaj teeb meem ua pa? Cia peb tham txog Kab Mob Reactive Airway Disease (RAD)!

Puas muaj leej twg hauv koj lub tsev, tej zaum koj tus me nyuam, lossis koj tus kheej, tam sim ntawd muaj hnoos tsis tu ncua uas ua rau nws nyuaj rau ua pa, zoo li koj lub hauv siab nqaim, thiab feem ntau yog qhov ua rau ua pa nrov nrov? Qee zaum tus kws kho mob yuav hais tias, "Qhov no yuav yog 'Kab Mob Reactive Airway' lossis 'RAD'" thaum lawv pom cov tsos mob no. Yog li koj yuav xav tias, "Auj, tus kab mob tshiab no yog dab tsi?" Tsis txhob txhawj, hnub no peb yuav tham txog 'RAD' yog dab tsi, nws tshwm sim li cas, cov tsos mob yog dab tsi, thiab kev kho mob yog dab tsi, hauv txoj kev yooj yim uas koj tuaj yeem nkag siab.

Kab Mob Ua Pa Hlwb (RAD) yog dab tsi tiag?

Hais yooj yim xwb, 'Kab Mob Ua Pa Tsis Zoo (RAD)' tsis yog ib yam kab mob uas tau lees paub tias yog ib yam kab mob, thiab tsis tau muab lub npe tshwj xeeb. Nws yog ib lub npe ib ntus xwb. Cov kws kho mob siv lo lus no thaum koj lossis koj tus menyuam muaj teeb meem ua pa zoo li mob hawb pob, tab sis tsis pom qhov ua rau mob tiag tiag.

Xav txog nws, peb lub ntsws muaj cov qauv me me zoo li cov raj uas nqus cua nkag thiab tawm (peb hu cov raj bronchial no), thiab thaum cov raj ntawd o thiab nqaim, nws ua rau nyuaj rau ua pa. Qhov no yog qhov tshwm sim hauv RAD.

Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias 'Reactive Airway Disease (RAD)' thiab 'Reactive Airways Dysfunction Syndrome (RADS)' yog ob yam mob sib txawv. Txawm hais tias lub npe zoo sib xws me ntsis, ob yam mob no yuav tsum tsis txhob tsis meej pem. 'RADS' yog ib yam mob uas feem ntau tshwm sim tom qab raug cov pa roj lom ntau heev.

Yog li ntawd, thaum tus kws kho mob hais tias `RAD`, nws txhais tau tias, "Yog lawm, muaj qee yam tsis raug nrog koj lub cev ua pa, thiab peb yuav tsum ua ntau qhov kev kuaj mob kom paub tseeb tias nws yog dab tsi." Qee zaum koj hnov ​​​​​​cov kws kho mob siv cov lus `RAD` thiab `Asthma` sib pauv, tab sis lawv tsis txhais tib yam. `RAD` tsuas yog lub npe ib ntus siv kom txog thaum kuaj mob tiav.

Cov tsos mob ntawm RAD yog dab tsi? Koj xav li cas?

Ib tug neeg uas muaj RAD yuav muaj cov tsos mob xws li:

• Hnoos tas li: Qhov hnoos no kuj tseem yuav nrog cov hnoos qeev los.
• Ua tsis taus pa lossis ua pa nyuaj (dyspnea): Xav tias ua tsis tau pa thiab yuav tsum ua haujlwm hnyav kom ua pa tau.
• Ua pa nrov nrov: Lub suab "whooshing" lossis "whooshing" los ntawm hauv siab thaum ua pa.
• Lub hauv siab nruj: Ib qho kev xav tias hnyav, zoo li muaj ib tug neeg nias rau ntawm koj lub hauv siab.

Cov tsos mob no ua rau koj tsis xis nyob heev. Cov tsos mob tseem ceeb yog lub hauv siab nruj thiab ua pa nyuaj.

Cov laj thawj rau RAD yog dab tsi?

