Atypical pneumonia і її form. atypical pneumonia

Atypova pneumonia - a name for a group Infectious diseases, The creatures of which are ailments microorganisms: microplasm, legionelli, viruses. Perebіg disease is characterized by local lesions of the upper and lower dikhalnyh nobles.

cause sickness

Characteristics of symptoms of atypical pneumonia:

• zagalne nezduzhannya;
• chills, fever;
• the temperature is adjusted;
• m'yazova and head bill;
• cough.

Folding vypadki vyglivaya development of the heart-lung deficiency and lethal result.

For the establishment of an accurate diagnosis, it is necessary to give an epidemiological anamnesis, a doctor's appointment, an x-ray of the legends. The treatment of atypical pneumonia is carried out by the medication method using antimicrobial and antiviral drugs.

Heads of cause for illness:

• mycoplasmosis - infarction of the lower dichally nobles;
• chlamydіynoї іnfіkuvannya, as a result of bacteria of the genus Chlamydia and Chlamydophila;
• іnfіkuvannya legionella, surrounded by the development of microorganisms Legionella;
• information on viruses of groups A and B;
• the tularem's school;
• Hantavirus. Hantavirusna legeneviy syndrome.
• Coronavirus. Gostre vіrusne zhvoryuvannya s urazhnіh upper and lower dichally nobles (for children).

Signs of zbudniks - resistance to beta-lactam antibiotics: penicilin, cephalosporins, carbapenems, monobactam. Infections are transmitted by a drip-drop path. Incubation period of illness: 3-10 days.

see if you get sick

For the progenitor, you are allowed to see the onset of the form of a lung pneumonia:

• mycoplasma;
• fever Q;
• hlamіdіynu;
• Hostry Respiratory Syndrome;

Fix in 20% of cases of sickness in children and 3% in older adults.

Epidemiological midterms are found in places of the greatest purchase and permanent presence of people: work shops, office buildings, children's gardens, schools, etc.

Atypova mycoplasma pneumonia

Respiratory mycoplasmosis is a burning of the upper or lower dichal paths, such as nasopharyngitis, tracheitis, bronchitis and atypical pneumonia. Zagvoryuvannya, not covered with accelerated, protok in light or medium-heavy form. Pislya end incubation period(7-14 days) dry dryness upper dichal nobles, perspiration in the throat, dry cough. The temperature does not rise to 38 ° C. Bilateral pneumonia is diagnosed in 1/3 of the cases.

Folding mycoplasma igniting legends:

• bronchitis;
• bronchialitis;
• pneumosclerosis.

Features of atypical mycoplasmic pneumonia:

• The inconsistency of those looking at the results of X-ray analysis.
• Ineffectiveness of treatment with penicilins and cephalosporins.

The changes of the main dichal noises increase by 3-5 additional sounds and are accompanied by: weakening of the dichotomy and the appearance of wheezing.

It is possible to establish an accurate diagnosis of the disease with the help of two projection radiographs of the lungs and laboratory methods:

• radioimmune analysis;
• IFA, RSK and IN.

In case of elimination of mycoplasma inflamed legends of vikoristovy:

The main course of therapy is three-fold up to 7 days, and later, in the world of weakening of symptoms, an additional course of treatment is started.

Expansion of microorganisms and methods of infection of the skin type of infection, even all the stench of infection with hematogenous enlargements.

Trash is transmitted:

• drip-dichny way;
• we go by way;
• when contacting with infected birds.

Hvor_yut clumsy pneumonia part:

• children and children - 5-20%;
• curts - 60-90% of the zagalny number of infections;

The incubation period of the chlamydial firing of the legends is up to 1 month. The ailment grows in stages:

• A dissection of the nasopharynx with signs of pharyngitis, laryngitis, sinusitis, etc.
• Development of legends fired in 7-30 days.

Indications of trash pneumonia:

• hoarseness of the voice;
• ailments in the nasal sinuses;
• head b_l.

A feisty woman with an active trash infection may last 5-7 days, later, in the world the development of ill health, the temperature will go down.

Uwaga! The main sign of chlamydial atypical legenous inflammation is a dry cough, which is trivial - from decilkokh tizniv to decilkokh misyats.

Decreased illness of chlamydian pneumonia: otitis media, bronchial asthma, encephalitis. Ingestion of antibiotics: tetracyclines and macrolides.

Atypical legionellosis pneumonia becomes 8-10% of the type of inflammation caused by the number of Legenevian burns.

The pathogen of Legionella pneumophila is the bacterium Legionella pneumophila, which is widened by an aerosol path.

Most often, bacteria oppose people of the middle and kidnapped age. The development of ailments will be provoked by the chickens, chronic ailments of nirok, we will drive them to immunity.

The character of the overpowering legionelletic legends is important. Ailments appear to be the onset of symptoms:

• temperature adjustments extending 1-2 dB up to 40 ° С;
• feverish;
• mіgrennyu;
• dry, and then we wet with a cough, inodi, which supervises hemoptysis.

Additional symptoms of atypical pneumonia:

• zadishka;
• b_l at myaz;
• nudota;
• blues;
• diarrhea;
• prvvidshene sercebittya.

In the vicinity of the legions of legionellosis, the burning of the legends of the supervodzhuzh is dysfunctional and nirkova lack, It can be fatal.

Important! When staging a diagnosis of legionella pneumonia, it is necessary to visit for a non-secret hospital of a sick person.

Zahvoryuvannya Likuyut:

• doxycycline;
• rifampicin.

Naybilsh is effective in giving erythromycin and rifampicin, but rather to accelerate the treatment.

In case of literate therapy, it should be infused in 2-3 days.

Forms of atypical pneumonia

Atypes of pneumonia are classified according to the form and lines of repetition.

I see these tips and tricks:

• abo cold pneumonitis.

To fix at home minds, for the first two days after the hospitalization. The excess of ailments is more positive, the fatality rate is 12%.

To develop for the third additional transfer to the stationary. The form is given to increase the rate of failure and high, 40-60%, high mortality.

Aspirate abnormal pneumonitis. We get sick in the place of the oropharynx when we get sick. With aspiration (inhalation) instead of a slurry, chemistry hydrochloric acid.

