Nyob rau hauv tsab xov xwm peb yuav xav txog cov tsos mob thiab kev kho mob ntshav lom.
Ib yam kab mob txaus ntshai tshaj plaws yog ntshav sepsis, qhov tshwm sim ntawm qhov tshwm sim tuaj yeem ua rau hnyav heev. Hauv tshuaj, sepsis tseem hu ua ntshav lom. Qhov tshwm sim ntawm tus kab mob no yog vim kev txhim kho ntawm cov kab mob inflammatory tshwm sim rau kev nkag mus ntawm tus kab mob mus rau hauv tib neeg cov ntshav. Qhov hnyav ntawm qhov xwm txheej no yuav raug txheeb xyuas nyob rau hauv rooj plaub ntawm theem siab ntawm pathology, uas tuaj yeem tshwm sim los ntawm kev ua ntawm co toxins uas tau tsim thaum lub sijhawm ua haujlwm tseem ceeb ntawm qee yam kab mob.
Cov tsos mob ntshav lom sawv daws yuav tsum paub.
Qhov tshwm sim ntawm sepsis thiab nws ua rau
Kev txhim kho ntawm sepsis feem ntau yog vim lub cev tsis muaj zog. Qhov ua rau kis kab mob tuaj yeem ua cov kab mob kis tau zoo, piv txwv li, kis kab mob ntawm lub plab zom mov. Qhov kev tso tawm ntawm cov txheej txheem no tshwm sim los ntawm qhov tshwm simtsom mus rau kis kab mob thiab rov nkag mus rau hauv cov ntshav ntawm tib yam kab mob txaus ntshai. Xws li cov kab mob tuaj yeem yog staphylococcus, streptococcus, fungus thiab lwm yam kab mob. Cov tsos mob ntawm ntshav lom hauv tib neeg tsis yooj yim pom thaum xub thawj.
Lub cev tsis muaj zog
Qhov kev pheej hmoo ntawm kev tsim cov kab mob sepsis nce ntau zaus thaum lub cev tsis muaj zog tiv thaiv, tshwj xeeb tshaj yog muaj cov yam ntxwv uas ua rau muaj kev tiv thaiv kev tiv thaiv. Peb tab tom tham txog kev ntxhov siab tsis tu ncua thiab ecology tsis zoo. Lwm yam tseem ceeb suav nrog cov xwm txheej hauv qab no:
- Kev phais mob uas tau nrog los ntawm kev poob ntshav ntau.
- Kev mob qog noj ntshav.
- muaj AIDS.
- Kev mob ntshav qab zib.
Cov tsos mob ntawm cov ntshav lom yog dab tsi, coob leej txaus siab.
Tshuaj
Kev noj tshuaj tiv thaiv kab mob ua lub luag haujlwm tsis zoo hauv kev tsim kab mob. Cov neeg uas muaj keeb kwm ntawm qee yam kab mob ntev yog feem ntau ntawm kev pheej hmoo. Hauv qhov xwm txheej no, txawm tias muaj kab mob tsis zoo tuaj yeem ua rau muaj cov tsos mob ntawm cov ntshav lom, vim tias lub cev tsis muaj zog yuav tsis tuaj yeem tiv nrog tus neeg sawv cev sib kis uas pib ua kom nquag plias thiab txhim kho muaj zog tiv thaiv tshuaj.
Cov tsos mob ntawm pathology
Cov cim qhia ntawm sepsis yog ncaj qha nyob ntawm daim ntawv ntawm tus kab mob, thiab ntxiv rau, ntawm qhov xwm ntawm nwschav kawm thiab localization ntawm kev tsom xam, nrog rau tus nqi ntawm kev kis tus kab mob. Cov tsos mob ntawm cov ntshav lom feem ntau yog raws li nram no:
- Pleness ntawm qhov chaw qhov txhab nrog rau qhov qhuav ntawm qhov chaw cuam tshuam.
- Qhov tsos mob taub hau thiab nce hauv lub cev kub txog 40 degrees. Txawm li cas los xij, qhov kub thiab txias yuav hloov tau txhua hnub.
- Zoo txias thiab ceev lub plawv dhia.
- Kev poob phaus ntawm lub cev.
- txo qis ntshav siab hauv tus neeg mob.
