Umhlengikazi Ongaziwa: Iziguli Ezikholisayo Zokuthola Umgomo Kuba nzima kakhulu

-Delile

• Ukusabalala kolwazi olungelona iqiniso kusho ukuthi iziguli eziningi zenqaba imigomo
• Yize kunomsindo, kunzima ukuphikisa ukuthi ukugoma ezifweni kungasindisa izimpilo
• Funa izifundo ezihlonishwayo nezinsizakusebenza, bese ubuza konke okufundayo

Phakathi nezinyanga zasebusika, imikhuba ivame ukubona ukuphakama kweziguli ezingena ngezifo zokuphefumula - ikakhulukazi umkhuhlane ovamile - nomkhuhlane. Esinye isiguli esinjalo sahlela isikhathi sokuqokwa ngoba sasinomkhuhlane, ukukhwehlela, ubuhlungu bomzimba, futhi ngokuvamile sasizizwa sengathi sigijinywe isitimela (sasingenaso). Lezi yizimpawu zakudala zegciwane lomkhuhlane, eliba namandla kakhulu phakathi nezinyanga ezibandayo.

Njengoba ngangisola, wahlolelwa ukuthi une-influenza. Ngeshwa kwakungekho muthi ebengingamnika wona wokumlapha ngoba leli yigciwane futhi aliphenduli ekwelashweni ngama-antibiotic. Futhi ngoba ukuqala kwakhe kwezimpawu kwakungaphandle komugqa wesikhathi wokumnikeza imishanguzo yokulwa namagciwane, angikwazanga ukumnika uTamiflu.

Uma ngimbuza ukuthi ngabe ugonyiwe yini kulo nyaka waphendula wathi akakagonywanga.

Empeleni, waqhubeka wangitshela ukuthi wayengagonyiwe eminyakeni eyishumi edlule.

"Ngithole umkhuhlane ekugomeni kokugcina futhi ngaphandle kwalokho, akusebenzi," kuchaza yena.

Isiguli sami esilandelayo besizobuyekezwa izivivinyo zamalabhu zakamuva kanye nokulandelwa okujwayelekile komfutho wegazi ophakeme kanye ne-COPD. Ngambuza ukuthi wake wahlaselwa ngumkhuhlane yini kulo nyaka nokuthi wake wahlaselwa yini umuthi wokugomela inyumoniya. Uphendule ngokuthi akaze agonywe - ngisho nomkhuhlane.

Ngalesi sikhathi, ngazama ukuchaza ukuthi kungani ukugoma kunenzuzo futhi kuphephile. Ngiyamtshela ukuthi izinkulungwane zabantu zifa minyaka yonke ngenxa yomkhuhlane - ngaphezu kuka-18,000 kusukela ngo-Okthoba 2018, ngokusho kwe-nokuthi usengozini kakhulu ngoba une-COPD futhi uneminyaka engaphezu kwengama-65.

Ngambuza ukuthi kungani enqaba ukudutshulwa ngumkhuhlane, futhi impendulo yakhe yileyo engiyizwa kaningi: uthi uyazi abantu abaningi abagule ngemuva nje kokudutshulwa.

Ukuvakasha kuphele ngesethembiso esingaqondakali sokuthi uzokucabanga kodwa ngiyazi ukuthi kungenzeka ukuthi ngeke akuthole lokho kugoma. Esikhundleni salokho, ngizozikhathaza ngokuthi kuzokwenzekani kuye uma ethola inyumoniya noma umkhuhlane.

Ukusabalala kolwazi olungelona iqiniso kusho ukuthi iziguli eziningi zenqaba imigomo

Yize izimo ezinjengalezi zintsha, eminyakeni embalwa edlule sekuvame kakhulu ukuthi iziguli zenqabe imigomo yokugoma. Phakathi nenkathi yomkhuhlane ka-2017-18, izinga labantu abadala abagonyiwe bekumele lehle ngamaphesenti angama-6.2 kusukela kwisizini eyedlule.

Futhi imiphumela yokwenqaba ukugonyelwa izifo eziningi ingaba mibi.

Isimungumungwane, isibonelo, isifo esivinjelwa umuthi wokugoma, kwathiwa siqedwe ngonyaka we-2000. Lokhu kwakuxhunyaniswe nezinhlelo eziqhubekayo, ezisebenzayo zokugoma. Kodwa-ke ku-2019 sinezindawo eziningi e-United States, okubangelwa kakhulu ukwehlisa amazinga okugoma kula madolobha.

Khonamanjalo, kusanda kukhishwa mayelana nomfana omncane owashaywa ngqi ngo-2017 ngemuva kokusikwa ebunzini lakhe. Abazali bakhe benqaba ukuthi agonywe kwakusho ukuthi wayesesibhedlela izinsuku ezingama-57 - ikakhulukazi e-ICU - futhi wakhokha izikweletu zezokwelapha ezedlula u- $ 800,000.

Kodwa-ke naphezu kobufakazi obuqand 'ikhanda bezinkinga ezivela ekungagonyweni, inani elikhulu lolwazi, nolwazi olungelona iqiniso, olutholakala ku-intanethi kusaphumela ekutheni iziguli zenqabe imigomo yokugoma. Kunolwazi oluningi oluntanta laphaya olungaba nzima kubantu abangewona abezokwelapha ukuthi baqonde ukuthi yini esemthethweni nokuthi yini engeyona eyamanga.

