Cryptogenic sepsis: tohumate me te maimoatanga

Ka rite ki mohiotia te, Ka taea e mate inflammatory pā tetahi okana. E wehea ratou ki e rua ngā momo: tukanga whakapeka, me te ma'i. maha arata'i tātaritanga wā me te maimoatanga o pathologies inflammatory ki te rongoa oti murunga ranei. Ki te ngoikore te pūnaha ārai mate te, kauneke te mate. Ahakoa o te wāhi, kei te wehe tonu te pokapū o te mumura. kia puta nga awenga kino o te tukanga horapa ranei i te ngaro o te maimoatanga. Ka rite ki te hua, tomo matūriki kitakita te bloodstream. huaina ana tēnei huru te sepsis. Ko te tino kino taua pōauautanga no te mea e taea e arahi i te reira ki te ru, me te mate.

sepsis Cryptogenic - he aha te mea te reira?

Tei runga i te wāhi o te puna tuatahi o te mumura e maha ngā momo o sepsis. Ko reira utu te haamana'oraa e ki te tomo ki o tukumate i roto i te toto e taea meinga tetahi mate. Te nuinga o kakā take, ngā tukanga inflammatory o te kiri, mangai, otolaryngology. I roto i ētahi wā, e kore ko te aronga tuatahi. Katahi ka karangatia e te huru ko "sepsis cryptogenic." e kore e tenei tātaritanga tikanga e kore te arotahi inflammatory tuatahi ko reira. Otiia, i te wa o te tirohanga o te huakita i hinga kē ki te bloodstream me horapa puta noa i te tinana. Ko reira e kore e taea ki te whakatū i te take o te sepsis. Tenei momo o te mate ko etahi iti noa. sepsis Cryptogenic - huakita paihana toto he kahore aronga inflammatory tuatahi whakapumautia. E mea pinepine puta māuiuitanga i roto i nga kohungahunga halá, iwi ki te ngoikore ngā pūnaha ārai mate. I roto i te nuinga o te wā, he uaua te mate. A, no te wā tīmataria ai te whakaora e therapy.

Ko te take o te sepsis cryptogenic

Ki te tāuta koe ko te aronga inflammatory tuatahi uaua, a kua ngoto kua nga huakita ki te toto, te tātaritanga kitea o "sepsis cryptogenic." kia rerekē nga take o tenei mate. Tikanga he rerekē i ētahi atu momo o te sepsis te etiology. Ko te rerekētanga ko e hohoro rawa te mumura i roto i tetahi okana whakawhanake wātea i te mate i roto i te manawanui kei te tino heke ranei. I tenei wa i te tīmatanga o te mate i mua i mate (ruma pakaruhanga) iti te. I roto i tenei take, e kore te manawanui i whai wa ki te matau te mea ka anga nga tohumate ki whakararuraru ia i roto i te wahi tuatahi. I roto i te nuinga o ngā tūroro, te pae tuatahi e kitea ai e i muri i te rangahau. Ki te kore tonu e kitea taua mea, whakarōpūtia te māuiuitanga e rite sepsis cryptogenic. Ko te take o te mate:

1. whakapokenga huakita. āpiha te pīmua o sepsis taea e tetahi moroiti. Nuinga o ngā wā staphylococci reira me streptococci, Proteus, Pseudomonas aeruginosa ko Escherichia coli.
2. microflora herenga pathogenic. Ka rite ki mohiotia te, i roto i te tinana i reira ko te rota o te huakita katoa e kitea i roto i te täkupu. Na roto i te whakaiti i te korero ārai microflora kapo tīmata ki te whakapiki ake i, e arata'i ki tini o nga mate. Ka rite ki te putanga, ka taea e te whakawhanake sepsis cryptogenic.
3. Mate meinga e harore pathogenic (Candida).
4. Paraimere, me te ārai Tuarua (HIV).
5. Wā o te prematurity, kohungahunga ki taimaha whanau iti (i raro i 2 kg).
6. mate Intrauterine.

