Qhov Tseem Ceeb Qhov txawv - Bronchitis vs Bronchiectasis
Ob leeg bronchitis thiab bronchiectasis yog cov kab mob ua pa uas nws cov kab mob ua rau muaj txiaj ntsig zoo los ntawm kev haus luam yeeb ntev. Cov kab mob ntawm cov phab ntsa bronchial yog hu ua bronchitis. Bronchiectasis yog ib hom kab mob pathological ntawm cov kab mob ua pa uas tshwm sim los ntawm qhov muaj qhov txawv txav thiab mus tas li dilated airways. Raws li tau hais hauv cov ntsiab lus, qhov dilation ntawm bronchi tshwm sim tsuas yog hauv bronchiectasis thiab tsis yog mob ntsws. Qhov no yog qhov sib txawv tseem ceeb ntawm bronchitis thiab bronchiectasis, uas yuav pab kom paub qhov txawv ntawm ob qho xwm txheej no.
Bronchitis yog dab tsi?
Cov kab mob ntawm cov phab ntsa bronchial hu ua bronchitis. Muaj ob hom kab mob bronchitis, nyob ntawm lub sijhawm ntawm cov tsos mob.
Acute Bronchitis
Tus mob bronchitis hauv cov neeg noj qab haus huv yav dhau los feem ntau yog vim muaj kab mob. Hauv cov neeg haus luam yeeb ntev, bronchitis ntawm lub sijhawm mob hnyav feem ntau tshwm sim vim muaj kab mob superimposed. Thaum pib, muaj qhov tsis xis nyob tom qab lub sternum nrog rau qhov hnoos tsis zoo. Qhov no yog ib qho kev txwv tus kheej uas tau daws nws tus kheej li ntawm 4-8 hnub.
Chronic Bronchitis
Thaum muaj hnoos tsis tu ncua nrog cov hnoos qeev tsawg kawg peb lub hlis hauv qhov tsawg kawg ntawm ob xyoos txuas ntxiv thaum tag nrho lwm yam ua tau raug cais tawm, uas tau kuaj pom tias mob ntsws ntev.
Teeb meem ntawm Chronic Bronchitis
- Progression to COPD
- Cor pulmonale thiab lub plawv tsis ua haujlwm
- Squamous metaplasia ntawm cov pa epithelium ntawm cov pa uas tuaj yeem ua raws li cov kab mob ua ntej ntawm pulmonary carcinomas.
Pathogenesis
Ntau yam kev nqus tau pa tuaj yeem ua rau mob ntawm phab ntsa ntawm lub bronchi ua rau muaj ntau yam kev hloov pauv pathological. Cov khaus khaus no suav nrog cov pa luam yeeb, SO 2, NO 2 thiab lwm yam kev phem ib puag ncig.
Kab mob ntawm cov phab ntsa bronchial
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Hypertrophy thiab hyperplasia ntawm cov qog submucosal nrog rau kev loj hlob ntawm goblet hlwb nyob rau hauv lub pa epithelium
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Mucus ntau lawm vim yog qhov tshwm sim hypersecretion
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Cov hnoos qeev hauv txoj hlab pa thiab tsim cov hnoos qeev
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Ib nrab lossis ua tiav occlusion ntawm airways
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rov kis kab mob ua pa
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mob hnyav heev thiab maj mam nce tus kab mob
Tshuaj Kho Mob
hnoos hnoos ntev yog qhov tshwm sim tsuas yog thaum pib ntawm tus kab mob.
Feem ntau, cov neeg mob uas muaj mob bronchitis muaj peev xwm tsis tshua muaj peev xwm ua rau overventilate thiab them nyiaj rau hypoxemia. Yog li ntawd, cov neeg mob no yog hypoxaemic thiab hypercapnic - xiav bloaters.
Pulmonary hypertension, cor pulmonale, thiab lub plawv tsis ua hauj lwm yog cov teeb meem tom qab ntawm tus kab mob no. Nyob rau theem siab heev, tus neeg mob yuav muaj emphysema ntau dua li kev sib kis.
Daim duab 01: bronchitis
Diagnosis
- lub hauv siab X-ray
- Kev kuaj thiab kab lis kev cai ntawm hnoos qeev
- Pulmonary function tests
Kev tswj hwm
- Raws li tau hais dhau los lawm, mob ntsws mob ntsws yog ib qho kev txwv tus kheej uas tsis xav tau kev kho mob.
- Cov kev pabcuam khomob tau ua yog nyob ntawm theem ntawm kev kis tus kabmob.
