Wake wacabanga ukuthi umkhuhlane ovamile, ukukhwehlela okuqhubekayo, noma ngisho nokuklwebheka okuncane kungakhula kube yinto eyingozi kakhulu—isimo esisongela impilo yakho? Kuyinto engenzeka ngempela. Namuhla, sikhuluma ngesimo esiphuthumayo sezokwelapha lapho ukuqashelwa kusenesikhathi kubalulekile khona: i-Sepsis . Nakuba abanye abantu beyibiza ngokuthi “ushevu wegazi,” empeleni kuyisenzakalo sezokwelapha esiyinkimbinkimbi kakhulu.
Ngamagama alula, iyini i-Sepsis?
I-Sepsis yenzeka lapho impendulo yomzimba wakho ekuthelelekeni iba namandla futhi ingalawuleki. Ngokuvamile, lapho igciwane lingena emzimbeni wakho, amasosha omzimba wakho asebenza njengamasosha okuzivikela, asebenza ukulwa nomhlaseli.
Nokho, nge-sepsis, lolu hlelo lokuzivikela luyadideka. Esikhundleni sokulwa nokutheleleka nje kuphela, luqala ukuhlasela amangqamuzana akho aphilile nezicubu. Lokhu kubangela ukuvuvukala okukhulu emzimbeni wonke, okungalimaza izitho ezibalulekile. Ngaphezu kwalokho, amahlule egazi angase akheke emithanjeni yakho yegazi, okukhawulela ukunikezwa komoya-mpilo nezakhamzimba ezibalulekile ezithweni zakho.
Uma lesi simo siqhubeka, umfutho wegazi lakho ungehla uye emazingeni ayingozi. Odokotela bakubiza lokhu ngokuthi ukushaqeka kwe-septic . Lokhu kungaholela ekuhlulekeni okusheshayo kwezitho zomzimba ezifana namaphaphu, izinso, nesibindi , okungaba yingozi. Yingakho i-sepsis iyisimo esiphuthumayo sezokwelapha esidinga ukunakekelwa okusheshayo.
Yiziphi Izimbangela Eziyinhloko Ze-Sepsis?
Noma yiluphi uhlobo lokutheleleka lungaqhubekela phambili ku-sepsis, kungakhathaliseki ukuthi lubangelwa amagciwane, amagciwane, noma isikhunta. Kodwa-ke, ukutheleleka ngamagciwane kuyimbangela evame kakhulu.
Izifo ezivame ukuholela ku-sepsis zifaka:
- Inyumoniya
- Ukutheleleka komgudu womchamo
- Izifo zesisu, njenge- appendicitis
- Ukutheleleka kwesibindi noma i-gallbladder
- Ukutheleleka kobuchopho noma komgogodla
- Amanxeba esikhumba noma izifo ezithelelekile
Ezigulini ezisezibhedlela, i-sepsis ingabangelwa amagciwane angena ngemigqa ye-IV, izindawo zokuhlinzwa, ama-catheter omchamo, noma izilonda zombhede.
Ingabe i-Sepsis iyathelelana?
Cha. I-Sepsis ngokwayo ayithelelani isuka komunye umuntu iye komunye. Kodwa-ke, ukutheleleka okuyisisekelo okubangele i-sepsis (isb. i-pneumonia noma amagciwane athile) kungadluliselwa kusuka komunye umuntu kuya komunye.
Ubani Osengozini Kakhulu? (Izici Eziyingozi)
Nakuba noma ubani engaba ne-sepsis, amaqembu athile asengozini enkulu:
- Labo abanamasosha omzimba abuthakathaka: Abantu abanezifo ezingamahlalakhona njengomdlavuza, isifo sikashukela, isifo samaphaphu , noma isifo sezinso.
- Abantu abadala abaneminyaka engu-65 nangaphezulu: Ikakhulukazi labo abanezinye izinkinga zempilo eziyisisekelo.
- Abesifazane abakhulelwe.
- Izinsana Ezisanda Kuzalwa (i-Neonatal sepsis): Lokhu kungenzeka uma ukutheleleka kungena egazini zingakapheli izinsuku ezingu-28 zokuqala zokuphila. Kungadluliselwa kumama ngaphambi noma ngesikhathi sokuzalwa. Ngokutholakala nokwelashwa kusenesikhathi, iningi lezinsana liyalulama ngokugcwele.
- Iziguli ezisanda kulaliswa esibhedlela noma lezo eziye zahlinzwa kakhulu.
- Abantu abasebenzisa ama-catheter omchamo noma amapayipi okuphefumula.
- Abantu abashile kakhulu noma abalimele.
- Labo abake baba ne-sepsis esikhathini esidlule.
Ziyini Izimpawu Ze-Sepsis?
Izimpawu ze-sepsis zingavela ngokushesha okukhulu. Uma unesifo futhi ubona noma yikuphi kwalokhu okulandelayo, funa usizo lwezokwelapha ngokushesha.
| Isigaba Sezimpawu | Okufanele Ukubheke |
|---|---|
| Izimpawu Ezijwayelekile | Umkhuhlane noma ukubanda okukhulu, ukuthuthumela, ukujuluka ngokweqile, ukukhathala okukhulu, kanye nobuhlungu bomzimba. |
| Ukuphefumula Nenhliziyo | Ukuphefumula okusheshayo noma ukuphelelwa umoya, kanye nokushaya kwenhliziyo okusheshayo kakhulu. |
| Isimo Sengqondo | Ukudideka, ukushintsha kwengqondo, ukukhuluma okungacacile, noma ukozela okukhulu. |
| Ezinye Izimpawu Ezingathi sína | Ukuchama okuncane noma okungenakho nhlobo, isicanucanu nokuhlanza, ukuqubuka kwesikhumba (ikakhulukazi lokho okuqala njengamachashazi abomvu bese kusakazeka), noma isikhumba esikhanyayo/esiluhlaza okwesibhakabhaka/esimpunga. |
Izimpawu Zokushaqeka Okubangelwa Yi-Septic
Lesi yisigaba esibucayi kakhulu se-sepsis.
