Chibayo chachilendo

Chibayo chimatupa kapena kutupa minofu yam'mapapo chifukwa chotenga kachilomboka.

Ndi chibayo chachilendo, matendawa amayamba chifukwa cha mabakiteriya osiyanasiyana kuposa omwe amayambitsa chibayo. Chibayo cha chibayo chimakhalanso ndi zizindikilo zowopsa kuposa chibayo.

Mabakiteriya omwe amachititsa chibayo cha atypical ndi awa:

• Mycoplasma chibayo chimayambitsidwa ndi mabakiteriya Mycoplasma pneumoniae. Nthawi zambiri zimakhudza anthu ochepera zaka 40.
• Chibayo chifukwa cha Chlamydophila pneumoniae mabakiteriya amapezeka chaka chonse.
• Chibayo chifukwa cha Legionella pneumophila mabakiteriya amawonekera kawirikawiri pakati pa achikulire ndi achikulire, osuta, komanso omwe ali ndi matenda osachiritsika kapena chitetezo chamthupi chofooka. Zitha kukhala zowopsa kwambiri. Mtundu uwu wa chibayo umatchedwanso matenda a Legionnaire.

Chibayo chifukwa cha mycoplasma ndi chlamydophila bacteria nthawi zambiri amakhala wofatsa. Chibayo chifukwa cha legionella chimakulirakulira m'masiku 4 mpaka 6 oyamba, kenako bwino masiku 4 mpaka 5.

Zizindikiro zofala kwambiri za chibayo ndi izi:

• Kuzizira
• Chifuwa (ndi legionella chibayo, mutha kutsokomola ntchofu zamagazi)
• Malungo, omwe atha kukhala ofatsa kapena okwera
• Kupuma pang'ono (kumatha kuchitika mukamayesetsa)

Zizindikiro zina ndizo:

• Kupweteka pachifuwa kumawonjezeka mukamapuma kwambiri kapena kutsokomola
• Chisokonezo, nthawi zambiri mwa okalamba kapena omwe ali ndi chibayo cha legionella
• Mutu
• Kutaya njala, mphamvu zochepa, ndi kutopa
• Kupweteka kwa minofu ndi kuuma kolumikizana
• Thukuta lokhala ndi thukuta

Zizindikiro zochepa zimaphatikizapo:

• Kutsekula m'mimba (nthawi zambiri ndi legionella pneumonia)
• Kupweteka m'makutu (ndi mycoplasma chibayo)
• Kupweteka kwa diso kapena kupweteka (ndi mycoplasma chibayo)
• Khosi (ndi mycoplasma chibayo)
• Kutupa (ndi mycoplasma chibayo)
• Pakhosi (ndi mycoplasma chibayo)

Anthu omwe akuganiza kuti ndi chibayo ayenera kuyezetsa kuchipatala. Zingakhale zovuta kuti wothandizira zaumoyo wanu adziwe ngati muli ndi chibayo, bronchitis, kapena matenda ena opuma, kotero mungafunike x-ray pachifuwa.

Kutengera kukula kwa zizindikilozo, mayeso ena atha kuchitidwa, kuphatikiza:

• Kuwerengera kwathunthu kwa magazi (CBC)
• Kuyezetsa magazi kuti adziwe mabakiteriya enieni
• Bronchoscopy (yosafunika kwenikweni)
• Kujambula kwa CT pachifuwa
• Kuyeza kuchuluka kwa oxygen ndi kaboni dayokisaidi m'magazi (magazi am'magazi)
• Mphuno kapena pakhosi swab kuti muwone ngati mabakiteriya ndi ma virus
• Zikhalidwe zamagazi
• Tsegulani mapapu am'mapapo (amangochitika m'matenda akulu kwambiri pomwe matenda sangathe kupezedwa kuchokera kuzinthu zina)
• Chikhalidwe cha Sputum chimazindikira mabakiteriya enieni
• Kuyesa kwamkodzo kuti muwone ngati mabakiteriya a legionella

Kuti mukhale bwino, mutha kuchita izi panjira:

