Symptoms of pneumonia in adults
Pneumonia is an infectious disease. It remains one of the most common in the world. It is the leader among nosocomial infections leading to death. It is important to know the symptoms of pneumonia in adults in order to take timely action. Treatment of pneumonia and the prognosis of the development of the disease depends on the nature of the infection, age and general condition of the patient.
What is pneumonia and how dangerous it is
Inflammation of the lungs in an acute form is called pneumonia. It is caused by infections that can be transmitted in various ways, affecting the lung tissue. In the list of diseases that caused death, she is in fifth place, and medicine does not always help. Lethal outcome among adults from pneumonia is 10-33%. Intrahospital and atypical form of the disease takes even more lives - the risk of dying increases to 50%. In elderly people, people with weakened immunity, the prognosis of pneumonia is often disappointing.
From usual pneumonia, 1-3% of young patients who do not have diseases that die, can die. Among elderly patients, the mortality rate is up to 40-50%. Causes of death from pneumonia:
- Concomitant diseases, such as cardiac pathologies, existing respiratory diseases (such as bronchitis), diabetes mellitus, problems in the genitourinary system;
- bad habits (smoking, especially lengthy experience, drug addiction, alcoholism);
- dysfunctional living conditions;
- weakened immunity.
A special risk of inflammation of the lungs is for pregnant women. The disease itself is heavy due to dangerous pathologies. For a woman who carries a child, she is doubly dangerous - for the future mother and fetus. In early terms, pneumonia is threatened by an embryo, the tissues and organs of which are not yet formed. In the last trimester for a child, pneumonia is less dangerous than for a mother. Prevention is simple: strengthening the immune system of the mother.
The first signs of pneumonia
Symptoms of pneumonia in adults depend on the type of infection that caused the disease. There are several types of pneumonia, and each has its own clinical picture. The provoking factor for the onset of pneumonia is hypothermia affecting the upper respiratory tract. In the elderly, it often goes into a pathological form. Symptoms of pneumonia in adults are several: they are divided into varieties of insidious disease. The common form of pneumonia is viral, occurs in half the cases. Other reasons:
A disease that occurs without symptoms characteristic of pneumonia is called atypical. The latent inflammation of the lungs is dangerous because it is delayed for its treatment, when many complications appear. Pulmonary manifestations fade into the background, the patient is more concerned about general intoxication. The X-ray does not show changes in the airway. Signs of atypical inflammation:
- dry cough;
- sore throat;
- muscle pain;
Aseptic atypical pneumonia is caused by Legionella, viruses, chlamydia, mycoplasmas, therefore, it is treated with antimicrobials. After infection, the symptoms of the disease manifest themselves in a period of 2 to 10 days. Changes in the lungs begin later than with a typical pneumonia. The temperature rises, the patient starts to suffocate, he does not have enough air. A large percentage of patients can be cured at home, but sometimes the ailment is difficult. The mortality from this type of disease is 3-5%, the cause is cardiopulmonary insufficiency.
This type of disease is caused by several viruses. In the first place - the flu. At the onset of pneumonia, triggered by the influenza virus, malaise is noticeable during 3-5 days. Then the condition worsens, shortness of breath starts, chest pains appear. Pneumonia is treated with rimantadine, zanamivir, oseltamivir. Viral pneumonia is caused by cytomegalovirus.
Serious complication of viral pneumonia is SARS, respiratory syndrome. It is caused by the viruses of Paramyxoviridae (they are also the cause of measles and mumps). The syndrome poses a great danger. Symptoms of pneumonia in adults with viral pneumonia are:
- very high temperature accompanied by chills;
- dry cough (unproductive);
- headache and muscle pain;
- fatigue without reason.
The cause of pneumonia in this case are bacteria: pneumococcus, staphylococcus, streptococcus. Bacterial pneumonia begins with a sharp temperature jump to a mark of 41 degrees. It lasts up to 3 days, and this symptom is considered a clear sign of bacterial infection. If the temperature then falls, then rises - this is a viral picture. Pneumococcal pneumonia is accompanied by the escape of "rusty" sputum, cardiac contractions become more frequent (tachycardia), breathing becomes more difficult. Treat the disease with antibiotics.
The most dangerous variant of pulmonary inflammation is fungal infection. It is due to the fact that fungal pneumonia is not manifested at first, and people do not know that they are sick. The disease is diagnosed late. The onset of the process of inflammation of the lung tissue is like atypical pneumonia, but with the exacerbation of symptoms, the nature of lung damage changes, cavities are formed. A frequent causative agent of such pneumonia is Candida albicans, a fungus. Initially, the patient has catarrhal symptoms: fever, cough, fatigue and shortness of breath. Then, when pussy is pus, then the correct diagnosis is made.
The main symptoms of pneumonia in an adult
The cold, the flu, should not last more than 7 days, if in 4-7 days after the onset of an acute respiratory infection the condition of the patient worsened, this signal starts in the lower respiratory tract of a dangerous inflammation. Symptoms of pneumonia in adults include pallor and dyspnea. If they have a cold, they are accompanied by weakness, sweating, decreased appetite - this is typical for intoxication in the beginning of pneumonia.
Temperature with pneumonia
With atypical pneumonia, body temperature is not always greater than 3,. In the usual cases, a sharp increase to 40 degrees is typical. With pneumonia, antipyretic drugs do not work. If you can not bring down the temperature - it's a sign of pneumonia. The temperature begins to drop when antibiotics work. It is dangerous if the disease runs without temperature: the patients sometimes do not take measures until the condition worsens. How much the temperature lasts depends on the pathogen: a fungus, a bacterium or a virus.
What a cough with pneumonia
At the beginning of the disease, a cough is dry, this is called unproductive. He becomes obtrusive, constant, exhausting. Inflammation develops - this symptom also changes. The sputum departs, the color of which depends on the nature of the infection: yellow-green, purulent, "rusty." Nasal cough, which does not pass for 7-10 days, is a clear sign of the inflammatory process in the lungs.
The doctor can recognize the symptoms of the disease, assessing the patient's jittery response. The patient says words where there are several "p" sounds, and the doctor puts his hands on his chest, and determines the voice trembling. With pneumonia, part of the lung, or it is whole, becomes denser. This will be noticed by the medical doctor who conducts the diagnostics, by the fact that the voice tremor is amplified.
Diagnosis of the disease
If there is a suspicion of an inflammatory process in the lungs, a comprehensive diagnosis is performed. Sometimes already at the primary admission the doctor can determine the disease by conducting an auscultation, that is, having listened to the chest with a phonendoscope. But the main method of diagnosis in an adult is an X-ray. Necessarily the patient will take blood for general and biochemical analysis. If the patient is in the hospital, examine the culture of sputum, urine, check blood for antibodies to viruses.
Types of pneumonia
The mild forms of pneumonia, found in the initial stage, are treated at home. Remember that even mild pneumonia will complicate with improper care. It is necessary to adhere to the doctor's recommendations how to treat pneumonia in the home:
- antipyretic drugs, anti-inflammatory;
- an abundant drink is prescribed;
- an important component of the treatment is a diet: the body is poisoned by toxins, light foods, more fluids are required.
