Usenokuba awukaze uve ngeToxic Shock Syndrome (TSS). Kodwa yimeko engaqhelekanga, esongela ubomi. Yenzeka xa iintlobo ezithile zeebhaktheriya zingena emzimbeni kwaye iityhefu ezizivelisayo zingena egazini lethu. Oku kungonakalisa amalungu abalulekileyo njengentliziyo, isibindi, kunye nezintso. Nangona kudla ngokunxulunyaniswa nokusebenzisa ii-tampons ngexesha lokuya exesheni, i-TSS inokuchaphazela nabani na wanoma yimuphi ubudala. Amanxeba esikhumba, iindawo zotyando, ukugqobhoza impumlo, ukusikwa, kunye nokutsha nako kunokunyusa umngcipheko. Enyanisweni, isiqingatha sabo bahlakulela le meko abasayi exesheni.
Yintoni iToxic Shock Syndrome?
Ngamafutshane, i-toxic shock syndrome (TSS) yimeko eyenzeka ngequbuliso, enzima apho iityhefu eziveliswa ziintlobo ezithile zeebhaktheriya zingena egazini lethu kwaye zichaphazele yonke inkqubo yomzimba wethu. Ezi tyhefu zinokumisa nokusebenza kwamalungu abalulekileyo emizimbeni yethu. Cinga ngayo njengotshaba oluncinci olungena emzimbeni kwaye lubuthathaka lonke inqaba. Yiyo le nto iyenza ibe yingozi kuba
iimpawu zinokubonakala ngokukhawuleza kwaye zinokuba nzima ngokukhawuleza . Nangona kunjalo, ukuba iqatshelwa kwangethuba kwaye unyango olufanelekileyo luqalisiwe, uninzi lwabantu lunokuphila.
Ixhaphake kangakanani le meko ibizwa ngokuba yi-`TSS`?
I-TSS
yimeko engaqhelekanga kakhulu. Ichaphazela malunga nomntu omnye kwisigidi. Nangona ixhaphake kakhulu kwabasetyhini, inokuchaphazela nabani na, kuquka amadoda, abafazi, abantwana, kunye nabantu abadala. Kude kube yiminyaka yoo-1990, yayinxulunyaniswa kakhulu nabantu ababesebenzisa ii-tampons ezifunxa kakhulu ngexesha lokuya exesheni. Kodwa ngoku siyazi ukuba le ayisiyonto yodwa ebangela oku.
Zithini iimpawu ze-TSS? Ungazibona njani?
Iimpawu ze-TSS zivela
ngequbuliso kwaye
zingaba mandundu ngokukhawuleza . Iimpawu zingahluka kancinci ngokuxhomekeke kuhlobo lwebhaktheriya evelisa ityhefu. Nangona kunjalo, ezi zilandelayo ziimpawu eziqhelekileyo:
- Ngequbuliso, ufumana umkhuhlane ophezulu , umzimba wakho uzive ubanda kwaye uqhaqhazela, umzimba wakho uqaqamba, kwaye uzive ngathi unomkhuhlane.
- Isicaphucaphu nokuhlanza .
- Urhudo olumanzi ( urhudo ).
- Kuvela irhashalala ebomvu eluswini. Ingabonakala ngathi kukutsha lilanga, okanye ngamanye amaxesha ibonakale ngathi ngamabala amancinci abomvu .
- Ukudideka , ukuziva ujikeleza, okanye ukuphelelwa zingqondo kunokwenzeka.
- Uxinzelelo lwegazi luyehla (Hypotension).
- Amehlo aba bomvu (njengokosuleleka liliso - `iConjunctivitis`), umqala uba bomvu, kwaye kukho intlungu.
- Ulusu olusezintendeni nasezinyaweni luyaxobuka.
Kubaluleke kakhulu ukufuna ingcebiso kagqirha ngokukhawuleza ukuba ufumana enye okanye ngaphezulu kwezi mpawu, ingakumbi ukuba usebenzisa i-tampon.
Zithini izizathu ze-TSS?
