The sepsis of a “silent killer” in the body, a shameful presence in the field of medicine, is like a “silent killer” hidden in the dark, and could be a deadly attack on life at any time.
Septicism often begins with a seemingly common infection. Some part of the body, perhaps a small wound, has been invaded by bacteria, or has been infected with bacteria in the lungs, which rapidly reproduce in the body and release a large number of toxins. Immediately after the “outside enemy” invasion was detected by the immune system, the alarm was sounded and an intense “war” erupted inside the body. The overall inflammation syndrome followed by heat, cold fighting, a temperature like an out-of-control thermometer, which could rise sharply above 38°C, accompanied by a significantly accelerated heart rate, often exceeding 90 times/minutes, and a rush to breathe, with a frequency of more than 20 times/minutes, as if as a windbox. In addition, there are abnormal variations in white cell counts, which either gather in large numbers and increase in numbers in an attempt to surround pathogens, or are reduced as a result of intense attacks by pathogens, and lose normal defence capabilities. If sepsis is not contained in a timely manner, it will escalate into a sepsis shock. At the same time, the blood circulation system of the body is in disarray, the blood vessels expand, blood pressure falls like a collapsed dam, and vital organs are at risk of functional impairment due to insufficient blood supply. The brain may suffer from anaemic aerobics, which can lead to blurred consciousness and coma; a lack of blood supply in the heart, which can cause serious consequences such as cardiac disorders and myocardial infarction; and a lack of blood injection in the kidney, which prevents the proper filtration of metabolic waste, leading to acute renal failure and a sharp reduction or even absence of urine in the patient ‘ s urine. The skin can also become cold and pale, which is an instinctive reaction of the body to ensure blood supply from important organs of the dirt, constriction of the end vein and redistribution of blood. If the condition continues to deteriorate, multiple organs will fail as dominoes, and the candlelight of life will sway through this chain reaction.
The following population groups are more vulnerable to sepsis. Older persons, whose physical function is like an ageing machine, whose immune system is impaired and their resistance to infection is significantly reduced; children, especially infants and young children, whose immune system is still developing in a “basket” that is less resilient to external diseases; persons with chronic diseases, such as diabetes, whose high sugar environment provides “hotbeds” for the fungi and whose long-term illness results in reduced self-rehabilitation and defence; persons with cardiovascular diseases, whose heart-pump function is impaired and whose blood-cycle disorders are exacerbated in the event of an infection that causes anaesthesia; patients with pulmonary diseases, whose natural barriers to the respiratory tract have been destroyed, and who are more likely to drive directly into infection and spread; and people with low levels of immunity, such as AIDS patients, cancer patients undergoing chemotherapy or those with chronic use of immunosuppressants, whose bodies are almost inert, and whose bodies are in a state where they are highly vulnerable to ablaze.
Prevention is essential in the face of the potential threat of sepsis. In daily life, good hygiene practices are developed, which are the basis for preventing infection. Working with soap and mobile water washes hands and regularly ventilates the living environment to reduce the opportunities for disease breeding. During the epidemic, access to densely populated and inaccessible sites, such as malls, cinemas, etc., is avoided as far as possible. In the case of chronically ill patients, they must cooperate actively with doctors, strictly control their condition, take their medications on time and review them regularly. Maintenance of normal physiology through a rational diet, ingestion of nutritious foods, such as fresh vegetables, fruits, good-quality proteins, etc., providing the body with sufficient energy and nutrients. Maintain moderate physical exercise, such as walking, jogging, yoga, etc., to improve health and improve immunity. For people with low levels of immunity, appropriate vaccines, such as influenza, pneumonia, etc., are administered at the advice of a doctor and pre-established the body ‘ s immune line.
In the event of a suspicion of sepsis, treatment must be given in time. Doctors quickly take samples of the patient ‘ s blood, sluice, urine, etc., to develop to determine precisely the type of pathogens, and thus select the most effective antibiotics or antivirals for targeted treatment. At the same time, immediate liquid resuscitation treatment will be conducted to expand the vascular content by rapidly importing large quantities of liquids, to increase blood pressure and to ensure blood infusion of vital organs. Angularly active drugs are also used to further regulate vascular tension and stabilize blood pressure, depending on the patient ‘ s circumstances. For patients with severe conditions, there may be a need for mechanical ventilation to assist breathing and ensure oxygen supply; or for blood purification techniques to remove toxins and inflammatory media from the body and reduce the burden on organs. Throughout the treatment, doctors closely monitor changes in the patient ‘ s vital signs, organ function indicators, etc., like the keepers of the lighthouse, and adjust the treatment programme in a timely manner, taking into account the dynamics of the situation, without losing any chance of saving life. Although sepsis is like a ferocious “flood beast”, as long as we know it well, actively prevent it, detect it in a timely manner and treat it decisively in the early stages of the outbreak, we can take the upper hand in this fight with the “silent killer” and guard the healthy lines of life.
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