Lesi simo esiyingozi sidinga ukwelashwa ngokushesha
I-Sepsis iyisimo esiyinkimbinkimbi sokwemvelo ekutheleleni. Ngokuyisisekelo, wonke umzimba uthola impendulo yokuvuvukala. "I- blood poisoning " noma "septicemia" yimigomo esetshenziselwa abanye ukubhekisela ku-sepsis, nakuba ikusho ngempela ukuthi isifo egazini, kuyilapho "i-sepsis" ichaza impendulo kulowo mthelela.
Isimo esiyingozi kakhulu, esidinga ukunakekelwa okuphuthumayo.
Unyaka ngamunye, abantu abangaba ngu-90 000 e-US bafa ngenxa yokwethuka kwe-septic. Abantu asebekhulile babhekana namacala angu-65% we-sepsis - abantu abangaphezu kwengu-65 banamathuba angaphezu kuka-13 okuba ne-sepsis kunabantu abasha.
Ziyini Izimpawu Ze-Sepsis?
Isiqalo sokuqala umuntu angase abe ne-sepsis ukuthi ngabe une-infection eyaziwa noma ekhonjelwayo. Uma ukutheleleka kukhona (ngisho noma kuphathwa) futhi lezi zimpawu ezilandelayo zenzeka, sekuyisikhathi sokuthatha isinyathelo futhi ubone udokotela ngokushesha.
Uma usekhaya, izimpawu ezilandelayo zilinganiselwa kalula. I-criteria ithi umuntu kudingeka abe okungenani ezimbili zezimpawu ezilandelayo ze-sepsis okumele azikhishwe ngokuqinile, kodwa uma kwenzeka abantu asebekhulile, ukuba khona kwesinye salezi zimpawu cishe kudinga ucingo kudokotela:
I-Tachycardia: Lokhu kusho ukuthi inhliziyo iyashaya ngokushesha kunokujwayelekile. Ukushaya kwenhliziyo kuka 90 beats / minute kubhekwa "tachycardia" asebekhulile.
Ukuze ulinganise lokhu, qiniseka ukuthi umuntu uhlala emaminithini ambalwa ngaphambi kokuqala ukubala izintambo, usebenzisa isitophuwashi noma ukubukela ngesandla sesibili.
Ukushisa komzimba okungavamile: Lokhu kusho ukuthi umuntu unomkhuhlane (ngaphezu kuka-100.4 degrees F) noma ukushisa komzimba okuphansi, okubizwa ngokuthi "hypothermia" (ngaphansi kuka-96.8 degrees F).
Ukuphuza okuphuthumayo: Lokhu kuchazwa njengokuphefumula okungaphezu kwezingu-20 ngomzuzu ngenkathi umuntu ehlezi.
Ngaphandle kwezibonakaliso ezingenhla, umhlinzeki wezempilo uzophinde asolise i-sepsis uma ethola ukuthi isiguli sinalo:
Izinga le-PaCO2 elinciphile: Lokhu kusho ukucindezela okuyingxenye ye-carbon dioxide egazini legazi .
Ukubala okungavamile kwe-Blood Cell: Lokhu kubalwa kwegazi elimhlophe eliphakeme, eliphansi, noma elakhiwe ngamaseli e-10% ebhande.
Izimpawu ezengeziwe
Izimpawu ezingenhla ziqondisa odokotela lapho bezama ukuthola ukuthi ngabe umuntu une-sepsis. Kodwa-ke, kuye ngokuthi yini eyabangela ukutheleleka nokuthi sekuyisikhathi eside sithuthukile, izimpawu ezilandelayo zingase zibe khona:
- Ukungabi namandla
- Ama-Chills, angase abangele nokuzamazama
- Ukudideka
- Umbala ohlaza okwesibhakabhaka, owenziwe nge-mottled noma "dusky" esikhumbeni
I-Septic Shock
Uma i-sepsis isibi nakakhulu, lo muntu angase ahlakulele " ukushaqeka kwe-septic ," okuchaza njengengcindezi ephansi yegazi engaphenduli ekwelapheni. Lesi yisimo esiyingozi kakhulu esinezinga lokufa lokungu-40 kuya ku-60%.
Ngaphansi
I-Sepsis yisimo esibi kakhulu. Abantu asebekhulile, ikakhulukazi labo abanezinye izinkinga zempilo, bangengozini eyengeziwe yokubhekana nezinkinga eziyingozi zokuxoshwa.
Nakulokhu, uma kukhona izimpawu ezibalwe zikhona futhi umuntu naye une-infection, bheka udokotela ngokushesha.
Ngokushesha ukuthi umuntu ophethe i-sepsis uphathwa, kungcono amathuba okuthola.
Imithombo:
> Beers, Mark H. Merck Manual of Information Medical, 2nd Ed. I-New York: Ama-Pocket Books; 2003, iphe. 1118-1119.
> Martin, GS, Mannino, DM, Moss, M. Imiphumela yomdala ekuthuthukiseni kanye nomphumela we-adult sepsis. Imithi Yokunakekelwa Okubalulekile. Januwari 2006; Umqulu 34, Issue 1, iphesi 15-21.