How to treat pneumonia, how long the process will last depends on the severity and variety of the disease. Infection is sometimes found in the lung tissue for years, leading to a chronic illness. Fibers and connective tissues are damaged, they press on the pulmonary vesicles, which leads to hardening of the lungs, pneumosclerosis. The patient feels discomfort, constantly coughs. It is a slow, prolonged illness, which gradually leads to complications.
Conventional pneumonia is divided into mild, moderate, severe and extremely severe in severity, it depends on how the disease proceeds. Severe acute forms include pleuropneumonia, when one or more of the lungs are inflamed. There is pneumonia in the localization:
- Focal (concentrated in the focus of inflammation);
- segmental or polysegmentary, depending on whether one or more segments are located;
- share - does not exceed one share;
- total - covers all the lungs.
One-sided and two-sided
The inflammatory process is concentrated either on one side or it is bilateral. Unilateral pneumonia is divided into two types:
- Right-sided - occurs more often, the right bronchus is wider than the left and shorter than it, the infection penetrates there freer.
- Left-sided - develops less often, with it there are stagnant processes in the lung.
Two-sided covers both lungs: all lung tissue becomes inflamed, and the disease is provoked by bacteria (pneumococcus, hemophilic rod). Against the background of one infection, other harmful microorganisms are multiplied, mixed-infection develops. In the fight against a person enter several pathogens, to select antibacterial drugs for treatment is difficult.
The focus of inflammation, located along the root of the lung, is difficult to diagnose. Such cases are called basal pneumonia. In the diagnosis of computed tomography. The doctor should exclude tuberculosis and lung cancer, the focus of inflammation is similar to a picture on a tumor. Tuberculin tests are carried out. If you mistakenly prescribe drugs against tuberculosis, but they do not give an effect - this is considered a diagnostic sign.
Bronchial pneumonia characterizes the lesion of small branches of the bronchial tree of the patient. Bronchopneumonia refers to focal. The process of recovery will take a long time. Sometimes the disease is secondary, develops against the background of bronchitis. A person tries to cure bronchitis, that is prolonged, the condition worsens, weakness appears, temperature jumps. The cough that accompanies bronchitis intensifies, unpleasant purulent sputum is separated, at times - with veins of blood.
Important symptoms of this disease: shortness of breath, increased heart rate to 110 strokes for a minute, chest pain. To the development of bronchopneumonia leads not only bronchitis, but also ARVI. Often this type of pneumonia and viruses cause this kind of pneumonia, in order to treat the disease correctly, establish a pathogen, prescribe antiviral drugs or antibacterial. How much the disease is treated depends on the type of pathogen.
In addition to community-acquired pneumonia, which develops under normal conditions, there is a serious form of illness - hospital, it is also hospital-acquired. The diagnosis is made when the inflammation appears after two days and more after placing a person in a hospital clinic with a completely different diagnosis. This is the most ruthless species, killing 50% of patients. The disease is caused by microorganisms. Types of nosocomial pneumonia:
- associated with artificial ventilation;
- Hospital-acquired pneumonia in hospitalized in serious condition.
Immunity of patients is weakened, the body struggled with another disease, was not ready to invade new microbes. To save the situation, patients are placed with droppers, use intravenous nutrition to maintain the vital forces of the body, use drugs of a new generation, potent drugs. Cure nosocomial pneumonia can not always. Treatment of pneumonia in this case is excluded.
Fracture pneumonia affects the lobe of the lung and the pleura. With this type of pneumonia, it is important to schedule injections of antibiotics, the duration of which is determined by the doctor. Applied physiotherapy, detoxification. Partial pneumonia begins suddenly and sharply. There are three forms of the disease:
- Upper-lobar - it is difficult, with neurological disorders;
- lower-lobed - gives a pseudo-picture of the "acute abdomen which confuses during diagnosis, chills and "rusty" sputum are characteristic;
- central - inflammation develops deep in the lung, symptomatology is poorly defined, difficult to define.
Croupous pneumonia proceeds acutely. The nature of the defeat of the lungs is bilateral. If the pathology is not recognized and the treatment is not started quickly, the patient will die from cerebral hypoxia and cardiovascular insufficiency. The first day the patient has a dry cough. The next day, sputum is rusty, vomiting occurs. On the third day, it becomes worse, dyspnea appears, tachycardia develops. The patient is not able to climb to one floor. Treat croupous pneumonia in pulmonology, in a hospital or resuscitation. Pulmonary lobes of the patient are totally affected on both sides.
Video: types and symptoms of pneumonia
Pneumonia is a dangerous disease, it is important to determine it in the early stages, when the treatment is effective even with folk remedies at home. In the video offered below, experts will tell in detail about the symptoms of pneumonia, teach what to look for if pneumonia occurs without the typical symptoms. Timely detection will avoid irreversible consequences.
What is the temperature with pneumonia and the main reasons for its appearance
Pneumonia, or pneumonia, is a dangerous ailment that, in the absence of appropriate treatment, can result in a serious complication and even death.
Therefore, it is so important to learn in time to recognize the main symptoms of the disease, especially changes in the temperature regime.
The degree of fever depends on the type of pathogen, the severity, the prevalence of the inflammatory process, what proportion of the lungs are affected, and the effectiveness of the treatment chosen by the physician. Classical pneumonia caused by pneumococcus, characterized by an increase in temperature to 39-40 ° C. The disease begins suddenly, with severe chills, chest pain, which is worse when coughing.
- What temperature during pneumonia indicates the onset of the disease?
- How does this feature change during its development?
- Can hyperthermia persist after recovery?
In addition, the development of pathology is indicated by other signs of intoxication:
- headache and joint pain;
- sometimes the patient can not get out of bed without help;
- general weakness;
- confusion of consciousness;
- labored breathing.
The duration of hyperthermia depends on the state of the patient's immune system and the effectiveness of the treatment chosen by the physician. The body temperature, which has reached a maximum degree within several hours, stays at this level for several days, starts to decrease in two ways:
- critical - in a sharp 12 to 24 hours;
- lytic - gradually for 2 - 3 days.
Against the background of the normalization of the temperature regime, other symptoms of the disease also disappear.
There are different types of hyperthermia in secondary infectious pneumonia, the cause of which, as a rule, are:
- Diseases caused by the virus (colds, acute respiratory infections, acute respiratory infections, including influenza).
- Chronic diseases of ENT organs and bronchi, caused by a bacterium (including the genus Staphylococcus, Streptococcus, etc.) or protozoa (chlamydia, proteus).
- Diseases requiring prolonged bed rest (heart attacks, strokes, postoperative condition).
Three groups of patients can be conventionally identified.
Some patients experience fever within 38-39 ° C, in addition, there is excretion of sputum when coughing, zalozhennost in the chest, there are phenomena caused by intoxication.
