Kev hnoos ntshav

Kev hnoos ntshav yog txha los ntawm ntshav lossis hno ntshav tawm ntawm lub ntsws thiab lub qa (ua pa).

Hemoptysis yog lo lus kho mob rau hnoos tawm ntshav los ntawm txoj hlab ua pa.

Kev hnoos ntshav tsis zoo ib yam li los ntshav ntawm lub qhov ncauj, caj pas, lossis lub plab zom mov.

Cov ntshav uas tuaj nrog hnoos feem ntau zoo li ua npuas vim nws tau xyaw nrog huab cua thiab hnoos qeev. Nws yog feem ntau qaim liab, txawm hais tias nws yuav xeb xim. Qee zaum cov hnoos qeev tsuas muaj ntshav ntws.

Kev zeem muag yog nyob ntawm yam uas ua rau muaj teeb meem. Cov neeg feem coob ua tau zoo tshaj plaws los kho mob kom kho tau cov tsos mob thiab tus mob qis. Cov neeg muaj hemoptysis heev yuav tuag taus.

Ntau yam mob, cov kabmob, thiab kev kuaj mob yuav ua rau koj hnoos tau ntshav. Cov no suav nrog:

• Cov ntshav txhaws hauv lub ntsws
• Ua pa khoom noj lossis lwm yam khoom siv rau hauv lub ntsws (mob ntsws ntsws)
• Bronchoscopy nrog rau kev kuaj me
• Bronchiectasis
• Mob ntsws ntsws
• Mob ntsws cancer
• Cystic fibrosis
• Kev o ntawm cov hlab ntshav hauv lub ntsws (vasculitis)
• Kev raug mob rau cov hlab ntsha ntawm lub ntsws
• Kev mob caj pas los ntawm kev hnoos heev (ntshav me me)
• Mob ntsws o lossis lwm yam mob ntsws
• Lub ntsws ntsws ntsws qhuav
• Txheej txheem lupus erythematosus
• Tub Ntshaw
• Ntshav nyias heev (los ntawm cov tshuaj thinning, feem ntau nyob rau qib siab tshaj qhov tau hais tseg)

Cov tshuaj noj kom tsis txhob hnoos (txwv tsis pub hnoos) yuav pab yog tias qhov teeb meem los ntawm kev hnoos hnyav. Cov tshuaj no tuaj yeem ua rau txhaws cov hlab pa, yog li nug koj tus kws kho mob ua ntej siv.

Saib xyuas kom ntev li cas koj hnoos ntshav, thiab ntau npaum li cas cov ntshav nrog cov hnoos qeev. Hu rau koj tus kws khomob txhua lub sijhawm uas koj hnoos tau ntshav, txawm tias koj tsis muaj tsos mob dabtsi.

Nrhiav kev pab kho mob sai li sai tau yog tias koj hnoos tau ntshav thiab muaj:

• Qhov hnoos uas tsim muaj ntau dua ntawm ob peb me me me ntshav
• Cov ntshav hauv koj cov zis lossis cov quav
• Kev mob hauv siab
• Kiv taub hau
• Ua npaws
• Lub Cim Txhab Zog
• Ua pa txog siav

Thaum muaj xwm txheej ceev, koj tus kws kho mob yuav muab kev kho mob rau koj los tswj koj tus mob. Tus kws khomob yuav nug koj txog cov hnoos, xws li:

• Koj hnoos ntshav ntau npaum li cas? Puas yog koj hnoos tau ntshav ntau ntawm lub sijhawm?
• Koj puas muaj ntshav tawm ntawm qhov txhab hnoos qeev (phlegm)?
• Muaj pes tsawg lub sijhawm uas koj tau hnoos ntshav thiab nws tshwm sim heev npaum li cas?
• Ntev npaum li cas qhov teeb meem tau mus? Puas yog nws mob ntxiv rau qee lub sijhawm xws li thaum tsaus ntuj?
• Koj muaj lwm cov tsos mob zoo li cas?

Tus kws kho mob yuav kuaj ib ce tag nrho thiab kuaj koj lub hauv siab thiab lub ntsws. Kev ntsuam xyuas uas yuav ua tau muaj xws li:

• Bronchoscopy, kev sim kom pom cov pa
• Hauv siab CT scan
• Kev ntsuas hluav taws xob xoo
• Ua kom tiav cov ntshav suav
• Lub ntsws me
• Lub ntsws scan
• Lub ntsws pulmonary
• Sputum kab lis kev cai thiab pleev
• Kuaj seb cov ntshav khov li cas, xws li PT lossis PTT

Hemoptysis; Txo cov ntshav; Ntsej muag ntshav

Xim av CA. Hemoptysis. Hauv: Phab Ntsa RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Cov Tshuaj Siv Thaum Muaj Xwm Ceev: Cov Ntsiab Lus thiab Kev Siv TshuajCov. 9le ed. Philadelphia, PA: Elsevier; 2018: chap 21.

Swartz MH. Hauv siab. Hauv: Swartz MH, ed. Phau Ntawv Qhia Txog Kev Mob Lub CevCov. 7 tus ed. Philadelphia, PA: Elsevier Saunders; Xyoo 2014: chap 10.