- tshwm sim ua pa luv nrog rau kev tawm hws ntau ntxiv.
- Qhov tshwm sim ntawm thrombosis nrog o.
- Txhim kho lymphadenitis thiab hlwv ntawm daim tawv nqaij, thiab ntxiv rau, herpes ntawm daim di ncauj.
- Zoo los ntshav hauv qhov ncauj.
- Kev pom qhov muag liab ntawm qhov muag sclera.
Duab cov tsos mob ntawm cov ntshav lom neeg tuaj yeem ua rau poob siab. Cov xwm txheej ntawm cov neeg mob sepsis phem zuj zus ntxiv nrog rau lub sijhawm dhau mus. Qhov no yog vim kev ua txhaum ntawm kev ua haujlwm ntawm tag nrho cov khoom nruab nrog cev, los ntawm ob lub raum nrog lub plawv, xaus nrog lub siab, txiav thiab spleen. Hauv ntau lub sijhawm, muaj kev ua haujlwm tsis zoo ntawm cov thyroid caj pas, uas cuam tshuam rau tag nrho cov kab mob endocrine. Tawm tsam keeb kwm yav dhau los ntawm cov tsos mob sepsis, kab mob siab tuaj yeem tshwm sim. Tus kab mob no feem ntau nrog rau kev ua txhaum ntawm lub rooj zaum, thiab tsis tas li ntawd, muaj bouts ntawm xeev siab, tsis qab los noj mov thiab ntuav. Dryness ntawm tus nplaig kuj suav hais tias yog cov tsos mob ntawm cov ntshav lom (daim duab hauv qab no qhia txog nws cov txheej txheem).
Septicopyemia
Ib qho ntawm kev hloov pauvsepsis yog septicopyemia, uas yog tus cwj pwm los ntawm kev tsim cov purulent abscess ntawm ntau yam kabmob, uas, raws li txoj cai, yog nrog los ntawm kev qaug rau lub cev. Nyob rau hauv cov ntaub ntawv uas cov pathology loj hlob tsis muaj metastatic ulcers, peb yuav tham txog xws li ib tug pathology li septicemia. Nws lub ntsiab tseem ceeb yog kev txhim kho nrawm nrog qhov mob hnyav ntawm cov tsos mob ntawm cov ntshav lom.
Kev mob ntshav qab zib
Kev tshawb fawb txog kev kho mob txheeb xyuas ntau yam hauv qab no cov ntaub ntawv tseem ceeb ntawm sepsis:
- Ib hom kab mob ntawm daim tawv nqaij. Daim ntawv no tshwm sim los ntawm kev kis kab mob hauv cov ntshav vim yog kev raug mob ntawm daim tawv nqaij me me, xws li khawb lossis pustular tsim.
- Gynecological daim ntawv. Hom no feem ntau tshwm sim rau cov poj niam thaum lub sij hawm tom qab yug me nyuam los yog tshwm sim ntawm kev rho menyuam.
- Tonsillar daim ntawv ntawm sepsis tuaj yeem tsim los ntawm cov txheej txheem nyuaj ntawm tonsillitis lossis tonsillitis.
- Tus kab mob otogenic tshwm sim vim kev kis kab mob los ntawm pob ntseg. Tus kab mob kuj tuaj yeem nce lub zog tiv thaiv keeb kwm yav dhau los ntawm qhov muaj cov kab mob purulent otitis media.
- Daim ntawv odontogenic ntawm cov ntshav sepsis tshwm sim thaum lub qhov ncauj kab noj hniav kis tau yog tias muaj cov txheej txheem inflammatory ntawm cov pos hniav thiab cov hniav.
- Cryptogenic daim ntawv. Qhov kev kuaj mob no yog tsim thaum lub hom phiaj ntawm qhov mob tsis tuaj yeem txiav txim siab.
Peb tau txheeb xyuas cov tsos mob thiab ua rau ntshav lom. Qhov kev pheej hmoo yog dab tsi?
Yuav ua li cas thiaj tshwm sim?
Qhov tshwm sim ntawm sepsistej zaum yuav ua rau txoj kev loj hlob ntawm ib tug irreversible polysystemic txheej txheem. Qhov tshwm sim ntawm kev qaug cawv ntawm lub cev, nrog rau cov tsos mob saum toj no, ua rau muaj kev hem thawj rau lub neej.
