Sepsis vs Septicemia
Ob nqe lus no yog kev txawj ntse heev. Lawv kuj suab tib yam thiab yog li nyuaj rau sib txawv. Cov ntsiab lus no tsis tshua muaj tshwm sim nyob rau hauv ib txwm sib tham tshwj tsis yog tias koj yog ib tug kws kho mob. Cov ntsiab lus no tau siv xoob los hais txog qhov muaj cov kab mob sib npaug hauv cov ntshav. Tab sis tej yam txawv tam sim no.
Sepsis
Sepsis txhais tau tias yog kab mob inflammatory teb syndrome nyob rau hauv muaj tus kab mob. Systemic inflammatory teb syndrome yog ib yam mob uas txhais tau hais tias lub cev teb rau invading kab mob. Lub cev tiv thaiv kab mob pom cov khoom txawv teb chaws hauv cov ntshav thiab tso tawm ntau yam tshuaj hu ua cytokines. Cov cytokines no (tshwj xeeb tshaj yog interleukin -1) ua rau qhov kub thiab txias ntawm lub nruab nrab hlwb thiab hloov cov tub ntxhais lub cev kub. Kev ua kom lub hlwb cov chaw zov me nyuam nce lub plawv dhia thiab ua pa. Qhov no ua rau hyperventilation, thiab carbon dioxide tshem tawm ntawm cov ntshav; Yog li, carbon dioxide ib nrab siab poob. Cytokines (tshwj xeeb yog Interleukin 1, 3 thiab 6), ua rau cov pob txha pob txha thiab ua kom cov cell dawb ntau ntxiv. Qee qhov xwm txheej, cov hlwb tsis paub tab tau tso tawm rau hauv kev ncig.
Kev kuaj mob rau cov kab mob inflammatory teb yog raws li hauv qab no.
- Kub siab tshaj 38C lossis qis dua 36C
- Lub plawv dhia siab dua 90 tus neeg ntaus ib feeb
- Ua pa siab dua 20 ua pa ib feeb lossis carbon dioxide ib nrab siab qis dua 4.3 KPa
- cov qe ntshav dawb siab dua 12 X 10 9 lossis qis dua 4 X 10 9 lossis >10% daim ntawv tsis paub
mob sepsis yog ib yam mob uas muaj pov thawj ntawm cov ntshav tsis txaus rau hauv nruab nrog cev. Cov ntshav tsis txaus rau lub hlwb yuav ua rau muaj kev ntxhov siab, kiv taub hau, qaug zog, tsis zoo, kev sib haum xeeb, thiab txo qis kev nco qab. Cov ntshav tsis txaus rau lub ntsws yuav txo qis kev sib pauv roj ntawm alveoli, thiab cov pa oxygen ib feem yuav poob. Lub raum xav tau cov ntshav zoo, thiab hauv cov txiv neej noj qab haus huv nws yuav luag 60% ntawm tag nrho cov txiaj ntsig ntawm lub plawv. Yog li kev txo qis ntawm cov ntshav mus rau ob lub raum yuav txo qhov pom ntawm glomeruli thiab txo cov zis ntau lawm. Cramps thiab lactic acidosis yog cov cim qhia ntawm cov leeg tsis zoo.
Septic shock yog ib qho kev kho mob xwm txheej ceev uas muaj systolic ntshav siab qis dua 90 mmHg thaum muaj mob hnyav. Qhov no yuav tsum tau txhaj tshuaj adrenaline intramuscular thiab txhaj tshuaj tua kab mob. Txhua tus neeg mob ua npaws xav tau cov ntshav suav tag nrho, ntshav urea, ntshav electrolytes thiab ntshav kab lis kev cai. QHT, input output chart, pulse rate chart, blood pressure chart, analgesics, tshuaj tua kab mob, tshuaj tiv thaiv kab mob yuav siv tau raws li qhov xav tau raws li kev kho mob ntawm tus neeg mob. SIRS, sepsis thiab septic shock yog cov ntsiab lus kho mob. Lawv sawv cev rau qhov xav tau kev saib xyuas hnyav lossis tsis xav tau tib yam.
Septicemia
Septicemia siv txhais tau tias muaj cov kab mob sib kis hauv cov ntshav. Txawm li cas los xij, nws tsis muab lub tswv yim ntawm kev kho mob ntawm tus neeg mob. Bacteremia yog ib lo lus uas txhais tau tias tib yam thiab tsis muab ib lub tswv yim txog kev kho mob ntawm tus neeg mob. Yog li ntawd, bacteremia tseem siv tau thaum lwm cov ntsiab lus zoo tau hloov lub sij hawm septicemia.
Septicemia vs Sepsis
• Septicemia qhia tias muaj cov kab mob sib kis hauv cov ntshav thaum sepsis muab lub tswv yim ntawm qhov chaw kho mob, ntxiv rau kev qhia pom muaj cov kab mob hauv cov ntshav.
• Septicemia yog ib lo lus siv tsis tau thaum sepsis tam sim no.
