Komarovsky: mob ntsws tsis ua npaws
Komarovsky: mob ntsws tsis ua npaws
Anonim

Ntau zaus, cov niam txiv hluas yuav tsum tau nrog lawv cov menyuam, thaum tseem hluas, mob ntsws. Cov mob no yog qhov txaus ntshai heev, nws tuaj yeem ua rau muaj qhov tshwm sim loj. Yog li ntawd, kev kho mob yuav tsum tau pib tam sim ntawd. Nov yog qhov Dr. Evgeny Komarovsky qhia txhua tus niam thiab txiv. Pneumonia yog ib hom kab mob sib kis uas cuam tshuam rau cov ntaub so ntswg ntawm lub ntsws. Feem ntau, kab mob tshwm sim los ntawm huab cua tee. Cia peb sim xyuas seb cov tsos mob ntawm tus kab mob pathology nyob rau hauv tus neeg li cas, koj tuaj yeem mob li cas, kev kho mob zoo li cas thiab yuav tsum tau ua dab tsi los tiv thaiv.

mob ntsws me me: nws yog dab tsi?

Cov niam txiv txhawj xeeb txog lawv cov menyuam feem ntau nrhiav kev qhia lossis kev pab los ntawm kws kho menyuam yaus, tus neeg sib tw ntawm kev kho mob sciences Evgeny Olegovich Komarovsky. Tau ntau xyoo, nws tau muab cov lus qhia tseem ceeb heev txog qhov yuav tsum yogtxoj hauv kev zoo los kho cov menyuam mos.

Komarovsky mob ntsws
Komarovsky mob ntsws

Yog vim li cas niam thiab txiv thiaj hais tias yog Komarovsky uas yog tus khawv koob tiag tiag ntawm peb lub sijhawm. Pneumonia yog tus cwj pwm los ntawm kev kis kab mob nrog ntau yam kab mob, kab mob thiab fungi. Hauv tib neeg, nws hu ua mob ntsws.

Dab tsi ua rau tus menyuam mob?

Ua ntej pib kho, koj yuav tsum paub seb qhov tshwm sim ntawm tus kab mob no tshwm sim, vim hais tias rau txhua hom kab mob tau tsim ib txoj haujlwm tshwj xeeb rau kev puas tsuaj. Yog li, hauv kev txiav txim:

  • Tus me nyuam tau mob ntsws vim tus kab mob nkag mus rau hauv lub cev. Muaj cov kab mob loj heev uas tuaj yeem ua rau cov tsos mob ntawm tus kab mob: qhua pias, mob npaws A thiab B, adenovirus, parainfluenza, thiab lwm yam. Nov yog qhov txheej txheem inflammatory hauv lub ntsws pib.
  • Muaj kab mob ntsws. Nws tshwm sim los ntawm ntau hom kab mob - Staphylococcus aureus, legionella, pneumococcus thiab lwm yam. Hom kab mob no muaj kev phom sij ntau dua li yav dhau los.
  • Pneumomycosis, lossis mob ntsws ntawm cov kab mob fungal. Qhov no yog ib qho kab mob uas tsis txaus ntseeg thiab txaus ntshai tshwm sim los ntawm cov kab mob pathogenic fungi. Thaum xub thawj, tej zaum koj yuav tsis paub tias tus menyuam mob. Thaum xub thawj, hom mob ntsws no tsis tuaj yeem paub qhov txawv ntawm banal o. Tab sis thaum exacerbation pib, lub ntsws cov ntaub so ntswg puas thiab kab noj hniav yog tsim. Ib qho laj thawj ntawm tus kab mob no yog kev kho mob tsis tsim nyog, uas siv tshuaj tua kab mob.
mob ntsws nyob rau hauv cov me nyuam cov tsos mob thiab kev kho mobKomarovsky
mob ntsws nyob rau hauv cov me nyuam cov tsos mob thiab kev kho mobKomarovsky

Yog vim li cas koj thawj zaug yuav tsum paub seb tus menyuam muaj mob ntsws zoo li cas, thiab tsuas yog tom qab ntawd pib kho nyuaj. Tag nrho cov no ua tsis tau tsuas yog kom tus me nyuam tau txais ntawm nws ko taw sai li sai tau, tab sis kuj kom tsis txhob ua phem rau nws nrog kev teem caij tsis ncaj ncees lawm.

