Views: 0 Sau: Tus xaib Editor Tshaj Tawm Lub Sijhawm: 2025-01-07 Keeb kwm: Lub chaw
Cov kab mob ntsws ua rau muaj kab mob ntsws (CopDonary) yog qhov sib txuas ua kom sib txuas nrog kev haus luam yeeb thiab huab cua. Raws li qhov thib peb ua rau ntawm txoj kev tuag, nws cuam tshuam txog 300 lab tus tib neeg, raws li lub Koom Haum Ntiaj Teb Kev Noj Qab Haus Huv (uas).
Copd tau nce zuj zus mus txog ntawm plaub ntu sib txawv, txhua tus cwj pwm los ntawm cov tsos mob thiab cov tswv yim kho mob. Kev tswj kom tau zoo tsom rau kev mob siab, txhim kho lub cev muaj nuj nqi, thiab cov kab mob qeeb:
Theem I: Me
Cov tsos mob: qee zaus hnoos thiab ua pa me me.
Kev tswj hwm: Kev txiav luam yeeb haus luam yeeb, nce lub cev, thiab ua yeeb yam luv luv.
Theem II: Nruab nrab
Cov tsos mob: ua kom hnoos thiab ua pa tsis taus, cuam tshuam cov haujlwm txhua hnub.
Kev tswj hwm: Cov pob khoom siv tsheb ntev, cov tshuaj kho kom rov zoo, thiab nqus tau corticosteroids.
Theem III: Mob hnyav
Cov tsos mob: hnoos tas mus li, tsis muaj kev sib haum xeeb, thiab ua pa nyuaj, tshwj xeeb thaum sawv ntxov.
Kev tswj hwm: nqus tau corticosteroids, oxygen zaws, thiab adanced cov kev kho mob ceev.
Theem IV: Loj heev
Cov tsos mob: muaj kev ua haujlwm tsis taus thiab ua pa nyuaj.
Kev tswj hwm: Ntev cov pa kev kho thiab, qee kis, mob ntsws.
Lub pob zeb ntawm CopD tswj cov lus dag nyob rau hauv kev noj tshuaj thiab kev hloov pauv kev ua neej:
BLONCHODILATORS : luv luv- thiab cov neeg sawv cev ntev thiab ntev-ua yeeb yam so kom txaus cov leeg pa dej, txhim kho airflow.
Ntev-ua anticholinics (Lamas) : Txo cov pa thaiv cov pa thiab bronchospasms.
Corticosteroids : cov roj av qis dua thiab tiv thaiv kev tawm tsam mob (siv nyob rau hauv kev saib xyuas kev kho mob).
Cov tshuaj tua kab mob : chaw nyob ntawm cov kab mob tab sis tsis hloov cov tub ceev xwm kev ua tiav.
Kev kuaj pom tseeb cuam tshuam nrog kev soj ntsuam cov tsos mob chaw kuaj mob thiab ua cov kev kuaj mob kuaj mob:
LUNGation kev soj ntsuam : SPELOMETRY ntsuam xyuas yuam kom tas sij hawm ntim hauv 1 thib ob (FEV1) thiab yuam kev muaj peev xwm tseem ceeb (FVC).
Ntshav Oxygen Chement : Pulse oximetry ntsuas cov pa oxygen hauv cov hlab ntshav.
Kev Ntsuam Xyuas : Lub hauv siab xoo hluav taws xob thiab CT scans pom tej yam kev sib raug zoo xws li emphysema.
Cov tsos mob ntsuas : Kev hnoos muaj rog ntev, ua pa, thiab kev haus luam yeeb keeb kwm.
Txhaj tshuaj tiv thaiv kab mob
Tshuaj Tiv Thaiv Pneumococcal (PCV20 / PCV15 + PPSV23) tiv thaiv pneumococcal kis tau tus mob.
Tshuaj tiv thaiv khaub thuas : Txo cov kab mob ua npaws zoo.
Tdap txhaj koob tshuaj tiv thaiv : tiv thaiv tus kabmob hnoos qeev thiab lwm yam kev mob ua pa.
Kev txhaj tshuaj tiv thaiv tshuaj tiv thaiv : mitigates pheej hmoo rau cov neeg txhaj tshuaj tiv thaiv kab mob.
Cover-19 txhaj tshuaj : tiv thaiv kev tiv thaiv kev tawm tsam hnyav-19 hauv Copd cov neeg mob.
Nebulization kev kho mob
pub rau cov neeg siv cov tshuaj ua kua rau hauv kev ua kom zoo nkauj rau kev xa khoom ua pa tawm. Cov tshuaj muaj xws li:
BLONCHODILATORS (piv txwv li, salbutamol): eases ua pa los ntawm dilating airways.
Corticosteroids (piv txwv li, budesonide): txo cov mob thiab cov tsos mob tshwm sim.
Joultech cov pa xyoob ntoo siv cov thev naus laus zis siab tshaj rau cov tshuaj attomize rau hauv cov kab mob hauv lub ntsws. Siv Inhalation Dual-Mask lossis qhov ncauj qhov ncauj-muab ntxiv thiab hloov tau rau cov neeg mob.
Thaum siv txoj kev kho mob kub txwv tsis pub cuam tshuam cov tsos mob ntawm kev tswj hwm cov tsos mob, muaj kev txhim kho kom zoo rau kev noj qab haus huv yog qhov tseem ceeb:
Txiav luam yeeb : ib qho kev cuam tshuam zoo tshaj plaws rau kev hloov kho kom qeeb dua.
Kev tawm dag zog tsis tu ncua : txhim kho lub ntsws muaj peev xwm thiab kev ua siab ntev.
Kev noj haus muaj zog sib npaug : txhawb txoj kev noj qab haus huv thiab ntxiv dag zog.
Zam kev ua qias tuaj : Txo kev raug cov pa phem thiab ua kom tsis muaj zog.
Txawm hais tias Copd tseem ua kom tsis muaj, cov neeg mob tuaj yeem ua tiav kev txhim kho lub neej zoo los ntawm kev kho cov kev hloov pauv thiab ua kom lub neej sib hloov. Nrog Gontech paj hlau, Copd cov neeg mob tau txais kev nkag tau zoo, cov neeg siv cov kev daws teeb meem rau kev tswj cov tsos mob thiab rov qab ua pa.
Xaiv Jointech coulebers rau kev ua pa yooj yim thiab kev noj qab haus huv dua, lub neej muaj kev noj qab haus huv.