Muaj ntau yam ua rau cov kws kho mob ua pa nyuaj, uas yog ib ntus hu ua 'RAD.' Qee yam ntawm lawv suav nrog:

• Kev ua xua:Ua xua rau tej yam xws li hmoov av, paj ntoos, tej yam khoom noj, thiab plaub tsiaj. Xav txog seb, qee tus menyuam yaus yuav khaus sai sai thaum lawv hnov ​​​​​​hmoov av lossis mus ze miv, puas yog? Yog li ntawd.
• Cov kab mob bacterial lossis viral: Cov kab mob xws li mob khaub thuas, mob khaub thuas, thiab mob ntsws tuaj yeem ua rau txoj hlab pa o.
• Cov pa tshuaj lom neeg, tshuaj tsw qab, lossis cov pa luam yeeb: Tej yam zoo li qee cov tshuaj tsw qab muaj zog, cov pa tshuaj tua kab, thiab cov pa dej los ntawm cov kua ntxuav.
• Pa luam yeeb: Txhua hom pa luam yeeb, xws li pa luam yeeb, pa luam yeeb ntawm qhov cub ntoo, thiab pa luam yeeb ntawm lub tsheb.
• Kev Ua Si: Qee tus neeg yuav muaj kev ua pa luv luv thaum lub sijhawm ua si.
• Kev Hloov Pauv Huab Cua: Raug cua txias tam sim ntawd, kub heev, nyob hauv ib puag ncig noo noo, kev hloov pauv huab cua tam sim ntawd.

Cov no yog cov yam uas ua rau muaj cov tsos mob ntawm RAD.

Mob RAD kav ntev npaum li cas? Puas yuav kho tau tag nrho?

Qhov no nyuaj hais kom meej. Qhov laj thawj yog tias 'RAD' yog lub npe ib ntus xwb, thiab lub sijhawm rov zoo nyob ntawm tus kab mob tseem ceeb. Thaum tus kws kho mob pom qhov ua rau koj cov tsos mob thiab sau tshuaj kom raug, lawv yuav qhia koj tias yuav siv sijhawm ntev npaum li cas rau koj kom koj zoo dua.

Leej twg raug kev cuam tshuam ntau tshaj los ntawm tus mob RAD no?

Qhov tseeb, tus kws kho mob tuaj yeem hu rau leej twg uas muaj teeb meem ua pa, tab sis qhov ua rau tsis meej. Txawm li cas los xij, lo lus no feem ntau siv rau cov menyuam mos thiab cov menyuam yaus uas tseem hluas dhau los kuaj lub ntsws ua haujlwm. Qhov no yog vim tias tus menyuam xav tau qee qib kev nkag siab thiab kev txhawb nqa los ua cov kev kuaj no. Vim tias nws nyuaj rau cov menyuam yaus ua qhov no, cov kws kho mob hu nws ua 'RAD' ib ntus raws li cov tsos mob.

Yuav kuaj mob RAD li cas?

Yog koj lossis koj tus menyuam muaj teeb meem ua pa, lossis yog koj hnoos tas li, nco ntsoov mus ntsib kws kho mob. Tus kws kho mob yuav nug koj txog koj cov tsos mob thiab koj keeb kwm kev kho mob, xws li seb puas muaj leej twg hauv koj tsev neeg muaj keeb kwm mob hawb pob.

Tom qab ntawd, tus kws kho mob yuav kuaj koj. Tshwj xeeb, nws yuav mloog koj lub ntsws siv lub stethoscope (auscultation). Qhov no yuav cia tus kws kho mob tau txais lub tswv yim ntawm cov suab twg hnov ​​​​​​hauv lub ntsws thiab seb puas muaj kev thaiv thaum cua hla dhau. Tom qab qhov kev kuaj thawj zaug no, tus kws kho mob yuav pom zoo ntau qhov kev kuaj ntxiv kom paub meej tias muaj mob.

Cov kev ntsuam xyuas rau qhov no yog dab tsi?

