Gusuzuma byihuse kwandura kwandura amaraso

Kwandura amaraso (BSI) bivuga uburyo bwo gusubiza bwa sisitemu ya sisitemu yatewe no gutera mikorobe zitandukanye za pathogenic hamwe nuburozi bwabo mumaraso.

Indwara y'indwara irangwa no gukora no kurekura abunzi, bigatuma ibimenyetso by'amavuriro nko guhumeka cyane, guhubuka, guhungabana, kunanirwa kw'ibintu byinshi, kunanirwa ku mfuruka. Indwara ya Ha) Sepsis na Septique ihindagurika, ibaruramari rya 40% byimanza kandi hafi 20% ya ICU yabonye imanza. Kandi bifitanye isano rya bugufi no gukemurwa nabi, cyane cyane nta kuvura butemewe ku gihe cyo kuvura no kwibanda kwandura.

Ibyiciro byanduye bwamaraso ukurikije urwego rwanduye

Bacteraemia

Kubaho kwa bagiteri cyangwa ibihumyo murimaraso.

Septicemia

Syndrome yubuvuzi yatewe no gutera bagiteri ya pathogenic hamwe na toxine zabo mumaraso, ni indwara ikomeye ya sisitemu.

Pyohemia

Imikorere yangiza ubuzima iterwa na dyrwict togreglation igisubizo cyumubiri kwandura.

Mubyifuzo byinshi byubuvuzi nizo zandura ebyiri zijyanye.

Indwara idasanzwe yamaraso yamenetse

Indwara yamaraso ijyanye na catheters yatewe mumitsi yamaraso (urugero, catheters catheters ya periphera, abatiba bakomeye, catheters catheters, catheaters, amababa ya dialyse, nibindi).

SindoCariti idasanzwe

Ni indwara yanduza yatewe no kwimuka kwa pato ya Egocardium n'umutima, kandi birangwa no gushiraho ibinyabuzima bikabije muri Valve nkuburyo bwangirika kwibinyagurika, kandi no kwangiza pathologiya cyangwa sepsis byangiritse kubidukikije.

Akaga k'indwara zamaraso:

Indwara yamaraso irasobanurwa nkumurwayi ufite umuco mwiza wamaraso nibimenyetso bya sisitemu ya sisitemu. Indwara yamaraso irashobora kuba yisumbuye kurundi rubanza rwanduye nkindwara y'ibihaha, indwara zo munda, cyangwa kwandura abanza. Byavuzwe ko 40% by'abarwayi bafite sepsis cyangwa spock ya septique biterwa n'indwara zamaraso [4]. Bivugwa ko miliyoni 47-50 za sepsis zibaho ku isi yose buri mwaka, zitera impfu zirenga 11 zipfa, ugereranije n'urupfu rwa buri 1,8 [5].

Tekinike yo gusuzuma indwara zamaraso

01 PCT

Iyo kwandura sisitemu hamwe nubushake bukabije bibaho, gusohora kwa CHT Calfitoninogen byiyongera byihuta mu gihe cyo kwinjiza ubumuga bwa bagiteri hamwe na Cytokiya yerekana imiterere ikomeye kandi ni ikimenyetso cyiza cyo gukomera.

0,2 Ingirabuzimafatizo nibintu byangiza

Adsiyo ya selile (cam) bigira uruhare mubikorwa bya physiopathologique, nkibisubizo byigituba nigisubizo cyingenzi mu kurwanya no kwandura no kwandura bikomeye. Harimo IL-6, IL-8, TNF-A, VCAM-1, nibindi.

03 Endotoxin, G. Ikizamini

Bagiteri mbi nini yinjira mu maraso kugirango irekure Endotoxin irashobora gutera Endotoxemia; .

04 Ibinyabuzima bya molecula

ADN cyangwa RNA yarekuwe mu maraso yanditswe na mikoroguro irageragezwa, cyangwa nyuma yumuco mwiza wamaraso.

Umuco wamaraso

Bagiteri cyangwa ibihumyo mumico yamaraso ni "gari ya zahabu".

Umuco w'amaraso ni kimwe mu buryo bworoshye, bwuzuye kandi bukunze gukoreshwa muburyo bwo kumenya ubwandu bwamaraso kandi ni ishingiro rya patsicique yo kwemeza indwara zamaraso mumubiri. Kumenya hakiri kare umuco wamaraso nudutangajwe na kare kandi bikwiye ni ingamba zibanze zigomba kujyanwa kugenzura ubwandu bwamaraso.

Umuco wamaraso nigipimo cya zahabu cyo gusuzuma kwandura kwandura amaraso, gishobora gutandukanya neza indwara zanduza ibiyobyabwenge no gutanga gahunda yukuri kandi yukuri. Ariko, ikibazo cyigihe kirekire cyo gutanga raporo kumico yamaraso cyagize ingaruka ku isuzuma no kuvurwa, kandi byatangajwe ko igipimo cy'abarwayi kidafatwa n'iyongera ku gihe cya 7.6% ku isaha nyuma y'amasaha 6 ya hypotension.

Kubwibyo, umuco wamaraso uriho no kumenya imiti ukekwaho kuba wanduye mu maraso, aribo utanga amakuru y'ibanze (kumenyekanisha ibintu byateganijwe (kumenyekanisha ibintu byihuse hamwe n'ibisubizo bisanzwe by'ibizamini) [7]. Raporo y'ibanze igomba kumenyeshwa ivuriro muri 1 ya Raporo nziza yamaraso; Raporo ya Tertiary nishimiye kurangira vuba bishoboka (muri rusange muri 48-72 h kuri bagiteri) bitewe nikibazo cya laboratoikiya.