Kungenzeka ukuthi awukaze uzwe nge-Toxic Shock Syndrome (TSS). Kodwa kuyisimo esingavamile, esisongela ukuphila. Sivela lapho izinhlobo ezithile zamabhaktheriya zingena emzimbeni futhi ubuthi obukhiqizwayo bungena egazini lethu. Lokhu kungalimaza izitho ezibalulekile njengenhliziyo, isibindi nezinso. Nakuba kuvame ukuhlotshaniswa nokusebenzisa ama-tampons ngesikhathi sokuya esikhathini, i-TSS ingathinta noma ubani wanoma yimuphi ubudala. Amanxeba esikhumba, izindawo zokuhlinzwa, ukubhoboza impumulo, ukusikeka, nokusha nakho kungandisa ingozi. Eqinisweni, ingxenye yalabo abathola lesi simo abasayi esikhathini.
Iyini i-Toxic Shock Syndrome?
Kalula nje, i-toxic shock syndrome (TSS) yisimo esiphuthumayo nesinzima lapho ubuthi obukhiqizwa izinhlobo ezithile zamabhaktheriya bungena egazini lethu futhi buthinte wonke umzimba wethu. Lobu buthi bungamisa ngisho nokusebenza kwezitho ezibalulekile zomzimba wethu. Cabanga ngakho njengesitha esincane esingena emzimbeni futhi sibuthakathe yonke inqaba. Yilokhu okwenza kube yingozi kakhulu ngoba
izimpawu zingavela ngokushesha kakhulu futhi zingaba zimbi ngokushesha . Kodwa-ke, uma kuqashelwa kusenesikhathi futhi kuqaliswa ukwelashwa okufanele, abantu abaningi bangalulama.
Sivame kangakanani lesi simo esibizwa ngokuthi `i-TSS`?
I-TSS empeleni iyisimo
esingavamile kakhulu. Ithinta cishe umuntu oyedwa kwabayisigidi. Nakuba ivame kakhulu kwabesifazane, ingathinta noma ubani, okuhlanganisa amadoda, abesifazane, izingane, kanye nabantu abadala. Kuze kube ngawo-1990, yayihlotshaniswa kakhulu nabantu ababesebenzisa ama-tampon amunca kakhulu ngesikhathi sokuya esikhathini. Kodwa manje sesiyazi ukuthi lesi akusona sodwa isizathu.
Ziyini izimpawu ze-TSS? Ungazibona kanjani?
Izimpawu ze-TSS zivela
ngokuzumayo futhi
zingaba zimbi kakhulu ngokushesha . Izimpawu zingahluka kancane kuye ngohlobo lwebhaktheriya elikhiqiza ubuthi. Kodwa-ke, okulandelayo yizimpawu ezivamile:
- Kungazelelwe, uthola umkhuhlane omkhulu , umzimba wakho uzizwa ubanda futhi uqhaqhazela, umzimba wakho uzwa ubuhlungu, futhi uzizwa sengathi unomkhuhlane.
- Isicanucanu nokuhlanza .
- Uhudo olunamanzi ( uhudo ).
- Kuvela ubomvu esikhumbeni. Kungabonakala njengokushiswa yilanga, noma ngezinye izikhathi kungabonakala njengamabala amancane abomvu .
- Kungase kube nesiyezi , umuzwa wokujikeleza, noma ukulahlekelwa ukwazi.
- Umfutho wegazi uyehla (Hypotension).
- Amehlo aba bomvu (njengokutheleleka kwamehlo - `i-Conjunctivitis`), umphimbo uba bomvu, bese kuba nobuhlungu.
- Isikhumba ezintendeni nasezinyaweni siyaxebuka.
Kubaluleke kakhulu ukufuna iseluleko sezokwelapha ngokushesha uma uhlangabezana nesinye noma ngaphezulu salezi zimpawu, ikakhulukazi uma usebenzisa i-tampon.
Yiziphi izimbangela ze-TSS?
