Cryptogenic nokudumba: iimpawu kunye nonyango

Njengoko yaziwa, izifo ukudumba zingachaphazela naliphi na iziko likarhulumente. Zahlula-hlulwe iintlobo ezimbini: iinkqubo oyingozi futhi ezigulo ezondeleyo. isifo kwangethuba kunye nonyango ezimbi ukudumba kusoloko kukhokelela unyango olupheleleyo okanye kuxolelwa. Ukuba amajoni omzimba buthathaka, isifo iqhubeka. Enoba indawo, iziko ukudumba isoloko akhawulwe. Le iimpembelelo ezingalunganga inkqubo okanye ukusasazeka zingenzeka lungekho unyango. Ngenxa yoko, amasuntswana iintsholongwane kungena egazini. Esi simo kuthiwa nokudumba. ingxaki enjalo anobungozi kuba oko kunokukhokelela ukothuka nokufa.

nokudumba Cryptogenic - ntoni na?

Kuxhomekeka indawo yomthombo iphambili ukudumba iindidi ezininzi nokudumba. Kuhle ukukhumbula ukuba ukungena kwamagciwane egazini kunokubangela nasiphi na isifo. Kwiimeko ezininzi pneumonia, iinkqubo yokukrala eluswini, umlomo, Nezomqala. Kwezinye iimeko, kugxila kwinjongo ephambili ayikho. Ke imeko ubizwa ngokuba "nokudumba cryptogenic." Esi sifo akuthethi ukuba ingqwalasela ephambili ukudumba ayikho apho. Noko ke, ngexesha lokubavelela kwam le ntsholongwane sele bawela egazini kwaye wonke umzimba. Ngako oko ke akunakwenzeka ukuba ukuseka unobangela nokudumba. Olu hlobo sifo abanye azixhaphakanga. nokudumba Cryptogenic - igazi iintsholongwane ityhefu akukho ephambili lusekiwe kujoliswe arhabaxa. Amaninzi leengxaki kwenzeka kwiintsana ngaphambi kwexesha, abantu, iinkqubo eziyekeyeke omzimba. Kwiimeko ezininzi, esi sifo kuba nzima. Xa eqalwe ngexesha unyango ukuba umphilise.

Izinto ezibangela nokudumba cryptogenic

Ukuba ufake kugxila kwinjongo ephambili ukudumba kunzima, kwaye sele iintsholongwane eyangena egazini, uxilongo ubuze beli "nokudumba cryptogenic." Izinto ezibangela le sifo zinokuba nomahluko. Ngokwesiqhelo le umyalezo yahlukile kwezinye iintlobo nokudumba. Umahluko kukuba komtshiso kulo naliphi na iqumrhu uvela kakhulu ngokukhawuleza okanye omzimba xa isigulane yehla kakhulu. Ngeli xesha ukususela ekuqaleni esi sifo ngaphambi kokuba usulelo (gumbi yama) lifinyele. Kulo mzekelo, isigulane akazange abe nexesha ukuqonda oko iimpawu waqalisa ukukhathazwa naye kwindawo yokuqala. Xa izigulane ezininzi, isiza lokuqala Ungafumana emva kophando. Ukuba nangoku alifumaneki, lo ngezifo ihlelwa nokudumba cryptogenic. Ubangelwa sifo:

1. igciwane. agents Causative of nokudumba kunokuba nayiphi Cya. Amaninzi oko staphylococci kunye streptococci, Proteus, Pseudomonas aeruginosa kunye Escherichia coli.
2. microflora ngoku izifo. Njengoko waziwa, emzimbeni kukho ezininzi iintsholongwane anokufumaneka eqhelekileyo. Ngokunciphisa wokhuselo immune microflora ezingenelelayo iqala ukwandisa, nto leyo ekhokelela zizifo ezahlukahlukeneyo. Ngenxa yoko, uyakwazi ukuphuhlisa nokudumba cryptogenic.
3. Izifo ezibangelwa nomngundo yayintsholongwane eyosulela (Candida).
4. Primary kunye immunodeficiency lesibini (HIV).
5. Ixesha prematurity, iintsana kunye ubunzima ngokuzalwa ephantsi (ngaphantsi 2 kg).
6. usuleleko intrauterine.

