Cov menyuam mos tseem muaj kev tiv thaiv tsis ruaj khov, yog li lawv feem ntau mob, tshwj xeeb yog kis kab mob thiab mob. Ib qho ntawm cov kab mob no yog hilar pneumonia. Nyob rau hauv ib tug me nyuam, nws muaj peev xwm loj hlob nyob rau hauv cov me nyuam mos thiab thaum hluas. Qhov phom sij ntawm tus kab mob yog qhov tseeb tias nws nyuaj rau kev kuaj mob: thawj theem, nws yuav luag asymptomatic, uas tuaj yeem ua rau muaj teeb meem loj.
cov ntaub ntawv dav dav
Cov kab mob ntsws yog ib yam kab mob uas cuam tshuam rau cov hauv paus hniav ntawm lub ntsws. Nws yog vim li no uas pathology nyuaj rau kev kuaj mob.
Raws li txoj cai, thaum tus menyuam muaj mob hawb pob, tsis muaj hawb pob, tej zaum yuav muaj qhov kub thiab txias ntawm lub cev, thiab ua pa kuj tseem tsis hloov.
Symptomatics
Nyob rau yav tom ntej, daim duab kho mob hloov me ntsis. Tus menyuam poob nws qab los noj mov, koj tuaj yeem pom tias nws ua pa sai npaum li cas, tshwj xeeb tshaj yog thaum khiav lossis thaum ua si. Tej zaum yuav muaj hws ntau ntxiv. Hauv qee cov menyuam yaus, nasolabial quav hloov xiav,thiaj li hu ua cyanosis.
Nws twb tuaj yeem pom qhov kub nce mus txog 39 degrees, cov ntaub so ntswg ntawm daim tawv nqaij (hauv thaj tsam ntawm cov tav) tuaj yeem rub mus rau hauv cov txheej txheem pathological.
Ntau tus menyuam yaus hnov mob rau tus kabmob sib txawv: qee qhov qhia tias muaj kev txaus siab ntau ntxiv, lwm tus qhia tsis txaus ntseeg.
Cov tsos mob yuav txawv nyob ntawm tus kab mob. Yog hais tias tus kab mob yog los ntawm tus kab mob, ces tej zaum yuav hawb pob nyob rau hauv lub ntsws thiab hnoos. Yog tias tus kab mob no muaj keeb kwm tsis zoo, ces nws cov tsos mob zoo ib yam li SARS: tus me nyuam muaj qhov ntswg qhov ntswg, khaus caj pas, qhov kub nce me ntsis.
Tus kab mob no kuj yog tus cwj pwm los ntawm kev kawm ntev, thaum piv nrog cov kab mob ntsws zoo tib yam.
Cov tsos mob thaum lub sijhawm exacerbation
Cov tsos mob ntawm hilar pneumonia hauv cov menyuam yaus zuj zus zuj zus mus. Qhov kub tau nce mus txog 40 degrees thiab nws yuav luag tsis tuaj yeem coj nws mus. Wheezing ua kom muaj zog, ua tsis taus pa nce thiab pom txawm tias thaum lub sijhawm so. Cyanosis twb kis mus rau daim di ncauj thiab rau tes. Yog hais tias muaj hnoos, ces hnoos qeev tshwm. Tej zaum yuav muaj kev puas hlwb thiab lub plawv tsis ua haujlwm.
Yog vim li cas
Qhov feem ntau ua rau mob hawb pob hauv menyuam yaus yog pneumococci, lwm cov kab mob tsis tshua muaj: staphylococci, Pseudomonas aeruginosa lossis Haemophilus influenzae, Klebsiella, aerobic microbes. Txawm tias tsawg dua, mycoplasmas, fungi thiab chlamydia ua rau tus kab mob. Lwm yam ua rau muaj xws li kev ua xua thiab raug tshuaj lom neeg.
Incentive rauCov tsos mob ntawm pathology tuaj yeem dhau los ua:
- prematurity;
- mob plawv tsis xws luag;
- pathologies uas tshwm sim thaum lub sij hawm kev loj hlob ntawm fetal;
- xav;
- developmental qeeb;
- kev tiv thaiv kev tiv thaiv;
- hypothermia.
Kev haus luam yeeb tsis zoo kuj cuam tshuam rau tus menyuam noj qab haus huv, uas tuaj yeem ua rau muaj mob ntsws.
Pathology hauv me nyuam mos
Thaum tus kab mob tshwm sim hauv tus menyuam mos, qhov kev kuaj mob tseem nyuaj dua, vim tus menyuam tsis tuaj yeem qhia qhov teebmeem, tham txog qhov ua rau nws mob - nws tsuas yog quaj xwb. Cov tsos mob tseem ceeb uas yuav tau saib xyuas yog poob qab los.
