Sepsis iropa - zvinokonzerwa uye kurapwa

chepfu ropa (sepsis) - iri nedanho nevakawanda chirwere muviri kubudikidza utachiona kubva kunobva chirwere kuburikidza muropa. Kudzidza kuva mumugariro hunokonzera uye migumisiro munzira dzipi ikarapwa, isu acharondedzera gare gare munyaya ino.

The zvinokonzera sepsis

Kutanga kukura sepsis akasiyana tusingaoneki: nemavhairasi, mabhakitiriya, notumwe zviratidzo zvayo achavaponesa izvo kwavari muropa. Asi kushanda chirwere kwacho kunoitawo kusimudzira kutaridza chaiwo ezvinhu:

• muviri kunge chinangwa chirwere chokuita kweropa kana nhengo dzinobudisa hurongwa;
• vakawanda utachiona hwakakura anopinda muropa;
• It akaumba mumwe locus chesekondari, vakazochinja anovanunura utachiona.

Uye chikonzero chikuru kuti chinokurwadzai ropa sepsis, zvakaipira yatiri funga munyaya, ane simba rokuzvidzivirira kana kuvapo pathologies kuti kutambudza kuvhiyiwa yake yakakura, rinorema kurasikirwa neropa, kenza, HIV, zvirwere ropa, etc. A wandei basa kuridza ichi, uye kugamuchira zvinodhaka immunosuppressive, kana cytostatics.

Sei zvinotora sepsis refu

Mumwe zviri akatsanangura zvokurwara raro kukwanisa fulminant. Izvi mhando sepsis, anotaurwa muna mushonga sharpest, runoyerera nehasha kuenderana kurova nhengo uye hurongwa. Muchiitiko chino, pashure pemazuva 1-2 kunouya inouraya mugumisiro.

Humwe kunotoda mararamiro akati chirwere, muri chakasimba, subacute uye idzokororo sepsis. Vakasiyana mumwe panowanikwa chirwere izwi (kubvira mumwe kusvikira kumitanhatu) uye wokupedzisira maonero achiri uye undulating Chokwadi, panguva iyo exacerbation anogona chikatsiviwa dzose mamiriro utano. Kunyanya yakareba ndiyo chisingaperi sepsis izvo agare kusvikira pagore, kana zvakatowanda.

Sepsis Blood: Zviratidzo

Zviratidzo ropa chepfu, sezvo yave akati, kuvimba zvikonzero zvakawanda: chimiro chirwere, vadzore, nzvimbo chinangwa neutachiona uye kuvapo yechipiri.

Asi kunyanya, zvokurwara ichi kunooneka pacharo dzose nyaya kwemashifiti tembiricha muviri richisvika 39-40 ° C, iyo yakatsiva normalization kwayo. Murwere anonyunyuta kuti chills, chokwadi chokuti nguva pasina kupisa unotsiva kutekenyedzwa nokupisa inorema vangadikitira. Mukuwedzera:

• kutanga chirwere chinogona pamwe mamiriro excitation, euphoria murwere, ipapo wakapfuura kupinda vasingakendengi uye lethargy;
• murwere ganda anotora jaundiced rakachenuruka;
• kupomba yevanhu 150 bpm, BP Falls, kupfupika mweya;
• ganda upundu zvingaitika muchimiro matema kana ropa nguva ropa - inova chiratidzo imwe Hemorrhagic chirwere ;
• zvaibvira chitarisiko pamusoro miromo herpes;
• sclera meso redden, uye mucosa mumukanwa bleeds.

Sezvaunogona kuona, ropa rakatanga sepsis migumisiro rinobatanidza zvakasiyana-siyana, asi zvikuru zviri parinowanika ichiri kunzi refu tembiricha, kuvapo fivha uye kunonyengedza vangadikitira.

Matambudziko ropa sepsis

Full migumisiro toxicity anokuvadza tusingaoneki anokonzera zviratidzo izvi, ropa chirwere riri nokuti kuti zvine chepfu pakarepo kupararira mapazi ose uye munyama, chichipinda mucous membranes uye kunyange mapfupa uye mapfundo. Zvose izvi kunoguma ndechokuti chirwere pacharo, uye munyaya ino migumisiro kwenguva refu akasungwa necheni muchipatara murwere nguva sepsis ropa.

The zvakakura kuomesa chirwere chingava septic kuvhunduka kuti anogona kuitika chero nguva zvayo kosi. Haidereri ngozi itsvo kuzvimba (paranephritis) kana dundira (cystitis), paumbwe purulent in dzakasiyana nhengo (zvakadai abscesses mumapapu kana pfungwa), kukura kwakaita purulent yomumuzongoza, mwoyo nokukundikana kana neakangwara intravascular coagulation (intravascular pakugwamba).