Le indlela nokudumba

nokudumba Cryptogenic - ntoni na? Loo uphethwe ukungabikho sisifo Prayimari sinokuba ezikhokelela ityhefu igazi. nokudumba Cryptogenic nayo ngokuba samabanga, okanye idiopathic. Oku kwenzeka ngokuthi nokudla kwamagciwane egazini. Ngenxa yoko, le ntsholongwane wonke umzimba. Ngenxa yoko, izilonda ukudumba inokufunyanwa kwiindawo ezininzi. Ukongeza, i asaphuhlayo ukunxila yebhaktiriya. Kwiimeko ezinjalo, amajoni omzimba ayikwazi ukumelana nenani elikhulu kwamagciwane. Amaxesha amaninzi le meko ikhokelela yaphula nemithambo yegazi. Ngenxa yokuba zokuphuhlisa yokothuka yebhaktiriya. Le ingxaki kuyingozi kakhulu kwaye kaninzi ebulalayo.

nokudumba Classification cryptogenic

Sisazi ukuba indawo ephambili ekujoliswe lwezidumbu ayaziwa, nokudumba cryptogenic akukho zihlelwe ngokungqinelana isiseko etiological. Noko ke, kuyimfuneko ukuba kusekwe i-arhente ezosulelayo ukuba unyango eyaneleyo isibulala-zintsholongwane. Njengezinye iintlobo nokudumba, le ngezifo ngobuwena kungenziwa ngeendlela ezimbini. Noko ke, oluhlobo aluchaphazeli ALS kwesi sifo. uhlobo Cryptogenic ubuthi igazi:

1. Septicemia. Oku kuthetha ubukho microflora ziibhakteriya okanye fungal, ajikeleza ngomzimba. Noko ke amagciwane aziyo nakujoliso olutsha usulelo.
2. Pyosepticemia. Ukongeza ubukho iintsholongwane kwi igazi amakoloni ebona amalungu. amagciwane Uninzi sifo emfono (ifakwe) emiphungeni, ingqondo, esiswini. Ngenxa yoko, le ndawo kwakheka nakujoliso olutsha lwe ubovu komtshiso oko.

Ikhosi kwezonyango ukwahlula fulminant, nokudumba etsolo kunye ezigulo ezondeleyo. Kwimeko yokuqala, esi sifo kuphuhliswa kwiintsuku zokuqala emva kokuba pathogen umthondo kwaye luphawulwa kwekhono kakhulu ngayo amalungu kunye neenkqubo. nokudumba Acute ithatha malunga 2-4 iiveki. exposure ezondeleyo kuqhubeka iinyanga eziliqela okanye iminyaka. Lubonakala yi kuphuhliso exacerbations kunye Uxolelo. Kwezinye iimeko, kukho ikhosi ukhetho subacute of nokudumba. ubude yalo ukusuka kwiiveki ezi-6 ukuya ku-12.

Iimpawu nokudumba cryptogenic

nje khangela igazi inzalo, kunokwenzeka ukuba kugweba ukuba umntu nokudumba cryptogenic. Iimpawu zesi sifo ukuze sifane nezinye izifo ezininzi. Oku kungenxa yokuba zonke iinkqubo ukudumba liphuhlise ukunxila. Noko ke, ugqirha wakho Basenokukrokrela esi sifo ngokusekelwe umfanekiso clinical isici. Kwindawo yokuqala, uyayazi loo Kucetyiswa kuphela nokungasetyenziswa nezinye izifo arhabaxa. Ukwahlula ezi mpawu zilandelayo nokudumba:

1. lobushushu emzimbeni Ukunyuka ukuya degrees 39-40. Komzimba lukhatshwa Ukugodola, ukubila kunye intloko ebuhlungu.
2. Kubola. Xa nokudumba kwenzeka ubuthathaka, iintlungu izihlunu kunye namalungu ngaphandle kwasendaweni ethile, yehle onombilini.
3. Tachycardia - ukunyusa izinga intliziyo.
4. ukwehlisa uxinzelelo lwegazi.
5. Linyuke zemiphunga.
6. imisebenzi isibindi ezingahambi. Uphuhliso senyongo livela, ukunyuka ngokobukhulu (hepatomegaly).
7. izilonda emathunjini. Kwezinye izigulane, kukho nto yayimhlupha isitulo (sorhudo), isicaphucaphu nokugabha.
8. Imbonakalo hemorrhages apha esikhumbeni.

kwaye kwenzeka ezinye iimpawu ngexesha kuphuhliso septicopyemia. Baxhomekeke kwasendaweni of izilonda arhabaxa. Amaxesha amaninzi ukuphuhlisa endocarditis, inyumoniya.

iindlela zokuxilonga nokudumba cryptogenic

Engongoma diagnostic ukuba nokudumba ziquka ezibonisa kwezonyango sifo kunye utshintsho waphawula ngexesha elebhu okanye iindlela instrumental. Okokuqala sinikele ingqalelo imeko jikelele yesigulana. E zimbi yayo iintsuku ezimbalwa, nangona kokufika unyango isibulala-zintsholongwane, ingakrokreleka nokudumba cryptogenic. Iimpawu ezibonisa isifo, - ungowomhlaba (grey) umbala eluswini, buthathaka kakhulu, icesina kunye ukubonakala hemorrhages yesikhumba. Kukho kwakhona ezibonisa yezonyango iimpawu ingaquka kuthinjwe senyongo kunye hepatomegaly. Phambi ezi mpawu kufuneka ngoko nangoko hospitalize kumguli kuqhuba isaveyi.