Cyanosis tuaj yeem tshwm sim, uas pom zoo tshaj plaws thaum pub mis. Cov tawv nqaij ib ncig ntawm cov tav yuav thim rov qab, tab sis kom pom qhov no, koj yuav tsum tau muab tus menyuam tso rau ntawm qhov tawv tawv nrog lub plab.
kab mob daim ntawv
Ob tus neeg laus thiab menyuam yaus, 2 hom kab mob no txawv:
- mob. Nyob rau hauv cov ntaub ntawv no, tus kab mob yog ib ntus, theem ntawm exacerbation sai sai nyob rau hauv, ces tus kab mob kis mus rau hauv lub theem ntawm compaction thiab maj mam daws.
- Tumorous. Lub pathology yog ntev thiab cov tsos mob xyaum tsis manifest lawv tus kheej. Thaum lub sij hawm no, lub hauv paus yuav tawg.
Nyob ntawm qhov chaw, hom hauv qab no txawv:
- Sab laug sab hilar pneumonia. Nyob rau hauv ib tug me nyuam, raws li nyob rau hauv ib tug neeg laus, daim ntawv no tshwm simtsawg heev. Qhov no yog vim lub fact tias nyob rau hauv no ib feem ntawm lub bronchi muaj ib tug elongated thiab nqaim duab.
- sab xis hilar pneumonia. Hauv tus menyuam yaus thiab tus neeg laus, qhov no yog qhov tshwm sim ntau tshaj plaws thiab qhov no yog vim tsuas yog cov qauv ntawm bronchopulmonary system. Nyob rau sab no, lub bronchi yog luv thiab dav hauv cov duab, yog li nws yooj yim dua rau cov kab mob thiab kab mob kom nyob ntawd.
ntsuas ntsuas
Kev kuaj mob yog ua raws li x-ray thiab kuaj hauv chav kuaj. Txawm li cas los xij, ntawm x-rays, lub hom phiaj ntawm cov kab mob sib koom ua ke nrog cov hauv paus hauv lub ntsws, yog li cov kab mob no feem ntau tsis meej pem nrog cov qog nqaij hlav hauv lub ntsws los yog bronchi, thiab qee zaum nrog tuberculosis. Yog li ntawd, nws yuav tsum tsis txhob xav tsis thoob tias cov qauv kuaj tuberculosis feem ntau coj los ntawm tus menyuam.
Ib qho kev tshawb fawb tseem ceeb yog auscultation, uas yog, mloog hawb pob thiab ua pa. Nyob rau tib lub sijhawm, yog tias cov ntaub ntawv tau los ntawm kev mloog thiab x-rays txawv, feem ntau yuav, qhov no yog hilar pneumonia hauv cov menyuam yaus, kev kho mob uas yuav tsum pib tam sim ntawd.
Kev kuaj mob nta
Computed tomography tuaj yeem siv los ua kev ntsuas ntxiv los kuaj xyuas qhov tseeb.
kuaj ntshav tsis yog ib txoj hauv kev zoo. Nrog mob ntsws, mob qog noj ntshav thiab mob ntsws, ESR hauv cov ntshav tau nce ntxiv, yog li nws tsis tuaj yeem ua qhov kev kuaj mob raws li cov ntaub ntawv no. Yog tias qhov kev kho mob tsis muab cov txiaj ntsig zoo, ces lawv mus rau biopsy.
Txoj kev kho mob thaum yau
Txawm tias muaj hnub nyoog thiab cov tsos mob, hilar pneumonia hauv cov menyuam yaus raug kho hauv tsev kho mob. Tus me nyuam tawm hauv tsev tsuas yog thaum muaj kev phom sij rau lub neej thiab kev noj qab haus huv ntawm tus menyuam ploj.
Kev ntsuas kho yog ua raws li qhov kev pab cuam ntawm qhov ua rau muaj qhov tshwm sim ntawm tus kab mob.
thawj theem ntawm kev kho mob
Thaum thawj theem ntawm tus kabmob, thaum kuaj pom pathology, kev kho tshuaj tua kab mob tau ua tiav. Nyob ntawm lub hnub nyoog thiab lwm yam yuav raug siv:
- tshuaj tiv thaiv kab mob;
- antifungal;
- Ybronchodilators.
Tshuaj uas tuaj yeem txhawb kev tiv thaiv kab mob feem ntau siv. Nyob rau tib lub sijhawm, tus menyuam tau txais cov tshuaj uas txo lub cev kub thiab tshem tawm qhov ua npaws. Nrog rau kev kuaj mob kom raug thiab cov tshuaj xaiv tau zoo, kev txhim kho tuaj yeem pom ntxov li hnub thib ob lossis thib peb tom qab pib kho.
theem ob ntawm kev kho mob
Tom qab tshem tawm cov tsos mob tseem ceeb thiab ua kom lub cev kub nyob hauv kev kho mob ntawm sab xis sab xis hilar pneumonia hauv menyuam yaus (nrog rau sab laug), theem thib ob ntawm kev kho mob pib, suav nrog kev kho lub cev thiab ua pa tawm dag zog. Kev zaws thiab ua kom sov tuaj yeem raug sau tseg. Nrog rau lub plawv tsis muaj zog, glycosides tau muab rau tus menyuam.