Also atypical pneumonia classify:

• For zbudnikiv, yak, i in.
• By the severity of the interruption: from the overwhelming form to the easy.
• Behind the type ignition process- two-sided or one-sided.

In addition, the ailment is systematized according to the roztashuvannyu yak vognischeva, chastkov and total.

Diagnostics of atypical pneumonia

To the skin type of atypical pneumonia, there are a number of characteristic symptoms, to be explained by the peculiarities of the ailment plant.

To the out-of-the-box symptoms include:

• adjusted temperature;
• b_l at myaz;
• intoxication to the body;
• head b_l;
• no difficulty in dikhannya.

Vidmіnnі rice of trash pneumonia:

• gostry rinit;
• pharyngitis;
• temporal temperature (up to 40 ° С and viscera);
• dry cough;
• improved lymph nodes;
• zadishka.

Foldable by pulling the chlamydial firing of the legends can lead to the development chronic bronchitis and bronchial asthma.

Symptoms of microplasmic pneumonia are similar to the development of clumsy infections, but not too much:

• temperature up to 38 ° C;
• scho yde attacks cough;
• Inferior weakness.

Naybіlsh important rerun of legionellosis inflamed legends:

• temperature 40 ° C;
• dry cough;
• tediousness of blues;
• diarrhea;
• dyhal lack.

When a diagnosis of legionellosis is established, the legends of ailments will require a non-secret hospital.

Yak to get rid of atypical pneumonia

Scheme of diagnostics of atypical pneumonia:

• look around that patient's experience;
• folding anamnesis (during the course of the illness);
• zagalny blood analysis;
• roentgenography of legends;
• analysis of sputum for the appearance or appearance of atypical microorganisms;
• taking serological blood samples, samples from the nasopharynx.

Diagnosis of atypical pneumonia, inodi, is fraught with the problem of the choice of drugs for treatment, since not all antibiotics are effective against ailing microorganisms.

Requirements for storing antibacterial drugs:

• Protimicrobial - macrolide, tetracycline, cephalosporin groups.
• Protivirnі.

Important in the treatment of atypical pneumonia є additional treatment:

• sour;
• internal tests for the knowledge of toxicity;
• the supply of drugs in the form.

The primary process of the treatment of atypical pneumonia in the reception of chemical medicinal preparations, antimicrobial and anti-inflammatory drugs.

In case of a serious interruption, the sickness is vicious:

• steroid hormones (glucocorticoids);
• potently vidharkuvalny zasobi;
• symptomatic, well know, preparations of shvidkoy diy.

Antibiotics macrolide and tetracycline groups are used for the removal of trash fumes.

For the therapy of legionellosis pneumonia, lasting 10-14 days, vikoristovyt ethiotropic drugs. Even though there are no visible results, go to the reception of fluoroquinolones, drugs with a widespread antimicrobial straightforward.

Prediction and prevention of atopic burning of legends

The prognosis of a patient, in case of atypical burning of the legends, is to be found among the ineffective factors, among which the most important ones are the time-consuming corruption to the doctor, diagnostics and the purpose of procedures. Tse allows in the shortest possible time to localize in the fires. At the same time, it is important to correctly value: the type of originator, the strength of the bacteria before the preparation, the immune system sick. In case of systemic impairment of immunity or pathologies of the organs of the reaction, ailments can become chronized to the ignition process. Samolіkuvannya or delaying medical treatment can help lead to acceleration and end with a lethal result.

Physicians recommend to get over the burning of the legends:

• dotrimuvatisya special hygieni;
• zm_tsnyuvati immune system;
• live prophylactic anti-tartar preparations;
• include vitamin-containing and immunostimulating products in the race.

Iakshko zvoryuvannya nabuva regional epidemiological character, WHO recommends:

• seen from the seen infected territories;
• establish suvoriy control over the establishment of epidemiologically unsafe regions;
• to establish control over transport means for carrying out disinfection.

For the hulks, who are in contact with the virus, it is recommended to wear disposable gauze bandages.

Pneumonia is called the inflamed legends, the cause of which most often of the infection. Tse vzhaka a sickness, a yak without a clock medical aid may end with the death of the people. Zavalosya used, do not wipe the floor seriously ill unhappy. Alle, there are some kind of pneumonia, as you can fool around to see an unsuccessful doctor: the stench is not visible on the X-ray, it is practical not to call and to look for an analysis, do not expect to show the correct reason for the lack of air. The patient likuyut, and the efect is dumb, moreover, yo stun, unaffected by all zusillia likariv. At the tsіy statti іs spared, but also atypical pneumonia, like її development and chim lіkuvati.

Features of diagnostics of pneumonia

The cause of pneumonia can be viruses, bacteria, fungi and most problems. Most "popular" pathogens are streptococci (leader in the list of pneumonia diseases), staphylococcus and enterobacteria, zokrem, Esherichia coli. All the stinks are called "type" pneumonia. Visoka temperature Stuck, wheezing in the legends and cough are the classic symptoms of sickness, which, however, can be manifested in the case of other ailments of the sickly nobles.

And as well as being accurate, it is practically not obligatory due to the symptoms of pneumonia for the whole ailment. For example, it is a characteristic manifestation of a fallout є in the shortening of the so-called percussion sound. Tse means, if the lykar is tapped with the fingers of the chest great people, Blame is guilty of a slightly clear Legenevian sound - voiced, low-frequency and trivial. Protukuvannya incandescent legends give a good result. Ale only in half of the vipadkiv. Those are the very same with specific wheezing and a characteristic weakened dichannia - such symptoms of pneumonia, which may or may not be present.

Perhaps, if blood analysis is a problem? Sorry. Analyzes for pneumonia adjustments leukocytes in the blood. Allegedly, a symptom is characteristic of a deprivation for half of the children who have been given to illnesses, and she didn’t know the details about the nature of the infection - I would like to be on the same level of reason, against the backdrop of a bacteriological problem. Navigate such a display marker bacterial infections, Yak C-reactive block, with typical pneumonia, the most frequent changes, even if not.

X-ray is an obovazkovy method of diagnostics in case of adolescence for pneumonia. On the other hand, I’m getting sick, but not about bronchitis or bronchitis, for example. On the roentgenogram, at the same time, there are intermediate changes in the tissues of the legends.