Yuav kom nrhiav tau qhov ua rau ua tsis taus pa, tus kws kho mob yuav ua ntau yam kev kuaj mob, xws li:

• Spirometry: Qhov no yog qhov kev kuaj mob ntsws uas siv ntau tshaj plaws. Nws ntsuas seb koj ua pa tau sai npaum li cas thiab tawm tau sai. Nws tuaj yeem pab txiav txim seb puas muaj kev thaiv dab tsi hauv koj txoj hlab pa.
• Kev ntsuam xyuas duab:Cov kev kuaj no tsis mob. Lawv pab saib sab hauv ntawm koj lub ntsws, lub plawv, thiab pob txha.
• X-ray hauv siab: Txhawm rau kuaj xyuas seb puas muaj kab mob hauv ntsws thiab lwm yam teeb meem.
• Echocardiogram (echo): Xyuas seb lub plawv ua haujlwm li cas. Qee qhov ua tsis taus pa kuj tuaj yeem yog los ntawm kab mob plawv.
• Kev thaij duab CT (CT scan - Computed Tomography scan): Tau txais cov duab meej dua thiab ntxaws dua ntawm lub ntsws thiab hauv siab.
• Kev kuaj ntshav: Yuav muab ib qho ntshav me me los ntawm ib rab koob me me thiab kuaj seb puas muaj kev kis kab mob, kev ua xua, lossis cov cim qhia tias muaj kev o hauv lub cev.
• Kev kuaj tawv nqaij: Qhov kev kuaj no yog ua los nrhiav seb koj puas ua xua rau ib yam dab tsi. Muab me me ntawm ntau yam tshuaj ua xua rau ib qho chaw me me ntawm daim tawv nqaij thiab daim tawv nqaij raug kuaj seb puas muaj kev tsis haum.
• ECG (ECG lossis EKG - Electrocardiogram): Qhov no kuaj xyuas lub zog hluav taws xob ntawm koj lub plawv. Qhov no tuaj yeem pab tshem tawm kab mob plawv ua rau koj ua tsis taus pa.
• Kev ntsuas pa oxygen hauv koj cov ntshav: Qhov no yog ib lub cuab yeej me me zoo li daim clip uas koj muab tso rau ntawm koj tus ntiv tes. Nws ntsuas qib oxygen hauv koj cov ntshav.
• Kev kuaj mob thaum koj tawm dag zog: Qhov no yuav xyuas seb koj cov pa oxygen hauv cov ntshav puas txo qis thaum koj tawm dag zog.

Tag nrho cov kev kuaj no yog ua los nrhiav qhov ua rau koj cov tsos mob.

Yuav kho tus mob RAD li cas?

Vim tias 'RAD' yog ib daim ntawv lo rau ib ntus xwb, nws raug kho raws li qhov kev kuaj mob tseem ceeb. Qhov no txhais tau tias tus kws kho mob yuav tsum xub txiav txim siab seb koj qhov teeb meem ua pa puas yog los ntawm hawb pob, kev kis kab mob, lossis lwm yam mob.

Txawm li cas los xij, thaum muaj xwm txheej ceev, uas txhais tau tias yog tias ua pa nyuaj heev, cov kws kho mob yuav siv cov kev kho mob zoo li no:

• Cov tshuaj ua kom cov hlab ntsws loj: Cov no yog cov uas peb hu ua cov tshuaj nqus pa. Cov tshuaj no ua haujlwm los ntawm kev ua kom cov hlab ntsws nqaim dua, ua rau nws yooj yim dua rau kev ua pa. Lawv feem ntau siv rau cov mob xws li mob hawb pob thiab COPD (Chronic Obstructive Pulmonary Disease).
• Kev kho mob oxygen: Qhov no pab muab cov pa oxygen rau lub cev thaum ua pa nyuaj.
• Kev txhaj tshuaj Epinephrine: Qhov no yog muab rau thaum muaj kev tsis haum tshuaj hnyav (anaphylaxis) lossis mob hawb pob hnyav.
• Cov tshuaj Corticosteroids: Cov tshuaj no txo ​​qhov o ntawm lub ntsws. Lawv siv los kho mob hawb pob, COPD, thiab kev ua xua hnyav.