I-Toxic shock syndrome ivame ukubangelwa ubuthi obukhiqizwa yibhaktheriya ethi ``Staphylococcus aureus`` (`staph infection`) kanye nethi ``Streptococcus pyogenes`` (`group A strep infection`). Ibhaktheriya ethi ``Clostridium sordellii`` nayo ingakubangela, kodwa ayivamile kangako. Ngaphansi kwezimo ezijwayelekile, lawa mabhaktheriya ahlala esikhumbeni sethu, emphinjeni, nasemilonyeni yethu. Kodwa-ke, ngezinye izikhathi, ezinye izinhlobo zala mabhaktheriya zanda ngokushesha futhi ziqale ukukhiqiza ubuthi. Manje, bheka, uma usebenzisa i-tampon, amabhaktheriya ethi ``Staph`` angabhajwa ngaphakathi kwesitho sangasese sowesifazane futhi angene esibelethweni ngomlomo wesibeletho. Uma i-tampon ingashintshwa njalo, lawa mabhaktheriya angakhula kuyo. Futhi, ukusebenzisa ama-tampon amunca kakhulu ngesikhathi sakho sokuya esikhathini nakho kungaholela ekukhuleni kwamabhaktheriya. Ama-tampon angabangela ukuklwebheka okuncane esitho sangasese sowesifazane, okuvumela amabhaktheriya ukuthi angene egazini. Kodwa-ke, i-TSS ayibangelwa nje ukushiya i-tampon isikhathi eside kakhulu. Odokotela manje sebeyazi ukuthi
noma yini ehlala esithweni sangasese sowesifazane isikhathi eside kunesikhathi esinconyiwe yandisa ingozi ye-TSS. Isibonelo:
- Izigqoko zomlomo wesibeletho
- Iziponji (iziponji zokuvimbela inzalo)
- Ama-diaphragm
- Izinkomishi zokuya esikhathini
Ngaphezu kwalokhu, i-TSS ingavela uma amagciwane engena emzimbeni ngamanxeba avulekile, ukusikeka, noma imihuzuko. Kungabangelwa futhi izifo zesikhumba, ukuhlinzwa, ukubeletha, noma ukufakwa kwamakhala ukuze kumiswe ukopha.
Izinhlobo eziyinhloko zamagciwane abangela i-TSS
Njengoba kushiwo ngaphambili, la mabhaktheriya abangela lokhu okulandelayo:
- I-Staphylococcus aureus (S. aureus noma i-staph): Leli gciwane livame ukuba khona emizimbeni yethu. Lingangena egazini ngamanxeba esikhumba noma imihuzuko emincane esithweni sangasese sowesifazane ebangelwa ukusebenzisa i-tampon.
- I-Streptococcus pyogenes (eyaziwa nangokuthi i-S. pyogenes noma i-group A strep): Lolu hlobo lwebhaktheriya lubangela i-TSS kubantu abasanda kuba nomphimbo obuhlungu, i-scarlet fever, noma ezinye izifo ezibangelwa yi-group A strep, njenge-impetigo.
- I-Clostridium sordellii (C. sordellii): Leli gciwane livame ukutholakala esithweni sangasese sowesifazane. Lingangena esibelethweni ngesikhathi sokuya esikhathini, ukubeletha, noma ezinye izinqubo zabesifazane. Ukusetshenziswa kwezidakamizwa nge-intravenous nakho kungabangela ukutheleleka kwe-C. sordellii.
Kuthatha isikhathi esingakanani ukwakha i-'TSS' nge-tampon?
Akukho sikhathi esibekiwe sokuthi uzokwakha nini i-TSS ngemva kokusebenzisa i-tampon. Kodwa-ke, ukuze unciphise ingozi yakho ye-TSS
, kufanele ususe i-tampon yakho njalo emahoreni ayisishiyagalombili. Lokhu akusho ukuthi ukushiya i-tampon amahora angaphezu kwayisishiyagalombili kuzobangela i-TSS. Kodwa-ke, izifundo zikhombisile ukuthi ukushiya i-tampon amahora angaphezu kwayisishiyagalombili kungakhuthaza ukukhula kwamagciwane ayingozi.
Kuthatha isikhathi esingakanani ukuthi izimpawu ze-TSS zivele?
Izimpawu zivame ukuvela
ngokuzumayo . I-TSS ivame ukuvela zingakapheli izinsuku ezimbalwa kusukela amagciwane angene egazini. Kodwa-ke, lokhu akusho ukuthi uzothola i-TSS njalo uma une-staph noma i-strep infection, noma njalo uma une-tampon amahora angaphezu kwayisishiyagalombili.
Ingabe ama-sanitary pads angabangela i-TSS?
Yebo, usengathola i-TSS noma ngabe usebenzisa ama-sanitary pad. Akuvamile kangako, kodwa akunakwenzeka. Lokhu kungenxa yokuthi imbangela yalesi simo amagciwane, hhayi i-tampon uqobo.
I-TSS itholakala kanjani?
