USarah Silverman Ucishe Wafa Ngeviki Eledlule

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Uzibuza ukuthi uSarah Silverman ubesenzani muva nje? Kuvela ukuthi lo somahlaya wayenolwazi lokufa, echitha isonto eledlule e-ICU nge-epiglottitis, isimo esingajwayelekile kodwa esibulalayo. Ngokujabulisayo, wasinda, kodwa kwasishiya nemibuzo engathi sína. Okungukuthi, yini i-epiglottis futhi owesifazane osekhulile ophile kahle wacishe wabulawa kanjani nguye?

I-epiglotti iyibhaku elincane, elinyama emphinjeni wakho elisebenza "njengomnyango wesicupho" ovala imbobo kaqhoqhoqho, noma uqhoqhoqho, ukuvimbela ukudla ukuthi kwehle kuwo lapho udla. Ukuphefumula? I-epiglottis ivukile. Ukudla noma ukuphuza? Iphansi. Lapho isebenza kahle, awuyizwa ngisho nokuthi yenza umsebenzi wayo obaluleke kakhulu, kepha ingatheleleka. Futhi lapho kwenzeka, ngokushesha kungaba isimo esisongela ukuphila.

"I-Epiglottitis ibangelwa ukutheleleka, imvamisa kubangelwa ibhaktheriya elibizwa ngeHaemophilus influenza type B, elenza ukuthi ichopho elincanyana libe yindilinga futhi livuvuke, njenge-cherry ebomvu, ivimbe i-windpipe," kuchaza uRobert Hamilton, MD, udokotela wezingane e-Providence Saint John's Health eSanta Monica.

Linda, kungani sikhuluma nodokotela wezingane? Ngenxa yokuthi iningi lamacala lithinta izingane ngenxa yoqhoqhoqho oluncane kanye nokuba sengozini ephezulu yokutheleleka - eminyakeni yangaphambi kokuthatha ama-antibiotic, bekungumbulali ojwayelekile wezingane-kodwa ngenxa yemithi yesimanjemanje, ayisabonwa, kusho yena.

"Kukhona umuthi wokugoma we-HiB ovikela amabhaktheriya abhekene nezimo eziningi ze-epiglottitis, kodwa iningi labantu abadala abakawutholi," kusho uHamilton. (Umuthi wokugoma, ovikela futhi i-meningitis ne-pneumonia, awuzange utholakale kabanzi kuze kube ngu-1987, okusho ukuthi abantu abazalwa ngaphambi kwalolo suku, njengoSilverman, kufanele bathole ukugula njengezingane ukuze bathole amasosha omzimba noma bahlale benesifo. )

Lokhu kungavamile, kuhlanganiswe nezimpawu zakho ezijwayelekile, kukwenza kube ukuxilongwa okukhohlisayo, kusho uHamilton, wengeza ngokuthi uSilverman waba nenhlanhla emangalisayo udokotela wakhe wakubona. "Ngokuvamile iziguli zivele zinomphimbo obuhlungu nomkhuhlane. Kuzwakala kanjani ukugula okunjalo? Kuhle kakhulu kuzo zonke," esho.

Kepha njengoba ukugula kuqhubeka ngokushesha, iziguli zikhombisa “ukulamba komoya,” okusho ukuthi amazinga azo komoyampilo ehla njengoba zisebenza kanzima ukuphefumula. Mhlawumbe uphawu oluvame kakhulu ukubuyisela ikhanda emuva naphezulu ukuzama ukuvula i-airway ngaphezulu. Lokhu kungaholela kudokotela uku-oda izivivinyo zokuhlola i-epiglottis noma ukubheka phansi umphimbo wesiguli-uma sivuvukele ngokweqile, kungabonakala ngethoshi kuphela.

Kuleli qophelo, kuyisimo esiphuthumayo sezokwelapha sangempela futhi sidinga i-tracheotomy (inqubo lapho kufakwa ishubhu elincane ngaphambi kwentamo yomuntu) noma intubation (lapho ishubhu ibekwa phansi emphinjeni) ukuze uvule ngokushesha indlela yokuphefumula, e-Hamilton. uthi. Isiguli sibe sesilashwa ngama-antibiotics bese sigcinwa epayipini lokuphefumula kuze kube yilapho isifo siphela futhi nokuvuvukala kwehle, yingakho uSilverman egcinwe e-ICU isonto lonke.

Ngenkathi ethi lokhu okuhlangenwe nakho kwakubuhlungu ngendlela emangalisayo, kwakukhona izikhathi ezithile ezihlekisayo. "Ngimise umhlengikazi - ngathi yisimo esiphuthumayo - ngithukuthele ngabhala phansi incwadi ngamnika," kubhala uSilverman kuFacebook. "Ngesikhathi eyibuka, ivele yathi, 'Uhlala nomama wakho?' eduze komdwebo wepipi. "

Ngemuva kokululama, iziguli ezinjengoSilverman manje sezingenwe amagciwane, kuchaza uHamilton. Kepha uma ukhathazekile ngama-epiglottis akho ekuhlasela ngaphandle koluhlaza okwesibhakabhaka ngolunye usuku, kunezinto ezimbili ongazenza ukukuvimbela. Okokuqala, abantu abadala abaningi babenenguqulo encane yokutheleleka njengezingane futhi kungenzeka ukuthi bavikelekile kukho. Kepha ukhathazekile, ungathola umuthi wokugoma we-HiB manje. Into enhle ongayenza, kepha, ukuzijwayeza inhlanzeko. Geza izandla zakho ngensipho bese usebenzisa imithi elwa namagciwane kuphela uma kudingeka ngempela, kusho uHamilton. (I-Psst ... Nakhu ukuthi ungatshela kanjani uma ngabe * empeleni * Udinga ama-Antibiotic.)

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