Ukutshatyalaliswa okunesifo

Xa umzimba uphethwe yi-bterteria kunye ne-virus, ezi ncinane zikhulula ubuninzi bezinto ezinobuthi obangela ukutshatyalazwa okusulelayo. Ubonakaliswe ukuphosa okuphambili kwimixinzelelo yegazi ngenxa yokuphulwa kwegazi kwiimpahla. Kwiimeko ezininzi, le meko ifumaneka kwisiphumo esibulalayo, ingakumbi ngokungabikho kokungenelela kwezonyango.

Iimbangela zokutshatyalaliswa okunesifo esiyingozi

Njengomthetho, i-syndrome ephantsi kokuqwalaselwa ichukunyiswa ngamaqhekeza enetyhefu yendalo yamaprotheni, ngenxa yokuba inomlinganiselo omkhulu, kwaye ngoko ke indawo enkulu, apho iamoleksi ze-antigen zikhona.

Iibhoksi ezinamandla kunesiseko seprotheni zifihliwe ngamabhaktheriya e-coccal, ngakumbi-streptococci (beta-hemolyzing) kunye ne-staphylococci (igolide). Ngako oko, izizathu eziqhelekileyo zokutshatyalaliswa kweso sifo:

• Ukutshisa, amanxeba anesifo;
• inkukhu;
• umkhuhlane we typhoid;
• i-absatonistlar abscess ;
• i-tracheitis;
• AIDS kunye neHIV;
• sepsis postpartum;
• ukusetyenziswa kweetampu zangasese;
• amanxeba avaliweyo;
• sulelo emva kokuhlinzwa;
• sinusitis;
• Intsholongwane yintsholongwane;
• ukusebenzisa iziyobisi ngokusebenzisa ulawulo lwazo;
• uxhumano lwe-dermatitis;
• tonsillitis;
• pneumonia;
• endocarditis.

Amanqanaba kunye neempawu zokutshatyalaliswa okwesifo esiyingozi

Kukho ama-3 e-degrees echazwe ngombuso, nganye apho iimpawu zekliniki ezihambelanayo zibonakalisa:

1. Ukuxhatshazwa (isigaba 1). Ehamba kunye nenxantathu yokhathazeka, imeko enzima yexhoba, ukuxhalaba kweemoto, i-acrocyanosis, i-hyperesthesia, i-pallor yolusu, iyancipha emthamo we-urine oludityanisiweyo (ngosuku). I-Tachycardia, i-dyspnea yesidanga esilinganiselweyo iphinda iphawulwe.
2. Ukutshatyalaliswa okuxhaswe (isigaba 2). Kukho i-cyanosis yendalo yonke, i-hypothermia, i-excitation, ilandelwa ukulibala kwe-system central neervous, i-blanching blanching, i-tachycardia, i-oliguria, i-hypokalemia, i-acidosis kunye ne-oksijini yindlala. Ukongezelela, kukho i-hypotension, i-DIC syndrome kunye nentsiba yezandi zomzimba.
3. Ukutshatyalaliswa kokuhlaselwa (isigaba 3). Yona ndlela inzima kakhulu yokugula. Eyaziwa ngokuba yi-cyanosis echazwe ngokuchanekileyo, ukunyuka okuphambili kwexinzelelo lwegazi, i-hypothermia, ukuphazamiseka kwengqondo, utshintsho olungenakuguquka kwizitho zangaphakathi, i-anuria. Ukongezelela, i-pulse ye-thread ekhethiweyo kunye ne-pronounced antibolic acidcompensation acidosis.

Kukho isethi eqhelekileyo yeempawu:

• umkhuhlane;
• ukugqithisa kwesikhumba, njengokutshisa ilanga;
• ukwanda kwindleko yomzimba kwi-38.9-39.2 degrees;
• ukunyuka.

Ukuba awuboneleli ngoncedo olufike ngexesha, emva kwesigxina sokuxhatshazwa, i-coma ifika kwaye amathuba okuba nemiphumo ebuhlungu ayanda.

Ukuxhaswa kwexesha lokuqala loxinzelelo olunobungozi

Ngaphambi kokufika kweqela lezonyango, le nyathelo kufuneka ilandelwe:

1. Faka ibhotile yamanzi ashushu phantsi kweenyawo zakho okanye ibhotile yamanzi ashushu. Ukumboza ixhoba ngengubo efudumeleyo.
2. Unganqande okanye ususe iimpahla eziphazamisa ukuphefumula okuqhelekileyo.
3. Vula iifestile ukwenzela ukuba isigulane sifikelele emoyeni omtsha.

Oogqirha bafaka ngokukhawuleza i-catheter ye-venous kunye ne-urinary, kunye ne-mask ene-oksijini enomlilo. Ukuba kuyimfuneko, ukulawulwa ngxamnye kwe-hormone ye-glucocorticosteroid (prednisolone, dopamine) yenziwa.

Ukunyangwa kokutshatyalaliswa okwesifo

Xa efika esibhedlele, ixhoba lihanjiswe kwiyunithi yokunyamekela kakhulu okanye iyunithi yokunyamekela. Unyango luyenziwa ngo kunceda amalungiselelo anjalo:

• aminoglycosides kunye ne- cephalosporins ;
• eufillin;
• utywala;
• Lasix;
• countercracker;
• dobutamine;
• cocarboxylase;
• heparins engekho
• izisombululo ze-rheopolyglucin, i-sodium chloride, i-albin, i-insulin ene-glucose.