Hannun Septic

Cututtukan maɓuɓɓugar jini mummunan yanayi ne wanda ke faruwa yayin da kamuwa da cuta daga jiki ke haifar da ƙananan jini mai haɗari.

Raunin sefa yana faruwa a mafi yawan lokuta a cikin tsofaffi da kuma yara. Hakanan yana iya faruwa a cikin mutane masu rauni na garkuwar jiki.

Kowane irin ƙwayoyin cuta na iya haifar da rawar jiki. Fungi da (da ƙyar) ƙwayoyin cuta na iya haifar da yanayin. Guba da kwayoyin cuta ko fungi ke fitarwa na iya haifar da lalata nama. Wannan na iya haifar da ƙarancin hawan jini da kuma aikin gabobi mara kyau. Wasu masu bincike suna tunanin cewa daskararren jini a kananan jijiyoyin jiki na haifar da rashin kwararar jini da kuma rashin ingancin aikin sassan jiki.

Jiki yana da tasiri mai ƙarfi mai kumburi ga gubobi waɗanda ke iya taimakawa ga lalacewar gabobi.

Abubuwan haɗarin haɗarin girgizar ƙasa sun haɗa da:

• Ciwon suga
• Cututtuka na tsarin genitourinary, biliary system, ko tsarin hanji
• Cututtukan da ke raunana garkuwar jiki, kamar kanjamau
• Heunƙun ruwa masu ciki (waɗanda suka kasance a wurin na tsawan lokaci, musamman layukan jijiyoyin ciki da katakon fitsari, da filastik da ƙarfe da ake amfani da su don magudanar ruwa)
• Ciwon sankarar jini
• Amfani na rigakafi na dogon lokaci
• Lymphoma
• Kwanan nan kamuwa da cuta
• Tiyata kwanan nan ko tsarin likita
• Kwanan nan ko amfani da magungunan steroid
• Organaƙƙarfan sashin jiki ko dusar ƙashi

Cututtukan sefan na iya shafar kowane ɓangare na jiki, gami da zuciya, kwakwalwa, kodan, hanta, da hanji. Kwayar cutar na iya haɗawa da:

• Cool, kodadde hannaye da kafafu
• High ko low zazzabi, sanyi
• Haskewar kai
• Kadan ko babu fitsari
• Pressureananan hawan jini, musamman lokacin tsaye
• Matsaloli
• Saurin bugun zuciya
• Rashin natsuwa, tashin hankali, kasala, ko rikicewa
• Rashin numfashi
• Rushewar fata ko canza launi
• Raguwar matsayin hankali

Ana iya yin gwajin jini don bincika:

• Kamuwa da cuta kewaye da jiki
• Cikakken adadin jini (CBC) da kuma sinadaran jini
• Kasancewar kwayoyin cuta ko wasu kwayoyin halitta
• Levelananan matakin oxygen
• Rikici a cikin ma'aunin acid-base na jiki
• Rashin aikin gabobi ko gazawar gabobi

Sauran gwaje-gwaje na iya haɗawa da:

• X-ray na kirji don neman ciwon huhu ko ruwa a cikin huhu (huhu na huhu)
• Samfurin fitsari don neman kamuwa da cuta

Studiesarin karatu, kamar al'adun jini, na iya zama ba tabbatacce na kwanaki da yawa bayan an ɗauke jinin, ko na wasu kwanaki bayan girgizar ta ci gaba.

Hannun baƙin ciki na gaggawa ne na gaggawa. A mafi yawan lokuta, ana shigar da mutane sashin kulawa mai kulawa na asibiti.

Jiyya na iya haɗawa da:

• Na'urar numfashi (samun iska ta inji)
• Dialysis
• Magunguna don magance ƙananan jini, kamuwa da cuta, ko ƙin jini
• Yawan ruwa mai yawa wanda aka bayar kai tsaye cikin jijiya (intravenously)
• Oxygen
• Magungunan bacci
• Yin aikin tiyata don zubar da wuraren da ke fama da cutar, idan an buƙata
• Maganin rigakafi

Za'a iya bincika matsa lamba a cikin zuciya da huhu. Wannan shi ake kira hemodynamic monitoring. Ana iya yin wannan kawai tare da kayan aiki na musamman da kulawa mai kulawa mai kulawa.

Rawan jijiyoyin Septic yana da yawan mutuwa. Adadin mutuwar ya dogara da shekarun mutum da cikakkiyar lafiyarsa, dalilin kamuwa da cutar, da yawa gabobin da suka gaza, da kuma yadda cikin sauri da azama aka fara aikin likita.

Rashin numfashi, gazawar zuciya, ko duk wata gabobin jiki na iya faruwa. Gangrene na iya faruwa, mai yuwuwa ga yankewa.

Jeka kai tsaye zuwa sashen gaggawa idan ka sami bayyanar cututtukan septic shock.

Gaggauta magance cututtukan ƙwayoyin cuta na taimakawa. Alurar riga kafi na iya taimakawa hana wasu cututtuka. Koyaya, ba za'a iya hana yawancin lamura masu saurin tashin hankali ba.

Bacteremic bugawa; Endotoxic girgiza; Tashin hankali; Dumi dumi

Russell JA. Raunin rikice-rikice masu alaƙa da sepsis. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: babi na 100.

van der Poll T, Wiersinga WJ. Cutar Sepsis da taɓarɓarewar fata.A cikin: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, da Ka'idojin Bennett da Aiwatar da Cututtukan Cutar. 9th ed. Philadelphia, PA: Elsevier; 2020: babi na 73.