Wake wezwa ukuthi amagciwane, noma amabhaktheriya, angangena egazini lethu? Ngezinye izikhathi, ngisho nesilonda esincane, uma singanakekelwa kahle, singaba yinkinga enkulu. Yileyo ndlela ngokwezokwelapha esibiza ngayo amabhaktheriya angena egazini ngokuthi, 'i-Bacteremia.' Abanye abantu bakubiza ngokuthi 'i-Bloodstream Infection (BSI)', kanti okhokho bethu bakubiza ngokuthi 'i-blood poisoning.'
Iyini i-Bacteremia? Kalula nje...
Kalula nje,
i-bacteremia ukuba khona kwamagciwane egazini lakho. Ngokuvamile, igazi lethu lihlanzekile kakhulu. Ayikho indlela yokuthi noma yimaphi amagciwane noma amanye amagciwane angaba khona kulo. Kodwa-ke, ngezizathu ezahlukahlukene, la magciwane angangena egazini. Ngokuvamile, lokhu kwenzeka ngamanxeba esikhumbeni. Cabanga ukuthi unenxeba elincane, unxeba, noma ukusha okuncane. Yilapho amagciwane angangena khona egazini.
Lokhu kungaba yinto engathi sína kangakanani?
I-bacteremia
ngezinye izikhathi ingaba yisimo esibi kakhulu. Kungaba yingozi kakhulu kubantu abanamasosha omzimba abuthakathaka, okusho labo imizimba yabo engakwazi ukulwa nezifo (isibonelo, abantu abanezifo ezingamahlalakhona njengesifo sikashukela, iziguli ezinomdlavuza, noma asebekhulile nezingane ezincane). Lokhu kungenxa yokuthi imizimba yabo iba nesikhathi esinzima sokulwa nokulawula la magciwane. Uma ingelashwa, lesi simo singaholela ekuthelelekeni kwezinye izingxenye zomzimba.
Ingabe i-bacteremia ingabangela ngisho nokufa?
Yebo, lokhu kuyadabukisa ukuzwa, kodwa kuyiqiniso.
Uma kungelashwa kahle, isimo esibizwa ngokuthi 'i-Bacteremia' singaphenduka isimo esiyingozi kakhulu esibizwa ngokuthi 'i-Sepsis'. I-'Sepsis' yisimo lapho izitho zomzimba wethu zihluleka khona kancane kancane, futhi ngezinye izikhathi zize ziholele ekufeni. Yingakho kubaluleke kakhulu ukuqaphela lokhu.
Ziyini izimpawu zalokhu?
Izindaba ezinhle ukuthi isikhathi esiningi, amasosha omzimba wethu ahlakaniphe kakhulu. Lapho nje amabhaktheriya engena egazini, ayawabona futhi awasuse. Uma kunjalo, ungase ungabi nazimpawu nhlobo, noma ungase
ube nomkhuhlane omncane kuphela . Kodwa-ke, uma amasosha omzimba wakho engakwazi ukulawula la magciwane, noma uma eba mabi kakhulu, njenge-sepsis noma i-septic shock, ungase ube nezimpawu ezifana nalezi:
Uma unezimpawu ezinjengalezi, kungcono ukubona udokotela ngokushesha okukhulu.
Kungani kwenzeka le bacteremia?
I-bacteremia ingabangelwa izinhlobo ezahlukene zamagciwane.
Yiziphi izinhlobo zamagciwane ezibangela lokhu?
Nazi ezinye izibonelo:
- `I-Bacillus cereus (i-Bacillus cereus - i-B. cereus)`
- I-Escherichia coli (E. coli) (Lokhu kungadluliselwa futhi ngokunye kokudla esikudlayo)
- `Amagciwane e-pneumococcal`
- I- Salmonella (Lokhu kungadluliselwa futhi ngezinto ezifana nokudla okungcolile namaqanda )
- I-Staphylococcus aureus (i-staph) inezinhlobo eziyingozi ezibizwa ngokuthi i-Staphylococcus aureus (MRSA) engamelana ne-methicillin kanye ne-Staphylococcus aureus (MSSA) ethinteka yi-methicillin.
Lawa mabhaktheriya angena kanjani emzimbeni?
Kunezindlela eziningana la magciwane angangena ngazo emizimbeni yethu:
- Ukusikeka nokuklwebheka esikhumbeni: Zicabange uwile bese uthola imihuzuko encane ngenkathi udlala. Noma usika isandla sakho emmeseni ekhishini.
- Ukusha: Ngisho nokusha okuncane kungavumela amagciwane ukuthi angene.
- Ukuxubha amazinyo akho kakhulu noma ukuxubha amazinyo kakhulu: Ngezinye izikhathi, uma sixubha amazinyo ethu kakhulu, izinsini zethu zingopha igazi. Ngisho nesilonda esincane esinjalo singavumela amagciwane ukuthi angene egazini.
- Ukunakekelwa kwamazinyo: Kunengozi encane uma kukhulunywa ngezinto ezifana nokukhishwa kwamazinyo nokuhlanza amazinyo.
- Izinqubo zezokwelapha: Le ngozi ikhona ngesikhathi sokuhlinzwa, ukufakwa kwe-catheter, ukufakwa kwepayipi lokuphefumula, noma ukunikela ngegazi.
- Ukusebenzisa kabusha inalithi efanayo noma ukusebenzisa inalithi ezisetshenziswe abanye: Lokhu kuyingozi kakhulu. Kuvamile phakathi kwabasebenzisi bezidakamizwa.
Into ebaluleke kakhulu ukuthi, ungalishayi indiva ngisho nesilonda esincane. Kubaluleke kakhulu ukusihlanza nokusinakekela kahle.
Yiziphi ezinye izinkinga ezingaba khona ngenxa ye-bacteremia?
Uma i-bacteremia ingelashwa kahle, amabhaktheriya angahamba egazini aye kwezinye izingxenye zomzimba futhi abangele ezinye izifo. Isibonelo:
- I-cellulitis: Lokhu ukutheleleka kwesikhumba.
- I-Endocarditis: Ukutheleleka kolwelwesi lwangaphakathi lwenhliziyo.
- I-Meningitis: Ukutheleleka kwezicubu ezimboze ubuchopho nomgogodla (okubizwa nangokuthi "umkhuhlane wobuchopho").
- I-Osteomyelitis: Ukutheleleka kwamathambo.
- I-Peritonitis: Ukutheleleka kodonga lwangaphakathi lwesisu.
- I-pneumonia: Ukutheleleka kwamaphaphu.
Zonke lezi yizimo ezibucayi, ngakho-ke i-bacteremia akuyona into okufanele ithathwe kalula.
Ukuthola kanjani lokhu?
Uma usola ukuthi une-bacteremia, kufanele ubonane nodokotela. Uzokuhlola ngokomzimba futhi akubuze ngezimpawu zakho. Bazokubuza imibuzo mayelana nokuthi usunesikhathi esingakanani unalezi zimpawu. Bese, bazoyala ukuhlolwa okuningana ukuqinisekisa ukuthi unayo yini i-bacteremia.
Hlobo luni lokuhlolwa okwenziwayo?
Ngokuvamile
, kwenziwa ukuhlolwa kokukhula kwamagciwane . Lokhu kuhilela ukuthatha isampula yoketshezi lomzimba wakho bese uluhlola elebhu ukuze kubonakale ukuthi akhona yini amagciwane kuwo. Ukuhlolwa okufana nalokhu kungenziwa:
- Ukuhlolwa kwegazi: Kuthathwa igazi elincane emthanjeni osengalweni yakho ngenaliti encane.
- Ukuhlolwa kwe-sputum: I-sputum iwuketshezi olujiyile nolunombala oluvela ngaphakathi emaphashini. Uzocelwa ukuba uphefumule ngokujulile bese ukhwehlela i-sputum uyifake ebhodleleni elikhethekile.
- Ukuhlolwa komchamo (`Ukuhlolwa komchamo`): Isampula yomchamo wakho iqoqwa ebhodleleni elikhethekile.
- Ukukhula kwezilonda: Uma unenxeba elithelelekile, ukusika, ukusha, noma ithumba, kuzothathwa isampula yobomvu noma uketshezi kulo.
Lokhu kuhlolwa kungathola ukuthi amagciwane akhona yini egazini noma kwenye indawo, futhi uma kunjalo, ukuthi aluhlobo luni lwamagciwane. Ngezinye izikhathi, udokotela wakho angase futhi ancome ama-X-ray, i-CT scan, noma i-ultrasound scan ukuze athole ukuthi ukutheleleka kukuphi emzimbeni wakho.
Ingabe i-Bacteremia ingelapheka?
