Mycoplasma pneumonia

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

Hoʻokumu ʻia ka mycoplasma pneumonia e nā bacteria Mycoplasma pneumoniae (M pneumoniae).

Kāhea ʻia kēia ʻano pneumonia ʻo ka atypical pneumonia no ka mea ʻokoʻa nā ʻōuli mai nā maʻi o ka puluma ma muli o nā koʻohune ʻē aʻe.

Hoʻopili pinepine ka Mycoplasma pneumonia i ka poʻe ma mua o 40.

ʻO ka poʻe e noho a hana ana paha i nā wahi i pihaʻi e like me nā kula a me nā hale hoʻomaha ʻole ka manawa kūpono e loaʻa ai kēia ʻano. Akā ʻo ka poʻe he nui i maʻi me ia ʻaʻohe mea ʻike pilikia e ʻike ʻia.

Māmā pinepine nā ʻōuli a hōʻike ma 1 a 3 mau pule. E lilo paha lākou i mea ʻoi aku ka koʻikoʻi i kekahi mau kānaka.

ʻO nā hōʻailona maʻamau e pili ana i kekahi o kēia:

• ʻEha ʻeha
• ʻO Chills
• Cough, maloʻo pinepine a ʻaʻole koko
• Nui ka hou ʻana i ka hou
• Fever (kiʻekiʻe paha)
• ʻEha poʻo
• Eha ka 'ā'ī

ʻO nā ʻōuli liʻiliʻi e pili pū ana me:

• ʻEha pepeiao
• ʻEha ʻeha a ʻehaʻeha hoʻi o ka maka
• ʻEha ka ʻū a me ka ʻāʻī paʻa
• Puʻupuʻu ʻāʻī
• Hanu wikiwiki
• Liona ʻili a wīwī paha

Pono ka poʻe me ka pneumonia i manaʻo ʻia he loiloi olakino piha. He mea paʻakikī paha i kāu kauka olakino e haʻi inā loaʻa ʻoe i ka niumonia, bronchitis, a i ʻole kahi maʻi hanu ʻē aʻe, no laila pono ʻoe i kahi x-ray umauma.

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

• Helu piha koko (CBC)
• Nā hoʻāʻo koko
• Bronchoscopy (ʻaʻole pono iki)
• CT scan o ka umauma
• Ke ana ʻana i nā pae o ka oxygen a me carbon dioxide i loko o ke koko (nā kinoea koko arterial)
• ʻO ka ihu a i ʻole ka ʻāʻī puʻu e nānā ai no nā koʻohune a me nā mea hoʻomaʻi
• 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)
• Nā hoʻāʻo Sputum e nānā no ka bacteria mycoplasma

I nā manawa he nui, ʻaʻole pono e hana i ka ʻike kikoʻī ma mua o ka hoʻomaka ʻana i ka lāʻau.

I mea e ʻoi aku ai ka maikaʻi, hiki iā ʻoe ke lawe i kēia mau hana mālama pilikino ma ka home:

• Kaohi i kou kuni me ka aspirin, NSAIDs (e like me ka ibuprofen a i ʻole 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. Hiki i nā lāʻau cough ke hana i paʻakikī i kou kino e hoʻoulu i ka sputum keu.
• 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 kekahi i nā hana o ka hale.

Hoʻohana ʻia nā lāʻau antibiotic e mālama i ka pneumonia atypical:

• Hiki paha iā ʻoe ke lawe i nā lāʻau ʻaloʻalo ma ka waha ma ka home.
• Inā koʻikoʻi kou ʻano, e hoʻokomo ʻia ʻoe i ka haukapila. Ma laila, e hāʻawi ʻia ʻoe i nā lāʻau antibiotic ma o ke aa (intravenously), a me ka oxygen.
• Hoʻohana ʻia nā lāʻau lāʻau antibiotic no 2 mau pule a ʻoi.
• E hoʻopau i nā lāʻau āpau āpau i kuhikuhi ʻia iā ʻoe, ʻoiai inā ʻoe e ʻoi aku ka maikaʻi. Inā kū koke ʻoe i ka lāʻau, hiki i ka niumonia ke hoʻi mai a ʻoi aku paha ka paʻakikī o ka mālama ʻana.

Ola ka hapa nui o ka poʻe me ka ʻole o nā antibiotic, ʻoiai wikiwiki paha nā antibiotics i ke ola ʻana. I nā mākua i hoʻomaʻamaʻa ʻole ʻia, hiki ke kū ka maʻi a me ka nāwaliwali a hoʻokahi mahina. Hiki ke ʻoi aku ka koʻikoʻi o ka maʻi i nā mākua a me nā mea me ka ʻōnaehana nāwaliwali.

Nā pilikia e hopena paha e komo i kekahi o kēia mau mea:

• Nā maʻi maʻi pepeiao
• Hemolytic anemia, kahi kūlana i lawa ʻole ai nā hunaola ʻulaʻula i ke koko no ka mea ke luku nei ke kino iā lākou
• Huʻi ʻili

Kāhea aku i kāu mea hāʻawi inā ulu ʻoe i ke kuni, kahe, a me ka pōkole o ka hanu. Nui nā kumu no kēia mau ʻōuli. Pono ka mea hāʻawi e kāpae aku i ka maʻi pneumonia.

Eia kekahi, e kāhea inā ua ʻike ʻia ʻoe me kēia ʻano pneumonia a ʻoi aku ka maikaʻi o kāu mau hōʻailona ma hope o ka hoʻomaikaʻi mua ʻana.

E holoi pinepine i kou mau lima, a hana ka poʻe ʻē aʻe a puni iā ​​ʻoe e hana like.

Hōʻalo i ka launa ʻana me nā poʻe maʻi ʻē aʻe.

Inā nāwaliwali kou ʻōnaehana pale, e noho kaʻawale i ka lehulehu. E noi i nā malihini kipa i loaʻa i ke anuanu e komo i ka pale maka.

Mai puhi. Inā hana ʻoe, e kōkua e haʻalele.

E kiʻi i ka maʻi flu i kēlā me kēia makahiki. E noi i kāu mea hāʻawi inā pono ʻoe i kahi lāʻau ākea pneumonia.

Hele pneumonia; ʻO ka pulumonia i loaʻa i ke kaiāulu - mycoplasma; Loaʻa i ka pulumonia i loaʻa i ke kaiāulu - atypical

• ʻO Ponia i nā mākua - hoʻokuʻu

• Lungs
• Erythema multiforme, liona puni - lima
• ʻO Erythema multiforme, nā leona pahuhopu ma ka pāma
• Erythema multiforme ma ka wāwae
• Exfoliation e pili ana i ka erythroderma
• ʻŌnaehana hanu

Baum SG, Goldman DL. Mycoplasma nā maʻi maʻi. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 301.

Holzman RS, Simberkoff MS, Leaf HL. Mycoplasma pneumoniae a me ka pneumonia ʻāpiki. 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 183.

ʻO Torres A, Menéndez R, Wunderink RG. ʻO ka maʻi pneumonia bacterial a me ka abscess I: Broaddus VC, Mason RJ, Ernst JD, et al, eds. ʻO Murray a me Nadel's Textbook of Respiratory Medicine. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2016: chap 33.