Pasina kurapwa kuti sepsis kungaita kuti rufu.

marudzi chirwere

Mabatirwo ropa sepsis zvingashandiswa zvichienderana sei utachiona infiltrated kupinda muropa, uye apo pane chinangwa chirwere. Mhando dzakawanda zvokurwara mune zvokurapa asunungurwa.

1. Percutaneous sepsis. Inokudziridza panguva chirwere kuburikidza duku ganda maronda muchimiro anokwenya kana mamota.
2. Obstetric. Iye inotambudza vakadzi pashure kusununguka kana pamuviri.
3. Tonsillar. Kunokonzerwa chakakomba angina chirwere.
4. Otogenny. Utachiona anopararira kubva mhango Nzeve (semuenzaniso, somugumisiro purulent otitis).
5. Odontogenic. Mugumisiro nomumukanwa noutachiona zvakaoma. kuzvimba matadza nemazino.
6. Kriptgenny sepsis. Muchiitiko ichi tiri kutaura chinhu hainyatsozivikanwi musha purulent kuzvimba.

Chirwere ropa chepfu

Kuziva sei kurapa sepsis ropa, unofanira kuisa pachoto chirwere uye mhando utachiona hwakakura anenge apinda muropa.

Kuita bvunzo iyi ropa, iro hunobviswa mutsinga siyana, uye seeding iri yoga tusingaoneki iri tsika svikiro. Parallel vagara vandifungira nehanya kwavo nemishonga.

In Muzviitiko zvakaipisisa, kukurumidza pachisara umo ropa oga majini zvinhu zviri nayo utachiona, naro pashure maawa 1.5 zvinogoneka kutsanangura 25 mhando mabhakitiriya kana notumwe, anokonzera sepsis.

Sezvakaita nokurapa sepsis

Inokosha kurapwa kuti sepsis kunobva kuwana uye kubvisa foci chirwere. nokubatanidzwazve yavo kuitwa navanopinda okusuma uye kwazvo nekroektomii. Uyezve, vanga aiitirwa pamwe yakaderera-kakawanda Ultrasound, antiseptics ( "Dioksidin", "Dimeksidin", etc.), dzinongobuda vanoshingaira zvinhu ( "Hlorgeksin ') uye proteolytic makemikari (" Trypsin "" Profezim "and said.).

Murwere akasarudzwa kunonyanyisa zvichibvira mishonga inorwisa mabhakitiriya, zvichienderana chaiyo utachiona hwakakura Somuenzaniso, staphylococcal sepsis kushandisa "Fuzidin" Formulations uye "Refampitsin". Inosimudzira nemishonga kwakamutsa vhitamini kurapa uye immunostimulating zvinodhaka uye utsinye makemikari zviri akakurira nokusuma "Contrycal" FIs kana "Gordoks".

Detoxification akanga akatakurwa achiburitswa kunze kushandisa vazhinji mapuroteni zvinodhaka uye intravenous shuga mhinduro.

Kuti kubvisa kuratidzirwa hypovolemia (ungaderedza vhoriyamu ropa) kupa kupfuura zvinodhaka "Polidez", "Poliglyumasol" etc. pachiimbwa desagregants "ksantinola nicotinate" kana "Dipyridamole".

Imwe nzira kurapwa ndechimwewo ropa iri sepsis kana ropa Sevamiririri ( "Poliglyukin", "Reoglyuman" etc.). Migumisiro yakanaka vari vakawana uye kubudiswa Laser ropa uye ari kwazvo zviitiko, plasmapheresis uye chakagadzirwa itsvo.

Kudzivirira sepsis

Kuitira kudzivirira ropa sepsis munyaya nemigumisiro vanofanira kutevera mitemo shoma, iyo, kunyange zvazvo ivo chinogona kwete inishuwarenzi pamusoro akarondedzera chirwere chakaipisisa, asi zvichaita kuderedza mukana wayo kukura.

1. Maronda All anofanira kubatwa ne akambozvishandisa kuuraya utachiona.
2. Purulent kuzvimba nzvimbo anofumura yakakodzera kuvhiya kupindira.
3. Nyatsoongorora tevera zano chiremba pashure chero zvinokuvadza.

Uye, chokwadi, kusimbisa zvirwere - nekuti chete anokwanisa hutachiwana kunyange kutanga. Stay utano!