With the so-called "typical" forms of pneumonia, there is a clear occlusion of the viglyad. You can also see the information - infiltration, which is the result of the purchase of clitin (for example, blood) on the basis of a delicate fabric.

The problem of establishing an infection lawyer

Likuvati pneumonia, demand of the nobility, virus or bacterial. And if it is bacterial, then it is the microbe itself that has become the cause. Tse allow the correct use of antibiotics. In addition, one more method for diagnosing pneumonia is the "gold standard" of detecting diseases of infections - seeing them as a secret, which is violated in the lungs. The alternative method does not give a clear indication of the cause of pneumonia.

The main folding of the field is in the fact that it is rich in microorganisms, that it causes pneumonia, it is mentally pathogenic, so that in the normal stench of being present on the school and in the middle of the people and until the day is not enough. To that, as soon as the analysis of the legendary visions is done, then in the new one can appear rіznі vidi microorganisms, many of which appear when sick, and healthy people. And in the case of mycoplasma infection in the zagala, the appearance of an animal can only be found in 30-60% of cases.

Moreover, there is one problem - coinfection. As a result, in 33-48% of cases of pneumonia, analysis shows the presence of more than one pathogen. And in 33-71% of these types of vyyavlyayutsya associations of streptococci with other microorganisms.

Nutrition of infection - a social attack of young infections on the body of a human - is not a matter of medicine. It is unreasonable that one of the wizards lodged penetration into the fabric of the legends of the "head" pathogen, then some of them have more foldable relations and "bruises" є offense. Surely, with one hypothesis, the actions of "command" from the small microorganisms with the help of the healthy zusillas, cope with the system of mucociliary clairvoyance of the dysfunctional nobles - the process of introducing the mechanisms of mentalization into the minds of the migrants and For example, the trash can block the building of a crash, and the microplasm, which work with them at once, oppose the cells of the flashy food.

Rashta methods, which can be victorious for the diagnosis of pneumonia, may have their own nuances, but do not allow unambiguous diagnosis. To that additional advice, the doctor will invite you to look for signs, results of analyzes and radiography (or fluorography). First of all, before speaking, talk about those who, at adolescence, have such a serious ailment, such as pneumonia, but in any case it is not possible to declare an answer to the doctor and put their own diagnosis independently.

Ale inodі lіkаyutsya with more foldable vipads.

The analogous term “atypical pneumonia” has been actively victorious for the third hour of the episode of 2002-2003, due to the fact that coronavirus has become unavailable before. The correct name for the ailment is SARS (Severe acute respiratory syndrome), or in the Russian version it is “important respiratory syndrome” (VGRS). The SARS virus, after a short hour, wakes up to pneumonia, which is indicated by the method of X-ray and minor symptoms (cough, fever, bad breath, etc.). The peculiarities of the virus of the bully yogo caused the contagion (it is important that for the cym indicator there is a stronger virus of the feverish woman Ebola) and the mortality rate is 20%. Todi, 15 years ago, the Epidemic hunted 30 lands and took away 900 life.

Otzhe, as it was said vishche, navit zvychana, typical pneumonia - not simpler for diagnostics of sickness. Ale іsnu shche bolsh "tsikaviy" її options, more precisely, the whole group of atypical pneumonia - igniter get sick lungs, with any symptoms even more non-viral dispensing, and some and sometimes they may be on the day.

Atypical overload of pneumonia can be promoted in case of infection with such microorganisms, such as: influenza virus and parainfluenza virus, Epstein-Barr virus, respiratory syncytial virus and navitis such, in singing eczema, Ale the main troubles of the group are ailments є okremi vidi mycoplasma (Mycoplasma pneumoniae), chlamydophila (Chlamydophila pneumoniae) and legionel (Legionella spp.). The stench is created at a frequency of 15% of the middle number of malignant infectious pneumonia.

In addition, the reaction to the organisms of the people, whether they are infectious, will begin at the lowest level. congenial ailments, Stan of the immune system and in. It is not possible to prevent atypical pneumonia in case of infection with "classic" zapudniks inflamed legends.

In general, it is necessary to agree on the fact that the very understanding of “atypical pneumonia” is shvidshe, a tribute to history, less of an active reality. For the first time, the term was introduced into the medical encyclopedia of 1903, and the expansion of the term was taken into account in the publication in 1938 by the statistic of an American therapist G. Reiman, who described різні form uninvited interruption of pneumonia. Infection for the description of diseases of atypical pneumonia is consumed but there is a large number of pathogenic microorganisms. In addition, in the medical alcohol industry, it is accepted to be called atypical pneumonia, micoplasmas, chlamydophilia and legionella.

Features of the diagnosis of atypical pneumonia

Well, can a car be killed - why not - with atypical pneumonia? The indicator of C-reactive bіlka can be reached to a low level, in between the norms. So, the number of leukocytes itself, during the blood analysis, does not often fail. The temperature is often too normal.

In case of atypical pneumonia of the disease, all of this problem is associated with the problem of infection, as they have already discussed the problem. Stagnation of such specific methods, such as bacterioscopy of a gram smear, may also not give results.

І navіt x-ray appears marnim in the given vypad. Zychaynoi, typical pneumonia most often oppose the Legenev parenchyma, which folds up from the alveoli, bronchioles, sudin, other tissues, which permeate the entire structure, and the sudin, how to live with blood. And the pathogens of atypical pneumonia may not match the characteristic quantities visible on the x-ray. As a result, the diagnostic method appears to be unreliable.

Diagnosis of the diagnosis. It is prescribed that the therapy does not bring cories, that is, leaks, such as ailments, do not start. Tobto, the prodigal prodovzhu actively multiplies and feuds the clergy and organi, pogirsheuchi the patient's camp.

With atypical pneumonia, it is often the case that when people are sick, it’s not just one day, but the country doesn’t shrink, it’s unimportant to take a drink. At the same time, he has a cough, a dull fever, he cannot show anything on X-ray, blood analyzes and bacteriological analyzes do not give any clear indications, and there is no need to take a long time if there is a particular problem.

