Neonatal Sepsis: Nu leh pa te u, hei hi hre reng ang che!

Naute thar neih hi chhungkuaa neih hi a lawmawm hle. Amaherawhchu, nu emaw, pa emaw kan nih angin tlema hlauhna leh lungkhamna nei hi thil pangngai tak a ni bawk. I naute hian khawsik a nei a nih pawhin kan buai thin. Vawiin hian sepsis chungchang kan sawi dawn a, chu chu nausen piang tharte zingah natna hlauhawm tak a awm thei a, chu chu natna awlsam tak aiin a na deuh hlek a ni. Hei hi hriat a pawimawh hle a, a chhan chu rang taka hmalak chuan naute chu a chhanchhuak vek thei a ni.

A awlsam zawngin, sepsis chu eng nge ni?

Sepsis hi natna khirh tak a ni a, nausen piang thar (ni 28 hnuai lam) ah a awm thei. Hei hi naute taksaa natna hrik a luh chuan naute immune system a overreact tan chuan a thleng thin. Ngaihtuah teh, he hmuna thil thleng hi kan ram humhalhtu sipai, hmelma bei tura kal a, paltlang taka mahni ram tichhe thei ang mai a ni.

Hetianga thil tih tam lutuk hian naute taksa pum puiah inflammation a thlen thei a ni . Thisen a tikhawlo thei bawk a, taksa peng leh taksa peng lian ber ber thluak, thinlung leh kal (kidney)-a thisen kalna a ti tlem thei bawk. Hei hian taksa peng hrang hrang a tichhe thei a, a chang chuan thihna pawh a thlen thei bawk. Chuvang chuan a hlauhawm em em a ni.

Doctor-te chuan he natna hi chi hnih-ah an ṭhen a, chu chu nautein a lan chhuah ṭan kum a zirin a ni.

• Early-onset neonatal sepsis: He natna hi nau piang atanga darkar 72 (ni 3) chhungin a awm thin.
• Late-onset neonatal sepsis: Hetiang natna hi nau piang ni 3 hnuah a awm thin.

Tu nge hlauhawm ber?

Hetiang dinhmun hi naute eng pawhah a lo awm thei a, mahse naute thenkhat chu an hlauhawm zawk.

Tin, a hnuaia naute te pawh hi an hlauhawmna a sang hle bawk:

• Nausen pianpui rihna hniam tak takte.
• Naute Apgar score hniam tak takte chu an pian tirh atanga endik thin.
• Nausen mipa te.
• Nuin naupai laiin natna hrik a neih chuan.

I naute hian heng symptoms te hi a nei em? Fimkhur rawh!

Sepsis-a symptom tam tak hmuh tur hi naute natna tlanglawn dang neiah pawh hmuh theih a ni. Chuvangin heng symptoms zinga pakhat emaw pahnih emaw i neih chuan hlau suh. Engpawhnise,Heng symptoms hi a ruala engemaw zat i neih chuan, emaw, i naute hian a hma aia harsa zawka i hriat chuan doctor thurawn i la nghal tur a ni.

Engvangin nge hetiang hi a lo awm? A chhan engte nge ni?

Nau piang tharte sepsis hi bacteria infection vang a ni fo thin . A bik takin bacteria chi hrang hrang `(E. coli)`, `(Listeria)` leh `(Group B streptococcus - GBS)` te hi a chhan ber a ni. A chang chuan he natna hi virus, fungi leh parasite te vang pawh a ni thei. Entirnan, virus `(Herpes Simplex Virus - HSV)` tih hian nausen ah natna khirh tak a thlen thei bawk.

Sepsis lo awm tan tirh atanga lo chhuak

Hetiang chi ah hian naute hian nu hnen atangin natna hi a kai thin. Hei hi naute pum chhunga a la awm lai emaw, a pian lai emaw a thleng thei a ni. Risk hi a tipung a, chu chu hetiang hi a ni:

• Nu naupai lai hian ``Group B streptococcus - GBS`` ang chi bacteria hi nu hnuteah a awm a.
• Naute hi a pian hmain a piang a ni.
• Naute pian hma darkar 18 aia reiah tui hi a chhe thin.
• Nausen leh amniotic fluid-a natna hrik awm. Hei hi `(chorioamnionitis)` an ti bawk.

