Mycoplasma Pneumonia

Zvemukati
- Chii chinokonzera mycoplasma pneumonia?
- Ndiani ari panjodzi yekuvandudza mycoplasma pneumonia?
- Ndezvipi zviratidzo zvemycoplasma pneumonia?
- Mycoplasma pneumonia inoonekwa sei?
- Ndedzipi nzira dzekurapa dze mycoplasma pneumonia?
- Mishonga inorwisa mabhakitiriya
- Corticosteroids
- Immunomodulatory kurapa
- Ndingaite sei kudzivirira mycoplasma pneumonia?
- Ko mycoplasma pneumonia inobata sei vana?
- Ndeapi matambudziko emyoplasma pneumonia?
- Ndeupi mutarisiro wenguva refu?
Chii chinonzi mycoplasma pneumonia?
Mycoplasma pneumonia (MP) chirwere chinopararira chekufema icho chinopararira zviri nyore kuburikidza nekubata nemvura yekufema. Inogona kukonzera hosha.
MP inozivikanwa seyakanyanya pneumonia uye dzimwe nguva inonzi "kufamba mabayo." Inopararira nekukurumidza munzvimbo dzakazara vanhu, senge zvikoro, koreji kosi, uye dzimba dzekuchengetedza. Kana munhu ane hutachiona akosora kana kuhotsira, hunyoro hune hutachiona hweMP hunoburitswa mumhepo. Vanhu vasina hutachiona munzvimbo yavo vanogona kufema mabhakitiriya ari mukati.
kuti vanhu vanokura munharaunda yavo (kunze kwechipatara) zvinokonzerwa Mycoplasma pneumoniae mabhakitiriya. Mabhakitiriya anogona kukonzera tracheobronchitis (chipfuva kutonhora), huro, uye hutachiona hutachiona pamwe nemabayo.
Chifuva chakaoma ndicho chiratidzo chinowanzoonekwa chehutachiona. Asina kurapwa kana akaomarara kesi anogona kukanganisa huropi, moyo, peripheral nervous system, ganda, neitsvo uye zvichikonzera hemolytic anemia. Muzviitiko zvisingawanzoitika, MP inouraya.
Kuongororwa kwechimbichimbi kunonetsa nekuti pane mashoma zviratidzo. Sezvo MP inofambira mberi, imaging uye murabhoritari bvunzo dzinogona kukwanisa kuzviona. Vanachiremba vanoshandisa mishonga inorwisa mabhakitiriya kurapa MP. Unogona kuda mishonga inorwisa mabhakitiriya inopinza kana mukanwa mishonga isingashande kana pneumonia iri yakaoma.
Zviratidzo zveMP zvinosiyana nezvinoitika pneumonia inokonzerwa nehutachiona hwakawanda, senge Streptococcus uye Haemophilus. Varwere kazhinji havana kupera kufema kwakanyanya, kupisa kwakanyanya, uye kukosora kunogadzira neMP. Ivo vanowanzo kuve neepasi-giredhi fivha, kuoma chikosoro, kupfupisa kupfupika kwekufema kunyanya nekuedza, uye kuneta.
Chii chinokonzera mycoplasma pneumonia?
Iyo Mycoplasma mabayo bhakitiriya ndechimwe chezvinyanya kuzivikanwa zvezvirwere zvese zvevanhu. Kune mhando dzinopfuura mazana maviri dzakasiyana dzinozivikanwa. Vanhu vazhinji vane hutachiona hwekufema hunokonzerwa ne Mycoplasma pneumoniae usakure mabayo. Kana uchinge uri mukati memuviri, bhakitiriya rinokwanisa kuzvisungirira kumatumbu emapapu uye nekuwedzera kusvikira hutachiona hwazara. Mazhinji kesi e mycoplasma pneumonia akapfava.
Ndiani ari panjodzi yekuvandudza mycoplasma pneumonia?
Muvanhu vakuru vane hutano, immune system inogona kurwisa MP isati yakura kuita hutachiona. Vaya vari panjodzi vanosanganisira:
- vakuru vanhu vakuru
- vanhu vane zvirwere zvinokanganisa immune system yavo, seHIV, kana vari pane chisingaperi steroid, immunotherapy, kana chemotherapy
- vanhu vane chirwere chemapapu
- vanhu vane chirwere chemasero echirwere
- vana vadiki pane zera 5
Ndezvipi zviratidzo zvemycoplasma pneumonia?
