Sepsis - cov tsos mob thiab cov kab mob

Sepsis yog ib qho kab mob uas tshwm sim taus los ntawm lub hav zoov nyob rau hauv cov ntaub so ntswg ntawm lub cev locus. Txawm li cas los, nws muaj ib tug xov tooj ntawm txawv nyob rau hauv kev sib piv nrog rau lwm cov kab mob uas muaj xws li cov etiology, uas yog, sepsis cov tsos mob muaj ib tug txawv daim duab ntawm lub neej yav tom ntej txoj kev loj hlob. Yog hais tias peb xav txog sepsis nyob rau hauv cov nqe lus ntawm tus mob thiab tom ntej kev kho mob, nws piav qhia yuav ua li cas distorted los yog tsis txaus general lom cov tshuaj tiv thaiv ntawm tus kab mob raws li ib lo lus teb rau cov kev taw qhia rau nws nonspecific microbial pathogens. Txawm li cas los, nws yog nrog los ntawm nws cov generalization, nws ntws raws li ib tug txheej txheem muab faib mus rau hauv theem muaj ib tug txawv ntev.

Sepsis - Classification

Muaj plaub yam ntaub ntawv ntawm sepsis, thaum lawv muaj ntau lub npe thiab cais cov neeg phais (pyo-resorptive kub taub hau, hroniosespsis, pyosepticemia, Septicemia) thiab pathologists (hroniosespsis, pyosepticemia, Septicemia thiab bakendokardit). Tsis tas li ntawd, nyob ntawm seb lub rooj vag nkag ntawm sepsis yog muab faib mus rau hauv:

• kho (paraifektsionny);

• tonzilogenny;

• Kev phais;

• leej niam;

• Oto-thiab odontogenic;

• hlab;

• cryptogenic.

Raws li cov nqi ndlwg ntawm tso tawm raws li nram no:

• mob sepsis;

• subacute (7 mus rau 14sutok);

• mob (kwv yees li 5-7sutok);

• fulminant (24 mus rau 48 teev) sepsis.

Muaj kuj yog ib tug faib nyob rau hauv lub cai kev loj hlob ntawm tus soj ntsuam daim duab:

• Thaum - tshwm sim nyob rau hauv ib lub sij hawm tsis ntau tshaj li 3 lub lis piam (ua ntej lub sij txhob ntaub);

• Lig (ntau tshaj 3 lub lis piam).

Nyob rau hauv lub caij nyoog kawg no cov ntaub ntawv rau ntawm qhov chaw ntawm lub homphiaj ntawm kab mob loses tseem ceeb rau lub ntxiv kev kho mob ntawm tus kab mob no. Tsis hais txog ntawm uas nyob rau hauv cov ntaub ntawv no nws yog ib sepsis cov tsos mob.

Lub causative ua hauj lawm ntawm sepsis

Etiology yog ntau haiv neeg raws li sepsis polietiologichen. Foremost cov kab mob uas ua rau sepsis tseem staphylococci. Vim hais tias ntawm lawv, muaj yog kwv yees li 50% ntawm cov neeg. Tom qab lawv yog streptococci, Proteus, thiab Pseudomonas aeruginosa.

Txawm tias muaj tseeb hais tias kev tshwm sim ntawm sepsis yog nonspecific, lub etiology ntawm lub pathogen muaj ib lub zog txhawb rau cov yam ntxwv ntawm nws khiav, uas yog, cov tsos mob ntawm tus kab mob thiab cov kev loj hlob ntawm sepsis yog raws li nram no:

• staphylococci - nyob deb metastasis, lub taub dej khawb mob ntsws;

• streptococci - hais tawm tshwm sim lymphatic (lymphadenitis, lymphangitis), kuj nyob rau hauv ua ke nrog nrog rau lwm cov tshuaj mas siv;

• Pseudomonas aeruginosa - ib tug xob hais tawm, shock tshua;

• E. coli - peritonitis, peritoneal sepsis;

• clostridia - necrosis, gassing, o;

• Bacteroides - DIC.

Tag nrho cov nta yog tshwm sim los ntawm toxins thiab enzymes uas ua los ntawm cov kab mob.

theem ntawm tus kab mob

Tiv thaiv nyob rau hauv tib neeg nyob rau hauv cov ntaub ntawv ntawm sepsis yog tsis ua. Kuaj thiab kho ntawm sepsis hampered los ntawm qhov tseeb hais tias nws tsis muaj tsis tshua mob heev, uas yog cov yam ntxwv ntawm feem ntau kis kab mob. Nws tshwm sim tshwm sim hyperergic tsis txaus cov tshuaj tiv thaiv rau generalized kab mob, nyob rau hauv cov ntaub ntawv ntawm impossibility ntawm nws cov localization.

Tam sim no, muaj cov nram qab no rau theem ntawm tus kab mob, cov tsos mob ntawm sepsis yog sib txawv:

• Kev nyuaj siab - thaum nws yog reflected nyob rau hauv lub teb ntawm lub party pathogen. Nyob rau hauv cov kev tshwm sim hais tias lub zos inflammatory teb yog tsis txaus, tej zaum lub xam nrog ntawm haumxeeb tiv thaiv system, nrog kev koom tes thiab simpatoadrenalovoj gipotalano-pituitary.

• catabolic mob - yog ib tug hnyav noj ntawm enzyme thiab structural reserves ntawm tus kab mob. Nyab haumxeeb decompensation tshwm sim systems.

• anabolic - thaum nws poob rau lub offensive kev cai pib kom zoo.