Ukutheleleka okujwayelekile, njengokutheleleka ekugwenyweni kokuhlinzwa, kuvame ukuhlala endaweni eyodwa. I-Sepsis yenzeke uma ukutheleleka kwendawo kungena emgodleni wegazi bese usakazeka emzimbeni, okuholela ekuphenduleni okukhulu komzimba ngomzimba, okwenza ukushisa komzimba okungavamile (okuphakeme kakhulu noma okuphansi kakhulu), kanye nokuphazamiseka ekuphefumuleni, phakathi kwezinye izinkinga.
Ukwethuka kwe-Septic kunzima kakhulu, okuholela ekusebenzeni komzimba nomfutho wegazi ophansi ongagcini ngamanzi, futhi kudinga imithi yokwandisa ukucindezelwa.
Ngenkathi amabhaktheriya ejwayele ukubhekana nesifo se-sepsis, angabangelwa yi-fungi engena egazini legazi.
Ukuvimbela
Okuwukuphela kokuvimbela i-sepsis ukuvimbela ukutheleleka . Amasu okuvimbela ukutheleleka okujwayelekile, njengokunakekelwa okuhle kwezilonda nokugeza izandla njalo, kunganciphisa ingozi yokutheleleka.
Izingozi Zezingozi
Ngenkathi kunezici eziyingozi zokusatshalaliswa kwe- sepsis kanye ne-septic , abantu abanempilo abangenazo izinto eziyingozi bangakwazi ukugula ngenxa ye-sepsis. Abanye abantu abazi ngisho nokuthi banesifo ngaphambi kokuba bangene egazini futhi baba yingozi kakhulu.
- Imithombo eminingi yokutheleleka
- Ukuhlinzwa
- Izinkinga zomzimba
- Ukusetshenziswa kabi kwezidakamizwa
- Ukuba khona kwesifo esingapheli, njengesifo sikashukela
- Ubukhona bokugula okubulalayo
- Ukufakelwa okuhlangene okufakelwayo
- Ukuguqula i-valve yenhliziyo
- Usana olusha noma ngaphezulu kweminyaka engu-35
- Ukukhulelwa
Ukuxilongwa
I-Sepsis ivame ukuhlolwa ngegazi. Amasiko wegazi kanye nokuhlolwa kwegazi okubizwa ngokuthi i- Complete Blood Count (CBC) ngokuvamile kwenziwa uma kukhona ukusola nge-sepsis. Igazi lidonsa futhi lithunyelwe ebhodini lapho i-CBC ivame ukuqedwa khona cishe ihora.
Ukuthola izinombolo eziphakeme zamangqamuzana egazi ezimhlophe kuhambisana nokutholakala kokutheleleka, kodwa hhayi ukuthi yi-sepsis. Ukuqinisekisa ukuxilongwa kwe-sepsis, igazi likhishwa izinsuku ezinhlanu ukuze ubone ukuthi yikuphi ama-bacteria akhula. Isiko legazi elivamile lingenalo amabhaktheriya akhona ekupheleni kokuhlolwa. Uma ama-bacteria ekhona, uzwela luyenzeka, okuyivivinyo olwengeziwe ukuze ubone ukuthi yiziphi izidakamizwa ezingasetshenziswa ukuphatha amabhaktheriya.
Izimpawu ze-Sepsis
Enye yezinkinga ekuhloliseni i-sepsis ngokushesha futhi ngokunembile izimpawu zidideka kalula nezifo ezivamile, njengokudla okunobuthi noma umkhuhlane. I-sepsis ayifinyeleleki kangako uma iqhathaniswa nomkhuhlane ovamile, ngakho-ke kaningi akulindelekile kuze kube yilapho umuntu eqala ukugula.
- Ama-Chills
- I-nausea
- Ukuvota
- Fever
I-Sepsis ivame ukwelashwa ngama-antibiotic nokuqapha okusheshayo. I-Sepsis iyaqhubeka ishaqeka kwezinye izimo, ngakho-ke kubalulekile ukubuka izimpawu nezimpawu ukuthi isimo asiphenduli ekwelashweni noma siyaqhubeka.
Izimpawu ze-Septic Shock
- Isimo sengqondo esishintshileyo
- Ukunzima okwenyuka umoya (okutholakala ukuthi kunemishini ekhethekile noma ukuhlolwa kwegazi okuthiwa i- ABG )
- Umfutho wegazi ophansi
- Ukushaya kwenhliziyo okusheshayo
- Ukuphefumula ngokushesha
- Umkhiqizo ophansi we-urine
Ukwethuka kwe-Septic kungathuthuka ukufaka ukwehluleka komzimba kanye nokucindezeleka okukhulu kwegazi futhi kuzodinga ukwelashwa ngemithi engu-IV kuhlanganise namagciwane namayeza okuthuthukisa ukucindezelwa kwegazi.
Iziguli ezithuthukisa ukushona kwe-septic ngokuvamile azikwazi ukuzwa futhi zifakwa futhi zifakwe ku-ventilator ukuze zisekele ukuphefumula kwazo.
Ukuxilongwa kokushaqeka kwe-septic kuyingozi kakhulu futhi kungaholela ekufeni, ngisho nokunakekelwa okubucayi okusheshayo nokufanele.
Imithombo:
Izakhiwo zegazi. Ukuhlolwa kwebhu ku-intanethi. Ifinyelele ngo-Okthoba, 2011. http://labtestsonline.org/understanding/analytes/blood-culture/tab/test
Ukukhubazeka, izimbangela zokubeka ingozi, kanye nomphumela we-sepsis obukhulu nokushaqeka kwe-septic kubantu abadala. Ucwaningo oluthile oluthile oluthile oluzofundwa ezinyunithi zokunakekelwa okukhulu. I-French ICU Group Ye-Sepsis Ekhulu. I-JAMA. Ifinyelele ngo-Okthoba, 2011. http://www.ncbi.nlm.nih.gov/pubmed/7674528
I-Sepsis ne-Septic Shock. I-Merck Manual. Ifinyelele ngo-Okthoba, 2011. http://www.merckmanuals.com/home/infections/bacteremia_sepsis_and_septic_shock/sepsis_and_septic_shock.html