I-pneumonia yokuphefumula

I-pneumonia yisimo sokuphefumula lapho kukhona ukuvuvukala (ukuvuvukala) noma ukutheleleka kwamaphaphu noma imigwaqo emikhulu yomoya.

Ukuphefumula i-pneumonia kwenzeka lapho ukudla, amathe, uketshezi, noma ukuhlanza kuphefumulelwa emaphashini noma ezindleleni zomoya eziholela emaphashini, esikhundleni sokuginywa emphinjeni nasesiswini.

Uhlobo lwebhaktheriya oludale inyumoniya luxhomeke ku:

• Impilo yakho
• Lapho uhlala khona (ekhaya noma esikhungweni sabahlengikazi besikhathi eside, ngokwesibonelo)
• Ukuthi usanda kungeniswa yini esibhedlela
• Ukusetshenziswa kwakho kwama-antibiotic kwakamuva
• Ukuthi amasosha akho omzimba abuthaka yini

Izici ezinobungozi zokuphefumula (ukufisa) kwezinto zangaphandle emaphashini yilezi:

• Ukungaziqapheli ngenxa yemithi, ukugula, ukuhlinzwa, noma ezinye izizathu
• I-Coma
• Ukuphuza kakhulu utshwala
• Ukuthola umuthi wokukufaka ebuthongweni obukhulu bokuhlinzwa (i-anesthesia ejwayelekile)
• Ukuguga
• I-gag reflex engeyinhle kubantu abangaqaphile (abangazi lutho noma abazi lutho) ngemuva kokushaywa unhlangothi noma ukulimala ebuchosheni
• Izinkinga ngokugwinya

Izimpawu zingafaka noma yikuphi okulandelayo:

• Ubuhlungu besifuba
• Ukukhwehlela isikhohlela esinuka kabi, esiluhlaza okotshani noma esimnyama (isikhwehlela), noma isikhwehlela esiqukethe ubomvu noma igazi
• Ukukhathala
• Imfiva
• Ukuphelelwa umoya
• Ukuqhuma
• Iphunga lokuphefumula
• Ukujuluka okweqile
• Izinkinga ukugwinya
• Ukudideka

Umhlinzeki wezokunakekelwa kwempilo uzolalela imfantu noma imisindo yokuphefumula engajwayelekile lapho elalela isifuba sakho nge-stethoscope. Ukushaya odongeni lwesifuba sakho (ukushayisana) kusiza umhlinzeki alalele futhi azizwe ngemisindo engajwayelekile esifubeni sakho.

Uma kusolwa i-pneumonia, umhlinzeki uzo-oda i-x-ray yesifuba.

Ukuhlolwa okulandelayo kungasiza futhi ukuxilonga lesi simo:

• Igazi legazi lomzimba
• Isiko legazi
• I-Bronchoscopy (isebenzisa ubukhulu obukhethekile ukubuka imigwaqo yomoya yamaphaphu)
• Qedela ukubalwa kwegazi (CBC)
• X-ray noma i-CT scan esifubeni
• Isiko lesikhohlela
• Ukugwinya izivivinyo

Abanye abantu bangadinga ukulaliswa esibhedlela. Ukwelashwa kuncike ekutheni iphika i-pneumonia inamandla kangakanani nokuthi umuntu ugula kangakanani ngaphambi kwesifiso (ukugula okungalapheki). Kwesinye isikhathi kudingeka umoya (umshini wokuphefumula) ukusekela ukuphefumula.

Uzothola ama-antibiotic.

Ungadinga ukuthi umsebenzi wakho wokugwinya uhlolwe. Abantu abanenkinga yokugwinya bangadinga ukusebenzisa ezinye izindlela zokudla ukunciphisa ubungozi bokufisa.

Umphumela uncike ku:

• Impilo yomuntu ngaphambi kokuthola i-pneumonia
• Uhlobo lwegciwane olubangela inyumoniya
• Mangakanani amaphaphu abandakanyekayo

Ukutheleleka okunzima kakhulu kungaholela ekulimaleni kwesikhathi eside emaphashini.

Izinkinga zingafaka:

• Ithumba lamaphaphu
• Ukushaqeka
• Ukusabalala kokutheleleka egazini (bacteremia)
• Ukusabalala kokutheleleka kwezinye izindawo zomzimba
• Ukwehluleka kokuphefumula
• Ukufa

Shayela umhlinzeki wakho, iya egumbini lezimo eziphuthumayo, noma ushayele inombolo yendawo ephuthumayo (efana ne-911) uma une:

• Ubuhlungu besifuba
• Amakhaza
• Imfiva
• Ukuphelelwa umoya
• Ukuqhuma

Inyumoniya i-Anaerobic; Ukuphefumula kwe-vomitus; Inyumoniya ekhukhumezayo; Ukuphefumula i-pneumonitis

• I-pneumonia kubantu abadala - ukukhipha

• Umzimba we-pneumococci
• I-Bronchoscopy
• Amaphaphu
• Uhlelo lokuphefumula

UMusher DM. Sibutsetelo se-pneumonia. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 91.

UTorres A, uMenendez R, uWunderink RG. I-pneumonia yebacteria kanye nethumba lamaphaphu. Ku: Broaddus VC, Mason RJ, Ernst JD, et al, abakwa-eds. Incwadi kaMurray neNadel Yemithi Yokuphefumula. Umhlaka 6. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 33.