Sepsis kuyigazi - imiphumela kanye nokwelashwa

Igazi elinobuthi (sepsis) - yinqubo igciwane ezivamile emzimbeni by Amagciwane kusukela umthombo ukutheleleka ngemithambo yegazi. Ukuze ufunde indlela ukuthuthukisa isimo elibangela nemiphumela ngaziphi izindlela iphathwa, sizochaza kamuva kulesi sihloko.

Izimbangela sepsis

Ukuqala ukuthuthukiswa sepsis kukhona nezilwanyana ezincane ezahlukene: amagciwane, isikhunta, futhi izimpawu zaso kuzoncika ngumuphi kubo ongathiwa kwaba egazini. Kodwa kwethulwa inqubo ukutheleleka, ivame ukukhuthaza iqoqo izimo ezithile:

• umzimba kumele kube okuzobhekwa zisuka nje ukutheleleka elihlobene ne isimiso sokujikeleza kwegazi noma lymph;
• lwegciwane amaningi ungena egazini;
• Kuye akha Locus yesibili, okuyinto kamuva eletha Amagciwane.

Futhi isizathu esiyinhloko esingenze ukuthi kuphakamisa igazi sepsis, ngemiphumela lapho sicabanga ngani esihlokweni, kuyinto ababuthakathaka izivikeli mzimba noma khona pathologies okukhungethe ukuhlinzwa kwakhe olubanzi, esindayo ukopha, umdlavuza, ingculaza, izifo igazi, njll A indima eside ukudlala kule, futhi wamukele izidakamizwa immunosuppressive, noma cytostatics.

Koze kube nini uthatha sepsis

Esinye sezici ezichazwe zokugula yikhono layo fulminant. Lolu hlobo sepsis, okukhulunywe ngayo imithi bukhali, ageleza cishe zifana ukushaya kwezitho izinhlelo. Kulokhu, ngemva kwezinsuku ezingu-1-2 kuza umphumela obulalayo.

Yiqiniso Eminye basemtholampilo wathi isifo, kukhona acute, subacute futhi sepsis yansukuzonke. Yehluka nomunye nesenzakalo ukutheleleka eside (kusuka izinyanga omunye eziyisithupha) kanye umbono wokugcina namanje futhi inamagquma Yiqiniso, phakathi kwesikhathi lapho kungenzeka exacerbation indawo esimweni esejwayelekile zempilo. Ikakhulukazi eside kuyinto sepsis ezingamahlalakhona okungase kuhlale kuze kube unyaka noma ngaphezulu.

Sepsis Igazi: Izimpawu

Izimpawu ngenxa yegazi elinobuthi, njengoba kuye kwashiwo, kuncike ezintweni eziningi: ifomu lesi sifo, busebenze, indawo okuzobhekwa zisuka nje ukutheleleka kanye nokuba khona yesibili.

Kodwa kakhulu, lokhu zokugula kuzibonakalisa wonke amacala lokushisa lomzimba okungajwayelekile ukufinyelela 39-40 ° C, owathatha ukuzinza yayo. Isiguli ekhononda ka Ukugodola, iqiniso lokuthi nezikhathi ngaphandle lokushisa ubuyisela ukuzwa ukushisa nokubanda ukujuluka esindayo. Ngaphezu kwalokho:

• ukuqala isifo kungenziwa ephelezelwa isimo excitation, kwesasa nesineke ke bedlula ku abantu abaningi abasinaki futhi ukucobeka;
• isikhumba nesineke kuthatha okhanyayo jaundice;
• Ukushayela phansi kwenhliziyo ka 150 bpm, umfutho wegazi uwela, iphika;
• ukuqubuka kwesikhumba kungenzeka ngesimo Bubbles noma ukopha iphuzu ukopha - okuyinto kuwuphawu a syndrome oluhambisana ;
• ukubukeka kungenzeka sezindebeni herpes;
• amehlo sclera redden, futhi le mucosa emlonyeni esibhibhayo esivame ukopha.

Njengoba ubona, igazi kwaqala sepsis imiphumela kufaka ezihlukahlukene, kodwa izici eziyinhloko ivela khona namanje kubhekwa lokushisa eliphezulu, khona imfiva kanye ngabe ujuluka kakhulu.

Izinkinga igazi sepsis

Imiphumela egcwele ubuthi izilokazane ezincane eziyingozi okubangela lezi zimpawu, ngegciwane egazini kungenxa yokuthi ezinobuthi ngokushesha lasakazekela zonke kwezitho nezicubu, engena nolwelwesi lwamafinyila ngisho amathambo namalunga. Konke lokhu kuphumela yokuthi kwesifo ngokwaso, futhi mfanekiso sepsis igazi imiphumela isikhathi eside eboshelwe isiguli embhedeni wasesibhedlela.

