Sepic kuvhunduka

Septic kuvhunduka chiitiko chakakomba chinoitika kana hutachiona hwomuviri hwese hwotungamira kune yakaderera BP.

Septic kuvhunduka kunoitika kazhinji mune vekare kwazvo uye vadiki kwazvo. Izvo zvinogona zvakare kuitika kune vanhu vasina simba immune immune.

Chero chero mhando yebhakitiriya inogona kukonzera septic kuvhunduka. Fungi uye (kashoma) hutachiona hunogona zvakare kukonzera mamiriro acho. Uturu hunoburitswa nebhakitiriya kana fungi hunogona kukonzera kukuvara kwenyama. Izvi zvinogona kutungamira mukudzikira kweropa uye kusashanda kwemitezo yemuviri. Vamwe vaongorori vanofunga kuti kuwonda kweropa mune tsinga diki kunokonzera kushomeka kweropa uye kusaita basa kwemitezo.

Muviri une mhinduro yakasimba yekuzvimba kune chepfu iyo inogona kukonzera kukuvara kwemitezo.

Njodzi dzinokanganisa kushamisika dzinosanganisira:

• Chirwere cheshuga
• Zvirwere zveiyo genitourinary system, biliary system, kana intestinal system
• Zvirwere zvinoderedza simba rekuzvidzivirira, rakadai seAIDS
• Inogara macatheters (ayo anoramba ari munzvimbo kwenguva yakareba, kunyanya mitsara inopinza uye macheta ekuvhenekera, uye mapurasitiki nesimbi stents anoshandiswa pakuburitsa)
• Leukemia
• Kushandiswa kwenguva refu kwemishonga inorwisa mabhakitiriya
• Lymphoma
• Chirwere chazvino
• Kuvhiya kwazvino kana nzira yekurapa
• Munguva pfupi yapfuura kana yazvino kushandiswa kwemishonga ye steroid
• Sangano rakasimba kana pfupa rekutsvaira

Septic kuvhunduka kunogona kukanganisa chero chikamu chemuviri, kusanganisira moyo, huropi, itsvo, chiropa uye ura. Zviratidzo zvinogona kusanganisira:

• Kutonhora, kwakachenuruka maoko nemakumbo
• Yakakwirira kana yakadzika kwazvo tembiricha, inotonhora
• Musoro wakareruka
• Urine shoma kana isina
• Yakaderera BP, kunyanya kana yakamira
• Palpitations
• Kukurumidza kurova kwemoyo
• Kusagadzikana, kushungurudzika, kuneta, kana kuvhiringidzika
• Kufema kwekufema
• Kuputika kweganda kana kushanduka
• Kuderera kwepfungwa

Kuongororwa kweropa kunogona kuitwa kuongorora:

• Utachiona hwakakomberedza muviri
• Yakazara kuverenga ropa (CBC) uye kemisitiri weropa
• Kuvapo kwebhakitiriya kana zvimwe zvipenyu
• Ropa reokisijeni yakaderera
• Kukanganisika mumuviri weasidhi-base chiyero
• Basa rakashata renhengo kana kutadza kwemitezo

Mimwe bvunzo inogona kusanganisira:

• Chifuva x-ray yekutsvaga pneumonia kana fluid mumapapu (pulmonary edema)
• Muenzaniso weti yekutarisa hutachiona

Zvimwe zvidzidzo, senge tsika dzeropa, zvinogona kunge zvisina kunaka kwemazuva akati wandei mushure mekutorwa kweropa, kana kwemazuva mazhinji mushure mekuvhunduka kwaitika.

Septic kuvhunduka ndeyekurapwa kwekukurumidzira. Muzviitiko zvakawanda, vanhu vanogamuchirwa muchipatara chevanorwarisa.

Kurapa kunogona kusanganisira:

• Kufema muchina (mechina kufefetedza)
• Dialysis
• Mishonga yekurapa yakaderera BP, hutachiona, kana kuvhara ropa
• Yakakwira vhoriyamu yemvura inopihwa yakanangana mutsinga (intravenously)
• Okisijeni
• Sedatives
• Kuvhiya kunotora nzvimbo dzine hutachiona, kana zvichidikanwa
• Mishonga inorwisa mabhakitiriya

Iko kumanikidza mumoyo nemapapu kunogona kuongororwa. Izvi zvinodaidzwa kuti hemodynamic yekutarisa. Izvi zvinogona chete kuitwa nemidziyo yakakosha uye mukoti wekuchengetedza kwakanyanya.

Septic kuvhunduka ine yakakwira kufa mwero. Chiyero chekufa chinoenderana nezera remunhu uye hutano hwakazara, chinokonzera hutachiona, mangani mitezo akakundikana, uye nekukurumidza uye nehasha kurapwa kurapwa kwakatanga

Kukundikana kwekufema, kutadza kwemoyo, kana chero chimwe chinokanganisa nhengo kunogona kuitika. Gangrene inogona kuitika, pamwe ichitungamira mukugurwa.

Enda wakananga kudhipatimendi rekukurumidzira kana ukaita zviratidzo zvekuvhunduka.

Kurapa nekukurumidza kwehutachiona kunobatsira. Kubaya nhomba kunogona kubatsira kudzivirira zvimwe hutachiona. Nekudaro, zviitiko zvakawanda zvekuvhunduka hazvigoni kudzivirirwa.

Bacteremic kuvhunduka; Endotoxic kuvhunduka; Septicemic kuvhunduka; Kushamisika kunodziya

Russell JA. Shock syndromes ane hukama ne sepsis. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chap 100.

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.