Sepsis - zizindikiro ndi majeremusi

Sepsis ndi wamba nthenda akuwuka kwa kukhalapo mu zimakhala za locus thupi. Komabe, iye ali chiwerengero kusiyana poyerekeza ndi matenda ena amene ali etiology zofanana, ndiko kuti, zizindikiro sepsis ndi zosiyana za chitukuko mtsogolo. Ngati tikambirana sepsis mawu a matenda ndi mankhwala wotsatira, iye anafotokoza mmene zolakwika kapena kuchepa ambiri kwachilengedwenso zimene lake monga kuyankha kumayambiriro kwa tizilombo toyambitsa matenda ake nonspecific tating'onoting'ono. Komabe, limodzi ndi generalization ake, wasefukira monga njira kugawidwa mu magawo ndi kutalika osiyana.

Sepsis - Gawo

Pali njira zinayi za sepsis, pamene iwo ali ndi maina osiyana ndi madokotala gulu (pyo-resorptive malungo, hroniosespsis, pyosepticemia, septicemia) komanso pathologists (hroniosespsis, pyosepticemia, septicemia ndi bakendokardit). Komanso, malingana pakhomo chipata cha sepsis lagawidwa:

• achire (paraifektsionny);

• tonzilogenny;

• Opaleshoni;

• mayi wake;

• Oto ndi odontogenic;

• umbilical;

• cryptogenic.

Malinga ndi mlingo otaya kumasulidwa motere:

• sepsis aakulu;

• subacute (7 14sutok);

• pachimake (pafupifupi 5-7sutok);

• fulminant (maola 24 kuti 48) sepsis.

Palinso kusiyana malingana anaona Kukula kwa chithunzi matenda:

• Early - kumachitika mu nthawi ya osapitirira 3 masabata (pamaso pa yojambula nsalu chenicheni);

• Chakumapeto (oposa 3 masabata).

Zikatero malo wofunika kwambiri pa matenda wotaya kufunika kwa chithandizo zina za matendawa. Kaya amene mu nkhani iyi ndi sepsis zizindikiro.

The wothandizila causative wa sepsis

Etiology ndi osiyanasiyana monga sepsis polietiologichen. Ina mwa tizilombo timene timayambitsa sepsis adakali staphylococci. Chifukwa cha iwo, pali pafupifupi 50% ya milandu. Pambuyo ali streptococci, Proteus, ndi Pseudomonas aeruginosa.

Ngakhale kuti maonekedwe a sepsis ndi nonspecific, ndi etiology wa tizilomboto ali ndi chikoka chachikulu pa makhalidwe a madziwo, umene ndi zizindikiro za matenda ndi chitukuko cha sepsis chiri motere:

• staphylococci - lakutali metastasis, septic chibayo;

• streptococci - kafalitsidwe amapezeka lymphatic (lymphadenitis, lymphangitis), komanso limodzi ndi atumiki;

• Pseudomonas aeruginosa - ndi mphezi kafalitsidwe, kudabwitsa zochita;

• E. coli - peritonitis, peritoneal sepsis;

• clostridia - necrosis, gassing, kutupa;

• Bacteroides - DIC.

mbali zonse chifukwa cha poizoni ndi michere umatulutsa mabakiteriya.

gawo la matenda

Chitetezo chokwanira anthu ngati sepsis si opangidwa. Matendawa ndi mankhwala a sepsis kovuta chifukwa chakuti alibe zisadzachitikenso, lomwe ndi khalidwe la matenda ambiri opatsirana. Zimachitika yatsoka hyperergic kuchepa anachita matenda zowombetsa mkota, ngati n'zosatheka kutanthauzira kwake.

Panopa, pali gawo lotsatira la matenda, zizindikiro za sepsis ndi osiyana:

• Kupanikizika - pamene umaonekera pa zimene khamu tizilomboto. Kukachitika kuti mabungwe yotupa Poyankha singakwane, mwina kulolerana a dongosolo zinchito chitetezo, ndi nawo ndi simpatoadrenalovoj gipotalano-pituitary.

• matenda catabolic - pali mowa pang'onopang'ono kwa enzyme ndi nkhokwe structural wa chamoyo. Umene zinchito decompensation amapezeka kachitidwe.

• anabolic - pamene anataya kamba amanyansidwa ayamba achire.