Kuyini i-sepsis? Ingabe ingane yakho isengozini? Ake sithole ngokuqinisekile!

Cishe uke wezwa noma wabona igama elithi 'sepsis'. Liyigama elesabekayo, kodwa kubalulekile ukwazi ngalo, ikakhulukazi uma unezingane ezincane. Kalula nje, i-sepsis iyisimo esiphuthumayo sezokwelapha lapho amasosha omzimba wethu esabela ngokweqile ekuthelelekeni futhi alimaze izitho zethu zomzimba.

Kalula nje, iyini i-Sepsis?

Cabanga nje, lapho igciwane, okungukuthi, ukutheleleka, lingena emzimbeni wethu, ingxenye yomzimba wethu njengesosha, okungukuthi, isimiso sokuzivikela komzimba , silwa nalesi sifo, akunjalo? Lokhu kuyinto evamile. Kodwa ku-sepsis, okwenzekayo ukuthi ukulwa kwalesi simiso sokuzivikela komzimba kuyaphuma kancane ekulawuleni, kube matasa kakhulu, bese kuqala ukulimaza hhayi kuphela ukutheleleka, kodwa namaseli amahle, izicubu, nezitho zomzimba wethu. Kufana nokuzidubula phakathi nempi.

Lesi simo singabangela ukwehla komfutho wegazi kakhulu , esikubiza ngokuthi "i-Septic Shock". Lokhu kuyingozi kakhulu empilweni. I-Sepsis ingalimaza izitho ezibalulekile njengezinso zethu , amaphaphu, ubuchopho, nenhliziyo , futhi ingathinta uhlelo lokujiya kwegazi. Ngezinye izikhathi ingaholela ekufeni. Yingakho i-sepsis ibhekwa njengesimo esiphuthumayo sezokwelapha esidinga ukwelashwa ngokushesha . Uma ubona izimpawu zayo kusenesikhathi, ungathola ukwelashwa ngokushesha futhi ugweme ingozi enkulu.

Ziyini izimpawu ze-sepsis? Uyibona kanjani?

Yilapho kuba nzima khona. Izimpawu ze-sepsis ngezinye izikhathi zingafana kakhulu nezezifo ezivamile zasebuntwaneni njengomkhuhlane noma umkhuhlane. Ngakho-ke ngezinye izikhathi kungaba nzima ukuzibona.

Into ebaluleke kakhulu ukwethemba umuzwa wakho wangaphakathi njengomama noma ubaba. Uma ingane yakho ibonakala igula kakhulu kunokuvamile, noma uma ubona into engavamile noma ehlukile, ungayinaki.

Uphawu olulodwa alwanele ukusho ngokuqinisekile ukuthi une -sepsis . Kodwa-ke, uma ubona eziningana zalezi zimpawu ngesikhathi esisodwa, kufanele usole ukuthi kungenzeka ukuthi yi-sepsis:

• Umkhuhlane omkhulu, ukubanda, noma ukwehla okukhulu kwezinga lokushisa lomzimba.
• Ukuphefumula okusheshayo, ukuphefumula okungajulile (kubonakala sengathi ukuphefumula okunzima).
• Ukushaya kwenhliziyo okusheshayo, njengokungathi inhliziyo isanda kugijima (lokhu kungenzeka ngisho noma kungekho mkhuhlane).
• Ukujuluka, ukushintsha kombala wesikhumba ( ukuphaphatheka , amabala avela kwezinye izindawo).
• Umchamo ( umchamo)) Ukwehla kwenani lomchamo noma ukwehla kwenani lokuchama ngosuku.
• Ukuzizwa ulele kakhulu kunokujwayelekile, kunzima ukuvuka, kanye nokudideka.
• Ukukhononda ngobuhlungu obukhulu emzimbeni (izinsana ezincane ezingakwazi ukukhuluma zingase zikhale njalo).

Cabanga nje, ingane yakho inomkhuhlane izinsuku ezimbili noma ezintathu. Ukuphefumula kwayo kuyashesha kakhulu, ayiphuzi ubisi, futhi imane iyozela. Uma kunjalo, nakanjani udinga ukubona udokotela ngokushesha.

Kungani kwenzeka i-sepsis? Ziyini izimbangela?

