The distributive shock It is a type of shock in which abnormal changes occur in the flow of the blood. Specifically in the way in which this body fluid is distributed, so that its entry into the tissues of the organs is severely impaired, especially if there are alterations of the nervous system, harmful chemicals and infections of various kinds..
In addition, other authors suggest that distributive shock can also be defined as an energy crisis in cells, since the organism is not able to preserve the biochemical balance of the tissues, which leads to vital organs collapsing dramatically as gradual as progressive.
This health problem occurs spontaneously and has a series of clinical aspects, such as symptoms, which will depend a lot on its causes..
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It was specified in previous paragraphs that distributive shock can have more than one cause, which can be pharmacological, chemical or, ultimately, pathological. The latter is the most frequent, since infectious diseases are registered as the direct causative agents of this disorder in the blood supply.
This is known from studies carried out in patients from Mexico and the United States, where the figures show up to 46% mortality from this condition.
Most of the infections that generate distributive shock are cardiovascular; in second place are the blood, followed by the urinary and then the respiratory.
It can also occur due to bacterial invasions in the digestive system, urinary system and genital tract (which explains the diversity of symptoms in this type of shock and the need for a diagnosis that specifies the microorganisms that may be affecting the body ).
Several risk factors increase the patient's exposure to sepsis, that is, to infectious clinical pictures.
Among the most common are immunosuppression by viruses such as HIV, type II diabetes, extensive burns with considerable skin damage, invasive prostheses that lacerate the patient's body, liver diseases (liver disease), alcoholism, drug addiction, malnutrition and neoplasia (formation of benign or malignant tumors in the tissues).
Likewise, the distributive shock caused by infectious agents can come from surgical operations, in which the patient is more prone to being attacked by microorganisms, especially if the environment is unsanitary..
This is the reason why this shock is seen a lot in hospitals, where many emergencies prevent adequate measures from being taken to prevent the proliferation of bacteria in time in some cases..
There are a variety of symptoms that belong to distributive shock. Consequently, the patient who enters this state may experience many ailments that in some cases are milder, while in others they may be more serious..
However, a very characteristic feature of this shock is that arterial resistance is seriously reduced, so the heart needs more effort to pump blood that does not reach the tissues.
From the above, it can be deduced that there is less blood supply, which leads to a loss of oxygen in the tissues that are at risk of suffering from necrosis (cell death)..
In addition, distributive shock is known to involve impaired blood circulation, low blood pressure (hypotension), tachycardia (which shows a fast rhythm in the heartbeat, which works in a forced way), apart from a sensation of heat in the skin and sweat.
Sometimes coldness and paleness of the skin can also occur, if to this is added a dilation of the capillaries both in the skin and in the subcutaneous tissue (in other cases studied the opposite has occurred, which is vasoconstriction, that is, when capillaries contract).
Likewise, patients have been observed with distributive shock in the nervous system, which means a temporary loss of cardiovascular reflexes..
Diagnostic methods will follow the doctor's instructions. However, it is always considered essential to carry out a questioning of the patient, apart from a clinical study that examines his history and recent symptoms to confirm if these coincide with what may be a distributive shock.
Laboratory tests at the level of the circulatory and respiratory systems are of vital importance to find the precise causes of the problem..
At this point, cultures are done to determine the presence of microorganisms. If bacteria or other infectious agents are found, then the chances of finding a distributive shock are greater, even more so if it is accompanied by symptoms such as those described above..
Biochemical studies of the blood go a long way in establishing what triggered the condition and when, as well as in planning a means to fully cure the discomfort.
Any treatment of distributive shock will be carried out depending on what emerges in the results of the laboratory tests. Only in this way can the solution to the health problem be approached.
However, it is common for distributive shock to be faced with fluid therapy (fluid therapy), in which blood products (tissues for therapeutic use that are extracted from the blood), colloid and crystalloid substances are used.
In hospitals, proper hygiene is always recommended in operating rooms, so that surgeries do not expose the health of patients to infections. In short, there must be intensive treatment, especially at the onset of shock, so that the affected person can overcome their condition as soon as possible and without sequelae to regret..
[Cautionary notice for the reader: if distributive shock is caused by a health problem, consult your doctor to obtain an accurate diagnosis that will lead to an effective treatment of your condition.
Keep in mind that this article only fulfills the duty to inform, so you should not use it as a substitute for the diagnosis or remedy of your clinical condition, and much less as a means to resolve doubts that you should raise with a specialist in the matter.]
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