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Tiyeni tiphunzire zambiri zokhudza chibayo. Musachite mantha, tiyeni tikambirane!

Tiyeni tiphunzire zambiri zokhudza chibayo. Musachite mantha, tiyeni tikambirane!

Mukamva mawu akuti chibayo, mwina mumaopa pang'ono, eti? Ndizachibadwa kuchita mantha pang'ono mukamva zinthu ngati izi: ntchofu pachifuwa, kuvutika kupuma . Koma lero, tiyeni tikambirane mwachidule komanso mwaulemu za chomwe chibayo kwenikweni chili, chifukwa chake chimachitika, momwe tingapewere, komanso choti tichite ngati chikachitika.

Kodi chibayo n'chiyani?

Mwachidule, chibayo ndi matenda opatsirana m'mapapo mwanu. Amatha kuyambitsidwa ndi mabakiteriya, mavairasi, kapena nthawi zina bowa. Matendawa amachititsa kuti minofu ya m'mapapo mwanu itupa, komwe kumatchedwa kutupa . Kenako mapapo amatha kudzazidwa ndi madzi, monga madzi , kapena mafinya.

kutupa

Chibayo cha bakiteriya nthawi zambiri chimakhala choopsa kwambiri kuposa chibayo cha kachilombo. Chibayo cha kachilombo nthawi zambiri chimatha chokha.

Chibayo chingakhudze mapapu amodzi okha, kapena chingakhudze mapapu onse awiri. Chibayo chikakhudza mapapu onse awiri, timachitcha chibayo cha mbali ziwiri kapena ziwiri .

Kodi chibayo chimayamba bwanji? Kodi mitundu yake ndi iti?

Kodi pali kusiyana kotani pakati pa chibayo choyambitsidwa ndi mabakiteriya ndi chibayo choyambitsidwa ndi mavairasi?

Tangoganizani, ngakhale chibayo ndi matenda omwewo, zizindikiro zake zimatha kusiyana pang'ono kutengera chomwe chayambitsa (mabakiteriya, kachilombo, kapena bowa).

Chibayo cha bakiteriya ndi mtundu wofala kwambiri wa chibayo, ndipo chingakhale choopsa pang'ono. Izi zikachitika, mungafunike kukhalabe kuchipatala. Madokotala amapereka maantibayotiki pa izi.

Chibayo chomwe chimayambitsa matenda a chimfine chimayambitsa zizindikiro zofanana ndi malungo ndi chimfine. Nthawi zambiri, chimatha popanda chithandizo chapadera.

Mitundu ikuluikulu ya chibayo

Chibayo chimagawidwa m'magulu malinga ndi tizilombo toyambitsa matenda tomwe tinayambitsa (monga kachilombo, mabakiteriya, bowa) komanso komwe munachitenga, mwachitsanzo m'dera lanu, kuchipatala, kapena pamakina opumira mpweya.

Chibayo chomwe chimapezeka m'dera (CAP)

Ngati mutenga chibayo kunja kwa malo azaumoyo, monga kunyumba kapena kuntchito, chimatchedwa chibayo chomwe chimapezeka m'dera lanu (CAP). Izi zitha kuchitika chifukwa cha:

  • Mabakiteriya: Mabakiteriya otchedwa Streptococcus pneumoniae (omwe amadziwikanso kuti matenda a pneumococcal) ndiye omwe amayambitsa CAP. Mabakiteriya amenewa angayambitsenso matenda a m'makutu, matenda a sinus , ndi meningitis. Chibayo chomwe chimayamba chifukwa cha mabakiteriya otchedwa Mycoplasma pneumoniae nthawi zambiri sichimakula kwambiri. Mabakiteriya otchedwa Haemophilus influenzae, Chlamydia pneumoniae, ndi Legionella (matenda a Legionnaires) nawonso amayambitsa CAP.
  • Mavairasi: Mavairasi monga chimfine , fuluwenza, COVID -19 , ndi RSV (Respiratory Syncytial Virus) nthawi zina angayambitse chibayo.
  • Bowa/mafangayi: Bowa monga `Cryptococcus`, `Pneumocystis jirovecii` ndi `Coccidioides` nthawi zambiri samayambitsa chibayo. Anthu omwe ali ndi chitetezo chamthupi chofooka ali pachiwopsezo chachikulu chotenga chibayo chifukwa cha bowa.
  • Protozoa : Kawirikawiri, protozoa monga Toxoplasma ingayambitsenso chibayo.

Chibayo chopezeka kuchipatala (HAP)

Ngati mudwala chibayo muli kuchipatala chifukwa cha matenda ena kapena opaleshoni ina, imatchedwa chibayo chopezeka kuchipatala (HAP). Chibayochi chingakhale choopsa kwambiri kuposa chibayo chopezeka m'deralo. Izi zili choncho chifukwa nthawi zambiri chimayamba chifukwa cha mabakiteriya omwe sagonjetsedwa ndi maantibayotiki, monga MRSA (methicillin-resistant Staphylococcus aureus). Izi zikutanthauza kuti HAP ikhoza kukupangitsani kudwala kwambiri komanso kuvutika kuti mupeze bwino.

Chibayo chokhudzana ndi chisamaliro chaumoyo (HCAP)

Mtundu uwu wa chibayo ungayambe munthu akakhala m'chipatala chosamalira okalamba kwa nthawi yayitali, monga m'nyumba yosungira okalamba, kapena panthawi ya chithandizo cha nthawi yayitali m'malo ogonera odwala. Monga chibayo chomwe chimaperekedwa kuchipatala, nthawi zambiri chimayambitsidwa ndi mabakiteriya omwe safuna mankhwala opha majeremusi.

Chibayo chokhudzana ndi mpweya (VAP)

Ngati mukuyenera kugwiritsa ntchito makina opumira kapena opumira kuti akuthandizeni kupuma kuchipatala (nthawi zambiri mu chipinda chosamalira odwala kwambiri - ICU), muli pachiwopsezo chotenga VAP. Izi zitha kuchitika chifukwa cha mabakiteriya omwe amayambitsa chibayo chopezeka m'deralo, komanso mabakiteriya osagwiritsa ntchito mankhwala omwe amayambitsa chibayo chopezeka m'chipatala.

Chibayo chobwera chifukwa cha kupuma (chibayo choyambitsidwa ndi chakudya kapena zakumwa zomwe zimalowa munjira yopumira)

Izi ndi zosiyana pang'ono. Pamene chinthu monga chakudya, zakumwa, malovu, kapena kusanza chikukwera m'mapapo mwanu, chimatchedwa aspiration. Ngati simungathe kutsokomola , chingayambitse matenda m'mapapo mwanu ndikuyambitsa chibayo.

Kodi ndi chibayo, chimfine, kapena chimfine? Kodi mumadziwa bwanji?

Nthawi zina, zizindikiro za chimfine, chimfine, ndi chibayo zimatha kukhala zofanana, zomwe zimapangitsa kuti zikhale zovuta kudziwa kusiyana kwake. Dokotala yekha ndi amene angakuuzeni bwino lomwe matendawo. Chibayo chingakhale choopsa , choncho muyenera kuonana ndi dokotala ngati muli ndi zizindikiro zazikulu izi:

  • Kulimba kwa chifuwa kapena kupweteka.
  • Kuvuta kupuma .
  • Malungo a madigiri 38.88 Celsius (102 Fahrenheit) kapena kupitirira apo.
  • Kutuluka kwa mamina achikasu, obiriwira, kapena otuluka magazi.

Ndani ali pachiwopsezo chachikulu chotenga chibayo?

Anthu otsatirawa ali pachiwopsezo chachikulu chotenga chibayo:

  • Anthu opitirira zaka 65 ndi ana osapitirira zaka ziwiri.
  • Anthu omwe ali ndi matenda a m'mapapo kapena a mtima , monga cystic fibrosis, mphumu, COPD (matenda osatha obstructive pulmonary disease), emphysema, pulmonary fibrosis, kapena sarcoidosis.
  • Anthu omwe ali ndi matenda amitsempha omwe amachititsa kuti avutike kumeza. Matenda monga matenda a dementia, matenda a Parkinson, ndi sitiroko ali pachiwopsezo chachikulu chotenga matenda a aspiration pneumonia.
  • Anthu omwe ali kuchipatala kapena ku malo osamalira odwala kwa nthawi yayitali.
  • Anthu osuta.
  • Amayi oyembekezera.
  • Anthu omwe ali ndi chitetezo chamthupi chofooka. Ngati mukulandira chithandizo cha mankhwala a khansa, munapatsidwa chiwalo china, muli ndi kachilombo ka HIV/AIDS, kapena mukumwa mankhwala oletsa chitetezo chamthupi, chitetezo chamthupi chanu chikhoza kufooka.

