Pneumonia of the average severity of the disease. Causes of croupous pneumonia, symptoms and basic methods of therapy

Pneumonia is not an infectious disease. If people get sick, the alveoli in the lungs become filled with microorganisms, ridinoy, through which the normal dichal function breaks down.

Diagnosis of pneumonia based on symptoms State Department of Infection dykhalnyh nobles and obvious darkening in the presence of radiological preliminaries of the breast emptying, as it is not tied for any reason (for example, a cardiogenic set of legends).

Tse zhvoryuvannya bulo is described by Hippocrates in the IV century BC. e. Also, having described the conduct of surgical drainage in case of pleurisy.

Maimonid (1138-1204 pp.) Having described the symptoms of pneumonia. Tsei describe the buv is even more similar to those that are given at a time in casual handcuffs.

In 1761 Auenbrugger rocked the method of auscultation of the lungs.

In 1875, Edvin Klebs first emerged from the bacterium in the spirits of a patient, who died of pneumonia.

In the robots of Karl Frindlander (1882) and Albert Frenkel (1884), two main bacterial causes of pneumonia were identified - Streptococcus pneumoniae and Klebsiella pneumoniae.

Statistics show that between 1900 and 1937 pneumonia was one of the main causes of death, competing only with tuberculosis. Until 1900, there are no exact tributes to the rock, but one can let it go, but one of the provincial causes of death was caused by the ear of people.

The revolution in pneumonia was revived by penicilin, which in 1928 was revived by A. Fleming. It is true that the vikoristovuvati antibiotic posed only in 1943 rotsi.

The leaders of the development of medicine, victorian acid therapy and penicilin, have a good day derogation mortality due to pneumonia.


The reasons for the development of pneumonia

  • bacteria (Streptococcus pneumoniae, Haemophilus influenza and Mycoplasma pneumonia);
  • viruses (rhinovirus, coronavirus, flu);
  • fungi (often in ailments with weakening by immunity);

symptoms of pneumonia

Ailing, if the legends are evident, the breast cancer, Cough, sputum discharge, backwardness. Patients who are sick have all the symptoms of pneumonia, more often for all they do not turn, the fever is more likely to develop.

When looking around, a lykar may appear tachypnoe (often dyhannya), tachycardia (accelerated heart rate), wheezing during auscultation of legends, weakening of dyshal noises, dulling of percussion sound.

Diagnostic criteria that indicate the presence of pneumonia in a patient:

  1. Symptoms of the hospitable inferiority of the lower dysfunctional nobles - cough in combination with one of such signs: badness, pleural effusion, sputum of a rusty colore;
  2. local symptoms in case of obstructive chest cages (wheezing, dullness of percussion sound, weakening of distressing noises), which have not been heard before;
  3. one of the out-of-the-box symptoms of intoxication - puffiness, chills, bumpiness in meat, temperature ≥38 ° C;
  4. a dumb explanation of the symptomatology.

diagnostics

A patient with an adolescent for pneumonia should be carried out:

  1. roentgenography of the organs of the thoracic clitine - the darkening of the fabric of the leg appears;
  2. zagalny analysis of blood - show an increase in the concentration of leukocytes, accelerated SHOE, in case of suppression of intoxication - anemia;
  3. biochemical analysis of blood (creatine, sechovina, electrolyte, bilirubin, AST, ALT) - for assessing the severity of the disease;
  4. C-reactive block and procalcitonin;
  5. assessment against blood acidity (pulse oximeter and blood gas analysis)
  6. sowing sputum for the identification of pneumonia and sensitivity to antibiotics; in important cases of ailments, carry out also in blood;

Falling from the situation, you can also know:

  1. serological pre-diagnosis of blood in case of adolescence for viral pneumonia;
  2. bronchoscopia;
  3. spirography;
  4. thoracocentesis and analysis of pleural origin.


Classification

In modern medicine, before the classification, illnesses begin to grow, they are grounded during the treatment of the sick. So, in the case of pneumonia itself, there is a significant ethological factor for the disease (like the bacteria itself or the virus infection) and the severity of the disease. Tom, I see the onset of pneumonia:

More important is the value for the treatment of pneumonia for the її vagoya. To focus on the obviousness of the onset predictive criteria:

  • entanglement of property;
  • frequency response is more than 30 / min;
  • systolic AT<90 мм рт.ст., диастолическое <60мм рт.ст.;
  • over 65 years old.

If the patient has a mild factor - even mild pneumonia and elimination can be carried out in the outpatient minds. Even if the patient is aware of 1 or 2 factors - pneumonia of moderate severity, and it is also necessary to identify the need for stationary treatment. If there are 3 or 4 factors, the firing of the legends is important and the hospitalization term is necessary.

Є y іnshi, large folding scales for assessing the severity of pneumonia. With the help of such a SMART-COP scale, with the help of which, the severity of pneumonia in hospitalized ailments begins:

criterion Assessment in balls
S(Systolic blood pressure) systolic AT< 90 мм рт. ст. 2
M(Multilobar infiltration) Multilobar information on radiographs of legends 1
A(Albumin) Rivn albumin in blood plasma<35 г/л 1
R(Respiratory rate) Mix frequency: ≤50 rock_v - ≥ 25 / min> 50 rock_v - ≥ 30 / min 1
T(Tachycardia) Heart rate ≥ 125 beats / hv 1
C(Confusion) loss of property 1
O(Oxygenation) Oxygenation: PaO 2< 70 мм рт. ст. при возрасте ≤50 лет;< 70 мм рт. ст. при возрасте >50 years SpO 2< 94% при возрасте ≤50 лет;< 90% при возрасте >50 rock 2
pH arterial blood pH< 7,35 2

When evaluating for a common scale in 1-2 bali - the treatment should be carried out in a therapeutic hospital, in ≥ 3 points - in the case of an intensive therapy.

per ethiological factor development:

  • bacterial;
  • Virus;
  • fungi;
  • pneumonia, viclican are the simplest;
  • pneumonia, viclican helminths;
  • zmіshanі (bacterial-viral).

accelerating

legenev:

  • pleural infection;
  • pace of pleurisy;
  • abscess of legends;
  • stately dyshally lack of;
  • Hostry Respiratory Distress Syndrome.

posalegenevі:

  • Gostre Legeneve Heart;
  • sepsis and septic shock;
  • syndrome of deseminated internal vascular laryngeal glandularis.

lіkuvannya pneumonia

We are averse to thinking of people from home, more to the point of view and from pity to ridini.

antibacterial therapy

Antibacterial zasobi is the basis of legends burning. Appropriate antibiotics are primed on pneumonia (non-hospital, hospital) and severe.

In case of easy postoperative pneumonia, treatment should be performed on an outpatient basis, orally administered amoxicilin or an antibiotic of a group of macrolides (azithromicin).

In case of pneumonia of moderate severity, the hospitalization should be carried out in the minds of the hospital, it is recognized:

  • oral combination of amoxicilin and macrolide (azithromicin) and fluorochinolone (moxifloxacin);
  • intravenously ampicilin and macrolide (azithromycin) or cephalosporin (cefuroxime, ceftriaxone) and macrolide.

In case of important pneumonia, indicate:

  • i / v amoxicilin with clavulanic acid and macrolide;
  • IV cephalosporin (cefuroxime, cefotaxime, ceftriaxone) and macrolide.
  • IV fluorochinolone (gatifloxacin, moxifloxacin)

Disease treatment schemes indicate, before the results of the sowing of sputum, the indications of pneumonia and sensitivity to antibiotics - this is the name of empirical antibacterial therapy. In order to reject these results, to switch to antibiotic therapy in the presence of an ethiological factor.

Pathogenetic and symptomatic treatment

We are sick with signs of intoxication to the body to carry out infusion therapy.

For lowering the temperature, vikoristovuyut non-steroidal anti-fired heaters.

Traditionally, patients with pneumonia are prescribed anti-inflammatory and mucolytic drugs (mucaltin, lazolvan, acetylcysteine), bronchodilators (for additional nebulizers - ventolin, salbutamol), immunostimulants

Roads to the site of Pharmamir. The Statute is not a medical council and cannot serve as a substitute for consultation with a doctor.

Pneumonia is a disease of a fiery nature, with a pathological process of healing the tissue of legends.

Falsely caused by persistent (type of anemic) pneumonia can be classified as:

  • virusnu;
  • viral-bacterial;
  • bacterial;
  • fungus.

For the type of ailment , stages of pneumonia, as well as the degree of severity in pneumonia can be reduced, so that I will use the tactics of treating a sick person.

Naybilsh the form of ailment is expanded - a type of pneumonia. As a rule, from the backbone of the sickness on the hot form, more than 10% of the sickness get caught up in the minds of the stationary.

If you talk about "sickness", then most often the disease is diagnosed in people in the summer. The number of such patients becomes 50%. In addition, there are children up to 3 rocky in the group of people who have been promoted to risik.

Classification of the Legendary fiery

Children of the year are often diagnosed with the diagnosis of pneumonia in older adults and children. Such a wide range of incapacitation is associated with the fact that it is even more abundant in both home and not in the home, which can lead to a firing process in the fabrics of the Legen.

Behind the minds of the young infirmary, the classification of pneumonia of the viglyad is as follows:

Such pneumonia occurs more often for other forms, as it is even more often the reason for the lack of colds, or to eat at the same respiratory infection.

This kind of fumes is a matter of fact, if the patient is in the carnage, it is also the reason for his hospitalization. When a sick person is guilty characteristic symptoms fired up the legend not before, not until the end of 48 years from the moment of hopefulness before being sent to the stationary. Well, the symptomatology appeared already after 48 years, pneumonia will be roztsinuvatisya, yak pozalikarnyana.

Such a form is trapped todi, if instead of the slurry or the slime (from the mouth microfloria) of the patient penetrates into the leg. Even more often, such a picture is susceptible to bloating. The group riziku - tse ailments, prikuty to the lid, as well as patients on piece ventilation lungs and alcoholics.

  • Pneumonia on aphids

A form is given to diagnose patients with low immunity. It can be a viclikano, as a specific course of therapy for oncology, as well as in sick people with VIL and other congenital pathologies, which require the use of potent drugs.

There is a classic and morphological picture, the legends can be filled in to:

  • parenchymal pneumonia;
  • іnsterstіtsіalnaya.

steps of gravity

For the turn of the clinical picture, the degree of severity in case of pneumonia distribution into 3 groups:

  • Easy steps of pneumonia

With such a degree of severity of pneumonia, a weak symptomatology is diagnosed, so that the temperature changes not more than 38 ° C.

  • Pneumonia of the middle degree of severity

Such a stage of burning can be ascertained during reconciliation of intoxication. The temperature of the sick person can be up to 38 o C, the frequency of the sickness can rise up to 30 rucks, the pulse is often up to 100 beats per quill. In such a camp, ailments start to actively drink, decrease indicators of arterial vise, grow instead of leukocytes in the blood analysis of blood and formulas.

The important stage of the burning of the legends is characterized by a clearly rotated intoxicating organism. Temperature indicators change 39 o С, frequency of movement is more than 30 rubles, pulse rate changes 100 beats. Such a camp of the ailing will be complemented by the dimness of evidence, madder, and hundreds of reductions in the arterial vise. In addition, dyshal deficiency, leukocytosis can be manifested.

As it was already indicated, pneumonia is 3 stages of illness:

  • pneumonia stage 1;
  • pneumonia stage 2;
  • pneumonia stage 3.

Unimportant to those who are for the skin step є their characteristic signs, this year is accepted to see only 2 degrees of severity ignition process And itself: importance and easy. The schob is more clear to see the severity of the burned, a special rating scale has been broken down: PSI, ATS, CURB-65 and ін.

The essence of such a gradation is to shine in the meaning of an unwelcoming forecast for ailments from the ignited legends.

  • the frequency of the response is more than 30 rubles;
  • the manifestation of polylobaric lesions;
  • disorientation of the sick, stunned;
  • uremia;
  • leukopenia;
  • thrombocytopenia;
  • hypothermia (with rectal vimir, I do not change 36 o C);
  • hypotension, as a means of intensive therapeutic visits.

Most of the criteria and even more rotations are indicators - the need for a piece ventilation of the sick, as well as signs of septic shock.

Unimportant on the already available scale for assessing the stages of pneumonia, on the territory Russian Federation vikorystovutsya okrema scale, yaku rosіyske respirator suspension. The warehouse can be viewed on the images.

From this list, you can talk about the importance of the form of pneumonia if you want 1 symptom.

I respect the list of factors that can destroy the camp of the sick and destroy the sickness:

  1. You can navigate the cob stage of fired legends through the inflow of the congenial ailment to the immune system of the sick people. In such a drop in the supporting function of the body, it is very low, ailments are trapped more and more often, the process of getting lost for an hour is not significant. Before a group of patients, they have ailments, as there may be pathologies in the organs of the disease, the heart-vascular system, and also suffer for diabetes and alcoholism.
  2. The cause is a type of zestnik, which has provoked the development of an ailment.
  3. The scale is shkkojen. Even more significant is the significance of the obshygia of the garment fabrics, and the more important the stink is, the more important the sick person will be.
  4. Chastity. Pogershiti the situation may not come to the accident, and, apparently, it will not happen. Especially not safe for life is the last stage of pneumonia, especially since no therapeutic visits have been made to us.
  5. It is a pity that the remaining stages of legends are even more often diagnosed among people with low income, or among people who live on the streets.

