Cryptogenic sepsis: izimpawu kanye nokwelashwa

Njengoba yaziwa, Izifo ukuvuvukala kungathinta kabi noma isiphi isitho. Bona zihlukaniswe izinhlobo ezimbili: izinqubo oyingozi futhi ezingalapheki. Imiphumela yaloku kuhlola okungenhla Esifike Ngesikhathi kanye nokwelashwa pathologies ukuvuvukala ngokuvamile kuholela ikhambi eliphelele noma ukuthethelelwa. Uma amasosha omzimba zibuthaka, isifo siqhubeka. Kungakhathaliseki indawo, maphakathi ukuvuvukala njalo delimited. Amathonya enqabayo yenqubo noma ukusabalala kungenzeka ngokungabi bikho kokwelashwa. Ngenxa yalokho, izinhlayiya webhaktheriya lingene egazini. Lesi simo kuthiwa i sepsis. inkinga okunjalo kuyingozi ngempela ngoba kungaholela ukushaqeka nokufa.

sepsis Cryptogenic - kuyini?

Kuye indawo umthombo oyinhloko ukuvuvukala kukhona izinhlobo eziningana sepsis. Kubalulekile nokukhumbula ukuthi kuya ingress kwamagciwane egazini kungabangela isifo. Iningi amacala i-pneumonia, izinqubo ukuvuvukala kwesikhumba, umlomo, otolaryngology. Kwezinye izimo, ukugxila okukhulu akuyona. Khona-ke lesi simo ngokuthi "sepsis cryptogenic." Lokhu uphethwe akusho ukuthi esiyinhloko focus ukuvuvukala engekho. Noma kunjalo, ngesikhathi ukuhlolwa amagciwane isinqotshiwe kakade bungene egazini zasakazekela umzimba. Ngakho-ke akunakwenzeka ukuba kutholakale imbangela sepsis. Lolu hlobo sifo kwabanye bungavami. sepsis Cryptogenic - yegazi elinobuthi amagciwane kungekho esungulwe eyinhloko focus ukuvuvukala. Ngokuvamile zokugula kwenzeka ezizalwa ngaphambi kwesikhathi, abantu izinhlelo ababuthakathaka mzimba. Ezimweni eziningi, lesi sifo kunzima. Lapho esifike ngesikhathi okuqalwe yokwelapha umphilise.

Izimbangela sepsis cryptogenic

Uma ufake eyinhloko focus ukuvuvukala kunzima, futhi ama-bacterium kakade ukungena egazini, uphethwe wadalula of "sepsis cryptogenic." Izimbangela lesi sifo zingase zihluke. Ngokuvamile etiology ihlukile kwezinye izinhlobo sepsis. Umehluko wukuthi yisishiso e isiphi isitho eba ngokushesha kakhulu noma ezikhandla amasosha omzimba e isiguli ziyancipha. Ngalesi sikhathi ukusuka ekuthomeni zesifo ngaphambi ukutheleleka (ekamelweni ukufohla) sinciphile. Kulokhu, isiguli akazange abe nesikhathi ukuba baqonde lokho okufundiswa izimpawu zaqala uhlupho kuye kwasekuqaleni. In iziguli eziningi, primary site ke ungathola emva inhlolovo. Uma namanje engatholakali, lo zokugula libhekwa njengoba sepsis cryptogenic. Izimbangela zesifo:

1. Isifo esibangelwa amagciwane. ejenti Causative ka sepsis kungaba yisiphi nezilwanyana ezincane. Ngokuvamile-ke staphylococci futhi streptococci, Proteus, Pseudomonas aeruginosa futhi Escherichia coli.
2. microflora kunemibandela pathogenic. Njengoba yaziwa, emzimbeni kukhona eningi amagciwane okukhona evamile. Ngokunciphisa ukuzivikela mzimba microflora ezingosomathuba uqala ukwandisa, okuholela ezifweni ezihlukahlukene. Ngenxa yalokho, ingaqala sepsis cryptogenic.
3. Ezithathelana kubangelwa isikhunta pathogenic (Candida).
4. Primary immunodeficiency yesibili (HIV).
5. Inkathi of prematurity, izinsana nge isisindo sokuzalwa (ngaphansi 2 kg).
6. ukutheleleka Intrauterine.

Lo mshini sepsis

sepsis Cryptogenic - kuyini? kokutshelwa ngokukhubazeka kwengane kuba ukungabikho isifo eyinhloko engaholela yegazi elinobuthi. sepsis Cryptogenic ubizwa nangokuthi eyinhloko, noma idiopathic. Kwenzeka nge kokungenisa kwamagciwane emgudwini wegazi. Ngenxa yalokho, ama-bacterium zasakazekela umzimba. Ngenxa yalokho, kungenzeka izilonda ukuvuvukala zitholakala ezindaweni eziningana. Ngaphezu kwalokho, ukuthuthukisa ukudakwa virus. Ezimweni ezinjalo, amasosha omzimba wehluleka ukubhekana inqwaba Amagciwane. Ngokuvamile kulesi simo kuholela ukuhlukumeza yisimiso senhliziyo nemithambo yegazi. Ngenxa yalokho asathuthuka ukushaqeka virus. Lokhu inkinga kuyingozi kakhulu futhi ngokuvamile ebulalayo.

