ENVENENAMENTO DO SANGUE: O QUE CAUSA? SINTOMAS (2017)

Tudo Sobre Envenenamento do Sangue

ENVENENAMENTO DO SANGUE: O QUE CAUSA? SINTOMAS (2017)
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ENVENENAMENTO DO SANGUE (SEPSIS)

Envenenamento do sangue ocorre quando uma infecção no corpo fica fora de controle. A doença pode ser fatal rapidamente, o tratamento rápido é, portanto, muito importante.

 

Exame

 

O que é septicemia?

O envenenamento do sangue (sepsis) sempre começa com uma infecção, por exemplo, uma ferida ou uma pneumonia.

Normalmente, é possível que o corpo combata a infecção e não se espalhe. Sistema de defesa do corpo combate os agentes patogénicos a maioria das bactérias e cura da doença.

Na sepse, no entanto, a situação fica fora de controle: agentes patogênicos e as suas toxinas se espalhar através dos vasos sanguíneos inundando o corpo.

No entanto, isso por si só não faz toxemia. Ela surge porque o sistema imunológico do corpo respondeu muito violentamente. Assim, uma reação em cadeia perigosa começa em curso, e prejudica o corpo.

A infecção e as reações exageradas do organismo à infecção estes são os dois componentes que compõem um envenenamento do sangue.

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(VÍDEO) SEPSE – Infecção Generalizada

 

> Sepse é muitas vezes subestimada

 

Sepse é subestimado em sua nocividade por muitas pessoas. Muito poucas pessoas sabem que o envenenamento do sangue tatuagem, afinal, é a terceira causa de morte mais comuns na Alemanha – depois de doenças cardiovasculares e câncer .

Todos os anos neste país cerca de 60 mil pacientes morrem de sepse.

O que torna a doença tão perigosa: que muitas vezes não é reconhecido no momento.

Como os sintomas são muito ambíguos, em particular no início: sintomas como febre, mal-estar e respiração rápida pode ser mais como um pensamento infecção banal como uma doença grave.

A contaminação do sangue pode levar ao choque séptico: A pressão arterial cai drasticamente, o pulso é rápido, e o período de tempo prolongado.

Esta situação de perigo não pode ser resolvida sem medicação. Os médicos referem-se a sepse grave, quando os órgãos vitais já não funcionam corretamente. No pior dos casos, existe um rim, pulmão, coração e fígado falhando.

 

> O diagnóstico rápido é crucial

 

O diagnóstico não é fácil de realizar, no início da doença. No entanto, é muito importante para detectar o envenenamento do sangue desde o início. Uma vez que a doença pode piorar drasticamente dentro de algumas horas.

O exame físico do paciente e os exames de sangue fornecem instruções aos médicos. São utilizadas técnicas de imagem às vezes, tais como ultra-som ou tomografia computadorizada.

 

> Qual é o tratamento?

 

Na maioria dos casos, septicemia no hospital deve ser tratada, muitas vezes na UTI. Os médicos tentam então, entre outras coisas, para estabilizar o circuito com infusões e medicamentos e manter a função do órgão em funcionamento.

Tão rapidamente quanto possível a terapia com antibióticos e pode também ajudar a medidas cirúrgicas para conter o processo de infecção.

Mesmo sob o melhor tratamento, nem sempre é possível salvar a vida do paciente em uma sépsis severa ou choque séptico.

 

> Importante:

 

Este artigo contém as informações gerais e não deve ser usado para auto-diagnóstico ou tratamento. Ele não pode substituir uma consulta médica.

 

> Sepse: Causas

 

O ponto de partida é o envenenamento do sangue sintomas sempre uma infecção local limitada, por exemplo, uma ferida infectada.

Quase qualquer tipo de infecção pode levar ao envenenamento do sangue por exemplo, uma lesão infectada ou ferida cirúrgica, uma infecção do trato urinário , a meningite , a pneumonia , uma apendicite ou um dente doendo.

Bactérias, fungos, bem como outros agentes patogénicos, tais como protozoários, parasitas ou vírus, são disparos de possíveis infecções.

Normalmente, o corpo combate sistema de defesa (sistema imunitário) agentes patogénicos prejudiciais de tal forma que a cura da infecção ou pelo menos, não faz mais danos.

A não manutenção do corpo, no entanto, para manter a infecção sob controle, multiplicar os patógenos e mover-se em grande número no sangue juntamente com eles produzem toxinas.

O sistema imune reage a ele (resposta imune): As células de defesa liberta os neurotransmissores, os quais, por exemplo, causa efeito de febre. Esses neurotransmissores pode ativar outros mensageiros, que por sua vez induzem mais reações no corpo.