- Ukungakwazi ukuma ngenxa yobuthakathaka obukhulu.
- Ukozela okujulile kangangokuthi kunzima ukuhlala uphapheme.
- Ukudideka okukhulu noma ukungazi lutho ngendawo ezungezile.
Uma wena noma othile omaziyo ebonisa lezi zimpawu kanye nokutheleleka, ungalibali— iya emnyangweni wezimo eziphuthumayo oseduze ngokushesha. Uma une-sepsis, umzuzwana ngamunye uyabalwa.
Odokotela Bayixilonga Kanjani I-Sepsis?
Uma ufika esibhedlela, udokotela wakho uzokuxilonga futhi enze izivivinyo ukuqinisekisa ukuxilongwa.
- Ukuhlolwa kwegazi: Lokhu kuhlola izimpawu zokutheleleka, izinkinga zokujiya kwegazi, ukusebenza kwezinso noma kwesibindi, kanye namazinga omoya-mpilo.
- Ezinye izivivinyo: Udokotela wakho angenza ukuhlolwa komchamo, ahlole amasampula esilondeni, noma ahlaziye isikhwehlela (phlegm).
- Ukuhlolwa Kwezithombe: Ama-X-ray esifubeni, ama-CT scan, noma ama-MRI kusiza ekutholeni umthombo wokutheleleka.
Iphathwa Kanjani I-Sepsis?
I-Sepsis idinga ukungeniswa esibhedlela, ngokuvamile eYunithi Yokunakekelwa Okujulile (ICU). Imigomo eyinhloko yethimba lezokwelapha yile:
1. Lawula ukutheleleka.
2. Ukusekela umsebenzi wesitho.
3. Ukuqinisa umfutho wegazi.
Ukwelashwa kufaka phakathi:
- Ama-antibiotic: Anikezwa ngemithambo yegazi (IV) ngokushesha okukhulu ukuze kulwiwe nokutheleleka.
- Uketshezi lwe-IV: Lunikezwa ukugcina umfutho wegazi nokuvimbela ukuphelelwa amanzi emzimbeni.
- Ama-Vasopressor: Imithi esetshenziselwa ukukhulisa umfutho wegazi uma uhlala uphansi ngendlela eyingozi.
- Ukusekelwa komoya-mpilo: Ukuqinisekisa ukuthi umzimba uthola umoya-mpilo owanele, ngezinye izikhathi kudinga umshini wokuphefumula.
- Izindlela zokwelapha ezisekelayo: Njengokuhlanza igazi uma izinso zingasebenzi kahle.
- Ukuhlinzwa: Ukususa umthombo wokutheleleka, njengethumba noma izicubu ezonakele.
Ungayivimbela Kanjani I-Sepsis?
Indlela engcono kakhulu yokuvimbela i-sepsis ukugwema izifo nokuzelapha ngokushesha uma zenzeka.
- Geza izandla zakho njalo: Sebenzisa insipho namanzi okungenani imizuzwana engama-20.
- Goma: Hlala usesikhathini ngemigomo efana nomjovo womkhuhlane.
- Lawula izimo ezingamahlalakhona: Landela iseluleko sikadokotela wakho sokulawula isifo sikashukela, isifo sezinso, noma ezinye izifo zesikhathi eside.
- Gcina amanxeba ehlanzekile: Hlanza futhi umboze ngisho namanxeba amancane. Waqaphele ukuze ubone izimpawu zokutheleleka (ububomvu, ukuvuvukala, ubomvu).
- Funa usizo lwezokwelapha kusenesikhathi: Uma unomkhuhlane noma umkhuhlane ongathuthuki ngemva kwezinsuku ezimbalwa noma obonakala uba mubi kakhulu, bona udokotela.
Umlayezo Wokuya Nawe Ekhaya
- I-Sepsis akuyona isifo esivamile; iyisimo esiphuthumayo sezokwelapha esisongela ukuphila esibangelwa ukutheleleka.
- Uma ubona izimpawu zokutheleleka kuhlangene nomkhuhlane ophakeme, ubunzima bokuphefumula, ukudideka, noma ukushaya kwenhliziyo okusheshayo, kungaba yi-sepsis.
- Ungalindi ekhaya uma ubona lezi zimpawu— hamba uye emnyangweni wezimo eziphuthumayo oseduze ngokushesha. Ukwelashwa okusheshayo kusindisa izimpilo.
- Ukuvimbela ukutheleleka nokufuna usizo lwezokwelapha ngokushesha nganoma yisiphi isifo kuyizindlela zakho zokuzivikela ezinhle kakhulu zokulwa ne-sepsis.
I-Sepsis, i-Sepsis, ukushaqeka kwe-Septic, Ubuthi egazini, izimpawu zokutheleleka, ukwelashwa okuphuthumayo, ukutheleleka
