Pticungiyar B streptococcal septicemia na jariri

Rukunin rukunin B streptococcal (GBS) septicemia cuta ce mai tsanani na kwayan cuta wacce ke shafar jarirai sabbin haihuwa.

Septicemia cuta ce ta cikin jini wanda ke iya tafiya zuwa gabobin jiki daban-daban. Kwayar cutar ta GBS ta kamuwa da kwayoyin cuta Streptococcus agalactiae, wanda galibi ake kira rukunin B strep, ko GBS.

Ana yawan samun GBS a cikin manya da yara ƙanana, kuma yawanci baya haifar da cuta. Amma yana iya sa jarirai sabbin haihuwa rashin lafiya. Akwai hanyoyi biyu da za'a iya amfani da GBS ga jariri sabon haihuwa:

• Jariri na iya kamuwa da cutar yayin wucewa ta mashigar haihuwa. A wannan yanayin, jarirai suna rashin lafiya tsakanin haihuwa da kwanaki 6 na rayuwarsu (galibi a cikin awanni 24 na farko). Wannan ana kiran sa da farko-farkon cutar GBS.
• Jariri na iya kamuwa da cutar bayan haihuwa bayan ya haɗu da mutanen da ke ɗauke da kwayar cutar GBS. A wannan yanayin, alamomi na bayyana daga baya, lokacin da jaririn ya kasance kwana 7 zuwa watanni 3 ko fiye. Wannan ana kiransa farkon-farkon cutar GBS.

GBS septicemia yanzu yana faruwa sau da yawa, saboda akwai hanyoyin dubawa da kula da mata masu ciki waɗanda ke cikin haɗari.

Mai zuwa yana ƙara haɗarin jariri don GBS septicemia:

• Ana haifuwa sama da makonni 3 kafin ranar haihuwa (prematurity), musamman idan mahaifiya ta fara nakuda da wuri (lokacin haihuwa)
• Uwar da ta riga ta haihu da GBS sepsis
• Uwar da ke zazzabi na 100.4 ° F (38 ° C) ko mafi girma yayin nakuda
• Uwar da ke da rukunin B streptococcus a cikin kayan ciki, na haihuwa, ko fitsari
• Rushewar membranes (fashewar ruwa) fiye da awanni 18 kafin haihuwa
• Amfani da kulawar tayi ta cikin ciki (gubar fatar kan mutum) yayin nakuda

Jariri na iya samun ɗayan alamun da alamun masu zuwa:

• Damuwa ko damuwa bayyanar
• Bayyanan shudi (cyanosis)
• Matsalolin numfashi, kamar farar hanci, hayaniya, saurin numfashi, da gajeren lokaci ba tare da numfashi ba
• Na al'ada ko na al'ada (mai sauri ko mai saurin tafiya) bugun zuciya
• Rashin nutsuwa
• Bayyanannen launi (pallor) tare da fata mai sanyi
• Rashin ciyarwa
• Zafin jiki mara ƙarfi (ƙasa ko babba)

Don bincika GBS septicemia, dole ne a sami kwayoyin GBS a cikin samfurin jini (al'adun jini) da aka ɗauka daga jariri mara lafiya.

Sauran gwaje-gwajen da za'a iya yi sun haɗa da:

• Gwajin gwajin jini - lokacin prothrombin (PT) da kuma lokacin thromboplastin na lokaci (PTT)
• Gas na jini (don ganin idan jariri yana buƙatar taimako game da numfashi)
• Kammala lissafin jini
• Al'adun CSF (don bincika cutar sankarau)
• Al'adar fitsari
• X-ray na kirji

Ana ba jariri maganin rigakafi ta jijiya (IV).

Sauran matakan kulawa na iya haɗawa da:

• Taimakon numfashi (taimakon numfashi)
• Ruwan ruwa da aka bayar ta jijiya
• Magunguna don juya baya
• Magunguna ko hanyoyin gyara matsalolin daskarewa na jini
• Maganin Oxygen

Za a iya amfani da maganin da ake kira extracorporeal membrane oxygenation (ECMO) a cikin mawuyacin yanayi. ECMO ya haɗa da amfani da fanfo don kewaya jini ta huhun wucin gadi da baya cikin jinin jariri.

Wannan cutar na iya zama barazanar rai ba tare da saurin magani ba.

Matsalolin da ka iya faruwa sun hada da:

• Rarraba maganin cikin jini (DIC): Cutar mai tsanani wacce sunadaran da ke kula da daskarewar jini ke aiki ba daidai ba.
• Hypoglycemia, ko ƙarancin sukarin jini.
• Cutar sankarau: kumburi (kumburi) na membran ɗin da ke rufe kwakwalwa da lakar da ta kamu da cuta.

Wannan cuta galibi ana gano ta jim kaɗan bayan haihuwa, sau da yawa yayin da jaririn ke asibiti.

Koyaya, idan kuna da sabon haihuwa a gida wanda ya nuna alamun wannan yanayin, nemi taimakon gaggawa na gaggawa ko kiran lambar gaggawa na cikin gida (kamar 911).

Iyaye su kula da bayyanar cututtuka a cikin makonni 6 na farkon ɗansu. Matakan farko na wannan cuta na iya haifar da alamun cutar waɗanda ke da wahalar hangowa.

Don taimakawa rage haɗarin GBS, mata masu ciki yakamata ayi gwajin kwayoyin cutar a makonni 35 zuwa 37 zuwa ciki. Idan aka gano kwayoyin cutar, ana ba mata maganin rigakafi ta wata jijiya yayin nakuda. Idan mahaifiya ta fara haihuwa kafin makonni 37 kuma sakamakon gwajin GBS bai samu ba, ya kamata ayi mata maganin rigakafi.

Yara jarirai wadanda ke cikin babban haɗari ana gwada su don kamuwa da cutar GBS. Suna iya karɓar maganin rigakafi ta wata jijiya a lokacin farko na awanni 30 zuwa 48 na rayuwa har sai an sami sakamakon gwajin. Bai kamata a tura su gida daga asibiti ba kafin awanni 48 da haihuwa.

A kowane hali, wanke hannu da kyau daga masu kula da gandun daji, baƙi, da iyaye na iya taimakawa hana yaduwar ƙwayoyin cuta bayan haihuwar jariri.

Gano asali na farko na iya taimakawa rage haɗarin wasu rikitarwa.

Rukunin B strep; GBS; Sabun haihuwa; Sabbin jarirai - strep

Cibiyoyin Kula da Cututtuka da Rigakafin yanar gizo. Rukunin B strep (GBS). www.cdc.gov/groupbstrep/clinicians/clinical-overview.html. An sabunta Mayu 29, 2018. An shiga Disamba 10, 2018.

Edwards MS, Nizet V, Baker CJ. Rukunin rukunin B streptococcal. A cikin: Wilson CB, Nizet V, Maldonado YA, Remington JS, Klein JO, eds. Remington da Klein na Cututtukan Cututtuka na Ciwon Jiki da Jariri. 8th ed. Philadelphia, PA: Elsevier Saunders; 2016: sura 12.

Lachenauer CS, Wessels MR. Rukunin B streptococcus. A cikin: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, eds. Nelson Littafin koyar da ilimin yara. 20th ed. Philadelphia, PA: Elsevier; 2016: babi na 184.