History of COPD cuta. Nau'in COPD. Kullum cutar huhu

A halin yanzu, cututtuka na numfashi tsarin zama ƙara na kowa. Wannan Jihar harkokin ne, ba shakka, gangami likitoci. Sun bayar da shawarar cewa mutane fiye da tsanani game da kiwon lafiya.

Hudu daga COPD

International masana a cikin ci gaban COPD rarrabe dama, saukarwa:

- Grade 0 (ba tukuna cuta). Wannan shi ne na farko mataki a cikin abin da akwai babban hadarin da COPD, amma tsoro ba ko da yaushe barata. Man sau da yawa tari da kuma tari up phlegm. A wannan rarrabuwa na COPD ne kawai farko. Abin da na gaba?

- Degree na (m Hakika na cutar). Halin da kananan obstructive canje-canje, m tari da kuma expectoration na sputum.

- Degree II (matsakaici hepatitis). Obstructive canje-canje ci gaba. Man choking a lokacin tafiya, kamar yadda na asibiti ãyõyi, m lokacin jiki aiki.

- Degree III (m Hakika na cutar). Qara iska ya kwarara ƙuntatawa lokacin da wani mutum exhales. A haƙuri ne har yanzu mafi choking a lokacin jiki exertion da exacerbations faruwa akai akai. A wannan mataki da mutum numfashi tsarin zai iya zama mai haɗari.

- Degree IV (mai tsanani Hakika na cutar). Halin da wani hadadden tsari na Bronchial toshewa, wanda sau da yawa barazana da mutuwa. Akwai numfashi gazawar, akwai na huhu zuciya.

lura da COPD

Far ga rashin lafiya ƙaddara da mataki na cakuduwar. Ya kamata a fili gane cewa magani damar kawai rage gudu da ci gaban da cutar, kazalika da tabbatar da shi a lokacin barga. Idan ba ka kawar da abubuwan da taimakawa ga ci gaban da cutar (misali, sigari), da magani ba kawo ake so sakamakon. A jerin magunguna, da lambar kuma da yiwuwar hada da sauran pharmacological nufin kayyade likita. A huhu cututtuka ƙware pulmonologist. A musamman, an san ga rarrabuwa na COPD, kamar yadda ya san yadda za a bi da wadannan ailments.

Far matsakaici cuta mai tsanani

Lokacin da bayyane ãyõyin breathlessness haƙuri iya koma ga yin amfani da inhaled bronchodilators. Likita na iya rubũta da wadannan magunguna: "Salbutamol" "Ventolin", "Berotek", "terbutaline", "fenoterol". Amma ba za su iya daukar waɗanda suke tãre da tachyarrhythmias, UPU, decompensated ciwon sukari, glaucoma, myocarditis, aortic stenosis, kazalika da hyperthyroidism. A haƙuri ba zai iya daukar magani fiye da sau hudu a rana. Ya kamata ka yi ba ne mafi sau da yawa. COPD yake akwai wata cuta, da magani ne da za'ayi har da mutuwa na haƙuri, shi bukatar wani alhakin hali.

Wajibi ne a yadda ya kamata yi inhalation. Idan ka yi rajista a karon farko da wannan magani, ya kamata ka yi wani na farko hanya tare da likita don haka abin da ya sanar da game da yiwu azzãlumai. Medicament bukatar inhaled a cikin bakinka (alura) daidai a ƙofar matakin: saboda ya kai gare shi daidai bronchi, kuma ba kawai fada cikin makogwaro. Bayan hanya, kana bukatar ka rike ka numfashi ga wata iska da kuma zama kamar daƙiƙu 5-10.

Abin da ya yi idan kana da wani moderately tsanani cuta?

Ga shi ba zai isa kwayoyi wajabta matsakaici COPD. Baya daga gare su, akwai buƙatar ka kai magunguna da cewa bunkasa bronchi da kuma dogon addashin. Ya kamata ka ko da yaushe saya su. Broncho-na huhu cuta ne yawanci m.

