I-Bacteremia: kuyini, izimpawu, izimbangela kanye nokwelashwa
-Delile
I-Bacteremia ihambelana nokuba khona kwamagciwane egazini, okungenzeka ngenxa yenqubo yokuhlinzwa neyamazinyo noma kube umphumela wezifo zomchamo, isibonelo.
Ezimweni eziningi, i-bacteremia ayiholeli ekubonakaleni kwezimpawu noma izimpawu, kepha, njengoba igazi kungenye yezindlela eziyinhloko zokusabalala kwegciwane, igciwane lingaya ezingxenyeni ezihlukene zomzimba futhi libangele ukutheleleka okujwayelekile, futhi eyaziwa ngokuthi ukushaqeka (septic), okungadala ukushisa komzimba, ukwehla kwengcindezi nokushintsha kwesilinganiso sokuphefumula, isibonelo.
Ngakho-ke, kubalulekile ukuthi ngemuva kokwenza izinqubo ezihlaselayo, njengokukhishwa kwamazinyo noma ukuhlinzwa, ama-antibiotic asetshenziswa ngokuthambisa, njengoba kungenzeka ukuvimbela ukuvela kwe-bacteremia. Ngaphezu kwalokho, kubalulekile ukuthi izifo ziphathwe ngokuvumelana nesincomo sikadokotela, ngoba ngale ndlela kungenzeka futhi ukuvimbela ukufika kwe-ejenti elithelelanayo egazini nasekumelaneni namagciwane.
Izimpawu eziyinhloko
Ukuba khona kwamagciwane egazini kuvame ukungabi nalutho, noma kunjalo, lapho amasosha omzimba ephendula ngenxa yokuba khona komzimba, kunezimpawu ezingahle zibe yisici sepsis noma ukushaqeka kwamehlo, njengokuthi:
- Imfiva;
- Shintsha ngesilinganiso sokuphefumula;
- Ukugodola;
- Ingcindezi iyancipha;
- Ukunyuka kwenhliziyo;
- Izinguquko ekugxileni kwamaseli amhlophe egazi, angenza ukuthi umuntu angenwe izifo.
Lezi zimpawu zivela ngenxa yokuhlala kwamagciwane kwezinye izindawo zomzimba, njengezitho zokufakelwa noma izinto ezikhona emzimbeni, njengama-catheters noma ama-prostheses, futhi zingahluka ngokuya ngohlobo lwama-bacteria kanye nesimo sempilo jikelele umuntu.
Ezimweni lapho izimpawu ziphikelela khona ngisho nokusetshenziswa kwama-antibiotic nokushintshwa kuketshezi futhi umfutho wegazi uhlala uphansi kakhulu, kungenzeka ukuthi lowo muntu wethuke ngokwethuka, okuyinkinga enkulu ye-bacteremia futhi okufanele ilashwe ngokushesha, lokhu ngoba umuntu usevele akhubazeke ngokwengeziwe futhi kunezinto eziningi ezinobuthi emzimbeni ezikhiqizwa yizinto ezithathelwanayo. Funda kabanzi ngokushaqeka kweseptic.
Ungayibona kanjani
Ukuxilongwa kwe-bacteremia kwenziwa ngokuhlolwa kwelabhorethri, okufana nokubalwa kwegazi, lapho amanani ancishisiwe ama-leukocyte nokuguqulwa okuphakamisa ukutheleleka kuyabonakala, kanye namasiko egazi, nokuyisivivinyo esivumela ukubonakala kobukhona bezinambuzane igazi futhi yini i-ejenti elithathelwanayo.
Lapho isiko legazi lihle futhi kutholakala i-microorganism, ibhaktheriya lihlukanisiwe ukuze kwenziwe i-antibiotic ukuze kubhekwe ukuthi yimaphi ama-antibiotic ama-microorganism azwelayo noma amelana nawo, ngaleyo ndlela ekhombisa umuthi ongcono ukwelapha i-bacteremia.
Ngaphezu kwesiko legazi, udokotela angacela ukuhlolwa komchamo, isiko lomchamo, ukuhlolwa kwesikhwehlela kanye nesiko lokufihla isilonda, ngokwesibonelo, njengoba kungenzeka futhi ukukhomba ukugxila kokuqala kokutheleleka futhi, ngaleyo ndlela, aqale ukwelashwa okufanele kakhulu.
Izimbangela ze-bacteremia
Ukuba khona kwamagciwane egazini kuvame kakhulu lapho umuntu enamasosha omzimba abuthakathaka ngenxa yezifo ezingamahlalakhona, izinqubo ezihlaselayo noma ubudala, isibonelo. Ngakho-ke, kulula ngamagciwane amancane ukufinyelela egazini futhi asakaze kwezinye izitho.
Ezinye zezimo eziyinhloko ezandisa ubungozi be-bacteremia yilezi:
- Ukuhlinzwa;
- Ukuba khona kwama-catheters noma ama-probe;
- Izifo ezingalashwa, ikakhulukazi izifo zomgudu womchamo;
- Ukukhishwa kwamazinyo;
- Ukusetshenziswa kwezinto ezingenayo inzalo, njengezinaliti nemijovo, isibonelo.
Esinye isimo esingavuna ukuvela kwamagciwane egazini iqiniso lokuthi uxubha amazinyo akho kanzima, okungadala ukuthi amagciwane akhona emgodini womlomo angene egazini, kepha ezimweni eziningi lesi simo akusona sina futhi umzimba uyakwazi ukulwa ngempumelelo.
Yelashwa kanjani
Ukwelashwa kwe-bacteremia kufanele kuboniswe ngungoti wezifo ezithathelwanayo noma udokotela ojwayelekile ngokusho kwembangela ye-bacteremia kanye namagciwane akhona, kanye nokucabangela impilo yomuntu kanye nobudala.
Ngokuvamile, ukwelashwa kwenziwa ngama-antibiotic futhi kufanele kwenziwe ngokuyalelwa ngudokotela, ngoba uma ukwelashwa kuphazanyiswa ngaphandle kokukhonjwa, kungenzeka ukuthi amabhaktheriya azophindaphindeka futhi aholele ekwakhiweni kwezinkinga, ngaphezu kwalokho futhi nengozi enkulu yokumelana namagciwane, okwenza ukwelashwa kube nzima kakhulu. Bheka imininingwane eminingi yokwelashwa kokutheleleka ngegazi.