Sepsis tlai lama lo awm

Hetiang chiah hian naute chu a pian hnuah, an awmna hmun a\angin a kai \hin a, a bik takin damdawi ina hun rei tak awm naute tan chuan a nasa hle.

• Catheter, IV emaw damdawi hmanraw dang emaw hmangin natna hrik hi a lut thei a ni.
• Nau piang rit lo.
• Thâwk chhuahna kawng (breathing tube) i dah chuan.
• Damdawi lam thil dang avanga damdawi ina hun rei tak awm a ngaihna.

Doctor-te hian engtin nge hei hi an hmuh?

Doctor hnena i naute i hruai hunah uluk takin i naute natna lan chhuah dan a enfiah ang a, a chanchin a zawt ang che. Tichuan, sepsis a nih leh nih loh finfiah nan test hrang hrang neih theih a ni. Hei hi "sepsis work-up" an ti bawk.

Hei hi tihdam theih a ni em? Enkawlnate chu engte nge ni?

Ni e, sepsis hi tihdam theih a ni! Mahse enkawl tan nghal a pawimawh hle. Enkawlna tihkhawtlai darkar khatah 7.6% velin a hlauhawmna a pung niin an sawi. Chuvangin speed hi a pawimawh ber a ni.

Vawi tam tak chu naute chu damdawi in intensive care unit (ICU)-ah dah a ni ang a, enkawl tan a ni ang.

• Tui chu thisen kal tlanga pek (IV).
• Bacteria infection tan antibiotics thisen kal tlanga pek leh virus infection tan antiviral damdawi pek.
• Heart rate leh thisen sang control nana damdawi.
• A tul chuan oxygen pek belh tur a ni.

A \henah chuan naute hian thisen pek a ngai mai thei.

Dam vek hnuah harsatna a awm thei em?

Nausen sepsis atanga dam chhuak vek tam zawk hian hun rei tak chhung harsatna an nei lo a, mahse naute thenkhat chuan hun rei tak chhung hriselna lama harsatna an nei thei a ni.

A châng chuan he natna hi thluak chhehvêla membrane-ah a darh thei a, chu chuan meningitis an tih natna a thlen thei a ni. Hetiang hi a lo thleng a nih chuan .

• Hriatna lama harsatna nei
• Hmasawnna lama tlai lutuk
• Cerebral palsy natna a ni
• Hun rei tak chhunga harsatna, seizures ang chi a awm thei.

Hemi venna tur hian kan tih theih tur a awm em?

Ni e, hei hi eng emaw chen chu kan veng thei a ni.

• Naupai lai: I doctor-in vaginal infection (GBS) i nei tih a hriat chuan i naute pian hma darkar tlemteah IV antibiotics pek i ni ang. He enkawlna hi naute a hmaa sepsis lo vei tawh emaw, nausen chhunga natna hrik awm emaw i neih chuan pek thin a ni bawk.
• A tlangpuiin: Faina tha neih te, kut sil fo te, naute khawih hmaa kut silfai te hian pawn lam atanga natna hrik lo chhuak tur a tihziaawm thei a ni. Naute hi a hun taka vaccine pek a pawimawh bawk.

Engtikah nge naute hi ETU-ah a rang thei ang bera hruai tur?

Damdawi in atanga naute nen in haw hnua a hnuaia chhinchhiahna pakhat emaw a aia tam emaw i hmuh chuan i naute chu damdawi in hnai ber Emergency Department (ETU)-ah hruai nghal rawh.

• Naute chu a danglam bik taka a fussy emaw a muhil lutuk emaw a nih chuan .
• Naute ta a niVun a vawt, a hring emaw, a rawng a danglam emaw a nih chuan.
• Nappy chu darkar 12 aia rei a vawt a , zun a awm loh chuan .
• Naute chu a chhang thei lo emaw thawk harsatna a neih chuan .