Mob hawb pob hauv cov menyuam yaus

Hawb pob yog ib yam mob uas ua kom ua pa ntawm o tuaj thiab nqaim. Nws ua rau hawb pob, txog siav, lub hauv siab ceev ceev, thiab hnoos.

Hawb pob yog tshwm sim los ntawm o (ua rau) rau hauv lawv txoj hlab pa. Thaum mob hawb pob, cov leeg nyob ib ncig ntawm lawv cov hlab cua nruj. Sab hauv txoj kab ntawm cua hla tuaj. Raws li qhov tshwm sim, cov huab cua tsawg dua tuaj yeem hla.

Hawb pob yog feem ntau pom ntawm cov me nyuam. Nws yog ib tus ua ua rau cov hnub tsis mus kawm ntawv thiab mus saib hauv tsev kho mob rau menyuam yaus. Kev ua xua yog qhov tseem ceeb ntawm tus kabmob hawb pob rau menyuam yaus. Hawb pob thiab ua xua feem ntau tshwm sim ua ke.

Hauv cov menyuam yaus uas muaj mob ua pa, cov tsos mob hawb pob tuaj yeem tshwm sim los ntawm kev nqus pa hauv cov tshuaj hu ua ua xua, lossis yam chiv keeb.

Tej yam ua rau mob hawb pob yog:

• Tsiaj txhu (plaub hau lossis dander)
• Cov plua tshauv, pwm thiab paj ntoos
• Tshuaj aspirin thiab lwm yam tshuaj
• Hloov huab cua (feem ntau huab cua txias)
• Cov pa tshuaj hauv huab cua lossis hauv cov khoom noj
• Cov pa luam yeeb
• Kev tawm dag zog
• Tus cwj pwm txawv
• Tus kab mob khaub thuas, xws li mob khaub thuas

Cov teeb meem ua pa tuaj yeej yog tej yam muaj. Lawv tuaj yeem suav nrog:

• Ua tsis taus pa
• Xav txawv txav ntawm kev ua pa
• Gasping rau huab cua
• Teeb meem ua pa tawm (tso pa tawm)
• Ua tsis taus pa sai dua li ib txwm

Thaum tus menyuam ua pa nyuaj, yuav ua rau tawv nqaij hauv siab thiab caj dab tuaj sab hauv.

Lwm cov tsos mob ntawm tus mob hawb pob hauv menyuam yaus suav nrog:

• Kev hnoos uas qee zaum tsim thaum tus me nyuam sawv thaum tsaus ntuj (nws tsuas yog qhov tsos mob).
• Cov hnab tsaus nti hauv qab qhov muag.
• Cov nkees nkees.
• Vauv.
• Zawm hauv siab.
• Lub suab xas thaum ua pa (hawb pob). Koj yuav pom nws ntau dua thaum tus me nyuam ua pa tawm.

Koj tus menyuam cov tsos mob hawb pob yuav sib txawv. Cov tsos mob yuav tshwm sim feem ntau lossis txhim kho tsuas yog tshwm sim tuaj. Qee tus menyuam yaus yuav muaj tus mob hawb pob nyob rau hmo ntuj.

Tus kws kho mob yuav siv stethoscope los mloog tus menyuam lub ntsws. Tus kws kho mob yuav muaj peev xwm hnov ​​cov suab mob hawb pob. Txawm li cas los xij, lub suab ntsws feem ntau ib txwm muaj thaum tus menyuam tsis mob hawb pob.

Tus neeg zov me nyuam yuav muaj cov me nyuam ua pa mus rau hauv lub cuab yeej hu ua ncov ntsuas dej. Peak ntws ntsuas tuaj yeem qhia tau zoo npaum li cas tus menyuam tuaj yeem tshuab pa tawm ntawm lub ntsws. Yog tias cov hlab pas nqaim vim mob ntsws hawb pob, cov txiaj ntsig ntws los qis.