Ukwahlukanisa sepsis cryptogenic

Njengoba sazi ukuthi indawo eyinhloko focus sokugembula ayaziwa, sepsis cryptogenic akuyona ihlukaniswa ngokweminyaka ngesisekelo etiological. Noma kunjalo, kubalulekile ukuba ukusungula ejenti ezithathelwanayo ngoba ezanele yokwelapha ngemithi elwa namagciwane. Njengezinye izinhlobo sepsis, lokhu zokugula samuntu kungavuka amafomu amabili. Nokho, lokhu ngezigaba akuphazamisi Izibikezelo lesi sifo. ifomu Cryptogenic ngenxa yegazi elinobuthi:

1. Septicemia. Linomqondo khona microflora webhaktheriya noma fungal, afundwa ngokusebenzisa umzimba. Noma kunjalo Amagciwane musa yakha foci ukutheleleka.
2. Pyosepticemia. Ngaphezu khona amagciwane egazini ikoloni waphawula kwezitho. Amagciwane Iningi isifo kuthiwa zanqwabelana (imali) emaphashini, ubuchopho, komgodi ongaphakathi kwamathumbu. Ngenxa yalokho, lezi zindawo akhiwa foci purulent ukuvuvukala.

Inkambo zokwelapha ukuhlukanisa fulminant, sepsis oyingozi futhi ezingalapheki. Esimweni sokuqala, lesi sifo eba nezinsuku zokuqala ngemva Ukungena lwegciwane futhi esibonakala ngokuqina ukungasebenzi ezinzima kwezitho izinhlelo. sepsis olunamandla sihlala 2-4 amasonto. ukuchayeka Okungalapheki angaqhubeka izinyanga eziningi noma ngisho iminyaka. It libhekene ukuthuthukiswa exacerbations futhi remissions. Kwezinye izimo, kukhona Yiqiniso inketho subacute ka sepsis. isikhathi salo 6 kuya 12 amasonto.

Izimpawu sepsis cryptogenic

Vele hlola igazi ngoba inzalo, kungenzeka ukuba yahlulele ukuthi ngabe umuntu sepsis cryptogenic. Izimpawu zalesi sifo zingase zifane nezinye izifo eziningi. Lokhu kungenxa yokuthi zonke izinqubo ukuvuvukala athuthukile ukudakwa. Nokho, udokotela wakho angase usola isifo ngesisekelo isici isithombe emtholampilo. Kwasekuqaleni, kokutshelwa ngokukhubazeka kwengane kusikiselwa kuphela kuze exclusion nezinye izifo ukuvuvukala. Hlukanisa izimpawu ezilandelayo sepsis:

1. Ukwandiswa lokushisa lomzimba kuya 39-40 degrees. Komzimba kuhambisana Ukugodola, ukujuluka kanye bekhanda.
2. Ukuwohloka. Lapho sepsis kwenzeka ubuthakathaka, ubuhlungu emisipheni nasemalungeni ngaphandle kwasendaweni ethize, kwehle iphango.
3. Tachycardia - kwenhliziyo.
4. ukwehlisa wegazi.
5. Ukwandiswa Izinga lokuphefumula.
6. imisebenzi kwesibindi okungavamile. Kutfutfukiswa jaundice livela, ukwanda ngobukhulu umzimba (hepatomegaly).
7. izilonda emathunjini. Kwezinye iziguli, kukhona ecasukile esihlalweni (uhudo), isicanucanu nokuhlanza.
8. Ukubukeka nokopha esikhumbeni.

nezinye izimpawu kungenzeka ngesikhathi ukuthuthukiswa septicopyemia. Bona kuxhomeke kwasendaweni izilonda ukuvuvukala. Ngokuvamile ukuthuthukisa endocarditis, inyumoniya.

zindlela sokuxilonga ukuze sepsis cryptogenic

Ukuze nenqubo inkinga sepsis zihlanganisa ukubonakaliswa emitholampilo ye isifo futhi izinguquko waphawula phakathi laboratory noma izindlela wezinsimbi. Okokuqala sinake isimo jikelele isiguli. Ngezinye eziya ziba zimbi yayo izinsuku ezimbalwa, naphezu obhekwe yokwelapha ngemithi elwa namagciwane, kungenziwa esolwa sepsis cryptogenic. Izimpawu ezibonisa lesi sifo, - engowenhlabathi (grey) umbala kwesikhumba, ubuthakathaka ezinzima, imfiva kanye ukubukeka nokopha isikhumba. Kukhona ukubonakaliswa isici emitholampilo ingase ihlanganise ukunamathela jaundice kanye hepatomegaly. Ephambi kwezinduna lezi zimpawu kumele ngokushesha hospitalize isiguli nokuziphatha ucwaningo.