Specific features of the stages of the disease and symptoms

Stages of pneumonia in children may appear as if they were overwhelmed by old children, but all the same could be left behind as a result. The child's symptomatology is analogous to the growth, ale stages of severity in children, especially up to 3 rocks, there is a lot of turnover.

I will grow up to learn, how scary is pneumonia of an important stage, far beyond the glimpse of particularity, overcoming the most severe typical croupous inflammation. And so, the pathology of such stages:

  • The flood is the cob stage of the development of the pathological process.

The triviality of a loan from several years up to 3 days. For such a non-trivial hour, the capilari in the legends grow wide, shelter arrives, and they become stagnant. Tse to produce up to bliskavichny p_vischennya temperature of a sick person, dry cough. Also, it’s bad for an hour to cough and breathe in the patient’s discomfort, it’s possible.

  • Stage of chervonya cure

Trivaє lasting 1-3 days. The whole stage of attracting the alveoli with plasma, the fabrics of the legends melt more. At the same stage, the lightness of the alveoli is involved, the legends of repairing the chervony. Ailments can be caused by pain, the temperature changes, and the phlegm of the “rusty” color appears.

The stage is trivial 4-8 days, with a stretch of time to see the drop of the erythrocytes. At this stage, the lungs become burrowed, and the leukocytes penetrate into the alveoli of the lungs. Improving the productivity of coughing, repairing the harvester with pus or licking the houses. Ailment with a skin day zgasaє, loss of badness, temperature indicators go down.

  • Pneumonia in the stage of inappropriate permission

The stage of allowing pneumonia is due to the processes and signs, there is little that is known about the disease. It’s a great deal of mercy, as well as the price of money, and independently take the decision to fix the therapy. Ale, tse zovsim is not so. Let's save more reports.

Pneumonia in the stage of virility means that the ailment is on the way until the day is out, or is not completely healthy, the sputum will blot out at the same stage. The triviality of the whole stage - no more than 12 days. Over the course of an hour, sputum grows, the lightness of the lung is restored. Pneumonia in the stage of dehydration is a trivial process, but absolutely painless. To navigate in the stage of unrepentant dehydration, the symptomatology of the ailment changes, the sputum does not show up, the temperature is normal, the sickness is sick.

Features of X-ray at the early stages of ignition

So, as X-ray is a useful way for diagnostics of burning legends, at the early stages of ill-treatment the X-ray sign will show good results, but it is even more important for the selection of other tactics of abuse.

In the stage of zorotnaya development, a darkened area will be visible on the sign. This information is even more important, as you can tell about the stage of partial pneumonia, and a specific development. At the stage, the visualization will show the change in the darkening area in size.

Buvah so, do you see the picture of the main X-ray "pomich" of the powers of the Legenevian babies and the fibrous children. Tom, after a dozen hour after the day, it is recommended to create a second sign - a control one.

Lіkuvannya lung stage pneumonia

An easy step of pneumonia is a stage, at which it is necessary to become ill for a quick and yaky addiction. pneumonia on early stage We have not yet risen to expand the area of ​​treatment and date accelerated, but allowing the development of pathology. Apparently, the first signs of pneumonia are quite similar to those of the respiratory type of ailments, but an early early diagnosis, and even the most important signs of illness are the transition of ailment into a large form.

day of pathology

Pneumonia is a state of fire of legends, which, as a rule, is infectious in character with lesions of young legends. The development of ailments can be a primary process, if a vine is inflamed in the presence of a healthy organ, or in a secondary reaction to a chronically ill organisms. Ailments can be hostile to people in any kind of life, fixing from the very people and ending a lot of old age.

Inflammation of the lungs most often passes through the bronchi (bronchogenic path), but it can also go through hematogenous and lymphatic paths. Main students: gram-positive (pneumococci, streptococci and staphylococci) and gram-negative (hemophilic and kishkova palichka, Friedlander's stick, proteus, legionella, enterobacteria) microorganisms; mycoplasma; virus type (influenza, parainfluenza, respiratory syncytial viruses, adenovirus); pathogenic fungi. Bacteriological damage by pneumococci is more common in 65% of cases of ailments, but in a child's life it is wider than in infirmities (respiratory syncytial viruses).

Pneumonia can be developed in hospitals and chronic form... For ohopenny body fired up is meant one-sided and two-sided battle. Ailments can be contracted with accelerated or without them, with damaged functions of children internal organs and without such dysfunctions. For morphological signs of pathology, they are classified into croupous, medial and interstitial pneumonia. Nareshty, the steps of gravity, can be manifested as easy, middle and important.

Easy foot

An easy stage of pneumonia can be diagnosed at the cob stages of the initiation of the ignition process. This form of pathology is not very large in the middle of the disease and most often develops in the alveoli, on the adjacent dylyanks of light tissue, in the vicinity of the lungs, in order to be carried to the middle type of disease. Vona may develop as a self-igniting reaction, for example, a lot of infectious ailments (cyr, flu, whooping cough).

The development of ailments in a light form is characteristic at the stage of high tide. Tsya persha stage of pathology is characterized by an ear of pathogenic process: reminiscent of the blood of the Legenevian Sudins and the formation of exudate in the alveoli. Serous storage exudate will be replaced by erythrocytes, leukocytes, fibrin fibers. A firing block of fabric and hyperemia will begin to appear.

At the same hour, the symptoms of becoming ill at the th stage of retirement bear rice implicitly turning into intoxication to the body. The body temperature does not change 37.7-37.9 ° C, there is a slight heart arrhythmia in the form of tachycardia, but in the intermets no more than 90 blows to the quill and with a normal arterial grip. The aspirations and problems for the reaction should not be of an initial nature, but on the X-ray signs it is possible to show only small intervals of the ignition process.

If you are fired up, it’s easy to fix it up to meet the gostro і quickly. Її with a stretch of richness in which to lie in the form of a zestnik, the ale zagalny character is secured. The incubation period tends to become 20-70 years old, when the first symptoms appear: undead, cough, temperature fluctuations, weakness, difficulty in mobility. When ailments pass in a light form, which is characteristic of the appearance of small battles, the first signs of a step-by-step smoothing and stabilization.

The ignition reaction is to turn into a trivial process of trust. Sputum, a small amount of slimy, viscous warehouse, swells with a thin consistency, and even some small blood houses can be spared. An important diagnostic characteristic is the appearance of sputum: the presence of significant numbers of leukocytes and macrophages. Blood analysis is indicative of the presence of a vague neutrophilic leukocytosis and small advices SHOE. The most obvious diagnostic factor is the presence of signs on the roentgenogram.

lykuvannya

Pneumonia in a light form is easy to reach, it is easy to get sick, a little bit of a disease can get sick or it goes into a chronic phase, which can be overwhelmed with serious slowing down.

The treatment of ailments in the whole stage can be carried out in the stationary or in the home minds, or with the obligatory post-regime and quarantine isolation. Obov'yazkovo will be provided with a nutritional regime (2.5-3 liters of ridini for doba). It is recommended to live tea, gas pools of mineral water, fruit juice. Kharchuvannya maє buti vysokokalorіynym vіtamіnu S.

It is necessary to base the treatment on the development of an infectious disease, the establishment of intoxication, and on the development of immunity. Stasis of antibiotics and protivopalny are recognized from the urahuvannya of a particular child, a sick person and an individual sensitivity to the body. welcome drugs carried out only for the signs of the drug.

The stage of pneumonia is easy at this stage, if ailment has a good prognosis - outside of the disease. It is important to vyaviti vyviti dizzyuvannya and vzhiti dієvіvіvіv shodo yogo usunennya.

Description of the stages of development of pneumonia, the stages of severity and criteria for

Pneumonia - the process of getting sick, connected with the development of the ignition process in the genesis of tissue, internal alveolar exudation from the inflow of infectious and older non-infectious agents. Falling into the type of anemic pneumonia can be viral, viral-bacterial, bacterial or fungal.

Typical state standard pneumonia is one of the most common diseases. The average statistical indicator is approximately in 10-13% of ailments, who stay in therapeutic hospitals. For a period of sickness with typical pneumonia - as many as 10 people and 8 women per 1000 people. The main part of the sick (close to 55%) is a group of people. There is also a great number of children - tse children early vik(Period up to three rockies).

See the burning legends

Modern medicine is attributed to the versatile forms of pneumonia: it is easy to pass subclinical to important and not safe for life. Such a rosary can be explained to those who are susceptible to disease, as they can provoke the inflamed legends, and the individual immune response of the organism to a specific infectious agent.

I will look at such criteria, how do you think about information, pneumonia classification for:

  1. Pozalikarnyakh - to be found in the home minds, more often when they get cold, on the GRVI. The Danish type of pneumonia is developed more often for others.
  2. Internal diseases (hospital, nosocomial) - they grow and develop, if ailments are transferred to the hospital. With a wide range of criteria for nosocomial pneumonia, symptoms of illness occur in a hospitalized patient at 48 years of age and more at the time of hospitalization. The development of an illness until the end of another is done at the time of the proper development as non-hospital pneumonia.
  3. Aspirations - developing as a result of falling into the legacy instead of a slurry, a slug, to avenge the microflora mouthwash... As a rule, it is necessary to see if it is bloated. In a group of patients on aspiratory pneumonia - bedridden ailments, patients on high-speed ventilation, patients with chronic alcoholism.
  4. Pneumonia in individuals with immunodeficiency - oncology (for a specific type of disease), VIL, immunodeficiency, associated with the reception of lykarsky patients, and congenital growth.

Due to clinical and morphological features of pneumonia, there are parenchymal and interstitial features. The first species, in its own right, lasts into parts (polysegmental), in the presence of and segmental pneumonia.

Steps of severity of ailments

There are three stages of the severity of pneumonia at the start of the clinical manifestations:

  1. A slight degree of severity characterizes weak signs of intoxication with a temperature of up to 38 degrees, with a frequency of dichotomy (HR) up to 25 rucks, clear evidence and normal arterial grip, leukocytosis.
  2. The middle steps are classified when the temperature is 38 degrees Celsius, HR is 25-30, heart rate is up to 100 beats for sickness, fatigue, a decrease in arterial pressure, an increase in the number of leukocytes
  3. An important step is the indices of a high degree of toxicity with a temperature of 39 degrees Celsius, a heart rate of more than 30, a heart rate of more than 100 beats, a dimmed disease with maddens, a greater decrease in arterial tension, lesions morphological changes neutrophils (granularity), possibly lowering the number of leukocytes.

In this hour, more often than not, there are two stages of the gravity of ailing: light and important. For the identification of an important step in the scale of the assessment of the severity of ailments: PSI, ATS, CURB-65 and in.

The principle of polygonal scales in a group of patients with an uncomfortable prognosis of the middle of patients with pneumonia. At the bottom of the little one, the ATS scale is pointed to indicate a serious interruption.

On the territory of the Russian Federation, due to the shortcomings of the American and European scales, as well as to the urahuvannya of the Russian specifics for the assessment, I will become a patient of the breakdown of the criterion of the Russian Respiratory Association (babies lower).

Pneumonia roztsinyuєtsya, as important if you want one criterion

Okremo varto zgadati about low officials, for which pneumonia is more important

  1. Pneumonia develops on aphids. At the same time, immunity will be weakened, the winery is affected in part (in the middle, in some categories), and the money is insistent. Particularly priced by the patients chronic ailments organs of health, heart-vascular system, alcoholism and diabetics.
  2. The type of the beetle. In case of severe gram-negative flora, the lethal result is significant.
  3. Chim big obsyag lung tissue subdued to the firing process, the patient has a more important camp.
  4. The development of an important step in the development of an unfortunate beast and diagnostics.
  5. Pneumonia of a heavy life is often a result of living without singing, or living in vile minds, without profits or low incomes.
  6. People over 60 years of age and newborns often develop pneumonia of an important stage.

Characteristics of stages and clinical symptoms

With the help of a typical croupous pneumonia, the following stages are also seen:

  1. The flood stage is the first stage of development of the designated ailment. Triva from decilkoh years to three dib. At the end of the hour, the capillaries are expanding, and the shelter in the fabrics of the tide and the beginning is stagnant. The patient's temperature rises sharply, there is a dry cough, there is a shortness of breath, ailments develop pain when inhaling and coughing.
  2. The other stage is the stage of chervony cure. Trivial from one to three dib, to prevent the filling of the alveoli with plasma, to reduce the tissue of the leg. Alveoli in a whole hour consume lightness, and lightly melt into chervony. More will be accepted, the temperature is stably adjusted, the sputum appears "Irzhava".
  3. The third stage of gray hepatization is three times as many as eight dib. For an hour, erythrocytes and hemoglobin fall in the alveoli, and then take revenge in them, becoming hemosiderin. During the whole process, the color of the lung transforms into a storm. And what about falling into the alveoli of the leukocyte is also how to shake yogo gray color... The cough becomes productive, the ailment vidharkuє gnіynu or mucus mucus. Pain dull, but change. The temperature drops.
  4. The fourth stage, to the allowance of the sputum, is the process of reducing and removing sputum. Triviality from 10 to 12 dB. It takes an hour to learn about sputum management and lightness of the lungs. The process of rosmoktuvannya is rather painless. Symptoms come, sputum comes out easily, pain is practically mild or mild, the process of reaction and temperature is normal.

