Isifo semiphunga: yintoni, unobangela kunye nendlela yokuyinyanga

Umxholo

• Izinto ezibangela inyumoniya esibhedlele
• Iimpawu eziphambili
• Unyango lwe-pneumonia yesibhedlele

I-pneumonia yesibhedlele luhlobo lwenyumoniya eyenzeka kwiiyure ezingama-48 emva kokulaliswa esibhedlele komntu okanye ukuya kuthi ga kwiiyure ezingama-72 emva kokuba ekhutshiwe kwaye i-microorganism ejongene nosulelo ibingafukami ngexesha lokwamkelwa esibhedlele, sele ifunyenwe esibhedlele.

Olu hlobo lwenyumoniya lunokunxulumana neenkqubo ezenziwa esibhedlele kwaye kunokubangelwa, ikakhulu, ziibhaktheriya ezikhoyo kwisibhedlele kwaye ezinokuhlala kwimiphunga yomntu, ukunciphisa inani leoksijini kunye nokuvelisa usulelo lokuphefumla.

Kubalulekile ukuba inyumoniya yasesibhedlele ichongwe kwaye inyangwe ngokukhawuleza ukuze iingxaki zithintelwe kwaye kukho ithuba elikhulu lokufumana unyango. Ke ngoko, ugqirha oqhelekileyo okanye ugqirha wamaphaphu okanye isifo sesifo esosulelayo sinokucebisa ukuba kusetyenziswe amayeza okubulala iintsholongwane ukuze kupheliswe i-microorganism enoxanduva kunye nokukhuthaza ukuphucula iimpawu.

Izinto ezibangela inyumoniya esibhedlele

I-pneumonia yesibhedlele ibangelwa zii-microorganisms ezinokufumaneka ngokulula esibhedlele ngenxa yezinto ezinobungozi ezinazo ezibavumela ukuba bahlale ixesha elide kwisibhedlele kwaye ezingasuswa zizibulali-ntsholongwane ezisetyenziswa rhoqo esibhedlele.

Olu hlobo lwenyumoniya lwenzeka ngokulula kubantu abangena kumatshini wokungenisa umoya, emva koko bafumana igama lenyumoniya enxulunyaniswa nomoya wokungenisa umoya, kwaye banomsebenzi omncinci wokuzikhusela komzimba okanye abanobunzima bokuginya, benethuba elikhulu lokufuna. iphecana eliphezulu lokuphefumla.

Ke, ezona zinto ziphambili zichaphazela inyumoniya zezi:

• UKlebsiella pneumoniae;
• Enterobacter sp;
• Pseudomonas aeruginosa;
• Acinetobacter baumannii;
• IStaphylococcus aureus;
• IStreptococcus pneumoniae;
• Legionella sp.;

Ukuqinisekisa inyumoniya yasesibhedlele, kufuneka kuqinisekiswe ukuba usulelo lwenzeke kwiiyure ezingama-48 emva kokungeniswa okanye ukuya kuthi ga kwiiyure ezingama-72 emva kokukhutshwa, ukongeza kwiimfuno zelebhu kunye neemvavanyo zokucinga ukunceda ukuqinisekisa inyumoniya kunye neentsholongwane ezinxulumene nesifo. Funda ngakumbi malunga nosulelo esibhedlele.

Iimpawu eziphambili

Iimpawu ze-nosocomial pneumonia ziyafana ne-pneumonia efunyenwe luluntu, enefiva ephezulu, isikhohlela esomileyo esinokuthi siqhubeke sikhwehlele ngokukhupha okuphuzi okanye okunegazi, ukudinwa okulula, ukungabikho komdla, iintlungu esifubeni kunye nobunzima bokuphefumla.

Njengokuba uninzi lweziganeko zenyumoniya ye-nosocomial yenzeka kumntu osesibhedlele, iimpawu zihlala ziqwalaselwa ngokukhawuleza liqela elijongene nomntu, kwaye unyango luqale kwakamsinya emva koko. Nangona kunjalo, ukuba iimpawu zesifo sokukrala kwemiphunga zibonakala emva kokuphuma, kubalulekile ukuba umntu adibane nogqirha owayehamba nabo ukuze enze uvavanyo, kubonisiwe ukwenza uvavanyo kwaye, ukuba kukho imfuneko, aqalise olona nyango lufanelekileyo.

Funda ukuqaphela iimpawu zenyumoniya.

Unyango lwe-pneumonia yesibhedlele

Unyango lwe-nosocomial pneumonia kufuneka luboniswe yi-pulmonologist ngokungqinelana nempilo yomntu ngokubanzi kunye ne-microorganism ejongene nenyumoniya, kunye nokusetyenziswa kwee-antibiotics ukulwa ne-microorganism kunye nokunciphisa ukuvuvukala kudla ngokuboniswa.

Iimpawu zokuphucuka zihlala zibonakala malunga nosuku lwe-7 lonyango, nangona kunjalo, kuxhomekeke kubukhali benyumoniya, umntu unokuhlala esibhedlele ngexesha lonyango okanye, kwezinye iimeko, akhululwe. Kwimeko yokugqibela, abaguli abanesi sifo banokusebenzisa i-antibiotics yomlomo ekhaya.

Ngamanye amaxesha, unyango lomzimba lunokuboniswa, ngokuphefumla kunokulunyanga unyango ngamayeza, ukunceda ekususeni ukhuseleko olunentsholongwane kunye nokuthintela ibacteria entsha ekufikeleleni emiphungeni, ikwasetyenziswa nakwizigulana esele zilaliswe ixesha elide ixesha, njengendlela yokuthintela inyumoniya ye-nosocomial. Qonda indlela eyenziwa ngayo i-physiotherapy yokuphefumula.

Unyumoniya esibhedlele ungosulela kwaye, ke ngoko, kubalulekile ukuba umntu aziphephe iindawo zikawonkewonke ezifana nomsebenzi, iipaki okanye isikolo, ade anyangwe. Nangona kunjalo, ukuba kunyanzelekile ukuba uye kwezi ndawo, kuyacetyiswa ukuba kusetyenziswe imask ekhuselayo, enokuthengwa kuyo nayiphi na ikhemesti, okanye ubeke isandla sakho, okanye itshefu, phambi kwempumlo nomlomo wakho xa uthimla okanye ukhohlela.

Jonga ezinye iindlela zokuzilolonga ezinceda ukomeleza imiphunga kunye nokubuyisa isantya kwinyumoniya: