Ama-Pneumonia Basics
Ukukhwehlela kuyisifo esivamile lapho izingane ziba khona lapho zigula.
Ngenhlanhla, kuvame kakhulu ukuthi ukukhwehlela kubangelwa ukutheleleka ngegciwane, njengokungabanda noma ukushisa, esikhundleni se-pneumonia, nakuba abazali abaningi babonakala bekhathazeka ukuthi izingane zabo zingase zibe ne-pneumonia uma zikhwehlela.
Ngisho nalapho izingane zine-pneumonia, ngokuvamile ziba ne-pneumonia yegciwane noma i- pneumonia ehamba kancane, futhi akuyona imbangela enkulu yebhaktheriya eyenza i-pneumonia.
Ukuhamba nge-Pneumonia
Ukuhamba nge-pneumonia, uhlobo lwe-pneumonia e-atypical, ngokuvamile kubangelwa amagciwane aseMycoplasma pneumoniae . Nakuba ngokuvamile kuba uhlobo olubi kakhulu lwe-pneumonia kunezinye izinhlobo ze-bacteria ze-pneumonia, izimpawu zingabangela ukukhathazeka, zingakwazi ukuhlala isikhathi esingangenyanga noma ngaphezulu, futhi nakuba zingavamile, ezinye izimo zingaba sína futhi zingasongela ukuphila.
Ukuhamba nge-pneumonia kwabizwa igama ngoba njengoba lezi zitho zitholakala ukuthi zine-pneumonia, eziningi zezinye izimpawu zazo, kuhlanganise nomkhuhlane wabo, seziphelile, ngakho-ke zivame 'zihambahamba' nge-pneumonia.
Ukuhamba Izimpawu Ze-Pneumonia
Izimpawu zokuqala zokuhamba nge-pneumonia zingafana nomkhuhlane noma umkhuhlane futhi ngokuvamile ziqala kancane kancane ngomsebenzi owehliwe, umkhuhlane , umkhuhlane , kanye nekhanda.
Izingane zakha ukukhwehlela owomile, okungaba kubi kakhulu ebusuku. Ngokungafani nokukhwehlela kusuka emakhazeni, ongalindela ukuqala ukuphucula emva kwezinsuku eziyisihlanu kuya kweziyisikhombisa, izingane ezihamba nge-pneumonia ziyokhwehlela njalo njengoba isikhathi siqhubeka, njengoba nje umkhuhlane nezinye izimpawu ziyahamba.
Ukukhwehlela kwabo cishe kuyoba nokukhiqiza, kungase kube negazi, futhi ukukhwehlela kungase kuphele amasonto amathathu noma amane.
Ezinye izibonakaliso nezimpawu zingase zifake:
- Ukuqhuma isikhumba , kubandakanya i-erythema multiform
- Ama-crackles bese ehamba esifubeni
- Ama-muscle aches
- Uhudo
- Ubuhlungu besifuba
- Ama-Chills
- Ama- lymph agwetshiwe
- Ukuphefumula okunenkinga
Ngokungafani nezingane kanye nentsha ene-pertussis, futhi nayo ingaba nokukhwehlela okuqhubekayo, labo abane-pneumonia ehambayo bavame ukukhwehlela kakhudlwana.
Ukuhamba nge-Pneumonia Ukuhamba
Ukuxilongwa kokuhamba nge-pneumonia kuvame ukususelwa ekuphatheni kwezimpawu zomntwana, kodwa i-x-ray yesifuba ingaba usizo, okungabonisa ukungena kwe-infiltrate. Lokhu akutholakali ukuhamba nge-pneumonia, noma kunjalo futhi kusho ukuthi ingane yakho ine-pneumonia. Kusengumfanekiso wezimpawu ezibonisa ukuthi uhamba nge-pneumonia.
Ngezinye izikhathi izimila zenziwa, kodwa azikwazi ukusebenza, ngoba zithatha isikhathi eside ukuba zikhule, kanti abanye abantu bangakwazi ukuhlola amaviki noma izinyanga emva kokutheleleka.
Ezinye izivivinyo ezenziwa ngezinye izikhathi zibandakanya ukuhlolwa kwe-agglutinin okubandayo, ukuxhasana nokulungisa (CF) antibody, kanye nokuhlolwa kwe- Mycoplasma pneumoniae antibody, nakuba kungasetshenziswa njalo njalo kubantwana abane-pneumonia ehamba ngokungahambi kahle.
