Bacterial shock in urological diseases - Causes, Symptoms and Treatment .MF .
bacterial shock (bakteriemicheskogo, endotoxin, bacteriotoxic, septic, toksikoinfektsionny) - is one of the most serious complications of urological disease, which develops as a result of penetration into the blood of a large number of micro-organisms and their toxins.
Causes bacterial shock
for the development of bacterial shock in urological diseases must be several factors.Firstly, it is the presence of the infection in the urogenital region.Secondly, reducing the overall reactivity of the organism and, thirdly, the absence of treatment.
infection in the organs of the urogenital system can get a variety of ways.One common route is considered urine when bacteria enter directly through urine.An example of this may be entering production urethral catheter with a violation of the rules of asepsis, mucosal injury or violation of the outflow of urine from the urinary tract due to the blockade.
Lymphogenous path of infection is based on the transport of bacteria through the lymph vessels.In a similar w
Hematogenous route of infection is to spread it to the chronic lesions in the organs of the urogenital system through the blood vessels.The most common foci of chronic infection are chronic otitis, sinusitis and tonsillitis.Implementation of foci of infection occurs during the lowering of general immunological reactivity, which is typical for the winter period, when the observed deficiency diseases and frequent exposure.
Symptoms of bacterial shock in urological diseases
After generalization of infection acute general clinical symptoms.Patients complain of fever, general weakness, malaise, and night sweats.These symptoms tend to accumulate on the local symptoms, which is typical for a disease that is the cause of bacterial shock.
In the next stage of development of bacterial shock reaction gives all organs and systems.In patients with marked decrease in blood pressure, increased heart rate and respiratory rate.This is accompanied by increased heat loss and dehydration.Body temperature rises until exhausted until the protective system of the body, after which it falls rapidly below the normal range.
Violation of the coagulation system in bacterial shock is characterized by bleeding disorders, nasal or intestinal bleeding.
final stage of development of bacterial shock can be regarded as hepatic and renal failure, which in a large percentage of cases are fatal.
As already mentioned, the bacterial shock develops against the backdrop of bad or inadequate treatment.Therefore, even the slightest symptoms of the kidney or other organs of the urogenital system, you must immediately seek the help of the urologist to he appointed adequate treatment, thereby notifying the development of bacterial shock.
bacterial shock diagnosis in urological diseases
basis for diagnosis of bacterial shock are laboratory tests of blood and urine.So, in the general analysis of blood with such a disease can be detected elevated white blood cell count with a shift leukocyte left and increased erythrocyte sedimentation rate.These markers are indicators of the inflammatory process.
During the biochemical analysis of blood can not determine the high content level of urea and creatinine, indicating renal pathology.renal ultrasound and CT of the retroperitoneal space can be used to clarify the specific cause.But even these modern techniques do not always give an accurate answer, forcing the resort to the use of methods such as excretory urography or radionuclide renografiya aimed at clarifying the functional state of the kidneys.
With the development of coagulation disorders characterized by bleeding, it is necessary to carry out a blood test for clotting.As a rule, in this disease there is a violation of bleeding time and blood clotting time Lee-White.
So, in bacterial shock produced urine culture and blood on the pathological flora.On the basis of these analyzes revealed a type of bacteria that led to the development of disease, and select appropriate antibiotic therapy.
bakposev blood - the main method of research
bacterial shock treatment
treatment is carried out in a hospital.Treatment of the disease is divided into general resuscitation, specific antibiotic therapy and treatment of the underlying disease.
General resuscitation are as oxygen therapy, the appointment of cardiac drugs and carrying out mechanical ventilation in case of need.
Antibiotic therapy is based on the results of bacteriological studies of blood.If bacterial inoculation test results do not have or can not hold appointed broad-spectrum antibiotics.These include a group of penicillins, cephalosporins and aminoglycosides.Such drugs as ampicillin, cefazolin, tsafetaksim and kanamycin.
As a rule, treatment of the underlying disease coincides with bacterial shock treatment, that is, to treat it is not necessary to prescribe additional medications.Although at a certain pathology, for example, when paranephritis necessary operational measures.They consist in the opening of the abscess and the evacuation of its contents.
Feeding habits and way of life
In severe forms of septic shock patients often are unconscious.This forces them to spend on parenteral nutrition measures.In this situation, the protein solutions are administered intravenously, lipids and carbohydrates.
If conscious state patients conducted as patients with kidney disease, that is, they are assigned a dietary table 7 on Pevzner, which excludes the use of salty, spicy, fried and pepper products.
As for lifestyle, the patient should be afraid of hypothermia, which can lead to re-renal disease.It is worth noting that every disease of the genitourinary system, which develops after suffering a bacterial shock, has a very severe course and gives a huge amount of complications.
rehabilitation after illness
Since all patients with bacterial shock in urological diseases are on the powerful antibacterial treatment after recovery they need to be treated for the prevention of dysbiosis bifidobacteria.For this purpose, perfect drugs such as Hilak and laktobakterin that shatters benign gut bacteria and make it impossible to develop malignant.These drugs can be purchased at any pharmacy without a prescription.
In the long-term period in order to prevent secondary infection and re-disease patients are encouraged to relax in the spas, such as Salem and Morshyn.
Treatment folk remedies
Treatment of folk remedies for bacterial shock is unacceptable, because it is not only effective, but also can contribute to a more rapid course of the disease.The fact that the treatment of folk remedies, are mainly used various infusions and decoctions, which are a very good breeding ground for the growth and reproduction of bacteria.Therefore, when using this kind of treatment only is the development and aggravation of infection, which is then twice as heavy as amenable to antibiotic treatment.
Complications of bacterial shock in urological diseases
In acute bacterial shock development can occur a sharp drop in blood pressure, which threatens patients disturbance of consciousness and falling into a coma.
of the nervous system in bacterial shock develops encephalopathy, which is due to poor therapeutic procedures, can progress and end with the same coma.
bacterial shock that develops due to contact with the blood of a large number of bacteria that may be complicated by the formation of abscesses in various organs and body parts.Most often affects the organs that have high circulation.Among them are the lung, liver, brain and spleen.Abscesses of these bodies are accompanied by characteristic clinical symptoms.Therefore, when an abscess in some body, you need to explore the whole body, including the kidneys, because the cause of the abscess may be hiding it in the pathology of this organ.
Prevention of bacterial shock in urological diseases
Prevention of bacterial shock, above all, should be aimed at preventing the development of bacterial kidney disease.To do this, at least, it is necessary to sanitize a chronic infection in the body, which can act as a chronic inflammation of the ears, teeth, oropharynx and paranasal sinuses.Treatment of these diseases is carried out in the relevant specialists.
also for the prevention of kidney disease is necessary to maintain the level of immunity.This can be done, it is constantly taking courses vitamin therapy, dressing for the season and the year holiday in the resort.In addition, if the patient had a history of autoimmune kidney disease, such as glomerulonephritis, it must hand over a blood on the immune status.This is possible only in special immunological laboratories, which are located in large medical centers.If
prevent the development failed genitourinary system diseases, the doctors at this stage the task is to prevent the process of generalization.This can be achieved if the time to assign adequate antibacterial treatment.In addition, there are some infectious diseases of kidneys, for the treatment requiring surgical intervention, which should also be carried out as soon as possible.
Another focus in the prevention of bacterial shock in urological diseases is to ensure that adequate medical care, which eliminates the infecting organism.This can be achieved by using sterile disposable urethral catheters and working exclusively in aseptic conditions.
Ed.urologist Astashin EE