Ib tug menyuam mos tshiab yog ib qho kev xyiv fab loj uas muaj nyob hauv tsev neeg. Txawm li cas los xij, ua ib tug niam lossis ib tug txiv, nws kuj yog ib qho ib txwm muaj kev ntshai thiab txhawj xeeb me ntsis. Txawm tias koj tus menyuam mob khaub thuas los xij, peb tseem txhawj xeeb. Hnub no peb yuav tham txog sepsis, ib qho mob txaus ntshai uas tuaj yeem tshwm sim rau cov menyuam mos tshiab, uas yog qhov loj dua li ib qho mob yooj yim. Nws yog ib qho tseem ceeb heev uas yuav tsum paub txog qhov no, vim tias kev ua sai sai tuaj yeem cawm tus menyuam tau tag nrho.
Hauv lwm lo lus, sepsis yog dab tsi?
Kab mob Sepsis yog ib yam mob hnyav heev uas yuav tshwm sim rau ib tug menyuam mos (hnub nyoog qis dua 28 hnub). Qhov no tshwm sim thaum lub cev tiv thaiv kab mob ntawm tus menyuam pib ua haujlwm ntau dhau thaum muaj kab mob nkag mus rau hauv tus menyuam lub cev. Xav txog seb qhov uas tshwm sim ntawm no zoo li cov tub rog uas tiv thaiv peb lub tebchaws, mus tawm tsam ib tug yeeb ncuab thiab ua rau peb lub tebchaws raug mob yam tsis tau xav txog.
Qhov kev ua xua ntau dhau no tuaj yeem ua rau mob thoob plaws lub cev ntawm tus menyuam . Nws kuj tseem tuaj yeem ua rau cov ntshav txhaws, txo cov ntshav ntws mus rau ob txhais ceg thiab cov kabmob tseem ceeb xws li lub hlwb, lub plawv, thiab lub raum. Qhov no tuaj yeem ua rau cov kabmob tsis ua haujlwm thiab qee zaum txawm tias tuag. Yog vim li cas nws thiaj li txaus ntshai heev.
Cov kws kho mob faib qhov mob no ua ob pawg, nyob ntawm seb tus menyuam muaj hnub nyoog li cas.
- Kab mob sepsis thaum ntxov rau cov menyuam mos: Qhov mob no tshwm sim hauv 72 teev thawj zaug (3 hnub) ntawm kev yug los.
- Kab mob sepsis rau menyuam mos uas pib lig: Qhov mob no tshwm sim tom qab 3 hnub tom qab yug los.
Leej twg muaj kev pheej hmoo tshaj plaws?
Tus mob no tuaj yeem tshwm sim rau txhua tus menyuam yaus, tab sis qee tus menyuam yaus muaj kev pheej hmoo siab dua.
Cov menyuam mos uas yug tsis tau sijhawm feem ntau yuav muaj feem mob sepsis. Qhov no yog vim lawv lub cev tiv thaiv kab mob tseem tsis tau loj hlob tag nrho. Lawv yug los ua ntej lawv tau txais cov tshuaj tiv thaiv kab mob uas tiv thaiv lawv ntawm kev kis kab mob, uas txhais tau tias lawv tsis muaj peev xwm tiv thaiv kev kis kab mob.
Tsis tas li ntawd xwb, cov menyuam mos hauv qab no kuj muaj kev pheej hmoo ntxiv:
- Cov menyuam mos uas muaj qhov hnyav tsawg thaum yug los.
- Cov menyuam mos uas muaj cov qhab nia Apgar qis raug soj ntsuam thaum yug los.
- Cov menyuam tub.
- Yog tias leej niam muaj kab mob thaum cev xeeb tub.
Koj tus me nyuam puas muaj cov tsos mob no? Ceev faj!
