Sepsis He koko - ka waiwai a me ka hana

Koko kaʻapu kōheoheo (sepsis) - o ke kaʻina hana o ka pono maʻiʻaʻai o ke kino ma ka pathogens, mai ke kumu mai o maʻiʻaʻai ma ke koko. E aʻo pehea e kūkulu i kekahi kulana i ke kumu a me ka hopena ma ka aoao ua malamaia lakou nei,, mākou e wehewehe hope i loko o kēia 'atikala.

Nā kumu o ka sepsis

E hoʻomaka i ka hooulu ana o ka sepsis mea okoa microorganisms: nā mea hoʻomaʻi, koʻohune, fungi, a me kona symptoms e hilinaʻi ma luna o ka mea o lākou i loko o ke koko. Akā, i ka Launch o ka maʻiʻaʻai kaʻina, mālama, e paipai i ka lākou o ka hana i ho'ākāka 'ana:

• i ke kino pono e he iniiaiie pulakaumaka o ka maʻiʻaʻai pili me ka circulatory paha lymphatic kahua;
• mau pathogen komo i ke koko;
• Ua Ua hana kekahi haumāna locus, i a laila lākou e hoʻopakele pathogens.

A me ke kumu nui e hoʻonāukiukiʻana mai o ke koko sepsis, i ka hopena o ka a mākou noonoo ana ma o ka 'atikala, mea he nawaliwali'ōnaehana paleʻea'ōnaehana a me ke alo o ka pathologies e hookaumaha loa ai ia i kona nuiʻoki kino, kaumaha koko poino, Ka maʻi' aʻai, HIV, ke koko mai, etc. A nui kūlana e pāʻani ai i keia, a loaa immunosuppressive ai ', a me cytostatics.

Pehea lā ka lōʻihi o i sepsis

Kekahi o nā hiʻona i hoakakaia pathology o kona hiki ana i fulminant. Kēiaʻano o ka sepsis, haawi ia i ka lāʻau lapaʻau sharpest, kahe kaʻoʻoleʻa laua hitting nā loko, a nenoai. Ma keia hihia, ma hope 1-2 lā hele mai la kekahi lethal hoʻokūkū.

E möakäka hou lapaʻau papa o mai la maʻi, e huʻi, subacute a me recurrent sepsis. Ka mea, oko mai kekahi i kekahi hanana o ka maʻiʻaʻai makahiki (mai kekahi i ka eono mahina) a me ka hope nānaina o ka malie a me ka undulating papa, oiai i ka exacerbation i auou caiaiai ia e ka maʻamau moku'āina o ke ola. Ka oi aku o ka lengthy ka maʻi sepsis a i hope mai a hiki i ka makahiki, a hiki loa aku.

Sepsis ke koko: Symptoms

Na hoailona o ke koko kaʻapu kōheoheo, like i ua mai la, hilinai ma na mea he nui aʻe: i ke ano o ka maʻi, kona papa, i ka wahi o ka iniiaiie pulakaumaka o ka maʻiʻaʻai a me ke alo o ka mea kiʻekiʻe.

Akā, ka hapanui, keia pathology hoike mai ai ia ia iho i loko o nā hihia o ole kino mahana hiki 39-40 ° C, i auou caiaiai kona normalization. Ke hoomanawanui complains o ole, i ka mea i na manawa ole ana wela replaces ka waiʻona ma o ka wela, a kaumaha sweating. Eia hou:

• hookahi o ka maʻi hiki e ukali ma ka moku'āina o excitation, euphoria hoomanawanui, alaila, hele i loko o apathy a me ka lethargy;
• hoʻomanawanui ili i haikea jaundiced;
• lāʻau ikiʻai wale uku o 150 bpm, ke koko, i lalo, pokole o ka hanu;
• ili poʻe noʻonoʻoʻole i ke ana i loko o ka palapala o Oe a kahe ana ke koko wahi kahe ana ke koko - a mea he hoailona ia o ka hemorrhagic maʻi pale ;
• hiki helehelena ma na lehelehe o ka herpes;
• sclera maka kauluwela ka, a me ka mucosa o ka waha kahe mau.

Me oe e ike ai, hoomaka iho la i ke koko sepsis hopena entails he ākeaʻano, akā, ua noʻonoʻo nō i ka papa kuhikuhiE hiʻona o kona hanana ke kiʻekiʻe ana wela, i ke alo o ke kuni, a me ka profuse sweating.

Complications koko sepsis

Full hopena o ka kaʻawahia o nā palapala microorganisms e hoʻomoe ana i kēia mau symptoms, koko maʻiʻaʻai mea aie i ka mea iʻawahia waiwai koke, e halii mai i nā mea a pau nā loko a me nā'aʻaʻa, penetrating ka mucous membranes, a hiki i ka iwi a me ka ami. A pau i kēia i nā hualoaʻa ma ka oiaio i ka maʻi ia iho, a me ka mea e hele pū ana sepsis koko 'ole no ka lōʻihi manawa mau kaulahao a hiki i ka haukapila moe' Isaaka.

Ka loa nui complication o ka maʻi i e septic hawewe e hiki hana ma kekahi wahi o kona papa. Not pilikia emi hakuʻala li nui (paranephritis) ole bladder (cystitis), i ke kahua o ka purulent cavities i loko o kekahi nā loko (e like me abscesses ma na maʻiʻaʻai a lolo), i ka ulu ana o ka purulent meningitis, naau hoʻokō 'ole' a hoʻolaha intravascular coagulation (intravascular clotting).

