Kusokonezeka

Matenda a Sepicic ndi vuto lalikulu lomwe limachitika matenda a thupi lonse atha kutsika kwambiri magazi.

Kusokonezeka kwa Septic kumachitika nthawi zambiri okalamba komanso achichepere kwambiri. Zitha kukhalanso mwa anthu omwe ali ndi chitetezo chamthupi chofooka.

Mtundu uliwonse wa mabakiteriya ungayambitse mantha. Mafangayi ndi (kawirikawiri) mavairasi amathanso kuyambitsa vutoli. Poizoni wotulutsidwa ndi bakiteriya kapena bowa amatha kuwononga minofu. Izi zitha kubweretsa kutsika kwa magazi komanso kusayenda bwino kwa ziwalo. Ofufuza ena amaganiza kuti kuundana kwa magazi m'mitsempha yaying'ono kumapangitsa kuti magazi asamagwire bwino ntchito komanso ziwalo zake sizigwira bwino ntchito.

Thupi limakhala ndi mphamvu yotupa poyizoni yomwe imatha kuwononga ziwalo.

Zowopsa zadzidzidzi ndizo:

• Matenda a shuga
• Matenda a genitourinary system, biliary system, kapena matumbo
• Matenda omwe amafooketsa chitetezo cha mthupi, monga Edzi
• Makina okhala mnyumba (omwe amakhala m'malo mwawo kwakanthawi, makamaka mizere yolowa mkati ndi malo opangira mkodzo, ndi pulasitiki ndi chitsulo chomwe chimagwiritsidwa ntchito kutulutsa madzi)
• Khansa ya m'magazi
• Kugwiritsa ntchito maantibayotiki kwa nthawi yayitali
• Lymphoma
• Matenda aposachedwa
• Opaleshoni yaposachedwa kapena njira zamankhwala
• Kugwiritsa ntchito mankhwala aposachedwa kapena aposachedwa a mankhwala a steroid
• Kuika thupi lolimba kapena kupatsira mafuta m'mafupa

Kugwedezeka kwa Septic kumatha kukhudza gawo lililonse la thupi, kuphatikiza mtima, ubongo, impso, chiwindi, ndi matumbo. Zizindikiro zimaphatikizapo:

• Ozizira, mikono ndi miyendo yotuwa
• Kutentha kapena kutsika kwambiri, kuzizira
• Mitu yopepuka
• Mkodzo pang'ono kapena ayi
• Kuthamanga kwa magazi, makamaka akaimirira
• Kupindika
• Kuthamanga kwa mtima mwachangu
• Kupumula, kusakhazikika, ulesi, kapena kusokonezeka
• Kupuma pang'ono
• Ziphuphu zakhungu kapena kusintha kwa khungu
• Kuchepetsa malingaliro

Mayeso amwazi atha kuchitidwa kuti muwone ngati:

• Matenda ozungulira thupi
• Kuwerengera kwathunthu kwa magazi (CBC) ndi magazi
• Kukhalapo kwa mabakiteriya kapena zamoyo zina
• Mulingo wama oxygen ochepa
• Kusokonezeka kwamtundu wa asidi-m'munsi
• Ntchito yosaoneka bwino ya ziwalo kapena kulephera kwa chiwalo

Mayesero ena atha kuphatikizira:

• X-ray pachifuwa kuyang'ana chibayo kapena madzimadzi m'mapapo (pulmonary edema)
• Chitsanzo cha mkodzo kuti chifufuze matenda

Zowonjezera, monga zikhalidwe zamagazi, sizingakhale zabwino kwa masiku angapo magazi atatengedwa, kapena masiku angapo mantha atayamba.

Kuthamangitsidwa kwa Septic ndizovuta zamankhwala. Nthawi zambiri, anthu amaloledwa kupita kuchipatala cha anthu odwala mwakayakaya.

Chithandizo chingaphatikizepo:

• Kupuma makina (makina mpweya)
• Dialysis
• Mankhwala osokoneza bongo, matenda opatsirana, kapena kutseka magazi
• Madzi ochuluka omwe amaperekedwa mwachindunji mumtsempha (kudzera m'mitsempha)
• Mpweya
• Zosintha
• Kuchita opaleshoni kukhetsa madera omwe ali ndi kachilombo, ngati kuli kofunikira
• Maantibayotiki

Kupsinjika kwa mtima ndi mapapo kumatha kufufuzidwa. Izi zimatchedwa kuwunika kwa hemodynamic. Izi zitha kuchitika ndi zida zapadera komanso unamwino wachipatala.

Kusokonezeka kwa Septic kuli ndi chiwerengero chachikulu cha imfa. Kuchuluka kwaimfa kumadalira msinkhu wa munthu ndi thanzi lake lonse, chomwe chimayambitsa matendawa, ziwalo zingapo zomwe zalephera, komanso momwe chithandizo chamankhwala chimayambidwira mwachangu komanso mwamakani.

Kulephera kupuma, kulephera kwa mtima, kapena chiwalo china chilichonse chitha kuchitika. Kuphulika kumatha kuchitika, mwina kumabweretsa kudulidwa.

Pitani molunjika ku dipatimenti yadzidzidzi mukayamba kukhala ndi ziwonetsero zadzidzidzi.

Kuchiza msanga matenda a bakiteriya ndikothandiza. Katemera angathandize kupewa matenda ena. Komabe, zochitika zambiri zadzidzidzi sizingalephereke.

Kusokonezeka kwa Bacteremic; Endotoxic mantha; Kusokonezeka kwa ziwalo; Kutenthedwa mtima

Russell JA. Ma syndromes osokoneza okhudzana ndi sepsis. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 100.

van der Poll T, Wiersinga WJ. Sepsis ndi septic mantha. Mu: Bennett JE, Dolin R, Blaser MJ, olemba., Eds. Mandell, Douglas, ndi Bennett's Principles and Practice of Infectious Diseases. 9th ed. Philadelphia, PA: Elsevier; 2020: chap 73.