Kodi zizindikiro za chibayo ndi ziti?

Zizindikiro za chibayo zimasiyana malinga ndi chomwe chimayambitsa. Zizindikiro zimatha kuyambira zofatsa mpaka zowopsa. Zizindikiro zimatha kusiyana mwa makanda, ana aang'ono, ndi okalamba.

Zizindikiro za Bakiteriya Chibayo

Zizindikiro za chibayo cha bakiteriya zimatha kubwera pang'onopang'ono kapena mwadzidzidzi. Zizindikiro zazikulu ndi izi:

  • Malungo aakulu (akhoza kufika madigiri Celsius 40.55 kapena madigiri Fahrenheit 105).
  • Chifuwa chokhala ndi mafinya achikasu, obiriwira, kapena amagazi
  • Kutopa.
  • Kupuma mwachangu.
  • Kupuma movutikira.
  • Kugunda kwa mtima kumawonjezeka.
  • Kutuluka thukuta kapena kumva kuzizira komanso kutentha thupi (kuzizira).
  • Kupweteka pachifuwa ndi/kapena m'mimba, makamaka mukakosoza kapena kupuma mozama.
  • Chakudyacho sichikoma.
  • Mtundu wabuluu wa khungu, milomo, kapena misomali (cyanosis).
  • Kusokonezeka kapena kusintha kwa maganizo.

Zizindikiro za Chibayo cha Viral

Zizindikiro za chibayo cha kachilombo nthawi zambiri zimawonekera pakatha masiku angapo. Mutha kukhala ndi zizindikiro zofanana ndi za chibayo cha bakiteriya, kapena mutha kukhala ndi izi:

  • Chifuwa chouma.
  • Mutu.
  • Kupweteka kwa minofu.
  • Kutopa kwambiri kapena kufooka.

Zizindikiro za chibayo mwa ana aang'ono

Makanda aang'ono kwambiri ndi makanda obadwa kumene sangasonyeze zizindikiro za chibayo, kapena zizindikiro zawo zitha kukhala zosiyana ndi za akuluakulu. Yang'anani zinthu monga:

  • Malungo, kuzizira, kusapeza bwino, thukuta/kufiira kwa khungu.
  • Chifuwa.
  • Kuvuta kupuma kapena kupuma mofulumira (tachypnea).
  • Chakudyacho sichikoma.
  • Kusanza.
  • Kusowa mphamvu.
  • Kusakhazikika kapena kulira pafupipafupi.

Mukhozanso kuona zizindikiro izi mwa makanda ndi ana aang'ono:

  • Zikumveka ngati phokoso la kukokoloka mukamapuma.
  • Kuchuluka kwa kukodza kumachepa, kapena kuchuluka kwa matewera onyowa kumachepa.
  • Khungu limakhala lofiirira.
  • Thupi likutaya moyo wake.
  • Kulira kwambiri kuposa masiku onse.
  • Kukana kumwa mkaka/kudya chakudya.

Zizindikiro za chibayo mwa anthu opitirira zaka 65

Anthu opitirira zaka 65 kapena omwe ali ndi chitetezo chamthupi chofooka akhoza kukhala ndi zizindikiro zochepa kapena zochepa za chibayo (monga chifuwa ndi kupuma movutikira). Angakhalenso ndi zizindikiro zoyipa za matenda ena osatha. Okalamba angakumane ndi izi:

  • Kusintha kwadzidzidzi kwa maganizo.
  • Chakudyacho sichikoma.
  • Wotopa.

Kodi chibayo chimayambitsa chiyani?

Chibayo chimachitika pamene chitetezo cha mthupi lanu chikuukira timatumba tating'onoting'ono ta mpweya (alveoli) m'mapapo anu pamene kachilombo kachitika. Izi zimapangitsa kuti mapapo adzipe ndikutulutsa madzi.

Pali mitundu yambiri ya mabakiteriya, mavairasi, ndi bowa zomwe zingayambitse matenda omwe amayambitsa chibayo. Mabakiteriya ndiye omwe amayambitsa chibayo mwa akuluakulu , ndipo mavairasi ndiye omwe amayambitsa kwambiri ana a msinkhu wa sukulu . Nazi matenda ena omwe angayambitse chibayo:

  • Chimfine (kachilombo ka chimfine)
  • Covid-19 (`SARS-COV-2`)
  • Kachilombo ka fuluwenza
  • Kachilombo ka HIV ka anthu (`HMPV – kachilombo ka HIV ka anthu`)
  • Human parainfluenza virus (HPIV)
  • Matenda a Legionnaires
  • Bakiteriya ya Mycoplasma pneumonia
  • Matenda a pneumococcal
  • Chibayo cha pneumocystis
  • Kachilombo ka HIV kogwirizana ndi kupuma (RSV)

Kodi chibayo chimafalikira?

Kwenikweni, chibayo sichimafalikira . Koma mabakiteriya ndi mavairasi omwe amachititsa izi ndi opatsirana . Taganizirani izi motere: malungo ndi matenda opatsirana omwe angayambitse chibayo. Koma si aliyense amene amadwala malungo amadwala chibayo.

Streptococcus pneumoniae, yomwe imayambitsa chibayo chofala kwambiri, imatha kufalikira kuchokera kwa munthu wina kupita kwa wina kudzera mu kukhudza malo omwe ali ndi kachilomboka kapena kudzera mu madontho omwe amatuluka munthu wodwala akamatsokomola kapena kuyetsemula.

Chibayo cha bowa sichimafalikira. Matenda a bowa safalikira kuchokera kwa munthu wina kupita kwa wina monga mavairasi kapena mabakiteriya.

Kodi madokotala amazindikira bwanji chibayo? (Kuzindikira)

Kuti adziwe ngati muli ndi chibayo, dokotala adzakufunsani za zizindikiro zanu ndikukupimani thupi. Adzamvetsera mapapu anu ndi stethoscope, ndipo angachitenso mayeso ena. Izi zitha kuphatikizapo kujambula zithunzi (monga X-ray pachifuwa), pulse oximetry (kuyang'ana kuchuluka kwa mpweya m'magazi anu), mayeso a magazi, kapena mayeso a sputum.

Chofunika: Ngakhale dokotala atatsimikizira kuti muli ndi chibayo, nthawi zina sangathe kupeza chomwe chikuyambitsa matendawa.

Ndi mayeso ati omwe akuchitidwa pa izi?

Dokotala wanu angachite mayeso kuti aone ngati mapapo anu ali ndi zizindikiro za matenda, kuyeza momwe mapapo anu akugwirira ntchito, ndikuwunika magazi kapena madzi ena amthupi kuti apeze chomwe chimayambitsa chibayo chanu, monga:

  • Kujambula: Kujambula pachifuwa X-ray kapena CT scan kungachitike kuti muwone ngati pali zizindikiro za matenda a m'mapapo.
  • Kuyezetsa magazi: Kuyezetsa magazi kungathandize kudziwa mtundu wa matenda omwe amayambitsa chibayo chanu.
  • Kuyesa kwa mafinya: Mudzapemphedwa kuti mukhosomole ndikuyika mafinya m'chidebe. Adzatumizidwa ku labu kuti akaone ngati pali zizindikiro zilizonse za matenda ndi chomwe chikuyambitsa matendawa.
  • Kuyeza kuchuluka kwa mpweya m'magazi: Sensor imagwiritsidwa ntchito kuyeza kuchuluka kwa mpweya m'magazi mwanu. Izi zingapatse dokotala wanu lingaliro la momwe mapapu anu akugwirira ntchito.
  • Kumera kwa madzi m'mapapo: Chitsanzo cha madzi ozungulira mapapo anu chimatengedwa pogwiritsa ntchito singano yopyapyala ndikutumizidwa ku labu kuti akafufuze chomwe chayambitsa matendawa.
  • Kuyezetsa mpweya m'magazi: Kuyezetsa magazi kuchokera m'dzanja lanu, mkono, kapena khosi kuti muyeze kuchuluka kwa mpweya m'magazi anu. Izi zingathandize kudziwa momwe mapapu anu akugwirira ntchito.
  • Bronchoscopy: Nthawi zina, dokotala angagwiritse ntchito chubu chopepuka komanso chopepuka chotchedwa bronchoscope kuti ayang'ane mkati mwa mapapo. Angatengenso zitsanzo za minofu kapena madzi kuti akayesedwe mu labu.

Kodi chibayo chimachiritsidwa bwanji?

Chithandizo cha chibayo chimadalira chomwe chimayambitsa (mabakiteriya, mavairasi, bowa) komanso momwe vuto lanu lilili lalikulu. Popeza chifukwa chenicheni nthawi zambiri sichidziwika, chithandizocho cholinga chake ndi kuchepetsa zizindikiro ndikuletsa vuto lanu kuti lisakule kwambiri.

Pakhoza kukhala mankhwala monga:

  • Mankhwala Opha Utoto: Mankhwala opha tizilombo amaperekedwa pa chibayo cha bakiteriya. Sagwira ntchito motsutsana ndi mavairasi, koma dokotala angawapatse ngati muli ndi kachilombo ka bakiteriya pamodzi ndi kachilombo.
  • Mankhwala oletsa bowa: Mankhwalawa amaperekedwa kwa chibayo chomwe chimayambitsidwa ndi matenda a bowa.
  • Mankhwala oletsa mavairasi: Chibayo cha mavairasi nthawi zambiri sichifuna chithandizo, ndipo chimatha chokha. Komabe, kuti muchepetse kutalika ndi kuopsa kwa matenda anu ngati muli ndi kachilombo ka mavairasi, dokotala wanu angakupatseni mankhwala oletsa mavairasi monga oseltamivir (Tamiflu®), zanamivir (Relenza®), kapena peramivir (Rapivab®).
  • Chithandizo cha okosijeni: Ngati simukupeza mpweya wokwanira, dokotala angakupatseni mpweya wowonjezera kudzera mu chubu chomwe chimayikidwa m'mphuno mwanu kapena chophimba nkhope chomwe chimayikidwa pankhope panu.
  • Madzi olowa m'mitsempha (madzi a m'mitsempha): Madzi operekedwa mwachindunji mumtsempha (IV) amatha kupewa kapena kuchiza kutaya madzi m'thupi.
  • Kuchotsa madzimadzi: Ngati muli ndi madzi ambiri pakati pa mapapo anu ndi khoma la pachifuwa (pleural effusion), dokotala akhoza kuwachotsa. Izi zitha kuchitika pogwiritsa ntchito catheter kapena opaleshoni.

Kodi chibayo chimachira chokha?

Chibayo cha mavairasi nthawi zambiri chimatha chokha, koma nthawi zonse muyenera kutsatira malangizo a dokotala wanu kuti muchiritse zizindikiro ndikuchepetsa chiopsezo cha mavuto aakulu.

Zinthu zomwe mungachite kunyumba kuti muchepetse zizindikiro za chibayo

Zinthu izi zingakuthandizeni kumva bwino komanso kuthana ndi zizindikiro za chibayo:

  • Mankhwala ochepetsa ululu ndi malungo: Dokotala wanu angakulangizeni kumwa mankhwala monga ibuprofen (Advil®) ndi acetaminophen ( paracetamol (Panadol) ®) pa ululu ndi malungo m'thupi.
  • Mankhwala oletsa chifuwa: Funsani dokotala musanamwe mankhwala oletsa chifuwa chifukwa cha chibayo, chifukwa chifuwa n'chofunika kwambiri poyeretsa mapapo.
  • Mankhwala ndi masewera olimbitsa thupi opumira: Dokotala wanu angakupatseni mankhwala awa kuti muchepetse ntchofu ndikupangitsa kupuma kukhala kosavuta.
  • Kugwiritsa ntchito humidifier:Dokotala wanu angakulangizeni kuti musunge chotenthetsera chaching'ono pafupi ndi bedi lanu kapena kusamba ndi nthunzi. Izi zingakuthandizeni kupuma bwino.
  • Imwani madzi ambiri.

Kodi ndidzakhala bwino nthawi yayitali bwanji nditayamba kulandira chithandizo?

Kuchira msanga kumadalira zinthu izi:

  • zaka zanu.
  • Chifukwa cha chibayo chanu.
  • Kuopsa kwa chibayo.
  • Kaya muli ndi matenda ena kapena zovuta zina.

Ngati muli ndi thanzi labwino, zizindikiro za chibayo cha bakiteriya ziyenera kuyamba kuchira mkati mwa maola 24 mpaka 48 mutayamba kulandira chithandizo . Mutha kumva bwino mkati mwa masiku ochepa mutalandira chithandizo cha chibayo cha kachilombo. Komabe, zizindikiro zina, monga chifuwa ndi kutopa, zitha kukhalapo kwa milungu ingapo.

Kodi munthu amene ali ndi chibayo amatha kupatsirana kwa ena kwa nthawi yayitali bwanji akachira?

Ngati muli ndi chibayo cha bakiteriya, mumaonedwa kuti simukudwalanso malungo anu akatha ndipo mwakhala mukumwa maantibayotiki kwa masiku osachepera awiri . Ngati muli ndi chibayo cha kachilomboka, muthabe kudwala matendawa mpaka mutamva bwino komanso mutakhala opanda malungo kwa masiku angapo.

Kodi mungapewe bwanji chibayo?

Njira yabwino yopewera chibayo ndikutenga katemera wa mabakiteriya ndi mavairasi omwe nthawi zambiri amayambitsa chibayo. Palinso zizolowezi zaumoyo zomwe mungatsatire tsiku lililonse kuti muchepetse chiopsezo chanu chotenga chibayo.

Katemera wa chibayo

Pali mitundu iwiri ya katemera yomwe imateteza chibayo chomwe chimayamba chifukwa cha mabakiteriya a pneumococcal. Monga katemera wa chimfine, katemerayu sateteza ku mitundu yonse ya chibayo. Koma ngati mutadwala, sizingakhale zoopsa kwambiri.

  • Katemera wa pneumococcal: Katemera amateteza ku mabakiteriya a chibayo. Izi zimaperekedwa kwa magulu ena azaka ndi anthu omwe ali pachiwopsezo chachikulu chotenga chibayo. Funsani dokotala wanu katemera woyenera kwa inu kapena okondedwa anu.
  • Katemera woteteza mavairasi: Popeza mavairasi ena angayambitse chibayo, kulandira katemera wa COVID-19 ndi chimfine (chimfine) kungachepetse chiopsezo chotenga chibayo.
  • Katemera wa ana: Ngati muli ndi ana, funsani dokotala wawo za katemera wina amene ayenera kulandira. Katemera angapo a ana amathandiza kuteteza ku mabakiteriya ndi mavairasi omwe angayambitse chibayo.

Njira zina zodzitetezera ku chibayo

Kuwonjezera pa kulandira katemera, zizolowezi izi zathanzi zingakuthandizeni kuchepetsa chiopsezo chanu chotenga ndi kufalitsa chibayo:

  • Pewani kusuta fodya ndipo pewani kusuta fodya kwa anthu ena. Kusuta fodya kumawononga mapapo anu ndipo kumawonjezera chiopsezo chanu chotenga matenda.
  • Sambani m'manja mwanu bwino ndi sopo ndi madzi musanadye, musanakonze chakudya, komanso mutapita kuchimbudzi. Gwiritsani ntchito sopo kapena mankhwala oyeretsera m'manja okhala ndi mowa.
  • Ngati inu kapena munthu wina ali ndi matenda opatsirana monga malungo, chimfine, kapena COVID-19, pewani kukhudzana nawo kwambiri ndi kugwiritsa ntchito katundu wawo.
  • Ngati muyenera kukhala kuchipatala kapena kuchipatala china, musaope kufunsa madokotala anu momwe mungachepetsere chiopsezo chotenga matenda panthawi yomwe muli.
  • Idyani zakudya zoyenera, chita masewera olimbitsa thupi, ndipo pumulani mokwanira.
  • Pezani chithandizo cha matenda ena aliwonse kapena matenda ena aliwonse omwe mungakhale nawo. Matendawa amatha kufooketsa chitetezo cha mthupi lanu ndikuwonjezera chiopsezo chanu chotenga chibayo.
  • Pewani kumwa mowa mopitirira muyeso.

Kodi ndi mavuto otani omwe angabwere ngati chibayo chikayamba?

