Mob hawb pob: nws yog dab tsi thiab yuav ua li cas los kho?

Yog hais tias koj thov kom tswv ntawm ib tug kws kho mob daim ntawv kawm tiav: "hawb pob - yog dab tsi," - nws yuav piav qhia rau koj tias nyob rau hauv cov tshuaj no lub sij hawm qhia ib tug spectrum of non-kev mob ntsws kab mob. Ib tug neeg mob nrog mob ntawm dilated airspaces pulmonary hlab ntsws thiab alveolar phab ntsa hloov.

tau ua

Nyob rau hauv thiaj li yuav tau siab npaj, tsis yog mus paub dab tsi yog mob hawb pob. Yuav ua li cas yog nws, peb tau twb pom. Tam sim no cia tus saib vim li cas nws zoo nkaus li. Rau hnub tim, tag nrho cov ua uas ua rau txoj kev loj hlob ntawm mob hawb pob, yuav tsum tau muab faib ua ob pawg. Tus thawj muaj pathological microcirculation, phiv los ntawm teeb meem tshuaj nyob rau hauv huab cua, raws li zoo raws li congenital tsis muaj peev xwm ntawm α-antitrypsin. Lawv koom siab los ntawm ib tug tshaj plaws: tag nrho cov yam ua cas tawg zog ntawm lub ntsws thiab txo lawv elasticity. Qhov no yog dab tsi ua rau yus lub fact tias ib tug neeg muaj thawj diffuse mob hawb pob. Yuav ua li cas yog nws? Ua tsis taus pa ntawm lub ntsws kiag restructured. Bronchial kuj thiab, thiaj li, nce siab nyob rau hauv lub alveoli thaum lub sij hawm txhua exhalation. Txawm li cas los, nws yuav tsum tau muab sau tseg hais tias bronchial permeability nyob rau hauv cov ntaub ntawv no tej zaum yuav tau tseem tsis tau tawg. Yog hais tias tsis cai inflammatory kev hloov, bronchi thiab hlab ntsws yog tsis raug dab tsi thaiv. Raws li ib tug thib ob tau ua ntawm mob hawb pob kws kho mob hu rau tus kab mob obstructive ntsws. Tus kab mob no tsim tagnrho tej yam kev mob rau ib tug neeg twb tau tsim theem nrab (aka - alveolar) mob hawb pob.

piav qhia

Nyob rau hauv cov ntaub ntawv no, cov neeg mob intrathoracic siab sharply txo lub sij hawm exhalation. Ncab lub bronchial lumen ua rau airflow txwv uas yog aggravated. Lub alveoli yog ncav us txog ntau heev vim lub fact tias lawv ncua lub kev tshoov siab huab cua. Tag nrho cov no ua rau yus lub fact tias mezhalveolnye phab ntsa yog maj puas lawm. Yog hais tias ib tug neeg mob yog raws kev coj kom ib tug X-ray, mob hawb pob yuav pom nyob rau tus yam ntxwv o ntawm pa alveoli.

diagnostics

Nyob rau dab tsi thaj chaw muaj peev xwm txheeb xyuas mob hawb pob? Ntawm no yog ib tug ceev daim ntawv teev: lub alveoli ntawm tus neeg mob nyeem tas, widened lawv lub qhov ncauj; hypertrophied du nqaij bundles, elastic fibers Yog straightened; phab ntsa ntawm lub pa hlab ntsws yog npaum li cas thinner tshaj lawv yuav tsum tau; lub xov tooj ntawm cov hlab ntsha yog ho hauv qab no ib txwm.

symptomatology

Mob hawb pob tshwm heev kaj. Feem ntau cov neeg mob tsis txaus siab mob ua tsis taus pa - thaum xub thawj nws tshwm sim thaum lub sij hawm ib ce muaj zog, tab sis maj mam pib pester tus neeg lossi, txawm thaum taug kev. Secondary emphysema yog yus muaj los ntawm impaired cov ntshav roj. Outwardly, nws muaj feem xyuam rau lub xeev ntawm qab plab: zoo nws tsa ib lub thoob, lub cheeb tsam saum toj no lub pob txha qais npaum li cas su.

outlook

Yog li ntawd tam sim no koj paub cov lus teb rau lo lus nug: "hawb pob - yog dab tsi?" Nws yuav tsum tau muab sau tseg tias nws yog tsis yooj yim sua kom kho tau tus kab mob: niaj hnub tshuaj tsis paub cov kos duab ntawm es ua kom cov kev puas tsuaj alveoli. Kev kho mob yog hais feem ntau rau lub fact, kom tshem tawm cov tsis kaj siab tsos mob thiab kom muaj ib tug ib txwm muaj ntawm oxygenation. Ua li no, bronchodilators tsa thiab tu pa txoj kev kho.