- Tshuaj tua kab mob yuav tsum tau tswj cov kab mob superimposed.
- Bronchodilators, corticosteroids, thiab phosphodiesterase 4 inhibitors yog cov tshuaj uas feem ntau tau sau tseg.
YBronchiectasis yog dab tsi?
Bronchiectasis yog ib qho mob ntawm cov kab mob ua pa uas tshwm sim los ntawm qhov muaj qhov txawv txav thiab ua pa mus tas li. Raws li qhov tshwm sim ntawm kev mob ntev, cov phab ntsa bronchial tau thickened thiab irreversibly puas. Qhov kev puas tsuaj ntawm mucociliary thauj mechanism ua rau muaj kev pheej hmoo kis tau tus mob.
Aetiology
- Congenital defects xws li deficiency ntawm bronchial phab ntsa thiab pulmonary sequestration
- Kev cuam tshuam ntawm phab ntsa bronchial vim yog cov khoom siv xws li qog
- Postinfective bronchial puas
- Granuloma tsim nyob rau hauv cov xwm txheej xws li tuberculosis thiab sarcoidosis
- Diffuse kab mob ntawm lub ntsws parenchyma xws li pulmonary fibrosis
- Immunological overresponse nyob rau hauv tej yam kev mob xws li post ntsws transplant
- Immune deficiencies
- Mucociliary clearance defects nyob rau hauv cov kab mob xws li cystic fibrosis
Tshuaj Kho Mob
- Kev tsim cov hnoos qeev ntsuab lossis daj xim yog qhov kev kho mob nkaus xwb hauv me me bronchiectasis
- Nrog rau tus kab mob no zuj zus, tus neeg mob tuaj yeem tau txais lwm cov tsos mob hnyav xws li mob halitosis tsis tu ncua, rov tshwm sim febrile ntu nrog malaise thiab rov tshwm sim ntawm mob ntsws.
- Nkauj ntiv tes
- Thaum lub sijhawm auscultation, ntxhib ntxhib tuaj yeem hnov dhau ntawm thaj chaw muaj kab mob
- Hemoptysis
Daim duab 02: Bronchiectasis
Kev tshawb nrhiav
- X-ray lub hauv siab - qhov no feem ntau qhia pom muaj cov kab mob dilated nrog cov phab ntsa tuab. Qee lub sij hawm ntau lub hlwv uas muaj cov kua dej tuaj yeem pom.
- High-resolution CT scanning
- Kev kuaj thiab kab lis kev cai ntawm cov hnoos qeev yog qhov tseem ceeb rau kev txheeb xyuas tus neeg sawv cev etiological nrog rau kev txiav txim siab ntawm cov tshuaj tua kab mob tsim nyog uas yuav tsum tau sau tseg hauv kev tswj hwm tus kab mob superimposed.
- Sinus X -rays - feem ntau ntawm cov neeg mob tuaj yeem muaj tus mob rhinosinusitis ib yam nkaus
- Serum immunoglobulins - qhov kev sim no ua los txheeb xyuas cov tshuaj tiv thaiv kab mob
- hws electrolytes ntsuas yog tias xav tias cystic fibrosis
Kev kho mob
- Postural drainage
- Tshuaj tua kab mob - hom tshuaj tua kab mob siv nyob ntawm tus neeg ua haujlwm
- Nws yog ib qho tsim nyog yuav tsum siv cov tshuaj bronchodilators qee zaum kom tsis txhob muaj kev txwv rau cov cua
- tshuaj tiv thaiv kab mob xws li qhov ncauj lossis qhov ntswg corticosteroids tuaj yeem ntes tus kab mob kis mus
Kev nyuaj siab
- Pneumonia
- Pneumothorax
- Nyob zoo
- Metastatic cerebral abscesses
Dab tsi yog qhov zoo sib xws ntawm Bronchitis thiab Bronchiectasis?
Ob kab mob feem ntau cuam tshuam rau phab ntsa bronchial
Qhov txawv ntawm Bronchitis thiab Bronchiectasis yog dab tsi?
