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Was Sie über Lungenentzündung wissen müssen

Winter is the main time for chest infections such as pneumonia, which can be life-threatening. In fact, more people die from pneumonia in the UK than anywhere else in Europe. We talk to a doctor about the signs of pneumonia, who are the most vulnerable, and how you may reduce your chances of contracting it.

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Was ist eine Lungenentzündung?

Pneumonia is an inflammation of the lungs, usually caused by a chest infection. It sometimes follows flu, but can also be a complication of COVID-19. It's also possible to catch pneumonia without having flu or COVID-19 first. We'll help you recognise the symptoms of pneumonia, and explain how it might be avoided.

Symptome einer Lungenentzündung

Pneumonia is an infection of lung tissue, and has similar symptoms to bronchitis - an infection of the larger tubes in the lungs, called bronchi.

Allerdings fühlen sich die Betroffenen bei einer Lungenentzündung meist noch unwohler als bei einer Bronchitis. Eine Lungenentzündung kann wie andere Brustinfektionen eine Krankenhausbehandlung erfordern.

In serious cases, pneumonia, can make you cough up bloody or rust-coloured spit and mucus - this is not a symptom of bronchitis.

Anyone who coughs up blood should be seen by a doctor immediately as it could be a symptom of life threatening conditions such as a pulmonary embolism.

While anyone can get pneumonia, some people are more vulnerable than others.

Susceptible groups for pneumonia include:

  • People over 65.

  • Children under two years of age.

  • People with long-term health diagnoses.

  • People who have compromised immune systems.

Most cases of pneumonia are caused by bacteria or viruses. Bacterial pneumonia can be treated with antibiotics. All types of pneumonia respond well if you get bed rest and plenty of fluids.

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Wann benötige ich medizinische Hilfe?

Dr Andy Whittamore, Clinical Lead, Asthma + Lung UK explains that viral infections are not treated with antibiotics.

"However, I'd still advise you call your doctor if the infection goes on for more than a few days, causes difficulty breathing or chest pain, and especially if there's blood in your spit," he says.

You can also use the NHS 111 online or phone service if you are concerned that you're experiencing symptoms of pneumonia.

If you have pneumonia and experience breathlessness, if you feel confused, or someone caring for you says you're getting confused, seek emergency treatment.

In rare cases, pneumonia can lead to sepsis - and this is life-threatening.

Lungenentzündung und ältere Menschen

If you're elderly, it's even more important that your pneumonia is recognised and treated, as you have a higher chance of developing severe pneumonia. This can sometimes cause long-term and life-threatening complications, such as breathing issues and organ failure.

As you get older, your body may struggle more to fight the infection, as your immune system weakens over time. Many older people live in nursing homes and have extended stays in hospitals, and this is where pneumonia often passes between people. These are both dangerous environments to contract pneumonia. People in nursing homes are likely to have underlying conditions, while hospitals often carry strains of pneumonia that are more difficult to treat with antibiotics.

Für ältere Menschen steht viel auf dem Spiel, deshalb ist es umso wichtiger, besonders vorsichtig zu sein, um das Risiko einer Ansteckung zu verringern.

COVID-19 und Lungenentzündung

Viral pneumonia can be caused by COVID-19, so if you're worried about how you're feeling, it's important to look at the pattern of your symptoms.

Whittamore says the main symptoms of COVID that we know to look out for are:

  • Ein trockener Husten.

  • Eine Halsentzündung.

  • Loss of taste or smell

  • Müdigkeit.

  • Schmerzen und Beschwerden.

  • Eine hohe Temperatur.

A high temperature is classed as 37.8°C or over.

If you have COVID-19 symptoms, you should test yourself and avoid close contact with others if the test is positive. You may be eligible to book a test on the NHS. If your symptoms get more severe - for example, the breathlessness gets worse - seek help by calling 111 or the relevant number for your region.

In an emergency, phone 999 for an ambulance.

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Wie man Lungenentzündungen vorbeugt

Whilst not all cases of pneumonia are preventable, there are things you can do to reduce your chance of getting it.

Aktiv bleiben

Exercise helps keep your lungs working at their best - whether it's 10K runs or a short daily walk. As long as you get breathless, or break a sweat it counts. Experts recommend doing 150 minutes, over the course of a week.

When we move, we make our muscles stronger - and we also make them more efficient. For those of us with breathing issues, or conditions such as asthma, it also confronts a fear of getting breathless. This helps improve our confidence - making the next time we exercise a tiny bit less intimidating.

It's harder to stay active in the winter than it is in the summer. In particular, people with lung problems sometimes find that cold weather makes breathlessness, or a cough, worse.

Smoking can also contribute to breathlessness and coughing. Doctors and pharmacists are always happy to help you find a suitable way to quit, or you can refer yourself to a quit smoking service on the NHS.

Warm halten

Whittamore advises that both heating your house and wrapping yourself up in warm clothes, can reduce your chance of getting chest infections. Keeping warm is particularly important if you're over 65, have health conditions or aren't very mobile - in this case, you should try to make sure your home is heated to at least 18°C.

A report by Public Health England also found a link between cold homes, and conditions including asthma and pneumonia.

Grundlegende Bedingungen behandeln

People with underlying respiratory conditions such as asthma, COPD and pulmonary fibrosis have a higher likelihood of getting pneumonia. But taking steps to help when it is warmer, reduces this chance when cold, wet weather really sets in.

"The message I give to people with an underlying condition is to stay on top of their disease as much as they can," says Whittamore.

He explains that staying on top, means taking medicine prescribed for the condition. If your symptoms seem bad at the moment - for example, using a salbutamol (blue ‘reliever’) inhaler three times a week or more - see a doctor or asthma nurse to get more help.

If symptoms seem worse, it might be because your lungs are already a little bit infected or inflamed, which can make it easier for new infections such as pneumonia to take hold. Solving these before winter sets in reduces your chance of getting chest infections - especially pneumonia.

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