Koj thiab koj tus menyuam yuav kawm ntsuas qhov nce siab hauv tsev.

Koj tus menyuam tus kws khomob yuav xaj cov kev xeem no:

• Kev fab tshuaj rau ntawm daim tawv nqaij, lossis kuaj ntshav seb koj tus menyuam puas fab rau qee yam tshuaj
• Kev ntsuas hluav taws xob xoo
• Lub ntsws muaj nuj nqi kuaj

Koj thiab koj tus menyuam cov kws khomob yuav tsum koom tes ua ib pab neeg los tsim thiab ua txoj haujlwm hawb pob.

Cov phiaj xwm no yuav qhia koj yuav ua li cas:

• Zam kev ua kom mob hawb pob
• Saib xyuas cov tsos mob
• Ntsuas ncov ntws
• Noj tshuaj

Txoj kev npaj yuav tsum qhia rau koj thaum twg yuav tsum hu rau tus kws khomob. Nws yog ib qho tseem ceeb kom koj paub cov lus nug dab tsi los nug koj tus menyuam qhov chaw zov menyuam.

Cov menyuam uas mob hawb pob xav tau kev pab zoo nyob rau hauv tsev kawm ntawv.

• Muab tsev kawm ntawv cov phiaj xwm kev npaj kho mob hawb pob rau lawv kom lawv paub tu koj tus mob hawb pob.
• Tshawb nrhiav kev yuav cia koj tus menyuam noj tshuaj thaum lub sijhawm kawm ntawv. (Koj yuav tau kos npe rau tsab ntawv tso cai.)
• Mob hawb pob tsis txhais tau tias koj tus menyuam tsis tawm dag zog. Cov qhia, cov kws qhia ua si, thiab koj tus menyuam yuav tsum paub ua dab tsi yog tias koj tus menyuam muaj mob hawb pob tshwm sim los ntawm kev tawm dag zog.

ASTHMA COV KHO MOB

Muaj ob hom tshuaj uas siv los kho hawb pob.

Cov tshuaj tswj kav ntev tau noj txhua hnub los tiv thaiv cov tsos mob hawb pob. Koj tus menyuam yuav tsum noj cov tshuaj no txawm hais tias tsis muaj tsos mob tshwm sim. Qee tus menyuam yaus yuav tsum muaj tshuaj ntau dua cov tshuaj tswj kav ntev.

Hom tshuaj los tswj mus sij hawm ntev muaj xws li:

• Nqus tau cov tshuaj steroids (cov no feem ntau yog thawj txoj kev kho mob)
• Cov neeg ua yeeb yaj kiab ntev ntev (cov no yuav luag ib txwm siv nrog kev nqus tshuaj steroids)
• Leukotriene inhibitors
• Cromolyn sodium

Kev maj nrawm lossis pab muab tshuaj kho hawb pob ua haujlwm kom ceev nrooj los tswj cov tsos mob hawb pob. Menyuam yaus nqa lawv thaum lawv hnoos, hawb pob, ua pa nyuaj, lossis hawb pob.

Qee yam tshuaj ntawm koj tus menyuam qhov hawb pob tuaj yeem siv los ntawm kev nqus tshuaj.

• Cov menyuam yaus uas siv lub nqus tshuaj yuav tsum siv lub raj tshuaj. Qhov no pab lawv kom muab tshuaj rau hauv lub ntsws kom zoo.
• Yog tias koj tus me nyuam siv lub tshuaj nqus tsis ncaj ncees, tshuaj tsawg dua hauv lub ntsws. Kom koj tus kws zov me nyuam qhia koj tus me nyuam seb yuav siv lub tshuab nqus ntev li cas.
• Cov menyuam yaus yau dua tuaj yeem siv lub tshuab nqus mis tsis txhob siv lub tshuaj txau coj lawv cov tshuaj. Lub tshuab tshuaj Nebulizer tig cov tshuaj hawb pob mus rau hauv qhov tsis raug.

