Wake wezwa ngesihlobo noma umngane owayesegumbini lokunakekelwa okujulile (ICU) ethola "ukutheleleka okutholakale esibhedlela"? Ngezinye izikhathi kungenxa yohlobo lwebhaktheriya esikhuluma ngalo, olumelana nemithi eminingi futhi oluyingozi kancane. Nakuba leli bhaktheriya livame ukubangela izinkinga ezinkulu kubantu abaphilile, lingaba usongo olukhulu kumuntu olaliswe esibhedlela futhi onesimiso somzimba esibuthakathaka.
Iyini ngempela i-Acinetobacter baumannii?
Kalula nje, lolu uhlobo lwamabhaktheriya. Atholakala kakhulu endaweni ezungezile, ikakhulukazi enhlabathini nasemanzini. Ezivivinyweni zelebhu, la mabhaktheriya ahlukaniswa ngokuthi "angenawo amagremu". Lokho kusho ukuthi abukeka epinki uma efakwe umbala othile. Nakuba lokho kungase kungabalulekile kithi, kubalulekile kodokotela.
Kodwa isizathu esiyinhloko sokuthi kungani sonke sesaba leli gciwane yikhono lalo elimangalisayo. Lelo yikhono lalo lokumelana nama-antibiotic . Siyazi ukuthi uma sinesifo samagciwane, udokotela usinika ama-antibiotic. Kodwa leli gciwane, i-Acinetobacter baumannii, lithole izindlela zokumelana nama-antibiotic amaningi. Lokhu sikubiza ngokuthi ukumelana nemithi eminingi. Kufana nokwakha izinhlobo ezahlukene zezindawo zokucasha lapho kufika isitha. Ngakho-ke, odokotela kufanele babhekane nenselele enkulu yokwelapha izifo ezibangelwa yileli gciwane.
Ukutheleleka lokhu kuthelelana kanjani? Ubani osengozini enkulu?
Lokhu kutheleleka ngamagciwane akuvamile kakhulu kubantu abavamile ngaphandle kwesibhedlela. Kodwa-ke, ngezinye izikhathi kungenzeka ngaphandle kwesibhedlela kubantu abanesifo sikashukela, isifo samaphaphu esingamahlalakhona, noma isimiso somzimba sokuzivikela esibuthakathaka.
Kodwa ingozi enkulu kakhulu ingeyabantu abagula kakhulu esibhedlela, ikakhulukazi labo abagula kakhulu. Cabanga ngalokhu: Umuntu osesimweni esinjengalesi unamathuba amaningi okuthola lesi sifo:
- Labo abathola ukwelashwa eYunithi Yokunakekela Abagula Kakhulu (i-ICU).
- Abantu abaxhunywe kuma-ventilator.
- Abantu abane-catheter yomchamo noma ama-catheter emithambo yegazi.
- Abantu asebehlale esibhedlela isikhathi eside.
- Abantu abanezilonda ezivulekile zokuhlinzwa.
Izindlela eziyinhloko zokusabalala kwalesi sifo ngezandla zabasebenzi basesibhedlela, ngokuthinta isiguli esinalesi sifo, ngamaconsi angena emoyeni lapho umuntu onegciwane ekhwehlela noma ethimula, kanye nangemishini yezokwelapha engakahlanzwa kahle.
Leli gciwane lingaphila isikhathi eside ezindaweni ezifana nemishini yesibhedlela kanye nemibhede. Yingakho izinto ezifana nokuhlanzeka ezibhedlela kanye nokugeza izandla ngabasebenzi kubaluleke kakhulu.
Ngisho ne-World Health Organization (WHO) ifake leli gciwane elithi 'Acinetobacter baumannii' phakathi kwamagciwane ayingozi enkulu esintwini. Isizathu salokhu yikhono elimangalisayo lokumelana nalawa ma-antibiotic ashiwo ngenhla.
Ziyini izimpawu zalesi sifo?
Izimpawu zincike ekutheni igciwane litheleleke yiphi ingxenye yomzimba. Isibonelo, uma amaphaphu ethelelekile, ngeke kube khona zimpawu, kodwa uma ubuchopho buthelelekile, kuzoba khona.
