Infectious-toxic poob siab

Thaum lub cev kis tau tus kab mob thiab kab mob, cov kab mob no tso tawm ntau yam tshuaj lom uas ua kom muaj kab mob sib kis tau. Nws yog tsi ntsees los ntawm kev poob ntshav siab vim muaj kev ua txhaum ntawm cov ntshav ntawm cov hlab ntsha. Feem ntau, qhov mob no yog fraught nrog kev tuag, tshwj xeeb yog thaum tsis muaj kev pabcuam thaum muaj xwm txheej ceev.

Ua rau muaj kab mob sib kis-mob lom

Raws li txoj cai, qhov kev kuaj mob hauv qab no muaj kev cuam tshuam los ntawm cov tshuaj lom ntawm cov protein ntau, vim tias lawv muaj qhov loj loj, thiab ua li lub qhov loj loj, uas cov antigen molecules nyob hauv.

Cov kab mob uas muaj zog tshaj plaws nrog lub hauv paus muaj protein ntau yog secreted los ntawm cov kab mob coccal, hauv particular - streptococci (beta-hemolyzing) thiab staphylococci (golden). Yog li ntawd, ua rau muaj kev sib kis-mob lom yog:

• Burns, qhov mob txhab;
• qaib qoob;
• typhoid fever;
• parathaizens abscess ;
• tracheitis;
• AIDS thiab HIV;
• Postpartum sepsis;
• siv cov hleb tampons;
• kaw qhov txhab;
• tus kab mob tom qab phais;
• sinusitis;
• influenza A virus;
• siv tshuaj yeeb los ntawm lawv cov thawj coj;
• allergic hu ua dermatitis;
• tonsillitis;
• mob ntsws o;
• endocarditis.

Cov theem thiab cov tsos mob ntawm cov kab mob sib kis-mob lom

Muaj 3 degrees ntawm lub xeev tau piav, rau txhua qhov ntawm cov kev sib raug zoo saib mob tshwm sim yog cov xeeb ceem:

1. Txhaum poob siab (theem 1). Nrog kev tshee hnyo, mob hnyav heev ntawm tus neeg mob, kev ntxhov siab, acrocyanosis, hyperesthesia, pallor ntawm daim tawv nqaij, yuav txo tau qhov tso zis tawm (ib hnub). Tachycardia, dyspnea ntawm qib nrab kuj tau muab sau tseg.
2. Subcompensated poob siab (theem 2). Nws muaj cyanosis universal, hypothermia, excitation, ua raws li tus retardation ntawm lub hauv paus paj hlwb, tawv blanching, tachycardia, oliguria, hypokalemia, acidosis thiab tshaib plab pa. Tsis tas li ntawd, muaj qhov hypotension, DIC syndrome thiab lag ntseg ntawm cov mob plawv.
3. Decompensated poob siab (theem 3). Nws yog daim ntawv loj tshaj plaws ntawm pathology. Cwj pwm los ntawm cov cyanosis uas qhia tau hais tias, muaj kev poob siab hauv ntshav siab, hypothermia, ua txhaum cai ntawm kev tsis nco qab, hloov tsis txav rau hauv nruab nrog cev, anuria. Tsis tas li ntawd, ib tug threadlike pulse thiab ib qho metabolic decompensated acidosis tau pom.

Kuj tseem muaj ib co kab mob tshwm sim:

• kub cev;
• tawm pob tawv nqaij, zoo li lub tshav pob;
• nce hauv lub cev kub mus rau 38.9-39.2 degrees;
• stupor

Yog tias koj tsis muab kev pab sijhawm, tom qab ib theem ntawm kev poob siab, lub coma los thiab qhov tshwm sim ntawm kev ua kom muaj kev lojhlob nce.

Thawj zaug kev pabcuam thaum muaj xwmtxheej ceev-raug mob

Ua ntej yuav tuaj txog ntawm pab pawg kho mob, yuav tsum tau ua raws li nram qab no:

1. Tso lub taub dej kub hauv qab koj txhais ko taw los yog lub raj mis dej kub. Npog tus neeg mob nrog ib daim pam sov sov.
2. Tsis txhob tuag los yog tshem tawm cov khaub ncaws uas cuam tshuam nrog ua pa.
3. Qhib cov qhov rais kom tus neeg mob tau nkag mus rau cov cua ntshiab.

Cov kws kho mob tam sim ntawd nruab ib lub venous thiab urinary catheter, zoo li ib daim npog ntsej muag nrog cua oxygen. Yog tias tsim nyog, kev tswj hwm ntawm cov tshuaj hormone glucocorticosteroid (prednisolone, dopamine) tau ua tiav.

Kev kho mob ntawm cov kab mob sib kis-lom phem

Thaum tuaj txog ntawm tsev khomob, tus neeg raug mob yuav raug xa mus rau lub chaw khomob lossis intensive care unit. Kev kho yog ua tiav nrog kev pab los ntawm xws li kev npaj:

• aminoglycosides thiab cephalosporins ;
• eufillin;
• strophantine;
• Lasix;
• countercracker;
• dobutamine;
• cocarboxylase;
• nonfractional heparins;
• daws ntawm rheopolyglucin, sodium chloride, albumin, insulin nrog qabzib.