Kev txiav txim thawj cov tsos mob ntawm tus kab mob

Thiab ntawm no Evgeny Komarovsky yuav pab peb. Pneumonia yog ib yam kab mob txaus ntshai, tshwj xeeb tshaj yog rau cov menyuam yaus. Ib tug kws kho mob paub zoo feem ntau hais tias cov tsos mob ntawm tus kab mob no feem ntau tsis meej pem nrog tus mob khaub thuas lossis kab mob ua pa. Kev mob ntawm lub ntsws tsis pib tam sim ntawd, tab sis thaum lub sij hawm unhurried txoj kev loj hlob ntawm cov txheej txheem pathological. Yog li ntawd, nws tsis tuaj yeem pom thawj cov tsos mob ntawm tus kab mob no tam sim ntawd. Nyob rau theem pib (thaum thawj ob peb hnub), lub cev kub nce txhua lub sijhawm.

Qhov no yog qhov mob ntsws feem ntau pib hauv cov menyuam yaus. Cov tsos mob thiab kev kho mob Komarovsky piav qhia ntau npaum li sai tau. Kev kho mob yuav tsum tsim nyog rau tus mob ntawm tus menyuam. Subfebrile hyperthermia tuaj yeem kav ntev li ob mus rau peb hnub, thiab yuav tsis muaj txiaj ntsig zoo los ntawm kev siv tshuaj tua kab mob. Ua ke nrog qhov no, tus menyuam tuaj yeem tawm hws ntau thiab noj yuav luag tsis muaj dab tsi.

From hyperthermia mus rau tsaug zog

Tab sis thawj cov tsos mob tsis ua rau muaj kev phom sij loj, raws li cov tom ntej, Yevgeny Komarovsky paub tseeb. Pneumonia nyob rau hauv cov menyuam yaus txuas ntxiv nrog ua pa nyuaj thiab ua rau muaj qhov tshwm sim ntawm kev ua pa luv. Qee zaum, cov niam txiv tuaj yeem hnov tus yam ntxwv hawb pob thaum tus menyuam rub tawm.huab cua. Nws txhawj xeeb tsis muaj laj thawj.

Komarovsky pneumonia nyob rau hauv cov me nyuam
Komarovsky pneumonia nyob rau hauv cov me nyuam

Ntshai lub xeev uas tus me nyuam mus ntxiv ua rau qhov tseeb tias nws hmo ntuj pw tsaug zog, thiab rov qab los qeeb dua li niam thiab txiv xav. Qhov tshwm sim ntawm qhov no yog qhov txo qis hauv kev ua si lub cev, tus menyuam yaus nkees sai dua, nws tau "tawm tsam" los ntawm lub xeev tsaug zog.

Ceeb Toom: Cov menyuam yug tshiab muaj kev phom sij

Raws li Dr. Komarovsky hais tias, mob ntsws pib tshwm sim tom qab qee yam kab mob tau nkag mus rau ntawm cov mucous daim nyias nyias ntawm nasopharynx lossis lub ntsws lumen. Streptococci, Haemophilus influenzae, thiab Staphylococcus aureus yog cov kab mob tseem ceeb uas ua rau tus kab mob no tshwm sim.

