Kurumidza kuongororwa kweropa reropa

Ropa rekutapukirwa (BSI) rinoreva nezve systemic systemcing prishing adminmiture syndrome inokonzerwa nekupinda kwevakasiyana pathogenic hutachiona uye toxins muropa.

Iyo nzira yechirwere inowanzoonekwa neisimusi uye kusunungurwa kwemiravha yemanomeresa, kuchena, kuongorora mamiriro epfungwa, kushamisika, kushamisika uye kuwanda-organ, ine huwandu hwemhando yepamusoro. Inowanikwa Ha) sepsis uye septic Shock kesi, accounting ye40% yezviitiko uye inenge 20% yeiyo icu yakawanikwa nyaya. Uye zvakabatana chaizvo nehurombo hwekuita, kunyanya pasina nguva yekurapa nguva yekurapa uye kusarudzika kwekutapukirwa kwehutachiona.

Kuiswa kwetachiona kweropa zvichienderana neiyo degree reutachiona

Bacteeraemia

Kuvapo kwehutachiona kana fungi muropa.

Septicemia

Kiriniki syndrome yakakonzerwa nekupinda kwePathogenic Bactia uye Toxins yavo muropa, iutachiona hwakakomba hwehurumende.

PyYhemia

Hupenyu-kutyisidzira nhengo deysfunction inokonzerwa nekusvitswa kwemhinduro yemuviri kune hutachiona.

Yekiriniki yakakura yekunetseka ndidzo dzinotevera mbiri dzakabatana hutachiona.

Special Catheter-yakabatana yeropa kutapukirwa

Hutachiona hweropa hwakabatanidzwa nevatambi vakaiswa mumidziyo yeropa (semuenzaniso, peripheral venous mabhatani, centralia mabhatani, diallysis catheters, nezvimwewo).

Yakakosha Yekutapukira Endocarditis

Icho chirwere chinotapukira chinokonzerwa nekutama kwehutachiona kune iyo encecardius uye mavhiri emoyo, uye nekuumbwa kwezvinhu zvekukuvara kwechikepe, uye nekushomeka kwechidimbu metastasis

Njodzi dzeKutambudzika kweropa:

Kutama kweropa kunotsanangurwa semurwere ane tsika yakanaka yeropa uye zviratidzo zveutachiona hwesiremera. Hutachiona hweropa hunogona kuve hweropa kune mamwe masayitirwo ehutachiona senge hutachiona hwemapapu, hutachiona hwedumbu, kana hutachiona hwekutanga. Izvo zvataurwa kuti makumi mana muzana evarwere vane sepsis kana septic kuvhunduka kunokonzerwa nekutarisana nedepa [4]. Zvinofungidzirwa kuti zviitiko zve7-50 emamirioni anoitika pasi rese gore rega rega, zvichikonzera kufa kwemamiriyoni gumi nemamiriyoni, neavhareji yeanenge 1 kufa kwegumi nemaviri kusvika pamasekonzi mashanu ega ega.

Inowanikwa nzira dzekuongorora dzevanonhuwirira kweropa

01 PCT

Kana hutachiona hwehurongwa uye kusarudzika kweCalcitinogen PCT vanowedzera kukurudzira kwehutachiona hwehutachiona hwehutachiona hwehutachiona hwehutachiona hwechirwere chechipfuva chakakomba chechirwere uye chiratidzo chakanaka chekusvitsa.

0.2 masero uye kuamatira zvinhu

Cell Adshonon Molelles (CAM) anobatanidzwa mune dzakateerana phefiti ye physiopathological maitiro, akadai sekupindura kwemuviri uye nemhosva yekudzivirira, uye kuita basa rakakosha mukurwisa hutachiona uye hutachiona uye hutachiona hwakakosha. Izvi zvinosanganisira il-6, il-8, tnf-a, vcam-1, nezvimwezvi

03 endotoxin, g bvunzo

Gram-yakaipa mabhakitiriya achipinda muropa kuburitsa endotoxin inogona kukonzera endotoxemia; .

04 Molecular Biology

Kana rna yakaburitswa muropa ne microorganisms inoedzwa, kana mushure meine tsika yeropa yakanaka.

05 Ropa Tsika

Mabhakitiriya kana fungu muropa tsika ndiro "goridhe mwero".

Tsika yeropa ndeimwe yemhando dzakareruka, dzakanyanyisa uye dzakanyanya kushandiswa uye dzinowanzo shandiswa kuti uone hutachiona hweropa uye ndeche pathhogenic hwaro hwekusimbisa hutachiona hweropa mumuviri. Kubvira kweropa kwetsika yeropa uye kutanga uye kwakakodzera Antimicrobial Therapy ndiwo matanho ekutanga ayo anofanirwa kutorwa kudzora hutachiona hweropa.

Tsika yeropa ndicho chiyero chegoridhe chekuongororwa kwehutachiona hweropa, chinogona kunyatsoparadzanisa Pathogen, Sanganisa kuzivikanwa kwekuita kwezvinodhaka uye kupa kuronga kwakaringana uye kwakaringana. Nekudaro, dambudziko rekureba kwenguva pfupi reropa rekutaurisa reropa rave richikanganisa kuongororwa kweropa nguva uye kurapwa, uye zvakaziviswa kuti huwandu hwekufa hwevarwere uye hunowedzera kurwisa uye zvinoshanda zvinowedzera kusvika pamakore manomwe mushure meawa matanhatu ekutanga hypension.

Naizvozvo, rombo reropa reropa uye kuzivikanwa kwekunzwa kwezvinodhaka nevarwere vane hutachiona hwenhema, Chirevo chikuru chinofanira kutaurwa kukiriniki mukati me1 h yeiyo yakanaka yeropa reropa mushumo; Mushumo weTertiary unorwadza kuti apedziswe nekukurumidza sezvinobvira (kazhinji mukati 48-72 h kuti mabhakitiriya) zvichienderana nemamiriro ekurambidza.