Chibayo chibayo

Chibayo ndimapuma momwe mumakhala kutupa (kutupa) kapena matenda am'mapapo kapena mayendedwe akulu ampweya.

Chibayo chotulutsa chibayo chimachitika pamene chakudya, malovu, zakumwa, kapena masanzi apumiridwira m'mapapu kapena njira zapaulendo zopita kumapapu, m'malo momezedwa m'mero ​​ndi m'mimba.

Mtundu wa mabakiteriya omwe adayambitsa chibayo umadalira:

• Thanzi lanu
• Kumene mumakhala (kunyumba kapena kumalo osungirako okalamba, mwachitsanzo)
• Kaya mudagonekedwa posachedwa
• Mankhwala anu aposachedwa a maantibayotiki
• Kaya chitetezo chanu cha mthupi chafooka

Zowopsa zopumira (chiyembekezo) cha zakunja m'mapapu ndi izi:

• Kusakhala tcheru chifukwa cha mankhwala, matenda, opareshoni, kapena zifukwa zina
• Coma
• Kumwa mowa wambiri
• Kulandira mankhwala oti mugone tulo tofa nato ka opaleshoni (anesthesia)
• Ukalamba
• Osauka gag reflex mwa anthu omwe sali tcheru (osadziwa kanthu kapena osazindikira pang'ono) pambuyo povulala kapena kuvulala kwaubongo
• Mavuto ndi kumeza

Zizindikiro zimatha kuphatikizira izi:

• Kupweteka pachifuwa
• Kutsokomola fungo lonunkhira, lobiriwira kapena lakuda (sputum), kapena phlegm yomwe imakhala ndi mafinya kapena magazi
• Kutopa
• Malungo
• Kupuma pang'ono
• Kutentha
• Fungo la mpweya
• Kutuluka thukuta kwambiri
• Mavuto kumeza
• Kusokonezeka

Wothandizira zaumoyo amamvetsera chifukwa cha mabala kapena mpweya wosamveka bwino akamamvera pachifuwa ndi stethoscope. Kugogoda pakhoma panu pachifuwa (phokoso) kumathandiza woperekayo kuti amvetsere ndikumva mawu osamveka bwino pachifuwa chanu.

Ngati chibayo chikukayikiridwa, woperekayo akhoza kuyitanitsa x-ray pachifuwa.

Mayesero otsatirawa angathandizenso kuzindikira vutoli:

• Magazi amitsempha yamagazi
• Chikhalidwe chamagazi
• Bronchoscopy (imagwiritsa ntchito mawonekedwe apadera kuti awone mpweya wamapapo)
• Kuwerengera kwathunthu kwa magazi (CBC)
• X-ray kapena CT scan pachifuwa
• Chikhalidwe cha Sputum
• Kuyesa mayeso

Anthu ena angafunike kupita kuchipatala. Chithandizo chimadalira momwe chibayo chilili cholimba komanso kudwala kwake munthu asanafune (matenda osachiritsika). Nthawi zina makina opumira (makina opumira) amafunika kuthandizira kupuma.

Muyenera kuti mudzalandira maantibayotiki.

Mungafunike kuti ntchito yanu yakumeza imayesedwe. Anthu omwe akuvutika ndi kumeza angafunike kugwiritsa ntchito njira zina zodyetsera kuti achepetse chiyembekezo.

Zotsatira zimadalira:

• Thanzi la munthu asanalandire chibayo
• Mtundu wa mabakiteriya omwe amayambitsa chibayo
• Kuchuluka kwa mapapu ake kumakhudzidwa

Matenda owopsa kwambiri amatha kuwononga mapapu kwanthawi yayitali.

Zovuta zingaphatikizepo:

• Kutupa m'mapapo
• Chodabwitsa
• Kufalikira kwa matenda m'magazi (bacteremia)
• Kufalitsa matenda kumadera ena a thupi
• Kulephera kupuma
• Imfa

Itanani omwe akukuthandizani, pitani kuchipinda chadzidzidzi, kapena itanani nambala yadzidzidzi yakomweko (monga 911) ngati muli ndi:

• Kupweteka pachifuwa
• Kuzizira
• Malungo
• Kupuma pang'ono
• Kutentha

Chibayo cha Anaerobic; Kutulutsa masanzi; Chibayo chosokonekera; Kutulutsa pneumonitis

• Chibayo mwa akulu - kutulutsa

• Pneumococci chamoyo
• Bronchoscopy
• Mapapo
• Dongosolo kupuma

Musher DM. Chidule cha chibayo. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 91.

Torres A, Menendez R, Wunderink RG. Bakiteriya chibayo ndi mapapu abscess. Mu: Broaddus VC, Mason RJ, Ernst JD, et al, olemba. Murray ndi Nadel's Bookbook of Respiratory Medicine. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier Saunders; 2016: chap 33.