Ukuphefumla inyumoniya: Iimpawu, oonobangela, kunye nonyango

Umxholo

• Zithini iimpawu zokuphefumla inyumoniya?
• Yintoni ebangela i-aspiration pneumonia?
• Ngubani osemngciphekweni wokuphefumula inyumoniya?
• Ifunyaniswa njani i-aspiration pneumonia?
• Inyangwa njani i-aspirin pneumonia?
• Inokuthintelwa njani inyumoniya yokuphefumla?
• Iingcebiso zokuthintela
  
• Yintoni enokulindelwa kwixesha elide?
• Yise kude

Yintoni i-aspiration pneumonia?

Ukuphefumla inyumoniya yingxaki yokuphefumla kwemiphunga. Umnqweno wePulmonary kuxa uphefumla ukutya, isisu esiswini, okanye amathe kwimiphunga yakho. Unokuphefumla ukutya okubuyela emva esiswini ukuya kwisisu sakho.

Zonke ezi zinto zinokuthwala iibhaktheriya ezichaphazela imiphunga yakho. Imiphunga esempilweni inokuzicoca ngokwayo. Ukuba azenzi njalo, inyumoniya inokukhula njengengxaki.

Zithini iimpawu zokuphefumla inyumoniya?

Umntu onentsholongwane ye-pneumonia unokubonisa iimpawu zokungacoceki ngomlomo kunye nokucoca umqala okanye ukukhwehlela okumanzi emva kokutya. Ezinye iimpawu zale meko zibandakanya:

• iintlungu zesifuba
• ukuqhawukelwa ngumphefumlo
• ukuvutha
• ukudinwa
• ukujika umbala oluhlaza okwesikhumba
• ukukhwehlela, mhlawumbi ngesikhohlela esiluhlaza, igazi, okanye ivumba elibi
• kunzima ukugwinya
• umoya onukayo
• ukubila okugqithisileyo

Nabani na obonisa ezi mpawu kufuneka anxibelelane nogqirha wakhe. Bazise ukuba kutshanje ukhe waphefumla ukutya okanye ulwelo. Kubaluleke kakhulu ukuba abantwana abangaphantsi kweminyaka emi-2 ubudala okanye abantu abadala abangaphezu kweminyaka engama-65 bafumane unyango kunye nokuxilongwa ngokukhawuleza.

Ungathandabuzi ukuya kugqirha ukuba ukhohlela isikhohlela esinemibala okanye unefiva engaphaya kwe-102 ° F (38 ° C) ukongeza kwiimpawu ezichazwe apha ngasentla.

Yintoni ebangela i-aspiration pneumonia?

I-pneumonia evela kwi-aspiration inokwenzeka xa ukhuselo lwakho lukhubazekile kwaye imixholo enqwenelekayo inexabiso elikhulu leentsholongwane.

Unganqwenela kwaye ukhule nenyumoniya ukuba ukutya okanye isiselo sakho “sihamba ngendlela engeyiyo.” Oku kunokwenzeka nokuba ungaginya ngokwesiqhelo kwaye ube ne-gag reflex yesiqhelo. Kwimeko apho, ixesha elininzi uya kuba nakho ukunqanda oku ngokukhohlela. Abo bangakwaziyo ukukhwehlela, nangona kunjalo, abanakho ukubanakho. Oku kuphazamiseka kunokubangelwa:

• ukuphazamiseka kwemithambo-luvo
• umhlaza womqala
• iimeko zonyango ezifana ne-myasthenia gravis okanye isifo sika-Parkinson
• ukusetyenziswa gwenxa kotywala okanye amayeza amayeza okanye iziyobisi ezingekho mthethweni
• ukusetyenziswa kwamayeza okuthambisa okanye okubulala iintlungu
• amajoni omzimba abuthathaka
• iingxaki zokuqina kwemiphunga
• iingxaki zamazinyo eziphazamisa ukuhlafuna okanye ukugwinya

Ngubani osemngciphekweni wokuphefumula inyumoniya?

Imiba yomngcipheko wokuphefumula inyumoniya ibandakanya abantu abane:

• ukwazi kakuhle
• isifo semiphunga
• ukuxhuzula
• ukubetha
• iingxaki zamazinyo
• Isifo sengqondo esiyingozi
• ukuginya ukungasebenzi
• imeko engalunganga yengqondo
• izifo ezithile ze-neurologic
• unyango lwemitha entloko nasentanyeni
• isilungulela (isisu esibuhlungu)
• isifo se-reflux sesifo se-gastroesophageal (GERD)

Ifunyaniswa njani i-aspiration pneumonia?

Ugqirha wakho uya kujonga iimpawu zenyumoniya ngexesha lovavanyo lomzimba, njengokuncipha kokuhamba komoya, ukubetha kwentliziyo okukhawulezayo, kunye nesandi esiqhekezayo kwimiphunga yakho. Ugqirha wakho unokuqhuba uthotho lweemvavanyo ukuqinisekisa inyumoniya.Oku kunokubandakanya:

• X-reyi yesifuba
• inkcubeko yesikhohlela
• ubalo lwegazi olupheleleyo (CBC)
• igesi yegazi
• bronchoscopy
• ikhompyuter ye-tomography (CT) yendawo yesifuba sakho
• inkcubeko yegazi

Ngenxa yokuba inyumoniya yimeko embi, ifuna unyango. Kuya kufuneka ube unazo ezinye zeziphumo zakho zovavanyo ngaphakathi kweeyure ezingama-24. Iinkcubeko zegazi kunye nezikhohlela ziya kuthatha iintsuku ezintathu ukuya kwezintlanu.

