Hauora, Diseases me ngā Here
History o mate COPD. Whakarōpū o COPD. mate pūkahukahu ma'i
I tēnei wā, mate o te pūnaha romahā piki haere noa. Tenei āhua o take ko, o te akoranga, tākuta ohorere. tūtohu ratou nui atu e te iwi e pā ana ki to ratou hauora.
Whā o COPD
tohunga International i roto i te ahunga whakamua o te COPD te wehe maha ngā wāhanga:
- Grade 0 (kore ano mate). Ko te wāhanga tuatahi tenei i roto i nei i reira ko te tūpono nui o COPD, engari e kore e whakatikaia tonu wehi. maha te tangata maremare me te maremare ake maremare. I roto i tenei whakarōpū o COPD te timata tika. He aha i muri?
- Waeine ahau (akoranga ngawari o te mate). Āhuatanga e huringa taunutia iti, mare tamau me te expectoration o sputum.
- Waeine III (akoranga nui o te mate). Whakanuia ai hau rāhuitanga rere ina exhales te tangata. Kei te tonu atu rāoa i te manawanui i roto i kohakoha tinana me te ake pinepine exacerbations puta. I tenei wā e taea e tino mōrearea te pūnaha romahā tangata.
- Waeine IV (te akoranga tino nanakia o te mate). Āhuatanga e te puka matatini o tukuna ai arahau, e maha mōrearea ki te mate. He he kore romahā, i reira he ngakau pūkahukahu.
maimoatanga o te COPD
Therapy mō te mate whakaritea e te tohu o tona whīwhiwhi. kia mohio ki mārama te reira e taea te rongoā anake pōturi iho te ahunga whakamua o te mate, me te hanga i te reira i roto i pūmau. Ki te kore koe e faaore i te āhuatanga e whai wāhi ki te ahunga whakamua o te mate (hei tauira, hikareti), e kore ai te maimoatanga kawea te hua e hiahiatia ana. He rārangi o rongoā, ratou tokomaha, me te taea o te whakakotahi ki ētahi atu tikanga pharmacological whakatau te tākuta. I te pūkahukahu mate mätanga pulmonologist. I roto i ngā, kua mohiotia ai mo te whakarōpū o COPD, rite matau ia e founga ki te hamani enei aorangia hoki.
Therapy pakeke mate āhua
A, no te kia huihui tohu kitea o te breathlessness manawanui ki te whakamahi i bronchodilators hau. kia whakahau i te tākuta te rongoā e whai ake nei: "Salbutamol" "Ventolin", "Berotek", "terbutaline", "fenoterol". Otiia e kore e taea e ratou te tango i te hunga ki te tachyarrhythmias, UPU, mate huka decompensated, papahewa, myocarditis, stenosis te pūtahi o, me te hyperthyroidism. E kore e taea e te manawanui te tango rongoā neke atu i wha ngā wā i te ra. E kore e meatia e koe i te reira atu maha. COPD ko te mate, kawea te maimoatanga i roto tae noa ki te mate o te manawanui, e titau te reira i te huru haepapa.
He mea tika ki te mahi tika inhalation. Ki te mea kua rēhita koe mo te wa tuatahi i tenei maimoatanga, kia mahi koe i te tukanga tuatahi ki te tākuta kia e kua e ia e pā ana ki he taea. hau hiahia Medicament ki te mangai (injecting) rite i te taumata tomokanga: no te mea tae te reira i rite te bronchi, a kore taka noa ki korokoro te. I muri i te tukanga, e hiahia ana koe ki te pupuri i to koutou manawa mo te manawa, me te noho rite 5-10 hēkona.
Aha ki te mahi, ki te whai koe i te mate tika nui?
Here e kore e waiho te reira taero nui whakaritea hoki COPD āhua. I tua atu i a ratou, e hiahia ana koe ki te tango i ngā rongoā e whakarei te whakakapi bronchi me te roa. kia hoko tonu e koe a ratou. Ko te tikanga utu nui mate Broncho-pūkahukahu.
I roto i ngā, whakaritea te tarukino "Serevent" te. Kei te whakaputaina te reira i roto i te puka o te ngongō whängainga metered. Te inenga o ia rā tino arotau mō ngā pakeke - 50-100 mg rua he ra. kia inhalation kia whakamana i roto i te hanganga ture ki te ture katoa.
mate e kaha
I tenei wā, titau te tangata tonu therapy anti-inflammatory. Tuhia i roto i nga toketaá āhua, me te tiketike o te glucocorticosteroids mō inhalation. I tautuhia e te rongoā e whai ake nei :. "Beclason", "benacort", "Fliksotid", "bekotid" "Pulmicort", me ētahi atu e hangaia ratou i roto i te puka o aerosols metered rongoā inhalation ranei patia ki korokoro te roto i te nebulizer. E te ara, ko te pūrere rawa pepa tenei. Ki te whai koe i te mate pūkahukahu (COPD), ka taea e te hoko koe i te reira.