A musamman, da miyagun ƙwayoyi "Serevent" da ake sa. An samar a cikin wani nau'i na metered kashi inhaler. A ganiya kullum sashi na manya - 50-100 MG sau biyu a rana. Inhalation ya kamata a yi a yarda da duk dokokin.

Likitoci ma rubũta nufin "Formoterol". An samar a capsules, wanda suke inhalable foda. Hanya vpyolnyaetsya via handihaler na'urar. Yawanci, likita wajabta 12 MG sau biyu a rana. Ya kamata a lura da cewa jiyya na cutar huhu ba ko da yaushe nuna da ake so sakamako. Yana da bakin ciki amma yana da gaskiya.

Mai tsananin rashin lafiya

A wannan mataki, mutum na bukatar ci gaba da zanga-mai kumburi far. Rubuta fitar da matsakaici da kuma high dosages na glucocorticosteroids ga inhalation. Sanya ta da wadannan magunguna :. "Beclason", "benacort", "Fliksotid", "bekotid" "Pulmicort", da dai sauransu, suna kerarre a cikin nau'i na metered aerosols ko inhalation mafita allura a cikin makogwaro ta cikin nebulizer. Af, wannan ne mai matukar m na'urar. Idan kana da na huhu cuta (COPD), za ka iya sayan shi.

Bugu da ƙari kuma, a wannan mataki da cutar da gauraye magunguna za a iya sanya, wanda sun hada da tsawon aiki. Miyagun ƙwayoyi da kuma cewa shimfida bronchi da Corticosteroid ga inhalation. Your likita iya rubũta kwayoyi "Symbicort" ko "Seretide". Mixed kwayoyi a halin yanzu ya dauki mafi tasiri magunguna domin lura da huhu cututtuka da wannan mataki. Suka gaske cancanci da hankali. Kullum cutar huhu iya dakatar da ci gaba a su yi amfani da.

Very mai tsanani mataki na COPD: abin da ya yi?

Bugu da kari to kwayoyi wajabta ga m mataki na cuta, shi ne kara oxygen far (inhalation na iska dauke da wani yawa na oxygen, da za'ayi a kai a kai). Domin wannan hanya, a Stores cewa sayar da likita kayayyakin, ko in ya fi girma Pharmacy za a iya saya a matsayin wajen manyan na'urar ga m aiki, da kuma kananan gwangwani. A karshen iya dauka tare da ku a kan titi da kuma nema, a lokacin da shi zai fara zuwa a ji karancin iska. Asma - COPD, kuma shi ne rai barazana, don haka ka ko da yaushe suna da wani sashe da Can.

Idan mutum ba ya tsufa ƙwarai, kuma shi ne a cikin wani m tsari, shi ne mai yiwuwa a gudanar da wani aikin tiyata. A mawuyacin hali na haƙuri iya bukatar inji iska.

Yadda za a hana ci gaban COPD?

Rigakafin cututtuka na numfashi tsarin yana da muhimmanci sosai. A farko, kuma mafi tsanani mataki da nufin hana huhu cututtuka ne da kawar da ta rayuwa taba. Wannan ma'auni ne tasiri ga rigakafin cutar, da kuma dakatar da ci gaban da cutar ya riga ya fara. Idan ka sana'a ne hade da wani samar, inda a can ne ko da yaushe za a yawa daga karfe aerosol ko masana'antu ƙura, tabbata a koma ga yin amfani da m kayan aiki. Amma mafi tasiri awo su hana cutar - sallama daga cutarwa aiki. A kullum cututtuka na numfashi tsarin, ya kamata ka daga lokaci zuwa lokaci don zuwa likita da za a yi nazari.

Misali rashin lafiya tarihi

Wadanda sha'awar a COPD, likita tarihi na far iya ze m. Bari mu dubi wani misali.

