ʻO Mycoplasma Pneumonia

Anter

• He aha ke kumu o ka mycoplasma pneumonia?
• ʻO wai ka makaʻu no ka hoʻomohala ʻana i ka mycoplasma pneumonia?
• He aha nā hōʻailona o ka mycoplasma pneumonia?
• Pehea e ʻike ʻia ai ka mycoplasma pneumonia?
• He aha nā koho lapaʻau no ka mycoplasma pneumonia?
• Nā Antibiotics
• Corticosteroids
• Hoʻoikaika maʻi maʻi maʻi
• Pehea e hiki ai iaʻu ke pale aku i ka mycoplasma pneumonia?
• Pehea ka mycoplasma pneumonia i nā keiki?
• He aha nā pilikia o ka mycoplasma pneumonia?
• He aha ka manaʻo lōʻihi?

He aha ka mycoplasma pneumonia?

ʻO Mycoplasma pneumonia (MP) he maʻi lele ia e hiki ke lele maʻalahi ma o ka pili ʻana i nā wai hanu. Hiki iā ia ke kumu i nā maʻi ahulau.

ʻIke ʻia ʻo MP ma ke ʻano he pneumonia ʻāpiki a kapa ʻia kekahi manawa he "pulumonia hele." Hoʻolahalaha koke ia i nā wahi i piha i ka lehulehu, e like me nā kula, nā pā kula, a me nā hale kahu. Ke ʻūlū a uha paha kekahi mea maʻi, hoʻokuʻu ʻia ka wai i loko o ka ea o ka MP. Hiki i nā poʻe maʻi ʻole i ko lākou kaiapuni ke hanu maʻalahi i nā bacteria i loko.

hoʻomohala ka poʻe i ko lākou kaiāulu (ma waho o kahi haukapila) nā kumu o Mycoplasma pneumoniae koʻohune. Hiki i nā bacteria ke kumu i ka tracheobronchitis (ke anu o ka umauma), nā ʻāʻī ʻeha, a me nā maʻi pepeiao e like me ka pulumonia.

ʻO kahi ʻōhū maloʻo ka hōʻailona maʻamau o ka maʻi. ʻAʻole hiki i nā hihia i mālama ʻia a koʻikoʻi paha ke hoʻopili i ka lolo, ka puʻuwai, ʻōnaehana ʻōnaehana ākea, ka ʻili, a me nā puʻupaʻa a kumu i ka hemolytic anemia. I nā hihia kakaikahi, make ka MP.

He paʻakikī ka hōʻailona mua no ka mea aia kekahi mau hōʻailona ʻano ʻē. Ke holo nei ʻo MP, hiki i nā hoʻokolohua kiʻi a me nā keʻena hoʻokolohua ke hoʻomaopopo iā ia. Hoʻohana nā kauka i nā lāʻau antibiotic e mālama iā MP. Pono paha ʻoe i nā antibiotic intravenous inā ʻaʻole holo nā lāʻau ʻalopika waha a i ʻole inā nui ka maʻi pneumonia.

He ʻokoʻa nā ʻōuli MP mai nā pulmonia maʻamau i hoʻokumu ʻia e nā bacteria maʻamau, e like me ʻO Streptococcus a Haemophilus. ʻAʻohe o ka hanu nui o ka poʻe maʻi, ka wela nui, a me kahi kohaka hana me MP. ʻOi aku ka maʻamau o ka fiva haʻahaʻa, uā maloʻo, ka liʻiliʻi o ka hanu me ka hoʻoikaika ʻana, a me ka luhi.

He aha ke kumu o ka mycoplasma pneumonia?

ʻO ka Mycoplasma pneumonia ʻo ka koʻohune kekahi o nā mea i ʻike nui ʻia o nā kānaka āpau. Aia ma kahi o 200 mau ʻano ʻokoʻa i ʻike ʻia. ʻO ka hapa nui o ka poʻe me nā maʻi hanu i hoʻokumu ʻia e Mycoplasma pneumoniae mai hoʻomōhala pneumonia. I ka manawa i loko o ke kino, hiki i ka maʻi bacteria ke hoʻopili iā ia iho i kou aʻa māmā a hoʻonui a hiki i ka ulu ʻana o kahi maʻi piha. ʻO ka hapa nui o nā hihia mycoplasma pneumonia he akahai.

ʻO wai ka makaʻu no ka hoʻomohala ʻana i ka mycoplasma pneumonia?

I nā mākua olakino he nui, hiki i ka ʻōnaehana pale pale ke hakakā aku me MP ma mua o ka ulu ʻana i maʻi. ʻO kēlā mau mea i makaʻu ʻole i ka:

• makua makua
• ka poʻe i loaʻa nā maʻi e hoʻopilikia i kā lākou ʻōnaehana pale, e like me HIV, a i ʻole ma nā steroid mau, immunotherapy, a chemotherapy paha
• ka poʻe i loaʻa i ka maʻi lolo
• ka poʻe i loaʻa i ka maʻi maʻi maʻi maʻi
• nā keiki ma mua o 5 mau makahiki

He aha nā hōʻailona o ka mycoplasma pneumonia?

