Daaweynta pneumonia ee dadka waaweyn: mabaadi'da iyo daroogada

Pneumonia yeedhay horumarinta isbedel bararka ee unugyada sambabada. Tan waxa u sabab ingress ee bakteeriyada (bacteria inta badan, laakiin waxaa laga yaabaa in fayrusyada, iyo fangaska) siyaabo kala duwan. khatar pneumonia waa in geeddi-socodka ah ee sarrifka gaaska damiso badan ama ka yar ballaaran qayb ka mid ah sambabada, taas oo yaraynaysa sahayda oxygen in unugyo ah. Intaa waxaa dheer, jidhku waa ku sumoobay waxyaabaha barar iyo burburinta parenchyma sambabada.

Pneumonia qaadi karaan:

- in bulshada (pneumonia sida loo yaqaan "bulshada-helay");

- qofka la daweeyey cusbitaalka ku saabsan cudur kale,

- kacay ay sabab u tahay xanuunada maskaxda ah (qalal, miyirka oo luma), oo sabab u ah kaas oo ka kooban caloosha ayaa galay haweedka (pneumonia rajo gelin darteed) ;

- dadka difaaca jirkoodu hoos yahay.

Iyadoo ku xiran kaas oo ka mid ah afarta nooc oo arkay kiiskan, iyo iyada oo account da'da iyo jiritaanka cudurada raaga, by daawaynta oof wareenka in dadka waaweyn ee la amray.

Sida microbe helo sambabbada?

1) Sida laga soo xigtay bronkie:

- marka dhuftay by buufis, faddarayn dadku la microbes pathogenic. Waa dheeraad ah oo la mid ah cudurka qaaxada ama pneumonia viral ;

- by neefsasho oo ka mid ah waxyaabaha uu afkiisa iyo dalqada. Marxaladani waxay had iyo jeer dhacdaa hurdo weyn, xoojinaya qaadashada kiniiniga hurdada ama walxaha sarkhaansan yihiin khamri. In sambabada caadiga ah ilaalinta difaaca degaanka ka shaqeeya, laakiin marka la wiiqay by virus ah, marka jeermiska aad u badan ama ay aad u dagaal badan yihiin, pneumonia dhacdaa.

2) Ka dib markii dhiig ka soo diiradda kale bararka. Tusaale ahaan, lafta - osteomyelitis, oo ka mid ah khaanadaha waxyaalaha qalbiga ku jira - endocarditis.

3) xiriirka by:

- xiriir la malax ka xubin xiga, sida malax beerka;

- in cabaar boogaha ee xabadka.

Mabaadiida on taas oo ah daawaynta oof wareenka ee dadka waaweyn

Haddii cudurka "pneumonia" ka, waxa ay tilmaamaysaa magacaabidda hal ama laba antibiotics, sida xitaa haddii taasu waxay ahayd (sida fayraska hargabka) fayras, ay bakteeriyada si kastaba ku biiray.

Fikradda waa in antibiotic ku lahaa in loo magacaabo ka dib markii caabuq pathogene microbial lagu qeexay, oo helay ay dareen in ay daroogada. Laakiin waxay u baahan tahay expectoration khasab ah xaako, taas oo ka dhigi kartaa bukaan kasta, iyo sidoo kale 4-5 maalmood sugaya natiijada, taas oo aan la aqbali karin. Loss of time keeni kartaa dhimasho of bukaanka. Sidaa darteed, antibiotics yihiin siman suurad wacan ka dib markii nin isku dhiibay xaako baaritaan bakteeriyadda, laakiin isla maalintaas iyo doorbidayaa at isla saacaddiiba, sida uu cudurka (jirto wax caddeyn khasaaraha ka mid ah xitaa 4:00 waqti waa saadaal weyn u sii xumaado).

Daaweynta pneumonia in dadka waaweyn ee ku salaysan yahay shuruudaha soo socda:

1. Pneumonia View: bulshada helay, asalkiisu ka soo jeedo ee isbitaalka ama kale.
2. burburinta Volume of unugyada sambabka: segmental, lobar, polysegmental, hal ama laba dhinac.
3. xaalada bukaanka: ku salaysan ay caafimaadka guud, neefta oo ku qabata, dhiig-karka, heerka ogsiijinka dhiigga.
4. Age.
5. Jiritaanka cudur saameen wadnaha, sambabada (tus, boronkiitada chronic), kelyaha.

Daaweynta waxaa lagu fuliyaa guriga ama isbitaal ku yaala waaxda daaweynta ama pulmonology ah. Mararka qaarkood u baahdaan in isbitaal ee qaybta daryeelka degdegga ah.

Pneumonia: Cilad-

Classic calaamadaha caabuq sambabada - sare (ka sarreeya 38 ° C) heerkulka, qufac, gobolka guud ee sii daraysa (daal, hurdo, rabitaanka cuntada oo luma). Laakiinse haatan pneumonia soo noqnoqda la Dabcan atypical. Against asalka ah ee heerkulka sare ama mid aad u sarreeya dhici kara shuban ama khalkhal miyir, delirium, dhalanteed. Xaaladdan oo kale, qufac ayaa laga yaabaa in aanay noqon kaamil ah.

Sidaa darteed, baaritaanka caadiga ah ogaanshaha waa in ay sameeyaan radiograph sanduuq, sidoo kale waxaa laga yaabaa in u baahan tahay CT scan a.

Daaweynta pneumonia in dadka waaweyn ee antibiotics

Loo isticmaalo daweynta of antibiotics sida, "Amoxiclav", "cefixime" "Sumamed", "Levofloxacin", "Avelox". Waxaa loo qoray in kiniin, inta badan loo isticmaalaa isku jira oo dhanba. Tusaale ahaan, marka u socodka ee cuf celcelis ahaan waxaa laga yaabaa in loo xilsaaray diyaarinta adag sida "Sumamed" daray "Aveloks" ama "Lefloks". Haddii cudurka waxaa keena Klebsiella daaweynta pneumonia u baahan isbitaal. Xaaladdan oo kale, u magacaabay diyaarinta xididka iyo muruqyada dhexdooda sida "Amikacin", "Gentamycin" si wadajir ah ula daawo "Leflotsin" ama "Tavanik".