Nazi ezinye zezindlela odokotela abazisebenzisayo ukuxilonga i-TSS:
- Ukuhlolwa kwegazi noma komchamo kwenziwa ukuze kutholakale ukuthi hlobo luni lwebhaktheriya noma igciwane elikhona.
- Isitho sakho sangasese sowesifazane siyahlolwa .
- Amasampula ezicubu (izinhlobo zezicubu) athathwa esithweni sangasese sowesifazane, emlonyeni wesibeletho, noma emphinjeni ukuze kuhlolwe ukuthi kukhona yini i-Staphylococcus noma i-Streptococcus bacteria.
- Ku-TSS engahlobene nokuya esikhathini, amasampula ezicubu athathwa enxebeni noma endaweni ethelelekile.
Uma izimpawu zakho zinzima noma uma isimo sakho siba sibi kakhulu, udokotela wakho angase enze nalezi zivivinyo ukuhlola impilo yezinye izitho zomzimba:
- Ukuskena kwe-CT
- I-X-ray yesifuba
- Ukumpompa komgogodla (noma ukubhoboza i-Lumbar)
Iphathwa kanjani i-TSS?
I-Toxic shock syndrome iyisimo esisongela ukuphila, ngakho-ke
ivame ukwelashwa esibhedlela.Okokuqala, uma udokotela wakho esola ukuthi imbangela yi-tampon noma idivayisi yokuvimbela inzalo, uzoyikhipha esithweni sakho sangasese sowesifazane. Ngemuva kwalokho, uzonikezwa uketshezi lwe-IV futhi unganikezwa imithi yokwandisa umfutho wegazi lakho uma uphansi. Ukwelashwa okujwayelekile kokutheleleka kwe-staphylococcus noma i-streptococcus yimithi elwa namagciwane efakwa emthanjeni. Nakuba imithi elwa namagciwane ingasiza ekulawuleni ukukhula kwamagciwane, ayikwazi ukuqeda ubuthi obuvele buqongelelekile emzimbeni wakho. Ukwelashwa kwe-TSS kungafaka:
- Yelapha ukutheleleka ngama-antibiotic .
- Ama-antibodies ahlanziwe ( `Immunoglobulin ehlanganisiwe` ) atholakala egazini lomnikeli ukusiza umzimba ukulwa nokutheleleka.
- I-oksijini ukuze kube lula ukuphefumula.
- Uketshezi lokuvimbela ukuphelelwa amanzi emzimbeni kanye nokulimala kwezitho zomzimba.
- Umuthi wokulawula umfutho wegazi.
- I-Dialysis uma izinso zingasebenzi kahle.
- Ukuhlinzwa ukuze kususwe izicubu ezifile. Akuvamile ukuthi kudingeke ukunqunywa kwendawo ethintekile.
Yiziphi izinkinga ze-TSS uma zingelashwa?
I-Toxic shock syndrome iyisimo
esibi kakhulu, esisongela ukuphila . Izimpawu zingaba zimbi kakhulu ngokushesha, ngakho-ke ukwelashwa okusheshayo kuyadingeka. Uma ingelashwa, ingaholela
ekushaqekeni, ekuhlulekeni kwezitho zomzimba, ekunqunyweni kwezicubu zomzimba, ngisho nasekufeni .
Okubalulekile: I-TSS akuyona inkinga ekwazi ukuzikhawulela. Ukwelashwa okusheshayo kuyadingeka ukuze kuvinjelwe izinkinga ezinkulu.
Ungazivikela kanjani ku-TSS?
Kunezinto eziningana ongazenza ukuze unciphise ingozi yakho ye-toxic shock syndrome. Ezinye zazo zifaka:
- Sebenzisa ama-napkin ahlanzekile (ama-pad) esikhundleni sama-tampon ngesikhathi sakho sokuya esikhathini, noma usebenzise ama-pad ebusuku. Ukushintshela kuma-pad esikhundleni sama-tampon njalo ngemva kwezinsuku ezimbili, noma ngezinsuku lapho ukuphuma kwakho kokuya esikhathini kukhulu khona, kungasiza ekunciphiseni ingozi.
- Shintsha i-tampon yakho njalo emahoreni angu-4 kuya kwangu-8. Uma wopha kakhulu, kungadingeka ukuthi ushintshe i-tampon yakho kaningi.
- Khetha i-tampon enommunca omncane odingekayo ukuze ukopha kwakho kuphume.