Ake sichaze lokhu kabanzi ngethebula elingezansi.
| Uhlobo lokutheleleka | Incazelo kanye nezimpawu |
|---|---|
| I-pneumonia etholakale esibhedlela | Lokhu ukutheleleka okuvame kakhulu okubangelwa yileli gciwane. Kungavela ikakhulukazi kubantu abase-ICU noma kuma-ventilator. Izimpawu: umkhuhlane, ubunzima bokuphefumula, ukushaya kwenhliziyo okusheshayo, ubuhlungu besifuba, kanye nokubanda. |
| Ukutheleleka ngegazi (Ukutheleleka ngegazi / i-Sepsis) | Amabhaktheriya angena egazini asakazeke emzimbeni wonke. Lesi yisimo esiyingozi kakhulu. E-ICU, ingozi yokufa ngenxa yokutheleleka okunjalo icishe ibe ngu-30%-40%. Izimpawu: Umkhuhlane ophakeme, ukubanda, ukuphefumula okusheshayo, kanye nokudideka. |
| Ukutheleleka kwesistimu yezinzwa ephakathi | I-Meningitis, ukutheleleka kwezicubu ezimboze ubuchopho, kungenzeka, ikakhulukazi ngemva kokuhlinzwa kobuchopho. Izimpawu zifaka phakathi umkhuhlane omkhulu, ukulahlekelwa ukwazi, ukuquleka, intamo eqinile, ikhanda elibuhlungu, kanye nokungakwazi ukubheka izibani ezikhanyayo. |
| Ezinye izifo | Ukutheleleka komgudu womchamo, ukutheleleka kwamathambo, ukutheleleka kwesikhumba nezicubu ezithambile, ukutheleleka kwamanxeba, kanye nokutheleleka kolwelwesi lwangaphakathi lwenhliziyo (i-endocarditis) nakho kungavela. |
Kuphathwa kanjani lokhu?
Lena inselele enkulu kunazo zonke. Ngenxa yokuthi leli gciwane limelana nama-antibiotic amaningi, kunzima kakhulu ngodokotela ukukhetha ukwelashwa.
Yilokhu okuvame ukwenzeka:
Uma udokotela wakho esola ukuthi kukhona ukutheleleka, uzothatha isampula (isib. igazi, i-phlegm, noma uketshezi oluvela esilondeni) endaweni ethelelekile bese eluthumela elabhorethri. Lokhu kubizwa ngokuthi ukuhlolwa "kwesiko".
Kodwa kuthatha izinsuku eziningana ukuthi imiphumela yalowo "(isiko)" ibuye. Uma isiguli sigula kakhulu, awukwazi ukulinda leyo miphumela. Ngakho udokotela uqala ukwelashwa ngokusekelwe ekuqageleni kwakhe okuhle kakhulu , ngokusekelwe kokuhlangenwe nakho kwakhe ngezinhlobo zamagciwane avamile esibhedlela nokuthi yimaphi ama-antibiotic aphumelele muva nje.
Uma umbiko wokulima ufika ezinsukwini ezimbalwa, uzosho ngokucacile ukuthi yimaphi amagciwane abangela ukutheleleka, yimaphi ama-antibiotic asebenzayo, nokuthi yimaphi ama-antibiotic angasebenzi. Udokotela uzobe esenquma ukuthi uzoshintsha yini ukwelashwa okwaqalwa ngaphambilini noma cha ngokusekelwe kulowo mbiko.
Ngezinye izikhathi, leli gciwane liyamelana nama-antibiotic anamandla kakhulu, "okugcina" njenge-"carbapenem". Ezimweni ezinjalo, ukwelashwa kuba nzima kakhulu. Ngakho-ke, ezimweni ezinjalo, shiya isinqumo sokwelashwa kudokotela wakho ngokuphelele.
Umlayezo Wokuya Nawe Ekhaya
- I-Acinetobacter baumannii igciwane eliyingozi kakhulu elingamelani nama-antibiotic amaningi futhi lisakazeka kakhulu ezibhedlela.
- Ingozi enkulu kakhulu ingeyabantu abagula kakhulu abasezindlini zokunakekelwa okujulile (i-ICU), labo abasezindlini zokuphefumula, labo abanezilonda zokuhlinzwa, kanye nalabo abanamasosha omzimba abuthakathaka.
- Izimpawu zincike engxenyeni yomzimba ethelelekile (amaphaphu, igazi, ubuchopho, njll.).
- Ukwelashwa kuyinkimbinkimbi futhi kufanele kuphathwe udokotela wakho ngokusekelwe emibikweni yokuhlolwa kwelebhu.
- Indlela engcono kakhulu yokugwema lokhu kutheleleka ukulandela ngokuqinile imikhuba efanele yokuhlanzeka ezibhedlela (ikakhulukazi ukugeza izandla ngabasebenzi).
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho