The difference between interstitial pneumonia and pneumonia

Written by Yuan Qing
Pulmonology
Updated on November 19, 2024
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Interstitial pneumonia, also known as diffuse pulmonary interstitial fibrosis, mainly refers to a disease characterized by the replacement of the lung interstitium with some invisible fibrous tissues, leading to lung atrophy and difficulty breathing as the main manifestations. The pathological site of pneumonia is mainly in the alveoli and lung parenchyma, and patients mainly show symptoms such as coughing, expectoration, and fever, generally not experiencing difficulty breathing. Additionally, interstitial pneumonia and pneumonia have typical and distinct changes in imaging. Through imaging, it is basically possible to differentiate almost completely between interstitial pneumonia and pneumonia without the need for any special techniques.

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How to take care of children with pneumonia

Children with pneumonia need comprehensive and general treatment, and care should be mindful of the following: First, indoor air should be circulated, with a temperature of 18~20°C and humidity at about 60%. Second, provide a nutrition-rich diet. For severe cases where the child has difficulty eating, parenteral nutrition can be given. Third, frequently change the child's position to reduce pulmonary congestion and facilitate the absorption of inflammation. Fourth, pay attention to isolation to prevent cross-infection. Additionally, it is important to monitor and supplement electrolytes and fluids, correct acidosis and electrolyte imbalances. Appropriately supplementing fluids helps moisten the airways, but care should be taken with the speed of fluid administration, as too fast a rate can increase the burden on the heart.

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The function of the pneumonia vaccine

Pneumonia vaccines are generally aimed at preventing infections caused by Streptococcus pneumoniae. There are two common types of vaccines: the 23-valent polysaccharide vaccine, which is suitable for high-risk populations over two years old, and the 7-valent or 13-valent conjugate vaccines, which are mainly used for vaccinating infants under two years of age. Streptococcus pneumoniae is the most common and widespread bacterium causing pneumonia, and pneumonia caused by this bacterium is also the most prevalent worldwide. It is also the most significant pathogen in community-acquired pneumonia in children and a major cause of otitis media, meningitis, and bacteremia in children. The pneumonia vaccines mainly target common serotypes of Streptococcus pneumoniae, such as the 7-valent or 13-valent, designed to prevent infections from seven or thirteen serotypes, respectively, while the 23-valent vaccine aims to prevent infections from 23 serotypes. These pneumonia vaccines play a significant protective role in preventing infections caused by Streptococcus pneumoniae, however, they cannot prevent all cases of pneumonia.

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What are the symptoms of pneumonia?

Pneumonia can have many manifestations, and each person's symptoms can be different. It is highly heterogeneous, varying from mild to severe and can last for short or long durations. The main factors depend on the type of pathogen involved and the state of the body. The most common symptoms of pneumonia are coughing and producing sputum. The cough can be mild or severe and may be accompanied by sputum. The amount of sputum can vary and may be yellow, green, red, or rust-colored. Other possible symptoms include chest pain, difficulty breathing, respiratory distress, and most cases of pneumonia also involve fever. The duration and severity of the fever are somewhat related to the course of the illness. However, a small portion of patients may have atypical symptoms, especially older adults, who may not show direct respiratory symptoms but instead exhibit consciousness disturbances such as coma, confusion, fatigue, and more.

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What department should I go to for pneumonia?

Pneumonia, as the name suggests, is inflammation of the lungs and belongs to the category of respiratory diseases. Therefore, the primary department to consult is Respiratory Medicine. In places where there is no Respiratory Medicine department, such as community health service centers or township health clinics, patients would have to consult the general internal medicine department instead. Of course, if the symptoms of pneumonia are severe and the condition is critical, and it happens outside of regular outpatient hours, then the patient must be seen by the emergency medicine department. The emergency medicine department will manage and triage pneumonia patients, and then decide their next steps, such as whether to transfer them to the ICU, a regular Respiratory Medicine department, or keep them for observation in the emergency department.

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What can you eat with pneumonia?

What can pneumonia patients eat? Pneumonia is usually an acute illness, often accompanied by symptoms such as excessive phlegm, cough, shortness of breath, and chest pain, which demand strict dietary considerations. A good diet ensures that pneumonia patients get enough fluids and calories, which helps in the treatment of pneumonia. Patients can consume foods rich in quality protein, high calories, and vitamins, such as eggs, animal liver, cornmeal, buckwheat flour, and a moderate amount of fruits and vegetables. Foods like black fungus, seaweed, kelp, and mushrooms can also be included more frequently. It is important for patients to drink plenty of water. Pneumonia patients may experience fever and sweat a lot; drinking more water can help replenish fluids in a timely manner, prevent excessive loss of fluids, and more frequent urination helps in faster elimination of metabolic waste from the body, aiding in the recovery from the disease.