Lona wesifazane Ulwela Ukuqwashisa Nge-Sepsis Ngemva Kokucishe Abulawe Yilesi sifo

-Delile

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UHillary Spangler wayesebangeni lesithupha ngenkathi ehlaselwa ngumkhuhlane owacishe wamthatha. Ngenxa yomkhuhlane ophakeme nobuhlungu bomzimba amasonto amabili, wayengena ephuma ehhovisi likadokotela, kodwa akukho okwakumenza azizwe engcono. Kwaze kwaba yilapho ubaba ka-Spangler ebona ukuqubuka engalweni lapho eyiswa khona kwa-ER lapho odokotela babona khona ukuthi ayekulwa kwakubi kakhulu.

Ngemuva kompompi womgogodla nochungechunge lokuhlolwa kwegazi, uSpangler watholakala ene-sepsis-isimo sezempilo esisongela impilo. "Kuwukusabela komzimba ekuthelelekeni," kuchaza uMark Miller, M.D., isazi sezinto eziphilayo ezincane kanye nesikhulu sezokwelapha e-bioMérieux. "Ingaqala emaphashini noma emchameni noma ingaba yinto elula njenge-appendicitis, kodwa empeleni amasosha omzimba asabela ngokweqile futhi abangele izinhlobo ezahlukene zokuhluleka komzimba nokulimala kwezicubu."

Ngeke kube yinto ejwayelekile uma ungakaze uzwe nge-sepsis ngaphambili. "Inkinga nge-sepsis ukuthi ayaziwa kakhulu futhi abantu abakezwa ngayo," kusho uDkt. (Okuhlobene: Ingabe Ukuzivocavoca Kakhulu Kungadala I-Sepsis?)

Kodwa ngokusho kweCenters for Disease Control and Prevention (CDC), amacala angaphezu kwesigidi e-sepsis ayenzeka minyaka yonke. Yimbangela yesishiyagalolunye ehamba phambili yokufa okuhlobene nezifo eMelika. Eqinisweni, i-sepsis ibulala abantu abaningi e-US kunomdlavuza we-prostate, umdlavuza webele, kanye nengculaza kuhlangene, ngokusho kweNational Institutes of Health.

Ukubona izimpawu zesexwayiso kusenesikhathi, uDkt. Miller uncoma ukuthi uye egumbini labezimo eziphuthumayo uma "unamaqubu, uphefumula kanzima, futhi unomuzwa omubi wenhlekelele" - lokho kungaba yindlela yomzimba wakho yokukutshela akulungile ngempela nokuthi udinga usizo olusheshayo.(I-CDC inohlu lwezinye izimpawu okufanele izibheke futhi.)

Ngenhlanhla, kuSpangler nomndeni wakhe, lapho odokotela sebebonile lezi zimpawu, bamdlulisela esibhedlela sezingane i-UNC lapho aphuthunyiswa khona e-ICU ukuthola ukunakekelwa ayekudinga ukusindisa impilo yakhe. Ngemuva kwenyanga, uSpangler wagcina ekhishiwe esibhedlela futhi waqala indlela yakhe yokululama.

"Ngenxa yobunzima obabangelwa umkhuhlane kanye ne-sepsis ngasala ngiboshiwe ngesihlalo sabakhubazekile futhi kwadingeka ngithole ukwelashwa okubanzi ngemuva kwalokho amahlandla amane ngesonto ukuze ngifunde ukuhamba futhi," kusho uSpangler. "Ngibonga kakhulu ngomuzi wabantu ongisizile ukuthi ngifike la engikhona namhlanje."

Ngenkathi okuhlangenwe nakho kwakhe ebuntwaneni kwakubuhlungu, uSpangler uthi ukugula kwakhe okubulala kakhulu kumsizile ukuthi anqume injongo yakhe yempilo-into athi angeke ayithengisele umhlaba. “Ngibonile ukuthi abanye abantu bathinteke kanjani ngenxa ye-sepsis-kwesinye isikhathi balahlekelwa izitho zomzimba futhi bangabuyeli amandla abo okusebenza, noma balahlekelwe ukwazi,” kusho yena. "Lesi yisizathu esikhulu sokuthi kungani nginqume ukuya kwezokwelapha ukuzama ukudala uhlobo lwekusasa lawo wonke umuntu ongisizile ukufika lapha."

Namuhla, eneminyaka engu-25 ubudala, u-Spangler ungummeli wemfundo ye-sepsis nokuqwashisa futhi usanda kuphothula e-UNC School of Medicine. Uzophothula ukuhlala kwakhe kwezokwelapha kwangaphakathi nasezifundweni zezingane e-UNC Hospital-ndawo efanayo eyamsiza ukusindisa impilo yakhe yonke leyo minyaka edlule. “Kuyindilinga egcwele, okuyinto enhle kakhulu,” kusho yena.

Akekho ongavikelekile ku-sepsis, okwenza ukuqwashisa kubaluleke kakhulu. Yingakho i-CDC ikhulise ukwesekwa kwayo kwamaphrojekthi agxile ekuvimbeleni i-sepsis kanye nokuqashelwa kusenesikhathi phakathi kwabahlinzeki bezempilo, iziguli, kanye nemindeni yabo.

"Isihluthulelo ukusibona ngokushesha," kusho uDkt. "Uma ungenelela ngokuthola ukwesekwa okufanele nokubulala ama-antibiotics, kuzosiza ekusindiseni impilo yalowo muntu."

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