Qhov Tseem Ceeb – Asthma vs Wheezing
Qhov sib txawv tseem ceeb ntawm kev mob ntsws asthma thiab hawb pob yog, hawb pob yog lub suab paj nruag polyphonic uas tshwm sim los ntawm ib feem ntawm txoj hlab ntsws me me thaum mob hawb pob yog ib qho mob uas yog demarcated los ntawm kev thim rov qab me me ntawm txoj hlab ntsws vim qhov rov tshwm sim bronchospasms. Yog li, lub ntsiab lus ntawm Asthma yog ib ntus hawb pob ntu. Txawm li cas los xij, hauv Asthma, hawb pob yog nrog rau lwm cov tsos mob xws li mob hauv siab.
Asthma yog dab tsi?
mob hawb pob yog txhais tau tias yog thim rov qab bronchospasms. Nws yog tus kab mob ua xua. Qee tus neeg muaj kev nyiam ua rau muaj kev fab tshuaj rau ntau yam khoom ib puag ncig (allergens). Thaum tus neeg ua xua rau tus neeg raug tus kab mob allergen, ib txheej ntawm cov tshuaj tiv thaiv tsis zoo yog tsim los ntawm lub cev tiv thaiv kab mob. Qhov no suav hais tias yog hypersensitivity. Nws ua rau kev tso tawm ntau yam tshuaj kho mob xws li histamines. Lawv yog cov muaj zog reactors thiab ua rau sai heev thiab hnyav bronchospasms ua rau lub sijhawm hawb pob. Pathologically, mob mob kuj pom nyob rau hauv cov phab ntsa bronchial ntawm cov neeg mob. Muaj ntau hom kev mob ntsws asthma xws li thaum yau mob ntsws asthma, hnoos variant Asthma, kev ua haujlwm ntsig txog mob ntsws asthma, thiab lwm yam. Cov huab cua txias, cov plua plav hauv tsev, paj ntoos tau raug txheeb xyuas tias yog cov tshuaj tsis haum rau cov neeg mob hawb pob. Qhov zaus thiab qhov hnyav ntawm cov hnoos hawb pob tuaj yeem sib txawv ntawm cov neeg mob hawb pob, thiab qee qhov kev mob ntsws asthma qhia txog cov qauv raws caij nyoog thiab. Qee qhov mob hnyav tau muab faib ua lub neej ua rau mob hawb pob thiab lub hauv siab ntsiag to, uas xav tau kev kho mob tam sim. Kev mob ntsws asthma yog kuaj los ntawm keeb kwm kho mob thiab tau lees paub nrog Peak Expiratory Flowmetry.
mob hawb pob yog kho nrog cov tsos mob tswj (beta agonists xws li salbutamol) thiab cov tshuaj tiv thaiv (steroids xws li beclomethasone). Cov tsos mob tswj tau siv thaum lub sij hawm hawb pob thaum lub sij hawm steroids raws li siv raws li niaj zaus los tiv thaiv lub sijhawm. Feem ntau ntawm cov tshuaj no yog siv los ntawm inhalers lossis los ntawm nebulization. Kev tiv thaiv kev kis tus kab mob yog qhov tseem ceeb sib npaug hauv kev tiv thaiv kev mob hawb pob. Kev txhawb nqa kev sib raug zoo thiab kev puas siab puas ntsws ntau yog xav tau rau cov neeg mob Asthma. Nrog cov tsos mob tswj tau zoo, lawv tuaj yeem muaj lub neej zoo li qub. Kev ua raws li kev kho mob tseem ceeb heev los tswj cov kab mob hauv cov neeg mob Asthma. Kev mob ntsws asthma rov tshwm sim tuaj yeem cuam tshuam kev kawm hauv cov menyuam yaus thiab kev ua haujlwm hauv cov neeg laus.
hawb pob?
Hais yog lub suab paj nruag polyphonic tshwm sim vim bronchospasms. Muaj ntau yam ua rau hawb pob. Qee qhov piv txwv suav nrog kev ua xua, tsis muaj pa phem, haus luam yeeb, thiab lwm yam. Tsis muaj qhov sib txawv ntawm kev kho hawb pob thiab kev kho mob hawb pob. Txawm li cas los xij, yog tias tus neeg mob tau rov qab hawb pob, yuav tsum tau ntsuas kev kho mob kom zoo kom tsis suav nrog Asthma lossis Chronic Obstructive Airway Disease, uas yog ib qho mob uas pom hauv cov neeg haus luam yeeb ntev. Wheezing yog ib qho kev ceeb ntshai ntawm cov menyuam yaus. Txawm li cas los xij, yog tias muab kev kho mob tam sim ntawd, nws tuaj yeem tswj tau sai heev.
Tus kws kho mob tuaj yeem siv lub stethoscope txhawm rau txheeb xyuas hawb pob.
Dab tsi yog qhov txawv ntawm Asthma thiab Wheezing?
Definition of Asthma and Wheezing
mob hawb pob: mob hawb pob yog ib yam mob uas yog demarcated los ntawm reversible me me txoj hlab pas obstructs vim recurrent bronchospasms
Wheezing: Wheezing yog lub suab paj nruag polyphonic uas tshwm sim los ntawm ib feem ntawm txoj hlab me me
yam ntxwv ntawm hawb pob thiab hawb pob
Pathology
Wheezing: Wheezing yog tshwm sim los ntawm bronchial hypersensitivity.
mob hawb pob: mob hawb pob yog cim los ntawm cov lus teb mob ntev ntawm cov hlab ntsws ntxiv rau cov phab ntsa bronchial hypersensitivity.
Kev sib tw
Wheezing: Wheezing is a symptom.
Asthma: Asthma is a disease.
Diagnosis
Wheezing: hawb pob tuaj yeem kuaj tau los ntawm kev mloog lub hauv siab ntawm stethoscope.
mob hawb pob: mob hawb pob tuaj yeem kuaj tau los ntawm keeb kwm kho mob thiab lees paub nrog Peak Expiratory Flow Meter.
Caus
Asthma: Mob hawb pob yog tshwm sim los ntawm kev cuam tshuam rau kev ua xua ntawm tus neeg mob tsis zoo.
Wheezing: hawb pob tuaj yeem tshwm sim los ntawm ntau yam xws li kev haus luam yeeb, tsis muaj pa phem.
Kev kho mob
Wheezing: Tsuas yog ib ntu ntawm hawb pob tsuas xav tau kev kho mob xwb.
Asthma: Asthma xav tau kev kho mob ntev mus txog thaum cov tsos mob tswj tau zoo.
Image Courtesy: "Asthma triggers 2" los ntawm 7mike5000 - Tus kheej ua haujlwm. (CC BY-SA 3.0) ntawm Wikimedia Commons "Tus kws kho mob siv lub stethoscope los tshuaj xyuas tus neeg mob hluas" los ntawm Unknown - https://www.defenseimagery.mil; PIB: DA-ST-85-12888. (Public Domain) ntawm Wikimedia Commons