In other patients, the high temperature is maintained at 38-3 ° C, this is typical in the case of a combination of pneumonia with acute bronchitis or exacerbation of chronic. A distinctive symptom of this type of disease is the obstruction of the airway. In addition, there is a dry agonizing cough, a violation of the respiratory process, an increase in the number of heartbeats.
In other cases, pneumonia occurs in an erased form with a subfebrile temperature, weakness, ineffable cough. Such a course is most characteristic of the atypical form of the disease.
Is it necessary to reduce the temperature? What methods for this use?
It is definitely impossible to answer these questions, everything depends on the level of hyperthermia and age of the patient. The main feature of therapy for pneumonia is the mandatory use of an antibiotic. If the pathogen is not destroyed, a decrease in temperature with the help of symptomatic medicines will be temporary.
Antimicrobial agents must necessarily appoint a doctor, taking into account the sensitivity to them of a particular microorganism, the severity of the disease, the individual characteristics of the patient.It is strictly forbidden to engage in self-medication in this case.
Since an increase in temperature is a protective reaction of the organism directed to the destruction of the infection, it is advisable not to take any measures to reduce it, if in children it does not exceed 38 ° C, and in adults 3, -39 FROM.
An exception is the pathological course of fever, accompanied by the following conditions:
- disturbances in metabolic processes;
- disorders of microcirculation;
- cardiac, renal or hepatic insufficiency;
- severe course of pneumonia;
- presence of concomitant cardiovascular diseases, mental disorders;
- threat of development of febrile seizures in a child under 5 years.
There is a large selection of antipyretics (antipyretic drugs), issued in the form of effervescent and conventional tablets, capsules, syrups, suspensions, suppositories and injections. The choice of medication should be carried out depending on the patient's age, giving preference to effective and safe means.
With an increase in temperature in infants, especially the first 2 months of life, do not engage in self-medication. It is urgent to seek professional help.
The drugs of choice recommended by WHO for use for relief of hyperthermia syndrome and allowed for OTC leave includeParacetamol (trade names - Panadol, Piaron, Efferalgan) and Ibuprofen (trade names - Nurofen, Ibufen, Imet). In addition to lowering the temperature, Paracetamol and Ibuprofen reduce inflammation and remove pain.
If, for some reason, it is impossible to use the above drugs, for example, if the patient has allergies or they do not have the necessary effect, then in this case it is necessary to consult the doctor for correction therapy.
Perhaps the appointment of Acetylsalicylic acid (Aspirin), Mitamizol sodium (Analgin), other antipyretics or NSAIDs.
There are alternative ways to combat moderate hyperthermia.Their use is especially important in young children, pregnant women and people suffering from liver and stomach diseases.Such methods include:
- Stimulation of sweating and diuresis with the help of warm abundant drink (compotes, fruit drinks, herbal teas). This helps to cleanse the body of toxins and accordingly reduce all manifestations of intoxication.
- Wiping of feet, temples, knee and elbow joints of the patient with alcohol or acetic solution. For cooking, which should take in equal parts vinegar or vodka and water.
- Applying compresses to the forehead of the patient from cold water gauze or cabbage leaf. After heating, the compress should be regularly changed.
When pneumonia is often observed a long subfebrile condition, even after recovery. Such a condition does not require treatment, but may indicate a chronic process.
In order not to miss the relapse of the disease, it is recommended that a month after the end of the inflammation, examine the lung tissue for the presence of foci of infection with the help of a chest X-ray.
Can pneumonia occur without fever: clinical picture
Often the question arises as to whether inflammation of the lungs can occur without temperature? Such asymptomatic pneumonia is much less common than the disease with hyperthermia. Diagnosis of the disease is significantly complicated because of the absence of characteristic symptoms.
If children usually complain of weakness, then the adult patient does not feel sick at all, because the main signs of pneumonia are absent. In such cases, the patient seeks help only after the transition of the disease to a severe stage with the defeat of a large segment of the lungs. The presence of such an atypical course of the disease (lack of temperature) indicates a weakened immunity.
A hidden form of pneumonia can occur:
- in persons taking antitussive drugs;
- against the background of the presence of chronic foci of infection;
- as a result of irrational use of antibiotics.
The clinical picture of pneumonia without temperature is characterized by the following symptoms:
- pale shade of the skin of the patient's face, the presence of fever blush or red spots on the cheeks;
- signs of the defeat of the respiratory system (weak whistling during breathing, shortness of breath at the slightest load, difficulty breathing, rapid pulse);
- various degrees of motor activity of the right and left sides of the chest;
- increased fatigue, sweating, thirst.
To reveal such pneumonia it is possible by means of roentgenography which is made in two projections and other instrumental methods of diagnostics.
The absence of fever is often accepted by the patient as a sign of the lightness of the inflammatory process, but does not make the disease less dangerous. Without proper treatment, such pneumonia can lead to serious complications and death. The basis of therapy is antibacterial drugs prescribed by a doctor, in the form of tablets, syrup or injections..
What is the temperature usually with pneumonia? What are the symptoms of pneumonia?
A textbook on pharmacotherapy, ed. B. A. Samurai
Pneumonia, clinical picture.
The onset of the disease is sudden. Signs of viral upper respiratory tract infection, accompanied by a lesion of the lower respiratory tract, are symptoms of viral pneumonia. The temperature rises to 38-40 degrees C, a strong chill appears; cough at first dry, then with the release of a small amount of phlegm, which sometimes has a rusty color due to the impurity of blood. With bacterial pneumonia, sputum is purulent. Sweating at night. There may be pain in the side, worse with inspiration and coughing. Breathing is superficial, accompanied by a feeling of lack of air.
At palpation, the increase in vocal tremor is determined. There is a shortening of the percussion sound, local bronchial breathing, sonorous small bubbling rales, or inspiratory crepitation over the affected area of the lung.
Radiography of the chest can confirm the diagnosis of pneumonia, although the findings can be nonspecific. The method is of particular value for the diagnosis of parapneumonic effusions, abscesses and cavities.
38-40 degrees, chills first dry sweat with a rust-colored sputum, as with an admixture of blood, There may be pain in the side!
I do not know what is written in the textbooks, but I did not feel anything, and when the picture was taken, it turned out that I had already recovered several times and had not noticed. Estesstvenno-rate. did not have.
From the two answers presented, one can see that: Manifestations of pneumonia are typical (as described in the textbook)
"I do not know what is written in the textbooks, but I did not feel anything, and when the picture was taken, it turned out that I had already recovered several times and had not noticed. Estesstvenno-rate. did not have. "Atypical course of pneumonia.
Interstitial pneumonia can occur without wheezing, it is not audible.
So on advice in an Internet it is not necessary to rely, go x-ray of a thorax to do or make!