Hiki paha i ka MP ke mimic i kahi maʻi hanu o luna a i ʻole ke anuanu maʻamau ma mua o ka maʻi o ka hanu haʻahaʻa a i ʻole ka pneumonia. Eia hou, ʻo kēia mau ʻōuli ke ʻano maʻamau o kēia mau mea:

• ʻūhū maloʻo
• fever fever
• malaise
• hā iki o ka hanu

I nā hihia maʻamau, hiki i ka maʻi ke lilo i mea weliweli a hōʻino i ka puʻuwai a i ʻole ke kikowaena pūnaewele. Eia kekahi laʻana o kēia mau maʻi:

• ʻo ke kuamoʻo, kahi e wela ai nā hono
• pericarditis, kahi mumū o ka pericardium e hoʻopuni ana i ka puʻuwai
• ʻO Guillain-Barré Syndrome, kahi maʻi neurological i hiki ke alakaʻi i ka maʻi lōlō a me ka make
• encephalitis, kahi hoʻoweliweli hiki ke hoʻoweliweli i ka lolo
• hakuʻala ʻole
• hemolytic anemia
• ʻili a weliweli hoʻi i nā ʻili e like me Stevens-Johnson syndrome a me ka lāʻau ʻumeʻine epidermal
• nā pilikia pepeiao laha ʻole e like me ka myringitis bullous

Pehea e ʻike ʻia ai ka mycoplasma pneumonia?

Hoʻolālā maʻamau ka MP me ka ʻike ʻole ʻia o nā ʻōuli no ka mea mua a i ʻekolu mau pule ma hope o ka hōʻike ʻana. He paʻakikī ka hōʻoia o ka pae mua no ka mea ʻaʻole hōʻike ke kino i kahi maʻi.

E like me ka mea i ʻōlelo ʻia ma mua, hiki i ka maʻi ke hōʻike ma waho o kou māmā. Inā kū kēia, hiki i nā hōʻailona o ka maʻi ke hoʻopili i ka haki o nā hunaola ʻulaʻula, kahi ʻeha o ka ʻili, a me ke komo pū ʻana. Hiki i nā hoʻokolohua olakino ke hōʻike i ka hōʻike o ka maʻi MP i ʻekolu a i ʻehiku mau lā ma hope o ka ʻike ʻia o nā ʻōuli mua.

I mea e hana ai i kahi hōʻailona, ​​hoʻohana kāu kauka i kahi stethoscope e hoʻolohe ai i nā kani kūlohelohe ʻole i kou hanu ʻana. Hiki paha i kahi X-ray umauma a me kahi CT scan ke kōkua i kāu kauka e hana i kahi ʻike. Kauoha paha kāu kauka i nā hoʻāʻo ʻana i ke koko e hōʻoia i ka maʻi.

He aha nā koho lapaʻau no ka mycoplasma pneumonia?

Nā Antibiotics

ʻO nā Antibiotics ka lālani mua o ka mālama ʻana no MP. Loaʻa nā keiki i nā lāʻau ʻokoʻa ʻokoʻa ma mua o nā mākua e pale aku ai i nā hopena ʻaoʻao weliweli.

ʻO Macrolides, ke koho mua loa o nā antibiotic no nā keiki, e hoʻopili pū me:

• erythromycin
• liuliu
• ʻōkalakala
• azithromycin

Nā Antibiotics i kuhikuhi ʻia no nā mākua:

• kakalakekea
• tetracycline
• nā quinolones, e like me levofloxacin a me moxifloxacin

Corticosteroids

I kekahi manawa ʻaʻole lawa nā antibiotic a pono ʻoe e mālama ʻia me nā corticosteroids e hoʻokele i ka pehu. ʻO nā laʻana o ia ʻano corticosteroids:

• prednisolone
• methylprednisolone

Hoʻoikaika maʻi maʻi maʻi

Inā loaʻa iā ʻoe ka MP koʻikoʻi, pono paha ʻoe i nā "immunomodulatory therapy" ʻē aʻe me ka hoʻohui i nā corticosteroids, e like me ka immunoglobulin intravenous a i ʻole IVIG.

Pehea e hiki ai iaʻu ke pale aku i ka mycoplasma pneumonia?

ʻO ka makaʻu o ka hana kuikahi ʻana i luna o MP i ka hāʻule a me nā mahina hoʻoilo. ʻO nā wahi kokoke a piha paha i mea maʻalahi no ka maʻi e lawe i kēlā me kēia kanaka.

I mea e hoʻohaʻahaʻa ai i kāu maʻi o ka maʻi, e hoʻāʻo i kēia:

• ʻEono a ʻewalu paha mau hola o ka hiamoe i kēlā me kēia pō.
• ʻAi i ka papaʻai kaulike.
• Hōʻalo i ka poʻe me nā ʻōuli o MP.
• E holoi i kou mau lima ma mua o ka ʻai ʻana a ma hope paha o ka launa ʻana me nā poʻe maʻi.