Ntau yam tsos mob uas pom hauv tus menyuam yaus uas muaj lwm yam kab mob uas tshwm sim ntau kuj pom tau hauv tus menyuam mos uas muaj lwm yam kab mob. Yog li ntawd, tsis txhob ntshai yog tias koj muaj ib lossis ob yam tsos mob no. Txawm li cas los xij,Yog tias koj muaj ntau yam tsos mob no tib lub sijhawm, lossis yog tias koj xav tias koj tus menyuam muaj lub sijhawm nyuaj dua li niaj zaus, koj yuav tsum nrhiav kev pab kho mob tam sim ntawd.
| Pawg tsos mob | Yuav tsum tau them sai sai rau dab tsi |
|---|---|
| Qhov kub ntawm lub cev thiab lub plawv dhia | Kub taub hau siab los yog txias hauv lub cev (ntsws), lub plawv dhia ceev los yog qeeb. |
| Ua pa | Ua pa ceev dua lossis ua pa nyuaj. |
| Khoom noj thiab plab | Ntuav, o, txo lossis tsis kam haus mis nyuj, thiab o (o). |
| Tawv nqaij thiab tsos | Tes thiab taw txias, tawv nqaij ntub thiab dawb, qhov muag thiab tawv nqaij daj (jaundice). |
| Kev coj cwj pwm | Xav tias tsaug zog ntau dua li niaj zaus, tsis tshua muaj zog, qaug zog, thiab muaj mob qaug dab peg. |
Vim li cas qhov no thiaj tshwm sim? Yog vim li cas?
Kab mob Sepsis hauv cov menyuam mos feem ntau yog tshwm sim los ntawm cov kab mob bacterial . Tshwj xeeb, cov kab mob xws li '(E. coli)', '(Listeria)' thiab '(Group B streptococcus - GBS)' yog cov ua rau mob no. Qee zaum qhov mob no kuj tuaj yeem tshwm sim los ntawm cov kab mob, cov pwm thiab cov kab mob parasites. Piv txwv li, tus kab mob hu ua '(Herpes Simplex Virus - HSV)' kuj tuaj yeem ua rau muaj kev kis kab mob hnyav rau cov menyuam mos.
Kab mob sepsis thaum ntxov
Hauv hom kab mob no, tus menyuam tau txais tus kab mob los ntawm leej niam. Qhov no tuaj yeem tshwm sim thaum tus menyuam tseem nyob hauv plab lossis thaum yug los. Qhov kev pheej hmoo nce ntxiv los ntawm tej yam xws li:
- Cov kab mob xws li Group B streptococcus (GBS) muaj nyob rau hauv leej niam lub qhov chaw mos thaum cev xeeb tub.
- Tus me nyuam yug ua ntej lub sijhawm.
- Cov dej tawg ntau tshaj 18 teev ua ntej tus menyuam yug los.
- Kev kis kab mob ntawm lub placenta thiab amniotic fluid. Qhov no kuj hu ua '(chorioamnionitis)'.
Kab mob sepsis thaum kawg
Hauv hom kab mob no, tus menyuam yuav kis tus kab mob tom qab yug los, los ntawm ib puag ncig uas lawv nyob. Qhov kev pheej hmoo no tshwj xeeb tshaj yog rau cov menyuam mos uas siv sijhawm ntev nyob hauv tsev kho mob.
- Cov kab mob tuaj yeem nkag mus los ntawm catheters, IVs, lossis lwm yam khoom siv kho mob.
- Qhov hnyav thaum yug los tsawg.
- Yog koj muaj ib txoj raj ua pa ntxig rau hauv.
- Yuav tsum tau siv sijhawm ntev nyob hauv tsev kho mob vim yog lwm yam mob.
Cov kws kho mob nrhiav tau qhov no li cas?
Thaum koj coj koj tus menyuam mus ntsib kws kho mob, nws yuav ua tib zoo saib xyuas koj tus menyuam cov tsos mob thiab nug koj txog lawv. Tom qab ntawd, yuav muaj ntau qhov kev kuaj mob kom paub tseeb tias nws puas yog sepsis. Qhov no kuj hu ua "sepsis work-up."
| Hom kev xeem | Hais yooj yim xwb... |
|---|---|
| Kev kuaj ntshav | Cov kev kuaj xws li suav cov ntshav tag nrho, cov kab mob hauv cov ntshav, thiab C-reactive protein, uas qhia txog kev kis kab mob. |
| Kev kuaj zis | Kev kuaj zis thiab kab mob hauv zis yog siv los kuaj seb puas muaj kab mob hauv txoj hnyuv. |
| Kev tho qhov mob ntawm lub duav | Tsis txhob ntshai thaum koj hnov qhov no. Siv ib rab koob me me los rho me ntsis cov kua qaub ntawm tus menyuam lub pob txha caj qaum los kuaj seb puas muaj mob meningitis. |
| Lwm yam kev ntsuam xyuas | Kev kuaj mob X-ray lossis ultrasound ntawm lub hauv siab. |
Qhov no puas kho tau? Cov kev kho mob yog dab tsi?
