Mea Kākau: Louise Ward
Lā O Ka Hana: 4 Pepeluali 2021
HōʻAno Hou I Ka Lā: 23 Nowemapa 2024
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He aha ka bronchopneumonia?

ʻO ka maʻi ʻaʻaiuma kahi mahele o nā maʻi lolo. Hana ia i ka manawa e hoʻonāukiuki ai nā virus, bacteria, a fungi paha i ka mumū a me ka maʻi i loko o nā alveoli. ʻO Bronchopneumonia kahi ʻano pneumonia e hoʻonā ai i ka alveoli.

Pilikia paha kekahi me ka bronchopneumonia i ka hanu ʻana no ka mea ua paʻa i ko lākou mau ʻaoʻao. Ma muli o ka mumū, ʻaʻole lawa paha ka ea o ko lākou mau māmā. Hiki ke hōʻoluʻolu a koʻikoʻi paha nā ʻōuli o ka bronchopneumonia.

Nā ʻōuli o ka bronchopneumonia i nā mākua a me nā keiki

ʻO nā ʻōuli o ka bronchopneumonia e like paha me nā ʻano like o ka maʻi pneumonia. Hoʻomaka pinepine kēia ʻano me nā ʻōuli e like me ka flu e hiki ke lilo i mea ʻoi loa i loko o kekahi mau lā. Aia nā ʻōuli me:


  • fiva
  • he puʻu e hānai i ka hua
  • pokole o ka hanu
  • ʻeha ka umauma
  • hanu wikiwiki
  • ka houʻu ʻana
  • haʻalulu
  • ʻeha poʻo
  • ʻeha ka ʻili
  • pleurisy, a i ʻole ka ʻeha o ka umauma i hopena ʻia ma muli o ka mumū ma muli o ka nui o ka puʻu
  • luhi
  • huikau a delirium paha, keu hoʻi i ka poʻe kahiko

He koʻikoʻi paha nā ʻōuli ma nā poʻe me nā ʻōnaehana nāwaliwali nāwaliwali a i ʻole nā ​​maʻi ʻē aʻe.

Nā ʻōuli i nā keiki

Hōʻike nā keiki a me nā pēpē i nā ʻōuli ʻokoʻa. ʻOiai ʻo ka puʻu ka hōʻailona maʻamau o nā pēpē, loaʻa pū paha iā lākou:

  • kahi wikiwiki naʻau wikiwiki
  • haʻahaʻa pae o ka oxygen
  • retractions o nāʻiʻo umauma
  • ukiuki
  • hoʻemi i ka hoihoi i ka hānai ʻana, ʻai ʻana, a me ka inu ʻana
  • fiva
  • hoʻoliʻiliʻi
  • paʻakikī i ka hiamoe

E ʻike koke i ke kauka inā loaʻa iā ʻoe nā ʻōuli o ka niumonia. ʻAʻole hiki ke ʻike i kāu ʻano pneumonia inā ʻaʻohe o kahi hoʻokolohua piha ʻana mai kāu kauka.


Pehea e hoʻolaha ai ka bronchopneumonia?

Hoʻokumu ʻia nā hihia he nui o ka bronchopneumonia e nā bacteria. Ma waho o ke kino, he maʻi lele nā ​​mea koʻohune a hiki ke pālahalaha ma waena o ka poʻe ma kahi kokoke ma o ka hū ʻana a me ka ʻūhā. Ua hele a maʻi ke kanaka ma ka hanu ʻana i ka bacteria.

ʻO nā kumu bacteria maʻamau o ka bronchopneumonia e komo pū ana:

  • Staphylococcus aureus
  • Haemophilus influenzae
  • Pseudomonas aeruginosa
  • ʻO Escherichia coli
  • Klebsiella pneumoniae
  • Palaka ʻano laha

Hoʻohui pinepine ʻia kēia ʻano ma kahi hoʻonohonoho. ʻO ka poʻe i hele mai i ka haukapila no ka mālama ʻana i nā maʻi ʻē aʻe i hōʻino pinepine i nā ʻōnaehana pale. Hoʻopili ka maʻi i ka hakakā ʻana o ke kino i ka bacteria.

