pnevmoniya u detey

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pnevmoniya u detey pnevmoniya u detey kafedra «detskix bolezney s neonatologiey» buxmi sostavila: dotsent sh.i.navruzova plan lektsii: 1.sovremennoe opredelenie i epidemiologiya pnevmonii u detey. 2.etiologiya. 3.diagnostika pnevmonii u detey. 4.differentsialnaya diagnostika pnevmonii. 5.lechenie pnevmonii u detey. pnevmoniya- ostroe infektsionnoe zabolevanie legochnoy parenximi,vklyuchaya alveolyar-nie prostranstva i interstitsiy pnevmoniya mojet porajat tseluyu dolyu legkogo(dolevaya pnevmoniya), eyo segment ili segmenti (segmentarnaya ili polisegmentarnaya), alveoli ili grupp alveol(ochagovaya),v tom chisle prilejashie k bronxam (bronxopnevmoniya) ili interstitsialnuyu tkan (interstitsialnaya) pnevmoniya. stroenie legkix legkie v prodolnom razreze po usloviyam vozniknoveniya: vnebolnichnie vnutribolnichnie (domashnie) (gospitalnie, pnevmonii nozokomialnie) pnevmonii pnevmonii novorojdennix vrojdennie priobretyonnie (vnutriutrobnie) (postnatalnie) vnebolnichnie gospitalnie gospitalnie ventilyator-assotsiirovannie pnevmonii rannie (pervie 3 sutok ivl) pozdnie (posle 3 sutok ivl) po tyajesti techeniya: netyajelie tyajelie po stepeni virajennosti toksikoza i oslojneniy: ne oslojnennie oslojnennie: infekts.toksich.shok, destruktsiya legoch.parenx. plevrit, empiemi, medias- tinit,pnevmotoraks epidemiologiya pnevmoniy u detey pnevmoniya diagnostiruetsya na 1000 detey u detey pervogo goda jizni 20 u detey …
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mes- 1 god rs-virus,paragrippa, gripp a i v,adenovirus, rinovi-rusi enterovirusi,korono-virusi kori, krasnuxi, vetryanoy ospi s.pneumoniae,h. influenzae,m.pneumoniae,c. pneumoniae, s.aureus, s.pyogenes 5-7 let rinosintitsialniy virus, paragrippa 3i 1 tipov,gripp a i v, adenovirus s.pneumoniae, m. pneumoniae, h.influenzae, c. pneumoniae starshe 7 let gripp a i v, paragripp 3 i 1 tipov m.pneumoniae s.pneumoniae c.pneumoniae etiologiya gospitalnix pnevmoniy xarakter otdeleniya patogeni reanimatsiya, orit,xirurgiya sinegnoynaya palochka, zolo-tistiy i epidermalniy sta-filokokki,kishechnaya palochka, klebsiella, atsinetobakter, kandida onkogematologiya sinegnoynaya palochka, zolotistiy i epidermalniy stafilokokki, enterobakterii, aspergillyus terapevticheskie otdeleniya zolotistiy i epidermalniy stafilo-kokki, klebsiella ventilyator_assotsiiro_vannie pnevmonii:rannie- pozdnie- sootvetstvuet vozrastnoy etiologi-cheskoy strukture. ps.aeroginosaes,s.marsensens,acinetobak_ter spp., s.aureus, klebsiella, e.coli, candida etiologiya pnevmoniy u immunokomprementirovannix bolnix gruppi bolnix patogeni nedonoshennie deti pneumociysta carinae,ure aplazma urealitica bolnie neytropeniey gramnegativnie enterobakterii,gribi kandida bolnie s pervichnim kle-tochnim immunodefitsitom pneumociysta carinae,gribi roda kandida bolnie s pervichnim gumo-ralnim immunodefitsitom pnevmokokk,stafilokokk,enterobakterii bolnie so spidom pnevmotsisti,tsitomegalovirus,mikobakterii tuberkulyoza,kandida diagnostika narushenie funktsii dixaniya (odishka, priznaki dixatelnoy nedostatochnos-ti) i kashel. osnovnim kriteriem …