I. Information daga fasfo

1. Patient sunan: Sergeev Vladimir Kuzmich.

2. Patient Jinsi: Namiji.

3. Age: '53.

4. Location: Omsk, ul. Red Road, 18/7.

5. Rashin aikin yi.

6. Yawan kuma lokaci na zuwa asibiti: 19.02.2014 at 14:55.

7. Ranar da barin asibiti ko canjawa wuri zuwa wani asibiti -.

8. Wa aika da mãsu haƙuri: kawo by motar asibiti ma'aikata.

9. A ganewar asali a cikin ma'aikata da cewa tsĩrar da haƙuri: al'umma-samu dama-gefe lobar ciwon huhu.

10. rashin lafiya a kan m: numfashi insufficiency mataki na farko. Dama-gefe lobar ciwon huhu, al'umma-samu.

II. Babban gunaguni na haƙuri

A haƙuri rahoton cewa jikinsa da zazzabi kai 39,5 ° C. Har ila yau, duk lokacin da ya coughs da kuma tanã kai ƙãra na serous gamsai cewa da wuya a otharknut. Wannan na iya zama wani nuni ga numfashi tsarin.

III. Secondary haƙuri gunaguni

A haƙuri damu sunã mãsu sujada, malaise, jiki rawar jiki, rashin iyawa yadda ya kamata gudanar da wani aiki, sweating, migraine.

Poll na numfashi tsarin

Dyspnea: faruwa a lokacin jiki aiki ne a hade hali.

Tari ba ya hana a ko'ina cikin yini, a cikin matsakaici yawa kasaftawa mucous expectoration. Yana da wuya a otharknut.

Sputum: akwai, slimy, nauyi expectoration, ¼ kofin na rana, shi ba ya dogara ne a kan matsayi na haƙuri, wari da ta unremarkable (as bayyana yawa numfashi cututtuka).

IV. likita tarihi

The rashin lafiya ya fara ba zato ba tsammani Fabrairu 13, 2014, bayan wani dogon zaman a cikin sanyi a lokacin da haƙuri da yawan zafin jiki ya tashi zuwa 39,5ºS kuma akwai wani bushe tari. A haƙuri ba sha wani magunguna. Bayan kwana biyu da tari ya riga da rigar da kuma nauyi sputum expectorated. A zafin jiki kuma ya kasance canzawa for kwanaki hudu. Fabrairu 19, 2014 haƙuri kira motar asibiti da aka dauka don Omsk tsakiyar birnin asibiti. Ya kamu da al'umma-samu dama-gefe lobar ciwon huhu. A haƙuri ba rajista. Ya ce cewa a baya ya ba da wani cututtuka na numfashi tsarin, ban da m na numfashi kwayar cutar. Wannan ƙarasa da tarihi na matsakaici COPD cuta.

V. Patient Rayuwa

Sergeev Vladimir Kuzmich aka haife shi a shekarar 1961 a birnin Omsk. Ya kasance da farko yaro da mahaifansa biyu; Its nauyi bayan haihuwa ya 2700 Uwar haƙuri a lokacin da aka haife shi shekaru 20 da haihuwa, mahaifinsa - 28. A haƙuri aka breastfed. A farko aji ya tafi a lokacin da ya kasance 6 years old. Na yi karatu, yafi a kan hudu. Bayan makaranta sai ya shiga kwalejin. Ya horar da matsayin gini.

Bayani game da sana'a. A haƙuri dauki wani aiki a shekaru 22, ya zama wani gini. Hadura: da aiki a kan titi, kura, ta jiki da kuma wani tunanin obalodi. Ba da dadewa, ya yi watsi da aikin.

Rayuwa yanayi ne na al'ada. A dukiya ne mai haƙuri-dakuna a cikin gininsu daga wani tubali. Kafin fitowar miciwa, ya rayu a can zare jiki da ba su sa ran matsala.

