Chilichonse Chimene Mukufuna Kudziwa Zokhudza Bacteremia

Zamkati

• Bacteremia motsutsana ndi sepsis
• Zoyambitsa
• Zizindikiro
• Matendawa
• Chithandizo
• Zowopsa ndi zovuta
• Zizindikiro za sepsis ndi septic mantha
• Zowopsa za sepsis ndi septic mantha
• Zovuta zina zomwe zingakhalepo
• Nthawi yoti muwonane ndi dokotala
• Mfundo yofunika

Bacteremia ndipamene pali mabakiteriya omwe amapezeka m'magazi anu. Mawu ena omwe mwina mudamvapo za bacteremia ndi "poyizoni wamagazi," komabe awa si mawu azachipatala.

Nthawi zina, bacteremia imatha kukhala yopanda tanthauzo, kutanthauza kuti palibe zisonyezo. Nthawi zina, zizindikilo zimatha kupezeka ndipo pamakhala chiopsezo chazovuta zazikulu.

Werengani kuti mudziwe zambiri za bacteremia, zizindikiro zake, ndi momwe angachiritsidwire.

Bacteremia motsutsana ndi sepsis

Mwinamwake mudamvapo za bacteremia yokhudzana ndi zinthu monga septicemia ndi sepsis. Mawu awa onse ndi ofanana, koma ali ndi matanthauzo osiyana pang'ono.

Kunena zowona, bacteremia amatanthauza kupezeka kwa mabakiteriya m'magazi. Mabakiteriya nthawi zina amatha kulowa m'magazi anu chifukwa cha zinthu monga kuyeretsa mano kapena kupita kuchipatala chaching'ono.

Mwa anthu ambiri athanzi, bacteremia imadziwonekera yokha popanda kuyambitsa matenda. Komabe, matenda akakhazikika m'magazi, mtundu uwu wa bacteremia umasiyanitsidwa ngati septicemia.

Ngati sanalandire chithandizo, matenda am'magazi amatha kubweretsa zovuta zina. Chimodzi mwazomwezi ndi sepsis, chomwe chimayambitsidwa ndi chitetezo champhamvu chamthupi.

Sepsis ndi septic mantha amatha kuyambitsa ziwalo kulephera ngakhale kufa.

Zoyambitsa

Mabakiteriya osiyanasiyana amatha kuyambitsa bacteremia. Ena mwa mabakiteriyawa amatha kupitiriza kutenga matenda m'magazi.

Zitsanzo za mabakiteriyawa ndi monga:

• Staphylococcus aureus, kuphatikiza MRSA
• Escherichia coli (E. coli)
• Chibayo mabakiteriya
• Gulu A Mzere
• Salmonella zamoyo
• Pseudomonas aeruginosa

Njira zina zomwe bacteremia imachitika ndi monga:

• kudzera munjira ya mano monga kuyeretsa mano nthawi zonse kapena kudzera mukuchotsa mano
• Kuchokera pa opaleshoni kapena njira
• kachilombo kamene kamafalikira kuchokera mbali ina ya thupi kulowa m'magazi
• kudzera pazida zamankhwala, makamaka nyumba zokhalamo anthu komanso machubu opumira
• kudzera mukuvulala kwambiri kapena pakuwotcha

Zizindikiro

Zina mwa bacteremia zimakhala zosagwirizana. Pazochitikazi, chitetezo chanu cha mthupi nthawi zambiri chimachotsa mabakiteriya osadziwa.

Bacteremia ikamayambitsa matenda am'magazi, mutha kukhala ndi zizindikiro monga:

• malungo
• kuzizira
• kunjenjemera kapena kunjenjemera

Matendawa

Bacteremia imatha kupezeka pogwiritsa ntchito chikhalidwe chamagazi. Kuti muchite izi, magazi anu adzatengedwa kuchokera mumtsinje. Kenako idzatumizidwa ku labu kukayesedwa ngati kulibe mabakiteriya.

Kutengera zomwe akuti mukudwala, dokotala angafune kuyesa zina. Zitsanzo zina ndi izi:

• chikhalidwe cha sputum ngati mukuwoneka kuti muli ndi matenda opuma kapena mukugwiritsa ntchito chubu chopumira
• chikhalidwe cha chilonda ngati mwavulala, kuwotchedwa, kapena mwachitidwa opaleshoni posachedwapa
• kutenga zitsanzo kuchokera ku malo okhala anthu kapena zida zina

Kujambula mayeso monga X-ray, CT scan, kapena ultrasound atha kugwiritsidwanso ntchito. Izi zitha kugwiritsidwa ntchito kuzindikira malo omwe angakhale ndi matenda m'thupi.

Chithandizo

Chithandizo cha matenda am'magazi chimafuna kugwiritsa ntchito maantibayotiki mwachangu. Izi zitha kuthandiza kupewa zovuta monga sepsis kuti zisachitike. Mudzakhala m'chipatala mukalandira chithandizo.

