Wake waba nokutheleleka komgudu womchamo , noma njengoba sonke sazi, ukutheleleka komgudu womchamo ( UTI )? Lokhu kuyinto evamile kakhulu, ikakhulukazi kwabesifazane. Kuqala ngokungezwani okuncane, isidingo sokuphuza njalo, kanye nomuzwa wokushisa lapho uchama. Abantu abaningi abakunaki kakhulu. Bacabanga ukuthi, "Phuza amanzi amaningi futhi kuzolunga." Kodwa, bewazi ukuthi uma ukutheleleka komchamo, okubhekwa njengokujwayelekile, kungelashwa kahle, kungaphenduka isimo esibi esingasongela impilo? Leso simo esiyingozi yilokho esikubiza ngokuthi i-Urosepsis kwezokwelapha.
Kalula nje, iyini i-Urosepsis?
Lokhu kulula kakhulu ukukuqonda. Cabanga nje, ukutheleleka ngamagciwane noma isikhunta kungena ohlelweni lwakho lomchamo. Lokhu sikubiza ngokuthi ukutheleleka komgudu womchamo (UTI). Ngokuvamile, uma lokhu kutheleleka kusesinyeni, sikubiza ngokuthi i-cystitis . Uma ungatholi ukwelashwa ngokushesha, la magciwane athelelanayo angahamba aye e-urethra asakazekele ezinso zakho. Lokhu sikubiza ngokuthi i-pyelonephritis .
Lesi yisigaba esiyingozi kakhulu. Lapho ukutheleleka kusakazekela ezinso, amagciwane angena egazini bese eqala ukusabalala emzimbeni wonke. Ngenxa yalokho, amasosha omzimba wethu aqala impi enkulu. Kodwa lapho le mpi iba nzima, iqala ukulimaza izitho zethu. Yilokho esikubiza ngokuthi i-sepsis .
I-Urosepsis ayilutho ngaphandle kwesimo esibizwa ngokuthi i-sepsis esibangelwa ukutheleleka komgudu womchamo (Uro-).
Uma i-sepsis iba nzima kakhulu, ingaholela esimweni esibizwa ngokuthi i-septic shock . Lokhu kwenzeka lapho umfutho wegazi wehla ngendlela eyingozi, okubangela ukuthi izitho ezinkulu ezifana nenhliziyo, amaphaphu, nezinso zingasebenzi kahle, ngisho nokufa. Nakuba abantu abaningi belulama ekushayweni okuvamile kwe-sepsis, i-septic shock inezinga lokufa elifinyelela ku-40%. Ngakho-ke, lokhu akuyona into okufanele ithathwe kalula.
Ungazibona kanjani izimpawu ngqo?
Izimpawu ze-urosepsis aziveli ngokuzumayo. Zivela ngezigaba. Izimpawu zokuqala yilezo zokutheleleka okuvamile kwendlela yomchamo. Ake sibheke ithebula elingezansi ukuze sikuqonde kahle lokhu.
| Izigaba zokutheleleka | Izimpawu okufanele uzilindele |
|---|---|
| 1. Ukutheleleka kwesinye (i-Cystitis) |
|
| 2. Ukutheleleka okusakazekele ezinso (i-Pyelonephritis) | |
| 3. Isimo se-Sepsis | |
| 4. I-Sepsis Enzima / Ukushaqeka Okukhulu |
Kunini lapho kufanele ufune khona iseluleko sezokwelapha ngokushesha?
I-Urosepsis akuyona into engelashwa ekhaya. Iyisimo esiphuthumayo sezokwelapha .
Uma ucabanga ukuthi unesifo somgudu womchamo futhi asipheli ngisho nangemva kokwelashwa,Ikakhulukazi uma unomkhuhlane, ukubanda, ukuphefumula okusheshayo, noma udidekile , iya e-Emergency Treatment Unit (ETU) yesibhedlela ngokushesha ngaphandle kokulibala okwengeziwe.
