Yuav Ntsuam Xyuas Li Cas Nocturnal Asthma: 15 Kauj Ruam (nrog Duab)

Cov txheej txheem:

Yuav Ntsuam Xyuas Li Cas Nocturnal Asthma: 15 Kauj Ruam (nrog Duab)
Yuav Ntsuam Xyuas Li Cas Nocturnal Asthma: 15 Kauj Ruam (nrog Duab)

Video: Yuav Ntsuam Xyuas Li Cas Nocturnal Asthma: 15 Kauj Ruam (nrog Duab)

Video: Yuav Ntsuam Xyuas Li Cas Nocturnal Asthma: 15 Kauj Ruam (nrog Duab)
Video: yuav nrhiav vajtswv li cas 2024, Lub peb hlis ntuj
Anonim

Nocturnal asthma yog mob hawb pob uas tshwm sim thaum tsaus ntuj, feem ntau yog thaum pw. Qee tus tib neeg uas muaj mob hawb pob nocturnal kuj tseem muaj cov tsos mob hawb pob thaum nruab hnub, nrog cov tsos mob hnyav dua lossis hnyav dua thaum hmo ntuj. Rau lwm tus neeg, cov tsos mob hawb pob tsuas tuaj yeem tshwm sim thaum pw tsaug zog. Yog tias koj xav tias koj yuav muaj mob hawb pob nocturnal, mus ntsib kws kho mob kom sai li sai tau kom paub tseeb tias koj qhov kev kuaj mob thiab ua ke cov phiaj xwm kev kho mob rau koj tus mob.

Cov kauj ruam

Ntu 1 ntawm 3: Paub Cov tsos mob

Kuaj Mob Nocturnal Asthma Kauj Ruam 1
Kuaj Mob Nocturnal Asthma Kauj Ruam 1

Kauj Ruam 1. Ntsuas koj qhov hnoos

Rau ntau tus tib neeg uas muaj mob hawb pob nocturnal, hnoos tej zaum yuav yog cov tsos mob nkaus xwb. Yog tias koj ntseeg tias koj yuav muaj mob hawb pob nocturnal, nws yog qhov tseem ceeb los ntsuas seb yuav ua li cas, thaum twg, thiab ntau npaum li cas koj hnoos.

  • Kev hnoos feem ntau tshwm sim thaum sawv ntxov ntxov, tshwj xeeb yog thaum 2:00 teev sawv ntxov txog 4:00 teev sawv ntxov.
  • Feem ntau tsis muaj hnoos qeev los yog hnoos qeev. Feem ntau yog hnoos qhuav, tsis tu ncua.
  • Qee tus neeg tau hnov mob hawb pob nrog hnoos, txawm hais tias koj tseem yuav muaj mob hawb pob thaum tsaus ntuj txawm tias koj tsis hnov hawb pob.
  • Yog tias koj muaj tus khub, phooj ywg hauv chav, lossis tus neeg hauv koj tsev neeg nyob nrog koj, thov kom lawv mloog koj thaum hmo ntuj thiab tshaj tawm txog qhov hnoos qhuav thiab/lossis hawb pob uas koj tau hnov thaum koj pw.
Kuaj Mob Nocturnal Asthma Kauj Ruam 2
Kuaj Mob Nocturnal Asthma Kauj Ruam 2

Kauj Ruam 2. Ntsuas koj lub peev xwm ua pa

Ua pa nyuaj yog ib qho tshwm sim tshwm sim ntawm hawb pob, suav nrog mob hawb pob nocturnal. Tham nrog koj tus kws kho mob kom sai li sai tau yog tias koj muaj ib qho ntawm cov tsos mob hauv qab no:

  • ua tsis taus pa
  • nruj hauv siab
  • nyuaj nthuav lub ntsws thaum ua pa
  • mob hauv siab
  • hawb pob
Kuaj Mob Nocturnal Asthma Kauj Ruam 3
Kuaj Mob Nocturnal Asthma Kauj Ruam 3

Kauj Ruam 3. Xav txog koj qhov kev pw tsaug zog zoo

Ntau tus tib neeg uas muaj mob hawb pob nocturnal tau pw tsaug zog vim lawv mob. Nocturnal asthma tuaj yeem ua rau qaug zog thiab ua haujlwm tsis zoo nyob rau ib hnub tom qab mob hawb pob. Yog tias koj niaj hnub hnov nkees thiab tsis muaj zog tom qab ib txwm pw tsaug zog zoo, lossis yog tias koj muaj teeb meem mloog zoo lossis ua haujlwm tom tsev lossis tom tsev kawm ntawv, koj yuav raug kev txom nyem los ntawm nocturnal asthma.

Kuaj Mob Nocturnal Asthma Kauj Ruam 4
Kuaj Mob Nocturnal Asthma Kauj Ruam 4

Kauj Ruam 4. Paub txog qhov mob hawb pob

Cov neeg uas muaj mob hawb pob, suav nrog mob hawb pob nocturnal, tuaj yeem muaj qib sib txawv ntawm qhov hnyav thaum nws los txog rau mob hawb pob. Kev kwv yees hnyav npaum li cas ntawm kev mob hawb pob feem ntau yog nyob ntawm koj lub peev xwm hais lus thiab pw tsaug zog thaum ntsib kev tawm tsam.

  • Thaum lub sijhawm mob hawb pob me me, koj tuaj yeem ua pa luv tsis muaj kev cuam tshuam rau koj lub peev xwm hais lus lossis pw tsaug zog thaum koj tsaug zog.
  • Thaum lub sijhawm mob hawb pob me ntsis, koj yuav hnov tsis hnov lus thaum tham thaum koj sawv.
  • Thaum lub sijhawm mob hawb pob hnyav, koj yuav hnov qab tsis so thiab ua tsis taus pa thaum so thaum koj tsaug zog. Koj kuj tseem tuaj yeem tsis muaj peev xwm dag lossis hais lus hauv kab lus kom tiav.

Ntu 2 ntawm 3: Tau Txais Kev Txheeb Xyuas

Kuaj Mob Nocturnal Asthma Kauj Ruam 5
Kuaj Mob Nocturnal Asthma Kauj Ruam 5

Kauj Ruam 1. Mus ntsib kws kho mob

Yog koj xav tias koj yuav muaj mob hawb pob, nws yog ib qho tseem ceeb mus ntsib kws kho mob sai li sai tau. Tsuas yog kws kho mob tuaj yeem muab tshuaj kuaj pom tseeb rau koj thiab sau ntawv tshuaj twg uas koj yuav xav tau los kho koj tus mob.

  • Koj tus kws kho mob yuav kuaj ntsuas kom paub tseeb tias koj tus mob thiab ntsuas nws qhov hnyav li cas.
  • Koj tus kws kho mob tseem yuav xav txiav tawm lwm yam kab mob.
  • Panic teeb meem feem ntau yuam kev rau mob hawb pob. Ntau yam mob ntsws kuj tseem tuaj yeem yuam kev rau hawb pob, suav nrog mob ntsws ua pa nyuaj, mob ntsws, mob ntsws, mob ntsws ntsws, thiab ua xua hnyav.
Kuaj Mob Nocturnal Asthma Kauj Ruam 6
Kuaj Mob Nocturnal Asthma Kauj Ruam 6

Kauj Ruam 2. Ua kom tiav daim ntawv nug

Vim tias cov tsos mob hawb pob nocturnal feem ntau tshwm sim thaum hmo ntuj, koj tus kws kho mob yuav tsis tuaj yeem pom ncaj qha rau koj cov tsos mob hawb pob. Yog li ntawd, ntau tus kws kho mob tso siab rau daim ntawv nug tus kheej ua tiav txhawm rau ntsuas cov tsos mob ntawm kev mob hawb pob thiab lawv cov zaus.

  • Nug koj tus kws kho mob yog tias koj tsis paub meej txog ib nqe lus lossis phrasing ntawm cov lus nug, vim qhov tseeb yog qhov tseem ceeb thaum teb cov lus nug.
  • Yog tias koj tsis xav tias muaj peev xwm txheeb xyuas koj tus kheej cov tsos mob thaum hmo ntuj, txiav txim siab kom muaj phooj ywg lossis neeg hauv koj tsev neeg pw hauv ib chav ib yam li koj thiab tshaj tawm cov tsos mob rau koj.
Kuaj Mob Nocturnal Asthma Kauj Ruam 7
Kuaj Mob Nocturnal Asthma Kauj Ruam 7

Kauj Ruam 3. Tau txais cov duab ntsuas

Kev tshuaj xyuas kab mob tuaj yeem ua rau lub ntsws thiab kab noj hniav txhawm rau ntsuas kev kis kab mob, kab mob (suav nrog qog), lossis cov qauv tsis zoo uas tuaj yeem ua teeb meem ua pa. Kev txiav txim tawm cov xwm txheej uas tuaj yeem ua rau tuag taus yog ib kauj ruam tseem ceeb hauv kev kuaj mob hawb pob.

Kuaj Mob Nocturnal Asthma Kauj Ruam 8
Kuaj Mob Nocturnal Asthma Kauj Ruam 8

Kauj Ruam 4. Ua qhov kev kuaj mob ntsws

Muaj ntau qhov kev ntsuas sib txawv uas koj tus kws kho mob yuav kom koj ua txhawm rau txhawm rau txheeb xyuas tus mob hawb pob. Cov pawg tseem ceeb ntawm kev ntsuas yog ib qho spirometry, uas ntsuas ob qho tib si ntawm huab cua raug tshem tawm thiab lub sijhawm nws yuav tsum ua pa, thiab qhov siab tshaj plaws, uas ntsuas koj lub ntsws lub peev xwm ua pa thiab tawm.

  • Kev ntsuas lub peev xwm tseem ceeb ntsuas qhov siab tshaj plaws ntawm huab cua uas koj lub ntsws tuaj yeem nqus tau lossis nqus tau txhua lub sijhawm.
  • Qhov ntsuas siab tshaj plaws ntawm kev tawm mus (PEFR), tseem hu ua qhov ntsuas siab tshaj plaws ntsuas, ntsuas koj lub ntsws qhov siab tshaj plaws ntawm kev ntws thaum ua pa nyuaj li koj tuaj yeem ua tau.
  • Kev ntsuas lub zog tso pa tawm (FEV1) ntsuas qhov siab tshaj plaws ntawm huab cua koj lub ntsws tuaj yeem nqus tau hauv ib pliag.
Kuaj Mob Nocturnal Asthma Kauj Ruam 9
Kuaj Mob Nocturnal Asthma Kauj Ruam 9

Kauj Ruam 5. Ntsuas koj cov qib nitric oxide

Qhov kev xeem no yuav tsis muaj dav nyob hauv qee thaj tsam. Txawm li cas los xij, hauv cov chaw uas nws muaj, nws tuaj yeem pab qhia qee qhov kev nkag siab tias tus neeg muaj mob hawb pob. Qhov kev ntsuas no ntsuas ntau npaum li cas nitric oxide hauv koj cov pa, vim tias qib siab ntawm cov roj no feem ntau cuam tshuam nrog kev ua pa (thiab yog li ntawd hawb pob).

Kuaj Mob Nocturnal Asthma Kauj Ruam 10
Kuaj Mob Nocturnal Asthma Kauj Ruam 10

Kauj Ruam 6. Kuaj koj cov hnoos qeev

Cov hnoos qeev yog sib xyaw ntawm cov qaub ncaug thiab cov hnoos qeev uas koj lub ntsws tawm thaum koj hnoos. Thaum koj ntsib kev mob hawb pob, koj lub cev qib ntawm cov qe ntshav dawb tshwj xeeb hu ua eosinophil tau nce siab, thiab cov cell tau pom hauv koj cov hnoos qeev thaum saib hauv qab lub tsom iav.

