Kab mob sepsis yog dab tsi? Koj tus menyuam puas muaj feem yuav muaj mob? Cia peb nrhiav seb puas muaj tseeb!

Tej zaum koj twb tau hnov ​​lossis pom lo lus 'sepsis' lawm. Nws yog ib lo lus txaus ntshai, tab sis nws tseem ceeb heev kom paub txog nws, tshwj xeeb tshaj yog thaum koj muaj cov menyuam yaus. Hais yooj yim, sepsis yog ib qho xwm txheej ceev hauv kev kho mob uas peb lub cev tiv thaiv kab mob ua rau muaj kev kis kab mob thiab ua rau peb cov kab mob puas tsuaj.

Sepsis yog dab tsi, hais yooj yim xwb?

Xav txog, thaum ib tug kab mob, uas yog, ib qho kev kis kab mob, nkag mus rau hauv peb lub cev, ib feem ntawm peb lub cev zoo li ib tug tub rog, uas yog, lub cev tiv thaiv kab mob, tawm tsam qhov kev kis kab mob no, puas yog? Qhov no yog ib txwm muaj. Tab sis hauv sepsis, qhov tshwm sim yog tias qhov kev sib ntaus sib tua ntawm lub cev tiv thaiv kab mob no tau tawm ntawm kev tswj hwm me ntsis, dhau los ua overactive, thiab pib ua puas tsuaj tsis yog tsuas yog qhov kev kis kab mob, tab sis kuj tseem ua rau cov hlwb zoo, cov nqaij, thiab cov kabmob ntawm peb lub cev. Nws zoo li tua koj tus kheej hauv nruab nrab ntawm kev ua tsov rog.

Qhov mob no ua rau cov ntshav siab poob qis heev , uas peb hu ua "Septic Shock". Qhov no txaus ntshai heev rau lub neej. Sepsis tuaj yeem ua rau cov kabmob tseem ceeb xws li peb lub raum, lub ntsws, lub hlwb, thiab lub plawv puas tsuaj, thiab tuaj yeem cuam tshuam rau cov ntshav txhaws. Qee zaum nws tuaj yeem ua rau tuag taus. Yog vim li cas sepsis thiaj li suav tias yog xwm txheej ceev uas xav tau kev kho mob tam sim ntawd . Yog tias koj paub txog nws cov tsos mob thaum ntxov, koj tuaj yeem tau txais kev kho mob sai thiab zam kev raug mob loj.

Cov tsos mob ntawm tus kab mob sepsis yog dab tsi? Koj paub nws li cas?

Qhov no yog qhov uas nws nyuaj me ntsis. Cov tsos mob ntawm sepsis qee zaum yuav zoo ib yam li cov kab mob thaum yau xws li mob khaub thuas lossis mob khaub thuas. Yog li ntawd qee zaum nws yuav nyuaj rau paub.

Qhov tseem ceeb tshaj plaws yog ntseeg koj txoj kev xav ua ib leej niam lossis ib leej txiv. Yog tias koj tus menyuam zoo li mob dua li niaj zaus, lossis yog tias koj pom qee yam txawv txawv lossis txawv, tsis txhob tsis quav ntsej nws.

Ib qho tsos mob xwb tsis txaus los qhia tseeb tias koj puas muaj mob sepsis . Txawm li cas los xij, yog tias koj pom ntau yam tsos mob no ib zaug, koj yuav tsum xav tias nws yuav yog mob sepsis:

• Kub taub hau heev, mob khaub thuas, lossis qhov kub ntawm lub cev poob qis heev.
• Ua pa sai, ua pa tsis tob (zoo li ua pa nyuaj).
• Lub plawv dhia ceev ceev, zoo li lub plawv nyuam qhuav khiav (qhov no tuaj yeem tshwm sim txawm tias tsis muaj kub taub hau los xij).
• Tawm hws, tawv nqaij hloov xim ( daj ntseg , muaj tej qhov me me tshwm sim).
• Cov zis ( urine)) Tso zis tsawg dua los yog tso zis tsawg dua hauv ib hnub.
• Xav tias tsaug zog ntau dua li niaj zaus, nyuaj rau sawv, thiab tsis meej pem.
• Kev yws txog mob lub cev hnyav (cov menyuam mos uas tsis tuaj yeem hais lus yuav quaj tsis tu ncua).

Xav txog seb, koj tus menyuam kub taub hau tau ob lossis peb hnub. Nws ua pa sai dua thiab sai dua, nws tsis haus mis nyuj, thiab nws tsuas yog tsaug zog xwb. Yog li ntawd, koj yuav tsum mus ntsib kws kho mob tam sim ntawd.

