Sepsis

Sepsis chirwere chakakomba umo muviri unopindura zvisina kunaka kune hutachiona. Maitiro ekurwisa hutachiona anovhura muviri, zvichikonzera kuti zvikamu zvemukati zvisashande zvakanaka.

Sepsis inogona kuenderera mberi kuenda ku septic shock. Iyi kudonha kukuru kwepressure yeropa kunogona kukuvadza mapapu, itsvo, chiropa nezvimwe zvikamu zvemukati. Kana kukuvara kwacho kukakura, kunogona kutungamira kurufu.

Kurapwa kwekukurumidza kwe sepsis kunovandudza mikana yekupona.

Zviratidzo zveSepsis

Zviratidzo zve sepsis zvinogona kusanganisira:

• Kushanduka kwemafungiro.
• Kufema kukurumidza, kushoma.
• Kupererwa neperspiration pasina chikonzero chakajeka.
• Kunzwa musoro uri kureruka.
• Kuchema.
• Zviratidzo zvakakosha rudzi rwehutachiona, sekurwadziwa pakushandisa imba yekugezera kubva kune hutachiona hwekugezesa kana kukosora kuri kuwedzera kubva ku pneumonia.

Zviratidzo zve sepsis hazvina kunyatsojeka. Zvinogona kusiyana kubva kumunhu kuenda kune mumwe munhu, uye sepsis inogona kuoneka zvakasiyana muvana kupfuura muvakuru.

Chero chirwere chekuzara chingakonzera sepsis. Enda kuna chiremba kana uine zviratidzo zve sepsis kana chirwere kana kuvira kusingarapiki.

Zviratidzo zvakadai sekunyongana kana kufema nekukurumidza zvinoda kurapwa kwekukurumidza.

Chero rudzi rwehutachiona runogona kukonzera sepsis. Izvi zvinosanganisira hutachiona hwebhakitiriya, hutachiona hwemuvirusi kana hutachiona hwemhuka. Izvo zvinowanzoita sepsis zvinosanganisira hutachiona hwe:

• Mapapu, sekupnemonia.
• Itsvo, bhara nemamwe mativi emuviri wekupaza mvura.
• Sisitimu yekugaya.
• Ropa.
• Nzvimbo dze catheter.
• Maronda kana kupiswa.

Zvimwe zvinhu zvinoita kuti munhu ave nechengo yekutapukirwa inokonzera sepsis zvinosanganisira:

• Vanhu vane makore anopfuura 65.
• Vacheche.
• Vanhu vane immune response yakaderera, vakadai sevanorapwa kenza kana vanhu vane human immunodeficiency virus (HIV).
• Vanhu vane zvirwere zvichingoramba zviripo, zvakadai sedayabetes, chirwere cheitsvo kana chirwere chekufema chinonzi chronic obstructive pulmonary disease (COPD).
• Kupinda muintensive care unit kana kugara kwenguva refu muchipatara.
• Zvishandiso zvinopinda mumuviri, zvakadai semakatheter emuvengi, anonzi intravenous, kana matubu ekufema.
• Kurapwa neantibiotics mumazuva 90 apfuura.
• Dambudziko rinoda kurapwa ne corticosteroids, izvo zvinogona kuderedza immune response.

Kana sepsis yakanyanya kuipa, nhengo dzakakosha dzomuviri, dzakadai sesero, mwoyo neitsvo, hadzigamuchiri ropa rakawanda sezvadzinofanira. Sepsis inogona kukonzera kuita kwema clots eropa asina kujairika. Ma clots madiki kana kuti ropa rinoputika rinogona kukuvadza kana kuparadza tishu.

Vanhu vakawanda vanopoka kubva ku sepsis yakapfava, asi huwandu hwevanofa nekuda kwe septic shock ingangoita 30% kusvika ku 40%. Uyewo, chirwere che sepsis chakakomba chinosimudzira mukana wekuwana zvirwere mune ramangwana.

Vanachiremba kazhinji vanorayira bvunzo dzakawanda kuti vaedze kuwana chirwere chinokonzera zvirwere.

Zvikamu zve ropa zvinoshandiswa kuongorora kuti:

• Uchapupu hwehutachiona.
• Matambudziko ekugwamba kweropa.
• Kuita kwakaipa kwechiropa kana itsvo.
• Mamazinga eoksijeni ari pasi peanoda muviri.
• Kusawirirana kwema electrolytes.

Dzidzo dze laboratori dzimwe kuti uwane chikonzero chehutachiona dzinogona kusanganisira zvikamu zve:

• Urine.
• Mvura kubva pahwunde.
• Mukuswa nemate kubva munzira dzemhepo.

Kana nzvimbo yekutapukirwa isingaonekwi nyore nyore, mupi wehutano wako anogona kuraira bvunzo dzakawanda. Mimwe mienzaniso yebvunzo dze mifananidzo ndidzo:

• X-ray. X-ray inogona kuratidza hutachiona mumapapu ako.
• Ultrasound. Muchina uyu unoshandisa mafungu ekuita kuti uite mifananidzo chaiyo-nguva pachiratidziriri. Ultrasound inogona kuratidza hutachiona mu gallbladder neitsvo.
• Computerized tomography (CT). Muchina uyu unotora X-ray kubva pakona dzakasiyana-siyana uye unoasanganisa kuti aratidze zvidimbu zvekucheka-kucheka zvemukati memuviri. Hutachiona muchiropa, pancreas kana mamwe matumbo emudumbu zviri nyore kuona pane computed tomography (CT) scans.
• Magnetic resonance imaging (MRI). Muchina uyu unoshandisa mafungu eradio uye maneti yakasimba kuti uite mifananidzo yekucheka-kucheka kana 3D. Inogona kubatsira mukuona tishu dzakapfava kana hutachiona hwemapfupa.