I tua atu, i tenei wā o te mate e taea te whakaritea nga rongoa whakauru, e ngā te tarukino roa-mahi me e toro bronchi me corticosteroid mō te inhalation. kia whakahau tō tākuta taero "Symbicort" ranei "Seretide". whakaaro tēnei wā taero whakauru nga rongoā whai hua tino mo te maimoatanga o te pūkahukahu mate tenei wā. Ratou tino tika whakarongo. Ka taea e te mate pūkahukahu ma'i mutu ratou te whanaketanga i roto i to ratou whakamahi.
atamira Tino nui o COPD: he aha ki te mahi i?
I tua atu ki te taero i whakaritea mo te wāhanga nui o te mate, ki te mea i tāpiri therapy hāora (inhalation o rangi kei roto i te rota o te hāora, kawea atu wā). Hoki tenei tikanga, ka taea e i roto i toa e hoko hua hauora, ranei i roto i pharmacies nui kia hokona rite te pūrere, kaua nui mō te mahi motuhake, me kēne iti. Ko te whakamutunga taea te tango i ki koe i runga i te huarahi, me te ki te tono, ka haamata te reira ki te kia ua kaimahi o rangi. Huangō - COPD, a ko reira ora-te whakawehi, kia whai tonu koe ki te kawe i te kēne.
Ki te kore te mea tawhito rawa te tangata, me te kei i roto i te puka pai, he reira taea ki te kawe i roto i te pokanga. I te huru tino o te manawanui kia hiahia ventilation aunoa.
Me pēhea te ki te aukati i te whanaketanga o COPD?
Ko te tino nui Prevention o mate o te pūnaha romahā. Ko te tuatahi, me te mahi tino nui e hāngai ana te ārai pūkahukahu mate ko te whakakorenga o ona hikareti ora. he whai hua hoki te ārai o te mate tenei mehua, ka ki te mutu, kua timata kē te whanaketanga o te mate. Ki te whai pānga tō tikanga te ki tetahi production, kei te haere te wahi i reira tonu ki te rota o te aerosol whakarewa puehu ahumahi ranei, kia mohio ki te huihui ki te whakamahi i ngā taputapu tiaki. Otiia ki te mehua whai hua tino ārai mate - pananga i mahi kino. I roto i te pāngia e o te pūnaha romahā, koe kia i wa wa ki ki te haere ki te tākuta, me te kia te uiui.
hītori mate Tauira
Ko te hunga e hiahia ana i roto i te COPD, hītori hauora o te therapy kia hoki mea pākiki. Kia titiro a i te tauira.
I. Information i te uruwhenua
ingoa 1. manawanui o: Sergeev Vladimir Kuzmich.
2. Kātaki Ira: Tāne.
3. Age: '53.
4. Wāhi: Omsk, ul. Whero Road, 18/7.
5. Unemployed.
6. Ko te maha me te wā o te taenga mai ki te hōhipera: 19.02.2014 i 14:55.
7. Rā o mahue te hōhipera whakawhiti ki tetahi atu whare hauora ranei -.
8. Ko wai ka unga te manawanui: kawea mai e ngā kaimahi waka tūroro.
9. He tātaritanga i roto i te faanahoraa i homai e te manawanui: tika-taha kakā lobar riro-hapori.
10. mate i runga i whakauru: iti hoki romahā atamira tuatahi. Matau-taha lobar kakā, riro-hapori.
II. Ko te amuamu matua o te manawanui
pūrongo te manawanui e tae tona pāmahana tinana 39,5 ° C. Ano, ko te wa katoa coughs ia me amuamu o te hūpē serous e he uaua ki te otharknut. kia waiho hei tohu ki te pūnaha romahā tenei.
III. amuamu manawanui Tuarua
Te manawanui āwangawanga prostration, ahuatanga, wiri tinana, te aravihi ki tika te kawe i roto i to ratou mahi, sweating, migraine.
Pane o te pūnaha romahā
Dyspnea: puta ka ngā mahi tinana te huru.
e kore e mare mutu, puta noa i te ra, i roto i te moni āhua tohaina expectoration mucous. He uaua ki te otharknut.
Sputum: i reira, pūrikoriko, expectoration taimaha, ¼ kapu o te ra, e kore e whakawhirinaki ai i runga i te tūranga o te manawanui, te haunga o ona ta'e (rite whakakitea maha mate romahā).
