Unyango yinyumoniya abadala: imigaqo kunye neziyobisi

Inyumoniya ebizwa uphuhliso utshintsho ukudumba kwi ijwabu semiphunga. Oku kungenxa ukungena iintsholongwane (ingakumbi iintsholongwane, kodwa kusenokubakho iintsholongwane, nomngundo) ngeendlela ezahlukeneyo. inyumoniya ingozi kukuba le nqubo yokuchaza igesi icinyiwe ngaphezulu okanye zinabile ngaphantsi inxalenye kwemiphunga, nto leyo kunciphisa unikezelo ioksijini emzimbeni. Ngaphezu koko, umzimba wadliswa kwiimveliso nangokurhala, ukutshatyalaliswa parenchyma semiphunga.

Inyumoniya bangaba:

- ekuhlaleni (ezifana inyumoniya ebizwa ngokuba "yoluntu-ezifunyenwe");

- umntu uphathwa esibhedlele malunga nasiphi na isifo;

- wavuka ngenxa yokuba ukuphazamiseka luvo (ukuxhuzula, ilahleko lokuqonda), ngenxa apho imixholo esiswini eseke wangena ngokuma (wolangazelelo pneumonia) ;

- abantu lifinyele umzimba.

Ngokuxhomekeke kuyo lweentlobo ezine iqatshelwe kulo mzekelo, makuthathelwe ubudala kunye nobukho zizifo ezingapheliyo, oqeshwe unyango yinyumoniya abadala akhawunti.

Njengoko intsholongwane ingena emiphungeni?

1) Ngokutsho bronchi:

- xa ahlaselwa zetoti, called exineneyo kunye iintsholongwane izifo. Kuyinto eqhelekileyo ngakumbi isifo sephepha okanye inyumoniya legciwane ;

- ngu inhalation okubhalwe emlonyeni wakhe kunye pharynx. Le nkqubo lwenzeka phantse kuzo ubuthongo obukhulu, kuqinisa ngokuthatha ipilisi zokulala okanye izinto phantsi kweempembelelo zotywala. Emiphungeni eziqhelekileyo ukhuseleko omzimba ekuhlaleni kusebenza, kodwa xa luthe buthathaka yintsholongwane, xa iintsholongwane kakhulu okanye akalawuleki kakhulu, inyumoniya kwenzeka.

2) Emva kokuba igazi kwezinye ekujoliswe arhabaxa. Umzekelo, ithambo - osteomyelitis, kwemithambo zentliziyo - endocarditis.

3) I-contact ngu:

- ukunxibelelana ubomvu lisebe osecaleni, ezifana isibindi ithumba;

- xa angena amanxeba esifubeni.

Imigaqo kuyo unyango yinyumoniya kubantu abadala

Ukuba uphethwe "inyumoniya", oku kuthetha ukuba ukuqeshwa antibiotics elinye okanye amabini, njengokuba kwanokuba esi siphendu yivayirasi (umz virus influenza), izilwanyana iintsholongwane ujoyina kunjalo.

Uluvo apha kukuba olwa nawo kuza kufuneka ukuba aqeshwe emva kokuba echazwe ngeentsholongwane pathogen nangokurhala, wafumana ubuzaza balo kwiziyobisi. Kodwa ufuna expectoration olusisinyanzelo isikhohlela, nto leyo enokwenza wonke nomonde, kwakunye neentsuku 4-5 ulinde isiphumo, into ayamkelekanga. Ukulahleka ixesha kunokukhokelela ukufa isigulane. Ngoko ke, elwa empirically enqwenelekayo emva kokuba umntu unikezela isikhohlela uviwo bacteriological, kodwa loo mini yaye ngokukhethekayo bekukwangelo lixa, njengoko kwafunyaniswa (kukho ubungqina bokuba ilahleko noba ixesha 4:00 yi ALS mandundu kakhulu).

Unyango yinyumoniya abadala isekelwe phezu kwezi khrayitheriya:

1. Inyumoniya View: ekuhlaleni ababeyiqwebile, intsukaphi esibhedlele okanye ezinye.
2. Volume intshabalalo esiqwini wemiphunga: segmental, lobar, polysegmental, single- okanye kabini kabini.
3. imeko yesigulane: ngokusekelwe impilo yawo yonke, ukuphelelwa umoya, uxinzelelo lwegazi, inqanaba igazi oxygen kufumaneka bantu.
4. Age.
5. Ubukho isifo ezihamba intliziyo, lung (umz, iphika esinganyangekiyo), izintso.

Unyango oluqhutywa phaya ekhaya okanye kwisibhedlele unyango okanye Pulmonology isebe. Maxa wambi kufuna esibhedlela iyunithi labagula kakhulu.

Pneumonia: diagnosis

Classic iimpawu ukudumba kwemiphunga - phezulu (ngasentla-38 ° C) ubushushu, ukukhohlela, nemeko ngokubanzi imandundu (ukudinwa, ukozela, ukungabi namdla). Kodwa ngoku inyumoniya kunye ikhondo Nedlac rhoqo. Ngokuchasene imvelaphi lobushushu eliphezulu okanye aphezulu zingenzeka lurhudo okanye ukuphazamiseka osezingqondweni, ingqondo, nemibono. Kulo mzekelo, i ukhohlokhohlo ukuze ube ngogqibeleleyo.

Ngoko ke, uvavanyo standard diagnostic kukuba ukuqhuba radiograph esifubeni, nazo kufuneka CT scan.

Unyango yinyumoniya kubantu abadala kunye antibiotics

Isetyenziswa yonyango-ntsholongwane ezinjalo, "Amoxiclav", "cefixime" "Sumamed", "Levofloxacin", "Avelox". Bona kuchaziwe emacwecweni, wayedla zombini. Ngokomzekelo, xa umlinganiselo womxhuzulane kwamanzi eyabelwe amalungiselelo ezintsonkothileyo "Sumamed" dibanisa "Aveloks" okanye "Lefloks". Ukuba sifo sibangelwa Klebsiella unyango pneumonia kufuna nokulaliswa esibhedlele. Kulo mzekelo, amisiweyo amalungiselelo efakwa kwaye intramuscular ezifana "Amikacin", "Gentamycin" kunye namayeza "Leflotsin" okanye "Tavanik".