I-croupous pneumonia

I-croupous pneumonia yinkqubo evuthayo yokuvuvukala ethatha lonke i-lobe yamaphaphu, okuholela ekushintsheni okungavamile kokuziphatha komzimba.

I-Etiology kanye ne-pathogenesis ye-pneumonia ye-croupous

I-agent enkulu ye-causative ye-pneumonia e-croupous yilezi:

• i-pneumococci;
• streptococci;
• i-staphylococci;
• E. coli;
• I-wand friedlander.

I-croupous pneumonia inezigaba ezilandelayo zentuthuko:

1. Isiteji se-hypermia noma umzila ophezulu. Phakathi nalesi sikhathi, inqubo yokuvuvukala e-alveoli iholela ekwandeni kwabo. Bambalela umthamo we-exudative. Isiteji singahlala emahoreni angu-12 kuya kwezinsuku ezintathu.
2. Isinyathelo sokuphilisa obomvu. Ama-erythrocyte aqala ukungena emzimbeni oqoqiwe ovela ezitsheni. Wonke umoya uphonswa e-alveoli futhi umbala wesibindi uvela.
3. Isiteji sokuphulukisa grey. Le nkathi yentuthuko ibonakala ngokusabalalisa kwama-leukocytes phezu kwama-erythrocytes, okunikeza umbala ompunga kwisitho. Ubude besiteji luvela ezinsukwini ezintathu kuya kwezingu-5.
4. Isinqumo sesigaba. E-alveoli kune-resorption ye-fibrin nama-leukocyte futhi kukhona ukuhlolwa okuncane okuhambisana ne-sputum. Lokhu kwenzeka nxazonke zosuku oluyi-7-11 lwesifo.

Izimpawu ze-pneumonia ye-croupous

Njengomthetho, lesi sifo siqala ngokuqinile futhi singathathwa yizici ezilandelayo:

• izikhukhula;
• ukukhathazeka okukhulu nokubuthakathaka;
• ikhanda;
• ukujuluka okukhulu;
• ukwanda kokushisa kuya ku-39-40 ° C;
• ubuhlungu esifubeni;
• ukuphefumula okungapheli;
• ukukhishwa kwe-sputum ehlanzekile.

Ngesikhathi kutholakala ukuthi i-pneumonia i-croupous, udokotela oya khona angalalela ukukhalaza futhi abonise ukuthi uhlanga oluhle kakhulu, i-tachycardia ingabonakala. Ukuze uthole isithombe esicacile futhi esiphelele, i-X ray kanye nezinye izivivinyo zelabhuthri kufanele zenziwe, ezingabonisa ukuthuthukiswa kwesifo.

Izinkinga ze-croupous pneumonia ezingadinga ukwelashwa okufanelekayo zingaba yingozi kakhulu. Kulezi zinkinga kungenzeka ukuthi uthwale:

• isifo se-sepsis - igazi kanye nokusabalala kokutheleleka kuwo wonke umzimba;
• pleurisy exudative - ukuvuvukala kwe-lung membrane;
• i-abscess - isisupuration;
• i-pericarditis - inqubo yokuvuvukala esikhwameni senhliziyo;
• ukushaqeka okubhebhethekayo.

Ukwelashwa kwe-pneumonia ye-croupous

Iziguli ezinezifo eziyingozi, ukunakekelwa ngokucophelela nokuphathwa ngokuqinile kubaluleke kakhulu. Lokhu kusebenza kwezidakamizwa nokudla. Ngenxa yokuthi ngokudla okungavamile kwezidakamizwa kanye nesilinganiso esingalungile, amabhaktheriya akwazi nje ukuphela, kodwa futhi aqinise, kubaluleke kakhulu ukuphuza imithi ngesikhathi esinqunyiwe nangomthamo othile.

Ukwelapha lesi sifo esetshenziswa ama-antibiotics nama-sulfonamide, okusiza kakhulu ukunciphisa ukuhamba kwesifo. Ngezinye izikhathi kwenzeka futhi lokhu: i-agent causative iqala ukumelana nezidakamizwa. Kulolu daba, udokotela, ebona ukungaphumeleli kwesimiso sokuqala sokwelashwa, angase anikeze ama-antibiotics avela kwelinye iqembu.

Kulokhu, uma isiguli esisekhaya, lezi zincomo kumele zilandelwe:

1. Njalo ventilate igumbi lapho isiguli kuyinto.
2. Shintsha njalo izingubo zangaphansi nezelineni.
3. Sula umzimba ngotshwala noma i-vodka.
4. Qinisekisa ukuthi ukudla kulula.
5. Nika isiphuzo esiningi.
6. Thatha amavithamini.
7. Ukusebenzisa ukuphefumula nokuqeqesha umzimba.

Njengama-agent engeziwe ngenkathi ukwelashwa, ama-bronchodilators nama-expectorants angasetshenziswa. Umphumela omuhle unikeza inhalation ye-oxygen-air ingxube, ephuza amaphaphu.