For a lot of people, a person should be sent to a routine for the help of one of the most modern methods of diagnostics - computer tomography(CT). Oskіlki tse road obsozhennya, lіkar signifies yogo tіlki in extreme fall. Then, and the result, and let it be possible to unambiguously allow the development of a visnovka about the manifestation (or visibility) of atypical pneumonia.

Likuvannya atypical pneumonia

Yak bulo it is said vishche, fired up legends - tse zhvoryuvannya, as it is necessary to lіkuvati ethiologically. Tse means that the car is guilty of z'yasuvati, which is the cause of the infectious process, and the vicoristovuvati drugs that can suck you. The whole fact is caused by pneumonia from more colds. If the tactics are suitable if they are stuck until the legends are burnt, then high risik take in the sick. The most common cause of pneumonia is in the doctor's observational involvement - not about self-indulgence, folk methods, Homeopathy and lykarsky herbs cannot be found.

Atypical pneumonia is important for diagnostics; I, it’s not less important, it’s important, and it’s not easy to bring up to the sum of the inheritance without liking. It is easy to see, as there are different variants of atypical pneumonia, because it is not only "three" atypical diseases (trash, microplasm and legionelli), but also viruses and fungi.

Tsei vipadoks are applied to the edge of the disease, as well as mycotic lesions - the proportion of individuals with severe immunodeficiency. The stench develops in people with HIV infection (pneumocystis pneumonia), after postponed exchange or chemotherapy to drive cancer, in ailments who take high doses of corticosteroids, cytostatics in guards cuckold diabet, rheumatoid arthritis, Systemic chervonia vovchak and ін.). Such ailments, as a rule, are often overwhelmed by continuous control of the disease, as well as looking at the serious weakening of the immune system, at once allowing for the young fungal genesis of pneumonia and quickly living in. The main ones in the list of such pneumonia are antimycotic drugs (Fluconazole, Amphotericin B, Caspofungin and I.) and the first stage of sulfanilamide drugs (Biseptol).

With virulent and bacterial pneumonia, everything is more complicated, and even the stench can develop in absolutely no man, to find a friend of a healthy person.

Likuvannya virus atypical pneumonia

If pneumonia has developed as an accelerated flu, then the main aspect in the treatment of antihyperose infections, before those occurring in diseases (Relenza) and oseltamivir (Tamiflu). Remantadine is officially on the list of drugs against the flu, however, for the treatment of pneumonia, the drug does not become stagnant, since the effect of this drug is not confirmed by the admissions. All of them, like the virobniks, are positioned, like the counterparts, do not conceal overconflicting proofs of effectiveness. Vishchevkazanі lіki slіd zastosovuvati in times, like pneumonia, vіklіnі vіklіkana vіlnuyu virus influenza. Also, the ignition process has developed through the adenovirus, parainfluenza virus, PC-virus infection and in., Such therapy will be marnoy.

Uninvolved on those who, with influenza, are infectious, they become infected with viruses; ta in.). As a result, the character will be fired up, so that it will not only be viral, but ale and bacterium. That is why there are more pulmonologists who need to take antibiotics. Name the drug wide range children who are active as a potential young animal (antibiotics of the penicilin series, cephalosporin of the 2nd and 3rd generation, macrolide, respiratory fluorocholine).

Besides ethiotropic treatment, to infuse into the cause of inflammation, actively stagnate symptomatic diseases - fever, cough, low doses of drugs for lowering the viscosity of blood, infusion detoxification

As it is said, there are three microorganisms before atypical abnormalities: Legionella, Respiratory microplasm and Chlamidophila. In the rest of the rock, the stench is taken to occupy its niche in the middle for any reason pneumonia. Mycoplasma and chlamidophila become inclined to enmity young people, as they lead an active way of life and trivially perebuyuyut in extreme groups (schools, gurtozhitki, school, etc.). For such a variant of pneumonia, there is a characteristic trivial period of zagalny nezduzhannya (throat throat, asmorrhea) and a lingering dry cough, which does not become sick after 10-14 days.

Often, the superficial changes in the development of the disease are manifested - more in the blood, nonspecific changes in the blood analysis (a decrease in the number of platelets, erythrocytes). X-ray changes can be in the back of the day, so this kind of country is not interpreted very easily, as it is more commonplace chills... It is also characteristic of those with pneumonia, with respiratory mycoplasmas and chlamydophilia, during the day if there is a positive dynamics on the basis of standard antibiotics for acute pneumonia

Well, I know it is correct in the case of a likewise kind of fired legends є the sign of antibacterial diseases, which are used to infuse the same kind of zbudniks into the Danish species. Vibor drugs in a wide range of є macrolide (clarithromicin, azithromicin, josamicin and in.). An alternative option can be called respiratory fluorocholoni (lefovloxacin, moxifloxacin). In addition to antibiotics, it is difficult to diagnose symptomatic and additional methods of treatment.

Pneumonia, viclikana legionelli, most often develops when a sick order is overwhelmed with air conditioners and technical attachments, as there is a ventilation in the morning. Likewise, the zest can be transmitted with specks of water, which can fall into the soul. Most often, the infected legionella is found in hotels, sanatoriums, booths for people who have been kidnapped. The overload of such pneumonia leads to a strong character, a quick build-up of intoxication and mental deficiency. Likuvanni also has a role to play in providing macrolides and respiratory fluoro-chinolones. An alternative is cephalosporin of the 3rd generation, however, it is most common for antibacterial infections.

Pneumonia, and especially atypical - even more serious and not uncomfortably ill... Lіkuvannya yogo guilt zdіysnuvati viklyuchno fakhіvtsі. Samolіkuvannya and zasosuvannya people's efforts may be fraught with important traces.

Atypes of pneumonia - a whole group of infectious and igneous diseases of the legends, which are affected by atypical illnesses and may be uncharacteristic cool picture.

The term "atypical pneumonia" was introduced into medical practice in the early 30s of the 20th century. Win vikoristovuvsya for the name of interstitial pneumonia, the reason for the development of non-coccal bacteria.

In 2002-2003, the epidemic of atypical pneumonia and the coronavirus fell asleep. During an hour of sleeping sickness, 8437 individuals were infected, 813 of them died, so that the mortality rate became 10%. The symptoms of ill-gotten bully were recorded more than 30 countries in the world, and most of them in China, Hong Kong and Vietnam. Pulmonologists have called this type of atypical pneumonia "an important respiratory syndrome" (VGRS), or "a syndrome of a hostile respiratory illness" (SARS).

