ʻO Pyronia Aspiration: nā ʻōuli, nā kumu, a me ka mālama ʻana

Anter

• He aha nā ʻōuli o ka pulumona makemake?
• He aha ke kumu o ka pneumonia aspiration?
• ʻO wai ka mea e makaʻu i ka huumonia
• Pehea e ʻike ʻia ai ka maʻi pneumonia aspiration?
• Pehea e mālama ʻia ai ka pneumonia aspiration?
• Pehea e pale aku ai i ka pneumonia aspiration?
• ʻLelo aʻoaʻo pale
  
• He aha ka mea e manaʻo ʻia i ka wā lōʻihi?
• Lawe aku

He aha ka pneumonia aspiration?

ʻO ka pneumonia aspiration kahi pilikia o ka makemake o ka pulmonary. ʻO ka ʻiʻo pulmonary ke komo ʻoe i ka meaʻai, ʻākika ʻōpū, a i ʻole ka lawai i loko o kou mau māmā. Hiki iā ʻoe ke makemake i ka meaʻai e hoʻi i hope i kou ʻōpū i kāu esophagus.

Hāpai paha kēia mau mea āpau i nā bacteria e hoʻopili ai i kou mau māmā. Hiki i nā māmā olakino ke hoʻomaʻemaʻe iā lākou iho. Inā ʻaʻole lākou, hiki i ka niumonia ke ulu ma ke ʻano he komplication.

He aha nā ʻōuli o ka pulumona makemake?

Hiki i kekahi me ka pulumona kuko ke hōʻike i nā ʻōuli o ka hoʻomaʻemaʻe waha waha ʻole a me ka hoʻomaʻemaʻe ʻana o ka puʻu a i ʻole ka uha mākū ma hope o ka ʻai ʻana. ʻO nā ʻōuli ʻē aʻe o kēia ʻano nā:

• ʻeha ka umauma
• pokole o ka hanu
• ʻūhā
• luhi
• uliuli discoloration o ka ʻili
• uha, malia paha me ka sputum ʻōmaʻomaʻo, ke koko, a i ʻole ʻala pilau
• paʻakikī i ka ale ʻana
• hanu maikaʻi ʻole
• sweating nui loa

ʻO ka mea e hōʻike ana i kēia mau hōʻailona pono e hoʻokaʻaʻike aku i kā lākou kauka. E haʻi iā lākou inā ʻoe i hano hou i kekahi meaʻai a wai paha. He koʻikoʻi loa ia i nā keiki ma lalo o 2 mau makahiki a i ʻole nā ​​mākua i ʻoi aku i ka makahiki 65 e loaʻa i ka lāʻau lapaʻau a me kahi hōʻailona wikiwiki.

Mai kānalua i ka hele ʻana i ke kauka inā ʻoe e puʻe nei i ka sputum kala a i loaʻa i kahi kuni lōʻihi ma luna o 102 ° F (38 ° C) me ka hoʻohui i nā hōʻailona i ʻōlelo ʻia ma luna.

He aha ke kumu o ka pneumonia aspiration?

Hiki i ka pulumonia mai ka moemoe ke kūleʻa ʻole kāu pale a me nā mea i makemake ʻia i ka huʻi nui o nā bacteria.

Hiki iā ʻoe ke hoʻohihi a hoʻomohala i ka niumonia inā kāu "ʻai a inu" e hele i ke ala hewa. " Hiki paha kēia ke hiki iā ʻoe ke ale i ka maʻamau a loaʻa kahi reflex gag maʻamau. I kēlā hihia, ʻo ka hapanui o ka manawa hiki iā ʻoe ke pale i kēia ma ke kaewa ʻana. ʻO ka poʻe i hōʻino i ka hiki ke kūkae, ʻaʻole naʻe hiki. Ma muli paha o kēia:

• nā maʻi neurological
• maʻi ʻaʻai kakā
• nā kūlana olakino e like me myasthenia gravis a i ʻole maʻi ʻo Parkinson
• ka hoʻohana nui ʻana i ka waiʻona a i ʻole kuhikuhi a i ʻole lāʻau lāʻau
• hoʻohana i nā sedatives a i ʻole anesthesia
• ʻōnaehana pale nawaliwali
• nā maʻi esophageal
• nā pilikia niho e hoʻopilikia i ka nau ʻana a i ʻole ke ale ʻana

ʻO wai ka mea e makaʻu i ka huumonia

Pākuʻi ʻia nā mea pilikia no ka pulumona makemake me nā poʻe me:

• hoʻohaʻahaʻa manaʻo
• maʻi lolo
• ka hopu ʻana
• hahau
• nā pilikia niho
• lualua
• moni ʻole i ka hana ʻole
• kūlana kūlana maikaʻi ʻole
• kekahi mau maʻi neurologic
• radiation therapy i ke poʻo a me ka ʻāʻī
• puʻuwai (reflux gastroesophageal)
• maʻi reflux gastroesophageal (GERD)

Pehea e ʻike ʻia ai ka maʻi pneumonia aspiration?

E ʻimi ana kāu kauka no nā hōʻailona o ka niumonia i ka wā o ka hoʻokolohua kino, e like me ka emi o ke kahe o ka ea, ka wikiwiki o ka puʻuwai, a me kahi kani kani i kou mau māmā. Hiki paha i kāu kauka ke holo i kahi o nā hoʻokolohua e hōʻoia i ka niumonia.Pākuʻi ʻia kēia mau mea:

• umauma X-ray
• moʻomeheu kolo
• helu piha koko (CBC)
• kinoea koko arterial
• bronchoscopy
• compy tomography (CT) scan o kou umauma wahi
• moʻomeheu koko

Ma muli o ke kūpilikiʻi he kūlana koʻikoʻi, koi ʻia ka lapaʻau. Loaʻa iā ʻoe kekahi o nā hopena hōʻike ma loko o 24 mau hola. ʻO ka moʻomeheu koko a me ka sputum e hala ʻekolu a ʻelima mau lā.

Pehea e mālama ʻia ai ka pneumonia aspiration?

Pili ka mālama ʻana i ka paʻakikī o kāu maʻi puluma. ʻO nā hopena a me ka lōʻihi o ka mālama ʻana e pili i kāu olakino laulā, nā kūlana preexisting, a me nā kulekele haukapila. ʻO ka mālama ʻana i ka niumonia koʻikoʻi koi paha i ka haukapila. Pono paha ka poʻe me ka pilikia i ka ale ʻana i ka lawe ʻana i ka meaʻai ma ka waha.

E kauoha aku kāu kauka i nā lāʻau antibiotic no kou ʻano. Nā mea a kāu kauka e nīnau ai ma mua o ke kuhikuhi ʻana i nā lāʻau ʻaloʻalo:

• Ua haukapila hou ʻia ʻoe?
• He aha kou olakino holoʻokoʻa?
• Ua hoʻohana anei ʻoe i nā antibiotic i kēia manawa?
• Ma hea 'oe e noho ai?

E hōʻoia e lawe i nā antibiotic no ka lōʻihi holoʻokoʻa o ke kau kuhikuhi. Hiki ke hoʻololi i kēia wā mai hoʻokahi a i ʻelua pule.

Pono paha ʻoe e mālama i ke kōkua kākoʻo inā ʻo ka pneumonia aspiration ka mea e pilikia ai ka hanu ʻana. Hoʻopili ka mālama ʻana i ka oxygen, nā steroid, a i ʻole kōkua mai ka mīkini hanu. Aia i ke kumu o ka makemake mau, koi paha ʻoe i ke ʻoki. ʻO kahi laʻana, loaʻa paha iā ʻoe ke ʻoki no ka paipu hānai inā loaʻa iā ʻoe nā ale e ale ana i ka pane ʻole.

Pehea e pale aku ai i ka pneumonia aspiration?

ʻLelo aʻoaʻo pale

• Hōʻalo i nā hana i hiki ke alakaʻi i ka moemoeā, e like me ka inu nui ʻana.
• E akahele i ka lawe ʻana i nā lāʻau e hiki ai ke hiamoe.
• Loaʻa i ka mālama kahua niho kūpono i kēlā me kēia manawa.

Hiki i kāu kauka ke koi aku i kahi loiloi lunam e ka mea laikini haʻi ʻōlelo laikini a i ʻole ka lāʻau hoʻomalu ale. Hiki iā lākou ke hana pū me ʻoe i ka ale ʻana i ka hoʻolālā a me ka hoʻoikaika ʻana o ka ʻāʻī puʻu. Pono paha ʻoe e hoʻololi i kāu papaʻai.

Pilikia ʻoki kino: E hāhai i nā kauka a kāu kauka e pili ana i ka hoʻokēʻai e hoʻohaʻahaʻa i ka manawa o ka luaʻi ma lalo o ka anesthesia.

He aha ka mea e manaʻo ʻia i ka wā lōʻihi?

He nui nā kānaka i loaʻa i ka niumonia kauhale e loaʻa i nā maʻi ʻē aʻe e pili ana i ka ale ʻana. Hiki i kēia ke hopena i kahi wā hoʻōla hou. Aia kāu nānā i:

• pehea ka nui o kāu mau māmā i hoʻopili ʻia
• ka paʻakikī o ka maʻi kōpaʻa
• ke ʻano o nā koʻohune e hoʻoulu ana i ka maʻi
• nā kūlana olakino āpau e hōʻino ai i kāu ʻōnaehana pale a i ʻole hiki iā ʻoe ke ale

Hiki i ka Poniauma ke kumu i nā pilikia lōʻihi e like me ka abscess lung a i ʻole scarring mau loa. E hoʻomohala kekahi poʻe i ka hanu ʻole hanu, kahi mea make paha.

ʻO ka pulumona huakea i ka poʻe i hōʻola ʻia me ka puluma i loaʻa i ke kaiāulu inā ʻaʻole lākou i loko o kahi keʻena mālama nui (ICU).

Lawe aku

ʻO ka hanu pulumāʻau kahi maʻi lolo i hoʻokumu ʻia e nā mea waha a gastric paha i hanu ʻia. Hiki ke lilo i koʻikoʻi inā haʻalele ʻole ʻia. Hoʻopili ka hana me nā lāʻau ʻalopika a me ka mālama kākoʻo no ka hanu ʻana.

Aia kāu kuana i kou kūlana olakino ma mua o ka hanana, ke ʻano o nā mea haole i makemake ʻia i loko o kou mau māmā, a me nā kūlana ʻē aʻe āu e loaʻa ai. ʻO ka hapanui o ka poʻe (79 pākēneka) e ola i ka pneumonia aspiration. Ma ka 21 pākēneka o ka poʻe e ola ʻole, make pinepine ka make ma muli o ke kūlana preexisting i alakaʻi iā lākou e koho e loaʻa kahi palapala DNR (mai resuscitate) a i ʻole DNI (mai hoʻopulapula) palapala.

Kāhea koke i ke kauka inā ʻike ʻoe i nā ʻōuli o ka pulumonia, keu hoʻi i kahi makua makua a pēpē paha. No ke kuhi ʻana i ka maʻi hemo, e kauoha ana kāu kauka i nā hoʻokolohua e nānā i ke olakino olakino a me ka hiki ke ale.