I-Septicemia (noma i-sepsis): kuyini, izimpawu nokuthi kufanele welashwe kanjani

-Delile

• Yini engadala i-septicemia
• Izimpawu nezimpawu eziyinhloko
• Ungakuqinisekisa kanjani ukuxilongwa
• Yelashwa kanjani

I-Septicemia, eyaziwa nangokuthi i-sepsis, yisimo sehaba lokuphendula ukutheleleka emzimbeni, kungaba ngamagciwane, isikhunta noma amagciwane, okugcina kubangele ukungasebenzi komzimba, okungukuthi, okuvimba ukusebenza okujwayelekile komzimba.

Ngokuvamile, izimpawu nezimpawu ze-sepsis zifaka imfiva, umfutho ophansi wegazi, ukuphefumula ngokushesha nokudideka, kepha kungahluka ngokuya ngobukhulu besifo, kanye nembangela nesimo somuntu jikelele.

Njengoba kuyisimo esibi kakhulu, kubalulekile ukuthi noma nini lapho kukhona ukusola kwe-sepsis, uye esibhedlela ngokushesha, ukuyoqinisekisa ukuxilongwa bese uqala ukwelashwa okufanele, ukunciphisa ubungozi bezinkinga.

Yini engadala i-septicemia

I-Septicemia, noma i-sepsis, ingenzeka kunoma ngubani onesifo sendawo esingalashwa, njengokutheleleka kwe-urinary tract, izifo zamathumbu noma i-pneumonia, isibonelo. Kodwa-ke, kuvame kakhulu ezinganeni ezisanda kuzalwa, ezaziwa ngokuthi yi-neonatal septicemia, noma kubantu asebekhulile, ngenxa yokuthi banezivikeli mzimba ezibuthakathaka.

Ngaphezu kwalokho, abantu abanokusha noma amanxeba abukhali, abasebenzisa ipayipi lesinye kanye / noma abanamasosha omzimba abuthakathaka ngenxa yesifo esizimele, nabo basengozini enkulu yokuthola i-septicemia.

Izimpawu nezimpawu eziyinhloko

Izimpawu ze-septicemia zivela ngokushesha okukhulu futhi zivame kakhulu ngemuva kokuhlinzwa noma lapho unesinye isifo emzimbeni wakho. Lapho kukhona lezi zimpawu, kufanele uphuthume esibhedlela ukuze uqale ukwelashwa ngokushesha okukhulu.

Ezinye zezimpawu nezimpawu ezisiza ukukhomba i-septicemia, noma i-sepsis, zifaka:

• Imfiva engaphezu kuka-38ºC;
• I-Systolic (esiphezulu) umfutho wegazi ongaphansi kuka-90 mmHg;
• Ukuphefumula ngokushesha, ngemijikelezo engaphezu kwengu-20 ngomzuzu;
• Ukushaya kwenhliziyo okusheshayo, okushaya ngaphezu kwama-90 ngomzuzu;
• Nciphisa inani lomchamo;
• Ukuquleka noma ukudideka kwengqondo.

Lapho i-septicemia ingalashwa ekuqaleni, isimo singase sibe sibi kakhulu sibe sesimweni sokushaqeka okubangelwa yisepptic, lapho kunokungasebenzi kahle komzimba futhi okubonakala ukwehla komfutho wegazi ongaphenduli ekuphathweni kwe-serum emthanjeni. Funda kabanzi mayelana nokuthi kuyini ukushaqeka okubucayi nokuthi kulashwa kanjani.

Ungakuqinisekisa kanjani ukuxilongwa

Ukuxilongwa kwe-septicemia kufanele kwenziwe njalo esibhedlela, futhi ukuhlolwa kwemitholampilo kubaluleke kakhulu. Ngaphezu kwalokho, udokotela kufanele futhi a-ode ukuhlolwa kwelabhorethri ukuhlola imingcele eyahlukene yegazi, kufaka phakathi inani le-serum lactate, umfutho womoya-mpilo oyingxenye, isibalo samaseli egazi kanye nenkomba yokuvala igazi, ngokwesibonelo.

Phakathi kokuhlolwa kwelabhorathri okusiza ekuxilongweni, isiko legazi, elisebenza ukusiza ukuthola uhlobo lwe-microorganism olubangela i-sepsis, okuvumela ukuholwa okungcono kokwelashwa.

Yelashwa kanjani

Ukwelashwa kwe-septicemia kufanele kwenziwe esibhedlela futhi kuqale ngokushesha okukhulu ngochwepheshe bezempilo abanolwazi lokusiza iziguli ezigula kakhulu.

Njengoba izimo eziningi ze-sepsis zibangelwa amagciwane, kujwayelekile ukuthi ukwelashwa kuqale ngokuphathwa kwe-antibiotic ebanzi ebanzi ngqo emthanjeni ukuzama ukulawula ukutheleleka. Ngemuva kokukhishwa kwemiphumela yamasiko egazi, udokotela uzokwazi ukuguqula lo muthi wokubulala amagciwane awenze owehlukile, ukuze alwe nokutheleleka ngokushesha okukhulu.

Uma ukutheleleka kubangelwa isikhunta, amagciwane noma olunye uhlobo lwe-microorganism, i-antibiotic yokuqala iyamiswa futhi kunikezwa amakhambi afanele kakhulu.

Ngesikhathi sokwelashwa konke kubalulekile ukufaka okunye uketshezi emzimbeni ukulawula umfutho wegazi. Ngakho-ke, i-serum ifakwa ngqo emthanjeni futhi, ezimweni ezinzima kakhulu, izidakamizwa ze-vasopressor nazo zingasetshenziswa ukugcina umfutho wegazi ulawulwa kakhulu.