Nausen piang thar in lama i hruai luh huna i hlimna chu sawifiah theih loh a ni lawm ni? Mahse, chutih rual chuan i thinlung kil khatah hlauhna tlem a awm bawk. Nu leh pa zawng zawngin naute chu natna leh hrehawmna awm lova a dam theih an beisei. A chang chuan naute zingah hian kan beisei loh khawpa natna khirh tak tak a awm thei bawk.
Sepsis hi nausen piang thar tan chuan natna hlauhawm ber pakhat a ni. Vawiin hian
Neonatal Sepsis chungchang kan sawi dawn a ni.
Neonatal Sepsis hi eng nge ni?
A awlsam zawngin sawi ila,
neonatal sepsis hi natna khirh tak a ni a, naute ni 28 aia upa lo, chu chu thla khat aia upa lo tihna a ni. Hei hi naute taksain infection a neih chuan a overreacted hian a thleng thin. Thil tenau tak avanga buaina lian tak siam ang maiin han ngaihtuah teh. Hei hian a overreact a,
naute taksa pum puiah inflammation a awm thei . Hetianga inflammation leh thisen zam hian
naute taksa peng hrang hrangah thisen kal a ti tlem a, chubakah chhungril peng pawimawh tak tak thluak,
thinlung , leh kal (kidney) te pawh a ti tlem bawk. Hei hian chu taksa pengte chu zawi zawiin a ti chhe tan ta a ni. Thingkung tui tel lova a thi ang mai hian. A châng chuan, he natna hi naute tan pawh nunna atana hlauhawm tak a ni thei bawk. Chuvangin hei hi
kan ngai pawimawh em em a ni. Doctor-te chuan
nausen sepsis hi chi hnih-ah an ṭhen a, naute hian engtikah nge a vei tih a zirin: 1.
Early-onset neonatal sepsis: Hei hi a tlangpuiin nau piang atanga
darkar 72 hmasa berah , chu chu ni thum hmaa lo awm thin sepsis a ni. 2.
Late-onset neonatal sepsis: Hei hi nau piang
ni thum hnua lo awm sepsis a ni.
Tute nge sepsis vei tam zawk?
Dik tak chuan, naute tu pawhin he natna hi a nei thei a, chu chu
neonatal sepsis . Mahse,
nausen piang hmasa zawkte chu an hlauhawm zawk. Hei hi an
immune system a lo thang kim loh vang a ni . Chumi awmzia chu natna laka inven theihna an tlachham tihna a ni. A chhan dang chu an pian hmaa an pian avang hian an nute’n natna laka an venhimna atana an mamawh
antibody thenkhat an dawng lo. Tin, heng naute te hi sepsis vei theihna an nei sang zawk bawk:
- Naute pian tirh atanga taksa rihna hniam tak tak te .
- Pian tirh atanga pek thinNaute Apgar score hniam (hei hian naute thawk leh heart rate ang chi thil a teh a ni ).
- He risk hi naute mipa tan chuan a sang zawk niin an sawi .
- Nu hian naupai laiin natna hrik a neih chuan .
Ngaihtuah teh, a chang chuan nu pakhat hian a hriat lohvin a hnute chhungah `(Group B Streptococcus - GBS)` ang chi bacteria a lo lut thei a. Hei hi nu tan chuan harsatna lian tak a nih loh laiin, naute hian nau a pai laiin a kai thei a ni.
Hetiang dinhmun hi engtiang chiahin nge a awm?
Khawvel pumah kum tin nausen sang za tam takin sepsis an vei thin. Chuvangin, hei hi thil mak tak a ni lo.
Nausen piang thar zingah sepsis natna lan chhuah dan engte nge ni?
Hei hi a pawimawh hle. Nausen sepsis natna lan chhuah dan hi natna tlanglawn dang nen a inang thei bawk. Chuvangin, heng symptoms te hi i neih reng avangin sepsis a ni tih ngaihtuah hlau suh.
Mahse, i fate hian heng symptoms pakhat aia tam a neih chuan, emaw, natna danglam tak anga a lan chuan doctor pan nghal mai a tha ber. Nausen piang tharte zingah neonatal sepsis natna lan chhuah dan thenkhat chu hetiang hi a ni :
- Khawsik emaw taksa lumna hniam (chills).
- Lungphun chak tak emaw, zawi zawi emaw.
- Thâwk rang emaw thawk harsa emaw.
- Luak chhuak.
- Pum natna (diarrhea) a awm.
- Bawnghnute ei tlem emaw, hnute pek harsat emaw.
- Bloating (flatulence) a awm.
- Kut leh ke lum vawt.
- Vun chu a sticky a, a pale bawk.
- Vun sen leh mit var (jaundice).
- Activity tlahniam, mutthilh fo.
- Seizures (fit-like) a awm.
Neonatal sepsis awm chhan ber chu eng nge ni?
