Txawm hais tias cov tshuaj tau nce siab sai thiab tsim ntau cov tshuaj tua kab mob muaj zog, mob ntsws ntsws tseem yog ib qho ntawm cov kab mob feem ntau thiab tuag taus, uas yog thib peb ntawm cov neeg tuag tom qab mob stroke thiab mob qog noj ntshav. Hmoov tsis zoo, nws tsis tuaj yeem txo qhov xwm txheej.
Pneumonia yog ib qho txheej txheem ntawm kev kis kab mob uas ua rau muaj kev cuam tshuam tsis zoo rau cov kab mob ua pa nrog rau qhov tseem ceeb ntawm lub ntsws teeb meem.
Ntau yam kab mob ntsws:
- Kev mob ntsws hauv zej zog yog kab tias kab mob ntau tshaj plaws.
- Tshuaj mob ntsws. Daim ntawv ntawm tus kab mob no tshwm sim nws tus kheej hauv ib tus neeg nyob hauv tsev kho mob ntev, yog tias thaum mus pw hauv tsev kho mob tus neeg mob tsis muaj ib qho tsos mob qhia tias muaj tus kab mob no.
- Aspiration pneumonia yog ib hom kab mob uas tshwm sim los ntawm cov kab mob pathogenic nkag mus rau hauv lub cev los ntawm zaub mov, dej lossis lwm yam khoom txawv teb chaws.
- Atypical pneumonia yog,Tej zaum qhov mob hnyav tshaj plaws, vim nws tshwm sim los ntawm atypical microflora (piv txwv li: chlamydia, mycoplasmas, thiab lwm yam).
Ua rau mob ntsws
Nws tsim nyog xav tias mob ntsws yog ib yam kab mob ntawm cov kab mob.
Cov kab mob tseem ceeb ntawm tus kab mob yog: staphylococcus aureus, pneumococcus thiab Haemophilus influenzae. Hauv qee qhov xwm txheej tsawg, Klebsiella, E. coli tuaj yeem dhau los ua lub zog rau tus kab mob, tab sis qhov no yog tias tus neeg mob muaj cov kab mob loj nyob rau tib lub sijhawm.
Cov laj thawj uas ua rau muaj kev pheej hmoo kis mob ntsws:
- Kev raug mob rau hauv nruab nrog cev, tshwj xeeb tshaj yog rau lub raum, lub plawv thiab lub ntsws.
- Txo qib ntawm lub cev tiv thaiv kab mob.
- Kev mob qog noj ntshav.
- Pre-ventilation.
- Txoj kev poob siab ntawm lub hauv paus paj hlwb.
- hnub nyoog tshaj 60.
- Cov nyhuv ntawm cov tshuaj loog hauv lub cev.
Symptoms of pneumonia
Pneumonia tshwm sim li cas hauv cov neeg laus? Cov tsos mob tseem ceeb ntawm mob ntsws yog:
- nrawm nrawm thiab tuav kom kub txog 39 degrees.
- hnoos hnoos nrog cov hnoos qeev ntau.
- Ua tsis taus pa thaum so lossis nrog kev tawm dag zog me ntsis.
- Mob lossis tsis xis nyob hauv siab.
Feem ntau, cov neeg mob qhia txog qhov txo qis hauvkev ua tau zoo, qaug zog, qaug zog, tawm hws ntau, teeb meem pw tsaug zog thiab tsis qab los noj mov. Hauv cov neeg mob laus, kev qaug cawv ntawm lub cev kuj tuaj yeem pom. Nws yog ib qho tsim nyog sau cia tias muaj ib pawg ntawm cov neeg uas muaj mob ntsws tsis muaj tsos mob lossis muaj cov tsos mob me - hnoos qhuav, mob taub hau thiab qaug zog.
Pneumonia tshwm sim li cas hauv cov menyuam yaus? Feem ntau, mob ntsws nyob rau hauv cov me nyuam loj hlob sai heev, thiab cov teeb meem tom qab mob ua pa kab mob ua rau nws. Lub hnub nyoog tshaj plaws yog los ntawm rau lub hlis mus rau 6 xyoo. Feem ntau ntawm mob ntsws nyob rau hauv cov me nyuam yog provoked los ntawm pneumococcus. Yog tias koj pib xav tias koj tus menyuam muaj mob, koj yuav tsum tau mus nrhiav kev kho mob tam sim ntawd. Kev kho mob feem ntau yog ua hauv tsev kho mob. Kev mob ntsws uas tsis muaj tsos mob tshwm sim tsis tshwm sim hauv cov menyuam yaus.
Tus kab mob no tab tom loj hlob sai, yog li kev tsis saib xyuas thiab kev kho tsis raug yuav tsis zam. Inaction tuaj yeem ua rau tuag taus!
Ua tiav kev kuaj ntshav rau mob ntsws: cov cai pub dawb
Txhawm rau zam qhov yuam kev tseem ceeb hauv kev kawm ntawm koj qhov kev sim dav dav, koj yuav tsum npaj kom zoo rau lawv cov khoom xa tuaj thiab ua raws txhua txoj cai hauv qab no:
- Kev pub ntshav yuav tsum tau ua nruj me ntsis ntawm lub plab khoob thiab thaum sawv ntxov. Koj tsuas tuaj yeem haus cov dej huv uas tsis muaj roj.
- noj hmo yuav tsum ua kom tiav tsawg kawg 8 teev ua ntej lub sijhawm tuaj tosntshav.
- Ob peb hnub ua ntej qhov kev sim, koj yuav tsum tsis txhob siv cov tshuaj, vim tias lawv tuaj yeem hloov cov ntshav muaj pes tsawg leeg.
