Mwina simunamvepo za Toxic Shock Syndrome (TSS). Koma ndi vuto losowa kwambiri, lomwe limayambitsa imfa. Limachitika pamene mitundu ina ya mabakiteriya ilowa m'thupi ndipo poizoni amene amapanga amalowa m'magazi mwathu. Izi zitha kuwononga ziwalo zofunika monga mtima, chiwindi, ndi impso. Ngakhale kuti nthawi zambiri zimagwirizanitsidwa ndi kugwiritsa ntchito ma tampons panthawi ya msambo, TSS imatha kukhudza aliyense wa msinkhu uliwonse. Mabala a pakhungu, malo ochitira opaleshoni, kuboola mphuno, mabala, ndi kutentha thupi zimathanso kuwonjezera chiopsezo. Ndipotu, theka la omwe ali ndi vutoli sali msambo.
Kodi Toxic Shock Syndrome ndi chiyani?
Mwachidule, matenda oopsa otchedwa toxic shock syndrome (TSS) ndi matenda oopsa omwe amabuka mwadzidzidzi komanso oopsa omwe poizoni wopangidwa ndi mitundu ina ya mabakiteriya amalowa m'magazi mwathu ndikukhudza thupi lathu lonse. Ma poizoni amenewa amatha kuletsa kugwira ntchito kwa ziwalo zofunika kwambiri m'thupi lathu. Taganizirani izi ngati mdani wamng'ono wolowa m'thupi ndikufooketsa mphamvu yonse. Izi ndi zomwe zimapangitsa kuti zikhale zoopsa kwambiri chifukwa
zizindikiro zimatha kuwoneka mwachangu kwambiri ndipo zimatha kukhala zoopsa mwachangu . Komabe, ngati zitazindikirika msanga ndipo chithandizo choyenera chikayamba, anthu ambiri amatha kuchira.
Kodi vutoli lotchedwa `TSS` ndi lofala bwanji?
Matenda a TSS ndi
matenda osowa kwambiri. Amakhudza pafupifupi munthu m'modzi pa anthu miliyoni. Ngakhale kuti amapezeka kwambiri mwa akazi, amatha kukhudza aliyense, kuphatikizapo amuna, akazi, ana, ndi akuluakulu. Mpaka zaka za m'ma 1990, anali okhudzana kwambiri ndi anthu omwe ankagwiritsa ntchito ma tampons opatsa mphamvu kwambiri panthawi ya msambo. Koma tsopano tikudziwa kuti ichi si chifukwa chokhacho.
Kodi zizindikiro za TSS ndi ziti? Kodi mungazindikire bwanji?
Zizindikiro za TSS zimaonekera
mwadzidzidzi ndipo
zimatha kuipiraipira mofulumira . Zizindikiro zimatha kusiyana pang'ono kutengera mtundu wa mabakiteriya omwe akupanga poizoni. Komabe, zotsatirazi ndi zizindikiro zofala:
- Mwadzidzidzi, mumamva kutentha thupi kwambiri , thupi lanu limamva kuzizira komanso kunjenjemera, thupi lanu limapweteka, ndipo mumamva ngati muli ndi chimfine.
- Kusanza ndi kusanza .
- Kutsegula m'mimba kwa madzi ( kutsegula m'mimba ).
- Pakhungu pamakhala ziphuphu zofiira. Zingawoneke ngati kutentha kwa dzuwa, kapena nthawi zina zingawoneke ngati madontho ang'onoang'ono ofiira .
- Chizungulire , kumva ngati ukuzungulira, kapena kutaya chidziwitso kungachitike.
- Kuthamanga kwa magazi kumachepa (Hypotension).
- Maso amafiira (monga matenda a maso - `Conjunctivitis`), pakhosi pamakhala lofiira, ndipo pamakhala ululu.
- Khungu la m'manja ndi m'mapazi likutuluka.
Ndikofunikira kwambiri kufunafuna upangiri wa dokotala nthawi yomweyo ngati mukukumana ndi chimodzi kapena zingapo mwa zizindikirozi, makamaka ngati mukugwiritsa ntchito tampon.
Kodi zifukwa za TSS ndi ziti?
