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Sepsis wani yanayi ne mai barazana ga rayuwa wanda ke tasowa lokacin da martanin jiki ga kamuwa da cuta yana haifar da rauni ga kyallensa da gabobinsa.[1] Wannan matakin farko yana biye da tsarin garkuwar jiki.[2] Alamomi da alamomi na yau da kullun sun haɗa da zazzabi, ƙara yawan bugun zuciya, ƙara yawan numfashi, da rudani.[3] Hakanan ana iya samun alamun da ke da alaƙa da wata cuta ta musamman, kamar tari mai ciwon huhu, ko fitsari mai radadi tare da ciwon koda.[4] Matasa, tsofaffi, da mutanen da ke da raunin garkuwar jiki na iya zama ba su da alamun kamuwa da cuta ta musamman, kuma zafin jiki na iya zama ƙasa ko al'ada maimakon zazzabi.[4] Sepsis mai tsanani shine sepsis yana haifar da rashin aikin gabobin jiki ko jini.[5] Kasancewar ƙarancin hawan jini, hawan jini mai lactate, ko ƙarancin fitar fitsari na iya ba da shawarar ƙarancin jini.[6] Septic shock shine ƙananan hawan jini saboda sepsis wanda baya inganta bayan maye gurbin ruwa.[6]
Sepsis | |
---|---|
Description (en) | |
Iri |
general infection (en) systemic disease (en) |
Specialty (en) | infectious diseases (en) |
Symptoms and signs (en) |
remittent fever (en) , chills (en) intermittent fever (en) |
Medical treatment (en) | |
Magani | ceftriaxone (en) , mezlocillin (en) , nafcillin (en) , cefepime (en) , cefotetan (en) , oxacillin (en) , ticarcillin (en) , amikacin (en) , aztreonam (en) , imipen (en) , gentamicin (en) , cefotaxime (en) , ceftizoxime (en) , ertapenem (en) , piperacillin (en) , drotrecogin alfa (en) , ceftazidime (en) da cefoxitin (en) |
Identifier (en) | |
ICD-10 | R65.20 da R65.21 |
ICD-9 | 995.92 |
DiseasesDB | 11960 |
MedlinePlus | 000666 |
eMedicine | 000666 |
MeSH | D018805 |
Sepsis shine amsawar rigakafi mai kumburi wanda kamuwa da cuta ya jawo.[4][7] Cututtukan ƙwayoyin cuta sune sanadi na yau da kullun, amma cututtukan fungal, ƙwayoyin cuta, da cututtukan protozoan kuma na iya haifar da sepsis.[4] Wuraren gama gari don kamuwa da cuta na farko sun haɗa da huhu, ƙwaƙwalwa, urinary fili, fata, da gabobin ciki.[4] Abubuwan haɗari sun haɗa da kasancewa ƙanana, tsufa, raunin tsarin rigakafi daga yanayi kamar kansa ko ciwon sukari, babban rauni, ko kuna.[3] A baya can, ganewar asali na sepsis yana buƙatar kasancewar aƙalla ma'auni guda biyu na ƙwayar cuta mai kumburi (SIRS) a cikin yanayin da ake zaton kamuwa da cuta.[4] A cikin 2016, ƙimar ƙimar gazawar gabobin gabobin jeri (cikin SOFA), wanda aka sani da saurin SOFA (qSOFA), ya maye gurbin tsarin SIRS na ganewar asali.[1] Ma'auni na qSOFA na sepsis sun haɗa da aƙalla biyu daga cikin uku masu zuwa: ƙara yawan numfashi, canji a cikin matakin sani, da ƙananan hawan jini.[1] Jagororin Sepsis sun ba da shawarar samun al'adun jini kafin fara maganin rigakafi; duk da haka, ganewar asali baya buƙatar jinin ya kamu da cutar.[4] Hoto na likita yana taimakawa lokacin neman wuri mai yuwuwar kamuwa da cuta.[6] Sauran abubuwan da za su iya haifar da irin wannan alamu da alamun sun haɗa da anaphylaxis, rashin isashen adrenal, ƙarancin jini, gazawar zuciya, da ciwon huhu.[4]
Sepsis na buƙatar magani nan da nan tare da ruwan jijiya da maganin ƙwayoyin cuta.[3][8] Ci gaba da kulawa sau da yawa yana ci gaba a cikin sashin kulawa mai zurfi.[3] Idan isasshen gwaji na maye gurbin ruwa bai isa ba don kula da hawan jini, to amfani da magungunan da ke tayar da hawan jini ya zama dole.[3] Ana iya buƙatar samun iskar inji da dialysis don tallafawa aikin huhu da koda, bi da bi.[3] Za a iya sanya catheter na tsakiya da kuma na'urar jijiya don samun damar shiga jini da kuma jagoranci magani.[6] Wasu ma'auni masu taimako sun haɗa da fitarwar zuciya da mafi girman yanayin iskar oxygen na vena cava.[6] Mutanen da ke da sepsis suna buƙatar matakan kariya don thrombosis mai zurfi, ƙumburi na damuwa, da ƙumburi na matsa lamba sai dai idan wasu yanayi sun hana irin wannan tsoma baki.[6] Wasu mutane na iya amfana daga tsauraran matakan sukari na jini tare da insulin.[6] Yin amfani da corticosteroids yana da rikici,[9][10] tare da wasu sake dubawa suna samun fa'ida, wasu kuma ba.[11]
Mummunan cuta a wani bangare yana ƙayyade sakamakon.[12] Haɗarin mutuwa daga sepsis ya kai 30%, yayin da mai tsanani sepsis ya kai kashi 50%, kuma bugun jini 80%.[12] Sepsis ya shafi kusan mutane miliyan 49 a cikin 2017, tare da mutuwar miliyan 11 (1 cikin 5 ya mutu a duk duniya).[13] A cikin ƙasashen da suka ci gaba, kusan 0.2 zuwa 3 mutane a cikin 1000 suna fama da sepsis kowace shekara, wanda ke haifar da kimanin lokuta miliyan a kowace shekara a Amurka.[12][14] Yawan cututtuka na karuwa.[6] Sepsis ya fi yawa a tsakanin maza fiye da mata.[4] Bayanin sepsis ya koma lokacin Hippocrates.[15] An yi amfani da kalmomin "septicemia" da "guba jini" ta hanyoyi daban-daban kuma ba a ba da shawarar ba.[16][17]
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