Albuterol puas pab tau rau RAD?

Albuterol kuj yog ib hom tshuaj uas ua rau cov hlab cua loj. Nws yog ib yam tshuaj uas ua rau cov hlab cua dav. Nws yog siv los kho mob hawb pob, COPD, thiab mob ntsws vim kev tawm dag zog. Txawm li cas los xij, yog tias qhov ua rau muaj RAD yog lwm yam, qhov no ib leeg yuav tsis kho nws. Nws yog ib qho tseem ceeb kom nrhiav tau qhov ua rau tseeb thiab kho nws.

Puas tiv thaiv tau RAD?

Koj ua tau cov no kom txo tau koj txoj kev pheej hmoo ntawm kev muaj cov tsos mob RAD:

• Nyob deb ntawm cov khoom ua xua thiab cov khoom ua rau koj ua xua uas paub tias ua rau koj tsis zoo. Piv txwv li, yog tias koj ua xua rau hmoov av, nyob rau thaj chaw uas muaj hmoov av tsawg dua thiab ua kom koj lub tsev huv si.
• Siv cov tshuaj uas tiv thaiv kev o ntawm txoj hlab pas (yog tias tus kws kho mob sau ntawv kom ua) kom raug.
• Yog koj haus luam yeeb, tso tseg kiag li thiab tsis txhob siv sijhawm nyob rau qhov chaw uas lwm tus haus luam yeeb.
• Yog tias ua haujlwm nrog cov tshuaj lom neeg, hnav lub npog ntsej muag lossis lwm yam khoom siv tiv thaiv kev ua pa.

Yog koj muaj RAD, koj yuav tsum xav li cas? Yuav muaj dab tsi tshwm sim rau yav tom ntej?

Yog tias tus kws kho mob hais rau koj tias koj muaj 'RAD', nws txhais tau tias koj ua pa nyuaj, tab sis tseem tsis tau paub qhov ua rau muaj qhov no . Tsis txhob txhawj. Tus kws kho mob yuav kuaj koj, khiav cov kev kuaj mob tsim nyog, thiab sim nrhiav qhov ua rau muaj qhov no. Tsuas yog thaum ntawd koj thiaj li pib kho tau qhov teeb meem.

Qee zaum, koj tus kws kho mob hauv tsev neeg yuav xa koj mus rau tus kws kho mob tshwj xeeb txog lub ntsws (pulmonologist) .

Koj txoj kev zoo rov qab thiab kev tswj tus kab mob nyob ntawm seb koj kuaj mob tau zoo li cas. Qee yam mob tuaj yeem kho tau tag nrho. Lwm yam (xws li COPD) tuaj yeem mob ntev thiab mob zuj zus.

Thaum twg koj yuav tsum mus ntsib kws kho mob? Thaum twg koj yuav tsum mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) ?

Yog tias koj muaj cov tsos mob ntawm RAD (hnoos, ua pa nrov nrov, mob hauv siab), lossis yog tias koj cov tsos mob tsis zoo dua txawm tias kho mob lawm los xij, nco ntsoov mus ntsib kws kho mob.

Txawm li cas los xij, yog tias muaj xwm txheej zoo li no, mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) uas nyob ze tshaj plaws tam sim ntawd, lossis hu rau 1990:

• Yog koj ua pa nyuaj (txawm tias thaum koj saib los xij, koj tuaj yeem pom tias nws nyuaj heev rau ua pa).
• Yog tias tsis muaj kev pab txawm tias siv tshuaj rau kev ua pa nyuaj (piv txwv li, tshuaj nqus pa).
• Yog tias cov pa oxygen hauv cov ntshav zoo li qis (zoo li daim di ncauj thiab rau tes tig xiav).
• Yog tias koj qhia cov cim qhia tias muaj kev tsis haum tshuaj hnyav (anaphylaxis), qhov no txhais tau tias:
• Ua pa nyuaj heev.
• Ntshav siab poob qis tam sim ntawd.
• Daim di ncauj o.
• Tsis muaj zog tam sim ntawd.
• Tsis nco qab (syncope) lossis tsaus muag.
• Kev tsis meej pem (tsis nkag siab txog yam koj ua lossis qhov chaw koj nyob).

