Iziguli zesifo sezinso zingengozi enkulu yezifo
UKUHLELA KWEZIMPILO KUNYE UKUTHUTHUKISA UHLELO LWEZIMMUNE
Ngakho-ke, iziguli ezinesifo esingenasifo sezinso (CKD) zisengozini enkulu yezifo. Izinga lokuzivikela komzimba elithintekayo livame ukulinganisa ngokulingana nokulinganiselwa komsebenzi wezinso. Iphuzu elibalulekile okumele liqaphele ukuthi ngisho nokunciphisa ngokulinganayo umsebenzi wezinso kungahlotshaniswa nobungozi obukhulu kakhulu besifo esibucayi besongela impilo.
Lokhu kufaka phakathi izifo ezivela kunoma iyiphi i-agent: amabhaktheriya, igciwane, isikhunta, njll. Ucwaningo olucacile seluvele luveze idatha ekhomba ukuhlangana kwesifo sezinso ngezifo ezinzima ezifana ne-pneumonia ne-herpes zoster.
IZINYATHELO ZIQONDO LOKUPHILA UKUFA NGOKUPHILA KWABANTU ABANTU ABANTU
Njengoba ngishilo ngenhla, ingozi yokutheleleka ezigulini ezinesifo sezinso ibhekene nezinyathelo eziqhubekayo zesifo sezinso ezenza izifo zibe imbangela enkulu yokufa, ikakhulukazi ezigulini ezinezinkinga zezinso ezise-dialysis.
Ngenkathi kungezona zonke izifo ezithathelwanayo zingavinjelwa, izigulane ezigoma eziphikisana nezifo lapho umgomo ukhona khona kufanele zibe yinto ebalulekile. Eqinisweni, kufanele kube nokunakekelwa kwesiguli sesiguli sesifo esingenasifo. Lokhu kungabangela ingozi ephansi kakhulu yokufa kanye nokwelashwa esikhathini esizayo.
UKUPHILA KWEZINDLELA (IZINYATHELO) EZIMPILENI EZIKHULULEKILE
Uma usuqaphela ukuthi i- CKD impela isimo se- immunocompromised , kuba lula ukuqonda ukubaluleka kokugoma okuvimbela.
Amagciwane kufanele abe yingxenye ebalulekile yecebo lokunakekelwa okuphelele lomguli we-CKD. Imishanguzo eqondile inconywa ngokusekelwe esiteji se-CKD, futhi empeleni, iKomidi Yokuqondisa Izifo Nokuvimbela (I-CDC) ye-Advisory Practices (ACIP) , nemizimba yamazwe omhlaba njenge-Kidney Disease: Ukuthuthukisa Imiphumela Yomhlaba Wonke (KDIGO) manje ziza neziqondiso ezithile mayelana nokugoma kwabantu abadala kubantu abanezifo ezinesifo sezinso.
Nakhu okubukeziwe okutheleleka kwezifo ezimbi okubhekiswe kulokhu okugonywa ngabantu abadala abane-CKD:
I-INFLUENZA (FLU)
Ukugonywa ngokumelene nomkhuhlane, ukugula okuvamile okuphefumula okuvela kuwo wonke ubusika mhlawumbe omunye wezinyathelo ezibaluleke kakhulu zezempilo zomphakathi zesikhathi sethu.
Kunezinhlobo ezimbili zemithi etholakalayo ukugonywa ngokumelene nomkhuhlane: umuthi wokugoma ongasebenzi (umjovo we-intramuscular) - ophethe igciwane "elibulawe", nomgomo wokugonywa ophikisiwe (ukuphambuka kwesisu). Owokuqala yi-"friji shot" okungenzeka ukuthi uyayijwayele. I-ACIP incoma kuphela ukugonywa okungekho emthethweni okugonywa kweziguli ezine-CKD, futhi zonke iziguli ze-CKD kungakhathaliseki ukuthi isiteji kufanele yini igonywe ngokumelene nomkhuhlane njalo ngonyaka ne-frimp shot shot (ngaphandle uma kunezinye izinkomba).
Ukuphindaphindiwe ukuphindaphinda, umgomo wokugoma wezifo zomshoshaphansi (uphazamisekile) uphambene nesifo sesifo sezinso noma isifo se-dialysis , futhi akufanele siphathwe.
IMINININGWANE YEZIKHONO
Lezi zifo zingabangela izifo ezinzima nezingozi zokuphila ezifana ne-pneumonia ne-meningitis. I-ACIP isincoma ukugoma ngokumelene nalezi zifo usebenzisa ukugoma okubizwa ngokuthi "okujwayelekile" kwegciwane le-pneumococcal kulabo abanezifo ezinesifo esiphambili sezinso.
Kuye ngeminyaka yakho, ukubuyiswa kabusha eminyakeni emihlanu kungase kudingeke noma kungadingeki. Lo mgomo kufanele unikezwe iziguli ezinezigaba ze-CKD 4 no-5.
I-HEPATITIS B
Isifo esiqine esibindi, ukutheleleka kwe-Hepatitis B kungaphazamisa nezinye izitho, kuhlanganise nezinso kanye nemithwalo yegazi. Ngakho-ke, ngalesi sikhathi, ukugoma ngokumelene ne-Hepatitis B ngokuvamile kunconywa iziguli ezinezinhlelo ze-CKD 4 no-5. Uhlelo olujwayelekile ludubula ku-0, 1, nasezinyangeni ezingu-6.
UKUKHOHLELA OKUBI
Ukugonywa ngokumelene neTetan, i-Diphtheria ne-Pertussis (i-Tdap) Kunconywa kubantu abadala abaningi futhi kuphephile iziguli ezinesifo sezinso. Ukugoma okukodwa, okulandelwa yi-Td booster njalo eminyakeni eyishumi kunconywa.
QAPHELA
Njengoba kunikezwe imiphumela ephawulekayo lapho isifo sezinso sinomngcipheko wokuthuthukisa izifo ezisongela impilo, ukugonywa nge-influenza, ukutheleleka kwe-pneumococcal, kanye nesifo sofuzo B kufanele kube yingxenye yokunakekelwa okujwayelekile kwesiguli se- CKD . Buza i-nephrologist yakho uma usesikhathini nalezi! Amagciwane asekelwa ubufakazi obunzima bokuthi basindisa izimpilo; kungakhathaliseki ukuthi yini inhlangano yokulwa nokugoma kanye noJenny McCarthy ukukutshela.