Cryptogenic sepsis: zizindikiro ndi mankhwala

Monga amadziwika, matenda yotupa zingakhudze chiwalo chilichonse. Iwo agawidwa mu mitundu iwiri: njira pachimake ndi aakulu. Panthawi yake matenda ndi mankhwala a pathologies yotupa zambiri kumayambitsa mankhwala wathunthu kapena chikhululukiro. Ngati chitetezo cha m'thupi amakhala wofooka, matenda ili m'kati. Kaya malo, malo a kutupa nthawi zonse delimited. Zochita chokhwima kwa ndondomekoyi kapena kufala angagwe, pakalibe chithandizo. Chifukwa, particles bakiteriya kulowa m'magazi. Matenda amatchedwa sepsis. Vuto amenewa ndi oopsa kwambiri chifukwa kungachititse kuti mantha ndi imfa.

Cryptogenic sepsis - ndichiyani?

Malinga ndi malo a limatiphunzitsa kutupa muli mitundu yambiri ya sepsis. M'pofunikanso kukumbukira kuti kwa ingress wa tizilombo toyambitsa matenda magazi kungayambitse matenda aliwonse. Nthawi zambiri chibayo, njira yotupa wa khungu, pakamwa, otolaryngology. Nthawi zina, cholinga chachikulu ayi. Kenako matendawo limatchedwa "cryptogenic sepsis." matenda Izi sizikutanthauza kuti chachikulu yotupa cholinga palibe. Komabe, pa nthawi ya kuyendera mabakiteriya yagwa kale mu m'magazi ndi kufalikira thupi lonse. Choncho sizingatheke kukhazikitsa chifukwa cha sepsis. Mtundu wa matenda sichidziwika wamba ena. Cryptogenic sepsis - magazi mabakiteriya poyizoni palibe anakhazikitsa chachikulu yotupa kwambiri. Nthawi zambiri kudwala amapezeka makanda msanga, anthu ndi chitetezo ofooka. Nthawi zambiri, matenda ndi zovuta. Pamene yake anayambitsa mankhwala akhoza kuchiza.

Zimayambitsa sepsis cryptogenic

Ngati inu kukhazikitsa zofunika yotupa kuganizira zovuta ndi bakiteriya kale atagonjetsa mu magazi, poyera matenda a "sepsis cryptogenic." The zimayambitsa matenda zingakhale zosiyana. Bwinobwino ndi etiology ndi osiyana ndi mitundu ina ya sepsis. kusiyana ndi kuti kutupa mu chiwalo chilichonse akufotokozera mofulumira kapena chitetezo chokwanira pa wodwala kwambiri yafupika. Panthawi imeneyi ku isanayambike matenda pamaso matenda (yojambula chipinda) yafupika. Pankhaniyi, wodwalayo analibe nthawi kumvetsa zimene zizindikiro anayamba kumuvutitsa mu malo oyamba. Odwala kwambiri, malo yaikulu akhoza kupeza pambuyo kafukufukuyu. Ngati akadali sanapezeke, ndi kudwala zimagawidwa monga sepsis cryptogenic. Zimayambitsa matenda:

1. Matenda. wothandizila Causative wa sepsis kungakhale tizilombo iliyonse. Nthawi zambiri izo staphylococci ndi streptococci, Proteus, Pseudomonas aeruginosa ndi Escherichia coli.
2. Salembedwa tizilombo microflora. Monga amadziwika, mu thupi pali zambiri tizilombo kuti alipo mu mwakale. Ndi kuchepetsa m'thupi chitetezo osadziwika microflora amayamba kukula imbaenda matenda osiyanasiyana. Motero, angathe cryptogenic sepsis.
3. Matenda oyamba ndi tizilombo bowa (candida).
4. Pulayimale ndi sekondale immunodeficiency (HIV).
5. Nyengo ya prematurity, makanda ndi kulemera otsika kubadwa (pansi 2 kg).
6. Intrauterine matenda.

Limagwirira wa sepsis

Cryptogenic sepsis - ndichiyani? Amenewa matenda ndi yonena za matenda pulayimale zimene zingachititse kuti poyizoni m'magazi. Cryptogenic sepsis amatchedwanso chachikulu, kapena idiopathic. Kumachitika mwa ingestion tizilombo toyambitsa matenda kulowa m'magazi. Chifukwa cha zimenezi, mabakiteriya kufalitsa thupi lonse. Choncho, zotupa yotupa akhoza inali m'malo osiyanasiyana. Komanso, osauka kuledzera bakiteriya. Zikatero, chitetezo cha m'thupi sangathe kulimbana ndi kuchuluka kwa tizilombo toyambitsa matenda. Nthawi zambiri chikhalidwe umenewu umatipatsa kuphwanya dongosolo mtima. Chifukwa cha osauka mantha bakiteriya. Vuto Ichi ndi choopsa kwambiri ndipo nthawi zambiri amapha.

