Zvirwere zvepachigoni zve sepsis
Izvo zvinokonzera kukonzera chirwere ichi zvakasiyana-siyana mumamiriro ezvinhu pathogenic uye pathogenic microorganisms: Pseudomonas aeruginosa, Salmonella, pneumococcus, streptococcus, staphylococcus uye dzimwe mimwe michina inokonzera vanhu.
Kukuvadzwa kweganda panguva yekuberekwa, nguva yakareba yakaoma, kuvapo kwe purulent uye kuvhiringidza maitiro muamai - izvi zvinogona kuva zvose zvinotarirwa nehutachiona hwechechecheche. Virusi uye mabhakitiriya anokwanisa kupinda mumuviri kuburikidza nehutachiva, mucous membrane, nzira yekufema, kuburikidza nemidziyo yembilical kana kuburikidza nejeri remubilical, ganda rinoparadza. Kana iyo yakabva sepsis iine intrauterine, zvinoreva kuti kutarisa kwehutachiwana kuri mumuviri waamai: placenta, kana imwe nhengo.
Mafomu ehutachiona
Maikiriniki makuru maitiro echepisi ndeevatatu:
- kutanga sepsis,
- late sepsis,
- intrahospital sepsis.
Sepsis yakakurumidza kuonekwa mumazuva mashanu okutanga eupenyu, ivo vane utachiona nevana kanowanzoitika (muchibereko). Mune mhuka yemwana, pathogenic microorganisms inopinda nepascenta (transplacental). Zvinokwanisika kukudziridza sepsis yakatanga uye nekumedza amniotic fluid, uye nekuda kwekubuda kwemuviri we amniotic uye kupindira mukati maro wepathogenic microflora kubva mumukadzi. Utachiona hunogonawo kuitika panguva iyo mwana achipfuura nomugero wekubereka, kunyanya kana pane zviputi zvekuputika.
Sepsis iri shure inowanikwa 2-3 mavhiki mushure mekuberekwa, kazhinji kacho hutachiona ne microflora yemadzimai emukadzi panguva yekufamba kwekuberekwa kwomwana.
Intra-hospitals sepsis inokonzera pathogenic microflora, inowanikwa muzvipatara zvekuberekwa uye zvipatara, avo vanokonzera kushungurudza vanowanzogadzira-tambo (kusanganisira Proteus, Pseudomonas, Klebsiella, Serratia), staphylococcus (zvikurukuru Staphylococcus epidermidis) uye fungi. Izvo zvipembenene zvemucheche zvinowanzoshungurudzwa nyore nyore, maitiro epachiviriro ezvirwere zvezvirwere zvezvirwere zvekare anoramba asina simba nokuda kwekuita kwakadaro kwezvipembenene zvepathogenic, izvo zvinowedzera huwandu hwekuvhara muviri.
Zviratidzo zve sepsis
Sepsis inoratidzwa kuburikidza nezviratidzo zvinotevera:
- kuporeswa kwakashata kwechirwere chemubilical ("kuchenesa" maruva),
- cyanosis of the nasolabial triangle,
- kudonha kunokosha mumuviri,
- kuwedzera kwekushisa kwemuviri,
- ganda rakachena ganda,
- kugara uchidzoka,
- kurutsa,
- kusiya chifuva,
- kuderedza kudya mwoyo.
Sepsis anogona kuitika nenzira mbiri: septicemia (akaratidza hapana foci chirwere, zvachose kudhaka) uye pyosepticemia (kupa yakajeka kuzvimba foci: osteomyelitis, yomumuzongoza, mabayo, abscesses, phlegmon, etc.).
Zvikamu zve sepsis
Kune magetsi sepisis, inoitika muvhiki yekutanga yehupenyu, inofambidzana nekushungurudzika kwepasi, kunyanya kunopera mumugumisiro unouraya. Nguva yechipfuva chesepisiti kubva kumasvondo 4 kusvika ku8, danho refu - kupfuura mwedzi 2-3 (inowanzoitika mumwana achangoberekwa ane immunodeficiency).
Mushonga we sepsis
Vana vane hutachiwana vanopfigirwa muzvipatara zvakasiyana-siyana zvevana neonatal pathology. Treatment rinoitwa antibacterial vamiririri vane chakarondedzera chiito: lincomycin hydrochloride, gentamicin sulfate, ampioks, tseporinom yavaibvisa munyu ampicillin, semisynthetic kuti penicillin nemishonga, etc. kazhinji kuiswa pachishandiswa intramuscular jekiseni, uye intravenous jekiseni - pamwe vanoshorwa nzira sepsis uye vachityisidzira ezvinhu ..
Kazhinji nzira yemishonga inorwisa mabhakitiriya inotora mazuva 7-14. Kana chirwere chechirwere chacho chichiwedzerwa, pamwe chete nekuwedzera kwenguva refu uye kusaderedza, zvidzidzo zvakadzokidzwa kana maitiro akawanda emishonga inorwisa mabhakitiriya inodiwa. Uye kudzokorora kunofanira kudziviswa, zvakasiyana-siyana zvinorwisa mabhakitiriya zvinorayirwa pamudzidzi mumwe nomumwe.
Rambai muchirapa kusvikira nguva yakadai sekugara kwechirwere kunopera.
Kudzivirira zvirwere
Kubvira sepisis chirwere chakakomba chinotungamirira kurufu mumatambudziko akawanda, yose yakatevedzana yekudzivirira inoitwa. Izvi zvinosanganisira: Kucherechedza nevanyanzvi panguva yekuzvitakura, nguva yekuongorora uye kuonekwa kwezvirwere nezvirwere mumukadzi ane pamuviri.