Ungase ungaqapheli nokuthi ngezinye izikhathi ngisho nokutheleleka okuncane kungaphenduka isimo esiyingozi kakhulu. Sonke sizwile izindaba ezinjengokuthi “umkhuhlane uyeza.” Yilokho okushiwo yi -septic shock . Lesi isimo esibi esingaba yingozi empilweni. Yingakho kubalulekile kithi sonke ukuba siqaphele.

Kuyini i-Septic Shock? Masiyiqonde kalula!

Kalula nje, i-septic shock yisimo esibi kakhulu esenzeka ngenxa yokutheleleka emzimbeni wakho. Kulesi simo, umfutho wegazi wakho wehla ngendlela engavamile futhi ngisho nezitho ezibalulekile zomzimba ziqala ukwehluleka. Lesi simo senzeka lapho isimo esibizwa ngokuthi i-sepsis siba sibi kakhulu. Eqinisweni, i-septic shock yisigaba esibi kakhulu nesokugcina se-sepsis. Lesi yisimo esidinga ukwelashwa okuphuthumayo, ngoba uma singelashwa ngokushesha, singaba yingozi ngisho nokuphila.

Uyini umehluko phakathi kwe-Sepsis ne-Septic Shock?

Manje ungase uzibuze, "Ngakho-ke iyini i-sepsis?" Kulungile, ake sichaze nalokho. I-Sepsis ingahlukaniswa ngezigaba ezintathu eziyinhloko: 1. I-Sepsis: Lesi yisigaba sokuqala. Okwenzekayo lapha ukuthi amasosha akho omzimba asabela ngokweqile ekuthelelekeni emzimbeni wakho. Lokhu kusabela ngokweqile kuqala ukulimaza izicubu ezinempilo emzimbeni. Lokhu kungaba yingozi empilweni. 2. I-Sepsis Enkulu: Lapho i-sepsis iba nzima kakhulu, izitho zomzimba ziyayeka ukusebenza kahle. Isizathu esiyinhloko salokhu ukuthi umfutho wegazi wehla kakhulu ngenxa yokuvuvukala emzimbeni wonke. 3. I-Septic Shock: Lesi yisigaba sokugcina nesiyingozi kakhulu se-sepsis. Lapha, naphezu kokunikezwa koketshezi oluningi lwe-intravenous (IV) , umfutho wegazi uhlala uphansi ngendlela engavamile. Okusho ukuthi, umfutho wegazi wehla uze ufike lapho izitho zomzimba zingatholi khona igazi elidingekayo.

Okubaluleke kakhulu: Ukutholwa kusenesikhathi kanye nokwelashwa kwe -sepsis kungayivimbela ukuthi iqhubekele esimweni esibucayi kakhulu njengokushaqeka kwe -septic.

Ziyini izimpawu zokushaqeka kwe-septic? Qaphela lezi!

I-Septic Shock yisigaba sesithathu se-sepsis, ngakho-ke yisona sokuqala ukukhombisa izimpawu ze-sepsis. Kudingeka siqaphele lezi:

• Ukwanda kwesilinganiso senhliziyo (isilinganiso senhliziyo esisheshayo).
• umkhuhlane nomaUkushisa ngokweqile komzimba. Ngezinye izikhathi umzimba ungase uzizwe ubanda.
• Ukuqhaqhazela noma ukubanda.
• Isikhumba esifudumele, esinomswakama noma esijulukayo .
• Ukudideka noma ukudideka . Awukwazi ukucabanga kahle.
• Ukuphefumula okusheshayo ( ukuphefumula okusheshayo ).
• Ukuphelelwa umoya .

Uma i-sepsis iqhubekela phambili ekubeni yi-septic shock, ungase ubhekane nalezi zimpawu ezengeziwe:

• Umfutho wegazi ophansi kakhulu .
• Ukuzizwa unesizungu (ubuhlanya).
• Ukulahlekelwa umchamo okunciphile kakhulu noma okuphelele.
• Ukushaya kwenhliziyo.
• Izingalo ezipholile nezimpunga .
• Ukuqhuma kwesikhumba.

