Inyepedzeri munharaunda-inowanikwa pneumonia

Pumumonia ndiko kuvapo kwekuvhiringidza mumapapu. Uye zita rechirwere "chikwata-chinowanikwa pneumonia" chinoratidza kuti chinokonzerwa nemugumisiro we etiologic chinhu kunze kwechipatara chechipatara. Pulmonary parenchyma inoputika, asi imwe mapapu, chikamu chayo kana nzvimbo duku ingakanganiswa. Kana mapapu maviri ari mubato iri, ipapo kuongororwa kunonzwika - hutachiona hunowanikwa munharaunda-inowanikwa pneumonia.

Zvinokonzera chirwere chacho

Chikonzero chekuvhiringidzika kunogona kunge yakasiyana-siyana yemakoromine, fungi, mavairasi. Pakati pavo inowanzosanganisira strepto-, staphylo- uye pneumococci, Klebsiella, fenza uye parainfluenza viruses, mycoplasmas nezvimwe zvirwere. Chirwere chacho chinogona kutungamirira ku kuora simba kwehutachiona, zvakanyanya hypothermia, kuratidzwa kwenguva refu uye nguva dzose kumakemikari anokuvadza panzvimbo yebasa. Pineumonia inowanikwa munharaunda inogona kukura sechinhu chinokonzera zvirwere zvinoputika zvepamusoro chepamusoro chekufema (tracheitis, bronchitis , nezvimwewo), uyewo muhupo hwehuwandu hwemhuka huripo.

Iyo pathogenesis yechirwere ndeyotevera: pathogen, kana inopinda mumhepo kana nzira inopisa yepamusoro mumapapu emapapu, inotanga kuwanda zvakasimba. Izvi zvinotungamirirwa nechisimba chekudzivirira uye mvura inogadzirwa sechikonzero chekufugama kwelobes emapapu. Maitiro emusununguko kusvika pakuvapo kwekuvhiringidza kwenyama inoita basa rinokosha. Nehutachiona hwehutachiona hwechirwere, pneumonia inogona kuoma nekubatanidza kwehutachiona hwehutachiona. Inowanzobatana mumazuva manomwe kusvika kwegumi kubvira pakatanga kwehutachiona hwehutachiona, zvichirwisana nemamiriro ekudzivirira zvakanyanya kutapukirwa uye kuperevedza antibacterial basa re macrophage lung system. Nharaunda inopera-inowanikwa pneumonia kune vanhu vakuru ingave yakaguma yefomu isina kukwana.

Kurapa kwezvirwere zvechirwere

Croupous pneumonia ine kutanga kwakasimba uye kunonetsa. Kazhinji chirwere chacho chinokonzerwa ne hypothermia, mushure mokunge pane simba rakasimba uye kupisa kwemuviri kunosvika 41 ° C. Pane kuora kunooma, umo murwere anonyunyutira marwadzo mubhokisi kubva kune rumwe rutivi rwakawirwa. Zvino pane purulent, rusty sputum. Murwere ane shungu dzakaipa, ganda rinenge rakachenesa kana dzimwe nguva rinogadziriswa nekuda kwezvipembenene hypoxia. Kupisa kunowanzoitika uye kusinganzwisisiki, zvichida kunosanganisira mamwe masumbu. Pamiromo nemamwe makumbo emakumbo kunogona kuva nekuputika kwemhuka. Paanoongorora, bhokisi rinobva kune rumwe rutivi rwakavhiringidzika runovhara shure mushure mokufema, kufema kunobatsira kunopera simba. Kuwedzerwa kunowanzoitika, kunomanikidzwa netsika ye hypotension. Muropa, high leukocytosis uye ESR. Mumifananidzo kubva munharaunda yakakanganisika unogona kuona kuwanda kwese.

Kubatana kwehutachiona pneumonia nehutachiona hunoparadza zvikuru mamiriro ekurapa. Dyspnoea nekunetseka nekuputika uye kutyisa kunotyisa kunogona kuitika.

Ne bronchitis, zvirwere zvepamusoro chepamusoro, mafungiro emapapu anowanzokura. Nharaunda yakadai-yakagadzirirwa pneumonia inotangawo nekuwedzera kwekushisa, asi mamiriro ezvinhu ose haasi akaoma seaya ane chirwere chinoputika. Iko kunewo chifukidziro, pakutanga chooma, uye nephlegm.

Viral pneumonia ine kliniki inokosha. Paanotaura kudhakwa, kutonhora, mamiriro akaipa ehutano, kliniki yekukundwa kwemapfupa ekufema zvinonzwisisika hazvirevi izvo, uye chete paunowedzera kuongorora mhinduro yakarurama yekuzivikanwa inoita.

Zvinetso zvechirwere zvinogona kuva pleurisy, pneumothorax, kuumbwa kwemakumbo, zvirwere zvinopisa zvezvikamu zveimwe zvirongwa zvemuviri.

Nharaunda inowanikwa sei pneumonia inowanikwa? Kurapa kwechirwere

Kuongororwa kunogadziriswa pamusana pezviitiko zvinonyunyuta, nhamba yekuongorora, kushandisa maitiro ekutsvakurudza ma laboratory (ropa test, sputum analysis pamwe netsika uye kunzwisisa kune antibacterial drugs), chifu x-ray, spirography. Mumatambudziko akaoma, CT scan ingadikanwa .

Nzira dzekuvhenekera dzepineumonia dzinogona kurapwa pamba, pasi pekutungamirirwa kwechiremba. Mamwe mafomu anotarisirwa muchipatara. Chimwe chikamu chemishonga yerapi ndiyo antibiotics. Zvinoshandiswa kufungisisa kunzwisisika kwepathogen. Panguva imwe chete, kuitira chinangwa chekudzikisa, kupirisa kwekodzero kunoitwa , antihistamines uye expectorants, multivitamines inorayirwa. Kubudirira ndi physiotherapy, kuporesa gymnastics.