Ukuphefumula I-pneumonia: Izimpawu, Izimbangela, kanye Nokwelapha

-Delile

• Ziyini izimpawu ze-aspiration pneumonia?
• Yini ebangela i-aspiration pneumonia?
• Ngubani osengozini yokuphefumula i-pneumonia?
• Itholakala kanjani i-aspiration pneumonia?
• Yelashwa kanjani i-aspiration pneumonia?
• I-aspiration pneumonia ingavinjelwa kanjani?
• Amathiphu okuvimbela
  
• Yini engalindelwa esikhathini eside esizayo?
• Ukudla okudlela endlini

Yini i-aspiration pneumonia?

Ukuphefumula i-pneumonia kuyinkinga yokufisa kwamaphaphu. Isifiso sepulmonary kulapho uhogela ukudla, i-asidi esiswini, noma amathe emaphashini akho. Ungaphinda futhi ufise ukudla okubuyela emuva kusuka esiswini sakho kuya esophagus yakho.

Zonke lezi zinto zingathwala amabhaktheriya athinta amaphaphu akho. Amaphaphu aphilile angazikhulula ngokwawo. Uma kungenjalo, inyumoniya ingakhula njengenkinga.

Ziyini izimpawu ze-aspiration pneumonia?

Umuntu one-aspiration pneumonia angakhombisa izimpawu zenhlanzeko yomlomo engeyinhle nokuhlanzwa komphimbo noma ukukhwehlela okumanzi ngemuva kokudla. Ezinye izimpawu zalesi simo zifaka:

• ubuhlungu besifuba
• ukuphelelwa umoya
• isifuba
• ukukhathala
• ukushintsha kombala okuluhlaza okwesibhakabhaka kwesikhumba
• ukukhwehlela, mhlawumbe ngesikhwehlela esiluhlaza, igazi, noma iphunga elibi
• ubunzima bokugwinya
• umoya onukayo
• ukujuluka okweqile

Noma ngubani obonisa lezi zimpawu kufanele axhumane nodokotela wakhe. Bazise uma usanda kuhogela noma yikuphi ukudla noma iziphuzo. Kubaluleke kakhulu ukuthi izingane ezingaphansi kweminyaka engu-2 ubudala noma abantu abadala abangaphezu kweminyaka engama-65 bathola usizo lwezokwelapha nokuxilongwa ngokushesha.

Unganqikazi ukuya kudokotela uma ukhwehlela isikhwehlela esinemibala noma unemfiva engapheli engaphezu kuka-102 ° F (38 ° C) ngaphezu kwezimpawu ezibalulwe ngenhla.

Yini ebangela i-aspiration pneumonia?

I-pneumonia evela ekulangazelelekeni ingenzeka lapho izivikelo zakho zingasebenzi kahle futhi okuqukethwe okufiswayo kunenani elikhulu lamagciwane ayingozi.

Ungafisa futhi uthuthukise inyumoniya uma ukudla noma isiphuzo sakho “sehla ngendlela engafanele.” Lokhu kungenzeka noma ngabe ungagwinya ngokujwayelekile futhi ube ne-gag reflex ejwayelekile. Uma kunjalo, isikhathi esiningi uzokwazi ukuvimbela lokhu ngokukhwehlela. Labo abanekhono lokukhwehlela abakhubazekile, noma kunjalo, kungenzeka bangakwazi. Lokhu kukhubazeka kungenzeka kungenxa yalokhu:

• ukuphazamiseka kwemizwa
• umdlavuza womphimbo
• izimo zezokwelapha ezifana ne-myasthenia gravis noma isifo sika-Parkinson
• ukusetshenziswa ngokweqile kotshwala noma incwadi kadokotela noma izidakamizwa ezingekho emthethweni
• ukusetshenziswa kwezidakamizwa noma i-anesthesia
• amasosha omzimba abuthakathaka
• ukuphazamiseka kokuqopha
• izinkinga zamazinyo eziphazamisa ukuhlafuna noma ukugwinya

Ngubani osengozini yokuphefumula i-pneumonia?

Izici zobungozi be-aspiration pneumonia zifaka abantu abane:

• ukwazi kahle
• isifo samaphaphu
• ukudlikiza
• unhlangothi
• izinkinga zamazinyo
• ukuwohloka komqondo
• ukugwinya ukungasebenzi
• isimo sengqondo esingalungile
• izifo ezithile ze-neurologic
• ukwelashwa ngemisebe ekhanda nasentanyeni
• isilungulela (i-reflux yegastroesophageal)
• isifo se-reflux se-gastroesophageal (GERD)

Itholakala kanjani i-aspiration pneumonia?

Udokotela wakho uzobheka izimpawu ze-pneumonia ngesikhathi sokuhlolwa komzimba, njengokuncipha kokugeleza komoya, ukushaya kwenhliziyo okusheshayo, nomsindo oqhumayo emaphashini akho. Udokotela wakho futhi angaqhuba uchungechunge lwezivivinyo ukuqinisekisa i-pneumonia.Lokhu kungafaka:

• X-ray esifubeni
• isiko isikhwehlela
• ukubalwa kwegazi okuphelele (CBC)
• igesi yegazi egazini
• bronchoscopy
• i-computed tomography (CT) scan yendawo yakho yesifuba
• isiko legazi

Ngoba inyumoniya yisimo esibi, idinga ukwelashwa. Kufanele ube neminye imiphumela yokuhlolwa kwakho kungakapheli amahora angama-24. Amasiko egazi nesikhwehlela azothatha izinsuku ezintathu kuya kwezinhlanu.

