Pneumonia hnoos qeev yog ib qho tshwm sim uas tib neeg ntsib tsis hais hnub nyoog li cas. Nws yog ib nqi sau cia hais tias nws yog los ntawm cov xim ntawm pathogenic secretions uas koj yuav nrhiav tau tawm nyob rau hauv dab tsi theem ntawm tus kab mob no thiab seb puas muaj tej concomitant pathologies. Kev mob ntsws ntawm lub ntsws yog ib yam kab mob loj uas yuav tsum tau kho. Yog tias qhov no tsis yog qhov teeb meem, qhov tshwm sim yuav loj heev. Cia peb xav ntxiv seb cov xim ntawm qhov tso tawm txhais li cas, lawv tau kawm li cas, thiab cov tsos mob thiab kev kho mob ntsws ntsws hauv cov neeg laus yog dab tsi.
Kev piav qhia
mob ntsws tsis tshua tshwm sim ntawm nws tus kheej. Feem ntau, tus kab mob no dhau los ua qhov tshwm sim ntawm ntau yam mob ntev uas cuam tshuam nrog kev ua pa. Raws li kev faib tawm, mob ntsws yog:
- Viral. Hauv qhov no, tus kab mob no tshwm sim los ntawm qee yam kab mob.
- Nco. Qhov twgntau yam kab mob ua rau tus kab mob no ib zaug.
- Kev txhim kho ntawm cov kab mob fungal.
Yuav ua li cas yog cov hnoos qeev tsis tawm nrog mob ntsws? Qee zaum nws tshwm sim tias tawm tsam keeb kwm ntawm tus kab mob, cov hnoos qeev tsis ploj mus. Hauv qhov no, koj yuav tsum mus ntsib kws kho mob sai li sai tau rau kev kuaj mob.
Qhov tseeb, nrog rau mob ntsws, phlegm yog ib qho ntawm cov tsos mob tseem ceeb tshaj plaws. Thawj qhov kws kho mob tau saib xyuas yog xim ntawm cov kab mob pathogenic secretions. Piv txwv li, yog tias muaj ntshav hauv cov hnoos qeev nrog mob ntsws, qhov no qhia tau tias tus neeg muaj kab mob ntxiv uas yuav tsum tau kho tam sim.
Txhua qhov hnoos qeev zais cia yog pathological. Txhua yam feem ntau pib nrog lub qhov ntswg, thiab tom qab ntawd cov txheej txheem txav mus rau hauv lub ntsws, thiab tom qab ntawd tus neeg mob hnoos.
Sputum test for pneumonia is very common.
Tom ntej no, peb yuav pom tias cov tsos mob ua rau mob ntsws rau cov neeg laus.
Cov tsos mob mob ntsws
Pneumonia hnoos qeev tuaj yeem ua tau txhua yam xim. Nws yog pob tshab thiab dub. Nws kuj tseem tuaj yeem muaj ntau yam tshuaj, thiab ntxiv rau, cov khoom lwj ntawm cov hlwb, nrog rau cov ntshav thiab ntau yam kab mob. Peb muaj peev xwm hais tias cov xim ntawm cov hnoos qeev nyob ntawm qhov xwm ntawm tus kab mob. Yuav tsum muaj cov hnoos qeev tawm nrog mob ntsws? Tsis muaj ib lo lus teb. Hauv qee qhov xwm txheej, tus kab mob no ploj mus yam tsis muaj cov tsos mob no, thiab tom qab ntawd nws nyuaj rau txiav txim siab txog pathology, yog li ntawd. Yuav ua li cas tus kws kho mob tsis tuaj yeem kuaj lub cev ntawm cov hnoos qeev.
Cov tsos mob thiab kev kho mob ntsws ntsws hauv cov neeg laus muaj kev sib txheeb.
Cov tsos mob ntawm tus kab mob no yog cov tsos mob hauv qab no:
- Kev muaj phlegm.
- Zoo hnoos.
- tshwm sim ntawm qhov kub thiab txias.
- Nyob hauv siab.
- Ua pa siab dua.
- Ntshai, tsaug zog thiab tsis qab los.
- Cov tsos mob ntawm kev ua pa tsis ua haujlwm.
- mob hnyav.
Yuav kom kuaj tau qhov tseeb, tus neeg mob yuav tsum xeem cov hnoos qeev. Raws li cov ntaub ntawv tau txais, tus kws kho mob tuaj yeem sau tshuaj kho kom zoo thiab yuav tshem tawm qhov teeb meem no.
