Dɛn ne SIRS (Systemic Inflammatory Response Syndrome) a ɛma obi ho yɛ hyew? So ɛte sɛ ogya kɛse bi a ɛwɔ nipadua no mu? Momma yɛnkasa!

So woate tebea bi a wɔfrɛ no SIRS (Systemic Inflammatory Response Syndrome) ho asɛm pɛn? Ebia saa din yi yɛ ade foforo ma wo. Nanso ɛyɛ tebea a ɛyɛ hu yiye a ebetumi aba yɛn nipadua mu. Ɛte sɛ nea nipadua no yɛ n’ade boro so wɔ ɔhaw ketewaa bi ho na ɛto ogya kɛse. So yɛbɛka eyi ho asɛm akɔ akyiri?

Dɛn ne SIRS (Systemic Inflammatory Response Syndrome) a ɛma obi ho yɛ hyew?

Sɛ yɛbɛka no tiawa a, SIRS yɛ bere a yɛn nipadua no yɛ n’ade boro so wɔ biribi a ɛde adwennwen ba ho. Fa no sɛ ɔman bi ahobammɔ nhyehyɛe. Sɛ ɔtamfo ketewaa bi ba a, ɛsɛ sɛ ɔne no ko wɔ ɔkwan pa so. Nanso wɔ SIRS mu no, ɛte sɛ nea saa asraafo dɔm yi fi ɔko kɛse ase wɔ ade ketewaa bi ho. Eyi de ɔfe a emu yɛ den ba nipadua no nyinaa mu. Saa ɔfe yi betumi asɛe yɛn akwaa a ɛho hia no, ama agyae adwumayɛ, na ɛtɔ mmere bi mpo a ɛde yɛn nkwa to asiane mu. Ɛno nti na ɛyɛ hu no. Sɛ yɛka nneɛma a ɛde adwennwen ba ho asɛm a, dɛn ne?

• Infections : Infections caused by bacteria , viruses , fungi, etc. Ɛtɔ da bi a, kuru ketewaa bi mpo tumi de atiridiinini ba, nanso sɛ ɛyɛ kɛse a, ebetumi ama obi anya SIRS.
• Oprehyɛn: Wɔ oprehyɛn kɛse akyi mpo no, ɛtɔ mmere bi a nipadua no tumi yɛ n’ade saa.
• Ɔfe a emu yɛ den : Sɛ ɔfe a emu yɛ den mpofirim ba nipadua no mu baabi, sɛ nhwɛso no, dwensɔtwaa mu yare .
• Ischemia: Eyi ne bere a mogya a ɛkɔ nipadua no fã bi anaa akwaa bi so no so tew. Afei nkwammoaa a ɛwɔ saa mmeae no fi ase wuwu, na nipadua no nso tumi yɛ eyi ho biribi.
• Kokoram: SIRS nso betumi aba wɔ kokoram tebea horow bi mu.

Nneɛma a ɛte sɛ eyinom ne nneɛma atitiriw a ɛde SIRS ba.

So SIRS ne Sepsis yɛ ade koro?

Yiw, ɛwom sɛ abusuabɔ kakra da abien no ntam de, nanso sepsis yɛ tebea soronko kakra wɔ SIRS ho. Tie no yiye. Sɛ nea ɛde SIRS ba ne ɔyare mmoawa a , ɛno ne nea yɛfrɛ no sepsis . So wote ase? Ɛne sɛ, ɛkame ayɛ sɛ obiara a ɔwɔ sepsis no wɔ SIRS. Efisɛ SIRS ho sɛnkyerɛnne no ba bere a nipadua no yɛ n’ade wɔ ɔyare mmoawa bi ho no. Nanso, ɛnyɛ obiara a ɔwɔ SIRS na ɔwɔ sepsis. Efisɛ ɛnyɛ ɔyare mmoawa nko na ebetumi de SIRS aba, na mmom nneɛma afoforo te sɛ oprehyɛn, kokoram, ne mogya a ɛtɔ kɔ nipadua mu nso, sɛnea yɛadi kan aka no. Sepsis nso yɛ tebea a ɛde nkwa to asiane mu kɛse a ɛhwehwɛ sɛ wɔsa no yare ntɛm ara.Ɛno nti na ɛho hia paa sɛ wohu abien no nyinaa.

SIRS abu so dɛn?

