Pneumonia hāhā

ʻO ka pulumonia kahi hanu kahi e loaʻa ai ka mumū (pehu) a i ʻole kahi maʻi o nā akemāmā a i ʻole nā ​​ala nui.

Hana ʻia ka pulumona kumumea ke hanu ʻia ka meaʻai, ka lawā, nā wai, a i ʻole ka luaʻi i loko o nā akemāmā a i ʻole nā ​​ala ea e alakaʻi ai i nā ake māmā, ma kahi o ka ale ʻia ʻana i ka esophagus a me ka ʻōpū.

ʻO ke ʻano o nā koʻohune i hoʻokumu i ka pulumona hilinaʻi ia:

• Kou olakino
• Kahi āu e noho ai (ma ka home a i ʻole kahi wahi hānai wā lōʻihi, ʻo kahi laʻana)
• Inā ʻoe i hōʻeha ʻia i ka haukapila
• ʻO kāu hana antibiotic hou
• Inā nāwaliwali kou pale pale

Nā kumu pilikia no ka hanu ʻana i (aspiration) o nā mea haole i loko o nā māmā.

• ʻO ka makaʻala liʻiliʻi ma muli o nā lāʻau, maʻi, ʻoki kino, a me nā kumu ʻē aʻe
• Koma
• Ke inu nei i ka nui o ka rama
• Ke loaʻa nei i ka lāʻau e waiho ai iā ʻoe i kahi hiamoe hohonu no ke ʻoki ʻana (anesthesia āpau)
• ʻElemakule
• ʻO ka reflex gag maikaʻi ʻole i ka poʻe e makaʻala ʻole (ʻike ʻole a i ʻole semi-ʻike) ma hope o ka hahau a me ka ʻeha lolo
• Pilikia i ka ale ʻana

Pākuʻi ʻia paha nā ʻōuli i kekahi o kēia mau mea:

• ʻEha ʻeha
• ʻO Coughing i ka pilau-ʻala, ʻōmaʻomaʻo a i ʻole phlegm ʻeleʻele (sputum), a i ʻole phlegm i loaʻa ka pā a me ke koko
• Ka luhi
• Fiva
• Pokole o ka hanu
• ʻUhihi
• ʻAʻala hanu
• Nui ka hou ʻana i ka hou
• Pilikia i ka ale ʻana
• Huikau

E hoʻolohe ka mea mālama ola no nā māwae a i ʻole nā ​​kani hanu maʻamau ke hoʻolohe i kāu umauma me kahi stethoscope. ʻO ke paʻi ʻana ma ka paia o kou umauma (percussion) kōkua i ka mea hāʻawi e hoʻolohe a manaʻo no nā kani maʻamau i loko o kou umauma.

Inā kānalua ʻia ka niumonia, e kauoha paha ka mea hāʻawi i kahi ray x.

Hiki i nā hōʻike aʻe ke kōkua i ke koho ʻana i kēia ʻano:

• Ke kinoea koko arterial
• Moʻomeheu Koko
• ʻO Bronchoscopy (hoʻohana i kahi laulā kūikawā e ʻike i nā kahawai kahawai)
• Helu piha koko (CBC)
• X-kukuna a i ʻole CT scan o ka umauma
• Moʻomeheu Sputum
• Nā hoʻāʻo e ale ana

Pono e hōʻeha ʻia kekahi poʻe. Pili ka mālama ʻana i ka nui o ka maʻi paukū a me ka maʻi o ke kanaka ma mua o ka ʻiʻini (maʻi mau). I kekahi manawa pono ka ventilator (mīkini hanu) e kākoʻo i ka hanu.

E loaʻa paha iā ʻoe nā antibiotic.

Pono paha ʻoe e hoʻāʻo i kāu hana ale. Pono paha ka poʻe i pilikia i ka ale ʻana e hoʻohana i nā ʻano hānai ʻē aʻe e hōʻemi i ka makaʻu o ka ʻiʻini.

Loaʻa ka hopena i:

• ʻO ke olakino o ke kanaka ma mua o ka loaʻa ʻana o ka maʻi pneumonia
• Ke ʻano o nā koʻohune e hoʻoulu ana i ka niumonia
• Ehia nā māmā i pili

ʻO nā maʻi ʻino ʻē aʻe paha ka hopena o ka pōʻino lōʻihi i nā māmā.

Komo pū nā pilikia:

• ʻAha maloʻo
• Pāhaʻi
• Ka hohola ʻana o ka maʻi i ke kahe o ke koko (bacteremia)
• Hoʻolahalaha ka maʻi i nā wahi ʻē aʻe o ke kino
• Hoʻoikaika hanu ʻole
• Make

Kāhea i kāu mea lawelawe, e hele i ka lumi pilikia, a i ʻole kelepona i ka helu kūloko kūloko (e like me 911) inā loaʻa iā ʻoe:

• ʻEha ʻeha
• ʻO Chills
• Fiva
• Pokole o ka hanu
• ʻUhihi

Pneumonia anaerobic; Aspiration o ka luaʻi; Necrotizing pneumonia; ʻO ka maʻi pneumonia

• ʻO Ponia i nā mākua - hoʻokuʻu

• Meaola Pneumococci
• ʻO Bronchoscopy
• Lungs
• ʻŌnaehana hanu

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 Torres A, Menendez 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.