There may be a high temperature, or maybe a normal one. For this symptom, you do not define pneumonia
With a new unknown. the disease runs like this - no signs of a cold, but the temperature rises to 39-40, easily gets rid of the antipyretic to 37 in 30-40 minutes and so several times. On the third day in 6-10 hours, total fulminant pneumonia develops, pulmonary edema, that's when the shortness of breath begins, coughing from the shelter. veins people and go to the hospital, they are beginning to give antibiotics - but it's too late, t. to the lungs already destroyed and turned into a bloody mash, the result is a lethal outcome, young people die, even devices arts. Ventilation can no longer push air into the lungs, only the new method saves - enriching the blood with oxygen directly bypassing the lungs.
I do not know what it is, we will not call loud diagnoses, but the symptoms have recovered
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To prevent atypical pneumonia, at a high temperature immediately in the first day itself give antibiotic streptomycin, chloramphenicol, tetracycline, doxycycline or gentamicin and stabbing a week or tablets. On the third day, total pneumonia, pulmonary edema can develop, now this infection walks in the Ukraine, it is not known what is the complication of swine flu, bird flu, SARS, atypical pneumonia, pulmonary plague, figs it knows, but with antibiotics in the first day of the disease - you can avoid death, then it will be too late.
Like SARS, H5N1, swine flu and plague are being killed.
What have common SARS, A (H5N1) - avian influenza, swine flu (A / H1N1) and pulmonary plague: Victims are dying from the RESPIRATORY DISTRESS-SYNDROME ADULT (ARDS, SHOCK LIGHT)
Pneumonia in adults treatment and symptoms | How to treat pneumonia in an adult
It is an infectious disease in which the infiltration occurs in the lung parenchyma. Pneumonia captures lung tissue and proceeds when harmful bacteria and microorganisms enter the body. There are a number of main factors that directly affect the development of the disease in adults: alcohol, smoking, chronic diseases of the nasopharynx and lungs.
Symptoms of developing pneumonia in adults
This disease in the people is called simply - pneumonia. This is a fairly common and dangerous disease, which has severe consequences for the body and sometimes for a person's life.
Symptoms of pneumonia at the initial stage can be misleading to any doctor. Often there are cases when a doctor makes a false diagnosis and after a couple of days changes his mind.
The first sign of the disease is a cough, which is wet and dry, at the beginning of the disease only dry. When you cough, there are sharp pains in the chest area, and this is already alarming, pneumonia is more likely to begin, and you need to urgently tackle the illness.
When rusty sputum appears, this indicates that the patient has croupous pneumonia. When there is blood sputum, you need to act immediately. To be engaged in a selftreatment in that case is contraindicated, as blood allocation appears, when the disease is caused by Friedlander's wand. To localize the rod, you need to take more serious methods of treatment.
Such bacteria as streptococci, cause purulent sputum, with a characteristic unpleasant smell of sputum is very important to know that there are purulent foci and the disease begins to progress. When a patient has severe pain in his side, it is a lung infarction, a sign of hemoptysis. Another symptom of the disease in adults is often chest pain, with a deep inspiration or a fit of coughing manifests itself at full strength. When a patient feels a sharp lack of air - this is a sign of shortness of breath. In some cases, with the disease, the temperature rises to 40 degrees, sometimes adheres to 3 degrees, and the patient feels a certain malaise, lethargy, chills. Sometimes there is vomiting and a decrease in appetite.
The main syndromes of pneumonia:
1. compaction of lung tissue,
3. general inflammatory,
6. bronchial discretion,
8. respiratory insufficiency.
Types of pneumonia in an adult and its manifestation
The source of infection is most often the bacteria, but sometimes there is a viral form of pneumonia. According to the nature of the current, acute and chronic pneumonia is distinguished. If the infection penetrates into the pulmonary lobes, then this disease is called lobar pneumonia, while bronchopneumonia is an inflammation of the smaller airways within the lung.
Pneumonia in an adult is divided into several types, which contributes to a different approach to treatment:
1. Non-hospital form of the disease, which occurs in an adult person outside the hospital walls.
2. Nosomial or hospital (hospital) - developing for 48 hours in connection with the stay of an adult at the hospital.
3. Aspiration - which is associated with the inhalation of foreign masses into the lungs (vomiting after surgery, loss of consciousness, facial trauma, nasopharynx).
4. Pneumonia associated with human immunodeficiency (HIV-infected, oncological, drug-dependent, diabetic).
Stages of pneumonia in the adult and their symptoms
Pneumonia is divided into three stages according to the severity of the disease. Symptoms of the disease at each stage are different.
1. an easy stage in which mild intoxication, fever, tachycardia, dyspnea;
2. for the average stage of pneumonia in adults characterized by signs of weakness, dry or wet cough, moderately severe intoxication;
3. with pneumonia of severe severity, there is an increase in temperature to 40 degrees, turbidity, shortness of breath, tachycardia more than 100 beats per minute.
When pneumonia is in the tidal stage, the deterioration of health in the form of chills, headaches, fever, dry cough, dyspnea, acute pain in the chest area is noted. By the end of the tidal phase, there is a cough with the release of "rusty" sputum and herpes.
When the disease is at the stage of densification, during coughing sputum with purulent sputum is discharged, dyspnea increases, severe pain in the chest with a fit of cough and inspiration, high body temperature, also observe nervous excitement and icterism sclera.
When the disease is at the final stage of resolution, then normalize the temperature, chest pain and shortness of breath pass, sputum is not significant, improve your well-being.
How to treat traditional methods of pneumonia in an adult?
Treatment of the disease is prescribed when the diagnosis is clearly established. And only after this, a qualified treatment is prescribed. The first step (in treatment) is to remove focal inflammation. In this case, prescribe a course of antibiotics. The second step is to lower the temperature of the body, relieve the exacerbation of cough and organize care for the sick person. Recall that pneumonia, a serious disease. To reduce the elevated body temperature (if above 39 degrees), prescribe antipyretic drugs. Assign mucolytic agents for better separation of sputum. Particular attention should be paid to general toxication manifestations, the output of sputum, the disappearance of infiltrates. It is necessary to conduct an X-ray examination while establishing the inflammatory process. In medical practice, there are pneumonia with a changed immunological reactivity, especially in military hospitals. Pneumonia in adults is characterized by an atypical onset and presents certain difficulties in treatment, since the body does not respond to pathogens.
Treatment of a disease of a mean and severe course is carried out in a hospital. Assign easily digestible, high-calorie diet with a high content of proteins and vitamins. Preferred ward mode.
How to treat pneumonia in a hospital?
A person who has contracted pneumonia often needs inpatient treatment. In this case, the doctor prescribes strong painkillers to relieve pain that occurs in the chest area during breathing and coughing or as a result of pleurisy. Physiotherapy procedures are designed to facilitate the allocation of sputum, which often has a rusty color.
If the patient is hospitalized, he is prescribed treatment in the form of intravenous infusion of antibiotics (droppers), so in this case a strict dosage is maintained. Oxygen can also be prescribed, either through a special mask or through thin hollow tubes inserted into the nostrils. This facilitates breathing and provides sufficient supply of all body tissues with oxygen. In addition, there is a regular record of the temperature and pulse rate of the patient.
When the acute form of the disease is under constant control, antibiotics can be taken in the form of tablets. It is very important to ensure that the course of treatment of pneumonia is carried out to the end, in order to prevent the occurrence of possible complications.
Also, a regular examination of his breathing is performed and all improvements and deterioration of this process are accurately recorded. With the help of a blood test, the amount of oxygen and carbon dioxide present in it is determined, as well as the presence of bacteria in the body of the patient that caused pneumonia.
What drugs cure pneumonia?
When a symptom of pneumonia is detected, treatment is usually directed to the localization of the inflammatory process of the disease. Apply eryiotropic treatment, in which first of all antibiotics of a wide spectrum of action are appointed. After receiving laboratory tests (seeding on flora and sensitivity), correction of pneumonia treatment is performed.
Pathogenic treatment consists in improving the sputum production from the bronchial tree by reception mucolytics Bromheksin, Mukaltina, ATSTS) and bronchodilators (Berodual, Atrovent, Teopek, Eufillin). After the course of treatment of pneumonia, breathing improves, the infection is localized.
Symptomatic therapy includes antipyretic drugs. In the absence of contraindications, prescribe breathing exercises and physiotherapy.
Antibiotic therapy is carried out taking into account the results of microscopic studies. If sowing and microscopy are not performed or are non-indicative, antibiotic therapy is selected based on the patient's age, epidemiological factors and the severity of the disease. Treatment of pneumonia should be carried out in accordance with the concept of "stepwise therapy in which a two-stage application is proposed antibacterial drugs: the transition from the parenteral to the non-parenteral route (usually oral) antibiotics as soon as possible (under normal temperature, positive clinical, laboratory and X-ray dynamics).
In case of viral pneumonia (influenza viruses A, B), the drugs of choice are zanamivir, oseltamivir (therapy should begin no later than 48 hours after the onset of symptoms). Alternative drugs for influenza A - Remantadine or Amantadine. For community-acquired pneumonia, the drug of choice is Azithromycin (Clarithromycin). Fluoroquinolones (Levofloxacin, Ofloxacin, Ciprofloxacin) are used orally. Alternative drugs are second-generation cephalosporins or "protected" penicillins (Amoxicillin Clavulanate or Doxycycline). Finally, for community-acquired hospitalized pneumonia, the drugs of choice are fluoroquinolones (Levofloxacin, Ofloxacin, Ciprofloxacin), which are administered parenterally.
Cephalosporins of the third generation (Ceftriaxone, cefoperazone) are administered intravenously, in especially severe cases The parenteral use of carbapenems (meronem) or cephalosporins of the fourth generation (Cefepime).
In patients with "atypical" (including Legionella pneumonia) pneumonia, the use of antibiotics in the macrolide group is indicated. For the treatment of pneumonia caused by Pseudomonas aeroginosa, combined antibacterial therapy ("protected" penicillins, Tazocym and Gentamicin, Fluoroquinolone and Carbapenem, or the fourth generation Cephalosporin with an antibiotic from another group to which Pseudomonas is sensitive aeroginosa). Improvements in the elimination of secretions from the lower respiratory tract are achieved with the help of physiotherapeutic procedures and by the appointment of mucolytic drugs. Derivatives of carbocysteine normalize the rheological properties of the secretion, its viscosity and elasticity, secretory function of glandular cells of the respiratory tract, the ratio of sialomucins and fucomycins, accelerate mucociliary transport.
Derivatives of bromhexine improve the drainage function of the lungs, increase the secretion of glycoproteins (mukokinetic effect), increase the motor activity of the cilia of the ciliated epithelium, stimulate the synthesis of surfactant and prevent its decay.
Disintoxication therapy: abundant warm drink, if necessary - intravenous fluid (polarizing solution, Hemodeza). Symptomatic therapy:
1. antipyretic drugs;
2. drugs that suppress the irritant cough (antitussive), bronchodilator, antihistamines;
3. means, modulating the general and local immunity,
4. vitamins of group B, ascorbic acid,
5. analgesics for pain.
In the treatment of severe or complicated cases of pneumonia, correction of microcirculatory disorders and dysproteinemia, oxygen therapy, glucocorticoid, antioxidant therapy, etc. depending on the clinical course of the disease.
Until now, Ampicillin in combination with Clavuanic acid has been used to treat pneumonia. However, in practice, it has been proven that the antibiotic is highly resistant to this type of antibiotic. Severe course of the disease requires hospitalization and the appointment of cephalosporins or Ampiox with Synthomycin. Monitor the treatment after 3 days.
How to be treated by home methods for pneumonia?
Most people who have pneumonia (up to eighty percent) can be treated at home. The patient needs to arrange appropriate care, appropriate care. This is done in order to improve the effectiveness of treatment of pneumonia in adults and accelerate its recovery. As with most diseases, it is necessary to include as much vegetables and fruits as possible in the patient's diet. As little as possible to eat fatty foods and hard to digest food. It is recommended to the patient abundant, warm drink.
1. First, fluid in pneumonia helps to sputum.
2. Secondly, it prevents dehydration of the body during elevated body temperature.
3. You can drink: milk, alkaline mineral water, juices. A person who has become sick with pneumonia needs complete rest and a bed rest.
4. A positive result will give therapeutic gymnastics. It can accelerate the recovery of a person. It must be done from the first days. From the second day of illness, it is necessary to carry out respiratory gymnastics (lying in bed). Also, during the illness it is necessary to perform tilting (forward, sideways), rotate the body. Such exercises are useful for the chest.
5. Treatment with antibiotics is strictly individual. To prescribe antibiotics, it is necessary to establish the degree of development of the disease, determine at what stage the disease, and what form of pneumonia. From the correct diagnosis depends on the purpose of antibiotics. The duration of treatment for pneumonia is also strictly individual.
6. Give up smoking, go in for sports, change your diet so that this disease will pass you by.
Causes and prevention of pneumonia in adults
Typical pathogens of primary out-of-hospital pneumonia are Streptococcus pneumoniae, Mycoplasma pneumoniae, Haemophilus influenzae, Chlamidia pneumoniae. In 20-30% of patients, the etiology of the disease can not be established. Some microorganisms are normally rare in the composition of the microflora of the upper respiratory tract and can cause development of pneumonia in older age groups with concomitant severe chronic diseases of other organs and systems.
Acute respiratory viral infections, primarily influenza, are certainly the main risk factor, but most scientists say that they rarely cause pneumonia in adults. At the same time, in infants, viruses can cause pneumonia.
In secondary (hospital) pneumonia in adults, the role of gram-negative microorganisms and conditionally pathogenic flora is great: Staphylococcus aureus, Klebsiella pneumoniae, Esche-richia coli, Proteus vulgaris, Pseudomo-nas aeroginosa, Legionella pneumoniae. The etiology of aspiration pneumonia is characterized by the involvement of nonclostridial anaerobes (Bacteroides spp., Micoplasma spp., Candida spp.), Often in combination with an aerobic graffiti microflora (Hae-mophilus influenzae, Enterobacterio-ceae). In the development of the disease in persons with severe immunological disorders, cytomegalovirus infection, Pneumocystis cari-nii, pathogenic fungi, mycobacterium tuberculosis, along with other microorganisms encountered in other pneumonia.