  • Koj tus kws kho mob yuav sau cov hnoos qeev los ntawm koj thiab muab nws zas nrog cov zas xim hu ua eosin. Cov qauv tuaj yeem pom tom qab tsom iav.
  • Lub xub ntiag ntawm eosinophil hauv koj cov hnoos qeev yog feem ntau lees paub tias mob hawb pob.
Kuaj Mob Nocturnal Asthma Kauj Ruam 11
Kuaj Mob Nocturnal Asthma Kauj Ruam 11

Kauj Ruam 7. Tau txais kev kuaj mob

Thaum koj tus kws kho mob tau kuaj qhov tsim nyog, lawv yuav tuaj yeem txiav txim siab seb koj puas muaj mob hawb pob. Yog tias koj muaj mob hawb pob, koj tus kws kho mob tseem yuav txheeb xyuas qhov hnyav ntawm koj tus mob hawb pob raws li qhov tshwm sim ntawm koj cov tsos mob.

  • Mob hawb pob tsis tu ncua yog tus yam ntxwv tshwm sim li ob hnub hauv ib lub lim tiam twg thiab mus txog ob hmo txhua lub hlis.
  • Mob hawb pob tsis tu ncua yog muaj cov tsos mob ntau dua ob zaug hauv ib asthiv, nrog cov tsos mob tsis tshwm sim ntau dua ib zaug hauv ib hnub twg.
  • Kev mob hawb pob tsis tu ncua yog cim los ntawm cov tsos mob ib zaug txhua hnub thiab ntau dua ib hmo hauv ib lub lim tiam.
  • Kev mob hawb pob hnyav yuav tsum muaj cov tsos mob tshwm sim txhua hnub nyob rau ntau hnub ntawm lub lim tiam nrog ntu ntu tshwm sim thaum hmo ntuj.

Ntu 3 ntawm 3: Kho Mob Nocturnal Asthma

Kuaj Mob Nocturnal Asthma Kauj Ruam 12
Kuaj Mob Nocturnal Asthma Kauj Ruam 12

Kauj Ruam 1. Tswj cov tsos mob nrog tshuaj kho sai

Muaj cov tshuaj uas koj tus kws kho mob tuaj yeem sau ntawv rau kev siv mus sij hawm ntev uas yuav pab kho koj tus mob. Txawm li cas los xij, koj kuj tseem yuav xav tau tshuaj kho sai rau lub sijhawm luv ntawm kev mob hawb pob.

  • Kev ua yeeb yam luv luv beta agonists zoo li albuterol (ProAir HFA) lossis levalbuterol (Xopenex) tuaj yeem pab txhim kho koj lub peev xwm ua pa sai heev.
  • Cov tshuaj ua pa sai sai zoo li Ipratropium (Atrovent) tuaj yeem pab so koj cov hlab cua yuav luag tam sim.
  • Corticosteroids zoo li prednisone thiab methylprednisolone tuaj yeem siv los daws qhov mob sai sai ntawm txoj hlab pas. Txawm li cas los xij, corticosteroids tuaj yeem muaj ntau yam kev phiv loj, thiab siv ntev tsis pom zoo.
Kuaj Mob Nocturnal Asthma Kauj Ruam 13
Kuaj Mob Nocturnal Asthma Kauj Ruam 13

Kauj Ruam 2. Tswj koj tus mob hawb pob nrog tshuaj noj mus sij hawm ntev

Kev pab luv luv yog qhov tseem ceeb thaum nws los txog rau mob hawb pob, tab sis koj tseem yuav xav tau qee yam los tswj koj cov tsos mob dhau sijhawm. Ntau yam tshuaj kho lub sijhawm luv luv tsis tuaj yeem siv sijhawm ntev, yog li koj tus kws kho mob feem ntau yuav sau qee hom tshuaj ntev mus ntxiv rau cov tshuaj kho lub sijhawm luv.