Me ka pono lapaʻau o sepsis ke alakai i ka make.

ano o ka maʻi

Iapaau ana o ke koko sepsis hiki ke hoʻohana 'ia ke kaumaha ma muli pehea ka germs infiltrated i loko o ke koko, a ma kahi o ka he iniiaiie pulakaumaka o ka maʻiʻaʻai. kekahi mau 'ano o ka pathology ma ka lapaau ua hookuu.

1. Percutaneous sepsis. Ua hoʻomōhala ana i ka manawa e maʻiʻaʻai ma na mea uuku ili lesions i loko o ka palapala o ka scratches a maʻi hēhē.
2. Obstetric. He loli ai i na wahine ma hope o ka nahunahu hanau ole abortion.
3. Tonsillar. He ka hopena o ka loa angina maʻi.
4. Otogenny. Ka maʻiʻaʻai hohola mai ka lua mai o ka pepeiao (e laʻa me, like me ka hopena o ka purulent otitis).
5. Odontogenic. I ka hopena o ka moʻolelo maʻiʻaʻai me ka loa li nui o ka nui aʻe ana a me ka niho.
6. Kriptgenny sepsis. Ma keia hihia mākou e kamaʻilio e pili ana i ka maopopo ole i ka hale purulent li nui.

ʻike, o ke koko kaʻapu kōheoheo

E hooholo pono ana i ka hana sepsis koko, e pono e hoʻouka i ka ipu o ka maʻiʻaʻai a me ka 'ano o ka pathogen mea i komo i ke koko.

E hana i kēia koko hōʻike, i ka mea i laweʻia, mai kekahi aa koko, a seeding i ka noho kaʻawale microorganisms i loko o ka nohona meakino. Ia laua me ka nānā 'ana i ko lākou pā lonoaʻili i antibiotics.

I loa hoopii, kokololio Ka Ikepili, oiai i ke koko ua kaʻawale aaiaoe mea o ka pathogen, no ia mea, ma hope o 1.5 hola mea hiki ke hoakaka 25 ano o koʻohune a me fungi, i kumu sepsis.

E like me ka ka iapaau ana o ka sepsis

Ka walaʻauʻana rula o ka hana maikaʻiʻole o ka sepsis ua ka nānā 'ana ma luna o ka loaa ole a me ke kāpaeʻana foci o ka maʻiʻaʻai. Lākou reorganization ua lawe mai ma ka laula hamama ana, a me ka hoʻokolokolo pono nekroektomii. Eia kekahi, ua malamaia lakou nei, me ka eha me ka haʻahaʻa-alapine (frequency) ultrasound, antiseptics ( "Dioksidin", "Dimeksidin", etc.), ili honuaʻeleu waiwai ( "Hlorgeksin ') a me ka proteolytic nā'ūhū (" Trypsin "" Profezim "listen'ōlelo.).

Ke hoomanawanui i kohoʻia i kā mākou hiki nā māhele o nā antibiotics, ke kaumaha ma muli o ka hana i ho'ākāka 'pathogen, no kekahi laʻana, staphylococcal sepsis pili "Fuzidin" mea haʻilula keimikala a "Refampitsin". Mahuahua ia'ku hauma¯na wikamina Inc, a ua uhi pūʻia "Contrycal" nā mea kūpale 'ole "Gordoks" i hoʻolaunaʻia ma immunostimulating ai' a me nāʻano pākīkē nā'ūhū.

Ua lawe mai Detoxification ka hoʻohana 'ana i ka nui helu o ke kumuʻiʻo ai' a me intravenous monakō koko pāʻoihana.

I mea e hoʻopau hoike ana mai o ka hypovolemia (ua hoʻemi koko ka leo) e makemake ia ai ' "Polidez", "Poliglyumasol" a pela aku i loko o ka huipūʻana me nā desagregants "ksantinola nicotinate" a me "Dipyridamole".

Kekahi hana o ka lapaʻau mea i transfusion ma ka sepsis a me ke koko ae pani ai ( "Poliglyukin", "Reoglyuman" etc.). Good hopena i loaa, a me ka aaioee kukuna koko, a me ka loa hihia, he plasmapheresis a me ka ʻimi hoʻopunipuni hakuʻala.

Kāohiʻana o ka sepsis

I mea e pale ai i ke koko sepsis hele pū ana me ka hopena e hahai i kekahi mau rula, a, eia nae ka mea hiki ole oo insure e ku e ia i ho'ākāka 'ia i ka maʻi weliweli, akā, ka mea e me ka nui loa emi i ka manawa kūpono o kona ulu ana.

1. All eha he pono e hana me ka antiseptic.
2. Purulent li nui o na-oaio? A kiola aku la i 'āwīwīʻoki lāʻau lapaʻau' uao.
3. Pono hahai i ke kauka o ka aʻo ma hope o kekahi poino.

A, o ka papa, hooikaika i ka'ōnaehana paleʻea'ōnaehana - no ka mea wale ka mea, mea hiki ke pale maʻiʻaʻai e hoʻomaka. E hoʻokaʻaʻike ola!