Vad är Sepsis Syndrome (Septisk chock)

Sepsis är ett tillstånd som är potentiellt dödlig med en infektion. Sepsis inträffade när kemikalier släpps ut i blodet för att bekämpa infektion trigger inflammatoriska svar i hela kroppen. Denna inflammation kan orsaka grå starr förändringar som kan skada flera organsystem orsakar dem misslyckas. Om sepsis förskott till septisk chock, blodtrycket sjunker dammen racily och kan leda till döden.

Vem som helst kan utveckla sepsis; Det är vanligast och farligaste hos äldre vuxna eller personer med försvagat immunsystem. Tidig behandling av spioner, normalt med antibiotika och stora ma = ounts av intravenösa vätskor, förbättrar chanserna för överlevnad.

Symptoms
Många läkare se sepsis som en tre -steg syndrom, börjar med kryddig och fortskrider genom kritisk / server sepsis till septisk chock. Målet är att behandla sepsis under ett tidigt skede innan det växer allvarligare.

Sepsis
För att få diagnosen sepsis, du måste visa minst två av följande symtom plus en trolig eller bekräftad infektion.
Kroppstemperatur över 101 (38.3 C) eller under 96.8F (36 C)
Hjärtfrekvens högre än 90 slag per minut
andningsfrekvens högre än andetag per minut
svår sepsis
Din diagnos kommer att uppdateras till svår sepsis om du även uppvisa en behandling på följande tecken och symptom, vilket kan innebära ett organ misslyckas.

  • Abrupt förändring i mental status
  • Minskat i trombocytantal
  • andningssvårigheter
  • Buksmärtor
  • Onormal hjärtpumpfunktion
  • Signifikant minskad urinproduktion
  • Septisk chock

För att få diagnosen septisk chock, you must have the indications and symptoms of sepsis – plus extremely low blood pressure that doesn’t doesn’t adequately respond to simple fluid replacement.

When to see a doctor
Most often sepsis transpires in people who are hospitalized. People in the intensive care unit are particularly vulnerable to acquiring infections, which can then produce sepsis. If you get an infection or if you produce signs and symptoms of sepsis after surgery hospitalization or a virus, seek medical care promptly.
Causes

  • While any infection – bacterial, viral or fungal – can commence the growth sepsis, the most likely varieties include:
  • Pneumonia
  • 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.

Risk Factors

  • Sepsis is more common and more critical if you:
  • Gav ett mindre använt nummer lagrat
    Är redan mycket, ofta i ett sjukhusets intensivvårdsavdelningar
  • Har sår eller skador, såsom b
  • Är mycket unga eller gamla
  • Har invasion enheter, såsom intravenösa katetrar eller andningsrören.

Complications

SEPI: s varierar från mindre till mer mindre till mer allvarliga. Såsom sepsis worsens, blodflödet till viktiga organ, som vår hjärna hjärta och njurar, försämras. Sepsis kan också orsaka blodproppar utvecklas i dina organ och armarna, ben finger och tår, vilket leder till olika grader av organsvikt och vävnadsdöd (gangrän).
De flesta människor återhämta sig från mild sepsis, men dödligheten för septisk chock är nästan 50 percent. Also, en episod av allvarliga hastigheter kan placera dig på högre risk för framtida infektioner.

Diagnosis

Diagnos Sepsis sepsis kan vara svårt eftersom det tecken och symtom kan vara andra sjukdomar. Doctors often order a battery of test o trying to pinpoint the underlying infection.

Blood test
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 secretions – IF 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
Computerized tomography (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.

Treatment
Tidigt, 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.

Medications
Some medications are used in treating specs. They include:
Antibiotics – 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. (IV). 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
Surgery
Surgery may be needed to remove sources of infection, such a collections of pus (abscesses)