Ukutheleleka kwegazi.

Ukutheleleka kwegazi, okunegama elilodwa - i-sepsis, yisifo esingajwayelekile noma esiyingozi. Lesi sifo siboniswa ngokukhiqiza okusheshayo egazini le-microflora yegciwane, i-bacterial or fungal. Ukwelashwa kwegazi kungenzeka futhi ngenxa yokungena emzimbeni wama-bacterium e-pathogenic avela emthonjeni othile. Ezimweni eziningi, ukutheleleka kusakazeka ngokushesha.

Ukutheleleka kwegazi: izimpawu.

Lesi sifo sivame ukucasulwa izifo ezinjengezinambuzane zamathumbu namathumba, isifo esihlukahlukene, uPseudomonas aeruginosa nabanye.

Ngesikhathi esifanayo, ukunakekelwa esibhedlela kuyimpoqo. Ezimweni ezinjalo, ukwelashwa okulwa ngesikhathi sokulwa ne-antibacterial kunikeza imiphumela emihle, evezwe ekunciphiseni ukudakwa ngokwemvelo, ukwehla kancane kancane ekushiseni.

Izibonakaliso zokuqala zokutheleleka kwegazi zikhonjiswe ngezikhukhula ezinzima kanye nomkhuhlane, kukhona ukuqubuka kwemvelo noma imvelo. Esikhathini esizayo, izimpawu zalesi sifo zingancika ekudleni komzimba, kubonakala ngokunyuka okubalulekile ekushiseni komzimba. Ngokuvamile izimpawu zikhuphuka kakhulu esibindi nasesipheni, kukhona ukujuluka okuqinile, okuvela ngemva komkhuhlane kanye nokukhukhumeza, ukwehluleka nobubuthakathaka, ukungasebenzi, ukucasula kwesitokisi.

Ukwelashwa kwegazi kufanele kuphathwe ngendlela efike ngesikhathi. Uma kungenjalo, ngenxa yokungaziphathi eziningi kanye nezilonda cishe kuzo zonke izinhlelo nezinhlaka, umphumela obulalayo kungenzeka . Esikhathini esiseduze, i-sepsis ingabonakala njenge-thrombosis ethinta, ikakhulukazi, emaphethelweni aphansi.

Kungakapheli inyanga kusukela ukuqala kwesifo emcimbini kuvela amaprotheni wegazi kanye ne-erythrocytes, i-tachycardia ebonakala ngokucacile, kanye nobuhlungu obuhlangene - i-arthralgia. Lezi zibonakaliso ze-poisoning zegazi, ezibangelwa ukuphazanyiswa emasimini omzimba omuntu, okwakhiwa ngokulandelana kokuthuthukiswa kwezinkomba eziyisisekelo zokutheleleka, kufanele zihlukaniswe nezimpawu zesimo se-septic ngqo se-bacterial nature.

Izimpawu ezisemtholampilo zokungcola kwegazi zingabonakala kuphela esigabeni sokuqala sesifo. Lezi zimpawu zitholakala ngenqubo yokuvuvukala yemvelo ehlanzekile kwesinye sezitho zangaphakathi. Ngokufanayo, i-endocarditis ne-myocarditis enezinhlamvu eziphephile. Lezi zingama-renal and pulmary tissu ezijwayele izifo ezihlukahlukene ze-purulent. Izindawo eziyinhloko yokwelashwa kwegazi okwegazi kukhona ukwelashwa okunamandla nezidakamizwa zokulwa ne-antibacterial kanye nokuqedwa kwegazi lokusakaza ngegazi. Ukwenza ukuvuselelwa okungazelelwe kungabangela ukugwedla kwamaphethelo, ukuphazamisa izidakamizwa eziyingozi, nezinye izinguquko ezingenakuguquka ezingxenyeni zangaphakathi.

Ukuze uthole ukuxilongwa okunembile kwe-vein, igazi lithathwa ukuhlaziywa kwezinto ze-biochemical kanye nokuhlolwa kwe-coagulation. Lapho uqhuba ucwaningo, inani lamaplatelets kanye nama-reticulocyte libalwe ngokucophelela. Ngemuva kwesampuli segazi ngosizo lensilinga efanayo, i-antibiotic ijojelwe emthanjeni, ehambisana nesimo sokutheleleka okusolwayo, esenzweni esingenakwenzeka kakhulu. Ezimweni ezibucayi kubalulekile ukuqhuba ipulamapheresis ngokuphuthumayo. Cishe 1.5 amalitha eplasma isuswe emzimbeni, okushiwo yi-2/3 ye-plasma efriziwe efriziwe. Ezimweni ezimbi kakhulu, ivolumu ye-plasma efriziwe efriziwe ingaba mkhulu kunomthamo we-plasma osusiwe.

Ngaphandle kwe-plasmapheresis, "i-Heparin" isetshenzisiwe, umthamo wansuku zonke owodwa kumuntu omdala ungamayunithi angu-20-24 amawaka. Lesi sidakamizwa senziwa nge-intravenously nge-dropper noma ngehora, noma ngisho njalo.