Tom qab cov kab mob phem nkag mus rau hauv tus menyuam lub cev, lawv loj hlob nyob rau hauv cov xwm txheej zoo. Qhov tshwm sim yog edema ntawm cov ntaub so ntswg uas cuam tshuam rau lub ntsws, qhov txo qis ntawm cov pa oxygen nkag mus rau cov khoom nruab nrog sab hauv, kev ua haujlwm tsis zoo thiab kev txav mus los. Vim lub fact tias cov kua tau thickened nyob rau hauv lub hlwb thiab o ntawm alveoli tau tshwm sim, o ntawm lub ntsws tshwm sim. Lub cev ua pa ntawm tus menyuam ua haujlwm nyuaj heev.

Tsis yog txhua hom kab mob tuaj yeem ua rau muaj tus mob hnyav nrog mob ntsws. Tab sis yog tias muaj teeb meem ua pa tshwm sim, tom qab ntawd thaum tsis muaj kev kho mob tsim nyog thiab tsim nyog, tus kab mob tuaj yeem ua rau mob ntsws.

Komarovsky pneumonia nyob rau hauv cov me nyuam mos
Komarovsky pneumonia nyob rau hauv cov me nyuam mos

Ntau tshajTsis muaj kev tiv thaiv yog cov menyuam yaus hnub nyoog qis dua ib xyoos, piav qhia Komarovsky. Pneumonia nyob rau hauv cov me nyuam mos yuav nyuaj heev. Nws muaj lub cev tiv thaiv kab mob tsis muaj zog, thiab cov yam ntxwv ntawm cov kab mob ua pa tsis tuaj yeem txo qis ib qho. Cov menyuam mos yug tshiab muaj qhov khoob me me hauv lub trachea, larynx thiab qhov ntswg nqaim heev. Ntxiv rau qhov no, cov ntaub so ntswg ntawm lawv lub ntsws yog rhiab heev, thiab cov mucous daim nyias nyias tseem nyias thiab tsis yooj yim. Thaum cov kab mob nkag mus rau ntawm lub epithelium los yog alveoli, cov tshuaj tiv thaiv exacerbated tam sim ntawd tshwm sim, qhia los ntawm cov tsos mob.

Peb kuaj thiab sau tshuaj kho

Cov niam txiv yuav tsum tsis txhob ntshai kiag li thaum lawv paub tias lawv tus menyuam mob. Tom qab tag nrho, muaj qee lub sij hawm thaum muaj tag nrho cov tsos mob ntawm mob ntsws, thiab qhov no hloov mus ua tus mob khaub thuas tshaj plaws.

Yog xav tias tus me nyuam muaj mob ntsws (thiab cov cim qhia tau hais tias: qaug zog, mob taub hau, ua npaws, hnoos), cov niam txiv yuav tsum coj tus menyuam mus rau kws kho mob. Tsuas yog tus kws kho mob tom qab ua cov kev tshawb fawb tsim nyog tuaj yeem ua qhov kev kuaj mob kom raug. Cov kev kuaj mob muaj xws li: x-ray (pem hauv ntej thiab sab ntawm lub ntsws), kuaj ntshav kuaj (kom paub meej qhov mob ntsws), mloog lub ntsws.

Komarovsky pneumonia nyob rau hauv cov me nyuam mos
Komarovsky pneumonia nyob rau hauv cov me nyuam mos

Feem ntau, mob ntsws hauv tus menyuam yog tshwm sim los ntawm SARS, laryngitis, tonsillitis, sinusitis, bronchitis thiab ntau yam kab mob.

tiv thaiv kab mob

Raws li kws kho mob menyuam yaus Komarovsky, mob ntsws hauv cov menyuam yug tshiab (los yog mob ntsws) tshwm sim nws tus kheej thaum lub ntsws thiab bronchi npog nrog cov hnoos qeev. Qhov no yog qhov tseem ceeb ntawm kev ua txhaum ntawm lawv qhov cua. Qhov no yog li cas Dr. Komarovsky tsim nws lub laj thawj. Pneumonia, rov qab los ntawm qhov uas tuaj yeem siv sijhawm ntev, yuav tsum tau kho raws sijhawm. Rau lub hom phiaj ntawm kev tiv thaiv kev tiv thaiv, koj tuaj yeem taug kev ntau zaus hauv huab cua ntshiab, ua pa tsis tu ncua hauv chav nyob kom nws ntub, haus ntau kom cov kua dej nkag mus rau hauv lub cev txaus.