Ukwelashwa Kwe-Pneumonia
Izindlela zokwelashwa eziyinhloko zokuhamba nge-pneumonia zisekela, kuhlanganise ukuphumula kanye namanzi, kanye namagciwane, kuhlanganise:
- I-Erythromycin
- I-Azithromycin (i- Zithromax )
- I-Clarithromycin (i-Biaxin)
- Tetracycline (kuphela izingane ezingaphezu kweminyaka engu-8 noma kunjalo)
Amanye ama-antibiotic, afana ne- Amoxil ne-cephalosporins, awasebenzi ngokumelene nokuhamba kwe-pneumonia, kodwa angaphatha ezinye izimbangela ezivamile ze-bacterial pneumonia, okungenza kube nzima kubahlengikazi ukukhetha ama-antibiotics kulawa bantwana.
Khumbula ukuthi izingane ezihamba nge-pneumonia ziyakwazi ukutheleleka ngemuva kokuphathwa nge-antibiotic, futhi kaningi amanye amalungu omndeni ayagula futhi. Ama-antibiotics asiza kakhulu uma eqala ekuqaleni kokugula.
Ungaba ngcono ngaphandle kwama-antibiotics uma uhamba nge-pneumonia, nakuba ochwepheshe abaningi becabanga ukuthi ungathola ngokushesha uma uqala ama-antibiotic ekuqaleni kokutheleleka.
Okufanele Ukwazi Ngokuhamba Pneumonia
Ezinye izinto ozokwazi ngokuhamba nge-pneumonia zihlanganisa ukuthi:
- Ukuhamba nge-pneumonia kuvame kakhulu ezinganeni ezineminyaka esikoleni, futhi empeleni, yiyona imbangela evame kakhulu yomoya wokuphefumula ezinganeni ezindala kanye nentsha. Izinsana, izingane ezincane nezinsana zasenkulisa zivame ukuba ne-pneumonia yegciwane, njenge-RSV, nakuba abanye ochwepheshe bacabanga ukuthi i- Mycoplasma pneumoniae nayo ibangela ukutheleleka okuningi ezinganeni ezincane futhi.
- Ngemuva kokuba utholakale kumuntu onesifo sofuba se- Mycoplasma pneumoniae , kungathatha isonto elilodwa ukuya kwamane kuze ingane yakho igule ( isikhathi sokukhushulwa ).
- Ngaphezu kokuhamba kwe-pneumonia, i- Mycoplasma pneumoniae ingabangela izifo zendlebe, izifo zesinus, i-bronchitis, i-croup, nezinye izifo.
- Ngaphezu kwe- Mycoplasma pneumoniae , amanye amabhaktheriya angabangela ukuhamba nge-pneumonia ahlanganisa iLegionella pneumophila neClamydophila pneumoniae .
- Izifo zengculaza ze- Mycoplasma pneumoniae zicatshangwa ukuthi zenzeka njalo eminyakeni engama-4 kuya kwengu-7.
- Ngokungafani nezinye izifo ezivame kakhulu ngezikhathi ezithile zonyaka, njenge- RSV , i- rotavirus , nomkhuhlane phakathi nobusika, izingane zingakwazi ukuhamba nge-pneumonia cishe noma nini unyaka.
Khuluma nodokotela wakho wezingane uma ingane yakho inomkhuhlane okhulayo noma ucabanga ukuthi kungenzeka ukuthi uhamba nge-pneumonia.
Imithombo:
I-pneumonia etholakale umphakathi. Indlela yokuxilonga nokwelapha. I-Cunha BA - Med Clin North Am - 01-JAN-2001; 85 (1): 43-77
Indima evelayo ye-Mycoplasma pneumoniae ne-Chlamydia pneumoniae ezithombeni zokuphefumula eziphefumulayo. I-Principi N - Lancet I-Disfect Infect - 01-DEC-2001; 1 (5): 334-44
Izifo ezithathelwanayo ezithathelwanayo ze-asthma. I-MacDowell AL - Immunol Yezokwelapha Emtholampilo North Am - 01-FEB-2005; 25 (1): 45-66
Isikhathi eside: Izimiso Nezenzo Zezifo Ezithathelwanayo Zengane, 2nd ed., Churchill Livingstone, Imprint ka-Elsevier; 2003.