Matenda a shock otchedwa Toxic shock nthawi zambiri amayamba chifukwa cha poizoni wopangidwa ndi mabakiteriya otchedwa ``Staphylococcus aureus`` (`staph infection`) ndi ``Streptococcus pyogenes`` (`group A strep infection`). Mabakiteriya otchedwa ``Clostridium sordellii`` angayambitsenso vutoli, koma silimapezeka kawirikawiri. Munthawi yabwinobwino, mabakiteriyawa amakhala pakhungu lathu, pakhosi pathu, komanso pakamwa pathu. Komabe, nthawi zina, mitundu ina ya mabakiteriyawa imachulukana mofulumira ndikuyamba kupanga poizoni. Tsopano, onani, mukagwiritsa ntchito tampon, mabakiteriya a ``Staph`` amatha kulowa m'chiberekero ndikulowa m'chiberekero kudzera m'chiberekero. Ngati tampon sisinthidwa pafupipafupi, mabakiteriyawa amatha kukula pa iyo. Komanso, kugwiritsa ntchito ma tampon onyowa kwambiri panthawi yanu ya msambo kungayambitsenso kukula kwa mabakiteriya. Ma tampon amatha kuyambitsa mikwingwirima yaying'ono mu nyini, zomwe zimapangitsa kuti mabakiteriya alowe m'magazi. Komabe, TSS sikuti imangochitika chifukwa chosiya tampon kwa nthawi yayitali. Madokotala tsopano akudziwa kuti
chilichonse chomwe chimakhala mu nyini kwa nthawi yayitali kuposa nthawi yoyenera chimawonjezera chiopsezo cha matenda a TSS. Mwachitsanzo:
- Zipewa za m'chiberekero
- Masiponji (masiponji oletsa kubereka)
- Ma diaphragm
- Makapu a msambo
Kuwonjezera pa izi, TSS ikhoza kuchitika ngati mabakiteriya alowa m'thupi kudzera m'mabala otseguka, mabala, kapena mikwingwirima. Ikhozanso kuyambitsidwa ndi matenda a pakhungu, opaleshoni, kubereka, kapena kulongedza mphuno kuti asiye kutuluka magazi.
Mitundu ikuluikulu ya mabakiteriya omwe amayambitsa TSS
Monga tanenera kale, mabakiteriyawa ndi omwe amachititsa kwambiri izi:
- Staphylococcus aureus (S. aureus kapena staph): Bakiteriya iyi nthawi zambiri imapezeka m'matupi mwathu. Imatha kulowa m'magazi kudzera m'mabala a pakhungu kapena mikwingwirima yaying'ono mu nyini yomwe imachitika chifukwa chogwiritsa ntchito tampon.
- Streptococcus pyogenes (yomwe imadziwikanso kuti S. pyogenes kapena gulu A strep): Mtundu uwu wa mabakiteriya umayambitsa TSS mwa anthu omwe posachedwapa adadwala pakhosi, scarlet fever, kapena matenda ena omwe amayamba chifukwa cha gulu A strep, monga impetigo.
- Clostridium sordellii (C. sordellii): Bakiteriya iyi nthawi zambiri imapezeka mu nyini. Imatha kulowa m'chiberekero panthawi ya msambo, kubereka, kapena njira zina zochizira matenda a akazi. Kugwiritsa ntchito mankhwala m'mitsempha kungayambitsenso matenda a C. sordellii.
Kodi zimatenga nthawi yayitali bwanji kuti munthu apange `TSS` kuchokera ku tampon?
Palibe nthawi yeniyeni yodziwira nthawi yomwe mudzakhale ndi TSS mutagwiritsa ntchito tampon. Komabe, kuti muchepetse chiopsezo chanu cha TSS
, muyenera kuchotsa tampon yanu maola asanu ndi atatu aliwonse. Izi sizikutanthauza kuti kusiya tampon kwa maola opitilira asanu ndi atatu kungayambitse TSS. Komabe, kafukufuku wasonyeza kuti kusiya tampon kwa maola opitilira asanu ndi atatu kungathandize kuti mabakiteriya oopsa akule.
Zimatenga nthawi yayitali bwanji kuti zizindikiro za TSS ziwonekere?
Zizindikiro nthawi zambiri zimawonekera
mwadzidzidzi . TSS nthawi zambiri imayamba mkati mwa masiku ochepa mabakiteriya atalowa m'magazi. Komabe, izi sizikutanthauza kuti mudzakhala ndi TSS nthawi iliyonse mukakhala ndi matenda a staph kapena strep, kapena nthawi iliyonse mukakhala ndi tampon kwa maola opitilira asanu ndi atatu.
Kodi ma sanitary pads angayambitse TSS?
