Ngaba wakha weva ukuba iintsholongwane, okanye iintsholongwane, zinokungena egazini lethu? Ngamanye amaxesha, kwanesilonda esincinci, ukuba asinyanyekelwa kakuhle, sinokuba yingxaki enkulu. Yiyo loo nto ngokwezonyango sizibiza ngokuba ziintsholongwane ezingena egazini, 'iBacteremia.' Abanye abantu bayibiza ngokuba yi-'Bloodstream Infection (BSI)', kwaye ookhokho bethu bayibiza ngokuba yi-'blood poisoning'.
Yintoni iBacteremia? Ngamafutshane...
Ngamafutshane,
i-bacteremia kukubakho kweebhaktheriya egazini lakho. Ngokwesiqhelo, igazi lethu licocekile kakhulu. Akukho ndlela yokuba naziphi na iibhaktheriya okanye ezinye iintsholongwane zibe kulo. Nangona kunjalo, ngezizathu ezahlukeneyo, ezi bhaktheriya zinokungena egazini. Ngokuqhelekileyo, oku kwenzeka ngamanxeba eluswini. Khawuthelekelele ukuba unenxeba elincinci, inxeba, okanye ukutsha okuncinci. Kulapho iibhaktheriya zinokungena khona egazini.
Ingaba oku kungaba yinto enzulu kangakanani?
I-bacteremia
ngamanye amaxesha inokuba yimeko enzulu kakhulu. Inokuba yingozi kakhulu kubantu abaneenkqubo zomzimba ezibuthathaka, oko kukuthi abo imizimba yabo ingakwaziyo ukulwa nezifo (umzekelo, abantu abanezifo ezingapheliyo ezifana nesifo seswekile, izigulane ezinomhlaza, okanye abantu abadala nabantwana abancinci). Oku kungenxa yokuba imizimba yabo inengxaki yokulwa nokulawula ezi ntsholongwane. Ukuba ayinyangwa, le meko inokukhokelela kwiintsholongwane kwezinye iindawo zomzimba.
Ngaba i-bacteria inokubangela nokufa?
Ewe, oku kuyadanisa ukuva, kodwa kuyinyani.
Ukuba ayinyangwa kakuhle, imeko ebizwa ngokuba yi-'Bacteremia' ingaguquka ibe yimeko eyingozi kakhulu ebizwa ngokuba yi-'Sepsis'. I-'Sepsis' yimeko apho amalungu omzimba wethu eyeka ukusebenza, kwaye ngamanye amaxesha ade akhokelele ekufeni. Yiyo loo nto kubaluleke kakhulu ukukwazi oku.
Zithini iimpawu zoku?
Iindaba ezimnandi zezokuba uninzi lwexesha, inkqubo yethu yokuzikhusela komzimba ikrelekrele kakhulu. Kwangoko nje iintsholongwane zingena egazini, ziyazibona zize zizisuse. Kwimeko enjalo, usenokungabi nazimpawu konke konke, okanye usenokuba
nomkhuhlane omncinci kuphela . Nangona kunjalo, ukuba inkqubo yakho yokuzikhusela yomzimba ayikwazi ukulawula ezi ntsholongwane, okanye ukuba ziba nzima, njenge-sepsis okanye i-septic shock, unokufumana iimpawu ezifana nezi:
Ukuba uneempawu ezinje, kungcono ukubona ugqirha ngokukhawuleza.
Kutheni le nto ibangela le bacteremia?
I-bacteremia inokubangelwa ziintlobo ezahlukeneyo zeebhaktheriya.
Zeziphi iintlobo zeebhaktheriya ezibangela oku?
Nantsi eminye imizekelo:
- `I-Bacillus cereus (i-Bacillus cereus - i-B. cereus)`
- I-Escherichia coli (E. coli) (Oku kunokudluliselwa ngokutya esikutyayo)
- `Iintsholongwane zePneumococcal`
- ' I-Salmonella' (Oku kungadluliselwa ngezinto ezinje ngokutya okungcolileyo namaqanda )
- I-Staphylococcus aureus (i-staph) ineentlobo eziyingozi ezibizwa ngokuba yi-methicillin-resistant Staphylococcus aureus (MRSA) kunye ne-methicillin-susceptible Staphylococcus aureus (MSSA).
Ezi bhaktheriya zingena njani emzimbeni?
Kukho iindlela ezahlukeneyo ezi bhaktheriya ezinokungena ngazo emizimbeni yethu:
- Ukusikwa nokukrweleka eluswini: Khawuthelekelele usiwa uze ukrweleke kancinci ngelixa udlala. Okanye usika isandla sakho kwimela ekhitshini.
