Monga mayi kapena bambo, simungauze aliyense mantha omwe muli nawo pa mwana wanu. Tonsefe timadziwa mantha omwe amabwera m'maganizo mwathu mwana wathu akadwala chimfine kapena malungo, sichoncho? Koma kodi mumadziwa kuti nthawi zina matenda a bakiteriya omwe amayamba ngati matenda ofala kwambiri amatha kukhala chinthu choopsa kwambiri komanso choopsa m'thupi lathu? Matenda oopsa amenewo ndi omwe timatcha sepsis mu zamankhwala. Tiyenera kudziwa izi.
Mwachidule, kodi sepsis ndi chiyani?
Tangoganizirani, kachilombo kameneka, makamaka bakiteriya, kakalowa m'thupi mwathu, chitetezo chathu cha mthupi chimayamba kulimbana nacho. Izi ndi zachilendo. Koma mu mkhalidwe wotchedwa sepsis, chitetezo cha mthupichi chimalephera kulamulira ndipo chimatha kugwira ntchito mopitirira muyeso. Izi zikutanthauza kuti chitetezo cha mthupichi chimayamba kuukira osati kachilombo kokha, komanso minofu ndi ziwalo zathanzi m'thupi.
Zili ngati gulu lankhondo loteteza dziko, osati mdani yekha komanso anthu osalakwa m'dzikolo. Zotsatira zake, ziwalo za thupi lathu zimayamba kulephera chimodzi ndi chimodzi. Nanga chimachitika n'chiyani ngati ziwalo zazikulu monga impso, chiwindi, mapapo, ndi mtima zisiya kugwira ntchito? Zili pachiwopsezo cha moyo. Pafupifupi gawo limodzi mwa magawo atatu a anthu omwe ali ndi matenda a sepsis padziko lonse lapansi amafa. Ena omwe apulumuka amakumana ndi mavuto a moyo wawo wonse, monga kupweteka kosatha, kulephera kwa ziwalo, komanso nthawi zina kufunikira kudula miyendo.
Kodi n’zoona kuti ana ali pachiwopsezo chachikulu?
Inde. Sepsis imapezeka kwambiri mwa okalamba, koma imathanso kukhudza ana mwanjira yoopsa kwambiri. Vuto lalikulu ndilakuti zizindikiro za sepsis mwa ana zimakhala zovuta kuzizindikira pachiyambi. Zimafanana kwambiri ndi zizindikiro za chimfine kapena chimfine. Komanso, ana aang'ono sadziwa momwe angasonyezere ululu wawo ndi kusasangalala kwawo ponena kuti, "Ndikumva chisoni kwambiri kuno." Chifukwa cha izi, sitingadziwe mpaka matendawa atakula kwambiri m'thupi.
Ngakhale madokotala amanena kuti zizindikirozi zingakhale zovuta kuzizindikira chifukwa zimatha kusiyana malinga ndi mwana. Ku United States kokha, ana 18 amafa chifukwa cha sepsis tsiku lililonse. Izi zimatipatsa lingaliro la kuopsa kwa vutoli. Koma chabwino kwambiri ndichakuti, ngati ife monga makolo tikudziwa izi ndikuzindikira zizindikirozo msanga, tili ndi mwayi waukulu wopulumutsa miyoyo ya ana athu.
Nkhani yeniyeni iyi idzakuphunzitsani zambiri.
Nthawi zina tikamva nkhani timamvetsa bwino kufunika kwa chinthu china. Iyi ndi nkhani ya Zach, mwana wamwamuna wazaka 11. Amayi ake, Marnie, ndi dokotala.
Usiku wina, atasewera baseball, Zack anayamba kulira. Anati mutu wake ukupweteka, anali ndi chizungulire, ndipo bondo lake likupweteka. Amayi ndi abambo ankaganiza kuti ayenera kuti anavulala bondo lake akusewera. M'mawa mwake, bondo lake likupwetekabe, choncho Amayi anamupatsa mankhwala ochepetsa ululu ndikumutumiza kusukulu. Koma patapita kanthawi, sukulu inamuyimbira foni.
"Namwino wa kusukulu anandiimbira foni nati anali kupunduka ndipo bondo lake linali kupweteka. Sanali ndi malungo, koma sindidzaiwala zomwe namwinoyo anandiuza. Anati, 'Sakuwoneka bwino, pali vuto ndi iye.' "
Ngakhale kuti anali dokotala, Marnie sankadziwa zomwe zinkachitikira mwana wake wamwamuna. Anapita ndi Zach kwa dokotala wina kuntchito kwake. Anatenga magazi ndi kumuyesa, kenako anayamba kumwa mankhwala opha tizilombo toyambitsa matenda.
Koma pamene lipoti la magazi linabwera, chizindikiro cha kutupa chinali chachikulu kwambiri. Anapita kukaonana ndi katswiri wa mafupa. Panthawiyo, Zach anali ndi ululu waukulu. Dokotalayo ankaganiza kuti mwina ndi matenda a mafupa. Koma vuto la Zach linakula kwambiri. Usiku wotsatira, ululu wake unali waukulu kwambiri moti sankatha ngakhale kuyenda. Kenako anataya chikumbumtima.
