Kubva mumatsutso, pediatric outpatient mycoplasma pneumonia yakakwira chiitiko, vana vazhinji vave vachirwara kwenguva yakareba, vabereki vanonetsekana, havazivi kubata nazvo.Dambudziko rekupokana nemishonga pakurapa mycoplasma raitawo kuti fungu rezvirwere rive iro rinotariswa.Ngatitarisei nezve mycoplasma pneumonia.
1. Chii chinokonzeramycoplasma pneumonia?Inotapuriranwa here?Nei?
Mycoplasma pneumonia chirwere chemapapu chinokonzerwa nehutachiona hwe mycoplasma pneumoniae.Mycoplasma ndiyo diki diki diki inogona kurarama yakazvimiririra pakati pevhairasi uye mabhakitiriya, uye yakakosha pathogen yekufema turakiti kutapukira muvana, asi kutaura zvazviri, haisi ichangobva kubuda pathogenic microorganism, gore negore, gore rose, 3 kusvika ku5 yega yega. makore anogona kunge ari denda diki, uye huwandu hwechiitiko huchakwira 3 kusvika ku5 zvakapetwa pane zvakajairika mumwaka wedenda.Gore rino, chiitiko chepasi rose chechirwere che mycoplasma chiri kuwedzera, uye chine maitiro ezera rechidiki, uye zviri nyore kubuda mukireshi uye zvikoro, saka vana ndivo mapoka makuru ekudzivirira mycoplasma pneumonia.Mycoplasma pneumonia chirwere chinotapukira chinozvimisa uye chinotapukirawo, chinotapurirwa kuburikidza nekubatana kwepedyo nemuromo nemhino kana kuburikidza nemadonhwe emhepo kubva mumuromo nemumhino.Chirwere chinowanzoitika mushure memavhiki maviri kusvika matatu.Mushure mechirwere,vanhu vashoma vanopfeka masiki, kugadzira mamiriro akanaka ekupararira kwe mycoplasma.
2. Ndiani anobatwa nechirwere che mycoplasma pneumonia?Ndeupi mwaka wakanyanya kuitika kwe mycoplasma pneumonia?Ndezvipi zviratidzo?
Vanhu vari pakati pemakore mana kusvika makumi maviri vanogona kubatwa nemabayo anonzi mycoplasma, asi gotwe mwana ane mwedzi mumwe chete.Nhamba yezviitiko inotanga kuwedzera muzhizha uye inokwira mukupera kwematsutso kana munguva yechando.Vana vane mycoplasma pneumoniae pneumonia utachiona mumazera akasiyana maitiro haana kufanana, zvakanyanyazviratidzo zvinowanzoitika fivha, chikosoro.Nemhaka yokuti zviratidzo zvemapapu evana vepakutanga hazvisi pachena, kazhinji hazvitarisirwi, uye vabereki vanogona kushandisa mishonga inorwisa mabhakitiriya zvichienderana neruzivo kuti vakonzere mishonga isingashande, yakadai semishonga yepenicillin, amoxicillin, amoxicillin clavulanate potassium, piperacillin, nezvimwewo, nokuti penicillin. haina mushonga wekurapa pane mycoplasma, zviri nyore kunonoka chirwere.Zviratidzo zvekutanga zvevana vadiki chikosoro uye sputum, zvichiperekedzwa nekufema, kufema mumapapu, uye tembiricha yemuviri kazhinji iri pakati pe38.1 ne39 ° C, iyo iri pakati nepakati fivha.Rusvingo rwebronchial rwevana haruna kusimba, kudzvanywa kwekufema kunoita kuti lumen ive diki, iyo secretion haisi nyore kuburitsa, uye zviri nyore kuoneka atelectasis uye emphysema, kana yakabatanidzwa nehutachiona hwehutachiona, uye inogona kutungamirira kune empyema.Muvana vakura, chiratidzo chekutanga chikosoro chinoperekedzwa nefivha kana mazuva maviri kusvika matatu gare gare, kunyanya chikosoro kana chikosoro chinoramba chichishungurudza.Nhamba shoma yevana vane chirwere chinokurumidza kukura, matambudziko ekufema uye zvimwe zviratidzo zvakakosha, inofanira kubhadharwa zvakanyanya.Uye chikamu chechina chevana vane rashes, meningitis, myocarditis uye mamwe maratidziro ekunze.