Ma lalo o kēia mau kūlana, e paʻakikī ka kino i ka pale ʻana i kahi maʻi hou. ʻO ka pulumonia e kū ai i kahi kaukapila paha ka hopena o nā bacteria i kū ʻole i nā lāʻau ʻaloʻalo.

He aha nā mea pilikia no ka hoʻomohala ʻana i ka bronchopneumonia?

Nui a hewahewa nā kumu i hiki ke hoʻonui i kou makaʻu i ka hoʻomohala ʻana i ka bronchopneumonia. Pākuʻi ʻia kēia mau mea:


Makahiki: ʻO ka poʻe nona ka makahiki 65 a ʻoi paha, a me nā keiki ʻo 2 mau makahiki a ʻoi paha, ʻoi aku ka nui o ka makaʻu no ka hoʻomohala ʻana i ka bronchopneumonia a me nā pilikia mai ke ʻano.

Aneie: ʻO ka poʻe e hana ana, a kipa pinepine paha, i ka haukapila a i ʻole nā ​​home hale hānai i ʻoi aku ka nui o ka makaʻu no ka hoʻomohala ʻana i ka bronchopneumonia.

Aloha Hawaii: ʻO ka puhi baka, nā meaʻai maikaʻi maikaʻi ʻole, a me ka mōʻaukala o ka hoʻohana ʻana i ka waiʻona nui hiki ke hoʻonui i kou makaʻu no ka bronchopneumonia.

Nā kūlana olakino: Loaʻa i kekahi mau ʻano olakino hiki ke hoʻonui i kou makaʻu no ka hoʻomohala ʻana i kēia ʻano pneumonia. Pākuʻi ʻia kēia mau mea:

  • maʻi maʻi maʻi mau, e like me ka hānō a i ʻole ka maʻi pulmonary maʻi ākea (COPD)
  • HIV / AIDS
  • ka loaʻa ʻana o kahi ʻōnaehana nawaliwali nāwaliwali ma muli o ka chemotherapy a i ʻole ka hoʻohana ʻana o nā lāʻau immunosuppressive
  • maʻi maʻi mau, e like me ka maʻi puʻuwai a i ʻole diabetes
  • maʻi autoimmune, e like me rheumatoid arthritis a lupus paha
  • maʻi ʻaʻai
  • ʻūhā mau
  • moni ana i nā pilikia
  • kākoʻo ventilator

Inā ʻoe i loko o kekahi o nā hui pōpilikia, e kamaʻilio me kāu kauka e pili ana i ka pale ʻana a me nā ʻōlelo aʻoaʻo.

Pehea e hōʻoia ai kāu kauka no bronchopneumonia?

Hiki wale i ke kauka ke hōʻoia i ka bronchopneumonia. E hoʻomaka kāu kauka ma ke alakaʻi ʻana i kahi hoʻokolohua kino a nīnau e pili ana i kāu mau hōʻailona. E hoʻohana lākou i kahi stethoscope e hoʻolohe ai i ke kani ʻana a me nā leo hanu ʻē aʻe ʻē aʻe.

E hoʻolohe nō hoʻi lākou i nā wahi o kou umauma kahi e ʻoi ai ka paʻakikī e lohe i kou hanu ʻana. I kekahi manawa, inā maʻi a piha paha kou mau māmā i ka wai, ʻike paha kāu kauka ʻaʻole kani nui kou hanu e like me ka mea i manaʻo ʻia.