Inyangwa njani i-aspirin pneumonia?

Unyango luxhomekeke kubukrakra benyumoniya yakho. Iziphumo kunye nexesha lokunyanga lixhomekeke kwimpilo yakho jikelele, iimeko ezikhoyo, kunye nemigaqo-nkqubo yesibhedlele. Ukunyanga inyumoniya enkulu kunokufuna ukuba ulaliswe esibhedlele. Abantu abanengxaki yokuginya banokufuna ukuyeka ukuthatha ukutya ngomlomo.

Ugqirha wakho uya kukunika amayeza okubulala iintsholongwane kwimeko yakho. Izinto ugqirha aza kuzibuza ngaphambi kokumisela amayeza okubulala iintsholongwane:

• Ngaba usandul 'ukulaliswa esibhedlele?
• Iyintoni impilo yakho iyonke?
• Ngaba ukhe wasebenzisa amayeza okubulala iintsholongwane kutshanje?
• Uhlalaphi?

Qiniseka ukuba uthatha ii-antibiotics kulo lonke ubude bexesha lokumiselwa. Eli xesha lingahluka ukusuka kwiveki enye ukuya kwezimbini.

Unokufuna ukhathalelo oluxhasayo ukuba i-pneumonia yokuphefumla ibangela iingxaki zokuphefumla. Unyango lubandakanya ioksijini eyongezelelweyo, i-steroids, okanye uncedo kumatshini wokuphefumla. Kuxhomekeke kwisizathu sokungxamiseka okungapheliyo, unokufuna utyando. Umzekelo, unokufumana utyando ngombhobho wokondla ukuba uneengxaki zokuginya ezingaphenduliyo kunyango.

Inokuthintelwa njani inyumoniya yokuphefumla?

Iingcebiso zokuthintela

• Ziphephe iindlela zokuziphatha ezinokukhokelela kwiminqweno, njengokusela kakhulu.
• Lumka xa usela amayeza anokukwenza uzive usozela.
• Ukufumana ukhathalelo olufanelekileyo lwamazinyo rhoqo.

Ugqirha wakho unokucebisa ukuvavanywa kokuginywa yingcali yezintetho enelayisensi okanye ingcali yokuginya. Banokusebenza nawe kwizicwangciso zokuginya kunye nokomeleza izihlunu zomqala. Kuya kufuneka ukuba utshintshe indlela otya ngayo.

Umngcipheko wotyando: Landela imiyalelo kagqirha wakho malunga nokuzila ukutya ukunciphisa ithuba lokugabha phantsi kweanesthesia.

Yintoni enokulindelwa kwixesha elide?

Abantu abaninzi abanesifo sokuphefumula i-pneumonia banazo nezinye izifo ezichaphazela ukugwinya. Oku kunokubangela ixesha elide lokufumana kwakhona. Imbonakalo yakho ixhomekeke:

• ingaba imiphunga yakho ichaphazeleke kangakanani
• ubunzima benyumoniya
• uhlobo lweebhaktheriya ezibangela usulelo
• nayiphi na imeko yonyango exhaphaza amajoni akho omzimba okanye amandla akho okuginya

I-pneumonia inokubangela iingxaki zexesha elide ezinjenge-abscess yemiphunga okanye ukonakala okusisigxina. Abanye abantu baya kuphuhlisa ukusilela okuphefumulayo, okunokubulala.

I-aspiration pneumonia ebantwini abalala esibhedlele ngenxa yenyumoniya efunyenwe luluntu ukuba abekho kwiyunithi yonyango olunzulu (ICU).

Yise kude

I-aspiration pneumonia sisifo semiphunga esibangelwa kukungenisa imixholo yomlomo okanye isisu. Inokuba mbi ukuba ishiywe inganyangwa. Unyango lubandakanya i-antibiotics kunye nenkathalo yokuxhasa ukuphefumla.

Imbonakalo yakho ixhomekeke kwimeko yakho yempilo ngaphambi komsitho, uhlobo lwezinto zangaphandle ezinqwenelekayo kwimiphunga yakho, kunye nazo naziphi na ezinye iimeko onokuba nazo. Uninzi lwabantu (iipesenti ezingama-79) luyakusinda kwi-pneumonia yokuphefumla. Kwipesenti ezingama-21 zabantu abangasayi kuphila, ukusweleka kuhlala kubangelwa yimeko esele ikho ebakhokelele ekubeni bakhethe ukuba ne-DNR (musa ukuvuselela) okanye i-DNI (musa ukubamba).

Nxibelelana nogqirha ngokukhawuleza xa ubona naziphi na iimpawu zenyumoniya, ngakumbi kumntu omdala okanye usana oludala. Ukufumanisa isifo se-pneumonia, ugqirha wakho uya kuyalela iimvavanyo ukujonga impilo yemiphunga kunye nokukwazi ukugwinya.