Sepsis
Incamake
Sepsis ni uburwayi bukomeye aho umubiri udasubiza neza ubwandu. Ibikorwa byo kurwanya ubwandu bitera umubiri, bigatuma imyanya y'ingenzi ikora nabi.
Sepsis ishobora gutera ishoke ya septic. Iyi ni ukugwa cyane k'umuvuduko w'amaraso bishobora kwangiza imyanya y'ubuhumekero, impyiko, umwijima n'izindi nzego. Iyo ibyangijwe bikomeye, bishobora gutera urupfu.
Kuvura sepsis hakiri kare birwanya amahirwe yo kurokoka.
Ibimenyetso
Ibimenyetso bya sepsis
Ibimenyetso bya sepsis bishobora kuba birimo:
- Guhinduka mu mitekerereze.
- Guhumeka kenshi kandi guke.
- Kwikubita ibyuya nta mpamvu igaragara.
- Kumva utuje.
- Gukona.
- Ibimenyetso byihariye ku bwoko bw’ubwandu, nko gukora umwanya mu gihe ufite ubwandu bw’inzira y’umuyoboro w’inkari cyangwa inkorora ikomeye iterwa na pneumonia.
Ibimenyetso bya sepsis ntabwo ari byihariye. Bishobora gutandukana ukurikije umuntu ku wundi, kandi sepsis ishobora kugaragara mu buryo butandukanye mu bana no mu bakuru.
Igihe cyo kubona umuganga
Imyanda yose ishobora gutera sepsis. Nimujye kwa muganga mugize ibimenyetso bya sepsis cyangwa ubwandu cyangwa ikibonda kitakira. Ibimenyetso nko gucika intekere cyangwa guhumeka cyane bikeneye ubutabazi bwihuse.
Impamvu
Ubwoko ubwo aribwo bwose bw'ubwandu bushobora gutera sepsis. Ibi birimo ubwandu bwa virusi, ubwa bagiteri cyangwa ubwa fungi. Ubundi bwicaza sepsis cyane harimo ubwandu bwa:
- Mu mwijima, nko mu marariya.
- Impyiko, umwenge n'izindi nzego z'ubwonko.
- Urufatiro rw'igogorwa.
- Amaraso.
- Aho catheter yashyizwe.
- Ibyago cyangwa ibikomere.
Ingaruka zishobora guteza
Bimwe mu bintu byongera ibyago byo kwandura bikaba byatuma haba sepsis birimo:
- Abantu barengeje imyaka 65.
- Ubwana.
- Abantu bafite ubudahangarwa bw'umubiri buke, nka barwayi ba kanseri cyangwa abafite virus itera SIDA (HIV).
- Abantu barwaye indwara zidakira, nka diyabete, indwara z'impyiko cyangwa indwara y'ubuhumekero itakira (COPD).
- Kwinjira mu cyumba cy'ubuvuzi bw'ibanze cyangwa igihe kirekire bamara mu bitaro.
- Ibikoresho binjira mu mubiri, nka kateteri mu mitsi, bizwi nka kateteri yo mu mitsi, cyangwa imiyoboro yo guhumeka.
- Ivuriro rikoresha antibiyotike mu minsi 90 ishize.
- Uburwayi busaba kuvurwa hakoreshejwe kortikosteroïde, bishobora kugabanya ubudahangarwa bw'umubiri.
Ingaruka
Uko ubwandu bukabije bugenda bwiyongera, ingingo z'ingenzi z'umubiri, nka ubwonko, umutima n'impyiko, ntizigera zibona amaraso ahagije nk'uko bikwiye. Ubwandu bukabije bushobora gutera ubusembwa butasanzwe bw'amaraso. Ibi bituma habaho ibice bito by'amaraso bikabana cyangwa imiyoboro y'amaraso iraturika, ibi bikaba byangiza cyangwa bikonona ingingo. Abantu benshi barakira iyo ubwandu bukabije buri bworoshye, ariko igipimo cy'abapfa kubera ubwandu bukabije buhambaye kigera kuri 30% kugeza kuri 40%. Nanone, ikibazo cy'ubwandu bukabije buhambaye cyongera ibyago byo kwandura izindi ndwara mu gihe kizaza.
Kupima
Abaganga bakunze gutegeka ibizamini byinshi kugira ngo bashobore kumenya icyorezo kiri inyuma.
