Kutapukisa-kutyisa kunotyisa

Kana muviri uine hutachiona hwebhakitiriya nemavirusi, idzi microorganisms dzinobvisa huwandu hwakawanda hwezvinhu zvinouraya izvo zvinokonzera kushungurudza-septic kushamisika. Iyo inoratidzirwa nehope rakakosha muropa reropa nekuda kwekutyora ropa kunopinda mumidziyo. Mune zviitiko zvakawanda, izvi zvinenge zvakapera nemigumisiro inouraya, kunyanya kana kusina kuwanikwa kwekurapa kwekukurumidzira.

Zvinokonzera kushungurudzwa kunotapukira

Sezvo mutemo, chirwere chiri pasi pekufungidzirwa chinokonzerwa nemakemikari ane chepfu yeprotheni chaiyo, nokuti ine zviyero zvakakura, uye naizvozvo nzvimbo huru, iyo maamolekemu eorgen aripo.

Mishonga yakasimba zvikuru ine proteiniti yakasimbiswa nebhakitiriya ye coccal, kunyanya - streptococci (beta-hemolyzing) uye staphylococci (ndarama). Saka, zvinokonzera zvinokonzerwa nehutachiona-zvinotyisa ndezvi:

Nhanho uye zviratidzo zvehutachiona hunotapukira

Kune zvidimbu zvitatu zvehutano hwakatsanangurwa, pane imwe neimwe iyo makiriniki anoratidzika anoratidzika:

  1. Anogadzirisa kushamiswa (danho 1). Ichitenderedzwa nemufaro wekutya, yakaoma mamiriro ezvinhu evanhu vakavhiringidzika, motokari, motokari, acrocyanosis, hyperesthesia, pallor yeganda, inoderera muhuwandu hwemvura yakanyanyisa (pazuva). Tachycardia, dyspnea yeyero yepamusoro inonziwo.
  2. Kushamiswa kwakatsiviwa (chikwata 2). Iko kune-universal cyanosis, hypothermia, kushungurudzika, kuteverwa nekuderedza kwepakati penheyo system, skin blanching, tachycardia, oliguria, hypokalemia, acidosis uye oxygen nzara. Mukuwedzera, kune hypotension, DIC syndrome uye matsi yemanzwi emwoyo.
  3. Kushungurudzika kunotyisa (shato 3). Iyo ndiyo nzira yakaoma kwazvo yehutachiona. Inoshandiswa nezwi rinonzi cyanosis, kudonha kunokonzerwa neropa, hypothermia, kutyora kwekuziva, kuchinja kusinganzwisisiki munhengo dzomukati, anuria. Uyezve, kufungidzira kwakafanana nekusvibiswa uye zvinonzi metabolic zvinokonzerwa nemashizha zvinowanikwa.

Panewowo mararamiro akafanana ezviratidzo:

Kana iwe usingaiti rubatsiro rwakakodzera nguva, mushure mekudengenyeka kwekutsvaga kwekutyisidzira, coma inouya uye mukana wehutsva hunouraya unowedzera.

Kutanga rubatsiro rwekukurumidza kwehutachiona hunotyisa

Pamberi pokusvika kweboka rezvechiremba, zviyero zvinotevera zvinofanira kutorwa:

  1. Isa bhodhoro remvura inopisa pasi petsoka dzako kana bhodhoro remvura inopisa. Dhavhara murwere nehombodo inodziya.
  2. Usasunungura kana kubvisa zvipfeko zvinopesana nekufema kwemazuva ose.
  3. Vhura mahwindo kuitira kuti murwere awane mweya mutsva.

Vanachiremba vanobva vatanga kuisa catheter inonyangadza uye yenyuchi, uyewo mask inogadziriswa oksijeni. Kana zvichidikanwa, chirongwa chekukurumidzirwa kwemahymoni glucocorticosteroid (prednisolone, dopamine) inoitwa.

Kurapa kwehutachiona hunotyisa

Paanosvika kuchipatara, munhu anenge atorwa wacho anotamirwa kukamuri rekuchengetedza rakanyanya kana chirwere chikuru chekuchengetedza. Kurapa kunoitwa nekubatsirwa kwe kugadzirira kwakadaro: