Sepsis: Kodi matenda ang'onoang'ono angakhale bwanji pachiwopsezo?

Kodi muli ndi bala pathupi lanu lomwe likuyamba kudwala pang'ono? Kapena mukuvutika ndi matenda monga matenda ang'onoang'ono a m'mapapo kapena matenda a mkodzo? Nthawi zambiri timaganiza kuti zinthuzi zimatha mukapuma pang'ono ndi mankhwala. Koma nthawi zina, mosayembekezereka, matenda ang'onoang'ono otere amatha kukhala matenda oopsa omwe amakhudza thupi lonse ndipo amakhala pachiwopsezo. Matenda oopsa amenewo amatchedwa "sepsis."

Mwachidule, kodi sepsis ndi chiyani?

Tangoganizani kuti pali gulu lankhondo lomwe likuteteza dziko lathu. Mdani akabwera kuchokera kunja, gulu lankhondoli limapita kukamenyana ndi mdaniyo, kumugonjetsa, ndikupulumutsa dzikolo. Chitetezo cha mthupi lathu chimakhala ngati gulu lankhondoli. Pamene kachilombo, monga bakiteriya kapena kachilombo, kalowa m'thupi, chitetezo chathu cha mthupi chimayatsidwa ndikulimbana ndi kachilomboka, kutipulumutsa ku matenda.

Koma, taganizirani mtundu wa kuwonongeka komwe kungachitike ngati chinachake chalakwika mwadzidzidzi, gulu lathu lankhondo litasiya kumenyana ndi adani, ndikuyamba kuwononga nyumba ndi mizinda m'dziko lathu?

Sepsis ndi chinthu chonga chimenecho.

Matenda akachitika, nthawi zina chitetezo cha mthupi lathu chimalephera kulamulira. Chimasiya kulimbana ndi matendawa ndipo chimayamba kuukira minofu ndi ziwalo zathu zathanzi. Izi zimayambitsa kutupa m'thupi lonse.

Nthawi yomweyo, njira yolakwika yolumikizirana magazi imayamba m'magazi, ndipo magazi amayamba kuundana mosafunikira mkati mwa mitsempha yamagazi. Izi zimachepetsa kuyenda kwa magazi kupita ku ziwalo zazikulu monga ubongo, mtima, impso, ndi mapapo. Ziwalozi zikasowa mpweya ndi zakudya, zimatha kuwonongeka kwambiri, kusagwira ntchito bwino, komanso kufa.

Kodi pali magawo a sepsis?

Kale, madokotala ankagawa sepsis m'magawo atatu: sepsis, sepsis yayikulu, ndi septic shock.

Koma tsopano, tikuona izi ngati vuto lomwe likupita patsogolo. Izi zikutanthauza kuti, limayamba ndi matenda osavuta, kupita patsogolo kukhala mabakiteriya, kenako sepsis, ndipo pamapeto pake septic shock, yomwe ingayambitse kulephera kwa ziwalo ndi imfa.

Ndani ali pachiwopsezo chachikulu cha matenda a sepsis?

Ngakhale kuti sepsis ingakhudze aliyense, anthu ena ali pachiwopsezo chachikulu. Izi ndi zoona makamaka kwa anthu omwe ali ndi kachilombo kapena matenda opatsirana kudzera m'magazi. Anthu otsatirawa ali pachiwopsezo chachikulu:

Kodi zizindikiro za sepsis ndi ziti?

Popeza sepsis imakhudza ziwalo zambiri za thupi, pakhoza kukhala zizindikiro zambiri. Chimodzi kapena zingapo mwa izi chingachitike nthawi imodzi. Ndikofunikira kudziwa zizindikiro izi, chifukwa kuzizindikira msanga kungapulumutse moyo.

• Malungo kapena kutentha thupi kochepa: Thupi likhoza kutenga malungo. Ndipo nthawi zina kutentha thupi kumatha kutsika kwambiri kuposa masiku onse (hypothermia).
• Kunjenjemera ndi kumva kuzizira: Mungamve ngati thupi lanu likumva kuwawa.
• Kugunda kwa mtima: Mtima umayamba kugunda mofulumira kuposa momwe umamvera.
• Kuchuluka kwa mpweya wopuma: Kupuma kumakhala kofulumira, ndipo kungamveke ngati kupuma movutikira.
• Kusokonezeka ndi kusokonezeka maganizo: Kumva chizungulire, kutaya chidziwitso, kuchita zinthu mokwiya. Ngakhale kulankhula kumatha kukhala kosamveka bwino.
• Kuthamanga kwa magazi kotsika: Kuthamanga kwa magazi (BP) kungachepe mwadzidzidzi.
• Ululu waukulu: Mungamve ululu wosapiririka kapena kusasangalala m'thupi lanu.
• Kusintha kwa khungu: Nthawi zina mawanga ofiira kapena osintha mtundu pakhungu (mabala a sepsis) amatha kuoneka. Khungu likhozanso kutenthedwa kapena kuzizira chifukwa cha thukuta.
• Kuchepa kwa kukodza: ​​Kuchuluka kwa mkodzo womwe umatuluka ndi kochepa kwambiri kuposa kwachizolowezi.
• Kumva kufooka: kumva kutopa kwambiri komanso kufooka.