Tom ntej, cia peb mus rau kev faib tawm cov kua dej tawm thiab nrhiav seb cov hnoos qeev zoo li cas nrog mob ntsws thiab lwm yam kab mob ua pa.
Kev cais tawm ntawm qhov zais cia
Sputum yog cais los ntawm nws cov xim. Nws tshwm sim:
- Grey los yog dawb.
- Yellow highlights.
- ntsuab ntsuab.
- Tub xim phlegm.
- Red highlights.
- Purulent hnoos qeev.
Yog li cov xim ntawm cov hnoos qeev hauv lub ntsws tseem ceeb heev.
Grey sputum
Grey (dawb) hnoos qeev yog ib qho tshwm sim rau txhua tus neeg, vim nws tuaj yeem sawv tawm txawm tias tsis muaj kab mob. Tab sis qee zaum, yog tias cov ceg tau pom ntau, ces lawv yuav qhia tau tias muajCov kab mob hauv qab no:
- Kev muaj kab mob ua pa.
- Kev txhim kho mob ntsws ntev.
- Sputum yuav tshwm sim nrog qhov ntswg te.
- Thaum muaj kev tsis haum tshuaj, cov hnoos qeev kuj raug tso tawm.
Yog tus neeg haus luam yeeb lossis nyob hauv ib puag ncig tsis zoo, ces nrog hnoos, hnoos qeev yuav raug tso tawm.
Dab tsi ntxiv yog hnoos qeev nrog mob ntsws?
Yog tias qhov tso tawm muaj xim daj, qhov no qhia tau hais tias muaj tus kab mob sluggish ntev ntawm cov kav dej ua pa lossis ua xua. Cov xim daj ntawm cov hnoos qeev tshwm rau hauv tib neeg hauv ntau qhov xwm txheej hauv qab no:
- Kev mob bronchitis.
- mob ntsws, uas tshwm sim hauv daim ntawv mob.
Cov tsos ntawm cov xim daj hauv cov hnoos qeev qhia tias tib neeg lub cev tiv thaiv kab mob. Yog li, peb tuaj yeem xav tias lub cev tiv thaiv kab mob ua haujlwm zoo li qub. Yog hais tias hnoos qeev tuab heev, thiab nws cov xim yog saturated, ces qhov no qhia tias muaj sinusitis. Qhov no yog tus kab mob no uas yuav tsum tau saib xyuas kev kho mob, thiab tib lub sijhawm kho kom muaj peev xwm.
Yog tias hnoos tawm tsam keeb kwm yav dhau los mob ntsws, thiab tus neeg mob kuj pib choke, qhov no qhia tias muaj mob hawb pob. Hauv qhov xwm txheej zoo li no, kuj yuav tsum muaj kev pab tsim nyog, vim tias kev tawm tsam no tuaj yeem ua rau muaj kev hem thawj rau lub neej.
Green sputum in pneumonia
xav phlegmqhia tias muaj cov kab mob ntev. Neutrophils decompose, uas ua rau cov tsos ntawm cov xim no. Thaum cov txheej txheem inflammatory tsis kis kab mob, tus neeg mob yuav muaj cov hnoos qeev ntsuab. Ib qho xwm txheej zoo sib xws qhia txog cov kab mob hauv qab no:
- Muaj cystic fibrosis lossis mob ntsws.
- Kev txhim kho ntawm cov kab mob abscess lossis bronchiectasis.
Ntxiv nrog rau cov hnoos qeev ntsuab, ua npaws yuav raug sau tseg nrog rau kev qaug zog, tsis qab los noj mov, thiab hnoos hnyav thiab hnoos. Tib txoj kev tawm ntawm qhov xwm txheej no yog hu rau tus kws kho mob tshwj xeeb, vim tias kev noj tshuaj rau tus kheej tuaj yeem ua rau tus kab mob hnyav dua.
Cov hnoos qeev xim av txhais tau li cas hauv mob ntsws?
Cov hnoos qeev vim mob ntsws
Cov tsos mob no qhia tias muaj cov ntshav tsis huv hauv cov khoom. Erythrocytes tuag, qhov no ua rau qhov tseeb tias hemosiderin raug tso tawm los ntawm hemoglobin. Xav txog cov kab mob thaum ib tus neeg yuav tsaus ntuj lossis txawm tias yuav luag cov hnoos qeev dub:
- Nrog mob ntsws, thaum tus kab mob nyob rau hauv daim ntawv ntev.
- Ntawm keeb kwm ntawm tuberculosis.
- Nyob hauv lub ntsws cancer.
- Ntawm keeb kwm ntawm mob ntsws ntsws.
