Boka B streptococcal septicemia yemwana achangozvarwa

Boka B streptococcal (GBS) septicemia chirwere chakakomba chebhakitiriya chinokanganisa vacheche vachangozvarwa.

Septicemia chirwere chiri muropa chinogona kufamba kuenda kunhengo dzakasiyana dzemuviri. GBS septicemia inokonzerwa nebhakitiriya Streptococcus agalactiae, iyo inowanzonzi boka B strep, kana GBS.

GBS inowanzo kuwanikwa muvakuru uye vana vakuru, uye kazhinji haina kukonzera hutachiona. Asi zvinogona kuita kuti vacheche vacheche varware zvakanyanya. Pane nzira mbiri umo GBS inogona kupfuudzwa kumwana achangozvarwa:

• Mwana anogona kutapukirwa paanenge achipfuura nemumugodhi wekuzvarwa. Muchiitiko ichi, vacheche vanorwara pakati pekuzvarwa nemazuva matanhatu ehupenyu (kazhinji kazhinji mumaawa makumi maviri nemana ekutanga). Izvi zvinodaidzwa kutanga-kutanga chirwere cheGGS.
• Mucheche anogona zvakare kutapukirwa mushure mekusununguka nekusangana nevanhu vanotakura utachiona hweGGS. Muchiitiko ichi, zviratidzo zvinoonekwa gare gare, kana mwana aine mazuva manomwe kusvika kumwedzi mitatu kana kupfuura akura. Izvi zvinodaidzwa kunonoka-kutanga chirwere cheGBS.

GBS septicemia ikozvino inoitika kushoma, nekuti kune nzira dzekuongorora nekubata vakadzi vane nhumbu vari panjodzi.

Izvi zvinotevera kuwedzera njodzi yemucheche weGGS septicemia:

• Kuzvarwa kweanopfuura mavhiki matatu zuva risati rasvika (prematurity), kunyanya kana amai vaenda kunoshanda munguva yekutanga (preterm labour)
• Amai vakatobereka mwana ane GBS sepsis
• Amai vane fivha ye100.4 ° F (38 ° C) kana kupfuura panguva yekusununguka
• Amai vane boka B streptococcus mudumbu rake rekubereka, rekubereka, kana reurinary
• Kubvaruka kwetembere (mvura inopaza) anopfuura maawa gumi nemasere mwana asati asununguka
• Kushandisa intrauterine fetal kuongorora (scalp lead) panguva yebasa

Mwana anogona kuve nechimwe chezviratidzo nezviratidzo zvinotevera:

• Kutaridzika kana kushushikana chitarisiko
• Kuonekwa kwebhuruu (cyanosis)
• Kufema kunetseka, senge kupenya kwemhino, kugunun'una ruzha, kufema nekukurumidza, uye nguva pfupi pasina kufema
• Isina kujairika kana isina kujairika (inokurumidza kana inononoka kwazvo) kurova kwemoyo
• Lethargy
• Kuonekwa kweruvara (pallor) neganda rinotonhora
• Kudya zvisina tsarukano
• Tembiricha yemuviri isina kugadzikana (yakadzika kana yakakwira)

Kuti uongorore GBS septicemia, GBS mabhakitiriya anofanirwa kuwanikwa mune sampuro yeropa (yeropa tsika) inotorwa kubva kumucheche anorwara.

Mimwe bvunzo inogona kuitwa inosanganisira:

• Ropa rekuvhara miedzo - prothrombin nguva (PT) uye yakasarudzika thromboplastin nguva (PTT)
• Magasi eropa (kuona kana mwana achida rubatsiro nekufema)
• Yakazara kuverenga ropa
• CSF tsika (kutarisa meningitis)
• Urine tsika
• X-ray yechipfuva

Mwana anopiwa mishonga yemaantibhakitiriya kuburikidza netsinga (IV).