Uma unesinye noma ngaphezulu salezi zimpawu, kubaluleke kakhulu ukufuna iseluleko sezokwelapha ngokushesha.

Kungani kwenzeka ukushaqeka kwe-septic? Ziyini izimbangela?

Noma yikuphi ukutheleleka kungaholela ku-sepsis uma kuba kubi kakhulu, kanye nokushaqeka kwe-septic uma kuba kubi kakhulu. Kodwa-ke, akuzona zonke izifo eziholela kulesi simo. I-Sepsis yenzeka lapho ukutheleleka kubangela ukuvuvukala okwanele emzimbeni. Lokhu kutheleleka kuvame ukubangelwa amagciwane . Kodwa-ke, ukutheleleka okubangelwa amagciwane kanye nesikhunta nakho kungabangela i-sepsis. Nakuba lokhu kutheleleka kungaqala noma kuphi emzimbeni, kuvame ukuqala ku:

• Emaphashini (isib. i-pneumonia)
• Ukutheleleka komgudu womchamo
• Izifo zesisu noma zamathumbu

Ubani osengozini enkulu yokuthola ukushaqeka kwe-septic?

Abanye abantu basengozini enkulu yokuthola i-sepsis kanye ne-septic shock ngoba amasosha abo omzimba abuthakathaka. Abantu abanamasosha omzimba abuthakathaka bahlanganisa:

• Izinsana ezisanda kuzalwa.
• Abantu abangaphezu kweminyaka engama-65 ubudala.
• Abesifazane abakhulelwe.
• Abantu abasebenzisa izidakamizwa ezingekho emthethweni (izidakamizwa zokuzijabulisa).
• Abantu abaye bafakwa izinto ezifana namalunga okwenziwa noma ama-valve enhliziyo emizimbeni yabo.

Ngaphezu kwalokho, abantu abanezimo ezithile zezokwelapha ezingamahlalakhona basengozini enkulu yokuthola i-sepsis. Ezinye izibonelo zifaka:

• Ingculazi.
• Isifo Sikashukela (i-Diabetes Mellitus).
• Umdlavuza ofana ne-leukemia noma i-lymphoma.
• Ezinye izinkinga zesimiso somzimba.

Ngaphezu kwalokho, abantu abasanda kutheleleka, abahlinzwe, abafakelwe isitho somzimba, noma abafakelwe idivayisi yezokwelapha emizimbeni yabo nabo basengozini enkulu yokuthola i-sepsis.

Yiziphi izinkinga ezingaba khona ngenxa yokushaqeka kwe-septic?

Ukushaqeka kwe-Septic kuyisimo esibi kakhulu esingaholela ezinkingeni ezahlukahlukene:

• Ukulimala kobuchopho.
• Ukwehluleka kwamaphaphu.
• Ukwehluleka kwenhliziyo.
• Ukwehluleka kwezinso.
• I-Gangrene (ukufa kwezicubu).
• Ngeshwa, ngisho nokufa kungenzeka.

Yingakho sithi kubalulekile ukufuna usizo lwezokwelapha ngokushesha nje lapho kuvela izimpawu.

Uhlonza kanjani ukushaqeka kwe-septic? Yiziphi izivivinyo ezenziwayo?

Uma usanda kuba nokutheleleka futhi ngokuzumayo uba nezimpawu ezifana nomkhuhlane, ukubanda, ukushaya kwenhliziyo okusheshayo noma ukuphefumula, noma umfutho wegazi ophansi, udokotela wakho angase asole i-sepsis. Ukuze aqinisekise izinsolo, udokotela wakho angase acele ukuhlolwa kwegazi okufana nalokhu:

• Hlola ukuthi amagciwane noma ezinye izinto ezithathelwanayo emzimbeni.
• Inani Eliphelele Legazi (i-CBC).
• Amakhemikhali egazi, ikakhulukazi amazinga e-lactate.
• Izinga le-oxygen egazini.
• Hlola ukuthi izitho zomzimba zisebenza kahle yini (ukuhlolwa kokungasebenzi kahle kwezitho zomzimba).

Ngaphezu kwalokho, udokotela wakho angase athathe amasampula omchamo wakho, amathe, izicubu, noma uketshezi lomgogodla (CSF) ukuze ahlolwe. Ukuhlolwa kwezithombe nakho kungenziwa ukuze kutholakale ukuthi ukutheleleka kwaqala kuphi, njengokuthi:

• Ukuhlolwa kwe-X-ray esifubeni.
• Ukuhlolwa kwe-CT Scan (CT Scan - Computed Tomography).
• Ukuhlolwa kwe-MRI Scan (Magnetic Resonance Imaging).

Iphathwa kanjani i-septic shock?

Uma une-septic shock, udinga ukuqala ukwelashwa ngokushesha. Lokhu kwelashwa kuvame ukwenziwa esibhedlela.Egumbini Lokunakekelwa Okujulile (ICU). Odokotela baqala ngokwenza lokhu:

• Nikeza ama-antibiotic ngokushesha. Ama-antibiotic e-broad-spectrum anganikezwa kuze kube yilapho kutholakala ukuthi yiliphi igciwane elibangela ukutheleleka.
• Uketshezi olufakwa emthanjeni (IV) lunikezwa ukuze lubuyisele amanzi emzimbeni futhi lusize ekunyuseni umfutho wegazi.

Uma unenkinga yokuphefumula kahle:

• I-oksijini inganikezwa nge-mask yobuso noma ngepayipi elincane elifakwe ekhaleni (i-nasal cannula).
• Uma ungakwazi ukuphefumula kahle wedwa, ungase uxhunywe kumshini wokuphefumula ngokufaka ipayipi lokuphefumula ku-trachea yakho.

Ngaphezu kwalokho, kungadingeka ukuhlinzwa ukuze kususwe umthombo wokutheleleka. Isibonelo:

• Uma kukhona amathumba, wakhiphe amanzi.
• Ukususwa kwezicubu ezifile noma ezinegciwane.
• Uma kukhona ama-catheter, amashubhu, noma amanye amadivayisi ezokwelapha afakiwe emzimbeni, asuse noma uwashintshe.

Uma uketshezi olufakwa ngemithambo yegazi kuphela lungalawuli umfutho wegazi lakho, imithi inganikezwa yokwandisa umfutho wegazi lakho. Imithi efana ne -vasopressin noma i-norepinephrine inciphisa imithambo yegazi futhi ikhulise ukugeleza kwegazi ezithweni zakho zomzimba. Uma amazinga kashukela egazini lakho ephezulu ngenxa yokushaqeka kwe-septic, i-insulin inganikezwa. Uma uketshezi olufakwa ngemithambo yegazi neminye imithi lungalawuli umfutho wegazi lakho, uhlobo lwemithi ebizwa ngokuthi ama-corticosteroids lunganikezwa.

Ingabe ukushaqeka kwe-septic kungavinjelwa?

Uma unegciwane, kubaluleke kakhulu ukuthola ukwelashwa ngokushesha. Ama-antibiotic angasiza ekulawuleni ukutheleleka nokuvimbela i-sepsis, okungaholela ekushaqekeni kwe-septic. Kubalulekile futhi ukuthola imijovo ngesikhathi. Imijovo ingavimbela ukutheleleka okuthile futhi yehlise ubunzima bezinye. Kodwa-ke, kumelwe sikhumbule ukuthi ngezinye izikhathi i-septic shock ayinakuvinjelwa.

Kungenzeka kangakanani ukuthi ilulame ekushaqekeni kwe-septic?

Ukushaqeka kwe-Septic kuyisimo esibi nesisongela impilo. Izinga lokusinda liphansi. Kuncike eminyakeni yakho, impilo ejwayelekile, imbangela yalesi sifo, ukuthi ngabe izitho zomzimba ziye zahluleka yini, nokuthi uthola ukwelashwa ngokushesha kangakanani.

