I-sepsis yezinsana ezisanda kuzalwa, noma i-sepsis ye-neonatal yisifo esijwayelekile esithathelwanayo, esihambisana ne-bacteria, lapho ama-bacteria engena egazini kusukela ekugxilweni kokutheleleka. Phakathi kwabancane abathola lesi simo, amaphesenti aphezulu okufa, ikakhulukazi ezinganeni zangaphambi kwesikhathi. Ukuthelelwa kwesisu kungazalwa esibelethweni, ngesikhathi sokuzalwa nangemva kokubeletha.
I-sepsis ye-Neonatal: Izimbangela
Kuleso simo esibi kakhulu somzimba kuholele ukuqala kokutheleleka. Zingaba izifo zendlela yokuphefumula, i-nasopharynx, i-digestive tract, izilonda zesikhumba esiluhlaza, isilonda esiswini). Njengoba i-foci ikhula, imithwalo yegazi enegazi kanye nezicubu zithintekayo, futhi amagciwane ayaqhubeka esakazeka. Ama-pathogens avame kakhulu we-sepsis yi-streptococci, staphylococci, i-enterococci, i-Escherichia coli, i-pneumococcus, nabanye.
Ezinye izici zingase zibe yizinto ezidingekayo zokuthuthukiswa kwe-sepsis ezinganeni:
- izinkinga kumama ngesikhathi sokukhulelwa (toxicosis, ukudluliselwa kwezifo, perenashivanie);
- amaphutha kanye ne-pathologies yokuthuthukiswa kwe-intrauterine ye-fetus;
- ukuzalwa okulukhuni (i-asphyxia);
- ukukhulelwa okuningi;
- ukuphelelwa yisikhathi kwengane esanda kuzalwa.
Ukuhlukanisa phakathi kwe-sepsis yokuqala nokuphuza. Ifomu lokuqala lesifo livezwe ezinsukwini ezingu-4 zokuqala komntwana wengane, ngoba ukutheleleka kwenzeka ku-utero noma lapho kudlula izindlela ezithathelwanayo zomama. I-sepsis ezayo ikhonjiswe ngokubonakaliswa kwamasonto amabili okuphila.
I-Sepsis ezinganeni: izimpawu
Uma umntwana ebelethwe kakade, unesifo somkhuhlane, ukuhlanza nokuphindaphindiwe njalo, isikhumba esikhuphukile, ukuqhuma emzimbeni kanye ne-jaundice. Ngokuthuthukiswa kwe-sepsis esikhathini esilandelayo, ingane ikhula kancane kancane emasontweni okuqala okuphila: isikhumba siba sephukile, izinga lokushisa likhuphuka, ukukhwabanisa kuyaba khona njalo, izilonda zesikhumba ezinamahlombe kanye nezihluthulelo. Izimpawu ze-sepsis zifaka phakathi ukwehlisa isisindo somzimba wengane, ukuphaphaza inkaba nokulibazisa ukufa komuntu osele.
Ukwelashwa kwe-sepsis ezinsana
Ngenxa yokuthi kungenzeka ukuthi imiphumela ebulalayo, ukwelashwa kwe-sepsis kwenzeka kuphela esibhedlela.
Ukwelashwa ngama-antibiotic weqembu lamapenicillin noma ama-cephalosporin, ngokungahambisani noma ngokungahambi kahle. Ngokuhambisana nalokhu, ama-prebiotic kumele anqunywe ukuvimbela ama-dysbiosis emathunjini - i-lactobacterin, i-linex, i-bifidumbacterin. Ukuze ugweme ukuthuthukiswa kwe-candidiasis ngokusuka kwemithi yokwelashwa, i-fluconazole inqunywe. Kwezinye izimo, ukwethulwa kwegazi lomnikelo noma i-plasma.
Ukuqinisa imisebenzi yokuzivikela yomzimba osanda kuzalwa, i-immunotherapy ne-vitamin therapy yenziwa.