metodi lecheniya xirurgicheskix infektsiy myagkix tkaney u bolnix saxarnim diabetom

PPTX 15 pages 595.3 KB Free download

15 pages

FaylHub.uz

Download via Telegram

Size 595.3 KB

File type PPTX

Pages 15

Updated Dec 2025

Page preview (5 pages)

Scroll down 👇

1 / 15

powerpoint presentation metodi lecheniya xirurgicheskix infektsiy myagkix tkaney u bolnix saxarnim diabetom kurbonov shaxzodxon 1. lechenie soputstvuyushix zabolevaniy 2. antibiotikoterapiya 3. xirurgicheskaya obrabotka ran plan: monitoring i otsenka effektivnosti lecheniya otsenka razmerov rani, nalichiya priznakov vospaleniya (otek, eritema, boleznennost) i videleniy kajdie 24-48 chasov pozvolyaet otsenit dinamiku infektsionnogo protsessa i svoevremenno korrektirovat terapiyu. regulyarniy monitoring urovnya glyukozi krovi (ne menee 4 raz v sutki) kriticheski vajen dlya otsenki effektivnosti antibiotikoterapii i kontrolya glikemii, vliyayushix na zajivlenie ran. immunomoduliruyushaya terapiya v nekotorix sluchayax tselesoobrazno primenenie nizkodozovoy immunosupressivnoy terapii dlya kontrolya vospalitelnoy reaktsii, ogranichivaya virabotku provospalitelnix tsitokinov do urovnya ne vishe 10 pg/ml. immunomoduliruyushaya terapiya mojet vklyuchat naznachenie preparatov interferona-gamma, povishayushix aktivnost fagotsitov na 20-30% i sposobstvuyushix bolee effektivnomu unichtojeniyu bakteriy v ochage infektsii. mikrobiologicheskie aspekti viyavlenie anaerobnoy flori v 25-40% sluchaev infektsiy myagkix tkaney u patsientov s saxarnim diabetom trebuet naznacheniya antibiotikoterapii s shirokim spektrom deystviya, vklyuchaya metronidazol ili tindazol. chastota …

2 / 15

immunosupressiey. profilaktika infektsiy u patsientov s diabetom kontrol glikemii v predelax tselevogo diapazona (naprimer, hba1c <7%) kriticheski vajen dlya predotvrasheniya infektsiy, tak kak giperglikemiya podavlyaet immunitet. regulyarniy osmotr stop, vklyuchayushiy palpatsiyu na nalichie ochagov vospaleniya ili priznakov infektsii (pokrasnenie, otek, bol), i svoevremennoe obrashenie k vrachu pri obnarujenii lyubix izmeneniy – neobxodimaya mera profilaktiki. klinicheskaya kartina i diagnostika diagnostika vklyuchaet klinicheskiy osmotr, laboratornie analizi (krov na leykotsiti, kultura videleniy), a takje ultrazvukovoe issledovanie (uzi) dlya otsenki glubini i rasprostranyonnosti infektsii. pri diabete myagkotkannie infektsii chasto proyavlyayutsya netipichno, s menee virajennim pokrasneniem i otyokom, no bolee glubokim porajeniem tkaney, chto zatrudnyaet rannyuyu diagnostiku. uxod za ranoy i perevyazki dlya predotvrasheniya matseratsii koji vokrug rani neobxodimo ispolzovat povyazki, obespechivayushie adekvatnoe vlagopogloshenie, naprimer, povyazki s gidrogelem ili alginatnie, s zamenoy kajdie 2-3 dnya. primenenie vakuumnoy terapii zakritix ran u patsientov s saxarnim diabetom mojet sokratit vremya zajivleniya na 20-30%, snijaya risk infektsionnix oslojneniy. …

3 / 15

potrebovatsya dlya dostijeniya tselevogo urovnya glikemii u patsientov s tyajelimi infektsiyami i visokim urovnem glyukozi, naprimer, bolee 250 mg/dl. xirurgicheskoe lechenie: nekrektomiya i drenirovanie pri nekrektomii u patsientov s saxarnim diabetom ob'em udaleniya nekrotizirovannix tkaney doljen bit bolee agressivnim, chem u patsientov bez diabeta, chtobi snizit risk retsidiva infektsii do 15-20%. dlya profilaktiki posleoperatsionnix infektsiy posle nekrektomii i drenirovaniya u patsientov s diabetom neobxodimo naznachenie antibiotikov shirokogo spektra deystviya, v techenie minimum 7-10 dney. patofiziologiya infektsiy myagkix tkaney u patsientov s saxarnim diabetom pri giperglikemii u patsientov s saxarnim diabetom proisxodit podavlenie funktsii neytrofilov, snijaetsya fagotsitoz na 30-50%, chto sposobstvuet bolee legkomu razvitiyu i rasprostraneniyu infektsii myagkix tkaney. mikroangiopatiya, xarakternaya dlya diabeta, privodit k narusheniyu krovosnabjeniya v porajyonnix tkanyax, snijaya dostavku leykotsitov i antibiotikov, chto uvelichivaet risk razvitiya glubokix abstsessov i nekroza. printsipi antibiotikoterapii prodoljitelnost antibiotikoterapii pri xirurgicheskix infektsiyax myagkix tkaney u bolnix saxarnim diabetom sostavlyaet minimum 7-14 dney, no …

4 / 15

metodi lecheniya xirurgicheskix infektsiy myagkix tkaney u bolnix saxarnim diabetom - Page 4

5 / 15

metodi lecheniya xirurgicheskix infektsiy myagkix tkaney u bolnix saxarnim diabetom - Page 5

Want to read more?

Download all 15 pages for free via Telegram.

Download full file

About "metodi lecheniya xirurgicheskix infektsiy myagkix tkaney u bolnix saxarnim diabetom"

powerpoint presentation metodi lecheniya xirurgicheskix infektsiy myagkix tkaney u bolnix saxarnim diabetom kurbonov shaxzodxon 1. lechenie soputstvuyushix zabolevaniy 2. antibiotikoterapiya 3. xirurgicheskaya obrabotka ran plan: monitoring i otsenka effektivnosti lecheniya otsenka razmerov rani, nalichiya priznakov vospaleniya (otek, eritema, boleznennost) i videleniy kajdie 24-48 chasov pozvolyaet otsenit dinamiku infektsionnogo protsessa i svoevremenno korrektirovat terapiyu. regulyarniy monitoring urovnya glyukozi krovi (ne menee 4 raz v sutki) kriticheski vajen dlya otsenki effektivnosti antibiotikoterapii i kontrolya glikemii, vliyayushix na zajivlenie ran. immunomoduliruyushaya terapiya v nekotorix sluchayax tselesoobrazno primenenie nizkodozovoy immunosupressivnoy terapii dlya kont...

This file contains 15 pages in PPTX format (595.3 KB). To download "metodi lecheniya xirurgicheskix infektsiy myagkix tkaney u bolnix saxarnim diabetom", click the Telegram button on the left.

Tags: metodi lecheniya xirurgicheskix… PPTX 15 pages Free download Telegram

metodi lecheniya xirurgicheskix infektsiy myagkix tkaney u bolnix saxarnim diabetom

Page preview (5 pages)

Want to read more?

About "metodi lecheniya xirurgicheskix infektsiy myagkix tkaney u bolnix saxarnim diabetom"

Similar files