Pneumonia oo sambabada ku jira dhaladka - caabuqa infakshanka unugyada sanbabada - waa mid ka mid ah cudurrada ugu badan ee faafa. Waxay khatar u tahay ilmo kasta, gaar ahaan marka ay timaaddo oof-wareenka labadaba ee dhalaanka cusub. Nasiib darro, tirakoobka maanta waa sidan soo socota: oof-wareenka dhalaanka cusub waxaa lagu ogaadaa 1% mudada dheer iyo 10-15% ilmaha dhicis ah.
Noocyada iyo sababaha oof-wareenka ee dhaladka cusub
Daawada, noocyada soo socda ee oofwareenka ayaa lagu kala duwanaa iyadoo ku xiran sababta cudurkan:
- Kalkaalisada ku dhalata naafaynta (keenaha wakiilka keenaya cunuga isaga oo u sii maraya mandheerta hooyada);
- uur-qaadida intrauterine, waxaa sababa qufac udgoon ee uurjiifka ka yimid dheecaanka amniotic;
- gudaheed, wuxuu dhacaa marka ilmuhu ka gudbo xuubka dhasha hooyada, oo leh jeermisyo;
- Pnömoni postnatal, kaas oo cudurku ka dhaco dhalashada ka dib isbitaalka dhalmada, ee waaxda qaybta dhalashada neonatal (nosokomial), ama guriga.
Sababaha ugu badan ee keena oof-wareenka ee dhalaanka cusub waa:
- infakshanada toxoplasmosis, listeriosis, rubella, herpes (leh cudurka pneumonia ee ku dhaca dhalmada ku dhaca dhaladka cusub);
- stptococci ee kooxaha B iyo O, gestal mycoplasmas, tuberculous iyo ulophagic rods (oo leh pneumonia oo kuur leh iyo ilmo dhalasho);
- streptococcus group B, cytomegalovirus, chlamydia, fungi ee calyada cagaarshowga iyo nooca herpesvirus II (oo leh pneumonia);
- Klebsiella, Pseudomonas aeruginosa, mindhicirka mindhicirka, proteas, staphylococci (oo leh naaso nosocomed pneumonia ee dhaladka);
- bakteeriyada-bakteeriyada, viral-bakteeriyada.
Nooca 'pneumonia' ee guriga lagu qaato ayaa badanaa ka dhacda asalka astaamaha fayraska neefsashada ee neefsashada ee keena adenoviruses.
Pneumonia secondary, taas oo muujinaysa ama dhib ka yimaada sepsis, ciladda aspirin, ayaa badanaa keena dhaladka cusub ee ay keento streptococci, staphylococci ama gram-negative flora.
Calaamadaha cudurka sanbabada ee dhalaanka cusub
Calaamadaha oof-wareenka dhalaanka ku jira haddii ay dhacdo in dhakhaatiirta infakshanka infalawansada ay helayaan xitaa ka hor inta aan la saarin, sababta oo ah inta badan calaamadaha ugu horreeya ee oof-wareenku waxay bilaabaan inay isla markiiba soo muuqdaan dhalashada ilmaha.
Haddii hooyada iyo ilmuhu guriga ka baxaan, bilaha ugu horreeya waa inay la socdaan dhakhtar si ay u ilaaliyaan. Wuxuu u eegi doonaa xaaladda ilmaha, wuxuuna u baahan yahay inuu ka hadlo dhammaan calaamadaha khatarta leh, tusaale ahaan, ku saabsan suuxdinta ilmaha, isbedelka joogtada ah iyo saxarada dareeraha ah, diidmada naaska, daal badan markaad nuugto.
Haddii ilmuhu qabo qandho, ha sugin dhakhtarka kale inuu yimaado. Si dhakhso ah u wac ambulance. Qufaca ilmaha yar wuxuu noqon karaa mid khafiif ah, laakiin waa muhiim inaad si degdeg ah u fiirsato qufaca. Sidoo kale, ka digtoonow muuqaalka dheecaanka ee sanka ee ilmaha iyo neefta gaaban. Neefsashada gaaban waxay keenaysaa calaamadaha buluugga cagaha, wejiga iyo gacmaha. Ilmaha jirran wuxuu leeyahay muuqaal dhakhso ah oo firiiricir ah.
Si aad uga cabsatid inaad u gudbiso oof-wareenka ilmaha maahan muhiim, dhab ahaantii calaamadaha cudurka ama cudurku marar dhif ah ayuu soo baxaa iyadoo aan kor u kicin heerkulka. Oo waxaa loo baahan yahay in si gooni ah loo cabbiro si looga hortago ujeeddooyinka.
Dhakhtarka, oo si joogta ah u baara oo dhagaysta ilmaha, si sahlan ayaa loo ogaan karaa oof-wareenka.
Daaweyn noocee ah ayaa loogu talagalay oof-wareenka dhalaanka cusub?
Antibiyootikada waxqabadka ballaaran ee ficilka waxaa mar walba loo isticmaalaa daaweynta oof-wareenka. Ilmuhu wuxuu u baahan yahay taxadar taxadar leh si looga fogaado in ka badan kulul iyo kulayl badan. Waxaa muhiim ah in la ilaaliyo nadaafadda maqaarkiisa, badiyaa bedesho booskiisa jirkiisa, quudiyo gaar ahaan geeska ama isticmaalida shey. Codsashada naaska ilmo jirran, takhaatiirta waxaa loo oggol yahay oo kaliya haddii ay ku jirto xaalad qancis ah, oo leh, la waayitaan la'aanta suuxdinta iyo fashfashinta neefta.
Marka laga soo tago daawooyinkaas, fiisiyoteriga (mikrodereerka iyo electrophoresis), fiitamiinada C, B1, B2, B3, B6, B15, isticmaalka immunoglobulins, mustard iyo kulul kulul laba goor maalintii, gudbinta dhiigga plazma.
Cawaaqibka oof-wareenka ee dhalaanka cusub
Carruurta qabay cudurka sanbabada (gaar ahaan pneumonia oo labadaba dhasha) waxay u nugul yihiin cudurrada soo noqnoqda. Ka dib markii loo baahdo waa in la sameeyaa koorasyo daaweyn ah oo fitamiino ah, siinaya bioregulators (laga soo saaro aloe iyo eleutterococcus) 3-4 bilood. Iyo 1 sano gudahood ilmuhu wuxuu kormeer kiliin doonaa.