Puerperal kirika: take, tohu me ngā āhuatanga maimoatanga

I roto i te pukapuka rongonui e Jerome K. Jerome "toru tangata i roto i te Boat" pūāhua kitea ahau i te katoa, motu ke i puerperal kirika. He aha te mea te reira? E hi'opoa tatou i roto i tenei tuhinga.

ka karanga te rōpū o mate meinga e contamination, wahine hapu i roto i whanau te kulukia sepsis, ranei rite mea ratou i roto i nga ra tawhito, puerperal kirika (kirika).

mōhiohio whānui

Ahu Puerperal kirika i roto i nga ake Middle. Ko tētahi o te tuatahi fakamatala'i he take o tenei mate, Hipokeletisí. I mua ki te whakatuwheratanga o te tuatahi hōhipera whakawhānau i roto i te rau tau XVII, i tahumaero i roto i te āhua take o te mate puerperal kirika.

I roto i te waenganui o te obstetrician Hungarian XIX rautau hanga Ignats Zemmelveys he maha o ngā whakapae e pā ana ki nga take o puerperal kirika. Ia te tuatahi tohu atu te hiahia ki te whakamahi i rongoā rongoā horoi i te tuku. Heoi, ratou whakamahi whānui i roto i obstetrics ka hāngai anake i roto i te mutunga o XIX rautau.

E ai ki ngā tatauranga,% tenei ra anake 0.2-0.3 o te wā katoa o pōauautanga obstetric puta i roto i te sepsis, tupu ki te puipuitua o endometritis i 90% o nga wahine hapu.

Puerperal kirika tuku ki roto i te pukapuka waiata, maha whakaahuatia rite te mate kino, me te mahu. Ko te whakamahi o te rongoā iroiti, rongoā horoi, te whakamahi paturopi hou arata'i ki te meka e pai te tukinotia pou-partum sepsis.

Ko nga momo o kulukia mate ngā:

• Endometritis - mumura o te kōpū.
• Ko te rerekētanga i waenganui i te tui crotch ki te wāhanga e whai ake nei.
• Ko te rerekētanga i waenganui i te tui i muri wāhanga cesarean.
• Mastitis.

Puerperal kirika: Take

He aha e nga take o kulukia kirika?

• Ka rite ki te tikanga, te mate i āpiha pathogenic o te kaiao wahine puta ka hanganga ture-kore ki te antiseptics i roto i whanau.
• Ko te mate tino noa ko te "hōhipera" taumahatanga o huakita, āhuatanga e te nui haere ātete ki ngā rongoā.
• Nā ki te vaivai o te wātea i te mate meinga e te ahotea i roto i whanau, Ka taea e te tinana o te wahine whakahohe ona ake tipu kapo me te take mate.

Mō tukumate

tukumate sepsis Puerperal he:

• bacteroides;
• Proteus;
• Staphylococcus pene;
• gonococcus;
• E. coli;
• Klebsiella;
• streptococci haemolytic;
• peptostreptokokki a na i runga i.

Ko, o te akoranga, e kore te puruhi i roto i puerperal kirika. e kore te mea he tukumate, tika te ingoa o tetahi o nga atarangi o te tae tenei, me kahore ki te mahi i te mate kua.

Nuinga o ngā wā, sepsis puerperal - he mate polymicrobial meinga e rave rahi momo o tukumate.

Tetahi wahi kătahi o microorganisms he:

• roimata tara, uterine cervix, me perineum.
• rohe placental ki te kōhao uterine.

te tikanga puta Belgium i te whakapā, i roto i te whakapā ki te patunga mata paru ringa me mea unsterile. Katahi te horapa o tukumate e wahi i roto i te oko waitinana me te toto.

āhuatanga mōrearea

āhuatanga Risk mo te takanga o te sepsis puerperal:

• whakapeka, me te ma'i mate inflammatory o te wahine - ekstragenital'nye pērā i cystitis me pyelonephritis, a gynecological, hei tauira endometritis, colpitis me te vulvitis;
• whakamahi o tikanga urutomo o akoranga prenatal;
• ECG fetal tika;
• tono te ako hāparapara o iti hoki waha, me te Tāmaki;
• auau rangahau tono tara i roto i obstetrics;
• toto uterine.
• rere wawe o te wai;
• ngā mahi whakahaerenga obstetric pērā i tahuri pītore fetal mā te whakamahi i Kuku.

whakawhanake Primiparous puerperal kirika atu pinepine atu i ki whanau toutou.

tohu

1-2 ra i muri i whanau ai whakaatu tohumate o sepsis puerperal:

• kirika me Chills;
• tachycardia;
• ahuatanga whānui me ētahi atu tohu o te haurangi;
• matewai, mate o hiahia;
• mamae puta noa te mata o te puku, a kihai noa i te raro;
• piro, ki te rere poke pirau (lochia) i te awa whanautanga, i ētahi wā riro ke ki tetahi kōwhiringa;
• ina mastitis mutunga oti whakaiti o te hohipera ranei.