Chibayo chingayambitse mavuto aakulu omwe angafunike kugonekedwa kuchipatala. Izi zingaphatikizepo:

  • Kuvuta kupuma: Chibayo chingayambitse kulephera kupuma kapena matenda otchedwa `ARDS ​​​​(acute respiratory distress syndrome)`.
  • Kuchulukana kwa madzi m'mapapo (pleural effusion).
  • Mabakiteriya olowa m'magazi (`bacteremia`) kapena `sepsis`: Mabakiteriya omwe amayambitsa chibayo amatha kulowa m'magazi ndikufalitsa matendawa ku ziwalo zina, zomwe zimayambitsa sepsis kapena kulephera kwa ziwalo.
  • Chifuwa cha m'mapapo: Chibayo chingayambitse mabowo odzaza mafinya mkati mwa mapapo.

Kodi ndi liti pamene muyenera kugonekedwa m'chipatala chifukwa cha chibayo?

Ngati muli ndi chibayo chachikulu kapena mavuto ena, mungafunike kukhala m'chipatala kuti mupeze chithandizo. Muli ndi mwayi waukulu wogonekedwa m'chipatala ngati:

  • Ngati muli ndi zaka zosakwana 2 kapena kupitirira 65.
  • Ngati chitetezo cha mthupi chili chofooka.
  • Ngati muli ndi matenda omwe amakhudza mtima ndi mapapo.

Kumbukirani: Ngati mwagonekedwa m'chipatala chifukwa cha chibayo, zingatenge milungu isanu ndi umodzi mpaka isanu ndi itatu kuti mubwerere mwakale.

Zinthu zomwe mungachite kuti mupeze mpumulo mukakhala ndi chibayo

Nazi zina zomwe mungachite kuti mumve bwino mukakhala ndi chibayo:

  • Konzani zizindikiro zanu monga momwe dokotala wanu akulangizirani.
  • Imwani mankhwala onse omwe dokotala wanu wakupatsani monga momwe mwalangizidwira, kwa nthawi yonse . Musasiye kumwa maantibayotiki chifukwa choti mukumva bwino. Imwani mpaka mutamaliza kumwa mankhwala onse. Ngati simumaliza kumwa mankhwala onse, chibayo chanu chingabwererenso.
  • Imwani mankhwala ochepetsa malungo (monga aspirin, acetaminophen, ibuprofen, kapena naproxen) monga momwe zalembedwera pa chizindikirocho. Musapatse ana aspirin.
  • Pumulani bwino.

Ngati nthawi ina iliyonse mukumva kuti ululu ukukulirakulira, imbani dokotala nthawi yomweyo.

Kodi zizindikiro zosonyeza kuti chibayo chikuchira ndi ziti?

Mukayamba kuchira chibayo, kutentha thupi kwanu kudzabwerera mwakale. Kenako, mudzazindikira kuti chimfine chanu chikuchepa. Kumva ngati mungathe kuchita zina mwa zochita zanu zachizolowezi ndi chizindikiro chabwino chakuti mukuchira.

Kodi ndi liti pamene ndingapite kuntchito kapena kusukulu nditadwala chibayo?

Ngati zizindikiro zanu zatha, zachepa, kapena zikusintha, mutha kuyambiranso ntchito zanu zachizolowezi pokhapokha ngati muli ndi zizindikiro zatsopano kapena zoipiraipira izi:

  • Kupuma movutikira kapena kutopa (kusowa mphamvu).
  • Kupweteka pachifuwa.
  • Mafinya, malungo, kapena chifuwa.

Ngati muli ndi thanzi labwino, anthu ambiri amamva bwino mokwanira kuti abwererenso ku zochita zawo zakale mkati mwa sabata imodzi. Komabe, zingatenge mwezi umodzi kuti achire bwino.

Kodi ndiyenera kupita kwa dokotala liti?

Lankhulani ndi dokotala wanu, makamaka ngati mwadwala kale, muli ndi matenda ena osatha, kapena ngati mukuyamba zizindikiro zatsopano ngati izi, kapena ngati zizindikiro zomwe muli nazo zikuipiraipira:

  • Kuvuta kupuma.
  • Malungo kapena chifuwa chophatikizana ndi phlegm.
  • Kutopa.
  • Kusintha kwa chilakolako (kumva ngati mukufuna kudya pang'ono).

Kodi muyenera kupita ku chipinda chodzidzimutsa liti?

Ngati izi zikuchitika, pitani ku chipinda chodzidzimutsa nthawi yomweyo, kapena imbani 1990:

  • Ngati mukuvutika kupuma, kapena ngati mukumva kutopa ngakhale mutangokhala chete.
  • Palibe vuto ngati muli ndi ululu watsopano pachifuwa kapena ngati ululu womwe ulipo ukukulirakulira.
  • Ngati mukumva kusokonezeka kapena simungathe kuganiza bwino.

Kodi n'zotheka kutenga chibayo popanda malungo?

Inde, ngakhale kuti chibayo nthawi zambiri chimayendera limodzi ndi malungo, n'zotheka kudwala chibayo ndi kapena popanda malungo otsika . Izi zimachitika kawirikawiri kwa anthu omwe:

  • Kwa anthu azaka zopitilira 65 kapena zosakwana ziwiri (makamaka makanda obadwa kumene ndi ana aang'ono).
  • Kwa iwo omwe ali ndi chitetezo chamthupi chofooka.

Kodi pali kusiyana pakati pa momwe chibayo chimachiritsidwira mwa ana aang'ono?

Kawirikawiri palibe kusiyana kwakukulu pa momwe chibayo chimachiritsidwira mwa ana aang'ono. Komabe, ana aang'ono ali pachiwopsezo chachikulu chodwala kwambiri ndi chibayo ndipo nthawi zambiri amakhala m'chipatala kuti akalandire chithandizo kuposa akuluakulu.

Popeza chibayo chili ndi zifukwa zambiri ndipo zizindikiro zake zimasiyana, zingakhale zosokoneza pang'ono kuganizira. Ndizachilendonso kuchita mantha mukamadzifunsa ngati zizindikiro zanu ndi zazikulu kwambiri. Simuyenera kunyalanyaza zizindikiro monga kutentha thupi kwambiri, kutupa kwa magazi kapena kofiira, kupweteka pachifuwa, kapena kupuma movutikira. Thupi lanu likukuuzani kuti pali vuto, choncho musazengereze kufunafuna upangiri wa dokotala.

Uthenga Woti Mutengere Kunyumba Kwanu

Chibayo ndi matenda omwe nthawi zina amakhala oopsa. Koma mukazindikira bwino komanso kulandira chithandizo chamankhwala nthawi yake, nthawi zambiri mutha kuchira bwino . Chofunika kwambiri ndikuzindikira zizindikiro ndikuwonana ndi dokotala mwachangu ngati muli ndi nkhawa.

  • Kupewa ndi bwino: katemera, tsatirani makhalidwe abwino.
  • Dziwani zizindikiro: makamaka malungo, chifuwa, ndi kupuma movutikira.
  • Tsatirani malangizo a dokotala wanu: Imwani mankhwala anu monga momwe mwalangizidwira, kwa nthawi yonse.
  • Kupuma n'kofunika: Perekani thupi lanu nthawi yoti lichiritse.

Ngati inu kapena wina m'banja mwanu ali ndi mafunso ena okhudza chibayo, musaope kulankhula ndi dokotala. Adzakuthandizani.

Frequently Asked Questions (FAQ)

Kodi pali kusiyana kotani pakati pa chibayo choyambitsidwa ndi mabakiteriya ndi chibayo choyambitsidwa ndi mavairasi?

Tangoganizani, ngakhale chibayo ndi matenda omwewo, zizindikiro zake zimatha kusiyana pang'ono kutengera chomwe chayambitsa (mabakiteriya, kachilombo, kapena bowa).

Ndi mayeso ati omwe akuchitidwa pa izi?

Dokotala wanu angachite mayeso kuti aone ngati mapapo anu ali ndi zizindikiro za matenda, kuyeza momwe mapapo anu akugwirira ntchito, ndikuwunika magazi kapena madzi ena amthupi kuti apeze chomwe chimayambitsa chibayo chanu, monga:

Kodi ndidzakhala bwino nthawi yayitali bwanji nditayamba kulandira chithandizo?

Kuchira msanga kumadalira zinthu izi:

Kodi muyenera kupita ku chipinda chodzidzimutsa liti?