- Ukutsha: Nokuba kukutsha okuncinci kunokuvumela iintsholongwane ukuba zingene.
- Ukuxubha amazinyo akho kakhulu okanye ukuxubha amazinyo kakhulu: Ngamanye amaxesha, ukuba sixubha amazinyo ethu kakhulu, iintsini zethu zinokopha. Kwanenxeba elincinci elinjalo linokuvumela iintsholongwane ukuba zingene egazini.
- Ukhathalelo lwamazinyo: Kukho umngcipheko omncinci xa kufikwa kwizinto ezifana nokukhupha amazinyo kunye nokucoca amazinyo.
- Iinkqubo zonyango: Le ngozi ikhona ngexesha lotyando, ukufakwa kwe-catheter, ukufakwa kwetyhubhu yokuphefumla, okanye ukunikela ngegazi.
- Ukusebenzisa kwakhona inaliti efanayo okanye ukusebenzisa iinaliti ezisetyenziswe ngabanye abantu: Oku kuyingozi kakhulu. Kuqhelekile phakathi kwabasebenzisi beziyobisi.
Eyona nto ibalulekileyo kukuba, ungalihoyi nenxeba elincinci. Kubaluleke kakhulu ukulicoca nokulinyamekela ngokufanelekileyo.
Ziziphi ezinye iingxaki ezinokubakho ngenxa yebhaktheriya?
Ukuba i-bacteremia ayinyangwa kakuhle, i-bacteria ingahamba ngegazi iye kwezinye iindawo zomzimba ize ibangele ezinye izifo. Umzekelo:
- I-Cellulitis: Olu luhlobo losulelo lolusu.
- I-Endocarditis: Usulelo lwengaphakathi lentliziyo.
- I-Meningitis: Usulelo lwe-membranes egqume ubuchopho kunye nomqolo (olubizwa ngokuba yi-"brain fever").
- I-Osteomyelitis: Usulelo lwamathambo.
- I-Peritonitis: Usulelo lodonga lwangaphakathi lwesisu.
- I-Pneumonia: Usulelo lwemiphunga.
Zonke ezi ziimeko ezinzulu, ngoko ke i-bacteremia ayisiyonto yokuyithatha lula.
Uyixilonga njani le nto?
Ukuba ukrokrela ukuba une-bacteremia, kufuneka ubone ugqirha. Uza kukuhlola ngokwasemzimbeni aze akubuze ngeempawu zakho. Baza kukubuza imibuzo malunga nokuba unexesha elingakanani unale mpawu. Emva koko, baza kuyalela iimvavanyo ezininzi ukuqinisekisa ukuba unayo na i-bacteremia.
Luhlobo luni lovavanyo oluqhutywayo?
Amaxesha amaninzi
, uvavanyo lokukhula kweebhaktheriya luyenziwa. Oku kuquka ukuthatha isampuli yolwelo lomzimba wakho uze uluvavanye kwilebhu ukuze kubonwe ukuba kukho na iibhaktheriya kuzo. Uvavanyo olufana nolu lunokwenziwa:
- Uvavanyo lwegazi: Kuthathwa igazi elincinci kumthambo osengalweni yakho ngenaliti encinci.
- Uvavanyo lwe-sputum: I-sputum yincindi etyebileyo nenemibala ephuma ngaphakathi emiphungeni. Uza kucelwa ukuba uphefumle nzulu uze ukhohlele i-sputum kwibhotile ekhethekileyo.
- Uvavanyo lomchamo (`Uvavanyo lomchamo`): Isampulu yomchamo wakho iqokelelwa kwibhotile ekhethekileyo.
- Ukukhula kwenxeba: Ukuba unenxeba elosulelekileyo, elisikiweyo, elitshileyo, okanye elinomphunga, kuya kuthathwa isampuli yobomvu okanye ulwelo kuyo.
Olu vavanyo lunokufumanisa ukuba iintsholongwane zikhona na egazini okanye kwenye indawo, kwaye ukuba kunjalo, zeziphi iintlobo zeentsholongwane. Ngamanye amaxesha, ugqirha wakho unokucebisa ukuba kwenziwe ii-X-ray, i-CT scan, okanye i-ultrasound scan ukuze kufunyanwe ukuba ikuphi na intsholongwane emzimbeni wakho.
Ngaba iBacteremia inganyangeka?
