Yintoni i-sepsis? Ngaba umntwana wakho usemngciphekweni? Masifumanise ngokuqinisekileyo!

Mhlawumbi ukhe waliva okanye walibona igama elithi 'sepsis'. Ligama eloyikisayo, kodwa kubalulekile ukwazi ngalo, ingakumbi xa unabantwana abancinci. Ngamafutshane, i-sepsis yingxamiseko yezonyango apho amajoni omzimba wethu asabela ngokugqithisileyo kusulelo aze onakalise amalungu ethu omzimba.

Ngokulula nje, yintoni iSepsis?

Khawucinge nje, xa intsholongwane, oko kukuthi, usulelo, ingena emzimbeni wethu, inxalenye yomzimba wethu njengejoni, oko kukuthi, inkqubo yokuzikhusela komzimba , ilwa nolu sulelo, akunjalo? Oku kuqhelekile. Kodwa kwi-sepsis, okwenzekayo kukuba ukulwa kwale nkqubo yokuzikhusela komzimba kuyaphuma kancinci kulawulo, kube nzima kakhulu, kwaye kuqale ukonakalisa kungekuphela nje usulelo, kodwa neeseli ezilungileyo, izicubu, kunye namalungu omzimba wethu. Kufana nokuzidubula phakathi kwemfazwe.

Le meko inokubangela ukuba uxinzelelo lwegazi lwehle kakhulu , nto leyo esiyibiza ngokuba yi-"Septic Shock". Oku kuyingozi kakhulu ebomini. I-Sepsis ingonakalisa amalungu amakhulu anje ngezintso zethu, imiphunga, ingqondo, kunye nentliziyo , kwaye inokuchaphazela inkqubo yokujiya kwegazi. Ngamanye amaxesha inokukhokelela ekufeni. Yiyo loo nto i-sepsis ithathwa njengengxamiseko yezonyango efuna unyango olukhawulezileyo . Ukuba uyazibona iimpawu zayo kwangethuba, unokufumana unyango ngokukhawuleza kwaye uphephe ingozi enkulu.

Zithini iimpawu ze-sepsis? Uyibona njani?

Kulapho ke kuba nzima khona. Iimpawu ze-sepsis ngamanye amaxesha zinokufana kakhulu nezo zezifo eziqhelekileyo zabantwana ezifana nomkhuhlane okanye umkhuhlane. Ngoko ke ngamanye amaxesha kunokuba nzima ukuzazi.

Eyona nto ibalulekileyo kukuthembela kwiimvakalelo zakho zangaphakathi njengomama okanye utata. Ukuba umntwana wakho ubonakala egula kakhulu kunesiqhelo, okanye ukuba ubona into engaqhelekanga okanye eyahlukileyo, musa ukuyityeshela.

Uphawu olunye alwanelanga ukuqinisekisa ukuba unesifo se-sepsis . Nangona kunjalo, ukuba ubona ezinye zezi mpawu ngaxeshanye, kuya kufuneka ucinge ukuba isenokuba yi-sepsis:

• Umkhuhlane ophezulu, ukubanda, okanye ukwehla okukhulu kobushushu bomzimba.
• Ukuphefumla ngokukhawuleza, ukuphefumla okungenzulu (kubonakala ngathi kukuphefumla okunzima).
• Ukubetha kwentliziyo ngokukhawuleza, ngokungathi intliziyo isanda kuqalisa (oku kunokwenzeka nangona kungekho mkhuhlane).
• Ukubila, ukutshintsha kombala wolusu ( ukuba mfiliba , ukubonakala kwamabala kwiindawo ezithile).
• Umchamo ( umchamo)) Ukuncipha komthamo womchamo okanye ukuncipha kwenani lokuchama ngosuku.
• Ukuziva ulele kakhulu kunesiqhelo, kunzima ukuvuka, kunye nokudideka.
• Ukukhalaza ngentlungu yomzimba eqatha (iintsana ezingakwaziyo ukuthetha zinokukhala zingayeki).

Khawucinge nje, umntwana wakho unomkhuhlane kangangeentsuku ezimbini okanye ezintathu. Ukuphefumla kwakhe kuya kukhawuleza, akaseli ubisi, kwaye ulele nje. Kwimeko enjalo, ngokuqinisekileyo kuya kufuneka ubone ugqirha ngoko nangoko.

