ʻO ka Sepsis o nā keiki hou, a iʻole nā lepsis neonatal,ʻo ia ka maʻi o nā maʻi maʻamau, i hele pū me bacteramia, i ka wā e komo ai ka bacteria i loko o ke koko mai ka manaʻo o ka maʻi. I waena o nā kamaliʻi e lawelawe nei i kēiaʻano, he hapa nui o ka make, i nā keiki i kūpopo. Hiki ke puka i ka'ōpū, kahi e hānau ai, a ma hope o ka hānauʻana.
Neonatal sepsis: Nā kumu
ʻO kēlāʻano koʻikoʻi o ke kino e alakaʻi i ke kumu mua o ka maʻi. Hiki iā lākou ke lilo i mau maʻi o ka'ōmaha hoʻolālā, nasopharynx, wahi'ōpala, nāʻeleʻele purulenti, ka maʻiʻeha). I ka hopena o ka hoʻouluʻana, ua hoʻopiliʻia nā kīʻaha koko a me nāʻupena, a ua hoʻomau pinepineʻia nā pathogens. ʻO nā maʻi nui o nā lepsis he streptococci, staphylococci, enterococci, Escherichia coli, pneumococcus, a me nā mea'ē aʻe.
Hiki i kekahi mau mea ke lilo i mea e pono ai no ka uluʻana o nā lepsis i nā keiki:
- ka pilikia o ka makuahine i ka wā o ke kōpū (toxicosis, hoʻololi i nā maʻi, perenashivanie);
- nā pōpilikia a me nā maʻi o ka uluʻana i ke kino o ka'ōpiopio;
- hānau hōʻemi (asphyxia);
- ka nui o nā hānauʻana;
- ke kūlana mua o ka hānau hou.
Eʻokoʻa ma waena o nā pōpō mua a me nā hope. ʻO ka mua o ka maʻi i hōʻikeʻia i nā lā 4 mua o ke ola o ke pēpē, no ka mea, i ka maʻi e puka ai i ka utero aiʻole i ka wā e hele ai i nā maʻi o ka makuahine. Hōʻikeʻia ka Late Sepsis e ka hōʻike no nā hebedoma 2-3 o ke ola.
Sepsis ma nā keiki: nā hōʻailona
Inā hānauʻia ka pēpē inā ua maʻi, ua loaʻa iā ia ke kuni, ka luaʻiʻana a me ka hoʻopau pinepineʻana, pale pale, kahi'āpala i ke kino a me ka momona. Me ka hoʻoikaikaʻana o nā lepsis i ka manawa o ka post post, e māmā mau ana ka pēpē i nā pule mua o ke ola: lilo kaʻili i pale, piʻi ka mahana, palekana pinepine, nā momona a me nā maʻiʻeleʻele purulent. ʻO nā hōʻailona o ka lepsis me ka hoʻohaʻahaʻaʻana i ke kaumaha o ke kino o ka pēpē, kaheʻana i ka piko a ke kali nei i ka makeʻana o ke koena o ka umbilical.
Ka mālamaʻana i nā maʻi lepsis i nā keiki hou
Ma muli o ka hopena o ka hopena hopena, hiki wale ke mālamaʻana i nā maʻi lepsis wale nō ma kahi hōkele.
ʻO ka lāʻau hōʻailona me nā lāʻau'alopelo o kekahi hui penicillins a he cephalosporins paha, i loko o ka intravenously a intramuscularly. Me kēia, pono e hanaʻia nā prebiotics e pale ai i ka dysbiosis - ka lapabacterin, linex, bifidumbacterin. I mea e pale ai i ka hoʻomohalaʻana i nā mea noiʻi e kū'ē i ka hopena o ka lāʻau hoʻomalu, e kauʻia ka fluconazole. I kekahi mau kumu, ka hoʻokomoʻia o ke koko hāʻawi a iʻole ka plasma.
No ka hoʻoikaikaʻana i nā hana palekana o ke kino o ke keiki hānau, hanaʻia ka maʻi immunotherapy a me ka lāʻau lāʻau.