A tam zawkah chuan nau piang tharte sepsis hi
bacteria infection vang a ni . A bik takin E. coli, Listeria, leh Group B Streptococcus (GBS) te hi a chhan ber an ni. Heng bacteria bakah hian
virus thenkhat ,
fungi, leh
parasite te hian sepsis an thlen thei bawk. Entirnan,
Herpes Simplex Virus (HSV) .Nausen piang tharah natna khirh tak a thlen thei.
Nau piang tharte zingah engtin nge sepsis hi a lo awm?
Sepsis chi hnih kan sawi tawh, early-onset leh
late-onset te hian naute kai dan a inang lo hle.
Nausen piang thar sepsis lo awm tan
Hei hi
naute chu nu hnen atanga natna kai a nih chuan a thleng thin a, chu chu a pum chhunga a awm lai emaw, a pian lai emaw pawhin a ni . A hnuaia dinhmunte hi a thleng thei a ni:
- Nu hnute chhunga `GBS` ang chi bacteria a awm hian.
- Naute hi a pian hmaa a pian chuan.
- Tui a rup hma (nau neih hma darkar 18 aia tam).
- Nausen hnute leh a chhehvela tui awm (`Chorioamnionitis` an tih natna) a natna a awm chuan.
Nausen piang thar sepsis tlai lama lo awm
Hei hi
naute pian hnua an awmna hmun thar atanga natna kai a nih chuan a thleng thin . Chu chu an nu ruang a\ang ni lovin. A châng chuan, damdawi ina hman ṭhin
catheter ,
IV , leh tube ang chi thil hmangin naute taksaah bacteria a lut thei a ni. Hei hi a thleng tam zawk:
- Naute pian tirh a rit a hniam chuan.
- Thâwk chhuahna tur tube dah a nih chuan.
- Antibiotics pek chhunzawm zel a nih chuan.
- Catheter hi thisen kalna kawng emaw, bladder emaw-ah rei tak dah a nih chuan.
- Damdawi lam harsatna dang enkawlna avanga damdawi ina rei zawk awm a ngai a nih chuan.
Doctor-te hian engtin nge sepsis hi an hriat theih?
Doctor te chuan
nausen piang tharte zingah nausen piang thar sepsis an awm tih hriat nan hmanraw bik an hmang thin . Naute natna lan chhuah dan an en a, nu hriselna chungchang an zawt thin. Doctor pakhatin "
sepsis work-up " an tih thu a sawi i hre mai thei. Hei hi naute hri kai chhan hriat nan test hrang hrang a ni. Hei hian a tlangpuiin:
- Thisen test: `Complete blood count (CBC), `blood cultures` (thisen chhunga hrik awm leh awm loh enfiah nan), `C-reactive protein (CRP)` (inflammation hriat theihna test).
- Urine test: `Urinalysis` leh `urine culture` (zun chhunga hrik awm leh awm loh enfiah).
- Spinal tap / Lumbar puncture: Hetah hian needle te tak te hmangin naute hnungzang hnuai lam atanga spinal cord vel tui (cerebrospinal fluid) sample lak a, infection a awm leh awm loh enfiah a ni. Hei hi hlauhawm tak angin lang mah se, doctor-te chuan uluk takin an ti thin.
- Imaging test dang: Chest X-ray leh ultrasound scan ang chi thil.
Nau piang tharte sepsis hi engtin nge an enkawl?
Nausen piang thar Sepsis a awmEnkawl tan nghal tur a ni. I naute doctor chuan i naute chu intensive care unit (ICU)-ah a dah thei ang . Sepsis hi hetiang hian enkawl theih a ni:- Intravenous (IV) atanga tui pek thin.
- Bacteria natna vei tan thisenah antibiotics (IV antibiotics) pek.
- Viral infection tan antiviral damdawi pek.
- Lung leh/ emaw thisen sang damdawi.
- A tul chuan oxygen extra leh thawkna atana pui turin hmanraw dangte.
A châng chuan, naute chu thisen pek a ngai mai thei . Engtin nge he sepsis (Neonatal Sepsis) natna hi kan ven theih ang?
Nu atanga naute hnena natna kai loh nan i nau neih enkawltu chuan a chang chuan preventive antibiotics ei lawk turin a hrilh thei che a ni. Hetiang hunah hian i naute pian hma darkar tlemteah IV hmangin antibiotics pek theih a ni:- `chorioamnionitis` ang chi natna i neih chuan.
- I vagina-ah Group B Strep (GBS) bacteria i neih chuan (hei hi naupai test hmanga hriat theih a ni).
- I hmaa naute piang khan sepsis a vei a nih chuan.
Tin, sepsis laka invenna tur thil kan tih theih te pawh a awm a:- Faina tha tak hmang rawh. Naute khawih hma pawhin kut sil fo a pawimawh hle.
- Damdawi lam thurawn mumal tak lak. A hun taka clinic-a kal a pawimawh a, naupai lai leh naute pian hnuah pawh a pawimawh hle.