Lub sijhawm rov qab los, nws tseem ceeb heev rau cov niam txiv saib xyuas tus menyuam txoj kev haus dej. Lub sijhawm no, nws xav tau ntau ntxiv ntawm cov kua dej sov. Ntawm notheem ntawm kev noj haus yuav tsum tshem tawm cov khoom hnyav.
Herbal inhalers tej zaum yuav raug pom zoo kom rov zoo sai - cov menyuam mos feem ntau ua rau lawv zoo.
Rehabilitation period
Yuav ua li cas kho mob ntsws hawb pob sab xis (thiab sab laug) yog txiav txim los ntawm kws kho mob, tab sis nyob rau theem rov zoo, ntau nyob ntawm niam txiv. Ua ntej tshaj plaws, tus menyuam xav tau huab cua ntshiab, uas yog, koj yuav tsum tau taug kev nrog nws ntau zaus. Tsis txhob hnov qab txog kev ua pa thiab kev tawm dag zog, uas tus kws kho mob tau sau tshuaj rau tus kheej.
Nyob rau theem kev kho kom rov zoo, phytotherapy tuaj yeem pab tau zoo los kho lub cev - nws raug nquahu kom coj tus menyuam mus rau lub tsev kho mob. Tom qab tag nrho, nws yog qhov zoo dua los ua kom tus menyuam tawv, qhia nws noj kom raug thiab kho nws cov kab mob kis tau raws sijhawm.
Muaj Teeb Meem
Tsis txhob xav tias cov kws kho mob sim ua kom cov niam txiv ntshai. Pneumonia yog ib yam kab mob loj heev uas muaj ntau daim ntawv teev cov teeb meem tshwm sim. Kev kuaj mob lig lossis mob ntsws tsis zoo tuaj yeem ua rau myocarditis. Qhov no pathology yog inflammatory nyob rau hauv cov xwm thiab cuam tshuam rau myocardium los yog lub plawv cov leeg. Txog niaj hnub no, keeb kwm ntawm tus kab mob no twb raug pov thawj.
Koj tuaj yeem tsim cov kab mob endocarditis lossis exudative pleurisy, thiab qhov no yog cov kua dej ntau hauv lub pleura, uas feem ntau tuaj yeem tshem tawm los ntawm cov kua dej.
Nws kuj ua tau lub siab lub ntswspulmonary insufficiency los yog txawm tsim ib qho abscess nyob rau hauv cheeb tsam ntawm pulmonary cag. Ib qho abscess yog tus cwj pwm los ntawm kev tsim cov kua paug hauv cov ntaub so ntswg, qhov no nyob rau hauv lub hauv paus cheeb tsam, uas yog txwv los ntawm ib lub hnab ntawm cov ntaub so ntswg. Nyob rau hauv rooj plaub uas tus kab mob no kav ntev, nws yuav mus ntev, thiab tej zaum yuav muaj ob peb foci lawv tus kheej.
Kev Tiv Thaiv
Thaum koj tsis saib xyuas cov cai yooj yim, nws tuaj yeem ua rau muaj mob hawb pob hauv menyuam yaus thiab cov neeg laus. Ua ntej tshaj plaws, peb tab tom tham txog hypothermia thiab kev noj haus. Tsis muaj teeb meem koj yuav tsum pub koj tus menyuam cov zaub mov tsis zoo.
Thaum lub sij hawm exacerbation ntawm cov kab mob kis (lub caij nplooj zeeg-caij nplooj ntoos hlav), nws raug nquahu kom muab cov vitamin-mineral complexes rau menyuam yaus los txhawb kev tiv thaiv. Koj yuav tsum tsis txhob cia cov kab mob kis mus ntev thiab ua pa, thiab koj yuav tsum tsis txhob noj tshuaj rau tus kheej - nws yog qhov zoo dua mus ntsib kws kho mob tam sim ntawd.
Nws yog ib qho tsim nyog los tshem tawm tag nrho cov kab mob foci kom ntau li ntau tau thiab tiv thaiv tus menyuam los ntawm kev ua xua. Cov niam txiv raug txhawb kom tsis txhob haus luam yeeb kom tus menyuam tsis txhob haus luam yeeb. Koj yuav tsum coj tus menyuam mus kuaj kev tiv thaiv hauv lub tsev kho mob. Tsis txhob tsis kam txhaj tshuaj tiv thaiv.
Txawm hais tias cov tsos mob ntawm hilar pneumonia nyob rau hauv cov me nyuam feem ntau me me, cov niam txiv ceev faj yuav pom tias muaj ib yam dab tsi tsis ncaj ncees lawm rau lawv tus menyuam.
