Chiwopsezo choopsa chimenechi chimafuna kuchipatala mwamsanga
Sepsis ndi njira yowonongeka yothetsera matenda. Kwenikweni, thupi lonse liri ndi kuyankhidwa kotupa. " Poizoni wamagazi " kapena "septicemia" ndi mawu omwe ena amagwiritsidwa ntchito ndi ena kutanthauza sepsis, ngakhale kuti amatanthauza kuti ndi matenda m'magazi, pamene "sepsis" akufotokoza momwe angayankhire ku matendawa.
Ndi chiwopsezo choopsa kwambiri, chofunika kuchipatala mwamsanga.
Chaka chilichonse, anthu pafupifupi 90,000 ku US amamwalira chifukwa cha mantha. Anthu okalamba amawerengera milandu 65% ya vutoli - anthu opitirira 65 ali ndi mwayi wokwana 13 kuposa sepisiti kuposa achinyamata.
Kodi Zizindikiro Za Sepsis Ndi Ziti?
Chizindikiro choyamba chimene wina angakhale nacho ndi sepsis ngati ali ndi matenda omwe amadziwika kapena akukayikira. Ngati matendawa alipo (ngakhale atachiritsidwa) ndipo zizindikiro zotsatirazi zikuchitika, ndi nthawi yochitapo kanthu ndikuwona dokotala mwamsanga.
Ngati muli pakhomo, zizindikiro zotsatirazi ndizosavuta. Njirayi imanena kuti munthuyo ayenera kukhala ndi zizindikiro ziwiri zotsatirazi kuti asakayikire, koma kwa anthu okalamba, kukhalapo kwa chimodzi mwa zizindikirozi kumapangitsa kuti adandaule kwa dokotala:
Tachycardia: Izi zikutanthawuza kuti mtima ukugunda mofulumira kuposa momwemo. Kuthamanga mtima kwa zaka 90 kugunda / miniti kumatengedwa ngati "tachycardia" okalamba.
Kuti muyese izi, onetsetsani kuti munthuyo akukhalabe kwa mphindi zingapo asanayambe kuwerengeka, pogwiritsa ntchito stopwatch kapena penyani ndi dzanja lachiwiri.
Kutentha kwa Thupi Losawonongeka: Izi zikutanthauza kuti munthuyo ali ndi malungo (pamwamba pa madigiri 100.4) kapena kutentha kwa thupi, kotchedwa "hypothermia" (pansi pa 96.8 ° F).
Kupweteka kofulumira: Izi zikutanthauzira kuti ndizoposa 20 mpweya pamphindi pomwe munthuyo akhala chete.
Kuphatikiza pa zizindikiro zapamwambazi, wothandizira zaumoyo adzakayikiranso kuti sepsis akapeza kuti wodwalayo ali:
Kuchuluka kwa PaCO2 Level: Izi zikutanthauza kupanikizika pang'ono kwa carbon dioxide mu magazi ozungulira .
Kuwerengera kwa Msirikali Wachizungu Wosasamba: Awa ndiwo maselo oyera a maselo oyera omwe ali pamwamba, otsika, kapena opangidwa ndi> maselo 10% a magulu.
Zizindikiro Zowonjezera
Zomwe zili pamwambapa zimatsogolera madokotala poyesera kudziwa ngati munthuyo ali ndi sepsis. Komabe, malingana ndi zomwe zinayambitsa matendawa komanso kuti yayendetsa nthawi yayitali, zizindikiro zotsatirazi zingakhalepo:
- Kufooka
- Chills, zomwe zingayambitse kugwedezeka
- Kusokonezeka
- Mtundu wa buluu, mottled kapena "dusky" kwa khungu
Kusokonezeka kwa Septic
Ngati sepsis yayamba kuipa kwambiri, munthuyo akhoza kuyamba " kusokonezeka ," zomwe zikutanthawuza kuti ndizomwe magazi akuchepa kwambiri omwe samayankha mankhwala. Ichi ndi chiwopsezo choopsa chomwe chiri ndi chiwerengero cha kufa kwa 40 mpaka 60%.
Pansi
Sepsis ndi matenda aakulu kwambiri. Anthu okalamba, makamaka omwe ali ndi matenda ena, ali pangozi yowonjezereka ya mavuto oopsa a sepsis.
Apanso, ngati zizindikiro zili m'munsizi zilipo ndipo munthuyo ali ndi kachilombo ka HIV, onani dokotala nthawi yomweyo.
Mofulumira yemwe munthu yemwe ali ndi sepsis amachiritsidwa, bwino mwayi ndiwowononga.
Zotsatira:
> Beers, Mark H. Merck Buku la Information Medical, 2nd Ed. New York: Mabuku a Pocket; 2003, p. 1118-1119.
> Martin, GS, Mannino, DM, Moss, M. Zotsatira za zaka pa chitukuko ndi zotsatira za anthu akuluakulu. Zovuta Kusamalira Mankhwala. January 2006; Vesi 34, Nkhani 1, masamba 15-21.