Sepsis

Sepsis chirwere umo muviri une yakasimba, yekupindura mhinduro kune bhakitiriya kana mamwe majemusi.

Zviratidzo zve sepsis hazvikonzerwe nemajemusi pachawo. Panzvimbo iyoyo, makemikari anoburitswa nemuviri anokonzera mhinduro.

Hutachiona hwehutachiona chero kupi mumuviri hunogona kumisikidza mhinduro inotungamira kune sepsis. Nzvimbo dzinojairika uko hutachiona hungangotanga dzinosanganisira:

• Ropa
• Mapfupa (akajairika muvana)
• Bowel (inowanzoonekwa ne peritonitis)
• Itsvo (yepamusoro urinary turakiti hutachiona, pyelonephritis kana urosepsis)
• Lining yehuropi (meningitis)
• Chiropa kana nduru
• Mapapu (bhakitiriya pneumonia)
• Ganda (cellulitis)

Kune vanhu vari muchipatara, nzvimbo dzakajairika dzehutachiona dzinosanganisira mitsetse inopinza, maronda ekuvhiya, madhiragi ekuvhiya, uye nzvimbo dzekuputsika kweganda, dzinozivikanwa semabhedha kana kumanikidza maronda.

Sepsis inowanzo bata vacheche kana vakuru vakuru.

Mune sepsis, BP inodonha, zvichikonzera kuvhunduka. Nhengo huru uye masisitimu emuviri, kusanganisira itsvo, chiropa, mapapu, nepakati sisitimu inogona kumira zvakanaka nekuda kwekufamba kweropa kwakashata.

Shanduko muhutano hwepfungwa uye nekukurumidza kufema kunogona kuve ekutanga zviratidzo zve sepsis.

Kazhinji, zviratidzo zve sepsis zvinogona kusanganisira:

• Kutonhora
• Kuvhiringidzika kana delirium
• Fivha kana yakaderera muviri tembiricha (hypothermia)
• Kuchena musoro nekuda kwekuderera kweropa
• Kukurumidza kurova kwemoyo
• Kuputika kweganda kana ganda rine mavara
• Ganda rinodziya

Anopa hutano anoongorora munhu uye obvunza nezve nhoroondo yemunhu yekurapa.

Utachiona hunowanzo kusimbiswa nekuongororwa kweropa. Asi kuongororwa kweropa kunogona kusaratidza hutachiona muvanhu vanga vachigamuchira mishonga inorwisa mabhakitiriya. Zvimwe hutachiona hunogona kukonzera sepsis hazvigone kuongororwa nekuongororwa kweropa.

Mimwe bvunzo inogona kuitwa inosanganisira:

• Ropa kusiyanisa
• Magasi eropa
• Itsvo basa rekuyedza
• Platelet kuverenga, fibrin kudzikisira zvigadzirwa, uye coagulation nguva (PT uye PTT) kutarisa kubuda ropa njodzi
• White ropa masero kuverenga

Munhu ane sepsis anozobvumirwa kuenda kuchipatara, kazhinji munzvimbo yevanonyanya kutarisirwa (ICU). Mishonga inorwisa mabhakitiriya inowanzo kupihwa kuburikidza netsinga (intravenously).

Mimwe mishonga yekurapa inosanganisira:

• Oxygen kubatsira nekufema
• Mvura inopihwa kuburikidza netsinga
• Mishonga inowedzera kuwedzera kweropa
• Dialysis kana paine itsvo kutadza
• Muchina wekufema (mechnical ventilation) kana paine kutadza kwemapapu

Sepsis inowanzo kutyisidzira hupenyu, kunyanya kune vanhu vane immune system isina kusimba kana chirwere chenguva refu (chisingaperi).

Kukuvara kunokonzerwa nekuderera kweropa kuyerera kunhengo dzakakosha senge huropi, moyo, neitsvo zvinogona kutora nguva kugadzirisa. Panogona kuve nezvinetso zvenguva refu nenhengo idzi.

Ngozi ye sepsis inogona kuderedzwa nekuwana majekiseni ese akakurudzirwa.

Muchipatara, kunyatsogeza maoko kunogona kubatsira kudzivirira hutachiona-hunowanikwa hutachiona hunotungamira kune sepsis. Kukurumidza kubviswa kweweti catheters uye IV mitsara kana ivo vasisiri kudikanwa kunogona kubatsira kudzivirira hutachiona hunotungamira kune sepsis.

Septicemia; Sepsis chirwere; Systemic kuzvimba mhinduro mhinduro; SIRS; Sepic kuvhunduka

Shapiro NI, Jones AE. Sepsis syndromes. Mune: Masvingo RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts uye Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chits. 130.

Muimbi M, Deutschman CS, Seymour CW, et al. Tsananguro yechitatu yekubvumirana kwenyika dzesepsis uye septic kuvhunduka (sepsis-3). JAMA. 2016; 315 (8): 801-810. PMID 26903338 pubmed.ncbi.nlm.nih.gov/26903338/.

van der Poll T, Wiersinga WJ. Sepsis uye septic kuvhunduka. Mune: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, uye Bennett's Maitiro uye Maitiro Ezvirwere zvinotapukira. 9th ed. Philadelphia, PA: Elsevier; 2020: chits. 73.