Sarah Silverman Watsala Pang'ono Kumwalira Sabata Yatha
Zamkati
Mukudabwa zomwe Sarah Silverman wakhala akuchita posachedwapa? Zikuwoneka kuti wokondwererayo anali ndi vuto loti afe, atakhala sabata yatha ku ICU ndi epiglottitis, vuto losowa koma lowopsa. Mwamwayi, adapulumuka, koma zidatisiya ndi mafunso ovuta. Kodi epiglottis ndi chiyani ndipo mkazi wathanzi, wamkulu adatsala pang'ono kuphedwa ndi wake?
Epiglottis ndi kachiphuphu kakang'ono, kamene kamamangirira pakhosi panu kamene kamakhala ngati "chitseko cha msampha" chomwe chimatsekera polowera ku trachea, kapena mphepo yamkuntho, kuteteza chakudya kuti chisalowe pamene mukudya. Kupuma? Epiglottis yadzuka. Kudya kapena kumwa? Zatsika. Mukamagwira ntchito bwino, simumva kuti ikugwira ntchito yofunika kwambiri, koma imatha kutenga kachilomboka. Ndipo ikatero, ikhoza kuwononga moyo msanga.
"Epiglottitis imayambitsidwa ndi matenda, nthawi zambiri ndimabakiteriya otchedwa Haemophilus fuluwenza mtundu wa B, womwe umapangitsa kuti chikopa chochepa thupi chizizungulira ndikutupa, ngati chitumbuwa chofiira, chotchinga bwino mphepo," akufotokoza a Robert Hamilton, MD, dokotala wa ana ku Providence Saint John's Health Center ku Santa Monica.
Dikirani, chifukwa chiyani tikulankhula ndi dokotala wa ana? Chifukwa nthawi zambiri zimakhudza ana chifukwa cha kuchepa kwa trachea komanso chiwopsezo chachikulu cha matenda - m'zaka zisanachitike maantibayotiki, zinali zopha ana ang'onoang'ono - koma chifukwa chamankhwala amakono, sizikuwonekanso, akutero.
"Pali katemera wa HiB womwe umateteza ku mabakiteriya omwe amachititsa matenda ambiri a epiglottitis, koma achikulire ambiri sanalandire," akutero Hamilton. (Katemerayu, yemwe amatetezanso ku meningitis ndi chibayo, sanapezekebe mpaka 1987, kutanthauza kuti anthu obadwa tsiku lomwelo lisanafike, monga Silverman, amayenera kutenga matendawa ngati ana kuti adziteteze okha kapena atengeke ndi matendawa. )
Kusowa kumeneku, kuphatikiza ndi zizindikiro zake wamba, kumapangitsa kuti munthu azindikire movutikira, akutero Hamilton, ndikuwonjezera kuti Silverman anali ndi mwayi wodabwitsa kuti dokotala adazindikira. "Odwala nthawi zambiri amakhala ndi zilonda zapakhosi ndi malungo. Ndi matenda otani omwe amawoneka ngati? Zokongola kwambiri zonse," akutero.
Koma matenda akamakula msanga, odwala amawonetsa "njala ya mpweya," kutanthauza kuti mpweya wawo umatsika pamene akugwira ntchito mwakhama kuti apume. Mwina chizindikiro chodziwika bwino ndikugwedeza mutu m'mwamba ndikuyesera kutsegula njira yodutsamo. Izi zingapangitse dokotala kuyitanitsa mayeso kuti awone epiglottis kapena kungoyang'ana pansi pa mmero wa wodwalayo - ngati watupa kwambiri, amatha kuwonedwa ndi tochi.
Pakadali pano, ndizowopsa zachipatala ndipo zimafunikira tracheotomy (njira yomwe chubu yaying'ono imayikidwa kutsogolo kwa khosi la munthu) kapena kutulutsa (komwe chubu chimayikidwa pakhosi) kuti atsegule pomwepo, Hamilton akuti. Wodwalayo amathandizidwa ndi maantibayotiki ndikusungidwa pa chubu chopumira mpaka matendawa atha ndipo kutupa kutha, chifukwa chake Silverman adasungidwa ku ICU kwa sabata.
Pomwe akunena kuti zochitikazo zinali zomvetsa chisoni, panali nthawi zoseketsa. "Ndinayimitsa namwino - ngati zinali zadzidzidzi - ndinalemba kalata ndikumupatsa," Silverman adalemba pa Facebook. “Ataiyang’ana, inangoti, ‘Kodi umakhala ndi amayi ako? pafupi ndi kujambula kwa mbolo. "
Atachira, odwala monga Silverman tsopano alibe mabakiteriya, Hamilton akufotokoza. Koma ngati muli ndi nkhawa ndi ma epiglotti anu omwe angakuukireni tsiku limodzi, pali zinthu ziwiri zomwe mungachite kuti muteteze. Choyamba, achikulire ambiri anali ndi kachilombo kocheperako ngati ana ndipo nthawi zambiri amakhala nako. Koma mukuda nkhawa, mutha kupeza katemera wa HiB tsopano. Chinthu chabwino kwambiri chomwe mungachite, ndikuchita ukhondo. Sambani m'manja ndi sopo ndikugwiritsa ntchito maantibayotiki pokhapokha ngati mukufunikiradi, akutero Hamilton. (Psst ... Nayi Momwe Mungadziwire Ngati Mukufuna Maantibayotiki.)