Ɛyɛ den ma nhwehwɛmufo sɛ wɔbɛka sɛnea eyi abu so ankasa, efisɛ ɛnyɛ obiara a ɔwɔ SIRS na otumi kɔ ayaresabea bere ano. Nanso SIRS yɛ tebea a ɛtaa ba wɔ mmeae a wɔhwɛ wɔn a wɔwɔ ayaresa a egye ntɛmpɛ ne mmeae a wɔhwɛ wɔn a wɔyare denneennen (ICU) . Wɔ nhwehwɛmu bi mu no, wɔhwɛɛ ayarefo a wɔreyɛ adu 27,000 a wɔde wɔn akɔ ayaresabea. Wɔn mu no, anyɛ yiye koraa no, na 15% wɔ sɛnkyerɛnne abien a wobebu no sɛ SIRS bere a wɔde wɔn akɔ ayaresabea no. Na 47% duu SIRS gyinapɛn no ho anyɛ yiye koraa no pɛnkoro wɔ wɔn ayaresabea tra mu. Enti wubetumi asusuw sɛnea eyi betumi ayɛ aniberesɛm no ho.

Dɛn ne SIRS ho sɛnkyerɛnne ahorow? Woyɛ dɛn hu wɔn?

Esiane sɛ SIRS wɔ nneɛma pii a ɛde ba na ɛka nipadua no afã horow pii nti, sɛnkyerɛnne ahorow no betumi ayɛ soronko kɛse. Nanso sɛ wowɔ saa sɛnkyerɛnne ahorow yi mu biako anaa nea ɛboro saa a, mmu w’ani ngu so. Nyansa wom sɛ wobɛhwehwɛ aduruyɛ mu afotu ntɛm ara. Nsɛnkyerɛnne no bi ni:

• Kɔkɔkɔɔ ne ɔfe (edema) wɔ nipadua no mmeae a ɛho ayɛ kurukuruwa: ɛte sɛ nea ɛho ahonhon wɔ kuru bi ho, anaasɛ ebetumi asɛe kɛse.
• Ɛyaw a emu yɛ den: Ɛyaw a wontumi nnyina ano wɔ baabi a yare no.
• Nipadua akwaa a ɛyera: Sɛ nhwɛso no, sɛ obi ntumi ntutu ne nsa anaa nan bi.
• Ɔbrɛ a emu yɛ den: Ebia wobɛte nka sɛ woabrɛ na woada araa ma wuntumi nyɛ hwee.
• Koma a ɛbɔ kɛse (Tachycardia): Koma no bɔ ntɛmntɛm sen sɛnea ɛte daa. Ebetumi abɔ boro 90 wɔ simma biara mu.
• Ɔhome a ɛnteɛ: Ɔhome a ɛyɛ den, ɔhome a ɛkɔ soro (bɛboro mpɛn 20 wɔ simma biara mu).
• Atiridii anaa Hypothermia : Nipadua no betumi ayɛ hyew dodo na atiridii, anaasɛ, nea ɛne no bɔ abira no, nipadua no hyew betumi akɔ fam akodu digrii Celsius 36 (96.8 Fahrenheit).
• Ahopopo anaa atiridiinini: Wofi ase wosow te sɛ nea woayɛ atiridiinini.
• Wora te nka sɛ ɛyɛ hyew anaasɛ ɛyɛ mmerɛw esiane fifiri nti: Ɛtɔ mmere bi a, honam ani betumi ayɛ hyew anaasɛ ayɛ mmerɛw esiane fifiri nti.
• Honam ani akisikuru: Akisikuru ahorow te sɛ eczema betumi apue wɔ honam ani.
• Adwene a ɛyɛ basaa, basabasayɛ, anaa adwene mu nsakrae afoforo: Nsɛnkyerɛnne te sɛ adwenem naayɛ, basabasayɛ, ne kasa a ɛnteɛ.
• Nhumu a ɛyera: Eyi yɛ sɛnkyerɛnne a asiane wom kɛse.

Ade a ɛho hia sen biara:Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, yɛsrɛ sɛ ntra fie. Kɔ ayaresabea a ɛbɛn wo ntɛm ara sɛnea wubetumi, anaa frɛ 1990 ma wofa ambulance. SIRS yɛ aduruyɛ mu asɛm a egye ntɛmpɛ.

Dɛn ne nneɛma a ɛde SIRS ba?