Tawm tsam keeb kwm yav dhau los ntawm cov txheej txheem ntawm ntshav lom, kis kab mob septic shock pib, uas yog qhov teeb meem loj tshaj plaws ntawm tus kab mob. Lub sijhawm kawg ntawm lub xeev ntawm kev poob siab pib nrog cov tsos ntawm kev nco qab, uas tuaj yeem xaus rau hauv lub coma. Nrog xws li tus cwj pwm ntawm lub cev, tus neeg mob tus mob tuaj yeem suav tias yog qhov tseem ceeb. Hauv qhov no, ntshav siab yuav muaj kev poob qis sai. Tus neeg mob nyob rau hauv tus mob no yuav tsum tau ceev resuscitation. Yog tias qhov ntsuas tsis tau ua tiav hauv ib teev, kev tuag yuav tshwm sim tam sim ntawd.
Yuav ua li cas thiaj paub cov cim thiab cov tsos mob ntawm cov ntshav lom raws sijhawm?
ntsuas ntsuas
Kev kuaj mob sepsis suav nrog, ua ntej ntawm tag nrho, kev txheeb xyuas qhov tseeb ntawm cov kab mob uas tau nkag mus rau hauv cov hlab ntsha, thiab yuav tsum tau txheeb xyuas qhov chaw ntawm tus kab mob. Tus neeg mob tau kuaj ntshav, thaum lub biomaterial raug coj los ntawm cov hlab ntsha. Ntawm lwm yam, kab lis kev cai microorganism yog nqa tawm. Ua ke nrog qhov no, qhov ntsuas qhov rhiab heev rau cov tshuaj tua kab mob yog txiav txim siab.
Nyob rau hauv cov xwm txheej nyuaj, kev tshawb fawb thaum muaj xwm txheej ceev tau ua raws li kev tshuaj ntsuam xyuas kom cais cov kab mob caj ces. Siv txoj kev no, tom qab ib teev thiab ib nrab, cov kws kho mob tswj xyuas cov kab mob loj uas ua rau thawj cov tsos mob ntawm cov ntshav lom.
Yuav kho mob sepsis li cas?
Lub hauv paus ntsiab lus ntawm kev kho cov ntshav lom yog tshem tawm qhov kev mob siab rau. Tom qab nws qhov kev txheeb xyuas, cov kws kho mob tshwj xeeb ua kev huv thiab kev phais. Cov kev kho mob muaj xws li kev kho mob ntawm lub qhov txhab nrog kev pab los ntawm ultrasonic tsawg zaus. Rau cov hom phiaj no, cov tshuaj tua kab mob tau ua tiav nrog rau cov enzymes proteolytic.
Kev tshem tawm ntawm qhov tshwm sim yog ua nrog kev pab ntawm kev kho tshuaj tua kab mob. Ncaj nraim, txoj kev kho mob raug xaiv nyob ntawm seb tus kab mob twg. Piv txwv li, yog tias muaj tus kab mob staphylococcal tshwm sim, nws raug nquahu kom siv cov tshuaj xws li Rifampicin thiab Fuzidin.
Txhaj tshuaj tiv thaiv kab mob enzyme yog ua los ntawm cov kws kho mob tshwj xeeb nrog kev pab ntawm cov tshuaj inhibitory. Tsis tas li ntawd, nyob rau hauv kev sib raug zoo nrog tus neeg mob, ib tug infusion ntawm qabzib yog nqa tawm nrog rau kev teem caij ntawm ntau yam vitamins, immunomodulators thiab tshuaj uas muaj proteins. Kev saib xyuas tshwj xeeb yog them rau kev qhia txog cov vitamin B2, uas koom nrog hauv cov txheej txheem metabolic thiab txhawb kev tiv thaiv kab mob.
Nyob rau qee lub sijhawm, cov kws kho mob tshwj xeeb ua qhov kev phais thib ob, uas suav nrog kev qhib qhov abscess thiab khi cov leeg. Ib txoj hauv kev zoo ntawm kev kho tus kab mob no yog suav tias yog kev hloov ntshav. Rau qhov no, cov kws kho mob siv cov ntshav hloov pauv, piv txwv li, "Polyglukin". Cov txiaj ntsig zoo tuaj yeem ua tiav raws li kev ua haujlwm ntawm laser. Txhawm rau kom tsis txhob muaj qhov txo qis hauv cov ntshav tag nrho, cov neeg mob tau sau npe Polydez.
Ntxiv kho cov kev kho mob yog nqa tawm kom ua kom lub cev tsis kam, thiab ntxiv rau nws qhov kev kis tau tag nrho. Hauv qhov no, cov txheej txheem tseem ceeb yog kev hloov kho ntawm tus neeg mob noj zaub mov, uas lawv ntxiv ntau yam rau cov zaub mov suav nrog zaub thiab txiv hmab txiv ntoo uas muaj cov vitamins, thiab cov zaub mov uas muaj calorie ntau tsis tseem ceeb.
Yuav tsum ua li cas thiaj tiv thaiv ntshav?
Kev Tiv Thaiv Ntshav Qab Zib yog ua raws li lub sijhawm tshem tawm ntawm foci ntawm cov kab mob purulent, uas yog qhov ua rau ntshav lom. Tsis tas li ntawd, ua ib feem ntawm kev tiv thaiv kab mob sepsis, kev piav qhia tsis muaj qhov tseem ceeb me me. Lub hom phiaj ntawm txoj haujlwm no yog txhawm rau tiv thaiv kev sim cuam tshuam txog kev kho tus kheej. Nws tseem yog ib qho tseem ceeb heev uas yuav tsum tau nrhiav kev pab kho mob raws sij hawm thaum muaj kev raug mob me me uas yog nrog los ntawm kev mob rwj. Qhov no kuj suav nrog kev tiv thaiv kev kho mob ntawm cov hniav carious, thiab ntxiv rau, kev kho cov kab mob xws li tonsillitis thiab osteomyelitis, nrog rau kev mob ntawm pob ntseg nruab nrab, sinusitis thiab lwm yam kab mob focal ntev.
kev kho neeg zoo
Kev kho mob pej xeem feem ntau rau sepsis yog noj zaub mov uas muaj xim liab. Cov zaub mov no pab ntxuav cov ntshav. Cov no suav nrog, piv txwv li, liab beets nrog rau cov txiv hmab txiv ntoo tsaus, cherries, raspberries, blackberries, cranberries, liab cabbage, tswb peppers thiab liab dos. Nws tseem pom zoo kom siv cov hauv qab notshuaj kho neeg:
- Ncuav ib nrab khob ntawm cov mis nyuj kub, ntxiv cov tshuaj yej tshiab muaj zog rau hauv lub thawv thiab ntxiv ib feem peb ntawm ib teaspoon ntsev. Tom ntej no, sprinkle cov khoom nrog ib tug pinch ntawm crushed dandelion paus. Lub resulting loj yog stirred, txias thiab haus ob zaug ib hnub twg. Kev kho mob tsuas yog ib lub lis piam xwb. Thaum yav tsaus ntuj, koj tuaj yeem ntxiv me ntsis zib mu.
- Nws yog ib qho tsim nyog los ntxuav cov hnyuv los ntawm txoj kev enemas los ntawm cov dej ntsev. Enemas tau muab txhua hnub txhawm rau tshem tawm toxins.
- Crushed nettle nplooj yog siv rau lub qhov txhab festering raws li ib feem ntawm thawj pab, uas yuav pab kom txhob muaj ntshav lom.
- Txhawm rau tiv thaiv qhov tshwm sim ntawm kev kis kab mob thiab tshem tawm nws cov tsos mob, cov kws kho mob pom zoo kom siv cov kua txiv cranberry tshiab, uas yuav tsum haus dej haus hauv thawj lub lim tiam hauv ib khob peb zaug hauv ib hnub.
Ua li ntawd, qhov tseem ceeb tshaj plaws yog txhawm rau kuaj ntshav lom hauv lub sijhawm thiab pib kho nws nrog tshuaj tua kab mob tam sim ntawd. Qhov no yog qhov tseem ceeb tshwj xeeb tshaj yog rau cov neeg mob uas txo qis kev tiv thaiv, vim lawv tsis tshua pom cov tsos mob ntawm tus kab mob hauv lawv lub cev.
Peb saib cov tsos mob thiab kho ntshav lom.