The results of the radiography allow for the significant stage of development of the disease. In the case of ailments on the roentgenograms, the darkening of different lengths and growths (in the middle, segmental, payoff) appear. At the stage, the permissibility of the darkening changes in size, the presence of infiltration, such as overwhelming appearances, until the month of the month, can become more powerful than the Legendary baby. In some cases, there may be an increase in fibrosis and sclerosis. In connection with the cymbals, it is recommended to keep signs of letting the ailment on hand.

Does phlegm come in badly?

It is important for a smart oozing that the sputum is clear and vivodilated to the body, as a result of which the doctor-pulmonologist Tolbuzin Є.V.

Atypical pneumonia, tied to non-stagnant immunity, in the presence of a stage of non-power. For some of them, the symptomatology and changes in the period of the ailment are smoothed out. Moreover, in case of atypical pneumonia, there is often a risk of deprivation of interstitial changes without clear information.

Correctly and timely identification of the steps and stages of pneumonia with the help of a doctor will allow you to uncover the bagatokh accelerated in the general interruption of the ailment. To that, it is even more important to discover the middle of the infection and to watch the disease.

Dodatkovі doslіdzhennya and tactics of patient management

The patients with the transfer of the legends will be recognized:

  1. UAC, OAM;
  2. X-ray of the organs of the breast cell in two projections (if necessary, the number of projections is increased, the price is given by the doctor-radiologist);
  3. Biochemical analysis of blood;
  4. Sputum analysis: zagalny, on VK, on ​​microflora and spectrum of stiffness-sensitivity;

2015-11-07 20:15:21

Zapituє Julia:

I'm going! Say whether a weasel: a person has pneumonia of moderate severity. Lying in a lykarna, they marked a disease, their body turned in 4 days: t fell to 36.9, becoming a slug, the back changed, sour - 98, the x-ray no longer in 5 days more from the front. Chi can be také buti і chim tse zagruzuє. P.S.

reply:

Privit, Yulia! Without accurate changes in the results of the first or other X-ray, it will be unwise to respond to your nutrition. Discuss the results and conditions with the radiologist and the eligible doctor of your person. Protect your health!

2015-01-27 06:15:24

Andrei:

Perekvoriv lystoronnoi, partial pneumonia, moderate severity. in lіkarnі it is 18 days, the whole whole hour undergoing a course of antibiotics (Vіlprafenu, levoflaxotsіn, іnvanz and it was still not trivial for an hour). Pislya control, positive analysis On the same day, all the events were consumed by the flu epidemic, including the flu (flu change in 5 days). Vilikuvavsya, vipisali. Turbine temperature, from 35.6 to 36.2, (my normal temperature is 36.6), and gradually at night, after drinking. The axis has been sweating for 5 days already. Please comment on whether I caress my problem.

2012-06-19 09:26:37

Oleg will feed:

Good day of the day. My son got diagnosed with progressive pneumonia of moderate severity. They are treating for the same week. The temperature drops for an hour from antibiotics, I cough rough. robiti.

vidpovidaє Medical consultant to the "site" portal:

Hello, how are you smart, your synonym on a stationary lykuvanni (to lie in a lykarna)? Todi everything is possible to grow - tse just to see all the signs of lіkarіv.

2010-01-25 23:29:36

Zapitє vika:

Privit, my tato (53 rocks) in the end of the breast cancer GDVI, when it got worse, T 38.8 didn’t take a long time, it became worse after drinking until the disease with the diagnosis of pneumonia of medium severity, after 10 better likuyuchiy lykar having started up in a new cancer of the legends. The phthisiatrician was violated, as if they suspected tuberculosis and took it to themselves for examination. After tomography: cavities 1 cm. і infiltration; Mycobacterium sputum was not detected, Mantoux reaction was negative 5mm. There is also sugar in the blood and hepatomegaly. Lіkuvannya anti-tuberculous drugs, even said the exact diagnosis will be seen through the month. Do not smoke and do not smoke, a healthy way of life. Having passed outside the birch trees, I will increase my health, and I don't know how could it be with him? Perhaps you can do something with the people?

vidpovidaє Medical consultant to the "site" portal:

Privit, Viktoria! The tuberculous process sometimes develops as quickly as possible, especially such an overload is characteristic of people with low immunity and diabetes. Likuvati sick with cavernous tuberculosis is required strictly following the recommendations of the doctor. People zasobi There can only be vikoristovuvatsya in the capacity of an additional component of therapy and only when negotiating additional improvement with an eligible drug. Stand up to your daddy's camp with a lot of seriousness. Protect your health!

2009-12-22 15:38:49

Irina will power up:

Let it be a weasel, like it’s more beautiful for a more accurate diagnosis and continued treatment?
The situation is as follows: after the 3rd fluorography, I was told that the darkening in S6 is RIGHT TO GET. Likuyusya dovgo, fell on 25 leaves and the axis already up to 22 breast cough. The temperature is mute for more than 10 days, the skarg against the cough is mute. (Since I repaired ailments from a therapist for diagnosing bronchitis, I took AMOXICLAV. At the hospital, gentomycin, cefataxim, heparin, azithromycin, Azitrox and levofloxacin.
I still want to see, in my situation so why is bronchoscopy necessary? .Can all you can do with a tomography and ultrasound?

vidpovidaє Strizh Vira Oleksandrivna:

To clarify the diagnosis of health computer tomographyі put the phlegm of any bronchial fluid on the nonspecific flora і KSP (mycobacteria). Do not take antibiotics for 3 days in front of you. Bazhan's bronchoscopy with advancing cytological and bacteriological preliminaries of lavage origin.

2014-11-26 15:09:02

Zapitє Pavlo:

Privit, your joy is still needed. My sister is in a hospital with pneumonia at the same time. Axis of data from history of ailments. Ivanova I. she got to the pulmonary follow-up on November 14, 2014, 62 years old, height 165 cm, weight 90 kg. Diagnosis: Basically sickness: right-sided right-sided mid-lobe pneumonia of the middle stage of severity. Settlement of the main ailment: ДН I. Compatriots with illnesses: ІХС. Postinfarction cardiosclerosis. Angina pectoris spongi FC II, CHF I, FC II (NYHA). Hypertensive ailment III, AG 2, rhizik 4 (even higher). Scargi: weakness, cough with hard-to-remove phlegm zhovtoy koloru, The severity of the right half of the breast, the temperature increased to 38.5 ° C. 7 ° С. Until the lykarya did not turn, for 3 days she took arbidol on her own - without effect. З 09.11. I started taking amoxiclav in a dose of 1000 mg 2 times a day, for which the deyak meant the improvement of self-esteem, the temperature was reduced to 37 ° C. At evening 13.11. byproduct of the loss of self-esteem, increasing the temperature up to 38.5 ° C, the sputum became a new color, the linkage, in conjunction with the vrance 14.11. patsієntka wiklicala I will help the shvidka I was delivered to the hospital. On the 1st dobuvannya at the stationary, the NLR developed for amoxiclav at the viglyadi Kropyvnytsia and Nabryak Kvinka. Dani ob'єktivnogo look: shkіrnі pokrivi warm, vologі, temperature til 38.4 ° C, NPV 22 in khilina. Auscultatory: dichannya in the middle viddilakh right legends weakened, over the affected surface, there is a rattling and single dry wheezing, crepitations. AT 160; 90 mm Hg. HOUR 100 beats / min. Інші organi and systems without specialties. Data on instrumental methods before the end of the day: Tank, sowing phlegm: material taken, in robots. Pulse oximetry: Sa02 - 91%. EKG: sinus rhythm, 106 in chilina. ST on the isoline, T wave (+). Hypertrophy of the lilac duck. tribute laboratory methods doslіdzhennya: Zagalny analiz blood: Hb 145g / l, Ht 0.43%, Er 4.6x10¹² / l, CP 0.95, SHOE 26 mm / year, ■ Tr 198x 10 ^ 9 / l; L 13, x10 ^ 9 / l; formula: n / 10; s / 57; b / 1; e / 0; l / 31; m / 5 Zagalny analysis of the section: ■ pitoma vaga 1015, block nemaє, L 1 - 2p / sp; Er nemaє p / sp; cylindri nemaє p / sp; salt is not genetically testuvannya - the main metabolizer of CYP3A4. Paraty from the sheet the characteristic: 1. Rp: Tab. Bromgexini 0.0008 D.S. 1 table. x 3 times a day until the day. 2. Rp: Sol. Amoxiclavi 1.2 D.S. Introduce internally dropwise 3 times a day. 3. Rp: Sumamedi 0.5% Natriicloridi 0.8% -200ml Dextrosi 5% D.S. Zmіshati, enter internally drip. 4. Rp.:Sol. Heparini 25000 ED D.S. Enter pidshkirno 3 times a day. 5. Rp: Tab. Ortopheni 0.0075 D.S. 1 table. x 3 times a day until the day. Say whether it is a weasel that the pre-river is so likable with the presence of visceral ills?

vidpovidaє Medical consultant to the "site" portal:

Privit, Pavlo! In insignificant animals, I respect the viscosity of the preparations, which are straightened on the treatment of ischemic ailments of the heart and arterial hypertension(The stench is absolutely necessary), as well as the fact that amoxiclav was forgiven for the development of a child's development for a new non-desired lykarskoy reaction (according to the essence - an allergic reaction), which is absolutely indicated for the drug. Even more marvelous is the visibility in the results of the detailed results of X-ray examination of the organs of the breast tissue (aka CT). Also, your sister needs the consultation of a cardiologist. The nuances need to be discussed with the patient's doctor. Protect your health!

2012-12-24 12:29:51

Anna:

Good afternoon! At least 20 years, I fell ill for the first time, the first few days of any symptoms in the winter when the temperature was up to 40 degrees, the weakness and headache did not grow, for medical help did not turn out, licked at home through self-evident hours the temperature became foldable, lower than 38.5 did not go. She was vicious, she was taken to the hospital, an X-ray of her chest was taken, right-handed pneumonia appeared, more precisely, right-handed pneumonia was found to be right-handed, lower-lobe pneumonia of the middle stage of severity. I was lying in the bed, a couple of times they changed the treatment, so as it did not give results, they pierced two more chickens of antibiotics - summamed and tavanik, for the whole hour they were taken to the stationary by trimming subfebrile condition. It’s a bit of a problem for me, because I’ve got a licky drug, but in case of pneumonia it’s innocent, and it’s not possible. They began to carry out the roundabout, put in a bunch of analyzes, went to free x-rays, everything was clean, knew only the Epstein-Barr virus was latent in the blood. Prescribed acyclovir, p'yu still feast. After completing the course of antibiotics, a control test was made, having shown that there was no pneumonia, they were written to the home. Lykarі in lіkarnі said that the temperature is controlled through the WEB Infections. Supposed diagnosis sound like this - Chronic Epstein-Barr infection latent interruption, reactivation. (it’s on the lookout). The first infectious agent is stverdzhu, but it’s impossible to get through the temperature, because the virus is not active. I know, having recognized a bunch of analyzes - UAC, shelter on VIL again, ultrasound of the thyroid gland, black emptying, etc., everything is normal, only in the blood there is leukocyte growth, so it is in case of vipists. Likari nothing concrete can not be said. The temperature itself becomes infected, during the day it rises from 37 to 38 degrees, it leads to chills, in the night it is high, recently there was an ache in the slopes and squeezing a bele when you see it in the chest. Sputum enters from blood in small clots, ale ridko. The lymph nodes hurt on the shia. I see weakness, sleepiness, and sometimes headache. When walking, we need to adjust the ribs. What can you do? And why is the temperature so low?

vidpovidaє Agababov Ernest Danielovich:

Good day, Anna, it’s a good day, for the reason is in the WEB, hiba, that є swings of immunodeficiency, VIL turned on to rob the immunogram and continue the noise of your favorite drug.

2011-10-30 11:56:43

Power up IRINA:

Lyudin is in reanimation 4 dobi, and modestly seems to be in the world. They brought a woman of 49 rocks to the hospital with intoxication (barboval + alcohol), pneumonia and an early diagnosis of a neurologist at home - an insult. Accurate diagnosis of reanimation after taking all the necessary analyzes (shelter, slaughter, X-ray of legends, tomogram of the head) is important ... Would you like to take it to the nahabna and transport it to your own clinic (it’s not easy for us to finance it, ale it is obvious). Yak bootie?

vidpovidaє Kachanova Viktoriya Gennadiyivna:

Good day, Irino. It is necessary to have a resuscitation specialist who can be transported. If it is possible, then you have the right to transport, where you need it.