- Rau ib hnub, koj yuav tsum tsis txhob noj cov zaub mov muaj roj, cawv thiab tsis txhob siv lub cev.
Yuav ua li cas kuaj mob ntsws
Pneumonia yog ib yam kab mob hnyav heev uas xav tau kev tshawb nrhiav kom tau raws sijhawm thiab kev tshawb fawb tsim nyog. Kev kuaj mob yuav tsum suav nrog cov hauv qab no:
- Biochemical muaj pes tsawg leeg ntawm cov ntshav.
- Ua tiav urinalysis.
- Kev tshuaj xyuas cov hnoos qeev.
- YFluorography.
Nrog mob ntsws, kuaj ntshav yog qhov tseem ceeb tshaj plaws ntawm kev kuaj mob. Tsis tshua muaj, tab sis muaj cov xwm txheej thaum cov txiaj ntsig ntawm kev kuaj ntshav zoo li qub, tab sis cov txheej txheem inflammatory tseem yuav tshwm sim. Qhov no qhia tau hais tias tus neeg mob lub cev tiv thaiv kab mob tsis muaj zog heev uas nws tsis tuaj yeem cuam tshuam tus kab mob no.
Hloov cov qhab nia xeem vim kis tus kab mob
Thaum mob ntsws, kuaj ntshav hauv cov neeg laus yuav tsum pom cov qib leukocytes siab, tab sis qhov no tau muab tias lub cev tiv thaiv kab mob tseem tuaj yeem tiv taus tus kab mob. Qhov ntsuas ESR yuav tsum ncav cuag qhov tseem ceeb. Yog hais tias intoxication tshwm sim nyob rau hauv lub cev ntev, anemia yuav tshwm sim. Cov kab mob ntsws ib txwm muaj tsis muaj peev xwmtshwm sim hauv kev tshuaj ntsuam. Tsuas yog thaum muaj kev kub ntxhov tuaj txog tuaj yeem suav eosinophil nce sai.
Thaum kuaj ntshav tsis pom leukocytosis thaum mob ntsws, qhov no yog lub tswb phem rau cov neeg laus.
Kev kuaj ntshav rau mob ntsws hauv tus menyuam:
- Cov suav erythrocyte yog ib txwm lossis txo qis me ntsis. Daim ntawv tshaj tawm ntawm tus kab mob, ntawm qhov tsis sib xws, provokes qhov nce sai ntawm cov qe ntshav liab hauv lub cev.
- Thaum tus menyuam muaj mob ntsws, kuaj ntshav hauv tus menyuam qhia tias muaj cov leukocytes ntau ntxiv, uas qhia tias muaj kab mob bacterial.
- Tus naj npawb ntawm ntau hom stab neutrophils tau nce sai heev.
- Kev kuaj ntshav rau mob ntsws hauv menyuam yaus qhia tau tias tus kabmob ua rau txo qis ntawm cov lymphocytes sai.
- ESR ntau zaus ntau dua li qhov xav tau.
Pneumonia: kuaj mob thiab kho
Kev kho mob rau ib hom mob ntsws me tuaj yeem raug sau los ntawm cov kws kho mob uas muaj qhov dav dav: cov kws kho mob, kws kho menyuam yaus, kws kho mob hauv tsev neeg. Raws li rau hom mob hnyav, nws yuav tsum tau mus pw hauv tsev kho mob hauv lub chaw tshwj xeeb - pulmonology.
Lub hauv paus ntawm kev kho mob ntsws yog cov tshuaj tua kab mob (cov tshuaj tua kab mob). Cov tshuaj, ntau npaum li cas thiab lub sijhawm ntawm kev tswj hwm yuav tsum tau txiav txim siab los ntawm tus kws kho mob yam tsis tau poob, nyob ntawm ntau yam: lub hnub nyoog ntawm tus neeg mob, tus yam ntxwv ntawm chav kawm ntawm tus kab mob thiab muaj cov kab mob ntxiv. Feem ntau, kev kho mob yogcomplex, nrog rau kev siv ntau yam tshuaj tua kab mob.
Lub sijhawm nruab nrab ntawm kev kho mob yog 10 hnub.
Kev tiv thaiv kab mob ntsws
Nws tsis tuaj yeem tshem tawm tag nrho txoj kev muaj kab mob, tab sis koj tuaj yeem ua txhua yam los tiv thaiv koj tus kheej thiab koj cov neeg koj hlub. Ua ntej tshaj plaws, koj yuav tsum sim ua neej nyob raws li kev noj qab haus huv ntawm lub neej: ua raws li kev noj zaub mov kom zoo, npau taws, tawm dag zog, siv sijhawm ntau rau sab nraum zoov, zam cov xwm txheej ntxhov siab thiab ua raws txhua txoj cai ntawm kev nyiam huv ntawm tus kheej. Nws yog ib qho tsim nyog yuav tsum tau noj cov zaub mov cog lossis cov khoom noj khoom haus kom lub cev tiv thaiv kab mob tsis ua haujlwm. Cov neeg mob Bedridden tau qhia kom tsis tu ncua kev kawm zaws thiab ua tshwj xeeb tsim kev ua pa thiab kho mob, thiab nws kuj yuav raug qhia kom sau cov tshuaj tiv thaiv kab mob (piv txwv li, Trental, Heparin, thiab lwm yam).
Ua tib zoo saib xyuas lub xeev kev noj qab haus huv, vim tias kev kuaj mob raws sij hawm thiab kho cov kab mob tuaj yeem ua rau tib neeg txoj sia nyob ntev!