Ngaphezu kwalokho, imithombo yezokuxhumana ingeze endabeni elwa nomuthi wokugoma. Eqinisweni, ngokusho kwendatshana ka-2018 eshicilelwe kuNational Science Review, amazinga okugoma ehle kakhulu ngemuva kwemicimbi yezemizwa, yezindatshana eyabiwe ezinkundleni zokuxhumana. Futhi lokhu kungenza umsebenzi wami, njenge-NP, ube nzima. Inani eliningi kakhulu lolwazi olungelona iqiniso olukhona - futhi okwabelwana ngalo - lwenza ukuzama ukukholisa iziguli ukuthi kungani kufanele zigonywe kube nzima kakhulu.

Yize kunomsindo, kunzima ukuphikisa ukuthi ukugoma ezifweni kungasindisa izimpilo

Yize ngikuqonda kahle ukuthi umuntu ojwayelekile uzama nje ukwenza okulungele yena nomndeni wakhe - nokuthi kwesinye isikhathi kunzima ukuthola iqiniso phakathi kwawo wonke umsindo - kunzima ukuphikisa ukuthi imigomo yokugomela izifo ezinjengomkhuhlane, inyumoniya, nesimungumungwane , ingasindisa izimpilo.

Yize kungekho ukugoma osebenza ngamaphesenti ayi-100, ukuthola ukugoma komkhuhlane, isibonelo, kunciphisa kakhulu amathuba akho okuthola umkhuhlane. Futhi uma kwenzeka uyithola, ubunzima buyehla.

I-CDC ukuthi phakathi nenkathi yomkhuhlane ka-2017-18, amaphesenti angama-80 ezingane ezafa ngenxa yomkhuhlane awazange agonywe.

Esinye isizathu esihle sokugoma ukuzivikela komhlambi. Lo ngumqondo wokuthi lapho iningi labantu emphakathini ligonyelwe isifo esithile, livimbela leso sifo ukuthi singasakazeki kulelo qembu. Lokhu kubalulekile ukusiza ukuvikela lawo malungu omphakathi angakwazi ukugoma ngenxa yokuthi awanagciwane - noma anamasosha omzimba angasebenzi kahle - futhi angasindisa izimpilo zawo.

Ngakho-ke lapho ngineziguli, njengalezo ezishiwo ekuqaleni, ngigxila ekuxoxeni ngezingozi ezingaba khona zokungagomi, izinzuzo zokwenza kanjalo, kanye nezingozi ezingaba khona zomuthi uqobo.

Futhi ngizohlala ngichazela iziguli zami ukuthi yonke imishanguzo, ukugoma, kanye nenqubo yezokwelapha kungukuhlaziywa kwenzuzo, ngaphandle kwesiqinisekiso somphumela ophelele. Njengoba nje yonke imithi eyodwa iza nengozi yemiphumela emibi, kanjalo nemithi yokugoma.

Yebo, ukugonywa kubeka engcupheni yokungezwani nezinto noma ezinye izehlakalo ezimbi noma “,” kodwa ngoba izinzuzo ezingaba khona zidlula kakhulu ubungozi, ukugonywa kufanele kubhekwe kakhulu.

Uma ungaqiniseki… Ngoba kunolwazi oluningi maqondana nokugoma, kungaba nzima ukuthola ukuthi yini eyiqiniso nokuthi yini engekho. Uma, ngokwesibonelo, unentshisekelo yokufunda kabanzi ngomuthi wokugomela umkhuhlane - izinzuzo, ubungozi, nezibalo - isigaba se-CDC siyindawo enhle yokuqala. Futhi uma unentshisekelo yokufunda kabanzi ngeminye imigomo, nazi izinsiza kusebenza ezimbalwa zokukuqalisa:

• Umlando Wemithi Yokugoma

Funa izifundo ezihlonishwayo nezinsizakusebenza, bese ubuza konke okufundayo

Yize kungaba kuhle uma ngingaqinisekisa iziguli zami ngaphandle kokungabaza ukuthi imigomo iphephile futhi isebenza ngempumelelo, lokhu akuyona inketho. Ukukhuluma iqiniso, nginesiqiniseko sokuthi iningi, uma kungenjalo lonke, abahlinzeki bakufisela lokhu. Kungenza izimpilo zethu kube lula futhi kubeka izingqondo zeziguli ngokukhululeka.

Futhi ngenkathi kukhona ezinye iziguli ezijabule ukulandela izincomo zami uma kukhulunywa ngokugonywa, ngiyazi ngokufanayo ukuthi kukhona labo abasenokubhuka kwabo. Kulezo ziguli, ukwenza ucwaningo lwakho kuyinto elandelayo elandelayo. Lokhu kunjalo, kuza ne-caveat othola ngayo imininingwane yakho emithonjeni ehlonishwayo - ngamanye amagama, funa izifundo ezisebenzisa amasampula amakhulu ukuchaza izibalo zazo nolwazi lwakamuva olusekelwa izindlela zesayensi.

Kusho nokugwema amawebhusayithi adonsa iziphetho ngokuya ngesipiliyoni somuntu oyedwa. Nge-inthanethi umthombo okhula njalo wolwazi - nolwazi olungelona iqiniso - kubalulekile ukuthi uhlale ubuza okufundayo. Ngokwenza njalo, ukwazi kangcono ukubuyekeza ubungozi obuhambisana nezinzuzo futhi mhlawumbe ufinyelele esiphethweni esingazuzisa wena kuphela, kodwa nomphakathi wonkana.