Ii-Pathogens ze-sepsis
Iimpawu ezixhasayo zezi sifo zihlukeneyo nge-pathogenic kunye ne-pathogenic microorganisms: i-Pseudomonas aeruginosa, i-Salmonella, i-pneumococcus, i-streptococcus, i-staphylococcus kunye nezinye iindiza ezinobungozi kubantu.
Ukulimala kwesikhumba ngexesha lokubeleka, ixesha elide elinomdla, ubukho beenkqubo ezinobulunga kunye nokuvuvukala kumama - oku kungabikho kugxininiso lwentsholongwane yintsana esanda kuzalwa. Iintsholongwane kunye neebhaktheriya zingangena emzimbeni ngegciwane lesisu, iimbumba zomzimba, imiphefumlweni yokuphefumula, ngeempahla ze-umbilical okanye ngesilonda esiswini, umonakalo wesikhumba. Ukuba imvelaphi ye-sepsis i-intrauterine, ithetha ukuba ugxininiso lwentsholongwane lusemzimbeni kamama: i-placenta, okanye elinye iqumrhu.
Iifom zesifo
Iintlobo zeeklinikhi eziphambili ze-sepsis zintathu:
- sepsis,
- sepsis,
- seplastiki sepsis.
I-Sepsis ifunyanwe kwangethuba ngexesha lokuqala lweentsuku ezi-5-7 zobomi, zitsholongwane nabantwana abaninzi ngokuqhelekileyo (kwisibeleko). Kwimizimba yomntwana, ii-microorganisms ze-pathogenic zingena kwi-placenta (i-transplacental). Kuyakwazi ukuphuhlisa i-sepsis yokuqala kwaye ngokugwinya i-amniotic fluid, kwaye ngenxa yokuphulukana kwimbumba ye-amniotic kunye nokungena kuyo kwi-microflora ye-pathogenic ukusuka kwisini. Usulelo luyakwenzeka xa umntwana esedlula umbhobho wokuzalwa, ngakumbi ukuba kukho i-foci ye-inflammation.
I-sepsis ezayo ifunyenwe iiveki ezingama-2-3 emva kokuzalwa, kaninzi ukusuleleka kwi-microflora yesisu somama ngexesha lokungena kwinqanaba lokuzalwa lomntwana.
I-sepsis yezibhedlele idala i-microflora ye-pathogenic, ivela kwizibhedlele zesibhedlele kunye nezibhedlele, i-agents e causative ze-sepsis zidla ngokuba ngamagqabi angabikho (kuquka iProteus, Pseudomonas, Klebsiella, Serratia), staphylococcus (ingakumbi iStaplocloccus epidermidis) kunye nefungi. Iimbumba ezinamaqabunga ezinsana ezisanda kuzalwa zisengozini, i-immune system isasenamandla kakhulu ngenxa yempembelelo echaphazelekayo ye-microorganisms, ezinokunyusa kakhulu umngcipheko we-sepsis.
Iimpawu ze-sepsis
I-Sepsis ibonakaliswe ngolu hlobo lulandelayo:
- ukuphulukiswa kakubi kwilonda elimnyama (intshukumo) "
- i-cyanosis yenxantathu ye-nasolabial,
- ukuhla kwexabiso elikhulu lomzimba,
- ukwanda kweqondo lomzimba,
- ithoni yesikhumba esikhulayo,
- ukuphindaphinda rhoqo,
- ukuhlanza,
- ukuyeka isifuba,
- nciphisa ukutya.
I-Septicemia inokuvela ngeendlela ezimbini: i-septicemia (akukho ndawo iphawulekayo yentsholongwane, ukuxiliswa komzimba ngokubanzi) kunye ne-septicopyemia (kubonakala ngokucacileyo i-foci ye-inflammation: i-osteomyelitis, i-meningitis, i-pneumonia, i-abscess, i-phlegmon, njl.
Izigaba ze-sepsis
Kukho i-sepsis yombane, eyenzeka ngeveki yokuqala yobomi, ihamba kunye nokutshatyalaliswa kwento, ngokugqithiseleyo iphelela kwisiphumo esibulalayo. Ubude beqendu le-sepsis ukusuka kwiiveki ezi-4 ukuya kwii-8, ixesha elide - ngaphezulu kweenyanga ezi-2-3 (lwenzeka rhoqo kwiintsana ezisanda kuzalwa nge-immunodeficiency).
Unyango lwe-sepsis
Abantwana abachaphazelekayo bayabhedlelelwa esibhedlele ngaphandle kwamasebe akhethekileyo e-pathology ye-neonatal. Baphathwa ngamachiza a-antibacterial nge-wide range of actions: i-lincomycin hydrochloride, i-gentamycin sulfate, i-ampiox, i-strandin, i-ampicillin sodium, i-penicillin engezantsi-njl njl njl njl njl njl. I-antibiotics isetyenziswe ngokuphindaphindiweyo, nangendlela ye-injection-intravenous - ngeemeko ezingathandekiyo kunye neemeko.
Ngokuqhelekileyo ikhosi yamayeza ahlala ezinsukwini ezi-7-14. Ukuba ikhosi yesi sifo ihlala ixesha elide, kunye nezifundo eziphindaphindiweyo kunye nokugxotha, izifundo eziphindaphindiweyo okanye iikhosi ezininzi ze-antibiotics ziyadingeka. Ukuphindaphinda kufuneka kugwenywe, ii-antibiotics ezahlukeneyo ziyakunikwa kwikhosi nganye.
Qhubeka unyango de kube lixesha elinjengempembelelo yokwelapha eqhubekayo.
Ukuthintela izifo
Ekubeni i-sepsis isifo esibalulekileyo esiholela ekufeni kumaxesha amaninzi, kukho uchungechunge lweendlela zokukhusela ezenziwa. Ezi ziquka: ukukhangela iingcali ngexesha lokukhulelwa, ukuxilongwa ngokufanelekileyo ngexesha kunye nokufumanisa izifo nezifo kumfazi okhulelweyo.