De modo a obter, no pior caso, uma reação em cadeia, a qual é difícil de parar novamente.

 

> Reação em cadeia perigosa no corpo

 

As reações do sistema de defesa dirigido a um sépsis contra a infecção real de não prejudicar muito na sua gravidade, mas o corpo. Muitos processos metabólicos tornar-se confusos:

Por isso, pode acontecer que a coagulação do sangue seja ativado “por engano”. Coágulos de sangue nos pequenos vasos sanguíneos. O suprimento de sangue de órgãos e tecidos vacila.

Células do sistema imunológico que circulam nos vasos sanguíneos, liberam substâncias com as quais elas normalmente combatem agentes patogénicos prejudiciais.

Estas substâncias esticam as paredes dos vasos sanguíneos, de modo que eles já não segurarem firme.

Líquido ocorre em grandes quantidades a partir do sangue através do tecido. O resultado é um esgotamento massivo de volume nos vasos sanguíneos. A pressão arterial cai. Os órgãos são perfundidos.

Os pequenos vasos sanguíneos se dilatam fortemente, sugerindo diminuição da pressão arterial ainda mais. Deste modo, um choque séptico pode desenvolver.

Falta de sangue suficiente no organismo. No pior dos casos, se trata de falência de órgãos, sepse grave. Coração, pulmão, rim e fígado não estão funcionando adequadamente.

Portanto, não é a única infecção que o envenenamento do sangue contribui. É fundamental para o sistema imunológico.

Porque ele reage violentamente com a infecção sem ser capaz de realmente lutar, aconselhou muitas funções do corpo dentro de um curto período de tempo fora de equilíbrio.

Tal reação do sistema imunológico é abreviada (Síndrome da Resposta Inflamatória Sistêmica) SRIS.

 

> Quem corre maior risco?

 

Aumento do risco de envenenamento do sangue têm pessoas com sistema imunológico enfraquecido.

Assim, uma deficiência imunológica pode ser congênita ou adquirida, por exemplo, a infecção pelo HIV, doenças crônicas, como diabetes, câncer, ou medicamentos que suprimem o sistema imunológico.

Particularmente em risco estão também os bebês prematuros e pessoas muito velhas.

Propenso a envenenamento do sangue também são pacientes que foram recentemente operados ou devem ser tratados na UTI.

Porque em tubos de respiração, cateteres urinários ou tubos de infusão pode facilmente colonizar bactérias. Feridas cirúrgicas infectadas são muitas vezes o ponto de partida da sepse.

Pessoas cujo baço foi removido, também estão particularmente em risco de contrair uma infecção no sangue. Para eles, nomeadamente, certas bactérias como pneumococos podem provocar septicemia.

Os cientistas suspeitam que, não menos certos fatores hereditários aumentar a probabilidade de desenvolver sepse.

 

(VÍDEO) Sepse

 

> Envenenamento do sangue: sintomas

 

Febre alta, confusão, respiração rápida e pulso rápido pode indicar sepse

No início é um envenenamento do sangue, muitas vezes não é fácil de detectar. Os sintomas são ambíguos e também pode ser causados por outras doenças:

Febre : Os principais sintomas de septicemia incluem uma temperatura corporal elevada de mais de 38 graus Celsius, muitas vezes acompanhada de calafrios. Mas pode também ocorrer com uma temperatura reduzida a menos de 36 graus Celsius.

Respiração rápida : A respiração é geralmente rápida e superficial.

Confusão : Quando toxemia do cérebro podem ser afetados. Em seguida, vêm perder a consciência no caminho para o delírio. O interessado fica desorientado e inquieto.

Batimento cardíaco rápido: Muitas vezes o batimento cardíaco é acelerado, o pulso é de mais de 90 batimentos por minuto.

Baixa pressão arterial: A pressão arterial pode ser significativamente reduzida. A pressão arterial sistólica é menos de 90 batimentos por minuto.

Insuficiência renal: Isto é sugerido por um débito urinário diminuído.

Entre os sinais de sintomas de intoxicação sanguínea pode vir de cada infecção desencadeante com uma infecção urinária que são, por exemplo ardor e dor ao urinar, com dor de cabeça meningite e rigidez do pescoço.

Importante: a menor suspeita de um envenenamento do sangue consultar imediatamente um médico!

 

> Aviso: manchas na pele

 

Se o resultado toxemia de meningite causada por certas bactérias (meningococo), por vezes, ocorrem lesões cutâneas características: são formadas pequenas manchas vermelhas em muitos lugares na pele, que se fundem para formar manchas maiores vermelhas ou azuladas escuras, que parecem semelhantes a uma contusão.

