Njengomama noma ubaba, awukwazi ukutshela muntu ukwesaba onakho ngomntanakho. Sonke siyakwazi ukwesaba okufika engqondweni yethu lapho ingane yethu inomkhuhlane noma umkhuhlane, akunjalo? Kodwa bewazi ukuthi ngezinye izikhathi ukutheleleka ngamagciwane okuqala njengesimo esivamile kakhulu kungakhula kube yinto engathi sína kakhulu futhi esongela impilo emizimbeni yethu? Leso simo esiyingozi yilokho esikubiza ngokuthi i-sepsis kwezokwelapha. Sidinga ngempela ukuqaphela lokhu.
Kalula nje, iyini i-sepsis?
Cabanga nje, lapho igciwane, ikakhulukazi igciwane, lingena emzimbeni wethu, isimiso sethu somzimba sokuzivikela siqala ukulwa nalo. Lokhu kuyinto evamile. Kodwa esimweni esibizwa ngokuthi i-sepsis, le mpendulo yesimiso somzimba sokuzivikela iyaphuma ekulawuleni bese iqhutshwa ngokweqile. Lokho kusho ukuthi, lesi simiso somzimba sokuzivikela siqala ukuhlasela hhayi igciwane kuphela, kodwa nezicubu nezitho ezinempilo emzimbeni.
Kufana nebutho elivikela izwe, lihlasela hhayi isitha kuphela kodwa nabantu abangenacala ezweni. Ngenxa yalokho, izitho zomzimba wethu ziqala ukwehluleka ngasinye ngasinye. Kwenzekani uma ukusebenza kwezitho ezinkulu njengezinso, isibindi, amaphaphu, nenhliziyo kuyeka? Kusongela ukuphila. Cishe ingxenye yesithathu yabantu abathola i-sepsis emhlabeni wonke bayafa. Abanye abasindile babhekana nezinkinga zokuphila konke, njengobuhlungu obungapheli, ukwehluleka kwezitho, futhi ngezinye izikhathi ngisho nesidingo sokunquma izitho.
Kuyiqiniso yini ukuthi izingane zisengozini enkulu?
Yebo. I-Sepsis ivame kakhulu kubantu abadala, kodwa ingathinta nezingane ngendlela eyingozi kakhulu. Inkinga enkulu ukuthi izimpawu ze-sepsis ezinganeni kunzima kakhulu ukuzibona ezigabeni zokuqala. Zifana kakhulu nezimpawu zomkhuhlane noma umkhuhlane ovamile. Futhi, izingane ezincane azikwazi ukuveza ubuhlungu bazo nokungakhululeki ngokuthi, "Ngizizwa kabi lapha." Ngenxa yalokhu, singase singazi kuze kube yilapho lesi sifo sesibi kakhulu emzimbeni.
Ngisho nodokotela bathi lezi zimpawu kungaba nzima ukuzibona ngoba zingahluka kuye ngengane. E-United States kuphela, izingane ezingu-18 ziyafa ngenxa ye-sepsis nsuku zonke. Lokhu kusinika umbono wobucayi balesi simo. Kodwa ingxenye engcono kakhulu ukuthi, uma thina njengabazali siqaphela lokhu futhi siqaphela izimpawu kusenesikhathi, sinethuba elikhulu lokusindisa izimpilo zezingane zethu.
Le ndaba eyiqiniso izokufundisa okuningi.
Ngezinye izikhathi yilapho sizwa indaba lapho siqonda khona ngempela ubucayi bento ethile. Lena indaba kaZach, indodana eneminyaka eyi-11 ubudala. Unina, uMarnie, ungudokotela.
Ngobunye ubusuku, ngemva kokudlala i-baseball, uZack waqala ukukhala. Wathi ikhanda lakhe libuhlungu, wayenesiyezi, nedolo lakhe libuhlungu. Umama nobaba bacabanga ukuthi kumelwe ukuba ulimele idolo lakhe ngesikhathi edlala. Ngakusasa ekuseni, idolo lakhe lalisabuhlungu, ngakho umama wamnika imithi yokwelapha izinhlungu wamthumela esikoleni. Kodwa ngemva kwesikhashana, isikole sashayela ucingo.
"Umhlengikazi wesikole ungishayele ucingo wathi uyaxhuga futhi idolo lakhe libuhlungu. Wayengenawo umkhuhlane, kodwa angisoze ngakhohlwa lokho umhlengikazi akushilo kimi. Uthe, 'Akabukeki kahle, kukhona okungahambi kahle ngaye.' "
Ngisho noma wayengudokotela, uMarnie wayengacabangi ukuthi kwenzekani endodaneni yakhe. Wayisa uZach komunye udokotela emsebenzini wakhe. Wathatha igazi wamhlola, wabe eseqala ukumsebenzisa ama-antibiotic.
Kodwa lapho ukuhlolwa kwegazi kubuya, uphawu lokuvuvukala lwaluphezulu kakhulu. Bahamba bayobona uchwepheshe wamathambo. Ngaleso sikhathi, uZach wayesezinhlungwini ezinkulu. Udokotela wayecabanga ukuthi kungenzeka ukuthi ukutheleleka kwamalunga. Kodwa isimo sikaZach saba sibi kakhulu. Ngobusuku obulandelayo, wayesezinhlungwini ezinkulu kangangokuthi wayengasakwazi ngisho nokunyakaza. Wabe eselahlekelwa ingqondo.