Yuav tsum muaj qhov kub thiab txias?

Txawm tias muaj kev ntseeg ntau tus neeg laus tias mob ntsws hauv cov menyuam mos yuav tsum ua npaws, qhov no tsis yog axiom. Qhov no yog li cas Yevgeny Komarovsky piav qhia nws: mob ntsws tsis ua npaws hauv cov menyuam mos yog qhov tshwm sim nkag siab. Hauv cov me nyuam mos uas tsis tau ua kev zoo siab rau lawv thawj hnub yug, lub thermoregulation system tseem tsis tau muaj peev xwm. Yog tias tus menyuam lub cev tsis muaj zog, ces qhov hnyav ntawm cov tshuaj tiv thaiv kab mob yog tsawg dua li ntawm lwm cov menyuam yaus. Vim li no, lub cev kub thaum mob ntsws yuav tsis hloov. Cov niam txiv yuav tsum tau saib xyuas thiab nkag siab txog lawv cov crumbs txhawm rau paub txog kev hloov pauv ntawm lawv tus cwj pwm thiab kev noj qab haus huv nyob rau lub sijhawm.

Komarovsky pneumonia tsis ua npaws
Komarovsky pneumonia tsis ua npaws

Cov neeg laus yuav tsum pom kev hloov pauv ntawm tus cwj pwm: kua muag, ntshai, tsis xis nyob, ntxhov siab. Vim tus menyuam lub cevqaug zog vim muaj mob, nws nkees sai, nws xav zaum saum lub rooj zaum, pw hauv ncoo lossis hauv nws niam txhais caj npab. Tus me nyuam yuav hnov mob dav dav, yws qhov mob thoob plaws lub cev, qee qhov tsis xis nyob.

nyuaj heev tuaj yeem ua rau mob ntsws rau cov menyuam yaus cov tsos mob thiab kev kho mob. Komarovsky, ib tug kws kho menyuam yaus nrog ntau xyoo ntawm kev paub, piav qhia txhua yam no hauv kev nthuav dav. Qhov tseem ceeb tshaj plaws yog txhawm rau txhim kho qhov kev kuaj mob kom raug raws sijhawm, tau txais daim ntawv xaj los ntawm tus kws kho mob thiab tsis muaj kev kho tus kheej.

Yuav ua li cas thiab yuav kho li cas?

Ntau tus niam txiv uas muaj menyuam yaus txij thaum yug mus txog 7 xyoo tso siab rau txhua yam uas yog ib tus kws kho mob zoo tshaj plaws hauv lub tebchaws, Evgeny Komarovsky, yuav hais. Pneumonia (yuav txhais li cas nws tau piav saum toj no) tsis yog vim li cas rau kev ceeb ntshai. Tus kws kho mob piav qhia tias txoj kev kho mob tshwj xeeb tau tsim los rau txhua hom kab mob. Piv txwv li, nrog cov kab mob kis, tsis tas yuav muaj qee qhov kev kho tshwj xeeb, nrog rau cov kab mob, cov tshuaj tua kab mob muaj txiaj ntsig, tab sis cov tshuaj tua kab mob nyuaj tsis tuaj yeem muab faib nrog los kho cov kab mob fungal.

Komarovsky pneumonia rov qab
Komarovsky pneumonia rov qab

Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias kev loj hlob ntawm asymptomatic pneumonia nyob rau hauv cov me nyuam mos yog qhov txaus ntshai: kev kuaj mob lig thaum tsis ua npaws thiab hnoos tuaj yeem ua rau muaj teeb meem, ntau yam uas yuav hloov tsis tau. Yog li ntawd, saib xyuas koj cov menyuam thiab nrhiav kev pab kho mob raws sijhawm.

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