关于一直有白痰是肺部有问题吗

最近，办公室里的咳嗽声此起彼伏，很多人阳康之后，不仅咳嗽个不停，还总感觉喉咙里卡着一口痰，怎么咳也咳不干净，为什么每次感冒发烧后身体总是那么多痰？是肺有问题吗？

其实，痰液的产生是我们身体的一项“保护机制”。

打个比方，空气干燥时我们喉咙也会变得很干，甚至连呼吸都感觉不顺畅。此时强大的人体，便会指挥咽喉和气管分泌粘液，湿润鼻喉，给我们制造舒适环境。

正常情况下，咽喉每天分泌的液体量在100ml左右，这些液体除了有湿润作用，还会带走一些呼吸带来的灰尘和微生物，最终随粘膜上的纤毛挪动，吞咽入胃或随喷嚏排出体外。

但当咽喉、气管等受到刺激或炎症攻击时（比如感冒或阳了后），粘液的分泌量才会大大增加，纤毛无法及时带走这些液体，就会形成所谓的——痰液。

因此，当痰液变多，你就得注意自己有没以下这些问题了：

流鼻涕、鼻塞、痰也变多，有可能是“鼻炎”给出的信号。

鼻炎患者鼻粘膜功能下降，纤毛正常摆动能力受限，那么鼻腔里的一些分泌物，可能就没有按照“预定路线”从鼻孔排出，反而倒流到咽部，成为了痰。

慢性咽炎最常见的症状就是痰液变多，还可能伴有喉咙干燥、瘙痒的表现。特别是在劳累、天气变化、进食刺激性食物时还存在加重可能。

而扁桃体炎患者喉部充血水肿，分泌物也会增加，让喉咙有一种“咳也咳不出，吞也不下”的异物感。

早上起床或晚上睡觉体位改变时咳嗽加重、咳痰，有可能是慢性支气管炎、支气管扩张。

关于肺部问题，那可就多了，罹患肺炎、肺脓肿、肺结核、肺癌等都会导致呼吸道受到刺激，继而分泌大量的黏液，引起痰液出现。

当咳嗽严重呼吸困难，痰液增多并稀薄成泡沫状时，需要警惕心力衰竭。因为心衰也会影响肺部的血液循环，导致痰液增多。

总之，痰多不一定是病，但痰的颜色不正常，则很大概率是！

白痰多一般表明呼吸道存在轻微炎症，是感冒的前兆。

如果咳嗽能吐出少量白痰，咽部异物感明显，大概率是慢性咽炎。要是白痰难以咳出，且存在拉丝的话则可能是由于真菌感染所致，要引起足够重视。

黄绿色痰液往往代表体内存在化脓性炎症，如葡萄球菌、链球菌、绿脓杆菌感染等诱发的呼吸道感染、支气管炎以及气管炎等疾病。

红痰一般是血痰，若痰中带血可能是咳嗽导致局部微血管破裂所致，一般随咳嗽治愈而消失。但如果持续有大量血痰，则可能是肿瘤、支气管扩张等严重疾病所致。

假如患者还伴有咳嗽、低热、消瘦等症状，则可能因肺结核引起。

别看粉色很梦幻，但粉红色痰却很危险！粉色痰液多会在急性心衰时出现，并呈泡沫状。如果同时伴有呼吸急促、胸闷、无法平卧，则有可能意味着心衰又进一步引起了肺水肿，要及时就医。

巧克力色的痰液往往意味着肺阿米巴病，一般是由于阿米巴肝脓肿溃穿入肺部引起，患者的痰液还会带有明显的腥臭味。

黑痰多为铁末、灰尘的沉着，多数是由职业病引起，如矽肺、煤炭工人的尘肺。

身体出现痰液，最好能及时把痰排出去，不排痰最直接的影响就是堵塞气道，情况严重可能会造成呼吸困难，甚至引发肺气肿、肺大泡等疾病。

充分饮水能起到稀释痰液的作用，一些病原菌也会随着痰液的排出而减少。如果没有充足饮水的话，容易导致痰液变得粘稠，就更难咳出了。

①咳嗽

咳嗽其实也是一件有技术的事情！

建议取坐姿，上身微微前倾20~45度，缓慢深吸气、屏气3秒后进行爆发性的短促有力的咳嗽。咳嗽时注意要收紧核心，也可以用手按压上腹部帮助咳嗽。

②拍背

叩击胸背部产生振动可以使附着在肺、毛细支气管内的分泌物松动脱落，一些无法自主排痰的人群，可以让他人帮助拍背，辅助者站于患者的侧后方，以空掌有节奏的拍打患者背部，帮助痰液排出。

临床上常用的辅助排痰工具有雾化器、排痰背心、排痰阀等，这些工具可起到消炎、湿润气道、让痰液松动等作用，帮助痰液排出。

痰液是身体排出废弃物的一个重要渠道，日常要多观察，一旦发现痰液颜色异常要及时引起警惕就医，想要把痰排干净，最重要的还是要明确病因，针对病因进行改善。

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@李炊剑15647697309#   早上起床总是会吐白色泡沫痰有时候会有几 - 五官科 - 复禾健康问答
#米澜独1771： 有白痰,肺部不适,不一定是尘肺病,很多疾病比如慢性支气管炎也都有类似的症状

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