2011-04-08 16:07:46

Zapituє Roman:

"Infiltrative tuberculosis, VK -, cholovik, 34 rocks"
Asthma of moderate severity from 2000 r
Less than 34 rocky, less call ..., weight 90 kg, ailment on 20.12.10 (sign 20.12.10 - diagnosis of right-wing infiltrative tuberculosis of the upper lobe) - fever, cough, drinking, temperature from 38 to 39 C. fired legends with antibiotics (ceftriaxone, netromitsin, summamed, ciprofloxacin, amoxiclav). The signs were made on 12/30/2010 (the diagnosis is the same). 01/12/11 they made a CT scan - they made a diagnosis of an infiltrative tube. right legends in the phase of the fall. They sent them to the tube dispensary: ​​they took them - kanametsin, rіfmapіtsіn, іzonіazid (pechіnka - quickly weighed bilirubin) were transferred to the clinic, they changed the drugs: tarіtsіn (remembered to pіfіzіpіn), rіzonіzin
The signs on 03/01/11 were made too dark, they wrote with a diagnosis of destructive pneumonia ...
At a consultation with pulmanology 03/15/11 Another sign - blackout.
They said everything is fine, increase the dose of small-cort at the pace. і weakness, do not hide the respect і discomfort in the breasts ... to develop again the analysis of harkotinnya on the BC and posіv.
With a stretch, they were zealous from the sky and I AM VICIOUSLY HAPPY - it is not easy to put it on, it is easy to know ...
Infected only with Symbicort (small court 160 - the defect is even weaker) and berotek (4-6 times per day) (until ill 2 times, small court and seeing normally). Turbun: bad, in the evenings sometimes the temperature is 37 C, sometimes I am sweating, weakness, weakness anti-asthmatic symptoms - sometimes discomfort (more painful). right side lung. Analysis of sputum buli negative. Mantoux Bula neg. Evidence of temperature 37.0 - 37.2 C is more normal for whiskey? asthma, which analyzes can help?

As it seems, in practice, one must go through the stages of the severity of pneumonia: from easy to important, as if to put a threat to the life of the people. For more details on the dermal step, it is necessary to read the article, as to give you the opportunity to learn all the information about the dermal steps of the severity of the legends.

Classification of pneumonia behind the grades of severity

In theory, there is a long time ago, a table, as an additional aid to the classification of the severity of the disease. Go to niy not even neatly, even there є all 3 points: easy, middle and important. The skin will be meaningfully diagnosed and the male will allow the onset of pneumonia in the growing group.

The significance of the degree of severity of ailments in the region is important, for that, in the fallowness of a disease, those who are considered to be a disease are recognized.

Such a versatility can be explained, the first for everything, that is, how you can easily endure a lot of ailments and an individual reaction of the skin organisms to children. Even one person can take the child and transfer the illness to the middle level of gravity, and the other one is from the important. Everything will be covered by the immunity.

Easy

Otzhe, cob stageє mild pneumonia. I also name the type of pneumonia. Vona is not even less secure for the health of the people, but it is necessary to quit and lykuvatisya, but then she did not pass into the advancing stage.

Characteristic signs of such a flash:

  1. The temperature is up to 38 degrees. As a rule, the temperature rises in the evening and at night. You can beat for the help of a lowering price or antibiotics.
  2. The frequency of humor in humans increases up to 25 times per chilin. You may also have a dry cough with a sputum appearance;
  3. If it’s enough to obey a league, then with a given form, 1-2 segments will be defeated.
  4. An analysis of blood will show the same results as a concomitant leukocytosis and an improvement in SHOE.

So, if the car is going to look around to see the symptoms themselves, then it is possible to relieve yourself of a diagnosis - pneumonia of a mild degree of severity. Of course, it’s obvious that given the form, the patient’s testimony is clearer, and it’s loud, but there can’t be any quickness.

Middle

The characteristic symptoms of pneumonia of the middle stage of severity є:

  1. The temperature rises up to the mark 38-39. Zvychayno, such temperature is required to be taken. If you don’t go to the hospital, then you will get hospitalized with a sick person.
  2. Dikhannya from the patient will be charged up to 30 times for sickness. It also helps to prevent a sluggishness and presence of a cough with the appearance of sputum.
  3. Likewise, an ailing initiative manifests itself with a pacified cyanosis. On the spot, the witnesses may turn out to be blue on the blue, or close to the blue one.
  4. As soon as the battle of the legend is concerned, at the same stage, the patient is spared the battle of the great part of the whole part of the legend. As a rule, such a lesion is also located in one part of the lung.
  5. At the middle stage, the acceleration is still full of energy. Naybilsh frequent accelerated illness є pleurisy (inflamed pleural leaf).

important

The rest of the stage fired up the legends є the importance of pneumonia. Vaughn is not uncomfortable with a team that can lead to a lethal result. In this case, the hospitalization is simply necessary.

Characteristic signs:

  1. The temperature of the body rises in the boundaries of 39 і vyshche. As a rule, the temperature rises for a whole day, and in the evening it increases.
  2. The frequency of the stock is approximately 30 times per quill.
  3. Cyanosis tila manifests itself as soon as possible, so that the sick person will practically increase the color of the shkiri.
  4. In this particular case, the patient may experience some evidence, as well as some hallucinations and maddens.
  5. As a rule, at a certain stage of becoming ill at the sick person's side, he will also be offended by parts of the legends.
  6. Uskladnen, as a rule, in this vypadku not unique. The main acceleration: the pace of pleurisy, abscess and so far.

It is possible to grow a visnovok, which also becomes ill, as pneumonia is 3 degrees of severity. The pneumonia of an important breakdown is not safe and can lead to a lethal result without proper treatment.

The incidence of pneumonia in children of the first fate of life becomes 15-20 per 1000 children, older than 3 years 5-6 per 1000, in older adults 10-13 per 1000 mature population. The high frequency of pneumonia in children of early age is associated with the anatomical and physiological features of the organs of the environment.

Anatomy and physiology of the lungs

Pneumonia is even worse than serious illness and more beautiful than intelligence, but also to be seen in legends and in organisms as a whole, festering up to the anatomy and physiology of legends.

Easy to find in the chest empty. Skin is easier to fit into parts (segments), right is easy to fold into three segments, and a leg is made of two, so it’s right up to the heart, so the lass in one leg is about 10% less than on the right one.

Easier to fold from the bronchial tree and alveoli. The bronchial tree is stored in the bronchial tubes. The bronchi are of a sizeable size (caliber). Rise of bronchial tubes from the great caliber to larger bronchial tubes, right up to the terminal bronchial tubes and the so-called bronchial tree. Vono serve for carrying out the prayer with inhalation and vidihu.

Bronchioles all change in diameter, move into dichal bronchioles and end in alveolar bears in the endocytic bag. The walls of the alveoli are even more well supplied with blood, which allows for gas exchange.

Alveoli from the middle are covered with a special speech (surfactant). Win to serve for the capture of microbes, overshoot the decline of the legacy, take the fate of the microscopic and microscopic saw.

Features of the organs of the environment in children of the early age

1. Larynx, trachea and bronchi in infants. It is necessary to produce sputum in the spontaneous paths and multiply microorganisms in them until they are covered.

2. For new women horizontal position ribs and lack of development of inter-ribs. Children in the whole business are always in a horizontal position, which leads to stagnation of blood circulation.

3. Nervous regulation of the dichal muscles was not enough to produce dyshally deficiencies.

The main form of pneumonia


So, in the presence of the lungs, they see one-sided (if one legend is ignited) and two-sided (if the lungs are offended in the process).

cause pneumonia

Pneumonia - tse of infectious disease, as a result of suffering from microorganisms.

As a result of the gifts given to our students, 50% of all ailments of pneumonia have a reason to be left unattended.

Infections of pneumonia in an early child's life - most often staphylococcus, mycoplasma, microviruses, adenoviruses.

Most insecure infection is microbially infectious. Viruses to fend off the slime of the wicked nobles and to open the access of microbial flora, which will tighten up the pneumonia.
I would like to see some of the causes of pneumonia

Riziku factoriesfor the development of pneumoniamiddle grown-ups:
1. Post-stress, as the body hangs.
2. Disinterested eating. Lack of implantation of fruits, vegetables, fresh ribs, lean meat.
3. Weakening immunity. To reduce the bar's functions to the body.
4. Parts of colds get sick, scho produce up to the form of chronic infection.
5. Courinnya. When the walls of the bronchial tubes and alveoli are curved, they are covered with small, thin ridges, not giving the surfactant and the structures of the lung normally.
6. The malignancy of alcoholic beverages.
7. Chronic illnesses. Especially polyonephritis, heart failure, ischemic ailments of the heart.

Symptoms of pneumonia (show)

Symptoms of pneumonia are associated with "Legeny's scarg", symptoms of intoxication, signs of dysfunctional deficiency.

An ear of zhvoryuvannya can be done as well as rapt.

signs of intoxication.
1. Adjusted temperature from 37.5 to 39.5 degrees Celsius.
2. Head bill of different intensity.
3. Loss of self-esteem in viglyadі mlyavostі, or even unconscious, lowering interest to navkolishnya, ruined sleep, nothing darkening.

s " legacy symptoms"Cough may be indicative. Yogo character on the cob is dry, and after a dozen hour (3-4 days) we grow out of seeing sputum. Eliminate the sputum of the rusty colore through the presence in the neural cells.

Children have a cough with rusty sputum, mostly in older children. Cough is caused by inflammation of mucous bronchial tubes and trachea due to inflammation of the mediators, or mechanical (wet) teasing.
Nabreak zavazhaє normal robots of the lung and in addition, due to an additional cough, the organism becomes magenta, cleanse it. If a cough is trivial for 3-4 days, you will find yourself in a tight grip lung structures To that, the erythrocytes pass from the sudin to the bronchial lumen, at once fixing the phlegm of the rusty colora with mucus.

If you cough, there is a beating in your breasts on the side of the legacy. Bil beg your pardon when you inhale.

To the sign of a legacy lack The following symptoms are observed: zadishka, cyanosis (bluishness) of shkirny curves, especially of the nasolabial tricot.
The zadishka is more often in case of great pneumonia (bilateral), especially in breathing difficulties. The whole symptom z'yavlyatsya through the function of the urazhenaya part of the legend, scho to produce to the lack of saturation of tissue sour. Chim is more fiery in the fire, tim is stronger than zadishka.

Accelerated dikhannya, for example, in children older than rock (more than 40 in khvilynu), there is one of the main signs of ignited legends. The blue of the nasolabial tricycle is especially good for small children (before the hour of breastfeeding), and there are no vignettes for older children. I know the cause of cyanosis in the lack of acidity.

overbig pneumonia: The triviality of becoming ill is due to the effectiveness of the indicated reaction to the reactivity of the organism. Before the appearance of antibiotics in the visok, the temperature dropped by 7-9 days.

When antibiotics are used, the temperature can fall in the early term. The sick person stumbles, the cough grows bigger.
Infections of the disease (viral-microbial), the disease of the supernatant is affected by the lesions of the heart-vascular system, liver, nirok.

diagnostics of pneumonia



If you suspect that you have pneumonia, you will need to get sick before a doctor (a therapist or a pediatrician).

What do you check at the lykar?

1. Conversation with a likarem At the reception of a license, you will be fed about scargs and factories of the kind that could have become ill.
2. Breastplate examination For tso you ask to stretch to the waist. Likar will look at the breast, especially the equal participation in the community. In case of pneumonia, the side is often affected when the side is affected by the healthy side.
3. bleeding of the lungs percussion is necessary for the diagnosis of pneumonia and localization of the affected areas. When percussion is carried out the finger prostration of the breast tissue in the projection of the lung. In normi, the sound is dull and shortened in case of puffing, a dull yak (through the appearance of a twinge) in pneumonia, the sound of dullness and shortening, as the pathological origin of the disease is accumulated in the legend.
4. vislukhovuvannya Legen Auscultation(Vislukhovuvannya of the lung) is carried out with the help of a special attachment called a stetofoneedoscope. It’s simple to store with a system of plastic tubes and membranes, like a sound. The norm has a bit of a pure, legendary sound, like the sound of a normal sound. As in the legends of the presence of an igniting process, then the dichannyu vazha exudat і there is the sound of a difficult, weakened dichannya і of a kind of wheezing.
5. Laboratory dosage Zagalny blood analysis: If the number of leukocytes will be adjusted - the client will be considered for the appearance of the ignition, and pidvischene SHOE then, yak, the exponent is ignited.

Zagalny analysis of the section: zd_ysnyuєtsya, schob viklyuchiti infectious process on a level of nirok.

Analysis of sputum when slugging: wake up, like a microbe wicked to get sick, as well as quicker to get sick.

6. instrumental doslіgennya radiological dosage
As for the intelligence in the area of ​​the lung, it is located in the fire, which is in the size, as well as the appearance or the visibility happy(Abscess). On the roentgenic sign, the doctor is called in the roentgenology of education on the dark color of the lungs. The price of enlightenment and є in the fire is ignited.

bronchoscopy
Also, it is necessary to carry out bronchoscopy - the process of monitoring bronchial tubes behind an additional nasty tube with a camera and a dash of light at the end of the day. The tube should be passed through the nis to the bronchial lumen for further information. Tse doslіdzhennya hesitating with accelerated forms of pneumonia.


There are symptoms similar to pneumonia. Tse such ailments such as gostry bronchitis, pleurisy, tuberculosis and the correct diagnosis, but also vilikuvati, the disease we all get sick with pneumonia indicates a radiological diagnosis of breast cancer.

