Indlela amanga esibhedlela ngiphethwe i-pneumonia, umuntu omdala noma ingane?

Ubude besikhathi sokuhlala esibhedlela njll nenyumoniya incike yobudala, isimo umzimba, degree of ukubhujiswa wamaphaphu izifo ezihlobene.

Indlela ukunquma isikhathi esibhedlela?

Ngemva ekutholeni esibhedlela ngiphethwe i-pneumonia, nawu umbuzo: kanjani ukubeka esibhedlela ngiphethwe i-pneumonia? Le nkathi kuxhomeke ezicini eziningi: kobukhulu isifo, ubudala, uhlobo ukutheleleka, futhi uhamba ukuvuvukala. Ezinganeni kanye abadala ukwelashwa isikhathi sandisiwe ngesikhathi izinsolo kancane izinkinga.

Indlela amanga esibhedlela ngiphethwe i-pneumonia, inquma udokotela ngesisekelo ukuhlaziya, umfanekiso sternum nangemva ekuhloleni impilo nesineke. Ukuvuvukala sternum ligcinwe isikhathi eside nge ukwelashwa okufanelekile. Kodwa iziguli eziningi bafune usizo kudala njengoba ngesikhathi Usuqhubekile, lapho kubalulekile ukuthatha imithi enamandla. Uma izinyathelo ezinjalo ziyathandeka yezinkinga kungenzeka ukuthi zibalulekile uqaphele esikhathini sokuqala kanye therapy lesifanele ayizwakali.

Iziguli ungenqaba esibhedlela, kodwa odokotela abanolwazi ukuqaphela ukuthi i-pneumonia - isifo esiyingozi, futhi kwabanye lena kungaba yingozi. ke Kuyancomeka ukulandela iziqondiso udokotela. Kuyoba thola ukuthi kungakanani elele esibhedlela ngiphethwe i-pneumonia futhi uyobe ukhethe imithi nephephile. Lo mbuzo lubalulekile ikakhulukazi lapho ukhetha indlela ulwe nesifo ezinsaneni kanye nabesifazane abakhulelwe.

Njengoba odokotela ukunquma ubude ukuhlala?

Ukuze uqonde ukuthi ukubeka esibhedlela ngiphethwe i-pneumonia, udinga ukujwayelana ukuphathwa yezokwelapha, ngokusiza sequentially ukuhlola kobukhulu isifo samaphaphu. Ukulandela izinyathelo ngezansi, ungagwema ekuxilongweni kanye nesikhathi ukuqhuba CPR e yezinkinga ezinzima. Ukuze analysis besebenzisa izimfuneko ezithile: impilo lesiguli, ikhono lokwenza imithi elwa namagciwane ezinamandla. Lokhu kuzosiza baqonde ukuthi kuke kwaba ngcono olubonakalayo inqubo yokwelashwa.

Zingaki esibhedlela ngiphethwe i-pneumonia, izingane, kuncike uhlobo ukuvuvukala zihlukaniswe ukukhanya, aphakathi nendawo kanye ezisindayo. Esibhedlela liyadingeka kuphela Kulo mBhalo, kodwa ngisho nezinkinga elula lesi sifo kungaba yephuza ngenyanga.

Ukuze ubone ukuthi kusaqalwa lesi sifo, bangaki esibhedlela ngiphethwe i-pneumonia, izingane, kunzima ngempela. Udokotela efaka ukuxilongwa wokulungiselela, okungase ivunyelaniswe imiphumela kokuma. osenyameni Early kungenzeka kuphela ngenxa yokuntuleka kwezinhlelo ezibanzi izimpawu ukuvuvukala nesibikezelo omuhle nokubuyiselwa impilo ekhaya.

Izindlela zokuhlola ngezimo zesiguli

Lapho ebuzwa ukuthi kungakanani nenyumoniya baphathwe esibhedlela e abadala, kufanele kuphawulwe ukuthi iziguli ezifana abe isimo esindayo, futhi ngokuvamile thatha yezinkinga kwenye plan. Sibekezele kudinga ukuqapha njalo. Ukuwohloka masinyane zempilo okwenzeka ngenxa yezifo ezingalapheki. Amaminithi sokungasebenzi ngokuvamile imbangela ukukhubazeka, okuyinto kuzodinga amabutho ezengeziwe ukubuyisela.