IV. hītori hauora
timata ohorere te ma'i February 13, 2014 i muri i te noho roa i roto i te matao, ka whakatika pāmahana o te manawanui ki 39,5ºS me i reira ko he mare maroke. E kore te manawanui i inu i tetahi rongoa. E rua ra i muri i kua mākū me expectorated sputum taimaha te mare. hoki i noho te pāmahana tonu mō te wha ra. February 19, ka karanga 2014 te manawanui he waka tūroro me i tangohia ki Omsk hōhipera pokapū pa. I pāngia ia ki matau-taha kakā lobar riro-hapori. E kore te manawanui i rēhita. ka mea ia e kore i mua i ia i tetahi mate o te pūnaha romahā, i roto i te tua ki whakapeka mate viral matehā. te mutunga tenei o te hītori o te mate COPD āhua.
V. Life manawanui
whanau Sergeev Vladimir Kuzmich i roto i 1961 i roto i te pa o Omsk. Ko ia te tamaiti tuatahi o tona matua. Ko tōna taimaha i muri i whanau i 2700 Mother o te manawanui i te wa o tona whanau i 20 tau, me tona papa, - 28. Ko te manawanui i ū. I roto i te piha haapiiraa tuatahi ka haere ia, ka ko ia 6 tau. ako ahau te nuinga i runga i wha. I muri i te kura ka tomo ia ki te kāreti. whakangungua ia rite te hanga.
Mōhiohio e pā ana te tikanga. ka mau te manawanui he mahi i tau 22, ka e ia he hanga. Mōrearea: te mahi i runga i te huarahi, puehu, kikī tinana, me te aronganui. Ehara i te roa i mua, whakatane ia tona mahi.
He noa tikanga ora. Ko te taonga, ko te he fare manawanui-whare moenga i roto i te whare i te pereki. I mua i te putanga o te pūnaha romahā, noho ia ki reira ata, a kihai i mahara raruraru.
Ko te mate rite te tamaiti, e kore e mahara. Pūrongo e kotahi i tukua whakapeka mate viral matehā. Claims kore e e mate ranei AIDS ranei kakā turoro ranei kohi ranei paipai.
VI. Ko te ako o te tinana
Ka taea te huaina te huru whānui o te manawanui āhua, ko reira he tūranga kaha, me te mahara - kahore atarua e tetahi mea. mata mua, e kore e faaiteraa o te Paranoia me tuakoi kitea. kiwi e Easy. Hanga pai. E ai ki te kaupapa ture ko te normostenik. Ko te āhuatanga o te kaki, he hautanga ki te roa te tinana ringa me waewae. Teitei - 165 cm: taimaha - 73 kg. Te manawanui he taimaha tinana rawa nui, kia hohoro whakawhanake mōmona.
Pūnaha kitea kiriuhi mucous me te kiri
Leather marama hue māwhero, kiriuhi mucous, tirohanga e wātea ana (kanohi, ngutu, ihu, waha) o te tae kotahi. kitea ähua mamae. Kiri feunga rapa. He reira he turgor. He noa makuku o te kiri. Ko reira i roto i te tūhuratanga o te edema whānui kitea. Body kahore rashes, kaua he pokapoka, kahore tihorenga, kahore he whakaaturanga i roto i te tōiti kiri.
Examination o te pouaka
E pā ana ãpoko ki normostenicheskaya momo. He tika tonu koki Epigastric. Puritia piri ki tana matatahi uma. He tika tonu Proceedings taha. āputa kite i waenganui ia ratou. Paewai rite pai tautuhi, iti rua kitea i runga, me te raro ratou. I runga i te pouaka mata kahore fepulopulasi asymmetrical concavities ranei. e kore e whakakitea scoliosis.
palpation puku papa'u
I te mata, pūkenga te manawanui kihai i whai tetahi hūhi, he ngohengohe te puku, kihai i rite tetahi uaua riaka te tupu te whaturama ranei. e kore te tohumate Shchetkina-Blumberg whakapumautia. Inguinal me mowhiti pito tikanga.
Ko te ahua o te puku ki te manawanui e takoto ana i runga i tona hoki
Te āhua i te puku nui no o te kiko subcutaneous fatty, he noa tona āhua, ko reira hangarite, i te kupukupu e whakatika. kahore he ioio appreciable kitea. He whatunga venous raro i te kiri i runga i nga taha o te puku, me te huri noa i te pito. Hapanga uaua kiri taupoki me hernias kitea. unu i te umbilicus te.