Vim li cas thiaj muaj tus kab mob sepsis? Dab tsi yog cov ua rau muaj tus kab mob no?

Kab mob Sepsis pib nrog kev kis kab mob hauv lub cev uas tshwm sim los ntawm cov kab mob me. Cov kab mob no tuaj yeem yog cov kab mob bacteria, cov kab mob viruses, cov fungi, lossis cov kab mob parasites.

Feem ntau, thaum peb muaj kev kis kab mob, peb lub cev tsim cov tshuaj lom neeg los tawm tsam nws. Cov tshuaj lom neeg no feem ntau tsuas ua haujlwm ntawm qhov chaw kis kab mob xwb. Tab sis thaum muaj kab mob sepsis, cov tshuaj lom neeg no nkag mus rau hauv cov ntshav thiab kis mus thoob plaws lub cev, ua rau lwm cov kab mob zoo puas tsuaj thiab.

Leej twg muaj feem yuav mob sepsis ntau dua?

Kab mob Sepsis tuaj yeem tshwm sim rau txhua lub hnub nyoog, tab sis qee tus neeg muaj feem yuav mob hnyav dua. Cov no suav nrog:

• Cov menyuam mos hnub nyoog qis dua ib xyoos , tshwj xeeb tshaj yog cov menyuam mos hnub nyoog qis dua ib hlis thiab cov menyuam mos yug ua ntej lub sijhawm.
• Cov neeg laus hnub nyoog tshaj 65 xyoos.
• Cov neeg uas muaj mob ntev (piv txwv li ntshav qab zib , kab mob plawv, kab mob raum).
• Cov neeg uas muaj cov khoom siv kho mob cog rau hauv lawv lub cev (piv txwv li, lub catheter lossis txoj kab IV ntev).
• Cov neeg uas nyuam qhuav phais lossis tau raug xwm txheej loj.
• Cov neeg uas lub cev tiv thaiv kab mob tsis muaj zog. Qhov ntawd txhais tau tias cov neeg uas muaj tus kab mob HIV, cov neeg mob qog noj ntshav , lossis cov neeg uas noj cov tshuaj uas tiv thaiv kab mob.

Cov kws kho mob kuaj mob sepsis li cas?

Tsis muaj kev kuaj mob tshwj xeeb uas qhia tau tias ib tug neeg puas muaj mob sepsis. Cov kws kho mob siv kev sib xyaw ua ke ntawm tus neeg mob keeb kwm mob nkeeg, cov tsos mob, kev kuaj lub cev, thiab ntau yam kev kuaj mob los txiav txim siab seb lawv puas muaj mob sepsis.

Cov kev ntsuam xyuas rau qhov no yuav suav nrog:

• Kev kuaj mob hauv chaw kuaj mob: Tej yam xws li kev kuaj ntshav lossis kev kuaj zis .
• Kev kuaj mob hluav taws xob:Cov duab xws li X-rays, ultrasound scans, CT scans.

Cov kev kuaj no pab txiav txim seb tus kab mob twg ua rau muaj tus kab mob sepsis thiab seb puas muaj kev puas tsuaj rau lub cev.

Cov kev kho mob rau sepsis yog dab tsi?

Kev kho mob Sepsis hauv tsev kho mob . Qhov no tso cai rau cov kws kho mob saib xyuas tus neeg mob ze. Qee tus menyuam yaus, tshwj xeeb tshaj yog cov uas muaj mob hnyav, yuav tsum tau mus rau hauv Chav Saib Xyuas Menyuam Yaus (PICU) rau kev saib xyuas thiab kho mob tshwj xeeb.

Tus neeg mob lub plawv dhia thiab ua pa raug saib xyuas tas li. Kev ntsuas ntshav kuj raug saib xyuas kom tseem ceeb heev. Qee zaum yuav muaj ib lub cuab yeej tshwj xeeb hu ua "Arterial Line" raug ntxig rau hauv thiab ntsuas ntshav tas li hauv cov hlab ntsha.

Ua kev kho mob, cov tshuaj tua kab mob raug muab los ntawm txoj kab IV kom tua kab mob. Cov kws kho mob feem ntau pib siv cov tshuaj tua kab mob no sai li sai tau thaum xav tias muaj kab mob sepsis, txawm tias ua ntej kuaj pom tseeb los xij.

