xronicheskaya obstruktivnaya bolezn legkix (xobl)

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prezentatsiya powerpoint xronicheskiy obstruktivniy bolezn legkix etiologiya patogenez klinika diagnostika lecheniya opredelenie xronicheskaya obstruktivnaya bolezn legkix (xobl) – zabolevanie, xarakterizuyusheesya persistiruyushim ogranicheniem vozdushnogo potoka, kotoroe obichno progressiruet i yavlyaetsya sledstviem xronicheskogo vospalitelnogo otveta dixatelnix putey i legochnoy tkani na vozdeystvie ingaliruemix povrejdayushix chastits ili gazov. obostreniya i komorbidnie sostoyaniya yavlyayutsya neot'emlemoy chastyu bolezni i vnosyat znachitelniy vklad v klinicheskuyu kartinu i prognoz. etiologiya kurenie-osnovnaya prichina xobl passivnoe kurenie sjiganie biomass dlya obogreva pomesheniy i prigotovleniya edi bronxialnaya giperreaktivnost tyajelie respiratornie infektsii v detskom vozraste defitsit alfa 1-antitripsina patogenez xobl formirovanie diagnoza xobl stepen tyajesti (i-iv) narusheniya bronxialnoy proxodimosti virajennost klinicheskix simptomov: virajennie, nevirajennie chastoti obostreniy: redkie (0-1), chstie (bolee2) fenotip xobl(esli eto vozmojno) oslojneniya soputstvuyushie zabolevaniya spirometriya i xobl spirometriya yavlyaetsya osnovnim metodom diagnostiki i dokumentirovaniya izmeneniy legochnoy funktsii pri xobl. • dlya podtverjdeniya diagnoza xobl po dannim spirometrii rekomenduetsya ispolzovat kriteriy ekspiratornogo ogranicheniya vozdushnogo potoka - ofv1/fjel –kriteriy ekspiratornogo …

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nie budushix riskov, t.e. profilaktika obostreniy; zamedlenie progressirovaniya zabolevaniya; snijenie letalnosti klinicheskaya kartina osnovnie simptomi xobl – eto odishka pri fizicheskoy nagruzke, snijenie perenosimosti fizicheskix nagruzok i xronicheskiy kashel razvitie obostreniy yavlyaetsya xarakternoy chertoy techeniya xobl. obostrenie xobl yavlyaetsya odnoy iz samix chastix prichin obrasheniya za neotlojnoy pomoshyu. chastoe razvitie obostreniy u patsientov s xobl privodit k dlitelnomu uxudsheniyu (do neskolko nedel) pokazateley funktsii dixaniya i gazoobmena, bolee bistromu progressirovaniyu zabolevaniya, k znachimomu snijeniyu kachestva jizni, dekompensatsii soputstvuyushix xronicheskix zabolevaniy. tyajelie obostreniya xobl yavlyayutsya osnovnoy prichinoy smerti patsientov. luchshie prognosticheskie faktori chastix obostreniy (2 i bolee v god) – eto predshestvuyushie obostreniya i tyajest xobl. diagnostika fizikalnie simptomi bronxialnoy obstruktsii i lgi obichno obnarujivayut u patsientov s uje tyajeloy xobl. metodi diagnostiki xobl: spirometriya proba s bronxolitikami bodipletizmografiya r/kt ogk nagruzochnoe testirovanie dlya opredeleniya perenosimosti fizicheskoy nagruzki pulsoksimetriya differentsialnaya diagnostika osobenno pri pervoy vstreche s patsientom, voznikaet neobxodimost differentsirovat xobl …

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prezentatsiya powerpoint xronicheskiy obstruktivniy bolezn legkix etiologiya patogenez klinika diagnostika lecheniya opredelenie xronicheskaya obstruktivnaya bolezn legkix (xobl) – zabolevanie, xarakterizuyusheesya persistiruyushim ogranicheniem vozdushnogo potoka, kotoroe obichno progressiruet i yavlyaetsya sledstviem xronicheskogo vospalitelnogo otveta dixatelnix putey i legochnoy tkani na vozdeystvie ingaliruemix povrejdayushix chastits ili gazov. obostreniya i komorbidnie sostoyaniya yavlyayutsya neot'emlemoy chastyu bolezni i vnosyat znachitelniy vklad v klinicheskuyu kartinu i prognoz. etiologiya kurenie-osnovnaya prichina xobl passivnoe kurenie sjiganie biomass dlya obogreva pomesheniy i prigotovleniya edi bronxialnaya giperreaktivnost tyajelie respiratornie infektsii v detskom vozr...

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