Possivelmente também formam bolhas cheias de sangue.

 

> Cuidado “linha vermelha”?

 

Há uma suposição generalizada de que uma listra vermelha sobre a pele com um ponto de partida um sinal inequívoco de envenenamento do sangue é uma ferida.

E que a situação estava ameaçando uma vez que estas tiras têm “atingido o coração”. Isso é verdade, mas não é assim.

O sintoma indica uma inflamação dos vasos linfáticos, uma linfangite. Portanto, não é um sinal claro da sepse, mas apenas uma indicação de uma inflamação local.

A partir de tal inflamação pode desenvolver envenenamento do sangue no entanto como em qualquer infecção.

No pior dos casos a linfangite deve ser tratada medicamente, portanto, ainda pode se tornar um envenenamento do sangue.

Envenenamento do sangue: diagnóstico

Provas de exame de sangue e físicos proporcionam ao médico pistas importantes para o diagnóstico

Quando suspeita de septicemia um diagnóstico rápido é importante.

Infelizmente, os sinais da doença, especialmente no início são frequentemente ambíguas, de modo a que o diagnóstico não é fácil de fazer.

Não há também nenhum parâmetro único que seria determinante para uma sepse.

O médico irá verificar o histórico médico do paciente e examiná-lo, entre outras coisas, medir a pressão arterial, pulso, frequência respiratória e temperatura corporal.

Possivelmente interpretar os sintomas, já indicam uma sepsis. É o estado de problema de saúde, o paciente deve ser imediatamente hospitalizado.

 

> Os exames de sangue

 

Os valores dos parâmetros inflamatórios no sangue (incluindo procalcitonina , PCT) pode ser aumentado. O número de células brancas do sangue, muitas vezes diferente da normal, pode ser aumentada ou diminuída.

Os valores de sangue também podem adivinhar se a função do órgão já está perturbado, e se assim sinais de sepse grave.

Por exemplo, o número de plaquetas sanguíneas (trombócitos) redução da função renal ou do valor a ser visível (aumento da creatinina sérica). Possivelmente hiperacidez no sangue pode ser detectada, ou o conteúdo de oxigénio é reduzido.

 

(VÍDEO) Você Sabe o que é Sepse?

 

> Buscando infecção

 

Por vezes, a fonte de infecção é imediatamente reconhecíveis sintomas específicos: por exemplo, se o tecido em torno de uma ferida muito vermelhas, inchadas e sobre-aquecida, e é o ponto doloroso.

Mas nem sempre a coisa tão fácil. Muitas vezes, os médicos não sabem que a infecção paciente tem. Dependendo do caso, em seguida, inserir técnicas de imagem, como ultra-sonografia (ecografia) ou tomografia computadorizada.

Sobre as gravações que reconhecem como fluido ou pus nas cavidades do corpo ou órgãos possível evidência da infecção.

Em doentes de cuidados intensivos na sépsis poderia ter sido a fonte de infecção, por exemplo, um tubo de plástico contaminado (cateter) através da qual a urina é descarregada ou que é utilizado para infusão para os vasos sanguíneos.

Frequentemente os pacientes também infectar através do tubo de respiração, de modo que uma pneumonia desenvolveu.

A fim de determinar uma lata imagem de raios-X dos pulmões são feitas.

Para o diagnóstico pode ser um reflexo dos brônquios (broncoscopia) úteis: no lavado broncoalveolar (LBA) a partir de secreção é lavado vias aéreas mais profundas e testado para agentes patogênicos.

Nem sempre os médicos descobrem a sepse originalmente acionada. Por vezes, a fonte de infecção permanece desconhecida.

 

> Detecção de patógenos

 

Em qualquer caso, os médicos tentam identificar o agente patogénico. Por isso, tomar possível, mesmo a partir do sangue antes de iniciar o tratamento.

O sangue é, sob determinadas condições de uma estufa mantida (assim chamada cultura de sangue) e examinadas após algumas horas.

Os agentes patogénicos, em seguida, é aumentado na medida em que é possível determinar de forma mais precisa.

Assim, os médicos podem também testar drogas que funcionam melhor contra o agente patogénico, e se a terapia de ataques já estiver aparente este não é o caso, o tratamento deve ser ajustado.

A septicemia não há patógenos detectáveis em culturas de sangue no entanto, a sepse pode ser. E por outro lado, é um achado numa cultura de sangue não é necessariamente a causa da septicemia identificada.

As descobertas devem ser sempre consideradas em conjunto com outros resultados de teste. Hemoculturas regulares permitem um acompanhamento.

