Kusokonezeka kwa Septic

Kuwonongeka koopsa kwa thupi kumabweretsa kuswa kwa magazi, ndipo zotsatira zake ndizovuta kuti thupi lilephereke. Matendawa amachititsa mantha kwambiri, amaonedwa kuti ndi chimodzi mwa mavuto owopsa kwambiri a matenda, monga momwe zoposa 40% zazomwe zilili ndi zotsatira zowonongeka.

Kusokonezeka kwamtendere ndi kusokonezeka

Mmene chitetezo cha mthupi chimakhudzira matenda omwe ali ndi matenda a tizilombo toyambitsa matenda chimakhala ndi mndandanda wa mawonetseredwe owonetsetsa. Kuwonjezeka kwa njira yotupa yotayirira kumayambitsa chisokonezo cha pafupifupi ziwalo zonse ndi matenda, zimalepheretsa kupeza magazi ndipo, motero, mpweya wawo. Zizindikiro zomaliza zogonjetsa ziwalo zambiri ndi zowonongeka za hypotension zimakhala zoopsa kwambiri komanso zoopsa zowopsa. Matendawa amadziwikanso ndi kuwonongeka kwa machitidwe onse, kuwonongeka kwa mabakiteriya m'magazi ndi mitsempha.

Kusokonezeka kwamtundu wa matenda opatsirana pogonana

Mchitidwe umenewu, matenda amapezeka m'milandu yotsatirayi:

• matenda opatsirana pambuyo pochotsa mimba;
• chorioamnionitis;
• purulent mastitis ;
• pyelonephritis (mwa amayi apakati).

Amayi am'mbuyomu, mantha amadzidzidzimutsa nthawi zambiri chifukwa chakuti ma hormone hemostasis (kusalinganizana kwa gestagens ndi estrogens) komanso kuyendera magazi m'mimba kumasintha. Komanso, pali zovuta komanso hyperlipidemia.

Pochita kuchotsa mimba, kupha magazi, komanso ngakhale ziwalo zotsalira za bere, nthawi zambiri zimasiyidwa. Ndiwo zakudya zoyenera zowonjezera tizilombo toyambitsa matenda, kuyambitsa matenda ndi kutuluka kwa mabakiteriya m'magazi.

Kuchiza kwa mantha osokonezeka

Ngakhale kuti kupita patsogolo kwa mankhwala ndi chitukuko cha mankhwala atsopano amadzimadzimadzi, imfa chifukwa cha zomwe zimafotokozedwa ndizovuta kwambiri. Choncho, ndi mantha osokonezeka, chithandizo chokwanira chikufunika ku chipatala chapadera cha chipatala. Mfundo zazikuluzikulu za chithandizo ndi izi:

1. Kusungunula kapena kuchotsedwa kwa foci ya matenda ndi tizilombo toyambitsa matenda, kutsuka ziboliboli, kutulutsa pus.
2. Mauthenga oyamba ndi mankhwala osokoneza bongo. Choyambirira, kuyezetsa magazi (chikhalidwe cha bakiteriya) chiyenera kuchitidwa ndipo mphamvu ya tizilombo toyambitsa matenda kumasankhidwa iyenera kukhazikitsidwa.
3. Kubwezeretsanso kwa chiwerengero chonse cha kuzungulira magazi.
4. Kuchulukanso kwa thupi, mpumulo wa zotupa.
5. Kubwezeretsa kupuma ndi matenda aakulu.
6. Kuthetsa hemocoagulation.
7. Kusintha kwa madzi ndi electrolyte kuchuluka kwa maselo ndi magazi.

Mankhwala otsatirawa amagwiritsidwa ntchito pazinthu zomwe tatchulazi:

• Ampicillin;
• Gentamicin;
• Benzylpinicillin (sodium salt);
• Claforan;
• Prednisolone;
• colloidal solutions;
• Tracerol;
• Gordoks;
• Chotsutsana ;
• Heparin;
• Fraksiparin;
• Trental.

Vitaminiotherapy ndi mankhwala omwe amachititsa kuti thupi lisagwiritsidwe ntchito mosavuta lidzakhala lopanda mphamvu.

Chodzidzidzimutsa chisamaliro chodzidzimutsa ndikuthamangira gulu lachipatala ndikuonetsetsa kuti wodwalayo amatha kupuma popanda kuyenda, makamaka ngati vutoli likuyambidwa ndi chilonda chotseguka, kutuluka mkati. Pofuna kubwezeretsa madzi mu thupi, amaloledwa kupatsa munthu wokhudzidwa madzi ofunda otentha popanda mpweya. Ngati kutentha kwa thupi kukukwera, ozizira compresses (nthawizina ayezi) ayenera kugwiritsidwa ntchito, ndipo kupaka kumafunika kuchitidwa. Ndizosayenera kumwa mankhwala aliwonse, makamaka analgesics, mankhwala odana ndi kutupa ndi mankhwala.