"Wangicela amanzi cishe ngo-3 ntambama," kukhumbula uMarnie. "Njengoba ngangizomnika ibhodlela lamanzi, wangibheka wathi, 'Ukhona ongalihambisa ngendiza aye endlini yethu?'" Ngaleso sikhathi, uMarnie wayazi ukuthi kukhona okungahambi kahle. Washesha wamthatha uZach wamyisa ekamelweni lezimo eziphuthumayo (ETU) lesibhedlela esiseduze. Ukusuka lapho, wadluliselwa esibhedlela esineyunithi yokunakekela izingane ezigula kakhulu (PICU).
"Ngaleso sikhathi, akekho owayenomqondo wokuthi kwenzekani. Akekho owathi, 'Une-sepsis.' Babecabanga ukuthi yisifo esithwalwa yizimpukane. Kodwa babazi ukuthi amaphaphu akhe, isibindi nezinso zakhe ziyahluleka."
Egumbini lokunakekelwa okujulile, uZach wanikezwa ama-antibiotic anamandla wabe esefakwa umshini wokuphefumula. Ezinsukwini ezimbili kamuva, odokotela bathola ukuthi uZach wayenegciwane elibi kakhulu (i-osteomyelitis) ethanjeni lakhe lesokudla, elalibangele i-sepsis. UZach wahlinzwa ngokushesha ukuze kukhishwe ubomvu.
Cishe amasonto amabili, uZach wayengazi lutho futhi esebenzisa umshini wokuphefumula. Umkhuhlane ophakeme, imithi yokugcina umfutho wegazi, kanye nomonakalo wamaphaphu... Kwakuyisihogo kubazali bakhe. Kodwa ngemva kwamasonto amabili, isimo sakhe sathuthuka kancane kancane.
Ungazibona kanjani izimpawu ze-sepsis?
Indaba kaZach isibonisa ukuthi izimpawu zokuqala zingaba zicacile kangakanani. Ngakho-ke, njengabazali, kudingeka siqaphele kakhulu lezi zimpawu ezilandelayo. Uma ingane yakho inesinye noma ngaphezulu kwalezi, ikakhulukazi uma inomkhuhlane noma olunye ukutheleleka, ungalibali. Bona udokotela ngokushesha. Uma kudingeka, iya ngqo eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU).
| Isibonakaliso | Okufanele ukunake |
|---|---|
| Ukubukeka kwesikhumba kanye nokushisa | Ukuzizwa ubanda ngendlela engavamile uma uthintwa, ukuba namabala aluhlaza okwesibhakabhaka/onsomi esikhumbeni, noma ukuba nesikhumba esikhanyayo kakhulu. |
| Ukuphefumula | Ukuphefumula ngokushesha okukhulu. |
| Ukuqhuma kwesikhumba | Ukuba nokuvuvukala okungapheli uma kucindezelwa ngengilazi. |
| Umsebenzi wengane | Ubuthongo obukhulu, kunzima ukuvuka, noma ukuba nesithuthwane. |
| Izici ezengeziwe zezingane ezingaphansi kweminyaka emi-5 ubudala | |
| Ukudla nokuhlanza | Ukwenqaba ukudla noma ukuphuza, ukuhlanza okuqhubekayo. |
| Ukuchama | Ukungachami amahora ayi-12 noma ngaphezulu. |
"Ihora Legolide" kanye Nokwelashwa
Odokotela bathi uma kusolwa ukuthi i-sepsis ibangelwa yi-sepsis, kubalulekile ukuqala imithi elwa namagciwane ngokushesha okukhulu, ngaphandle kokulinda ukuthi kuqinisekiswe ukuxilongwa. Ukuqala ukwelashwa kungakapheli ihora lokuqala kungasho umehluko phakathi kokuphila nokufa. Lokhu kubizwa ngokuthi "i-Golden Hour."
Njengasendabeni kaZach, ngisho nezingane ezisindayo zingaba nezinkinga ezibathinta impilo yazo yonke. UZach usenomonakalo wezinzwa komunye wemilenze yakhe, okusho ukuthi lowo mlenze ngeke ukhule kahle. Unezinkinga zokunaka nokukhathazeka. Lokhu kusho ukuthi impi yokulwa ne-sepsis ayipheli ngemva kokuphuma esibhedlela.
Umlayezo Wokuya Nawe Ekhaya
- I-Sepsis iyisimo esiphuthumayo sezokwelapha. Akuyona nje umkhuhlane ovamile noma ukutheleleka.
- Noma yikuphi ukutheleleka, ikakhulukazi ukutheleleka ngamagciwane, kungaba kubi kakhulu futhi kuphenduke i-sepsis.
- Qaphela kakhulu izimpawu ezifana nokushintsha kombala wesikhumba sengane, ukubanda okungavamile, izinga lokuphefumula elikhuphukile, kanye nokulala ngokweqile.
- Uma ubona noma yiziphi zalezi zimpawu, ungahlali nje ekhaya bese uthi “ake sibone.” Bona udokotela noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela ngokushesha okukhulu.
- Uma ukwelashwa kuqala ngokushesha, amathuba okusindisa impilo yengane nokuvimbela izinkinga zesikhathi eside ayanda.
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