Ko te tikanga o te sepsis

sepsis Cryptogenic - he aha te mea te reira? he tātaritanga taua ko te ngaro o te mate tuatahi e taea arahi ki poisoning toto. Kei te karanga a hoki sepsis Cryptogenic tuatahi, idiopathic ranei. puta te reira na roto i te ingestion o tukumate ki te bloodstream. Ka rite ki te hua, horahia nga huakita, puta noa i te tinana. Nō reira, kia kia kei nga pāpaka inflammatory i roto i te maha o nga wahi. I tua atu, i te whakawhanake i haurangi kitakita. I roto i ngā take pēnei, taea ki te akakoromaki i te maha nui o tukumate te pūnaha ārai mate he. E arata'i pinepine te tenei huru ki te takahi o te pūnaha Cardiovascular. Ka rite ki te hua o te whakawhanake ru kitakita. Ko te tino kino, me te maha mate tenei pōauautanga.

sepsis cryptogenic Whakarōpū

Hoatu e te wāhi tuatahi o te arotahi pathological he unknown, e kore e whakarōpūtia ngā sepsis cryptogenic rite ki te pūtake etiological. Otiia, he mea e tika ana ki te whakatū i te kaihoko hopuhopu mō te therapy paturopi tika. Ka rite ki te tahi atu momo o sepsis, e taea tenei māuiuitanga ahua puta i roto i ngā puka e rua. Heoi, e kore e tenei whakarōpū pā te waitohunga o te mate. puka Cryptogenic o paihana toto:

1. Septicaemia. fakahu'unga te reira i te aroaro o te microflora kitakita fungal ranei, komuhumuhu i roto i te tinana. Otiia e kore tukumate e hanga aronga o mate.
2. Pyosepticemia. I tua atu ki te aroaro o te huakita i roto i te toto, ko te Pākehā i kitea ai o whēkau. E putu te nuinga tukumate o te mate (whakatakotoria) i roto i te pūkahukahu, roro, kōhao puku. Ka rite ki te hua, e ēnei wāhanga i hanga aronga o purulent mumura.

te wehewehe i te akoranga haumanu fulminant, sepsis whakapeka, me te ma'i. I roto i te take tuatahi, whakawhanake te mate i roto i nga ra tuatahi i muri i te kătahi tukumate me te āhuatanga e pōrearea nui o whēkau me ngā pūnaha. sepsis whakapeka pumau e pā ana ki 2-4 wiki. kia haere tonu te rongo ma'i mō ētahi marama noa tau ranei. Kei te āhuatanga i te reira e te whanaketanga o exacerbations me remissions. I roto i ētahi wā, i reira he he akoranga kōwhiringa subacute o sepsis. Ko tōna roanga mai i te 6 ki te 12 wiki.

Tohu sepsis cryptogenic

tirohia Just te toto mo te sterility, te mea e ahei ki te whakawa mehemea te sepsis cryptogenic tangata. kia rite Tohu o tenei mate maha atu mate. Ko e tika ana ki te meka i whakawhanakehia ngā tukanga inflammatory katoa haurangi tenei. Heoi, kia whakapae tō tākuta te mate i runga i te pūtake o āhuatanga pikitia haumanu. I roto i te wahi tuatahi, te whakaaro he tātaritanga taua te ki te whakarerenga o te tahi atu disorders inflammatory anake. Wehewehe i te tohu e whai ake nei o te sepsis:

1. Nui ake te pāmahana tinana ki 39-40 nekehanga. tahi tūāhuruiti e Chills, sweating me te ānini.
2. Ino. A, no te puta sepsis ngoikore, te mamae i roto i uaua me hononga kahore te localization motuhake, heke hiahia.
3. Tachycardia - nui haere auau ngakau.
4. e tukupu ana pēhanga toto.
5. Nui ake auau romahā.
6. mahi ate rerekē. Whanaketanga o jaundice puta, hua i roto i te rahi te tinana (hepatomegaly).
7. pāpaka gastrointestinal. I roto i te tahi mau tūroro, i reira te mea he pouri heamana (korere), whakapairuaki, me te ruaki.
8. Ko te ahua o pakaruhanga toto i runga i te kiri.

a kia puta atu tohu i roto i te whanaketanga o te septicopyemia. whakawhirinaki ratou i runga i te localization o pāpaka inflammatory. Mea pinepine whakawhanake endocarditis, kakā.

paearu tātaritanga mō te sepsis cryptogenic

Hoki paearu tātaritanga mō te sepsis ngā faaiteraa haumanu o te mate, me nga huringa kitea i roto i taiwhanga tikanga mauhaa ranei. Tuatahi o te katoa e whakarongo ki te huru whānui o te manawanui. I tona te ähua hoki te torutoru nga ra, ahakoa te taeraa mai o te therapy paturopi, e taea te whakapae sepsis cryptogenic. Tohu e tohu i te mate, - mea oneone (hina) tae o te kiri, ngoikore nui, kirika me te ahua o te pakaruhanga toto kiri. He he ano hoki te āhuatanga faaiteraa haumanu kia ngā tāpiritanga o te jaundice me hepatomegaly. I roto i te aroaro o enei tohu e hospitalize tonu te manawanui, me te whakahaere i te rangahau.

