Kuyenda chibayo (Atypical Pneumonia): Zizindikiro, Zoyambitsa, ndi Chithandizo

Zamkati

• Kodi zizindikiro za chibayo choyenda ndi ziti?
• Kodi mitundu ya chibayo choyenda ndi iti?
• Nchiyani chimakulitsa chiopsezo chanu poyenda chibayo?
• Kodi dokotala wanu angapeze bwanji vutoli?
• Kodi mumatani ndi chibayo choyenda?
• Kuchiza kunyumba
• Malangizo othandizira kunyumba
  
• Chithandizo chamankhwala
• Chipatala
• Kodi ndi nthawi yanji yobwezeretsa vutoli?
• Kodi mumapewa bwanji chibayo?
• Makhalidwe abwino aukhondo
  

Kodi chibayo chikuyenda bwanji?

Kuyenda chibayo ndimatenda omwe amayambiranso kupuma kwanu. Amatchedwanso chibayo cha atypical, chifukwa nthawi zambiri samakhala woopsa ngati mitundu ina ya chibayo. Sizimayambitsa zizindikiro zomwe zimafuna kupumula pabedi kapena kuchipatala. Zitha kungomva ngati chimfine ndipo sizingadziwike ngati chibayo. Anthu ambiri amatha kupitiliza ndi moyo wawo watsiku ndi tsiku.

Chibayo choterechi chimadziwika kuti ndi chachabechabe chifukwa chakuti maselo omwe amayambitsa matendawa sagonjetsedwa ndi penicillin, mankhwala omwe amagwiritsidwa ntchito pochizira chibayo. Pafupifupi anthu 2 miliyoni ku United States amadwala chibayo chifukwa cha Mycoplasma pneumoniae chaka chilichonse. Chibayo choyenda chimatha kulikonse sabata limodzi mpaka mwezi.

Kodi zizindikiro za chibayo choyenda ndi ziti?

Zizindikiro za chibayo choyenda zimakhala zofatsa ndipo zimawoneka ngati chimfine. Zizindikiro zimatha pang'onopang'ono pang'onopang'ono (kuwonetsa patatha milungu iwiri kuchokera pakuwonekera) ndikuwonjezeka patadutsa mwezi umodzi. Zizindikiro zake ndi izi:

• chikhure
• kutupa pamphepo ndi nthambi zake zazikulu
• chifuwa chosatha (chouma)
• mutu

Zizindikiro zomwe zimatenga nthawi yayitali kuposa sabata zitha kukhala chizindikiro cha kuyenda chibayo.

Zizindikiro zimasiyananso kutengera komwe matenda ali. Mwachitsanzo, matenda omwe ali m'mapapo apamwamba amapangitsa kuti anthu azipuma movutikira kwambiri, pomwe matenda am'mapazi, kuphatikizaponso mapapu, amatha kuyambitsa nseru, kusanza, kapena kupweteka m'mimba.

Zizindikiro zina zomwe zingaphatikizepo:

• kuzizira
• zizindikiro ngati chimfine
• kupuma mofulumira
• kupuma
• kupuma movutikira
• kupweteka pachifuwa
• kupweteka m'mimba
• kusanza
• kusowa chilakolako

Zizindikiro mwa ana: Ana, makanda, ndi ana ang'onoang'ono amatha kuwonetsa zofananira ndi akulu akulu. Koma ngakhale mwana wanu atamva kuti ali bwino mokwanira kuti apite kusukulu, ayenera kukhala pakhomo mpaka zizindikilo zake zitayamba.

Kodi mitundu ya chibayo choyenda ndi iti?

Chibayo choyenda chimabweretsedwa kunyumba ndi ana ochokera kusukulu. Mabanja omwe amatenga kachilomboka adzawonetsa zizindikiro pakatha milungu iwiri kapena itatu. Pali mitundu itatu ya mabakiteriya yomwe imayambitsa chibayo.

Mycoplasma chibayo: Akuyerekeza kuti ku United States chifukwa cha Mycoplasma pneumoniae. Nthawi zambiri imakhala yofatsa kuposa mitundu ina ya chibayo ndipo imakonda kwambiri chibayo m'masukulu a ana okalamba.

Chibayo cha Chlamydial: Ana omwe ali pasukulu amatha kutenga kachilomboka Chlamydia pneumoniae bakiteriya. Akuti ku United States amatenga kachilomboka chaka chilichonse.

Chibayo cha Legionella (Matenda a Legionnaires): Ichi ndi chimodzi mwazovuta kwambiri za chibayo choyenda, chifukwa chimatha kuyambitsa kupuma komanso kufa. Sizimafalikira kudzera pakulumikizana ndi munthu, koma kudzera m'madontho ochokera m'madzi oyipa. Amakhudza kwambiri achikulire, omwe ali ndi matenda osachiritsika, komanso chitetezo chamthupi chofooka. Pafupifupi amapezeka chaka chilichonse ku United States.