Dzimwe nzira dzekurapa dzinogona kusanganisira:

• Kufema rubatsiro (kufema rutsigiro)
• Mvura inopihwa kuburikidza netsinga
• Mishonga yekudzosera kushamisika
• Mishonga kana maitiro ekugadzirisa matambudziko ekuvhara ropa
• Oxygen kurapa

Therapie inonzi extracorporeal membrane oxygenation (ECMO) inogona kushandiswa mumatambudziko akaipisisa. ECMO inosanganisira kushandisa pombi kutenderedza ropa kuburikidza nemapapu ekugadzira achidzokera muropa remwana.

Ichi chirwere chinogona kutyisidzira hupenyu pasina kurapwa nekukurumidza.

Zvinogona kuitika zvinosanganisira:

• Yakaparadzirwa intravascular coagulation (DIC): Dambudziko rakakomba umo mapuroteni anodzora kugwamba kweropa anoshanda zvisingaite.
• Hypoglycemia, kana shuga shoma yeropa.
• Meningitis: Kuzvimba (kuzvimba) kweiyo membreni inovhara uropi uye musana tambo inokonzerwa nehutachiona.

Chirwere ichi chinowanzoonekwa munguva pfupi mushure mekuzvarwa, kazhinji mwana achiri muchipatara.

Nekudaro, kana iwe uine mwana achangozvarwa pamba uyo anoratidza zviratidzo zveichi chiitiko, tsvaga rubatsiro rwekukurumidza rwekurapa kana kufonera iyo yemuno emergency emergency (se911).

Vabereki vanofanira kutarisa zviratidzo mumavhiki matanhatu ekutanga emwana wavo. Matanho ekutanga echirwere ichi anogona kuburitsa zviratidzo izvo zvakaoma kuona.

Kubatsira kudzikisa njodzi yeGBS, vakadzi vane nhumbu vanofanirwa kuongororwa mabhakitiriya pamasvondo makumi matatu nemashanu kusvika makumi matatu nemanomwe pakubata kwavo. Kana mabhakitiriya akaonekwa, vakadzi vanopihwa maantibhakitiriya kuburikidza netsinga panguva yekusununguka. Kana amai vakapinda mukushanda nguva isati yakwana mavhiki makumi matatu nemanomwe uye mhinduro dzeGGS dzisingawanikwi, vanofanirwa kurapwa nemishonga inorwisa mabhakitiriya.

Vacheche vari panjodzi huru vanoongororwa hutachiona hweGBS. Vanogona kugamuchira maantibhakitiriya kuburikidza nemutsinga mukati memaawa makumi matatu kusvika makumi mana emaawa ehupenyu kudzamara zvabuda bvunzo. Ivo havafanirwe kuendeswa kumba kubva kuchipatara maawa makumi mana nemasere asati apfuura.

Muzviitiko zvese, kushambidzwa kwemaoko kwakakodzera nevanochengeta vana, vashanyi, uye vabereki kunogona kubatsira kudzivirira kupararira kwebhakitiriya mwana achinge azvarwa.

Kutanga kuongororwa kunogona kubatsira kudzikisa njodzi yemamwe matambudziko.

Boka B strep; GBS; Neonatal sepsis; Neonatal sepsis - strep

Nzvimbo dzekuchengetedza Dziviriro uye Kudzivirira webhusaiti. Boka B strep (GBS). www.cdc.gov/groupbstrep/clinicians/clinical-overview.html. Yakagadziridzwa May 29, 2018. Yakasvika muna Zvita 10, 2018.

Edwards MS, Nizet V, Baker CJ. Boka B streptococcal hutachiona. Mune: Wilson CB, Nizet V, Maldonado YA, Remington JS, Klein JO, eds. Remington and Klein's Infectious Diseases of the Fetus uye Achangozvarwa Mucheche. 8th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits.

Lachenauer CS, Wessels MR. Boka B streptococcus. Mune: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, eds. Nelson Chinyorwa chePediatrics. 20th ed. Philadelphia, PA: Elsevier; 2016: chap 184.