Tizilombo toyambitsa matenda a sepsis
Mankhwalawa amachititsa kuti tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda: Pseudomonas aeruginosa, Salmonella, pneumococcus, streptococcus, staphylococcus ndi tizilombo tina tating'onoting'ono tawopsa kwa anthu.
Kuwonongeka kwa khungu pa nthawi yobereka, nthawi yayitali ya anhydrous, kukhalapo kwa purulent ndi kutupa njira mwa mayi - izi zikhoza kukhala cholinga cha matenda a mwana wakhanda. Mavairasi ndi mabakiteriya amatha kulowa m'thupi kudzera m'matumbo, m'magazi, pamapapo, kupyolera mumitsinje ya umbilical kapena kupweteka kwa khungu. Ngati chiyambi cha sepsis ndi intrauterine, zikutanthauza kuti chiopsezo cha matenda chili mu thupi la mayi: placenta, kapena chiwalo china.
Mafomu a matendawa
Njira zazikulu zamagetsi za sepsis ndi zitatu:
- sepsis oyambirira,
- sepsis mochedwa,
- chifuwa chachikulu cha intrahospital.
Sepsis oyambirira anawonekera pa masiku 5-7 oyambirira a moyo, ali ndi kachilombo ka ana kawirikawiri (m'mimba). Mu chiwalo cha mwanayo, tizilombo toyambitsa matenda timalowa kudzera mu placenta (transplacental). N'zotheka kukhala ndi sepsis oyambirira ndi kumame amniotic madzi, komanso chifukwa cha kupweteka kwa amniotic nembanemba ndi kulowa mkati mwa ma microflora kuchokera ku vagin. Kutenga kachilombo ka HIV kumathenso nthawi yomwe mwanayo akudutsa mumtsinje wobadwa, makamaka ngati pali kutupa kwa kutupa.
Sepsis yapamapeto imapezeka patatha masabata 2-3 atabadwa, nthawi zambiri matendawa ndi ma microflora a mimba ya mayi panthawi yomwe mwanayo akubadwa.
Mankhwala osokoneza bongo amachititsa kuti tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyamwitsa komanso mazipatala tizilombo toyambitsa matenda, tizilombo toyambitsa matenda timene timakhala ndi mavitamini (kuphatikizapo Proteus, Pseudomonas, Klebsiella, Serratia), staphylococcus (makamaka Staphylococcus epidermidis) ndi bowa. Mankhwalawa amapezeka mosavuta, chitetezo cha mthupi chimakhalabe chofooka chifukwa cha mphamvu zotere za tizilombo toyambitsa matenda, zomwe zimachulukitsa chiopsezo chotchedwa sepsis.
Zizindikiro za sepsis
Sepsis ikuwonetseredwa kupyolera mu zizindikiro zotsatirazi:
- machiritso osavuta a bala la umbilical ("wetting").
- cyanosis ya nasolabial triangle,
- kuchepa kwakukulu kulemera kwa thupi,
- kutentha kwa thupi,
- liwu loyera la khungu,
- kawirikawiri kubwereranso,
- kusanza,
- kusiya mimba,
- kuchepetsa chilakolako.
Septicemia ikhoza kuchitika m'magulu awiri: septicemia (palibe mankhwala otchuka, kuledzera kwa thupi) ndi septicopyemia (palinso poizoni yotupa: osteomyelitis, meningitis, chibayo, abscess, phlegmon, etc.).
Masitepe a sepsis
Pali mphenzi yamoto, imachitika sabata yoyamba ya moyo, ikuyenda ndi mantha osokonezeka, makamaka kumapeto kwa zotsatira zake. Nthawi yovuta kwambiri ya sepsis kuyambira masabata 4 mpaka 8, siteji yaitali - zoposa miyezi 2-3 (imapezeka nthawi zambiri mwa makanda obadwa ndi immunodeficiency).
Kuchiza kwa sepsis
Ana opatsirana amachiritsidwa m'zipatala zapadera za matenda opatsirana pogonana. Iwo amachiza mankhwala ophera antibacterial ndi zinthu zambiri: lincomycin hydrochloride, gentamycin sulfate, ampiox, strandin, ampicillin sodium, semi-synthetic penicillin, ndi zina zotero. Ma antibayotiki amagwiritsidwa ntchito mobwerezabwereza, ndipo amakhala ngati jekeseni yowopsa kwambiri.
Kawirikawiri njira ya antibiotic imatenga masiku 7-14. Ngati njira ya matendawa yayitalika, komanso maphunziro omwe amatha nthawi yaitali komanso osapititsa patsogolo, kapena maulendo angapo a maantibayotiki amafunika. Ndipo kubwereza kumayenera kupeĊµedwa, mankhwala osiyana siyana amalembedwa pa maphunziro alionse.
Pitirizani kulandira chithandizo mpaka nthawi ngati chithandizo chokhalitsa chikupezeka.
Kupewa matenda
Popeza sepsis ndi matenda akuluakulu omwe amachititsa kuti nthawi zambiri afa, zonsezi zimachitika. Izi zikuphatikizapo: Kuwonetsetsa ndi akatswiri pa nthawi ya mimba, kuunika kwa nthawi yake ndi kuzindikira kwa matenda ndi matenda mwa amayi oyembekezera.