Ewe, ngokuqinisekileyo! Kukho unyango olufanelekileyo lwe-'Bacteremia'. Eyona nto ibalulekileyo
kukuqala unyango ngokukhawuleza ukuba uneempawu. Ugqirha wakho uza kukunika
amayeza okubulala iintsholongwane ukunyanga usulelo.Ii-antibiotics zimiselwe ukubulala iintsholongwane ezingene egazini. Ngamanye amaxesha, ukuba ugqirha wakho ukrokrela ukuba i-bacteremia yakho ibangelwa sisixhobo sezonyango (esifana ne-catheter), isixhobo sinokususwa. Ukuba unethumba, ubomvu bunokufuneka bukhutshwe.
Ndingaphila ngokukhawuleza kangakanani emva kokuthatha amayeza?
Uza kuqala ukuziva ungcono kwiintsuku ezimbalwa emva kokuba uqalise ukusebenzisa amayeza okubulala iintsholongwane. Ukungonwabi kunye nomkhuhlane kuya kuphela.
Nangona kunjalo, eyona nto ibalulekileyo apha kukuba nokuba uzive uphilile, kufuneka uthathe amayeza okubulala iintsholongwane kangangeentsuku zonke kwaye ube nomlinganiselo ochanekileyo ochazwe ngugqirha. Musa ukuyeka phakathi!
Ukuba uyayeka ukuyisebenzisa, i-bacteremia ingabuya. Emva koko, inokuba nzima kakhulu kunangaphambili, kwaye kukho ithuba elikhulu lokuba ikhule ibe yimeko ebizwa ngokuba yi-sepsis. Kwakhona, ukuba iyabuya, kunokuba nzima ukunyanga. Ukuba uphoswe yidosi yamayeza, yithathe ngokukhawuleza xa ukhumbula.
Yintoni onokuyilindela ukuba une-bacteremia?
Ukuba ufumana unyango ngokukhawuleza, ungalindela ukubona ukwehla kwenani lamatyala e-'Bacteremia'. Emva kweveki okanye ezimbini zokuqala 'ii-Antibiotics', usulelo luya kuba luphelile ngokupheleleyo emzimbeni wakho. Nangona kunjalo, ukuba alunyangwa, lunokuba yimeko enzima. Ngoko ke, ukuba uneempawu zosulelo, bona ugqirha.
Ngaba oku kungathintelwa ukuba kwenzeke?
Ewe, singakuthintela kakhulu oku ukuba kungenzeki.
Eyona ndlela ilungileyo kukuhlamba izandla zethu kakuhle ngesepha namanzi rhoqo size sigcine nawaphi na amanxeba esikhumba ecocekile.- Ukuba ufumana umkrwelo omncinci, unqunyulwe, okanye utshiswe, yihlambe kakuhle ngesepha namanzi abulala iintsholongwane ngoko nangoko.
- Emva koko, thambisa inxeba kancinci ngetawuli okanye ilaphu elicocekileyo.
- Okulandelayo, faka amafutha anjengeNeosporin® okanye iAquaphor® eluswini uze ugqume inxeba ngebhandeji ecocekileyo.
Ezi zinto zilula zinokwenza umahluko omkhulu.
Ndingazinyamekela njani ukuba ndine-bacteremia?
Xa une-bacteremia, ungaziva ungaphilanga kakuhle. Ukuba inkqubo yakho yokuzikhusela yomzimba inamandla, iintsholongwane zinokususwa emzimbeni wakho ngaphandle konyango (kodwa kungcono ukubona ugqirha). Nangona kunjalo, ungenza ezi zinto ukuze uzinyamekele:
- Lala kakuhle ubuncinane iiyure ezisixhenxe ubusuku ngabunye.
- Sela amanzi amaninzi.
- Yitya ukutya okunesondlo (yongeza iziqhamo nemifuno emininzi ekutyeni kwakho).
Ezi zinto zinika umzimba wakho amandla okulwa nesifo.
Ufanele uye nini kugqirha?
Ukuba uneempawu zebhaktheriya,
ingakumbi ukuba zihlala iintsuku ezingaphezu kweentsuku ezimbalwa, qiniseka ukuba ubona ugqirha.Kwakhona, ukuba iimpawu zakho aziphucuki emva kweentsuku ezimbalwa zokuqala unyango, yazisa ugqirha wakho.
Kufuneka uye nini kwiYunithi yoNyango oluNgxamisekileyo (i-ETU)?
Ukuba uneempawu ze-sepsis, i-septic shock, okanye olunye usulelo olunzima, kufuneka uye kwigumbi likaxakeka kwisibhedlele esikufutshane nawe ngoko nangoko. Ezi mpawu ziquka:
- Ukuba umkhuhlane ungaphezulu kwama-39.4 degrees Celsius (103 degrees Fahrenheit).