Kutheni kukho i-sepsis? Zithini izizathu?

I-Sepsis iqala ngosulelo emzimbeni olubangelwa yintsholongwane. Ezi ntsholongwane zinokuba ziibhaktheriya, iintsholongwane, iifungi, okanye iiparasite.

Ngokwesiqhelo, xa sinosulelo, umzimba wethu uvelisa iikhemikhali ezithile zokulwa nalo. Ezi khemikhali zihlala zisebenza kuphela kwindawo yosulelo. Kodwa kwi-sepsis, ezi khemikhali zingena egazini zize zisasazeke emzimbeni wonke, zonakalisa nezinye izitho eziphilileyo.

Ngubani osengozini enkulu yokufumana i-sepsis?

I-Sepsis inokuchaphazela nabani na wanoma yiphi na iminyaka, kodwa abanye abantu basengozini enkulu yokuba nayo. Ezi ziquka:

• Iintsana ezingaphantsi konyaka omnye ubudala , ingakumbi iintsana ezingaphantsi kwenyanga enye ubudala kunye neentsana ezizelwe ngaphambi kwexesha.
• Abantu abadala abangaphezu kweminyaka engama-65 ubudala.
• Abantu abaneengxaki zempilo ezingapheliyo (umz. isifo seswekile , isifo sentliziyo, isifo sezintso).
• Abantu abanesixhobo sonyango esifakwe emizimbeni yabo (umz., i-catheter okanye umgca we-IV wexesha elide).
• Abantu abasandula utyando okanye abafumene ingozi enkulu.
• Abantu abane-immune system ebuthathaka. Oko kuthetha abantu abane-HIV, abaguli abanomhlaza , okanye abo bathatha amayeza okunciphisa amajoni omzimba.

Oogqirha bayixilonga njani i-sepsis?

Akukho vavanyo luthile olunokukuxelela ngokuqinisekileyo ukuba umntu une-sepsis. Oogqirha basebenzisa indibaniselwano yembali yezonyango yesigulana, iimpawu, uvavanyo lomzimba, kunye novavanyo olwahlukeneyo ukuze babone ukuba banayo na i-sepsis.

Uvavanyo loku lungabandakanya:

• Uvavanyo lwelabhoratri: Izinto ezifana novavanyo lwegazi okanye uvavanyo lomchamo .
• Uvavanyo lwe-X-ray:Izinto ezifana ne-X-ray, ii-ultrasound scans, ii-CT scans.

Olu vavanyo lunceda ekuqinisekiseni ukuba loluphi usulelo olunokuba lubangele i-sepsis kunye nokuba kukho umonakalo owenziwe ngamalungu omzimba.

Ziziphi iindlela zonyango lwe-sepsis?

I-Sepsis inyangwa esibhedlele . Oku kuvumela oogqirha ukuba bajonge isigulana ngokusondeleyo. Abanye abantwana, ingakumbi abo baneengxaki ezinkulu, banokufuna ukungeniswa kwiYunithi yoKhathalelo lwaBantwana (i-PICU) ukuze bajongwe kwaye banyangwe ngokukodwa.

Isantya sentliziyo yesigulana kunye nokuphefumla kwayo kujongwa rhoqo. Uxinzelelo lwegazi nalo luthathwa njengento ebaluleke kakhulu. Ngamanye amaxesha kufakwa isixhobo esikhethekileyo esibizwa ngokuba yi-"Arterial Line" kwaye uxinzelelo lwegazi luhlala lulinganiswa ngaphakathi kwemithambo yegazi.

Njengonyango, amayeza okubulala iintsholongwane anikwa ngomgca we-intravenous (IV) ukulwa nosulelo. Oogqirha badla ngokuqala la mayeza okubulala iintsholongwane kwangoko xa kurhanelwa ukuba kukho i-sepsis, kwanangaphambi kokuba kuqinisekiswe ukuba uxilongo lukhona.

Kwakhona, ulwelo olufunekayo emzimbeni lunikwa ngemithambo yegazi (IV Fluids). Ukuba kuyimfuneko, amayeza abizwa ngokuba yiVasopressors nawo anikwa ukulawula uxinzelelo lwegazi. Abanye abantwana banokufuna ukunikwa igazi elongezelelweyo okanye ezinye izinto zegazi ngemithambo yegazi (Blood Transfusion). Oku kunceda igazi ukuba lijijeke kwaye lithwale ioksijini ngcono.