- Ungasebenzisi ama-tampon ngezinsuku lapho ungekho esikhathini.
- Gcina indawo yokuhlinzwa ihlanzekile ukuze uvimbele ukutheleleka. Bona udokotela wakho uma inxeba livuvukala ngendlela engavamile, libomvu, noma lizwa lishisa.
- Landela imiyalelo efanele uma usebenzisa izindlela zokuvimbela inzalo zesitho sangasese sowesifazane, njengeziponji, izivalo zesibeletho, kanye nama-diaphragm.
Abantu asebevele benayo i-TSS futhi balulama banamathuba amaningi okuyithola futhi. Uma uke waba ne-TSS ngaphambili, kungcono ukugwema ukusebenzisa ama-tampons ngesikhathi sokuya esikhathini.
Ubani osengozini enkulu yokuthola i-TSS?
I-toxic shock syndrome ivame ukuhlotshaniswa nokusetshenziswa kwama-tampon amunca kakhulu. Abesifazane abaseminyakeni yokuzala abasebenzisa ama-tampon ngesikhathi sokuya esikhathini basengozini enkulu. Kodwa-ke, abesifazane abangasayi esikhathini nabo bangaba ne-TSS. Abantu abake bahlinzwa bangaba ne-TSS ngenxa yamanxeba athelelekile. Ezinye izici eziyingozi zifaka phakathi ukubeletha, ukuhlinzwa esibelethweni, kanye nokusetshenziswa kwamadivayisi okulawula ukuzalwa njenge-diaphragm noma iziponji zokuvimbela ukukhulelwa. Lezi zinto zingandisa ingozi yakho yokuthola i-TSS:
- Ukusebenzisa ama-tampon - ikakhulukazi uma uwagcina isikhathi eside kunokunconywayo, noma uma usebenzisa ama-tampon amunca kakhulu noma izinkomishi zokuya esikhathini.
- Ukusebenzisa izindlela zokuvimbela inzalo ezivimbelayo njenge-diaphragm, indebe, noma isiponji.
- Inkinga yesikhumba, isibonelo ukusikeka, ukusha, ukubila, ukulunywa yizinambuzane, noma inxeba ngemva kokuhlinzwa.
- Njengoba usanda kuhlinzwa, uphuphunyelwe yisisu, noma usanda kubeletha.
- Ukugqoka i-packing yamakhala njengokwelapha ukopha kwamakhala.
- Ukuba nokutheleleka komphimbo, ukutheleleka kwe-Staphylococcal, noma ukutheleleka kwe-Streptococcal, njenge-impetigo noma i-cellulitis.
Lingakanani izinga lokusinda elivela ku-TSS?
I-Toxic shock syndrome
ingaba yingozi ezimweni ezingama-30% kuya ku-70% uma inzima kakhulu. Ngakho-ke, ukuxilongwa kusenesikhathi kanye nokwelashwa kuyindlela kuphela yokuthola imiphumela emihle kakhulu.
Kufanele ngimbone nini udokotela?
Uma unezimpawu ze-toxic shock syndrome,
ikakhulukazi uma usebenzisa ama-tampons, unenxeba lesikhumba, noma usanda kuhlinzwa, bona udokotela ngokushesha. Ekugcineni, umyalezo okufanele uwuthathe uye nawo ekhaya
I-Toxic shock syndrome (TSS) iyisimo esingavamile kodwa esisongela ukuphila esibangelwa ukukhula ngokweqile kwezinhlobo ezimbili ezivamile zamagciwane. Lokhu kubangela umzimba ukuthi ukhiphe ubuthi, obungaholela ekuhlulekeni kwezitho zomzimba noma ngisho nokufa. Njengoba bekucatshangwa ukuthi kuhlobene nokusetshenziswa kwe-tampon, manje sesiyazi ukuthi i-TSS ingathinta noma ubani, nganoma yisiphi isikhathi sobudala. Izimpawu eziyinhloko ze-TSS umkhuhlane ongazelelwe, izimpawu ezifana nomkhuhlane, ukuphazamiseka kwesisu, kanye nomfutho wegazi ophansi.
Uma unezimpawu ze-toxic shock syndrome, sicela ubone udokotela ngokushesha noma uye ekamelweni eliphuthumayo.Ukuze uthole imiphumela emihle kakhulu nge-TSS, ukwelashwa okusheshayo (ama-antibiotic, uketshezi, kanye nemithi edingekayo) kubalulekile. Ungesabi, kodwa kubalulekile ukuqaphela lokhu.
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