I-Septicemia (okanye i-sepsis): yintoni, iimpawu kunye nendlela yokunyanga

Umxholo

• Yintoni enokubangela i-septicemia
• Iimpawu eziphambili kunye neempawu
• Indlela yokuqinisekisa ukuxilongwa
• Unyango lwenziwa njani

I-Septicemia, ekwabizwa ngokuba yi-sepsis, yimeko yokuphendula ebaxiweyo kusulelo emzimbeni, nokuba yibacteria, ifungi okanye intsholongwane, ethi ibangele ukuba kungasebenzi kakuhle emzimbeni, oko kukuthi, kuthintela ukusebenza okuqhelekileyo komzimba.

Ngokubanzi, iimpawu kunye neempawu ze-sepsis zibandakanya umkhuhlane, uxinzelelo lwegazi oluphantsi, ukuphefumla ngokukhawuleza kunye nokudideka, kodwa zinokwahluka ngokobunzima bosulelo, kunye nonobangela kunye nemeko ngokubanzi yomntu.

Njengoko kuyimeko enzulu, kubalulekile ukuba nanini na kukho ukukrokra kwe-sepsis, uye esibhedlele ngokukhawuleza, ukuqinisekisa ukuxilongwa kunye nokuqala unyango olufanelekileyo, ukunciphisa umngcipheko weengxaki.

Yintoni enokubangela i-septicemia

I-Septicemia, okanye i-sepsis, inokwenzeka nakubani na onesifo esasulelayo esinganyangekiyo, njengosulelo lomchamo, ukosuleleka kwamathumbu okanye inyumoniya, umzekelo. Nangona kunjalo, ixhaphake kakhulu kwiintsana, ezaziwa ngokuba yi-neonatal septicemia, okanye kubantu abadala, ngenxa yokuba benamajoni omzimba abuthathaka.

Ukongeza, abantu abanokutsha okanye amanxeba abukhali, abasebenzisa i-catheter ye-bladder kunye / okanye abanamajoni omzimba abuthathaka ngenxa yesifo sokuzimela, banomngcipheko omkhulu wokufumana i-septicemia.

Iimpawu eziphambili kunye neempawu

Iimpawu ze-septicemia zibonakala ngokukhawuleza kakhulu kwaye ziphindaphindeka emva kotyando okanye xa unolunye usulelo emzimbeni wakho. Phambi kwezi mpawu, kufuneka uye ngokukhawuleza esibhedlele ukuze uqale unyango ngokukhawuleza.

Ezinye zeempawu kunye neempawu ezinceda ukufumanisa i-septicemia, okanye i-sepsis, zibandakanya:

• Umkhuhlane ongaphezu kwama-38ºC;
• I-Systolic (ubuninzi) uxinzelelo lwegazi ngaphantsi kwe-90 mmHg;
• Ukuphefumla ngokukhawuleza, ngaphezulu kwama-20 imijikelezo ngomzuzu;
• Ukubetha kwentliziyo okukhawulezayo, ngaphezulu kwe-90 beats ngomzuzu;
• Ukunciphisa isixa umchamo;
• Ukufa okanye ukudideka kwengqondo.

Xa i-septicemia inganyangwa ekuqaleni, imeko inokuba mandundu kwimeko yokothuka, apho kukho ukungasebenzi kakuhle komzimba kwaye kubonakala ngokuhla koxinzelelo lwegazi olungaphenduliyo kulawulo lwe-serum emthanjeni. Funda ngakumbi malunga nokuba yeyiphi na into eyothusayo ye-septic kwaye inyangwa njani.

Indlela yokuqinisekisa ukuxilongwa

Ukuxilongwa kwe-septicemia kufuneka kuhlale kusenziwa esibhedlele, kwaye uvavanyo lweklinikhi lubaluleke kakhulu. Ukongeza, ugqirha kufuneka ayalele iimvavanyo zaselebhu ukuvavanya iiparameter ezahlukeneyo zegazi, kubandakanya isixa se-serum lactate, uxinzelelo lweoksijini, ukubala kweeseli zegazi kunye nesalathiso sokujiya kwegazi, umzekelo.

Phakathi kweemvavanyo zaselebhu ezinceda ukufumanisa isifo, yinkcubeko yegazi, esebenza ukunceda ekuchongeni uhlobo lwe-microorganism ebangela i-sepsis, ivumela isikhokelo sonyango olungcono.

Unyango lwenziwa njani

Unyango lwe-septicemia kufuneka lwenziwe esibhedlele kwaye luqale ngokukhawuleza ngoochwephesha abanamava ekuncedeni abaguli abagula kakhulu.

Kuba iimeko ezininzi ze-sepsis zibangelwa ziibhaktheriya, kuqhelekile ukuba unyango luqale ngolawulo lwe-antibiotic ebanzi ebanzi ngqo emthanjeni ukuzama ukulawula usulelo. Emva kokuba iziphumo zeenkcubeko zegazi zikhutshiwe, ugqirha uya kuba nakho ukutshintsha le ntsholongwane iye kwindawo ethe ngqo, ukuze alwe nosulelo ngokukhawuleza.

Ukuba usulelo lubangelwa ngumngundo, intsholongwane okanye olunye uhlobo lwe-microorganism, isibulala-zintsholongwane sokuqala siyamiswa kwaye kunyangwa ezona ndlela zilungileyo.

Ngexesha lonke lonyango kubalulekile ukutshintsha ulwelo emzimbeni ukulawula uxinzelelo lwegazi. Ke, i-serum ilawulwa ngqo emthanjeni kwaye, kwiimeko ezinzima kakhulu, iziyobisi ze-vasopressor zinokusetyenziselwa ukugcina uxinzelelo lwegazi lulawulwa ngakumbi.