Dambudziko rinopfurikidza rinokanganisa kumuviri rinotungamirira mukuputsa kwekuwedzerwa kweropa kwemasukisi, uye sechikonzero, kushaya masimba akawanda. Izvi zvinoratidzira kushungurudzika kwepachivande, kunofungidzirwa chimwe chezvinetso zvinotyisa zvikuru zvehutachiona, sezvinowanikwa mune zvinopfuura 40% zvezviitiko zvinopera nemugumisiro unouraya.
Kushungurudzwa kweputika uye kushungurudzwa kweputi
Zviratidzo zvemuviri wechirwere chemuviri mukutarisana nehutachiona nehutachiona hwehutachiona hunosanganisira ketani yekuenzanisira zvipatara zviratidzo. Kufambira mberi kwehutachiona hwehutachiona hunokonzera kushungurudzwa kwezvinenge zvose nhengo nenyama, zvinodzivirira kuwanika kweropa uye, maererano nekudaro, okisijeni kwavari. Zviratidzo zvekupedzisira zvezvikwata zvakasiyana-siyana uye kusagadzikana kwehutano hwehutano hutsinye hunopisa uye hutachiona-hunotyisa kana hutsinye hunotyisa. Iyi syndrome inoratidzwawo nekushaya simba kwemaitiro ose, kupindira kwebhakitiriya yepathogenic muropa neropa uye lymph.
Septic kushungurudzwa mune gynecology
Muchiitiko ichi, kurwara kunowanikwa mumatambudziko anotevera:
- zvirwere zvinotapukira pashure pokubvisa pamuviri;
- chorioamnionitis;
- purulent mastitis ;
- pyelonephritis (mumadzimai ane pamuviri).
Mumazuva anotevera vanaamai, kushungurudzwa kwemasimba kunowanzoitika nekuda kwekuti hormonal hemostasis (kusaenzana kwegestagens uye estrogens) uye kupararira kweropa mumuberechi kuri kuchinja. Uyezve, pane hogization uye hyperlipidemia.
Paunenge uchiita kubvisa pamuviri, ropa rinoputika, uye kunyange zvikamu zvasara zve fetal egg, zvinowanzosiyiwa. Izvo zvikamu zvakakosha zvemuviri kune microorganisms, kuita kuti hutachiona uye kupindira kwebhakitiriya muropa.
Kurapa kwechisimba cheputi
Pasinei nekufambira mberi kwemishonga uye nekuvandudzwa kwemishonga inorwisa mishonga, kufa nekuda kwechirevo chakatsanangurwa chakanyanya. Nokudaro, nekunzwa kushamisika, kurapa kwakasimba kunodiwa mune imwe nhengo inopatient department. Mazano makuru ekurapa ndeaya anotevera:
- Kunatswa kwetsvina kana kubviswa kwe foci yehutachiona nema microorganism, kuchenesa matanda, kuputira pus.
- Nhepfenyuro inopinza kana kupindira kwemishonga inorwisa mabhakitiriya. Kutanga, kuongorora ropa (bhakitiriya tsika) inofanira kuitwa uye kunzwisiswa kwezvirwere kumishonga yakasarudzwa kunofanira kusimbiswa.
- Kudzokorora kwehuwandu hwehuwandu hwemhepo inopararira ropa.
- Detoxification yemuviri, zororo rekuvhiringidza.
- Kudzorerwa kwekufuridzira nekunetseka kwemapapu.
- Kubviswa kwehemocoagulation.
- Normalization yemvura uye electrolyte kuenzanisa kweropa uye ropa.
Mishonga inotevera inoshandiswa pane zvinotevera:
- Ampicillin;
- Gentamicin;
- Benzylpinicillin (sodium salt);
- Claforan;
- Prednisolone;
- colloidal solutions;
- Tracerol;
- Gordoks;
- Contrikal ;
- Heparin;
- Fraksiparin;
- Trental.
Vitaminotherapy nemishonga ine immunosuppressive action ichava isina kunaka.
Emergency care for septic shock ndokukurumidza kunodana boka rezvechiremba uye kuvimbisa kuti murwere anonyatsozorora pasina kufamba, kunyanya kana mamiriro acho ari mubvunzo anokonzerwa nechirwere chakavharika chakavharika, mukati mekubuda ropa. Kudzorera mvura yakakwana mumuviri, inobvumirwa kupa munhu akabatwa achinaya mvura yakabikwa pasina gasi. Kana kutonhora kwemuviri kuchikwirirwa, kutonhora kunowedzera (dzimwe nguva ice) inofanira kushandiswa, uye kubvisa kunofanira kuitwa. Hazvina kunaka kutora chero mishonga, kunyanya analgesics, anti-inflammatory medication and antibiotics.