The causative agent of the disease is epithelial dysfunction and mucociliary clearance disorder. Thus, pathogens search for the receptor field, adhesion on it and colonization. The use of antibiotics gives results only at the stage of colonization of microorganisms.
Mucociliary transport is the main factor of lung protection, which is disrupted in acute pneumonia. Disturbance of pulmonary ventilation is an obligatory factor of acute pneumonia.
The age of the patient influences the development of the disease. The disease also depends on the time of the year, most often a high percentage of the disease occurs during the cold season, a severe illness is observed in people who have come from the regions of the far north. A major role in the disease is chlamydia pneumonia, which affects young people. The main pathogens of pneumonia: in winter - streptococci, in autumn - mycoplasma, for summer is characteristic - legionella. The advantage is led by streptococcus, the etiology of the disease has not yet been established.
According to the European Society of Pulmonology, the number of pneumonias does not include diseases of pulmonary tissue of non-infectious nature; caused by physical, chemical factors; having allergic or vascular origin; caused by highly contagious infectious agents (plague, measles, rubella, abdominal typhus, influenza; such diseases are considered in the context of an appropriate infectious disease); diseases caused by a viral infection (in the first place with the flu).
Prevention of pneumonia in adults
In the future, it is necessary to harden and adhere to the general hygiene factors (no smoking, avoid dust, ventilation of rooms or offices, nutrition and much more). Be careful to your health! Take care of yourself!
In medicine, the term pneumonia refers to an acute infectious disease, predominantly bacterial etiology, with focal lesions of the respiratory departments lungs and mandatory presence of intraalveolar exudation, which is detected during physical and / or instrumental examination, with general inflammatory and toxic changes.
Signs of pneumonia in adults without fever. Symptoms of pneumonia without fever
Pneumonia is a serious infectious disease. Under normal conditions, it can have a fairly pronounced clinical course, but certain factors can strongly lubricate the main manifestations of the disease.
Pneumonia in adults: symptoms, signs, causes in normal conditions
This disease occurs due to the development of microflora in the lung tissue and its gradual destruction. The beginning of such a pathological process is capable of getting into the body of a wide variety of infections.
Another factor contributing to the development of pneumonia, is a local or general decrease in immunity.
Among the main symptoms of this disease, it is necessary to note primarily a rise in temperature body, a strong cough, the occurrence of dyspnea with the least physical exertion, poor general state of health.
Pneumonia in adults: symptoms, causes, types in unusual conditions
There are two main reasons why the clinical manifestations of the inflammatory process in the lungs will differ from the classics. Among them it is necessary to note the following:
- decreased immunity;
- uncontrolled use of antibacterial agents.
Both of these causes can significantly change the clinical picture of pneumonia.
Incorrect use of antibiotics
To date, the uncontrolled use of antimicrobials has become a real problem for society. The fact is that this circumstance gradually leads to the formation of resistance to an antibacterial agent in infection. As a result, the antimicrobial drug simply ceases to have a sufficient effect on pathogenic bacteria.
In addition, the independent reception of such drugs can significantly reduce the severity of the main clinical manifestations of the disease. For example, pneumonia occurs in children and adults. Without a temperature reaching high enough values, few will immediately become worried and make a decision to consult a doctor. As a result, the disease will proceed in a latent form, and the patient will not receive rational treatment. This will lead to the gradual involvement in the pathological process of new and new areas of lung tissue. As a result, the patient will have other, more health-threatening clinical manifestations. The main signs of pneumonia in adults without temperature are the increase in dyspnea, the appearance of blood veins in escaping coughing sputum, as well as pain in the chest, arising from involvement in the pathological process pleura.
Now doctors are trying to limit the independent reception of antibacterial drugs by patients. One of the main ways was the issuance of such drugs only by prescription.
On the decrease of immunity
The clinical picture of inflammation of the lungs can vary greatly not only under the influence of antibacterial agents, but also in the conditions of reducing the protective properties of the body. As a result, typical first signs of pneumonia in adults may not be present. As a result, the patient does not immediately notice a serious problem. Signs of pneumonia in adults without a temperature in such conditions are expressed in the appearance of a painful blush on the side of the lesion of the lung tissue. Especially high diagnostic value this symptom has in the case of isolated lesions of one lung.
The increase in temperature in this case is not observed for the reason that the defenses of the body are depleted. At the same time, hyperthermia is the most important factor of defense. The fact is that in conditions of elevated temperature, pathogenic bacteria are much more difficult to grow and multiply. As a result, they are gradually destroyed by white blood cells.
Symptoms of pneumonia without temperature in adults are quite diverse. First of all, we are talking about the appearance of a painful blush. This symptom is especially well distinguished if the patient has unilateral pneumonia without temperature. Signs of bilateral pneumonia are noticeable worse, as the blush will be located on both cheeks.
In addition, a patient with pneumonia, which is not treated rationally, has a pale complexion. When breathing, there may be a lag in the excursion of the half of the chest in which the inflammatory process is taking place. Naturally, such signs of pneumonia in adults without a temperature are well detected only in cases with one-sided pathology. Thus the second cheek can be paler than usual.
There are a few other signs that pneumonia develops in children and adults. Without a temperature, people often do not pay attention to the soreness in the chest, which increases with every breath. This approach is dangerous in that you can skip a serious pathology. So that in the event of pain in the chest, increases during inhalation, it is better to see a specialist, so he ruled the inflammatory process in the lung tissue.
When should shortness of breath make you think?
Symptoms of pneumonia without temperature in adults, as you can already see, are quite diverse. One of the manifestations of the disease is shortness of breath. Normally, it can occur in any person after certain physical exertion. In the event that dyspnea appears at rest, one of the reasons may be an inflammatory process that occurs in the lung tissue. In this case, despite the lack of motor activity, without rational antibacterial therapy, dyspnea gradually only increases.
However, this symptom does not always indicate that pneumonia develops without temperature. Signs of the same type can also occur in cardiac pathology, when the patient gradually develops stagnant phenomena. Identify the exact cause of dyspnea with this help radiography chest organs.
It must also be remembered that young patients should pay special attention to dyspnea at rest, since in the overwhelming majority of cases they have no expressed cardiac pathology.
What should I do first?
In the event that there are typical first signs of pneumonia in adults, you should immediately turn to a specialist - doctors, therapist or pulmonologist. They will conduct a general examination, including auscultation of the lungs. Based on the results of the primary diagnostic measures, the doctor will decide whether it is necessary to perform an X-ray examination of the chest organs. If the doctor suspects something and sends the patient to such a survey, then in no case should you refuse. After radiography, the doctor will be able to accurately establish the diagnosis and prescribe rational treatment.
What is the danger of pneumonia without temperature?
