Qhov Tseem Ceeb Qhov txawv - Pneumonia vs Pneumonitis
Cov pa phem thiab qhov tsis zoo ntawm huab cua uas peb nqus tau ua rau muaj kev ua pa nyuaj ntau ntxiv. Pneumonia, uas txhais tau tias yog kev ntxeem tau 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) pulmonary cov ntaub so ntswg, ua headlines nyob rau hauv lub ntiaj teb no xov xwm ob peb zaug nyob rau hauv lub xyoo tsis ntev los no. Lub sij hawm pneumonitis, ntawm qhov tod tes, yog siv los piav txog qhov mob ntawm cov ntaub so ntswg uas tshwm sim los ntawm cov neeg tsis muaj kab mob. Txawm hais tias ob qho xwm txheej no cuam tshuam nrog kev mob ntsws ntawm cov ntaub so ntswg, hauv kev mob ntsws, qhov mob yog vim muaj cov kab mob sib kis, tab sis nyob rau hauv mob ntsws, qhov mob yog tshwm sim los ntawm cov neeg tsis muaj kab mob. Nov yog qhov sib txawv tseem ceeb ntawm kev mob ntsws thiab mob ntsws.
Pneumonia yog dab tsi?
Pneumonia yog exudative solidification (sib sau ua ke) ntawm pulmonary cov ntaub so ntswg los ntawm kev cuam tshuam ntawm lub ntsws parenchyma los ntawm tus kab mob ua rau tus neeg sawv cev.
Cov Cai rau Kev faib tawm ntawm Pneumonia
Raws li tus neeg sawv cev ua rau
Y Kab mob, kab mob, fungal
Raws li kev faib tawm tag nrho ntawm tus kabmob
YLobar Pneumonia, Bronchopneumonia
Raws li qhov chaw uas mob ntsws tau kis
zej zog tau txais, tsev kho mob tau txais
Raws li qhov xwm txheej ntawm tus tswv teb cov lus teb
Suppurative, fibrinous
Pathogenesis
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 – particles deposited in front of the airway on the non-ciliated epithelium is nquag 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 mucociliary action
- 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 kab mob cuam tshuam rau tus tswv tsev tiv thaiv ua rau tus tswv tsev muaj peev xwm kis tau cov kab mob zoo li no.
Daim duab 01: Pneumonia
Lub tshuab tshem tawm tuaj yeem raug puas tsuaj ntau txoj hauv kev,
- Txo qhov hnoos reflex thiab txham reflex - Secondary 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.
Lub ntsws hnyav, boggy, thiab liab. Cov theem no yog tus cwj pwm los ntawm vascular engorgement, intra-alveolar kua nrog ob peb neutrophils, thiab feem ntau muaj cov kab mob ntau.
Red hepatization
Congestion yog ua raws li cov kab mob siab liab uas yog tus cwj pwm los ntawm cov exudation loj heev nrog cov hlwb liab, neutrophils, thiab fibrin sau cov chaw alveolar.
Grey hepatization
Nyob rau hauv theem grey hepatization vim yog qhov kev tawg zuj zus ntawm cov qe ntshav liab uas tau sau rau hauv qhov chaw alveolar, lub ntsws xav tias muaj xim grey. Qhov no greyish tsos yog txhim kho los ntawm lub xub ntiag ntawm fibrino suppurative exudate.
Resolution
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.
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 tshawb nrhiav
- lub hauv siab X-ray
- Sputum rau kab lis kev cai
- Kev tshawb nrhiav ntxiv tuaj yeem xav tau txhawm rau txheeb xyuas cov kab mob hauv qab.
Kev tswj hwm
Kev xaiv tshuaj tua kab mob yog ua raws li cov txiaj ntsig ntawm kab lis kev cai ntawm cov hnoos qeev. Qee lub sij hawm kev phais dej ntawm cov hnoos qeev thiab hnoos qeev yog qhov tsim nyog.
Pneumonitis yog dab tsi?
Pneumonitis yog qhov mob ntawm pulmonary parenchyma vim tsis kis kab mob. Yog tias tsis kho, qhov mob ntev tuaj yeem ua rau muaj kev cuam tshuam loj ntawm cov hlab ntsws. Qhov no txo qis kev ua raws li lub ntsws, ua rau tsis zoo rau kev sib pauv roj uas feem ntau tshwm sim ua tsis taus pa.
Caus
- Kev raug mob ntau yam xws li tshuaj tua kab, plaub, thiab plua plav.