The cutaneous form of atypical pneumonia has its own peculiarity in the fallowness of the animal

Causes and factors of rizik

The causes of atypical pneumonia can be found in the number of infectious agents:

• junk;
• mycoplasma;
• virus Epstein - Barr;
• viruses to influenza A and B;
• respiratory virus to parainfluenza;
• respiratory syncytial viruses;
• coronavirus;
• hantavirus;
• coxiellum;
• legionella;
• buds of tularemia, leptospirosis.

They may be able to identify the microbiological characteristics, and their infection processes are also developed according to the epidemiology and the pathomorphological picture. However, in all microorganisms, the rate of temporal resistance to beta-lactam antibiotics (penicilin, cephalosporin, carbapenem and monobactam) is increased.

Infection with atypical pneumonia is caused by a dribble-drip path with close contact with a person's ailment. Young people often suffer.

Prevention of atypical pneumonia in a healthy way of life, allowing the body to grow in an active state.

formy get sick

It is common to see the onset of atypical pneumonia in the form of an atypical pneumonia:

• the syndrome of a hostile respiratory illness;
• trash pneumonia;
• mycoplasma pneumonia;
• ailment of legionaries;
• ku-lihomanka.

stages of becoming ill

For atypical pneumonia, yak, vіm, for a large number of infectious diseases, the characteristic stage of interruption is:

1. Incubation period. To repair at the moment of infection and triv until the first signs of ailment appear. In the middle of the day 7-10 days.
2. The prodromal period, or the period of the peredv_snik_v. Trivaє 1-3 days. There are nonspecific symptoms of sickness, characteristic of a large number of respiratory infections (headache and malignant blisters, perspiration in the throat, slightly unintentional, dry cough).
3. The period of the fall. appear characteristic signs Infectious-ignition process in the legends.
4. The period of convalescence. The activity of the firing process in the legends of the verse, the camp step by step turn to the norm.

symptoms

The main symptoms of atypical pneumonia in the stage of rozpalu:

• temperature adjustment up to 40-41 ° C;
• intensive headache;
• zagalny weakness is rotated;
• cough;
• zadishka;
• ryasne nichne potovidilennya;
• I have a pain in the breast tissue.

Tse zagalny symptoms, characteristic practical for all atypical pneumonia. Ale is so like the smell of wicked microbial agents, the dermal form becomes ill with its own particularity.

Atypova trash pneumonia

An ear of trash pneumonia is trivial to the respiratory system viral infection with symptoms of rhinitis and pharyngitis. However, after 2-3 days, the ailments will shrink. There are skargi on pain in the meat, aches in the cysts and slopes, dry cough, sluggishness, temperature increase up to 38-39 ° C. Chlamydian pneumonia is trivial to overcome and allergic allergization to the body.

Atypova mycoplasma pneumonia

For microplasmic pneumonia, it is characteristic that there is a break in the erased clinical picture. The first symptoms of sickness, such as chlamy pneumonia, are similar to the signs of GDVI (severe and persistent throat, dry cough, weakness). For 2-3 times, the temperature rises to 37-38 ° C.

The development of microplasmic pneumonia is important, with the development of intoxication syndrome, high fever, Zbіlshennyam shine lіmphatic universities.

The term "atypical pneumonia" was introduced into medical practice in the early 30s of the 20th century. Win vikoristovuvsya for the name of interstitial pneumonia, the reason for the development of non-coccal bacteria.

Due to the peculiarity of mycoplasma form of atypical pneumonia, it is a trivial hour to have an unproductive, attack-like cough in ailments.

ailments of legionaries

Її zbudnik - scho sackє in air conditioning and water supply systems is a gram-negative aerobic bacterium.

Legionnaire pneumonia is hostile to people who have been kidnapped and are characterized by severe interruption, with pimples of intoxication, and a strong unproductive cough. The infectious-ignition process is not only for the tissue of the legends, but for the bronchial tubes.

Gastry Respiratory Disorder Syndrome

Naybilsh is an important form of atypical pneumonia, which leads to high lethality. To fix the symptoms of influenza infection (headache, increased fever, weakness, bruising). Through a few days before them, tachycardia, dry cough, bad breath will come.

The given development of the clinical picture is due to the immune status of the sick person's body. With a good immune response, the patient oozes. There is also immunity of weakening, a catastrophic decline, respiratory distress syndrome develops. On the smallest growing hostile mental deficiencies, a possible lethal result.

"Important Gostry Respiratory Syndrome" (VGRS), or "Gostry Respiratory Disorder Syndrome" (SARS) is also a type of atypical pneumonia.

Peculiarities of prevention among children

Atypes of pneumonia in children do not often go against a rotten temperature reaction. However, it is not intrusive for normal subfebrile temperature, Zagalny camp shvidko і go down a lot. are:

• drowsiness;
• blasphemy and apathy;
• a decrease in the amount of appetite;
• zadishka;
• pіdvischena pіdlivіst;
• blues;
• diarrhea.

Mycoplasma pneumonia in children often leads to enlargement of the spleen and liver, the appearance of polymorphic vispus on the skin folds.

Children with atypical pneumonia lie on the boat on the side of the affected legacy, oskilka such a camp changes in breast cancer... It is not often that they have a breakdown of the gibini and the frequency dikhalnykh rukhiv, There are periodic short-term apnea (zupinki dikhannya).

In newborn children, atypical pneumonia will quickly accelerate with the development of emfizemia legends. In the whole group of vikoviyuvannya contraction in the region, it is important and disgusting to go to therapy.

diagnostics

Pneumonia can be diagnosed on the display of a clinical picture of a sick person. X-ray of the legends in two projections is shown for confirmation of the diagnosis, which allows the appearance of the igniting head. For detecting an illicit student, conduct bacteriological, immunological and microbiological education.

