Septic mantha - vuto lalikulu sepsis

Septic mantha ndi vuto chachikulu kwambiri sepsis, chomwe ndi matenda pachimake, kuyamba chifukwa cha kukhudzana kwa tizilombo toyambitsa, tizilombo mafangasi. Matendawa akhoza mwadzidzidzi kapena ngakhale mphezi kuyamba ndi kuyamba chifukwa cha kuwonongeka kwa thupi exciter gwero (cholinga) kutupa. Modern achipatala ndi mankhwala apamwamba ntchito kwambiri anasintha chikhalidwe cha matenda, ndipo septic mantha ndi osowa vuto.

Zoyambitsa kakasi

Matendawa akhoza kukhala osiyanasiyana tizilombo onse tizilombo ndi salembedwa tizilombo. Izi koposa zonse, zomera coccal, Escherichia, tuberculous mycobacteria, Klebsiella, nsungu mavairasi, bowa wa mtundu candida ndi ena.

Kamodzi tizilomboto umalowa thupi sepsis akufotokozera nthawi zonse. Kuti tichite zimenezi, boma wapadera wa thupi, amene kukana ake okwana wofooka ndi tizilomboto akuyamba zikuchulukirachulukira. Komanso, chitukuko cha matenda kumathandiza kuti chifooke chitetezo chokwanira aliyense. Ana ndi akulu zambiri chogwidwa zomera coccal anthu kulandira immunosuppressive mankhwala - galamu alibe zomera. Pa maziko a phwando mankhwala m'thupi zambiri aakulu septic chikhalidwe ndi chitukuko cha sepsis tuberculous.

The matenda chithunzi cha matenda

Maonekedwe a sepsis zimadalira tizilomboto ndi chitetezo anthu. Matendawa akhoza kuyamba mofulumira kwambiri, pali kuzizira zidzasintha, mkulu malungo cholakwika mtundu, zopweteka thupi, punctulate totupa, kufooka kwambiri ndi kutopa. Nthawi zambiri kuchuluka kukula ndulu ndi chiwindi. Popeza mankhwala oyenerera antimicrobial akubwera woopsa chifukwa cha mantha kapena mavuto aakulu monga endocarditis bakiteriya. matenda yodziwika ndi thrombosis pafupipafupi osakaniza ndi mkhutu clotting magazi , ndi chitukuko cha injini kuyaka mkati.

Pochititsa mankhwala antibacterial awiri kuti milungu inayi zimakhala molumikizana mafupa, osauka septic nyamakazi kapena glomerulonephritis. Pamene matenda a impso mapuloteni mu mkodzo ndi wapezeka mu pofufuza, zili ndi kuchuluka kwa erythrocyte ndi zonenepa. Awa mavuto a matenda, ngakhale pamene anachita zabwino mankhwala, ndi pathological zimene chitetezo cha m'thupi.

Septic mantha akuwonekera chikhalidwe kwambiri wodwalayo. Osokonezeka manyazi, munthu ukhoza kugwera mu chikomokere. Wotumbululuka khungu, pali akrozianoz. Pa nthawi yomweyo taonera maonekedwe a zotupa pa. Wolumikizira magazi ndi otsika. Kugunda afulumizitsidwa, thready. Nthawi zambiri akulowa chibayo ndi kulephera kupuma. Thupi kutentha limatuluka kuti mfundo zabwino.

diagnostics

Septic mantha n'zosavuta oterewa, zovuta kungoika matenda - sepsis. Iwo anaika pamaso pa zizindikiro khalidwe matenda a matenda: kugwirizana konkire kutupa aliyense, kutentha magazi leukocytosis, kuzizira, aakulu ambiri chikhalidwe. Komabe, muyezo waukulu ndi matenda a tizilomboto kudzipatula kwa magazi. Kufesa izo ikuchitika pa mkulu thupi kutentha pachimake. Koma pachiyambi cha matenda mu theka chikhalidwe magazi musataye chifukwa positive. Choncho, nkokoma adzawalange tsiku lililonse.

matenda ndi mavuto ake Chithandizo

Mu sepsis mankhwala pathogenetic ayenera kuchitika. A mtima amaganiziridwa ndi matenda, samathanso pokhala sostyanii mantha ayenera yomweyo m'chipatalamo odwala mwakayakaya, kuli kotheka kukhalabe ntchito yofunika thupi.

Kuikidwa ndi mankhwala opha tizilombo, ndipo ndi bwino kugwiritsa ntchito mankhwala magulu angapo. Pamaso akudzizindikiritsa wothandizila yeniyeni ntchito yotakata-sipekitiramu mankhwala.

Ngati osauka syndrome DIC, izo m'pofunika kuti kuikidwa zigawo zikuluzikulu magazi ndi madzi a m'magazi. Shock amafunika kuwukonza hypotension, kotero ntchito mahomoni.

Kenako ndi symptomatic mankhwala umalimbana kukhalabe moyo n'kulola uziyenda yachibadwa kachitidwe thupi.