TAU NROG COV NEEG TSHEM CAI

Nws yog ib qho tseem ceeb kom paub txog koj tus menyuam qhov ua rau mob hawb pob. Kev zam rau lawv yog thawj kauj ruam los pab koj tus menyuam kom zoo.

Cia cov tsiaj nyob sab nraum zoov, los yog deb kawg ntawm tus me nyuam chav pw.

Tsis muaj leej twg yuav tsum haus luam yeeb hauv tsev lossis ib ncig tus menyuam muaj hawb pob.

• Kev haus luam yeeb hauv tsev yog ib qho tseem ceeb tshaj plaws uas tsev neeg muaj peev xwm ua kom pab tau tus me nyuam mob hawb pob.
• Kev haus luam yeeb sab nraum lub tsev tsis txaus. Cov neeg hauv yim neeg thiab cov qhua uas haus luam yeeb nqa pa hauv lawv cov khaub ncaws thiab plaub hau. Qhov no tuaj yeem ua rau mob hawb pob.
• TSIS TXHOB siv hluav taws hauv tsev.

Tu lub tsev kom huv. Khaw khoom noj rau hauv cov thawv thiab tawm ntawm chav pw. Qhov no pab txo qis kab laum, uas tuaj yeem ua rau mob hawb pob. Cov tshuaj ntxuav tsev hauv tsev yuav tsum tsis muaj qhov tsis zoo.

SAIB KOJ TUS ME NYUAM ASTHMA

Kuaj ntshav ntws yog ib txoj hauv kev zoo tshaj plaws rau kev tswj hawb pob. Nws tuaj yeem pab koj kom koj tus menyuam mob hawb pob tsis txhob ua kom mob heev dua. Hawb pob tawm tsam feem ntau TSIS tshwm sim yam tsis muaj kev ceeb toom.

Cov menyuam yaus hnub nyoog qis dua 5 xyoos yuav tsis tuaj yeem siv lub ntsuas 'flow flow meter "zoo txaus kom nws muaj txiaj ntsig. Txawm li cas los xij, tus menyuam yuav tsum pib siv lub tshuab ntsuas hluav taws xob thaum lub hnub nyoog me kom tau siv. Cov neeg laus yuav tsum saib xyuas tus menyuam qhov mob hawb pob kom zoo.

Nrog rau kev kho kom zoo, feem ntau ntawm cov menyuam uas mob hawb pob tuaj yeem nyob hauv lub neej zoo. Thaum hawb pob tsis tuaj yeem tswj tau zoo, nws tuaj yeem ua rau tsis tuaj kawm ntawv, teeb meem kev ua kis las, qhaj haujlwm rau niam txiv, thiab ntau zaus mus ntsib kws khomob lub chaw haujlwm thiab chav kho mob maj nrawm.

Cov tsos mob hawb pob feem ntau ua kom tsawg dua los yog ploj mus thaum tus me nyuam loj me ntsis. Hawb pob uas tsis tuaj yeem tswj tau zoo tuaj yeem ua rau kom mob ntsws ntev mus.

Muaj qee zaus, hawb pob yog kab mob kev tuag taus. Cov tsev neeg yuav tsum tau koom tes nrog cov neeg muab kev pab kom tsim kho phiaj xwm los saib xyuas tus me nyuam mob hawb pob.

Hu rau koj tus menyuam tus kws khomob yog koj xav tias koj tus menyuam muaj mob hawb pob tshiab. Yog koj tus menyuam muaj mob hawb pob, hu rau tus kws khomob:

• Tomqab chav khomob kub ntxhov mus ntsib
• Thaum lub sijhawm cov lej siab kawg tau poob qis
• Thaum cov tsos mob tshwm sim muaj thiab ntau dua, txawm hais tias koj tus me nyuam tab tom ua raws li txoj kev npaj ua hawb pob

Yog koj tus menyuam muaj teeb meem ua pa lossis hawb pob, nrhiav kev pab kho mob sai.

