Sepsis ndi magazi - zotsatira ndi mankhwala

Magazi poizoni (sepsis) - ndiyo njira ya matenda wamba a thupi ndi tizilombo toyambitsa matenda kuchokera ku gwero la matenda kudzera m'magazi. Kuti mudziwe kukhala chikhalidwe kamene kamayambitsa ndi zotsatira mu njira zimene ankachita, ife ifotokoza patapita m'nkhani ino.

Zimayambitsa sepsis

Kuyambitsa chitukuko cha sepsis ndi tizilombo osiyana: mavairasi, mabakiteriya, nkhungu, ndi zizindikiro zake kudzadalira ndani wa iwo anali magazi. Koma kukhazikitsidwa kwa ndondomeko matenda, amamuchititsa kulimbikitsa ya zochitika zinazake:

• thupi ziyenera kukhala wofunika kwambiri pa matenda kugwirizana ndi mitsempha ya magazi kapena lymphatic;
• tizilomboto angapo akulowa m'magazi;
• Izo anapanga locus sekondale, amene kenako akukamba tizilombo toyambitsa matenda.

Ndipo chifukwa chachikulu kuti amakwiya magazi sepsis, zotsatira zake zimene ife m'nkhani, ndi dongosolo ofooka m'thupi kapena pamaso pa pathologies amene akuvutitsa opaleshoni ake ambiri, imfa katundu magazi, khansa, HIV, matenda magazi, etc. A udindo ndithu kusewera mu ichi, ndi kulandira mankhwala immunosuppressive, kapena cytostatics.

nthawi yaitali bwanji pamafunika sepsis

Chimodzi mwa zinthu anafotokoza kudwala ndi mphamvu yake fulminant. Mtundu wa sepsis, amene amatchulidwa mu mankhwala sharpest, Umayenda ziri ikufanana kumenya ziwalo ndi kachitidwe. Pankhaniyi, pambuyo masiku 1-2 mukubwera zotsatira woopsa.

Komanso matenda njira ya matenda nati, pachimake, subacute ndi sepsis kobwereza. Amasiyana lililonse yatsoka zina zamatenda akuti (kwa mwezi umodzi kapena isanu ndi umodzi) ndi maganizo otsiriza a akadali ndi undulating Inde, imene exacerbation akhoza m'malo ndi boma yachibadwa thanzi. Makamaka yaitali ndi aakulu sepsis zomwe zikhoza mpaka chaka, kapena kuposa.

Sepsis Magazi: Zizindikiro

Zizindikiro za poyizoni magazi, monga zanenedwa, zimadalira zinthu zambiri: mawonekedwe a matenda, ndithudi ake, malo wofunika kwambiri pa matenda ndi kukhalapo kwa yachiwiri.

Koma makamaka, kudwala kumeneku kumaonekera milandu onse kutentha osasamba thupi kufika 39-40 ° C, zomwe m'malo normalization ake. Wodwala anadandaula za kuzizira, ngakhale kuti nthawi popanda kutentha m'malo kumva kutentha ndi thukuta lolemera. Kuwonjezera:

• isanayambike matenda akhoza limodzi ndi boma la malemeredwe, euphoria mtima, ndiye kudutsa mu mphwayi ndi ulesi;
• khungu mtima amatenga wotumbululuka jaundiced;
• Kugunda mlingo 150 bpm, kuthamanga kwa magazi akugwa, kufupika kwa mpweya;
• ziwengo kumachitika mu mawonekedwe a thovu kapena magazi mfundo magazi - komwe ndi chizindikiro cha munthu syndrome hemorrhagic ;
• zotheka maonekedwe pa milomo ya nsungu;
• sclera maso redden, ndi mucosa mkamwa umawawukhira.

Monga mukuonera, magazi anayamba sepsis zotsatira kumatanthauza zosiyanasiyana, koma mbali yaikulu ya pakuwonekera kwake chimaonedwabe mkulu kutentha, pamaso pa malungo ndi profuse thukuta.

Zovuta magazi sepsis

Zotsatira zonse za kawopsedwe tizilombo zoipa kuchititsa zizindikiro matenda magazi chifukwa chakuti poizoni yomweyo kufalikira ku ziwalo zonse ndipo zimakhala, ozama pa nembanemba mucous ndipo ngakhale mafupa ndi mafupa. Zotsatira zonsezi chakuti matenda palokha, ndipo motsatana zotsatira sepsis magazi kwa nthawi yaitali zamangidwa chipatala bedi mtima.