Gawo cryptogenic sepsis

Popeza kuti malo yaikulu inagona pathological silikudziwika, cryptogenic sepsis si m'magulu malinga ndi maziko etiological. Komabe, m'pofunika kukhazikitsa wothandizila opatsirana kwa mankhwala okwanira mankhwala. Monga zina sepsis, izi chimake kudwala angayambe pawiri. Komabe, gulu ili sikumangotikhudza kuti madokotala ananena zawo za matendawa. Cryptogenic mawonekedwe poyizoni magazi:

1. Septicemia. Amatanthauza pamaso pa microflora toyambitsa mafangasi kufalitsidwa m'thupi. Komabe tizilombo toyambitsa matenda musati kupanga foci matenda.
2. Pyosepticemia. Kuwonjezera pa kupezeka mabakiteriya mu magazi ndiwo ananena kulamulira ziwalo. tizilombo toyambitsa matenda ambiri a matenda anasonkhanitsa (adaikanso) mu mapapo, ubongo, zonse m'mimba. Chifukwa cha zimenezi, m'madera awa anapanga foci wa purulent kutupa.

Njira matenda kusiyanitsa fulminant, pachimake ndi aakulu sepsis. Mbali yoyamba, matenda akufotokozera mu masiku oyambirira malowedwe tizilomboto ndipo amakhala ndi kukanika choopsa cha ziwalo ndi kachitidwe. Pachimake sepsis kumatenga za 2-4 masabata. Matenda kukhudzana apitirize miyezi ingapo kapena zaka. Iwo amakhala ndi chitukuko cha exacerbations ndi kuchotsedwa. Nthawi zina, pali njira subacute njira ya sepsis. Kutalika kwake ndi kwa masabata 6 mpaka 12.

Zizindikiro cryptogenic sepsis

Ingofufuzani magazi kwa sterility, n'zotheka kuweruza ngati cryptogenic sepsis munthu. Zizindikiro za matenda amakhala ngati matenda ena ambiri. Ichi ndi chifukwa chakuti njira zonse yotupa anayamba kuledzera. Komabe, dokotala anu akhoza kuganiza matenda pa maziko a khalidwe chithunzi matenda. Mu malo oyamba, monga matenda mawu okha osati matenda ena yotupa. Kusiyanitsa zizindikiro zotsatirazi sepsis:

1. Kuchuluka thupi kutentha kwa madigiri 39-40. Hyperthermia limodzi ndi kuzizira, thukuta ndi mutu.
2. Kuwonongeka. Pamene sepsis amapezeka kufooka, kupweteka minofu ndi mafupa opanda kutanthauzira yeniyeni, utachepa kudya.
3. Tachycardia - chinawonjezeka kugunda kwa mtima.
4. kutsitsa magazi.
5. Kuchuluka mlingo kupuma.
6. Nthenda chiwindi ntchito. Development wa matenda a chikasu ndiyo limapezeka, kuwonjezeka mu kukula thupi (hepatomegaly).
7. M'mimba zotupa. Odwala ena, pali mpando kukhumudwa (m'mimba), kunyansidwa ndi kusanza.
8. Maonekedwe a kukha magazi pa khungu.

ndi zizindikiro zina kumachitika pa chitukuko cha septicopyemia. Iwo amadalira kutanthauzira a zotupa yotupa. Nthawi zambiri kukhala endocarditis, chibayo.

Matenda muyezo chifukwa sepsis cryptogenic

Pakuti i matenda kwa sepsis monga mawonetseredwe matenda a matenda ndi kusintha anaona pa zasayansi kapena njira malangizo. Choyamba kulabadira chikhalidwe ambiri wodwala. Pa akuchuluka ake kwa masiku angapo, ngakhale Kubwera kwa mankhwala opha tizilombo, akhoza amaganiziridwa cryptogenic sepsis. Zizindikiro zomwe zikuonetsa matenda, - earthy (imvi) mtundu wa khungu, kufooka kwambiri, malungo ndi maonekedwe a kukha magazi khungu. Palinso khalidwe mawonetseredwe matenda zingaphatikizepo kuphatikana wa matenda a chikasu ndiyo ndipo hepatomegaly. Mu kukhalapo kwa zizindikiro zimenezi mwamsanga hospitalize wodwalayo komanso kuchititsa kafukufuku.

