Sepsis

ʻO Sepsis kahi maʻi i loaʻa i ke kino ka hopena koʻikoʻi, hoʻonāukiuki i nā bacteria a i ʻole nā ​​g germ.

ʻAʻole hoʻokumu ʻia nā ʻōuli o ka sepsis e nā g germ iho. Ma kahi o, nā kemika a ke kino e hoʻokuʻu i ke kumu.

Hiki i kahi maʻi bacteria i nā wahi āpau o ke kino ke hoʻonohonoho i ka pane e alakaʻi ai i ka sepsis. ʻO nā wahi maʻamau kahi e hoʻomaka ai kahi maʻi i ka:

• Kahe koko
• Iwi (maʻamau i nā keiki)
• ʻŌpū (ʻike mau ʻia me ka peritonitis)
• Nā hakuʻala (maʻi urinary tract maʻi, pyelonephritis a i ʻole urosepsis)
• Ka pale o ka lolo (meningitis)
• ʻO ke ake a i ʻole he gallbladder
• Nā puʻupuʻu (pneumonia bacterial)
• ʻIli (cellulitis)

No nā poʻe i ka haukapila, ʻo nā wahi maʻamau o ka maʻi e komo i nā laina intravenous, nā ʻokiʻoki, nā ʻauwai ʻoki, a me nā wahi o ka ʻeha o ka ʻili, i ʻike ʻia ma ke ʻano he bedores a i ʻole nā ​​ulia puʻe.

Hoʻopili pinepine ka Sepsis i nā pēpē a i ʻole nā ​​mākua makua.

I ka sepsis, hāʻule ke kaomi koko, e hopena i ka haʻalulu. ʻO nā ʻōnaehana nui a me nā ʻōnaehana o ke kino, e laʻa me nā puʻupaʻa, ke ake, nā akemāmā, a me nā ʻōnaehana waena e pau paha ka hana kūpono ʻana ma muli o ke kahe o ke koko maikaʻi.

ʻO ka hoʻololi i ke kūlana noʻonoʻo a me ka hanu wikiwiki loa paha nā hōʻailona mua loa o ka sepsis.

Ma ka laulā, hiki i nā ʻōuli o ka sepsis ke komo pū me:

• ʻO Chills
• Huikau a delirium paha
• Fiva a i ʻole haʻahaʻa kino mahana (hypothermia)
• Lightheadedness ma muli o ka hoʻohaʻahaʻa o ke koko
• Kuʻi puʻuwai wikiwiki
• ʻIli ʻili a i ʻole ʻili mottled
• ʻIli pumehana

E nānā ka mea mālama ola i ke kanaka a nīnau e pili ana i ka mōʻaukala o kēlā kanaka.

Hoʻopaʻa pinepine ʻia ka maʻi e ke hōʻike koko. Akā ʻaʻole hiki i kahi hōʻike koko ke hōʻike i ka maʻi i nā poʻe i loaʻa i nā lāʻau ʻaloʻalo. ʻAʻole hiki ke ʻike ʻia kekahi mau maʻi e hiki ai ke hoʻohuna i ka sepsis e kahi hōʻike koko.

Nā hoʻokolohua ʻē aʻe i hana ʻia e hoʻopili ʻia:

• ʻOkoʻa ke koko
• Nā kinoea koko
• Nā hoʻāʻo hana hakuʻala
• Helu pālaha, nā huahana degradation fibrin, a me nā manawa coagulation (PT a me PTT) e nānā ai no ka pilikia o ke kahe ʻana o ke kahe.
• Helu keʻokeʻo koko keʻokeʻo

E hoʻokomo ʻia kahi kanaka me nā sepsis i kahi haukapila, ma ka maʻamau i ka keʻena mālama maʻi (ICU). Hāʻawi pinepine ʻia nā antibiotic ma o kahi aa (intravenously).

ʻO nā lāʻau lapaʻau ʻē aʻe e pili pū me:

• Ka oxygen e kōkua i ka hanu ʻana
• Hāʻawi ʻia nā wai i loko o kahi aa
• Nā lāʻau e hoʻonui ai i ke kahe o ke koko
• Dialysis inā loaʻa ʻole ka hakuʻala
• ʻO kahi mīkini hanu (ʻenekini mīkini) inā loaʻa ʻole ka hū

Hoʻoweliweli pinepine ʻo Sepsis i ke ola, keu hoʻi i ka poʻe me ka ʻōnaehana pale nawaliwali a i ʻole kahi maʻi lōʻihi (maʻi mau).

ʻO ka hōʻino ma muli o ka emi ʻana o ke kahe o ke koko i nā mea ola e like me ka lolo, ka puʻuwai, a me nā puʻupaʻa e hoʻolōʻihi i ka manawa e hoʻomaikaʻi ai. Hiki paha i nā pilikia lōʻihi me kēia mau ʻōpū.

Hiki ke hoʻemi ʻia ka makaʻu o ka sepsis ma ke kiʻi ʻana i nā lāʻau āpau āpau i kākoʻo ʻia.

I ka haukapila, hiki i ka holoi lima akahele ke pale aku i nā maʻi i loaʻa i ka haukapila e hiki ai i ka sepsis. ʻO ka wehe koke ʻana o nā cateter urinary a me nā lālani IV ke ʻole pono lākou e hiki ke kōkua i ka pale ʻana i nā maʻi e hiki ai i ka sepsis.

Septicemia; Maʻi maʻi Sepsis; Syndrome pane hōʻino ʻōnaehana; SIRS; Hoʻoweliweli Septic

Shapiro NI, Jones AE. Nā syndrome Sepsis. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 130.

Mea mele M, Deutschman CS, Seymour CW, et al. ʻO ka wehewehe ʻekolu o ka ʻae aelike kūloko no sepsis a me septic shock (sepsis-3). JAMA. 2016; 315 (8): 801-810. PMID 26903338 pubmed.ncbi.nlm.nih.gov/26903338/.

van der Poll T, Wiersinga WJ. Hoʻoweliweli Sepsis a me septic. I: Bennett JE, Dolin R, Blaser MJ, hua pā. ʻO Mandell, Douglas, a me Bennett's Principle a me ka hoʻomaʻamaʻa ʻana i nā maʻi kūpilikiʻi. 9th ed. Piladelapia, PA: Elsevier; 2020: chap 73.