Laboratory zomculo uxilongo

nokudumba Cryptogenic xa kukho utshintsho ebalulekileyo parameters elebhu. I kla ephawulwe leukocytosis, thrombocytopenia, kunye anaemia, kwakunye yokunyusa ESR. Iintsholongwane ekhona kuphela igazi kodwa yokuchama. Utshintsho iqatshelwe indices nemvelo. Ezi ziquka ukubonakala C-izidubuli protein, ukuze ukwandisa amanqanaba yibilirubin, ALT, AST (abanesifo sesibindi). Isiphawuli ezingundoqo nokudumba luvavanyo igazi inzalo (igazi inkcubeko phezu microflora). Ngokusebenzisa esi sifundo sikwazi-arhente causative lwesigulo ngayo.

Uxilongo ikhutshwa phandle ukuba ukubona izilonda nokulimala. Kuba oku kwenziwa esifubeni X-reyi, ultrasound esisu kunye isinqe. Kudla wafumana ukudumba emiphungeni - pneumonia, wawandisa isibindi - hepatomegaly.

nokudumba Cryptogenic: ikhowudi njengako ICD-10

Njengayo nayiphi ngezifo, esi sifo ikhowudi oluthile Classification International. Yena umiselwe ngokuxhomekeke pathogen ezibangele ukuba nokudumba cryptogenic. ICD-10 - kucalulo ezizodwa, apho sisebenza emhlabeni. Imbali yonyango ibhalwe kuqala, self sifo, kwaye ke khowudi. Kwimeko cryptogenic nokudumba cipher ukuthanda A41.9 (septicemia unadjusted). Ukubona ikhowudi ICD-10 ugqirha nawuphi na umbutho zonyango kwelinye ilizwe ukuqonda oko uxilongo ndazi isigulane.

iingxaki ezinokwenzeka of nokudumba

Ekusondeleni engalunganga kwimpatho nokudumba ukuphuhlisa ezinobuzaza kakhulu. Phakathi kwabo - nematha, Embolism yemiphunga, endocarditis ziibhakteriya, stroke, ukudinwa kunye ukopha. Nganye kwezi meko kunokubangela ukufa malunga nesigulane eso. Ngoko ke, ngokuqulunqa le uphethwe imfuneko engxamisekileyo ukuqala unyango zintsholongwane kunye nomqondiso.

unyango nokudumba Cryptogenic

Ukubonwa yokuqala sifo kufuneka esibhedlele ize ilabele alale nomonde. Kwakhona, la manyathelo ayimfuneko kwiimeko kuyakrokreleka nokudumba cryptogenic. Unyango kuyaqalwa ngoko nangoko emva kokuxilongwa. Iqela ezingundoqo iimveliso - izinto antibiotics. Yabela ukuhlanganiswa 2-3 iziyobisi. Kakhulu wayedla "penicillin" iziyobisi "ceftriaxone", "Gentamycin", "Imipenem" kunye t. D. Ekubeni ukunxila langoku eyabelwe unyango ukumnika. Yegazi ehanjiswa izisombululo crystalloid kunye colloid izenzo ezibonisa kwenziwa igazi. Kwakhona yabonisa immunostimulant, antipyretic kunye arhente iintlungu. Ekuchongeni isiza losulelo ngoncedo ngotyando kuyimfuneko. Ngophuhliso umothuko yokubolisa ezilawulwa vasopressors ( "Dopamine" ukulungiselela). Zokutya izigulane eyenziwa parenterally okanye nge probe.

I-ALS of nokudumba cryptogenic

I-ALS of nokudumba cryptogenic kuxhomekeke nemeko ngokubanzi yomzimba yomguli (amajoni omzimba), ubudala, unyango ngexesha. Nokuphathwa eyaneleyo kwaye akukho zingxaki waphawula bachache ngokupheleleyo. I-ALS kakhulu kukuba subacute kunye nokudumba ezigulo ezondeleyo. Xa isifo fulminant kudla ebulalayo. Nangona unyango zintsholongwane, izinga lokusweleka kwesi sifo nama-50% amatyala.

Prevention nokudumba cryptogenic

Nokudumba ngokufuthi ikhula abantu abaphethwe zizifo ezingapheliyo arhabaxa. Ngoko ke, amanyathelo othintelo ziquka unyango olungele zosulelo nakujoliso olutsha, ukufumana amayeza immunostimulatory kunye neevithamini. Yokukhusela isifo kwiintsana kunye nabantwana abancinane, umama olindele kufuneka ukuphelisa imikhwa emibi, ulwamkelo amayeza, sesichengeni kubanda.