Ibisubizo by'amaraso bikoreshwa mu gupima ibi bikurikira:
Ibindi bipimo byo mu labo bishobora kugaragaza aho icyorezo gituruka birimo ibice bya:
Niba ahantu icyorezo kiri kitagaragara vuba, umuvuzi wawe ashobora gutegeka ibindi bipimo. Bimwe mu bice byo gusuzuma amashusho ni ibi bikurikira:
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Ibimenyetso by'icyorezo.
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Ibibazo byo gukama amaraso.
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Imikorere idahwitse y'umwijima cyangwa impyiko.
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Urwego rwo hasi rwa ogisijeni kurusha ibyo umubiri ukeneye.
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Kugira umunyu udahwitse.
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Uruwunga.
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Ibinyobwa bivuye mu kibyimba.
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Umususuko n'umusemburo ukomoka mu myanya y'ubuhumekero.
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X-ray. X-rays zishobora kwerekana ibyorezo biri mu bihaha byawe.
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Ultrasound. Iyi mashini ikoresha amasese y'amajwi kugira ngo ikore amashusho y'igihe nyacyo kuri ecran ya videwo. Ultrasound ishobora kwerekana ibyorezo biri mu gifu ndetse n'impyiko.
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Computerized tomography (CT). Iyi mashini ifata ama-X-rays aturuka mu buryo butandukanye kandi ibihuriza hamwe kugira ngo igaragaze ibice byaciwe by'imbere y'umubiri. Ibyorezo biri mu mwijima, pankireasi cyangwa izindi nzego z'inda biroroshye kubibona kuri computed tomography (CT) scans.
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Magnetic resonance imaging (MRI). Iyi mashini ikoresha amajwi ya radiyo n'amabuye y'amabuye akomeye kugira ngo ikore amashusho yaciwe cyangwa amashusho ya 3D. Bishobora gufasha mu kubona indwara z'umubiri ukonje cyangwa ibyorezo by'amagufwa.
Uburyo bwo kuvura
Kuvurwa hakiri kare kandi neza byongera ibyiringiro byo gukira. Abantu bafite sepsis bagomba gukurikiranwa hafi no kuvurwa mu bitaro, mu cyumba cy’ubuvuzi bw’abarembye. Ibi biterwa n’uko abantu bafite sepsis bashobora kuba bakeneye uburyo bwo kubarinda gupfa kugira ngo umwuka n’umutima bikomeze gukora.
Imiti itandukanye ikoreshwa mu kuvura sepsis n’igitotsi cyayo. Irimo:
Imiti indi ishobora gukoreshwa, nka insuline ku rwego rw’isukari mu maraso, cyangwa imiti igabanya ububabare.
Abantu bafite sepsis bakunze guhabwa ubufasha burimo umwuka. Bamwe bashobora kuba bakeneye imashini ibafasha guhumeka. Niba impyiko z’umuntu zitakora neza kubera ubwandu, uwo muntu ashobora kuba akeneye kuvurwa hakoreshejwe imashini isukura amaraso.
Kubaga bishobora gufasha mu gukuraho intandaro y’ubwandu, nko kubaga amasese, imyenda yanduye cyangwa imyenda yapfuye.
- Imiti yo kurwanya udukoko. Kuvurwa hakoreshejwe imiti yo kurwanya udukoko bitangira vuba bishoboka. Imiti yo kurwanya udukoko itandukanye, ikora ku bwoko butandukanye bw’udukoko, ikunze gukoreshwa mbere. Iyo ibisubizo by’ibipimo by’amaraso bigaragaje ubwoko bw’udukoko butera ubwandu, imiti ya mbere yo kurwanya udukoko ishobora gusimburwa n’indi. Iyi yindi igamije ubwoko bw’udukoko butera ubwandu.
- Amazi ashyirwa mu mitsi. Gukoresha amazi ashyirwa mu mitsi bitangira vuba bishoboka.
- Imiti yongera umuvuduko w’amaraso. Imiti yongera umuvuduko w’amaraso igabanya ubwinshi bw’imitsi y’amaraso kandi ifasha kongera umuvuduko w’amaraso. Imiti yongera umuvuduko w’amaraso ishobora gukoreshwa niba umuvuduko w’amaraso uri hasi cyane nubwo hari amazi amaze gushyirwa mu mitsi.
Umuhakana: Kanama ni urubuga rw'amakuru y'ubuzima kandi ibisubizo byayo ntibigize inama z'ubuvuzi. Jya ubona umuganga ufite uruhushya rwo gukorera hafi yawe mbere yo gukora impinduka izo ari zo zose.