Septic kuvhunduka - kwakakomba kuomesa kwakaita sepsis

Septic kuvhunduka ndiyo huru kuomesa kwakaita sepsis, kuri rikwanise chirwere, dzichiri somugumisiro yokuwana kwemabhakitiriya, nemavhairasi kana fungal chirwere. The chirwere inogona kungoerekana kana kunyange mheni kutanga uye kukudziridza somugumisiro kusvibiswa mumuviri exciter panobva (kukoshesa) kuzvimba. Modern rwokurapa uye mukuru-waivako zvigadzirwa yekudyidzana achinja hunhu chirwere, uye septic kuvhunduka haiwanzowaniki kuomesa.

Zvinokonzera nehana

The chirwere chingava zvakasiyana nevasina pathogenic uye conditionally pathogenic tusingaoneki. Izvi, kupfuura zvose, coccal kasvisto, Escherichia coli, tuberculous mycobacteria, Klebsiella, herpes nemavhairasi, notumwe ari genus Candida, uye vamwe.

Kamwe nayo utachiona anopinda muviri sepsis hwapedyo kwete nguva dzose. Kuti aite izvi, chaiyo mamiriro womunhu muviri, umo zvachose kurwisa kwayo simba uye utachiona hwakakura inotanga kuwanda. Uyewo, kukura chirwere kunoita kuti kwakaderera upi kutapata. In vana uye vakuru kazhinji akatonga coccal kasvisto vaya kugamuchira immunosuppressive kurapa - giremu negative kasvisto. On a yaitwa negashiro hormone zvinodhaka kazhinji chirwere septic ezvinhu chete kukura tuberculous sepsis.

The kunotoda Mufananidzo chirwere

Kuratidza sepsis kuvimba nayo utachiona uye masoja womunhu gadziriro. The chirwere anogona kutanga nokukurumidza, pane zvinoshamisa chills, fivha zvakaipa mhando, muviri pari, punctulate mapundu, zvikuru simba uye kuneta. Kazhinji yakawedzera kukura chirwatata uye chiropa. Pasina yakakodzera inorwisa utachiona kurapa kunobva ngozi nemhaka nehana kana kwazvo nemamwe matambudziko akadai kwemabhakitiriya endocarditis. chirwere ichi kunoratidzwa kakawanda thrombosis akabatana havachanyatsogoni kweropa , uye kukura yomunyika combustion injini.

Pakuitisa antibacterial kurapa vaviri vhiki mana, zvingaita kurwadza kwemajoini, kukudziridza septic chearthritis kana glomerulonephritis. Kana mapuroteni cheitsvo ari weti iri dzakaonekwa kuferefeta, yakawedzerwa zviri erythrocyte uye sepombi. yematambudziko izvi nehosha, kunyange kana munhu akanaka kwomusikirwo kurapwa, vari pathological kwaiita zvirwere.

Septic kuvhunduka kunoratidzwa chakakomba zvikuru ezvinhu omurwere. Kuvhiringidzika kuziva, munhu anogona vanowira pakoma. Akacheneruka ganda, ipapo akrozianoz. Panguva iyoyo akaona pakuonekwa mapundu. Arterial neBP yakaderera. Pulse dzinomutswa, thready. Kazhinji anobatana nemabayo pamwe kufema kukundikana. tembiricha muviri achisimuka dzakakwirira tsika.

Diagnostics

Septic kuvhunduka zviri nyore rokuongorora, zvakaoma chete kuisa chirwere - sepsis. Zvinonzi akaisa pamberi mamirire zvekuchipatara zviratidzo chirwere: a chesamende kubatana chero kuzvimba, nefivha uye leukocytosis ropa, chills, yakanyanya vakawanda sepakutanga. Zvisinei, chikuru chokuratidza kuti chirwere ane utachiona hwakakura voga kubva ropa. Kudyara voitakura pana mukuru muviri tembiricha yepamusoro. Asi pakutanga hosha iri hafu Mutsika ropa musapa yakanaka mugumisiro. Saka, zviri nyore kubata navo zuva rimwe nerimwe.

chirwere chacho yematambudziko Treatment

In sepsis pathogenetic kurapa yaifanira. A murwere vaifungidzirwa kuva chirwere, ndoda ari nehana sostyanii zvinofanira pakarepo muchipatara munyika yevanenge, apo zvinokwanisika kuramba rinokosha muviri mabasa.

Akagadzwa inorwisa mabhakitiriya kurapa, uye zviri nani kushandisa mishonga inorwisa mabhakitiriya mapoka akawanda. dzakananga mumiririri Asati chinozivisa akashandisa mishonga inorwisa mabhakitiriya.

Kana dzichiri DIC urwere, zvinokurudzirwa kuti kuisirwa ropa uye plasma zvinoriumba. Shock zvinowanzoda nokururamiswa hypotension, saka shandisa mahormone.

Naizvozvo zviri symptomatic kurapa zvainanga kuramba upenyu uye kudzorera chakaipa nokushanda kwenhengo dzomuviri hurongwa.