Sepsis a yara: cututtuka, magani, photos

Modern magani yana bunkasa cikin sauri, amma duk da wannan, har yanzu akwai matsaloli, wanda da taimakon kimiyya ci gaba da sababbin hanyoyin fasaha ba za a iya warware. Daya daga cikinsu - sepsis a yara. A bayyanar cututtuka da wannan cuta tsari gano a cikin 0.8% na jarirai jariran. Amma a nan shi ne ya kamata a lura da cewa a cikin cikakken lokaci jarirai sepsis tasowa a 0.1% na lokuta, wanda bai kai ba jariran - 1% na lokuta. A sosai preterm jariran mafi sau da yawa samu wannan Pathology - a 30-33% na lokuta. Mene ne sepsis cututtuka a yara, a photo na wannan tsari?

Mene ne sepsis?

Wannan Jihar mutãne ya san tun lokacin da. Hippocrates a cikin rubuce-rubucen da aka ambata sepsis. Sa'an nan wannan kalma gane Rotting jini. A halin yanzu, da kalmar "sepsis" kwararru koma zuwa pathological tsari, wanda dogara ne a kan wani tsari mai kumburi mayar da martani ga kamuwa da kwayar, fungal ko kwayan asalin.

The yaro za a iya kamuwa da sepsis a antenatal (a utero), intrapartum (a lokacin haihuwa) kuma postnatal (bayan haihuwa) lokacin. Kafin haihuwar da kamuwa da cuta da aka ruwaito da tayin daga wata mace. A lokacin haihuwa da kuma postnatal kamuwa kafofin ne uwa, kiwon lafiya, da muhalli.

Sanadin da kuma dalilai haddasa cutar tsari

Sepsis a yara, bayyanar cututtuka da wannan tsanani yanayin bayyana saboda ingress na kwayoyin cuta, fungi, ƙwayoyin cuta da kuma protozoa a cikin jiki. A mafi yawan lokuta, a can ne kwayan sepsis. Ya aka yi fama a 85-90% na lokuta. Wani lokaci gano hade da dama daban-daban pathogens. Statistics nuna cewa wannan shi ne hali na 10-50% na lokuta.

Sepsis a yara wanda cututtuka su ne bambance bambancen, haddasa wasu daga cikin dalilai. Wadannan sun hada da:

• inadequately bi da tare da maganin rigakafi.
• da amfani da kwayoyi da kai ga wani karu na rigakafi da martani.
• tsawon lokaci gudanar da TPN.
• Masu cin zali bincike hanyoyin da magani.
• immunodeficiency jihohi da kuma mai tsanani premorbid bango.

rarrabuwa na sepsis

Dangane da lokaci na farko da na asibiti cututtuka da aka ware nakasar da kuma marigayi sepsis a jarirai. Domin na farko da irin pathological aiwatar halin da ya faru na bayyanar cututtuka a cikin ta farko 72 hours bayan haihuwa. Kamar yadda mai mulkin, farkon sepsis kamuwa da cuta yakan faru a cikin utero. A farko mayar da hankali ne babu kamuwa da cuta. Late sepsis aka nuna bayan 3 days na rayuwa. Kamuwa da cuta a irin wannan tsanani yanayin faruwa a lokacin ko bayan ceto. M haddasawa kamuwa da cuta -... ciwon huhu, meningitis, peritonitis da sauransu, t k domin wadannan cututtuka suna alama foci yaduwa daga pathogens kuma su ci gaba.

Bisa ikon Allah sepsis ne fulminant, m kuma subacute. Akwai kuma rarrabuwa, wanda dogara ne a kan rabuwa da jinsunan a kan tsanani yanayin master ko primary site kamuwa da cuta:

• cibiyarki sepsis.
• cerebral.
• na huhu.
• gastrointestinal.
• fata.

asibiti hoto

Bayyananen cuta tsari za a iya bambanta. Wadannan jerin hada farkon da kuma marigayi bayyanar cututtuka na sepsis a cikin jariri:

• m janar yanayin.
• take hakkin thermoregulation (lokaci jarirai auku zazzabi, da kuma preterm - m hypothermia).
• canji na launin fata (jiki samun datti da datti launin toka ko kodadde inuwa).
• take hakkin da aikin jiha na tsakiya m tsarin.
• maras wata-wata na jini.
• hanzari kara jaundice.
• numfashi gazawar (a cikin rashi na kumburi canje-canje a cikin X-ray hoto).
• tabarbarewa na gastrointestinal fili, da karkacewa hanta da saifa size of wani laifi a wani babban hanya.

A jarirai da sepsis da kuma cututtuka kamar amai, zawo. Babies ki da nono, suna hanzari rasa nauyi. Sau da yawa m suppuration a umbilicus, abscesses samu daban-daban sarrafawa.

ganewar asali sepsis

Sepsis cututtuka a yara (photos da wannan cuta ba ba da cikakken hoto na cuta) - ba ne kawai batutuwa da za a magance. Hankali ya kamata a ba tsanani yanayin bincikowa - hali gaggawa bincike. Sun hada da:

• cikakken jini count da platelets.
• coagulation (a sa na Manuniya da wanda daya zai iya kimanta jini clotting).
• jini ra'ayoyi da kuma RH-factor.
• jini sunadarai.
• jini acid-tushe jihar (CBS: PH da jijiya jini gas).
• X-ray viscera thorax.
• electrocardiography.
• bincike da madubin likita da al'adu na nazarin halittu abu (faeces, fitsari, flushing oropharyngeal mucosa).
• jini al'adu.

