Neonatal sepsis - ndichiyani?

Neonatal sepsis (sepsis wa akhanda) - matenda yodziwika ndi bacteremia, ie, gwero la matenda kwa tizilombo kulowa mwachindunji mu m'magazi. matenda obadwa kumene kungachitike mu nthawi zosiyana za mimba kapena pambuyo pobereka. Ana obadwa masiku asanakwane ambiri atengeke matenda. Sepsis mu akhanda - ndi zambiri matenda reportable chakhala kwa zaka zambiri, kudwala imeneyi amakhala ndi amaposa za imfa (kuchokera 15 mpaka 50%). Tikumbukenso kuti matenda kumachitika chifukwa zochita za tizilombo toyambitsa matenda onse tizilombo ndi osadziwika (Staphylococcus aureus, Streptococcus pneumoniae, Streptococcus, Escherichia ndi Pseudomonas aeruginosa , etc.) tizilombo pa thupi la munthu.

Newborn Sepsis: etiology

Kodi matenda a mwanayo? Zimene zingapangitse anali yaitali youma nyengo, anavulala khungu la mwana wakhanda, ndi kukhalapo kwa purulent ndi njira yotupa mu thupi la mayi. Pambuyo umbilical bala ndi magazi zotengera, komanso mwa nembanemba mucous ya mabakiteriya kupuma ndi m'mimba ndi mavairasi ndi mosavuta kudutsa mu thupi. Ngati sepsis ana akufotokozera mu utero, zipata za matenda mu thupi la mayi (zambiri mu nsengwa ndi).

neonatal sepsis maonekedwe a matenda

Poganizira pathogenesis matenda izo anawonetseredwa mu mawonekedwe a mwana, mochedwa ndipo nosocomial sepsis. wotchi oyambirira m'masiku oyambirira a moyo, zambiri matenda amapezeka utero. Tizilombo toyambitsa matenda kulowa mthupi la mwana wosabadwayo mwa latuluka lapansi. Komanso matenda mwana angayambe pa ndime ya mwana kubadwa ngalande. Mochedwa sepsis wapezeka mu masabata oyambirira 2-3 a positi-embryonic chitukuko cha nthawi ya mwana. Chifukwa cha matenda Pankhaniyi ndi mayi ukazi microflora. Nosocomial neonatal sepsis chifukwa cha microflora tizilombo, amene ali pano mu zipatala ndi masukulu zachipatala. Nthawi zambiri izi zimachitika chifukwa staphylococci, bowa ndi galamu alibe oyambitsa. Kufala kwa matenda angakhale mwa ngalande mayi kubadwa, manja a ogwira ntchito kuchipatala, zida, zida ndi zinthu mosamala. chitetezo mwana ali ofooka kwambiri ndipo sangathe kukana kanthu tizilombo tizilombo izi.

zizindikiro za matenda

The mwana wakana bere, ali ndi chilakolako utachepa, kawirikawiri regurgitation. Komanso, kutentha thupi limatuluka sepsis (pyrexia), cyanosis anati nasolabial makona, zoipa bala machiritso umbilical. Nthawi imeneyi, ndi bwino kupereka mwana osakaniza muli mabakiteriya asidi lactic. Sepsis akuwonekera monga septicemia kapena septicopyemia. Mbali yoyamba, thupi kuledzera saonetsa Amowabu foci matenda lachiwiri kutchulidwa kutupa foci (mwachitsanzo, cellulitis, abscesses, matenda oumitsa khosi, chibayo, osteomyelitis). Ana ndi matenda yomweyo m'chipatala ndi Kwalamulidwa mankhwala ndi sipekitiramu yotakata kanthu (Ampioks, ampicillin, lincomycin, gentamicin, Tobramycin, Tseporin). Pamaso poika mankhwala opha tizilombo n'kofunika kudziwa tilinazo tizilombo kuti ndalama izi. Maantibayotiki angathe kuperekedwa intramuscularly, kapena kudzera m'mitsempha. Kubwezeretsa madzi ndi electrolyte kagayidwe mu chamoyo kutumikiridwa njira ya shuga-saline ndi amino zidulo kuti akhoza kugwiritsidwa ntchito enterally ndi parenterally. Pofuna kubwezeretsa chitetezo chokwanira kutumikiridwa immunomodulating mankhwala: Thymosin, T-activin, prodigiozan, pentoxy, Dibazol.