Chipatara-chakawana mabayo

Chipatara-chakawanikwa pneumonia chirwere chemapapu chinoitika panguva yekugara muchipatara. Mhando iyi yemabayo inogona kuva yakaoma kwazvo. Dzimwe nguva, inogona kuuraya.

Pneumonia chirwere chakajairika. Inokonzerwa nemajemusi mazhinji akasiyana. Pneumonia inotanga muchipatara inowanzo kuve yakakomba kupfuura mamwe hutachiona hwemapapu nekuti:

• Vanhu vari muchipatara kazhinji vanorwara zvikuru uye havagone kurwisa utachiona.
• Mhando dzoutachiona huripo muchipatara dzinowanzo kuve nenjodzi uye dzinopesana nemushonga pane idzo dziri kunze kwenzanga.

Pneumonia inoitika kazhinji muvanhu vari kushandisa mweya wekufema, unova muchina unovabatsira kufema.

Chirwere chakawanikwa muchipatara chinogona kupararira nevashandi vezvehutano, avo vanokwanisa kutapurira utachiona kubva mumaoko avo, mbatya, kana zviridzwa kubva kune mumwe munhu kuenda kune mumwe. Ichi chikonzero nei kugeza mawoko, kupfeka magemenzi, uye kushandisa dzimwe nzira dzekuchengetedza kwakakosha muchipatara.

Vanhu vanogona kuve nemikana yekuwana mabayo vachiri muchipatara kana ivo:

• Kunwisa doro
• Wakave nekuvhiyiwa pachipfuva kana kumwe kuvhiyiwa kukuru
• Iva nehutachiona husina simba kubva pakurapwa nekenza, mimwe mishonga, kana maronda akakomba
• Iva nenguva yakareba (isingaperi) chirwere chemapapu
• Kufemera mate kana chikafu mumapapu avo semhedzisiro yekusave vakasvinura zvizere kana kuva nezvinetso zvekumedza (semuenzaniso, mushure mekurohwa)
• Hauna kungwarira mupfungwa nekuda kwemishonga kana kurwara
• Vakura
• Ari pamushini wekufema

Muvakuru vakura, chiratidzo chekutanga chemabayo-akawanikwa mabayo anogona kunge shanduko dzepfungwa kana nyonganiso

Zvimwe zviratidzo zvinogona kusanganisira:

• Chikosoro chine greenish kana pus-kunge phlegm (sputum)
• Fivha uye kutonhora
• Kazhinji kusagadzikana, kusagadzikana, kana kurwara (malaise)
• Kupererwa nechido
• Kusvotwa uye kurutsa
• Sharp pain kurwadziwa kunowedzera nekufema kwakadzika kana kukosora
• Kufema kwekufema
• Yakadzikira BP uye kukurumidza kurova kwemoyo

Kana mupi wezvehutano achifungidzira mabayo, bvunzo dzinozorairwa. Izvi zvinogona kusanganisira:

• Arterial eropa magasi, kuyera oxygen mazinga muropa
• Tsika dzeropa, kuona kana hutachiona hwapararira muropa
• Chest x-ray kana CT scan, kutarisa mapapu
• Yakazara kuverenga ropa (CBC)
• Pulse oximetry, kuyera oxygen mazinga muropa
• Sputum tsika kana sputum gram stain, kutarisa kuti ndeapi majemusi ari kukonzera mabayo

Mishonga inogona kusanganisira:

• Mishonga inorwisa mabhakitiriya kuburikidza nemutsinga dzako (IV) kurapa hutachiona hwemapapu. Mishonga inorwisa mabhakitiriya yaunopihwa inorwisa hutachiona hunowanikwa mutsika yako yesikarudzi kana kuti unofungidzirwa kuti uri kukonzera hutachiona.
• Oxygen kuti ikubatsire kufema zvirinani uye kurapwa kwemapapu kusunungura uye kubvisa mukobvu wakakora kubva mumapapu ako.
• Ventilator (muchina wekufema) uchishandisa chubhu kana chifukidzo kutsigira kufema kwako.

Vanhu vane zvimwe zvirwere zvakakomba havapore zvakare kubva pamabayo kunge vanhu vasina kurwara.

Chipatara-chakawanikwa pneumonia inogona kuva chirwere chinotyisa. Yakareba-refu kukuvara kwemapapu kunogona kuitika.

Vanhu vanoshanyira vadiwa vavo muchipatara vanofanira kutora matanho ekudzivirira kuparadzira utachiona. Nzira yakanakisa yekumisa kupararira kwehutachiona kugeza maoko ako kazhinji. Gara kumba kana uchirwara. Chengetedza majekiseni ako.

Mushure mekuvhiyiwa kupi zvako, iwe unozokumbirwa kuti utore kufema kwakadzika uye kufamba-famba nekukurumidza sezvazvinogona kubatsira kuchengetedza mapapu ako akavhurika. Tevedzera rairo yemupi wako kuti ubatsire kudzivirira mabayo.

Zvipatara zvizhinji zvine zvirongwa zvekudzivirira hutachiona hunowanikwa muzvipatara.

Nosocomial mabayo; Mweya-inosanganiswa nemabayo; Utano-hutano hwakabatana nemabayo; HCAP

• Pneumonia muvakuru - kubuda

• Chipatara-chakawana mabayo
• Kufuridzira system

Chastre J, Luyt C-E. Pneumonia inosanganiswa nemhepo. Mune: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Murray naNadel Chinyorwa cheKufema Kwemishonga. 6th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 34.

Kalil AC, Metersky ML, Klompas M, uye al. Management yevakuru vane chipatara-vakawana uye mweya-inosanganisirwa pneumonia: 2016 kiriniki yekudzidzira nhungamiro neInfectious Diseases Society yeAmerica uye neAmerican Thoracic Society. Clin Infect Dis. 2016; 63 (5): e61-e111. PMID: 27418577 www.ncbi.nlm.nih.gov/pubmed/27418577.

Klompas M. Nosocomial mabayo. Mune: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, uye Bennett's Maitiro uye Maitiro Ezvirwere zvinotapukira. 9th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 301.