Pneumonia - kushomeka kwema immune system

Pneumonia chirwere chemapapu. Inogona kukonzerwa nemajemusi mazhinji akasiyana, anosanganisira mabhakitiriya, mavairasi, uye fungi.

Chinyorwa ichi chinotaura mabayo anoitika mumunhu ane nguva yakaoma yekurwisa hutachiona nekuda kwematambudziko nema immune system. Rudzi rwechirwere urwu runonzi "pneumonia in an immunocompromised host."

Mamiriro ezvinhu akafanana anosanganisira:

• Chipatara-chakawana mabayo
• Pneumocystis jiroveci (yaimbonzi Pneumocystis carinii) mabayo
• Pneumonia - cytomegalovirus
• Chirwere chemabayo
• Hutachiona hwemabayo
• Kufamba mabayo

Vanhu vane immune system isiri kushanda zvakanaka vanotadza kurwisa utachiona. Izvi zvinoita kuti vakwanise kutapukirwa nehutachiona hunobva kuzvirwere husingawanzo kukonzera chirwere muvanhu vane hutano. Ivo zvakare vari panjodzi yekukonzeresa pneumonia, inokanganisa chero munhu.

Immune system yako inogona kushomeka kana kusashanda zvakanaka nekuda kwe:

• Bone marrow kuisazve
• Chemotherapy
• Mukondombera
• Leukemia, lymphoma, uye mamwe mamiriro anokuvadza pfupa rako
• Autoimmune kusagadzikana
• Mishonga (inosanganisira steroids, uye iyo inoshandiswa kurapa cancer uye kudzora autoimmune hosha)
• Kuisa muviri (kusanganisira itsvo, moyo, nemapapu)

Zviratidzo zvinogona kusanganisira:

• Kosora (inogona kunge yakaoma kana kuburitsa masi-senge, greenish, kana pus-kunge sputum)
• Kutonhora nokuzunza
• Kuneta
• Kupindwa nechando
• Kazhinji kusagadzikana, kusagadzikana, kana kurwara (malaise)
• Kutemwa nemusoro
• Kupererwa nechido
• Kusvotwa uye kurutsa
• Kupinza kana kubaya kurwadziwa kwepfupa kunowedzera nekufema kwakadzika kana kukosora
• Kufema kwekufema

Zvimwe zviratidzo zvinogona kuitika:

• Kudikitira zvakanyanya kana kudikitira usiku
• Makumbo akaomarara (zvisingawanzoitika)
• Mitsipa yakaoma (zvisingawanzoitiki)

Mutapi wako wezvehutano anogona kunzwa kutsemuka kana kumwe kufema kusingaite kurira paunoteerera chipfuva chako ne stethoscope. Yakadzikira vhoriyamu yekufema kurira chiratidzo chakakosha. Uku kutsvaga kunogona kureva kuti kune kuwanda kwemvura pakati pechipfuva madziro nemapapu (pleural effusion).

Miedzo inogona kusanganisira:

• Arterial eropa magasi
• Ropa makemikari
• Tsika yeropa
• Bronchoscopy (mune zvimwe zviitiko)
• Chest CT scan (mune zvimwe zviitiko)
• Chest x-ray
• Yakazara kuverenga ropa
• Lung biopsy (mune zvimwe zviitiko)
• Serum cryptococcus antigen bvunzo
• Serum galactomannan bvunzo
• Galactomannan bvunzo kubva kubronchial alveolar fluid
  
• Sputum tsika
• Sputum Gram stain
• Sputum immunofluorescence bvunzo (kana imwe immune immune bvunzo)
• Urine bvunzo (kuongorora Legionnaire chirwere kana Histoplasmosis)

Mishonga inorwisa mabhakitiriya kana antifungal mishonga inogona kushandiswa, zvichienderana nerudzi rwehutachiona huri kukonzera hutachiona. Mishonga inorwisa mabhakitiriya haibatsire hutachiona hutachiona. Ungangoda kugara muchipatara panguva yekutanga kwekurwara.

Oxygen uye kurapwa kubvisa fluid uye mamasi kubva kufema system inowanzo kudikanwa.

Zvinhu zvinogona kutungamira kune yakaipa mhedzisiro zvinosanganisira:

• Chibayo chinokonzerwa nefungus.
• Munhu ane immune system isina kusimba.

Zvinetso zvinogona kusanganisira:

• Kukundikana kwekufema (mamiriro umo murwere asingakwanise kutora oxygen uye kubvisa kabhoni dhayokisaidhi pasina kushandisa muchina kuendesa mweya.)
• Sepsis
• Kupararira kwehutachiona
• Rufu

Fonera waunopa kana uine immune system isina simba uye uine zviratidzo zvemabayo.

Kana uine hutachiona husina simba, unogona kuwana maantibayoti ezuva nezuva kudzivirira mamwe marudzi ebayo.

Kumbira mupi wako kana iwe uchifanira kugamuchira furuwenza (furuwenza) uye pneumococcal (pneumonia) majekiseni.

Dzidzira hutsanana. Nyatsogeza maoko ako nesipo nemvura.

• Mushure mekuve panze
• Mushure mekuchinja manapukeni
• Mushure mekuita basa repamba
• Mushure mekuenda kuchimbuzi
• Mushure mekubata mvura yemumuviri, yakadai semamus kana ropa
• Mushure mekushandisa runhare
• Usati wabata chikafu kana kudya

Zvimwe zvinhu zvaunogona kuita kudzikisa kusangana kwako neutachiona kunosanganisira:

• Chengeta imba yako yakachena.
• Gara kure nemapoka.
• Kumbira vashanyi vane dzihwa kuti vapfeke mask kana kuti vasashanye.
• Usaite basa repayadhi kana kubata zvirimwa kana maruva (anogona kutakura utachiona).

Pneumonia mune immunodeficient murwere; Mabayo - immunocompromised host; Kenza - mabayo; Chemotherapy - mabayo; HIV - mabayo

• Pneumococci muviri
• Mapapu
• Mapapu
• Kufuridzira system

Inopisa MJ. Murwere asina kuzvidzivirira. Mune: Masvingo RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts uye Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chits. 187.

Donnelly JP, Blijlevens NMA, van der Velden WJFM. Hutachiona mune iyo immunocompromised inomiririra: zvakajairika misimboti. Mune: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, uye Bennett's Principles uye Practice yeInfectious Diseases, Yakagadziridzwa Edhisheni. 8th ed. Philadelphia, PA: Elsevier Saunders; 2015: chitsiko 309.

Marr KA. Kusvikira kufivha uye kufungidzirwa hutachiona mumugadziri akanganisa. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: chitsiko 281.

Wunderink RG, Dzosera MI. Pneumonia: kufunga kwevanorwara zvakanyanya. Mune: Parrillo JE, Dellinger RP, eds. Critical Kuchengetedza Mushonga: Nheyo dzeKuongorora uye Management muVakuru. 5 ed. Philadelphia, PA: Elsevier; 2019: chitsuwa 40.