Ukulimala okukhulu komzimba kumzimba kuholela ekwephuleni kwegazi lamathambo, futhi ngenxa yalokho, ukwehluleka kwamalungu amaningi. Lesi simo sibonisa ukwethuka okwesabekayo, okubhekwa njengenye yezinkinga eziyingozi kakhulu zokutheleleka, njengama-40% amacala aphethwe umphumela obulalayo.
Ukushaqeka kwe-Septic nokwethuka kwe-septic
Ukusabela kwamasosha omzimba ekuphenduleni ukutheleleka ngegciwane lesandulela ngculazi liqukethe uchungechunge lwezibonakaliso zemitholampilo ezilandelanayo. Ukuqhubekela phambili kwenqubo yokuvuvukala kwesistimu kubangela ukuphazanyiswa cishe zonke izitho kanye nezicubu, kuvimbela ukufinyelela kwegazi futhi, ngokufanele, i-oxygen kubo. Izibonakaliso zokugcina zokuhluleka kwamagciwane amaningi kanye ne-hypotension ehlelekile yi-sepsis ejulile kanye nokushaqeka okwesifo esiwumshayabhuqe noma we-septic. Le syndrome ibuye ibonakale ngokuhlukumeza okukhulu kwazo zonke izinhlelo, ukuhlasela kwama-bacterium e-pathogenic egazini naseLymph.
Ukushaywa kwe-Septic ku-gynecology
Kulo mkhuba, ukukhubazeka kwenzeka kulezi zimo ezilandelayo:
- izifo ezithathelwanayo emva kokukhipha isisu;
- i-chorioamnionitis;
- i-mastitis ye-purulent ;
- i-pyelonephritis (kubesifazane abakhulelwe).
Kumama omama, ukushaqeka okwezinye izikhathi kubangelwa ukuthi i-hormostal hemostasis (ukungalingani kwamagestagens kanye nama-estrogen) kanye nokujikeleza kwegazi esibelethweni kuyashintsha. Ngaphezu kwalokho, kunezinkinga zokugqoka kanye ne-hyperlipidemia.
Lapho wenza isisu, ama-clots wegazi, ngisho nezingxenye ezisele ezenzweni ze-fetal, ngokuvamile zishiywa. Ziyisidingo esifanelekayo sezakhi ezincane ze-microorganisms, ukusiza ukutheleleka nokuhlasela kwamagciwane ngaphakathi kwegazi.
Ukwelashwa kokushaqeka kwe-septic
Naphezu kwentuthuko emithi kanye nokuthuthukiswa kwama-antimicrobial amasha, ukushona ngenxa yesimo esichaziwe kuphezulu kakhulu. Ngakho-ke, ngokushaqeka ngokweqile, ukwelashwa okunamandla kuyadingeka emnyangweni okhethekile weziguli. Izimiso eziyinhloko zokwelashwa yizinto ezilandelayo:
- Ukuhlanzeka noma ukususwa kwe-foci yokutheleleka ngama-microorganisms, ukugcoba izigxobo, ukugubha amanzi.
- Isingeniso nge-intravenous noma nge-infusion yama-antibiotic ebanzi. Okokuqala, ukuhlolwa kwegazi (isiko lesibhaktheriya) kufanele kwenziwe futhi ubuzwe bezinambuzane emithonjeni ekhethiwe kufanele kuqiniswe.
- Ukugcwaliswa kwenani eliphelele lokujikeleza igazi.
- Ukuxoshwa komzimba, ukusizwa kwenqubo yokuvuvukala.
- Ukubuyiselwa kokuphefumula ngokuhluleka okukhulu kwephaphu.
- Ukuqedwa kwe-hemocoagulation.
- Ukulinganisa kwamanzi kanye ne-electrolyte balance of lymph kanye negazi.
Imithi elandelayo isetshenziselwa izinqubo ezingenhla:
- Ampicillin;
- I-Gentamicin;
- I-benzylpinicillin (usawoti sodium);
- I-Claforan;
- I-Prednisolone;
- izixazululo ze-colloidal;
- I-Tracerol;
- Gordoks;
- I-Contrikal ;
- I-Heparin;
- Fraksiparin;
- I-Trental.
I-Vitaminotherapy kanye nezidakamizwa ezinyathelo lokuzivivinya umzimba kuyoba yinto engafaneleki.
Ukunakekelwa okuphuthumayo kokuthungwa kwe-septic ukubiza ngokushesha iqembu lezokwelapha futhi uqinisekise ukuthi isiguli siphumule ngokuphelele ngaphandle kokunyakaza, ikakhulukazi uma isimo esibuzwayo sibangelwa isilonda esiphelele, esigaweni sangaphakathi. Ukubuyisela ukulinganisela kwamanzi emzimbeni, kuvunyelwe ukunikeza umuntu othintekayo amanzi afudumele abilayo ngaphandle kwegesi. Uma izinga lokushisa lomzimba liphakanyiswa, ukucindezeleka okubandayo (ngezinye izikhathi iqhwa) kumele kusetshenziswe, futhi ukuxubha kufanele kwenziwe. Kuyinto engathandeki ukuthatha noma yimiphi imithi, ikakhulukazi i-analgesics, imithi elwa nokuvuvukala nemithi elwa namagciwane.