Sepsis - calaamadaha iyo jeermisyada

Sepsis waa cudur guud faafa timi jiritaanka in unugyada ee kaledii ah jidhka. Si kastaba ha ahaatee, waxa uu leeyahay tiro ka mid ah kala duwanaanshaha la barbardhigo cudurada kale in ay leeyihiin etiology la mid ah, in uu yahay, astaamaha sepsis sawir kala duwan ee horumarinta mustaqbalka. Haddii aan ka fiirsan sepsis marka la eego baaritaanka iyo daaweynta ku xiga, wuxuu u sharxay sida qalloocan ama aan ku filnayn reaction guud runta ah ee u shaqeeyo sida jawaab u hordhaca ah ee uu wareer ah microbial nonspecific. Si kastaba ha ahaatee, waxaa la socda ay guud, wuxuu la barwaaqaysan oo ah geedi socod qaybsan heerarka kala duwan isagoo dherer kala duwan.

Sepsis - Qoondaynta

Waxaa jira afar nooc oo sepsis, halka ay leeyihiin magacyo kala duwan oo qalliin oo soocidda (qandho pyo-resorptive, hroniosespsis, pyosepticemia, septicaemia) iyo cudurada (hroniosespsis, pyosepticemia, septicaemia iyo bakendokardit). Sidoo kale, waxay ku xiran tahay iridda laga soo galo ee sepsis wuxuu u qaybsan yahay:

• daweynta (paraifektsionny);

• tonzilogenny;

• Qalliin;

• hooyada;

• Oto-iyo odontogenic;

• xudunta;

• cryptogenic.

Sida laga soo xigtay heerka socodka ah ha loo sii daayo sida tan:

• sepsis chronic;

• subacute (7 ilaa 14sutok);

• ba'an (qiyaastii 5-7sutok);

• fulminant (24 ilaa 48 saacadood) sepsis.

Waxa kale oo jira kala qaybsameen ku xiran horumarka arkay sawirka caafimaad:

• Early - dhacdaa in muddo aan ka badnayn 3 usbuuc (ka hor inta dhar ah xal dhab ah);

• dambe (in ka badan 3 asbuuc).

Xaaladan danbe meesha uu diirada aas aasiga ah cudurka lumiyo muhiimadda lagu daaweyn dheeraad ah ee cudurka. Ayadoon oo kiiskan waa calaamadaha sepsis.

wakiilada ayaa sababaya of sepsis

Etiology waa kala duwan sida polietiologichen sepsis. Horeyn ka mid ah bakteeriya keeni sepsis weli waa ✰Malax mid. Sababtoo ah iyaga ka mid ah, waxaa jira ku dhowaad 50% ee kiisaska. Ka dib markii ay yihiin streptococci, Proteus, iyo aeruginosa Pseudomonas.

In kasta oo xaqiiqda ah in daliilka sepsis waa nonspecific, etiology ee pathogene ah uu saamayn weyn ku dabeecadaha ay socodka, in uu yahay, astaamaha cudurka iyo horumarinta sepsis waa sida soo socota:

• korka ✰Malax - metastasis fog, pneumonia septic;

• streptococci - faafinta dhacdaa lymphatic (lymphadenitis, lymphangitis), ayaa sidoo kale lagu daro wakiilada kale;

• Pseudomonas aeruginosa - faafinta hillaac ah, ka nixin reactions;

• E. coli - peritonitis, sepsis xuubka hoose,

• clostridia - galleeyda, gassing, barar,

• Bacteroides - Indvandrerrådgivningen.

Dhamaan qaababka waxaa keena sunta iyo ensaymes soo saaray bakteeriyada.

wajiga cudurka

Xasaanadda in aadanuhu ay dhacdo sepsis aan la soo saaray. Cilad-iyo daaweynta sepsis caqabad by xaqiiqada ah in aysan u leeyihiin bogsashada, taas oo caan ku ah cudurrada ugu badan ee faafa. Waxay dhacdaa hyperergic dhacdo cadaanyo ku filneyn in cudurka guud, in ay dhacdo ay adagtahay ay deegaamaynta.

Currently, waxaa jira marxaladda soo socda ee cudurka, calaamadaha sepsis waa kala duwan:

• Stress - marka ay ka muuqataa jawaabta ee pathogene ciidankii. Haddii ay dhacdo in jawaab bararka maxalliga ahi kuma filla, laga yaabee in lagu daro nidaamka ilaalinta functional, iyadoo ka qayb simpatoadrenalovoj gipotalano-pituitary.

• xanuunada catabolic - waxaa jira isticmaalka horusocod ah enzyme iyo kaydka dhismaha ee u shaqeeyo. Sidee decompensation functional dhacaa nidaamka.

• dhiska - marka laga badiyay qodobada weerar ah ayaa bilaabay inuu ka soo kabsado.