Cryptogenic sepsis: cututtuka da kuma magani

Kamar yadda aka sani, kumburi cututtuka zai iya shafar wani sashin jiki. Sun kasu kashi biyu iri: m da kullum tafiyar matakai. Dace ganewar asali da kuma lura da kumburi pathologies sau da yawa take kaiwa zuwa cikakken magani ko gafarta musu. Idan na rigakafi da tsarin da aka raunana, cutar ci gaba. Ko da kuwa da wuri, da cibiyar da kumburi ne ko da yaushe delimited. The m tsoma na tsari ko baza su iya faruwa da in babu magani. A sakamakon haka, kwayan barbashi shiga cikin jini. Wannan yanayin da aka kira sepsis. Irin wannan wahala ne quite m, domin zai iya kai wa ga buga da kuma mutuwa.

Cryptogenic sepsis - abin da yake da shi?

Ya danganta da wurin da farko tushen kumburi da dama iri sepsis. Yana da daraja ambaton cewa ga ingress na pathogens a cikin jini zai iya sa wani cuta. Mafi yawan lokuta ciwon huhu, kumburi tafiyar matakai na fata, baki, otolaryngology. A wasu lokuta, da farko mayar da hankali ne ba. Sa'an nan da yanayin da ake kira "cryptogenic sepsis." Wannan ganewar asali ba ya nufin cewa primary kumburi mayar da hankali ne ba a can. Duk da haka, a lokacin da dubawa na kwayoyin cutar sun auku a cikin jini da kuma yada a ko'ina cikin jiki. Saboda haka ba zai yiwu kafa dalilin sepsis. Wannan irin cuta ne ƙasa da na kowa sauransu. Cryptogenic sepsis - jini guba kwayoyin ne babu kafa farko kumburi mayar da hankali. Sau da yawa Pathology auku a wanda bai kai ba jarirai, mutane da rauni na rigakafi da tsarin. A mafi yawan lokuta, cutar ne wuya. Lokacin dace qaddamar far iya warkar.

A Sanadin cryptogenic sepsis

Idan ka shigar da primary mai kumburi mayar da hankali ne wuya, da kuma kwayoyin riga shiga cikin jini, fallasa ganewar asali "cryptogenic sepsis." A Sanadin wannan cuta na iya zama daban-daban. Kullum da etiology ne daban-daban daga sauran iri sepsis. Bambanci ne cewa ciwon kumburi a wani sashin jiki tasowa ma da sauri ko da wata barã'aa cikin wani haƙuri ne rage muhimmanci. A wannan lokaci daga farko na cutar kafin kamuwa da cuta (nasara jam'iyya) an rage. A wannan yanayin, da mãsu haƙuri ba su da lokacin da ya gane da abin da cututtuka fara dame shi da fari. A mafi yawan marasa lafiya, da farko site shi iya samun bayan binciken. Idan har yanzu ba a samu, da Pathology ne classified kamar yadda cryptogenic sepsis. A Sanadin cutar:

1. Kwayan kamuwa da cuta. Causative jamiái na sepsis iya zama wani kwayoyin. Mafi sau da yawa shi staphylococci da streptococci, Proteus, Pseudomonas aeruginosa da Escherichia coli.
2. Yanaye pathogenic microflora. Kamar yadda aka sani, a cikin jiki akwai mai yawa na kwayoyin da suke ba a cikin kullum. By rage rigakafi tsaro opportunistic microflora fara ƙara, wadda take kaiwa zuwa cututtuka daban-daban. A sakamakon, zai iya ci gaba cryptogenic sepsis.
3. Cututtuka da lalacewa ta hanyar pathogenic fungi (Candida).
4. Primary da kuma sakandare immunodeficiency (HIV).
5. Tsawon prematurity, jarirai da low haihuwa nauyi (a karkashin 2 kg).
6. Intrauterine kamuwa da cuta.

Ginshikai na sepsis

Cryptogenic sepsis - abin da yake da shi? Irin wannan ganewar asali ne babu wani na farko cutar da cewa zai iya kai wa ga jini guba. Cryptogenic sepsis kuma ake kira primary, ko idiopathic. Yana faruwa ta ingestion na pathogens a cikin jini. A sakamakon haka, kwayoyin cutar yada a ko'ina cikin jiki. Saboda haka, da kumburi raunuka iya located a wurare da dama. Bugu da kari, masu tasowa kwayan maye. A irin haka ne, na rigakafi da tsarin shi ne iya jimre wa babban adadin pathogens. Sau da yawa wannan yanayin take kaiwa zuwa wani take hakkin da zuciya da jijiyoyin jini tsarin. A sakamakon tasowa kwayan buga. Wannan wahala ne mai hadarin gaske da kuma sau da yawa m.

