Kusokonezeka Kwambiri

Zamkati

• Kodi zizindikiro zakusokonekera kwadzidzidzi ndi ziti?
• Nchiyani chimayambitsa mantha?
• Kodi chiopsezo ndi chiyani?
• Ndi mayeso ati omwe amagwiritsidwa ntchito kuti azindikire septic?
• Kodi ndi zovuta ziti zomwe zingayambitse mantha?
• Kodi mantha amiseche amachitidwa bwanji?
• Kuwona kwakanthawi kwakanthawi kwakudzidzimutsa

Kodi septic shock ndi chiyani?

Sepsis ndi zotsatira za matenda, ndipo zimayambitsa kusintha kwakukulu mthupi. Zitha kukhala zowopsa komanso zowopsa pangozi.

Zimachitika pamene mankhwala omwe amalimbana ndi matenda poyambitsa zotupa amatulutsidwa m'magazi.

Madokotala azindikira magawo atatu a sepsis:

• Sepsis ndipomwe matendawa amafikira m'magazi ndikuyambitsa kutupa mthupi.
• Sepsis yolimba ndipamene kachilombo kamakhala kovuta kwambiri kuti kakhudze ziwalo zanu, monga mtima, ubongo, ndi impso.
• Kugwedezeka kwa Septic ndipamene mumakhala ndi kutsika kwa magazi komwe kumatha kudzetsa kupuma kapena mtima kulephera, kupwetekedwa, kulephera kwa ziwalo zina, ndi kufa.

Zimaganiziridwa kuti kutupa komwe kumabwera chifukwa cha sepsis kumayambitsa kuundana kwamagazi pang'ono. Izi zitha kuletsa oxygen ndi michere kuti isafike ku ziwalo zofunika.

Kutupa kumachitika nthawi zambiri kwa okalamba kapena omwe ali ndi chitetezo chamthupi chofooka. Koma sepsis ndi septic mantha atha kuchitika kwa aliyense.

Matenda a Septic ndi omwe amafala kwambiri m'magulu a anthu odwala mwakayakaya ku United States.

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Kodi zizindikiro zakusokonekera kwadzidzidzi ndi ziti?

Zizindikiro zoyambirira za sepsis siziyenera kunyalanyazidwa. Izi zikuphatikiza:

• malungo nthawi zambiri amakhala okwera kuposa 101˚F (38˚C)
• kutentha thupi (hypothermia)
• kuthamanga kwa mtima
• kupuma mofulumira, kapena kupuma kopitirira 20 pamphindi

Sepsis yolimba imadziwika kuti sepsis yokhala ndi umboni wowonongeka kwa ziwalo zomwe zimakhudza impso, mtima, mapapo, kapena ubongo. Zizindikiro za sepsis zazikulu ndizo:

• mkodzo wochepa kwambiri
• chisokonezo chachikulu
• chizungulire
• mavuto akulu kupuma
• kusinthika kwamabulu kwamanambala kapena milomo (cyanosis)

Anthu omwe akukumana ndi septic mantha adzakumana ndi zizindikilo za sepsis, koma amakhalanso ndi kuthamanga kwa magazi kotsika komwe sikungayankhe m'malo amadzimadzi.

Nchiyani chimayambitsa mantha?

Matenda a bakiteriya, fungal, kapena ma virus amatha kuyambitsa sepsis. Matenda aliwonse amayamba kunyumba kapena mukakhala kuchipatala kuti mukalandire vuto lina.

Sepsis nthawi zambiri imachokera ku:

• m'mimba kapena m'mimba matenda
• Matenda am'mapapo ngati chibayo
• matenda opatsirana mumkodzo
• ziwalo zoberekera matenda

Kodi chiopsezo ndi chiyani?

Zinthu zina monga ukalamba kapena matenda am'mbuyomu zitha kukuikani pachiwopsezo chachikulu chodwala septic. Matendawa amapezeka kwambiri kwa akhanda, achikulire, amayi apakati, komanso omwe ali ndi chitetezo cha mthupi chomwe chimayambitsidwa ndi HIV, matenda a rheumatic monga lupus ndi nyamakazi, kapena psoriasis. Ndipo matenda opweteka am'mimba kapena mankhwala a khansa amatha kuyambitsa.

