Pulumonia Viral

Hoʻomaʻamaʻa ʻia paha ka niumonia a huehue paha ka maʻi o ke akemama ma muli o ka maʻi me kahi ʻōpala.

Hoʻokumu ʻia ka maʻi maʻi virus virus e kekahi mea hoʻomaʻi.

ʻOi aku ka hopena o ka maʻi pneumonia viral i nā keiki ʻōpio a me nā mākua makua. ʻO kēia no ka mea ʻoi aku ka paʻakikī o ko lākou kino e kaua aku i ka maʻi ma mua o ka poʻe me ka ʻōnaehana pale pale ikaika.

Hoʻokumu pinepine ʻia ʻo Virus pneumonia e kekahi o nā maʻi ʻē aʻe:

• ʻO ka maʻi maʻi Syncytial Respiratory (RSV)
• ʻO ka maʻi hoʻomaʻi Influenza
• Virus Parainfluenza
• Adenovirus (emi iki)
• Virus Maʻi Maʻi
• ʻO Coronaviruses e like me SARS-CoV-2, ke kumu o COVID-19 pneumonia

ʻOi aku ka hopena o ka maʻi pneumonia koʻikoʻi i ka poʻe me ka ʻōnaehana nawaliwali nāwaliwali, e like me:

• ʻO nā pēpē i hānau mua ʻia.
• ʻO nā keiki me nā pilikia puʻuwai a me ka hanu.
• ʻO ka poʻe i loaʻa i ka maʻi HIV / AIDS.
• ʻO ka poʻe e loaʻa ana i ka chemotherapy no ka maʻi ʻaʻai, a i ʻole nā ​​lāʻau ʻē aʻe e hoʻonāwaliwali ai i ka ʻōnaehana pale.
• ʻO ka poʻe i loaʻa kahi hoʻōla organ.
• ʻO kekahi mau virus e like me ka maʻi palū a me SARS-CoV2 hiki ke alakaʻi i ka maʻi pneumonia koʻikoʻi i nā ʻōpio ʻōpio a me nā olakino ʻē aʻe.

Hoʻomaka mālie nā ʻōuli o ka puluma viral a ʻaʻole paha paʻakikī ma ka mua.

ʻO nā ʻōuli maʻamau o ka niumonia ʻo:

• Cough (me kekahi pneCommas hiki paha iā ʻoe ke huʻe i ka mucus, a i ʻole ke mucus koko)
• Fiva
• Ke haʻalulu nei
• Ka hanu o ka hanu (hiki wale ke hana ʻoe iā ʻoe iho)

ʻO nā ʻōuli ʻē aʻe e like me:

• Huikau, pinepine i ka poʻe kahiko
• ʻO ka sweating nui a me ka ʻili clammy
• ʻEha poʻo
• Ka nele o ka makemake, haʻahaʻa ikehu, a me ka luhi
• Mākaʻi a ʻeha paha i ka ʻeha o ka umauma ke ʻoi aku ka maikaʻi ke hanu ʻoe a i ʻole ka huehue
• Ka luhi

E hana ka mea mālama ola i kahi hoʻokolohua kino a nīnau e pili ana i nā ʻōuli.

Inā manaʻo ka mea hāʻawi iā ʻoe he pūmonia, e loaʻa pū kekahi me ka x-ray umauma. ʻO kēia no ka hiki ʻole i ka hoʻokolohua kino ke haʻi i ka maʻi puluma mai nā maʻi hanu ʻē aʻe.

Kaukaʻi ʻia i ke koʻikoʻi o kāu mau ʻōuli, hana ʻia paha nā hoʻokolohua ʻē aʻe, e like me:

• Helu piha koko (CBC)
• CT scan o ka umauma
• ʻO nā moʻomeheu koko e nānā no nā mea ʻino i loko o ke koko (a i ʻole bacteria i hiki ke kumu i nā maʻi ʻelua)
• Bronchoscopy (ʻaʻole pono iki)
• ʻO nā hoʻāʻo ʻana o ka puʻu a me ka ihu e nānā ai i nā maʻi e like me ka maʻi flu
• E wehe i ka biopsy māmā (hana wale ʻia i nā maʻi koʻikoʻi loa ke hiki ʻole ke hana ʻia ka maʻi mai nā kumu ʻē aʻe)
• ʻO ka moʻomeheu Sputum (e kāpae i nā kumu ʻē aʻe)
• Ke ana ʻana i nā pae o ka oxygen a me carbon dioxide i loko o ke koko

ʻAʻole mālama nā lāʻau lapaʻau lāʻau Antibiotics i kēia ʻano maʻi maʻi māmā. ʻO nā lāʻau lapaʻau nāna e mālama i nā maʻi ʻino e hana kūʻē i kekahi pneumonias i hoʻokumu ʻia e ka influenza a me ka ʻohana herpes o nā maʻi ʻino. Hiki ke hoʻāʻo ʻia kēia mau lāʻau inā hopu koke ʻia ka maʻi.

Hoʻokomo pū ʻia kekahi lāʻau lapaʻau:

• Nā lāʻau Corticosteroid
• Hoʻonui ʻia nā wai
• Oxygen
• Hoʻohana o ka ea i hoʻomāhuahua

Pono paha kahi noho ma ka haukapila inā ʻaʻole hiki iā ʻoe ke inu lawa a kōkua i ka hanu ʻana inā haʻahaʻa loa ka oxygen.