Deliver a foldable diagnosis of atypical pneumonia viral pacing. The price is tied together, since in this hour there are no test systems for widespread storage in clinical practice.

lykuvannya

The treatment of atypical pneumonia includes etiotropic and symptomatic direct. Ethiotropic therapy is aimed at the deprivation of the disease. I will use antibiotics, and until you respect the sensitivity of pathogenic microflorias to them, the course should not be less than 10-14 days. Moreover, antibiotic therapy is justified in case of viral atypical pneumonia - with the help of prophylaxis (aka elimination) of secondary bacterial infections. However, etiotropic administration in this form will be used for anti-tartar preparations.

Symptomatic therapy is based on symptoms of sickness, for which fever-lowering and anti-pyretic drugs, mucolytics, etc. become stagnant.

With a significant degradation of the zagalny camp, an increase in the mental deficiency of a sick person, translate at the notice of reanimation, de connect to the device piece ventilation lungs.

With a good immune response, the patient oozes. Also, immunity of weakening, the spread of atypical pneumonia is catastrophic to go down, and respiratory distress syndrome develops. On the smallest growing hostile mental deficiencies, a possible lethal result.

Possible acceleration and inheritance

The reduction of atypical pneumonia can be divided into two large groups: legenev and posalegenev. We will make it easier to apply:

• abscess of legacy;
• pleurisy;
• pace of pleurisy;
• gangrene of the lung;
• There is a great lack of character.

Pozalegenevі accelerated:

• myocarditis;
• infectious toxic shock;
• encephalitis;
• meningit;
• gostry psychosis;
• saline deficiency anemia.

forecast

The prognosis of a likelihood in case of a strong immune status of a patient and an ever-increasing liking.

In newborn children, atypical pneumonia will quickly accelerate with the development of emfizemia legends. In the whole group of vikoviyuvannya contraction in the region, it is important and disgusting to go to therapy.

The result of atypical pneumonia can be:

• ovuzhnya outside;
• fatal result;
• transition to chronic form s statements of pneumosclerosis.

prophylaxis

Prevention of atypical pneumonia in a healthy way of life, allowing the body to grow in an active state. It is also recommended to follow these rules:

• during the season vyrusnyh zhvoryuvan utrimuvatisya vіdvіduvannya mіsts with the great purchases of people;
• in case of contact with the ailment, wear a mask, regularly wrinkle the hands and blot them with disinfecting ridges;
• commonplace, in which there are ailments, often provid, regularly carry out in a new vologue tidying up with obovazkovy vikorstannya disinfigurative problems. Objects with a glance, dishes for the protection of the kip'yatinnyam in the retail grub soda stretching 15-20 chilines.

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For directions from polyclinics in therapeutics (2006) on Friday, young cholovik B., 32 rocks. On the hands of a digital fluorogram. Visnovok by sign: vignischeva pneumonia S5.

Skargi with appropriate: with a temperature of up to 38 degrees, chills, weakness, decreased appetite, cough with mucous phlegm, undead, and pain in the throat is mute.

History of ailment: ear of zhvoryuvannya gostry. At a temperature of up to 38 degrees, there was a productive cough due to light mucus sputum, weakness, robustness, headache. Brave Fervex. The effect is insignificant in the viglyadі, the lowering of the temperature for the maliy term. On the third day, there was no more polіpshennya, going after the place of living. Send the digital FLG to the sign of the change - in the darkening of the S5. Updates at the stationary likuvannya.

Znachaє, scho in the homeland recently perehvorіv child.

Life history: earlier postponed sickness- ГРВІ, appendectomy in 10 years. No smoking. Allergies do not mean. There are no chronic diseases.

Three home-made creatures - recently they gave a papuga, there were no other ones.

Inspection: normosthenic folding, shkіrnі pokrivі physiologіchnі, vologі. Visipan is not visible on the shkіrі. Peripheral l / v without changes, mucous oropharyngeal mucus without visipan, vision from the nasal passages is mute. Temperature - 38.3.

Percussion of the lungs without vidhilen. Auscultatory: zhorstke dichannya on all surfaces of the legends. With auscultation of the heart: heart tone is clear, heart rate is 90, the rhythm is correct. BH 18, heart rate on exchange arteries 90, AT 120/90 mm Hg. Art.

Lives when palpation is soft. Pechinka, spleenka in the norm. Physiological guidance without particularities.

Secondary diagnosis: pozalikarnyana vognischeva S5 pneumonia, medium heavy overrun, DN 1.

1. Rozgornutiy klinichny blood analysis.
2. Zagalny analysis of the sech.
3. Biochemical analysis of blood: AST, ALT, bilirubin direct and indirect, creatine plasma of blood, sechovine, glucose plasma plasma, backbone block, lipid profile.
4. Seeding sputum for microflora and sensitivity to antibiotics.
5. Sputum on the office.

1. Gagalny mode.
2. Diet number 15, ryasne pittya.
3. "Ceftriaxon" 1.0 / m 2 times a day for 12 years.
4. "ACC" 2 tab. 2 times a day, drink at the water and take the letter.
5. Polіvіtamіni.
6. UHF No. 5 for normalization of temperature.
7. Dikhal gymnastics.

On the other hand, the temperature was up to 38.3 ° C, without looking around with a chargium. Shortening will not mean anything.

With an urahuvannya anamnesis, having been overwhelmed with a disease, during the day, it was decided to conduct pneumonia as atypical. An antibiotic change was carried out ("Sumamed" for the scheme of 500 mg intravenous drip at 400.0 fizrozchina 1 time per dose).

In the dynamism, the meaning of the patient's self-esteem, the lowering of the temperature to normal numbers, was indicated. After completing the course of antibiotic therapy and X-ray control for eleventh addictions.

On the roentgenogram, there is a clear positive dynamics in S5.

After 6 days from the hopeful of the cholovik in the whole of the hospitalized his squad with vognischev fired up legendsі similar symptoms. Antibiotic therapy Bula rospochat "Azithromicin".

1. Appearance in the clinic on the coming day.
2. Obstezhennya papuga on the subject of infectious diseases.

Polіvіtamіni in a course up to 1 month.

Atypova pneumonia with to the first It is diagnosed to end up rіdko, as by the outward symptomatics of becoming ill, wicked by uncharacteristic pupils, not being seen from the wicked incantation of legends. Already in a dozen hours, if the therapy is recognized not to give a clean result, the vicious additional diagnostic methods, and only to that the truth becomes obvious. That, when legends are fired up, it is so important for the nobility about those who, for the symptoms of ailments, are guilty of brutal respect and about them, the doctor, that atypical pneumonia can be recognized cob stage.