Kodi zifukwa zazikulu za sepsis ndi ziti?

Chifukwa chachikulu cha sepsis ndi matenda a bakiteriya . Komabe, nthawi zina matenda a bowa, a parasitic, ndi ma virus angayambitsenso sepsis. Chofunika ndichakuti mosasamala kanthu komwe matendawa ali, momwe thupi limayankhira ndi unyolo wosalamulirika womwe umabweretsa sepsis.

Awa ndi malo ofala kwambiri kumene matendawa angayambire:

Mapumulo

• Matenda a m'mapapo, makamaka matenda monga chibayo.

Dongosolo la mkodzo

• Matenda a mkodzo. Chiwopsezochi ndi chachikulu makamaka kwa anthu omwe ali ndi ma catheter a mkodzo.

M'mimba

• Matenda a Appendicitis.
• Mavuto a m'mimba.
• Matenda m'mimba (peritonitis).
• Matenda a chiwindi kapena ndulu.

Dongosolo lapakati la mitsempha

• Matenda a muubongo kapena msana (monga meningitis).

Khungu

• Mabakiteriya amalowa m'thupi kudzera m'mabala, mabala, kapena kudzera m'malo obayira monga ma cannula amchere.
• Matenda a pakhungu monga cellulitis.

Kodi sepsis imafalikira?

Ayi. Sepsis si matenda opatsirana. Simungatenge sepsis ngati mukhudza kapena muli pafupi ndi munthu amene ali ndi sepsis.

Komabe, matenda omwe amayambitsa sepsis nthawi zina amatha kupatsirana. Mwachitsanzo, ngati ndi matenda opuma monga chibayo, majeremusi omwe amayambitsa matendawa amatha kupatsirana kwa wina.

Kodi dokotala amadziwa bwanji ngati muli ndi sepsis?

Palibe njira imodzi yokha yodziwira matenda a sepsis, choncho madokotala amagwiritsa ntchito mfundo zosiyanasiyana kuchokera ku mayeso a odwala, mayeso a labotale, ndi ma X-ray kuti atsimikizire vutoli.

Ngati dokotala akukayikira kuti ali ndi sepsis akangolowa m'chipatala, adzayesa mwachangu. Izi zimachitika pogwiritsa ntchito njira yotchedwa ``(qSOFA)``. Sepsis imaganiziridwa ngati munthu amene akuganiziridwa kuti ali ndi matenda ali ndi zizindikiro ziwiri kapena zingapo mwa izi:

• Kuthamanga kwa magazi kotsika: Kuthamanga kwa magazi m'thupi (chiwerengero chapamwamba) ndi kochepera 100 mmHg.
• Kuchuluka kwa mpweya wopumira: Kupuma mopitirira nthawi 22 pa mphindi.
• Kusokonezeka/Kuzindikira: Kupeza zigoli 15 kapena kuchepera pa Glasgow Coma Scale, yomwe imayesa kuchuluka kwa chidziwitso cha wodwalayo.

Pambuyo pa kukayikiridwa koyamba kumeneku, mayeso ena angapo amachitidwa kuti adziwe bwino lomwe matendawo ndi chiyani komanso ngati ziwalo zina zawonongeka.

• Kuyezetsa magazi: Kuchuluka kwa magazi (CBC), kuchuluka kwa magazi m'magazi, kugwira ntchito kwa chiwindi ndi impso, komanso mavuto okhudza magazi kuundana.
• Mlingo wa okosijeni m'magazi: Chipangizo chonga clip chimamangiriridwa ku chala kuti chiyese kuchuluka kwa okosijeni m'magazi.
• Kuyezetsa mkodzo: Kuyang'ana ngati pali matenda m'njira ya mkodzo.
• Ma scan ena: Kujambula pachifuwa X-ray kapena CT scan kungachitike.

Kodi sepsis imachiritsidwa bwanji?

Chithandizo cha sepsis chiyenera kuyamba nthawi yomweyo . Kuzindikira matendawa msanga komanso chithandizo chikayamba msanga, mwayi wopulumutsa moyo umakula.

Kawirikawiri, wodwala amene wapezeka ndi matenda a sepsis amalowetsedwa mu chipinda chosamalira odwala kwambiri (ICU) cha chipatalacho kuti akalandire chithandizo chapadera.