Odokotela zisebenzisa CURB65 ejwayelekile, kuvumela ukuhlola isimo lesiguli e amaphuzu. Indlela kusekelwe isivivinyo, esakhiwa ngo uphendula imibuzo. Ukuze impendulo ngayinye ukubeka phansi amaphuzu, impendulo sihlanganiswe futhi uthole mayelana nezici elilinganisiwe nesineke. Sibala nenqubo kuhlaziywa umphumela.

Lemisiwe isiguli

Zingaki izinsuku uzothatha nenyumoniya esibhedlela kuncike izimpendulo la maphuzu alandelayo yokufundiswa:

• Long awabuyiswanga blood pressure. It komzimba lingaphansi kunalokhu okujwayelekile.
• Esikalini urea ezingeni egazini sibizwa ubeke amaphuzu at nezinombolo ezingaphezu kuka-7 mmol / l.
• Sabona avele ukuphazamiseka gqwa ukwazi.
• Isiguli ungaphakathi eminyakeni abadala phezu 65.

Nanoma, ngisho asabele kahle isiguli kufanele ungeniswe esibhedlela. Imiyalelo ukunquma ukuthi isiguli kufanele zithunyelwe esibhedlela. Impendulo yombuzo, bangaki aphathe nenyumoniya esibhedlela, udokotela ngeke kube nemiphumela ekahle kokuma futhi ihlaziya.

isimo enobungozi

Kukuthatha isikhathi esingakanani amanga esibhedlela ngiphethwe i-pneumonia kuxhomeke ezingeni esiphakamisa ngenxa yezinkinga uhlobo ukuvuvukala. Ukuze sithole uthi ezibucayi izimpawu isehlane pneumonia:

• izinga lokushisa emzimbeni High, ephelezelwa ukudakwa enamandla i umzimba.
• isimo Izifo, nengivuvuke lasakazekela kokubili emaphashini.
• Ukukhwehlela kuwuphawu olucacile of the kokunqotshwa amalaka namaphaphu. izimo ezinzima kanye nokudosa egijima ahambisana isikhwehlela ubovu.
• ukuvuvukala Focal ephelezelwa ukwakheka ukuntuleka komoya-mpilo umzimba. Izinga lokuphefumula ophilisayo, kuba engajulile. isimo wesiguli sisibi, lapho imvamisa kuba 30 ngeminithi.
• Isiguli is ebonwe ingaphazamisi ukwazi. Konke lokhu kuholela ukuphazamiseka yokukhuluma, senqubo yokucabanga evamile, kuba nzima ukwenza imisebenzi yasendlini elula.
• Namandla ukushisa komzimba kanye yisimangaliso lokudakwa ukuphelelwa amanzi emzimbeni.

Isikhathi esibhedlela

Zingaki izinsuku esibhedlela ngiphethwe i-pneumonia futhi incike yobudala lomuntu. Ezinganeni kanye nobudala abantu ubudala ngangokunokwenzeka siyophila isikhathi eside, njengoba odokotela baphile isikhathi eside ngenxa yokwesaba miss yokuba nezinkinga ezingamahlalakhona pneumonia kungemuva. isidingo esiphuthumayo ukuhlala esibhedlela kwenzeka ezinsukwini ezimbalwa zokuqala kuqala ukuvuvukala. Ngalesi sikhathi, kungase kube nemiphumela emibi kakhulu nokukhula ngokushesha izimpawu.

Izinsuku zokuqala zesifo kudinga embhedeni ukuphumula, ukuqapha okuqhubekayo, eziphuthumayo medical aid in ziwohloke elibukhali impilo. Ezisanda kufika Kunconywa embhedeni ukuphumula, akufaki yimuphi umsebenzi. Isifo samaphaphu uvame ukuhambisana lokushisa eliphezulu umzimba, okuyinto uzame ukususa izidakamizwa (kuphela ngenhla 39 ° C). Ayisebenzi izingane nasebekhulile, nabantu osebenza morbidities.