SIRS ba, sɛnea yɛadi kan aka no, bere a yɛn nipadua mu tumi a ɛko tia nyarewa no yɛ ade boro so wɔ biribi a ɛde adwennwen ba ho no. Mpɛn pii no, yɛn nipadua de ɔfe di dwuma de boa yɛn. Susuw ho hwɛ, sɛ yenya kuru a, ɛhohoro na ɛdan kɔkɔɔ efisɛ nkwammoaa ba bɛko atia na efi ase sa kuru no. Nanso wɔ SIRS mu no, saa mmuae yi mu yɛ den a ɛho nhia , na saa ɔfe yi ankasa pira yɛn kɛse. Nneɛma atitiriw a ebetumi aka SIRS tebea no bi ni:

• Aduan anaa nsu a wɔtwetwe denneennen: Sɛ wɔmene aduan anaa nsu bere a wɔredidi anaa wɔrenom, na saa nneɛma yi hyɛn ahurututu mu a, eyi nso betumi de SIRS aba.
• Acute end-organ ischemia: Sɛ mogya a ɛkɔ akwaa bi a ɛho hia te sɛ amemene, koma, anaa asaabo mu no gyae mpofirim anaasɛ ɛso tew kɛse a.
• Pancreatitis a emu yɛ den: Eyi nso yɛ tebea a emu yɛ den.
• Nnuru bi ho nneyɛe bɔne: Nipadua no tumi yɛ n’ade bɔne wɔ nnuru bi ho.
• Mmoawa a wɔde nyarewa ba: Yare mmoawa a emu yɛ den te sɛ ahurututu mu yare ne ahurututu mu yare.
• Mogya mu kokoram (hematologic malignancy): Tebea horow te sɛ mogya mu kokoram, lymphoma, ne multiple myeloma.
• Ɔhyew: SIRS nso betumi aba esiane ɔhyew akɛse nti.
• Erythema multiforme: Eyi yɛ honam ani yare a emu yɛ den.
• Mogya a ɛnkɔ wo dwensɔtwaa mu ne yafunu mu tokuru.
• Nnuru a ɛnyɛ nnuru a wɔde di dwuma ne nnuru a wɔde di dwuma boro so.
• Vasculitis: Eyi yɛ ɔyare a ɛma obi ho hyehye no a ɛba mogya ntini mu.
• Toxic shock syndrome: Eyi nso yɛ tebea a ɛde nkwa to asiane mu a ɔyare mmoawa bi na ɛde ba.
• Ahodwiriw ne ahodwiriw a ɛfa oprehyɛn ho.
• Tebea horow a ɛte sɛ atiridii a ɔyare mmoawa de ba: Ɛtɔ mmere bi a atiridii a ɛfata mpo betumi adan SIRS sɛ emu yɛ den a.
• Fungal yare a ɛtrɛw wɔ nnipa a wɔn nipadua mu tumi a ɛko tia nyarewa no yɛ mmerɛw mu.

Seesei ebia woate ase sɛ nneɛma pii nti na SIRS betumi aba.

Hena na ɔwɔ asiane kɛse mu sɛ obenya SIRS?

Nnipa binom taa nya SIRS sen afoforo. Momma yɛnhwehwɛ nnipa ko a wɔyɛ.

• Mfe a wɔadi: Mmofra nkumaa ne nnipa a wɔadi boro mfe 65 wɔ asiane kɛse mu efisɛ ebia saa nnipa baanu yi nyinaa nipadua mu ahoɔden a ɛko tia nyarewa no bɛyɛ mmerɛw kakra.
• Nkwammoaa a ɛko tia nyarewa a ɛyɛ mmerɛw a wobenya: Nnipa a wɔreyɛ kokoram ayaresa, wɔn a wɔwɔ HIV, ne wɔn a wɔde wɔn akwaa a wɔde si ananmu no nipadua mu tumi a ɛko tia nyarewa no ayɛ mmerɛw, na ɛma ɛyɛ mmerɛw sɛ wobenya SIRS.
• Tebea horow a enni sabea: Nnipa a wɔwɔ tebea horow a ɛtra hɔ kyɛ te sɛ asikreyare, mmerɛbo mu yare (mrɛbo a ɛyɛ den), ne COPD (ahurututu mu yare a enni sabea) nso wɔ asiane kɛse mu.
• Nyarewa a ɛwɔ hɔ dedaw: Sɛ wowɔ ɔyare bi dedaw, te sɛ ahurututu mu yare, meningitis, anaa cellulitis (honam ani yare) a, ɛda adi sɛ ɛbɛyɛ den na akɔ so ayɛ SIRS.

