Ingaba usulelo lomzimba wakho luya lusiba mandundu? Masifunde ngqo nge-septic shock!

Usenokungazi nokuba ngamanye amaxesha nosulelo oluncinci lunokuguquka lube yimeko eyingozi kakhulu. Sonke sivile amabali anje ngokuthi "umkhuhlane uyeza." Yiyo loo nto i-septic shock iyiyo. Le yimeko enzima enokuba yingozi kubomi. Yiyo loo nto kubalulekile ukuba sonke siyiqaphele.

Yintoni iSeptic Shock? Masiyiqonde ngokulula!

Ngamafutshane, i-septic shock yimeko enzima kakhulu eyenzeka ngenxa yosulelo emzimbeni wakho. Kwimeko enjalo, uxinzelelo lwakho lwegazi luyehla ngendlela engaqhelekanga kwaye kwanamalungu abalulekileyo omzimba aqala ukungasebenzi kakuhle. Le meko yenzeka xa imeko ebizwa ngokuba yi -sepsis iba mandundu. Enyanisweni, i-septic shock yeyona nqanaba linzima nelokugqibela le-sepsis. Le yimeko efuna unyango olungxamisekileyo, kuba ukuba ayinyangwa ngokukhawuleza, inokuba yingozi ebomini.

Yintoni umahluko phakathi kweSepsis kunye neSeptic Shock?

Ngoku usenokuba uzibuza, "Ngoko ke yintoni i-sepsis?" Kulungile, masichaze loo nto. I-Sepsis inokwahlulwahlulwa ibe ngamanqanaba amathathu aphambili: 1. I-Sepsis: Eli linqanaba lokuqala. Okwenzekayo apha kukuba inkqubo yakho yokuzikhusela komzimba isabela kakhulu kwisifo emzimbeni wakho. Olu tshintsho luqala ukonakalisa izicubu ezisempilweni emzimbeni. Oku kunokuba yingozi ebomini. 2. I-Sepsis Eqatha: Xa i-sepsis iba nzima ngakumbi, amalungu omzimba ayayeka ukusebenza kakuhle. Isizathu esiphambili soku kukuba uxinzelelo lwegazi luyehla kakhulu ngenxa yokuvuvukala emzimbeni wonke. 3. I-Septic Shock: Eli linqanaba lokugqibela neliyingozi le-sepsis. Apha, nangona kunikwa ulwelo oluninzi lwe-intravenous (IV) , uxinzelelo lwegazi luhlala luphantsi ngendlela engaqhelekanga. Oko kukuthi, uxinzelelo lwegazi luyehla luye kwinqanaba apho amalungu omzimba engafumani khona igazi elifunekayo.

Okubaluleke kakhulu: Ukufunyanwa kwangethuba kunye nonyango lwe -sepsis kunokuyithintela ekubeni iqhubekele kwimeko embi kakhulu efana nokudumba kwe-septic.

Zithini iimpawu zokothuka yi-septic? Zilumkele ezi!

I-Septic Shock linqanaba lesithathu le-sepsis, ngoko ke lelokuqala ukubonisa iimpawu ze-sepsis. Kufuneka siqaphele ezi zinto zilandelayo:

• Ukunyuka kwesantya sentliziyo (Isantya sentliziyo esikhawulezayo).
• Umkhuhlane okanyeUbushushu obuphantsi. Ngamanye amaxesha umzimba unokuziva ubanda.
• Ukungcangcazela okanye ukubanda.
• Ulusu olufudumeleyo, oluthambileyo okanye olubilayo .
• Ukudideka okanye ukudideka . Awukwazi ukucinga kakuhle.
• Ukuphefumla ngokukhawuleza ( umoya ophuma ngamandla ).
• Ukuqhawukelwa ngumphefumlo .

Xa i-sepsis isiya kwi-septic shock, unokufumana ezi mpawu zongezelelweyo:

• Uxinzelelo lwegazi oluphantsi kakhulu .
• Ukuziva unesizunguzi (ubudenge).
• Ukulahleka komchamo okunciphileyo kakhulu okanye okupheleleyo.
• Ukubetha kwentliziyo.
• Imilenze epholileyo nekhanyayo .
• Ukuqhambuka kwesikhumba.

