Yonke into ofuna ukuyifumana malunga neBacteremia

Umxholo

• IBacteremia xa ithelekiswa ne-sepsis
• Oonobangela
• Iimpawu
• Uxilongo
• Unyango
• Iingozi kunye neengxaki
• Iimpawu ze-sepsis kunye ne-septic shock
• Imiba yomngcipheko we-sepsis kunye nokothuka kwe-septic
• Ezinye iingxaki ezinokubakho
• Nini ukubona ugqirha
• Umgca wezantsi

I-Bacteremia kuxa kukho iintsholongwane ezikhoyo kwigazi lakho. Elinye igama onokuthi ulivile nge-bacteremia "yityhefu yegazi," nangona kunjalo eli ayilogama lonyango.

Kwezinye iimeko, i-bacteremia ingaba yi-asymptomatic, oku kuthetha ukuba akukho zimpawu. Ngamanye amaxesha, iimpawu zinokubakho kwaye kunokwenzeka ukuba kubekho umngcipheko weengxaki ezinzulu.

Funda ukuze ufunde ngakumbi nge-bacteremia, iimpawu zayo, kunye nendlela yokunyanga.

IBacteremia xa ithelekiswa ne-sepsis

Usenokuba uvile nge-bacteremia enxulunyaniswa neemeko ezinjenge-septicemia kunye ne-sepsis. La magama ahlobene kakhulu, kodwa aneentsingiselo ezahlukeneyo.

Ukuthetha ngokungqongqo, i-bacteremia ibhekisa kubukho beentsholongwane kwigazi. Ngamanye amaxesha intsholongwane ingena kwigazi lakho ngenxa yezinto ezifana nokucoca amazinyo okanye ukwenza inkqubo encinci yonyango.

Kubantu abaninzi abaphilileyo, i-bacteremia iya kuzicoca yodwa ngaphandle kokubangela ukugula. Nangona kunjalo, xa usulelo lusekiwe ngaphakathi kwegazi, olu hlobo lwe-bacteremia lwahlulwe njenge-septicemia.

Ukuba ishiywe inganyangwa, usulelo lwegazi lunokukhokelela kwiingxaki ezinkulu ngakumbi. Enye yezi yi-sepsis, ebangelwa yimpendulo yomzimba yokulwa izifo.

I-Sepsis kunye ne-septic shock inokukhokelela ekusileleni komzimba kunye nokufa.

Oonobangela

Iindidi zebacteria ezahlukeneyo zinokubangela i-bacteremia. Ezinye zezi bhaktiriya zinokuqhubeka nokusungula usulelo kwigazi.

Imizekelo yezo bhaktiriya ibandakanya:

• IStaphylococcus aureus, kubandakanya uMRSA
• Escherichia coli (E. coli)
• Iinyumoniya iintsholongwane
• Iqela A IStreptococcus
• Salmonella iintlobo
• Pseudomonas aeruginosa

Ezinye iindlela eziqhelekileyo ezenzeka ngayo i-bacteremia zibandakanya:

• ngenkqubo yamazinyo njengokucoca amazinyo rhoqo okanye ngokukhupha izinyo
• ukusuka kuqhaqho okanye kwinkqubo
• usulelo olusasazeka lusuka kwelinye ilungu lomzimba luye egazini
• kusetyenziswa izixhobo zonyango, ngakumbi i-catheters yokuhlala kunye neetyhubhu zokuphefumla
• ngokwenzakala kakhulu okanye ngokutsha

Iimpawu

Ezinye iimeko ze-bacteremia zi-asymptomatic. Kule meko, amajoni akho omzimba ahlala ecoca iibhaktheriya ngaphandle kokwazi kwakho.

Xa i-bacteremia ibangela usulelo lwegazi, uya kuba neempawu ezinje:

• ifiva
• Ukugodola
• ukungcangcazela okanye ukungcangcazela

Uxilongo

I-Bacteremia inokufunyaniswa kusetyenziswa inkcubeko yegazi. Ukwenza oku, kuya kuthathwa isampulu yegazi emthanjeni engalweni yakho. Emva koko iya kuthunyelwa elebhu ukuvavanyelwa ubukho beentsholongwane.

Kuxhomekeka kwisizathu sokuba usulelo lwakho lukhona, ugqirha wakho unokufuna ukwenza uvavanyo olongezelelekileyo. Eminye imizekelo ibandakanya:

• inkcubeko yesikhohlela ukuba ubonakala ngathi unesifo sokuphefumla okanye usebenzisa ityhubhu yokuphefumla
• inkcubeko yenxeba ukuba wenzakele, utshisiwe, okanye usandula ukwenziwa utyando
• ukuthatha iisampulu kwiindawo zokuhlala okanye ezinye izixhobo

Ukujonga iimvavanyo ezinje nge-X-ray, i-CT scan, okanye i-ultrasound inokusetyenziswa. Ezi zinokusetyenziselwa ukuchonga iindawo ezinokubangela ukosuleleka emzimbeni.

Unyango

Unyango losulelo lwegazi lufuna ukusetyenziswa ngokukhawuleza kwee-antibiotics. Oku kunokunceda ekuthinteleni iingxaki ezinjenge-sepsis ekubeni zenzeke. Uya kulaliswa esibhedlele ngexesha lonyango.