Uma kungelashwa, abantu abaningi bayafa ngenxa yokushaqeka kwe-septic. Ngisho noma bethola ukwelashwa, kubikwa ukuthi abantu abaphakathi kuka-30% no-40% abathola ukushaqeka kwe-septic bayafa.

Yini okufanele uyinake ngemva kokululama?

Nakuba abantu abaningi belulama ekushaqekeni kwe-septic, kungathatha isikhathi. Ezinye izimpawu zingase ziqhubeke izinyanga noma ngisho neminyaka. Le miphumela yesikhathi eside ibizwa ngokuthi i-Post-Sepsis Syndrome . Ingafaka:

• Ukukhathala.
• Ubunzima bokulala.
• Ukulahlekelwa yisifiso sokudla.
• Isimiso somzimba sokuzivikela esibuthakathaka.
• Ukuphazamiseka kwemizwelo, ukukhathazeka noma ukucindezeleka.
• Amaphupha amabi noma ukubuyiselwa emuva kwezehlakalo zesikhathi esidlule.

Ukuze usize inqubo yakho yokululama, nakekela lezi zinto:

• Bona udokotela wakho njalo.
• Yidla ukudla okunempilo.
• Vivinya umzimba njalo.
• Lala ngokwanele.
• Zivikele ezifweni.

Kunini lapho kudingeka uye e-Emergency Treatment Unit (ETU) ?

Uma uba nezimpawu ze-sepsis noma i-septic shock, shayela u-911 ngokushesha noma uye emnyangweni wezimo eziphuthumayo esibhedlela esiseduze (i-ETU) . Lokhu akuyona into yokulibazisa.

Ungasinda yini ekushayweni yi-septic shock?

Yebo, ukushaqeka kwe-septic kuyisimo esibi kakhulu, kodwa abantu bayasinda kuso. Kodwa-ke, njengoba kushiwo ngaphambili, izinga lokusinda liphansi. Kuncike eminyakeni yakho, impilo, imbangela yalesi sifo, ukuthi kukhona yini ukwehluleka kwezitho zomzimba, nokuthi uthola ukwelashwa ngokushesha kangakanani.

Iyini imbangela eyinhloko yokushaqeka kwe-septic?

Ukushaqeka kwe-Septic kubangelwa yi-sepsis. I-Sepsis ivame ukubangelwa ukutheleleka ngamagciwane. Lokhu kutheleleka kungaqala noma kuphi emzimbeni. Ngokuvamile kuqala emaphashini, esiswini, noma emgudwini womchamo. Kwabanye abantu, i-sepsis yenzeka lapho ubuthi obukhiqizwa amagciwane buqongelela egazini.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Ukushaqeka kwe-Septic kuyisimo esesabekayo ngempela. Kodwa-ke, ukuqaphela lokhu, ukuqaphela izimpawu, nokuthola ukwelashwa ngokushesha kungasindisa impilo yakho.

Into ebaluleke kakhulu:

* Yazi kahle izimpawu ze-sepsis kanye nokushaqeka kwe-septic.

* Uma kuvela lezi zimpawu, ungalibali futhi ufune iseluleko sezokwelapha ngokushesha noma uye egumbini lezimo eziphuthumayo.

* Funa ukwelashwa okufanele uma kuvela izifo (ikakhulukazi izifo ezibangelwa amagciwane).

*Uma usululame ekushaqekeni kwe-septic, landela imiyalelo kadokotela wakho bese uya kohlolwa njalo.

Kungumthwalo wakho ukunakekela impilo yakho. Sithemba ukuthi lolu lwazi luwusizo kuwe. Hlala uphilile! Ukushaqeka Okubangelwa Yizifo Ezithathelwanayo, I-Septic Shock, Ukutheleleka, Umfutho Wegazi, Ukwehluleka Kwezitho, Iyunithi Yokunakekelwa Okujulile, Ama-Antibiotics