This disease, if it occurs without hyperthermia, is very insidious. The fact is that, in itself, even under the condition of timely rational treatment, pneumonia is very, very dangerous. If, with inflammation of the lung tissue, antibiotic therapy is not performed, then there is a real danger that the disease will lead to the most disastrous consequences. But not only this should frighten pneumonia without temperature. Such a disease is also dangerous because the patient, most likely, has weakened immunity, or he recently took certain antibacterial drugs. In both cases, one usually has to use one of the most modern antimicrobial agents. In a situation with reduced immunity, it is a matter of the fact that the body itself does not have the strength to resist infection. In the second situation, the resistance of pathogenic microorganisms to one or another form of antibiotics has already been developed.
How to reduce the risk of pneumonia?
First of all, you must avoid serious hypothermia. The fact is that with a significant decrease in temperature in this or that area of the human body, the level of local immunity decreases. As a result, pathogenic microorganisms have an excellent opportunity to multiply unhindered, hitting more and more sections of lung tissue.
In addition, it is very important to take antibacterial drugs strictly according to the recommendations of doctors. At the same time, it is necessary to stop using them when the signs of an infectious disease cease to make themselves felt, but only after the completion of a full course of treatment. Otherwise, a number of pathogens will persist. The next time the use of this same antibiotic will have a much more modest success, and will have to change the drug.
Another important point is the support of immunity. In order for it to be normal, it is necessary to maintain a normal level of physical activity, to eat properly and in sufficient quantities, to give the proper time to sleep and ordinary rest.
About laboratory research
They are carried out in the event that there are signs of pneumonia in adults. Without temperature or with hyperthermia, this disease occurs - laboratory tests are necessary. First of all, we are talking, of course, about a general analysis of blood. This study allows you to assess how pronounced the infectious process is in the lung tissue. In this case, doctors are most interested in the number of leukocytes, as well as the rate of erythrocyte sedimentation. The fact that the process has an infectious etiology will be said to increase the level of white blood cells (more than 9 * 109 / L). The fact that there is inflammation in the body will be indicated by an increased level of erythrocyte sedimentation rate. Often, the doctor does not assign a usual general blood test, but a study with a formula that allows the doctor to determine which type of microorganisms triggered the development of pathology. With an increased level of neutrophils, we can talk about bacterial pneumonia, and with an increase in the number of lymphocytes - about the viral etiology of this disease.
Symptoms and signs of pneumonia in adults
Is pneumonia dangerous for adults?Pneumonia is an acute infectious disease that occurs with inflammation of the lung tissue. Inflammation of the lungs remains one of the leading causes of death from respiratory diseases, despite a giant leap in the development of medicine. Symptoms of pneumonia in adults, children and the elderly, as before, make doctors worry about the fate of patients.
In 2006, 591493 cases of pneumonia were detected in Russia, which amounted to 4 ‰ among adults & 8 years. But these figures from official reports do not fully reflect the true picture. The calculations of scientists show that the real incidence of pneumonia in Russia reaches 15 ‰. The absolute number of cases of pneumonia is 1500000 people every year. According to statistics in 2006, pneumonia and its complications claimed the lives of 3, 70 Russian adults.
If elderly patients & g; 0 years there is a chronic concomitant pathology (chronic obstructive pulmonary disease, cancer; alcoholism; diseases of the liver, kidneys, heart and blood vessels; diabetes), then with severe pneumonia, mortality increases to 30%. The highest mortality from pneumonia in Russia is registered in adult men of working age. Typical for Russians, the risk factor for the fatal outcome of pneumonia is later seeking medical help.
Signs that increase the risk of death from pneumonia in adults:
- Severe hypothermia before the disease.
- Dyspnea with respiratory rate & g; 8 in 1 min.
- Violation of the mental state of the patient.
- Concomitant diseases - chronic heart failure, decreased immunity, diabetes, atherosclerosis of the heart vessels, oncological processes, chronic renal failure.
- Low blood pressure
- Low body temperature
If patients who died of pneumonia knew the first signs of a dangerous illness and turned to the doctor on time, their lives could be saved.
The first signs and symptoms, indicating an inflammation of the lungs:
- Suddenness of onset of the disease;
- fever (a sharp increase in body temperature & 8 ° C);
- chills (muscle trembling);
- chest pain when coughing and deep breathing;
- dry or unproductive cough with sputum rusty;
- shortness of breath - a feeling of lack of air;
- general weakness and fatigue;
- heavy sweats at night and at the slightest load.
These signs in a person who has fallen ill with a "cold" should alert his relatives, as he is quite likely to diagnose pneumonia. If you suspect an inflammation of the lungs, consult a doctor.
Objective signs of the disease
The doctor, examining the patient, reveals the objective symptoms of pneumonia:
- Dullness of sound when tapping over the affected places of the lungs;
- hard breathing over the inflamed part of the lung tissue;
- listening to wheezing over the site of inflammation.
The main rule that confirms pneumonia is the asymmetry of objective findings, that is, the presence of pneumonia symptoms in only one lung. After the examination, the doctor will prescribe an X-ray of the chest.
X-ray symptoms of pneumonia
The main radiographic evidence of pneumonia is local dimming of the lung in a patient who has symptoms of inflammation of the lower respiratory tract.
X-rays for suspected pneumonia are performed by all patients: children and adults. This mandatory rule is associated with the risk of complications of pneumonia with a delay in the appointment of antibiotics. The consequences of procrastination can be fatal.
Treatment of inflammation of the lungsThe main component of treatment, determining the prognosis, is the correct choice of antimicrobial agent - antibiotic. Treatment of mild cases of inflammation of the lungs in adults can be carried out at home. In addition to antimicrobial drugs, the patient needs a bed rest for the time of fever, abundant warm drink and adequate nutrition. If the patient coughs up phlegm, then cough can be alleviated with the help of expectorants and compresses on the chest.
Diet for a patient with pneumonia is in frequent fractional nutrition, the food should be easily assimilated and fully-fledged in composition.
In case of a serious condition, the patient is treated in a hospital (hospital).
After recovering from pneumonia, the patient is observed at the clinic therapist for 1 year.
Prevention of disease
To prevent the disease will help vaccinate against pneumococcus - the main culprit of the disease. If the vaccine is contraindicated to a patient at risk, you can use drugs such as "vaccine-tablets." Such drugs contain surface proteins of microbial pathogens that enhance immunity. The action of such immunomodulators is regarded as "grafting only without injection. For a competent choice of treatment and prevention of pneumonia, a doctor's consultation is necessary.
Is there pneumonia without fever? Pneumonia without fever and cough
Pneumonia is a very dangerous disease, which can lead to complications and disruptions in the work, in the first place, the cardiovascular system. In the presence of such signs as cough, shortness of breath, weakness and high fever, it is not difficult to suspect the presence of such a disease in your presence and to consult a doctor in time.
Does it happen without a fever? It turns out that in some cases this is quite possible. This pneumonia is also called quiet or hidden.
Than the disease is dangerous
To detect this pathology, it is necessary to conduct a thorough diagnosis, the usual listening to the lungs does not reveal latent pneumonia. In addition, even an experienced doctor can not always put the right diagnosis in a disease that is not accompanied by fever and cough, which often leads to disastrous consequences.
