Isifo sokushaqeka okunobuthi

I-Toxic shock syndrome yisifo esibi esibandakanya umkhuhlane, ukushaqeka nezinkinga ngezitho zomzimba eziningana.

I-toxic shock syndrome ibangelwa ubuthi obukhiqizwa ezinye izinhlobo zebhaktheriya i-staphylococcus. Inkinga efanayo, ebizwa nge-toxic shock-like syndrome (TSLS), ingabangelwa ubuthi obuvela kubhaktheriya be-streptococcal. Akuzona zonke izifo ze-staph noma ze-strep ezibangela i-toxic shock syndrome.

Amacala okuqala we-toxic shock syndrome abandakanya abesifazane abasebenzisa ama-tampon ngesikhathi sabo sokuya esikhathini. Kodwa-ke, namuhla amacala angaphansi kwengxenye eyodwa axhunywe ekusetshenzisweni kwe-tampon. I-toxic shock syndrome nayo ingenzeka ngokutheleleka kwesikhumba, ukusha nangemva kokuhlinzwa. Lesi simo singathinta nezingane, abesifazane abangemva kokuya esikhathini kanye nabesilisa.

Izici zobungozi zifaka:

• Ukubeletha kwakamuva
• Ukutheleleka nge I-Staphylococcus aureus (S aureus), okuvame ukubizwa ngokuthi ukutheleleka kwe- staph
• Imizimba yangaphandle noma ukupakisha (njengaleyo esetshenziselwa ukumisa ukopha ngamakhala) ngaphakathi komzimba
• Isikhathi sokuya esikhathini
• Ukuhlinzwa kwakamuva
• Ukusetshenziswa kwetampon (okunengozi enkulu uma ushiya eyodwa isikhathi eside)
• Ukutheleleka kwesilonda ngemuva kokuhlinzwa

Izimpawu zifaka:

• Ukudideka
• Uhudo
• Ukuzizwa okuvamile
• Ukuphathwa ikhanda
• Umkhuhlane omkhulu, kwesinye isikhathi uhambisana nokugodola
• Umfutho wegazi ophansi
• Ubuhlungu bemisipha
• Isicanucanu nokuhlanza
• Ukwehluleka komzimba (imvamisa izinso nesibindi)
• Ukubomvu kwamehlo, umlomo, umphimbo
• Ukuquleka
• Ukuqhuma okubomvu okusakazekile okubukeka njengokushiswa yilanga - ukukhipha isikhumba kwenzeka emasontweni a-1 noma amabili ngemuva kokuqubuka, ikakhulukazi ezintendeni zezandla noma phansi kwezinyawo

Akukho sivivinyo esisodwa esingathola isifo sokushaqeka okunobuthi.

Umhlinzeki wezokunakekelwa kwempilo uzobheka lezi zinto ezilandelayo:

• Imfiva
• Umfutho wegazi ophansi
• I-Rash ekhwehlela ngemuva kweviki elilodwa kuya kwele-2
• Izinkinga ngokusebenza kwezitho okungenani ezi-3

Kwezinye izimo, amasiko egazi angahle akhule ekukhuleni kwe- S aureus nomaIStreptoccus pyogenes.

Ukwelashwa kufaka:

• Ukususwa kwezinto ezinjengamampamponi, izipanji zangasese, noma ukupakisha amakhala
• Ukugeleza kwezindawo zokutheleleka (njengesilonda sokuhlinzwa)

Inhloso yokwelashwa ukugcina imisebenzi yomzimba ebalulekile. Lokhu kungafaka:

• Ama-antibiotic anoma yikuphi ukutheleleka (anganikezwa nge-IV)
• I-Dialysis (uma kunezinkinga ezinkulu zezinso)
• Uketshezi ngomthambo (IV)
• Imithi yokulawula umfutho wegazi
• I-gamma globulin efakwa ezimweni ezinzima
• Ukuhlala egumbini labagula kakhulu esibhedlela (i-ICU) ukuqapha

I-toxic shock syndrome ingahle ibe yingozi ize ifike kuma-50% wamacala. Isimo singabuya kulabo abasindayo.

Izinkinga zingafaka:

• Ukulimala komzimba kufaka phakathi ukwehluleka kwezinso, kwenhliziyo, nokwesibindi
• Ukushaqeka
• Ukufa

I-toxic shock syndrome yisimo esiphuthumayo sezokwelapha. Funa usizo lwezokwelapha khona manjalo uma uba namaqubu, umkhuhlane, futhi uzizwa ugula, ikakhulukazi ngesikhathi sokuya esikhathini kanye nokusetshenziswa kwe-tampon noma uma uke wahlinzwa muva nje.

Unganciphisa ubungozi bakho bokuya esikhathini lapho unesifo sokushaqeka okunobuthi nge:

• Ukugwema amathamponi amunca kakhulu
• Ukuguqula amathamponi njalo (okungenani njalo emahoreni ayisishiyagalombili)
• Kusetshenziswa kuphela ama-tampon kanye ngesikhashana ngesikhathi sokuya esikhathini

IStaphylococcal toxic shock syndrome; Isifo sokushaqeka esinobuthi; TSLS

• I-anatomy yesizalo ejwayelekile (isigaba esisikiwe)
• Amagciwane

UGardella C, u-Eckert LO, uLentz GM. Izifo ezithwala izitho zangasese: isitho sangasese sowesifazane, isitho sangasese sowesifazane, umlomo wesibeletho, i-toxic shock syndrome, i-endometritis, ne-salpingitis. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. I-Gynecology ephelele. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2017: isahluko 23.

UKroshinsky D. Izifo zemacular, papular, purpuric, vesiculobullous, kanye ne-pustular. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 410.

ULarioza J, uBrown RB. Isifo sokushaqeka okunobuthi. Ku: Kellerman RD, Rakel DP, ama-eds. Ukwelashwa Kwamanje kukaConn 2020. IPhiladelphia, PA: Elsevier 2020: 649-652.

I-Que YA, i-Moreillon P. Staphyloccus aureus (kufaka phakathi i-staphyloccocal toxic shock syndrome) Ku: Bennett JE, Dolin R, Blaser MJ, ama-eds. Mandell, Douglas, kanye neBennett's Principles and Practice of Infectious Diseases. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2020: isahluko 194.