- Ukuba uziva udidekile okanye udidekile.
- Ukuba intliziyo ibetha ngokukhawuleza kakhulu.
- Ukuba unengxaki yokuphefumla (ukuphelelwa ngumphefumlo).
- Ukuba kukho intlungu okanye ukungakhululeki okunganyamezelekiyo.
Akulunganga ukufika emva kwexesha ngexesha elinje.
Ndingayibuza yiphi imibuzo ugqirha wam?
Xa usiya kugqirha, kungcono ukubuza le mibuzo:
- Ndiyifumene njani i-bacteremia?
- Loluphi uhlobo lwebhaktheriya olubangele oku?
- Ndingenza ntoni ukuze ndithintele ukukhula kwebhaktheriya kwixesha elizayo?
- Ucebisa luphi uhlobo lonyango lokubulala iintsholongwane?
- Ngaba kukho imiyalelo ekhethekileyo endifanele ndiyilandele xa ndithatha la mayeza okubulala iintsholongwane?
- Kuza kuthatha ixesha elingakanani ukuba ndiphile?
- Ngaba kufuneka ndibuye kwixesha lokulandela amadinga?
- Ndingenza ntoni ukunciphisa iimpawu zam ngelixa ndisekhaya?
Xa uzazi iimpendulo zale mibuzo, uya kuyiqonda ngcono imeko okuyo.
Ngaba iBacteremia kunye neSepsis zizinto ezifanayo?
Nangona 'iBacteremia' kunye 'neSepsis' ziimeko ezimbini ezinxulumeneyo, azifani.
- I-bacteremia kukubakho kweebhaktheriya egazini lakho.
- Ukuba ayinyangwa, imeko ethi 'Bacteremia' inokukhula ibe yi 'Sepsis'.
- I-Sepsis kuxa inkqubo yomzimba wakho yokuzikhusela isabela kakhulu kwiibhaktheriya ezisegazini lakho ize iqalise ukonakalisa iiseli kunye namalungu omzimba asempilweni. Oku kubangela ukudumba emzimbeni wakho wonke.
Ngamafutshane, i-'Bacteremia' ithetha ukungena komhlaseli (ibhaktheriya). I-'Sepsis' kuxa umkhosi womzimba (inkqubo yomzimba yokuzikhusela) ulwa ngendlela ephambeneyo nomhlaseli, utshabalalisa ilizwe lawo (umzimba).
Yintoni umahluko phakathi kweBacteremia kunye neSepticemia?
Usenokuba ukhe weva igama elithi ``Septicemia```
I-Septicemia yimeko embi kakhulu kune ``Bacteremia``.Ukuba une-'septicemia', kusekho iibhaktheriya egazini, kodwa ezo bhaktheriya 'ziyanda' ngokukhawuleza kwaye ziqalile ukusasazeka kwezinye iindawo zomzimba. Le yimeko enobungozi enokubangela i-'sepsis'. Kwi-'bacteremia', nokuba iibhaktheriya zikhona egazini, zisenokungabangeli zimpawu, kwaye inkqubo yomzimba yokuzikhusela inokuyisusa ngokwayo. Nangona kunjalo, ukuba kuvela iimpawu, kufuneka ubone ugqirha ngoko nangoko. Ukuba ayinyangwa, inokuba lusulelo olukhulu.
Okokugqibela, izinto ekufuneka uzikhumbule
Ngoko ke, ndiyathemba ukuba ngoku uyiqonda ngcono i-'Bacteremia'. Khumbula, nangona oku kunokuba yingozi ngamanye amaxesha, yimeko enokunyangeka ukuba ifunyaniswe kwangethuba kwaye inyangwa ngokufanelekileyo.
- Musa ukuyityeshela nenxeba elincinci. Licoce kakuhle kwaye ulinyamekele.
- Ukuba kukho iimpawu zosulelo, musa ukulibazisa ukufuna ingcebiso kagqirha.
- Sela amayeza okubulala iintsholongwane amiselwe ngugqirha wakho ngokupheleleyo kwaye ixesha lonke.
- Ungazikhusela kwezi ntlobo zosulelo ngokulandela imikhwa elula yococeko, njengokuhlamba izandla zakho rhoqo.
Lumka impilo yakho!
I-bacteremia, i-bacteremia, ityhefu egazini, usulelo lwegazi, i-Sepsis, iintsholongwane, amayeza okubulala iintsholongwane, iimpawu
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