Ukushaqeka kwe-Septic

Ukushaqeka kwe-Septic yisimo esibi esenzeka lapho ukutheleleka komzimba wonke kuholela ekucindezelekeni kwegazi okuyingozi.

Ukushaqeka kwe-Septic kwenzeka kakhulu kwabadala kakhulu nabancane kakhulu. Kungenzeka futhi kubantu abanamasosha omzimba abuthakathaka.

Noma yiluphi uhlobo lwebhaktheriya lungadala ukushaqeka okubucayi. Isikhunta futhi (kuyaqabukela) amagciwane nawo angadala isimo. Ubuthi obukhishwe ngamagciwane noma isikhunta kungadala ukulimala kwezicubu. Lokhu kungaholela ekucindezelekeni kwegazi okuphansi nasekusebenzeni kahle komzimba. Abanye abacwaningi bacabanga ukuthi amahlule egazi emithanjeni emincane abangela ukungabi khona kwegazi nokusebenza kwesitho esibi.

Umzimba unempendulo eqinile yokuvuvukala kubuthi obungaba nomthelela ekulimaleni komzimba.

Izici zobungozi bokushaqeka okubucayi zibandakanya:

• Isifo sikashukela
• Izifo zohlelo lwe-genitourinary, uhlelo lwe-biliary, noma uhlelo lwamathumbu
• Izifo ezenza buthakathaka amasosha omzimba, njengengculazi
• Ama-catheters ahlala ngaphakathi (lawo ahlala endaweni isikhathi eside, ikakhulukazi imigqa efakwa emithanjeni kanye ne-catheters ye-urinary, nama-plastic kanye nezinsimbi ezisetshenziselwa ukudonsa)
• Umdlavuza wegazi
• Ukusetshenziswa kwesikhathi eside kwama-antibiotic
• I-Lymphoma
• Ukutheleleka kwakamuva
• Ukuhlinzwa kwakamuva noma inqubo yezokwelapha
• Ukusetshenziswa kwakamuva noma kwamanje kwemithi ye-steroid
• Ukufakelwa komzimba ngomzimba oqinile

Ukushaqeka kwe-Septic kungathinta noma iyiphi ingxenye yomzimba, kufaka phakathi inhliziyo, ubuchopho, izinso, isibindi namathumbu. Izimpawu zingafaka:

• Izandla nemilenze epholile, ephaphathekile
• Ukushisa okuphezulu noma okuphansi kakhulu, amakhaza
• Ubumhlophe
• Umchamo omncane noma omncane
• Umfutho wegazi ophansi, ikakhulukazi lapho umile
• Ukushaya kancane
• Ukushaya kwenhliziyo okusheshayo
• Ukuphumula, ukukhathazeka, ukukhathala, noma ukudideka
• Ukuphelelwa umoya
• Ukuqhuma kwesikhumba noma ukushintsha kombala
• Ukwehla kwesimo sengqondo

Ukuhlolwa kwegazi kungenziwa ukubheka:

• Ukutheleleka emzimbeni
• Qedela ukubalwa kwegazi (i-CBC) kanye ne-chemistry yegazi
• Ukuba khona kwamagciwane noma ezinye izinto eziphilayo
• Izinga le-oxygen ephansi yegazi
• Ukuphazamiseka kubhalansi yomzimba we-acid-base
• Ukusebenza kabi kwesitho noma ukwehluleka kwesitho

Ezinye izivivinyo zingafaka:

• I-x-ray yesifuba yokubheka inyumoniya noma uketshezi emaphashini (i-pulmonary edema)
• Isampula yomchamo ukubheka ukutheleleka

Izifundo ezingeziwe, ezinjengamasiko egazi, kungenzeka zingabi nokwenzeka ezinsukwini ezimbalwa ngemuva kokuba igazi selithathiwe, noma izinsuku ezimbalwa ngemuva kokushaqeka.

Ukushaqeka kwe-Septic kuyisimo esiphuthumayo sezokwelapha. Ezimweni eziningi, abantu bangeniswa egumbini labagula kakhulu esibhedlela.

Ukwelashwa kungafaka:

• Umshini wokuphefumula (ukungenisa umoya ngomshini)
• I-Dialysis
• Izidakamizwa zokwelapha umfutho wegazi ophansi, ukutheleleka, noma ukujiya kwegazi
• Amanzi amaningi anikezwa ngqo emthanjeni (ngemithambo yegazi)
• Oxygen
• Izindlela
• Ukuhlinzwa ukukhipha izindawo ezinegciwane, uma kudingeka
• Imithi elwa namagciwane

Ingcindezi enhliziyweni nasemaphashini ingahlolwa. Lokhu kubizwa ngokuthi ukuqapha kwe-hemodynamic. Lokhu kungenziwa kuphela ngemishini ekhethekile nokunakekelwa kwabagula kakhulu.

Ukushaqeka kwe-Septic kunezinga eliphezulu lokufa. Izinga lokushona lincike ebudaleni bomuntu nasempilweni yonke, imbangela yokutheleleka, zingaki izitho ezehlulekile, nokuthi ukwelashwa kwezokwelapha kuqala ngokushesha nangolaka kangakanani.

Ukwehluleka kokuphefumula, ukwehluleka kwenhliziyo, noma okunye ukwehluleka komzimba kungenzeka. I-gangrene ingavela, mhlawumbe iholele ekunqunyweni komzimba.

Iya ngqo emnyangweni ophuthumayo uma uba nezimpawu zokushaqeka okubangelwa yisepptic.

Ukwelashwa ngokushesha kwezifo ezibangelwa amagciwane kuyasiza. Ukugoma kungasiza ekuvikeleni ezinye izifo. Kodwa-ke, amacala amaningi wokushaqeka okubangelwa yisifo septic awanakuvinjelwa.

Ukushaqeka kweBacteremic; Ukushaqeka kwe-Endotoxic; Ukushaqeka komzimba; Ukushaqeka okufudumele

URussell JA. Ama-syndromes ama-Shock ahlobene ne-sepsis. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 100.

van der Poll T, iWiersinga WJ. I-Sepsis nokwethuka okubucayi. Ku: Bennett JE, Dolin R, Blaser MJ, ama-eds. Mandell, Douglas, kanye neBennett's Principles and Practice of Infectious Diseases. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2020: isahluko 73.