E hoʻokomo ʻia ka poʻe i ka haukapila inā lākou:

• ʻOi aku ma mua o 65 mau makahiki a i ʻole nā ​​keiki
• ʻAʻole hiki ke mālama iā lākou iho ma ka home, ʻai, a inu paha
• Loaʻa kekahi pilikia olakino koʻikoʻi, e like me ka pilikia o ka puʻuwai a i ʻole ka hakuʻala
• Ke lawe nei i nā lāʻau ʻalopika ma ka home a ʻaʻole maikaʻi iki
• Loaʻa nā ʻōuli koʻikoʻi

Eia nō naʻe, hiki i nā poʻe he nui ke mālama ʻia ma ka home. Hiki iā ʻoe ke hana i kēia mau ʻanuʻu ma ka home:

• Kaohi i kou kuni me ka aspirin, nonsteroidal anti-inflammatory drug (NSAIDs, e like me ibuprofen a naproxen), a i ʻole acetaminophen. Mai hāʻawi i ka aspirin i nā keiki no ka mea he kumu ia i kahi maʻi weliweli i kapa ʻia ʻo Reye Syndrome.
• Mai lawe i nā lāʻau laʻau me ka ʻole e kamaʻilio mua me kāu mea hāʻawi. Hoʻomaʻemaʻe paha nā lāʻau cough i kou kino e kūmū i ka sputum.
• E inu i ka nui o nā wai e kōkua e hoʻokuʻu i nā huna huna a lawe mai i ka phlegm.
• E hoʻomaha nui. E hana i kekahi hana ʻē aʻe.

ʻO ka hapa nui o nā maʻi o ka maʻi puluma viral he palupalu a ʻoi aku ka maikaʻi me ka ʻole o ka mālama ʻana ma waena o 1 a 3 mau pule. ʻOi aku ka koʻikoʻi o kekahi mau hihia a koi i kahi noho ma ka haukapila.

Hiki i nā maʻi ʻino keu aʻe ke hopena i ka hanu ʻole, ʻole ke akepaʻa, a me ka maikaʻi ʻole o ka naʻau I kekahi manawa, kū nā maʻi bacterial ma hope a ma hope paha o ka viral pneumonia, kahi e alakaʻi ai i nā ʻano pneumonia ʻoi aku ka koʻikoʻi.

Kāhea i kāu mea hāʻawi inā loaʻa nā ʻōuli o ka puluma viral a i ʻole ke ʻino o kou kūlana ma hope o ka hoʻomaka ʻana e hoʻomaikaʻi.

E holoi pinepine i kou mau lima, ma hope o ka puhi ʻana o kou ihu, e hele ana i ka lua, i ka pīpī ʻana i kahi pēpē, a ma mua o ka ʻai ʻana a hoʻomākaukau ʻana paha i ka meaʻai.

Hōʻalo i ka launa pū ʻana me nā mea maʻi maʻi ʻē aʻe.

MAI Puhi. Hoʻopilikia ka paka i kou hiki ke pale i ka maʻi.

Hāʻawi ʻia kahi lāʻau i kapa ʻia palivizumab (Synagis) i nā keiki ma lalo o 24 mau mahina e pale aku ai iā RSV.

Hāʻawi ʻia ka lāʻau hoʻomaʻemaʻe flu, i kēlā me kēia makahiki e pale aku i ka maʻi pneumonia i hoʻokumu ʻia e ka maʻi flu. ʻO ka poʻe ʻelemakule a me nā poʻe me ka maʻi diabetes, hānō, nā maʻi pulmonary obstructive maʻi (COPD), maʻi ʻaʻai, a i ʻole nā ​​ʻōnaehana pale nāwaliwali e ʻike pono e loaʻa ka lāʻau lapaʻau flu.

Inā nāwaliwali kou ʻōnaehana pale, e noho kaʻawale i ka lehulehu. E noi i nā malihini kipa i ke anuanu e komo i ka pale maka a holoi i ko lākou mau lima.

Pulumonia - viral; Hele pneumonia - viral

• ʻO Ponia i nā mākua - hoʻokuʻu
• Poniaʻi i nā keiki - hoʻokuʻu

• Lungs
• ʻŌnaehana hanu

ʻO Daly JS, ʻo Ellison RT. Pneumonia huehue. I: Bennett JE, Dolin R, Blaser MJ, hua pā. ʻO Mandell, Douglas, a me Bennett's Principle a me ka hoʻomaʻamaʻa ʻana i nā maʻi kūpilikiʻi. 9th ed. Piladelapia, PA: Elsevier; 2020: chap 67.

McCullers JA. Nā mea hoʻomaʻi influenza. I: Cherry JD, Harrison GJ, Kaplan SL, Steinbach WJ, Hotez PJ, eds. ʻO Feigin lāua ʻo Cherry's Textbook of Pediatric Infectious Diseases. 8th ed. Piladelapia, PA: Elsevier; 2019: chap 178.

ʻO Musher DM. ʻO ka nānā ākea o ka pulumonia. I: Goldman L, Schafer AI eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020; chap 91.

ʻO Roosevelt GE. ʻO nā ʻōnaehana hanu pēpē Pediatric: nā maʻi o nā akemāmā. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 169.