Kusokonezeka kwa poizoni

Pamene thupi liri ndi kachilombo ka mabakiteriya ndi mavairasi, tizilombo toyambitsa matenda timamasula zinthu zambiri zoopsa zomwe zimachititsa mantha kwambiri. Amadziwika ndi kutsika kwa magazi chifukwa cha kuphwanya magazi kudutsa mumitsuko. Nthaŵi zambiri, vutoli ladzala ndi zotsatira zowonongeka, makamaka ngati palibe thandizo lachipatala.

Zifukwa za kusokonezeka kwa poizoni

Monga lamulo, matenda omwe akugwiritsidwa ntchito akutsitsidwa ndi mankhwala owopsa a mapuloteni, chifukwa ali ndi miyeso yambiri, motero amakhala lalikulu, pamwamba pa ma molekyulu a antigen.

Mankhwala amphamvu kwambiri okhala ndi mapuloteni amadziwika ndi mabakiteriya a coccal, makamaka - streptococci (beta-hemolyzing) ndi staphylococci (golide). Choncho, zomwe zimayambitsa matendawa ndi:

• Kutentha, mabala odwala;
• nkhuku;
• chiwopsezo cha typhoid;
• kupweteka kwa paratonzillar ;
• chithandizo;
• AIDS ndi HIV;
• seppis postpartum;
• kugwiritsa ntchito zida zoyenera;
• mabala otsekedwa;
• matenda pambuyo pa opaleshoni;
• sinusitis;
• kachilombo ka HIV;
• kugwiritsa ntchito mankhwala pogwiritsa ntchito kayendedwe kawo;
• chotsutsana ndi dermatitis;
• tonsillitis;
• chibayo;
• endocarditis.

Maseŵera ndi zizindikiro za kuthamanga kwa poizoni

Pali madigiri 3 a dziko lofotokozedwa, chifukwa chirichonse chomwe mawonetseredwe am'chipatala ofanana ndiwo ali:

1. Amadodometsa (siteji 1). Kuyenda ndi chisangalalo cha mantha, vuto lalikulu la womenyedwa, nkhawa yamagalimoto, acrocyanosis, hyperesthesia, phokoso la khungu, imachepetsanso mumtambo (patsiku). Tachycardia, digiriya ya dyspnea yapamwamba imadziwikanso.
2. Kusokonezeka kwakukulu (siteji 2). Pali chizunguliro chonse, hypothermia, chisangalalo, chimatsatiridwa ndi kutaya kwakati pakati pa mitsempha ya mitsempha, khungu blanching, tachycardia, oliguria, hypokalemia, acidosis ndi oxygen njala. Kuwonjezera apo, pali hypotension, matenda a DIC ndi kumva matanthwe a mtima.
3. Kusokonezeka kwakukulu (gawo 3). Ndilo vuto lalikulu kwambiri la matenda. Wodziwika ndi kutchulidwa kwa cyanosis, kugwedeza kwa magazi, hypothermia, kuphwanya chidziwitso, kusintha kosasinthika kwa ziwalo zamkati, anuria. Kuwonjezera apo, kutuluka kwa ulusi ndi kutchulidwa kwachitsulo kopatsika kwa acidosis kumaonedwa.

Palinso chizindikiro chofala cha zizindikiro:

• malungo;
• Kuthamanga pakhungu, ngati kutentha kwa dzuwa;
• kuwonjezeka kutentha kwa thupi kufika 38.9-39.2 madigiri;
• kunyalanyaza.

Ngati simungapereke thandizo la panthawi yake, panthawi yoopsya, chiwonongeko chikubweranso ndipo zotsatira zowonjezera zimawonjezeka.

Choyamba chowopsa cha matenda opatsirana

Asanafike gulu lachipatala, izi ziyenera kuchitidwa:

1. Ikani botolo la madzi otentha pansi pa mapazi anu kapena botolo la madzi otentha. Phimbani wodwalayo ndi blanket yofunda.
2. Sungani kapena kuchotsa zovala zomwe zimalepheretsa kupuma bwino.
3. Tsegulani mazenera kuti wodwalayo apeze mpweya watsopano.

Madokotala amangoika kathete yamatope ndi yodzoka m'mitsempha, komanso maski ndi oksijeni. Ngati kuli kotheka, kuyang'anira kwadzidzidzi kwa mahomoni a glucocorticosteroid (prednisolone, dopamine) akuchitidwa.

Kuchiza kwa kusokonezeka kwa matenda opatsirana

Akafika kuchipatala, wogwidwayo amasamutsidwa kupita kuchipatala chokwanira kapena kuchipatala chachikulu. Chithandizo chikuchitika mothandizidwa ndi zoterezi:

• aminoglycosides ndi cephalosporins ;
• eufillin;
• mchitidwe;
• Lasix;
• chowongolera;
• dobutamine;
• cocarboxylase;
• heparins yosasakaniza;
• mankhwala a rheopolyglucin, sodium chloride, albumin, insulini ndi shuga.