Matenda omwe ali ndi pakati: Kusokonezeka kwa Septic

Zamkati

• Kodi Zizindikiro Za Kusokonezeka Kwa Madzi Ndi Zotani?
• Nchiyani Chimayambitsa Kusokonezeka Kwa Sepic?
• Kodi Kusokonezeka Kwa Sepic Kumapezeka Bwanji?
• Kodi Kusokonezeka Kwa Madzi Kumachitika Bwanji?
• Kuyenda Magazi
• Maantibayotiki
• Chithandizo Chothandizira
• Kuchiza Opaleshoni
• Chiwonetsero

Kodi Kusokonezeka Kwa Sepic?

Matenda a Septic ndimatenda akulu komanso amachitidwe. Izi zikutanthauza kuti zimakhudza thupi lonse. Zimayambitsidwa pamene mabakiteriya amalowa m'magazi anu ndipo nthawi zambiri amapezeka pambuyo povulala kapena kuchitidwa opaleshoni.

Amayi apakati akayamba kudwala matenda osokoneza bongo, nthawi zambiri zimakhala zovuta mwanjira izi:

• kuchotsa mimba mwachangu (padera lomwe limayambitsidwa ndi matenda a uterine)
• matenda aakulu a impso
• matenda am'mimba
• matenda amniotic sac
• matenda a chiberekero

Kodi Zizindikiro Za Kusokonezeka Kwa Madzi Ndi Zotani?

Matenda amadzimadzi amapezeka chifukwa cha sepsis yayikulu. Sepsis, yemwenso amatchedwa "poyizoni wamagazi," amatanthauza zovuta zomwe zimayambitsidwa ndimatenda oyamba amwazi. Kusokonezeka kwa Septic ndi vuto lalikulu la sepsis yosalamulirika. Onsewa ali ndi zizindikiro zofananira, monga kuthamanga kwambiri kwa magazi. Komabe, sepsis itha kubweretsa kusintha kwamalingaliro anu (mantha) ndikuwonongeka kwa ziwalo.

Kugwedezeka kwa Septic kumayambitsa zizindikilo zosiyanasiyana, kuphatikizapo:

• kusakhazikika komanso kusokonezeka
• kuthamanga kwa mtima komanso kuthamanga kwa magazi (hypotension)
• malungo a 103˚F kapena kupitilira apo
• kutentha thupi (hypothermia)
• khungu lotentha komanso lofewa chifukwa chakuchepetsa mitsempha yanu (vasodilation)
• khungu lozizira komanso losalala
• kugunda kwamtima kosasinthasintha
• chikasu cha khungu lako (jaundice)
• kuchepa pokodza
• kutuluka mwadzidzidzi kuchokera kumaliseche kapena kwamikodzo

Muthanso kukhala ndi zizindikilo zokhudzana ndi tsamba loyambilira la matenda. Kwa amayi apakati, izi zimaphatikizapo:

• kutuluka kwa chiberekero
• chiberekero chachikondi
• kupweteka ndi kukoma m'mimba mwako ndi pambali (dera pakati pa nthiti ndi mchiuno)

Vuto lina lofala ndimatenda aanthu akuluakulu opuma (ARDS). Zizindikiro zake ndi izi:

• kupuma movutikira
• kupuma mwachangu komanso molimbika
• kukhosomola
• kuchulukana m'mapapo

ARDS ndi chimodzi mwazomwe zimayambitsa kufa pakakhala sepsis yayikulu.

Nchiyani Chimayambitsa Kusokonezeka Kwa Sepic?

Mabakiteriya omwe amadziwika kwambiri ndi sepsis ndi ma aerobic gram-negative bacilli (mabakiteriya opangidwa ndi ndodo), makamaka:

• Escherichia coli (E. coli)
• Klebsiella pneumoniae
• Proteus zamoyo

Mabakiteriyawa amakhala ndi nembanemba iwiri, yomwe imawapangitsa kulimbana ndi maantibayotiki.

Akalowa m'magazi anu, amatha kuwononga ziwalo zanu zofunika.

Mwa amayi apakati, mantha amiseche angayambitsidwe ndi:

• matenda opatsirana panthawi yobereka
• magawo obayira
• chibayo
• kufooketsa chitetezo chamthupi
• fuluwenza (chimfine)
• kuchotsa mimba
• kupita padera

Kodi Kusokonezeka Kwa Sepic Kumapezeka Bwanji?

Zizindikiro zokhudzana ndi septic mantha ndizofanana kwambiri ndi zizindikilo za zovuta zina. Dokotala wanu amamuyesa mokwanira, ndipo atha kuyitanitsa mayeso a labotale.