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i etiologiya preparati vibora alternativnie preparati vrojdennaya pnevmoniya streptokokki gr v,s, d, kishech. palochka, klebsiella,stafilokokki,listerii,mikoplazma,ureaplazma,blednaya spiroxeta s vi-rusami i griba-mi kandida, anaerobi amoksatsillin+aminoglikozid; ampitsillin+aminoglikozid tsefotaksim+aminoglikozid; tseftazidim+aminoglikozid; eritromitsin,midekamitsin,azitromitspenitsillin,ekzartsillin; metronidazol,linkomitsin ranyaya pnevmoniyaassotsi,s ivl ta je ta je ta je prodoljenie pozdnyaya pnevmoniya,assotsiirovannaya s ivl psevdomonadi,serratsii,klebsielli,stafilokokki,mikoplazma,xlamidiya tseftazidim+aminoglikozid; tsefapirozon+aminoglikozid; azlotsillin+aminoglikozid piperatsillin+aminoglikozid vankomitsin karbopenemi eritromitsin,azitromitsin,midekamitsin diflyukan trimetoprim-sulfosalazol rifampitsin teykoplamin vibor startovogo preparata pri lechenii vnebolnichnoy pnevmonii u detey v vozraste do 6 let - vozrast,forma pnevmonii etiologiya startoviy preparat zamena pri neeffektivnosti 1-6 mes., tipichnaya koli inf, enterob.staf pnevmok vnutr:zashishenniy penitsillin;v/v,v/mampitsillin+oksatsillin, zash.penitsil-lin ili tsefazolin v/v,v/m:tsefuroksim,tseftriakson,tsefatoksim,dr aminoglikozid, linkomitsin, van-komitsin, karbope 1-6 mes., atipichnaya klostr.mikoplazma,ureapl vnutr: makrolid vnutr: ko-trimaksazol 6 mes-6 let,tipich. neoslojne pnevmokokk vnutr:amoksatsillin, ospen, makrolid vnutr:zash.penits tsefalosporin 2-pokoleniya,v/v,v/mpenitsillin,tsefalosp.2-3 pokolen prodoljenie lecheniya pnevmonii u detey 6-15 let, tipichnaya neoslojnennaya mikoplazma,klostridii vnutr: makrolid vnutr: doksitsik-lin(deti starshe 12 let) 6 mes-15 let, oslojnenna plevritom ili destruktsiey pnevmokokk, inflyuents, streptokokk v/v, v/m: penitsillin, ampitsillin, tsefalosporin 2-pokoleniya v/v,v/m: aminoglikozid+tsefazolin,tsefalosporin 3-pokoleniya, …
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niya u detey/ samsigina g.a., dudina t.a-m.,2002. spasibo za vnimanie! bolalarda pnevmoniya buxti «bolalar kasalliklari va neonatologiya» kafedrasi tuzuvchi: dotsent sh.i.navruzova ma'ruza rejasi: 1.pnevmoniyaning zamonaviy talqini va bolalarda epidemiologiyasi 2.etiologiya 3.diagnostika 4.kiyosiy tashxisoti. 5.pnevmoniyani bolalarda antibakterial terapiyasi. pnevmoniya-o'pka to'qimasining o'tkir yuqumli kasalligi bo'lib, alveolyar bo'shliq va interstitsiyni xam qamrab olishi mumkin pnevmoniyada o'pkaning butun bir bo'lagi (bo'lakli pnevmoniya), uning segmenti yoki segmentlari (segmentar yoki polisegmentar), alveolalar yoki guruhi (o'choqli), bronxlarga birikkan qismi (bronxopnevmoniya) yoki interstitsial to'qima (interstitsial pnevmoniya) jarohatlanishi mumkin. o'pka to'qimasining tuzilishi, segmentlar va bo'laklari o'pka ildiz sohasining ko'ndalang