Isikhathi eside kulesi sikhundla lisalele kungaholela ekwakhekeni decubitus zokuvimbela okuyinto kufanele bakwenze unaphakade. Ngakho, iziguli belulekwa ukwenza uhambo-ihora nesigamu ekuseni nakusihlwa.

usizo engeziwe esibhedlela

Zingaki esibhedlela ngiphethwe i-pneumonia abadala kuncike isinyathelo zokuvimbela udokotela ukuba khona. Ukuze uthuthukise ukungatheleleki kusebenze amabutho isicelo ephefumula, kususa phlegm zivuvukale amalaka. Ukuze wehlise ukudakwa ebekiwe isiphuzo luningi: compotes ngesimo ukushisa, itiye herbal, ayo kanye izithelo iziphuzo of nezithelo ezintsha amajikijolo.

ukudla zokudla kuzosiza ukuqeda umthwalo ezengeziwe ku isimiso sokugaya ukudla bungene. amasobho Kunconywe, yemifino broths, nenhlanzi izitsha, imifino. Oxygen O2 kungasiza balinganisele. Ezimweni ezimbi kakhulu, ukuntuleka esibalulekile asesebenzisa ukupholisa.

Ukuhlonza Ukugula iziguli esibhedlela

Ukuze ususe uphethwe eyiphutha futhi imithi engalungile ngesikhatsi ukwelashwa Kunconywa ukuba aqhube luhlolo legcwele yesimanje izindlela lobuchwepheshe. Into odokotela bethola okokuqala ukuthi enze luhlolo emitholampilo zembula izikhalazo umuntu angenayo. Oku-isethi izinga lomonakalo emaphashini, bese ususa ze-X ray. Ngo resonance kazibuthe kanye kukhompyutha tomography luhlolo ingasetshenziswa njengoba izindlela aphelele.

Imiphumela yaloku kuhlola okungenhla futhi kungenziwa efakwa khona izimpawu kanye-X-ray umumo womsebenzi, okwenzeka ezimweni eziningi. usizo okuhambisana nesikhathi kusiza ukwelapha i-pneumonia ngaphandle yezinkinga esikhathini esifushane. Zingakapheli izinsuku eziyi-5, isiguli silulama impilo futhi kungenzeka kakade kokukhishwa esibhedlela.

ukuhlolwa okwengeziwe

Njengoba isimo ukuzimisela umzimba wesiguli, odokotela zingase zikhalele ukuhlola okungeziwe. Ziyakwazi izinkomba ezibalulekile wegazi: igazi urea, isibindi izingxenye umsebenzi kanye nenani electrolyte, isilinganiso izinto gaseous enanini kwegazi.

Irhubhululo elingezelelako kwenziwe khona pneumococci umzimba nge-PCR futhi ukuthola i-DNA lwegciwane. Futhi, yilutho zihlolelwe L. pneumophila antigen e umchamo, kanye intuba amagciwane by immunofluorescence ukuhlaziywa. Uma isimo lesiguli akuyona evamile, lo dokotela iSifo ngokubona kwayo empirically. Ngokuvamile ukuzindela iba yezinkinga imbangela okuholela ukukhubazeka nesineke.

Ukuze iwenze ube lula inhlalakahle ingasetshenziswa expectorants, analgesics. Ungavumeli aphoyintimenti blocker ukukhwehlela. Isikhwehlela kufanele ungasuki emaphashini. Uma lokhu kungenzeki, uketshezi bayozibuthela emzimbeni womuntu. Ubunzima bokuphefumula isimo sibe sibi isimo kuphela.

