Sepsis ntawm cov me nyuam mos, los yog neonatal sepsis yog tus kab mob sib kis, uas yog nrog cov kab mob bacteremia, thaum cov kab mob nkag rau hauv cov ntshav los ntawm kev tsom xyuas ntawm tus kab mob. Cov me nyuam yaus uas tau muaj tus mob no, feem pua ntawm cov neeg tuag, tshwj xeeb hauv cov me nyuam yug ntxov. Kev mob ntawm ib tus menyuam mos yuav tshwm sim nyob rau hauv lub tsev menyuam, thaum lub sijhawm yug thiab tom qab yug me nyuam.
Neonatal sepsis: Ua rau
Rau li ib qho mob loj ntawm lub cev ua thawj foci ntawm tus kab mob. Lawv tuaj yeem ua kab mob ntawm txoj hlab pa, nasopharynx, plab hnyuv, xuas phom tawm ntawm qhov tawv nqaij, umbilical qhov txhab). Raws li lub foci txhim kho, cov kab mob hauv cov hlab ntsha thiab cov nqaij muaj kev cuam tshuam, thiab cov kab mob kis mus txuas ntxiv. Cov kabmob ntau dua ntawm sepsis yog cov kabmob thaib, cov kabmob staphylococci, enterococci, Escherichia coli, pneumococcus, thiab lwm tus.
Qee yam tseem ceeb yuav tau ua ntej rau kev txhim kho sepsis rau cov me nyuam:
- teeb meem nyob rau hauv leej niam thaum lub sij hawm cev xeeb tub (toxicosis, kis tau tus kab mob, perenashivanie);
- kev tsis raws cai thiab pathologies ntawm kev loj hlob ntawm kev loj hlob ntawm fetus;
- teeb meem yug me nyuam (asphyxia);
- ntau tus cev xeeb tub;
- prematurity ntawm tus menyuam mos.
Txav deb ntawm qhov nruab nrab thaum ntxov thiab lig dua. Thawj daim ntawv ntawm tus kab mob no tau tshwm sim hauv thawj 4 hnub ntawm tus me nyuam lub neej, vim hais tias muaj tus kab mob tshwm sim hauv kev kis mob qog los yog thaum kis los ntawm kev kis tus kab mob ntawm leej niam. Tus mob sepsis yog tshwm sim los ntawm kev tshwm sim rau 2-3 lub lim piam ntawm lub neej.
Sepsis ntawm cov menyuam yaus: Cov tsos mob
Yog tias tus menyuam yug los muaj tus kabmob no, nws muaj kub cev, ntuav thiab tsis tuaj yeem kho, mob tawv nqaij, pob liab khov hauv lub cev thiab daj ntseg. Nrog rau kev txhim kho ntawm sepsis tom qab lub sijhawm tom qab, tus me nyuam maj mam zuj zus hauv thawj lub lim piam ntawm lub neej: daim tawv nqaij ua daj ntseg, qhov kub nce lawm, kev tuaj yeem ua rau ntau zaus, daj ntseg thiab purulent tawv nqaij tshwm. Cov cim qhia ntawm sepsis muaj xws li txo lub cev qhov hnyav ntawm tus menyuam, los ntshav ntawm lub qhov ntaws thiab ncua kev tuag ntawm txoj hlab ntaws.
Kev kho mob ntawm sepsis rau cov menyuam mos
Vim yog qhov ua rau muaj kev tuag, qhov kev kho mob ntawm sepsis tshwm sim hauv tsev khomob xwb.
Txoj kev kho nrog tshuaj tua kab mob ntawm ib pawg neeg ntawm penicillins los yog cephalosporins, intravenously los yog intramuscularly. Nrog rau qhov no, yuav tsum tau noj cov tshuaj prebiotics los tiv thaiv plab hnyuv dysbiosis - lactobacterin, linex, bifidumbacterin. Txhawm kom tsis txhob muaj kev tiv thaiv cov neeg tua neeg tawm tsam cov tshuaj tua kab mob, yog cov tshuaj fluconazole. Qee zaum, kev qhia txog ntshav pub dawb lossis ntshav.
Yuav ntxiv dag zog rau kev tiv thaiv ntawm tus me nyuam mos lub cev, immunotherapy thiab vitamin kho.