Dokotala wanu akhoza kugwiritsa ntchito kuyesa magazi kuti ayang'ane:

• umboni wa matenda
• mavuto okhala ndi magazi
• mavuto a chiwindi kapena impso
• Kusamvana kwa electrolyte

Dokotala wanu akhoza kuyitanitsa chifuwa cha x-ray kuti mudziwe ngati muli ndi ARDS kapena chibayo. Kujambula kwa CT, MRIs, ndi ma ultrasound kungathandize kuzindikira komwe kuli matenda oyamba. Mwinanso mungafunike kuwunika kwa ma elektrocardiographic kuti mupeze mayendedwe osasinthasintha amtima komanso zizindikilo zovulaza mtima wanu.

Kodi Kusokonezeka Kwa Madzi Kumachitika Bwanji?

Pali zolinga zikuluzikulu zitatu pothana ndi mantha amisala.

Kuyenda Magazi

Cholinga choyamba cha dokotala wanu ndikuthetsa mavuto omwe mumayendera magazi. Atha kugwiritsa ntchito chitoliro chachikulu chomulowetsa m'makina kuti akupatseni madzi. Adzawunika momwe zimakhalira, kuthamanga kwa magazi, komanso kutulutsa mkodzo kuti atsimikizire kuti mulandila kuchuluka kwa madzi awa.

Dokotala wanu amatha kuyika catheter wamtima woyenera ngati chida china chowunikira ngati kulowetsedwa koyambirira kwamadzimadzi sikubwezeretsa kuyendetsa magazi koyenera. Muthanso kulandira dopamine. Mankhwalawa amathandizira kugwira ntchito kwa mtima ndikuwonjezera magazi kuthengo lalikulu.

Maantibayotiki

Cholinga chachiwiri cha chithandizo ndikupatseni maantibayotiki olimbana ndi mabakiteriya omwe atheka. Pa matenda opatsirana pogonana, mankhwala othandiza kwambiri ndi kuphatikiza kwa:

• penicillin (PenVK) kapena ampicillin (Principen), kuphatikiza
• clindamycin (Cleocin) kapena metronidazole (Flagyl), kuphatikiza
• gentamicin (Garamycin) kapena aztreonam (Azactam).

Kapenanso, imipenem-cilastatin (Primaxin) kapena meropenem (Merrem) imatha kuperekedwa ngati mankhwala amodzi.

Chithandizo Chothandizira

Cholinga chachikulu chachitatu cha chithandizo ndikupereka chithandizo chothandizira. Mankhwala omwe amachepetsa kutentha thupi komanso bulangeti lozizira azithandiza kuti kutentha kwanu kuzikhala koyenera kwambiri. Dokotala wanu ayenera kuzindikira msanga mavuto okhudzana ndi magazi ndikuyamba kulandira chithandizo ndikulowetsedwa kwa magazi m'matumba am'magazi komanso zovuta.

Pomaliza, dokotala wanu adzakupatsani mpweya wowonjezera ndikuwonetsetsa kuti muwone umboni wa ARDS. Momwe mpweya wanu umakhalira umayang'aniridwa ndi puloteni oximeter kapena catheter yozungulira yozungulira. Ngati kulephera kupuma kukuwonekeratu, mudzaikidwa pulogalamu yothandizira mpweya.

Kuchiza Opaleshoni

Mungafunenso opaleshoni. Mankhwala ochiritsira amatha kugwiritsidwa ntchito kukhetsa mafinya omwe amasonkhanitsidwa m'chiuno mwanu, kapena kuchotsa ziwalo zam'mimba zamatenda.

Ngati muli ndi chitetezo chamthupi, mutha kupatsidwa kulowetsedwa kwa maselo oyera amwazi. Njira ina ndi mankhwala a antisera (anti-toxin) omwe amalimbana ndi mabakiteriya omwe amachititsa mantha. Mankhwalawa awoneka odalirika pakufufuza kwina, koma akuyesabe.

Chiwonetsero

Matenda a Septic ndi matenda oyipa, koma ndikofunikira kuzindikira kuti sizachilendo pamimba. M'malo mwake, Obstetrics ndi Gynecologymagaziniyo akuti pafupifupi 0.01% yazinthu zonse zomwe zimaperekedwa zimadabwitsa anthu. Amayi omwe ali ndi chisamaliro chokwanira chokhala ndi pakati sangatengeke ndi sepsis ndipo amayamba kudabwa. Ngati mukukumana ndi zizindikiro zosazolowereka, ndikofunikira kuyimbira dokotala nthawi yomweyo kuti mupewe kuwonongeka kulikonse.