Nau'in cryptogenic sepsis

Ganin cewa primary wuri na pathological mayar da hankali ne ba a sani ba, cryptogenic sepsis ba classified bisa ga etiological akai. Duk da haka, wajibi ne a tabbatar da cututtuka wakili don isasshen kwayoyin far. Kamar sauran iri sepsis, wannan embodiment Pathology iya faruwa a biyu siffofin. Duk da haka, wannan rarrabuwa ba zai tasiri da hangen nesa da cutar. Cryptogenic nau'i na jini guba:

1. Septicemia. Yana nufin gaban kwayan ko fungal microflora, zagawa da ta cikin jiki. Duk da haka pathogens ba samar da foci na kamuwa da cuta.
2. Pyosepticemia. Bugu da kari ga gaban kwayoyin cuta a cikin jini ne ya lura da mulkin mallaka na gabobin. Mafi pathogens da cutar suna tara (ajiye) a cikin huhu, kwakwalwa, kogon ciki. A sakamakon haka, wadannan yankunan suna kafa foci na surkin jini kumburi.

The asibiti hanya rarrabe fulminant, m kuma na kullum sepsis. A cikin farko idan, cutar tasowa a cikin farko kwanaki bayan da pathogen shigar azzakari cikin farji da kuma halin tsanani tabarbarewa na gabobin da kuma tsarin. M sepsis yana game 2-4 makonni. Kullum daukan hotuna na iya ci gaba da dama watanni ko ma shekaru. An halin da ci gaban exacerbations da remissions. A wasu lokuta, akwai wani zaɓi subacute hanya na sepsis. Its duration ne daga 6 zuwa 12 makonni.

Alamun cryptogenic sepsis

Just duba jini ga sterility, yana yiwuwa ya yi hukunci ko wani mutum cryptogenic sepsis. Alamun wannan cuta na iya kama mutane da yawa da sauran cututtuka. Wannan shi ne saboda da cewa duk mai kumburi tafiyar matakai ɓullo da buguwa. Duk da haka, likitan yi zargin cutar kan halayyar asibiti hoto. A farko wuri, da irin wannan ganewar asali aka shawara kawai kebe da sauran kumburi cuta. Bambanta da wadannan cututtuka da sepsis:

1. Karuwan jiki zafin jiki zuwa 39-40 digiri. Hyperthermia yana tare da jin sanyi, sweating da kuma ciwon kai.
2. Tabarbarewar. Lokacin da sepsis faruwa rauni, zafi a cikin tsokoki da kuma gidajen abinci ba tare da wani takamaiman sarrafawa, rage ci.
3. Tachycardia - ya karu da zuciya rate.
4. ragewan jini.
5. Karuwan numfashi kudi.
6. Mahaukaci hanta ayyuka. Development of jaundice bayyana, karuwa a jiki size (hepatomegaly).
7. Gastrointestinal raunuka. A wasu marasa lafiya, akwai wata kujera kau da (zawo), tashin zuciya da kuma amai.
8. A bayyanar hemorrhages a kan fata.

da kuma sauran cututtuka na iya faruwa a lokacin da ci gaban septicopyemia. Sun dogara ne a kan sarrafawa na kumburi raunuka. Sau da yawa ci gaba endocarditis, ciwon huhu.

Bincike da sharudda ga cryptogenic sepsis

Domin bincike da sharudda ga sepsis hada da na asibiti manifestations da cutar da kuma canje-canje lura a lokacin dakin gwaje-gwaje ko instrumental hanyoyin. Da farko kula da janar yanayin haƙuri. A ta worsening for 'yan kwanaki, duk da zuwan kwayoyin far, za a iya zargin cryptogenic sepsis. Alamun cewa nuna cuta, - earthy (toka-toka) launi na fata, mai tsanani rauni, zazzabi da kuma bayyanar fata hemorrhages. Akwai kuma wata xabi'a na asibiti manifestations iya hada makala na jaundice da hepatomegaly. A gaban wadannan cututtuka kamata nan da nan hospitalize da haƙuri da kuma gudanar da wani binciken.

