Ukuphazamiseka okwesifo esithathelwanayo

Lapho umzimba unegciwane namagciwane, la ma-microorganisms akhipha inqwaba yezinto ezinobuthi ezibangela ukushaqeka okuphazamisayo. Ibhekwa ngokudonsa okubukhali ekucindezelekeni kwegazi ngenxa yokwephulwa kwegazi ngaphakathi kwezikebhe. Ezimweni eziningi, lesi simo sinomphumela obulalayo, ikakhulukazi lapho kungekho ukungenelela kwezokwelapha eziphuthumayo.

Izimbangela zokuphazamiseka okwesifo esithathelwanayo

Njengomthetho, i-syndrome ecatshangelwayo ishukunyiswa ngamakhemikhali anobuthi weprotheni yemvelo, ngoba inezilinganiso ezinkulu, ngakho-ke indawo enkulu, lapho ama-molecule e-antigen ekhona khona.

I-toxins eqine kakhulu ene-protein base isungulwe ngamabhaktheriya we-coccal, ikakhulukazi - i-streptococci (i-beta-hemolyzing) ne-staphylococci (igolide). Ngakho-ke, izimbangela ezivame ukushaqeka okubhebhethekisayo yizi:

• Ukushisa, amanxeba anegciwane;
• inkukhu ikhukhu;
• umkhuhlane we-typhoid;
• iphutha le-paratonzillar ;
• i-tracheitis;
• I-AIDS ne-HIV;
• isisu se-postpartum;
• ukusetshenziswa kwamatampu ahlanzekile;
• amanxeba avaliwe;
• ukutheleleka ngemva kokuhlinzwa;
• i-sinusitis;
• i-influenza A igciwane;
• ukusetshenziswa kwezidakamizwa ngokusebenzisa ukuphathwa kwabo okuphambene;
• i-allergen contact dermatitis;
• i-tonsillitis;
• i-pneumonia;
• endocarditis.

Izitebhisi kanye nezimpawu zokushuswa okubangelwa uketshezi

Kukhona ama-degree amathathu e-state echazwe, yilowo nalowo ukubonakaliswa komtholampilo ohambelana nawo kuyimpawu:

1. Ukushaqeka okukhokhelwayo (isigaba 1). Njengoba kuhambisana nenjabulo yesifo, isimo esibi kakhulu somuntu ohlukunyeziwe, isisindo sokukhathazeka, i-acrocyanosis, i-hyperesthesia, i-pallor yesikhumba, iyancipha emtheni we-urine owakhiwe (ngosuku). I-Tachycardia, i-dyspnea yezinga elilinganisiwe nayo iphawulwe.
2. Ukwethuka okuphansi (isigaba sesi-2). Kukhona i-cyanosis yonke, i-hypothermia, i-excitation, elandelwa ukulibazisa kwesimiso sezinzwa, isikhumba blanching, tachycardia, i-oliguria, i-hypokalemia, i-acidosis ne-oksijeni yindlala. Ngaphezu kwalokho, kune-hypotension, isifo se-DIC nesithulu samathoni enhliziyo.
3. Ukuphazamiseka okungekho emthethweni (isigaba 3). Yilona uhlobo olubi kunawo wonke lwe-pathology. Eyaziwa ngokuthi i-cyanosis eyaziwa, ukwehla okukhulu kwegazi, i-hypothermia, ukwephula ulwazi, izinguquko ezingenakuguquka ezingxenyeni zangaphakathi, i-anuria. Ngaphezu kwalokho, kuphawulwe umshini ofana nentambo kanye ne-acousticlic decompensated acidosis.

Kukhona futhi isethi evamile yezimpawu:

• umkhuhlane;
• ukuphuza esikhumbeni, njengokushisa kwelanga;
• ukwanda kokushisa komzimba kuya kuma-degrees 38.9-39.2;
• i-stupor.

Uma ungahlinzeki usizo olufika ngesikhathi, ngemuva kwesiteleka esishaqisayo sokuphazamiseka, i-coma ifika futhi kungenzeka ukuthi umphumela obulalayo uyanda.

Okokuqala usizo oluphuthumayo lokushaqeka okubhebhetheka kalula

Ngaphambi kokufika kwethimba lezokwelapha, lezi zinyathelo ezilandelayo kufanele zithathwe:

1. Beka ibhodlela lamanzi ashisayo ngaphansi kwezinyawo zakho noma ibhodlela lamanzi ashisayo. Vala isisulu ngengubo efudumele.
2. Susa noma ususe izingubo eziphazamisa ukuphefumula okuvamile.
3. Vula amawindi ukuze isiguli sithole umoya omusha.

Odokotela bafaka ngokushesha isikhala esinezinyosi namanzi, kanye nomaski omoya omanzi. Uma kunesidingo, ukuphathwa okuphuthumayo kwamahomoni e-glucocorticosteroid (prednisolone, dopamine) kwenziwa.

Ukwelashwa kokushaqeka okwesifo esithathelwanayo

Lapho efika esibhedlela, isisulu sidluliselwa ekamelweni lokunakekelwa okujulile noma iyunithi yokunakekelwa okukhulu. Ukwelashwa kwenziwa ngosizo lwe amalungiselelo anjalo:

• aminoglycosides kanye ne- cephalosporins ;
• eufillin;
• i-strophantine;
• I-Lasix;
• i-countercracker;
• i-dobutamine;
• i-cocarboxylase;
• i-heparins engenasici;
• izixazululo ze-rheopolyglucin, i-chloride ye-sodium, i- albin, i-insulin ne-glucose.