I-Toxic shock syndrome idla ngokubangelwa zizinto ezibangelwa yintsholongwane eziveliswa yintsholongwane ethi ``Staphylococcus aureus`` (`staph infection`) kunye nethi ``Streptococcus pyogenes`` (`group A strep infection`). Intsholongwane ethi ``Clostridium sordellii`` nayo inokubangela oku, kodwa ayixhaphakanga kangako. Phantsi kweemeko eziqhelekileyo, ezi ntsholongwane zihlala zingenabungozi eluswini lwethu, emqaleni wethu, nasemilonyeni yethu. Nangona kunjalo, ngamanye amaxesha, ezinye iintlobo zezi ntsholongwane zanda ngokukhawuleza kwaye ziqale ukuvelisa ityhefu. Ngoku, khangela, xa usebenzisa i-tampon, intsholongwane ethi ``Staph`` inokunamathela ngaphakathi kwilungu lobufazi ize ingene kwisibeleko nge-cervix. Ukuba i-tampon ayitshintshwa rhoqo, ezi ntsholongwane zinokukhula kuyo. Kwakhona, ukusebenzisa ii-tampon ezifunxa kakhulu ngexesha lakho lokuya esikhathini kunokukhokelela ekukhuleni kwegciwane. Ii-tampon zinokubangela ukukrala okuncinci kwilungu lobufazi, okuvumela iintsholongwane ukuba zingene egazini. Nangona kunjalo, i-TSS ayibangelwa nje kukushiya i-tampon ixesha elide kakhulu. Oogqirha ngoku bayazi ukuba
nantoni na ehlala kwisini ixesha elide kunexesha elicetywayo inyusa umngcipheko we-TSS. Umzekelo:
- Iikepusi zomlomo wesibeleko
- Iisponji (iziponji zokuthintela ukukhulelwa)
- Iidiaphragms
- Iikomityi zokuya exesheni
Ukongeza kwezi, i-TSS inokwenzeka ukuba iintsholongwane zingena emzimbeni ngamanxeba avulekileyo, amanxeba, okanye imikrwelo. Ingabangelwa nazizifo zesikhumba, utyando, ukuzala, okanye ukupakishwa kweempumlo ukuze kumiswe ukopha.
Iintlobo eziphambili zeebhaktheriya ezibangela i-TSS
Njengoko bekutshiwo ngaphambili, ezi bhaktheriya zinoxanduva kakhulu kwezi zinto zilandelayo:
- I-Staphylococcus aureus (S. aureus okanye i-staph): Le ntsholongwane idla ngokubakho emizimbeni yethu. Ingangena egazini ngamanxeba esikhumba okanye imivumbo emincinci kwilungu lobufazi ebangelwa kukusebenzisa i-tampon.
- I-Streptococcus pyogenes (ekwaziwa ngokuba yi-S. pyogenes okanye i-group A strep): Olu hlobo lwebhaktheriya lubangela i-TSS kubantu abasandula ukuba nomphimbo obuhlungu, umkhuhlane obomvu, okanye ezinye izifo ezibangelwa yi-group A strep, njenge-impetigo.
- I-Clostridium sordellii (C. sordellii): Le ntsholongwane idla ngokufumaneka kwilungu lobufazi. Ingangena kwisibeleko ngexesha lokuya exesheni, ekubelekeni, okanye kwezinye iinkqubo zesini. Ukusetyenziswa kweziyobisi nge-intravenous kunokubangela usulelo lwe-C. sordellii.
Kuthatha ixesha elingakanani ukuphuhlisa i-'TSS' usebenzisa i-tampon?
Akukho xesha limiselweyo lokuba uza kuba ne-TSS nini emva kokusebenzisa i-tampon. Nangona kunjalo, ukunciphisa umngcipheko wakho we-TSS
, kufuneka uyisuse i-tampon yakho rhoqo emva kweeyure ezisibhozo. Oku akuthethi ukuba ukushiya i-tampon ngaphakathi iiyure ezingaphezu kwezisibhozo kuya kubangela i-TSS. Nangona kunjalo, izifundo zibonise ukuba ukushiya i-tampon ngaphakathi iiyure ezingaphezu kwezisibhozo kunokukhuthaza ukukhula kweebhaktheriya eziyingozi.
Kuthatha ixesha elingakanani ukuba iimpawu ze-TSS zibonakale?
Iimpawu zihlala zibonakala
ngequbuliso . I-TSS idla ngokuvela kwiintsuku ezimbalwa emva kokuba iintsholongwane zingene egazini. Nangona kunjalo, oku akuthethi ukuba uza kufumana i-TSS ngalo lonke ixesha xa une-staph okanye usulelo lwe-strep, okanye ngalo lonke ixesha une-tampon ixesha elingaphezulu kweeyure ezisibhozo.
Ngaba ii-sanitary pads zingabangela i-TSS?
Ewe, usenokufumana i-TSS nokuba usebenzisa ii-sanitary pads. Ayixhaphakanga kangako, kodwa ayinakwenzeka. Oku kungenxa yokuba unobangela wale meko ziintsholongwane, hayi i-tampon ngokwayo.
Ifunyaniswa njani i-TSS?
Nazi ezinye zeendlela oogqirha abazisebenzisayo ukuxilonga i-TSS:
- Uvavanyo lwegazi okanye lomchamo lwenziwa ukuze kufunyaniswe ukuba loluphi uhlobo lwebhaktiriya okanye intsholongwane ekhoyo.
- Ilungu lakho lobufazi liyahlolwa .
- Iisampuli zezicubu (ii-tissue cultures) zithathwa kwilungu lobufazi, umlomo wesibeleko, okanye emqaleni ukuze kuhlolwe ukuba kukho iStaphylococcus okanye iStreptococcus bacteria.
- Kwi-TSS engahambelani nokuya exesheni, iisampulu zezicubu zithathwa kwinxeba okanye kwindawo enesifo.
Ukuba iimpawu zakho zinzima okanye ukuba imeko yakho iba mandundu, ugqirha wakho angenza olu vavanyo ukujonga impilo yamanye amalungu omzimba:
- Iskeni ye-CT
- I-X-reyi yesifuba
- I-Spinal tap (okanye i-Lumbar Puncture)
Iphathwa njani i-TSS?
I-Toxic shock syndrome yimeko esongela ubomi, ngoko ke
idla ngokuphathwa esibhedlele.Okokuqala, ukuba ugqirha wakho ukrokrela ukuba yimbangela yetampon okanye isixhobo sokulawula ukuzalwa, uza kuyisusa kwilungu lakho lobufazi. Emva koko, uza kunikwa ulwelo lwe-IV kwaye unganikwa amayeza okunyusa uxinzelelo lwegazi ukuba luphantsi. Unyango oluqhelekileyo losulelo lwe-staphylococcus okanye i-streptococcus yi-antibiotics efakwa kwimithambo yegazi. Nangona ii-antibiotics zinokunceda ukulawula ukukhula kweebhaktheriya, azinakususa iityhefu esele ziqokelelene emzimbeni wakho. Unyango lwe-TSS lungabandakanya:
- Nyanga usulelo ngamayeza okubulala iintsholongwane .
- Ii-antibodies ezicociweyo ( `Immunoglobulin exutyiweyo` ) ezifunyenwe kwigazi lomnikeli ukunceda umzimba ukulwa nosulelo.
- Ioksijini ukuze kube lula ukuphefumla.
- Ulwelo lokuthintela ukuphelelwa ngamanzi emzimbeni kunye nokonakala kwamalungu omzimba.
- Amayeza okulawula uxinzelelo lwegazi.
- I-Dialysis ukuba izintso azisebenzi kakuhle.
- Utyando lokususa izicwili ezifileyo. Amaxesha amaninzi, ukususwa kwendawo echaphazelekayo kunokufuneka.
Zithini iingxaki ze-TSS ukuba azinyangwa?
I-Toxic shock syndrome
yimeko embi kakhulu, esongela ubomi . Iimpawu zinokuba mandundu ngokukhawuleza, ngoko ke kufuneka unyango olukhawulezileyo. Ukuba ayinyangwa, inokukhokelela
ekuthukeni, ukungasebenzi kakuhle kwezitho zomzimba, ukunqunyulwa kwamalungu omzimba, kwanokufa .
Kubalulekile: I-TSS ayisiyongxaki enokuzithintela. Unyango olukhawulezileyo luyimfuneko ukuthintela iingxaki ezinkulu.
Ungazikhusela njani kwi-TSS?
Zininzi izinto onokuzenza ukunciphisa umngcipheko wakho we-toxic shock syndrome. Ezinye zazo ziquka:
- Sebenzisa ii-napkin zangasese (ii-pad) endaweni yee-tampons ngexesha lokuya exesheni, okanye sebenzisa ii-pad ebusuku. Ukutshintshela kwii-pad endaweni yee-tampons yonke imihla, okanye kwiintsuku apho ukuhamba kwakho kokuya exesheni kukhulu, kunokunceda ukunciphisa umngcipheko.
- Tshintsha i-tampon yakho rhoqo emva kweeyure ezi-4 ukuya kwezi-8. Ukuba wopha kakhulu, kunokufuneka uyitshintshe rhoqo i-tampon yakho.
- Khetha i-tampon enomlinganiselo omncinci wokufunxa ofunekayo ukuze ukopha kwakho kuphume.