 

> Sepse: Terapia

 

Envenenamento do sangue devem ser tratados rapidamente geralmente é necessário um tratamento intensivo

O tratamento rápido é importante. Porque a doença pode deteriorar-se rapidamente e tornam-se fatal. Em muitos casos, septicemia é muitas vezes tratada na unidade de cuidados intensivos no hospital.

 

> Combater patógenos

 

Muitas vezes, as bactérias provocar sepsia. O médico após uma punção venosa para determinar o agente causador indica rapidamente um possível antibiótico, normalmente em doses elevadas sobre a veia.

Antibióticos matam as bactérias ou retardar seu crescimento.

Ainda não se sabe se patógenos seleciona um agente que atua contra o maior número possível de vários germes.

Uma vez que os resultados de laboratório de cultura de sangue estão presentes, a terapia pode ser especificamente adaptada à natureza do agente patogénico.

Em uma sepsia simples pode ser suficiente a administração de um antibiótico. Em um caso grave, no entanto, que não é suficiente.

 

> Estabilizar circulação

 

Se a pressão arterial diminui, os médicos administrar fluido através das veias para normalizar a pressão sanguínea.

No choque séptico, a pressão sanguínea pode permanecer reduzida, apesar desta terapia de infusão.

Neste caso, medicamentos de emergência adicionais são usados, que contraem os vasos sanguíneos e, assim, aumentar a pressão arterial.

 

> Outras medidas (UTI)

 

Na sepse grave o metabolismo fica maciçamente fora dos eixos. Com várias medidas e drogas específicas aos médicos, em seguida, tentar obter a função do órgão manter ou substituir temporariamente.

O nível de glicose no sangue pode inviabilizar a fim de que o dom do hormônio insulina hipoglicêmico é necessário.

Trabalha os rins não suficientemente, uma lata de hemodiálise (diálise) pode ser necessária. Muitas vezes é uma administração de oxigênio e ventilação necessária.

Pode ser necessário colocado em coma induzido artificialmente e alimentado, o paciente com medicação durante algum tempo.

 

(VÍDEO) Como Sepse Ataca o Corpo

 

Eliminar fontes de infecção

Para obter o envenenamento do sangue no punho, os médicos tentam chegar a fonte de infecção, tanto quanto possível para remover a fonte infecciosa.

Dependendo do tipo de infecção são utilizados procedimentos cirúrgicos. Por exemplo, implantes contaminados substituído, feridas abertas e componentes de tecido inflamado ou mortas são cortadas.

A lavagem dos locais infestados ou um dreno de líquido (drenagem) pode ser o mais apropriado.

Os pacientes que sobreviveram a sepse grave, muitas vezes lutam ainda semanas ou meses com as consequências, por exemplo, com fraqueza muscular, movimentos involuntários ou danos nos nervos.

Certas habilidades diárias, como andar ou falar, tem que ser reaprendidos parcialmente. Por último, mas não menos importante é a doença grave não só físico, mas também o estresse emocional.

Alguns pacientes ainda sofrem de pesadelos ou longa depressão.

 

Sepse: É bom saber

Sépsis pode ser impedido muito limitada, apoiar o sistema imunológico e tratar infecções rapidamente pode deixar você livre de sepse.

Proteção segura contra envenenamento do sangue, não há. Os germes estão espalhados por toda parte

A única forma de “prevenir” envenenamento do sangue é apoiar as defesas do corpo. Uma dieta equilibrada e variada fornece os nutrientes, vitaminas, minerais e elementos necessários para traçar sistema de defesa são importantes.

Ter sono suficiente, praticar esporte e fortalecer o sistema imunológico, bem como chuveiros quentes e frios e exercício no ar fresco.

Certifique-se, no entanto, para evitar sobrecarga. É também importante ter momentos de relaxamento. Os hormônios do estresse enfraquecem o sistema imunológico.

Inflamação e infecção devem ser tratadas de forma mais rápida. Pessoas que sofrem de um sistema ou imunossupressores (medicamentos imunossupressores) levam a um enfraquecimento imunológico que deve ser extremamente cuidadoso aqui.

Uma vez que os sintomas de inflamação ou infecção, por exemplo, uma ferida dolorosa, vermelha e inchada, febre pode ocorrer, o aconselhamento médico é solicitado imediatamente.

A menor suspeita de um envenenamento do sangue não hesitar, mas procure um médico imediatamente.

Pessoas cujo baço foi removido tem um risco aumentado de sofrer de envenenamento do sangue. Para eles usar vacinas contra patógenos sepse comuns pode ser particularmente útil (por exemplo pneumocócica).

O médico pode receitar-lhe individualmente.

ATUALIZADO: 18.01.17 (INFOGRÁFICO)

 

medico emegrecer homem

 

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