Ukwelashwa pneumonia e abadala: izimiso nezidakamizwa

Isifo samaphaphu esibizwa ukuthuthukiswa izinguquko ukuvuvukala kule izicubu wamaphaphu. Lokhu kungenxa ingress amagciwane (ikakhulu ama-bacterium, kodwa kungase kube amagciwane nesikhunta) ngezindlela ezihlukahlukene. inyumoniya ingozi iwukuthi lokhu inqubo negesi lokushintshisana sivaliwe ingxenye ucishe olubanzi iphaphu, okuyinto kunciphisa supply umoya-mpilo ezicutshini. Ngaphezu kwalokho, umzimba ubuthi imikhiqizo ukuvuvukala futhi kubhujiswa lesi parenchyma wamaphaphu.

Isifo samaphaphu ingaqala:

- emphakathini (pneumonia ezinjalo ngokuthi "umphakathi atholwe");

- umuntu belashwa esibhedlela mayelana isiphi esinye isifo;

- kwaphakama ngenxa iziyaluyalu zezinzwa (sokuwa nokulahlekelwa ukwazi), ngenxa okuyinto okuqukethwe isisu uye wangena umgudu (nenshisekelo pneumonia) ;

- abantu encishisiwe izivikelo mzimba.

Kuye ngokuthi yiziphi zohlobo ezine ebonwe Kulokhu, nokuthatha nasekugugeni akhawunti kanye khona yizifo ezingamahlalakhona, kuba aqokwe ukwelashwa pneumonia kwabadala.

Njengoba bacterium lingena emaphashini?

1) Ngokwe bronchi:

- lapho ihlaselwe aerosol, ukungcoliswa ezinabantu nge amagciwane abangela izifo. Kuyinto ejwayelekile ngaphezulu sofuba noma i-pneumonia yegciwane ;

- by ephefumula okuqukethwe ngomlomo wakhe siqu futhi pharynx. Le nqubo kwenzeka cishe njalo ubuthongo obukhulu, sithuthukiswe ngokuthatha amaphilisi elele noma izinto ngaphansi amponjwana. Emaphashini evamile zendawo ezivikela mzimba usebenza, kodwa uma uba buthakathaka igciwane, uma amagciwane kakhulu noma zinolaka kakhulu, inyumoniya kwenzeka.

2) Ngemva igazi nezinye focus ukuvuvukala. Ngokwesibonelo, ithambo - osteomyelitis, we valve wenhliziyo - endocarditis.

3) Oxhumana ngu:

- ukuxhumana ubomvu kusuka uhlaka eduze, ezifana isibindi ithumba;

- e eyenza umuntu acabange eseZwini amanxeba kwesifuba.

Imigomo esekelwe phezu kwayo i-ukwelashwa pneumonia e abadala

Uma uphethwe "nenyumoniya", lokhu kusho ukuqashwa kukaNksz elilodwa noma amabili elwa namagciwane, njengoba ngisho noma imbangela kwaba igciwane (isib umkhuhlane virus), izitshalo webhaktheriya ijoyina kunjalo.

Umqondo wukuthi lo muthi kwakuyodingeka ukuba amiswe ngemuva kuchazwe microbial lwegciwane nokuvuvukala, futhi wathola ukuzwela yayo izidakamizwa. Kodwa kudinga expectoration esiyisibopho isikhwehlela, okuyinto engenza njalo nesineke, kanye izinsuku 4-5 elinde umphumela, okuyinto akwamukeleki. Ukulahlekelwa kwesikhathi kungaholela ekufeni isiguli. Ngakho-ke, imithi elwa namagciwane kukhona empirically efiselekayo ngemva indoda unikela isikhwehlela luhlolo bacteriological, kodwa ngosuku olufanayo futhi mhlawumbe ngesikhathi esifanayo, njengoba kwatholakala (kunobufakazi bokuthi ukulahlekelwa ngisho 4:00 isikhathi Izibikezelo kakhulu sibi).

Ukwelashwa pneumonia e abadala kusekelwe nalezi zindlela:

1. Isifo samaphaphu Buka: umphakathi aluthola, zivela yisibhedlela noma esinye.
2. Ivolumu ukubhujiswa wamaphaphu izicubu: segmental, lobar, polysegmental, single- noma kabili emaceleni.
3. isimo wesiguli: esekelwe impilo yayo jikelele, iphika, umfutho wegazi, igazi elingenawo umoya ukugcwaliswa ezingeni.
4. Ubudala.
5. EBukhoneni concomitant isifo senhliziyo, samaphaphu (isib ukucinana kwemithambo yomoya emaphashini), nezinso.

Ukwelashwa Kwenziwa ekhaya noma esibhedlela ekwelapheni noma Pulmonology umnyango. Ngezinye izikhathi kudinge esibhedlela i labagula kakhulu.

Isifo samaphaphu: Ihlahlubo

Classic izimpawu of ukuvuvukala yamaphaphu - okusezingeni eliphezulu (ngenhla 38 ° C) lokushisa, ukukhwehlela, isimo jikelele ukuwohloka (ukukhathala, ukozela, ukungakuthandi ukudla). Kodwa manje i-pneumonia njalo nge Yiqiniso atypical. Against isizinda lokushisa eliphezulu noma kakhulu kungenzeka uhudo noma ukuphazamiseka ukwazi, delirium, ukusangana. Kulokhu, kukhwehlela kungase kungabi ephelele.

Ngakho-ke, i-kweemboniso standard ukuqhuba radiograph esifubeni, futhi kungase kudingeke scan CT.

Ukwelashwa pneumonia e abadala ngezilapha magciwane

Isetshenziselwa ukwelapha kwamaphilisi ezinjalo, "Amoxiclav", "cefixime" "Sumamed", "Levofloxacin", "Avelox". Basuke ebekiwe amaphilisi, wayevame ukusebenzisa igama elithi inhlanganisela yako. Ngokwesibonelo, lapho kungenzeka isilinganiso adonsela phansi ukugeleza babelwe enjalo amalungiselelo eziyinkimbinkimbi "Sumamed" plus "Aveloks" noma "Lefloks". Uma lesi sifo sibangelwa Klebsiella ukwelashwa nenyumoniya kudinga esibhedlela. Kulokhu, emisiwe amalungiselelo emthanjeni futhi esicutshini ezifana "Amikacin", "Gentamycin" kanye imithi "Leflotsin" noma "Tavanik".