Hiki iā lākou ke hoʻouna iā ʻoe no nā hoʻokolohua e kāpae i nā kumu kūpono ʻē aʻe i hiki ke alakaʻi i nā ʻōuli like. ʻO nā kūlana ʻē aʻe e pili ana i ka bronchitis, ka hānō hānō, a i ʻole ka louma pneumonia. Pākuʻi ʻia paha nā hoʻokolohua:

Nā hoʻāʻoNā hopena
X-ray umaumaE hōʻike mau ʻia ʻo Bronchopneumonia ma ke ʻano he mau wahi patchy o ka maʻi, i nā maʻa mau a i ka hapanui ma nā kumu māmā.
Helu piha koko (CBC)ʻO kahi helu kiʻekiʻe o nā hunaola keʻokeʻo piha, a me nā helu kiʻekiʻe o kekahi ʻano o nā hunaola keʻokeʻo, e hōʻike paha i kahi maʻi bacteria.
Nā moʻomeheu koko a kolo pahaHōʻike kēia mau hoʻokolohua i ke ʻano o nā meaola e kumu ana i ka maʻi.
CT scanHāʻawi kahi CT scan i kahi nānā kikoʻī i nā kiko o ka māmā.
ʻO BronchoscopyHiki ke nānā pono i kēia mea kani uila i nā paipu hanu a lawe i nā laʻana o nā kiko o ka māmā, ʻoiai e nānā ana i ka maʻi a me nā kūlana ʻē aʻe.
Pulse oximetryHe ho'āʻo maʻalahi a noninvasive kēia e ana i ka pākēneka o ka oxygen i ke kahe o ke koko. ʻO ka haʻahaʻa o ka helu, ʻo ka haʻahaʻa o kāu pae oxygen.

Pehea ʻoe e mālama ai i ka bronchopneumonia?

ʻO nā koho lapaʻau no ka bronchopneumonia e hoʻopili pū ʻia ma ka home a me nā lāʻau lapaʻau e ka lāʻau lapaʻau.

Mālama i ka home

ʻAʻole koi ka Virch bronchopneumonia i ka lāʻau lapaʻau ke ʻole ke koʻikoʻi. Hoʻomaikaʻi maʻamau iā ia iho i ʻelua mau pule. ʻO ke kumu o ke koʻohune a fungal paha o bronchopneumonia e pono ai ka lāʻau.

Lapaʻau ola

E kauoha aku kāu kauka i nā lāʻau antibiotic inā he bacteri ke kumu o kou maʻi ponia. Hoʻomaka ka hapa nui o ka poʻe e ʻoi aku ka maikaʻi ma waena o ʻekolu a ʻelima mau lā ma hope o ka hoʻomaka ʻana o nā antibiotic.

He mea nui ia e hoʻopau i kāu papa antibiotics āpau e pale ai i ka hoʻi ʻana mai o ka maʻi a e hoʻomaʻemaʻe loa ia.

I nā hihia o kahi maʻi viral e like me influenza, hiki i kāu kauka ke kauoha i nā antivirals e kōkua i ka hōʻemi ʻana i ka lōʻihi o kou maʻi a me ke koʻikoʻi o kāu mau ʻōuli.

Mālama haukapila

Pono paha ʻoe e hele i ka haukapila inā nui kou maʻi a hālāwai ʻoe i kekahi o nā pae aʻe:

  • ʻoi aku ʻoe i ka makahiki 65
  • pilikia ʻoe i ka hanu
  • ʻeha kou umauma
  • he hanu wikiwiki kou
  • haʻahaʻa kou koko
  • hōʻike ʻoe i nā ʻōuli o ka huikau
  • pono ʻoe i ke kōkua hanu
  • he maʻi maʻi maʻi mau kou

Hiki i ka mālama ʻana i ka haukapila ke komo pū me nā lāʻau antibiotic intravenous (IV) a me nā wai.Inā haʻahaʻa kāu pae oxygen o ke koko, loaʻa iā ʻoe ka oxygen therapy e kōkua iā lākou e hoʻi i ka maʻamau.