MP inogona kuteedzera hwepamusoro hwekutapukisa hutachiona kana hunowanzo dzihwa pane kutapudza mweya wekufema hutachiona kana mabayo. Zvekare, izvi zviratidzo zvinowanzo kuve neanotevera:
- chikosoro chakaoma
- kupisa fever
- malaise
- mweya wakapfupika
Muzviitiko zvisingawanzoitiki, hutachiona hunogona kuve nenjodzi nekukuvadza moyo kana wepakati tsinga. Mienzaniso yezvinetso izvi inosanganisira:
- arthritis, umo majoini anopisa
- pericarditis, kuzvimba kwepericardium iyo yakakomberedza moyo
- Guillain-Barré syndrome, chirwere chetsinga chinogona kutungamira mukufa mitezo uye kufa
- encephalitis, inogona kutyisidzira hupenyu hwehuropi
- itsvo kutadza
- hemolytic kupererwa neropa
- zvisingawanzo uye zvine ngozi mamiriro eganda akadai saStevens-Johnson syndrome uye chepfu epidermal necrolysis
- zvisingawanzo nzeve matambudziko senge bullous myringitis
Mycoplasma pneumonia inoonekwa sei?
MP inowanzo kukura isina kuoneka zviratidzo kune yekutanga kana matatu vhiki mushure mekuratidzwa. Yekutanga-nhanho kuongororwa kwakaoma nekuti muviri hauratidze hutachiona ipapo.
Sezvambotaurwa, hutachiona hunogona kuratidza kunze kwemapapu ako. Kana izvi zvikaitika, zviratidzo zvehutachiona zvinogona kusanganisira kuparara kwemasero matsvuku eropa, kuputika kweganda, uye kubatanidzwa kwemajoini. Kuongororwa kwechiremba kunogona kuratidza humbowo hwehutachiona hweMP kana mazuva matatu kana manomwe mushure mekuonekwa kwezviratidzo zvekutanga.
Kuti uwane kuongororwa, chiremba wako anoshandisa stethoscope kuteerera chero ruzha rwusinganzwisisike mukufema kwako. X-ray yechipfuva uye CT scan inogona zvakare kubatsira chiremba wako kuti aongorore. Chiremba wako anogona kuraira kuongororwa kweropa kuti asimbise hutachiona.
Ndedzipi nzira dzekurapa dze mycoplasma pneumonia?
Mishonga inorwisa mabhakitiriya
Mishonga inorwisa mabhakitiriya ndiwo mutsara wekutanga wekurapa MP. Vana vanowana maantibayoti akasiyana nevakuru kuti vadzivise mhedzisiro inogona kuve nenjodzi.
Macrolides, sarudzo yekutanga yemishonga inorwisa mabhakitiriya yevana, inosanganisira:
- erythromycin
- chijyyyyyychiyyyyyyyyyyyyyyyvanaegore
- iclmachiva
- azithromycin
Mishonga inorwisa mabhakitiriya yakatemerwa vanhu vakuru inosanganisira:
- wwmira
- pawone
- quinolones, senge levofloxacin uye moxifloxacin
Corticosteroids
Dzimwe nguva mishonga inorwisa mabhakitiriya yoga haina kukwana uye unofanirwa kurapwa necorticosteroids kugadzirisa kuzvimba. Mienzaniso yeakadaro corticosteroids inosanganisira:
- kuuchi
- methylprednisolone
Immunomodulatory kurapa
Kana iwe uine MP yakasimba, ungangoda imwe "immunomodulatory therapy" kuwedzera kune corticosteroids, senge intravenous immunoglobulin kana IVIG.
Ndingaite sei kudzivirira mycoplasma pneumonia?
Ngozi yekubata makwikwi eParamende mumwedzi yekudonha uye yechando. Pedyo kana pakazara vanhu zvinoita kuti zvive nyore kuti hutachiona hutapurire kubva kumunhu kuenda kumunhu.
Kuti uderedze njodzi yekutapukirwa, edza zvinotevera:
- Wana maawa matanhatu kusvika masere ekurara usiku humwe.
