Izigulane zezifo zengqondo ziphezulu ingozi yokusuleleka
UKUPHILA KWENKQUBO KUNYE UKUQHUBA ISICWANGCISO SOMSEBENZI
Ngenxa yoko, izigulane ezinezifo ezingasigxina (CKD) zisengozini enkulu yokusuleleka. Umlinganiselo apho umzimba womzimba unobuthakathaka ngokuqhelekileyo ulingana ngokuthe ngqo kumlinganiselo apho umsebenzi wezintso unqabele khona. Iphulo elibalulekileyo ekufuneka liqondwe kukuba ukuhla kweyantlukwano kwintsebenzo yengqondo kunokunxulumana nomngcipheko ophezulu kakhulu wobungozi obunzima bokusongela ubomi.
Ezi ziquka izifo ezivela kuyo nayiphina i-arhente: ibhakteria, intsholongwane, i-fungi, njl. Iziphumo ezithile sele sele zityhile idatha echazela ubudlelwane besifo sesifo kunye nezifo ezinzulu ezifana ne-pneumonia ne-herpes zoster.
IIMISEBENZI ZIQOQO LOKUPHILA UKUFA NGOKUXHUMANA KWABANTU ABANTU
Njengoko ndikhankanywe ngasentla, umngcipheko wokusuleleka kwizigulane ezinezifo zengqondo zibuhlungu ngokuqhubeka kwezigaba zesifo seengtso ezenza izifo ezibangelwa ukufa, ngakumbi kwizigulane ezinokuphelelwa yintliziyo.
Nangona iimeko zonke zingenakukhuselwa, ukugonywa kwezigulane ezichasene nezifo ezikhuselweyo kuzo kufuneka zibe yinto ephambili. Enyanisweni, kufuneka kube yinkathalo yesigulane esisigulana nesigulo. Oku kungakhokelela ekungciphekweni okuphantsi kokufa nokulaliswa esibhedlele kwixesha elizayo.
UKUQULWA KWE-ADULT (AMACACINES) KWABANTU ABANTU ABANTU ABANTU ABAKHULU
Emva kokuba uqaphele ukuba i- CKD ngokwenene i- state facunocompromised state , kuba lula ukuqonda ukubaluleka kokugonywa kokukhusela.
Iigonya kufuneka zibe yingxenye ebalulekileyo yecebo lokukhathalela isiguli seCKD. Izigulane ezichanekileyo zicetyiswa ngokusekelwe kwinqanaba leCKD, kwaye ngokwenene, zombini iCentral for Councillment and Prevention (CDC) iKomiti yokuCetyiswa kweNgcaciso (ACIP) , kunye namaziko ngamazwe afana neSifo sezifo: Ukuphucula iziPhumo zeSizwe (KDIGO) ngoku ziza nezikhokelo ezithile malunga nokugonywa kwabantu abadala kwizigulane ezineesifo sezintso.
Nantsi ingqwalaselo emfutshane yezilwanyana ezikhuselekileyo ezikhuselweyo ngazo ngoku kunconywa kubantu abadala abakwiCKD:
INFLUENZA (FLU)
Ukugonywa kwe-influenza, isifo esiqhelekileyo sokuphefumula esiqhaqhayo kuyo yonke ibusika mhlawumbi enye yemilinganiselo ebalulekileyo yoluntu yexesha lethu.
Iindidi ezimbini ze-vaccines zifumanekayo ukugonywa kwi-influenza: isitofu esingagciniyo (umjovo we-intramuscular) - enegciwane "elibuleweyo" kunye nesitofu sokugonywa esichengileyo (umfutho wezonda). Ixesha langaphambili liyi-"friji shot" enokuba uya kujwayele. I-ACIP isincoma kuphela isitofu esingagciniyo sokubanjelwa komkhuhlane kwizigulane ezine-CKD, kwaye zonke izigulane zeCKD kungakhathaliseki ukuba isigaba sifanele sigonywe malunga nomkhuhlane ngamnye ngonyaka kunye ne-figh shot shot (ngaphandle kokuba banezinye izichaso).
Kwakhona ukuphinda uphinde uphinde uphinde uthi, isitofu sokugonywa komkhuhlane (uhlala uhlaselwe) unqatshelwe kwiintsholongwane ezingasigxina okanye izigulane ze-dialysis , kwaye akufanele zilawulwe.
IINTSHINTSHO ZE-PNEUMOCOCCAL
Ezi zifo zingabangela izifo ezinobungozi kunye nobomi ezifana ne-pneumonia kunye ne-meningitis. I-ACIP isincoma ukugonywa malunga nalezi zifo usebenzisa isitofu sokugonywa kwe-pneumococcal okuthiwa "i-polyvalent".
Ngokuxhomekeke kwiminyaka yakho, ukuphindaphinda kwiminyaka emihlanu kunokwenziwa okanye akufuneki. Esi sifo sifanele sinikezelwe kwizigulane ezinezigaba ze-CKD 4 ne-5.
HEPATITIS B
Isifo esibalulekileyo sesibindi, ukusuleleka kwe-Hepatitis B kungonakalisa nezinye izitho, kuquka izintso kunye nemithambo yegazi. Ngenxa yoko, ngeli xesha, ukugonywa kwe-Hepatitis B kukhuthazwa ngokuqhelekileyo kwizigulane ezinezigaba ze-CKD 4 ne-5. Ishedyuli eqhelekileyo yinto yokudubula kwi-0, 1 kunye neenyanga ezintandathu.
UMKHUHLANE OHAMBAYO
Ukugonywa kweTetan, iDiphtheria kunye nePertussis (Tdap) Kunconywa kubantu abadala kwaye kukhuselekile kwizigulane ezinezifo zengqondo. Ngokuqhelekileyo isitofu esisodwa, esilandelwa yi-Td booster minyaka yonke ishumi.
UKUQALA
Ngenxa yeempembelelo ezinzulu ukuba isifo sengqondo sisengozini yokuphuhlisa izifo zokusongela ubomi, ukugonywa kwe-influenza, izifo ezibangelwa yi-pneumococcal, kunye ne-hepatitis B kufuneka ukuba yinxalenye yokunyamekela okuqhelekileyo kwesigulane seCKD . Buza i-nephrologist yakho ukuba ufikelele kunye nale! Iigonti zixhaswa ngumzimba obunzima obungqina bokuthi zigcina ubomi; kungakhathaliseki ukuba yintoni intshukumo yokulwa nokugonya kunye noJenny McCarthy ukuxelela.