Tsis tas li ntawd xwb, cov kua dej uas lub cev xav tau kuj raug muab los ntawm cov hlab ntsha (IV Fluids). Yog tias tsim nyog, cov tshuaj hu ua Vasopressors kuj raug muab los tswj cov ntshav siab. Tej zaum yuav muaj ib txhia menyuam yaus tau txais cov ntshav ntxiv lossis qee cov khoom xyaw ntawm cov ntshav los ntawm cov hlab ntsha (Kev Hloov Ntshav). Qhov no pab kom cov ntshav khov thiab nqa cov pa oxygen tau zoo dua.

Qee zaum, yuav siv tau ib txoj kab tshwj xeeb hu ua "IV Line", uas muab tso rau hauv cov leeg ntshav loj hu ua "Central Line." Qhov no ua rau cov tshuaj thiab cov kua dej tsim nyog raug muab rau lub cev sai sai.

Cov menyuam yaus uas muaj kab mob sepsis yuav xav tau kev pab ua pa. Yog tias qhov no tshwm sim, cov kws kho mob yuav muab oxygen rau lawv lossis txuas lawv rau lub tshuab ua pa hu ua "ventilator." Yog tias lub plawv thiab lub ntsws tsis muaj zog txaus los muab oxygen rau lub cev, yuav siv kev kho mob tshwj xeeb hu ua "extracorporeal membrane oxygenation (ECMO)". Qhov no suav nrog lub tshuab uas yuav ua haujlwm ntawm lub plawv thiab lub ntsws ib ntus, muab sijhawm rau lub cev kom rov zoo.

Yog tias lub raum puas lawm thiab tsis tsim zis lawm, txoj haujlwm ntxuav ntshav uas lub raum yuav tsum ua yog ua los ntawm lub tshuab ntxuav ntshav.

Peb yuav ua li cas thiaj tiv thaiv tau peb cov menyuam (thiab peb tus kheej) kom tsis txhob muaj kab mob sepsis? Muaj cov hau kev tiv thaiv dab tsi?

Tsis tuaj yeem tiv thaiv tau kab mob sepsis tas li. Txawm li cas los xij, los ntawm kev sim tiv thaiv kev kis kab mob, koj tuaj yeem txo qhov kev pheej hmoo ntawm kev mob sepsis.

Ua cov no los tiv thaiv koj cov menyuam kom tsis txhob muaj kab mob:

• Muab tshuaj tiv thaiv kab mob rau koj cov menyuam raws sijhawm. Cov no pab tiv thaiv cov kab mob bacterial thiab viral uas tuaj yeem ua rau sepsis .
• Txhawb kom koj cov menyuam ntxuav lawv txhais tes tsis tu ncua thiab tsim kom muaj tus cwj pwm ntawd koj tus kheej.
• Yog koj muaj ib qho qhov txhab los yog khawb ntawm koj lub cev, ntxuav nws kom huv si thiab muab tshuaj rau. Tsis tas li ntawd, xyuas kom meej tias qhov txhab puas zoo lawm.
• Yog koj tus menyuam muaj cov khoom siv kho mob (piv txwv li, catheter, txoj kab IV ntev), ua raws li tus kws kho mob cov lus qhia kom huv si thiab siv nws.

Qhov tseem ceeb tshaj plaws, yog tias koj tus menyuam mob thiab tsis zoo dua, lossis yog tias nws zoo li hnyav zuj zus, mus ntsib kws kho mob lossis coj nws mus rau tsev kho mob tam sim ntawd. Yog tias kws kho mob sau tshuaj tua kab mob, muab rau lawv raws nraim li tau sau tseg, rau lub sijhawm tag nrho.

"Qhov no puas yog sepsis?" - Tsis txhob ntshai nug tus kws kho mob! (Cov Lus Coj Mus Tsev)

Zoo li peb tau hais ua ntej lawm, qhov koj xav tias tseem ceeb tshaj plaws. Yog tias koj tus menyuam zoo li mob dua li niaj zaus, lossis yog tias tus kab mob uas twb tau kho zoo li hnyav zuj zus thiab tsis zoo dua, nrhiav kev pab kho mob tam sim ntawd.

Thaum koj mus ntsib kws kho mob, tsis txhob ntshai lossis ua siab deb nug tias, "Kws kho mob, qhov no puas yog sepsis?" Koj paub koj tus menyuam zoo tshaj plaws. Yog tias koj paub qhov mob no thaum ntxov, muaj feem ntau uas tus menyuam txoj sia yuav raug cawm tau yog tias kho sai. Yog li, yog tias koj muaj kev tsis ntseeg, nrog kws kho mob tham txog qhov ntawd. Qhov ntawd yog qhov zoo tshaj plaws uas koj tuaj yeem ua rau koj tus menyuam.

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