kesimidagi segmentlarning ko'rinishi kelib chiqish sharoitiga ko'ra: shifoxonadan tashqari shifoxona ichi (uy sharoitidagi) (gospital, pnevmoniya nozokomialnie) pnevmoniya chaqaloqlarda pnevmoniya tug'ma orttirilgan (homila ichi) (postnatal) shifoxonadan tashqari gospital ventilyator-assotsiyalangan pnevmoniya erta (birinchi 3 sutka ivl) kechki (usvdan 3 sutkadan so'ng) og'irlik darajasiga ko'ra : og'ir emas og'ir toksikoz va asoratlanish darajasiga ko'ra asoratlanmagan asoratlangan: infekts.toksik shok, destruktsiya o'pka parenx. plevrit, empiemi, …
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lar 2 xafta- 2 oy rinosintitsial virus, adenovirus, paragripp virusi s.aureus,gramnegativ enterobakteriya, c.trachomatis 2 oy- 1 yosh rs-virus,paragripp, gripp a , v,adenovirus, rinovirus enterovirus,kizamik va kizilcha koronovirusi,suv chechak virusi s.pneumoniae,h. influenzae,m.pneumoniae,c. pneumoniae, s.aureus, s.pyogenes 5-7 yosh rinosintitsial virus, paragripp 3i 1 tur,gripp a va v, adenovirus s.pneumoniae, m. pneumoniae, h.influenzae, c. pneumoniae 7 yoshdan katta gripp a va v, paragripp 3 i 1 turi m.pneumoniae s.pneumoniae c.pneumoniae gospital pnevmoniya etiologiyasi bo'limlar profili patogenlar reanimatsiya, orit,xirurgiya yiringli ko'k tayoqcha,tillarang va epidermal stafilokokk,ichak tayoqchasi, klebsiella, atsinetobakter, kandida onkogematologiya yiringli ko'k tayokcha,tillarang va epidermal stafilokokk,ichak tayoqchasi , enterobakteriyalar, aspergillyus terapevtik bo'limlar tillarang va epidermal stafilokokk, klebsiella ventilyator_assotsiyalangan pnevmoniya:erta- kechki- yoshning etiologik strukturasiga mos ps.aeroginosaes,s.marsensens,acinetobak_ter spp., s.aureus, klebsiella, e.coli, candida shifoxonada parvarish immunokomprement bemorlarda pnevmoniya etiologiyasi bemorlar guruhi patogenlar chala tug'ilgan bolalar pneumociysta carinae,ure aplazma urealitica neytropeniyali bemorlar gramnegativnie enterobakteriyalar, kandida birlamchi hujayra immuntanqisligi bor bemorlar pneumociysta carinae, kandida birlamchi gumoral immuntanqisligi bor bemorlar …

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pnevmoniya u detey pnevmoniya u detey kafedra «detskix bolezney s neonatologiey» buxmi sostavila: dotsent sh.i.navruzova plan lektsii: 1.sovremennoe opredelenie i epidemiologiya pnevmonii u detey. 2.etiologiya. 3.diagnostika pnevmonii u detey. 4.differentsialnaya diagnostika pnevmonii. 5.lechenie pnevmonii u detey. pnevmoniya- ostroe infektsionnoe zabolevanie legochnoy parenximi,vklyuchaya alveolyar-nie prostranstva i interstitsiy pnevmoniya mojet porajat tseluyu dolyu legkogo(dolevaya pnevmoniya), eyo segment ili segmenti (segmentarnaya ili polisegmentarnaya), alveoli ili grupp alveol(ochagovaya),v tom chisle prilejashie k bronxam (bronxopnevmoniya) ili interstitsialnuyu tkan (interstitsialnaya) pnevmoniya. stroenie legkix legkie v prodolnom razreze po usloviyam vozniknoveniya: vnebolnich...

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