The rashin lafiya kamar yadda yaro, ba ya tuna. Rahotanni da cewa da zarar ya sha wahala m na numfashi kwayar cututtuka. Da'awar cewa ba su da lafiya, ko da tarin fuka ko jima'i cututtuka ko AIDS ko hepatitis.

VI. A binciken da na jiki

A general yanayin haƙuri za a iya kira matsakaiciya, shi ne wani aiki matsayi, da kuma sani - ba hadari da wani abu. Facial magana saba, manifestations paranoia da schizophrenia ba ya lura. Easy Gait. Gina gamsarwa. Bisa ga tsarin mulki ne normostenik. The girma na wuyansa, hannuwansu da ƙafãfunsu suke gwargwado ga jiki tsawon. Height - 165 cm. Nauyi - 73 kg. A haƙuri yana da yawa jiki nauyi, kiba iya nan da sannu ci gaba.

Tsarin bayyane mucous membranes da kuma fata

Fata haske ruwan hoda ya dafa, mucous membranes, akwai dubawa (idanu, lebe, hanci, baki) na wannan launi. M pigmentation samu. Skin isasshe na roba. Shin akwai wani turgor. danshi na fata ne na al'ada. A lokacin da gudanar da bincike na janar edema samu. Jikin ba rashes, babu scars, babu peeling, babu show ta hanyar fata capillaries.

Jarrabawa daga cikin kirji

Thorax tana nufin normostenicheskaya irin. Epigastric kwana madaidaiciya. Gudanar tam ga kirji ruwan wukake. Aikace-aikace gefuna madaidaiciya. M gibba tsakanin su. Karankarma kamar yadda a tsare, kadan bayyane ramuka a sama da kuma a kasa da su. A kan kirjin surface ba asymmetrical bumps ko concavities. Scoliosis ne ba a saukar.

Na waje ciki palpation

A surface, probing da haƙuri ba su da wani rashin jin daɗi, ciki ne m, ba ya lura da wani tataccen tsokoki ko hernia bulges. Alama Shchetkina-Blumberg ba ya tabbatar. Inguinal da cibiyarki zobe kullum.

Bayyanar da ciki tãre da mãsu haƙuri (kwance) ga mayar da

A ciki alama ya fi girma saboda m subcutaneous nama, da siffar ne al'ada, shi ne fasali, yayin da numfashi yakan. babu appreciable hanginsu samu. Akwai venous cibiyar sadarwa karkashin fata a tarnaƙi na ciki da kuma kewayen cibiya. Discrepancies rectus tsokoki da kuma hernias samu. A umbilicus ne kõma.

VII. A presumptive ganewar asali

A kan tushen da haƙuri da labarin, da tarihi da cutar, bayanai a kan rayuwarsa da kuma haƙiƙa bincike ga mãsu haƙuri za a iya sa gaba presumptive ganewar asali da ciwon huhu da ƙananan rabo daga hakkin huhu, wanda shi ne wata al'umma samu. A cuta ne moderately. Akwai kuma wani wahala, wato a mataki na farko na numfashi gazawar. Bugu da kari, tarihin COPD cuta iya yin mai yawa muhimmanci karshe.

Sabunta. A jerin haƙuri safiyo

1. Complete jini count.

2. dan tayi jarrabawa na gabobin located a cikin kogon ciki.

3. Analysis na jini Biochemistry (furotin, urea, glucose, creatinine).

4. Jimlar fitsari.

5. Blood Wasserman.

6. Electrocardiogram.

7. Radiography gabobin dake a cikin kirji.

8. tumbi ga gaban tsutsotsi.

9. Bacteriological jarrabawa na sputum.

XI. A karshe ganewar asali da kuma ta bayani

A kan tushen da haƙuri da labarin, tarihi na cuta, instrumental da dakin gwaje-gwaje gwaje-gwaje za a iya sanya gaba zuwa wani haƙuri kamu da ciwon huhu ƙananan rabo daga cikin hakkin huhu, wanda shi ne wata al'umma samu. A cuta ne moderately. Ba numfashi insufficiency mataki na farko.