Pehea ka mycoplasma pneumonia i nā keiki?

Ma ka laulaha, ʻoi aku ka maʻalahi o nā keiki i nā maʻi ma mua o nā mākua. Hoʻonāukiuki ʻia kēia e ka mea i hoʻopuni pinepine ʻia e nā hui nui o nā keiki ʻē aʻe, he infectious paha. Ma muli o kēia, aia paha lākou i ka nui o ka makaʻu no MP ma mua o nā mākua. Lawe i kāu keiki i ke kauka inā ʻike ʻoe i kekahi o kēia mau ʻōuli.

• ka wela mau
• anuanu a me flu-e like me nā hōʻailona e kū mau ma mua o 7-10 mau lā
• he batukū maloʻo mau
• ke kaniʻuhū ʻana i ka hanu ʻana
• ua luhi lākou a maikaʻi ʻole paha a ʻaʻole maikaʻi
• ʻeha o ka umauma a ʻōpū paha
• ka luaʻi

No ke kuhi ʻana i kāu keiki, hana paha kā lākou kauka i hoʻokahi a ʻoi paha o kēia mau mea:

• hoʻolohe i ka hanu ʻana o kāu keiki
• e lawe i ka X-ray umauma
• lawe i kahi moʻomeheu bacteria mai ko lākou ihu a i ʻole ka puʻu
• kauoha hoʻāʻo koko

Ke kuhi ʻia kāu keiki, hiki i kā lākou kauka ke kuhikuhi i kahi lāʻau antibiotic no 7-10 mau lā e mālama ai i ka maʻi. ʻO nā antibiotic maʻamau no nā keiki he macrolides, akā hiki i kā lākou kauka ke kuhikuhi i nā cyclines a i ʻole nā ​​quinolones.

Ma ka home, e nānā pono ʻole i kāu keiki e kaʻana like i nā kīʻaha a i ʻole nā ​​kīʻaha i ʻole lākou e hoʻolaha i ka maʻi. E inu lākou i nā wai he nui. E hoʻohana i kahi mea hoʻomehana e mālama i nā ʻeha o ka umauma a lākou e ʻike ai.

E hoʻomaʻemaʻe pinepine ka maʻi MP o kāu keiki ma hope o ʻelua mau pule. Eia nō naʻe, hiki i kekahi mau maʻi i ʻeono pule e hoʻōla piha.

He aha nā pilikia o ka mycoplasma pneumonia?

I kekahi mau hihia, hiki i kahi maʻi MP ke lilo i mea weliweli. Inā loaʻa ʻoe i ka hānō, hiki i ka MP ke hōʻeha i kāu mau ʻōuli. Hiki i ka MP ke ulu i kahi hihia ʻoi loa o ka maʻi pneumonia.

He kakaikahi ka MP lōʻihi a lōʻihi paha akā hiki ke hōʻeha i ka māmā mau loa, e like me ka manaʻo i hana ʻia ma nāʻiole. I nā hihia maʻamau, hiki i ka MP i mālama ʻole ʻia ke make. E ʻike koke i kāu kauka inā ʻike ʻoe i kekahi ʻōuli, keu hoʻi inā ʻoi aku lākou ma mua o ʻelua mau pule.

He aha ka manaʻo lōʻihi?

M. pneumoniae ʻo ia no nā haukapila e pili ana i ka niumonia i nā mākua, e like me nā Centers for Disease Control and Prevent.

Hoʻomohala ka hapanui o ka poʻe i nā mea ʻino i MP ma hope o ka maʻi kō. Pale aku nā mea ʻino iā lākou mai maʻi hou. ʻO nā mea maʻi i loaʻa kahi ʻōnaehana pale nawaliwali, e like me nā mea me ka maʻi HIV a me nā mea e mālama ʻia me nā steroid kūmau, nā immunomodulator, a me nā chemotherapy, e paʻakikī paha lākou i ke kaua ʻana aku i kahi maʻi MP a he nui aku ka makaʻu no ka hoʻopili hou ʻana i ka wā e hiki mai ana.

No nā poʻe ʻē aʻe, pono e hoʻōki i nā ʻōuli i hoʻokahi a i ʻelua pule ma hope o ka mālama E lohi paha kahi kahe, akā hoʻoholo ka hapa nui o nā hihia me ka hopena ʻole i loko o ʻehā a ʻeono pule. E ʻike i kāu kauka inā hoʻomau ʻoe i ka ʻike i nā hōʻailona koʻikoʻi a i ʻole ke keakea nei ka maʻi i kou ola i kēlā me kēia lā. E ʻimi paha ʻoe i ka lāʻau lapaʻau a i ʻole kahi hōʻailona no kekahi ʻano ʻē aʻe i hoʻokumu ʻia e kāu maʻi MP.