- Tshuaj khomob thiab raug hluav taws xob
- Cov teebmeem ntawm ntau yam tshuaj xws li tshuaj tua kab mob
Symptoms
- Dyspnea
- Nyob
- Qee zaum hnoos ntev
- Lwm cov tsos mob tshwj xeeb xws li poob phaus
Daim duab 02: Pneumonitis
Diagnosis
Cov kev tshawb nrhiav hauv qab no yog siv los mus txog qhov kev kuaj pom tseeb
- lub hauv siab X-ray
- CT
- Pulmonary function tests
- Bronchoscopy
- Ntshav ntsws biopsy
Kev tswj hwm
Kev kho pa oxygen yuav tsum tau yog tias tus neeg mob ua tsis taus pa hnyav. Corticosteroids yog siv los ua cov tshuaj tiv thaiv kab mob los tswj cov txheej txheem inflammatory tsis tu ncua.
Dab tsi zoo sib xws ntawm Pneumonia thiab Pneumonitis?
Ob qho xwm txheej no cuam tshuam nrog kev mob ntsws pulmonary parenchyma
Qhov txawv ntawm Pneumonia thiab Pneumonitis yog dab tsi?
YPneumonia vs Pneumonitis |
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| Pneumonia yog exudative solidification ntawm pulmonary cov ntaub so ntswg tshwm sim los ntawm kev cuam tshuam ntawm lub ntsws parenchyma los ntawm tus kab mob ua rau tus neeg sawv cev. | Pneumonitis yog qhov mob ntawm pulmonary parenchyma vim tsis kis kab mob. |
| Kab mob yog tshwm sim los ntawm cov kab mob uas yog cov kab mob. | Kab mob yog tshwm sim los ntawm cov kab mob uas tsis muaj kab mob xws li hluav taws xob, tshuaj thiab ntau yam tshuaj lom. |
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Tsis kho mob ntsws tuaj yeem ua rau muaj teeb meem hauv qab no · Abscess - vim yog cov ntaub so ntswg puas thiab necrosis · Empyema- raws li qhov tshwm sim ntawm tus kab mob kis mus rau hauv cov kab noj hniav pleural · Organization · Kev xa tawm mus rau hauv cov hlab ntsha. |
mob ntsws ntawm cov ntaub so ntswg tuaj yeem ua rau lub ntsws tsis muaj zog ntawm lub ntsws parenchyma. |
| Tshuaj kho mob | |
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Qhov chaw kho mob feem ntau yog, · mob kub taub hau · Dyspnea · mob hnoos · mob plab · Pleural kev sib txhuam rub · Effusion |
Cov tsos mob hauv qab no tuaj yeem pom muaj mob ntsws, · Dyspnea · Fatigue · Qee zaum hnoos ntev · Lwm cov tsos mob tshwj xeeb xws li poob phaus |
| Diagnosis | |
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X-ray thiab hnoos qeev rau kab lis kev cai yog ua los txheeb xyuas tus kab mob ua rau tus neeg sawv cev thiab qib kis tus kab mob. Kev tshawb nrhiav ntxiv tuaj yeem xav tau txhawm rau txheeb xyuas cov kab mob hauv qab. |
Chest X-ray, CT, pulmonary function tests, bronchoscopy thiab lung biopsy, yog cov kev tshawb nrhiav uas tau ua kom paub meej qhov kev kuaj mob. |
| Kev tswj hwm | |
| Kev xaiv tshuaj tua kab mob yog ua raws li cov txiaj ntsig ntawm kab lis kev cai ntawm cov hnoos qeev. Qee lub sij hawm kev phais dej ntawm cov hnoos qeev thiab hnoos qeev yog qhov tsim nyog. | Kev kho pa oxygen yuav tsum tau yog tias tus neeg mob ua tsis taus pa hnyav. Corticosteroids yog siv los ua cov tshuaj tiv thaiv kab mob los tswj cov txheej txheem inflammatory tsis tu ncua. |
Summary – Pneumonia vs Pneumonitis
Kev cuam tshuam ntawm lub ntsws parenchyma los ntawm tus kab mob ua rau tus neeg sawv cev (feem ntau yog cov kab mob) evokes exudative solidification ntawm (sib sau ua ke) ntawm cov ntaub so ntswg pulmonary hu ua mob ntsws. Pneumonitis yog qhov mob ntawm pulmonary parenchyma vim tsis kis kab mob. Txawm hais tias ob qho tib si muaj feem cuam tshuam nrog kev mob ntsws ntawm cov ntaub so ntswg, qhov mob ntawm lub ntsws yog vim muaj cov kab mob sib kis, tab sis nyob rau hauv pneumonitis, qhov mob yog tshwm sim los ntawm cov neeg tsis muaj kab mob. Nov yog qhov sib txawv ntawm kev mob ntsws thiab mob ntsws.
Download PDF Version of Pneumonia vs Pneumonitis
Koj tuaj yeem rub tawm PDF version ntawm kab lus no thiab siv nws rau offline hom phiaj raws li daim ntawv ceeb toom. Thov download PDF version ntawm no Qhov txawv Ntawm Pneumonia thiab Pneumonitis