Ngati izi zikuchitika, pitani ku chipinda chodzidzimutsa nthawi yomweyo, kapena imbani 1990:

⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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Tiyeni tiphunzire zambiri zokhudza chibayo. Musachite mantha, tiyeni tikambirane!
Zambiri ZaumoyoMay 24, 2025

Tiyeni tiphunzire zambiri zokhudza chibayo. Musachite mantha, tiyeni tikambirane!

Mukamva mawu akuti chibayo, mwina mumaopa pang'ono, eti? Ndizachibadwa kuchita mantha pang'ono mukamva zinthu ngati izi: ntchofu pachifuwa, kuvutika kupuma . Koma lero, tiyeni tikambirane mwachidule komanso mwaulemu za chomwe chibayo kwenikweni chili, chifukwa chake chimachitika, momwe tingapewere, komanso choti tichite ngati chikachitika.

Kodi chibayo n'chiyani?

Mwachidule, chibayo ndi matenda opatsirana m'mapapo mwanu. Amatha kuyambitsidwa ndi mabakiteriya, mavairasi, kapena nthawi zina bowa. Matendawa amachititsa kuti minofu ya m'mapapo mwanu itupa, komwe kumatchedwa kutupa . Kenako mapapo amatha kudzazidwa ndi madzi, monga madzi , kapena mafinya.

kutupa

Chibayo cha bakiteriya nthawi zambiri chimakhala choopsa kwambiri kuposa chibayo cha kachilombo. Chibayo cha kachilombo nthawi zambiri chimatha chokha.

Chibayo chingakhudze mapapu amodzi okha, kapena chingakhudze mapapu onse awiri. Chibayo chikakhudza mapapu onse awiri, timachitcha chibayo cha mbali ziwiri kapena ziwiri .

Kodi chibayo chimayamba bwanji? Kodi mitundu yake ndi iti?

Kodi pali kusiyana kotani pakati pa chibayo choyambitsidwa ndi mabakiteriya ndi chibayo choyambitsidwa ndi mavairasi?

Tangoganizani, ngakhale chibayo ndi matenda omwewo, zizindikiro zake zimatha kusiyana pang'ono kutengera chomwe chayambitsa (mabakiteriya, kachilombo, kapena bowa).

Chibayo cha bakiteriya ndi mtundu wofala kwambiri wa chibayo, ndipo chingakhale choopsa pang'ono. Izi zikachitika, mungafunike kukhalabe kuchipatala. Madokotala amapereka maantibayotiki pa izi.

Chibayo chomwe chimayambitsa matenda a chimfine chimayambitsa zizindikiro zofanana ndi malungo ndi chimfine. Nthawi zambiri, chimatha popanda chithandizo chapadera.

Mitundu ikuluikulu ya chibayo

Chibayo chimagawidwa m'magulu malinga ndi tizilombo toyambitsa matenda tomwe tinayambitsa (monga kachilombo, mabakiteriya, bowa) komanso komwe munachitenga, mwachitsanzo m'dera lanu, kuchipatala, kapena pamakina opumira mpweya.

Chibayo chomwe chimapezeka m'dera (CAP)

Ngati mutenga chibayo kunja kwa malo azaumoyo, monga kunyumba kapena kuntchito, chimatchedwa chibayo chomwe chimapezeka m'dera lanu (CAP). Izi zitha kuchitika chifukwa cha:

  • Mabakiteriya: Mabakiteriya otchedwa Streptococcus pneumoniae (omwe amadziwikanso kuti matenda a pneumococcal) ndiye omwe amayambitsa CAP. Mabakiteriya amenewa angayambitsenso matenda a m'makutu, matenda a sinus , ndi meningitis. Chibayo chomwe chimayamba chifukwa cha mabakiteriya otchedwa Mycoplasma pneumoniae nthawi zambiri sichimakula kwambiri. Mabakiteriya otchedwa Haemophilus influenzae, Chlamydia pneumoniae, ndi Legionella (matenda a Legionnaires) nawonso amayambitsa CAP.
  • Mavairasi: Mavairasi monga chimfine , fuluwenza, COVID -19 , ndi RSV (Respiratory Syncytial Virus) nthawi zina angayambitse chibayo.
  • Bowa/mafangayi: Bowa monga `Cryptococcus`, `Pneumocystis jirovecii` ndi `Coccidioides` nthawi zambiri samayambitsa chibayo. Anthu omwe ali ndi chitetezo chamthupi chofooka ali pachiwopsezo chachikulu chotenga chibayo chifukwa cha bowa.
  • Protozoa : Kawirikawiri, protozoa monga Toxoplasma ingayambitsenso chibayo.

Chibayo chopezeka kuchipatala (HAP)

Ngati mudwala chibayo muli kuchipatala chifukwa cha matenda ena kapena opaleshoni ina, imatchedwa chibayo chopezeka kuchipatala (HAP). Chibayochi chingakhale choopsa kwambiri kuposa chibayo chopezeka m'deralo. Izi zili choncho chifukwa nthawi zambiri chimayamba chifukwa cha mabakiteriya omwe sagonjetsedwa ndi maantibayotiki, monga MRSA (methicillin-resistant Staphylococcus aureus). Izi zikutanthauza kuti HAP ikhoza kukupangitsani kudwala kwambiri komanso kuvutika kuti mupeze bwino.

Chibayo chokhudzana ndi chisamaliro chaumoyo (HCAP)

Mtundu uwu wa chibayo ungayambe munthu akakhala m'chipatala chosamalira okalamba kwa nthawi yayitali, monga m'nyumba yosungira okalamba, kapena panthawi ya chithandizo cha nthawi yayitali m'malo ogonera odwala. Monga chibayo chomwe chimaperekedwa kuchipatala, nthawi zambiri chimayambitsidwa ndi mabakiteriya omwe safuna mankhwala opha majeremusi.

Chibayo chokhudzana ndi mpweya (VAP)

Ngati mukuyenera kugwiritsa ntchito makina opumira kapena opumira kuti akuthandizeni kupuma kuchipatala (nthawi zambiri mu chipinda chosamalira odwala kwambiri - ICU), muli pachiwopsezo chotenga VAP. Izi zitha kuchitika chifukwa cha mabakiteriya omwe amayambitsa chibayo chopezeka m'deralo, komanso mabakiteriya osagwiritsa ntchito mankhwala omwe amayambitsa chibayo chopezeka m'chipatala.

Chibayo chobwera chifukwa cha kupuma (chibayo choyambitsidwa ndi chakudya kapena zakumwa zomwe zimalowa munjira yopumira)

Izi ndi zosiyana pang'ono. Pamene chinthu monga chakudya, zakumwa, malovu, kapena kusanza chikukwera m'mapapo mwanu, chimatchedwa aspiration. Ngati simungathe kutsokomola , chingayambitse matenda m'mapapo mwanu ndikuyambitsa chibayo.

Kodi ndi chibayo, chimfine, kapena chimfine? Kodi mumadziwa bwanji?

Nthawi zina, zizindikiro za chimfine, chimfine, ndi chibayo zimatha kukhala zofanana, zomwe zimapangitsa kuti zikhale zovuta kudziwa kusiyana kwake. Dokotala yekha ndi amene angakuuzeni bwino lomwe matendawo. Chibayo chingakhale choopsa , choncho muyenera kuonana ndi dokotala ngati muli ndi zizindikiro zazikulu izi:

  • Kulimba kwa chifuwa kapena kupweteka.
  • Kuvuta kupuma .
  • Malungo a madigiri 38.88 Celsius (102 Fahrenheit) kapena kupitirira apo.
  • Kutuluka kwa mamina achikasu, obiriwira, kapena otuluka magazi.

Ndani ali pachiwopsezo chachikulu chotenga chibayo?

Anthu otsatirawa ali pachiwopsezo chachikulu chotenga chibayo:

  • Anthu opitirira zaka 65 ndi ana osapitirira zaka ziwiri.
  • Anthu omwe ali ndi matenda a m'mapapo kapena a mtima , monga cystic fibrosis, mphumu, COPD (matenda osatha obstructive pulmonary disease), emphysema, pulmonary fibrosis, kapena sarcoidosis.
  • Anthu omwe ali ndi matenda amitsempha omwe amachititsa kuti avutike kumeza. Matenda monga matenda a dementia, matenda a Parkinson, ndi sitiroko ali pachiwopsezo chachikulu chotenga matenda a aspiration pneumonia.
  • Anthu omwe ali kuchipatala kapena ku malo osamalira odwala kwa nthawi yayitali.
  • Anthu osuta.
  • Amayi oyembekezera.
  • Anthu omwe ali ndi chitetezo chamthupi chofooka. Ngati mukulandira chithandizo cha mankhwala a khansa, munapatsidwa chiwalo china, muli ndi kachilombo ka HIV/AIDS, kapena mukumwa mankhwala oletsa chitetezo chamthupi, chitetezo chamthupi chanu chikhoza kufooka.

