Qandho Puerperal: sababaha, calaamadaha iyo astaamaha daaweynta

In buugga caanka ah by Jerome K. Jerome "Saddex Men in a Doon" qof aan helay oo dhan, marka laga reebo qandhada puerperal. Waa maxay? Ina keena aynu baaro in this article.

Koox ka mid ah cudurada ay keento faddarayn, haweenka uurka leh xilliga dhalmada waxaa lagu magacaabaa sepsis dhalmada, ama sida ay iyagu yidhaahdaan wakhtigii jir ah, qandho puerperal (qandho).

warbixin guud

qandho Puerperal asalkiisu ka soo jeedo ee qarniyadii dhexe. Mid ka mid ah ugu horraysay uu tilmaamay kiis cudurkan, Hippocrates. Ka hor furitaanka ugu horeysay isbitaalka dhalmada ee qarnigii XVII ah, kiisaska cudurka qandho puerperal ahaayeen baahsan ee dabiiciga ah.

In dhexe ee dhalmada Hungarian qarnigii XIX ku Ignats Zemmelveys dhigay tiro ka mid ah fikradaha ku saabsan waxa keena qandho puerperal. Isagu wuxuu tilmaamay baahida loo qabo in la isticmaalo xal aalkolada at dhalmada. Si kastaba ha ahaatee, isticmaalka baahsan ee dhalmada noqday dabaqi karo oo kaliya in dhammaadkii qarnigii XIX.

Sida laga soo xigtay tirakoob,% dhammaan kiisaska dhibaatooyinka iyo umulaha maanta oo kaliya 0.2-0.3 dhacaan sepsis, dhacayaan iyaga ka mid ah endometritis in 90% haweenka uurka leh.

qandho Puerperal gudbiyo ee buugaagta Classics, marar badan lagu tilmaamay cudur khatar ah iyo mid aan bogsan karin. Isticmaalka aseptic daawo casri ah, aalkolada, isticmaalka antibiotic keenaysaa in xaqiiqda ah in sepsis post-bax dhalmo looga guuleystey in laga daweeyo.

Noocyada cudurka dhalmada ka mid ah:

• Endometritis - bararka ee ilmo-galeenka.
• Meelaan The dhexeeya tollayn maro qaybta soo socda.
• Meelaan The dhexeeya tollayn ka dib markii qalniinka caloosha.
• Naaso.

qandho Puerperal: Sababaha

Waa maxay sababaha keena qandho dhalmada?

• Sida caadiga ah, cudurka by wakiilada pathogenic ee u shaqeeyo dumar ah waxay dhacdaa marka aan la raacayo antiseptics xilliga dhalmada.
• The cudurka ugu badan waa "isbitaalka" nooc ka mid ah bakteeriyada, lagu gartaa iska caabin ah oo kor u kacay in daawooyinka.
• Maaddaama ay daciifaan ahaasho sababa walaaca xilliga dhalmada, jirka haweeneyda dhaqaajiso karaa flora fursad u gaar ah iyo caabuq sababta.

About wareer ah

wareer sepsis Puerperal waa:

• bacteroides;
• Proteus,
• Staphylococcus aureus,
• gonococcus;
• E. coli,
• Klebsiella;
• streptococci haemolytic;
• peptostreptokokki iyo wixii la mid ah.

Laakiin, dabcan, ma aad tagfi u qandhaysan puerperal. Tani ma aha pathogene ah, kaliya magaca mid ka mid ah midabo kala midabka, iyo cudurka uu leeyahay waxba kuma laha.

Inta badan, sepsis puerperal - cudur polymicrobial sababa noocyada dhowr ah oo wareer ah.

Qayb ahaan wax lays of sheyga waa:

• ilmada siilka, makaanka, iyo perineum.
• zone mandheerta galay saabka minka.

Caabuqa sida caadiga ah dhacdaa by xiriir, xiriir la dusha nabarka gacmaha wasakhda iyo alaabtii dulduleeliska. Markaas faafidda wareer dhacdaa iyada oo weelashii lymph iyo dhiig.

sababaha halista

sababaha halista dhacdo ee sepsis puerperal:

• cudurrada ba'an iyo caabuq joogto ah oo dumarka - sida ekstragenital'nye sida cystitis iyo hurgumada kilyaha, iyo dumarka, tus endometritis, colpitis iyo vulvitis;
• isticmaalka hababka invasive waxbarashada dhalmada;
• ECG uurjiifka si toos ah;
• codsanaya saxo qalliinka kaafi afka ilmo-galeenka iyo halkay;
• cilmi codsiga siilka soo noqnoqda ee dhalmada;
• dhiig, makaanka.
• dheecaan hore oo biyo ah,
• hawlaha qaban uurreyda iyo umulaha sida jeestay Dilatation uurjiifka adigoo isticmaalaya qabato.

qandho puerperal Primiparous yeesho si joogta ah in ka badan la dhalmada soo noqnoqda.

calaamadaha

1-2 maalmood ka dib dhalashadeeda muujin karaa calaamadaha sepsis puerperal:

• xumad iyo jidhi;
• tachycardia;
• qidmeyntii guud iyo calaamado kale sarkhaan,
• harraad, rabitaanka cuntada oo luma;
• xanuun guud ahaan dusha sare ee caloosha, iyo ma ahan oo keliya hoose;
• weerar, dheecaanku nijaasta malax (uub) ka marinka dhalmada, mararka qaarkood ku maqan doorashada kasta;
• marka naaso joojinta dhammaystiran ama yareynta nuujinta.

qandho puerperal reebo, waxaa jira cudurro kale.