Cov tsos mob ceev xws li:

• Ua pa nyuaj
• Bluish xim rau daim di ncauj thiab lub ntsej muag
• Kev ntxhov siab hnyav vim txog siav
• Cov mem tes maj ceev
• Tawm hws
• Txo qib qis ntawm kev ceev faj, xws li tsaug zog hnyav lossis tsis meej pem

Tus menyuam twg mob ntsws asthma yuav tsum tau nyob hauv tsev kho mob thiab txais pa oxygen thiab tshuaj los ntawm txoj hlab ntshav liab (txoj leeg ntshav los yog IV).

Tshuaj mob ntsws hawb pob; Hawb pob - tshuaj mob ntsws; Hawb pob - hawb pob - menyuam yaus

• Hawb pob thiab tsev kawm ntawv
• Hawb pob - tswj yeeb tshuaj
• Hawb pob hauv menyuam yaus - yam yuav nug koj tus kws kho mob
• Hawb pob - tshuaj sai sai
• Kev tawm dag zog bronchoconstriction
• Tawm dag zog thiab mob ntsws asthma ntawm tsev kawm ntawv
• Kev Siv Lub Cav Siv Tshuaj Nebulizer
• Kev siv lub tshuaj txau - tsis muaj lub raj tshuaj
• Kev siv lub tshuaj txau - nrog lub raj tshuaj
• Kev siv koj lub ntsuas ntsuas ntsuas kub tshaj plaws
• Ua kom lub cev yaug ntws tus cwj pwm
• Cov tsos mob ntawm tus mob hawb pob
• Txav deb ntawm qhov ua kom mob hawb pob

• Qub tiv thaiv asthmatic bronchiole
• Peak flow meter
• Lub ntsws
• Cov neeg ua kom mob hawb pob

Dunn NA, Neff LA, Maurer DM. Ib kauj ruam kauj ruam mus kom ze rau mob ntsws asthma. J Fam Xyaum. 2017; 66 (5): 280-286. PMID: 28459888 www.ncbi.nlm.nih.gov/pubmed/28459888/.

Jackson DJ, Lemanske RF, Bacharier LB. Kev tswj hwm mob hawb pob hauv cov menyuam mos thiab menyuam yaus. Hauv: Burks AW, Holgate ST, O'Hehir RE, li al, eds. Middleton Allergy: Cov Hauv Paus Ntsiab Lus thiab Kev Coj Ua. 9le ed. Philadelphia, PA: Elsevier; 2020: chap 50.

Liu AH, Spahn JD, Sicherer SH. Menyuam mob ntsws asthma. Hauv: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Phau Ntawv ntawm Pediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020: chap 169.

Lugogo N, Que LG, Gilstrap DL, Kraft M. Asthma: kev kuaj mob thiab kev tswj hwm. Hauv: Broaddus VC, Mason RJ, Ernst JD, li al, eds. Murray thiab Nadel Cov Ntawv Phau Ntawv Qhia Txog Cov Pa. 6 tus ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 42.

Asmeskas Chaw Haujlwm Saib Xyuas Kev Noj Qab Haus Huv thiab Tib Neeg; Teb chaws lub plawv, lub ntsws, thiab ntshav lub koom haum lub vev xaib. Hawb pob tau saib xyuas sai: ntsuam xyuas thiab tswj tus mob hawb pob; cov lus qhia los ntawm National Kev Kawm thiab Kev Tiv Thaiv Kab Mob Kev Mob Hawb Pob, pawg kws tshaj lij cov lus ceeb toom 3. www.nhlbi.nih.gov/files/docs/guidelines/asthma_qrg.pdf. Hloov kho Cuaj Hlis 2012. Mus txog Lub Tsib Hlis 8, 2020.