Particularly dangerous is pneumonia in children without temperature, since a young child is not yet able to explain his feelings. Therefore, it is desirable for everyone to know the main symptoms of this disease.
Main Risk Factors
Pneumonia without temperature often occurs in people with reduced immunity. The reason for reducing the protective forces of the body may be the presence of a source of chronic infection, such as, for example, inflamed tonsils or untreated teeth. A person with reduced immunity may not even suspect that he has pneumonia without fever, symptoms may be absent for several days. The main sign in this case is shortness of breath. When you try to take a deep breath, a person feels dizzy.In elderly people, pneumonia without fever and cough can manifest as pain in the chest, which is not always localized in the lungs. Such pain is sometimes similar to muscle pain, so people sometimes go to the doctor with complaints about stretching the muscles.
The most susceptible to this disease are people with a busy life schedule, who work hard without rest and suffer from diseases on their feet.
A good standard of living and adequate nutrition help the body cope with inflammation on its own, but with This is the replacement of affected lungs with connective tissue, and this can cause respiratory insufficiency.
Another cause of the disease is uncontrolled use of antibiotics. With prolonged use of such drugs, the body becomes accustomed to them, which leads to a decrease in the therapeutic effect.
Due to prolonged use of antitussive drugs, pneumonia can develop without temperature and cough. Such drugs suppress the process of sputum discharge from the lungs, which leads to the accumulation of pathogenic flora in the body.
Features of the course of the disease
Sometimes pneumonia happens without a temperature, but is accompanied by a cough. Most often this happens after a long cold, when the person's condition has improved, wheezing in the lungs is not audible, but a small cough persists.Should be alerted, when such signs occur:
- Cough with abundant or poor sputum lasts more than two weeks;
- increased weakness, decreased appetite, a constant sense of thirst;
- a painful blush. Red spots can appear only on one cheek, from the side of the inflamed lung;
- obstructed, wheezing, which is accompanied by pain in the lower part of the chest. When breathing, the asymmetry of the chest movement is noticeable. Rapid breathing is one of the main symptoms of this disease. The fact is that when the disease develops, the area of a healthy lung becomes smaller, the patient lacks oxygen and compensates this lack with frequent breathing;
- with minimal physical exertion, a person sweats profusely and throws it into fever;
- there are painful sensations in the chest when the body turns.
The identification and diagnosis of such a disease requires vast medical experience and basic knowledge symptomatology, as pneumonia in adults without a temperature with listening to the lungs is often not is revealed.
To diagnose a doctor, the doctor should ask the patient for complaints, perform an examination of the chest, paying special attention to the symmetry of her movement during inspiration and expiration. Then rattling and listening to the lungs are performed (with inflammation dry and wet wheezing, dull sound in problem areas).To diagnose this form of the disease requires a general analysis of blood, urine, as well as sputum analysis.
In order to clarify which area of the lung is affected, determine the size of the inflammation focus, and identify possible complications, an X-ray examination is performed. The X-ray diffraction pattern is performed in two projections. The presence of a limited darkening of the lung tissue is the main sign of this pathology.
Unfortunately, sometimes radiographic research is not informative. In this situation, resort to a more accurate method of research - computed tomography of the lungs. Use this method in such cases:
- The roentgenogram does not allow to reveal the center of an inflammation at presence at the person of all signs of a pneumonia;
- with recurrence of the disease (more than 3 times), in the event that the focus of inflammation is in the same lobe of the lungs;
- if the results of the X-ray examination do not match the clinical manifestations of the disease.
In some cases, you may need a bronchoscopy. The study is carried out using a flexible tube with a camera at the end. The tube through the nose is inserted into the lumen of the bronchi. Bronchoscopy is necessary for complicated forms of pneumonia.
Signs of latent pneumonia in children
Pneumonia in children without fever is accompanied by slightly different symptoms than in adults. Parents should be alerted by constant drowsiness and sluggishness of the baby, tearfulness without reason, poor appetite, excessive sweating, blueing of the nasolabial triangle, shortness of breath.In the presence of such signs it is necessary to immediately show the child to the pediatrician, who will conduct the necessary studies and make an accurate diagnosis.
After a complete preliminary examination and conducting all the studies, the doctor will prescribe the necessary treatment. If you have pneumonia without temperature, self-medication in this case is unacceptable.
For the treatment of pneumonia, antibiotics of a broad spectrum of action are usually prescribed. Very often a combination of two antibacterial drugs is required. The course of treatment is at least 7-10 days.If pneumonia without fever is accompanied by a cough, expectorant and thinning medications are prescribed at the "ACE" Lazolvan Bromhexine ". In patients without cough or with a dry cough, there is no need to use such remedies.
If a person suffers from shortness of breath, it is necessary to use bronchodilators. Inhalation with nebulizer is useful.
In severe forms of pneumonia, immunomodulatory therapy is required, the administration of multivitamins.
10 days after the start of treatment, an X-ray examination is repeated. In case of threat of complications or deterioration of a person's condition, pictures can be taken earlier. Since there is a risk of decomposition of the lungs during a prolonged course of the disease, it is necessary to visit the phthisiatrician.
Treatment with folk remedies
Folk methods of treatment can only be an addition to the main treatment, but not a substitute for it. If you have pneumonia without fever, treatment with any folk remedies is possible only if you are not allergic to them.It is useful to use honey, as well as large doses of garlic or onions.
Instead of the usual hot drinks, it is good to drink infusions from the leaves of mother-and-stepmother, hips, elderberry, linden flowers, raspberry.
At the stage of recovery is useful infusion of leaves of mother-and-stepmother, plantain, calendula flowers, thyme, licorice. A tablespoon of a mixture of plants is poured into a glass of boiling water and insisted for 30 minutes. Then the medicine should be filtered and taken on a tablespoon 3-4 times a day before meals. This remedy strengthens the immune system, regains strength.
Lifestyle during illness
Pneumonia without temperature requires bed rest. No smoking. The volume of liquid used should be no less than -3 liters per day. Food should be rich in proteins, carbohydrates and vitamins, especially A, B and C.Many will benefit from breathing exercises. The simplest exercise is inflating balloons. Before you start, you should consult your doctor. In some conditions, breathing exercises are contraindicated.
What can not be done
In no case do not self-medicate with antibacterial drugs (you can use them only after the sputum is examined for sensitivity to a particular series of antibiotics).
Do not heat the chest and body as a whole. You can not take hot baths, bathe in a sauna or a sauna. Do not use antitussive and expectorant drugs without the advice of a doctor.
Do not engage in the usual activities, even if you have pneumonia without temperature. Symptoms of the disease may not be pronounced, but even in this case you can not lead an active lifestyle and give your body increased physical activity.
For the prevention of pneumonia, it is necessary to strengthen the body's immunity and defenses, to eat fully and regularly exercise.
At the first signs of the disease, it is necessary to urgently consult a doctor, because the inappropriate treatment of such a disease can be fatal.