Kodi zizindikiro za chibayo ndi ziti?

Zizindikiro za chibayo zimasiyana malinga ndi chomwe chimayambitsa. Zizindikiro zimatha kuyambira zofatsa mpaka zowopsa. Zizindikiro zimatha kusiyana mwa makanda, ana aang'ono, ndi okalamba.

Zizindikiro za Bakiteriya Chibayo

Zizindikiro za chibayo cha bakiteriya zimatha kubwera pang'onopang'ono kapena mwadzidzidzi. Zizindikiro zazikulu ndi izi:

  • Malungo aakulu (akhoza kufika madigiri Celsius 40.55 kapena madigiri Fahrenheit 105).
  • Chifuwa chokhala ndi mafinya achikasu, obiriwira, kapena amagazi
  • Kutopa.
  • Kupuma mwachangu.
  • Kupuma movutikira.
  • Kugunda kwa mtima kumawonjezeka.
  • Kutuluka thukuta kapena kumva kuzizira komanso kutentha thupi (kuzizira).
  • Kupweteka pachifuwa ndi/kapena m'mimba, makamaka mukakosoza kapena kupuma mozama.
  • Chakudyacho sichikoma.
  • Mtundu wabuluu wa khungu, milomo, kapena misomali (cyanosis).
  • Kusokonezeka kapena kusintha kwa maganizo.

Zizindikiro za Chibayo cha Viral

Zizindikiro za chibayo cha kachilombo nthawi zambiri zimawonekera pakatha masiku angapo. Mutha kukhala ndi zizindikiro zofanana ndi za chibayo cha bakiteriya, kapena mutha kukhala ndi izi:

  • Chifuwa chouma.
  • Mutu.
  • Kupweteka kwa minofu.
  • Kutopa kwambiri kapena kufooka.

Zizindikiro za chibayo mwa ana aang'ono

Makanda aang'ono kwambiri ndi makanda obadwa kumene sangasonyeze zizindikiro za chibayo, kapena zizindikiro zawo zitha kukhala zosiyana ndi za akuluakulu. Yang'anani zinthu monga:

  • Malungo, kuzizira, kusapeza bwino, thukuta/kufiira kwa khungu.
  • Chifuwa.
  • Kuvuta kupuma kapena kupuma mofulumira (tachypnea).
  • Chakudyacho sichikoma.
  • Kusanza.
  • Kusowa mphamvu.
  • Kusakhazikika kapena kulira pafupipafupi.

Mukhozanso kuona zizindikiro izi mwa makanda ndi ana aang'ono:

  • Zikumveka ngati phokoso la kukokoloka mukamapuma.
  • Kuchuluka kwa kukodza kumachepa, kapena kuchuluka kwa matewera onyowa kumachepa.
  • Khungu limakhala lofiirira.
  • Thupi likutaya moyo wake.
  • Kulira kwambiri kuposa masiku onse.
  • Kukana kumwa mkaka/kudya chakudya.

Zizindikiro za chibayo mwa anthu opitirira zaka 65

Anthu opitirira zaka 65 kapena omwe ali ndi chitetezo chamthupi chofooka akhoza kukhala ndi zizindikiro zochepa kapena zochepa za chibayo (monga chifuwa ndi kupuma movutikira). Angakhalenso ndi zizindikiro zoyipa za matenda ena osatha. Okalamba angakumane ndi izi:

  • Kusintha kwadzidzidzi kwa maganizo.
  • Chakudyacho sichikoma.
  • Wotopa.

Kodi chibayo chimayambitsa chiyani?

Chibayo chimachitika pamene chitetezo cha mthupi lanu chikuukira timatumba tating'onoting'ono ta mpweya (alveoli) m'mapapo anu pamene kachilombo kachitika. Izi zimapangitsa kuti mapapo adzipe ndikutulutsa madzi.

Pali mitundu yambiri ya mabakiteriya, mavairasi, ndi bowa zomwe zingayambitse matenda omwe amayambitsa chibayo. Mabakiteriya ndiye omwe amayambitsa chibayo mwa akuluakulu , ndipo mavairasi ndiye omwe amayambitsa kwambiri ana a msinkhu wa sukulu . Nazi matenda ena omwe angayambitse chibayo:

  • Chimfine (kachilombo ka chimfine)
  • Covid-19 (`SARS-COV-2`)
  • Kachilombo ka fuluwenza
  • Kachilombo ka HIV ka anthu (`HMPV – kachilombo ka HIV ka anthu`)
  • Human parainfluenza virus (HPIV)
  • Matenda a Legionnaires
  • Bakiteriya ya Mycoplasma pneumonia
  • Matenda a pneumococcal
  • Chibayo cha pneumocystis
  • Kachilombo ka HIV kogwirizana ndi kupuma (RSV)

Kodi chibayo chimafalikira?

Kwenikweni, chibayo sichimafalikira . Koma mabakiteriya ndi mavairasi omwe amachititsa izi ndi opatsirana . Taganizirani izi motere: malungo ndi matenda opatsirana omwe angayambitse chibayo. Koma si aliyense amene amadwala malungo amadwala chibayo.

Streptococcus pneumoniae, yomwe imayambitsa chibayo chofala kwambiri, imatha kufalikira kuchokera kwa munthu wina kupita kwa wina kudzera mu kukhudza malo omwe ali ndi kachilomboka kapena kudzera mu madontho omwe amatuluka munthu wodwala akamatsokomola kapena kuyetsemula.

Chibayo cha bowa sichimafalikira. Matenda a bowa safalikira kuchokera kwa munthu wina kupita kwa wina monga mavairasi kapena mabakiteriya.

Kodi madokotala amazindikira bwanji chibayo? (Kuzindikira)

Kuti adziwe ngati muli ndi chibayo, dokotala adzakufunsani za zizindikiro zanu ndikukupimani thupi. Adzamvetsera mapapu anu ndi stethoscope, ndipo angachitenso mayeso ena. Izi zitha kuphatikizapo kujambula zithunzi (monga X-ray pachifuwa), pulse oximetry (kuyang'ana kuchuluka kwa mpweya m'magazi anu), mayeso a magazi, kapena mayeso a sputum.

Chofunika: Ngakhale dokotala atatsimikizira kuti muli ndi chibayo, nthawi zina sangathe kupeza chomwe chikuyambitsa matendawa.

Ndi mayeso ati omwe akuchitidwa pa izi?

Dokotala wanu angachite mayeso kuti aone ngati mapapo anu ali ndi zizindikiro za matenda, kuyeza momwe mapapo anu akugwirira ntchito, ndikuwunika magazi kapena madzi ena amthupi kuti apeze chomwe chimayambitsa chibayo chanu, monga:

  • Kujambula: Kujambula pachifuwa X-ray kapena CT scan kungachitike kuti muwone ngati pali zizindikiro za matenda a m'mapapo.
  • Kuyezetsa magazi: Kuyezetsa magazi kungathandize kudziwa mtundu wa matenda omwe amayambitsa chibayo chanu.
  • Kuyesa kwa mafinya: Mudzapemphedwa kuti mukhosomole ndikuyika mafinya m'chidebe. Adzatumizidwa ku labu kuti akaone ngati pali zizindikiro zilizonse za matenda ndi chomwe chikuyambitsa matendawa.
  • Kuyeza kuchuluka kwa mpweya m'magazi: Sensor imagwiritsidwa ntchito kuyeza kuchuluka kwa mpweya m'magazi mwanu. Izi zingapatse dokotala wanu lingaliro la momwe mapapu anu akugwirira ntchito.
  • Kumera kwa madzi m'mapapo: Chitsanzo cha madzi ozungulira mapapo anu chimatengedwa pogwiritsa ntchito singano yopyapyala ndikutumizidwa ku labu kuti akafufuze chomwe chayambitsa matendawa.
  • Kuyezetsa mpweya m'magazi: Kuyezetsa magazi kuchokera m'dzanja lanu, mkono, kapena khosi kuti muyeze kuchuluka kwa mpweya m'magazi anu. Izi zingathandize kudziwa momwe mapapu anu akugwirira ntchito.
  • Bronchoscopy: Nthawi zina, dokotala angagwiritse ntchito chubu chopepuka komanso chopepuka chotchedwa bronchoscope kuti ayang'ane mkati mwa mapapo. Angatengenso zitsanzo za minofu kapena madzi kuti akayesedwe mu labu.

