Emergency Care somoya inyumoniya. Amalungiselelo isifuba inyumoniya

isifuba inyumoniya - sisifo esingapheliyo komzimba luphawulwa ukuhlaselwa Ukuphelelwa okanye ukomiwa. Le yokugula kwenzeka abantwana kunye nabantu abadala. Qho ngonyaka inani labantu nokubandezeleka kulo sifo ukhula. Amazwe amaninzi abaye baqaphela sina le ngxaki, ngonyaka yokwaba imali eninzi ukuze unyango nokubuyiselwa kwimo ezi izigulane. Yesine ka Meyi lubhiyozelwa ngosuku lonke yomzabalazo nesi sifo.

Njani na esi sifo?

isifuba inyumoniya kubantu abadala kunye nabantwana - nto ibonakalisa ekuthiwa atopy. Oku kuthetha ukuba umzimba lomguli aphendule ngokungafanelekanga ukuya ezintweni njengesiqhelo abanye abantu. Apho abantu Ugqirha akafuneki ozakuliqaphela le allergen bafuthaniseleke abanesifuba ngenxa yesifo ngequbuliso. Iingcali kusekho lingakwaziyo ukufumanisa unobangela ngqo kuphuhliso isifo. Kukholelwa ukuba izifo atopic lilifa (okanye mandithi, ukuthambekela uhlobo oluthile engavumelani). Kuyaqapheleka isiphumo esibi yeemeko eziyingozi yokusingqongileyo kuphuhliso sombefu.

ngezigaba

Kuxhomekeka unobangela sifo, isifuba inyumoniya yohlulwe komzimba kunye nonallergic. Kwimeko yokuqala, ingxaki isenokuba umungu, pet dander, ukutya ezingaqhelekanga okanye ukuthatha amayeza athile. Exacerbation yesifuba kule meko ibotshelelwe ngokucacileyo kumfowunelwa kunye allergen, yaye, njengoko umgaqo, akakwazi ukufumanisa ngokuchanileyo unobangela uhlaselo.

isifuba Non-komzimba kudla ukuvela imvelaphi ezinye izifo ezingapheliyo bronchopulmonary. Kulo mzekelo, ukuhlaselwa sisifo sombefu zenzeke ngexesha usuleleko etsolo, ntshikilelo, okanye naziphi na ezinye izinto akazalani yintshukumo allergen. unyango olungxamisekileyo yesifuba inyumoniya kuzo zombini ezi meko kubandakanya ukusetyenziswa kweziyobisi, esusa bronchospasm abuyele isigulane ukuphefumla ngokupheleleyo.

Iimpawu zesi sifo

Enoba yintoni unobangela na ukuqhubela phambili kwesifo, ukubonelela 4 ubukhali sombefu inyumoniya. Ulwazi le yokuhlela kuvumela ukukhetha unyango ngexesha nokuthintela uphuhliso nokuhlaselwa.

1 degree - ngakanye. Inxaxheba kwinqanaba lokuqala sifo musa ukuphuhlisa uhlaselwe ngaphezulu kwe-1 Ixesha ngeveki ngexesha lasemini-2 ebusuku kanye ngenyanga. Exacerbations ezimfutshane, umsebenzi inkqubo bronchopulmonary kuphazamisekile kancinci.

2 degree - luncinane sizingise. Ukuhlaselwa avela ngaphezu kanye ngeveki. exacerbation kwesi sifo elide, besaphula imeko jikelele, umsebenzi ngokwasemzimbeni kunye nokulala.

3 degree - eliphakathi sizingise. Exacerbations yesifuba zenzeka yonke imihla, nto leyo Ukonakala kakhulu komgangatho wobomi. ukuhlaselwa Night ziphindwa qho ngeveki. imeko nganye ifuna ukusetyenziswa olusisinyanzelo iziyobisi yandise bronchi.

IBanga 4 - ziqhu eziqatha. ekuhlaseleni - izihlandlo eziliqela ngemini, hayi isikiwe iziyobisi eqhelekileyo ezingezo-hormone. umsebenzi Physical yehliswe kakhulu, ukulala ukuphazamisa ebusuku.

