Loaʻa i ka haukapila

ʻO ka pneumonia i loaʻa i ka haukapila kahi maʻi o nā māmā i kū i ka wā o kahi haukapila e noho ai. Hiki ke kaumaha loa kēia ʻano pneumonia. I kekahi manawa, hiki ke make.

ʻO ka maʻi Ponia he maʻi maʻamau. Hoʻokumu ʻia ia e nā mikena like ʻole. ʻO ka maʻi puluma e hoʻomaka i ka haukapila e ʻoi aku ka koʻikoʻi ma mua o nā maʻi maʻi ʻē aʻe no ka mea:

• ʻO ka poʻe i ka haukapila maʻi pinepine lākou a ʻaʻole hiki ke kūʻē i nā mikamina.
• ʻO nā ʻano ʻino a loaʻa i loko o kahi haukapila ʻoi aku ka weliweli a ʻoi aku ka pale i ka mālama ʻana ma mua o ka poʻe ma waho o ke kaiāulu.

Kū pinepine pinepine ka Ponia i nā poʻe e hoʻohana nei i kahi respirator, kahi mīkini e kōkua iā lākou e hanu.

Hiki ke hoʻolaha ʻia ka pulumonia i loaʻa i ka haukapila e nā limahana olakino, ka mea hiki ke hāʻawi aku i nā girus mai ko lākou mau lima, nā lole, a i ʻole nā ​​mea kani mai kekahi kanaka i kekahi. ʻO kēia ke kumu o ka holoi lima ʻana, ka ʻaʻahu ʻana i nā ʻaʻahu, a me ka hoʻohana ʻana i nā hana palekana ʻē aʻe a koʻikoʻi i ka haukapila.

Hiki paha i ka poʻe ke loaʻa i ka niumonia ʻoiai i ka haukapila inā lākou:

• ʻAlekolohe hōʻino
• Ua ʻoki ʻia i ka umauma a i ʻole kahi ʻoki koʻikoʻi ʻē aʻe
• Loaʻa i kahi ʻōnaehana pale nāwaliwali mai ka mālama ʻana i ka maʻi ʻaʻai, kekahi mau lāʻau, a i ʻole nā ​​ʻehaʻeha
• Loaʻa i ka maʻi maʻi lōʻihi (lōʻihi)
• E hanu i ka lawai a i ʻole ka meaʻai i loko o ko lākou mau māmā ma muli o ka makaʻala ʻole a i ʻole ka ale ʻana i nā pilikia (ʻo kahi laʻana, ma hope o ka hahau)
• ʻAʻole makaʻala noʻonoʻo ma muli o nā lāʻau a me nā maʻi
• He ʻelemakule
• Aia ma ka mīkini hanu

I nā mākua ʻelemakule, ʻo ka hōʻailona mua o ka maʻi ʻaʻai i loaʻa i ka haukapila he hoʻololi paha i ka noʻonoʻo a huikau paha.

Hiki i nā ʻōuli ʻē aʻe ke:

• ʻO ka puʻu me ka ʻōmaʻomaʻo a me ka pus-like (sputum)
• Fiva a me nā anuanu
• General discomfort, uneasiness, a maʻi maʻi paha (malaise)
• Loaʻa ka ʻai ʻole
• ʻO Nusea a me ka luaʻi
• ʻOi ka ʻeha o ka umauma ʻoi aku ka maikaʻi me ka hanu ʻana a i ʻole ka ʻū ʻana
• Pokole o ka hanu
• Hoemi i ke kahe o ke koko a me ka wikiwiki o ka puʻuwai

Inā kānalua ka mea mālama ola i ka maʻi maʻi pulonia, e kauoha ʻia nā hoʻokolohua. Pākuʻi ʻia kēia mau mea:

• ʻO nā kinoea Arterial, e ana i nā pae o ka oxygen i loko o ke koko
• ʻO nā moʻomeheu koko, e ʻike inā ua pālahalaha ka maʻi i ke koko
• Pākuʻi x-ray a i ʻole CT scan, e nānā i nā akemāmā
• Helu piha koko (CBC)
• Pulse oximetry, e ana i nā kiʻekiʻe o ka oxygen i loko o ke koko
• ʻO ka moʻomeheu Sputum a i ʻole stainum gram stain, e nānā ai i nā ʻōpala e hana nei i ka niumonia

Hiki i nā mālama ke hoʻopili:

• Nā Antibiotics ma o kou veins (IV) e mālama ai i ka maʻi hē. ʻO ka lāʻau antibiotic i hāʻawi ʻia iā ʻoe e kaua aku i nā grobia i loaʻa i kāu moʻomeheu sputum a i ʻole manaʻo ʻia e hoʻokumu i kēia maʻi.
• Ka oxygen e kōkua iā ʻoe e hanu maikaʻi a me nā mālama ʻana i ka akemāmā e hoʻokuʻu a hemo i nā mākū mānoanoa mai kou mau māmā.
• Ventilator (mīkini hanu) e hoʻohana ana i ka paipu a i ʻole he mask e kākoʻo i kou hanu ʻana.

ʻO ka poʻe i loaʻa nā maʻi koʻikoʻi ʻaʻole hoʻi e ola hou mai ka maʻi pūhōmaʻi e like me ka poʻe maʻi ʻole.

ʻO ka maʻi kūpona i loaʻa i ka haukapila hiki ke lilo i maʻi hoʻoweliweli. Hiki paha ke hōʻino i nā māmā lōʻihi lōʻihi.

Pono nā poʻe e kipa aku ana i ka poʻe aloha i ka haukapila e hana i nā hana e pale ai i ka hoʻolaha ʻana i nā g germ. ʻO ke ala ʻoi loa e hōʻoki i ka laha ʻana o nā g germ e holoi pinepine i kou mau lima. Noho i ka home inā maʻi ʻoe. E mālama i kāu pale ʻana i kēia lā.

Ma hope o ke kahakaha ʻana, e noi ʻia ʻoe e lawe i nā hanu hohonu a neʻe i kahi wā hiki ke kōkua i ka hāmama o kou mau māmā. E hāhai i ka ʻōlelo aʻo a kāu mea hāʻawi e kōkua ai i ka pale ʻana i ka maʻi pneumonia.

Loaʻa i ka hapa nui o nā haukapila nā polokalamu e pale ai i nā maʻi i loaʻa i ka haukapila.

Pulumāʻau Nosocomial; Pneumonia pili i ka Ventilator; ʻO ka maʻi olakino pili i ke olakino; HCAP

• ʻO Ponia i nā mākua - hoʻokuʻu

• Loaʻa i ka haukapila
• ʻŌnaehana hanu

ʻO Chastre J, ʻo Luyt C-E. Pulumonia pili i ka Ventilator. 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 34.

Kalil AC, Metersky ML, Klompas M, et al. Ka mālama ʻana i nā mākua me ka pulumonia e pili ana i ka haukapila a pili pū me ka ventilator: nā alakaʻi alakaʻi hoʻokolohua 2016 e ka Infectious Diseases Society of America a me ka American Thoracic Society. Maʻi maʻi maʻi Dis. 2016; 63 (5): e61-e111. PMID: 27418577 www.ncbi.nlm.nih.gov/pubmed/27418577.

ʻO Klompas M. Nosocomial pneumonia. 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 301.