• Sungani malungo anu ndi aspirin, NSAID (monga ibuprofen kapena naproxen), kapena acetaminophen. Musapatse ana aspirin chifukwa akhoza kuyambitsa matenda owopsa otchedwa Reye syndrome.
• Musamamwe mankhwala a chifuwa musanalankhule ndi omwe akukuthandizani. Mankhwala akukhosomola amatha kupangitsa kuti thupi lanu likhale ndi vuto lokwanira chifuwa choonjezera.
• Imwani madzi ambiri kuti muthandize kumasula zotulutsa ndikubweretsa phlegm.
• Pezani mpumulo wambiri. Khalani ndi winawake kugwira ntchito zapakhomo.

Ngati kuli kotheka, mudzapatsidwa mankhwala opha tizilombo.

• Mutha kumwa mankhwala opha tizilombo pakamwa kunyumba.
• Ngati matenda anu ndi ovuta, mwachidziwikire mudzalandiridwa kuchipatala. Kumeneko, mudzapatsidwa maantibayotiki kudzera mumitsempha (kudzera m'mitsempha), komanso mpweya.
• Maantibayotiki amatha kugwiritsidwa ntchito kwa milungu iwiri kapena kupitilira apo.
• Malizitsani maantibayotiki onse omwe mwalandira, ngakhale mutakhala bwino. Mukasiya mankhwala msanga, chibayo chimatha kubwerera ndipo chimakhala chovuta kuchiza.

Anthu ambiri omwe ali ndi chibayo chifukwa cha mycoplasma kapena chlamydophila amakhala bwino ndi maantibayotiki oyenera. Legionella chibayo chingakhale choopsa. Zitha kubweretsa mavuto, nthawi zambiri kwa omwe ali ndi impso kulephera, matenda ashuga, matenda osokoneza bongo (COPD), kapena chitetezo chamthupi chofooka. Ikhozanso kutsogolera kuimfa.

Zovuta zomwe zingachitike zingaphatikizepo izi:

• Matenda a ubongo ndi amanjenje, monga meningitis, myelitis, ndi encephalitis
• Hemolytic anemia, vuto lomwe mulibe maselo ofiira okwanira m'magazi chifukwa thupi limawawononga
• Kuwonongeka kwakukulu kwamapapu
• Kulephera kupuma komwe kumafuna makina opumira (othandizira mpweya)

Lumikizanani ndi omwe amakupatsani ngati mukudwala malungo, chifuwa, kapena kupuma movutikira. Pali zifukwa zambiri za izi. Woperekayo adzafunika kuchotsa chibayo.

Komanso, itanani ngati mwapezeka kuti muli ndi chibayo chotere ndipo zizindikiro zanu zimawonjezeka mukayamba kusintha.

Sambani m'manja pafupipafupi kuti anthu ena omwe ali pafupi nanu achite zomwezo.

Pewani kukumana ndi odwala nthawi zonse.

Ngati chitetezo cha mthupi lanu ndi chofooka, musakhale pagulu. Funsani alendo omwe ali ndi chimfine kuti avale chigoba.

Osasuta. Ngati mutero, pezani thandizo kuti musiye.

Pezani chimfine chaka chilichonse. Funsani omwe akukuthandizani ngati mukufuna katemera wa chibayo.

Kuyenda chibayo; Community-anapeza chibayo - atypical

• Chibayo mwa akulu - kutulutsa
• Chibayo mwa ana - kutulutsa

• Mapapo
• Dongosolo kupuma

[Adasankhidwa] Baum SG, Goldman DL. Mycoplasma matenda. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 301.

Holzman RS, Simberkoff MS, Leaf HL. Mycoplasma pneumoniae ndi chibayo cha atypical. Mu: Bennett JE, Dolin R, Blaser MJ, olemba., Eds. Mandell, Douglas, ndi Bennett's Principles and Practice of Infectious Diseases. 9th ed. Philadelphia, PA: Elsevier; 2020: chap 183.

Moran GJ, Waxman MA. Chibayo. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: mutu 66.