I isimo esibucayi kakhulu lesi sifo kungase kube ukushaqeka ukonakala ukuthi singenzeka nganoma yingasiphi busebenze. Hhayi ngaphansi esiyingozi izinso ukuvuvukala (paranephritis) noma isinye (cystitis), kumiswa ubovu izimbotshana izitho ezahlukene (njenge abscesses, amaphaphu noma ubuchopho), ukuthuthukiswa purulent meningitis, ukuhluleka kwenhliziyo noma eqonda coagulation intravascular (intravascular ekunqandeni).

Ngaphandle nokuphatha kahle sepsis kungaholela ekufeni.

izinhlobo isifo

Ukwelashwa wegazi sepsis lingasetshenziswa kuncike kanjani amagciwane ngesinyenyela emgudwini wegazi, futhi lapho kukhona okuzobhekwa zisuka nje ukutheleleka. izinhlobo eziningana zokugula kwezokwelapha ikhishwe.

1. sepsis Percutaneous. Kutfutfukisa ngesikhathi ekuthelelekeni kuze Izilonda ezincane ngesimo imihuzuko noma amathumba.
2. Zokubelethisa. Yena kuthinta abesifazane emva kokubeletha noma isisu.
3. Tonsillar. Kuyinto umphumela ezinzima angina isifo.
4. Otogenny. Lesifo zibhebhetheka kusuka ngaphakathi komgodi sendlebe (isib ngenxa ubovu otitis).
5. Odontogenic. Umphumela ukutheleleka temlomo yisihlungu okunzima izinsini namazinyo.
6. sepsis Kriptgenny. Kulokhu sikhuluma engaqinisekile ikhaya ubovu ukuvuvukala.

Ukuxilongwa yegazi elinobuthi

Ukuze sithole kahle indlela yokuphatha sepsis igazi, udinga ukufaka le ukutheleleka futhi uhlobo lwegciwane ongene egazini.

Ukuze wenze lokhu ukuhlolwa igazi, esithathelwe emithanjeni ezahlukene, kanye seeding izilokazane ezincane elingalodwa naphakathi isiko. Parallel kunqunywa ukuzwela kwabo nemithi.

Ezimweni ezimbi kakhulu, ukuhlaziywa okusheshayo, phakathi kwesikhathi lapho igazi isehlane zofuzo we lwegciwane, lapho emva 1.5 amahora kungenzeka ukuchaza 25 izinhlobo zama-bacterium noma isikhunta, okuyinto abangela sepsis.

Njengoba ekwelapheni sepsis

Isimiso esiyisisekelo nokwelashwa sepsis kusekelwe ekutholeni futhi ekuqedeni foci ukutheleleka. kabusha yabo iqhutshwa ngumuntu nokuvulwa kakhulu kanye nekroektomii obuphelele. Ngaphezu kwalokho, isilonda Welashwa nge ongaphakeme-imvamisa ultrasound, antiseptics ( "Dioksidin", "Dimeksidin", njll), iveze izinto asebenzayo ( "Hlorgeksin ') kanye enzyme proteolytic (" Trypsin "" Profezim "et al.).

Isiguli abakhethiwe Ukweqiwa esiphezulu kungenzeka kwamaphilisi, kuncike lwegciwane ethize, isibonelo, sepsis staphylococcal isicelo "Fuzidin" ukwakhiwa kanye "Refampitsin". Ukumelana Ukwandiswa kwavusa yokwelapha Vitamin nezidakamizwa immunostimulating kanye enzyme nolaka kuthiwa ukuyiveza ngokwethula "Contrycal" inhibitor noma "Gordoks".

Nokwehlisa kwenziwa ngokusebenzisa inqwaba amaprotheni izidakamizwa isixazululo glucose emthanjeni.

Ukuze kuqedwe kuwukubonakaliswa hypovolemia (kwehle umthamo wegazi) makudle izidakamizwa "Polidez", "Poliglyumasol" njll ngokuhlanganyela desagregants "ksantinola nicotinate" noma "Dipyridamole".

Omunye indlela yokwelashwa futhi ukumpontshelwa e sepsis noma igazi esikhundleni ( "Poliglyukin", "Reoglyuman" njll). Imiphumela emihle etholakale negazi ukucutshungulwa laser futhi ezimweni ezimbi kakhulu, a plasmapheresis futhi izinso yokufakelwa.

Ukuvimbela sepsis

Ukuze uvimbele igazi sepsis nemiphumela elikulesi sihloko kufanele ulandele imithetho embalwa, okuyinto, nakuba abakwazi ukuthathelwa umshuwalense ngokugcwele ngokumelene echazwe isifo esibi, kodwa-ke ngeke kakhulu kuncishiswe amathuba wetuthuko.

1. Zonke Amanxeba kumele ziphathwe nge isinqandakuvunda.
2. Ubovu ukuvuvukala izikhungo adalule Ukungenela ngesikhathi esifanele kuhlinzwa.
3. landela iseluleko zikadokotela ngemva noma yikuphi ukulimala.

Futhi-ke, ukuqinisa amasosha omzimba - ngoba kuphela uyakwazi ukuvimbela ukutheleleka ngisho uqale. Hlala uphilile!