Yog, sepsis kho tau! Tab sis nws yog ib qho tseem ceeb heev uas yuav tsum pib kho tam sim ntawd. Lawv hais tias qhov kev pheej hmoo yuav nce ntxiv li ntawm 7.6% rau txhua teev uas kev kho mob raug ncua. Yog li ntawd, qhov ceev yog qhov tseem ceeb tshaj plaws.
Feem ntau, tus me nyuam yuav raug xa mus rau hauv chav kho mob hnyav (ICU) ntawm tsev kho mob thiab kev kho mob yuav pib.
- Muab cov kua dej rau hauv cov hlab ntsha (IV).
- Muab tshuaj tua kab mob rau hauv cov hlab ntsha rau cov kab mob bacterial thiab cov tshuaj antiviral rau cov kab mob viral.
- Cov tshuaj siv los tswj lub plawv dhia thiab ntshav siab.
- Yog tias tsim nyog, muab cov pa oxygen ntxiv.
Muaj tej lub sij hawm, tus me nyuam yuav xav tau kev hloov ntshav.
Puas muaj teeb meem tshwm sim tom qab kho tag?
Feem ntau cov menyuam mos uas zoo tag nrho los ntawm sepsis tsis muaj teeb meem mus sij hawm ntev, tab sis qee tus menyuam mos yuav muaj teeb meem kev noj qab haus huv mus sij hawm ntev.
Qee zaum tus kab mob no tuaj yeem kis mus rau cov ntaub so ntswg uas nyob ib puag ncig lub hlwb, ua rau muaj mob hu ua mob meningitis . Yog tias qhov no tshwm sim,
- Kev hnov lus tsis zoo
- Kev loj hlob qeeb
- Kab mob hlwb tawg
- Tej zaum yuav muaj teeb meem mus sij hawm ntev xws li qaug dab peg.
Puas muaj tej yam uas peb ua tau los tiv thaiv qhov no?
Yog, peb tuaj yeem pab tiv thaiv qhov no rau qee qhov.
- Thaum cev xeeb tub: Yog tias koj tus kws kho mob pom tias koj muaj kab mob hauv qhov chaw mos (GBS), koj yuav raug muab tshuaj tua kab mob IV ob peb teev ua ntej koj tus menyuam yug los. Kev kho mob no kuj tseem muab yog tias koj muaj ib tug menyuam uas tau mob sepsis yav dhau los lossis yog tias muaj kab mob hauv lub placenta.
- Feem ntau: Kev tu cev huv si, ntxuav tes ntau zaus, thiab ntxuav tes ua ntej kov tus menyuam tuaj yeem pab txo qhov kev pheej hmoo ntawm cov kab mob los ntawm sab nraud. Nws tseem ceeb heev rau kev txhaj tshuaj tiv thaiv kab mob rau koj tus menyuam raws sijhawm.
Yuav tsum coj tus me nyuam mus rau ETU sai li sai tau thaum twg?
Yog tias koj pom ib lossis ntau yam ntawm cov tsos mob hauv qab no tom qab koj rov qab los tsev los ntawm tsev kho mob nrog koj tus menyuam, tam sim ntawd coj koj tus menyuam mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) ntawm tsev kho mob ze tshaj plaws.
- Yog tias tus me nyuam mos khaus khaus lossis tsaug zog heev .
- Tus me nyuamYog tias daim tawv nqaij txias, dawb, lossis tau hloov xim.
- Yog tias daim ntaub so ntswg qhuav tshaj 12 teev thiab tsis muaj zis .
- Yog tias tus me nyuam tsis teb los yog ua pa nyuaj .
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kab mob Sepsis rau cov menyuam mos yog ib qho xwm txheej ceev . Tsis txhob xav tias qhov no yooj yim.
- Ua tib zoo mloog cov tsos mob xws li kub taub hau lossis mob khaub thuas, ua pa nyuaj, haus mis tsawg dua, thiab tsaug zog ntau dhau.
- Cov menyuam mos yug ua ntej lub sijhawm thiab cov menyuam mos uas hnyav tsawg thaum yug los muaj feem yuav muaj feem ntau dua.
- Yog koj muaj kev tsis ntseeg me ntsis hauv koj lub siab, tsis txhob tos thiab mus ntsib kws kho mob. Thaum koj pib kho mob sai npaum li cas, ces yuav muaj feem ntau dua los cawm tus menyuam.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus