I-Aspergillosis Isiguli Nokusekelwa

Kuhlinzekwe yi-NHS National Aspergillosis Center

I-Tipping Point - lapho okwesikhathi kuvele kuzwakale sengathi KUNINGI

I-Omaha Beach, eNew Zealand

Indaba ka-Alison ne-ABPA (Kwakuyisonto ngaphambi kukaKhisimusi…)

Njengoba sihamba phakathi kwempilo nezimo ezingalapheki singazifundisa amasu okubhekana nesimo  

Njengoba amasu esebenza sizuza umuzwa wokuphumelela futhi ngicabanga ukuthi sinokuzigqaja ngokuthi singakwenza lokhu singakwazi ukubhekana nalokhu kodwa bese kwenzeka okunye futhi ukuhlela kwethu, namasu ethu ayonakaliswa. Ngibe nolunye lwalolo hlobo lwezinsuku namuhla.

  • Funda ukuthi yini esingayithola
  • Yini engokoqobo, futhi yini engekho?
  • Woza nezindlela zokukhawulela ukuthi singakanani esikwenzayo ngesikhathi ukuze sikwazi ukufeza izinhloso zethu kancane kancane.
  • Sihambe ngesivinini.

Namuhla zingama-21 kuZibandlela ngakho kusasele izinsuku ezimbalwa ngaphambi kukaKhisimusi. Kuyashisa e-New Zealand kanye ne-muggy (ikakhulukazi e-Waikato) futhi ngizama ukubona iqiniso mayelana nokuthi ngingakanani engikwenzayo ukuze ngilungiselele uKhisimusi futhi ngithathe iveni yami ngiye ku-Beach House yomndeni. Ngifuna nokushiya ingadi ibukeka kahle futhi icocekile ukuze kungabi ihlane lapho ngibuya. Umsebenzi wasengadini ungenziwa kuphela ngokuqhuma okufushane kakhulu, ukugqoka i-FFP2 Mask (kushisa kakhulu ezimeni). Ukuze ngifeze lokho, ngicabanga ukuthi ngangiphumelela ngaphandle kokuthi ngase nginentunja esweni lami. Ukwelashwa okulondolozayo kwamaphakethe ashisayo namaconsi kwamehlo omile akuzange kusize ngempela

Ngosuku lwesithathu, ngaxoxa nosokhemisi kanye nodokotela wami (nge-imeyili) mayelana nokuthi yini okufanele ngiyenze. Nganginamaconsi okugcoba esandleni ayefaneleka kodwa ngemva kwezinsuku ezine isimo saba sibi kakhulu futhi udokotela wami wathi uma kungathuthuki, kwakuzodingeka ngiye ezimweni eziphuthumayo ngoba azikho izikhathi zokubona udokotela. Umkhwenyana wami ongudokotela wakubheka wathi “Lokho kudinga ukulandwa cishe udinga ukuziphuthumisa emtholampilo wamehlo”. Ngakho ngemva kokukhuluma noNesi kadokotela wami, ngaya emtholampilo wezimo eziphuthumayo (Hhayi esibhedlela samahhala se-ED).

Isikhathi sokulinda sithunyelwe njengamahora amabili, yebo kunengqondo lokho, kodwa kwenzeka izinto. Umtholampilo Wezimo Eziphuthumayo ube nezimo eziphuthumayo ezimbili noma ezintathu ezifika phakathi nosuku futhi ngagcina ngihlezi lapho kusukela ngo-10:30 ekuseni kwaze kwaba u-5:15 ntambama. Cishe ngabo-2:30 ngakhuluma nomhlengikazi endaweni yokwamukela izivakashi ngabuza ukuthi ngabe ukhona yini umuntu ozokwazi ukubhekana nalokhu, ngicabanga ukuthi uma engakwazi ukwenza okufanele kwenziwe kufanele ngiye esibhedlela. . Ngaqinisekiswa ukuthi kwakungenziwa. Ngehora lesi-5 ngabona udokotela futhi wanquma ukuthi kudingeka sizame ukhilimu ohlukile wama-antibiotic futhi mhlawumbe siphonse amanye ama-antibiotic omlomo futhi ngibone ukuthi ngihambe kanjani futhi uma kungazange kube ngcono ezinsukwini ezinhlanu, ukubuya futhi emva kwalokho. mhlawumbe kungase kudingeke sikuthumele emtholampilo wamehlo

Khuluma ngokukhungathekisa! Wayeqaphele ukuthi nginezinkinga zempilo eziyinkimbinkimbi, ngambonisa ukuthi umzimba wami awuphenduli kahle ezifweni, ukuthi kwakunguKhisimusi, nokuthi ngangiya enyakatho e-Omaha Beach; kodwa cha kwakuyisixazululo sakhe leso futhi wayengalaleli lutho oluhlukile. Ngakho ukuhlela kwami, ngizama ukuqaphela ukuthi angiziphusheli kude kakhulu, nokuthi angizange ngizame ukungena kakhulu, ngivele ngaphuma ngefasitela ngilahlekelwe usuku lonke e-ER. Lapho ngifika ekhaya, ngangilambile, ngikhathele. Iso lami lalibuhlungu kakhulu futhi lalingase likhululeke ngenqubo yemizuzu emihlanu.