- Musa ukusebenzisa ii-tampons ngeentsuku ongekho ngazo exesheni.
- Gcina indawo yotyando icocekile ukuthintela usulelo. Bonana nogqirha wakho ukuba inxeba lidumba ngendlela engaqhelekanga, libomvu, okanye livakala lishushu.
- Landela imiyalelo echanekileyo xa usebenzisa izinto zokuthintela ukukhulelwa kwilungu lobufazi, ezifana neziponji, ii-cervical caps, kunye nee-diaphragms.
Abantu abasele benayo i-TSS baze baphila banamathuba amaninzi okuba nayo kwakhona. Ukuba ukhe waba nayo i-TSS ngaphambili, kungcono ukuphepha ukusebenzisa ii-tampons ngexesha lokuya exesheni.
Ngubani osengozini enkulu yokufumana i-TSS?
I-Toxic shock syndrome idla ngokunxulunyaniswa nokusetyenziswa kwee-tampons ezifunxa kakhulu. Abafazi abakwiminyaka yokuzala abasebenzisa ii-tampons ngexesha lokuya esikhathini basengozini enkulu. Nangona kunjalo, abafazi abangayi exesheni nabo banokufumana i-TSS. Abantu abaye batyandwa banokufumana i-TSS ngenxa yamanxeba aneentsholongwane. Ezinye izinto ezinobungozi ziquka ukuzala, utyando esibelekweni, kunye nokusetyenziswa kwezixhobo zokulawula ukuzalwa ezifana nee-diaphragms okanye ii-contraceptive sponges. Ezi zinto zinokunyusa umngcipheko wakho wokufumana i-TSS:
- Ukusebenzisa ii-tampons - ingakumbi ukuba uzigcina ixesha elide kunelo licetyisiweyo, okanye ukuba usebenzisa ii-tampons ezifunxa kakhulu okanye iikomityi zokuya exesheni.
- Ukusebenzisa izinto zokuthintela ukukhulelwa ezifana ne-diaphragm, ikomityi, okanye isiponji.
- Ingxaki yesikhumba, umzekelo , ukusikwa, ukutsha, ukubila, ukulunywa zizinambuzane, okanye inxeba emva kotyando.
- Ukuba usandul’ utyando, ukuba uphunyelwe sisisu, okanye ukuba usandul’ ukuzala.
- Ukunxiba ipakethe yempumlo njengonyango lokopha empumlweni.
- Ukuba nosulelo lomphimbo, usulelo lweStaphylococcal, okanye usulelo lweStreptococcal, olufana ne-impetigo okanye i-cellulitis.
Ingakanani izinga lokusinda kwi-TSS?
I-Toxic shock syndrome
inokubulala kwi-30% ukuya kwi-70% yamatyala ukuba inzima. Ke ngoko, ukuxilongwa kwangoko kunye nonyango yeyona ndlela ikuphela kwayo yokufumana iziphumo ezilungileyo.
Ndifanele ndimbone nini ugqirha?
Ukuba uneempawu ze-toxic shock syndrome,
ingakumbi ukuba usebenzisa ii-tampons, unesilonda sesikhumba, okanye usandul’ utyando, bonana nogqirha ngokukhawuleza. Okokugqibela, umyalezo oya ekhaya
I-Toxic shock syndrome (TSS) yimeko engaqhelekanga kodwa esongela ubomi ebangelwa kukukhula kakhulu kweentlobo ezimbini eziqhelekileyo zeebhaktheriya. Oku kubangela ukuba umzimba ukhuphe ityhefu, enokubangela ukungasebenzi kakuhle kwamalungu omzimba okanye nokufa. Ngaphambili kwakucingelwa ukuba inxulumene nokusetyenziswa kwe-tampon, ngoku siyazi ukuba i-TSS inokuchaphazela nabani na, nangaliphi na ixesha. Iimpawu eziphambili ze-TSS ngumkhuhlane okhawulezileyo, iimpawu ezifana nomkhuhlane, isisu esibuhlungu, kunye noxinzelelo lwegazi oluphantsi.
Ukuba uneempawu ze-toxic shock syndrome, nceda ubone ugqirha ngoko nangoko okanye uye kwigumbi longxamiseko.Ukuze ufumane iziphumo ezilungileyo nge-TSS, unyango olukhawulezileyo (ii-antibiotics, ulwelo, kunye namayeza afunekayo) lubalulekile. Musa ukoyika, kodwa kubalulekile ukuqaphela oku.
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