Fever Puerperal: oonobangela, iimpawu kunye neempawu unyango

Kwincwadi Yaduma uJerome K. Jerome "Three Men in a Boat" umlinganiswa ndafumanisa konke konke, ngaphandle fever puerperal. Yintoni na? Makhe sihlolisise kweli nqaku.

Iqela kwezifo okubangelwa ukungcola, abasetyhini abakhulelweyo ngexesha lokuzalwa kuthiwa Kukudandatheka nokudumba, okanye njengoko batshovo ngemihla yamandulo, icesina puerperal (fever).

ulwazi jikelele

fever Puerperal yavela kumaXesha Aphakathi. Omnye kuqala wachaza ityala kwesi sifo, noHippocrates. Phambi kokuba ukuvulwa yokuqala kwisibhedlele kubeleka kwinkulungwane XVII, amatyala osulelo fever puerperal baba epidemiological endalweni.

Embindini ka obstetrician Hungarian kwinkulungwane XIX Ignats Zemmelveys wenza kweenkolelo ngeenkolelo malunga ezibangela umkhuhlane puerperal. Yena kuqala wabonisa imfuneko yokusebenzisa magciwane unikezelo. Noko ke, ukusebenzisa kwabo ngokubanzi nokubeleka baba kusebenza kuphela ekupheleni kwenkulungwane XIX.

Ngokutsho manani, namhlanje kuphela 0.2-0.3% yazo zonke iimeko iingxaki yokubelekisa kwenzeka nokudumba, ezenzeka sizoku lwisana endometritis ngo-90% abasetyhini abakhulelweyo.

fever Puerperal ekubhekiswe kuzo iincwadi ziyahlonelwa, udla ngokuchazwa izifo eziyingozi kunye esinganyangekiyo. Ukusetyenziswa amayeza aseptic, kubola ukusetyenziswa mihla, zintsholongwane kukhokelela kukuba post-partum nokudumba ngayo ngempumelelo.

Iintlobo zosulelo Kukudandatheka ziquka:

• Endometritis - ukudumba isibeleko.
• Le ukungangqinelani phakathi uhanjiso nokuhlangana kwayo, ukuya candelo lilandelayo.
• Le ukungangqinelani phakathi umthungo emva uqhaqho.
• Lokwanda.

fever Puerperal: Oonobangela

Zintoni izinto ezibangela Kukudandatheka ifiva?

• Njengoko umthetho, usulelo agents yayintsholongwane eyosulela kumzimba nemazi kwenzeka xa non-ukungathotyelwa ebulala ngethuba lokubeleka.
• Usuleleko iqhelekileyo i "isibhedlele" iintlobo zonke iintsholongwane, ebalasele ukunyuka ukuxhathisa kumayeza.
• Ngenxa buthathaka nezifo ezibangelwa uxinezeleko ngexesha lokuzalwa komntwana, umzimba mfazi inganaki flora zayo olungenelelayo kunye amagciwane.

malunga ngamagciwane

amagciwane nokudumba Puerperal zezi:

• bacteroides;
• Proteus;
• Staphylococcus aureus;
• gonococcus;
• coli E.;
• Klebsiella;
• streptococci haemolytic;
• peptostreptokokki njalo-njalo.

Kodwa, Kakade, kungekhona intakumba kwi ngumkhuhlane puerperal. Oku pathogen, nje igama lomnye izithunzi umbala, kwaye sifo akunanto yakwenza.

Amaninzi, nokudumba puerperal - a usulelo polymicrobial okubangelwa iintlobo ezininzi iintsholongwane.

Okunye ukungena ezincinane zezi:

• iinyembezi lobufazi, zesibeleko wesizalo, kunye perineum.
• zone placental kuloo ndawo ibinomthwebeba zesibeleko.

Usulelo ngokuqhelekileyo kwenzeka ngokudibana, wadibana inxeba komhlaba ngezandla ezimdaka kunye nezixhobo unsterile. Ngoko ke ukwanda kwamagciwane kwenzeka ngokusebenzisa imithambo nkovu negazi.

ubungozi

Imiba yomngcipheko ngenxa kukuvela nokudumba puerperal:

• izifo ukudumba oyingozi futhi esingapheliyo kwabafazi - ekstragenital'nye ezifana Ngokuzimela kunye pyelonephritis, kwaye yamanina, umz endometritis, colpitis kunye vulvitis;
• ukusebenzisa iindlela ezonakalisayo wezifundo kwangaphambi;
• ECG ngqo Palsy;
• isicelo steel Ukulungiswa insufficiency wesibeleko kunye zirhuqwe;
• rhoqo yophando isicelo kusisi in nokubeleka;
• wesizalo ukopha.
• khulula yokuqala amanzi;
• imisebenzi ekuqhutyweni yokubelekisa ezifana sakujika dilatation ezingekazalwa ngokusebenzisa forceps.

fever Primiparous puerperal uvela rhoqo ngaphezu nokuzala ngokuphindaphindiweyo.

iimpawu

iintsuku 1-2 emva kokubeleka ukuze ubonise iimpawu nokudumba puerperal:

• umkhuhlane kunye Ukugodola;
• tachycardia;
• oluthile jikelele kunye nezinye iimpawu kunxilwe;
• unxano, ukungabi namdla;
• intlungu ngaphesheya phezu esiswini, hayi nje ezantsi;
• ekhubekisayo, ukubhobhoza ubumdaka ubomvu (lochia) ukusuka emjelweni ekuzalweni, maxa wambi nabangekhoyo naluphi na ukhetho;
• xa semibele yokuyekwa olupheleleyo okanye ukuncitshiswa zisanyisa.

