Umonakalo ochaphazelekayo ochaphazelekayo emzimbeni ubangela ukuphulwa kwegazi ngee-tissue, kwaye ngenxa yoko, ukuhluleka kwamalungu amaninzi. Le meko ibonisa ukutshatyalaliswa kwezinto ezixakekileyo, kuthathwa njengenye yeengxaki ezinobungozi kakhulu zentsholongwane, njengokuba kwiimeko ezingaphezu kwe-40% zineziphumo ezibulalayo.
Ukutshatyalaliswa kweSeptic kunye nokutshitshiswa kwe-septic
Ukuphendula kwamasosha omzimba ekuphenduleni intsholongwane yintsholongwane ye-microbial ine-chain of manifestations clinical manifestations. Ukuqhubela phambili kwenkqubo yokuvuvukala kwenkqubo kukuphazamisa phantse zonke iziko kunye nezicubu, kuvimbela ukufikelela kwegazi kwaye, ngokufanelekileyo, i-oksijini kubo. Iimpawu zokugqibela ze-unit-failure failure kunye ne-hypotension esicacileyo ye-hypotension i-sepsis enobuhlungu kunye nokutshatyalaliswa kwesoxu. Le syndrome ibonakaliswe nokusetyenziswa kakubi kwazo zonke iisistimu, ukuhlasela kwama-bacterium e-pathogenic kwigazi kunye ne-lymph.
Ukunyanyiswa kweSeptic kwintlobo yesifo somzimba
Kule ndlela, ukukhubazeka kwenzeka kwiimeko ezilandelayo:
- izifo ezithathelwanayo emva kokukhipha isisu;
- chorioamnionitis;
- mastitis ;
- i-pyelonephritis (kubhinqa abakhulelweyo).
Oomama abanomso, ukutshatyalaliswa kwexesha eliqhelekileyo kubangelwa kukuba i-hormostal hemostasis (ukungalingani kwamagestagens kunye ne-estrogens) kunye nokujikeleza kwegazi kwintsholongwane kuya kutshintsha. Ukongezelela, kukho ukungahambi kunye ne-hyperlipidemia.
Xa senza isisu, iimazi zegazi, kunye neengxenye ezishiyekileyo zeqanda le-fetal, zihlala zishiywa. Ziyindawo efanelekileyo yokondla i-microorganisms, iququzelele usulelo kunye nokuhlasela kweebhaktheriya kwigazi.
Unyango lwe-septic shock
Nangona uphuhliso lwamayeza kunye nokuphuhliswa kwe-antimicrobial entsha, ukufa ngenxa yeemeko ezichazwe kakhulu kakhulu. Ngako oko, ngokutshatyalaliswa kwesohlwayo, unyango olunzulu lufunekayo kwisebe elikhethekileyo lonyango. Imigaqo ephambili yokonyango yile ilandelayo:
- Ukucoceka okanye ukususwa kwe-foci yentsholongwane ngama-microorganisms, ukuhlanjululwa kweentambo, ukupompoza.
- Isingeniso nge-intravenous okanye nge-infusion ye-anti-antibiotics. Okuphambili, ukuhlolwa kwegazi (inkcubeko ye-bhakteria) kufuneka kwenziwe kwaye uvelwano lwezilwanyana ezinyango kumayeza akhethiweyo kufuneka lubekwe.
- Ukuzaliswa kwenani elipheleleyo legazi elijikelezayo.
- Ukuxilongwa komzimba, ukukhululeka kwenkqubo yokuvuvukala.
- Ukubuyiselwa kokuphefumula kunye nokungaphumeleli kwemiphunga.
- Ukupheliswa kwe-hemocoagulation.
- Ukumisela kwamanzi kunye ne-electrolyte balance of lymph negazi.
Amayeza alandelayo asetyenziswa kule nkqubo ilapha ngasentla:
- Ampicillin;
- Gentamicin;
- I-Benzylpinicillin (ityuwasi ityuwa);
- IClaforan;
- Prednisolone;
- izisombululo ze-colloidal;
- Tracerol;
- Gordoks;
- Iintlangano ;
- Heparin;
- Fraksiparin;
- Trental.
I-Vitaminotherapy kunye neziyobisi ezinokuthathwa kwe-immunosuppressive action will be superfluous.
Ukunyamekela ngokukhawulezileyo ukutshatyalaliswa kwesohlwayo kukubiza ngokukhawuleza iqela lezokwelapha nokuqinisekisa isigulane siphumle ngokupheleleyo ngaphandle kokunyakaza, ingakumbi ukuba imeko enombuzo ibangelwa isilonda esiphelelekileyo, ukuphuma kwamanzi ngaphakathi. Ukubuyisela ukulinganisela kwamanzi emzimbeni, kuvunyelwe ukunika umntu ochaphazelekayo amanzi afudumele abilayo ngaphandle kwegesi. Ukuba ukushisa komzimba kuphakanyisiwe, ukuxinwa okubandayo (ngamanye amaxesha i-ice) kufuneka kusetyenziswe, kwaye ukuxubha kufuneka kwenziwe. Kuyinto engathandekiyo ukuthatha nayiphina imithi, ngakumbi i-analgesics, iyeza-anti-inflammatory and antibiotics.