Isilinganiso isikhathi ukwelashwa esibhedlela

Indlela i-pneumonia baphathwe esibhedlela ezinganeni incike nokusetshenziswa kwamaphilisi. imithi eqinile ebekiwe ngokushesha ngoba esolwa ukuvuvukala kabi amaqembu amancane ubudala nangaphezulu. Kuyadingeka ukuba ngakususi amathuba yezinkinga okungazelelwe ukuthi ngokuvamile kwenzeka ezinganeni.

Thatha imithi elwa namagciwane ngisho nangemva uzizwa engcono futhi ukubhujiswa okuphelele kwalelizwe amagciwane emzimbeni. Ukwelashwa isikhathi kusukela ezinsukwini ezingu-7 kuya ku-20 kuya ku-isiguli kanye uhlobo lwegciwane: i-aureus izidakamizwa zilawule 3 amaviki wathola efanayo ngesikhathi Legionella; ukutheleleka Pneumococcal zidinga ukwelashwa zingakapheli izinsuku 5, futhi ngezinye ukutheleleka enterobacterial futhi izilonda Pseudomonas aeruginosa amaphilisi ngoba ngenyanga.

Izindlela nokwelashwa asebekhulile

Ukuze abantu abevile eminyakeni engu-60 isifo inyumoniya ezisongela ukuphila. Izinkinga izifo ezingamahlalakhona ukwelekelela i izimpawu ezingemnandi kakade. Imisipha futhi iphimbo isimiso somzimba sokuzivikela buthaka ayikwazi ukulwa amabhaktheriya njengakuqala. Amaphaphu kusengozini ngenxa ukuguga emisipheni.

Ngokuvamile asebekhulile iphazamiseke ukugeleza kwegazi ngenxa yokuphila umzimba. Konke lokhu unemingcele kukhethwa izidakamizwa. Isikhathi yokwelashwa lingaphezulu kakhulu kunezinye iziguli abasebasha. Izinkinga emaphashini zingase zimiswe ngemva komkhuhlane, SARS. Isifo samaphaphu okhula ngokushesha, ngakho ngesikhathi izinsolo lokuqala ukuvuvukala ngokushesha wakhipha isiqondiso ukubeka esibhedlela.

ukwelashwa izingane

Ingozi pneumonia wukuthi azikho izimpawu ngesikhathi esaqala ukuphathwa yilesi sifo. Izinsana nezingane ubudala encane kunqunywa esibhedlela ngokushesha. Kuphela nokuqapha njalo ingane kuzosiza ukugwema esigabeni eziphambili kakhulu lesi sifo, uma sidingeka CPR.

Lapho ukuvuvukala kungekho imfiva viral, ukutheleleka akukuniki ukukhwehlela futhi phlegm ekuqaleni kwalesi sifo. Usana ihlangabezana ukungakhululeki, ukuphazamiseka kokulala, ukungakuthandi ukudla. Zingaki esibhedlela ngiphethwe i-pneumonia osanda kuzalwa incike ukwahlulelwa udokotela ekwelapheni.

Ushintsho isimo kungabonwa uma ithola ukuphefumula ababeke, dyspnea, ukukhwehlela, ebusweni inspiratory. I izithombe zama-X ray ebonakalayo endaweni mnyama. Lapho ukuvuvukala croupous maphuzu kungenziwa isethwe. Onalesi sifo ngoba kulezi ziguli kuyinto enhle. Ngemva kwezinsuku ezimbalwa ukuphuza imithi elwa namagciwane inyumoniya sihamba.

Isiphetho sokuphulukiswa kusekelwe indlela yokunquma elandelayo: umoya bushelelezi, inhlalakahle isiguli muhle, akukho ukuphambuka kuletitfombe sternum. Ngemva ocucuzayo, Kunconywa kabusha luhlolo ngemuva amasonto 2-3 ukuqinisekisa imiphumela yokwelashwa. Uma kudingekile, futhi ngokuphindaphindiwe yokwelapha nezinye izidakamizwa.

Umuntu samakhaza musa batusa nabantu enempilo. I-bacterium adluliswa kanye ngamathe uma ukhwehlela, ukuze bakwazi ukubamba eduze.