Chirwere chinowanzoitika, chakafanana nehutachiwana mukunyorerwa kwekuvhiya, kazhinji kunogara pane imwe nzvimbo. Sepsis inoitika apo chirwere chinowanikwa munzvimbo inopinda muropa uye chinopararira kuburikidza nemuviri, zvichiita kuti kuve nekuputika kukuru kupindura kwemuviri, zvichikonzera kutadza kwemamiriro ekunze kwemuviri (zvakanyanya kukwirira kana kuderera zvakanyanya), uye kukanganisa mukufema, pakati pemamwe matambudziko.
Kuputika kweputika kwakaoma zvikuru, kunotungamirira kuhutachiona husingaiti uye kukanganiswa kweropa kusina kugadziriswa nemvura, uye zvinoda mishonga kuti iwedzere kudzvinyirira.
Kunyange zvazvo mabhakitiriya ari kazhinji anokonzerwa nechepisi, inogonawo kukonzerwa nefungi inopinda muropa.
Kudzivirira
Iyo chete yekudzivirira sepsis ndeyokudzivirira utachiona . Matanho ekudzivirira zvirwere zvakanyanya, zvakadai sekuchengetwa kwemaonda uye kushamba maoko nguva dzose , kunogona kuderedza ngozi yehutachiona.
Risk Factors
Nepo kune zviitiko zvinopisa zvinokonzera kushungurudza uye kushungurudzika kwevanhu , vanhu vane utano vasina njodzi dzinogona kuita uye vanorwara nekuda kwechiputi. Vamwe vanhu havatombozivi kuti vane chirwere chisati chapinda muropa uye chinova chakakomba.
- Nzvimbo dzakawandisa dzehutachiona
- Surgery
- Zvinetso zvekudzivirira muviri
- IV kushandisa zvinodhaka
- Kuvapo kwechirwere chisingaperi, chakadai seshuga
- Kuvapo kwehutano hunouraya
- Chibatanidzwa chekugadzirisa
- Mhepo valve inotsiviwa
- Mwana achangoberekwa kana kupfuura makore makumi matatu
- Kuberekwa
Kuziva
Sepsis inowanzoongororwa kuburikidza nekuongororwa kweropa. Nzira dzechiropa uye imwe yeropa rakatumidzwa rinonzi Complete Blood Count (CBC) inowanzoitwa kana kune kusafungirwa kwechiputi. Ropa rinotorwa uye rinotumirwa kubasa apo CBC inowanzopedzwa inenge awa.
Kuwana kwenhamba yakakwirira yemasero machena eropa kunopindirana nekuvapo kwehutachiona, asi kwete zvinoreva sepsis. Kuti kusimbise kuongororwa kwechipembenene, ropa rinowanikwa kwemazuva mashanu kuti rione kana mabhakitiriya achikura. Chirwere chemazuva ose chingave chisina mabhakitiriya aripo pakupera kwekuedzwa. Kana mabhakitiriya aripo, kunzwisisika kunoitwa, iyo imwezve miedzo yekuona ma antibiotics angashandiswa kurapa mabhakitiriya.
Zviratidzo zveSepsis
Imwe yezvinetso pakutsvaga sepsis nokukurumidza uye yakarurama zviratidzo zviri nyore nyore kuvhiringidzwa nezvirwere zvakajairika, zvakadai sekudya chekudya kana chirwere. Sepsis isinganzwisisiki kana ichienzaniswa nehuwandu hwechirwere, saka kazhinji hazvifungidziri kusvikira munhu ava kurwara.
- Chills
- Nausea
- Kudzora
- Fever
Sepsis inowanzobatwa nemishonga inorwisa mabhakitiriya uye kuswedera pedyo. Sepsis inofambira mberi kune dzimwe nguva, saka zvinokosha kutarisa zviratidzo uye zviratidzo kuti mamiriro acho haasi kupindura kurapwa kana kuwedzera.
Zviratidzo zveSeptic Shock
- Akachinja mafungiro emafungiro
- Dambudziko rinokonzerwa nemhepo (kuongororwa nemichina chaiyo kana kuongororwa ropa kunonzi ABG )
- Low blood pressure
- Rapid moyo rate
- Kukurumidza kufema
- Low urin output
Kuputika kwepaseti kunogona kufambira mberi kunosanganisira chikamu kusakundikana uye kuderera kwekudzivirira kweropa uye kunoda kurapwa nemishonga inosanganisira IV ma antibiotics nemishonga yekuvandudza ropa.
Varwere vanoita sekushungurudzwa kwepachivande kazhinji havazivi uye vanogadziriswa uye vanoiswa pavhetiri kuti vabatsire kutsigira kufema kwavo.
Kuonekwa kwekushungurudzwa kweputi kunonyanya kukanganisa uye kunogona kuguma nekufa, kunyange nekukurumidza uye kwakakodzera kutarisirwa kunetseka.
Sources:
Ropa Dzimba. Lab Test Tests Online. Yakasvika muna October, 2011. http://labtestsonline.org/understanding/analytes/blood-culture/tab/test
Nharaunda, zvipingamupinyi zvinokonzera, uye mugumisiro wekutsvaira kwakanyanya uye kushungurudzika kwevanhu vakuru. A multicenter inotarisira kudzidza muzvikwata zvakakura zvekuchengetedza. French ICU Group for Severeis Sepsis. JAMA. Yakasvika muna October, 2011. http://www.ncbi.nlm.nih.gov/pubmed/7674528
Sepsis uye Septic Shock. Merck Manual. Yakasvika muna October, 2011. http://www.merckmanuals.com/home/infections/bacteremia_sepsis_and_septic_shock/sepsis_and_septic_shock.html