Kev kis mob loj heev rau lub cev ua rau ua txhaum ntawm cov ntshav ntawm cov nqaij, thiab qhov tshwm sim, rau ntau yam khoom tsis ua haujlwm. Tus mob no yog tus cwj pwm (septic shock), suav hais tias yog ib qhov teeb meem feem ntau ntawm tus kab mob, xws li hauv ntau dua 40% ntawm tus neeg mob nws yog qhov kev raug mob.
Septic poob siab thiab septic poob siab
Cov tshuaj tiv thaiv ntawm lub cev tiv thaiv kab mob hauv teb rau kab mob nrog tus kab mob microbial yog ib qho kev sib tw ntawm cov kab mob sib law liag. Txoj kev loj hlob ntawm txoj kev mob kev nkeeg yeej ua rau muaj kev cuam tshuam ntawm tag nrho cov plab hnyuv siab raum thiab cov ntaub so ntswg, tiv thaiv kev nkag tau ntawm cov ntshav thiab, raws li, cov pa oxygen rau lawv. Qhov kawg ntawm lub cev tsis ua hauj lwm thiab kev ruaj khov siab ruaj khov heev yog mob hnyav thiab kis mob-lom los yog chov ploj. Qhov mob ntawm no kuj pom tau tias tsis muaj teeb meem loj ntawm txhua lub tshuab, qhov ntxeem tau ntawm cov kab mob pathogenic mus rau hauv cov ntshav thiab qog.
Septic poob siab nyob rau hauv gynecology
Hauv kev xyaum li no, pathology tshwm sim hauv qab no:
- kis kab mob tom qab rho menyuam tawm;
- chorioamnionitis;
- purulent mastitis ;
- pyelonephritis (rau cov poj niam cev xeeb tub).
Nyob rau yav tom ntej cov niam, septic shock yog feem ntau heev vim qhov tseeb hais tias hormonal hemostasis (tsis muaj gestagens thiab estrogens) thiab ntshav ncig hauv lub tsev menyuam hloov. Tshaj li, muaj kev tsis haum thiab hyperlipidemia.
Thaum ua kev rho menyuam tawm, ntshav txhaws, thiab qhov chaw seem ntawm qoob loo ntawm plab, feem ntau yog sab laug. Lawv yog cov khoom nruab nrab rau cov kab mob rau cov kab mob, ua rau cov kab mob thiab ua rau cov kab mob hauv cov ntshav.
Kev kho mob ntawm septic poob siab
Txawm tias cov kev kho tshiab hauv kev kho mob thiab kev tsim cov tshuaj tiv thaiv tshiab antimicrobials, lub cev tuag vim qhov kev mob tau piav txog yog siab heev. Yog li ntawd, nrog chiv plhis, kev khomob ntau dua yuav tsum tau nyob rau hauv lub tsev kho mob tshwj xeeb. Cov ntsiab cai ntawm txoj kev kho yog cov hauv qab no:
- Kev ntxuav dej los yog tshem tawm ntawm foci ntawm tus kab mob los ntawm microorganisms, rinsing cavities, pumping pus.
- Kev taw qhia los ntawm cov tshuaj tua kab mob los yog los ntawm kev siv tshuaj tiv thaiv kab mob. Ua ntej, kev kuaj ntshav (kab mob culture) yuav tsum tau ua thiab yuav ua kom muaj cov kabmob zoo rau cov tshuaj uas xaiv tau.
- Ua kom tiav ntawm tag nrho cov ntim ntawm cov ntshav.
- Detoxification ntawm lub cev, nyem ntawm inflammatory txheej txheem.
- Restoration ntawm kev ua pa nrog kev mob ntsws loj heev.
- Ntaus ntawm hemocoagulation.
- Kev hloov ntawm cov dej thiab roj ntsha tawm ntawm cov qog ntshav thiab ntshav.
Cov tshuaj nram qab no yog siv rau cov txheej txheem saum toj no:
- Ampicillin;
- Gentamicin;
- Benzylpinicillin (sodium ntsev);
- Claforan;
- Prednisolone;
- colloidal daws;
- Tracerol;
- Gordoks;
- Contrikal ;
- Heparin;
- Fraxiparin;
- Kev Khiav Mus.
Vitaminotherapy thiab tshuaj nrog immunosuppressive kev txiav txim yuav superfluous.
Kev kho mob thaum muaj xwm txheej no yog hu rau pab pawg kho mob tam sim ntawd thiab xyuas kom tus neeg mob tsis txhob txav mus los, tshwj xeeb tshaj yog tias qhov teeb meem yog raug mob los ntawm qhov mob uas muaj kab mob hauv cov ntshav. Yuav kom rov qab tau cov dej tshuav ntawm lub cev, nws raug tso cai rau cov neeg tau dej sov so uas tsis muaj roj. Yog tias lub cev kub tuaj yeem, txias compresses (qee zaus dej khov) yuav tsum tau siv, thiab yuav tsum tau muab pov npoo. Nws yog ib qho tsis tsim nyog yuav tsum tau noj tshuaj, tshwj xeeb tshaj yog cov kev kuaj mob, tshuaj tiv thaiv thiab tshuaj tua kab mob.