Laboratory da kuma instrumental bincikowa

Cryptogenic sepsis idan akwai gagarumin canje-canje a cikin dakin gwaje-gwaje sigogi. A KLA alama leukocytosis, thrombocytopenia, kuma anemia, kazalika da hanzari na ESR. Kwayoyin cutar na iya zama ba ba kawai a cikin jini amma kuma a cikin fitsari. Canje-canje lura a cikin biochemical fihirisa. Wadannan sun hada da bayyanar C-amsawa gina jiki, na iya kara matakan bilirubin, Alt, AST (da cutar hanta). Babban alama na sepsis ne mai jini gwajin for sterility (jini al'ada a kan microflora). Ta hanyar wannan nazari za mu iya sanin ko causative wakili na cutar da bi.

Bincikowa da ne da za'ayi a gane kwamin na tara raunuka. Domin wannan aka yi kirji X-ray, duban dan tayi na ciki da kafafuwa. Sau da yawa samu kumburi a cikin huhu - ciwon huhu, kara girma na hanta - hepatomegaly.

Cryptogenic sepsis: code bisa ga ICD-10

Kamar yadda da wani Pathology, cutar yana da wani takamaiman code a cikin International Nau'in. Ya aka kafa dangane da pathogen da ya sa aka cryptogenic sepsis. ICD-10 - musamman rarrabuwa, wanda shi ne inganci a duniya. A likita tarihi da aka rubuta da farko, kai ganewar asali, sa'an nan da code. A hali cryptogenic sepsis cipher nufin A41.9 (septicemia unadjusted). Ganin code ICD-10 likita na wani likita kungiyar a wata kasa fahimtar abin da ganewar asali aka fallasa ga mãsu haƙuri.

Zai yiwu rikitarwa na sepsis

A daidai ba tsarin kula da lura da sepsis ci gaba mai tsanani da rikitarwa. Daga cikin su - a Jihar buga, na huhu embolism, kwayan endocarditis, bugun jini, ci da kuma zub da jini. Kowace daga cikin wadannan yanayi da zai iya sa mutuwa daga mãsu haƙuri. Saboda haka, a samar da nasu wannan ganewar asali ne wani gaggawa bukatar fara kwayoyin da symptomatic far.

Cryptogenic sepsis magani

A farko ganewa na cuta ya kamata a asibiti da kuma sanya haƙuri gado sauran. Har ila yau, wadannan matakan ne dole a lokuta da ake zargin cryptogenic sepsis. Jiyya an qaddamar nan da nan bayan ganewar asali. Babban kungiyar na kayayyakin - ne maganin rigakafi. Sanya hade da 2-3 kwayoyi. Mafi sau da yawa amfani da "penicillin" kwayoyi "ceftriaxone", "Gentamycin", "Imipenem" da kuma t. D. Tun da ba maye sanya jiko far. Intravenously gudanar crystalloid da colloid mafita da alamomi kwashe transfussion. Har ila yau nuna immunostimulant, antipyretic da analgesic jamiái. A gano shafin kamuwa da cuta m baki zama dole. Tare da ci gaban kwamin na tara buga gudanar vasopressors ( "Dopamine" shirye-shiryen). Abinci da marasa lafiya yi parenterally ko ta hanyar bincike.

A hangen nesa na cryptogenic sepsis

A hangen nesa na sepsis cryptogenic dogara da janar jihar na haƙuri ta jiki (rigakafi da tsarin), shekaru, dace magani. Tare da isasshen magani da kuma babu rikitarwa lura da cikakken maida. A mafi m hangen nesa ne subacute da kullum sepsis. Lokacin da fulminant cuta ne sau da yawa m. Duk da kwayoyin far, da mace-mace kudi da wannan cuta ne kamar 50% na lokuta.

Rigakafin cryptogenic sepsis

Sepsis sau da yawa tasowa a mutanen da fama da kullum kumburi cututtuka. Saboda haka, m matakan sun hada da m magani kamuwa da cuta foci, samun immunostimulatory magunguna da kuma bitamin. Don hana cutar a jarirai da kuma matasa da yara, da mai yiwuwa uwa bukatar kawar da miyagun halaye, liyafar da magunguna, daukan hotuna zuwa sanyi.