Ngaphandle fever puerperal, kukho nezinye izifo.

Okokuqala, nangokurhala alibandakanyi ngaphaya amanxeba yezizwe. Emva koko, ngokuxhomekeke sisilonda esidumbileyoesingaphakathi, kukho izinto ezithile fever izinyanya:

• izilonda puerperal - izitshanguba nge ngezansi greyish, elintlangothi idumbe kwaye zixinene, apho ibekwe phezu wesibeleko, udonga lobufazi, perineum;
• coleitis puerperal - kukukrala isifo lobufazi.

Ngu ukusasazeka ukudumba bangene iimpawu yesibini sifo:

• SeTrojan ukushaya inwebu kwiinwebu isibeleko;
• parameters eziwela parauterine ifayibha;
• adnexitis, okanye ukudumba isibeleko;
• pelvioperitonit - litshitshiswe peritoneum zangasese;
• metrotromboflebit - ukudumba yegazi lo esizalweni;
• thrombophlebitis - ukudumba yegazi ze isinqe kunye yesiqephu asezantsi.

Kuba Isigaba sesithathu esi sifo sizibonakalisa ngokuthi iimpawu nokudumba ngokubanzi iimpawu ngokubanzi peritonitis. Njengoko kutyhilwa fever puerperal?

ekuxilongweni

Lokufunyaniswa "umkhuhlane puerperal" kubekwa isiseko iimpawu zonyango ziyafumaneka emva kokuba kugqitywe uviwo zangasese kunye novavanyo lwegazi.

unyango

Treatment nokudumba puerperal eyabelwe kunye nobungozi besi sifo. iindawo Main:

• Ngenxa ubuntununtunu zintsholongwane ye olwa eyenziwa. Ichiza emiselweyo ehambelanayo ibele, kwiimeko kakhulu, lokutyisa wayeka.
• amachiza Immunostimulatory (immunoglobulin antistaphylococcal, T-activin, plasma eboniswe, anikela toxoid).
• therapy ukumnika iyafuneka ukuze ukususwa kunye nokufunyanwa ityhefu eseleyo amanzi amtyuba (izisombululo obrak gemodez, iiprotheni kunye reopoligljukin).
• Oqeshwe antihistamines ( "Suprastin", "Tavegil").
• Ibonisa ukungeniswa enqanda proteolytic (trypsin).

Xa nokudumba nolahlo ngokubanzi ifomu elawulwa glucocorticoids kunye iihomoni steroid.

bachithe Mhlawumbi and ukuyifundisa:

• electrostimulation esizalweni;
• UHF;
• zokukhanya UV;
• microwave;
• ultrasound.

unyango Local yomthombo usulelo:

• ukuhlamba izilonda sodium chloride kunye hydrogen peroxide, ngokuba amanxeba ezinkulu - akhronimi nge- sutures;
• e endometritis, xa isibeleko lilibaziseka igazi, isusa ngumkhaya eseleyo kunye nokuhlolwa isisixhobo le lweHo- zesibeleko.

Xa peritonitis, oko kukuthi, kwiimeko kakhulu, omnye hysterectomy olwenziwa - ukususwa wesibeleko kunye ezihlobene.

Outlook

Isiphumo esi sifo kwindawo usulelo generic kuxhomekeke kwizinto ezininzi:

• ixesha xa unyango lwaqaliswa, yaye amajoni omzimba kakhulu, bothanda ukwenda;

• ngesidanga iintsholongwane ezibangela izifo.

Ukuba inkqubo ukudumba silinganiselwe kuphela esilondeni impiliso, njengoko umthetho, epheleleyo ngaphandle neziphumo. Xa nokudumba nolahlo ngokubanzi ukufa ifomu ifikelela 65%.

ukuvimbela

Ukuze kuthintelwe fever puerperal zingabambi la manyathelo alandelayo:

• zokuzicoca extragenital acute kunye engapheliyo ukudumba kunye nezifo yamanina;
• ngexesha lokubeleka ukunqanda discontinuities obuni iphecana inyama;
• ukubambelela ngokungqongqo kwimithetho aseptic kunye kubola.

hero le ncwadi, mhlawumbi iimpawu zesi sifo eyaziwa ngokuba afumaneka kuzo zonke izifo; ngaphandle umkhuhlane puerperal. Hlala uphilile!