ما هو الإنتان متلازمة (الصدمة الإنتانية)

تعفن الدم هو شرط أن يحتمل قاتلة مع وجود عدوى. حدث تعفن الدم عندما المواد الكيميائية التي يتم تصريفها في مجرى الدم لمحاربة العدوى الاستجابات الالتهابية الزناد في جميع أنحاء الجسم. هذا الالتهاب يمكن أن يسبب إعتام عدسة العين من التغييرات التي يمكن أن تلحق الضرر نظم الجهاز متعددة مما يسبب لهم تفشل. إذا السلف الإنتان إلى الصدمة الإنتانية, ضغط الدم ينخفض ​​السد على نحو لاذع وربما يؤدي إلى الموت.

يمكن لأي شخص وضع الإنتان; it is most prevalent and most dangerous in older adults or those with weakened immune systems. Early treatment of spies, normally with antibiotics and large ma=ounts of intravenous fluids, improves chances for survival.

أعراض
Many doctors view sepsis as a three -stage syndrome, starting with spicy and progressing through critical/server sepsis to septic shock. The goal is to treat sepsis throughout its early stage before it grows more serious.

تعفن الدم
To be diagnosed with sepsis, you must present a least two of the following symptoms plus a probable or confirmed infection.
Body temperature above 101 (38.3 C) or below 96.8F (36 C)
Heart rate higher than 90 beats a minute
respiratory rate higher than breaths a minute
Severe Sepsis
سيتم تحديث تشخيص لتعفن الدم الشديد إذا كنت أيضا يحمل علاج على من علامات وأعراض التالية, وهو ما قد يعني جهازا هو الفشل.

  • تغير مفاجئ في الحالة العقلية
  • انخفاض في عدد الصفائح الدموية
  • صعوبة في التنفس
  • وجع بطن
  • غير طبيعي وظيفة ضخ الدم من القلب
  • انخفضت بشكل ملحوظ كمية البول
  • الصدمة الإنتانية

أن يكون تشخيص الصدمة الإنتانية, يجب أن يكون لديك دلائل وأعراض للتسمم – بالإضافة إلى غاية انخفاض ضغط الدم الذي لا لا يستجيب بشكل كاف لاستبدال السوائل بسيط.

عندما لرؤية الطبيب
في أغلب الأحيان تعفن الدم يرشح في الناس الذين هم في المستشفى. الناس في وحدة العناية المركزة معرضون بشكل خاص للعدوى اكتساب, التي يمكن أن تنتج ثم تعفن الدم. إذا كنت تحصل على وجود عدوى أو إذا كنت تنتج علامات وأعراض للتسمم بعد الاستشفاء الجراحة أو فيروس, seek medical care promptly.
الأسباب

  • While any infectionbacterial, viral or fungalcan commence the growth sepsis, the most likely varieties include:
  • الالتهاب الرئوي
  • Kidney infection
  • Bloodstream infection Bacteremia
  • Abdominal infection
  • The incidence of sepsis appears to be growing in the united states in the United States. The causes of this increase may include.
  • Aging population. American are living longer, so the increase in the senior population or those over 65 is growing.
  • Drug -resistant bacteria, Many types of bacteria can resist the effects of antibiotics that once killed them. These antibiotic-resistant bacteria are often the cause of infections that trigger sepsis.
  • Weakened immune systems. More people around the world are living with weakened immune systems created by HIV, cancer treatments or transplant drugs.

عوامل الخطر

  • Sepsis is more common and more critical if you:
  • Gave a minor used number stored
    Are already very, often in a hospital’s intensive care units
  • Have wounds or injuries, such as b
  • Are very young or old
  • Have invasion devices, such as intravenous catheters or breathing tubes.

مضاعفات

Sepis ranges from less to more less to more severe. As sepsis worsens, blood flow to essential organs, such as our brain heart and kidneys, become impaired. Sepsis can also cause blood clots to develop in your organs and your arms, legs finger and toes, leading to varying degrees of organ failure and tissue death (الغنغرينا).
Most people recover from mild sepsis, but the mortality rate for septic shock is nearly 50 نسبه مئويه. أيضا, an episode of severe speeds may place you at higher risk of future infections.

التشخيص

Diagnosing Sepsis sepsis can be difficult because it signs and symptoms can be other disorders. Doctors often order a battery of test o trying to pinpoint the underlying infection.

فحص الدم
A sample of your blood should be withdrawn from two different sites and tested for:

  • Evidence of infection
  • Abnormal liver or kind function
  • Clotting problems
  • Impaired oxygen availability
  • Electrolyte imbalances

Other laboratory tests
Depending on your symptoms, your physician may also want to test on one of the following bodily fluids:
Urine . If your physician assumes that you have a urinary tract infection. He or she may want your urine checked for signs of bacteria.
Wound secretion if you have a wound that appears infected, testing a sample of the wounds secretions can assist in showing what type of antibiotic might work best.
Respiratory secretionsIF you are coughing up mucus (spit) it may be tested to conclude what type of germ is causing the infection.
Imaging scans
If the site of infection is not clear, your doctor may order one or more of the listed imaging test.

Imaging scans
If the site of infection is not obvious, your order one or more of the following imaging test:
X0ray Using how levels or radiation, X -rays are good for visualizing problems in your lungs
التصوير المقطعي المحوسب (CT) contaminations in your appendix, pancreas or bowels are clearer to see on CT scans. This technology takes X-rays from several angles and combines them to depict cross -section slices of your body’s internal organs.
Ultrasound -This technology uses sound waves to produce real-time images on a video monitor. Ultrasounds may be especially useful to check for contaminations in your gallbladder or ovaries
Magnetic resonance imaging MRI MRIs may be helpful identifying soft tissue infection s, such as abscess within your spin, This technology use radio waves and a strong magnet to produce cross 0sectional images of your internal structures.

علاج
Early, aggressive treatment helps boost your chances of surviving sepsis. Individuals with severe sepsis require close evaluation and treatment in a hospital intensive care unit. If you have severe sepsis or septic shock, the life-saving measure may be required to stabilize breathing and heart functions.

الأدوية
Some medications are used in treating specs. يشملوا:
مضادات حيوية – Treatment with antibiotics should begin immediately within the first six hours of earlier, initially, receive broad spectrum antitoxins with are effective against a variety of bacteria. The antibiotics are administered intravenously. (رابعا). After leaving the results of blood test. Your doctor may recommend a different antibiotic that more appropriate toward the particular bacteria causing the infection.
Vasopressors. If your blood pressure persists to be too low even after obtaining intravenous fluids, you may be given a vasopressor medication, which compresses blood vessels and helps to increase blood pressure.
Other medications you may receive include low doses of Corticortirords, insulin to help support stable blood sugar levels, drugs that modify the immune system systems responses, and painkiller or sedatives.
Supportive Care
People with severe sepsis normally receive supportive care including oxygen and generous volumes of intravenous fluids. Depending on your condition, you may need to have a device helps help you breathe or another machine to provide dialysis for kidney failure
العملية الجراحية
Surgery may be needed to remove sources of infection, such a collections of pus (abscesses)