VII. He tātaritanga pōhēhē
I runga i te pūtake o te kōrero o te manawanui, te hītori o te mate, e taea te hoatu mōhiohio i runga i te ora me te rangahau whāinga ki te manawanui tātaritanga muri pōhēhē o kakā o te wahi o raro o te pūkahukahu matau, i te mea he whiwhi-hapori. Ko tika te mate. He he ano hoki te pōauautanga, ara he wā kore romahā tuatahi. I tua atu, ka taea e te hanga i te hītori o te mate COPD te rota o whakatau nui.
VIII. Ko te raupapa o rangahau manawanui
1. Kia hia ngā toto Complete.
2. Ultrasound whakamātautau o whēkau kei roto i te kōhao puku.
3. Tātaritanga o toto mataora (pūmua, Urea, kūhuka, creatinine).
4. mimi Tapeke.
5. Toto Wasserman.
6. hiko-.
7. Radiography whēkau kei roto i te pouaka.
8. feces mo te aroaro o kutukutu.
9. whakamātautau Bacteriological o sputum.
XI. Ko te tātaritanga whakamutunga, me tona whakamārama
I runga i te pūtake o te kōrero o te manawanui, e taea te whakanohoia i muri hītori o mate, whakamātautau mauhaa me te taiwhanga ki te manawanui pāngia ki te kakā wahi o raro o te pūkahukahu matau, i te mea he whiwhi-hapori. Ko tika te mate. Reira iti hoki romahā atamira tuatahi.
XII. therapy fie
titau moenga okiokinga tino 1. wā Febrile.
2. kia inu te manawanui nui o fluids me te tau kai 15 e Pevsner.
3. causal maimoatanga - paturopi o te momo "+ wā femo'uekina o 5-7 ra."
Ko tētahi atu tauira o te hītori o te mate COPD
Fakakaukau ki tetahi atu hītori take, he mea kahore iti ngā. ka hei tākuta tauhou whai hua ki ki a ia te pānui i me te tātari.
Mōhiohio Whaiaro I.
ingoa 1. manawanui o: Ivanov, Pyotr Ilyich.
2. Kātaki Ira: Tāne.
3. Rā o whanau: 1958 (56 tau).
4. Tuhinga: piliki.
5. Mātauranga: Vocational.
6. Wāhi: Omsk, ul. Marx, 23/2.
7. Ko te maha me te wā o te taenga mai ki te hōhipera: 15.04.2014 i 20:15.
8. tātaritanga: exacerbation whakapeka o Bronchitis. kore Respiratory o te atamira tuatahi.
9. Ētahi mate: takawhita, tohu o ahau, te mōrea II.
II. Mōhiohio e pā ana te mahi a te manawanui
Ko te wheako whānui - 40 tau o te mahi i runga i te makehe - 27.
Whakaahuatanga o ngā āhuatanga mahi. Ko te roanga o te ra mahi - 8 haora whatiia - 60 meneti. Ka taea e te manawanui haere i runga i tau faafaaearaa i roto i te wā. Ko te makehe matua - Mason.
III. Ko te kōrero o te huru o tona manawanui
I te taenga ki te hōhipera, korerotia te manawanui e i ia he kirika, mana'o ia māuiui, kua whakamamaetia ia sputum me mare, a ka tīmata ia ki te kowaowaotia i roto i te mahi whakakori tinana. I roto i te kore te mea poitirere tenei hītori o mate COPD, he reira tino angamaheni.
IV. Mōhiohio e pā ana te ora o te manawanui
Ko te āhua manawanui e kore ko ia mate o tetahi std ranei mate huka ranei abnormalities tuku ranei mate hinengaro. Ia i mea ano e ia ia kahore pukupuku me neoplasms. Mai i nga kupu o te manawanui, ona teina ano hoki e kore e whai tetahi mate i tenei rārangi. korerotia te manawanui e rite te tamaiti i tukua e ia he mate (ara karawaka), i roto i te tua, i ia he matao me te kakā i roto i te tau 2008. faatītīraa Dangerous: paowa, i te wa ki te wa e waipiro (mō ngā rā nui). I whanau ia i roto i 1958. Ko ia te tuarua o nga tamaiti i roto i te utuafare. tupu ahau ake, ka whakawhanakehia i roto i te ora pai, me ngā āhuatanga pāpori. Ako i roto i te kura, puta ahau i kāreti ki te tohu i roto i te aua marae. tīmata ia te mahi i roto i te tau 1985.
