Cutar cututtuka da magani na neonatal sepsis

Neonatal sepsis, ko neonatal sepsis wani cuta ne wanda yake dauke da kwayar cutar kwayoyin cuta (kwayoyin sun shiga jini daga mayar da hankali ga kamuwa da cuta). Rashin kamuwa da jaririn jariri zai yiwu a wasu lokuta: prenatal (antenatal), a lokacin aikawa (intranatal) da postpartum (postnatal). Irin wannan cututtuka ya fi dacewa ga jariran da ba a taɓa haihuwa ba. Matsalar sepsis na jarirai na dogon lokaci bazai rasa asalinta ba saboda yawan mutuwar wannan cuta ya yi yawa. A cikin wannan labarin, zamu bincika bayyanar cututtuka da kuma maganin nepson sepsis.

Pathogens na sepsis

Ma'aikata masu cutar da wannan cututtuka sune bathogenic pathogenic da pathogenic microorganisms: Pseudomonas aeruginosa, Salmonella, pneumococcus, streptococcus, staphylococcus da wasu sauran microorganisms hatsari ga mutane.

Damage zuwa fata a lokacin haihuwa, tsawon lokaci mai dadi, ciwon samuwa da ƙwayoyin cuta a cikin mahaifiyar - wannan zai iya zama mayar da hankali ga kamuwa da cutar jariri. Kwayoyin cuta da kwayoyin za su iya shiga cikin jiki ta hanyar gastrointestinal tract, mucous membranes, respiratory tract, ta hanyar jiragen ruwa ko kuma ta hanyar rauni na umbilical, lalacewar fata. Idan asalin sepsis yana cikin intratherine, yana nufin cewa mayar da hankali ga kamuwa da cuta shine a cikin jikin mahaifiyar: kwamin rai, ko wani kwaya.

Forms na cutar

Babban magunguna na sepsis uku ne:

Sepsis da aka gano a farkon kwanakin farko na kwanaki biyar, sun kamu da yara tare da yara (a cikin mahaifa). A cikin kwayar da yaron ya kasance, kwayoyin halittu masu tasowa sun shiga ta hanyar ƙaddarar. Zai yiwu a fara samuwa na farko da kuma ta haɗiyar ruwa mai hawan mahaifa, da kuma saboda rupture na membrane amniotic da shigarwa cikin shi na microflora pathogenic daga farji. Har ila yau, kamuwa da cuta zai yiwu a lokacin da jaririn ya wuce ta hanyar haihuwa, musamman ma idan akwai kumburi.

An gano kwanakin baya na makonni 2-3 bayan haihuwa, mafi yawancin kamuwa da cuta tare da microflora na farjin mahaifiyar a yayin da aka haifa na haihuwa.

Harkokin asibiti a cikin asibiti yana haifar da microflora mai cututtuka, yana aukuwa a asibitoci da asibitoci, masu haɗari na irin wannan sepsis sukan kasance da igiyoyi masu mahimmanci (ciki har da Proteus, Pseudomonas, Klebsiella, Serratia), staphylococcus (musamman Staphylococcus epidermidis) da fungi. Maganin mucous na jariri suna da sauƙin sauƙi, tsarin rigakafi yana da rauni sosai saboda irin wannan tasiri na kwayoyin halitta, wanda hakan yakan kara hadarin sepsis.

Bayyanar cututtuka na sepsis

Ana bayyana Sepsis ta hanyar wadannan cututtuka:

Septicemia zai iya faruwa a wasu siffofi guda biyu: septicmia (babu ƙananan wariyar kamuwa da cuta, jikinsu na jiki) da kuma kwakwalwa guda bakwai (an bayyana su a fili a kan ƙonewa: osteomyelitis, meningitis, ciwon huhu, ƙurji, phlegmon, da dai sauransu).

Matsayi na sepsis

Akwai sapsis na walƙiya, yana faruwa ne a farkon mako na rayuwa, tare da wata hargitsi guda bakwai, wanda yafi dacewa a cikin wani mummunar sakamako. Duration na mataki mai tsanani na sepsis daga makon 4 zuwa 8, lokaci mai tsawo - fiye da watanni 2-3 (yana faruwa sau da yawa a jarirai tare da rashin daidaituwa).

Jiyya na sepsis

Yaran da aka kamu da cutar suna asibiti ba tare da sun kasa cikin sassan na musamman ba. An magance su tare da kwayoyin cutar antibacterial tare da aiki mai yawa: lincomycin hydrochloride, gentamycin sulfate, ampiox, strandin, ampicillin sodium, penicillin-Semi-roba, da dai sauransu. Ana amfani da kwayoyin cutar sau da yawa a cikin intramuscularly, kuma a cikin hanyar injections - tare da mummunar lalacewa da yanayin barazana.

Yawanci al'amuran maganin rigakafi yana da kwanaki 7-14. Idan har tsawon wannan cuta ya dade, har ma da tsawan lokaci da kuma tsawaitawa, ana buƙata darussa ko kuma wasu darussan maganin maganin rigakafi. Kuma ya kamata a kaucewa maimaitawa, daban-daban maganin rigakafi suna wajabta ga kowace hanya.

Ci gaba da kulawa har sai lokacin da aka samu sakamako mai karfi.

Rigakafin cutar

Tun da sepsis babban cututtuka ne wanda ke haifar da mutuwa a yawancin lokuta, ana aiwatar da dukkanin matakai masu kariya. Wadannan sun haɗa da: lura da kwararru a lokacin daukar ciki, ganewar asali da kuma ganewar cututtuka da cututtuka a mace mai ciki.