YBronchitis vs Bronchiectasis |
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| Cov kab mob ntawm cov phab ntsa bronchial hu ua bronchitis. | Bronchiectasis yog ib qho mob ntawm cov kab mob ua pa uas tshwm sim los ntawm qhov muaj qhov txawv txav thiab mus tas li dilated airways. |
| Airways | |
| Airways tsis dilated. | Airways dilated. |
| Etiology | |
| Kev haus luam yeeb ntev yog qhov tshwm sim ntau tshaj plaws. |
Etiological yam muaj xws li · Congenital defects xws li deficiency ntawm bronchial phab ntsa thiab pulmonary sequestration · Ob leeg ntawm phab ntsa bronchial vim yog cov khoom siv xws li qog · Postinfective bronchial puas · Granuloma tsim nyob rau hauv cov xwm txheej xws li tuberculosis thiab sarcoidosis · Cov kab mob sib kis ntawm lub ntsws parenchyma xws li pulmonary fibrosis · Immunological overresponse nyob rau hauv tej yam kev mob xws li post ntsws transplant · Immune deficiencies · Mucociliary clearance defects nyob rau hauv cov kab mob xws li cystic fibrosis |
| Tshuaj Kho Mob | |
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hnoos hnoos ntev yog qhov tshwm sim tsuas yog thaum pib ntawm tus kab mob. Feem ntau cov neeg mob uas muaj mob ntsws bronchitis muaj peev xwm tsis tshua muaj peev xwm ua rau overventilate thiab them nyiaj rau hypoxemia. Yog li ntawd, cov neeg mob no yog hypoxemic thiab hypercapnic - xiav bloaters. Nyob rau theem siab, tus neeg mob muaj feem ntau yuav muaj emphysema kuj yog ib qho comorbidity. |
· Kev tsim cov hnoos qeev ntsuab lossis daj xim yog qhov kev kho mob nkaus xwb hauv me me bronchiectasis · Nrog rau tus kab mob no zuj zus, tus neeg mob tuaj yeem tau txais lwm cov tsos mob hnyav xws li mob halitosis tsis tu ncua, rov tshwm sim mob febrile nrog malaise thiab rov tshwm sim ntawm mob ntsws. ·Club ntawm tes · Thaum lub sij hawm auscultation, ntxhib crackles tuaj yeem hnov hauv cheeb tsam muaj kab mob · Ua tsis taus pa · Hemoptysis |
| Pulmonary hypertension, cor pulmonale, thiab lub plawv tsis ua hauj lwm yog ib qho teeb meem ntawm tus kab mob no. |
Cov teeb meem ntawm bronchiectasis suav nrog · Pneumonia · Pneumothorax · Empyema · Metastatic cerebral abscesses |
| Diagnosis | |
| Kev kuaj mob yog los ntawm lub hauv siab X-ray, kuaj, thiab kab lis kev cai ntawm cov hnoos qeev thiab pulmonary function tests |
X-ray lub hauv siab, kev tshuaj xyuas siab CT, kuaj thiab kab lis kev cai ntawm cov hnoos qeev, sinus X-rays thiab serum immunoglobulins yog cov kev tshawb nrhiav uas tau ua los kuaj tus kab mob. hws electrolytes ntsuas yog tias xav tias cystic fibrosis. |
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Tshuaj tua kab mob yuav tsum tau tswj cov kab mob superimposed. Bronchodilators, corticosteroids, thiab phosphodiesterase 4 inhibitors yog cov tshuaj uas feem ntau tau sau tseg. Tus mob bronchitis yog tus kheej txwv thiab yog li tsis xav tau kev kho mob. |
Cov tshuaj thiab cov txheej txheem hauv qab no yog siv los kho bronchiectasis · Postural drainage · Tshuaj tua kab mob - hom tshuaj tua kab mob siv nyob ntawm tus neeg ua haujlwm · Nws yog ib qho tsim nyog yuav tsum siv cov tshuaj bronchodilators qee zaum kom tsis txhob muaj kev txwv rau cov cua · Cov tshuaj tiv thaiv kab mob xws li qhov ncauj lossis qhov ntswg corticosteroids tuaj yeem ntes tus kab mob kis tau |
Summary – Bronchitis vs Bronchiectasis
Bronchiectasis yog ib qho mob ntawm cov kab mob ua pa uas tshwm sim los ntawm qhov muaj qhov txawv txav thiab ua pa mus tas li. Cov kab mob ntawm cov phab ntsa bronchial yog hu ua bronchitis. Qhov zoo tshaj plaws morphological sib txawv ntawm bronchitis thiab bronchiectasis yog tias dilation ntawm bronchi tshwm sim tsuas yog nyob rau hauv bronchiectasis thiab tsis nyob rau hauv bronchitis.
Download PDF Version of Bronchitis vs Bronchiectasis
Koj tuaj yeem rub tawm PDF version ntawm kab lus no thiab siv nws rau offline hom phiaj raws li daim ntawv ceeb toom. Thov download PDF version ntawm no Qhov txawv Ntawm Bronchitis thiab Bronchiectasis
