Neonatal sepsis

Neonatal sepsis chirwere cheropa chinoitika mumucheche ari pasi pemazuva makumi mapfumbamwe ekuberekwa. Kutanga-kutanga sepsis kunoonekwa muvhiki yekutanga yehupenyu. Kunonoka kutanga sepsis kunoitika mushure mevhiki rimwe kusvika pamwedzi mitatu yekuberekwa.

Neonatal sepsis inogona kukonzerwa nehutachiona senge Escherichia coli (E coli), Listeria, uye mamwe marara e streptococcus. Boka B streptococcus (GBS) rave riri iro honzeri hombe yeanaonatal sepsis. Zvisinei, dambudziko iri rave kushoma sezvo vakadzi vanovhenekwa panguva yekuzvitakura. Iyo herpes simplex virus (HSV) inogona zvakare kukonzera hutachiona hwakakomba mumwana achangozvarwa. Izvi zvinoitika kazhinji kana amai vachangobatira hutachiona.

Yekutanga-kutanga neonatal sepsis kazhinji inowanzoonekwa mukati memakumi maviri nemana kusvika makumi mana maawa ekuberekwa. Mwana anowana hutachiona kubva kuna amai asati kana panguva yekusununguka. Izvi zvinotevera kuwedzera njodzi yemucheche yekutanga-kutanga kwehutachiona sepsis:

• GBS colonization panguva yekuzvitakura
• Kutanga kutumira
• Kutyoka kwemvura (kuputika kwetembiricha) kwenguva yakareba kupfuura maawa gumi nemasere asati aberekwa
• Kubatwa kweiyo placenta tishu uye amniotic fluid (chorioamnionitis)

Vacheche vanononoka-kutanga neonatal sepsis vanotapukirwa mushure mekusununguka. Izvi zvinotevera kuwedzera njodzi yemwana mucheche mushure mekusununguka:

• Kuva nekateti mumudziyo weropa kwenguva yakareba
• Kugara muchipatara kwenguva yakareba

Vacheche vane neonatal sepsis vanogona kuva nezviratidzo zvinotevera:

• Tembiricha yemuviri inoshanduka
• Matambudziko ekufema
• Dhairrhea kana kudzikira kwekufamba kwematumbu
• Shuga shoma yeropa
• Kuderedza kufamba
• Kuderedzwa kuyamwa
• Kufenda
• Inononoka kana kukurumidza kurova kwemoyo
• Dumbu rakazvimba nzvimbo
• Kusvipa
• Yero ganda uye vachena vemeso (jaundice)

Lab miedzo inogona kubatsira kuongorora neonatal sepsis uye kuona chinokonzera hutachiona. Kuongororwa kweropa kunogona kusanganisira:

• Tsika yeropa
• C-inoshanda mapuroteni
• Yakazara kuverenga ropa (CBC)

Kana mwana aine zviratidzo zve sepsis, iyo lumbar puncture (musana tambo) ichaitwa kuti itarise musana wemvura kune hutachiona. Ganda, chigaro, uye weti tsika zvinogona kuitirwa herpes hutachiona, kunyanya kana amai vaine nhoroondo yehutachiona.

X-ray yechipfuva ichaitwa kana mwana aine chikosoro kana matambudziko ekufema.

Urine tsika tsika bvunzo dzinoitwa mune vacheche vakura kupfuura mazuva mashoma.

Vacheche vari pasi pemasvondo mana ekuberekwa vane fivhiri kana zvimwe zviratidzo zvehutachiona vanotangwa pamutsinga (IV) maantibayoti ipapo. (Zvinogona kutora maawa makumi maviri nemana kusvika makumi manomwe nemaviri kuti vawane zvabuda mumalab.

Mwana anowana mishonga inorwisa mabhakitiriya kwemasvondo matatu kana mabhakitiriya akawanikwa muropa kana musana. Kurapa kuchave kupfupi kana pasina mabhakitiriya anowanikwa.

