Kodi kugona mu chipatala ndi chibayo, wamkulu kapena mwana?

Nthawi anakhala ku chipatala etc. chibayo zimadalira m'badwo, chikhalidwe thupi, mlingo chiwonongeko cha m'mapapo ndi matenda okhudzana.

Kodi kudziwa nthawi ya chipatala?

Pambuyo kuona kuchipatala ndi chibayo, funso n'lakuti: momwe kugona kuchipatala ndi chibayo? Nthawiyi kumatengera zifukwa zambiri: choopsa cha matenda, ukalamba mtundu wa matenda, m'munsili kutupa. Ana ndi akuluakulu chithandizo nthawi ndi anawonjezera pa kukayikirana pang'ono matendawo.

Kodi kugona mu chipatala ndi chibayo, ndiyo dokotala pamaziko a kuwunika, ndi chifaniziro cha sternum ndi pambuyo potaya thanzi mtima. Kutupa sternum ndi umachitika kwa nthawi yaitali ndi mankhwalawa. Koma odwala ambiri kupempha thandizo mwamsanga pa siteji zapamwamba, pamene m'pofunika kutenga mankhwala amphamvu. Kamodzi kukhwimitsa ndi mavuto zotheka kuti ndi zofunika kuona mu nthawi koyamba ndi lolondola osamveka mankhwala.

Odwala safuna m'chipatala, koma madokotala odziwa kuzindikira kuti chibayo - matenda oopsa, ndipo ena akhoza chakupha. Choncho tikulimbikitsidwa kutsatira malamulo dokotala. Iwo adzaona mmene m'manja mwa kuchipatala ndi chibayo ndipo kusankha mankhwala otetezeka. Funso ili makamaka zogwirizana posankha njira kulimbana matenda makanda ndi amayi apakati.

Monga madokotala kudziwa kutalika kwa anakhala?

Kumvetsa mmene kugona kuchipatala ndi chibayo, muyenera kukhala bwino ndi chithandizo cha mankhwala, kuthandiza sequentially amayang'anitsitsa kukula kwa matenda a m'mapapo. Zotsatirazi pansipa, mukhoza kupewa misdiagnosis ndi nthawi kuchita CPR mu mavuto aakulu. Kwa kusanthula ntchito muyezo ena: thanzi wodwalayo, luso kunyamula mankhwala amphamvu. Izi zidzathandiza kudziwa ngati pakhala noticeable kusintha ndondomeko mankhwala.

Ndi angati ali mu chipatala ndi chibayo, ana, zimadalira mtundu wa kutupa anawagawa kuwala, sing'anga ndi katundu. M'chipatala chofunika chokha mu Zikatero, koma ngakhale mavuto zosavuta matenda ungachedwetsedwe kwa mwezi umodzi.

Kudziwiratu magawo oyambirira a matenda, angati ali mu chipatala ndi chibayo, ana, ndi kovuta. dokotala umachititsa matenda kuyambirira, zomwe zikhoza kusintha malinga ndi zotsatira za kuzipenya. kumaliseche oyambirira n'chotheka, pakalibe zizindikiro za kutupa ndi Zoneneratu zabwino kubwezeretsa thanzi kunyumba.

Njira poona mmene wodwalayo

Atafunsidwa mmene chibayo ankachitira mu chipatala akuluakulu, tisaiwale kuti odwala zotero chikhalidwe katundu, ndi zambiri kutenga mavuto a dongosolo lina. Wodwala amafuna polojekiti zonse. mwadzidzidzi kuwonongeka thanzi amapezeka matenda aakulu. Mphindi chilichonse nthawi zambiri chifukwa cha kulumala, yomwe inafunika mphamvu zina kubwezeretsa.

Madokotala ntchito CURB65 muyezo walola kuti asa- alili mu mfundo. njira zachokera mayeso, chomwe poyankha mafunso. Pakuti aliyense ayankhe pansi mphambu, yankho mwawonkhetsedwa ndi kutenga za makhalidwe Akuti wodwala. Tikungotchula i kwa kuwerengetsa zotsatira.

Yosayambitsa kuti aziona mtima

Masiku angati lidzachita chibayo kuchipatala zimadalira mayankho mfundo zotsatirazi yophunzirira:

• Long sanabwezeredwe magazi. Ndi wotsika kuposa zachibadwa.
• Ayesedwa urea mlingo magazi ndi kuika mphambu pa mfundo kuposa 7 mmol / l.
• Tinaona kuoneka nthawi chisokonezo cha chikumbumtima.
• Wodwalayo okalamba zaka 65.