Laboratory me mauhaa tātaritanga

sepsis Cryptogenic ka reira e nui ngā rerekētanga i roto i ngā tawhā taiwhanga. Te KLA tohua leukocytosis, thrombocytopenia, me anemia, me te te whakatere o te ESR. kia Bacteria reira e kore anake i roto i te toto, engari ano hoki i roto i te mimi. Huringa kitea i roto i te kuputohu matüora. Ko ētahi o ēnei ko te ahua o te pūmua C-urupare, kia whakapiki ake i te taumata o te bilirubin, ALT, AST (ki te mate ate). Ko te tohu matua o te sepsis ko te whakamātautau toto mo sterility (ahurea i runga i te microflora toto). Na roto i tenei ako e taea tatou te whakatau i te kaihoko fakatupu o te mate, me te tukinotia.

kawea Tātaritanga te atu ki te kitea pāpaka ero. Hoki tenei whakamana te pouaka X-ray, ultrasound o te puku me papatoiake. E mea pinepine kitea mumura i roto i te pūkahukahu - kakā, whakarahi o te ate - hepatomegaly.

sepsis Cryptogenic: waehere rite ki ICD-10

Ka rite ki ki tetahi māuiuitanga, te mate he waehere motuhake i roto i te International Whakarōpū. Kei te whakaturia e ia ki runga ki te tukumate e meinga te sepsis cryptogenic rānei. ICD-10 - he whakarōpū motuhake, i te mea tika te ao. Kei te te hītori hauora tuatahi i tuhituhia, tātaritanga whaiaro, a ka te waehere. I roto i te take cryptogenic sepsis KarereHuna e pai A41.9 (septicaemia unadjusted). mahino te kitenga waehere ICD-10 tākuta o tetahi whakahaere hauora i roto i tetahi atu whenua te mea i kitea te tātaritanga ki te manawanui.

pōauautanga taea o te sepsis

I te huarahi he ki te maimoatanga o te sepsis whakawhanake pōauautanga kino. I roto ia ratou - he āhua o te ru, Embolism pūkahukahu, endocarditis kitakita, patunga, te rohirohi, me te toto. Ia o enei tikanga e taea meinga te mate o te manawanui. Na reira, i roto i te hanga tenei tātaritanga ko te hiahia akiaki ki te tīmata therapy paturopi me symptomatic.

maimoatanga sepsis Cryptogenic

kia falemahaki te rapunga tuatahi o te mate, me te tautapa moenga era manawanui. Ano, he tika enei mehua i roto i te wā o whakapae sepsis cryptogenic. tīmataria Treatment te i muri i tonu tātaritanga. Ko te rōpū matua o ngā hua - he paturopi. Vahe ki ngā o 2-3 taero. Nuinga o ngā wā e whakamahia ana "rongoā paturopi" taero "ceftriaxone", "Gentamycin", "Imipenem" me te t. D. Mai te haurangi hakari i faataahia e whaowhia therapy. Pâmuhia whakahaere crystalloid me colloid rongoā e tohu kawea huhu. whakaaturia hoki immunostimulant, antipyretic me āpiha analgesic. I roto i te tāutu i te pae o te mate he tika wawaotanga hāparapara. Ki te whanaketanga o te ru ero whakahaere vasopressors ( "dopamine" teuteu). whakamana Meals tūroro parenterally ranei i roto i te uiuia.

Ko te waitohunga o te sepsis cryptogenic

Ko te waitohunga o te sepsis cryptogenic tei runga i te āhua whānui o te tinana o te manawanui (pūnaha ārai mate), tau, maimoatanga wā. Ki te tika maimoatanga me kahore pōauautanga kitea ora tonu. Ko te waitohunga tino pai he subacute me sepsis ma'i. A, no te he maha mate mate fulminant. Ahakoa therapy paturopi, te auau te tahuti nei o tenei mate ko āhua 50% o te wā.

Ārai sepsis cryptogenic

maha Sepsis whakawhanake i roto i te iwi e mate ana i ma'i mate inflammatory. Na reira, ngā te āraihia maimoatanga arä o mate aronga, te fariiraa i rongoā immunostimulatory me huaora. Kia kore ai te mate i roto i nga kohungahunga, me tamariki taitamariki, Me te whaea teuteu ki te whakakore peu kino, fariiraa o ngā rongoā, te rongo ki matao.