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Athens News Agency: News in Greek, 07-05-07
PERIEXOMENA
[01] H pneymonia "xtypaei" toys kapnistes
[01] H pneymonia "xtypaei" toys kapnistes
Apo idiopaqh pneymonikh inwsh kindyneyoyn na prosblhqoyn perissotero oi
andres anw twn 50 etwn, poy einai systhmatikoi kapnistes. H idiopaqhs
pneymonikh inwsh einai h pio syxnh kai einai typos diameshs pneymonias
poy entopizetai mono ston pneymona. Einai agnwsths aitiologias kai ta
klinika ths xarakthristika einai periodikh dyspnoia, xronios bhxas kai
diataraxes ths anapneystikhs leitoyrgias. H diagnwsh ths nosoy ginetai
me klinika kai aktinologika krithria kai otan ayta den plhroyntai me
biocia pneymona. H klinikh poreia ths poikilei, alla genika h prognwsh
ths einai ptwxh. Megalo pososto asqenwn me metria noso paramenei
staqero gia megales periodoys, enw alloi asqeneis paroysiazoyn taxeia
ejelijh syxna me taytoxrones ojeies parojynseis. Kakoi prognwstikoi
deiktes kata th diagnwsh einai h megalh hlikia, to antriko fylo, to
kapnisma, o baqmos ths dyspnoias, h barythta twn diataraxwn ths
anapneystikhs leitoyrgias se hremia kai se kopwsh, h yparjh
proxwrhmenwn aktinologikwn blabwn kaqws kai h systash twn kyttarwn kai
oysiwn toy pneymona. Ayta tonise h epikoyrh kaqhghtria pneymonologias
sto Aristoteleio Panepisthmio Qessalonikhs Despoina Papakwsta milwntas
sto 9o Metekpaideytiko Seminario Pneymonologias, poy organwse h
pneymonologikh klinikh toy panepisthmioy Iwanninwn kai pragmatopoihqhke
sthn Kerkyra.
Allh mia nosologikh ontothta idiopaqoys diameshs pneymonias einai h mh
eidikh diamesh pneymonia, poy einai poly syxnh se asqeneis me reymatika
noshmata toy syndetikoy istoy, se pneymonitida apo ypereyaisqhsia, se
farmakeytikes pneymonopaqeies, se loimwjeis kai anosoaneparkeies. H
morfh ayth xarakthrizetai kyriws apo flegmonh kai spaniotera apo
katastrofh toy pneymona se antiqesh me thn prohgoymenh kai exei kalh
prognwsh. Prosballei ej isoy kai ta dyo fyla se hlikia mikroterh
(metajy 40-50 etwn) apo thn idiopaqh pneymonikh inwsh kai den
sxetizetai me to kapnisma. H enarjh twn symptwmatwn einai baqmiaia kai
h mesh diarkeia toys apo 6 mhnes ews 3 xronia. Apwleia baroys (kata
meso oro 6 kila) parathreitai sto 50% twn asqenwn. H klinikh eikona
ekdhlwnetai me bhxa kai dyspnoia. To oikogeneiako istoriko paizei
shmantiko rolo kai stis dyo ontothtes, poy parathrhqhkan se polla melh
ths idias oikogeneias. H diagnwsh ths xreiazetai xeiroyrgikh biocia.
H kryptogenhs organoymenh pneymonia moiazei me koinh pneymonia kai
einai h deyterh se syxnothta idiopaqhs diamesh pneymonia meta thn
idiopaqh. Emfanizetai ws grippwdhs syndromh me pyreto, bhxa kai
dyspnoia. H anapneystikh leitoyrgia einai hpia ephreasmenh. H nosos
exei kalh prognwsh kai antimetwpizetai epityxws sto 65-80% twn
periptwsewn me xorhghsh kortizonhs. Spania parathreitai taxeia ejelijh
me ojeia anapneystikh aneparkeia kai o klinikos giatros prepei na th
skefqei, otan antimetwpizei asqenh me empyreto kai skiaseis, poy den
apantoyn sta antibiotika.
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