- Rau pneumoconiosis.
Tawm tsam keeb kwm yav dhau los ntawm kev loj hlob ntawm croupous pneumonia, txawm tias rusty hnoos qeev tuaj yeem sawv hauv cov neeg mob. Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias cov neeg mob hnoos thiab pom cov hnoos qeev nrog qhov ntxoov ntxoo tsis zoo yuav tsum tsis txhob haus luam yeeb.
Sputum liab
Thaum muaj staining hauv caws pliav, liab los yog liab, yuav tsum tau mus kuaj hnoos qeev. Qhov tshwm sim no qhia tias muaj ntshav hauv cov khoom. Cov kab mob phem tshaj plaws uas pom cov hnoos qeev ntawm cov xim no yog mob ntsws cancer.
Cov tsos mob zoo li no tseem tuaj yeem tshwm sim thaum muaj cov kab mob hauv qab no:
- Ntawm keeb kwm ntawm lub ntsws embolism.
- Rau mob ntsws los ntawm pneumococci.
- Nrog tuberculosis siab heev.
- Tawm tsam keeb kwm yav dhau los ntawm kev ua paug lossis pulmonary edema, uas yog tshwm sim los ntawm lub plawv tsis ua haujlwm ntev.
Yog tias muaj ntshav hauv cov hnoos qeev thiab tawm tsam keeb kwm yav dhau los qhov kev kuaj pom tseeb yog tsim los ntawm kev mob ntsws, koj yuav tsum hu rau koj tus kws kho mob tam sim ntawd. Qhov tshwm sim no hais txog cov txheej txheem pathological loj uas ua rau muaj kev phom sij rau lub neej kom tsis quav ntsej.
Txawm li cas los xij, thaum ib tus neeg pom qhov tsis zoo hauv nws txoj kev noj qab haus huv, nws muaj hnoos, tsis muaj zog thiab ua npaws, thiab tag nrho cov no kuj muaj cov hnoos qeev tawm ntawm cov xim sib txawv, koj tsis tuaj yeem tos. Koj yuav tsum mus ntsib kws kho mob. Pulmonologists cuam tshuam nrog cov kab mob ntsws.
hnoos qeev
Qhov tshwm sim no qhia tias ib tus neeg feem ntau yuav muaj mob ntsws purulent. Cov ntxhiab tsw ntawm lub qhov ncauj tib lub sijhawm ua rau muaj kev ntxub ntxaug. Cov kab mob uas muaj cov hnoos qeev cuam tshuam nrog cov kua qaub yog raws li hauv qab no:
- rau lub ntsws abscess.
- Vim mob hawb pob, mob khaub thuas lossis txawm ua xua.
- Nrog SARS, uas yog nrogcov tsos mob ntawm abscesses.
Thaum tseem muaj cov ntshav hauv cov hnoos qeev ntxiv rau cov kua paug, qhov no yog kev hu xov tooj. Kev ua cov haujlwm kuaj mob yuav txiav txim siab tias qhov teeb meem yog dab tsi.
Nrhiav seb cov hnoos qeev tau sau li cas rau kev tshuaj ntsuam.
Kev tshawb fawb txog kev zais cia thiab cov yam ntxwv ntawm lawv qhov kev siv
Yog tias qhov tso tawm hloov xim thiab muaj qhov tsis hnov tsw tsw zoo, tus kws kho mob yuav muab tshuaj rau tus neeg mob kom hnoos qeev. Kev tshawb fawb siv lub tshuab ntsuas ntsuas tso cai rau koj los txiav txim qhov xwm txheej ntawm staining. Qhov no txhais tau hais tias tus kws kho mob tuaj yeem txiav txim siab seb pawg twg cov kab mob hauv tus neeg mob lub cev koom nrog. Txoj kev tshawb no feem ntau siv sijhawm ob teev. Cov ntsuas ntsuas tau qhia meej txog qhov xwm txheej ntawm tus kab mob, yog li koj tuaj yeem txiav txim siab kho tau raug.
Rules
Cia peb xav ntxiv seb cov xwm txheej twg yuav tsum ua raws li kev kuaj hnoos qeev tau teem sijhawm:
- Koj yuav tsum txhuam koj cov hniav. Muaj ntau cov kab mob hauv lub qhov ncauj, yog li yog tias tus neeg mob tsis ua raws li cov lus pom zoo no, cov txiaj ntsig kev sim yuav tsis raug.
- Tsis txhob noj ua ntej kev xeem.