In children, radiological symptoms characteristic of pneumonia may develop to the appearance of symptoms of pneumonia (wheezing, weakening of the dysfunction). In children with a lesion of the lower part of the lung, it is possible to differentiate pneumonia with appendicitis (children skip for pain in the abdomen).


Pneumonia on the sign

ineffectively lіkuvannyapneumonia

Hygin, regimen and food for pneumonia

1. It is recommended to stay in bed mode throughout the whole period.
The children of the first months of life will be put in the proper position for more drowning in vomiting masses. Breastfeeding is not allowed. When you zadishtsi slid, the correct position of the child in the sled from the upper part of the tulub is correct.
If the child’s stand is fledgling, it’s more often than not the child’s put in the sled and the brothers in the arms

2. Rational Kharchuvannya: Zbіlshennya with living rіdini 1.5-2.0 liters for doba, bazano warm. You can vikoristovuvati fruit drinks, juices, tea with lemon. Do not live fatty їzhu (pork, gander, pitching), confectionery virobi (cake, tistechka). Licorice undergoes ignition and allergic processes.

3. Cleansing sputum sputum, Shlyakhom vidharkuvannya.
In children, before the rock, the cleansing of spontaneous nobles from the slime and phlegm in the household minds is carried out by their mother (the empty company is cleaned with servetka). At the end of the day, carry out the removal of mucus and sputum from the mouth and nasopharynx.

4. Regularly cleaning and tidying up in the room, When there is a sick person in the room.
When the temperature on the street is more than 20 degrees in the room, it is always possible to see it. If the temperature on the street is higher, the room should be checked at least 4 times a day, so for 20-30 minutes the temperature in the room dropped by 2 degrees.
Take a bribe, just uniqnuti shvidkogo oholodzhennya kimnati kvatirku close with gauze.

What medicines do you get stuck with pneumonia?

The main type of pneumonia treatment is medication. Vono are straightened out to fight the infection.
In hospitals, the period of pneumonia is treated with antibiotics.

Most often antibiotics are used in a wide range of activities. The vibration of the group of antibiotics and the paths introduced (in the middle, internally, internally) is due to the severity of pneumonia.

With a mild form of pneumonia, as a rule, antibiotics should be stored in tablet form and in the form of an internal test. Vikoristovytsya such preparations as: Amoxicilin 1.0-3.0 grams per dose in 3 priyomy (all the way), cefotaxime 1-2 grams through the skin 6 years internally.

Likuvannya pneumonia in easy form mozhliva in home minds, albeit with obovyazkovy control of the lykar.

Important forms of pneumonia are found in the disease in the context of pulmonology. Antibiotics in the hospital are administered either internally or internally.

The triviality of storing antibiotics is guilty of becoming not less than 7 days (for the examination of the doctor)
The multiplicity of the introduction and dosage is so selected individually. Yak butt is induced by the standard scheme of drug storage.

Cefazolin 0.5-1.0 grams internally 3-4 times a day.

Cefepim 0.5-1.0 grams internally 2 times a day.

On the 3-4th day of taking antibiotics (or one hour with an ear of taking antibacterial drugs), an anti-fungal drug is prescribed (fluconazole 150 mg 1 tablet), for the prevention of fungal infections.

Antibiotic is not only pathogenic ( scho wiklika) Flora, ale and natural (zakisnu) flora to organism. That may be the cause of fungal infection, or intestinal dysbacteriosis. This manifestation of intestinal dysbiosis can be manifested by a thin stile, abdominal swelling. I will start using such drugs as bifforms, SUBT when the course of antibiotics is completed.

When antibiotics are consumed, it is also necessary to take vitamins C and group B in drug doses. It is also recognized as a form of sputum preparation.

When the temperature is normalized, physical procedures (UHF) are indicated for polishing the rosters in the heat. After the end of UHF, conduct 10-15 sessions of electrophoresis with kaliy iodide, platyphilin, lidase.

Phytotherapy for pneumonia

Lіkuvannya herbs stagnate in the period. Vikoristovuyut zbori from vidharkuvalnuyu (root of Oman, root of licorice, shavlya, mother-and-machuha, thyme, bagno agaric) and antiapalnoe (Icelandic moss, birch leaves, animal).

The growth of the growth in the small parts, rub and pour 1 tablespoon of the pickle with 1 bottle of sprinkle, simmer 10-20 chilin (boiled lazny), insist for 1 year, use 1 tablespoon 4-5 times a day.

physiotherapy obov'yazkova part of the treatment of ailments with pneumonia. For normalization of the temperature of the fire, it is possible to indicate a short-range temperature, an electric field of UHF. After completing the course of UHF, conduct 10-15 sessions of electrophoresis with calcium iodine and lidase.

Adequate control of pneumonia is possible only under the control of a doctor!

Lykuvalnaya fizkultura for pneumonia


Call me to repair the massage of the breast and gymnastics immediately after normalization of the temperature. Heads of exercise therapy for pneumonia є:

1. Zmіtsnennya zalalny camp of the sick
2. Polyphenia lympho - and blood circulation
3. Repositioning of pleural adhesions
4. Change of heart meat

In a well-positioned bed, 2-3 times a day, they blink to the right with the simplest ruffs of kintzivok. Then turn on the most turn of the tulub and nahili tulub. It’s trivial to take no more than 12-15 minutes.

For children of preschool vikorovuyutsya chastkovo gymnastics according to the educational methodology. Butt, walking in different options... Vikoristovuchi razpovіd "walk on the fox" - misly, bunny, cliche-footed bead. Dikhalny right (boil porridge, woodcutter, bursting ball). Drainage to the right - from the position, standing on all fours and lying on the boat (the little one is angry and good). Correct for breast tissue ointment (mln, kriltsya). End with walking with the steps of trust.

If it’s enough, you’ll be overcrowded, but it’s necessary to carry out the procedure under the control of the doctor. quickening pneumonia.

Abscess (accumulation of pus in the lung), which, before speech, is involved in surgical operation.

Nabryak of legends - like, if you can't live through the entry, you can lead to death.

Sepsis (drinking microbes in the shelter) and the general development of infections throughout the body.

prevention of pneumonia

Finding the prevention of a rational way of living:
  • Correctly eating (fruits, vegetables, juices), strolls on a fresh meal, schob uniknuty stress.
  • At the winter and spring hour of the day, a decrease in immunity can be achieved with a complex of polyvitamins, for example, Vitrum.
  • Vidmova vid kurinnya.
  • Likuvannya chronic ailments, as well as implantation to alcohol.
  • For children, it is important to vyatka passive kurinnya, consultations with an otolaryngologist doctor, as the child is often sick for colds, sickness, often sick of rickets, anemia.
Probably a sprinkle of recommendation with spirited right, for people who are sick with tuberculosis, often with colds. Qiu dyhalnuyu gymnastics is necessary for a skin day. Vona additional help is not only polypsychiti oxygenation (nasichennya klitin kisnem) tissue, ale volodin and weak and overwhelming effect. Especially, if the hour is up, you have the right to think only about well.

Dikhalny right on the technology of yoga for the prevention of ill health

1. By the way, straight. Stretch your arms forward. Gliboky vdih i on the hands to the sides and forward to the front. Put your hands down, energetically see them with your mouth.

2. By the way, straight. Hands forward. Vdih: waving hands on the vitrimts, yak mlyn. Energy vidykh with a mouth.

3. By the way, straight. Grab your shoulders with your fingers. On the vitrims vidhu z'adnati litty on the breasts and widely spread the kilka raziv. The energetic species has a wide open mouth.

4. By the way, straight. Inhale with three energetic step-by-step breaths. On the first third, turn your arms forward, on the other to the sides, on the equal shoulders, on the third up. With the power of vidihnuti, wide open your mouth.

5. By the way straight. Inhale, p_dnyavshis on the cupboards. Zatrimati dihannya, stand on your toes. Povilny vidikh through nis, descending to five.

6. By the way, straight. To breathe on your socks. Vidikhayuchi, sisti. Then get up.



How to manifest pneumonia in children?

Pneumonia in children manifests itself in a different way, in the presence of the area of ​​the ignition process and the infectious agent ( microorganism, wiklikav fired).
Name the development of pneumonia to be found on aphids of acute respiratory infections, such as bronchitis ( inflammation of the mucous membrane of the bronchi), Laryngotracheit ( firing mucous membrane of the larynx and trachea), Angina. With a lot of symptoms of pneumonia, they are superimposed on the picture of primary illness.

In most cases, pneumonia in children is manifested in three major syndromes.

Head pneumonia syndromes in children є:

  • zagalny intoxicating syndrome;
  • syndrome of specific inflammation of the leg tissue;
  • dyshally deficiency syndrome.
Intoxication syndrome
Filling up the legacy fabric on a small area of ​​the risk of severe symptoms of intoxication syndrome. However, if in the process of acquiring a segment of lung segments or whole parts, signs of intoxication will appear on the first plan.
Children of a small age, as they cannot hang their skarga, become choosy or apathetic.

Signs of the intoxication syndrome є:

  • the tila temperature has been adjusted;
  • acceleration pulse ( more than 110 - 120 shots in chilin for children of preschool vik, more than 90 strokes in chilin for children older than 7 years);
  • vtoma;
  • shvidka stomlyuvanism;
  • drowsiness;
  • blіst shkіrnyh curves;
  • decrease in appetite right up to the moment of change;
  • bitter taste;
  • Ridko blues.
When urazhennі small zones of the lungs, the temperature is trimmed in between 37 - 37.5 degrees. If the ignition process is hunting for segments or a part of the lung, the temperature rises rapidly to 38.5 - 39.5 degrees or more. At the same time, it is easy to get rid of fever-lowering drugs and quickly grow to know. Likhomaniac can persistuvati ( take care) 3 - 4 days or more without adequate treatment.

Syndrome of specific inflammation of the skin
best characteristic signs pneumonia in children organic battle lungs, infection and inflammation.

Signs of specific inflammation of the lung tissue in pneumonia є:

  • cough;
  • pain syndrome;
  • auscultatory changes;
  • roentgenological signs;
  • vidhilennya vid norms in the hemoleukogram ( Zagalom blood analysis).
I am especially prone to coughing in case of pneumonia in children who are already present at any time. The nature of the cough is attacked. Be-like try to create a deep breath before you see the attack. The cough is constantly superimposed on phlegm. Children of the preschool age may not have a sputum when they cough, which is why children are often wrapped around. In children at age 7 - 8 years and older, there is a vision of mucous and nasal sputum in the development of cases. The appearance of sputum with pneumonia is vervonuvate or rusty.

Expect pneumonia in children to pass without ailments. More symptoms of pain in the abdomen may occur when the lower segments of the leg are affected.
If the ignition process of the lungs goes to the pleura ( shell of legends), Children screech on pain in the breasts when dyhanna. It was especially helpful to inhale when inhaling deeply and when coughing.

On roentgenograms with pneumonia in children, there are more dark areas of light tissue, which show the affected areas of the lungs. Dilyanki can hunt for segments of segments or whole parts. In the out-of-mouth blood analysis with pneumonia adjustments leukocytes for neutrophils ( leukocytes with granules) І adjustment SHOE ( shvidkostі deposition of erythrocytes).

Dysfunctional deficiency syndrome
As a result of the lesion tissue reduction in pneumonia, the area of ​​the "dyhayuchoi" surface of the legends changes. As a result, children have a syndrome of mental deficiency. Chim mensha ditina, tim shvidshe dichlny lack of development develops in new ones. On the turn of the syndrome, it is also possible to inject other pathologies. So, if the child is weak and often ailments, then the symptoms of mental deficiency will be rapidly growing.

Signs of mental deficiency in pneumonia є:

  • zadishka;
  • tachypnoe ( frequent dikhalnykh rukhiv );
  • difficulty breathing;
  • decay of the nose when dyhanna;
  • cyanosis ( cyanosis) Nasolabial tricot.
In the first days, ailments pneumonia in children is characterized by the appearance of a bad stomach at the same temperature, as well as in low-grade fever ( trivial temperature in the region of 37 - 37.5 degrees). The zadishka can be spared to go to the camp of calmness. Tachypnoe or more often the surface of the disease is a common viscous symptom of pneumonia in children. At the same time, there is more often of spontaneous ruins in the camp of calm up to 40 or more. Dykhalny ruks melt superficial and incompatible. As a result, less acid penetrates into the body, which leads to the destruction of gas exchange in tissues.

With pneumonia in children, it is difficult, irregular behavior. Try a deep breath of supravodzhuyutsya great Zusillas from the lessons of the group of muscular tissue from the breast. For an hour, children can get involved in the supraclavicular or supraclavicular area, as well as in the gaps between the ribs.
For an hour to breathe in, the crumb of the nose is deteriorating. Ditina nibi nagayatsya inhale more podrya, blowing up the nose. Still one vidminna sign, Yakiy to talk about dyhal lack.

Who has the specialty of pneumonia in newborn children?

Pneumonia in newborn babies is characterized by a number of features. In the first place, the symptoms grow rapidly. While the older adults in the clinics can mentally see the stages, the pneumonia of the new children is characterized by more bliskavichnee. Zahvoryuvannya progresuє not in days, but in years, rapidly growing dyshally lack.

Another special feature of pneumonia in newborns is the overhaul of symptoms of foreign intoxication. So, even in grown-ups, pneumonia is more manifested by legacy symptoms ( cough), Then in newborns, the intoxication syndrome ( vidmova vid godvannya, sudomi, blues).