• Mankhwala opha tizilombo: Ngati ndi matenda a bakiteriya, mankhwala amphamvu oyenera amayamba nthawi yomweyo kudzera m'mitsempha (yolowetsedwa m'mitsempha - IV).
• Madzi olowa m'mitsempha (madzi olowa m'mitsempha): Madzi ambiri, monga saline, amaperekedwa kuti magazi aziyenda bwino m'ziwalo ndikuletsa kutsika kwa magazi m'magazi.
• Mankhwala oletsa kuthamanga kwa magazi (Vasopressors): Ngati munthu wapatsidwa saline koma magazi sakukwera mokwanira, mankhwala oletsa kuthamanga kwa magazi amaperekedwa omwe amawonjezera magazi mwa kutsekereza mitsempha yamagazi.
• Chithandizo cha ziwalo: Ngati chiwalo chikulephera kugwira ntchito, chimapatsidwa chithandizo chochirikiza. Mwachitsanzo, ngati impso zikulephera kugwira ntchito, dialysis ingafunike. Ngati kupuma kuli kovuta, mpweya wabwino ungafunike.
• Opaleshoni: Ngati chifukwa cha matendawa ndi chinthu monga bala lotupa kapena matenda am'mimba, minofu yowonongekayo iyenera kuchotsedwa opaleshoni.

Kodi chimachitika ndi chiyani mukachira matenda a sepsis?

Ngati matendawa apezeka ndi kuchiritsidwa mwachangu, anthu ambiri omwe ali ndi sepsis adzachira kwathunthu. Komabe, ngati vutoli lakula kwambiri, makamaka ngati lafika pa septic shock, zingakhale zovuta kupulumutsa moyo ngakhale mutalandira chithandizo. Mu septic shock, imfa imatha kuchitika mkati mwa maola 12 okha.

Ngakhale sepsis ingathandize kupulumutsa moyo, anthu ena akhoza kukhala ndi zotsatirapo zake kwa nthawi yayitali.

• Kusowa tulo, maloto oipa.
• Kuukira ndi mantha.
• Kupweteka m'mafupa ndi minofu.
• Kuchepa kwa luso loganiza, kukumbukira, ndi kupanga zisankho.
• Kulephera kugwira ntchito kwa chiwalo kwa nthawi yayitali.

Komanso, munthu amene wakhalapo ndi sepsis ali pachiwopsezo chotenga kachilomboka kachiwiri. Chifukwa chake, ngati kachilombo katsopano kachitika, ndikofunikira kwambiri kufunafuna chithandizo nthawi yomweyo.

Ulendo wopita kuchira ... atabwerera kunyumba

Mukachira matenda a sepsis ndikubwerera kunyumba, muyenera kupatsa thupi lanu ndi malingaliro anu nthawi yoti muchiritse. Poyamba, mutha kukumana ndi mavuto monga:

Mavuto akuthupi:

• Kutopa kwambiri ndi kufooka.
• Kuvuta kupuma.
• Kupweteka kwa thupi.
• Kuvutika kuyenda, kuchita ntchito zina, komanso mavuto ogona.
• Kutaya chilakolako cha chakudya ndi kuchepetsa thupi.
• Khungu louma, kuyabwa, misomali yosweka, ndi tsitsi lotayika.

Mavuto a m'maganizo ndi m'maganizo:

• Kufunitsitsa kukhala wekha.
• Kukumbukira zinthu zakale.
• Kuvuta kuyika maganizo pa chinthu.
• Nkhawa ndi Kuvutika Maganizo.
• Kukwiya msanga, kukhumudwa.
• Chisokonezo.

Pumulani mokwanira momwe mungathere panthawiyi. Tsatirani malangizo a dokotala wanu. Poyamba, yesani kudziikira zolinga zazing'ono, monga kusamba ndi kuvala, kenako yesetsani kuzikwaniritsa. Lankhulani ndi achibale ndi anzanu za momwe mukumvera. Ulendowu udzatenga nthawi, koma pang'onopang'ono mudzabwerera ku moyo wabwinobwino.

Kodi mungadziteteze bwanji ku sepsis?

Njira yabwino yopewera sepsis ndikuletsa matenda kuti asachitike komanso kufunafuna chithandizo mwachangu ngati matenda achitika.

• Ukhondo: Sambani m'manja mwanu bwino ndi sopo ndi madzi nthawi zonse.
• Kusunga mabala oyera: Tsukani mabala monga mabala ndi mikwingwirima bwino ndipo muwaphimbe mpaka atachira.
• Kulandira Katemera: Pezani katemera wonse wofunikira pa nthawi yake.
• Kusamalira matenda osatha: Ngati muli ndi matenda monga matenda a shuga, athetseni bwino.
• Fufuzani upangiri wa dokotala nthawi yomweyo:

Ngati mukuganiza kuti muli ndi matenda, ngati sakutha, kapena ngati akuoneka kuti akuipiraipira, pitani kwa dokotala mwamsanga. Matenda omwe amanyalanyazidwa ngati vuto laling'ono akhoza kukhala pachiwopsezo chachikulu.