Nā pilikia

Hiki i nā pilikia mai ka bronchopneumonia ke hana ma muli o ke kumu o ka maʻi. Hiki i nā pilikia maʻamau ke hoʻopili:

  • nā maʻi o ke kahe o ke koko a i ʻole sepsis
  • maloʻo ʻaʻā
  • kūkulu ʻia o ka wai a puni nā akemāmā, i ʻike ʻia ma ke ʻano he pleural effusion
  • hanu hanu
  • hakuʻala ʻole
  • nā kūlana puʻuwai e like me ka maikaʻi ʻole o ka puʻuwai, nā puʻuwai puʻuwai, a me nā kaʻina kaulike ʻole

Hoʻomaʻo i nā pēpē a me nā keiki

E kauoha aku kāu kauka i nā lāʻau antibiotic inā loaʻa ka maʻi bacteria i kāu keiki. ʻO ka mālama home ʻana e hoʻomāmā ai i nā ʻōuli kekahi mea nui i ka mālama ʻana i kēia ʻano. E hōʻoia i ka loaʻa ʻana o ka wai i kāu keiki a hoʻomaha.

E ʻōlelo paha kāu kauka iā Tylenol e hōʻemi i nā fiva. Kau ʻia paha kahi inhaler a nebulizer paha e kōkua i ka mālama ʻana i nā kahawai e like me ka hiki. I nā hihia koʻikoʻi, koi paha kahi keiki i ka haukapila e loaʻa i kēia mau mea:

  • Nā wai IV
  • lāʻau lapaʻau
  • oxygen
  • ʻōnaehana hanu

E nīnau mau i kāu kauka i kāu keiki ma mua o ka hāʻawi ʻana i nā lāʻau kohā. ʻAʻole makemake ʻia kēia mau mea no nā keiki ʻōpio ma mua o ka makahiki 6. E heluhelu hou aʻe e pili ana i nā ʻano hoʻomaʻemaʻe no nā keiki.

Pehea e pale ai i ka bronchopneumonia

Hiki i nā hana mālama maʻalahi ke hōʻemi i kou makaʻu i ka maʻi ʻana a me ka hoʻomohala ʻana i ka bronchopneumonia. E heluhelu hou aʻe i ke ala kūpono e holoi ai i kou mau lima.

Hiki pū ke kōkua i ka pale ʻana i ke pale ʻana i kekahi ʻano o ka maʻi ponia. E mālama pono i kāu kīkī flu makahiki, no ka mea, ʻo ka maʻi flu ke kumu i ka maʻi ponia. Hiki ke pale ʻia ke ʻano o nā maʻi ʻaʻai koʻohune e nā koʻokoʻo pneumococcal. Loaʻa kēia mau mea no nā mākua a me nā keiki.

E kamaʻilio i kāu kauka e hoʻoholo inā hiki i kēia mau lāʻau lapaʻau ke hoʻopōmaikaʻi iā ʻoe a i ʻole kou ʻohana. E heluhelu hou aʻe e pili ana i nā papa hana lāʻau lapaʻau no nā pēpē a me nā kamaliʻi liʻiliʻi.

He aha ke kuanaʻike no ka bronchopneumonia?

ʻO ka hapanui o ka poʻe i loaʻa i ka bronchopneumonia e hoʻi hou i loko o kekahi mau pule. Pehea ka lōʻihi e ola ai ma muli o nā kumu:

  • kou mau makahiki
  • pehea ka nui o kāu mau māmā i hoʻopili ʻia
  • ka paʻakikī o ka maʻi kōpaʻa
  • ke ʻano o nā meaola e hoʻoulu ai i ka maʻi
  • kou olakino holoʻokoʻa a me nā ʻano kumu āpau
  • nā pilikia i loaʻa iā ʻoe

ʻAʻole e waiho i kou kino e hiki ke hopena i kahi wā hoʻōla hou. ʻO ka poʻe iʻoi aku ka nui o ka makaʻu no kēia kūlana e hoʻomohala i nā pilikia koʻikoʻi, hoʻoweliweli i ke ola, e like me ka hanu ʻole ʻana, me ka ʻole o ka lāʻau.

E ʻike i ke kauka inā manaʻo ʻoe he ʻano pneumonia kāu. Hiki iā lākou ke hōʻoia iā ʻoe ka hōʻoia pololei a ke loaʻa nei iā ʻoe ka lāʻau maikaʻi loa no kāu maʻi.

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