Isikole saqala ngoSepthemba futhi –uyancokola– umsebenzi awuthandayo yikhefu. Manje akakalubeki unyawo esibhedlela iminyaka emibili, kodwa impilo yakhe iwumqansa ophawulwe ukufakelwa izinso kabili nokulinda kabili: okwakudingeka alinde, okokuqala, ukuze umzimba wakhe uthuthuke ngokwanele ukuze umelane nobuhlungu. ukungenelela futhi, okwesibili, imbangela yesitho esihlulekile okwakudingeka sishintshwe futhi.
Impi ka-Valentín (Barcelona, 2014) ibuyela emuva ezinsukwini ezinhlanu ngemva kokuzalwa, lapho umama wakhe ebona ukuthi akakwazi ukuvula iso elilodwa. Esibhedlela bathola ukuthi uphethwe ukopha ebuchosheni, bakhipha igazi ekhanda futhi bakwazi ukusindisa impilo yakhe. Le ngozi engakafiki isikhathi izophawula ukuqala kwempilo yansuku zonke egxile esibhedlela. Impi yokubhujiswa kofuzo.
UValentine uhlushwa yisifo esibizwa nge-Dionysius Drash Syndrome, okuyidlanzana elivalelwe elithinte abantu abangama-200 emhlabeni kuphela. Ukwakheka kwezinso zakhe kunephutha. Inomugqa ohlunga udoti ovela ekuwohlokeni kwe-metabolism futhi ilahlekelwa yi-albumin, iphrotheni elawula indawo ezungezile yangaphakathi. Odokotela bayazi ukuthi ngokushesha noma kamuva ukuguqulwa kuzoba nezitho zakhe zezinso. Kunethemba lokuthi ngeke kwenzeke kuze kube sekukhuleni, kodwa ngemuva kwezinyanga ezintathu bayayeka ukusebenza... Udinga ukufakelwa. inkathi 2014.
Njalo ngonyaka ukungenelela kwe-70 kwalolu hlobo kwenziwa eSpain ezinso zezingane kanye nentsha. Lesi sibalo simelela amaphesenti angu-1.5 kuphela eziguli ezidinga ukwelapha izinso, njengoba iningi kungabantu abadala. UDkt. Gema Ariceta, udokotela wezinzwa nodokotela wezingane esibhedlela iVall d’Hebron, uthi kunzima kakhulu ukuthola izitho zezingane. Ngenhlanhla, inani labanikeli lincane futhi izinhlu zokulinda zivame ukuba zinde.
Njengoba uValentín naye esemncane kakhulu, akakwazi ukuhlinzwa. I-catheter ifakwa esiswini sakhe futhi iqala inqubo ye-dialysis ezohlala iminyaka nesigamu. Njalo ebusuku, bamxhuma amahora ayishumi nambili emshinini ohlanza izinso, ohlanza igazi lakhe futhi uqede amanzi amaningi. Akakaqali esikoleni futhi abazali bakhe baphilela yena. Baphinde bangabalingiswa bale ndaba.
ukufakelwa kwehlulekile
Lapho izinso zifika ekugcineni, ngo-2017, u-Ariceta wavuma ukungenelela ukuze alinganise ukuthi u-Valentin omncane wayenesisindo esingamakhilogremu angu-15. Ukufakelwa kwezingane kuyinqubo yeqembu lapho ochwepheshe abangaphezu koyedwa kungenzeka babambe iqhaza ekuphathweni okuqondile. Kodwa-ke, kukhona isitho esitholakalayo sesiguli, ithimba lezinhlaka eziningi elizokhipha isizinda, ulwandle eVall d'Hebron ngokwalo noma ukuya esibhedlela sokuzalwa - ezikhathini eziningi-. Ngaphambi kokuyikhipha, udokotela ohlinzayo noma uchwepheshe wesitho okukhulunywa ngaso ukuqinisekisile ukufaneleka kwaso ekufakweni. Ngesikhathi esifanayo, phenya umndeni womamukeli, ukuthi ukuxhumana kugcinwa kuyo yonke inqubo, futhi ulungiselele igumbi lokuhlinzela isenzo sokuhlinzwa. Naba ochwepheshe ababamba iqhaza ekubulaleni izinzwa, ukuhlinza, abahlengikazi, abasebenzisa ama-perfusionist, abasizi nabanikelayo. Futhi ochwepheshe abavela ezinsizeni ezifana neClinical Laboratories, I-Radiology, Izifo Ezithathelwanayo, I-Immunology, I-Pathological Anatomy, Izimo Eziphuthumayo kanye Nekhemisi. Ngaphambi kokuqala lolu hlelo, i-Pediatric Intensive Care Unit kanye ne-Blood Bank bayaziswa ukuthi sebemi ngomumo.
Naphezu kokubambisana nomzamo weqembu, ukufakelwa kuka-Valentín kokuqala akuhambi kahle. Uma ushintsha isitho somzimba usengozini yokwaliwa. Ukuze ugweme lokhu, isiguli kufanele sithathe ama-immunosuppressants impilo yonke, enciphisa impendulo engalungile yomzimba. Lokhu ngokusobala kunciphisa amandla okuzivikela omzimba futhi kwandisa ingozi yokutheleleka. Ngokuqondile, imbangela ye-parvovirus B19 -i-pathogen evamile ezikoleni- ibhubhisa isitho esitholiwe. Kufanele siqale phansi.
Ezinyangeni kamuva kuza ubhubhane, isimo se-alamu kanye nomphakathi waphenduka wabheka phezulu. Konke kuhambisana nokungenelela kwesibili, okuzoba okokugcina. Abazali bakaValentín cishe baphila izinyanga zokungaqiniseki okukhulu. Balala beshintshana esibhedlela futhi banakekele uMatilda, usisi omdala. Ngemva kwesonto lonke e-ICU, ngobunzima obuthile, imigwaqo engenabantu kanye nehlombe ngo-20:00 p.m., bazogcina befinyelele esimweni esijwayelekile osekukudala belindelwe.
Ukufakelwa kwezingane okwengeziwe e-Vall d'Hebrón
Isibhedlela i-Vall d'Hebron University Hospital e-Barcelona siyisikhungo sesibili eSpain ukuba nokufakelwa kwezingane ezingaphezu kuka-1.000. Kusukela ngo-1981, wenze ngempumelelo izinso ezingama-442, isibindi ezingama-412, amaphaphu angama-85, kanye nokufakelwa kwenhliziyo okungu-68.
Ngenxa yentuthuko ekwelashweni kokuhlinzwa kwezingane ezinesifo senhliziyo esizalwa nazo, ngo-2006 isibhedlela saseCatalan senza ukufakelwa kwe-cardiopulmonary yokuqala yezingane eSpain. Ngaphezu kwalokho, lesi sikhungo sihamba phambili ekufakelweni kwezingane ngamaphaphu eSpain, njengoba sesenze amaphesenti angama-58 alokhu kungenelela phakathi kuka-2016 no-2021.