Xa iibhaktheriya ziqinisekisiwe egazini lakho, uya kuqalwa kwii-antibiotics ezibanzi, ngokuqhelekileyo nge-IV. Le yirejimeni yentsholongwane ekufuneka isebenze ngokuchasene neentlobo ezininzi zebacteria.

Ngeli xesha, uhlobo lweebhaktheriya ezibangela usulelo lwakho lunokuchongwa kwaye kuvavanyo lokuziva uvakalelo lwe-antibiotic lunokugqitywa.

Ngezi ziphumo, ugqirha wakho unokuhlengahlengisa ii-antibiotics zakho ukuba zichaze ngakumbi kwinto ebangela usulelo lwakho.

Ubude bonyango bunokuxhomekeka kwisizathu kunye nobukrakra bosulelo. Kuya kufuneka ukuba ube kwii-antibiotics iiveki ezi-1 ukuya kwezi-2. Amanzi e-IV kunye namanye amayeza anokunikwa ngexesha lonyango ukunceda ukuzinzisa imeko yakho.

Iingozi kunye neengxaki

Ukuba usulelo lwegazi luyekwa lunganyangwa, usemngciphekweni wokufumana iingxaki ezisongela ubomi ezifana ne-sepsis kunye ne-septic shock.

I-Sepsis yenzeka ngenxa yempendulo yomzimba omeleleyo kusulelo. Le mpendulo inokubangela utshintsho emzimbeni wakho njengokudumba. Olu tshintsho lunokuba yingozi kwaye lungakhokelela ekonakaleni komzimba.

Xa kwenzeka ukothuka okubangelwa sisifo septic, uxinzelelo lwegazi lwehla kakhulu. Ukusilela komzimba nako kunokwenzeka.

Iimpawu ze-sepsis kunye ne-septic shock

Ukuba usulelo lwegazi luqhubela phambili kwi-sepsis okanye ukothuka, ungaphinda ube neempawu ezinzima, ezinje:

• ukuphefumla ngokukhawuleza
• ukukhawuleza kwentliziyo
• Ulusu olubilayo okanye luziva lucammy
• ukuncipha kokuchama
• uxinzelelo lwegazi oluphantsi
• utshintsho kwimeko yengqondo, njengokuziva udidekile okanye uphazamisekile

Imiba yomngcipheko we-sepsis kunye nokothuka kwe-septic

Amanye amaqela asemngciphekweni omkhulu wokukhula kwe-sepsis okanye ukothuka okubangelwa kukusasazeka kwegazi. La maqela aquka:

• abantwana abangaphantsi konyaka omnye ubudala
• Abantu abadala abangaphezu kweminyaka engama-65 ubudala
• abantu abanamajoni omzimba abuthathaka
• abantu abaneemeko zempilo ezinje ngeswekile, isifo sezintso, okanye umhlaza
• abo sele begula kakhulu okanye balaliswe esibhedlele

Ezinye iingxaki ezinokubakho

Ukongeza kwi-sepsis kunye ne-septic shock, i-bacteremia inokubangela ukuba ezinye iingxaki zenzeke. Oku kunokwenzeka xa intsholongwane egazini lakho ihamba kwezinye iindawo zomzimba wakho.

Ezinye iingxaki zinokubandakanya:

• I-Meningitis: Ukudumba kwezicubu ezijikeleze ingqondo kunye nomqolo womqolo.
• I-pneumonia: Usulelo olunokubakho lokuphefumla.
• I-Endocarditis: Ukudumba kwenwebu yangaphakathi yentliziyo.
• I-Osteomyelitis: Usulelo lwethambo.
• I-arthritis echaphazelayo: Usulelo olwenzeka ngokudibeneyo.
• I-Cellulitis: Usulelo lolusu.
• I-Peritonitis: Ukudumba kwethishu ejikeleze isisu sakho kunye namalungu.

Nini ukubona ugqirha

Iimpawu zosulelo losulelo lwegazi zihlala zingacacanga kwaye zinokulinganisa ezinye iimeko. Nangona kunjalo, jonga ugqirha wakho ngokukhawuleza ukuba ufumana umkhuhlane, ukugodola, okanye ukugungqa okuza ngesiquphe.

Oku kuyinyani ngakumbi ukuba ubukwimeko enokukubeka emngciphekweni wosulelo lwegazi. Ezi meko zibandakanya ukuba:

• ngoku ulwa nosulelo kwenye indawo emzimbeni wakho, njengosulelo lomchamo (UTI) okanye inyumoniya
• kutsha nje kukhutshwe izinyo, inkqubo yezonyango, okanye utyando
• kutshanje ndilaliswe esibhedlele

Umgca wezantsi

I-Bacteremia kuxa kukho iintsholongwane ezikhoyo kwigazi lakho.

Ngamanye amaxesha, i-bacteremia ayinakuba nazimpawu kwaye icace yodwa. Ngamanye amaxesha, kunokubangela usulelo lwegazi olunokuthi lukhule lube neengxaki ezinzulu.

Iibhaktheriya ezahlukeneyo zinokubangela i-bacteremia. Inokwenzeka rhoqo ngenxa yolunye usulelo esele lukhona, uqhaqho, okanye ngokusebenzisa isixhobo esinjengombhobho wokuphefumla.

Unyango lwangexesha losulelo lwegazi kunye namayeza okubulala iintsholongwane luyimfuneko ukukhusela iingxaki. Ukuba ukholelwa ukuba unentsholongwane yegazi, qiniseka ukuba ufumane unyango ngokukhawuleza.