Ubuthi begazi: Izimpawu kanye nokwelashwa

-Delile

• Yini ebangela ubuthi egazini?
• Ubani osengozini yokufakwa ubuthi egazini
• Ukubona izimpawu zobuthi begazi
• Ukuhlonza ubuthi begazi
• Izinketho zokwelashwa ezinobuthi begazi
• Umbono wesikhathi eside nokululama
• Ukuvimbela

Buyini ubuthi begazi?

Ubuthi begazi yisifo esibi kakhulu. Kwenzeka lapho amagciwane esegazini.

Naphezu kwegama lalo, ukutheleleka akuhlangene nobuthi. Yize kungesilo igama lezokwelapha, "ubuthi begazi" busetshenziselwa ukuchaza i-bacteremia, septicemia, noma i-sepsis.

Noma kunjalo, leli gama lizwakala liyingozi, futhi kufanele. I-Sepsis isifo esibucayi, esingaba yingozi. Ubuthi begazi bungadlulela ku-sepsis ngokushesha. Ukuxilongwa nokwelashwa ngokushesha kubalulekile ekwelapheni ubuthi begazi, kepha ukuqonda izici zakho zobungozi kuyisinyathelo sokuqala ekuvimbeleni lesi simo.

Yini ebangela ubuthi egazini?

Ubuthi begazi benzeka lapho amagciwane abangela ukutheleleka kwenye ingxenye yomzimba wakho angena egazini lakho. Ukuba khona kwamagciwane egazini kubizwa nge-bacteremia noma i-septicemia. Amagama athi "septicemia" kanye "sepsis" ajwayele ukusetshenziswa ngokushintshana, yize ngobuchwepheshe angafani ncamashi. I-Septicemia, isimo sokuba namagciwane egazini lakho, kungaholela espsis. I-Sepsis yisimo esibi futhi esivame ukusongela impilo sokutheleleka uma singalashwa. Kepha noma yiluphi uhlobo lokutheleleka - kungaba yi-bacterial, fungal, noma i-virus - kungadala i-sepsis. Futhi lezi zinto ezithelelanayo akudingeki ukuthi zibe semgudwini wegazi womuntu ukuletha i-sepsis.

Ukutheleleka okunjalo kuvame ukwenzeka emaphashini, esiswini nasemgudwini wokuchama. I-Sepsis yenzeka kaningi kubantu abalaliswe esibhedlela, lapho ingozi yokutheleleka isivele iphakeme.

Ngoba ubuthi begazi benzeka lapho amabhaktheriya engena egazini lakho ngokuhlangana nokunye ukutheleleka, ngeke ube ne-sepsis ngaphandle kokuthola ukutheleleka kuqala.

Ezinye izimbangela ezivamile zezifo ezingadala i-sepsis zifaka:

• ukutheleleka kwesisu
• ukulunywa yisinambuzane esinegciwane
• ukutheleleka okuphakathi komugqa, okuvela ku-dialysis catheter noma i-chemotherapy catheter
• ukukhishwa kwamazinyo noma amazinyo anegciwane
• ukuvezwa kwesilonda esimboziwe kubhaktheriya ngesikhathi sokululama kokuhlinzwa, noma ukungaguquli ibhandishi lokuhlinzwa kaningi ngokwanele
• ukuvezwa kwanoma isiphi isilonda esivulekile emvelweni
• ukutheleleka ngamagciwane amelana nemithi
• ukutheleleka kwezinso noma komchamo
• inyumoniya
• ukutheleleka kwesikhumba

Ubani osengozini yokufakwa ubuthi egazini

Abanye abantu bathambekele kakhulu kunabanye ku-sepsis. Labo abasengozini enkulu bafaka:

• abantu abanezivikeli mzimba ezibuthakathaka, njengalezo ezine-HIV, i-AIDS, noma i-leukemia
• izingane ezincane
• abantu abadala asebekhulile
• abantu abasebenzisa imithambo efakwa emithanjeni efana ne-heroin
• abantu abanempilo ehlanzekile yamazinyo
• labo abasebenzisa ipayipi
• abantu abathole ukuhlinzwa kwakamuva noma umsebenzi wamazinyo
• labo abasebenza endaweni echayeka kakhulu kubhaktheriya noma amagciwane, njengasesibhedlela noma ngaphandle

Ukubona izimpawu zobuthi begazi

Izimpawu zobuthi begazi zifaka:

• Ukugodola
• imfiva elinganiselayo noma ephezulu
• ubuthakathaka
• ukuphefumula okusheshayo
• ukukhuphuka kwenhliziyo noma ukushaya kwenhliziyo
• ukuphaphatheka kwesikhumba, ikakhulukazi ebusweni

Ezinye zalezi zimpawu zihambisana nomkhuhlane noma ezinye izifo. Kodwa-ke, uma uke wahlinzwa muva nje noma usalulama enxebeni, kubalulekile ukuthi ushayele udokotela wakho ngokushesha ngemuva kokuhlangabezana nalezi zimpawu ezingaba khona zobuthi begazi.

Izimpawu ezithuthukisiwe zobuthi begazi zingasongela impilo futhi zibandakanye:

• ukudideka
• amabala abomvu esikhunjeni angahle akhule futhi abukeke njengokulimaza okukhulu, okunsomi
• ukushaqeka
• ukukhiqizwa kancane komchamo
• ukwehluleka komzimba

Ubuthi begazi bungaholela ekucindezelekeni kokuphefumula kanye nokwethuka okubangelwa ukuphefumula. Uma isimo singelashwa ngokushesha, lezi zinkinga zingaholela ekufeni.