3. Anofungidzirwa kuti mycoplasma pneumonia kuenda kuchipatara ripi department?
Vana vari pasi pemakore gumi nemana kuti vaone vana, vanopfuura makore gumi nemana vanogona kuenda kudhipatimendi rekufema kuongororwa uye kurapwa, zviratidzo zvakakomba zvinogona kunyoreswa mudhipatimendi rekukurumidzira.Mushure mekubvunza chiremba uye kuongororwa, angangoda kuenda kudhipatimendi remifananidzo uye murabhoritari yekiriniki kuti aite ongororo dzebetsero.Enda kurabhoritari kunoongorora serum mycoplasma antibody (IgM antibody), maitiro eropa, hypersensitive C-reactive protein (hs-CRP).Serum antibodies kune mycoplasma, kana yakakura kudarika 1: 64, kana 4-kuwedzerwa kuwedzera kwetiti panguva yekudzorera, inogona kushandiswa sechiratidzo chekuongorora;Migumisiro yeropa inotarisa pahuwandu hwemasero machena eropa (WBC), kazhinji kazhinji, inogona kuwedzerwa zvishoma, uye kunyange mamwe achange akaderera zvishoma, izvi zvakasiyana nehutachiona hwehutachiona, hutachiona hwehutachiona hwehutachiona hwehutachiona hunowedzera kuwedzera;CRP ichakwidziridzwa mu mycoplasma pneumonia, uye kana yakakura kudarika 40mg/L, inogonawo kushandiswa kuona refractory mycoplasma pneumonia.Mimwe miedzo inogonawo kutarisa myocardial enzymes, chiropa uye kushanda kweitsvo, kana kuona zvakananga mycoplasma pneumoniae antigen mumienzaniso yekufema kwekutanga uye nekukurumidza kuongororwa.Zvinoenderana nezvinodiwa, electrocardiogram, electroencephalogram, chest X-ray, chest CT, urinary system color ultrasound uye dzimwe bvunzo dzakakosha dzinogona kuitwa.
4. Kurapa mycoplasma pneumonia muvana
Mushure mekuonekwa kwe mycoplasma pneumonia, zvakakosha kutevera mazano echiremba ekurapa kwemishonga inorwisa-infective, sarudzo yekutanga ndeye macrolides, iyo inonyanya kuzivikanwa erythromycin zvinodhaka, izvo zvinogona kudzora kugadzirwa kweprotein mycoplasma uye kudzivisa kuitika kwe kuzvimba.Parizvino, azithromycin inowanzoshandiswa mumakiriniki ekudzidzira, iyo inogona kunyatsopinda panzvimbo yekuzvimba, kudzivisa kukanganisa kwe erythromycin, uye inoshanda uye yakachengeteka kudarika erythromycin.Chenjerera kuti usatora mishonga inorwisa mabhakitiriya mumvura inopisa;Usatora nemukaka, enzyme yemukaka uye mamwe mabhakitiriya anoshanda magadzirirwo;Usanwa jisi mukati maawa maviri ekutora mishonga inorwisa mabhakitiriya, idya michero, nokuti jisi yemichero ine michero yeasidhi, inokurumidza kupera kwemishonga inorwisa mabhakitiriya, inokanganisa kushanda;Zvakare dzivirira vhiniga nezvinodhaka uye chikafu chine doro, senge Huoxiang Zhengqi mvura, waini yemupunga, nezvimwe.
Kurapa kwechiratidzo sekuderedza kupisa kwefivha, kunyaradza kukosora uye kuderedzwa kwephlegm kunogona kupihwa kusati kwanyatsozivikanwa chirwere.Kana mycoplasma antibody iri positive, azithromycin inofanira kupihwa pachiyero che10mg pakirogiramu yehuremu hwemuviri kuitira kudzivirira kutapukira.Muzviitiko zvakakomba, intravenous infusion yeazithromycin inodiwa.Inogonawo kurapwa nemishonga yechinyakare yeChinese, asi nekuda kwekukuvadza kukuru kumapapu e mycoplasma pneumonia, zviitiko zvakakomba zvinogona kusanganiswa ne pleural effusion, atelectasis, necrotic pneumonia, nezvimwewo. Parizvino, mushonga wekuMadokero unokurudzirwa semushonga mukuru. .
Mushure mekurapa, vana vane mycoplasma pneumoniae havachave nefivha uye chikosoro, uye zviratidzo zvekufema zvinopera zvachose kwemazuva anopfuura matatu, hazvikurudzirwi kuramba uchitora mishonga inorwisa mabhakitiriya kuti urege kudzivisa.
5. Chii chinodiwa kudya kwevana vane mycoplasma pneumonia?
Munguva ye mycoplasma pneumonia, varwere vane simba guru rekushandisa, kudya mukoti kunokosha zvikuru.Scientific uye zvine musoro kudya kunobatsira zvikuru kupora kwechirwere, kunofanira kusimbisa chikafu, chine macalorie akawandisa, akapfuma muvhitamini, zviri nyore kugaya chikafu chemvura uye semi-mvura chikafu, anogona kudya zvakanaka miriwo mitsva, michero, kudya kweprotein yakawanda uye kubatsira kuwedzera kusadzivirirwa kwechikafu.Kune vana vane mycoplasma pneumonia, vabereki vanofanira kusimudza musoro wemwana pavanenge vachidyisa kudzivirira kuvhuvhuta uye kuvhara.Kana mwana ane mycoplasma pneumonia ane kudya kwakashata kana asingakwanisi kudya, parenteral nutrition supplementation inogona kurongerwa nachiremba.
Tinofanira kubhadhara zvakanyanya kudya kwevana vane mycoplasma pneumonia, teerera kune kudya, uye usadya zvokudya zvisingagoni kudyiwa, kuitira kuti zvirege kuwedzera kukura kwechirwere.Vana vanorwara kazhinji havana chido, vabereki vanowanzoparadza marudzi ose ekugutsikana, asi zvimwe zvokudya zvinodiwa kudzivisa.
6. Nzira yekudzivirira sei hutano hwekufema hwevana uye kudzivirira mycoplasma pneumonia?
(1) Kuwedzera immune system:
Vana vane hutachiwana hushoma vanobatwa ne mycoplasma pneumonia, saka zvinonyanya kukosha kuvandudza kudzivirirwa kwemuviri.Simbisa maekisesaizi, idya miriwo uye michero, wedzera mapuroteni emhando yepamusoro, inzira dzese dzekuvandudza hutachiona hwavo;Panguva imwecheteyo kuti vadzivise kuderera kwekudzivirira kwavo pachavo, kuchinja kwemwaka kana kuchinja kwemamiriro ekunze pavanenge vachibuda kunze, kuwedzera zvipfeko munguva yekudzivirira kutonhora uye kutonhora;
(2) Teerera kudya kune hutano:
Kuti uchengetedze tsika dzakanaka dzekudya, idya mimwe miriwo mitsva uye michero uye zvimwe zvekudya zvine hutano, usadya zvinonhuwira, zvakakora, zvekudya zvakasvibirira uye zvinotonhora, kudya kwakaringana, chikafu chenguva dzose.Iwe unogona kudya zvakawanda zvemapapu zvinovaka muviri, zvakadai seSydney uye white radish, kuderedza chikosoro expectoration;
(3) Chengetedza mararamiro akanaka uye tsika dzokudzidza:
Kushanda uye kuzorora nguva dzose, musanganiswa webasa uye kuzorora, zorora mhepo, simbisa kurara kwakakwana.Matsutso nechando mamiriro okunze akaoma, guruva riri mumhepo rakakwirira, uye mucosa yemhino yevanhu iri nyore kukuvadzwa.Inwa mvura yakawanda kuti uchengetedze mucosa yemhino yakanyorova, iyo inogona kunyatso kurwisa kupinda kwehutachiona, uye kubatsira kubuda kwehupfu mumuviri uye kuchenesa nharaunda yemukati;
(4) Kusimbisa muviri kwakakodzera:
Kuita maekisesaizi kunobatsira kuchengetedza hurongwa hwekufema hune hutano, hunowedzera metabolism, uye hunowedzera kurwisa zvirwere.Maekisesaizi eAerobic akadai sekufamba nekukurumidza, kumhanya, kusvetuka tambo, aerobics, kutamba basketball, kushambira, uye martial arts zvinogona kusimudzira kushanda kwemapapu, kuvandudza kugona kweokisijeni, uye kuwedzera simba remetabolism yekufema system.Mushure mekurovedza muviri, teerera kuomesa ziya munguva kuti ugare uchidziya;Maekisesaizi ekunze akakodzera, asi kwete maekisesaizi akasimba.