Kodi chibayo chimachiritsidwa bwanji?

Chithandizo cha chibayo chimadalira chomwe chimayambitsa (mabakiteriya, mavairasi, bowa) komanso momwe vuto lanu lilili lalikulu. Popeza chifukwa chenicheni nthawi zambiri sichidziwika, chithandizocho cholinga chake ndi kuchepetsa zizindikiro ndikuletsa vuto lanu kuti lisakule kwambiri.

Pakhoza kukhala mankhwala monga:

  • Mankhwala Opha Utoto: Mankhwala opha tizilombo amaperekedwa pa chibayo cha bakiteriya. Sagwira ntchito motsutsana ndi mavairasi, koma dokotala angawapatse ngati muli ndi kachilombo ka bakiteriya pamodzi ndi kachilombo.
  • Mankhwala oletsa bowa: Mankhwalawa amaperekedwa kwa chibayo chomwe chimayambitsidwa ndi matenda a bowa.
  • Mankhwala oletsa mavairasi: Chibayo cha mavairasi nthawi zambiri sichifuna chithandizo, ndipo chimatha chokha. Komabe, kuti muchepetse kutalika ndi kuopsa kwa matenda anu ngati muli ndi kachilombo ka mavairasi, dokotala wanu angakupatseni mankhwala oletsa mavairasi monga oseltamivir (Tamiflu®), zanamivir (Relenza®), kapena peramivir (Rapivab®).
  • Chithandizo cha okosijeni: Ngati simukupeza mpweya wokwanira, dokotala angakupatseni mpweya wowonjezera kudzera mu chubu chomwe chimayikidwa m'mphuno mwanu kapena chophimba nkhope chomwe chimayikidwa pankhope panu.
  • Madzi olowa m'mitsempha (madzi a m'mitsempha): Madzi operekedwa mwachindunji mumtsempha (IV) amatha kupewa kapena kuchiza kutaya madzi m'thupi.
  • Kuchotsa madzimadzi: Ngati muli ndi madzi ambiri pakati pa mapapo anu ndi khoma la pachifuwa (pleural effusion), dokotala akhoza kuwachotsa. Izi zitha kuchitika pogwiritsa ntchito catheter kapena opaleshoni.

Kodi chibayo chimachira chokha?

Chibayo cha mavairasi nthawi zambiri chimatha chokha, koma nthawi zonse muyenera kutsatira malangizo a dokotala wanu kuti muchiritse zizindikiro ndikuchepetsa chiopsezo cha mavuto aakulu.

Zinthu zomwe mungachite kunyumba kuti muchepetse zizindikiro za chibayo

Zinthu izi zingakuthandizeni kumva bwino komanso kuthana ndi zizindikiro za chibayo:

  • Mankhwala ochepetsa ululu ndi malungo: Dokotala wanu angakulangizeni kumwa mankhwala monga ibuprofen (Advil®) ndi acetaminophen ( paracetamol (Panadol) ®) pa ululu ndi malungo m'thupi.
  • Mankhwala oletsa chifuwa: Funsani dokotala musanamwe mankhwala oletsa chifuwa chifukwa cha chibayo, chifukwa chifuwa n'chofunika kwambiri poyeretsa mapapo.
  • Mankhwala ndi masewera olimbitsa thupi opumira: Dokotala wanu angakupatseni mankhwala awa kuti muchepetse ntchofu ndikupangitsa kupuma kukhala kosavuta.
  • Kugwiritsa ntchito humidifier:Dokotala wanu angakulangizeni kuti musunge chotenthetsera chaching'ono pafupi ndi bedi lanu kapena kusamba ndi nthunzi. Izi zingakuthandizeni kupuma bwino.
  • Imwani madzi ambiri.

Kodi ndidzakhala bwino nthawi yayitali bwanji nditayamba kulandira chithandizo?

Kuchira msanga kumadalira zinthu izi:

  • zaka zanu.
  • Chifukwa cha chibayo chanu.
  • Kuopsa kwa chibayo.
  • Kaya muli ndi matenda ena kapena zovuta zina.

Ngati muli ndi thanzi labwino, zizindikiro za chibayo cha bakiteriya ziyenera kuyamba kuchira mkati mwa maola 24 mpaka 48 mutayamba kulandira chithandizo . Mutha kumva bwino mkati mwa masiku ochepa mutalandira chithandizo cha chibayo cha kachilombo. Komabe, zizindikiro zina, monga chifuwa ndi kutopa, zitha kukhalapo kwa milungu ingapo.

Kodi munthu amene ali ndi chibayo amatha kupatsirana kwa ena kwa nthawi yayitali bwanji akachira?

Ngati muli ndi chibayo cha bakiteriya, mumaonedwa kuti simukudwalanso malungo anu akatha ndipo mwakhala mukumwa maantibayotiki kwa masiku osachepera awiri . Ngati muli ndi chibayo cha kachilomboka, muthabe kudwala matendawa mpaka mutamva bwino komanso mutakhala opanda malungo kwa masiku angapo.

Kodi mungapewe bwanji chibayo?

Njira yabwino yopewera chibayo ndikutenga katemera wa mabakiteriya ndi mavairasi omwe nthawi zambiri amayambitsa chibayo. Palinso zizolowezi zaumoyo zomwe mungatsatire tsiku lililonse kuti muchepetse chiopsezo chanu chotenga chibayo.

Katemera wa chibayo

Pali mitundu iwiri ya katemera yomwe imateteza chibayo chomwe chimayamba chifukwa cha mabakiteriya a pneumococcal. Monga katemera wa chimfine, katemerayu sateteza ku mitundu yonse ya chibayo. Koma ngati mutadwala, sizingakhale zoopsa kwambiri.

  • Katemera wa pneumococcal: Katemera amateteza ku mabakiteriya a chibayo. Izi zimaperekedwa kwa magulu ena azaka ndi anthu omwe ali pachiwopsezo chachikulu chotenga chibayo. Funsani dokotala wanu katemera woyenera kwa inu kapena okondedwa anu.
  • Katemera woteteza mavairasi: Popeza mavairasi ena angayambitse chibayo, kulandira katemera wa COVID-19 ndi chimfine (chimfine) kungachepetse chiopsezo chotenga chibayo.
  • Katemera wa ana: Ngati muli ndi ana, funsani dokotala wawo za katemera wina amene ayenera kulandira. Katemera angapo a ana amathandiza kuteteza ku mabakiteriya ndi mavairasi omwe angayambitse chibayo.

Njira zina zodzitetezera ku chibayo

Kuwonjezera pa kulandira katemera, zizolowezi izi zathanzi zingakuthandizeni kuchepetsa chiopsezo chanu chotenga ndi kufalitsa chibayo:

  • Pewani kusuta fodya ndipo pewani kusuta fodya kwa anthu ena. Kusuta fodya kumawononga mapapo anu ndipo kumawonjezera chiopsezo chanu chotenga matenda.
  • Sambani m'manja mwanu bwino ndi sopo ndi madzi musanadye, musanakonze chakudya, komanso mutapita kuchimbudzi. Gwiritsani ntchito sopo kapena mankhwala oyeretsera m'manja okhala ndi mowa.
  • Ngati inu kapena munthu wina ali ndi matenda opatsirana monga malungo, chimfine, kapena COVID-19, pewani kukhudzana nawo kwambiri ndi kugwiritsa ntchito katundu wawo.
  • Ngati muyenera kukhala kuchipatala kapena kuchipatala china, musaope kufunsa madokotala anu momwe mungachepetsere chiopsezo chotenga matenda panthawi yomwe muli.
  • Idyani zakudya zoyenera, chita masewera olimbitsa thupi, ndipo pumulani mokwanira.
  • Pezani chithandizo cha matenda ena aliwonse kapena matenda ena aliwonse omwe mungakhale nawo. Matendawa amatha kufooketsa chitetezo cha mthupi lanu ndikuwonjezera chiopsezo chanu chotenga chibayo.
  • Pewani kumwa mowa mopitirira muyeso.

Kodi ndi mavuto otani omwe angabwere ngati chibayo chikayamba?