General characteristics of an affliction

Zagalny term - atypical pneumonia - common infectious-ignition disease of the risky step gravity, wickedness by such zealots, such as chlamydia, legionelli, mycoplasma and viruses. Overcoming such a fiery process is characterized by headache and headache, chills, feverishness, thirst, bad breath and cough.

Diagnostics of the disease is carried out behind the aid of immunological, X-ray and microbiological dosage. As soon as there is a liking, then in the presence of the ethiology of the disease there can be signs of anti-microbial or anti-virus medications. The main difficulty, with which fahivtsi stykayutsya in the whole process, є those who, until the current day, for children with illnesses, do not know any other ways.

Of course, it’s not safe microorganisms, which are the reason for the development of atypical pneumonia. Falsely in the form of a microbe-amber, they develop viral, mycoplasma, chlamydian and legionellosis pneumonia. The risk group is made up of people younger than 40 years old, ale most often diagnoses an ailment in children and children.

The excess of atypical pneumonia can be cleverly distributed in two main stages. Persha for the symptomatology of nagad I'll get cold, Friend - to speed up the manifestations of burning legends.

The main symptoms of atypical pneumonia

Visnachiti signs of pneumonia, atypical abnormalities, to finish smoothly. The typical picture of ailing is characterized by temperature fluctuations to critical indicators (38-40 ° C), weakness and inconsistencies. Also, when a sick person is ill, they can be tormented by hoarseness, cough, sickness, headache - in a word, the symptomatology is stuck in cold or GDVI. Additional signs of pneumonia in the main in different stages b_l in the field of legends and accelerated heart rate.

Symptoms of ailments in grown-ups

Atypical pneumonia in older adults is much more important than in small ailments. In addition, diagnostics of ailments in patients over 16 years of age is more common, so that you show even more similar symptoms to the symptoms of early ignition processes of dyshally gentlemen. And if you are very old, you don’t expect to get sick with such symptoms and get rid of yourself, then ailments start more often at different stages. Until the end of an hour, there was a chance of being left-sided (or right-sided), pneumonia can be widened to hurt the lungs.

For the nature of the manifestations, there are 3 main forms of ailment. For the first one is characterized by burhliviy і gostry ear, yak supravodzhutsya critically high temperature indicators, toxicosis, and in some cases, the sick person may show symptoms of a teasing of the central nervous system. After 3-4 days of a hot person, there are catarrhal signs, such as a violent cough (often unproductive) and perspiration in the throat. Already at the tsy stage of the development of ailments on the X-ray sign, it is good to see the ignition process. On the training areas of the legacy fabric, snakes can be seen at the viglyade of the light net.

Another form of affliction is characterized by the manifestation of gostrich catarrhal signs of the very cob of development of ailment. It hurts to screech on a sickly burning mucous throat and in the back of an uncleaned temperature at a temperature that is at least as high as adjustable (37.2 - 37.7 ° C). Some signs of pneumonia at the cob stage may appear in follicular abnormal catarrhal angina and tracheobronchitis.

The clinical picture of a severe form of ailment is characterized by overhanging of the heart-vascular deficiency. A few people have a bad luck, but at the same time, the rhythm of the dichannya will not be disturbed. The whole process is taken step by step and can take a few days. As soon as you do not get the correct diagnosis at all times, there are glibs of breath on the surface of the surface, but the fabric of the legends, in your own heart, will be challenged. At the stage of the ailment, the character of the croupous ignition process is adopted.

Suffering often atypical pneumonia is manifested by a disorder of robots shlunkovo-intestinal tract with severe symptoms of toxicosis.

Symptoms of illness in children

At the sight of grown-ups, children show a sickly mother's character. So, most often a cob of ailment is attracted by an increase in temperature up to 38 ° C, and in the whole country it is not even more effective. Even more often in the whole period there may be signs of intoxication in vigor, weakness and decreased appetite. If you have a cough, then you have to fix it for a little while, and before that, the mucus of the pharynx and throat are inflamed. To that, children can often diagnose pharyngitis or angina and only if there is an additional condition to develop pneumonia.

one more characteristic symptom atypical inflammation є accelerated superficial reaction. In addition, a child with pneumonia in the area of ​​the affected leg is drawn into the space between the ribs. Pomititi such a manifestation of ailment may not be just a lykar, but a daddy. Brutalize respect for those who do not fall for the little one with the lungs, so as to bring discomfort to him, and in some cases he will be supressed great views... Pogirshit the camp of a sick person at greater stages of development of pathology, may diarrhea, bloating and bleeding from the nose.

Viklikan with atypical diseases of pneumonia in newborns is the reason for the development of emphysemia legends, so it is so important to recognize the ailment and most effectively treat it.

In general, ailment is not only recognized in the camp of the child's health, but in her behavior - the ailment is becoming humble, dashing, begging and crying. And show specific symptoms of a lot in which to lie in the form and type of the ailment.

Mycoplasma pneumonia: symptoms, diagnosis and treatment

Mycoplasma pneumonia of the lungs is characterized by the highest degree of sickness with a high level of development in the most severe groups in the history of the epidemic. For the primary symptomatology of the ailment, the GDVI is inferior. The sick person has a temperature of tila, bad b_l in m'yazah and slopes, undead, with a lot of wine, it’s hard to break and chills. Particularly ailments are sluggishness and brute in the breasts, and in some cases - nasal visip, nasal bleeding and blood in sputum. Mycoplasma atypical pneumonia in neonatal women can only manifest itself with temperature or slowness.

Diagnosis of ailments behind the aid of laboratory analyzes and instrumental methods doslіdzhennya. On the X-ray sign of the sick, there are middle and weakly intense dylyanki and infiltrating fabrics of legends at the vigilants of the beaches and the younger ones, as well as the strengthening of the bronchial and the judiciary baby. The appearance of the sputum is visualized during the analysis of phlegm, as well as after a smear from the nose and throat of a sick person.

