Nokudumba - zimpawu kunye iintsholongwane

Nokudumba sisifo eziqhelekileyo ezosulelayo ezisuka ubukho kwi nezihlunu babeziindawo yomzimba. Noko ke, ukuba kukho inani umahluko xa kuthelekiswa nezinye izifo ukuba babe umyalezo efanayo, oko kukuthi, iimpawu nokudumba abe umfanekiso ezahlukeneyo kuphuhliso lwexesha elizayo. Xa siqwalasela nokudumba ngokwemiqathango isifo kwaye afumane unyango kamva, wabachazela asabela ngayo egqwethekileyo okanye bazive ngokubanzi ngokobugcisa eziphilayo njengoko impendulo avula ngamagciwane bakhe nonspecific abe nenkani. Noko ke, oko kukhatshwa gabalala yayo, ayajika njengenkqubo yahlulwe ngezigaba ukuba ubude eyahlukileyo.

Nokudumba - Classification

Kukho iindlela ezine nokudumba, ngoxa babe amagama ahlukeneyo kunye noogqirha zokuhlela (pyo-resorptive fever, hroniosespsis, pyosepticemia, septicemia) kunye pathologists (hroniosespsis, pyosepticemia, septicemia kunye bakendokardit). Kwakhona, kuxhomekeke esangweni ekungeneni nokudumba wohlulwe:

• therapeutic (paraifektsionny);

• tonzilogenny;

• Utyando;

• unina;

• Oto-and odontogenic;

• yosana;

• cryptogenic.

Ngokutsho bomyinge wamanzi yokukhululwa ngolu hlobo lulandelayo:

• nokudumba ezingapheliyo;

• subacute (7 ukuya 14sutok);

• etsolo (malunga 5-7sutok);

• fulminant (iiyure ezingama-24 ukuya kuma-48) nokudumba.

Kukwakho icandelo kuxhomekeke kuphuhliso bokugcinwa umfanekiso lwezonyango:

• Ekuqaleni - kwenzeka kwithuba elingekho ngaphezu kwama-3 kwiiveki (phambi kokuba impumelelo laphu eyona);

• emva kwexesha (iiveki ezingaphezu kwama-3).

Kwimeko yokugqibela indawo kugxila kwinjongo ephambili yeZiko yosulelo ithe ibaluleke kakhulu unyango ngakumbi esi sifo. Nokuba ngowuphi na kule meko ke iimpawu nokudumba.

-Arhente causative of nokudumba

Umyalezo weimeyile kuba ezahlukeneyo njengoko nokudumba polietiologichen. Eyona phakathi iintsholongwane ezibangela nokudumba nangoku staphylococci. Ngenxa yabo, kukho malunga nama-50% amatyala. Emva kokuba ezi streptococci, Proteus, kunye Pseudomonas aeruginosa.

Nangona into yokuba izenzo nokudumba ezi nonspecific, ukuba umyalezo we-pathogen kunempembelelo enkulu phezu iimpawu flow yayo, oko kukuthi, iimpawu zesi sifo kunye nophuhliso nokudumba imi ngolu hlobo lulandelayo:

• staphylococci - Ukudlulela elikude, inyumoniya yokubolisa;

• streptococci - andise kwenzeka emithanjeni (lymphadenitis, lymphangitis), kwakhona xa zidityaniswe kunye nezinye ii-arhente;

• Pseudomonas aeruginosa - a zityalwe, umbane, yothuse ukusabela;

• E. coli - peritonitis, nokudumba peritoneal;

• clostridia - necrosis, ngegesi, ukudumba;

• Bacteroides - DIC.

Zonke iimpawu zibangelwa ubuthi enzayim eziveliswa iintsholongwane.

Isigaba kwesifo

Omzimba xa abantu kwimeko nokudumba akukho zaveliswa. Uxilongo kunye nonyango lwe nokudumba yinto yokuba akukho mfuneko yokuphinda, nto leyo uphawu izifo ezininzi ezosulelayo. Oku kwenzeka ukwenzeka hyperergic reaction ngokwaneleyo kusuleleko nolahlo ngokubanzi, xa kwimeko ukungakwazi kwenza kwasendaweni yayo.

Okwangoku, kukho isigaba zilandelayo zesi sifo, iimpawu nokudumba yahlukile:

• Ntshikilelo - xa kubonakaliswe impendulo host gciwane. Kwimeko apho impendulo yokukrala wendawo ayanele, mhlawumbi ukuqukwa kwinkqubo yokhuseleko esebenza, kunye nokuthatha inxaxheba kunye simpatoadrenalovoj gipotalano-yebhinqa.

• ukuphazamiseka catabolic - kukho ukusetyenziswa okuqhubekayo enzyme kunye noovimba noshowo eziphilayo. Esithe ngezo ezisebenzayo decompensation kwenzeka iinkqubo.

• steroid - xa elahlekile amalungiselelo ekhubekisayo sebeqala kuphila.