Yini okufanele uyenze manje? Kubonakala sengathi angilali, yingakho ngibhala, futhi ngingaqhubeka nokufaka amafutha okugcoba amahora angu-3 emehlweni ami ubusuku bonke. (Sekuyihora lesi-3 ekuseni futhi ngiqale ngazama ukulala/ukulala ngo-9:30 pm). Ngisilinganisela kanjani isidingo sokulungiswa kwamehlo ami ngaphambi kokuba ngiye eNyakatho, ngaphandle kwendawo yesibhedlela sami lapho isibhedlela sibizwa ngokuthi “Isibhedlela Esingaqiniseki” kanye nesikhathi sokuhamba ukuze nje ngisuke ogwini ngiye edolobheni ngiyobona UDkt emasontweni amabili azayo amaholide azokhuphuka ukusuka kumizuzu eyi-15 kuye kwangama-2 amahora. Ukungasho lutho ukuthi kungathatha isikhathi esingakanani ukufika ku-NSH. (Ngokujwayelekile ukuhamba ngehora) Ingabe ngizifaka engozini yokulahlekelwa olunye usuku lokuzilungiselela bese ngizama futhi ukungena emtholampilo wamehlo.? Ngabe ngibeka engcupheni yokubona kwami ​​noma ezinye izinkinga uma ngibhekana nokuzitholela uKhisimusi ngingakhathali ngokuphelele?

QAPHELA: Ngaqala lokhu ngaphambi kukaKhisimusi wango-2023 kodwa lapho ngithola amandla okuzama nokuqeda, angikwazanga ukulithola ifayela. Ngokushesha phambili ngoMashi 2024 futhi ngayithola endaweni engacacile, ukubonakaliswa kwe iphoyinti njengoba ngifinyelelwe ngesikhathi 'ngiyifakile'. 

Kwenzeka lokhu nje, ngabuyela kweyami iDr Surgery ngakusasa ekuseni ngayokhuluma noNesi owanquma ukungingenisa ukuze ngibone uDkt, owayeqonda kakhulu futhi ekwazi ukuxhumana. Washintsha isibulala-magciwane wawenza owodwa oqondile odabeni futhi wachaza izinqubo ezidingekayo zokungiyisa Emtholampilo Wamehlo uma kudingeka. Kuvele ukuthi umuthi osanda kufakwa wawunezela kakhulu udaba futhi uma usuyekile ngakwazi ukulawula izinto futhi kungadingeki ngiye emtholampilo wamehlo phakathi nesikhathi samaholide ehlobo.

Kodwa buyela ku-Tipping Points. 

Uma sibhekene neZifo Ezingamahlalakhona, ukwelashwa kokulawula isifo esiyinhloko ngokuvamile kungaholela ezimweni zesibili, ezidinga nokho ukwelashwa okwengeziwe Amazinga wamandla anomkhawulo futhi 'into eyodwa nje ngaphezulu' ingasinikeza izeluleko ngokuphelele. Amasu ethu ahlelwe ngokucophelela futhi alinganiselayo ayaphela ngokuphelele. Sikuphatha kanjani lokho? 

Masibhekane nakho, ngaleso sikhathi singase sifune ukuyeka. Kodwa cha, kumele sivume lapho esikhona, mhlawumbe sibe nesililo noma isidumo, sithandaze siqhamuke necebo elisha ngesikhathi esifanayo samukele ukuthi izinto zingase zingahambi ngendlela ebesicabanga ukuthi kufanele. (Ngalolu suku, umndeni wami ungimemile ukuba ngihlanganyele nawo esidlweni sakusihlwa okwathakazelelwa kakhulu. Ngiphinde ngizame ukudla osekuphekwe efrijini ngezimo ezinjalo.)  

Encwadini engcwele, uPawulu uthi “Ngiye ngafunda ukwaneliseka ngokuchichimayo nokuswela. " 

Ukuguqula isimo sethu sengqondo kuyisihluthulelo.  Sifuna ukucabanga ukuthi siyalawula kodwa izimo nezimo zingaphezu kwamandla ethu.

Ukufunda ukuphila ngaphakathi kwemikhawulo yeSigulo Esingamahlalakhona kuyiNqubo Yosizi kodwa ngenxa yokuthi akukho ukulahlekelwa okuphathekayo njengoba kungase kubonakale lapho othile efa, thina kanye nalabo abasizungezile, singase singayiqapheli imithelela Wonke umuntu afuna ukubhekana namaqiniso kanye nokulungiswa- it amasu. Usizi alunangqondo futhi ludinga ukusebenza okuningi; nakuba kufanele kuvezwe ngokunembe kakhudlwana ukuthi asisebenzi ngakho, njengoba siphuma ngakolunye uhlangothi, kodwa sisebenzela ukuqonda ukuthi lokhu kusithinta kanjani nokuthi sikuyisa kanjani okujwayelekile okusha

Ngethemba ukuthi lokhu kuqonda okuncane kuzokusiza ukuthi udlule a Usuku "lwe-Tipping Point".. Eminye yaleyo nqubo ihlanganisa nokuthola ukuqonda okwengeziwe ngengxube ethile yezimo zakho…. Kodwa leso ngesinye isihloko ongabhuloga ngaso ngokuhamba kwesikhathi!