  • Ntev ua yeeb yam beta agonists zoo li salmeterol (Serevent) thiab formoterol (Foradil) tau muab los ntawm cov tshuaj nqus pa. Lawv pab ua kom txoj hlab pa nthuav dav, tab sis lawv kuj tuaj yeem ua rau mob hawb pob hnyav yog tias tsis siv ua ke nrog cov tshuaj corticosteroid.
  • Nqus tau ntev-ua beta agonists ua ke nrog corticosteroids zoo li Advair (fluticasone/salmeterol) thiab Symbicort (budesonide/formoterol) tuaj yeem pab txo qhov mob hauv koj cov hlab pas. Lawv yuav tsis muab kev pab tam sim, txawm li cas los xij, thiab nws feem ntau siv sijhawm ntau lub lis piam ua ntej koj qhov mob yuav zoo tuaj.
  • Leukotriene hloov kho xws li montelukast (Singulair) thiab zafirlukast (Accolate) tau noj qhov ncauj los txo cov tsos mob ntawm mob hawb pob. Cov tshuaj no tuaj yeem pab daws tau, tab sis lawv tuaj yeem muaj kev phiv los ntawm kev puas siab puas ntsws, yog li nws tseem ceeb heev uas yuav tsum tau ceev faj yog tias noj lawv.
Kuaj Mob Nocturnal Asthma Kauj Ruam 14
Kuaj Mob Nocturnal Asthma Kauj Ruam 14

Kauj Ruam 3. Nug koj tus kws kho mob txog kev ua xua

Cov tshuaj ua xua yuav tsis pab txhua tus neeg uas mob hawb pob, vim nws tsis ncaj qha ua rau koj cov hlab cua. Txawm li cas los xij, yog tias koj muaj kev ua xua thiab mob hawb pob, cov tshuaj ua xua tuaj yeem pab tswj koj qhov kev ua xua thiab txo qhov kev pheej hmoo ntawm kev ua xua hnyav ua rau mob hawb pob.

  • Qee cov tshuaj tau tsim tshwj xeeb rau cov neeg mob hawb pob thiab ua xua. Piv txwv, omalizumab (Xolair) tuaj yeem siv txhua txhua ob rau plaub lub lis piam los tswj kev ua xua thiab txo cov tsos mob hawb pob.
  • Nug txog kev txhaj tshuaj tiv thaiv kab mob. Qhov no cuam tshuam nrog kev maj mam kis mus rau tus neeg paub ua xua nyob rau ntau lub hlis kom txog thaum koj lub cev tau siv nws thiab ua rau koj lub cev tsis muaj zog teb.

Kauj Ruam 4. Tiv thaiv thiab txo qis qhov ua rau muaj kev kub ntxhov

Feem ntau mob hawb pob tuaj yeem ua rau khaus khaus thaum ua haujlwm, kis kab mob, thiab nqus tau cov tshuaj ua xua hauv koj lub tsev, xws li haus luam yeeb thiab hmoov av. Txhawm rau pab tswj koj tus mob hawb pob nocturnal, xyuas kom tseeb tias koj ua qhov koj tuaj yeem ua tau kom zam thiab tshem tawm cov kev tsis txaus siab no. Qee yam uas yuav pab tau suav nrog:

  • Zam kev tawm dag zog sab nraum zoov thaum suav cov paj noob hlis siab lossis thaum huab cua tsis zoo tau tshaj tawm.
  • Siv lub tshuab ua kom huv hauv koj lub tsev los pab lim cov plua plav thiab lwm yam kev ua xua hauv huab cua.
  • Tsis pub tib neeg haus luam yeeb hauv koj lub tsev lossis ib puag ncig koj.
  • Nrhiav kev kho mob ua xua.
  • Tau txhaj tshuaj tiv thaiv khaub thuas txhua xyoo.

Pom zoo: