Hoʻoweliweli Septic

ʻO ka haʻalulu Septic kahi kūlana koʻikoʻi i kū i ka wā a kahi maʻi ma ke kino e alakaʻi ai i ke kaomi haʻahaʻa haʻahaʻa haʻahaʻa.

Kū pinepine ka haʻalulu Septic i ka ʻelemakule a me ka ʻōpio. Hiki paha i nā poʻe me nā ʻōnaehana pale nāwaliwali.

Hiki i kekahi ʻano bacteria ke hoʻopūʻiwa i ka septic. Hiki i nā fungi a me (mauʻu) nā virus ke kumu i ke ʻano. Hoʻokuʻu ʻia nā toxine e nā koʻohune a fungi paha e hōʻino ai i nā ʻaʻa. Hiki i kēia ke alakaʻi i ka haʻahaʻa o ke koko a me ka hana o ke kino maikaʻi. Manaʻo kekahi o nā kānaka noiʻi ʻo ke kahe ʻana o ke koko i nā aʻa liʻiliʻi e kumu ai ka nele o ke kahe o ke koko a me ka hana maikaʻi ʻole o ka meaola.

He ikaika ka pane ʻana o ke kino i nā toxine i hiki ke kōkua i ka hōʻino ʻana o nā meaola.

ʻO nā kumu pilikia no ka weliweli septic pū kekahi:

• Diabetes
• Nā maʻi o ka ʻōnaehana genitourinary, ʻōnaehana biliary, a ʻōnaehana ʻōpū paha
• Nā maʻi e hoʻonāwaliwali ai i ka ʻōnaehana pale, e like me ka maʻi ʻaʻa
• ʻO nā catheters e noho ana (nā mea e waiho mau i nā wahi no nā wā lōʻihi, keu hoʻi o nā laina intravenous a me nā cateter mimi, a me nā stent ea a me nā metala i hoʻohana ʻia no ka hoʻokahe ʻana
• Leukemia
• Hoʻohana lōʻihi o nā antibiotic
• Lymphoma
• ʻO ka maʻi i hala iho nei
• ʻO ke kaukana hou a i ʻole ke kauka
• Hoʻohana a hoʻohana hou paha o nā lāʻau steroid
• ʻO ke kuʻi paʻa a i ʻole ka hoʻoneʻe iwi iwi

Hiki i ka haʻalulu Septic ke hoʻopili i kekahi ʻāpana o ke kino, e like me ka puʻuwai, ka lolo, nā puʻupaʻa, ke ake, a me nā ʻōpū. Pākuʻi ʻia paha nā ʻōuli:

• ʻOluʻolu, pale nā ​​lima a me nā wāwae
• ʻO ke aniani kiʻekiʻe a haʻahaʻa paha
• ʻĀlohilohi
• Liʻiliʻi a ʻaʻohe mimi paha
• Ke kahe haʻahaʻa, ʻoi loa ke kū ʻana
• Palpitations
• Helu puʻuwai wikiwiki
• Hoʻomaha ʻole, hoʻonāukiuki, lethargy, a huikau paha
• Pokole o ka hanu
• ʻO ka wīwī a i ʻole kahi hoʻoliʻiliʻi
• Ua emi ke kūlana noʻonoʻo

E hana ʻia paha nā hoʻāʻo koko e nānā no:

• ʻO ka maʻi a puni ke kino
• Helu piha ke koko (CBC) a me ke kemika o ke koko
• Ka loaʻa ʻana o ka bacteria a i ʻole nā ​​meaola ʻē aʻe
• Pae ʻokikene haʻahaʻa haʻahaʻa
• Hoʻopilikia i ke koena o ke kino acid-base
• Nā hana ʻino a maikaʻi ʻole paha o nā organ

Hiki i nā hoʻokolohua ʻē aʻe ke:

• ʻO kahi hihi x e nānā ai no ka niumonia a me ka wai i nā akemāmā (edema pulmonary)
• ʻO kahi laʻana mimi e nānā i ka maʻi

ʻO nā haʻawina hou, e like me nā moʻomeheu koko, ʻaʻole paha e lilo i mea maikaʻi no kekahi mau lā ma hope o ka lawe ʻia ʻana o ke koko, a i ʻole no kekahi mau lā ma hope o ka ulu ʻana o ka haʻalulu.

ʻO ka haʻalulu Septic kahi pilikia olakino. I ka hapanui o nā hihia, ʻae ʻia ka poʻe i ka hale mālama mālama nui o ka haukapila.

Hiki ke hoʻopili ʻia i ka mālama ʻana:

• Mīkini hanu (mehana ea)
• Dialysis
• Nā lāʻau e mālama i ke koko haʻahaʻa, maʻi, a i ʻole ke kō ʻana o ke koko
• Hāʻawi pololei ʻia ka nui o nā wai i loko o kahi aa (intravenously)
• Oxygen
• Nā sedatives
• ʻO ke kaha e hoʻokahe i nā wahi i loaʻa i ka maʻi, inā pono
• Nā Antibiotics

Hiki ke nānā ʻia ke kaomi o ka puʻuwai a me nā akemāmā. Kapa ʻia kēia he hemodynamic monitoring. Hiki ke hana i kēia me nā lako hana kūikawā a me nā kahu hānai mālama nui.

He kiʻekiʻe kiʻekiʻe ka make o Septic shock. Aia ka nui o ka make i ka makahiki o ke kanaka a me ke olakino holoʻokoʻa, ke kumu o ka maʻi, ehia mau ʻōpū i holo pono ʻole, a pehea ka wikiwiki a me ka ikaika i hoʻomaka ai ka lāʻau lapaʻau.

Hiki ʻole ke hanu ʻana i ka hanu, ka ʻole o ka naʻau, a i ʻole nā ​​hanana ʻōpū ʻē aʻe. Kū paha ʻo Gangrene, alakaʻi paha i ka ʻoki.

E hele pololei i kahi keʻena pilikia inā hoʻomohala ʻoe i nā ʻōuli o septic shock.

Kōkua ka mālama koke ʻana i nā maʻi bacteria. Hiki i ke kano ʻana ke pale aku i nā maʻi. Eia nō naʻe, ʻaʻole hiki ke pale ʻia nā hihia he nui o ka haʻalulu septic.

Hoʻopūʻi koʻohune; Hoʻoweliweli endotoxic; Hoʻoweliweli Septicemic; Hoʻoho wela

Russell JA. Nā hāmeʻe Shock e pili ana i ka sepsis. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 100.

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.