- Vaccine pek tur rawtna lak.
- Sepsis natna lan chhuah dan hriat reng.
- Nangmah emaw, i naute emaw hian sepsis i vei nia i rinhlelh chuan damdawi lam pan nghal rawh.
Nausen piang tharte sepsis hi tihdam theih a ni em?
Ni e, nausen piang tharte sepsis hi enkawl theih a ni. Nausen sepsis vei tam zawk chu an dam kim vek a, harsatna dang nei lovin an nung thin. Mahse, nausen piang thar sepsis hi naute thihna thlentu lian ber a ni . Chuvangin, i naute enkawlna a dawn chak dan hian a dam leh theihna tur a hril a ni. Enkawlna tel lova darkar khat a liam apiangin sepsis vanga thihna hi 7.6% velin a pung niin an sawi. Hetah hian hun hi a pawimawh ber tihna a ni.
Neonatal Sepsis natna avanga harsatna awm thei te chu engte nge ni?
Naute sepsis atanga dam tam zawk hian hun rei tak chhung harsatna an nei lo. Mahse, naute thenkhat chuan hun rei tak chhung hriselna lama harsatna an nei thei a ni. Naute sepsis atanga damchhuak zinga hmun thuma ṭhena hmun khat aia tamCognitive skills-ah hian tihkhawtlai a awm. Tin, naute sepsis atanga dam chhuak zinga a chanve vel chu vawi khat tal damdawi inah dah leh a ngai dawn bawk. Naute ṭhenkhat chuan thluak chhehvêla membrane-a natna hrik, meningitis , an vei thei a ni. Hetiang natna vei naute hian symptoms na tak tak leh side effects an nei thei a ni. Chung zingah chuan:- A rilru a hah lutuk - lethargy.
- Luruh ruh inkar hmun nem tak (fontanelle) chu a bulging angin a lang.
- Hriatna hloh.
- Hmasawnna lama tlai lutuk.
- Cerebral palsy natna a ni.
- Seizures a awm thin.
- Coma ah a awm.
Engtikah nge ka naute piang thar chu damdawi inah ka hruai nghal ang?
Damdawi in atanga i haw hnuah i nau piang thar hian heng sepsis chhinchhiahna te hi a lantir chuan 911 call nghal la, a nih loh leh damdawi in hnai ber emergency department ah kal rawh:- Naute chu a danglam bik taka a thinrim emaw, a muhil reng reng emaw a nih chuan.
- Naute vun chu a vawt, a hring emaw, a rawng danglam emaw a lan chuan.
- Naute chu darkar 12 aia tam a zun loh chuan (diaper a vawt chuan).
- Naute chu a chhang thei lo emaw, thawk harsa anga lang emaw a nih chuan.
Hengte hi emergency anga ngaih tur a ni . Engtikah nge naute doctor ka hmuh leh ang?
I naute chu naupang enkawltu doctor-in damdawi in a\anga a chhuah hunah chuan ni hnih emaw ni thum emaw hnuah lo kal leh turin an hrilh ang. Chutih hunah chuan a hmasawn zel em tih en turin i hruai ngei ang. He Sepsis Risk Calculator hi eng nge ni?
Kaiser neonatal sepsis calculator, a nih loh leh early-onset sepsis calculator hi doctor-te’n i nausen tharin early-onset neonatal sepsis a vei theihna tur an hriat theihna tura an hman ṭhin hmanrua a ni. Thil engemaw zat a ngaihtuah a, chung zingah chuan i hriselna leh naute pian tirh laia a dinhmun te pawh a tel a ni. Nau piang thar i neih huna i lungkham tur tam tak a awm. Neonatal sepsis hi chutiang zinga mi a ni. Mahse, i fa tê tê chu nunna atana hlauhawm natna nei nia i ngaih chuan, damdawi lam pan nghâl rawh . Neonatal sepsis hi damdawi lam emergency a ni. I naute damdawi lam pan hma chuan a rah chhuah a tha zawk. Hriat reng tur pawimawh ber berte (Take-Home Message) .
- Neonatal sepsis hi natna khirh tak a ni a, mahse hriatchhuah leh rang taka enkawl a nih chuan tihdam theih a ni.
- Symptoms te chu fimkhur rawh. Khawsik, bawnghnute ei tlem, thawk harsa, vun rawng inthlak danglam te hi fimkhur rawh.
- Ringhlel i neih chuan Doctor pan nghal rawh. Hetah hian hun hi a pawimawh ber a ni.
- Naupai lai hian nu hriselna enkawl rawh. GBS test neihpui rawh.
- Faina chungchang hi chiang takin ngaihtuah rawh. Naute khawih hmaa kut sil ang chi thil awlsam tak takte hian danglamna nasa tak a thlen thei a ni.
Mi zawng zawngin an fate chu hrisel leh hlim taka awm turin an duh vek a ni. Chuvangin hetiang thil hi kan hriat chian a pawimawh hle a ni.
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