Yebo, impela! Kunezindlela zokwelapha ezinhle ze-'Bacteremia'. Into ebaluleke kakhulu
ukuqala ukwelashwa ngokushesha okukhulu uma unezimpawu. Udokotela wakho uzokunikeza
ama-antibiotic ukwelapha ukutheleleka.Kunikezwa ama-antibiotic ukubulala amagciwane angene egazini. Ngezinye izikhathi, uma udokotela wakho esola ukuthi i-bacteremia yakho ibangelwa yidivayisi yezokwelapha (njenge-catheter), idivayisi ingasuswa. Uma unethumba, ubomvu kungadingeka bukhishwe.
Ngizolulama ngokushesha kangakanani ngemva kokuthatha umuthi?
Uzoqala ukuzizwa ungcono ezinsukwini ezimbalwa ngemuva kokuqala ukusebenzisa ama-antibiotic. Ukungakhululeki kanye nomkhuhlane kuzophela.
Kodwa-ke, into ebaluleke kakhulu lapha ukuthi noma uzizwa uphilile, kufanele uthathe ama-antibiotic izinsuku zonke futhi ube nomthamo oqondile obekwe udokotela. Ungayeki phakathi!
Uma uyeka ukuyisebenzisa, i-bacteremia ingabuya. Ngemuva kwalokho, ingaba nzima kakhulu kunangaphambili, futhi kunethuba elikhulu lokuthi ikhule ibe yisimo esibizwa ngokuthi i-sepsis. Futhi, uma ibuye, kungaba nzima kakhulu ukuyelapha. Uma uphuthelwa umthamo wemithi, yithathe ngokushesha nje lapho ukhumbula.
Yini ongayilindela uma une-bacteremia?
Uma uthola ukwelashwa ngokushesha, ungalindela ukubona ukwehla kwenani lamacala e-'Bacteremia'. Ngemva kwesonto noma amabili okuqala 'Ama-Antibiotics', ukutheleleka kuzobe sekuphelile ngokuphelele emzimbeni wakho. Kodwa-ke, uma kungelashwa, kungaba yisimo esibi kakhulu. Ngakho-ke, uma unezimpawu zokutheleleka, bona udokotela.
Ingabe lokhu kungavinjelwa ukuthi kwenzeke?
Yebo, singakuvimbela kakhulu lokhu ukuthi kungenzeki.
Indlela engcono kakhulu ukugeza izandla zethu kahle ngensipho namanzi njalo nokugcina noma yimaphi amanxeba esikhumba ehlanzekile.- Uma uthola ukuklwebheka okuncane, ukusikwa, noma ukusha, kugeze kahle ngensipho namanzi abulala amagciwane ngokushesha.
- Bese, shaya inxeba kancane ngethawula noma indwangu ehlanzekile.
- Okulandelayo, faka amafutha okugcoba, njengeNeosporin® noma i-Aquaphor®, esikhumbeni bese umboza inxeba ngebhandeji elihlanzekile.
Lezi zinto ezilula zingenza umehluko omkhulu.
Ngingazinakekela kanjani uma ngine-bacteremia?
Uma une-bacteremia, ungase uzizwe ungaphilile kahle. Uma amasosha omzimba wakho enamandla, amagciwane angasuswa emzimbeni wakho ngaphandle kokwelashwa (kodwa kungcono ukubona udokotela). Kodwa-ke, ungenza lezi zinto ukuze uzinakekele:
- Lala kahle okungenani amahora ayisikhombisa njalo ebusuku.
- Phuza amanzi amaningi.
- Yidla ukudla okunomsoco (engeza izithelo nemifino eminingi ekudleni kwakho).
Lezi zinto zinika umzimba wakho amandla okulwa nalesi sifo.
Kufanele ubonane nini nodokotela?
Uma unezimpawu ze-bacteremia,
ikakhulukazi uma zihlala izinsuku ezingaphezu kwezimbalwa, qiniseka ukuthi ubona udokotela.Futhi, uma izimpawu zakho zingathuthuki ngemva kwezinsuku ezimbalwa zokuqala ukwelashwa, yazisa udokotela wakho.
Kunini lapho kudingeka uye e-Emergency Treatment Unit (ETU)?
Uma unezimpawu ze-sepsis, i-septic shock, noma olunye ukutheleleka okukhulu, kufanele uye egumbini lezimo eziphuthumayo esibhedlela esiseduze nawe ngokushesha. Lezi zimpawu zifaka:
- Uma umkhuhlane ungaphezu kwama-degree Celsius angu-39.4 (ama-degree Fahrenheit angu-103).
- Uma uzizwa udidekile noma udidekile.
- Uma inhliziyo ishaya ngokushesha okukhulu.
- Uma unenkinga yokuphefumula (ukuphefumula kancane).
- Uma kukhona ubuhlungu noma ukungakhululeki okungabekezeleleki.
Akukuhle ukufika sekwephuzile ngesikhathi esinjengalesi.
Yimiphi imibuzo okufanele ngiyibuze udokotela wami?
Uma uya kudokotela, kuwumqondo omuhle ukubuza le mibuzo:
- Ngithole kanjani i-bacteremia?
- Hlobo luni lwebhaktheriya olubangele lokhu?
- Yini okufanele ngiyenze ukuze ngivimbele ukukhula kwe-bacteremia esikhathini esizayo?
- Yimuphi umuthi wokubulala amagciwane owuncomayo?
- Ingabe kukhona imiyalelo ekhethekile okufanele ngiyilandele lapho ngithatha la ma-antibiotic?
- Kuzongithatha isikhathi esingakanani ukuthi ngilulame?
- Ingabe ngidinga ukubuya ukuze ngithole ama-aphoyintimenti okulandelela?
- Yini engingayenza ukuze nginciphise izimpawu zami ngesikhathi ngisekhaya?
Uma usuzazi izimpendulo zale mibuzo, uzoqonda kangcono isimo sakho.
Ingabe i-Bacteremia ne-Sepsis ziyinto efanayo?
Nakuba 'i-Bacteremia' kanye 'ne-Sepsis' kuyizifo ezimbili ezihlobene, azifani.
- I-bacteremia ukuba khona kwamagciwane egazini lakho.
- Uma ingelashwa, isimo 'seBacteremia' singakhula sibe 'yi-Sepsis'.
- I-Sepsis yilapho amasosha omzimba wakho esabela ngokweqile kumagciwane egazini lakho bese eqala ukulimaza amangqamuzana nezitho zomzimba ezinempilo. Lokhu kubangela ukuvuvukala emzimbeni wakho wonke.
Kalula nje, i-'Bacteremia' isho ukungena komhlaseli (amabhaktheriya). I-'Sepsis' yilapho ibutho lomzimba (amasosha omzimba) lilwa ngendlela exakile nalowo mhlaseli, libhubhisa izwe lalo (umzimba).
Uyini umehluko phakathi kwe-Bacteremia ne-Septicemia?
Kungenzeka ukuthi uke wezwa igama elithi ``Septicemia``
. I-Septicemia iyisimo esibucayi kancane kune-``Bacteremia.``Uma une-'septicemia', kusekhona amabhaktheriya egazini, kodwa lawo mabhaktheriya 'ayanda' ngokushesha kakhulu futhi aseqalile ukusabalala kwezinye izingxenye zomzimba. Lesi futhi yisimo esiyingozi esingaholela ku-'sepsis'. Ku-'bacteremia', noma ngabe amabhaktheriya akhona egazini, angase angabi zimpawu, futhi amasosha omzimba angase aqede wona ngokwawo. Kodwa-ke, uma kuvela izimpawu, kufanele ubone udokotela ngokushesha. Uma ingelashwa, ingaba ukutheleleka okukhulu.
Okokugcina, izinto okufanele uzikhumbule
Ngakho-ke, ngithemba ukuthi manje usunokuqonda okungcono nge-'Bacteremia'. Khumbula, nakuba lokhu kungaba kubi ngezinye izikhathi, kuyisimo esingelapheka uma sitholakale kusenesikhathi futhi selashwa kahle.
- Ungalishayi indiva ngisho nesilonda esincane. Sihlanze kahle futhi usinakekele.
- Uma kunezimpawu zokutheleleka, ungalibali ukufuna iseluleko sezokwelapha.
- Thatha ama-antibiotic anikezwe udokotela wakho ngokuphelele futhi isikhathi sonke.
- Ungazivikela kulezi zinhlobo zezifo ngokulandela imikhuba elula yokuhlanzeka, njengokugeza izandla zakho njalo.
Nakekela impilo yakho!
I-bacteremia, i-bacteremia, ubuthi egazini, ukutheleleka kwegazi, i-Sepsis, i-sepsis, amagciwane, ama-antibiotic, izimpawu
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