XII. da ake bukata far

1. febrile lokaci na bukatar m gado sauran.

2. A haƙuri kamata sha yalwa da ruwaye da kuma rage cin abinci mai lamba 15 ta Pevsner.

3. Causal magani - maganin rigakafi daga cikin irin "+ m lokaci na 5-7 kwana."

Wani misali na tarihi na COPD cuta

La'akari da wani hali tarihi, shi ne babu kasa mai ban sha'awa. Novice likitoci za su zama da amfani a ta karanta da kuma bincika.

I. Personal Information

1. Patient sunan: Ivanov, Pyotr Ilyich.

2. Patient Jinsi: Namiji.

3. Ranar haihuwa: 1958 (56 years old).

4. zama: bricklayer.

5. Ilimi: sana'o'i.

6. Location: Omsk, ul. Marx, 23/2.

7. Yawan kuma lokaci na zuwa asibiti: 15.04.2014 at 20:15.

8. ganewar asali: m exacerbation na kullum mashako. Numfashi da gazawar da mataki na farko.

9. Wasu cututtuka: hauhawar jini, mataki na I, hadarin II.

II. Bayani game da haƙuri da aikin

A general kwarewa - 40 years of aiki a kan wata sana'a - 27.

Description of yanayin aiki. A tsawon lokaci na aiki rana - 8 hours karya - 60 minutes. A haƙuri iya tafi hutu a dace hanya. Babban sana'a - mason.

III. A labarin da ya haƙuri da yanayin

A isowa a asibiti, da mãsu haƙuri ya ruwaito cewa ya na da zazzabi, sai ya ji unwell, ya aka azabtar sputum da tari, kuma ya fara shaƙa a lokacin jiki aiki. A wannan tarihi na COPD cuta ne ba abin mamaki ba, shi ne quite hankula.

IV. Bayani game da haƙuri da rai

A haƙuri jihohin da ya ba da lafiya na wani STD ko ciwon sukari ko hereditary munanan ko shafi tunanin mutum da cututtuka. Ya kuma ce ya da wani marurai neoplasms. Daga cikin kalmomin da haƙuri, da danginsa kuma ba su da wani cututtuka daga wannan jerin. A haƙuri ruwaito cewa kamar yadda yaro ya sha wahala kamuwa da cuta (wato kyanda), a Bugu da kari, ya na da sanyi da kuma ciwon huhu, a 2008. Hadari addictions: shan taba, daga lokaci zuwa lokaci daukan barasa (don muhimmanci kwanakin). An haife shi a shekarar 1958. Shi ne na biyu yaro a cikin iyali. Na girma da kuma ci gaba a kyau rai da kuma zamantakewa yanayi. Koya a makaranta, Na sauke karatu daga kwalejin tare da wani mataki a cikin masonry. Ya fara aiki a shekarar 1985.

V. Patient Survey

Weight - 95 kg, tsawo - 188 cm haƙuri ta janar yanayin ne na al'ada, da jiha ne aiki da kuma wani hadari sani ..

Fata haske ruwan hoda inuwa, dumi. Turgor da elasticity na al'ada. Subcutaneous mai Layer za a iya kira matsakaiciya, shi ne rarraba proportionally. Mucous membranes m zuwa dubawa, ba da wani hakki. Gefe Lymph nodes: palpated motsi, kara girman, ba welded ga nama kewaye su. A lokacin jarrabawa da haƙuri ba a fuskantar rashin jin daɗi.

A tsarin kwarangwal lahani da aka samu. Gidajen abinci da wata al'ada tsari, da motsi ba a ƙuntata, babu zafi a cikin su. A mataki na tsoka ci gaba, su sautin da ƙarfi ne mai gamsarwa.

