Kunjani ukwelashwa kwe-pneumonia ezinganeni ekhaya nasesibhedlela

-Delile

• 1. Ukwelashwa ekhaya
• 2. Ukwelashwa esibhedlela

Ukwelashwa kwe-pneumonia ebuntwaneni kuthatha cishe izinsuku eziyi-7 kuya kwezingu-14 futhi kwenziwa ngokusetshenziswa kwama-antibiotic ngokusho kwesifo esiyimbangela yesifo, futhi kungakhonjiswa ukusetshenziswa komjovo womlomo we-amoxicillin noma we-penicillin obekwe udokotela wezingane.

Ngesikhathi sokwelashwa kwe-pneumonia ebuntwaneni, kunconywa ukuthi ingane iphumule, ingayi esikoleni, noma kwezinye izindawo zomphakathi, njengoba inyumoniya yengane ingathelelana ikakhulukazi uma ibangelwa amagciwane.

Kubalulekile ukuthi ukwelashwa kwenziwe ngokuyalelwa ngudokotela ukugwema izimpawu nezimpawu ezikhombisa ubunzima, ngoba kulezi zimo kuyadingeka ukuthi ingane ilaliswe esibhedlela ukuze ukwelashwa kwenziwe ngendlela efanele.

1. Ukwelashwa ekhaya

Lapho i-pneumonia ingenamandla kangako, udokotela angagunyaza ukwelashwa kwengane ukuthi kwenziwe ekhaya inqobo nje uma izincomo zilandelwa. Ngakho-ke, ukusetshenziswa kwama-antibiotic kuvame ukukhonjiswa ngokuya nge-microorganism ehilelekile ekuthelelekeni, futhi ukusetshenziswa kwe-penicillin, amoxicillin nge-clavulanate, cefuroxime, sulfamethoxazole-trimethoprim noma i-erythromycin, ngokwesibonelo, kunganconywa. Ngaphezu kwalokho, ezimweni lapho i-pneumonia ibangelwa amagciwane, ukusetshenziswa kwama-antivirals kungakhonjiswa.

Kubalulekile ukuthi umuthi okhonjiswe ngudokotela unikezwe ingane ngesikhathi kanye nomthamo okhonjisiwe, ngoba ngale ndlela kungenzeka ukuthi kuqinisekiswe ukwelashwa kwe-pneumonia. Ngaphezu kwalokho, kubalulekile ukunakekela ingane ngesikhathi sokwelashwa, njenge:

• Qinisekisa ukudla okunomsoco kanye ne-hydration;
• Gcina imigudu yomoya ihlanzekile;
• Gwema isiraphu yokukhwehlela;
• Yenza i-nebulizations yansuku zonke noma njengokuyalelwa ngudokotela.

I-pneumonia yezinsana iyelapheka, kepha ingaqhubekela ezimweni ezinzima lapho ukwelashwa kungaqalwa phakathi kwamahora okuqala angama-48 ngemuva kokuqala kwezimpawu ezinjengomkhuhlane ongaphezu kuka-38º, ukukhwehlela nge-phlegm, ukulahlekelwa isifiso sokudla, ukuphefumula ngokushesha futhi awunaso isifiso sokudlala. Kulezi zimo, ingane ingadinga ukuthi ilaliswe esibhedlela ukuze yelashwe ngemithi emithanjeni noma ithole umoya-mpilo.

Funda ukuthi ungazibona kanjani izimpawu nezimpawu ze-pneumonia.

2. Ukwelashwa esibhedlela

Ukwelashwa esibhedlela kukhonjiswa lapho ukwelashwa ekhaya kunganele ukulwa ne-pneumonia futhi izimpawu nezimpawu zomoya okhulayo we-pneumonia ziyabonakala, njenge:

• Izindebe eziphuzi noma iminwe;
• Ukunyakaza okukhulu kwezimbambo lapho uphefumula;
• Ukububula okuhlala njalo nokuvamile ngenxa yobuhlungu nobunzima bokuphefumula;
• Ukuphaphatheka nokuguqa, ukungabi nesifiso sokudlala;
• Ukudlikizela;
• Izikhathi zokuphelelwa amandla;
• Ukuhlanza;
• Isikhumba esibandayo nobunzima ekugcineni izinga lokushisa elifanele;
• Kunzima ukuphuza uketshezi nokudla.

Ngakho-ke, uma abazali bebona ukuvela kwanoma iyiphi yalezi zimpawu, kufanele bahambise ingane esibhedlela ukuze ikwazi ukwelashwa futhi ithole ukwelashwa okubonisiwe. Ukwelashwa kwe-pneumonia esibhedlela kubandakanya ukusetshenziswa kwama-antibiotic anganikezwa ngomthambo noma imisipha, nokusetshenziswa kwesifihla-mpilo sokuphefumula kangcono. I-saline ingaba inketho yokugcina ingane yakho ine-hydrated kahle futhi i-physiotherapy ingabasiza ukuthi baphefumule kancane ngokuzikhandla nangokwengeziwe.

Ngemuva kokuqala kokwelashwa, udokotela wezingane uvame ukuhlola emahoreni angama-48 ukuthi ngabe ingane isabela kahle yini ekwelashweni noma uma kunezimpawu zokuwohloka noma ukunakekelwa komkhuhlane, okukhombisa ukuthi kuyadingeka ukushintsha noma ukulungisa umthamo we-antibiotic.

Noma ngemuva kwezimpawu zokuqala zokuthuthuka, kubalulekile ukugcina ukwelashwa isikhathi esinqunywe udokotela nokuqinisekisa ukuthi inyumoniya yelaphekile, udokotela wezingane angakhombisa ukuthi ingane ine-x-ray yesifuba ngaphambi kokuphuma.