Even after the results of the advanced diagnostics, mycoplasma atypical pneumonia is diagnosed, and it is necessary to get out of the urinary trauma of the patient's form of illness and individual peculiarities of the patient - in the case of allergic schlichnosti. One-day therapy, including symptomatic and specific drugs, can bring the sick person to the point of being sick. Outside the drink infusion after 7-12 days.

Legionella pneumonia

Most often, pneumonia is diagnosed in grown-ups, since it is a disease of an illicit є system and an attachment of air conditioning to meals. Most often, ailments are found at official workers and spirits of grocery stores in hot weather. Zbudnik є bacteria Legionella, the yak was first found in 1976 rotsi.

As a rule, the symptoms of legionella atypical pneumonia manifest themselves even more rapidly and rapidly at the cob stage. The temperature of the sick person moves to 39-40 ° C, there is an unproductive cough and chills. And even after 20-25 years, the symptomatology will be supplemented with backwardness and mucus-mucus sputum, and in some cases with hemoptysis. Crumbs from small to atypical legenevym manifestations come to blues, diarrhea and hospitality m'yazovi boli... As soon as in such a sick person there is no specific therapy, there may be a nirkova and dyshal deficiency. The risk of a lethal result with such ailments is even higher, so with the appearance of the first symptoms, it will not go to the doctor.

Diagnostics and treatment of "ailments of legionaries"

Already from the next day, the ailments of the lymphadenopathy during the asphyxiation of the dysfunctional nobles may result in the presence of light rales in the lungs. Re-establish a key picture of the disease, as in the case of a typical burned-out legends, additional help from a roentgenogram. On cich signs of goodness, it is good to stitch in the sign of the battle of the legacy fabric, with a tendency to evil and pleurisy. For the appearance of the type of an ailment, a sick person needs to provide a sputum of pleural vipot, or taken during bronchoscopy.

With the correct recognition of lykuvannya, legionella pneumonia in grown-ups admits to p'yatu-shostu dobu. Ale polypshennya is not characteristic for all symptoms of ailments. So, for example, it is normal to get into the continuation of a fever in a sick person for more than 10-14 days after the ear is received. On renewal of diseases of the lungs, it is a month, even with an important form of ailment, not all middle zones and turn into the first camp, which often provokes the development of pneumosclerosis.

Outside of the treatment of illnesses - the process is not only trivial, but laborious, so as a person who is sick, in addition to therapy, will need to undergo a course of updating the immune system.

Chlamidiynoi fueled legends

At the cob stage, such atypical pneumonia symptoms appear to be too slow, correct diagnosis... Yak in case of GDVI, the ailment will be lost on nezuszhannya, throat throat and hardened action through the undead and mucus bulge. In addition, the temperature may rise up to 39 ° C, and after a couple of days a bad and unproductive cough will come. Atypical pneumonia in children is accelerated by lymphadenopathy, obstructive bronchitis and bronchial asthma.

Establishment of diagnoses to be aware of the help of a complex treatment of a sick person. With auscultation in the legends for 10 days, dry and vologic wheezing is audible, which is characteristic of the zychay ignition process. On the x-ray sign, you can see interstitial or small-focal infiltration on the right and left lung. The most informative method for diagnosing a given illness is to use an analysis to detect immunoglobulins to abnormalities, and to this type of disease - to trash.

Therapy is primed on specific antibiotics for 10-14 days. A longer short course of treatment can be the cause of chronic illness and recurrence.

SARS, or viral pneumonia

Filling up the legends, wiklican for the coronavirus, getting into the best of the best and folding view getting sick. It is a masa for tsiy, but the main ones are those who have been vidomiy only since 2002 and until now I will not have vivchions.

For the first time, the disease was registered in China, it was the cause of the epidemic, and it took more than 800 lives. The SARS attacks were close to 8 thousand individuals, and even a third of them, due to pneumonia, increased the health status and could not. Russia has only one vidadok, and the sick song of the trivial stationary likuvannya went into the distance.

Such pneumonia of the lungs is characterized by nonspecific symptoms of viral intoxication. Headaches / muscle pains, as well as chills, fever and fever, manifest themselves for 3-5 days. When they feel bad, they have a dry cough and progressive hypoxia. In the case of a sympathetic result with stretching, symptoms of regressionє. And in case of a severe interruption of the ailment, the sick person needs a hospitalization, so that the risk of development of distress syndrome, hostile dysfunctional deficiency and toxic shock is necessary.

As for diagnostics, then on the current day there is no specific method for detecting SARS. With auscultation, it means weakening of the sound, dullness of the percussion sound, crepitus, as well as wheezing. The serpents of the legendary fabric can be seen on X-ray signs at the sight of fabrics, most often on the periphery of the legends. The results of an analysis of the blood of a sick person indicate a decrease in the indicators of platelets and leukocytes on the same increased values ​​of liver enzymes.

So, as the zabudnik viyavili zvsim recently, specific tributes about those like lіkuvati pneumonia, as long as dumb. And because of the urgency of the fact that the virus is susceptible to post-mutation, the shock of a universal drug will accelerate to development.

Recommended lykarska therapy primed on antimicrobial drugs for a wide range of anti-tier and anti-tine preparations, such as "Ribavirin". For the development of the development of a specific therapy, it is often used corticosteroids, as well as symptomatic ones. It’s just like that in the minds of the stationary, so as we are sick, we can be aware of the acid therapy, SHVL, infusion therapy.

Medication for the treatment of atypical pneumonia

Left-sided or right-handed pneumonia, viclikana trash, regressing when taking tetracycline and macrolide. Regardless of the fact that any drug of an ethiotropic drug has any signs, the course cannot be less than 10-14 days. As soon as seven days after taking a drink "Azithromicin", "Tetracycline" or "Erythromicin" positive dynamics are not spared.

As a rule, clinical polyphenia with legionella pneumonia is promoted by 5-6 additional intake of antibiotics "Rifampicin", "Ciprofloxacin" or "Erythromicin".

If such causes of pneumonia, such as coronavirus, have been established, the therapy regimen includes a complex of antibacterial drugs from the tetracycline group, fluorohinolones, cephalosporins and ß-lactams. It is practical to use the drug "Ribavirin" as an anti-tart. For the repeated use of the treatment in an individual order, additional infusion therapy and oxygen therapy are carried out.