Nchiyani chimakulitsa chiopsezo chanu poyenda chibayo?

Monga chibayo, chiopsezo chokhala ndi chibayo chimakhala chachikulu ngati muli:

• opitirira zaka 65
• 2 wazaka kapena kupitirira
• kudwala kapena kukhala ndi chitetezo chokwanira
• wogwiritsa ntchito mankhwala osokoneza bongo kwa nthawi yayitali
• kukhala ndi vuto la kupuma monga matenda osokoneza bongo (COPD)
• munthu amene amagwiritsa ntchito corticosteroids yopuma kwa nthawi yayitali
• munthu amene amasuta fodya

Kodi dokotala wanu angapeze bwanji vutoli?

Simungapite kukaonana ndi dokotala chifukwa cha matenda anu. Komabe, imodzi mwanjira zomwe dokotala angatsimikizire kuti chibayo chimapezeka ndi ngati mupeza X-ray pachifuwa. X-ray pachifuwa imatha kusiyanitsa pakati pa chibayo ndi matenda ena opuma, monga bronchitis yovuta. Mukapita kukakumana ndi dokotala wanu kuti adziwe zizindikiro zanu, dokotala wanu adzakhalanso:

• kuchita mayeso thupi
• funsani zaumoyo wanu wonse komanso mbiri yazachipatala
• Funsani za matenda anu
• mayesedwe ena kuti mupeze chibayo

Mayeso ena a labotale omwe amagwiritsidwa ntchito pozindikira chibayo ndi awa:

• chikhalidwe cha ntchofu m'mapapu anu, chomwe chimatchedwa sputum
• kafukufuku wa magalamu a sputum
• kuswa pakhosi
• kuwerengera kwathunthu kwa magazi (CBC)
• kuyesa ma antigen kapena ma antibodies
• chikhalidwe cha magazi

Kodi mumatani ndi chibayo choyenda?

Kuchiza kunyumba

Chibayo chimachiritsidwa kunyumba nthawi zambiri. Nazi njira zomwe mungachite kuti muchiritse:

Malangizo othandizira kunyumba

• Kuchepetsa malungo potenga acetaminophen kapena ibuprofen.
• Pewani mankhwala ochepetsera chifuwa chifukwa angapangitse kuti chifuwa chanu chikhale chopindulitsa.
• Imwani madzi ambiri ndi madzi ena.
• Muzipuma mokwanira momwe mungathere.

Chibayo choyenda chimafalikira ndikadwala. Munthu amatha kungopatsira ena munthawi yamasiku 10 pomwe matenda ake amakhala ovuta kwambiri.

Chithandizo chamankhwala

Maantibayotiki nthawi zambiri amaperekedwa kutengera mtundu wa bakiteriya womwe umayambitsa chibayo. Mutha kuchira nokha ndi chibayo chokhwima. Dokotala wanu adzakupatsani mankhwala opha tizilombo ngati muli ndi chibayo cha bakiteriya. Onetsetsani kuti mukumwa mankhwala onse mpaka utali wonse, ngakhale mutakhala bwino musanamwe.

Chipatala

Odwala ena omwe ali ndi chibayo cha atypical (chibayo chachikulu cha chibayo chifukwa cha Legionella pneumophila) amafunikira kuchipatala kuti athandizidwe ndi maantibayotiki. Mwinanso mungafunike kukhala kuchipatala ngati muli m'gulu limodzi lomwe lili pachiwopsezo chachikulu. Mukakhala kuchipatala, mutha kulandira maantibayotiki, intravenous fluid, ndi kupuma, ngati mukuvutika kupuma.

Kodi ndi nthawi yanji yobwezeretsa vutoli?

Vutoli silikhala lalikulu kwambiri ndipo limatha kutha lokha m'milungu ingapo. Mutha kulimbikitsa kuchira mwa kupumula mokwanira ndi madzi kunyumba. Mukamaliza kukacheza ndi dokotala, mutha kulandira maantibayotiki, omwe amafupikitsa nthawi yomwe amachira. Onetsetsani kuti mumamwa maantibayotiki kwa nthawi yokwanira.

Kodi mumapewa bwanji chibayo?

Palibe katemera yemwe amalepheretsa chibayo kuyenda kapena mabakiteriya omwe amayambitsa matendawa. Ndizothekanso kutenganso kachilombo, choncho kupewa ndikofunikira. Izi ndizofunikira makamaka kwa ana, omwe amatha kutenga mabakiteriya kusukulu.

Makhalidwe abwino aukhondo

• Sambani m'manja musanakhudze nkhope yanu ndi chakudya.
• Kutsokomola kapena kuyetsemula m'matumba, ndikuzitaya nthawi yomweyo.
• Pewani kugawana chakudya, ziwiya, ndi zikho.
• Gwiritsani ntchito choyeretsa dzanja, ngati sopo ndi madzi palibe.