Inde, mutha kupeza TSS ngakhale mutagwiritsa ntchito mapepala a ukhondo. Sizofala kwambiri, koma sizingatheke. Izi zili choncho chifukwa chakuti vutoli ndi mabakiteriya, osati tampon yokha.
Kodi TSS imapezedwa bwanji?
Nazi njira zina zomwe madokotala amagwiritsa ntchito pozindikira matenda a TSS:
- Kuyezetsa magazi kapena mkodzo kumachitika kuti adziwe mtundu wa mabakiteriya kapena kachilombo komwe kali.
- Nyini yanu ikufufuzidwa .
- Zitsanzo za minofu (zomera za minofu) zimatengedwa kuchokera ku nyini, pachibelekero, kapena pakhosi kuti zitsimikizire ngati pali mabakiteriya a Staphylococcus kapena Streptococcus.
- Kwa TSS yomwe si yokhudzana ndi kusamba, zitsanzo za minofu zimatengedwa kuchokera ku bala kapena malo omwe ali ndi kachilomboka.
Ngati zizindikiro zanu zili zazikulu kapena ngati vuto lanu likuipiraipira, dokotala wanu angachitenso mayeso awa kuti aone thanzi la ziwalo zina:
- Kujambula kwa CT
- X-ray pachifuwa
- Kupopera kwa msana (kapena Kuboola kwa Lumbar)
Kodi TSS imachiritsidwa bwanji?
Matenda a Toxic shock ndi matenda omwe angawononge moyo, choncho
nthawi zambiri amachiritsidwa kuchipatala.Choyamba, ngati dokotala wanu akukayikira kuti tampon kapena chipangizo cholerera kubereka ndicho chomwe chikuyambitsa vutoli, adzachichotsa kumaliseche kwanu. Kenako, mudzapatsidwa madzi olowa m'magazi ndipo mungapatsidwe mankhwala owonjezera kuthamanga kwa magazi ngati kuli kochepa. Chithandizo chokhazikika cha matenda a staphylococcus kapena streptococcus ndi maantibayotiki opangidwa m'mitsempha. Ngakhale maantibayotiki angathandize kuwongolera kukula kwa mabakiteriya, sangathe kuchotsa poizoni omwe asonkhana kale m'thupi lanu. Chithandizo cha TSS chingaphatikizepo:
- Chiritsani matendawa ndi maantibayotiki .
- Ma antibodies oyeretsedwa ( `Pooled Immunoglobulin` ) omwe amapezeka kuchokera ku magazi a wopereka kuti athandize thupi kulimbana ndi matenda.
- Mpweya wopatsa mpweya kuti ukhale wosavuta kupuma.
- Madzi oletsa kutaya madzi m'thupi komanso kuwonongeka kwa ziwalo.
- Mankhwala oletsa kuthamanga kwa magazi.
- Kuchotsa impso m'thupi ngati impso zalephera kugwira ntchito.
- Opaleshoni yochotsa minofu yakufa. Nthawi zambiri, kudula malo okhudzidwa kungakhale kofunikira.
Kodi mavuto a TSS ndi otani ngati sanachiritsidwe?
Matenda a shock oopsa ndi
matenda oopsa kwambiri komanso oopsa kwambiri . Zizindikiro zimatha kuipiraipira mofulumira, choncho chithandizo chadzidzidzi n'chofunika. Ngati sichinachiritsidwe, chingayambitse
shock, kulephera kwa ziwalo, kudula ziwalo, komanso imfa .
Chofunika: TSS si vuto lodziletsa lokha. Chithandizo chachangu n'chofunika kuti tipewe mavuto aakulu.
Kodi mungadziteteze bwanji ku TSS?
Pali zinthu zingapo zomwe mungachite kuti muchepetse chiopsezo chanu cha matenda a toxic shock. Zina mwa izo ndi izi:
- Gwiritsani ntchito zopukutira m'malo mwa ma tamponi munthawi ya msambo, kapena gwiritsani ntchito ma pad usiku. Kusintha kugwiritsa ntchito ma pad m'malo mwa ma tamponi tsiku lililonse, kapena masiku omwe msambo wanu umatuluka kwambiri, kungathandizenso kuchepetsa chiopsezo.
- Sinthani tampon yanu maola 4 mpaka 8 aliwonse. Ngati mukutuluka magazi ambiri, mungafunike kusintha tampon yanu pafupipafupi.
- Sankhani tampon yokhala ndi mphamvu yochepa yoyamwa yomwe imafunika kuti magazi anu atuluke.
