Esikhohlisayo inyumoniya umphakathi atholwe

Isifo samaphaphu - kuba phambi ukuvuvukala emaphashini. Futhi igama isifo "umphakathi atholwe inyumoniya" libonisa ukuthi lokhu kuwumphumela ukuchayeka izici etiologic ngaphandle kwasesibhedlela. Ukuvuvukala owabeka parenchyma yamaphaphu, iphaphu eligulayo, ukuze babe munye, noma encane kakhulu uma kuqhathaniswa isabelo saso. Uma inqubo Luhilela kokubili emaphashini ke uphethwe liyokhala - ezimbili ngendlela inyumoniya umphakathi kuluthola.

Izimbangela isifo

Imbangela ukuvuvukala kungenzeka ezihlukahlukene ezincane, isikhunta, amagciwane. Phakathi kakhulu njalo: streptococci, pneumococci, futhi staphylo-, Klebsiella, Umkhuhlane futhi parainfluenza amagciwane, mycoplasmas nezinye Amagciwane. Ngu isifo kungabangela buthakathaka amasosha omzimba, hypothermia ezinzima, isikhathi eside ukuchayeka njalo ayingozi emsebenzini. inyumoniya Community-atholwe angagcina njengendlela inkinga yezifo ukuvuvukala elingenhla ipheshana zokuphefumula (tracheitis, ukucinana kwemigudu yokuphefumula , njll) Futhi khona noma kungenzeka umzimba nomzimba.

I pathogenesis lesi sifo ezilandelayo: lwegciwane noma emoyeni abangena ukuhileleka ngu wamaphaphu hematogenous uqala ukwanda. Lokhu lula uketshezi bronchial kanye uketshezi kwakhiwa ngenxa ukuvuvukala iyizingxenye wamaphaphu. I indima ebalulekile eyadlalwa ukuphendula immunological yokubakhona umonakalo izicubu. Lapho kungenzeka izifo ezibangelwa amagciwane nzima inyumoniya ukubusa kwegciwane. Ngokujwayelekile vele uye ijoyina izinsuku eziyisikhombisa kuya kweziyishumi ngemuva kokuqala izifo ezibangelwa amagciwane, ngaphansi kwesimo lube buthaka abukhali kwesimiso somzimba sokuzivikela ezifweni futhi kwehle umsebenzi elwa namagciwane of macrophage uhlelo kwamaphaphu. Okungalapheki-pneumonia umphakathi labawatfolile esifundvweni nobe abadala bungabangela ungakaqedi ikhambi yefomu oyingozi.

ukubonakaliswa Clinical lesi sifo

Lobar inyumoniya kuyinto ukuqala oyingozi futhi okusheshayo. Ngokuvamile lesi sifo senziwa supercooling umzimba, bese kukhona Ukugodola eqinile nomzimba okusezingeni eliphezulu lokushisa ukufinyelela 41 ° C. Kusho isifuba esomile lapho isiguli ekhononda ka ubuhlungu besifuba , kuse ecaleni ethintekile. Okulandelayo kukhona ubovu, isikhwehlela ibuthuntu. Isiguli iphatheka kabi, isikhumba ugodo noma ngezinye izikhathi cyanotic ngoba ihlule hypoxia. Breathing njalo futhi eligcizelela ukubukeka kwangaphandle, bangahlanganyela imisipha ngaphezulu. On the izindebe nezinye nolwelwesi lwamafinyila kungenzeka herpes. Uma kubhekwa ngasohlangothini thorax onesandla ethintekile ngemuva bokuphefumula, auscultation umoya buthaka. Pulse njalo, ingcindezi kanye ukuthambekela hypotension. Esikhathini igazi, leukocytosis okusezingeni eliphezulu futhi ESR. I izithombe wesabelo abathintekayo kungabonakala ugesi Imininingwane.

Inhlanganisela pneumonia yegciwane kwegciwane kanzima olimaza isimo lesiguli. Ukuphelelwa ngumoya kungenzeka nge nokuvaleka kwemigudu yokuphefumula kanye enobuthi i-shock syndrome.

Ukucinana kwemigudu yokuphefumula, engenhla zokuphefumula ipheshana ukutheleleka landile isifo ebalulekile emaphashini. a pneumonia okunjalo emphakathini-ngazuza futhi iqala lokushisa anda, kodwa jikelele hhayi njengoba esindayo njengoba e ukuvuvukala croupous. Futhi, kukhona ukukhwehlela, ekuqaleni ezomile ke nge phlegm.

inyumoniya okunobuthi kuyinto umtholampilo ekhethekile. Ngo ukudakwa ezinzima, izinga lokushisa, impilo ebuthaka, izilonda emitholampilo umgudu Inhloso akuyona kukubi, futhi kuphela uma luhlolo ezengeziwe ungalungisa uphethwe.

Izinkinga lesi sifo kungaba effusion pleural, pneumothorax, ukwakheka ithumba, Izifo ukuvuvukala yezinye izinhlelo umzimba.

Njengoba i-pneumonia umphakathi atholwe kutholakala ukuthi uphethwe yini? ekwelapheni lesi sifo

Sifo kusekelwe isici izikhalazo ukuhlolwa idatha usebenzisa izifundo laboratory (segazi, isikhwehlela wokuhlwanyela nokuzimisela luvelo antibiotic), esifubeni-X-ray luhlolo spirography. Ezimweni ezinzima kungadinga computed tomography.

amafomu Ezintsha pneumonia zingelashwa ekhaya ngaphansi udokotela kwabaqaphi. Ezinye izinhlobo zokungabi ziphathwa esibhedlela. ingxenye okuphoqelekile okwenziwa ezikhungweni kwelashwa antibiotic. Zisetshenziswa Ngenxa nozwela lwegciwane. Ngesikhathi esifanayo, ngenjongo ngokukhishwa kobuthi egazini Kwenziwa yokwelapha ukumnika, aqokwe antihistamine nezidakamizwa expectorant, multivitamins. Ophumelelayo, ukuyifundisa ukuphefumula umzimba.