Pneumonia in newborn babies can manifest as follows:

  • vidmova from the year of the breast;
  • parts of haircuts and bloom;
  • zadishka abo to whip the dikhannya;
  • sudomi;
  • loss of evidence.

First of all, I respect the beast, my mother, so tse those, how the child is seen from the їzhі. Vin pkhika, restless, throwing breasts. When the temperature is full, the temperature may not be accelerated, so that the diagnosis of the disease will be accelerated. A slight increase in temperature or a decrease in temperature, as a rule, is spared in premature babies. Visoka and the temperature are typical for children who were born in normal terms.

In newborns, immediately there are signs of dysfunctional deficiencies. At the same time, the child's organism must have a lack of sourness, and the tissues of the body will repair the feeling of sour hunger. To that shkіrni, twist the child to swell a cyanotic vidtinka. The first to mend the blues of the shkirni, bend the guilt. Dikhannya becomes superficial, re-parting and partly. Frequency of dichal excursions reaches 80 - 100 per chilin at a rate of 40 - 60 per chilin. With a lot of children, you can beat it. The rhythm of dikhannya is also digested, and on the lips of children it is not often the case of a pint-slinky. At temperatures lower than half, half of the vapors are judged. So called febrile judgments are determined at a height of temperature and have a clonic or subtle character. The love of children at such a moment is saved. Often she's lost, children with a lot of sleepiness and mlyavi.

Another common cause of pneumonia in newborns is the manifestation of the so-called internal uterine pneumonia. Intrauterine pneumonia is a factor that has developed in a child, if it has been in the womb. The reason for this may be due to the development of infections, as the woman suffered from an hour of vaginosity. Also, intrauterine pneumonia is characteristic of premature babies. Qia pneumonia manifests itself immediately when a child is born and is characterized by low symptoms.

Intrauterine pneumonia in newborn babies can be as follows:

  • the first cry of the child is weak, for the sound of the day;
  • shkіrni pokrivlya nemovlya bluish vіdtіnka;
  • dikhannya noisier, with multiple vologous wheezing;
  • a decrease in all reflexes, the child reacts poorly to followers;
  • ditina do not breastfeed;
  • Mossy swelling of dazzles.
This kind of pneumonia can also develop when the child passes through the family paths, so that the canopy itself is not an hour. The price of aspirations in the deep waters will be observed.

Intrauterine pneumonia in newborns is most often associated with bacterial flora. There may be peptostreptococci, bacterioids, intestinal sticks, and, most often, streptococci of group B. In children, pneumonia develops on aphids of viral infections. So, a lot of it grows viral infection (butt, grip), Till then adhere to bacterium.

Naybilsh often develop pneumonia in children of the first rock of life


For children of the first month of life ( tobto for new people) It is characteristic of the development of pneumonia pneumonia or bronchopneumonia. On the roentgenogram, such pneumonia of the viglyadє in the viglyadi of small vognisches, which can be in the boundaries of one lung or two. One-sided pneumonia is characteristic of full-term children and is usually seen as a good break. Bilateral bronchopneumonia is caused by a malignant interruption and is mainly seen in children of the early age.

For newborn babies, the following forms of pneumonia are characteristic:

  • dibnovial pneumonia- on the roentgenologic marks of the other zones and darkening ( on pivtsi viglyadayut bilim kolorom);
  • segmental pneumonia- one or more segments of the loan in the store of the loan;
  • interstitial pneumonia- the alveoli themselves, and the interstitial tissue on between them, are observed.

Yak temperature can be with pneumonia?

I will look at, scho pneumonia is a condition of firing the legacy fabric, then it is characterized by an increase in temperature. Adjusted temperature (vishche 36.6 degrees) - є manifestation of the syndrome of intoxication. The reason for the high temperature є for the heat-making speech ( pyrogens). Tsi speech is synthesized either by pathogenic bacteria, or by the organism itself.

The nature of the temperature is to lie down as a form of pneumonia, as a stage of reactivity to an organism and, as a matter of fact, as a result of a patient.

Type of pneumonia character of temperature
large pneumonia
  • 39 - 40 degrees, super-feverish, wet warm. Trim 7 - 10 days.
segmental pneumonia
  • 39 degrees, where pneumonia is caused by bacterial flora;
  • 38 degrees, as pneumonia of viral walking.
interstitial pneumonia
  • between norms ( tobto 36.6 degrees) - in patients over 50 years of age, as well as in patients, if pneumonia develops on aphids of systemic ailments;
  • 37.5 - 38 degrees, with a state of interstitial pneumonia in individuals of the middle age;
  • vische 38 degrees - in new-born children.
Airborne pneumonia
  • 37 - 38 degrees, and with the introduction of bacterial flora, food 38.
Pneumonia in HIV-infected people
  • 37 - 37.2 degrees. So the titles of subfebrile can be trimatisia stretching the whole period of ailment, depriving the temperature of a febrile ( more than 37.5 degrees).
Hospital pneumonia
(the one that grows for 48 years after being moved to the stationary)
  • 38 - 39.5 degrees, disgustingly reacting to the reception of heat-reducing zasobiv, three times more pressure.
Pneumonia in people with diabetes.
  • 37 - 37.5 degrees, with important decompensated forms red diabetes;
  • vische 37.5 degrees - with pneumonia, vicious golden staphylococcus and microbial associations.
Intrauterine pneumonia of premature babies
  • less than 36 degrees with a severe deficiency of mass;
  • 36 - 36.6 degrees with pneumocystis pneumonia;
  • in the case of other forms of pneumonia, the temperature is either in between the norms, or lowered.
Early neonatal pneumonia
(that is, as it grows with a stretch of the first ideas of life)
  • 35 - 36 degrees, supervised by drinking food ( zupinki dikhannya).

Temperature є mirror immune system people. Chim is weaker in humans, immunity is more atypical in humans. The nature of the temperature is infused with suppression, as well as with the intake of medications. Boo, so, in case of viral pneumonia of a person, take antibiotics on your own. scraps antibacterial drugs Ineffective in any way, then the temperature will continue for a trivial hour.

Yak against pneumonia, viclikana klebsiella?

Pneumonia, viclikana klebsiella, against more important, lower types of bacterial pneumonia. The symptomatology is similar to the signs of pneumonia, viciklikan pneumococci, however, it is more severe.

Head syndromes, which dominate in cool paintings pneumonia, wiklikanoi klebsiella, є intoxicating syndrome and syndrome of lesions of tissue.

Intoxication syndrome
One of the most important features of klebsiellosis pneumonia is the gostre, the ear of rape for the rakhunok of microbial toxins on the human body.

The main manifestations of intoxication syndrome є:

  • temperature;
  • chills;
  • Significant weakness;
  • pіdvischena pіdlivіst;
  • zamorochennya;
  • head b_l;
  • lighthouse camp;
  • prostration.
At the age of 24, the patient's temperature is 37.5 - 38 degrees. Immediately, there are persistent signs of illness - chills, zagalna vtoma and nezduzhannya. In the world of accumulation of klebsiella toxins in the body, fever growths up to 39 - 39.5 degrees. The zagalny camp is very heavy. There is a disposable bloat and diarrhea. hyperthermia ( temporal temperature) Negatively infused into the brain of the robot. The head beel wanders, the appetite goes down. The children of the children have hallucinations.

Syndrome of damage to tissue and legends
Klebsієli є to make it aggressive in terms of wear to the legacy fabric, viciously destructive ( ruinuvannya) Parenchy legends. There are many reasons for the stretching of Klebsiellosis pneumonia, which is especially difficult.

Symptoms of lesions of tissue in case of pneumonia, viciklikan klebsilami, є:

  • cough;
  • sputum;
  • pain syndrome;
  • zadishka;
  • cyanosis ( cyanosis).
cough
On the cob stages, the pacinti get overwhelmed by a persistent dry cough. After 2 - 3 days, at a high temperature, a productive cough appears. It is important to see through the viscosity of the phlegm, and the cough becomes painful and painful.

sputum
Sputum in case of klebsiellosis pneumonia should be replaced by particles of finely textured legacy tissue; You can make it with currant jelly. There are some streaks of blood in the sputum. The sputum also has a sharp, specific odor, and the meat is burnt. On the 5th - 6th day, a sputum of blood is seen in a great number of ears.

Pain syndrome
Persistently, there are persistent pains in the throat and in the chest area through a cough. In a different way, there is pleural pain. The ignition process of the lungs quickly spreads to the pleural sheets ( shells of legends), Yakі will be a great number of nerve ends. Be-yake razdratuvannya pleurisy wiklikє strong pain in the area of ​​the breasts, especially in the lower sides. Bil will accept when coughing, walking, nahila tuluba.

zadishka
Through the ruining of the legacy fabrics, the areas of the alveoli change, as they take part in the process of change. There is a reason for the bad luck. When the decilkokh part of the legends is worn out, the zadishka begins to twist around in the camp of calm.

cyanosis
There is a dizzying lack of production before the appearance of a cyanotic nasolabial tricycle ( the area that will hunt nis and lips). Especially swirls of snakes on my lips. Іnsha part of exposing the old bolsh bіldoyu sіruvatіm wіdtіnkom. Also, you see the cyanosis of the children from the nigty.

In case of a particularly severe interruption of clebsiellosis pneumonia due to the development of intoxication syndrome, it is not easy to affect the organisms of the system. With an unfortunate treatment in 30 - 35 cases of ailment, it will end with a lethal result.

Who has the particularity of overcoming croupous pneumonia?

Due to the particular severity, the overcoming of large pneumonia and the peculiarities, the development of the form was taken to see how it got sick. In case of croupous pneumonia, the whole part of the lung is affected, and in extreme cases - a part of the lung. Zbudnik є pneumococcus. Pneumococcus develops a special pathogenicity, through pneumonia, viclikan nim, the opposite is important.

The main features of overcoming croupous pneumonia

Main characteristics large pneumonia
debut An ear of sickness is repaired with a chill and a sharp temperature up to 39 degrees. Croupous pneumonia has a very rapid debut for a disease. The steps of the development are turned on.
Main symptoms
  • Cough leading to prickly pain in the chest. Pershi has dry wine for two days.
  • Likhomanka Trivaє 7 - 11 days.
  • Sputum appears on the 3rd day. In the sputum, there are streaks of blood in the presence, "Irzhava sputum" є specific symptom croupous pneumonia).
  • Often, superficial and difficult to work with.
  • Beat in the breast, especially when dyhanna. The development of pain syndrome is accompanied by pleural lesions ( large pneumonia due to the contraction of pleural lesions).
  • As soon as pneumonia occurs in the lower segments of the legends, then it is localized in the lower segments of the black empty space. It is not a good idea to imagine a patient with appendicitis, pancreatitis, chewing colic.
Changes from the side of internal organs
  • Most often the nervous system, liver, heart.
  • The gas storage of blood collapses - hypoxemia and hypoxemia develop.
  • Dystrophic changes of the liver - you get sick, become a sore, and bilirubin appears in the blood. Shkіrni navy and scleri become zhovtyanichny.
  • Non-dystrophic changes of heart meat.
stage of illness The pathological process of croupous pneumonia takes place in several stages:
  • tide stage- Legend's tissue is reminiscent of blood, it means that there is blood in the capillaries. Triva pershі 2 - 3 days.
  • Stage of chervonya cure- the alveoli of the lungs are filled with vipot. From the bloodstream into the legends, erythrocytes, fibrin penetrate, to destroy the tissue of the legends. In fact, qya dilyanka of the lungs ( de buy vipit) Stak non-functional, as it ceases to take part in gas exchange. Trivaє from 4 to 7 days.
  • Stage of gray care- to admit leukocytes to vipot, as they nadayut a lung of syria vidtinok. Trivaє from the 8th to the 14th day.
  • stage of permission- from the lungs to start a vipit. Triva kіlka tizhnіv.
Snakes in the blood, in the heart, in the heart
  • In the blood analysis, leukocytosis 20 x 10 9 is indicated, a decrease in the number of eosinophils and a decrease in neutrophils, the rate of occurrence of erythrocytes ( COE) Move up to 30 - 40 mm for a year or more.
  • Biochemistry analysis of the blood of the evangelist to increase the level of excess nitrogen.
  • Pulse of 120 strokes on a hilin and more, signs of ischemia on the cardiogram, a decrease in the arterial vise.
  • At the sechі bіlok, erythrocytes.
All the changes in the magnification of the high toxicity of pneumococcus and their ruinous infusion on the tissues of the body.

It is necessary to realize that the classic large pneumonia in our days is developing all the way.

Who has a virus pneumonia from bacterial?

Viral pneumonia has a number of features that lead to bacterial pneumonia. However, pneumonia is often viral. bacterial infection... In such cases, the diagnosis is twisted. "Clean" viral pneumonia more than 85 times a day is more likely to be seen in children. In older adults, pneumonia of a small type is most often diagnosed - viral-bacterial.

