Nā hōʻailona a me ka mālamaʻana i nā sepsis neonatal

ʻO ka Neonatal sepsis, aʻo ka sepsis neonatal, he maʻi maʻi pīpī e like me nā maʻi bacteria (me ka huapalapala i loko o ke koko) mai ka manaʻo o ka maʻi). Hiki ke mālama i kahi pēpē hou i nā manawa likeʻole: prenatal (antenatal), i ka manawa o ka hoʻounaʻana (intranatal) a me ka postpartum (postnatal). ʻO kēia maʻi iʻoi aku ka maʻalahi i nā keiki pēpē. ʻO ka pilikia o nā maʻi liʻiliʻi o nā keiki hou no ka manawa lōʻihiʻaʻole ia e lilo i ka pilina ma muli o ka nui o ka make o kēia maʻi iʻoi aku ka kiʻekiʻe. Ma kēiaʻatikala, e nānā mākou i nā hōʻailona a me ka mālamaʻana i nā lepsis neonatal.

Ka nui o nā maʻi lepsis

ʻO nā mea hōʻeha o kēia maʻi, heʻano likeʻole me nā mea pāpālua a me nā mea pākiko: Pseudomonas aeruginosa, Salmonella, pneumococcus, streptococcus, staphylococcus a me kekahi mauʻano microorganisms'ē aʻe no ka pono.

ʻO kaʻeha i kaʻili i ka wā hānau, kahi lōʻihi lōʻihi, ke kūʻana o nā hana kūʻokoʻa a me nā kukuna pāʻani i loko o ka makuahine - hiki i kēia ke kau aku i ka maʻi o kahi keiki hānau hou. Hiki i nā'ōpū a me nā hua bacteria ke komo i ke kino ma o ka pūpūʻokoʻa, nā pēpē mucous, nā'ōpū hanu, ma nā ipu o nā moku āpau a ma o kaʻehaʻeha, kaʻehaʻili. Inā he intrauterine ke kumu o nā lepsis,ʻo keʻano o ka manaʻo o ka maʻi i loko o ka'ōpū o ka makuahine: ka placenta, a iʻole kekahi mea'ē aʻe.

Nāʻano o ka maʻi

ʻO keʻano o keʻano o ke kepeisūʻekolu:

ʻO Sepsis iʻike muaʻia ma nā lā 5-7 o ke ola, ua loaʻa i nā keiki i nā manawa pinepine (i loko o ka'ōpū). I loko o ke kino o ke keiki, nā meaʻeleʻele maʻi e komo i ka placenta (transplacental). Hiki hiki ke hoʻomohala i nā kōpipipiki mua a me kaʻaiʻana i ka wai amniotic, a ma muli hoʻi o ka uhaʻiʻana o ka membnona me ka peniʻana i loko o ka microflora pathogenic mai ka pilina. Hiki ke mālamaʻia i ka manawa e hele ai ke pēpē ma o ke ala kai hānau, keʻole inā loaʻa kahi o ka lī.

Loaʻaʻia ka Late sepsis i nā mau hebedoma 2-3 ma hope o ka hānauʻana,ʻo ka maʻi pinepine me ka microflora o ka pilina o ka makua i ka wā o ke kāpena hānauʻana o ke pēpē.

ʻO ka hopena o ka hōʻailona hōʻeuʻeu i ka maʻi microflora, ma nā halemai hānai a me nā haukapila,ʻo nā mea hoʻonāukiuki o ia mau lepsis he pinepine i nā lāʻauʻaʻaiʻole (e like me Proteus, Pseudomonas, Klebsiella, Serratia), staphylococcus (in particular Staphylococcus epidermidis) a me nā haʻiki. Hiki i nā mucous membran o ke keiki hou ke maʻalahi, hikiʻole i ka pūnaewele mālamaʻole keʻano nāwaliwali no ka hopena o nā meaʻanoʻano maʻi, nā mea nui e hoʻonui i ka pilikia o nā lepsis.

Nā hōʻailona o ka lepsis

Hōʻikeʻiaʻo Sepsis ma nā hōʻailona:

Hiki iā Septicemia ke hana ma nāʻanoʻelua: septicemia (ʻaʻohe mau kumu koʻikoʻi o ka maʻi, ka lāʻau nui o ke kino) a me ka septicopiamia (hiki ke hōʻike maopopoʻia i ka līlū: osteomyelitis, maningitis, ka niʻonia, abscess, phlegmon, etc.).

Nā wahi o ka lepsis

Aia nā uila i ka uila, hiki i ka hebedoma mua o ke ola, me ka hoʻohuhu pūʻana,ʻo ka hopena o ka hopena hopena. Ka lōʻihi o ke kaʻina hana o nā lepsis mai 4 a 8 mau wiki, ka lōʻihi lōʻihi -ʻoi aku ma mua o 2-3 mau mahina (hiki i ka hapanui o nā keiki hou me ka maleʻole).

Ka mālamaʻana i nā lepsis

Hoʻokū 'ia nā keiki iʻokiʻia me kaʻimiʻole i loko o nāʻoihana kūikawā o nā maʻi maʻi neonatal. Hoʻomaopopoʻia lākou me nā lāʻau antibacterial me kahiʻano nui o ka hana: lincomycin hydrochloride, gentamycin sulfate, ampiox, strain, ampicillin sodium, penicillin semi-synthetic etc.

ʻO kaʻoihana o nā lāʻau'alopelo he mau lā 7-14 ia. Inā lōʻihi ka lōʻihi o ke maʻi, a me ka hoʻolōʻihi a hoʻomahaʻole paha, e koiʻia ana nā papa hana a me nā papa hana'ē aʻe. A no ka hana houʻana, e kauʻia nā lāʻau'alopero'ē aʻe no kēlā me kēia papa.

E hoʻomau i ke olakino a hiki i ka manawa i loaʻa ai ka hopena o ka hopena o ke kākoʻo.

ʻO ka paleʻana i ka maʻi

No ka mea, he maʻi koʻikoʻi ka liʻiliʻi e alakaʻi ana i ka make ma ka hapanui o nā hihia, ua hanaʻia kekahi pūʻokoʻa palekana. ʻO kēia mau mea:ʻo ka nānāʻana o nā mea akamai i ka wā o ka hāpaiʻana, kaʻike o ka manawa kūpono a me kaʻike o nā maʻi a me nā maʻi i loko o ka wahine hāpai.