Ukuhlonza ubuthi begazi

Kunzima ukuzitholela wena uqobo ubuthi begazi ngoba izimpawu zalo zilingisa ezinye zezimo. Indlela engcono yokuthola ukuthi une-septicemia ukubona udokotela. Okokuqala, udokotela wakho uzokwenza ukuhlolwa ngokomzimba, okuzobandakanya ukuhlola izinga lokushisa nomfutho wegazi.

Uma kusolwa ubuthi begazi, udokotela wakho uzokwenza izivivinyo ukuze abheke izimpawu zokutheleleka ngamagciwane. I-Septicemia ingabhekiswa nalezi zivivinyo:

• ukuhlolwa kwesiko legazi
• amazinga e-oxygen egazini
• ukubalwa kwegazi
• into yokujiya
• ukuhlolwa komchamo kufaka phakathi isiko lomchamo
• X-ray esifubeni
• ukuhlolwa kwe-electrolyte nokusebenza kwezinso

Futhi, udokotela wakho angabona izinkinga ngokusebenza kwesibindi noma izinso, kanye nokungalingani emazingeni e-electrolyte. Uma unesilonda sesikhumba, udokotela wakho angathatha isampula lanoma yikuphi uketshezi oluvuza kulo ukuze ahlole amagciwane.

Njengendlela yokuqapha, udokotela wakho angaphinde a-ode ukuskena kwe-imaging. Lezi zivivinyo zingasiza ukuthola ukutheleleka ezithweni zomzimba wakho:

• I-X-ray
• Iskena se-CT
• Ukuskena kwe-MRI
• i-ultrasound

Uma amabhaktheriya akhona, ukukhomba ukuthi luhlobo luni kuzosiza udokotela wakho ukuthi anqume ukuthi imuphi umuthi wokulwa namagciwane okufanele awunikeze ukusula ukutheleleka.

Izinketho zokwelashwa ezinobuthi begazi

Ukwelashwa ngokushesha kobuthi begazi kubalulekile ngoba ukutheleleka kungasakazeka ngokushesha kuzicubu noma kuma-valve wenhliziyo yakho. Uma usutholakale une-poisoning yegazi, cishe uzothola ukwelashwa njengesiguli esingalalisiwe esibhedlela. Uma ukhombisa izimpawu zokwethuka, uzongeniswa egumbini labagula kakhulu. Izimpawu zokwethuka zifaka:

• ukuphaphatheka
• ishayela ngokushesha, elibuthakathaka
• ukuphefumula okusheshayo, okungajulile
• isiyezi noma ukuquleka
• umfutho wegazi ophansi

Ungase futhi uthole i-oksijini kanye noketshezi ngemithambo yegazi ukusiza ukugcina umfutho wegazi onempilo nokususa ukutheleleka. Amahlule egazi anokunye ukukhathazeka ezigulini ezingenamandla.

I-Sepsis ivame ukuphathwa nge-hydration, imvamisa ngomugqa ofakwa ngaphakathi, kanye nama-antibiotic abhekise emzimbeni obangela ukutheleleka. Kwesinye isikhathi imithi ingadinga ukuthi isetshenziselwe ukuxhasa okwesikhashana umfutho wegazi ophansi. Le mithi ibizwa ngokuthi yi-vasopressors. Uma i-sepsis inzima ngokwanele ukudala ukungasebenzi kwezitho eziningi, leso siguli singadinga ukuphefumula ngemishini, noma singadinga i-dialysis okwesikhashana uma izinso zabo zehlulekile.

Umbono wesikhathi eside nokululama

Ubuthi begazi bungaba yisimo esibulalayo. Ngokusho komtholampilo iMayo Clinic, ukushaqeka okubangwa yisifo septic kunesilinganiso sokushona kwamaphesenti angama-50. Noma ukwelashwa kuphumelele, i-sepsis ingaholela ekulimaleni unomphela. Ingozi yakho yokutheleleka esikhathini esizayo nayo ingaba nkulu.

Lapho ulandela eduze uhlelo lokwelashwa kukadokotela wakho, aba maningi amathuba okuba ululame ngokugcwele. Ukwelashwa kusenesikhathi futhi okunolaka egunjini labagula kakhulu esibhedlela kwandisa amathuba okuthi usinde espsis. Iningi labantu lingenza ukululama okugcwele kusuka ku-sepsis emnene ngaphandle kwezinkinga ezihlala njalo. Ngokunakekelwa okulungile, ungazizwa ungcono ngesonto elilodwa noma amabili.

Uma usinda ku-sepsis enzima, noma kunjalo, usengozini yokuthola izinkinga ezinkulu. Eminye imiphumela emibi yesikhathi eside ye-sepsis ifaka:

• kungenzeka amahlule egazi
• ukwehluleka komzimba, okudinga ukuhlinzwa noma izindlela zokusindisa impilo okufanele zenziwe
• ukufa kwezicubu (isilonda esibucayi), esidinga ukususwa kwezicubu ezithintekile noma ngokunqunywa

Ukuvimbela

Indlela engcono yokuvikela ubuthi egazini ukwelapha nokuvikela izifo. Kubalulekile futhi ukuvimbela noma yimaphi amanxeba avulekile ekungenweni yileli gciwane kuqala ngokuhlanzwa okufanele nangokubhandishwa.

Uma ngabe uhlinziwe, udokotela wakho cishe uzokunika isibulala-magciwane njengendlela yokuvikela izifo.

Kungcono wenze iphutha ohlangothini lokuqapha futhi ushayele udokotela wakho uma usola ukuthi unegciwane. Gwema izindawo lapho ungahle uhlangane khona namagciwane, amagciwane, noma isikhunta uma ujwayele ukutheleleka.