V. Survey manawanui
He noa 188 huru whānui cm o manawanui, he kaha, me kahore mahara ataruatia te kāwanatanga .. - Taumaha - 95 kg, teitei
Leather marama māwhero whakamarumaru, mahana. Turgor me elasticity o noa. Ka taea te huaina apa ngako subcutaneous āhua, kua tohaina reira proportionally. kihai i kiriuhi mucous āhei ki te tirotiro, whai i tetahi maumaui. taikiri piringa: palpated neke, rahi, e kore ka paiherea ki te kikokiko e karapoti ana ia ratou. I roto i te whakamātautau e kore e faaruru i te manawanui hūhi.
I kitea te hanganga o hē kōhiwi. Hononga i te puka tonu, e kore e te kaupapa whāiti, kahore he mamae i roto ia ratou. Ko te tohu o te whanaketanga uaua, ratou reo me te kaha e pai.
Ko te repe thyroid, he reira rahi noa, e kore e soldered ki te kikokiko e karapoti ana i te reira, pūkoro, maheni, e kore e puta i te reira, no te tirohia i te hūhi. he tika whakamātautau mo te tātaritanga, e kore e waiho nui kotahi anake hītori o mate COPD.
Mana kawenga mō te manawa
Ko te ãpoko hangarite, te puka noa, mātātoa te whai wāhi i te taha e rua proportionally i te tukanga manawa. kawea rua tirohanga i roto i runga, me te raro te paewai. Ko ratou pai i tohua, me te hangarite. Ko te pakaru i waenganui i nga rara maitai whakahuatia, he ngāwari ratou, ina pa ki a koutou a ratou sensations kino i roto i te manawanui e kore e ara ake.
whekau kūnatunga
Kopu puka noa. I roto i pūkenga i te mata ngohengohe. Kahore he mamae. i kitea i roto i maumaui mäkoi atu hohonu. Ko te ate kua he rahi paerewa, e kore e tika i te reira i runga i te rohe o te kikorangi costal. A, no te pūkenga kore e te mamae puta. A, no te tirohia e kore nui haere mata Kurlov. tōngāmimi au me te kōateate uiuia taea. haere te manawanui ki te wharepaku wā, kotahi te ra, he noa te mahi o te defecation.
VI. tātaritanga kë ngä
I runga i te pūtake o te kōrero o te manawanui i kowaowaotia ia i roto i ngā mahi tinana (tango i te pikitanga i 3-4 witi), ko ia te huitahi sputum mucous me mare, pouaka hūhi, raraunga i te anamnesis (te korenga i te manawanui i roto i tari māuiuitanga mahi, i kitea i te reira e ia ia Bronchitis) me te tinana o te rangahau (i roto i te palpation whakatairite i runga i nga tihi o te tangi pouaka marama e rongo, i roto i auscultation mo tinana katoa tautuhia e te manawa pakeke: i reira e onge maroke arā, wheezing) taea te tohe e Ivanov exacerbation o Bronchitis. Ko te kupu, whakapumautia tākuta te nounou. Ki te kua te ārai o te mate pūkahukahu, me te, e kore kua te manawanui reira i awhina.
VII. mahere rangahau
1. mimi Tapeke: pai.
2. Tātaritanga o mataora toto: noa.
3. Spirography: te whakaiti i Tiffno taupū.
4. tātari toto General: pai.
5. Radiography whēkau kei roto i te ãpoko: mārama rawa tātuhi pūkahukahu.
Ko te tātaritanga o "exacerbation o Bronchitis," hoatu i runga i te whenua e whai ake nei:
1. kōrero o te manawanui o te pehea i ia mucous sputum, mare, me te hāhā o te manawa i roto i ngā mahi tinana.
2. mōhiohio e pā ana te ora o te manawanui: momi ia, kua ia Bronchitis.
3. Tuhinga o te manawanui i roto i i whakakitea rales maroke, me te manawa pakeke.
4. Laboratory rangahau i roto i i whakapumautia Tiffno taupū whakaiti, whakaiti o tihi auau rere expiratory, ka he Roentgen - rawa mārama tātuhi pūkahukahu.
VIII. maimoatanga
1. Ko te aratau hiahiatia: noa.
2. Kai: tau 15.
3. Te faaineineraa "Macropen" - kotahi te pire e toru ngā wā i te ra. 400 mg.
4. Tuhinga "Haliksol" - kotahi koko nui e toru nga wa te ra.
5. Vitamins "Revit" - he tokorua o pire e rua he ra.
6. Papa "Bromhexine" - e toru wā i te ra, 0,008 g
7. Physiotherapy kiripaka i runga i te pouaka, me te iontophoresis.
Me tatou mahara tonu, me pehea kino he COPD. Ko te tino fakapapau'i tenei te hītori o te maimoatanga o te mate.
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