Njani na ukuhlaselwa?

Phezu ukuqhagamshelana ne allergen okanye elinye inyathelo esahlala lokuqala kubonakala dyspnea. Isigulane liba nzima ukuphefumla, akunakwenzeka ukuba basezela isixa ilungelo lomoya. Udibanisa ukomiwa, esifubeni yengxinano okubangelwa bronchospasm. Emva kwexesha elithile, kukho ukutswina elikhulu, oluvakalayo mgama. Kukho ukhohlokhohlo ekuqaleni owomileyo, ngoko manzi yencindi viscous. Ukujoyina Isisombululo uphawu yokugqibela uthetha malunga kuhlaselwa kunye uphume yomguli kule meko.

ixhala ezimandundu, uloyiko kunye iingcinga ngokufa iyanditya isigulane. Ukuba yononophelo olungxamisekileyo somoya unganikezelwanga ngexesha, iingxaki ukuphuhlisa, eyingozi empilweni yoluntu kunye nobomi. Kungenxa yoko le nto yonke nomonde kubalulekile kakhulu ukuba ngamaxesha onke amanye amachiza, lwathatha kufanelekile. iziphumo Ngexesha kwi bronchi ukuthintela ukugxagxiseka wenze ngaphandle nongenelelo olukhulu.

Status asthmaticus - ntoni na?

Le meko ngomnye iingxaki ezininzi rhoqo sombefu. bronchospasm engapheliyo, iziyobisi hayi isikiwe ezibangela ukuhlaselwa sisifo sombefu. Uba ukhohlokhohlo balala emqokozweni, phlegm ayikho ngokwahlukana. Isigulane ithatha indawo ngenkani - ehleli ukuma kunye utyekelo umzimba phambili okanye. Le yokuma ikuvumela ukuba ukunciphisa ezinye umoya ulinde ambulensi ukufika. Ukuba lunganyangwa, isigulana ulahlekelwa sezingqondweni. Kwiimeko kakhulu isimo sombefu kunokubangela ukusilela yokuphefumla nokufa.

Ezinye iingxaki sombefu inyumoniya

Kwimeko apho unyango zange yenziwe ngexesha okanye alusebenzi kwaye ukuphuhlisa miqathango ilandelayo:

• senhliziyo congestive;
• ukusilela izifo ezihlasela zosulele;
• pneumothorax

ukhathalelo Emergency somoya

Inyathelo lokuqala kukuba ukususa allergen ezibangele ukuba uhlaselo. Ukuba mthombo ingxaki ayaziwa, kufuneka zisuswe isigulane zonke izinto ezinokubangela uphuhliso ukuhlasela. Around abanesifuba kufuneka ibe abantu abaninzi. Ukuba iimeko ziyabavumela, isigulane kufuneka waya kwigumbi ngoxolo cwaka apho aya kuba nako ukukhwela ngaphandle uhlaselo okanye ulinde ukufika inqwelo yezigulana.

Phambi kokufika ziingcali kufuneka uthathe iziyobisi ezibangela bronchiectasis. Ngokuqhelekileyo, ngalinye uhamba i njengeeinhalers abanesifuba ngokukhawuleza nangempumelelo isiqabu ahlaselwe sisifo sombefu. Ukuba isandla wayengekho ngamayeza, kufuneka uhlale isigulana eso sikhundla ingenankathazo yena (kunye ojonge umntla phambili, sithembele ezandleni)

Ukuba unobangela kuhlasela ukutya equlathe nomzimba, kuza kubanceda carbon iyasebenza okanye ezinye sorbents. Musa kuphazamisana antihistamines, kwakunye ezahlukeneyo amachiza-ixhala. Ukuphelisa karhulumente uncedo unyawo efudumeleyo geza.