Laboratory nowezinsimbi ukuhlola

sepsis Cryptogenic lapho kukhona izinguquko eziphawulekayo imingcele laboratory. I Kla imakwe leukocytosis, thrombocytopenia, futhi ukuntuleka kwegazi emzimbeni, kanye ukusheshisa we ESR. Ama-bacterium angase khona hhayi kuphela igazi kodwa umchamo. Izinguquko nasemkhakheni indices kwamakhemikhali. Lezi zihlanganisa ukubukeka amaprotheni C-esisheshayo, kungase kwandise amazinga bilirubin, ALT, AST (nge isifo sesibindi). Umaki eyinhloko sepsis uhlolo igazi ngoba inzalo (igazi isiko microflora). Ngalesi cwaningo sikwazi ukucacisa ejenti causative lesi sifo futhi zilashwe.

Ukuxilonga Kwenziwa ukuthola izilonda ukonakala. Ngenxa yalesi wenziwa esifubeni X-ray, ultrasound esiswini kanye ukhalo. Ngokuvamile wathola ukuvuvukala emaphashini - pneumonia, ukukhulisa kwesibindi - hepatomegaly.

sepsis Cryptogenic: ikhodi ngokuvumelana ICD-10

Njenganoma iyiphi zokugula, lesi sifo inekhodi specific International Ukwahlukanisa. Yena isethwe kuncike lwegciwane ezibangele sepsis cryptogenic. ICD-10 - esigabeni ekhethekile, okuyinto sisebenza emhlabeni wonke. Umlando yezokwelapha kulotshiwe lokuqala, self uphethwe, bese ikhodi. Uma kwenzeka cryptogenic sepsis cipher intando A41.9 (septicemia engalungisiwe). Ukubona ikhodi ye-ICD-10 udokotela kwanoma iyiphi inhlangano yezokwelapha kwelinye izwe ukuqonda ukuthi sisho ukuthini isifo yayivame isiguli.

yezinkinga olungenzeka sepsis

Ngezinye indlela engalungile ekwelapheni sepsis ukuthuthukisa yezinkinga ezinzima. Phakathi kwabo - beshaqekile, embolism yamaphaphu, endocarditis webhaktheriya, unhlangothi, ukukhathala ukopha. Ngayinye yalezi izimo kungabangela ukufa isiguli. Ngakho-ke, ekwenzeni lokhu uphethwe esiphuthumayo ukuqala ukwelashwa ngemithi elwa namagciwane futhi lingaze.

ukwelashwa sepsis Cryptogenic

I ukuthola lokuqala isifo kufanele ungeniswe esibhedlela futhi akwabele nesineke embhedeni ukuphumula. Futhi, lezi izinyathelo ezidingekayo ezimweni okusolakala sepsis cryptogenic. Ukwelashwa isiqalisile ngokushesha ngemva uphethwe. Iqembu main imikhiqizo - kukhona imithi elwa namagciwane. Yabela inhlanganisela yemithi 2-3. kuvame kakhulu ukuba kusetshenziswe "penicillin" izidakamizwa "ceftriaxone", "Gentamycin", "Imipenem" futhi t. D. Njengoba ukudakwa samanje babelwe yokwelapha ukumnika. Ngemithambo yegazi iqondiswa izixazululo crystalloid futhi Colloid izenzo ezibonisa eyenziwa igazi. eboniswe Futhi immunostimulant, antipyretic namanxusa analgesic. Ekukhombeni isayithi ukutheleleka kokungenela kuhlinzwa kuyadingeka. With ukuthuthukiswa ukonakala ukushaqeka iqondiswa vasopressors ( "Dopamine" ukulungiselela). Ukudla iziguli wenziwa parenterally noma ngokusebenzisa i-probe.

Onalesi sifo ka sepsis cryptogenic

Onalesi sifo ka sepsis cryptogenic incike esimweni jikelele umzimba lesiguli (izivikeli mzimba), ubudala, ukwelashwa esifike ngesikhathi. Ngempatho lokwenele futsi kube nezinkinga waphawula alulame ngokugcwele. Onalesi sifo elihle kunawo kuyinto subacute futhi sepsis ezingamahlalakhona. Lapho isifo fulminant luvame ukubulala. Naphezu yokwelapha ngemithi elwa namagciwane, izinga lokufa lesi sifo cishe 50% amacala.

Prevention sepsis cryptogenic

Sepsis ngokuvamile eba kubantu abaphethwe izifo ezingelapheki ukuvuvukala. Ngakho-ke, izinyathelo zihlanganisa ukwelashwa ngokushesha ukutheleleka foci, ethola imithi immunostimulatory namavithamini. Ukuvimbela lesi sifo kwezinhliziyo zezinsana nezezingane ezincane, umama olindele umntwana kudingeka ukuqeda imikhuba emibi, reception kwemithi, zizwa amakhaza.