"Anandipempha madzi pafupifupi 3 koloko madzulo," Marnie akukumbukira. "Pamene ndinali pafupi kumupatsa botolo la madzi, anandiyang'ana nati, 'Kodi wina angalinyamule ndi ndege kupita nalo kunyumba kwathu?'" Nthawi yomweyo, Marnie anadziwa kuti pali vuto. Anatenga Zach mwachangu kupita naye ku chipinda chapafupi chadzidzidzi (ETU). Kuchokera pamenepo, anasamutsidwira kuchipatala chokhala ndi chipinda chosamalira ana odwala kwambiri (PICU).
"Panthawiyo, palibe amene ankadziwa zomwe zikuchitika. Palibe amene anati, 'Ali ndi sepsis.' Iwo ankaganiza kuti ndi matenda obwera chifukwa cha nkhupakupa. Koma ankadziwa kuti mapapo ake, chiwindi chake, ndi impso zake zikulephera kugwira ntchito."
Mu chipinda chosamalira odwala kwambiri, Zach anapatsidwa mankhwala amphamvu opha tizilombo toyambitsa matenda ndipo anaikidwa chopumira mpweya. Patatha masiku awiri, madokotala anapeza kuti Zach anali ndi matenda oopsa (osteomyelitis) mu fupa lake la ntchafu yakumanja, omwe anayambitsa sepsis. Zach anachitidwa opaleshoni mwachangu kuti atulutse mafinya.
Kwa milungu iwiri, Zach anali atakomoka ndipo anali ndi makina opumulira. Malungo aakulu, mankhwala oletsa kuthamanga kwa magazi, komanso kuwonongeka kwa mapapo... Zinali zovuta kwambiri kwa makolo ake. Koma patatha milungu iwiri, thanzi lake linayamba kusintha pang'onopang'ono.
Kodi mungazindikire bwanji zizindikiro za sepsis?
Nkhani ya Zach ikutisonyeza momwe zizindikiro zoyambirira zingamvekere mosadziwika bwino. Chifukwa chake, monga makolo, tiyenera kusamala kwambiri ndi zizindikiro zotsatirazi. Ngati mwana wanu ali ndi chimodzi kapena zingapo mwa izi, makamaka akakhala ndi malungo kapena matenda ena, musazengereze. Pitani kwa dokotala nthawi yomweyo. Ngati pakufunika kutero, pitani mwachindunji ku Dipatimenti Yothandizira Zadzidzidzi ya chipatala (ETU).
| Chizindikiro | Zoyenera kulabadira |
|---|---|
| Maonekedwe a khungu ndi kutentha | Kumva kuzizira kwambiri ukakhudza, kukhala ndi madontho abuluu/ofiirira pakhungu, kapena kukhala ndi khungu lotumbululuka kwambiri. |
| Kupuma | Kupuma mofulumira kwambiri. |
| Kutupa pakhungu | Kukhala ndi ziphuphu zomwe sizimatha zikakanikizidwa ndi galasi. |
| Zochita za mwana | Kugona kwambiri, kuvutika kudzuka, kapena kukomoka. |
| Zinthu zina zowonjezera kwa ana osakwana zaka 5 | |
| Kudya ndi kusanza | Kukana kudya kapena kumwa, kusanza kosalekeza. |
| Kukodza | Osakodza kwa maola 12 kapena kuposerapo. |
"Golden Hour" ndi Chithandizo
Madokotala amati ngati mukukayikira kuti matenda a sepsis ndi owopsa, ndikofunikira kuyamba kumwa mankhwala opha maantibayotiki mwachangu, osadikira kuti adziwe kuti matendawa apezeka. Kuyamba kulandira chithandizo mkati mwa ola loyamba kungatanthauze kusiyana pakati pa moyo ndi imfa. Izi zimatchedwa "Golden Hour."
Monga momwe zilili m'nkhani ya Zach, ngakhale ana omwe apulumuka akhoza kukhala ndi mavuto omwe amawakhudza moyo wawo wonse. Zach akadali ndi vuto la mitsempha mu mwendo wake umodzi, zomwe zikutanthauza kuti mwendowo sungakule bwino. Alinso ndi mavuto a chidwi ndi nkhawa. Izi zikutanthauza kuti nkhondo yolimbana ndi sepsis siitha atatuluka kuchipatala.
Uthenga Wopita Nawo Kunyumba
- Sepsis ndi vuto lachipatala. Si chimfine wamba kapena matenda okha.
- Matenda aliwonse, makamaka matenda a bakiteriya, amatha kukhala oopsa kwambiri ndipo amatha kukhala sepsis.
- Samalani kwambiri ndi zizindikiro monga kusintha kwa mtundu wa khungu la mwana, kuzizira kosazolowereka, kupuma movutikira, komanso kugona tulo topitirira muyeso.
- Ngati muwona chimodzi mwa zizindikirozi, musakhale panyumba kuti "tione." Kaonaneni ndi dokotala kapena pitani ku Dipatimenti Yothandiza Anthu Odwala Mwadzidzidzi (ETU) ya chipatala mwamsanga.
- Chithandizo chikayamba msanga, mwayi wopulumutsa moyo wa mwana komanso kupewa mavuto omwe angakhalepo kwa nthawi yayitali umakhala waukulu.
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