Thaum lub sijhawm zoo li no, tsis txhob ncua sijhawm li. Nrhiav kev pab kho mob tam sim ntawd.

Kuv yuav tsum nug tus kws kho mob li cas?

Thaum koj mus ntsib kws kho mob, koj tuaj yeem nug cov lus nug zoo li no kom koj nkag siab zoo dua txog koj tus mob.

• Dab tsi ua rau kuv tus mob 'Reactive Airway Disease'?
• Puas muaj kev kho kom zoo rau tus mob no?
• Kuv ua tau dab tsi kom kuv ua pa tau yooj yim dua?
• Koj pom zoo kom siv cov tshuaj twg?
• Yuav tsum siv cov tshuaj no li cas? (piv txwv li, yog tias nws yog tshuaj nqus pa, yuav siv nws li cas kom raug).
• Kuv puas yuav tsum mus ntsib kws kho mob ntsws?

Qhov txawv ntawm RAD, hawb pob, thiab COPD yog dab tsi?

Cov npe no ua rau peb tsis meej pem me ntsis. Cia peb rov qab nco ntsoov dua:

• Kab Mob Ua Pa (RAD): Qhov no yog lub npe ib ntus xwb. Nws txhais tau tias muaj qee yam tsis raug nrog lub cev ua pa, tab sis qhov ua rau muaj qhov no tseem tsis tau paub meej.
• Mob hawb pob: Qhov no yog ib yam kab mob tshwj xeeb. Nws yog ib yam mob uas kav ntev. Nws ua rau txoj hlab pa o thiab nqaim. Qee zaum, tej zaum yuav muaj cov hnoos qeev ntau dhau.
• COPD (Kab Mob Hlwb Plab Ntev): Qhov no kuj yog lub npe rau ib pawg kab mob tshwj xeeb. Nws suav nrog ntau yam kab mob ntev uas cuam tshuam rau lub ntsws, ua rau nws nyuaj rau ua pa, thiab maj mam zuj zus tuaj raws sijhawm (piv txwv li mob ntsws ntev, mob ntsws emphysema).

Yog li, tus kws kho mob yuav xub hu cov tsos mob 'COPD' ua 'RAD', kom txog thaum kuaj tau zoo.

Thaum kawg, tej yam yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)

Tam sim no koj yuav nkag siab tias 'Kab Mob Ua Pa Tsis Zoo (RAD)' tsis yog ib qho kev kuaj mob tshwj xeeb. Txawm li cas los xij, nws tsis yog qhov txhaum rau tus kws kho mob siv lo lus no. Nws tsuas yog txhais tau tias qhov ua rau koj ua tsis taus pa tseem tsis tau paub, thiab kev kuaj mob tseeb tsis tuaj yeem muab tau kom txog thaum cov kev kuaj mob tsim nyog tau ua tiav zoo .

Yog koj lossis koj tus menyuam muaj cov tsos mob no, tsis txhob ntshai thiab mus ntsib kws kho mob. Nws yuav muab cov lus qhia rau koj uas koj xav tau. Yog tias koj tus kws kho mob hauv tsev neeg tsis tuaj yeem kuaj pom tus mob, thov kom xa mus rau tus kws kho mob tshwj xeeb txog lub ntsws (Pulmonologist).

Qhov tseem ceeb tshaj plaws yog kom tau txais kev kuaj mob kom raug thiab pib kho mob kom raug. Ces koj thiaj li rov zoo sai.

Kab mob ua pa tsis taus, RAD, ua pa nyuaj, kab mob ua pa, hawb pob, ntsws, kev noj qab haus huv ntawm menyuam yaus, hnoos, ua pa nrov nrov