Mushonga wehutachiona unonzi acyclovir uchashandiswa kuzvirwere zvinogona kukonzerwa neHSV. Vacheche vacheche vane zvakajairika murabhoru zvinoguma uye vane fivha chete vanogona kusazopihwa maantibioti Pane kudaro, mwana anogona kubva muchipatara odzoka kunoongororwa.

Vacheche vanoda kurapwa uye vatove vakaenda kumba mushure mekuzvarwa vanowanzo gamuchirwa kuchipatara kuti vatariswe.

Vazhinji vacheche vane hutachiona hutachiona vanozopora zvachose uye vasina mamwe matambudziko. Nekudaro, neonatal sepsis ndiyo inonyanya kukonzera kufa kwecheche. Iyo inowedzera nekukurumidza mucheche kurapwa, zvirinani mhedzisiro.

Zvinetso zvinogona kusanganisira:

• Kuremara
• Rufu

Tsvaga rubatsiro rwechiremba ipapo ipapo kumucheche uyo anoratidza zviratidzo zveeonatal sepsis.

Vakadzi vane pamuviri vanogona kuda mishonga yekudzivirira kana vaine:

• Chorioamnionitis
• Boka B rinotenderera colonization
• Kupiwa kuberekwa munguva yakapfuura kune mwana ane sepsis inokonzerwa nehutachiona

Zvimwe zvinhu zvinogona kubatsira kudzivirira sepsis zvinosanganisira:

• Kudzivirira uye kurapa hutachiona mumadzimai, kusanganisira HSV
• Kupa nzvimbo yakachena yekuberekwa
• Kununura mwana mukati memaawa gumi nemaviri kusvika makumi maviri nemana kubva panotsemuka membreni (kuburitswa kweKesariya kunofanira kuitwa kuvakadzi mukati memaawa mana kusvika kumatanhatu kana kuti kukurumidza kwekupwanya.

Sepsis neonatorum; Kuberekwa kwechirwere chepabonde; Sepsis - mucheche

Komiti yezvirwere zvinotapukira, Komiti ye Fetus uye Achangozvarwa; Baker CJ, Byington CL, Polin RA. Chirevo chePolisi - kurudziro yekudzivirira kwehutachiona boka reB B streptococcal (GBS) chirwere. Pediatrics. 2011; 128 (3): 611-616. PMID: 21807694 www.ncbi.nlm.nih.gov/pubmed/21807694.

Esper F. Postnatal hutachiona hutachiona. Muna Martin RJ, Fanaroff AA, Walsh MC, eds. Fanaroff naMartin's Neonatal-Perinatal Mushonga. 11th ed. Philadelphia, PA: Elsevier; 2020: chitsipa 48.

Greenberg JM, Haberman B, Narendran V, Nathan AT, Schibler K. Neonatal marbadities epamberi pekuzvara uye perinatal mavambo. Mu: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Sirivha RM, eds. Creasy uye Resnik's Maternal-Fetal Mushonga: Misimboti uye Dzidzira. 8th ed. Philadelphia, PA: Elsevier; 2019: chits. 73.

Jaganath D, Zvakafanana RG. Microbiology uye chirwere chinotapukira. Mune: The Johns Hopkins Hospital; Hughes HK, Kahl LK, eds. Iyo Harriet Lane Handbook. 21st ed. Philadelphia, PA: Elsevier; 2018: chits. 17.

Polin R, Randis TM. Zvirwere zvePerinatal uye chorioamnionitis. Muna Martin RJ, Fanaroff AA, Walsh MC, eds. Fanaroff naMartin's Neonatal-Perinatal Mushonga. 11th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 25.

Verani JR, McGee L, Schrag SJ; Kupatsanurwa kweBacterial Zvirwere, National Center yeKudzivirira uye Kufema Zvirwere, Nzvimbo dzeDziviriro Kudzora nekudzivirira (CDC). Kudzivirirwa kweboka reperinatal B chirwere cheptptococcal - nhungamiro yakadzokororwa kubva kuCDC, 2010. MMWR Inokurudzira Rep. 2010; 59 (RR-10): 1-36. PMID: 21088663 www.ncbi.nlm.nih.gov/pubmed/21088663.