- Musagwiritse ntchito ma tampons masiku omwe simuli kusamba.
- Sungani malo ochitira opaleshoni kukhala aukhondo kuti mupewe matenda. Onani dokotala wanu ngati bala latupa kwambiri, lafiira, kapena latentha.
- Tsatirani malangizo olondola mukamagwiritsa ntchito njira zolerera za m'mimba, monga masiponji, zipewa za m'chiberekero, ndi ma diaphragm.
Anthu omwe adadwala kale TSS ndipo adachira ali ndi mwayi waukulu wochira kachiwiri. Ngati mudadwalapo TSS kale, ndi bwino kupewa kugwiritsa ntchito ma tampons panthawi yanu ya msambo.
Ndani ali pachiwopsezo chachikulu cha matenda a TSS?
Matenda a Toxic shock nthawi zambiri amagwirizanitsidwa ndi kugwiritsa ntchito ma tampons omwe amayamwa kwambiri. Azimayi a msinkhu wobereka omwe amagwiritsa ntchito ma tampons panthawi ya msambo amakhala pachiwopsezo chachikulu. Komabe, akazi omwe sali msambo nawonso akhoza kukhala ndi TSS. Anthu omwe adachitidwa opaleshoni amatha kukhala ndi TSS kuchokera ku mabala omwe ali ndi kachilomboka. Zina mwa zinthu zomwe zingawabweretsere chiopsezo ndi monga kubereka, opaleshoni pa chiberekero, komanso kugwiritsa ntchito zipangizo zolerera monga ma diaphragm kapena masiponji oletsa kubereka. Zinthu izi zitha kuwonjezera chiopsezo chanu chokhala ndi TSS:
- Kugwiritsa ntchito ma tamponi - makamaka ngati muwasunga kwa nthawi yayitali kuposa momwe mukulangizidwira, kapena ngati mumagwiritsa ntchito ma tamponi omwe amayamwa kwambiri kapena makapu a msambo.
- Kugwiritsa ntchito njira zolerera zotchinga monga diaphragm, chikho, kapena siponji.
- Vuto la pakhungu, mwachitsanzo kudulidwa, kupsa, kuwira, kuluma ndi tizilombo, kapena bala pambuyo pa opaleshoni.
- Kuchitidwa opaleshoni posachedwapa, kutaya mimba, kapena kubereka kumene.
- Kuvala chogwirira cha m'mphuno ngati mankhwala a mphuno.
- Kukhala ndi matenda a pakhosi, matenda a Staphylococcal, kapena matenda a Streptococcal, monga impetigo kapena cellulitis.
Kodi chiŵerengero cha kupulumuka kuchokera ku TSS ndi chotani?
Matenda a Toxic shock syndrome
amatha kupha anthu 30% mpaka 70% ngati ali oopsa. Chifukwa chake, kuzindikira msanga ndi kulandira chithandizo ndiyo njira yokhayo yopezera zotsatira zabwino kwambiri.
Kodi ndiyenera kupita kwa dokotala liti?
Ngati muli ndi zizindikiro za toxic shock syndrome,
makamaka ngati mumagwiritsa ntchito ma tampons, muli ndi bala pakhungu, kapena mwangochitidwa opaleshoni posachedwapa, pitani kwa dokotala nthawi yomweyo. Pomaliza, uthenga wopita nawo kunyumba
Matenda a Toxic shock (TSS) ndi matenda osowa koma oopsa omwe amayamba chifukwa cha kuchuluka kwa mabakiteriya awiri ofala. Izi zimapangitsa kuti thupi litulutse poizoni, zomwe zingayambitse kulephera kwa ziwalo kapena imfa. Poyamba tinkaganiza kuti zimagwirizana ndi kugwiritsa ntchito tampon, tsopano tikudziwa kuti TSS ingakhudze aliyense, pa msinkhu uliwonse. Zizindikiro zazikulu za TSS ndi malungo mwadzidzidzi, zizindikiro zofanana ndi chimfine, kusokonezeka m'mimba, komanso kuthamanga kwa magazi.
Ngati muli ndi zizindikiro zilizonse za toxic shock syndrome, chonde pitani kwa dokotala nthawi yomweyo kapena pitani kuchipatala chadzidzidzi.Kuti mupeze zotsatira zabwino pogwiritsa ntchito TSS, chithandizo chachangu (maantibayotiki, madzi, ndi mankhwala ofunikira) n'chofunikira. Musachite mantha, koma ndikofunikira kudziwa izi.
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