Puerperal malungo: zimayambitsa, zizindikiro ndi mbali chithandizo

M'buku wotchuka ndi Jerome K. Jerome "Amuna atatu mu Bwato" khalidwe ndinapeza konse, popanda malungo puerperal. Ndi chiyani icho? Tiyeni tione m'nkhani ino.

Gulu la matenda oyamba ndi kuipitsidwa akazi, pakati pobereka kumatchedwa postpartum sepsis, kapena ngati iwo kuti mu masiku akale, puerperal malungo (malungo).

zambiri

malungo Puerperal unachokera mu Ages Middle. Munthu woyamba anafotokoza nkhani ya matenda, Hippocrates. Isanafike yoyambirira kuchipatala umayi m'zaka XVII, milandu matenda puerperal malungo anali AIDS m'chilengedwe.

Mu pakati pa XIX m'ma Chihangare azamba Ignats Zemmelveys anapanga zingapo zonena zimayambitsa malungo puerperal. Choyamba ananena kuti m'pofunika kugwiritsa ntchito njira antiseptic pa yobereka. Komabe, ntchito zawo ambiri obstetrics anakhala applicable kokha pa mapeto a XIX atumwi.

Malinga ndi kafukufuku,% lero kokha 0.2-0.3 milandu onse matendawo obstetric zimachitika sepsis, kunachitika motsutsa likhale endometritis 90% ya amayi apakati.

malungo Puerperal anatchula mu mabuku zapamwamba, nthaŵi zambiri zimamveka kuti matenda oopsa ndipo osachiritsika. Ntchito masiku ano mankhwala aseptic, antiseptic ntchito, mankhwala kumabweretsa chakuti pambuyo partum sepsis bwinobwino ankachitira.

Mitundu ya matenda postpartum monga:

• Endometritis - kutukusira kwa chiberekero.
• Kulakwika pakati pa crotch msoko ku gawo lotsatira.
• Kulakwika pakati msoko pambuyo gawo cesarean.
• Mastitis.

Puerperal malungo: Zoyambitsa

ndi zimayambitsa malungo postpartum chiyani?

• Monga ulamuliro, matendawo mwa nthumwi tizilombo pa akazi chamoyo kumachitika pamene sanali kugwilizana ndi antiseptics pobereka.
• The matenda ambiri ndi "kuchipatala" tizilombo ta mabakiteriya, yodziwika ndi kukana kuchuluka kwa mankhwala.
• Chifukwa chifooke chitetezo chokwanira chifukwa cha nkhawa pobereka, m'thupi la mayi akhoza yambitsa ake zomera zokha osadziwika ndi matenda chifukwa.

za tizilombo toyambitsa matenda

Puerperal sepsis tizilombo toyambitsa matenda awa:

• bacteroides;
• Proteus;
• Staphylococcus aureus;
• gonococcus;
• E. coli;
• Klebsiella;
• haemolytic streptococci;
• peptostreptokokki ndi zina zotero.

Komabe, si wanjala ku malungo puerperal. Izi si tizilomboto, monga dzina la mmodzi wa mithunzi ya mtundu, ndi matenda ziribe kanthu kochita.

Nthawi zambiri, puerperal sepsis - matenda polymicrobial chifukwa cha mitundu yambiri ya tizilombo toyambitsa matenda.

Mwina malowedwe a tizilombo ndi:

• misozi ukazi, uterine chiberekero, ndi perineum.
• placental zone mu uterine patsekeke.

Infection zambiri amapezeka ndi kukhudzana, pokhudzana ndi bala padziko manja zauve ndi zida unsterile. Ndiye kufala kwa tizilombo toyambitsa matenda kumachitika mwa lymph ndi magazi zotengera.

Zina mwa zifukwa

Ziwopysezo kwa pakutchulidwa wa sepsis puerperal:

• pachimake ndi aakulu matenda yotupa akazi - ekstragenital'nye monga cystitis ndi pyelonephritis, ndi matenda, mwachitsanzo endometritis, colpitis ndi vulvitis;
• ntchito njira olanda za maphunziro akalandire chithandizo;
• mwachindunji yoopsa ECG;
• kutsatira kudzudzulidwa opaleshoni ya insufficiency khomo lachiberekero ndi Korinto;
• pafupipafupi ukazi ntchito kafukufuku obstetrics;
• magazi uterine.
• kumaliseche oyambirira a madzi;
• ntchito obstetric kuchititsa monga kutembenukira yoopsa dilatation pogwiritsa ntchito forceps.