Ukuba unenye okanye ngaphezulu kwezi mpawu, kubaluleke kakhulu ukufuna ingcebiso kagqirha ngokukhawuleza.

Kutheni kukho i-septic shock? Zithini izizathu?

Naluphi na usulelo lunokukhokelela kwi-sepsis ukuba iba mandundu, kwaye i-septic shock ukuba iba mandundu. Nangona kunjalo, ayizizo zonke iintsholongwane ezikhokelela kule meko. I-Sepsis yenzeka xa usulelo lubangela ukudumba okwaneleyo emzimbeni. Ezi ntsholongwane zihlala zibangelwa ziibhaktheriya . Nangona kunjalo, izifo ezibangelwa ziintsholongwane kunye neefungi nazo zinokubangela i-sepsis. Nangona ezi zifo zinokuqala naphi na emzimbeni, zihlala ziqala ngo:

• Kwimiphunga (umz. i-pneumonia)
• Usulelo lwendlela yomchamo
• Izifo zesisu okanye zamathumbu

Ngubani osengozini enkulu yokufumana i-septic shock?

Abanye abantu basengozini enkulu yokufumana isifo sepsis kunye ne-septic shock kuba amajoni abo omzimba abuthathaka. Abantu abaneenkqubo zabo zomzimba ezibuthathaka baquka:

• Iintsana ezisandul' ukuzalwa.
• Abantu abangaphezu kweminyaka engama-65 ubudala.
• Abafazi abakhulelweyo.
• Abantu abasebenzisa iziyobisi ezingekho mthethweni (iziyobisi zokuzonwabisa).
• Abantu abaye bafakelwa izinto ezifana namalungu okwenziwa okanye iivalvu zentliziyo emizimbeni yabo.

Ukongeza, abantu abaneengxaki ezithile zempilo ezingapheliyo basengozini enkulu yokufumana i-sepsis. Eminye imizekelo ibandakanya:

• I-AIDS.
• Isifo seswekile (isifo seswekile).
• Umhlaza ofana ne-leukemia okanye i-lymphoma.
• Ezinye iingxaki zenkqubo yomzimba yokuzikhusela.

Ukongeza, abantu abasandula ukuba nosulelo, abenze utyando, abenze utyando lokufakelwa amalungu omzimba, okanye abafakelwe isixhobo sonyango emizimbeni yabo nabo basengozini enkulu yokufumana i-sepsis.

Ziziphi iingxaki ezinokubakho ngenxa yomothuko we-septic?

Ukothuka kweSeptic yimeko enzima kakhulu enokubangela iingxaki ezahlukeneyo:

• Ukonakala kwengqondo.
• Ukungasebenzi kakuhle kwemiphunga.
• Ukumelwa yintliziyo.
• Ukungasebenzi kakuhle kwezintso.
• I-gangrene (ukufa kwezicubu).
• Ngelishwa, nokufa kunokwenzeka.

Yiyo loo nto sithi kubalulekile ukufuna uncedo lwezonyango ngokukhawuleza xa iimpawu zibonakala.

Uyixilonga njani i-septic shock? Zeziphi iimvavanyo ezenziwayo?

Ukuba usandul’ ukuba nosulelo kwaye ngequbuliso ubonakalise iimpawu ezifana nomkhuhlane, ukubanda, ukubetha kwentliziyo okanye ukuphefumla ngokukhawuleza, okanye uxinzelelo lwegazi oluphantsi, ugqirha wakho unokurhanela ukuba kukho i-sepsis. Ukuqinisekisa ukurhanelwa, ugqirha wakho unokuyalela uvavanyo lwegazi olufana noku:

• Jonga iintsholongwane okanye ezinye izinto ezibangela usulelo emzimbeni.
• Ubalo lwegazi olupheleleyo (CBC).
• Ikhemikhali yegazi, ingakumbi amanqanaba e-lactate.
• Inqanaba le-oksijini egazini.
• Jonga ukuba amalungu omzimba asebenza kakuhle na (Uvavanyo lokungasebenzi kakuhle kwamalungu omzimba).