I tua atu i puerperal kirika, i reira e te tahi atu mau ma'i.

Tuatahi, e kore e mumura whakawhānui tua atu i te patunga iwi. Na, i runga i te lesion rānei, i reira he faaiteraa motuhake o tupuna kirika:

• tuwhenua puerperal - pāpaka ki raro kiwikiwi, me tapa tetere, me te popoke, e kua kei i runga i te waha, taiepa tara, perineum;
• coleitis puerperal - he nawe o te mucosa tara.

Na roto i te horapa o mumura uru nga tohu tuarua o te mate:

• Dysmenorrhea patu te membrane mucous o te kōpū;
• tawhā patu muka parauterine;
• adnexitis, ranei mumura o te kōpū;
• pelvioperitonit - hinga te peritoneum papatoiake;
• metrotromboflebit - mumura o nga uaua o te kōpū;
• thrombophlebitis - mumura o nga uaua o te papatoiake, me topito o raro.

Hoki te toru o nga wā o te mate āhuatanga e tohu o sepsis te whakatakiruatanga o me tohu whānui o peritonitis. Ka rite ki whakakitea puerperal kirika?

tātaringa

whakanohoia te tātaritanga o "kirika puerperal" kei runga i te pūtake o ngā tohu haumanu e wātea ana i muri i te whakamātautau papatoiake, me te whakamātautau toto.

maimoatanga

Treatment sepsis puerperal whakaritea ki te pakeke o te mate. ngā wāhi matua:

• Homai te tūtohutanga ki te rongoā paturopi o te rongoā paturopi whakamana. whakaritea te raau e hototahi ki whāngai ū, i roto i ngā take kino, mutu kai te.
• taero Immunostimulatory (immunoglobulin antistaphylococcal, T-activin, whakaaturia huhu wē, whakahaere toxoid).
• hiahiatia e whaowhia therapy te mo te tango, me te ora o te paitini toenga wai-tote (rongoā kawakore gemodez, pūmua me te reopoligljukin).
• Whakaritea e te antihistamines ( "Suprastin", "Tavegil").
• E whakaatu ana te reira i te whakataki o whākōkī proteolytic (trypsin).

I roto i te sepsis te whakatakiruatanga o puka whakahaere glucocorticoids me hormones anabolic.

Mahalo whakapau me te tua:

• electrostimulation kōpū;
• UHF;
• UV irradiation;
• ngaruiti;
• iratuki.

maimoatanga Local o te puna o te mate:

• horoi mariao konutai pūhaumāota me te hauwai waikuratei, hoki patunga nui - ngā tapa poporetanga ki sutures;
• i endometritis, ka roa te kōpū te toto, te tango i te toe ewe me te tirohanga mauhaa o te kōhao uterine.

I roto i te peritonitis, arā, i roto i ngā take kino, whakamana te hysterectomy te - tango o te kōpū ki te konga.

outlook

Ko te putanga o te mate i roto i te mate kano tei runga i ngā āhuatanga maha:

• te wa, i te tīmataria maimoatanga, me te pūnaha ārai mate te nuinga o whaea;

• te tohu o huakita mate-meinga.

Ki te iti te tukanga mumura te anake ki maru ia te whakaora, kia rite ki te tikanga, oti, me te kahore hopearaa. I roto i te sepsis puka tahuti te whakatakiruatanga o tae 65%.

ārai

I roto i te tikanga ki te ārai puerperal kirika kia mau i te mehua e whai ake nei:

• rerenga parukore o tāhapa, me te ma'i extragenital inflammatory me mate gynecological;
• i roto i whanau ārai discontinuities kiko wahi taihemahema;
• pipiki tino ki ture iroiti, me te rongoā horoi.

hero o te pukapuka, pea te tohu o tenei mate e mohiotia ana ko kitea i mate katoa, ki te kahore hoki puerperal kirika. E noho hauora!