Chibayo chingayambitse mavuto aakulu omwe angafunike kugonekedwa kuchipatala. Izi zingaphatikizepo:

  • Kuvuta kupuma: Chibayo chingayambitse kulephera kupuma kapena matenda otchedwa `ARDS ​​​​(acute respiratory distress syndrome)`.
  • Kuchulukana kwa madzi m'mapapo (pleural effusion).
  • Mabakiteriya olowa m'magazi (`bacteremia`) kapena `sepsis`: Mabakiteriya omwe amayambitsa chibayo amatha kulowa m'magazi ndikufalitsa matendawa ku ziwalo zina, zomwe zimayambitsa sepsis kapena kulephera kwa ziwalo.
  • Chifuwa cha m'mapapo: Chibayo chingayambitse mabowo odzaza mafinya mkati mwa mapapo.

Kodi ndi liti pamene muyenera kugonekedwa m'chipatala chifukwa cha chibayo?

Ngati muli ndi chibayo chachikulu kapena mavuto ena, mungafunike kukhala m'chipatala kuti mupeze chithandizo. Muli ndi mwayi waukulu wogonekedwa m'chipatala ngati:

  • Ngati muli ndi zaka zosakwana 2 kapena kupitirira 65.
  • Ngati chitetezo cha mthupi chili chofooka.
  • Ngati muli ndi matenda omwe amakhudza mtima ndi mapapo.

Kumbukirani: Ngati mwagonekedwa m'chipatala chifukwa cha chibayo, zingatenge milungu isanu ndi umodzi mpaka isanu ndi itatu kuti mubwerere mwakale.

Zinthu zomwe mungachite kuti mupeze mpumulo mukakhala ndi chibayo

Nazi zina zomwe mungachite kuti mumve bwino mukakhala ndi chibayo:

  • Konzani zizindikiro zanu monga momwe dokotala wanu akulangizirani.
  • Imwani mankhwala onse omwe dokotala wanu wakupatsani monga momwe mwalangizidwira, kwa nthawi yonse . Musasiye kumwa maantibayotiki chifukwa choti mukumva bwino. Imwani mpaka mutamaliza kumwa mankhwala onse. Ngati simumaliza kumwa mankhwala onse, chibayo chanu chingabwererenso.
  • Imwani mankhwala ochepetsa malungo (monga aspirin, acetaminophen, ibuprofen, kapena naproxen) monga momwe zalembedwera pa chizindikirocho. Musapatse ana aspirin.
  • Pumulani bwino.

Ngati nthawi ina iliyonse mukumva kuti ululu ukukulirakulira, imbani dokotala nthawi yomweyo.

Kodi zizindikiro zosonyeza kuti chibayo chikuchira ndi ziti?

Mukayamba kuchira chibayo, kutentha thupi kwanu kudzabwerera mwakale. Kenako, mudzazindikira kuti chimfine chanu chikuchepa. Kumva ngati mungathe kuchita zina mwa zochita zanu zachizolowezi ndi chizindikiro chabwino chakuti mukuchira.

Kodi ndi liti pamene ndingapite kuntchito kapena kusukulu nditadwala chibayo?

Ngati zizindikiro zanu zatha, zachepa, kapena zikusintha, mutha kuyambiranso ntchito zanu zachizolowezi pokhapokha ngati muli ndi zizindikiro zatsopano kapena zoipiraipira izi:

  • Kupuma movutikira kapena kutopa (kusowa mphamvu).
  • Kupweteka pachifuwa.
  • Mafinya, malungo, kapena chifuwa.

Ngati muli ndi thanzi labwino, anthu ambiri amamva bwino mokwanira kuti abwererenso ku zochita zawo zakale mkati mwa sabata imodzi. Komabe, zingatenge mwezi umodzi kuti achire bwino.

Kodi ndiyenera kupita kwa dokotala liti?

Lankhulani ndi dokotala wanu, makamaka ngati mwadwala kale, muli ndi matenda ena osatha, kapena ngati mukuyamba zizindikiro zatsopano ngati izi, kapena ngati zizindikiro zomwe muli nazo zikuipiraipira:

  • Kuvuta kupuma.
  • Malungo kapena chifuwa chophatikizana ndi phlegm.
  • Kutopa.
  • Kusintha kwa chilakolako (kumva ngati mukufuna kudya pang'ono).

Kodi muyenera kupita ku chipinda chodzidzimutsa liti?

Ngati izi zikuchitika, pitani ku chipinda chodzidzimutsa nthawi yomweyo, kapena imbani 1990:

  • Ngati mukuvutika kupuma, kapena ngati mukumva kutopa ngakhale mutangokhala chete.
  • Palibe vuto ngati muli ndi ululu watsopano pachifuwa kapena ngati ululu womwe ulipo ukukulirakulira.
  • Ngati mukumva kusokonezeka kapena simungathe kuganiza bwino.

Kodi n'zotheka kutenga chibayo popanda malungo?

Inde, ngakhale kuti chibayo nthawi zambiri chimayendera limodzi ndi malungo, n'zotheka kudwala chibayo ndi kapena popanda malungo otsika . Izi zimachitika kawirikawiri kwa anthu omwe:

  • Kwa anthu azaka zopitilira 65 kapena zosakwana ziwiri (makamaka makanda obadwa kumene ndi ana aang'ono).
  • Kwa iwo omwe ali ndi chitetezo chamthupi chofooka.

Kodi pali kusiyana pakati pa momwe chibayo chimachiritsidwira mwa ana aang'ono?

Kawirikawiri palibe kusiyana kwakukulu pa momwe chibayo chimachiritsidwira mwa ana aang'ono. Komabe, ana aang'ono ali pachiwopsezo chachikulu chodwala kwambiri ndi chibayo ndipo nthawi zambiri amakhala m'chipatala kuti akalandire chithandizo kuposa akuluakulu.

Popeza chibayo chili ndi zifukwa zambiri ndipo zizindikiro zake zimasiyana, zingakhale zosokoneza pang'ono kuganizira. Ndizachilendonso kuchita mantha mukamadzifunsa ngati zizindikiro zanu ndi zazikulu kwambiri. Simuyenera kunyalanyaza zizindikiro monga kutentha thupi kwambiri, kutupa kwa magazi kapena kofiira, kupweteka pachifuwa, kapena kupuma movutikira. Thupi lanu likukuuzani kuti pali vuto, choncho musazengereze kufunafuna upangiri wa dokotala.

Uthenga Woti Mutengere Kunyumba Kwanu

Chibayo ndi matenda omwe nthawi zina amakhala oopsa. Koma mukazindikira bwino komanso kulandira chithandizo chamankhwala nthawi yake, nthawi zambiri mutha kuchira bwino . Chofunika kwambiri ndikuzindikira zizindikiro ndikuwonana ndi dokotala mwachangu ngati muli ndi nkhawa.

  • Kupewa ndi bwino: katemera, tsatirani makhalidwe abwino.
  • Dziwani zizindikiro: makamaka malungo, chifuwa, ndi kupuma movutikira.
  • Tsatirani malangizo a dokotala wanu: Imwani mankhwala anu monga momwe mwalangizidwira, kwa nthawi yonse.
  • Kupuma n'kofunika: Perekani thupi lanu nthawi yoti lichiritse.

Ngati inu kapena wina m'banja mwanu ali ndi mafunso ena okhudza chibayo, musaope kulankhula ndi dokotala. Adzakuthandizani.

Frequently Asked Questions (FAQ)

Kodi pali kusiyana kotani pakati pa chibayo choyambitsidwa ndi mabakiteriya ndi chibayo choyambitsidwa ndi mavairasi?

Tangoganizani, ngakhale chibayo ndi matenda omwewo, zizindikiro zake zimatha kusiyana pang'ono kutengera chomwe chayambitsa (mabakiteriya, kachilombo, kapena bowa).

Ndi mayeso ati omwe akuchitidwa pa izi?

Dokotala wanu angachite mayeso kuti aone ngati mapapo anu ali ndi zizindikiro za matenda, kuyeza momwe mapapo anu akugwirira ntchito, ndikuwunika magazi kapena madzi ena amthupi kuti apeze chomwe chimayambitsa chibayo chanu, monga:

Kodi ndidzakhala bwino nthawi yayitali bwanji nditayamba kulandira chithandizo?

Kuchira msanga kumadalira zinthu izi:

Kodi muyenera kupita ku chipinda chodzidzimutsa liti?

Ngati izi zikuchitika, pitani ku chipinda chodzidzimutsa nthawi yomweyo, kapena imbani 1990:

⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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