Izimpawu nokwelashwa kwe-nepsatal sepsis

I-sepsis ye-neonatal, noma i-sepsis ye-neonatal yisifo esijwayelekile esithathelwanayo esihambisana ne-bacacteremia (amabhaktheriya angena egazini ukusuka ekugxileni kwegciwane). Ukwelashwa kwengane esanda kuzalwa kungenzeka ngezikhathi ezehlukene: ukubeletha ngaphambi kokubeletha (ngaphambi kokubeletha) nokubeletha emva kokubeletha. Isifo esinjalo sithinteka kakhulu kubantwana abangaphambi kwesikhathi. Inkinga ye-sepsis yezingane ezisanda kuzalwa isikhathi eside ayilahlekelwa ukubaluleka kwayo ngoba iphesenti yokufa kwalesi sifo liphakeme kakhulu. Kulesi sihloko, sizohlola izimpawu kanye nokuphathwa kwe-nepsatal sepsis.

Ama-pathogens of sepsis

Ama-causative agents yalesi sifo yizinhlobo ezincane ze-pathogenic ne-pathogenic ezinemvelo: Pseudomonas aeruginosa, i-Salmonella, i-pneumococcus, i-streptococcus, i-staphylococcus kanye nezinye izinyoni ezincane eziyingozi kubantu.

Ukulimala esikhunjeni ngesikhathi sokubeletha, isikhathi eside esiyindilinga, ukutholakala kwezinqubo eziphuthumayo nokuvuvukala kumama - lokhu kungaba konke okubhekene nokutheleleka kwengane esanda kuzalwa. Amagciwane nama-bacteria angangena emzimbeni ngokusebenzisa umuthi wamathumbu, izinambuzane ezimangcwabeni, umuthi wokuphefumula, ngokusebenzisa izitsha zomzimba noma ngokusebenzisa isilonda semvelo, umonakalo wesikhumba. Uma umsuka we-sepsis ungaphakathi kwe-intrauterine, kusho ukuthi ukugxila kokutheleleka kusemzimbeni womama: i-placenta, noma esinye isitho.

Amafomu wesifo

Amafomu asemtholampilo oyinhloko ye-sepsis kukhona amathathu:

I-Sepsis isheshe itholwe ngesikhathi sokuqala kwezinsuku ezingu-5-7 zokuphila, isifo sesandulela ngculaza kaningi kakhulu (esibelethweni). Emzimbeni wengane, ama-microorganisms e-pathogenic angena nge-placenta (transplacental). Kungenzeka ukuthuthukisa i-sepsis yokuqala futhi ngokugwinya amniotic fluid, futhi ngenxa yokuphulukana kwebhubhiso le-amniotic nokungena kuwo kwe-microflora ye-pathogenic kusuka kwesifazane. Ukutheleleka nakho kungenzeka ngesikhathi ingane idlula emgodini wokuzalwa, ikakhulukazi uma kune-foci yokuvuvukala.

I-sepsis ezayo itholakala emavikini angu-2-3 ngemva kokuzalwa, kaningi ukutheleleka nge-microflora yesisu somama ngesikhathi sokuhamba kwengane yokuzalwa kwengane.

I-intra-hospitali i-microplora ye-intra-esibhedlela iyabangela izibhedlela kanye nezibhedlela, ama-causative agents of sepsis anjalo ngokuvamile amathanga angasebenzi (kufaka phakathi i-Proteus, i-Pseudomonas, i-Klebsiella, iSerratia), i-staphylococcus (ikakhulukazi i-Staphylococcus epidermidis) ne-fungi. I-membrane yamangqamuzana yengane esanda kuzalwa isengozini kalula, isimiso somzimba sokuzivikela sisalokhu sinamandla kakhulu ngenxa yethonya elinjalo lama-pathogenic microorganisms, okwandisa kakhulu ingozi ye-sepsis.

Izimpawu ze-sepsis

I-Sepsis ibonakala ngezimpawu ezilandelayo:

I-Septicemia ingavela ngezindlela ezimbili: i-septicemia (ayikho i-foci evelele yokutheleleka, ukugqwala komzimba) kanye ne-septicopyemia (kubonakala ngokucacile ukuvuvukala: i-osteomyelitis, i-meningitis, i-pneumonia, i-abscess, i-phlegmon, njll).

Izigaba ze-sepsis

Kukhona ukukhanya kwemibani, kwenzeka ngeviki lokuqala lokuphila, kuhambisane nokushaqeka kwe-septic, ikakhulukazi kuphelela emphumela wokubulala. Ubude besigaba se-sepsis esivela emasontweni angu-4 kuya kwangu-8, isigaba eside - ngaphezulu kwezinyanga ezingu-2-3 (kwenzeka kaningi ezinsana ezisanda kuzalwa nge-immunodeficiency).

Ukwelashwa kwe-sepsis

Izingane ezithintekile zihanjelwe esibhedlela nakanjani eminyangweni ekhethekile ye-neonatal pathology. Baphathwa izidakamizwa zokulwa ne-antibacterial ngesenzo esikhulu: i-lincomycin hydrochloride, i-gentamycin sulfate, i-ampiox, i-strandin, i-ampicillin sodium, i-penicillin engezansi, njll. Ama-antibiotics asetshenziswe kaningi kakhulu, futhi anesimo sokungenwa kwe-intravenous - ne-sepsis engathandekile nezimo ezisongelayo.

Ngokuvamile inkambo yama-antibiotic ihlala izinsuku ezingu-7-14. Uma inkinga yesifo iqhubeka isikhathi eside, kanye nezinfundo eziphindaphindiwe nezingapheliyo, izifundo eziphindaphindiwe noma izifundo eziningana zama-antibiotic kuyadingeka. Futhi ukuphindaphinda kufanele kugwenywe, ama-antibiotic ahlukene anqunyelwe inkambo ngayinye.

Qhubeka ukwelashwa kuze kube yilapho isikhathi esinjengomphumela wokwelashwa oqhubekayo kutholakala.

Ukuvimbela izifo

Njengoba i-sepsis yisifo esiyingozi esiholela ekufeni ngokuvamile, kwenziwa uchungechunge lwezinyathelo zokuzivikela. Lokhu kufaka phakathi: ukubonwa ngongcweti ngesikhathi sokukhulelwa, ukuxilongwa ngesikhathi esifanele nokuthola izifo nezifo kumuntu okhulelwe.