Matendawa, omwe ali m'dera lachipatala amatchedwa sepsis, amaonedwa kuti ndiwo amodzi owopsa kwambiri. Kutenga mwazi kumakhudza thupi lonse, kuphatikizapo mucous membrane, tizilombo tofewa ndi tizilombo toyambitsa matenda. Zotsatira zake, njira yotupa imafalikira ndi mphenzi, ndipo tizilombo toyambitsa matenda timatulutsa zinthu zoopsa zomwe zingatitsogolere ku zotsatira zakupha.
Zizindikiro zoyamba za matenda a magazi mwa anthu
Chikhalidwe chachikulu chizindikiro cha sepsis pa chiyambi cha matenda:
- kuzizira, kupita mu dziko la febrile;
- Kuthamanga pakhungu, kawirikawiri kumatulutsa magazi, koma nthawi zina kumakhala kosalala;
- malemba ndi mafupa ( myalgia );
- zofooka mu minofu, zamantha;
- kutopa kwathunthu, kugona.
Ndikoyenera kudziwa kuti mawonetseredwe oyambirira a chipatala amadalira mwachindunji ndi wogulitsa causative wa sepsis. Nthawi zina, zizindikiro siziripo, ndipo nthawi zina zimafika ndikufulumira kwambiri, mkati mwa maola 24-48.
Kodi kachilombo ka HIV kamapezeka bwanji?
Kuonjezera kwa chiopsezo cha matenda a chilengedwe kumakhala ndi zizindikiro:
- kuwonjezeka mu kukula kwa nthenda ndi chiwindi;
- kuwonjezeka kwakukulu kwa kutentha thupi kwa chizindikiro cha madigiri 40 kapena kuposa;
- Kulekana kwakukulu kwa thukuta;
- zovuta;
- kusowa kudya, kudya kapena anorexia ;
- kuchepetseratu mu mphamvu ya kupachika kwa minofu yonse mu thupi (hypodynamia);
- kupanga mapulogalamu akuluakulu m'matenda;
- Kutsekula m'mimba ndi kusanza, zomwe zimayambitsa kutaya madzi kwa madzi, matenda ena owopsa;
- kumva ludzu;
- kusakhazikika kwa maganizo (kusasamala ndi kukhumudwa, kusandulika chisangalalo chosangalatsa, euphoria);
- chithunzithunzi cha khungu la nkhope;
- kutupa kwa masaya;
- maonekedwe a mawanga ofiira kapena magulu pamapewa, poyambira (chifukwa cha kuchepa kwa petechial);
- Kutuluka magazi kwa mucous nembanemba, makamaka m'kamwa;
- zilonda zapakhosi za milomo;
- kupuma kovuta;
- malungo ndi zonyenga.
Mawonetseredwe awa a kachipatala amachokera chifukwa cha kuledzera kwa thupi ndi zinthu zovulaza, zomwe zimapangitsa tizilombo toyambitsa matenda panthawi yofunikira kwambiri. Poizoni ndi poizoni, zomwe zimagwidwa m'magazi ndi mitsempha, zimangoyamba kufalikira thupi lonse, kulowa m'ziwalo zofewa, ziwalo zamkati, ziwalo zamkati komanso kuphatikiza mafupa.
Zotsatira za poyizoni magazi
Popanda mankhwala okwanira a antibiotic, zotsatira za matendawa ndi zosokoneza - ntchito za thupi lonse zimasokonezeka, zizindikiro za peritonitis, chibayo amavumbulutsidwa. Komanso, pali hypotension, kutayika kwa ziwalo zambiri, hypoperfusion. Ngati kuchepa kwa magazi kumakhala kochepa, zimakhala zoopsa kwambiri, kenako zimafa.
Kodi kachilombo ka magazi kakuchitidwa?
Mankhwala a sepsis amachitidwa kuchipatala, ndi kupatukana kwakukulu. Njira yothandizira yothandizira ili ndi:
- Kulandizidwa kwa mankhwala akuluakulu a mankhwala opha tizilombo, poganizira zokhudzidwa ndi mabakiteriya-tizilombo toyambitsa matenda ku mtundu wosankhidwa wa mankhwala.
- Kugwiritsa ntchito mankhwala a sulfonamide gulu.
- Kuonjezera kuteteza thupi kwa mavairasi
mabakiteriya mothandizidwa ndi mavitamini, mankhwala osokoneza bongo, kupititsa patsogolo zakudya zabwino komanso zakudya zamapuloteni. - Kuchulukitsa magazi kapena m'malo mwake.
- Kugwiritsa ntchito serums yapadera ya antiseptic serums.
- Kuyamba kwa autovaccine, komanso gamma globulins.
Ngati pali zilonda zapachipatala kapena mankhwala opatsirana, mankhwala am'deralo amathandizidwanso, nthawi zina - opaleshoni yophatikizapo mankhwala osokoneza bongo, mankhwala ophera tizilombo toyambitsa matenda, kukhetsa madzi, kusuntha kapena kugwiritsa ntchito mapulasitiki.