Laboratory zoimbidwa diagnostics

Cryptogenic sepsis pamene pali kusintha kwakukulu mu magawo zasayansi. The KLA amalembedwa leukocytosis, thrombocytopenia, ndi magazi m'thupi, komanso mathamangitsidwe wa ESR. Mabakiteriya kupezeka osati magazi komanso mu mkodzo. Kusintha anamuona pa akalozera amuzolengedwa. Zikuphatikizapo maonekedwe a C-zotakasika mapuloteni, mwina kwambiri pa kaperekedwe ka bilirubin, alt, Ast (ndi chiwindi matenda). Chikhomo chachikulu cha sepsis ndi magazi kuti sterility (magazi chikhalidwe pa microflora ndi). M'maphunziro ano tingadziwire nthumwi causative ya matenda ndiponso ankachitira.

Diagnostics ikuchitika kudziwa zotupa septic. Pakuti anachita pachifuwa X-ray, ultrasound wa pamimba ndi mafupa a chiuno. Nthawi zambiri kutupa mu mapapo - chibayo, kukulitsa chiwindi - hepatomegaly.

Cryptogenic sepsis: kachidindo malinga ICD-10

Mofanana ndi kudwala aliyense, matenda ali kachidindo achindunji mayiko gulu. Iye wakhala malingana tizilomboto ndi imene inachititsa sepsis cryptogenic. ICD-10 - ndi gulu lapadera limene lilipobe lonse. mbiri kupita kuchipatala kulembedwa, matenda kudzikonda, ndiyeno code. Pankhaniyi cryptogenic sepsis cipher chifuniro A41.9 (septicemia unadjusted). Kuona malamulo ICD-10 dokotala wa bungwe lirilonse zachipatala m'dziko lina kumvetsa zimene matenda anaonekera kwa wodwalayo.

zosokonezeka mwina sepsis

Pa njira yolakwika kuti mankhwalawa sepsis kukhala mavuto aakulu. Pakati pawo - chikhalidwe cha mantha, embolism m'mapapo mwanga, bakiteriya endocarditis, sitiroko, kutopa ndi magazi. Aliyense wa zinthu izi zingathe kudzetsa imfa ya wodwala. Choncho, popanga matenda izi kukufunikira kuyamba mankhwala opha tizilombo ndi symptomatic.

Cryptogenic sepsis chithandizo

Kudziwika woyamba wa matenda ayenera m'chipatala ndipo perekani mtima bedi zina. Komanso, zonsezi n'zofunika pa milandu amaganiziridwa cryptogenic sepsis. Chithandizo amasankha nthawi yomweyo pambuyo matenda. Gulu lalikulu la mankhwala - ndi mankhwala. Perekani kuphatikiza mankhwala 2-3. Nthawi zambiri ntchito "Penicillin" mankhwala "ceftriaxone", "Gentamycin", "Imipenem" ndipo T. D. Popeza kuledzera pano anatumizidwa kulowetsedwa mankhwala. M'nsinga kutumikiridwa crystalloid ndi colloid njira ndi zizindikiro anagwira magazi. Amasonyezanso immunostimulant, antipyretic ndi wothandizila analgesic. Kudziwa malo a matenda alowererepo opaleshoni m'pofunika. Ndi chitukuko cha septic mantha kutumikiridwa vasopressors ( "Dopamine" yokonza). Zakudya odwala anachita parenterally kapena kudzera kafukufuku.

Kuti madokotala ananena zawo za sepsis cryptogenic

Kuti madokotala ananena zawo za sepsis cryptogenic zimadalira boma ambiri a thupi wodwalayo (chitetezo), zaka, chithandizo yake. Ndi chithandizo chokwanira ndipo palibe mavuto anati kuchira bwino. Kuti madokotala ananena zawo zabwino kwambiri subacute ndi sepsis aakulu. Pamene matenda fulminant zambiri amapha. Ngakhale mankhwala opha tizilombo, amafa za matenda ndi pafupifupi 50% ya milandu.

Kuteteza cryptogenic sepsis

Sepsis zambiri akufotokozera anthu akuvutika ndi matenda aakulu yotupa. Choncho, zodzitetezera monga mankhwala mwamsanga matenda foci, kulandira mankhwala immunostimulatory ndi mavitamini. Popewa matenda makanda ndi ana aang'ono, amayi oyembekezera ayenera kuthetsa zizoloŵezi zoipa, phwando la mankhwala, kukhudzana ndi ozizira.