Udindo asthmaticus

Momwe asthmaticus - chikhalidwe pathological mphumu, lomwe n'loopsa moyo weniweni. Bwaloli ndi anayambika kwambiri mphumu kuukira, amene saletsa ndi mankhwala mwachizolowezi akonzedwa (inhalational bronchodilators) ndi zomwe zimabweretsa maonekedwe a zizindikiro za mavuto kupuma. Momwe asthmaticus amafuna chithandizo mwamsanga. Nkofunika kumvetsa ndi kudziwa kuopseza angathe udindo asthmaticus, kuchita kupewa oyambirira pa.

Khalidwe zizindikiro mphumu udindo umenewu monga sungathe kutsiriza mwatsatanetsatane mapeto asanafike, kufupika kwa mpweya, sikuti kudali ngakhale pa mpumulo. Mukhoza kuona tanthauzo la psinjika a chifuwa, maonekedwe a magulu buluu padziko milomo. Zingakhalenso tanthauzo la chisokonezo, nkhawa, amalephera kumvetsera. Magawowa mtima kupuma kwambiri Yosefera minofu ya khosi ndi pamimba. munthu wayamba kukhala tsonga kapena kuimirira, akugwa kupeza malo yabwino kupuma. Zonsezi ndi khalidwe la mawonetseredwe woyamba kulephera kupuma.

Momwe asthmaticus, mosiyana ndi mphumu, mwina kutsatana wheezing ndi kutsokomola. Nthenda imeneyi imachititsa chidwi airway chotupa, mmene chosowa mpweya (ndi wa Mpweya ndi wotuluka tikamapuma) sichiyambitsa zosayembekezereka wa kutsokomola kapena wheezing.

machenjezo amayambira pamaso maonekedwe a udindo asthmaticus. Ngakhale nthawi zina zimachitika mofulumira kwambiri kenako kuwasandutsa suffocation. Malinga ndi kafukufuku wa posachedwapa, odwala awa si bwino mungadzitetezere ku kukhudzana allergens kunyumba kapena kuntchito. Iwo kawirikawiri ntchito pachimake otaya mita ndi kutenga glucocorticoids Mpweya. Mpweya mankhwala ndi masiku odana ndi yotupa mankhwala ogwira kwambiri kuchepetsa zochita yotupa kapepala kakuti kupuma.

Zimayambitsa udindo mphumu akadali osadziwika.

Kwa matenda a "udindo mphumu," dokotala ayenera kuchititsa wonse tione chimene chimatanthauza ntchito minofu wothandiza kwa kupuma. dokotala ayenera kuonanso mlingo wanu mtima, kupuma mlingo, pamaso pa wheezing pamene wina akapuma ndi exhaling. Komanso, mungagwiritse ntchito mayeso ntchito zina kuwunika ntchito ya dongosolo kupuma: mayeso chifukwa oxygenation magazi, mpweya, pachimake expiratory otaya. Kuchititsa mayeso ndi ziwalo zina: M'mimbamo mkamwa, pakhosi, chapamwamba kupuma thirakiti, thorax.

Mwatsoka, ntchito odwala ochiritsira sakulabadira udindo mphumu. Chithandizo zambiri ayenera idzachitika pogwiritsa ntchito zonse aerosols ndi makonzedwe parenteral mankhwala monga prednisolone ndi Epinephrine. Komanso abwino parenteral ka terbutaline, mankhwala enaake a sulphate (kumasuka airway minofu) ndi zoletsa leukotriene (wotsutsa-yotupa mankhwala).

Mankhwala a udindo asthmaticus, amene sakulabadira mankhwala ntchito mphumu ayenera kuchitidwa mu chipatala, monga ukafunidwe makina mpweya wabwino. Pambuyo kuukira pachimake ziti zidzachitike, yafupika ntchito m'mapapo. Komabe, kufunika kukhalabe mu dipatimenti ya mankhwala tima sanataye.

Popeza kuti pakufunika hospitalization mwamsanga sizinkachitika, muyenera yomweyo anayamba mankhwala mwamsanga pamene zizindikiro poyamba zimakhala zazing'ono. Pamaso pa mphumu ayenera ndisanabadwe zonse ndi dokotala: iye onani ntchito kuwala ndi phwando mutenge mankhwala zofunika.