Qhov Tseem Ceeb Qhov txawv - Pneumonia vs Taug Kev Pneumonia
Pneumonia yog ib yam kab mob tshwm sim los ntawm kev cuam tshuam ntawm lub ntsws parenchyma los ntawm tus kab mob ua rau tus neeg sawv cev (feem ntau yog cov kab mob), evoking exudative solidification ntawm (sib sau ua ke) ntawm pulmonary ntaub so ntswg. Taug kev mob ntsws yog ib hom mob ntsws me me uas tsis tas yuav mus pw hauv tsev kho mob, thiab tus neeg mob tuaj yeem nqa nws txoj haujlwm txhua hnub yam tsis muaj kev cuam tshuam. Yog li, qhov sib txawv tseem ceeb ntawm kev mob ntsws thiab taug kev mob ntsws yog lawv qhov hnyav; taug kev mob ntsws yog ib hom mob ntsws me me thiab muaj cov tsos mob thiab cov tsos mob tsawg dua.
Pneumonia yog dab tsi?
Pneumonia yog ib yam kab mob tshwm sim los ntawm kev cuam tshuam ntawm lub ntsws parenchyma los ntawm tus kab mob ua rau tus neeg sawv cev (feem ntau yog cov kab mob), evoking exudative solidification ntawm (sib sau ua ke) ntawm cov ntaub so ntswg pulmonary.
Kev cais ntawm Pneumonia
Kev faib tawm ntawm mob ntsws yog nyob ntawm ntau yam.
1. Raws li tus neeg sawv cev ua rau
– Kab mob, kab mob, fungal
2. Raws li qhov kev faib tawm tag nrho ntawm tus kab mob
– Lobar Pneumonia, Bronchopneumonia
3. Raws li qhov chaw uas mob ntsws tau kis
– Cov zej zog tau txais, tsev kho mob tau txais
4. Raws li qhov xwm txheej ntawm tus tswv teb cov lus teb
– Suppurative, fibrinous
Pathogenesis ntawm Pneumonia
Lub ntsws ib txwm tsis muaj kab mob ua rau muaj kab mob lossis tshuaj. Cov kab mob ua pa muaj ntau yam kev tiv thaiv los tiv thaiv kev nkag mus ntawm cov kab mob no.
- Nasal Clearance - cov khoom uas tso rau hauv pem hauv ntej ntawm txoj hlab pa ntawm cov epithelium uas tsis yog ciliated feem ntau raug tshem tawm los ntawm txham lossis hnoos. Cov khoom uas muab tso rau tom qab raug cheb hla thiab yuav nqos.
- Tracheobronchial Clearance - qhov no yog nrog los ntawm kev ua mucociliary
- Alveolar Clearance - phagocytosis los ntawm alveolar macrophages
Mob ntsws tuaj yeem tshwm sim thaum twg cov kev tiv thaiv no tsis zoo lossis tus tswv tsev tsis kam txo. Cov yam ntxwv xws li cov kab mob ntev, kev tiv thaiv kab mob thiab kev siv tshuaj tiv thaiv kab mob, leukopenia, thiab kab mob kis tau cuam tshuam rau tus tswv tsev tiv thaiv ua rau tus tswv tsev muaj kev cuam tshuam rau cov kab mob no.
Lub tshuab tshem tawm tuaj yeem raug puas tsuaj ntau txoj hauv kev,
- Txo qhov hnoos reflex thiab txham reflex - theem nrab rau coma, tshuaj loog lossis kab mob neuromuscular.
- Kev raug mob rau lub tshuab mucociliary - kev haus luam yeeb ntev yog qhov laj thawj tseem ceeb rau kev puas tsuaj ntawm mucociliary apparatus.
- Kev cuam tshuam nrog phagocytic action
- Pulmonary congestion thiab edema
- Kev sib sau ntawm cov qog pulmonary hauv cov xwm txheej xws li cystic fibrosis thiab bronchial obstruction
Bronchopneumonia
Staphylococci, Streptococci, Pneumococci, Haemophilus, thiab Pseudomonas auregenosa yog cov kab mob tseem ceeb.
Morphology
Foci ntawm bronchopneumonia yog cov chaw sib koom ua ke ntawm kev mob suppurative mob. Kev sib sau ua ke tuaj yeem ua rau thaj tsam ntawm ib lub lobe tab sis feem ntau yog multilobar thiab feem ntau ob sab.
Lobar Pneumonia
Cov kab mob tseem ceeb yog pneumococci, klebsiella, staphylococci, streptococci
Morphology
Plaub theem ntawm cov lus teb inflammatory tau piav qhia.
1. Congestion
Lub ntsws hnyav, boggy, thiab liab. Qhov theem no yog qhov tshwm sim ntawm vascular engorgement, intra-alveolar kua dej nrog ob peb neutrophils, thiab feem ntau muaj ntau cov kab mob.
2. Liab Hepatization
Congestion yog ua raws li cov kab mob siab liab uas yog tus cwj pwm los ntawm kev sib xyaw ua ke loj heev nrog cov hlwb liab, neutrophils, thiab fibrin sau cov chaw alveolar.