Primiparous puerperal malungo akufotokozera kambirimbiri kuposa kubereka mobwerezabwereza.

zizindikiro

masiku 1-2 atabadwa angasonyeze zizindikiro za sepsis puerperal:

• malungo ndi kuzizira;
• tachycardia;
• ambiri malaise ndi zizindikiro zina kuledzera;
• ludzu, kusafuna kudya;
• ululu kudutsa pamwamba pa mimba, osati pansi;
• mseru ndi zosafunika mafinya kumaliseche (lochia) ku ngalande kubadwa nthawi zina kwina kusankha aliyense;
• pamene mastitis kutha wathunthu kapena kuchepetsa mkaka wa m'mawere.

Kupatula malungo puerperal, pali matenda ena.

Choyamba, kutupa si kudzalamulira mabala mafuko. Ndiyeno malinga ndi chotupa, pali mawonetseredwe yeniyeni ya malungo makolo:

• zilonda puerperal - zotupa ndi pansi greyish, ndi kutupa ndi ochuluka m'mbali, zomwe zili pa khomo pachibelekeropo, ukazi khoma, perineum;
• puerperal coleitis - kutukusira kwa mucosa ku nyini.

Ndi kufala kwa kutupa agwirizane zizindikiro yachiwiri ya matenda:

• Dysmenorrhea pomenya Kakhungu mucous ya m'chiberekero;
• magawo kukwapula parauterine CHIKWANGWANI;
• adnexitis, kapena kutupa kwa chiberekero;
• pelvioperitonit - kugonjetsa peritoneum m'chiuno;
• metrotromboflebit - kutukusira kwa mitsempha ya m'chiberekero;
• thrombophlebitis - kutukusira kwa mitsempha cha mafupa a chiuno ndi m'munsi malekezero.

Pakuti gawo lachitatu la matenda amakhala ndi zizindikiro za sepsis zowombetsa mkota ndi zizindikiro ambiri peritonitis. Monga tawerenga malungo puerperal?

diagnostics

The matenda a "puerperal malungo" aikidwa pa maziko zizindikiro zilipo matenda ndikatha kumfunsafunsa m'chiuno ndi magazi.

chithandizo

Chithandizo puerperal sepsis anatumizidwa ndi kukula kwa matendawa. m'madera Main:

• Popeza kudziwa mankhwala a maantibayotiki anachita. Mankhwala Kwalamulidwa yogwirizana ndi yoyamwitsa, mu Zikavuta, kudya ndi ndinayima.
• mankhwala Immunostimulatory (antistaphylococcal immunoglobulin, T-activin yasonyezedwa plasma kuikidwa adzathandiza toxoid).
• mankhwala kulowetsedwa chofunika Jaji ndi ayambe poizoni bwino madzi-mchere (zamchere njira gemodez, mapuloteni ndi reopoligljukin).
• Kuikidwa ndi mankhwala ( "Suprastin", "Tavegil").
• Izo zimasonyeza oyamba michere proteolytic (trypsin).

Mu sepsis zowombetsa mkota mawonekedwe kutumikiridwa glucocorticoids ndi anabolic mahomoni.

Mwina amacheza ndi physiotherapy:

• chiberekero electrostimulation;
• UHF;
• UV walitsa;
• microwaves;
• ultrasound.

chithandizo Local wa gwero la matenda:

• kutsuka zilonda sodium kolorayidi ndi wa hydrogen peroxide, mabala lalikulu - truncation m'mbali ndi sutures;
• pa endometritis, pamene chiberekero anachedwa magazi, amachotsa latuluka otsala zoimbidwa anayendera ndi uterine patsekeke.

Mu peritonitis, mwachitsanzo, mu Zikavuta, hysterectomy ndi imagwiridwa - kuchotsa chiberekero ndi zokhudzana.

kaonedwe

Zotsatira za matendawa pa matenda generic kumatengera zifukwa zambiri:

• nthawi pamene mankhwala anali anayambitsa, ndipo chitetezo cha m'thupi amayi ambiri;

• mlingo wa tizilombo toyambitsa matenda.

Ngati ndondomeko kutupa malire kwa chilonda machiritso, monga ulamuliro, wangwiro ndi wopanda mavuto. Mu sepsis zowombetsa mkota mawonekedwe imfa ukufika 65%.

kupewa

Pofuna kupewa malungo puerperal ayenera kusunga miyezo zotsatirazi:

• ukhondo wa pachimake ndi aakulu yotupa extragenital ndi matenda matenda;
• pobereka kuteteza mipata maliseche thirakiti minofu;
• potsatira malamulo aseptic ndi antiseptic.

ngwazi za bukhu, mwina zizindikiro za matenda ichi chizindikirike yopezeka pa matenda onse, kupatulapo malungo puerperal. Khalani wathanzi!