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2012. május 18., péntek, Erik és Alexandra napja van. Holnap Ivó és Milán napja lesz
   
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Tüdőgyulladás

PDFNyomtatás

Írta: Tüdőbeteg.hu 2009. november 03. kedd, 18:33

Az alsó légúti fertőzés egy tág, az enyhe megbetegedéstől a súlyos, életet veszélyeztető állapotig terjedő fertőzéseket magában foglaló elnevezés. Annak ellenére, hogy nincsenek széles körben elfogadott definíciók, ennek a tág kategóriának az három fő csoportba sorolhatók:

Akut bronchitis (hörgőgyulladás) – a légutak fertőzése miatt előállt gyulladása. Gyakran alsó légúti fertőzést követően alakul ki és leggyakrabban víruseredetű.

Krónikus bronchitis akut fellángolása (AECB) – ennek egyik oka, amikor a krónikus bronchitisben szenvedő beteg légútjaiban már jelenlévő baktériumok száma megsokszorozódik és ez a betegség fellángolását, vagy exacerbatioját okozza.

Közösségben szerzett tüdőgyulladás (otthon szerzett pneumónia) – a tüdőgyulladás leggyakoribb típusa; akkor beszélnek otthon szerzett pneumónia-ról, amikor a megbetegedett személy nem áll és tünetei megjelenése előtt legalább 14 nappal nem állt kórházi kezelés alatt.

Az alsó légúti fertőzés éves gyakorisága a becslések alapján átlagosan 44 eset/ 1000 fő. Az előfordulás gyakorisága emelkedik az életkorral.

Az alsó légúti fertőzések nagyon súlyosak lehetnek, gyakran tesznek szükségessé kórházi kezelést.

Hogyan diagnosztizálják és mik a tünetei?

  • A háziorvosi gyakorlatban a diagnózis felállításának alapja rendszerint a beteg vizsgálata.
  • Az otthon szerzett tüdőgyulladás diagnózisának felállítását fontolóra kell venni amennyiben a beteg köhög, légszomja van, mellkasi fájdalomról panaszkodik, láza van és rossz a közérzete.
  • A mellkas röntgen nem tartozik a diagnosztikai eljáráshoz, ha a beteg elég jó állapotban van ahhoz, hogy közösségben kezeljék. Azonban azt a beteget, aki lassan javul, vagy visszatérő mellkasi fertőzései vannak, érdemes mellkas röntgenre küldeni, különösképpen, ha dohányzik.

A tüdőgyulladás gyakran hirtelen súlyos hidegrázással kezdődik, amelyet az alábbiak követnek:

  • Magas láz
  • Köhögés
  • Légszomj
  • Mellkasi fájdalom

Egyéb tünetek lehetnek:

  • Hányinger
  • Hányás
  • Fejfájás
  • Fáradtság
  • Izomfájdalmak

Ez is érdekelheti



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