Lesi simo singavame ukwenzeka ezigulini ezibhedlela. Kodwa akudingeki kube njalo. Noma ubani angathuthuka lesi simo ngenxa yokutheleleka komgudu womchamo okungelashwanga.
Iphathwa kanjani?
Endabeni ye-urosepsis, isikhathi sibaluleke kakhulu. Ihora ngalinye lapho ukwelashwa kubambezeleka khona, amathuba okusinda kwesiguli ancipha cishe ngo-8%. Yingakho odokotela beqala ukwelashwa kungakapheli ihora elilodwa ngemuva kokuqinisekisa ukuxilongwa.
Izindlela zokwelapha eziyinhloko yilezi:
- Ama-antibiotic: Uma amasampula omchamo negazi esethunyelwe ukuze ayohlolwa, ama-antibiotic anamandla anikezwa nge-intravenous (IV) ngokushesha okukhulu ukuze abulale amagciwane abangela ukutheleleka. Ngokuvamile, kusetshenziswa imithi efana ne-`(Piperacillin)`, `(cephalosporins yesizukulwane sesithathu)` noma `(Fluoroquinolones)`.
- Ukunakekelwa Okusekelayo:
- Ama-Fluid Angena Emthanjeni (IV Fluids): Inani elikhulu loketshezi, njengosawoti, linikezwa ukuze kuqiniswe umfutho wegazi futhi kugcinwe amazinga oketshezi emzimbeni.
- Ama-Vasopressor: Uma umfutho wegazi wehla ngendlela eyingozi, kunikezwa imithi efana ne-`(Norepinephrine)` ukuze uwulawule.
- Umoya-mpilo: Umoya-mpilo unikezwa uma kunobunzima bokuphefumula.
- Ukwelapha imbangela eyinhloko: Ngezinye izikhathi, lokhu kutheleleka kungenzeka ngenxa yokuvaleka kwendlela yomchamo, njengetshe lezinso. Ezimweni ezinjalo, ukwelashwa okusheshayo kwenziwa, njengokususa itshe noma ukufaka i-stent ukuze kugwenywe ukuvaleka.
Singazivikela kanjani kulesi simo esibi kangaka?
Indlela engcono kakhulu newukuphela kwayo yokuvimbela i-urosepsis ukufuna ukwelashwa okufanele ngokushesha nje lapho kuvela ukutheleleka komgudu womchamo.
Uma unezimpawu zokutheleleka ngomchamo, ungacabangi nje ukuthi, "Lokhu kuzophela ngokwako." Ukuphuza amanzi kuphela ngeke kukwelaphe. Bona udokotela wakho ngokushesha. Thatha ama-antibiotic awanikezayo isikhathi esiphelele. Ungayeki ukuwathatha ngoba nje uzizwa ungcono. Ukwenza kanjalo kungabangela ukuthi ukutheleleka kube kubi kakhulu futhi kuqhubekele ku-Urosepsis.
Umlayezo Wokuya Nawe Ekhaya
- I-Urosepsis yisimo esibi kakhulu, esingasongela impilo esenzeka lapho ukutheleleka komgudu womchamo ongelashwanga (UTI) kusakazeka ngezinso kuye egazini.
- Uma izimpawu ezivamile zokutheleleka komgudu womchamo (ukusha, ukuchama njalo) zihambisana nomkhuhlane, ukubanda, ukudideka, nokuphefumula ngokushesha, kungaba uphawu oluyingozi.
- Uma unezimpawu ezinjalo, kufanele uye ngokushesha e-Emergency Treatment Unit (ETU) yesibhedlela ngaphandle kokulinda ekhaya.
- Indlela engcono kakhulu yokuvimbela i-urosepsis ukubona udokotela ekuqaleni kokutheleleka komgudu womchamo bese uthola ukwelashwa okugcwele.
I-Urosepsis, Ukutheleleka Kwendlela Yomchamo, I-UTI, I-Sepsis, Ukushaqeka Kwe-Septic, Ukutheleleka Kwezinso, I-Pyelonephritis
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