Ndi aliyense, ngakhale kuyankha zabwino wodwalayo ayenera m'chipatala. Malangizo kuona ngati wodwala ayenera anatumiza kuchipatala. Yankho la funso limeneli, angati kuchiza chibayo kuchipatala, adotolo adzakupatsani zotsatira za kuzipenya ndi kusanthula.

chikhalidwe woopsawo

Ndipo lidzakhala lalitali bwanji kugona mu chipatala ndi chibayo zimadalira mmene matendawo ndi mtundu wa kutupa. Kudziwa limati yovuta zizindikiro olekanitsidwa ndi chibayo:

• Mkulu thupi kutentha, limodzi ndi kuledzera amphamvu a chamoyo.
• Disease boma, pamene kutupa kufalitsa m'mapapo onse.
• Kukhosomola ndi chizindikiro Mmenemo choonekera kugonjetsedwa kwa m'phuno ndi mapapo. zinthu zolemera ndiponso akuthamanga ali limodzi ndi purulent sputum.
• Mogwirizana kutupa limodzi ndi mapangidwe akusowa mpweya wa chamoyo. Kupuma mlingo umafulumizitsa, kumakhaladi osaya. alili kwambiri, pamene pafupipafupi ndi m'zinthu 30 pa mphindi.
• Wodwala zimawonedwa mu clouding cha chikumbumtima. Zonsezi kumabweretsa kusokoneza wa kulankhula, ndondomeko lingaliro, izo zimakhala zovuta kuchita zing'onozing'ono banja.
• Amphamvu thupi kutentha ndi kukhala chifukwa cha kuledzera madzi m'thupi.

Nthawi ya hospitalization

Masiku angati ali mu chipatala ndi chibayo komanso zimadalira m'badwo munthu. Ana ndi ukalamba anthu monga momwe mungathere kudzakhala yaitali, monga madokotala kutalikitsa moyo poopa Abiti osauka mavuto aakulu a chibayo pa maziko. Akufunika m'chipatala akupezeka masiku oyamba a isanayambike kutupa. Panthawi imeneyi, kungakhale mavuto aakulu kwambiri kukula mofulumira zizindikiro.

M'masiku oyambirira a matenda amafuna bedi zina, kuwunika mosalekeza, thandizo la mankhwala mu kuwonongeka lakuthwa thanzi. Anangofika kumene analimbikitsa bedi zina, amakonda masewera olimbitsa thupi iliyonse. Chibayo nthawi zambiri limodzi ndi thupi kutentha, lomwe kuti muchotse mankhwala (yekha pamwamba 39 ° C). Zilibe ntchito kwa makanda ndi okalamba, ndi anthu co-morbidities.

The nthawi yaitali mu malo supine kungachititse kuti mapangidwe kupewa decubitus zimene ziyenera chinkhoswe kalekale. Choncho, odwala akulangizidwa kuchita theka la ora kuyenda m'mawa ndi madzulo.

thandizo zina m'chipatala

Ndi angati ali mu chipatala ndi akulu chibayo zimadalira kanthu njira ya dokotala nawo. Kumapangitsanso chitetezo chokwanira ndi kutsegula mphamvu ntchito inhalation, amachotsa phlegm ndi kutupa m'mphako ya. Kuchepetsa kuledzera Kwalamulidwa zambiri chakumwa: compotes mu mawonekedwe a kutentha, tiyi azitsamba, timadziti ndi zakumwa chipatso cha zipatso ndi zipatso.

chakudya zakudya kudzakuthandizani kuthetsa katundu zina pa dongosolo m'mimba. soups osavomerezeka, broths masamba, mbale nsomba, mwatsopano masamba. Mpweya O2 angathandize kukhalabe olimba. Zikavuta, kupanda chinthu chofunika chochita mpweya wabwino.

Kupeza Vuto odwala kuchipatala

Kuti achotse olakwika matenda ndi mankhwala olakwika pa mankhwala tikulimbikitsidwa kuchita kufufuza zonse ntchito njira zamakono luso. Woyamba madokotala chinthu kuchita Kupenda matenda awulule madandaulo munthu ukubwera. Pre-akonzedwa digiri ya kuwonongeka kwa mapapo, ndiye kuchotsa X-ray. Mu kumveka maginito ndi yopangidwa tomography Kupenda angagwiritsidwe ntchito ngati njira wowonjezera.

matenda komanso akhoza kuika mu kukhalapo kwa zizindikiro ndi X-ray mapindidwe akuwala, amene ndi zomwe zimachitika nthawi zambiri. thandizo panthawi yake amathandiza kuchiza chibayo popanda mavuto kwa kanthawi kochepa. Patangotha masiku 5, wodwalayo akuchira thanzi ndipo mwina kale nane kuchipatala.