Ngamanye amaxesha, kusetyenziswa i-"IV Line" ekhethekileyo, efakwa kumthambo omkhulu obizwa ngokuba yi-"Central Line". Oku kuvumela ukuba amayeza afunekayo kunye nolwelo lunikwe umzimba ngokukhawuleza.

Abantwana abane-sepsis banokufuna uncedo lokuphefumla. Ukuba oku kuyenzeka, oogqirha banokubanika ioksijini okanye babadibanise nomatshini wokuphefumla obizwa ngokuba yi-"ventilator." Ukuba intliziyo nemiphunga ibuthathaka kakhulu ukuba inganika umzimba ioksijini eyaneleyo, unyango olukhethekileyo olubizwa ngokuba yi-"extracorporeal membrane oxygenation (ECMO)" lungasetyenziswa. Oku kubandakanya umatshini othatha umsebenzi wentliziyo nemiphunga okwethutyana, onika umzimba ixesha lokuchacha.

Ukuba izintso zonakele kwaye ziyeke ukuvelisa umchamo, umsebenzi wokucoca igazi ekufuneka wenziwe zizintso wenziwa ngumatshini we-dialysis.

Singabakhusela njani abantwana bethu (kunye nathi) kwi-sepsis? Ziziphi iindlela zokuthintela?

I-Sepsis ayinakuthintelwa rhoqo. Nangona kunjalo, ngokuzama ukuthintela usulelo, unokunciphisa umngcipheko wokuba ne-sepsis.

Yenza ezi zinto ukuze ukhusele abantwana bakho kwiintsholongwane:

• Nika abantwana bakho zonke izitofu zabo ngexesha elicwangcisiweyo. Ezi zinceda ekuthinteleni usulelo lweentsholongwane kunye neentsholongwane ezinokubangela i-sepsis .
• Khuthaza abantwana bakho ukuba bahlambe izandla zabo rhoqo baze bazenzele lo mkhwa.
• Ukuba unenxeba okanye umkrwelo emzimbeni wakho, licoce kakuhle uze ulifake amayeza. Kwakhona, soloko ujonga ukuba inxeba liyaphola kakuhle na.
• Ukuba umntwana wakho unesixhobo sezonyango (umz., i-catheter, umgca we-IV wexesha elide), landela imiyalelo kagqirha yokusigcina sicocekile kwaye sisetyenziswe.

Okona kubaluleke kakhulu, ukuba umntwana wakho uyagula kwaye akaphili, okanye ukuba kubonakala ngathi imeko yakhe iya isiba mandundu, bonana nogqirha okanye umse esibhedlele ngoko nangoko. Ukuba ugqirha unika amayeza okubulala iintsholongwane, mnike kanye njengoko eyalelwe, ixesha lonke.

"Ingaba oku kungenxa yesifo se-sepsis?" – Ungoyiki ukubuza ugqirha! (Umyalezo oya ekhaya)

Njengoko besitshilo ngaphambili, into ocinga ukuba ibaluleke kakhulu. Ukuba umntwana wakho ubonakala egula kakhulu kunesiqhelo, okanye ukuba usulelo olusele lunyangwa lubonakala lusiba mandundu kwaye lungaphucuki, funa ingcebiso kagqirha ngokukhawuleza.

Xa ubona ugqirha, ungaze woyike okanye ungathandabuzi ukubuza, "Gqirha, ingaba le yi-sepsis?" Umazi kakuhle umntwana wakho. Ukuba uyibona kwangethuba le meko, kukho ithuba elikhulu lokuba ubomi bomntwana bungasindiswa ngonyango olukhawulezileyo. Ngoko ke, ukuba unamathandabuzo, ngokuqinisekileyo thetha nogqirha ngayo. Leyo yeyona nto ilungileyo onokuyenza kumntwana wakho.

I- Sepsis, i-Sepsis, i-Sepsis ebantwaneni, Iintsholongwane, Inkqubo yomzimba yokuzikhusela, Ingxamiseko yezonyango, Iimpawu ze-Sepsis