Viral pneumonia due to bacterial

criterion viral pneumonia bacterial pneumonia
Contagiousness
(contagion)
Є infectious, like і be-like a guest respirator, GRZ). In the epidemiological plan, do not get involved in an infectious disease.
Incubation period short Incubation period- from 2 to 5 dB. Trivial incubation period - from 3 dB to 2 months.
before Pneumonia is established as an accelerated state of the respiratory viral affliction Most often as a result of influenza. Chi is not typical for the front.
prodromal period Trivaє is close to 24 years old. Especially bends.

The main symptoms є :

  • m'yazova bil is turned;
  • aches in the cysts;
Practically uncomfortable.
ear of ailment Yaskravo bends the debut of ailments, with a sharp build-up, the temperature is up to 39 - 39.5 degrees. Zvvychay to obey step by step, because of the temperature, I don’t perevychuє 37.5 - 38 degrees.
Intoxication syndrome Weak turns.

Most common symptoms of zagalny intoxication syndrome є:

  • feverish woman;
  • chills;
  • myazovi and headaches;
  • zagalna vtoma;
  • dyspeptic problems in viglyadі nudoti, blues, diarea.
Bends.

The most common symptoms of intoxication syndrome are:

  • temporal temperature;
  • chills;
  • head beel;
  • Significant weakness;
  • waste of appetite;
  • prvidshene sercebittya ( more than 90 punches in khilina).
Signs of the battle of the legendary fabric Symptoms of an ailment are mildly turning on the cob of ailments. Symptoms zagalny nezduzhannya organism. Legenev's symptomatology has been prevalent since the earliest days of the disease.
cough It is a trivial hour that there is an unproductive cough. On a step-by-step basis, there is a small amount of mucus sputum. The phlegm can be clear-headed, or beaten color, odorless. In some cases, blood streaks appear in the sputum. But the sputum is old, meaning, it is bacterial infection. Dry cough quickly turn into wet. Some people see a small amount of mucous phlegm. Osyag phlegm grows, and there is a lot of mucous-swelling. The amount of sputum can be small - green, or rusty from home blood.
Signs of a dizzy lack At the neglected stages of the ailment, there is a dizzying lack of malnutrition and cyanosis of the lips, nose and nigtiv. The main symptoms of mental deficiency є:
  • zadishka turns, wind in calmness;
  • blueness of the lips, nose and fingers;
  • hastened up the dikhannya - ponad 40 dykhalnaya rukhiv in khiliina.
Pain syndrome It is evident that there are pains in the breast. Bіl will adapt with coughs and severe inhalation. The breasts are turning more views when coughing and a strong inhalation.
auscultatory data
(wiretapping)
With a stretch of ailment, one can hear the sound of ailment with lonely wheezing. You can hear the soundless wheezing of the small size and intensity.
Filling the pleura leaves will be heard at the viglyadi crepitations.
roentgenologic data Sponsor the picture of the interstitial ( mіzhklіtinnoї) Pneumonia.

main characteristics X-ray sign viral pneumonia є:

  • sweating of inter-lobe partitions, which gives a legendary fabric, a kind of bjolin honeycomb;
  • in addition to narrowing and darkening of fabrics near the bronchi;
  • improvement of peribronchial universities;
  • the seat of the Sudin in the area of ​​the roots of the leg.
Not very specific signs of bacterial pneumonia.

The main characteristics of the X-ray sign є:

  • darkened dilyanka easy children rozmіrіv ( vognischevі abo diffuse);
  • the contours of the rosmit;
  • easier darkening of the legacy fabric ( change in lightness);
  • the emergence of the rіvnya rіdini in the pleural emptying.
Zagalny blood analysis A decrease in the number of leukocytes ( bilikh bloody children). In some cases lymphocytosis ( increase in the number of lymphocytes) I / abo monocytosis ( increase in the number of monocytes). Recurrences of leukocytosis and an increase in the rate of growth of erythrocytes ( SHOE).
Reaction to antibiotic therapy Negative reaction to antibiotics. Effective anti-virus therapy in the first days of ailments. positive reaction antibiotics can be seen from the first days on the cob of lіkuvannya.

What about hospital pneumonia?

internal ( synonymic nosocomial or hospital) Pneumonia - a chain of pneumonia, which develops in a stretch of 48 - 72 years ( 2 or 3 dib) Send a hopeful person to the hospital. The whole type of pneumonia of visions in I will shape the shape, Zvazhayuchi on the particularity of development and in the edge of an important interruption.

The term "hospital" means those who suffer from pneumonia bacteria, how to live in the walls of drugs. The bacteria are especially resistant and polyresistant ( resistant immediately to decalcine drugs). Likewise, nosocomial pneumonia in a large number of cases is not affected by a single microbe, but by a microbial association ( decilkoma zbudniki). Smartly see early hospital pneumonia and illness. Early pneumonia develops in the first 5 dB at the moment of hospitalization. Hospital pneumonia develops not earlier than the first day at the moment the patient is taken to the hospital.

With such a rank, the spread of hospital pneumonia, it is accelerated by the polymorphism of bacteria, and by a special style to medical drugs.

Most often diagnosed with hospital pneumonia

Zabudnik name characteristic
Pseudomonas Aeruginosa Є the most aggressive disease of infection, volodya polyresistance.
Enterobacteriaceae It occurs even more often, as well as a quick form of resistance. It is often used in combination with P. aeruginosa.
Acinetobacter As a rule, є dzherelom infection at the same time with other types of bacteria. Volodya is naturally resistant to antibacterial drugs.
S. Maltophilia I am also naturally resistant to antibiotics. At the same time, the type of bacteria is building up resistance to injected drugs.
S. Aureus Mutuvati is good, as a result of which it is gradually becoming a new species of staphylococcus. Different pieces are used at a frequency of 30 to 85 vids.
Aspergillus Fumigatus Viklikak pneumonia of fungal etiology. The growth of fungal pneumonia is determined by the growth of fungal pneumonia in the last ten years.

Nosocomial pneumonia - the cause of infection with a high rizik lethality. Likewise, from a glance at resistance, until the development of a dysfunctional deficiency is often accelerated.

Factors for the development of nosocomial pneumonia є:

  • abduction vіk ( more than 60 rock);
  • kurnnya;
  • in front of infectious diseases, including mental systems;
  • chronically ill ( of particular importance nabuva chronic obstructive ailments legen);
  • non-witty camp with a high risk of aspiracy;
  • Harchuvannya through a probe;
  • trivale horizontal position ( if the patient is in the supine position);
  • connecting the patient to the unit of the unit ventilation of the legends.

Clinically, nosocomial pneumonia is even more important because of its numerical inheritance.

Symptoms of hospital pneumonia є:

  • temperature more than 38.5 degrees;
  • cough with phlegm;
  • gnіyna sputum;
  • often superficially dikhannya;
  • interruptions in dikhanna;
  • changes from the side of the blood - it is possible to increase the number of leukocytes ( over 9x 10 9), So і їх decrease ( less than 4x 10 9);
  • lowering the level of sourness in blood ( oxygenation) Less than 97 vids;
  • on the roentgenogram, there is a new sign of burning.
Also, hospital pneumonia is often accelerated by the development of bacteria ( I will become, with any bacterium and іx, toxins flow into the bloodstream). Tse, in his own heart, pulls a toxic shock. The lethality of this will become even lower than the temple.

What about atypical pneumonia?

Atypical pneumonia is a type of pneumonia, which causes atypical symptoms and manifests itself with atypical symptoms.
As a type of pneumonia, it is most common to suffer from pneumococcus and its strains, then it is atypical pneumonia may be buty viruses, most prostitutes, fungi.

Symptoms of atypical pneumonia є:

  • temporal fever - more than 38 degrees, and with pneumonia, legionella - 40 degrees;
  • overwhelm the symptoms of intoxication, such as pain in the head, m'yazovi boli;
  • erased Legeneva symptomatology - pomirniy, unproductive ( without phlegm) Cough, and if there is sputum, then the amount is insignificant;
  • the manifestation of post-generative symptoms, the power of their origin ( butt, visipu);
  • weakly swirling snakes from the side of the blood - mute leukocytosis, which is characteristic of pneumococcal pneumonia.
  • on the roentgenograms, there is a non-typical picture - there is no swelling in the lights, darkening;
  • daily reaction to sulfanilamide drugs.
A special form of atypical pneumonia is an important respiratory syndrome. Tsey syndrome in the English literature is called SARS ( severe acute respiratory syndrome). Victims of the family of coronary viruses. The Epidemic of Formation of Pneumonia Bula was registered in 2000 - 2003 in the provinces of Pivdenno-Shidnoy Asia. The carriers of the whole virus, yak zyasuvalya zgodom, buli kazhani.

A special feature of the atypical pneumonia system has also been erased by the Legeny symptomatology and reversal of intoxication syndrome. Also in case of pneumonia with coronavirus, there are many changes from the side of internal organs. In addition, penetrating into the organism, the virus expands rapidly into nirkas, legends, furnaces.

Features of atypical viral pneumonia or SARS є:

  • it is not important to have ailments from 25 to 65 years, the middle of children were defined by one type;
  • The incubation period is from 2 to 10 dB;
  • transmission of infectious diseases - drip-droplet and fecal-oral;
  • legene symptoms on the 5th day, and until the end, symptoms of viral intoxication appear - chills, meats, pain, nausea, bloating, and inodi and diarrhea ( Such an overdose of disease can be imitated by intestinal infection);
  • from the side of the blood, a decrease in the number and lymphocytes, and thrombocytes ( Hemorrhagic syndrome);
  • In the biochemical analysis of blood, the growth of liver enzymes is indicated, which shows the liver damage by a virus.
  • quickly develop such an accelerated yak distress syndrome, toxic shock, state of mental deficiency.
On the edge of the temple, mortality in atypical viral pneumonia is explained by post-mutation virus. As soon as you know the drug, it’s like a bi drive in the virus, even more smoothly.

What is the stage of development of pneumonia?

There are three stages of development of pneumonia, through which all ailments pass. The skin stage has its own characteristic symptoms and clinical manifestations.

The stages of development of pneumonia є:

  • stage of the cob;
  • the stage of the raspalu;
  • stage of the show.
At the same stage, there are pathological changes in the legends, in the firing process, on the tissue and in the clitine ryvn.

The stage of the cob firing legends
The ear of the igniting process in the legends is characterized by a sharp, rapid burial of the ailing camp in good health. Rapid changes in organism are explained as hyperergic ( overworldly) I react to the origin of pneumonia and toxin.

The first symptom of becoming ill subfebrile temperature tila ( 37 - 37.5 degrees). In the first 24 years of age, she quickly grows up to temperatures of 38 - 39 degrees and more. Visoka temperature was superfluous with a number of symptoms, inducing intoxication of the organism with the toxins of the bud.

Symptoms of intoxication to the body є:

  • headaches and damages;
  • zagalna vtoma;
  • shvidka stomlyuvanism;
  • quickened sercebitty ( more than 90 - 95 strokes in khvili);
  • a rise in the decline in the number of people who receive it;
  • waste of appetite;
  • showing a blush on the cheeks;
  • cyanosis of the nose and lips;
  • herpetic viscera on the mucous membranes of the lips and nose;
  • p_dvischena p_dvischennost.
In the vicinity of the fallout, to obey as a sign of the outburst of poisoning - nudoti, blues, ridko diarei. Also important symptoms of the ear stage are cough and pain in the chest. The cough is already in the first days of the disease. A mix of dry wine, ale post-wine. Through the continuous development and springs of the breast characteristic pain in the chest area.

Stage of pneumonia
At the stage of growth, there is an increase in symptoms of intrinsic intoxication to the body, as well as signs of inflamed legacy. The temperature was lowered to a high level and was easily supplemented with anti-inflammatory drugs.

Symptoms of inflamed legends at the stage of rozpalu є:

  • swelling pain in the breasts;
  • frequent dikhannya;
  • cough;
  • vidіlennya sputum;
  • zadishka.
bends chest pain the accumulation of inflamed pleural leaves ( shell of legends), I have a large number of nerve receptors. Most of the evidence may be accurate localization. The greatest intensity of painful symptoms is indicated when there are severe symptoms, coughs and when the tulub is sick to the side. The body of the ailing person grows stubbornly and changes the pain of thinking for a breakdown of the decay of the damaged side. Let's remember the removal of half of the breast during the process. Produce strong chest pain until a "merciful" dichanya appears. Dikhannya in a sick person for pneumonia will become superficial and we will accelerate ( more than 25 - 30 dykhalnye rukhiv in khilina). The patient is magnetized to a unique glimpse of zithan.

At the stage, the patient has a persistent cough. Through the post-tearing of the pleural leaves, the cough will become more and more painful. When I fell ill with a cough, I started seeing thick mucous-gnine sputum. A collection of col_r sputum syro-zhovtiy or zhovto-greenery. Progressively in the visions there are streaks of blood and particles of ruined lungs. Tse nada sputum bloody-rusty color. In the period from time to time, the phlegm is seen in a great number.

As a result, the flaring of the dystopian surface of the legends insists on dyshally deficiency, which is characterized by a twisting stupor. In the first two days, the ailments have a bad luck to appear with Russia and the extraordinary physical problems. It’s easy to come up with a visit to the minimum physical age and find peace in the country. In some cases, you can get supravodzhuvatisya zamorochennymi and twisted stompluvanistiu.

