Cov kws kho mob pom tau hais tias feem ntau tsis txaus siab ntawm cov neeg nrhiav kev pab yog dyspnea los yog ua tsis taus pa - cia wb xav txog qhov teeb meem no tshwm sim.
Cov neeg mob ntawm qhov ua tsis taus pa piav qhia lawv tsis xis nyob li "tsis txaus cua," "tawv hauv siab," "lub ntsws tsis muaj puv nkaus pa."
Los ntawm txoj kev, thaum kawm txog kev ua tsis taus pa thiab tsis muaj cua kom txog thaum tiam 17th century, lo lus "mob ntsws", thawj zaug siv los ntawm Hippocrates, yog siv. Tam sim no lub ntsiab lus ntawm mob ntsws asthma thiab dyspnea yog nruj me ntsis.
Hom mob dyspnea
Nyob ntawm lub caij nyoog ntawm cov dyspnoea, qhov ua tsis taus pa ua kom qis rau hauv:
- ntev - txhawj xeeb rau ntau xyoo;
- subacute - tus neeg mob yog mob rau ob peb hnub;
- mob - pom hauv ob peb feeb.
Nws yog tsim nyog sau tseg tias yog tias dyspnoea txhawj xeeb txog kev taug kev los sis khiav mus ntev, qhov ua rau ntawm qhov tshwm sim no yuav tsum tsis txhob ntsia - muaj zog load cuam tshuam kev hloov hauv kev ua pa. Tab sis yog hais tias huab cua tsis txaus rau ntawm so, nws yog ib qho tseem ceeb mus ntsib ib tus kws kho mob, vim hais tias dyspnoea yog ib tug khub ntawm ntau yam kab mob.
Ua rau mob hnyav
Kev mob ntsws tsis ua pa lawm, ntev li ob peb feeb, tuaj yeem ua rau raug mob los ntawm cov kab mob nram no thiab pathologies:
- myocarditis (mob ntawm lub plawv mob);
- myocardial infarction;
- plawv tsis sib haum xeeb;
- sab laug vam tsis ua hauj lwm;
- cardial edema ntawm lub ntsws;
- pneumothorax (congestion nyob rau hauv cheeb tsam cua ntawm pleural);
- bronchial hawb pob;
- kev tsis haum;
- nqus pa ntawm pa phem;
- atelectasis (mob ntsws lee lob);
- thromboembolism ntawm cov hlab ntsig txoj hlab ntsws;
- mob hnyuv txhaws (hyperrentilation syndrome).
Raws li koj tuaj yeem pom, ua pa lab haujlwm yuav ua rau muaj kev ua haujlwm tsis zoo los ntawm kev ua haujlwm ntawm lub plawv lossis kev ua pa. Nws yog tshwj xeeb tshaj yog yooj yim los cais cov ob pawg ntawm kev ua rau dyspnea nyob rau hauv cov neeg laus.
Ua rau subacute dyspnea
Lub siab tsis xis nyob thaum ua tsis taus pa thiab tsis muaj cua, ntev li ob peb teev, tuaj yeem tham txog cov kab mob nram no thiab pathologies:
- pleural effusion;
- mob ntsws o;
- metabolic acidosis;
- tuag tes tuag taw ntawm lub diaphragm;
- uremia;
- kawg ntawm suab chords;
- recurrent thromboembolism ntawm pulmonary leeg.
Qee lub sij hawm ua rau muaj mob hnyav heev hauv qhov kev txiav txim ntawm cov tshuaj (overdose, kev tsis haum, kev phiv tshuaj) thiab tshuaj lom.
Ua rau mob dyspnoea
Yog hais tias ib tug neeg tau ntau lub hlis los yog ntau xyoo nws tsis txaus siab txog kev ua pa lossis qaug zog, qhov ua rau dyspnea hauv qhov no yuav ua rau muaj cov kab mob hauv qab no:
- mob plawv;
- Myxoma (cov leeg hlav hauv lub atria);
- ischemic plawv;
- lub plawv tsis ua haujlwm ntawm daim ntawv ntev;
- cardiomyopathy (kev hloov ntawm cov leeg hauv plawv);
- tus kab mob ntev obstructive pulmonary ;
- tuberculosis;
- mob ntsws cancer;
- emphysema ntawm lub ntsws;
- kyphoscoliosis;
- Cov kab mob pneumoconiosis (pulmonary fibrosis vim lub caij hnyav ntawm hmoov av).
Tsis tas li ntawd, qhov ua rau mob dyspnea tej zaum yuav txuam nrog cov kab mob ntawm cov hlab ntsha hauv cov hlab ntsha, xws li, thawj cov ntshav siab; arteriovenous aneurysm; vasculitis; thromboembolic pulmonary leeg.
Kev nyuaj ua tsis taus pa thiab tsis muaj cua kuj yog yam ntxwv rau:
- rog;
- anemia ;
- ascites;
- thyroid gland kab mob;
- Guillain-Barre Syndrome;
- myasthenia gravis.
Lwm hom mob dyspnoea
Kev nyuaj ua tsis taus pa qee zaus tshwm sim hauv kev tshwm sim xws li stridor - qhov no, qhov ua tsis taus pa yog ua pa nrog ua pa nrov.
Stridor, raws li txoj cai, qhia tau hais tias kev sib cav (rhuav) ntawm txoj hlab ntsws loj thiab yog pom thaum:
- laryngospasm;
- o ntawm larynx;
- diphtheria;
- mob khees xaws ntawm lub plawv;
- tonsillar abscess.
Ntxiv rau, cov kws kho mob faib cov lus sib hais dav dav dyspnoea - nws yog ib qho cim ntawm kev tuag ntawm cov neeg mob loj heev.