Isifo sokudakumba esinetyhefu

Isifo esothusayo sisifo esibi esibandakanya umkhuhlane, ukothuka kunye neengxaki zamalungu omzimba aliqela.

Isifo sokudakumba esinetyhefu sibangelwa yityhefu eveliswa zezinye iintlobo zebacteria ye-staphylococcus. Ingxaki efanayo, ebizwa ngokuba yityhefu-efana nesifo esiyityhefu (TSLS), inokubangelwa yityhefu evela kwintsholongwane ye-streptococcal. Ayizizo zonke i-staph okanye i-strep usulelo olubangela isifo se-toxic shock.

Amatyala okuqala esifo sotyhefu abandakanyeka kwabasetyhini ababesebenzisa iitamponi ngexesha labo lokuya exesheni. Nangona kunjalo, namhlanje ngaphantsi kwesiqingatha samatyala kunxulunyaniswe nokusetyenziswa kwetampon. Isifo sokudakumba esinetyhefu sinokuvela kusulelo lolusu, ukutsha, nasemva kotyando. Le meko inokuchaphazela nabantwana, abasetyhini abasemva kokuya exesheni, kunye namadoda.

Izinto zomngcipheko zibandakanya:

• Ukuzalwa komntwana kutshanje
• Usulelo kunye IStaphylococcus aureus (S aureus), ebizwa ngokuba lusulelo lwe-staph
• Amalungu angaphandle okanye ukupakisha (njengaleyo isetyenziselwa ukumisa ukuphuma kweempumlo) ngaphakathi komzimba
• Ixesha lokuya exesheni
• Utyando lwamva nje
• Ukusetyenziswa kwetampon (ngomngcipheko ophezulu xa ushiya enye ixesha elide)
• Usuleleko lwenxeba emva kotyando

Iimpawu zibandakanya:

• Ukudideka
• Urhudo
• Imvakalelo yokugula ngokubanzi
• Intloko ebuhlungu
• Umkhuhlane ophezulu, ngamanye amaxesha ukhatshwa kukugodola
• Uxinzelelo lwegazi oluphantsi
• Ubuhlungu bemisipha
• Isicaphucaphu nokugabha
• Ukungasebenzi komzimba (amaxesha amaninzi izintso kunye nesibindi)
• Ubomvu wamehlo, umlomo, umqala
• Ukuxhuzula
• Ukuqhaqhazela okubomvu okubonakalayo okubonakala ngathi ukutshiswa kwelanga-ukukhangela kwesikhumba kwenzeka kwiiveki ezi-1 okanye ezi-2 emva kokugqithisa, ngokukodwa kwiintendelezo zesandla okanye phantsi kweenyawo.

Akukho vavanyo lunye olunokuchonga isifo sokudakumba esinetyhefu.

Umboneleli wezempilo uya kujonga kwezi zinto zilandelayo:

• Ifiva
• Uxinzelelo lwegazi oluphantsi
• Ukukhawuleza okuxobayo emva kweveki ezi-1 ukuya kwezi-2
• Iingxaki ngokusebenza kwamalungu ama-3 ubuncinci

Ngamanye amaxesha, inkcubeko yegazi inokuba yinto elungileyo ekukhuleni S aureus okanyeIStreptoccus pyogenes.

Unyango lubandakanya:

• Ukususwa kwezinto ezinje ngeetampon, isiponji sangasese, okanye ukupakisha impumlo
• Umjelo weendawo zosulelo (ezinje ngenxeba lotyando)

Injongo yonyango kukugcina imisebenzi ebalulekileyo yomzimba. Oku kunokubandakanya:

• Amayeza okubulala iintsholongwane kulo naluphi na usulelo (anokunikwa nge-IV)
• I-Dialysis (ukuba kukho iingxaki ezinzima zezintso)
• Ulwelo ngomthambo (IV)
• Amayeza okulawula uxinzelelo lwegazi
• I-gamma globulin efakwa ngaphakathi kwiimeko ezinzima
• Ukuhlala kwigumbi labagula kakhulu esibhedlele

Isifo sokudakumba esinetyhefu sinokubulala ukuya kuthi ga kwiipesenti ezingama-50 zamatyala. Le meko inokubuya kwabo basindileyo.

Iingxaki zinokubandakanya:

• Umonakalo womzimba kubandakanya ukungasebenzi kwezintso, intliziyo kunye nesibindi
• Umothuko
• Ukufa

Isifo sokudakumba esinetyhefu yimeko engxamisekileyo yezonyango. Funa uncedo lwezonyango kwangoko ukuba ukhula irhashalala, umkhuhlane, kwaye uzive ugula, ngakumbi xa usexesheni kunye nokusetyenziswa kweetampon okanye ukuba uye wenziwa utyando kutshanje.

Unokuwunciphisa umngcipheko wokuba sexesheni xa usiya exesheni ngesi sifo:

• Ukuphepha iitamponi ezifunxa kakhulu
• Ukutshintsha iitampon rhoqo (ubuncinci rhoqo kwiiyure ezisi-8)
• Sebenzisa kuphela iitampon kube kanye ngexa lokuya exesheni

I-Staphylococcal syndrome eyothusayo; Isifo esothusayo esifana nesifo; TSLS

• I-anatomy yesibeleko yesiqhelo (icandelo elisikiweyo)
• Iintsholongwane

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I-Kroshinsky D. Macular, papular, purpuric, vesiculobullous, kunye nezifo zepustular. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 410.

ULarioza J, uBrown RB. Isifo sokudakumba esinetyhefu. Ku: Kellerman RD, Rakel DP, ii-eds. Unyango lwangoku lukaConn 2020. IPhiladelphia, PA: Elsevier 2020: 649-652.

I-Que YA, i-Moreillon P. Staphyloccus aureus (kubandakanya isifo se-staphyloccocal toxic shock) Ku: Bennett JE, Dolin R, Blaser MJ, ii-eds. Mandell, Douglas, kunye neBennett's Principles and Practice of Infectious Diseases. Umhla we-9. IPhiladelphia, PA: Elsevier; 2020: isahl. 194.