Enti sɛ wo anaa obi a wunim no wɔ asiane ahorow yi a, ɛho hia yiye sɛ wuhu SIRS ho sɛnkyerɛnne titiriw.

Ɔkwan bɛn so na nnuruyɛfo hu SIRS?

Esiane sɛ SIRS yɛ tebea a ebetumi de nkwa ato asiane mu nti, nnuruyɛfo bɔ mmɔden sɛ wobehu no ntɛm sɛnea wobetumi. Wɔde nea edidi so yi na ɛyɛ saa:

• Nipadua mu nhwehwɛmu: Wɔhwehwɛ wo nipadua mu, titiriw nsɛnkyerɛnne a ɛho hia te sɛ atiridiinini, koma bɔ, ɔhome a ɛbɔ, ne mogya mmoroso.
• Wo yare no ho sɛnkyerɛnne: Yɛbisa wo ahwɛyiye fa ɔhaw a wote nka no ho.
• W’ayaresa ho abakɔsɛm: Wobebisa wo nneɛma te sɛ nyarewa a woadi kan anya ne nnuru a wonom ho asɛm.
• Ebia ɛde SIRS ba: Sɛ wotumi hu nea ɛde SIRS ba a, ɛbɛboa nso wɔ sɛnea wobehu yare no mu.

Mpɛn pii no, oduruyɛfo a ɔwɔ saa sɛnkyerɛnne ahorow yi besusuw sɛ SIRS na wafi ase sa yare no ntɛm ara. Nanso, nea ɛka ho no, wobetumi ayɛ nhwehwɛmu afoforo pii nso de ahwehwɛ w’akwahosan mu bio na wɔahu nea ɛde SIRS ba ankasa. Nhwɛsoɔ:

• Mogya mu nhwehwɛmu: Eyinom tumi hwɛ nneɛma pii mu. Sɛ nhwɛso no, basic metabolic panel, mogya dodow a edi mũ (CBC) (eyi hwɛ mogya mu nkwammoaa fitaa dodow), lactic acid nhwehwɛmu, mmerɛbo dwumadi ho nhwehwɛmu, asaabo dwumadi mu nhwehwɛmu, ne nea ɛkeka ho.
• Mogya mu oxygen dodow.
• Nsu mu nhwehwɛmu.
• Bacterial culture test: Sɛnea ɛbɛyɛ a wobehu sɛ ɔyare mmoawa bi wɔ hɔ anaa, na sɛ ɛte saa a, mmoawa bɛn na ɛde ba.
• Mfoninitwa sɔhwɛ ahorow:Nneɛma te sɛ X-ray anaa CT scan betumi akyerɛ nea ɛrekɔ so wɔ nipadua no mu.

SIRS gyinapɛn ahorow

Sɛ wobehu sɛ wowɔ SIRS a, anyɛ yiye koraa no, ɛsɛ sɛ wunya sɛnkyerɛnne ahorow a edidi so yi mu abien :

• Nipadua mu hyew: Ɛkɔ soro bɛboro digrii Celsius 38 (Fahrenheit 100.4) anaasɛ ɛso tew bɛboro digrii Celsius 36 (Fahrenheit 96.8).
• Koma a ɛbɔ: Ɛma ɛbɔ bɛboro 90 simma biara.
• Ɔhome: Ahome dodow a ɛkɔ soro wɔ simma biako mu boro 20, anaasɛ CO2 nhyɛso fã bi a ɛwɔ mogya mu no so tew a ennu 32 mmHg.
• Leukocyte (mogya mu nkwammoaa fitaa) dodow: Nkɔanim bɛboro 12,000.

Nanso wɔ mmofra fam no, saa gyinapɛn ahorow yi yɛ soronko kakra. Sɛ wobehu sɛ wɔwɔ SIRS a, ɛsɛ sɛ wɔn mogya mu nkwammoaa fitaa dodow a ɛnteɛ na wɔn nipadua mu hyew nyɛ nea ɛfata. Eyi te saa efisɛ mmofra koma bɔ ne wɔn home a ɛbɔ taa kɔ soro kakra sen mpanyimfo de.

Ɔkwan bɛn so na wɔsa SIRS?