First, caabuq ma kordhin ka baxsan boogaha qabiil. Markaas, ku xiran tahay dhaawaca, waxaa jira daliilka gaar ah qandho ay isirka:

• boogaha puerperal - lesions oo salka ciiro, la bararsan iyo cidhiidhiga ah geesaha, kuwaas oo ku yaala afka ilmagaleenka, derbiga siilka, perineum;
• coleitis puerperal - barar ku dhaca xuubka siilka.

By faafidda caabuq ku biiro calaamadaha sare ee cudurka:

• Dysmenorrhea garaacid xuub-axaleedka ee ilmo-galeenka,
• beegyada uu Garaaci fiber parauterine;
• adnexitis, ama barar ee ilmo-galeenka,
• pelvioperitonit - jabiyaan peritoneum miskaha;
• metrotromboflebit - bararka xididdada ee ilmo-galeenka,
• thrombophlebitis - bararka xididdada oo ka mid ah miskaha iyo jirka hoose.

Waayo, marxaladda saddexaad ee cudurka waxaa lagu gartaa calaamadaha sepsis guud iyo astaamaha guud ee peritonitis. Sida shaaca ka qaaday qandho puerperal?

Baadhista xanuunada

ogaanshaha ah "qandho puerperal" waxaa kaalinta ku salaysan astaamaha laga heli karaa rugaha caafimaadka ka dib markii baaritaan miskaha iyo baaritaanka dhiigga.

daaweynta

Daaweynta sepsis puerperal xilsaaray la darnaanta cudurka. Meelaha ugu muhiimsan:

• Marka la eego dareenka ay u antibiotic ah antibiotic sameeyaa. Daawada waxaa qoray la jaan-nuujinta, xaaladaha daran, quudinta la joojiyo.
• daroogada Immunostimulatory (immunoglobulin antistaphylococcal, T-activin, muujisay shubo plasma, toxoid maamulka).
• therapy galiyey waxaa looga baahan yahay ka saarida iyo dib u soo kabashada ee dheelitirka sun biyo-cusbo (xal cawaaqib xumadoodu waxay gemodez, borotiinada iyo reopoligljukin).
• Magacaabay xasaasiyadda ( "Suprastin", "Tavegil").
• Waxa ay muujinaysaa in hordhaca ah ee falgalka proteolytic (trypsin).

In sepsis guud foomka maamula glucocorticoids iyo hormoonnada dhiska.

Waxaa laga yaabaa in qarash iyo daaweynta dabiiciga ah:

• electrostimulation ilmo-galeenka,
• UHF;
• cindiga ku UV;
• microwaves;
• ultrasound.

daaweynta Local ah halka uu cudurka:

• dhaqidda boogaha chloride sodium iyo hydrogenperoxid ah, boogaha waaweyn - truncation la tolay Noqtay;
• at endometritis, marka ilmo-galeenka waa raagay dhiigga, ka saaraysaa mandheerta ka hartay iyo kormeerka xarkaha ee saabka minka.

In peritonitis, ie, xaaladaha daran, hysterectomy ah waxaa la sameeyaa - saarista ee ilmo-galeenka la appendages.

Odoroska

Natiijada cudurka ee cudur generic xidhan tahay qodobo badan:

• mar marka daaweyn la bilaabay, iyo habka difaaca jirka hooyooyinka ugu;

• heerka uu bakteeriyada cudurka keena.

Haddii nidaamka caabuq ku kooban oo kaliya in ay ku dhaawacay bogsashada, sida caadiga ah, complete oo aan cawaaqib. In sepsis guud dhimashada foomka gaadho 65%.

ka hortagga

Si looga hortago qandho puerperal waa inaad dhawrtaan oo tallaabooyinka soo socda:

• fayadhowrka ee extragenital bararka ba'an iyo chronic iyo cudurada dumarka,
• xilliga dhalmada looga hortago discontinuities unugyada taranka mareenka;
• u hogaansanaanta adag in xeerarka aseptic iyo aalkolada.

geesiga buugga, u badan tahay calaamadaha cudurkan oo loo yaqaan laga helay cudurrada oo dhan, marka laga reebo qandhada puerperal. Joog caafimaad!