อาการ สาเหตุ การตรวจวินิจฉัย และการรักษาโรคปอดบวม ปอดอักเสบ (Pneumonia)

Pneumonia

Pneumonia is an infection that inflames your lungs' air sacs (alveoli). It causes coughing with phlegm. Many cases have fever, chills, and breathing difficulty.

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Pneumonia 

Patients with pneumonia have an infection in their air sacs in one or both lungs. As the air sacs may have fluid or pus, it causes coughing with phlegm. Many cases have a fever, chills, and breathing difficulty.

What are the signs and symptoms of pneumonia? 

The signs and symptoms of pneumonia can vary, such as:  

Have chest pain when breathing or coughing 

  • Have confusion or changes in mental awareness, especially in older patients 
  • Have a cough that may produce phlegm 
  • Experience fatigue 
  • Have a fever, sweating, and shaking chills
  • Have lower body temperature than normal, especially in older patients or those with the weak immune system
  • Have nausea, vomiting, or diarrhea
  • Have shortness of breath 


When to see a doctor

Patients in the following groups who have breathing difficulty, chest pain, continual fever with a temperature of 37.5 Celsius or higher, or with a persistent cough should see doctors.  

  • Adults who are older than 65 
  • Children who are younger than age 2 
  • Those with an underlying health condition and weak immune system 
  • Those who are receiving chemotherapy or on medications that suppress their immune system 


What are the causes of pneumonia?
 

Pneumonia occurs once the immune system is weak and allows some germs to enter and infect the lungs. Even if the health remains good, sometimes these germs can be very powerful to infect the immune system. There are four types of pneumonia, depending on the types of germs and where it infects, as follows:  

  • Community-acquired pneumonia, which is the most common and occurs outside of hospitals or healthcare facilities, and is caused by bacteria, bacteria-like organisms, fungi, the viruses, including Covid-19. 
  • Hospital-acquired pneumonia
  • Health care-acquired pneumonia
  • Aspiration pneumonia 


What are the risk factors that developing pneumonia?
 

Risk factors that develop pneumonia include:  

  • Be hospitalized 
  • Have chronic disease 
  • Smoke cigarettes 
  • Have weakened or suppressed immune system 


How do doctors diagnose pneumonia?
 

Doctors may start their diagnosis with a patient interview to get to know their medical history along with a physical exam, and maybe other exams, such as:  

  • Blood tests 
  • Chest X-ray
  • Pulse oximetry
  • Sputum test 

In some cases, doctors may opt for the following exams for patients who are older than 65 or have serious conditions: 

  • CT Scan
  • Pleural fluid culture 


How do doctors treat pneumonia?
 

Doctors usually opt for treatment that aims to cure the infection and prevent complications. Treatment options can be:  

  • Use antibiotics
  • Use cough medicine
  • Use fever reducers/ pain relievers. 

 

Preparation before meeting doctors

Before meeting doctors, patients are advised to:  

  • Prepare a list of symptoms that the patients are having. 
  • Prepare a list of medications that the patients have had or are having. 
  • Bring a family member or friend along to help remember questions to ask as well as what the doctors say.  
  • Prepare a list of questions that the patients may have for doctors. 

Doctors usually ask a series of questions during the interview, such as:  

  • When did the patients first notice the symptoms? 
  • Have the symptoms been continuous or occasional? 
  • Have the patients been exposed to sick people at home, school, or work?
  • Have the patients had some flu or pneumonia vaccines before?


Prevention

Patients with pneumonia can do as follows to prevent more serious symptoms:

  • Stop smoking or exposing to cigarettes.  
  • Drink plenty of fluids 
  • Get plenty of rest 

Published: 09 Mar 2021

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