The Vuto lalikulu kwambiri za matenda angakhale septic mantha kumene kungachitike pa Msikiti yake. Osati kutupa zochepa oopsa impso (paranephritis) chikhodzodzo (cystitis), mapangidwe purulent cavities ziwalo zosiyana (monga abscesses mu mapapo kapena ubongo), chitukuko cha purulent meninjaitisi, matenda a mtima kapena mwiniwakeyo intravascular coagulation (intravascular clotting).

Popanda mankhwalawa a sepsis kungachititse kuti imfa.

mitundu ya matenda

Chithandizo cha sepsis magazi ntchito malinga ndi mmene majeremusi walowerera mu m'magazi, ndipo pamene pali wofunika kwambiri pa matenda. mitundu yambiri ya kudwala mankhwala adzamasulidwa.

1. Percutaneous sepsis. Akufotokozera pa matenda kudzera zotupa kakang'ono khungu mu mawonekedwe a zimakhalapo kapena zilonda.
2. Obstetric. Iye zimakhudza akazi akabereka kapena kutaya mimba.
3. Tonsillar. Ndi chifukwa cha matenda aakulu angina.
4. Otogenny. The matenda kufalikira kwa M'mimbamo a khutu (mwachitsanzo, chifukwa cha purulent otitis).
5. Odontogenic. Chifukwa cha matenda m'kamwa ndi kutupa aakulu wa m'kamwa ndi mano.
6. Kriptgenny sepsis. Pankhaniyi tikulankhula ndi chosadziwika kunyumba purulent kutupa.

Matendawa poyizoni m'magazi

Kudziwa ndendende mmene tiyenera kuchitira sepsis magazi, muyenera kuika pa moto kachilombo ndi mtundu wa tizilomboto amene walowa m'magazi.

Kuchita mayeso magazi amene walandiridwa kwa mitsempha osiyana, ndi seeding ndi tizilombo wakutali sing'anga chikhalidwe. Kufanana anatsimikiza ndi tilinazo awo opha tizilombo.

Zikavuta, kusanthula mofulumira, imene magazi n'kopanda zinthu majini a tizilomboto pa, umene pambuyo maola 1.5 n'zotheka kufotokoza mitundu 25 mabakiteriya kapena bowa amene amayambitsa sepsis.

Monga mankhwala a sepsis

The mfundo ya chithandizo cha sepsis zachokera kupeza ndi kuchotsa foci matenda. ziŵalo zawo ikuchitika ndi ndikatsegule ndi nekroektomii mokwanira. Komanso, chilonda woyesedwa ndi otsika-pafupipafupi ultrasound, antiseptics ( "Dioksidin", "Dimeksidin", etc.), zimaonekera yogwira ( "Hlorgeksin ') ndi proteolytic michere (" Trypsin "" Profezim "neri Al.).

Wodwala osankhidwa pazipita zotheka Mlingo wa mankhwala, malinga tizilomboto yeniyeni Mwachitsanzo, staphylococcal sepsis ntchito "Fuzidin" formulations ndi "Refampitsin". Kuchuluka kukaniza analimbikitsa vitamini mankhwala ndi immunostimulating mankhwala ndi michere mwamakani ndi kuletsedwa mwa kuyambitsa "Contrycal" zoletsa kapena "Gordoks".

Detoxification zinachitikadi pogwiritsa ntchito ambiri mankhwala mapuloteni ndi mtsempha shuga njira.

Pofuna kuthetsa kuwonekera kwa hypovolemia (kuchepa magazi buku) kupereka mmalo mankhwala "Polidez", "Poliglyumasol" etc. molumikizana ndi desagregants "ksantinola nicotinate" kapena "Dipyridamole".

njira imodzi ya chithandizo ndi kuika mu sepsis kapena mmalo magazi ( "Poliglyukin", "Reoglyuman" etc.). zotsatira zabwino analandira ndi magazi processing laser ndi Zikavuta, ndi plasmapheresis ndi impso yokumba.

Kupewa sepsis

Pofuna kupewa magazi sepsis zotsatira pansiyi ayenera kutsatira malamulo ochepa, zomwe, ngakhale kuti angathe kutsimikiza ndi anafotokoza matenda m'khutu, koma kuchepetsa kuthekera chitukuko.

1. mabala onse ayenera kulandira chithandizo ndi antiseptic.
2. Purulent kutupa malo a poyera yake alowererepo pa opaleshoni.
3. Amatsatira malangizo a dokotala pambuyo choipa chilichonse.

Ndipo, ndithudi, kulimbitsa chitetezo cha m'thupi - chifukwa yekha amatha matenda ngakhale kuyamba. Khalani wathanzi!