Amma ga thyroid gland shine yake, shi ne al'ada size, ba soldered da nama da suke kewaye da shi, hannu, da santsi, shi ba ya bayyana a lokacin da kyan gani, daga rashin jin daɗi. Jarrabawa wajibi ne ga ganewar asali, daya kawai tarihi na COPD cuta ba zai zama isa.

Hukumomi alhakin numfashi

A thorax ne tsakaitã, al'ada tsari, bangarorin biyu rayayye shiga proportionally a cikin numfashi tsari. dubawa rami da aka za'ayi a sama da kuma a kasa da karankarma. Su ne da alama sosai, kuma tsakaitã. A gibba tsakanin hakarkarinsa daidai bayyana, su ne m, a lõkacin da ka shãfe su m majiyai a cikin haƙuri ba bayyana.

narkewa kamar gabobin

Belly al'ada form. A lokacin yake bincike da taushi surface. Babu zafi. A lokacin zurfin probing keta aka samu. A hanta yana da wani misali size, shi ba ya auku a kan iyaka na costal baka. Lokacin da yake bincike da zafi ba ya faruwa. Lokacin da kyan gani, ba ya karu Kurlov baki. Gall mafitsara da kuma baƙin ciki bincike ba zai yiwu ba. A haƙuri ke zuwa bayan gida a kai a kai, sau daya a rana, da yi na defecation ne na al'ada.

VI. na farko ganewar asali

A kan tushen da haƙuri da labarin cewa ya suffocated a lokacin jiki aiki (shan matakala a 3-4 kasa), ya ke colorless mucous sputum da tari, kirji rashin jin daɗi, data daga anamnesis (da haƙuri da aka yi nazari a cikin sana'a Pathology sashen, an gano cewa ya na da kullum mashako) da kuma jiki na gudanar da bincike (a kamanta palpation kan fi na haske akwatin sauti aka ji, a lokacin auscultation a kan dukan gawawwakin tsare ta tukuru numfashi; akwai rare bushe watau wheezing) za a iya bayar da hujjar cewa Ivanov exacerbation na kullum mashako. Saboda haka, likitoci ya tabbatar da hasashe. Idan rigakafin cutar huhu da kuma ya kasance, da haƙuri shi bai taimake su ba.

VII. binciken shirin

1. Total Fitsari: gamsarwa.

2. Analysis na jini Biochemistry: al'ada.

3. Spirography: rage Tiffno index.

4. Janar jini bincike: mai gamsarwa.

5. Radiography gabobin dake a cikin thorax: ma sarari na huhu zane.

A ganewar asali da "exacerbation na kullum mashako," sa a kan wadannan filaye:

1. The haƙuri ta labarin yadda ya yi mucous sputum, tari, kuma shortness na numfashi a lokacin jiki aiki.

2. Bayani game da haƙuri da rai: ya smokes, yana da kullum mashako.

3. Taruwa na haƙuri a lokacin da wahayi ya bushe rales da wuya numfashi.

4. Laboratory karatu a wadda ta kafa Tiffno rage index, akan rage ganiya expiratory kwarara kudi, a lokacin da wani roentgen - sosai a fili na huhu zane.

Sabunta. magani

1. The bukata yanayin: kowa.

2. Diet: lamba 15.

3. Shiri "Macropen" - daya kwamfutar hannu sau uku a rana. 400 MG.

4. syrup "Haliksol" - wanda babban cokali sau uku a rana.

5. Vitamins "Revit" - kamar wata kwayoyi sau biyu a rana.

6. Allunan "Bromhexine" - sau uku a rana, 0,008 g

7. Physiotherapy ma'adini a kan kirji, kazalika da iontophoresis.

Dole ne mu tuna, yadda hatsari ne COPD. A tarihin magani da cuta ne cikakken tabbatar da wannan.