Ukutshatyalaliswa kwe-Septic

Umothuko o-Septic yimeko embi eyenzekayo xa usulelo emzimbeni wonke lukhokelela kuxinzelelo lwegazi oluyingozi.

Umothuko o-Septic uvela rhoqo kwabadala kakhulu nabancinci kakhulu. Inokwenzeka kwakhona kubantu abanamajoni omzimba abuthathaka.

Naluphi na uhlobo lweebacteria lunokubangela ukothuka okubangelwa sisifo septic. I-Fungi kwaye (kunqabile) intsholongwane nayo inokubangela imeko. Ityhefu ekhutshwe yintsholongwane okanye ifungi inokubangela ukonakala kwethishu. Oku kunokukhokelela kuxinzelelo lwegazi olusezantsi kunye nokusebenza kakubi komzimba. Abanye abaphandi bacinga ukuba amahlwili egazi kwimithambo yegazi amancinci abangela ukungabikho kwegazi kunye nokungasebenzi kakuhle komzimba.

Umzimba unempendulo enamandla yokuvuvukala kwiityhefu ezinokuthi zibe negalelo kumonakalo kumzimba.

Imiba yomngcipheko wothuko lwe-septic ibandakanya:

• Seswekile
• Izifo zenkqubo ye-genitourinary system, biliary system, okanye inkqubo yamathumbu
• Izifo ezenza buthathaka amajoni omzimba, afana noGawulayo
• I-catheters ezihlala ngaphakathi (ezo zihlala endaweni ixesha elide, ngakumbi imigca efakwa ngaphakathi kunye neekethi zokuchama, kunye neeplastiki kunye nesinyithi esisetyenziselwa ukuhambisa amanzi)
• Ileukemia
• Ukusetyenziswa kwexesha elide kwee-antibiotics
• KwiLymphoma
• Usulelo lwamva nje
• Utyando lwamva nje okanye inkqubo yezonyango
• Kutshanje okanye ngoku ukusetyenziswa kwamayeza e-steroid
• Ukufakelwa komzimba kunye nomongo

Ukutshatyalaliswa kwe-Septic kunokuchaphazela naliphi na ilungu lomzimba, kubandakanya intliziyo, ingqondo, izintso, isibindi kunye namathumbu. Iimpawu zingabandakanya:

• Ukuphola, iingalo nemilenze epholileyo
• Ubushushu obuphezulu okanye obuphantsi kakhulu, ingqele
• Ubumhlophe
• Umchamo omncinci okanye hayi
• Uxinzelelo lwegazi oluphantsi, ngakumbi xa umile
• Iipalpitations
• Inqanaba lentliziyo elikhawulezayo
• Ukuphumla, ukuphazamiseka, ukonqena, okanye ukudideka
• Ukuqhawukelwa ngumphefumlo
• Ukudumba kolusu okanye ukujika kombala
• Ukuhla kwengqondo

Uvavanyo lwegazi lunokwenziwa ukukhangela:

• Usulelo olujikeleze umzimba
• Gcwalisa ubalo lwegazi (CBC) kunye ne chemistry yegazi
• Ubukho bentsholongwane okanye ezinye izinto eziphilayo
• Inqanaba leoksijini ephantsi yegazi
• Ukuphazamiseka kumgangatho we-acid-base balance
• Ukusebenza kakubi komzimba okanye ukungaphumeleli komzimba

Olunye uvavanyo lunokubandakanya:

• I-x-ray yesifuba ukujonga i-pneumonia okanye i-fluid kwimiphunga (i-pulmonary edema)
• Isampuli yomchamo ukujonga usulelo

Izifundo ezongeziweyo, ezinje ngeenkcubeko zegazi, zisenokungabikho kwiintsuku ezininzi emva kokuba igazi lithathiwe, okanye kangangeentsuku ezininzi emva kokuba umothuko uvelile.

Umothuko wongxamiseko ngongxamiseko kwezonyango. Kwiimeko ezininzi, abantu bangeniswa kwigumbi labagula kakhulu esibhedlele.

Unyango lunokubandakanya:

• Umatshini wokuphefumla (umoya ongenisa umoya)
• Uxilongo
• Iziyobisi ukunyanga uxinzelelo lwegazi oluphantsi, usulelo, okanye ukujiya kwegazi
• Umthamo omkhulu wolwelo olunikezwe ngqo emthanjeni (ngaphakathi)
• Ioksijini
• Ukuhlala
• Utyando lokukhupha iindawo ezosulelekileyo, ukuba kukho imfuneko
• Amayeza okubulala iintsholongwane

Uxinzelelo entliziyweni nasemiphungeni lunokujongwa. Oku kubizwa ngokuba yi-hemodynamic esweni. Oku kunokwenziwa kuphela ngezixhobo ezizodwa kunye nokunyamekela abagulayo.

Umothuko we-Septic unezinga eliphezulu lokufa. Izinga lokusweleka lixhomekeke kubudala bomntu kunye nakwimpilo iyonke, unobangela wosulelo, mangaphi amalungu omzimba athe asilela, kwaye unyango lwonyango olukhawulezileyo nolunamandla luqaliswe njani.

Ukungaphumeleli kokuphefumla, ukungaphumeleli kwentliziyo, okanye nakuphi na ukusilela komzimba. I-Gangrene inokwenzeka, mhlawumbi ikhokelela ekunqunyulweni.

Yiya ngqo kwisebe likaxakeka ukuba uvelisa iimpawu zokothuka.

Unyango olukhawulezileyo losulelo lwebacteria luyanceda. Ugonyo lunokunceda ukuthintela usulelo oluthile. Nangona kunjalo, iimeko ezininzi zothuko lwe-septic azinakuthintelwa.

Umothuko weBacteremic; Umothuko we-Endotoxic; Ukutshatyalaliswa kwintsholongwane; Umothuko oshushu

URussell JA. Ama-syndromes othusayo ahambelana ne-sepsis. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 100.

van der Poll T, iWiersinga WJ. I-Sepsis kunye nokutshutshiswa kwe-septic. Ku: Bennett JE, Dolin R, Blaser MJ, ii-eds. Mandell, Douglas, kunye neBennett's Principles and Practice of Infectious Diseases. Umhla we-9. IPhiladelphia, PA: Elsevier; 2020: isahl 73.