Kunno kai ãyõyin sepsis a yara na iya zama muhimmi a cikin sauran cututtuka. Saboda haka muhimmanci bambanci ganewar asali. Sepsis kamata a iya bambanta daga jimlace siffofin kwayan cututtuka. A ganewar asali zai ƙayyade m da kuma lura da matakan, musamman kwayoyin far. Bugu da ƙari, za ka bukatar da bambanci ganewar asali sepsis kuma kowa yana da siffofin na kwayar cututtuka. Lokacin da ke tabbatar da samuwar yin takamaiman antiviral far.

Manufofi da kuma hanyoyin domin zalunta sepsis

Wannan shi ne wani tsanani yanayin da ya auku a yara na bukatar nan da nan magani, saboda yana da matukar hatsari da kuma na iya haifar a cikin ci gaban da mutuwa. Hanyoyin kwantar da hankali a Sepsis ne da za'ayi lokaci guda a kan biyu Lines. Daya daga cikinsu - shi etiotropic magani. Yana hada dubagari foci da antibacterial far.

A gaba shugabanci da magani daga sepsis - pathogenetic far. Its aiki ne don mayar da homeostasis canje-canje (ciki har da gyara na rigakafi da matsayi da kuma sashin jiki cuta).

causal magani

A mafi muhimmanci mataki a lura da sepsis - mai gyaran kwamin na tara mayar da hankali. Kawai godiya ga wannan kamar yadda far ba a tsanani yanayin, ya zama tasiri. A wannan mataki da kwararru da yin tiyata - yin bude ko huda da kuma magudanun ruwa na surkin jini cavities, nekretomiyu da dai sauransu ...

Idan bayyanar cututtuka na sepsis an lura a yara sanya kwayoyin far (domin sanin pathogen). Ance da magani da likita. A selection na kayayyakin da aka ɗauke shi zuwa lissafi lokacin da ya faru na jihar (a utero, a lokacin haihuwa ko bayan haihuwa), yanayi na abin da ya faru (asibiti ko al'umma-samu), da sarrafawa da wani kwamin na tara mayar da hankali. Duk wannan bayani da shawara da pathogen da ya sa aka sepsis. Bayan bayyanãwa da yanayin da microflora na kwayoyin far an gyara ba. Idan ya cancanta, maye gurbinsu da wani magani amfani.

wasu regimens

Abin baƙin ciki, akwai wani musamman magani da zai iya kawar da sepsis a yara, da bayyanar cututtuka da cutar tsari. Duk da haka, akwai suna shawarar regimen. Alal misali, antibacterial far na nakasar neonatal sepsis iya zama kamar haka:

• "Ampicillin" a hade tare da aminoglycosides (ko "Amikacin" ko "Gentamycin" ko "Netilmicin");
• III tsara cephalosporins (ko "ceftriaxone" ko "Cefotaxime") a hade tare da aminoglycosides.

Late neonatal sepsis ne daya daga cikin haihuwarka ne kama da kwayoyin far karshe (III tsara cephalosporins hade tare da aminoglycosides). Lokacin da na huhu form ake sa "Vancomycin" da kuma aminoglycosides. amfani da "Vancomycin" Lokacin da catheter sepsis. Alternative regimen - "linezolid".

Amfani da probiotics da antifungal jamiái

Kwayoyin far for quite dogon yayin da pathological tsari. Irin shafe tsawon kuma m magani daga sepsis a yara zai iya tsokana dysbacteriosis. Domin kareshi nada probiotics tare da maganin rigakafi ( "Linex", "Bifiform", "Bifidumbacterin") da kuma "Fluconazole".

An muhimmiyar rawa aka buga da daidai ciyar. Matasa da yara da ya kamata a ciyar da nono da madara. A ta rashi, pediatricians bayar da shawarar yin amfani da wani musamman cakuda, wanda aka hada da bifidobacteria, ko probiotics.

pathogenetic far

The title shugabanci da magani daga sepsis hada da dama abubuwa:

• immunotherapy.
• maido da electrolyte da ruwa balance, da kuma gyara daga cuta na acid-balance tushe.
• detoxification.
• protivoshokovym far.
• aikin dawo da abin ya shafa da kuma tsarin gabobin.

Matakan kunshe a cikin pathogenetic far su ne kamar haka.

Kimantawa da tasiri na magani

A muhimmiyar rawa a lura da sepsis taka kwayoyin far. Godiya ta, a cikin jiki aka kashe pathogens pathological tsari. Shi ya sa masana suna kimantawa da tasiri na magani. Kwayoyin far an dauki tasiri idan bayan 72 hours daga qaddamarwa na shirye-shirye:

• inganta general yanayin yaro.
• al'ada ko rage jiki zafin jiki.
• rage-rage tachycardia.
• rage-rage shortness na numfashi;
• daidaita awon dabi'u.

Kwayoyin far ne tasiri, yana for 3 makonni (m). Sai ta soke gwani. Bayan 4-6 makonni na fara lura gaba daya mayar da aikin na ciki gabobin da kuma tsarin, pallor vuya.

A ƙarshe, shi ne ya kamata a lura da cewa sepsis (photos na yara na pathological tsari ba ya bayar da cikakken hoto na cuta) - wani hatsari yanayin da zai iya faruwa a kowane jariri. Duk da m ci gaba da magani, da yara ci gaba da mutuwa daga sepsis. Statistics nuna cewa 1 dubu. Newborn jariran 4-5 mutu daga wannan cuta.