Pneumonia yemapapu muzvakaberekwa - kuputika kwepamuviri kwemapfupa emapapu - ndeimwe yezvirwere zvinotapurika zvakanyanya. Izvo zvine ngozi kune chero mwana, kunyanya kana paine hutachiona hwepineumonia muzvitsva. Zvinosuruvarisa, nhamba dzemazuva ano ndeyotevera: pneumonia mumazvitsva inowanikwa mu1% yemakore ekuzara uye 10-15% yevana vasati vasvika.
Mhando uye zvinokonzera pneumonia muzvitsva
Muchirapa, zvinotevera zvirwere zvepneumonia zvinoratidzika zvichienderana nechinokonzera chirwere ichi:
- congenital transplacental (iyo causative agent inopinda mucheche kuburikidza neparcenta kubva kuna amai);
- intrauterine antenatal, inokonzerwa nemazvirwere zvakapinda mumapapu emucheche kubva kumamitiotic fluid;
- kuberekwa, kunowanikwa apo mwana anopfuura nepakati pekuberekwa kweamai, ane utachiona hwehutachiona;
- mushure mekuberekwa kwemhepo, umo utachiona hunoitika mushure mokuberekwa muchipatara chekuberekwa, muDhipatimendi reNeonatal pathology (nosocomial), kana kumba.
Zvikonzero zvinowanzokonzera pneumonia mumazvitsva ndezvekuti:
- zvipembenene zve toxoplasmosis, listeriosis, rubella, herpes (pamwe nepenital transplacental pneumonia muchecheche);
- streptococci yemapoka B uye O, gestal mycoplasmas, tuberculous and hemophilic rds (ane chirwere chekuberekwa uye chirwere chinonzi intranatal pneumonia);
- streptococcus group B, cytomegalovirus, chlamydia, fungi ye genus Candida uye herpesvirus type II (neine intranatal pneumonia);
- Klebsiella, Pseudomonas aeruginosa, intestinal yucca, proteas, staphylococci (ne nosocomial aspiration pneumonia muchecheche);
- kusanganiswa nebhakitiriya-bhakitiriya, utachiona-bhakitiriya.
Kuwana pneumonia pamba kakawanda kunowanzopikisana nehutachiona hwehutachiona hwehutachiona hunokonzerwa neadenoviruses.
Secondary pneumonia, iyo chiratidzo kana chinetso che sepsis, aspiration syndrome, inowanzokonzerwa nevana vanozvarwa ne streptococci, staphylococci kana gram-negative flora.
Zviratidzo zvepineumonia mumazvitsva
Zviratidzo zvepneumonia muchechecheche kana chirwere chinonzi intrauterine chinotapurirwa vanachiremba vachawana kunyange vasati vasununguka, nokuti kazhinji zviratidzo zvekutanga zvepumoniya zvinotanga kuonekwa pakarepo mushure mokuberekwa kwomwana.
Kana mai nemwana vachibudiswa kumba, mumwedzi wokutanga vanofanira kuendeswa nachiremba kuti vashande. Achacherechedza mamiriro ehucheche, uye anoda kutaura pamusoro pezviratidzo zvose zvinotyisa, somuenzaniso, pamusoro pehutano hwemwana, kugara achidzoka uye chigadziko chemvura, kurambwa kwechifuva, kunyanya kuneta paunenge uchiyamwisa.
Kana mwana wacho ane fivha, usamirira kuti mumwe chiremba auye. Kukurumidzira kudana ambulensi. Kuora mumucheche kunogona kuva munyoro, asi zvakakosha kubhadhara nguva pfupi pakukanda. Uyewo, chenjerera maitiro ekubudiswa kubva mumhino mumwana uye kukurumidza kufema. Kupfupika kwemhepo kunounza zviratidzo zvebhuruu pamakumbo, pane chiso uye nemaoko. Mwana ane chirwere anoonekwa nekukurumidza kwechirashi.
Kutya kudarika pneumonia kumwana hazvidiwi, chaizvoizvo zviratidzo zvekurwara kana zvirwere zvinowanzosimuka pasina kubuda kwekushisa. Uye inofanirwa kuongororwa nguva nenguva yekudzivirira zvinangwa.
Chiremba, uyo anogara achiongorora uye anoteerera mwana, anogona kuona nyore nyore pneumonia.
Ndeipi kurapwa kunorongerwa pneumonia muchechecheche?
Mishonga inorwisa mabhakitiriya yezviito zvakasiyana-siyana inoshandiswa nguva dzose pakurapa pneumonia. Mwana wacho anoda kunyatsochenjerera kuti arege kunwisa uye kupisa. Zvakakosha kutarisa utsanana hweganda rake, kazhinji kuchinja chimiro chemuviri wake, kudya chete kubva kurunyanga kana kushandisa shanduro. Kushandisa kuchero checheche rinorwara, vanachiremba vachabvumirwa chete kana zviri muhutano hunogutsa, kureva, nekunyangarika kwekudhakwa uye kupererwa nekuputika.
Pamusoro pemishonga iyi, physiotherapy (microwave uye electrophoresis), mavitamini C, B1, B2, B3, B6, B15, kushandiswa kwezvirwere zvemuviri, masardadhi uye kupisa kunopisa kaviri pazuva, kuwedzerwa kweplasma yeropa inorayirwa.
Migumisiro yepumoniya muzvitsva
Vana vane chirwere chepneumonia (kunyanya kubatana kwepineumonia mumavangwana) vanowanzodzokorora zvirwere. Mushure mekudzikinura kwavari kunofanira kuendeswa mberi mafundo e vitamin therapy, kupai bioregulators (kubviswa kweAloe ne eleutterococcus) kwemwedzi 3-4. Uye mukati memakore 1 mwana achava pasi pekuchengetedzwa kwekliniki.