Ukongeza, ugqirha wakho unokuthatha iisampulu zomchamo wakho, amathe, izicwili, okanye ulwelo lwe-cerebrospinal (CSF) ukuze kuvavanywe. Uvavanyo lomfanekiso lunokwenziwa ukuze kufunyanwe apho usulelo luqale khona, olufana nolu:

• Uvavanyo lwe-X-ray yesifuba.
• Uvavanyo lwe-CT Scan (CT Scan - Computed Tomography).
• Uvavanyo lwe-MRI Scan (Magnetic Resonance Imaging).

Inyangwa njani i-septic shock?

Ukuba une-septic shock, kufuneka uqale unyango ngoko nangoko. Olu nyango ludla ngokwenziwa esibhedlele.KwiYunithi yoKhathalelo oluNzulu (ICU). Oogqirha kuqala benza oku kulandelayo:

• Nika amayeza okubulala iintsholongwane ngoko nangoko. Amayeza okubulala iintsholongwane anokunikwa de kuchongwe eyona ntsholongwane ibangela usulelo.
• Ulwelo olufakwa kwimithambo yegazi (i-IV) lunikwa ukuze lubuyisele amanzi emzimbeni kwaye luncede ekunyuseni uxinzelelo lwegazi.

Ukuba unengxaki yokuphefumla kakuhle:

• Ioksijini inganikwa ngemaski yobuso okanye ngetyhubhu encinci efakwe empumlweni (i-nasal cannula).
• Ukuba awukwazi ukuphefumla kakuhle wedwa, ungaqhagamshelwa kwi-ventilator ngokufaka ityhubhu yokuphefumla kwi-trachea yakho.

Ukongeza, utyando lunokufuneka ukuze kususwe umthombo wosulelo. Umzekelo:

• Ukuba kukho amathumba, wakhuphe amanzi.
• Ukususwa kwezicubu ezifileyo okanye ezineentsholongwane.
• Ukuba kukho ii-catheters, iityhubhu, okanye ezinye izixhobo zonyango ezifakwe emzimbeni, zisuse okanye uzitshintshe.

Ukuba ulwelo olufakwa kwimithambo yegazi lodwa alulawuli uxinzelelo lwakho lwegazi, unokunikwa amayeza okunyusa uxinzelelo lwakho lwegazi. Amayeza anjenge -vasopressin okanye i-norepinephrine anciphisa imithambo yegazi kwaye anyuse ukuhamba kwegazi ukuya kumalungu omzimba wakho. Ukuba amanqanaba eglucose egazini lakho aphezulu ngenxa yoxinzelelo lwegazi, unokunikwa i-insulin . Ukuba ulwelo olufakwa kwimithambo yegazi kunye namanye amayeza alulawuli uxinzelelo lwakho lwegazi, unokunikwa udidi lwamayeza abizwa ngokuba yi-corticosteroids .

Ngaba ukothuka kwe-septic kungathintelwa?

Ukuba unentsholongwane ebangela isifo, kubaluleke kakhulu ukufumana unyango ngokukhawuleza. Amayeza okubulala iintsholongwane anokunceda ukulawula usulelo kwaye athintele i-sepsis, enokubangela i-septic shock. Kubalulekile nokuba ufumane amayeza okugonya ngexesha. Amayeza okugonya anokuthintela ezinye izifo kwaye anciphise ubunzima bezinye. Nangona kunjalo, kufuneka sikhumbule ukuba ngamanye amaxesha i-septic shock ayinakuthintelwa.

Angakanani amathuba okuba iphile emva kokuhlaselwa yi-septic shock?