Nneɛma atitiriw abien wɔ hɔ a ɛsɛ sɛ wususuw ho bere a woresa SIRS yare no. Biako ne sɛ wɔbɛsa nea ɛde SIRS ba titiriw no. Ɔfoforo no ne sɛ wobesiw akwaa ahorow pii a ɛnyɛ adwuma yiye (MODS) ano. Ayaresa a wobetumi apaw no betumi ayɛ soronko a egyina nea ɛde SIRS ba no so. Nanso, ayaresa a wɔtaa yɛ no bi ni:

• Nsu a wɔde fa ntini bi mu ma (IV nsu): Eyi boa ma mogya kɔ nipadua no akwaa ahorow mu yiye na ɛmma mogya mmoroso nkɔ fam dodo.
• Nnuru a ekum ɔyare mmoawa: Sɛ ɔyare mmoawa na ɛde SIRS ba a, wɔma nnuru yi.
• Nnuru a ɛma mogya mmoroso: Sɛ wo mogya mmoroso sua dodo a, wɔde eyinom ma na ama asan aba sɛnea na ɛte kan no.
• Corticosteroids: Wɔde eyinom di dwuma na ama nipadua no ankɔ ahodwiriw mu anaasɛ wɔde boa no ma ne ho tɔ no.
• Insulin a ɛnam ntini mu (IV insulin): Hwɛ asikre dodow a ɛwɔ mogya mu (sɛ ɛho hia a).
• Oprehyɛn: Sɛ nhwɛso no, oprehyɛn a wɔde hwehwɛ nneɛma mu de yi akisikuru fi kuru a ɛreyɛ ayɛ kurukuruwa so, yi ntini a asɛe, anaasɛ wohu nea ɛnteɛ wɔ nipadua no mu.

Fa no sɛ, sɛ w’asaabo ntumi nyɛ adwuma yiye a, ebia ebehia sɛ wɔyɛ wo dialysis (mogya a wɔtew ho). Saa ara nso na sɛ wo home a entumi nyɛ adwuma yiye a, ebia ebehia sɛ wode wo bata mfiri a wɔde ma mframa ho.

So ebetumi aba sɛ wobɛsan anya ahoɔden afi SIRS mu? Dɛn ne adwene a ɛwɔ hɔ?

SIRS ho nkɔmhyɛ gyina nneɛma pii so.

• Hwɛ sɛnea wohuu wo ntɛm ara na wɔsaa wo yare.
• Dɛn ne ade titiriw a ɛde SIRS ba?
• Sɛ́ ebia wowɔ asiane ahorow a ɛbɛma woanya SIRS (e.g., nipadua no mu tumi a ɛko tia nyarewa a ɛyɛ mmerɛw).

Asɛmpa no ne sɛ, sɛ wɔsa wɔn yare ntɛm a, nnipa dodow no ara a wɔwɔ SIRS no ho tɔ wɔn koraa na wobetumi asan akɔ wɔn asetra a ɛfata mu. Nanso, eyi yɛ tebea a emu yɛ den a ɛtɔ mmere bi a ebetumi akum obi. Nnipa dodow a wowuwu fi SIRS mu no bɛyɛ 7%. Nnipa dodow a wowuwu esiane sepsis nti titiriw te sɛ nea edidi so yi:

• Wɔ sepsis ho no: 1.3% .
• Wɔ sepsis a emu yɛ den ho: 9.2% .
• Wɔ septic shock (tebea a efi sepsis) ho no): 28% .

Enti, ɛho hia yiye sɛ wobɛhwehwɛ aduruyɛ mu afotu bere a SIRS ho sɛnkyerɛnne da adi ara pɛ, efisɛ asiane wɔ hɔ sɛ wubewu.

Dɛn ne nsɛnnennen a ebetumi afi SIRS mu aba?

SIRS (titiriw sɛ ɔyare mmoawa na ɛde ba a) betumi anya nkɔso akodu sepsis a emu yɛ den anaasɛ septic shock. Ebetumi nso ama akwaa pii anaa akwaa biako adi huammɔ. Nea ɛka ho no, nsɛnnennen te sɛ:

• Acute adrenal insufficiency: Eyi ne bere a wo adrenal ntini no ntumi nyɛ hormone ahorow a ɛho hia te sɛ cortisol a ɛdɔɔso.
• Acute encephalopathy: Amemene mu yare biara a ɛka amemene no dwumadi anaa ne nhyehyɛe.
• Acute Respiratory Distress Syndrome (ARDS): Ɛsɛe ahurututu no kɛse.
• Acute transaminitis: Enzyme ahorow bi a ɛka mmerɛbo no dwumadi dodow a ɛkɔ soro.
• Acute tubular necrosis: Ɛsɛe asaabo no.
• Mogya a ɛtɔ wɔ ntini a emu dɔ mu (Deep Vein Thrombosis - DVT).
• Disseminated Intravascular Coagulation (DIC): Eyi ma mogya mu ntini nketenkete sisi nipadua no nyinaa mu, na ɛma mogya tu kɔ soro.
• Hemolysis: Mogya mu nkwammoaa kɔkɔɔ a ɛpaapae.
• Metabolic acidosis: Acid a ɛkɔ soro wɔ nipadua no mu.
• Thrombocytosis (nkwa mogya mu nkwammoaa dodow a ɛkɔ soro) anaa thrombocytopenia (nkwa mogya mu nkwammoaa dodow a ɛso tew).

Wobetumi asa nsɛnnennen yi bi na wɔasa, na wobetumi asan. Nanso ebi te sɛ amemene a asɛe no betumi atra hɔ daa. Ɛno nti na SIRS yɛ asiane kɛse no.

Dɛn na yebetumi ayɛ de asiw SIRS ano?

Ɛwom sɛ wontumi nsiw SIRS ano koraa de, nanso nneɛma kakraa bi wɔ hɔ a yebetumi ayɛ de atew hokwan a ɛwɔ hɔ sɛ ɛbɛba no so. Ma yɛnhwɛ nea wɔyɛ.

• Di ahotew ho nhyehyɛe pa akyi bere nyinaa: Bɔ mmɔden sɛ wubesiw ɔyare mmoawa ano, titiriw denam nneɛma te sɛ nsa a wobɛhohoro so.
• Sɛnea wobɛma akuru a wɔatwitwa ne akuru afoforo ho atew kosi sɛ ɛbɛsa: Hwɛ yiye na woamma kuru ketewaa mpo ansɛe.
• Nnuru a wɔkamfo kyerɛ sɛ wobenya wɔ bere ano: Eyi betumi abɔ wo ho ban afi nyarewa pii ho.
• Nya ayaresa a ɛfata ma tebea horow a enni sabea: Ɛho hia sɛ wodi nyarewa te sɛ asikreyare ne mogya mmoroso so.
• Sɛ tebea anaa yare bi a ɛwɔ hɔ dedaw ho sɛnkyerɛnne mu yɛ den a, kɔ oduruyɛfo nkyɛn: Mmu w’ani ngu biribi ketewaa bi so.
• Sɛ woapira kɛse anaasɛ wususuw sɛ ɔyare bi wɔ wo mu a, hwehwɛ ayaresa ntɛm ara: Sɛ wosa yare ntɛm a, ebetumi asiw ɔsɛe kɛse ano.

Nkrasɛm a Etwa To a Wɔde Kɔ Fie

Ade a edi kan a ɛsɛ sɛ wokae ne sɛ SIRS (Systemic Inflammatory Response Syndrome) yɛ aduruyɛ mu tebea a egye ntɛmpɛ a ebetumi de wo nkwa ato asiane mu . Sɛnea ɛbɛyɛ na wɔasiw SIRS ano no, ɛho hia sɛ wɔhwehwɛ ayaresa ntɛm ara wɔ ɔyare mmoawa biara, ayaresa tebea bi mu nsɛnnennen, anaa opira a emu yɛ den ho. Sɛ wɔansa SIRS a, ebetumi de nsɛnnennen a emu yɛ den aba na ebetumi ama wawu mpo. Sɛ wowɔ asiane ahorow a ɛde SIRS ba (sɛ nhwɛso no, nipadua no mu tumi a ɛko tia nyarewa a ayɛ mmerɛw, yare a enni sabea) a, wo ne wo duruyɛfo nkasa mfa sɛnea wubedi saa asiane ahorow no ho dwuma, nea SIRS ho sɛnkyerɛnne yɛ, ne nea ɛsɛ sɛ woyɛ sɛ ɛba a. Hwɛ w’akwahosan so na wɔbɔ wo amanneɛ. Ɛno ne ade a ɛho hia sen biara! SIRS, Systemic Inflammatory Response Syndrome, Sepsis, Sepsis, Ɔfe, Nyarewa, Nipadua Mmuae, Ayaresa a Egye Ntɛmntɛm