- Idya kudya kwakaringana.
- Dzivisa vanhu vane zviratidzo zveMP.
- Shamba maoko usati wadya kana mushure mekubatana nevanhu vane hutachiona.
Ko mycoplasma pneumonia inobata sei vana?
Muzhinji, vana vari nyore kubatwa nezvirwere kupfuura vanhu vakuru. Izvi zvinowedzeredzwa nenyaya yekuti ivo vanowanzo kukomberedzwa nemapoka makuru evamwe, pamwe anotapukira, vana. Nekuda kweizvi, vanogona kunge vari panjodzi yakakwira yeMP pane vakuru. Enda nemwana wako kuna chiremba kana ukacherechedza chimwe chezviratidzo izvi:
- kuramba uine low-grade fever
- kutonhora kana zviratidzo zvakaita sefuru zvinoramba zvakareba kupfuura mazuva 7-10
- kukosora kunoomarara
- kufemereka uchifema
- vane kuneta kana kusanzwa zvakanaka uye hazviite nani
- chifuva kana kurwadziwa mudumbu
- kurutsa
Kuti uongorore mwana wako, chiremba wavo anogona kuita chimwe kana kupfuura zvinotevera:
- teerera kufema kwemwana wako
- tora X-ray yechipfuva
- tora tsika yebhakitiriya kubva mumhino kana pahuro
- odha kuongororwa ropa
Kana mwana wako achinge aonekwa, chiremba wavo anogona kunyorera mushonga unorwisa utachiona kwemazuva manomwe kusvika gumi. Mishonga inorwisa mabhakitiriya kuvana ndeye macrolides, asi chiremba wavo anogona zvakare kupa cyclines kana quinolones.
Kumba, ita shuwa kuti mwana wako haagovane ndiro kana makapu kuitira kuti arege kuparadzira hutachiona. Itai kuti vanwe mvura zhinji. Shandisa pombi yekupisa kurapa chero marwadzo epachipfuva avanosangana nawo.
Mwana wako MP hutachiona hunowanzo buda mushure memasvondo maviri. Zvisinei, zvimwe zvirwere zvinogona kutora kusvika kumavhiki matanhatu kuti zvipore zvakakwana.
Ndeapi matambudziko emyoplasma pneumonia?
Mune zvimwe zviitiko, chirwere cheMP chinogona kuva nenjodzi. Kana iwe uine asthma, MP inogona kuita kuti zviratidzo zvako zviwedzere. MP inogona zvakare kukura kuita yakaoma nyaya yemabayo.
Yakareba-refu kana isingagumi MP haigoneke asi inogona kukonzera kusingaperi yemapapu kukuvara, sezvakakurudzirwa mukuitwa pamakonzo. Muzviitiko zvisingawanzoitika, MP isina kurapwa anogona kuuraya. Ona chiremba wako ipapo kana iwe ukaona chero zviratidzo, kunyanya kana zvikapedza kweanopfuura vhiki mbiri.
Ndeupi mutarisiro wenguva refu?
M. pneumoniae ndiyo yezvipatara zvine hukama nemabayo muvanhu vakuru, maererano neCenters for Disease Control and Prevention.
Vazhinji vanhu vanogadzira antibodies kune MP mushure mehutachiona hutachiona. Masoja ekudzivirira chirwere anovachengetedza kubva mukutapukirwa zvakare. Varwere vane immune system isina kusimba, sevaya vane HIV uye avo vanorapwa vane chisingaperi steroid, maunomomodulators, kana chemotherapy, vanogona kunetseka kurwisa hutachiona hweMP uye vari panjodzi huru yekutapukirwazve mune ramangwana.
Kune vamwe, zviratidzo zvinofanirwa kudzikira svondo rimwe chete kana maviri mushure mekurapwa. Kukosora kunogona kumira, asi kazhinji kesi dzinogadzirisa pasina mhedzisiro inogara mukati memasvondo mana kusvika matanhatu. Ona chiremba wako kana iwe uchiramba uchiona zviratidzo zvakakomba kana kana hutachiona huri kukanganisa hupenyu hwako hwezuva nezuva. Ungangoda kutsvaga kurapwa kana kuongororwa kweimwezve mamiriro angave akonzerwa nehutachiona hweMP.