Ukothuka kweSeptic yimeko embi kakhulu nesongela ubomi. Izinga lokusinda liphantsi. Kuxhomekeke kwiminyaka yakho, impilo ngokubanzi, unobangela wesifo, ukuba amalungu omzimba angasebenzi kakuhle na, kunye nokuba ufumana unyango ngokukhawuleza kangakanani.

Ukuba abanyangwa, abantu abaninzi bayafa ngenxa yokuhlaselwa yi-septic shock. Nangona benonyango, kubikwa ukuba phakathi kwama-30% nama-40% abantu abahlaselwa yi-septic shock bayafa.

Yintoni ekufuneka uyiqwalasele emva kokululama?

Nangona uninzi lwabantu luyaphola emva kokuhlaselwa yi-septic shock, kungathatha ixesha. Ezinye iimpawu zinokuhlala iinyanga okanye iminyaka. Ezi ziphumo zexesha elide zibizwa ngokuba yi-Post-Sepsis Syndrome . Zingabandakanya:

• Ukudinwa.
• Ubunzima bokulala.
• Ukulahlekelwa yintliziyo.
• Ubuthathaka benkqubo yomzimba yokuzikhusela.
• Ukuphazamiseka kweemvakalelo, ixhala okanye ukudakumba.
• Amaphupha amabi okanye iinkumbulo zeziganeko zangaphambili.

Ukuze uncede inkqubo yakho yokuchacha, nyamekela ezi zinto zilandelayo:

• Bona ugqirha wakho rhoqo.
• Yitya ukutya okunempilo.
• Zilolonge rhoqo.
• Lala ngokwaneleyo.
• Zikhusele kwiintsholongwane.

Kufuneka uye nini kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) ?

Ukuba ubonakalisa iimpawu ze-sepsis okanye i-septic shock, fowunela u-911 ngoko nangoko okanye uye kwisebe lezonyango ezingxamisekileyo (ETU) elikufutshane. Asikokulibazisa oku.

Ngaba ungasinda xa kukho i-septic shock?

Ewe, i-septic shock yimeko enzima, kodwa abantu bayasinda kuyo. Nangona kunjalo, njengoko bekutshiwo ngaphambili, izinga lokusinda liphantsi. Kuxhomekeke kwiminyaka yakho, impilo, unobangela wesifo, ukuba kukho ukungasebenzi kakuhle kwamalungu omzimba, kunye nokuba ufumana unyango ngokukhawuleza kangakanani.

Yintoni eyona nto ibangela ukothuka kwe-septic?

Ukudumba kweSeptic kubangelwa yi-sepsis. I-Sepsis idla ngokubangelwa lusulelo lwebhaktiriya. Olu sulelo lunokuqala naphi na emzimbeni. Luhlala luqala emiphungeni, esiswini, okanye kwindlela yomchamo. Kwabanye abantu, i-sepsis yenzeka xa iityhefu eziveliswa ziibhaktiriya ziqokelelana egazini.

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Ukothuka kweSeptic yimeko eyoyikisayo ngokwenene. Nangona kunjalo, ukuyiqonda, ukuqonda iimpawu, nokufumana unyango ngokukhawuleza kunokusindisa ubomi bakho.

Eyona nto ibalulekileyo:

* Zazi kakuhle iimpawu ze-sepsis kunye ne-septic shock.

* Ukuba ezi mpawu ziyenzeka, musa ukulibazisa kwaye funa ingcebiso kagqirha ngoko nangoko okanye uye kwigumbi likaxakeka.

* Funa unyango olufanelekileyo ukuba kukho izifo (ingakumbi izifo ezibangelwa ziintsholongwane).

*Ukuba uphilile kwi-septic shock, landela imiyalelo kagqirha wakho kwaye uye kugqirha rhoqo.

Luxanduva lwakho ukunyamekela impilo yakho. Siyathemba ukuba olu lwazi luza kuba luncedo kuwe. Hlala usempilweni! Umothuko weSeptic, iSepsis, usulelo, uxinzelelo lwegazi, ukusilela kwamalungu omzimba, iYunithi yoNyango oluNgxamisekileyo, iiAntibiotics