I-Sepsis iqala ngokutheleleka emzimbeni okubangelwa yigciwane. La magciwane angaba amabhaktheriya, amagciwane, isikhunta, noma izimuncagazi.

Ngokuvamile, uma sinesifo, umzimba wethu ukhiqiza amakhemikhali athile okulwa naso. La makhemikhali avame ukusebenza kuphela endaweni lapho isifo sikhona. Kodwa uma ku-sepsis, la makhemikhali angena egazini asakazeke emzimbeni wonke, onakalise nezinye izitho ezinempilo.

Ubani osengozini enkulu yokuthola i-sepsis?

I-Sepsis ingathinta noma ubani wanoma yimuphi ubudala, kodwa abanye abantu basengozini enkulu yokuba nayo. Lokhu kufaka phakathi:

• Izingane ezingaphansi konyaka owodwa ubudala , ikakhulukazi izingane ezingaphansi kwenyanga eyodwa ubudala kanye nezingane ezizalwa ngaphambi kwesikhathi.
• Abantu abadala abangaphezu kweminyaka engama-65 ubudala.
• Abantu abanezinkinga zezempilo ezingamahlalakhona (isib. isifo sikashukela , isifo senhliziyo, isifo sezinso).
• Abantu abafakelwe idivayisi yezokwelapha emizimbeni yabo (isib., i-catheter noma i-IV line yesikhathi eside).
• Abantu abasanda kuhlinzwa noma abasengozini enkulu.
• Abantu abanesimiso somzimba sokuzivikela esibuthakathaka. Lokho kusho abantu abane-HIV, iziguli ezinomdlavuza , noma labo abathatha imithi yokucindezela amasosha omzimba.

Odokotela bakuthola kanjani i-sepsis?

Akukho ukuhlolwa okuqondile okungakutshela ngokuqinisekile ukuthi umuntu une-sepsis. Odokotela basebenzisa inhlanganisela yomlando wezokwelapha wesiguli, izimpawu, ukuhlolwa ngokomzimba, kanye nokuhlolwa okuhlukahlukene ukuze bathole ukuthi bane-sepsis.

Ukuhlolwa kwalokhu kungafaka:

• Ukuhlolwa kwelebhu: Izinto ezifana nokuhlolwa kwegazi noma ukuhlolwa komchamo .
• Ukuhlolwa kwe-X-ray:Izinto ezifana ne-X-ray, i-ultrasound scans, i-CT scans.

Lezi zivivinyo zisiza ekunqumeni ukuthi yikuphi ukutheleleka okungenzeka ukuthi kubangele i-sepsis nokuthi ngabe kube nomonakalo yini ezithweni zomzimba.

Yiziphi izindlela zokwelapha i-sepsis?

I-Sepsis yelashwa esibhedlela . Lokhu kuvumela odokotela ukuthi baqaphe isiguli eduze. Ezinye izingane, ikakhulukazi lezo ezinezimo ezinzima, kungadingeka ukuthi zingeniswe e-Pediatric Intensive Care Unit (PICU) ukuze ziqashwe futhi zelashwe ngokukhethekile.

Ukushaya kwenhliziyo yesiguli kanye nokuphefumula kuqashwe njalo. Umfutho wegazi nawo uthathwa njengento ebalulekile. Ngezinye izikhathi kufakwa idivayisi ekhethekile ebizwa ngokuthi ``Umugqa Wemithambo'' bese umfutho wegazi ulinganiswa njalo ngaphakathi kwemithambo yegazi.

Njengokwelashwa, ama-antibiotic anikezwa ngomugqa we-intravenous (IV) ukulwa nokutheleleka. Odokotela bavame ukuqala la ma-antibiotic ngokushesha nje lapho kusolwa ukuthi i-sepsis ikhona, ngisho nangaphambi kokuba kuqinisekiswe ukuthi ukuxilongwa kuyatholakala.

Futhi, uketshezi oludingwa ngumzimba lunikezwa ngemithambo yegazi (IV Fluids). Uma kudingeka, imithi ebizwa ngokuthi ama-Vasopressors nayo inikezwa ukulawula umfutho wegazi. Ezinye izingane kungadingeka zinikezwe igazi elengeziwe noma ezinye izingxenye zegazi ngemithambo yegazi (Blood Transfusion). Lokhu kusiza igazi ukuthi lijiye futhi lithwale umoya-mpilo kangcono.

Ngezinye izikhathi, kusetshenziswa "umugqa we-IV" okhethekile, ofakwa emthanjeni omkhulu obizwa ngokuthi "umugqa ophakathi". Lokhu kuvumela ukuthi imithi edingekayo kanye noketshezi kunikezwe umzimba ngokushesha.

Izingane ezine-sepsis zingadinga usizo lokuphefumula. Uma lokhu kwenzeka, odokotela bangazinika umoya-mpilo noma bazixhume emshinini wokuphefumula obizwa ngokuthi ``i-ventilator.'' Uma inhliziyo namaphaphu kubuthakathaka kakhulu ukunikeza umzimba umoya-mpilo owanele, ukwelashwa okukhethekile okubizwa ngokuthi ``extracorporeal membrane oxygenation (ECMO)'' kungasetshenziswa. Lokhu kuhilela umshini othatha okwesikhashana umsebenzi wenhliziyo namaphaphu, onikeza umzimba isikhathi sokululama.

Uma izinso zonakele futhi ziyeka ukukhiqiza umchamo, umsebenzi wokuhlanza igazi okudingeka ukwenziwa yizinso wenziwa ngomshini wokuhlanza igazi.

Singazivikela kanjani izingane zethu (kanye nathi ngokwethu) ekushayweni yi-sepsis? Yiziphi izindlela zokuvimbela?

I-Sepsis ayinakuvinjelwa ngaso sonke isikhathi. Kodwa-ke, ngokuzama ukuvimbela ukutheleleka, unganciphisa ingozi yokuthola i-sepsis.

Yenza lezi zinto ukuze uvikele izingane zakho ezifweni:

• Nikeza izingane zakho yonke imijovo yazo ngesikhathi esibekiwe. Lokhu kusiza ekuvimbeleni ukutheleleka ngamagciwane kanye namagciwane okungabangela i-sepsis .
• Khuthaza izingane zakho ukuba zigeze izandla zazo njalo futhi zihlakulele lo mkhuba wena ngokwakho.
• Uma unenxeba noma umhuzuko emzimbeni wakho, lihlanze kahle bese ufaka umuthi. Futhi, hlola njalo ukuthi inxeba liyaphola kahle yini.
• Uma ingane yakho inedivayisi yezokwelapha (isib. i-catheter, i-long-term IV line), landela imiyalelo kadokotela yokuyigcina ihlanzekile nokuyisebenzisa.

Okubaluleke kakhulu, uma ingane yakho igula futhi ingalulami, noma uma kubonakala sengathi iya iba yimbi kakhulu, bona udokotela noma uyiyise esibhedlela ngokushesha. Uma udokotela ekunike ama-antibiotic, mnike njengoba nje etshelwe, isikhathi sonke.

"Kungenzeka yini ukuthi lokhu kuyisifo sofuba?" – Ungesabi ukubuza udokotela! (Umyalezo Wokuya Ekhaya)

Njengoba sesishilo ngaphambili, lokho okubona kubaluleke kakhulu. Uma ingane yakho ibonakala igula kakhulu kunokujwayelekile, noma uma ukutheleleka osekulashwa kakade kubonakala kuba kubi kakhulu futhi kungathuthuki, funa iseluleko sezokwelapha ngokushesha.

Uma ubona udokotela, ungesabi noma ungabaze ukubuza, "Dokotela, ingabe lokhu kungaba yi-sepsis?" Uyazi kahle ingane yakho. Uma ubona lesi simo kusenesikhathi, kunethuba elikhulu lokuthi impilo yengane ingasindiswa ngokwelashwa okusheshayo. Ngakho-ke, uma unemibuzo, khuluma nodokotela ngakho. Leyo yinto engcono kakhulu ongayenzela ingane yakho.

I- Sepsis, i-Sepsis, i-Sepsis ezinganeni, Ukutheleleka, Amasosha omzimba, Isimo esiphuthumayo sezokwelapha, Izimpawu ze-Sepsis