Stage to the permission of ailments
At the stage, if ailments are allowed, all the symptoms of the legends are on the decline.
There are signs of extravagant toxicity to the body, and the temperature of the body is normal.
The cough is step-by-step, and the sputum becomes viscous, since it is easy to see. Її Obligation to change. Pain in the chest lids only appear in case of tough collapses. severe cough... Dikhannya step-by-step normalize, ale hesitates to be slow when physically assigned... Visually discourage half of the breast tissue from being removed.

How much faster can you get pneumonia?

Pneumonia can be contradicted with the growth of the legacy and the postgeneous acceleration. Legenevі accelerated - tі, tі, whіkі wіkіwіt legenevі tissue, bronchi and pleura. Pozalegenevі accelerated - the whole accelerated from the side of the internal organs.

Legendary accelerated pneumonia є:

  • development of obstructive syndrome;
pleurisy
Pleurisy is called inflamed pleural leaves, which cover the legends. Pleurisy can be dry and voluminous. With dry pleurisy, fibrin clots are bought up in the pleural empty space, which then glue the pleural leaves together. The main symptom of dry pleurisy is even more intense beating in the chest cavity. Bil is tied to the environment and to appear at the height of the breath. To ease some of the patients' visions of the patient, they get better and not so badly. In case of abnormally abnormal exudative pleurisy, the main symptom is an indolence and a feeling of heaviness in the breasts. The reason for this is the accumulation of an igneous gap in the empty pleura. Tsya ridina is embossed on the lung, compressing it and, in such a rank, changing the area of ​​the dysfunctional surface.

With pleurisy, symptoms of mental deficiency rapidly increase. Shkіrnі pokrivi at a tsomu quickly become cyanotic, prevent interruptions in the robot heart.

empієma
Empіma, albeit gnarial pleurisy, also є dreadful accelerated pneumonia. When the pleural empty space is emptied, it is not ridina that accumulates, but gnіy. Symptoms in case of anemic similar to exudative pleurisy, ale swelling to an intense intensity. I am familiar with the head є temporal temperature ( 39 - 40 degrees) Hectic nature. For a fever of this type, it is characteristic that the temperature increases from 2 to 3 degrees. So, the temperature from 40 degrees can quickly drop to 36.6. Risky pidyomi and drop in temperature superimposed on chills and cold sweat. At empієmi there is also a heart-vascular system. The frequency of the heart is very rapidly moving up to 120 strokes per sinus and more.

abscess legen
With an abscess in the lung, it becomes empty ( for a little empty) In yak_y accumulate gn_yny vm_st. An abscess is a destructive process, and on this occasion, the Legend's tissue is ruined. The symptomatology of the whole stun is characterized by a swiveling intoxication. Until the singing hour, the abscess will be closed. Ale zgodom wіn get through. You can privatize it to the emptying of the bronchus, or to pleural emptying... The first one has a vipad vinnikє clear vision gn_ine vmistu. Gn_y from the empty lung to go through the bronchus called. The patient has a stinking smell, sputum is crimson. At the same hour, the patient’s camp when an abscess breaks out, the temperature drops.
If the abscess breaks through into the empty space of the pleurisy, then the pace of the pleurisy develops.

Development of obstructive syndrome
Symptoms of obstructive syndrome are delays and periodic attacks of breath. It is tied together, so that the Legend tissue on the site of colic pneumonia is introducing its functionality. To develop on the її mіsci available fabric on, Yaka replaces not only the fabric of legends, but th її judgment.

bunch of legends
Nabryak є the most dreadful accelerated pneumonia, lethality in case of any arch of the temporalis. At the same time, water from the sudin penetrates into the interstitial space of the lungs, and then into the alveoli itself. In such a rank, the alveoli, as in the norm, will be memorized, to be memorized with water.

In such a camp, people start to shrink and start to get excited. There is a cough that leads to the appearance of sputum sputum. The pulse grows up to 200 strokes in the hiline, the skin is covered with cold sticky sweat. Such a camp of vimag of reanimation visits.

Posolagenic accelerated pneumonia є:

  • toxic shock;
  • toxic myocarditis;
Pozalegenevі accelerated pneumonia accumulation with a specific type of bacteria. Some pathogenic bacteria may have a pathway ( similarity) Before the liver tissue, they easily penetrate through the hematoencephalic bar and enter the nervous system.

toxic shock
Toxic shock is a factor when a patient is exposed to toxins from bacteria and viruses. tse non-slip mill, Whenever there is a polyorganic deficiency. Polyorganic deficiency means those that are involved in the pathological process from 3 organs and systems. Most often it is heart-sudinna, nirkova, herbal and nervous systems. The main symptoms are a fever, a decrease in the arterial grip and a polymorphic visip on til.

toxic myocarditis
Myocarditis is called the defeat of the heart meat, as a result of which the function of the heart is involved. Most cardiotropic ( vibrate to hearty meat) Mayut viruses. Viral pneumonia is most often accelerated by toxic myocarditis. It also specifically targets the heart tissue of bacteria such as microplasm and chlamydia.
The main symptoms є collapse heart rhythm, Weakness of heart, zadishka.

pericarditis
Pericarditis is called zapalennya serous membrane, yak sprinkles the heart. Pericarditis can develop spontaneously or overwhelm myocarditis. At the same time in the empty pericardium, an ignited ridina accumulates, which is stamped on the heart and squeezed. As a result, the main symptom of pericarditis is developing. If the patient is sick, he suffers from pericarditis, presents scarg for weakness, pain in the area of ​​the heart, dry cough.

meningit
meningit ( inflamed meningeal membranes to the brain) To develop the penetration of pathogenic microorganisms into the central nervous system. Meningitis can also be bacterial, and virulent, in the presence of the same etiology of pneumonia.
The main symptoms of menіngіtu are boredom, bloating, fear of fear and rigidity of mutilation.

hepatitis
Є even more frequent accelerated atypical pneumonia. In case of hepatitis, the liver tissue is affected, as a result of which the liver ceases to function properly. Oskilki pechinka in the body becomes the role of the filter, then when all the products are severe, the exchange does not go to the body, but is lost in the new one. In case of hepatitis і from zruynovannykh clitin of the liver, a large number of bilirubin comes into the roof, which leads to the development of zhovtyanitsa. So also the patient skarzhitsya for nudota, blues, stupid b_l in the right side.

What antibiotics do you want to get into pneumonia?

The vibration of the same drug is found in the form of pneumonia and individual tolerance to the drug.

Preparations that can be used in the treatment of typical pneumonia

pathogenic microorganism Preparations of the first line alternative drug
Staphylococcus aureus
  • oxacilin;
  • clindamycin;
  • cephalosporin I-II generation ( cephalexin, cefuroxime).
Srteptococcus grup A
  • penicilin G;
  • penicilin V.
Str.pneumoniae
  • penicilin G and amoxicilin in the form of penicilin-sensitive pneumococcus;
  • ceftriaxone and levofloxacin in times of penicilin-resistant pneumococcus.
  • macrolidi ( erithromicin, clarithromicin);
  • respiratory fluorochloroni ( levofloxacin, moxifloxacin).
Enterobacteriaceae
  • cephalosporin III generation ( cefotaxime, ceftazidime).
  • carbapenemi ( іmіpenem, meropenem).

Of course, it’s a matter of microorganism becoming the cause of pneumonia, it takes an hour. For a large demand, see the pathogen from pathological material, in this type of phlegm. It all takes an hour, which is often dumb. It’s empirically for him to go to food. Vin Vibiraє antibiotic s nybilsh a wide rangeдії. This is also the culprit in the nature of the disease, and also the signs of an anaerobic infection, it is a sign of beta-lactam antibiotics or carbapenems.

Likewise, having detailed the history of the patient's ailment, it is possible to let go of the nature of the disease. If a patient has not been given a hospitalization, then, shvidshe for everything, it is price nosocomial ( hospital) Pneumonia. If, in the clinical picture, they relate symptoms of intoxication, and pneumonia is more similar to cyr or mumps, then it is better for everything, not atypical pneumonia. As well as the internal uterine pneumonia of a new child, then, perhaps, due to the gram-negative bacillus or golden staphylococcus.

As soon as the diagnosis of pneumonia was established, antibacterial drugs ( as well as bacterial pneumonia).

Drugs that can be used to treat atypical pneumonia

Dzherelo Infections).
Klebsiella pneumoniae
  • cephalosporin II - IV generation ( cefotaxime, ceftazidime, cefepim);
  • respiratory fluorochinoloni.
  • aminoglycosidi ( kanamicin, gentamicin);
  • carbapenemi ( іmіpenem, meropenem).
Legionella
  • macrolide;
  • respiratory fluorochinoloni.
  • doxycycline;
  • rifampicin.
Mycoplasma
  • macrolidi.
  • respiratory fluorochinoloni.
Pseudomonas aeruginosa
  • antipseudomonal cephalosporin ( ceftazidime, cefepim).
  • aminoglycosidi ( amikacin).

Likuvanna pneumonia often suffers from antibiotics. Uninvolved on those who have monotherapy ( lіkuvannya one drug) Є the gold standard, it is often ineffective. Pneumonia is rotten the main factor for the risk of recurrence ( re-sharpening).

It is important to note that I would like antibiotic therapy for basic medications, for pneumonia and other medications. In the general order of antibiotic therapy, antibiotic therapy is carried out in parallel with the signs of antifungal drugs ( for the prevention of candidiasis) That іnhh drugs, with the observation of the main symptoms of pneumonia ( for example, heat-reducing devices for lowering the temperature).

Why is there any kind of pneumonia?

Universal scrapping from pneumonia is not sleepy. Find out what vaccines do, because they are depriving them of microorganisms. For example, with a new vaccine є pneumococcal vaccine. Oskilki pneumococcus is one of the most frequent cases of pneumonia, then the vaccine is associated with pneumococcal pneumonia. Nyvidomishim from them є vaccine Prevenar ( USA), Synflorix ( Belgium) І Pneumo-23 ( France).

Vaccine Prevenar is one of the most satisfactory and paratroopers. The vaccine is prescribed in three doses with an interval of one month. Vvazhaєtsya, how the immunity of the chippings circulates through the month. The Sinflorix vaccine is put under the same graph as Prevenar. Pneumo-23 is the oldest vaccine. It is a one-time bet, and the term is close to 5 years. The absolute minus of this scraps is those that can only be put on the back of the courtier. Seemingly, new children are the most influential category in the plan for the development of pneumonia.

Immediately, it is necessary to mean that the fragmentation of pneumonia does not mean that the child or the grown-ups is not known. As a matter of fact, it is possible to get sick with pneumonia of the first time, for example, staphylococcus. And in another way, the immune system is not formed for all life. The virobniks of vaccines are more likely to get sick again because of the scraps, but the transfer of the sickness is easier.

Krym pneumococcal vaccine is a splinter from a hemophilous stick. Hemophilic bacillus, or an influenza stick, is also a frequent cause of pneumonia. Russia has registered three vaccines - Act-XIB, Hyberix and Pentaxim. The stench is put in one hour with a vaccine for poliomyelitis and hepatitis B.

If there is a lot of scraps from viral pneumonia, then there are trochi folds. Vіdomo, scho virusi zdatnі mutuvati, tobto vidozminyuvatisya. For this purpose, the vaccine against the same virus can be easily handled. It’s just the science of wine to pass one vaccine against a virus or a virus, and the vaccine is becoming ineffective.

How does aspirate pneumonia develop?

Aspiracy pneumonia is a type of pneumonia that develops as a result of the penetration of foreign words in the legacy. Alien speeches can be bloody masses, particles of їzhі and іnshi side room.
In the norm dickheads For the additional help of special mechanisms, you can switch over to third parties in the legend. One of such mechanisms is cough. So, if people in the bronchial tree are eating a foreign object ( butt, slina), Win fixing it. However, there is a situation, since the mechanisms of disagreement, and alien particles still reach the legends, de-sediment and viciously ignite.

Aspiracy pneumonia can develop with advancing camps:

  • alcoholic sp'yaninnya;
  • narcotic sp'yaninnya;
  • vzhivannya deyakykh lіkіv;
  • nesvidomy camp;
  • strong, loose blues;
  • early childish vіk.
Naybilsh is often engaged in alcohol and drug abuse. Alcohol, like drugs, will weaken all reflexes, including those with mechanisms. It is even more common for you to experience blues. When a lot of people are not in control of the process. Bluvotnі masi with ease podpayut in dichalnі way. It is necessary, in particular, to visit a healthy person with a bloating mass with a strong and unremarkable bloating, you can eat in a legacy.

In children, aspiracy pneumonia can develop when particles of їzhі penetrate into the bronchi. It’s just toddler’s, if in the baby’s races it’s repaired to introduce complementary foods. Naybіlshoyu not safe Volodya porridge, for example, Greek. To navit one Greek grain, having eaten in the legend, viklikay mistseve zapalennya.

More than one group of rizik є people who take psychotropic lykarski zasobi, For example, antidepressant or hypnotics ( sodiyny drugs). The preparation will ease all the reactions of the body, including reflexes. People, especially those who take drugs, sleep in a sleepy state. To that the transition to the dykhalny way they will relax, і їzha ( to drink) Easily penetrate into the legends.

Drink in the fabric of the legend, alien body ( blooming masi, uzha) Victims of pneumonia and development of pneumonia.