Mabakiteriya akatsimikiziridwa m'magazi anu, mutha kuyambitsa maantibayotiki ambiri, makamaka kudzera pa IV. Awa ndi mitundu ya maantibayotiki yomwe iyenera kukhala yothandiza kuthana ndi mitundu yambiri ya mabakiteriya.

Munthawi imeneyi, mabakiteriya omwe amayambitsa matenda anu amatha kudziwika ndipo kuyesa kwa maantibayotiki kumatha.

Ndi zotsatirazi, dokotala wanu amatha kusintha maantibayotiki anu kuti azitha kudziwa zomwe zikuyambitsa matenda anu.

Kutalika kwa chithandizo kumatha kudalira chifukwa komanso kukula kwa matendawa. Muyenera kukhala ndi maantibayotiki kwa milungu iwiri kapena iwiri. Madzi amtundu wa IV komanso mankhwala ena amathanso kuperekedwa panthawi yamankhwala kuti athandizire kukhazikika kwanu.

Zowopsa ndi zovuta

Ngati matenda am'magazi asasalandire chithandizo, muli pachiwopsezo chokhala ndi zovuta zowopsa monga sepsis ndi septic shock.

Sepsis imachitika chifukwa cha chitetezo chamthupi champhamvu ku matenda. Kuyankha uku kumatha kuyambitsa kusintha m'thupi lanu monga kutupa. Kusintha kumeneku kumatha kukhala kovulaza ndipo kumatha kuwononga ziwalo.

Pakadabwitsa septic, kuthamanga kwa magazi kwanu kumatsika kwambiri. Kulephera kwa thupi kumathanso kuchitika.

Zizindikiro za sepsis ndi septic mantha

Ngati matenda am'magazi akupita ku sepsis kapena septic shock, mutha kukhalanso ndi zizindikiro zowopsa, monga:

• kupuma mofulumira
• kugunda kwamtima mwachangu
• khungu lomwe limatuluka thukuta kapena limamveka lamwano
• kuchepa pokodza
• kuthamanga kwa magazi
• kusintha kwa malingaliro, monga kudzimva wosokonezeka kapena kusokonezeka

Zowopsa za sepsis ndi septic mantha

Magulu ena ali pachiwopsezo chotenga sepsis kapena septic mantha kuchokera kumatenda amwazi. Magulu awa ndi awa:

• ana ochepera chaka chimodzi
• akuluakulu kuposa zaka 65
• anthu omwe ali ndi chitetezo chamthupi chofooka
• anthu omwe ali ndi matenda monga matenda ashuga, matenda a impso, kapena khansa
• omwe adwala kale kapena agonekedwa mchipatala

Zovuta zina zomwe zingakhalepo

Kuphatikiza pa sepsis ndi septic mantha, bacteremia imatha kuyambitsa zovuta zina. Izi zikhoza kuchitika pamene mabakiteriya omwe ali m'magazi anu amapita kumadera ena a thupi lanu.

Zowonjezera zina zingaphatikizepo:

• Meningitis: Kutupa kwaminyewa yozungulira ubongo ndi msana.
• Chibayo: Matenda oopsa opuma.
• Endocarditis: Kutupa kwamkati mwamtima.
• Osteomyelitis: Matenda a mafupa.
• Matenda opatsirana: Matenda omwe amapezeka olumikizana.
• Cellulitis: Matenda akhungu.
• Peritonitis: Kutupa kwa minofu yoyandikira mimba ndi ziwalo zanu.

Nthawi yoti muwonane ndi dokotala

Zizindikiro za matenda am'magazi nthawi zambiri zimakhala zosamveka ndipo zimatha kutengera zochitika zina. Komabe, onani dokotala wanu mwachangu ngati mukudwala malungo, kuzizira, kapena kunjenjemera komwe kumadza modzidzimutsa.

Izi ndizowona makamaka ngati mwakhala mukukumana ndi zomwe zitha kukuyikani pachiwopsezo cha matenda am'magazi. Izi zimaphatikizapo ngati:

• mukukumenya matenda kwina kulikonse mthupi lanu, monga matenda amkodzo (UTI) kapena chibayo
• angomangidwa kumene mano, kuchipatala, kapena kuchitidwa opaleshoni
• akhala m'chipatala

Mfundo yofunika

Bacteremia ndipamene pali mabakiteriya omwe amapezeka m'magazi anu.

Nthawi zina, bacteremia sangakhale ndi zizindikiritso zokha. Nthawi zina, zimatha kuyambitsa matenda am'magazi omwe amatha kukhala mavuto akulu.

Mabakiteriya osiyanasiyana amatha kuyambitsa bacteremia. Nthawi zambiri zimatha kuchitika chifukwa cha matenda ena omwe alipo, opareshoni, kapena kugwiritsa ntchito chida ngati chubu chopumira.

Kuchiza kwakanthawi kwa matenda am'magazi ndi maantibayotiki ndikofunikira popewa zovuta. Ngati mukukhulupirira kuti muli ndi matenda am'magazi, onetsetsani kuti mwalandira chithandizo chamankhwala mwachangu.