3. Grey Hepatization
Lub ntsws xav tias muaj xim grey vim tias muaj kev cuam tshuam loj ntawm cov qe ntshav liab uas tau khaws cia hauv qhov chaw alveolar; Qhov no greyish tsos yog txhim kho los ntawm lub xub ntiag ntawm fibrino suppurative exudate.
4. Kev daws teeb meem
Thaum lub sijhawm kawg ntawm kev tsim cov kab mob, cov exudate sib sau ua ke hauv cov chaw alveolar tau dhau los ua cov txheej txheem zom zaub mov kom tsim cov pob zeb ib nrab ntawm cov kua dej uas tau rov ua dua thiab noj los ntawm macrophages lossis hnoos.
Daim duab 01: Lobar Pneumonia
Kev nyuaj siab
- Abscess - vim yog cov ntaub so ntswg puas thiab necrosis
- Empyema- vim qhov kis tau kis mus rau hauv cov kab noj hniav pleural
- Organization
- Kev tawm mus rau hauv cov hlab ntsha.
Tshuaj Kho Mob
- Dyspnea
- Cov hnoos qeev
- mob plab
- Pleural kev sib txhuam rub
- fwb
Kev Taug Kev Pneumonia yog dab tsi?
Taug kev mob ntsws, tseem hu ua atypical pneumonia, yog tus cwj pwm los ntawm kev hloov pauv ntawm cov ntsws hauv lub ntsws loj heev rau lub alveolar septa thiab pulmonary interstitium.
Nyob rau hauv tus mob no, lub alveolar septa yog widened thiab edematous qhia ib tug mononuclear inflammatory infiltrate. Nws yog hu ua atypical pneumonia vim tsis muaj alveolar exudate. Superimposed kab mob hloov kho cov duab histologic los ntawm kev ua rau mob plab bronchitis thiab mob ntsws.
Causative Agents
- YMycoplasma pneumonia
- Kab mob suav nrog mob npaws A, B, ua pa syncytial tus kab mob adenovirus thiab rhinovirus
- Chlamydia
- Coxiella
Tshuaj Kho Mob
Cov yam ntxwv kho mob tsis hnyav piv rau cov mob ntsws.
- Headache
- mob leeg ntawm ob txhais ceg
- Mycoplasma pneumoniae ua rau kom txias agglutinin titers hauv cov ntshav.
Daim duab 02: Taug kev mob ntsws tsis tshua hnyav uas mob ntsws
Dab tsi zoo sib xws ntawm Pneumonia thiab Taug Kev Pneumonia?
Nyob rau hauv ob qho tib si, muaj kev hloov pauv hauv lub ntsws nrog rau kev sib txuam ntawm cov kab mob inflammatory hauv cov hnab ntim alveolar
Qhov txawv ntawm Pneumonia thiab Taug Kev Pneumonia yog dab tsi?
Pneumonia vs Taug kev Pneumonia |
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| Pneumonia yog ib yam kab mob tshwm sim los ntawm kev cuam tshuam ntawm lub ntsws parenchyma los ntawm tus kab mob ua rau tus neeg sawv cev (feem ntau yog cov kab mob), evoking exudative solidification ntawm (sib sau ua ke) ntawm cov ntaub so ntswg pulmonary. | Taug kev mob ntsws, tseem hu ua atypical pneumonia, yog tus cwj pwm los ntawm kev hloov pauv ntawm cov ntsws hauv lub ntsws loj heev rau lub alveolar septa thiab pulmonary interstitium. |
| Qhov no suav nrog ntau yam kab mob cuam tshuam rau lub ntsws parenchyma. | Taug kev mob ntsws yog ib hom mob ntsws me me |
| Qhov no feem ntau tshwm sim los ntawm kab mob. | Mycoplasma pneumoniae yog tus kab mob ua rau muaj kab mob ntau tshaj plaws. |
| Exudate | |
| Ntau cov exudate feem ntau yog tsim. | Tus nqi ntawm cov exudate tsim nyob rau hauv taug kev mob ntsws yog tsawg dua qhov uas ua rau mob ntsws. |
Summary – Pneumonia and Walking Pneumonia
Pneumonia yog mob ntsws uas tshwm sim los ntawm kev kis kab mob uas cov hnab ntim cua puv nrog cov kua paug thiab tuaj yeem ua kom khov. Taug kev mob ntsws yog ib hom mob ntsws me me. Yog li, qhov sib txawv ntawm mob ntsws thiab taug kev mob ntsws yog qhov hnyav ntawm lawv cov tsos mob thiab cov tsos mob thiab cov teeb meem tom ntej.
Download PDF Version of Pneumonia vs Taug Kev Pneumonia
Koj tuaj yeem rub tawm PDF version ntawm kab lus no thiab siv nws rau offline hom phiaj raws li cov ntawv sau tseg. Thov download PDF version ntawm no Qhov txawv Ntawm Pneumonia thiab Taug Kev Pneumonia.