Zinthu zotsatirazi zitha kupangitsanso kuti munthu azikhala ndi septic mantha:

• opaleshoni yayikulu kapena kuchipatala kwanthawi yayitali
• matenda a shuga mtundu 1 ndi mtundu wa 2 wogwiritsa ntchito mankhwala osokoneza bongo
• odwala omwe ali mchipatala omwe akudwala kale
• Kuwonetsedwa pazida monga ma catheters olowa mkati, makina opangira mkodzo, kapena machubu opumira, omwe amatha kuyambitsa mabakiteriya mthupi
• kusadya bwino

Ndi mayeso ati omwe amagwiritsidwa ntchito kuti azindikire septic?

Ngati muli ndi zizindikiro za sepsis, gawo lotsatira ndikuchita mayeso kuti muwone kutalika kwa matendawa. Matendawa nthawi zambiri amapangidwa ndi kuyezetsa magazi. Mayeso amtunduwu amatha kudziwa ngati pali zinthu izi:

• mabakiteriya m'magazi
• Mavuto a clotting chifukwa cha kuchuluka kwama platelet
• zonyansa zochuluka m'magazi
• chiwindi kapena impso zosagwira
• kuchepa kwa mpweya
• Kusagwirizana kwa electrolyte

Kutengera ndi zizindikilo zanu komanso zotsatira za kuyezetsa magazi, pali mayeso ena omwe dokotala angafune kuti adziwe komwe kumayambitsa matenda anu. Izi zikuphatikiza:

• kuyesa mkodzo
• kuyesa kubisa kwa mabala ngati muli ndi malo otseguka omwe amawoneka kuti ali ndi kachilombo
• ntchofu yotsekemera ya mamina kuti awone mtundu wa nyongolosi yomwe imayambitsa matendawa
• kuyesa kwa msana

Pomwe gwero la matendawa silikudziwika bwino pamayeso omwe ali pamwambapa, dokotala amathanso kugwiritsa ntchito njira zotsatirazi kuti muwone thupi lanu:

• X-ray
• Kujambula kwa CT
• akupanga
• MRI

Kodi ndi zovuta ziti zomwe zingayambitse mantha?

Kugwedezeka kwa Septic kumatha kuyambitsa zovuta zowopsa zowopsa zomwe zitha kupha. Mavuto omwe angakhalepo ndi awa:

• kulephera kwa mtima
• kutseka magazi kosazolowereka
• impso kulephera
• kupuma kulephera
• sitiroko
• chiwindi kulephera
• kutaya gawo la matumbo
• kutayika kwa magawo akumapeto

Zovuta zomwe mungakumane nazo, komanso zotsatira za matenda anu zimadalira zinthu monga:

• zaka
• momwe mankhwala amayambidwira posachedwa
• chifukwa ndi sepsis mkati mwa thupi
• zochitika zamankhwala zomwe zidalipo

Kodi mantha amiseche amachitidwa bwanji?

Sepsis yoyamba imapezeka ndikuthandizidwa, ndizotheka kuti mupulumuke. Sepsis ikapezeka, mudzavomerezedwa ku Intensive Care Unit (ICU) kuti mukalandire chithandizo. Madokotala amagwiritsa ntchito mankhwala angapo kuthana ndi septic, kuphatikiza:

• Mitsempha yamagetsi yolimbana ndi matenda
• mankhwala a vasopressor, omwe ndi mankhwala omwe amachepetsa mitsempha yamagazi ndikuthandizira kuwonjezera kuthamanga kwa magazi
• insulin ya kukhazikika kwa magazi m'magazi
• corticosteroids

Madzi amadzimadzi ochulukirapo (IV) adzaperekedwa kuti athetse kuchepa kwa madzi m'thupi ndikuthandizira kuwonjezera kuthamanga kwa magazi ndi kuthamanga kwa magazi m'ziwalo. Mpweya wopumira ungafunikenso. Opaleshoni itha kuchitidwa kuti ichotse komwe kumayambitsa matenda, monga kukhetsa abscess yodzaza mafinya kapena kuchotsa minofu yomwe ili ndi kachilomboka.

Kuwona kwakanthawi kwakanthawi kwakudzidzimutsa

Kusokonezeka kwa Septic ndi vuto lalikulu, ndipo milandu yoposa 50 peresenti imabweretsa imfa.Mwayi wanu wopulumuka modzidzimutsa umadalira gwero la kachilomboko, ziwalo zingati zomwe zakhudzidwa, komanso momwe mungalandire chithandizo mukangoyamba kumene kukhala ndi zizindikilo.