(5) Dziviriro yakanaka:
Tichifunga kuti mycoplasma inonyanya kuparadzirwa kuburikidza nemadonhwe, kana kune varwere vane fivha uye kukosora, disinfection uye kuparadzaniswa kunofanira kutorwa nenguva.Edza kusaenda kunzvimbo dzine vanhu vakawanda;Kana pasina mamiriro ezvinhu anokosha, edza kupfeka mask kuti uderedze mukana wehutachiona;
(6) Chenjerera kuhutsanana hwemunhu:
Utsanana hwakanaka uye hutsanana kwezvakatipoteredza, geza maoko nguva nenguva, geza nguva nenguva, chinja hembe nguva nenguva, uye pukuta hembe nguva nenguva.Geza maoko ako nemvura inoyerera nesipo pakarepo wapedza kushandisa chimbuzi usati wadya, wabuda kunze, wapedza kukosora, kuhotsira, uye wapedza kuchenesa mhino dzako kuderedza kupararira kwebhakitiriya neutachiona.Usabate kumeso kwakadai semuromo, mhino nemeso nemaoko ane tsvina kuderedza mukana wekutapukirwa.Paunenge uchikosora kana kuhotsira munzvimbo dzine vanhu vakawanda, shandisa hengechepfu kana kuti bepa kuvhara muromo nemhino kuderedza kupfapfaidza;Usapfira chero kupi zvako kudzivirira utachiona kubva pakusvibisa mhepo uye kutapurira vamwe;
(7) Chengetedza kunaka kwemhepo yemukati:
Ngwarira kufefetera mukamuri kuti uderedze kupinda kwepathogen.Autumn yakaoma uye ine guruva, uye akasiyana pathogenic microorganisms uye allergenic anogona kusungirirwa kune guruva particles uye kupinda mumhepo kuburikidza nekufema.Inofanira kazhinji kuvhura magonhi uye Windows, kufefetedza, imwe neimwe yekufefetera nguva yemaminetsi gumi nemashanu kusvika makumi matatu, chengetedza kutenderera kwemhepo.Iwe unogona nguva dzose kushandisa vhiniga fumigation, ultraviolet chiedza uye mamwe emukati mhepo disinfection, ultraviolet disinfection inofanira kuva sezvinobvira kusarudza muimba yemukati disinfection, kana mumwe munhu ari muimba, teerera kudzivirira maziso.Zvinosvibisa mumhepo zvakadai seguruva, utsi uye makemikari zvinogona kukonzera kukanganisa kumhepo yekufema, usagara munzvimbo yakasvibiswa kwenguva yakareba.Matanho akadai sekugara achichenesa mamiriro epamba, kuchengetedza mhepo, kushandisa mhepo yekuchenesa kana zvirimwa zvemukati zvinogona kuderedza zvinhu zvinokuvadza mumhepo yemukati;
(8) Ramba kure nekuputa fodya:
Kusvuta kunokanganisa kushanda kwemapapu uye kunowedzera njodzi yechirwere chekufema.Kudzivirira vana kubva pakuputa fodya kunogona kuvandudza zvakanyanya hutano hwavo hwekufema.
(9) Baccination:
Influenza vaccine, pneumonia vaccine uye mamwe majekiseni anofanirwa kubaiwa zvinoenderana nemamiriro avo ekudzivirira hutachiona hwekufema kusvika pamwero mukuru.
Muchidimbu, kuvandudza kusadzivirirwa kwako ndiyo kiyi.Kune mycoplasma pneumonia, tinofanira kubhadhara zvizere pairi uye hatifaniri kunyanya kutya.Kunyange zvazvo yakakurumbira, kukuvadza kune zvishoma, vazhinji vanogona kuzvirapa, uye kune kurapa kwakachengeteka uye kunoshanda.
Nguva yekutumira: Zvita-03-2023