- Hnub ua ntej ntawm txoj kev kawm, koj yuav tsum haus cov mucolytic. Cov tshuaj yog ntxuav nrog dej kom ntau. Qhov no yog yuav tsum tau nyob rau hauv kev txiav txim kom lub zais cia cais zoo dua. Txwv tsis pub, hnoos qeev yuav tsis txaus rau kev kawm. Cov kws tshaj lij kuj pom zoo kom haus cov kua dej alkaline ntau dua.
Tom ntej no, peb yuav paub tias qhov kev txiav txim twgtxoj kev tshawb no tab tom pib tawm ntawm kev mob ntsws.
Txoj kev kawm tawm: txheej txheem ua li cas?
Kev kuaj mob ntsws ntsws tau ua tiav hauv kev txiav txim kom zoo:
- Tus neeg mob yuav tsum nqus kom tob li sai tau, thiab tom qab ntawd hnoos kom zoo. Nyob rau hauv qhov xwm txheej uas tsim nyog tau ntsuas hnub ua ntej, hnoos qeev yuav sawv tawm.
- Tom ntej no, tus kws kho mob sau cov khoom. Qhov no yog ua tiav rau hauv lub thawv tsis muaj menyuam (lub thawv yas tsim nyog tuaj yeem yuav ntawm lub tsev muag tshuaj). Nws yog qhov zoo dua los yuav ob lub thawv ib zaug. Qhov yuav tsum tau muaj cov hnoos qeev rau kev kuaj yog tias tus neeg mob muaj mob ntsws yog txiav txim los ntawm tus kws kho mob tshwj xeeb.
- Tom qab kuaj, cov khoom yuav tsum raug xa mus rau chav kuaj sai heev.
Thaum kawg ntawm txoj kev kawm, tus neeg mob yuav tau txais cov txiaj ntsig ntawm kev tshuaj ntsuam, uas nws yuav tsum tau rov qab mus rau tus kws kho mob uas tuaj koom rau kev txiav txim siab. Kev mob ntsws ntsws yog ib yam kab mob uas cuam tshuam rau txhua tus neeg, tsis hais poj niam txiv neej thiab hnub nyoog li cas. Tsuas yog kev tshuaj xyuas microscopic yuav raug txiav txim siab qhov xwm txheej ntawm tus kab mob nrog rau cov kab mob uas ua rau mob ntsws. Qhov no yog ib qho tseem ceeb heev kom tus kws kho mob tuaj yeem sau tshuaj tau zoo thiab tsim nyog rau tus neeg mob.
Tam sim no cia peb tham txog qhov tseem ceeb ntawm kev kho mob ntsws ntsws hauv cov neeg laus.
Kev kho mob ntsws ntsws hauv cov neeg laus
Yog tias tus neeg mob hnoos ntub, uas yog, thaum muaj cov hnoos qeev tawm, ces cov lus pom zoo ntawm tus kws kho mob yuav yog tshuaj ntsuab npaj nrog rau.pw so thiab haus dej haus kom ntau.
mob ntsws, hmoov tsis zoo, kho tsis tau yam tsis muaj tshuaj tua kab mob. Tsis tas li ntawd, thaum lub sij hawm kho, tus neeg mob yuav tsum tau ntim cov tshuaj uas pab txo qhov khaus ntawm cov mucosa. Pneumonia nyob rau theem tam sim no, hmoov tsis zoo, tiv taus penicillin, yog li ntawd, rau nws txoj kev kho mob, cov tshuaj tua kab mob thib ob thiab thib peb tau siv rau hauv cov tshuaj xws li Clavulanate, Sulfamethoxazole, thiab lwm yam..
chav kho mob kuj suav nrog kev nqus pa. Xws li cov txheej txheem moisturize lub mucosa zoo, pab kom nyias cov hnoos qeev, ua kom yooj yim tawm hauv lub cev. Raws li kev lig kev cai, mob ntsws nyob rau hauv cov neeg laus feem ntau pib nrog ib qho hnoos qhuav qhuav uas tom qab ntawd nce mus rau ntub, ntsuab tawm.
Hnub no, kev kuaj mob ntsws tsis yog qhov nyuaj. Nws yog txaus mus kuaj x-ray thiab sab laj tus kws kho mob. Nws yog qhov nyuaj dua los tsim kom muaj tus kab mob ua rau mob ntsws. Nrog rau kev kho kom raug thiab tsis muaj kev txhim kho ntawm cov teeb meem, kev rov zoo feem ntau tshwm sim hauv peb lossis plaub lub lis piam.
Peb saib seb cov hnoos qeev muaj mob ntsws zoo li cas.