Inotyisa Chikonzero-uye-Kumukama Ukama
Bhakteria pneumonia uye chirwere chisingaperi chisingakonzera mapirmoni (COPD) ine uipi hunokonzera-uye-hukama hukama. Kune rumwe rutivi, kuora kwekupfuurira kwemapapu neCOPD kunogona kuwedzera kukanganisa kwemunhu kune hutachiona hwehutachiona, asi chirwere chinoputika chinogona kukonzera kufambira mberi nokukurumidza uye kusingagadziki kwezviratidzo zveCOPD.
Sezvo imwe chiitiko chinowedzera, imwe inotanga kutevera kunze kwekuti zvimwe zvidzidzo zvinotorwa.
Zvinokonzera
Bhakteria pneumonia inowanikwa apo bhakitiriya inowanikwa inopinda nenzira yepamusoro yemapapu. Zvichienderana nehutano hwemunhu, mabhakitiriya anogona kukonzera utachiona hwepamunharaunda kana kutungamira pneumonia umo air sac ( alveoli ) yeimwe kana mapafu ose anozadzwa nemvura.
Streptococcus pneumoniae uye Haemophilus influenza ndizvo zvinowanzokonzera bhakitiriya pneumonia.
Vanhu vane COPD ndivo vanonyanya kuomerwa nechirwere chemuviri sezvo zvirwere zvavo zvekudzivirira zvirwere zvakarongeka zvakasimba nekuramba kuri kuputika kwemapapu. Uyezve, chikwata chakakonzerwa chinowanikwa muCOPD chinogadzira nzvimbo yakakwana iyo inogadzirisa utachiona.
Zviratidzo nezviratidzo
Zviratidzo zvebhakitiriya pneumonia hazvisi zvakasiyana nedzimwe mhando ipi zvayo yepineumonia . Nezvo zvichitaura, bhakitiriya pneumonia inowanzova yakanyanya kukunda kupfuura mukomana wayo, zvikurukuru mukati memamiriro ezvinhu eCOPD.
Izvi zvinokonzerwa, muchidimbu, kuti bhakitiriya pneumonia inowanzokonzera vanhu vane simba rekudzivirirwa mumuviri , asi hutachiona hwepneumonia hunogona kukanganisa kunyange avo vane masimba emuviri akaoma.
Zviratidzo zvinozivikanwa zvebhakitiriya pneumonia zvinosanganisira:
- Kamwe kamwe-kamwe kunotanga kwechills
- Kukurumidza kunaya fever 101 o F kusvika 105 o F
- Kutema marwadzo epfupa kunowedzera nekufema nekukanganiswa
- Greenish-yellow kana mucheka wakagadzirwa neropa
- Kukurumidza kufema kufema (tachypnea)
- Kugunun'una
- Nasal flaring
Mamiriro acho anoonekwa sechirwere chekukurumidzira kana fivha yakakura iri pamwe chete nokuvhiringidzika, kupumbuka kwepfungwa, kukurumidza kunetseka kwemwoyo ( tachycardia ), uye bluish skin tone nekuda kwekushayikwa kweokisijeni ( cyanosis ).
Kuziva
Kuongororwa kwebhakitiriya pneumonia inowanzotanga nekuongorora mumuviri uye kuongorora kwezvose zviratidzo uye nhoroondo yemurwere. Mimwe miedzo ingasanganisira:
- Chifukidzo X-rays kuti aongorore huwandu hwemapapu ekupinda
- Sputum tsika kuti ibatsire kuziva rudzi rwebhakitiriya
- Urine antigen miedzo yekuona kuvepo kwebhakitiriya chaiyo
- Arterial gasses kana pulse oximetry kuti uongorore mazinga eoksijeni ekusimudza
- Nhengo dzeropa kuongorora kana mabhakitiriya akapararira kubva kumapapu kusvika kuropa
Kurapa
Bhakitiriya pneumonia inorapwa nemishonga inorwisa mabhakitiriya . Imwe kana kupfuura inorwisa mabhakitiriya inogona kurongerwa zvichienderana nekuoma kana kudzokorora kwehutachiona. Zvinodhaka zvinosanganisira:
- Adoxa (doxycycline)
- Amoxil (amoxicillin)
- Biaxin (clarithromycin)
- Zithromax (azithromycin)
Kana kambani inotanga kurapwa, vanhu vanowanzozvinzwa zviri nani mumazuva mashoma. Zvose zvakataurwa, zvinogona kutora mazuva gumi kana kupfuura mazuva kuti awane zvakare.
Uyezve, kana ma antibiotic atanga kuiswa, anofanira kutorwa kuti apedze. Kusakwanisa kuita izvi kunogona kutungamirira kumishonga inorwisa mabhakitiriya , zvinoreva kuti mishonga haigone kushanda kana chirwere chinokonzerwa nebhakitiriya chinodzoka.
Zviitiko zvakanyanya zvepineumonia zvinogona kudikanwa kuti zvipatarise uye zvinosanganisira kushandiswa kwemishonga inorwisa mabhakitiriya uye mvura inopisa kuitira kudzivirira kupera simba.
Kudzivirira
Nzira yakanakisisa yekudzivirira bhakitiriya pneumonia ndeyokuwana chirwere chepineumonia. Iyo inozivikanwa sePneumovax 23 , chirwere chacho chinokurudzirwa kune ani naani ane COPD ane humwe nyanzvi yemapurisa akabudiswa makore ose mashanu kana kana munhu akatendeukira 65.
Chipiri chepneumonia vaccine, inozivikanwa sePrevnar 13, inokurudzirwawo kune vanhu 65 nekure.
Mamwe maitiro akachengeteka anosanganisira:
- Kusiya kusvuta kunonoka kufambira mberi kweCOPD uye kudzivirira kuwedzera
- Kuwana chirwere chegore negore chapfurwa kuti chidzivirire kukuvadzwa kwakawedzera kumapapu
- Kushambidza maoko nguva dzose
- Kudzivisa chero munhu anorwara, kukwasva, kana kunyorera
> Sources:
> Diao, W .; Shen, N .; Yu, P. et al. "Kubudirira kwechirwere che 23-valent pneumococcal polysaccharide mukudzivirira hutachiona hunowanikwa munharaunda pakati pevanhu vasina kukwanisa kugadzirisa zvirwere: Kuongororwa kwakarongeka uye kuongororwa kwematambudziko akasiyana-siyana." Vaccine . 2016; 34 (13): 1496-1503. DOI: 10.1016 / j.vaccine.2016.02.023
> Torres, A .; Blasi, F .; Dartois, N. et al. "Ndeapi vanhu vari pangozi yakawanda yepneumococcal disease uye nei? Izvo zvinokonzerwa neCOPD, chirwere cheputi, kusvuta, chirwere cheshuga, uye / kana chirwere chepfungwa chisingaverengeki pane pneumonia inowanikwa munharaunda uye zvirwere zvinotapukira zvepneumococcal." Thorax . 2015; 70 (10): 984-9. DOI: 10.1136 / thoraxjnl-2015-206780.