Isimo, esichengeni sezokwelapha esibizwa ngokuba yi-sepsis, sithathwa njengenye yeyona pathologies eyingozi. Ukunyanga kwegazi kuthintela umzimba wonke, kubandakanywa iimbumba zomzimba, izicubu ezithambileyo kunye namanzi e-biological. Ngenxa yoko, inkqubo yokuvuvukala isasazeka ngesivinini sombane, kwaye i-pathogens yayo ikhulula izinto ezinobungozi ezingakhokelela kwimiphumo ebuhlungu.
Impawu zokuqala zokusuleleka kwegazi kubantu
Iimpawu eziphambili zesimo sepsis ekuqaleni kokusuleleka:
- ukukhawuleza, ukudlula kwi-febrile state;
- ukukhawuleza kwesikhumba, ngokuqhelekileyo kutyhaphaza, kodwa ngamanye amaxesha;
- amaqatha ngamalungu kunye namathambo (i- myalgia );
- ubuthathaka kwimisipha, ubuqhetseba;
- ukhathala ngokuqhelekileyo, ukulala.
Kufuneka ukuba uqaphele ukuba iimbonakalo zangaphambili zekliniki zithembele ngqo kwi-agent engumnxeba we-sepsis. Kwezinye iimeko, iimpawu zisoloko zingekho, kwaye ngamanye amaxesha ziphakama kwaye ziqhubele phambili ngokukhawuleza, ngaphakathi kweeyure ezingama-24-48.
Usuleleke njani intsholongwane yegazi?
Uphuhliso oluqhubekayo losulelo lwe-biological fluid lubonakaliswe yimpawu:
- ukwandiswa ngobukhulu bestile kunye nesibindi;
- ukwanda okwebukhulu obushushu bomzimba kumanqaku angama-40 okanye ngaphezulu;
- ukwanda kohlula;
- iziphazamiso zesitopu;
- ukungabi nesidlo, ukuzila ukudla okanye i- anorexia ;
- kuncipha kwintlupheko yoqhawulo lwazo zonke imisipha emzimbeni (i-hypodynamia);
- ukubunjwa kwamaqanda amakhulu kwiishubhu;
- isifo sohudo kunye nokuhlanza, okukhokelela ekudambiseni amanzi, ezinye izifo ezibangelwa yi-dyspeptic;
- u kuziva unxanwa;
- ukungazinzi kwimeko yengqondo (ukunganakwa kunye nokuxinezeleka, ukuguquka ngokuvuya, ukuzonwabisa);
- i-hyperemia yesikhumba sobuso;
- ukuvuvukala kwezihlathi;
- ukubonakala kwimibala ebomvu okanye amaqela emagxeni, ukuhamba phambili (ngenxa ye-petechial hemorrhages);
- ukuphuma kweembrane ezincinci, ngokukodwa kwisigodlo somlomo;
- izilonda zomlomo zomlomo;
- ukuphefumula;
- umkhuhlane kunye noqhetseba.
Ezi zibonakaliso zeklinikhi zivela ngenxa yokuxiliswa komzimba kunye nezinto ezinobungozi, ezithe zafaka ibhaktheriya ye-pathogenic kwintsebenzo ebalulekileyo. Iibhokhwe kunye neendyxinyi, zibanjwe egazini kunye ne-lymph, zihamba ngokukhawuleza kuwo wonke umzimba, zingena kwizicubu ezithambileyo, izibilini zomzimba, izitho zangaphakathi kunye namalungu kunye namathambo.
Iziphumo zetyhefu yegazi
Ukungabikho kwonyango olwaneleyo lwe-antibiotics, isiphumo sesi sifo singonakali - umsebenzi weendlela zonke zomzimba ziphazamiseka, iimpawu ze-peritonitis, i-pneumonia ibonakala. Ngaphezulu, kukho i-hypotension, ukungasebenzi kwamalungu amaninzi, i-hypoperfusion. Ngenxa yokunciphisa ukunikezelwa kwegazi kwezicubu, ukutshatyalaliswa kwamathambo kukhula, emva kokufa.
Ngaba unyango lwegazi luphathwa?
Ulwaphulo lwe-sepsis lwenziwa ngokusesikweni kwisibhedlele, kunye nokuhlukana okukhulu. I-regimen yonyango ehlangeneyo iquka:
- Ukufunyanwa kwamanani amakhulu amachiza okubulala amayeza, ekuqwalaseleni uvelwano lwama-bacteria-pathogens kwindawo ekhethiweyo yeziyobisi.
- Ukusetyenziswa kweziyobisi zeqela le-sulfonamide.
- Ukwandisa ukumelana nomzimba kwiintsholongwane kwaye
iibhaktheriya ngoncedo lwe-vitamin therapy, i-immunomodulating medication, ukutya okunomsoco kunye ne-predominance yokutya kwamaprotheni. - Ukutshatyalaliswa kwegazi okanye abo bafaka endaweni.
- Ukusetyenziswa kwee-serum ezikhethekileyo.
- Ukuqaliswa kwe-autovaccine, kunye ne-gamma globulins.
Ukuba kukho izilonda ezivulelekileyo ezikhuselweyo okanye i-folic foci, unyango lwengingqi lukwacetyiswa, kwezinye iimeko - ukungenelela ngoncedo olunezixhobo ezinobungozi obunobungozi, unyango lwe-antiseptic, umjelo wamanzi, ukuguqulwa okanye ukusebenzisa iiplastiki.