Yelashwa kanjani i-aspiration pneumonia?

Ukwelashwa kuncike ebukhulwini benyumoniya yakho. Imiphumela nobude besikhathi sokwelashwa kuncike empilweni yakho ejwayelekile, ezimweni esezikhona, kanye nasezinqubomgomo zesibhedlela. Ukwelapha i-pneumonia enamandla kungadinga ukulaliswa esibhedlela. Abantu abanenkinga yokugwinya bangadinga ukuyeka ukuthatha ukudla ngomlomo.

Udokotela wakho uzokunika ama-antibiotics ngesimo sakho. Izinto udokotela wakho azokucela ngaphambi kokubeka ama-antibiotic:

• Ngabe usanda kungeniswa esibhedlela?
• Iyini impilo yakho yonke?
• Ngabe uke wasebenzisa ama-antibiotic muva nje?
• Uhlala kuphi?

Qiniseka ukuthi uthatha ama-antibiotic ubude bonke besikhathi sokuyalelwa. Lesi sikhathi singahluka kusuka kusonto elilodwa kuya kwamabili.

Ungadinga nokunakekelwa okusekelayo uma i-aspiration pneumonia ibangela izinkinga zokuphefumula. Ukwelashwa kufaka phakathi i-oxygen eyengeziwe, i-steroids, noma usizo oluvela kumshini wokuphefumula. Ngokuya ngesizathu sokulangazelela okungapheli, ungadinga ukuhlinzwa. Isibonelo, ungathola ukuhlinzekelwa ithubhu yokondla uma unezinkinga zokugwinya ezingaphenduli ekwelashweni.

I-aspiration pneumonia ingavinjelwa kanjani?

Amathiphu okuvimbela

• Gwema imikhuba engaholela ekufisweni, njengokuphuza ngokweqile.
• Qaphela lapho uphuza imishanguzo engakwenza uzizwe ukozela.
• Thola ukunakekelwa kwamazinyo okufanele njalo.

Udokotela wakho angancoma ukuhlolwa kwesigwinya ngudokotela wezifo zokukhuluma onelayisense noma umgwinyeli. Bangasebenza nawe kumasu okugwinya nasekuqiniseni imisipha yomphimbo. Ungadinga futhi ukushintsha indlela odla ngayo.

Ingozi yokuhlinzwa: Landela imiyalo kadokotela wakho ngokuzila ukudla ukwehlisa ithuba lokuhlanza ngaphansi kwe-anesthesia.

Yini engalindelwa esikhathini eside esizayo?

Abantu abaningi abane-aspiration pneumonia nabo banezinye izifo ezithinta ukugwinya. Lokhu kungaholela esikhathini eside sokutakula. Umbono wakho uncike ku:

• angakanani amaphaphu akho athintekile
• ubunzima be-pneumonia
• uhlobo lwama-bacteria abangela ukutheleleka
• noma isiphi isimo sezempilo esiyisisekelo esibeka engcupheni amasosha akho omzimba noma ikhono lakho lokugwinya

I-pneumonia ingadala izinkinga zesikhathi eside njenge-abscess yamaphaphu noma isibazi esihlala njalo. Abanye abantu bazokhula ukwehluleka okuphefumulayo, okungaba yingozi.

Ukuphefumula i-pneumonia kubantu abalaliswe esibhedlela i-pneumonia etholwe umphakathi uma bengekho egumbini labagula kakhulu (i-ICU).

Ukudla okudlela endlini

I-aspiration pneumonia ukutheleleka kwamaphaphu okubangelwa ukuhogela okuqukethwe komlomo noma kwesisu. Kungaba kubi uma kushiywe kungalashwa. Ukwelashwa kufaka ama-antibiotic nokunakekelwa okusekela ukuphefumula.

Umbono wakho uncike esimeni sempilo yakho ngaphambi komcimbi, uhlobo lwezinto zangaphandle ezifiseleka emaphashini akho, nanoma yiziphi ezinye izimo ongaba nazo. Iningi labantu (amaphesenti angama-79) lizosinda ekucingeni i-pneumonia. Kumaphesenti angama-21 abantu abangeke basinde, ukufa kuvame ukubangelwa yisimo esivele sikhona esabaholela ekutheni bakhethe ukuba nedokhumende ye-DNR (musa ukuvuselela) noma i-DNI (do not intubate).

Xhumana nodokotela ngokushesha uma ubona noma yiziphi izimpawu ze-pneumonia, ikakhulukazi kumuntu omdala osekhulile noma usana. Ukuhlonza i-aspiration pneumonia, udokotela wakho uzo-oda izivivinyo ukubheka impilo yamaphaphu namandla okugwinya.