Amayeza asetyenziswa ukuhlasela

Amalungiselelo isifuba inyumoniya yi ezininzi ezahlukeneyo. Xa nqanaba ephindezela uncedo lokuqala ukuya kwi inhaler salbutamol ezininzi ezisetyenziswayo ngokuqhelekileyo. Oku elula b-blocker receptors adrenic inceda zisulu inkantsi kwaye kwandise bronchi, ngokuququzelela isiphelo yencindi viscous emzimbeni. Loo nto iyeza kufuneka ibe yintoni ifumaneke kubo bonke somoya, esazi malunga nophuhliso ukuhlaselwa kunokwenzeka. Xa uphawu lokuqala ukomiwa ngu 1-2 Ukuphefumla. Ukuba kuyimfuneko, emva kwemizuzu 5 inhalation ingaphinda-phindwa.

ukusebenza Excellent unika amachiza glucocorticosteroid. Bona eziveliswa inhalation sanikwa ezinolwazi yokuhlasela akakayeki b-blocker. Amalungiselelo isifuba inyumoniya ekhoyo ngokubanzi kwi imithi yemarike yonke abanesifuba uyakwazi ukukhetha i isixhobo esifanelekileyo ngokwabo emva kokubonisana nengcali. It yaphawula ukuba izigulane usebenzisa corticosteroids ukurhogele kwisithuba seminyaka emibini abaqala, iphucula kakhulu umgangatho wobomi kunciphisa nezihlandlo yokuhlaselwa sisifo sombefu.

unyango olungxamisekileyo yesifuba inyumoniya kwakhona kubandakanya ukusetyenziswa "aminophylline" - ukulungiselela onabileyo bronchi. Njengomgaqo, isetyenziswa ambulensi isiqabu kuhlaselo xa isigulane wayengekho kunye amayeza ukurhogele. "Eufillin" ezilawulwa yegazi, ngokuqhelekileyo kudityaniswe with "prednisone" okanye ezinye izinto hormone. Kunye, la machiza lulekani ukudumba, constrict imveliso expectoration bronchi lula. Kwiimeko ezininzi, imeko yomguli kakhulu ngcono emva kokusebenzisa "aminophylline".

Xa amachiza ithamo isimo somoya ukwandisa, dibanisa wongezelela "lweeHedfowuni" ngenaliti. Kwimeko isiqaqa, unyango lwenziwa phantsi kweemeko labagula kakhulu. Ukuthintela hypoxia kusetyenziswa ioksijini humidified ngokusebenzisa imaski ngokohlobo inhalations.

Iingxaki yesifuba badla ezifuna esibhedlele yesebe therapeutic. Ngophuhliso ukusilela Cardio-nokuphefumla unokufuna ukuba isigulane ukuba baphathe lokukhwelisa ahlanganiswe inkqubo yokungena. Esibhedlela Kwakhona kuyimfuneko kuphuhliso uhlaselo, musa ukususa inhalation "Salbutamol" okanye corticosteroids, ngokunjalo kwimeko yemeko asthmaticus.

Outlook

Ngelishwa, kwiimeko ezininzi, isifo siqhubeka, ekhokelela inkangeleko iingxaki ezahlukeneyo. somoya - ingaqhelekanga abadala. Ukuphuhlisa kwabantwana abancinane, oko kukhatshwa ekuhlaseleni, ezehlisa kakhulu umgangatho yesigulane yobomi. Ekugcineni kwakhiwa emphysema, luphawulwa ukwandiswa izabelo distal le bronchi. Lung lolwabo usasolulile, ukuba akanako ukunika umzimba mpilo ngokwaneleyo. Ukusuka hypoxia luchaphazela onke amalungu, ingakumbi intliziyo nengqondo. Progressive Ukungaphumeleli yokuphefumla kufuna amaqela iziyobisi kakhulu ngakumbi.

Ngelishwa, nazo zonke amanyathelo othintelo ngeke iqinisekise ukungabi zokuhlaselwa. Abantu abahluphekayo somoya, kufuneka uhlale salbutamol wakho amayeza. uncedo ngexesha elifanelekileyo akuyi kuphela uncedo lahla iimpawu mnandi, kodwa iyaluthintela uphuhliso iingxaki ezahlukeneyo.