mayesero zina

Monga chikhalidwe mtima wa thupi la wodwalayo, madokotala angayambe diagnostics zina. Ali zizindikiro zofunika magazi: magazi urea, chiwindi zigawo zikuluzikulu ntchito ndi kuchuluka kwa electrolyte, chiŵerengero zinthu gaseous ndi kuchuluka okwana magazi.

mudziwe zambiri ikuchitika pamaso pa pneumococci chamoyo ndi PCR ndi kuona DNA wa tizilomboto lapansi. Komanso, sizingawononge kudzayesedwa kwa L. pneumophila antigens mu mkodzo, komanso mwamphamvu kuti mabakiteriya ndi kusanthula immunofluorescence. Ngati alili si yachibadwa, dokotala diagnoses pa nzeru zake empirically. Nthawi zambiri kuzengereza chimakhala chifukwa mavuto chifukwa mu chilema mtima.

Magawowa expectorants bwino angagwiritsidwe ntchito, analgesics. Musalole paudindo blockers chifuwa. Sputum ayenera kuchoka m'mapapo. Ngati izi zimachokeradi, madzimadzi Adzadzipezera mu thupi la munthu. Kulephera kupuma yekha kuvutika zinthu.

Avereji chithandizo nthawi m'chipatala

Kodi chibayo ankachitira mu chipatala ana zimadalira ntchito antibayotiki. mankhwala amphamvu Kwalamulidwa yomweyo amaganiziridwa aakulu kutupa magulu ang'onoang'ono a zaka achikulire. M'pofunika kuchotsa mosavuta mavuto mwadzidzidzi nthawi zambiri amapezeka ana.

Tengani mankhwala ngakhale pambuyo bwino kwa chiwonongeko chotheratu cha majeremusi m'thupi. Chithandizo nthawi kuyambira masiku 7 mpaka 20 malingana wodwalayo komanso mtundu wa tizilomboto: ndi aureus mankhwala kutenga milungu 3 chimodzimodzi analandira pa Legionella; matenda Pneumococcal amafuna mankhwala pasanathe masiku 5, ndi pa matenda enterobacterial ndi matenda a Pseudomonas aeruginosa kutenga mankhwala kwa mwezi umodzi.

Njira ya chithandizo cha okalamba

Kwa anthu zaka 60 matenda ndi chibayo moyo pachiswe. Zovuta za matenda aakulu yothandiza ndi zizindikiro kale zosasangalatsa. Minofu ndi mawu thupi wofooka chitetezo cha m'thupi sangathe kulimbana mabakiteriya monga kale. Mapapo ndi osatetezeka chifukwa kukalamba, zimakhala ndi.

Nthawi zambiri okalamba akusokoneza magazi chifukwa moyo wongokhala. Zonsezi amaika malire kusankha mankhwala. Nthawi ya mankhwala ndi apamwamba kuposa odwala wamng'ono. Zovuta mu mapapo akhoza kupangidwa ya chimfine, SARS. Chibayo kusiyana mofulumira, kotero pa kukayikirana woyamba kutupa yomweyo chikalata malangizo kuika mu chipatala.

ana chithandizo

Kuopsa chibayo ndi kuti palibe zizindikiro pa masiku oyambirira a matenda. Ana ndi ana a zaka yaing'ono anatsimikiza kuchipatala mwamsanga. Only zonse kuwunika mwana kudzatithandiza kupewa siteji patsogolo pa matenda, pamene izo chofunika CPR.

Pamene tizilombo kutupa thupi, matenda sapereka chifuwa ndi phlegm m'chiyambi cha matenda. Khanda akukumana kusapeza, kugona chisokonezo, kusafuna kudya. Ndi angati ali mu chipatala ndi chibayo akhanda zimadalira chiweruzo cha dokotala amachitira.

Kusintha boma Tingaone pamene detects downed kupuma, dyspnea, chifuwa, inspiratory pamwamba. Chithunzi X-ray kuonekera adetsedwe malo. Pamene croupous kutupa mfundo zimenezi zikhoza kukhazikitsidwa. Kuti madokotala ananena zawo odwala izi ndi zabwino. Patapita masiku ochepa kutenga mankhwala chibayo akudutsa.

Mapeto a machiritso Mukaganizira zotsatirazi: mpweya yosalala, umoyo wa wodwalayo zabwino, palibe kupatuka m'zithunzi sternum. Pambuyo kumaliseche, tikulimbikitsidwa kukonzanso bwinobwino pambuyo masabata 2-3 kuti awonetsepo mphamvu zotsatira za mankhwala. Ngati ndi kotheka, kachiwiri mobwerezabwereza mankhwala ndi mankhwala ena.

Munthu ndi chibayo musati amalangiza kukhudzana ndi anthu athanzi. mabakiteriya zimafalitsidwa pamodzi ndi malovu pamene kutsokomola, kotero iwo akhoza kugwira pafupi.