Nukae nye SIRS (Systemic Inflammatory Response Syndrome) ƒe dɔléle? Ðe wòle abe dzo gã aɖe si le ametia me enea? Mina míaƒo nu!

Èse dɔléle aɖe si woyɔna be SIRS (Systemic Inflammatory Response Syndrome) ŋu nya kpɔa? Ðewohĩ ŋkɔ sia anye nu yeye na wò. Gake enye nɔnɔme si me afɔku le ŋutɔ si ate ŋu adzɔ le míaƒe ŋutilã me. Ele abe alesi ŋutilãa wɔa nu wògbɔa eme ɖe kuxi sue aɖe ŋu eye wòdoa dzo gã aɖe ene. Ðe míaƒo nu tso esia ŋu tsitotsitoa?

Nukae nye SIRS (Systemic Inflammatory Response Syndrome) ƒe dɔléle?

Kpuie ko la, SIRS nye ne míaƒe ŋutilã wɔ nu wògbɔ eme ɖe nuteɖeamedzinu aɖe ŋu. Bu eŋu abe dukɔ aɖe ƒe ametakpɔnuɖoanyi ene. Ne futɔ sue aɖe va la, ele be wòawɔ avu kplii le mɔ nyuitɔ nu. Gake le SIRS me la, ele abe ɖe asrafoha sia dze aʋa gã aɖe gɔme le nu sue aɖe ta ene. Esia nana ame ƒe ŋutilã katã xɔa abi vevie . Dɔdzẽ sia ate ŋu agblẽ nu le míaƒe ŋutinu veviwo ŋu, ana woadzudzɔ dɔwɔwɔ, eye ɣeaɖewoɣi gɔ̃ hã ate ŋu ade míaƒe agbe afɔku me. Esia tae afɔku le eme ɖo. Ne míele nu ƒom tso nuteɖeamedzinuwo ŋu la, nukawoe wonye?

• Dɔlékuiwo : Dɔlékui siwo tso dɔlékuiwo , dɔlékuiwo , fungi, kple bubuawo gbɔ Ɣeaɖewoɣi la, abi sue aɖe gɔ̃ hã ate ŋu ana asrã nadze ame dzi, gake ne esẽ ɖe edzi la, ate ŋu ahe SIRS vɛ.
• Amekoko: Le amekoko gã aɖe megbe gɔ̃ hã la, ŋutilãa te ŋu wɔa nu alea ɣeaɖewoɣi.
• Dzoxɔxɔ sesẽ : Ne dɔdzẽ sesẽ aɖe dzɔ kpata le ŋutilãa ƒe teƒe aɖe, le kpɔɖeŋu me, dɔdzẽ .
• Ischemia: Esia nye ne ʋu ƒe sisi yi ŋutilã ƒe akpa aɖe alo ŋutinu aɖe dzi ɖe kpɔtɔ. Emegbe lãmenugbagbevi siwo le teƒe mawo dzea kuku gɔme, eye ŋutilãa hã ate ŋu awɔ nu ɖe ​​esia ŋu.
• Kansa: SIRS ate ŋu adzɔ le kansa ƒe nɔnɔme aɖewo hã me.

Nu siawo tɔgbe koŋue hea SIRS vɛ.

Ðe SIRS kple Sepsis nye nu ɖeka?

Ẽ, togbɔ be kadodo vi aɖe le wo ame evea dome hã la, dɔlékuiwutike nye nɔnɔme si to vovo vie tso SIRS gbɔ. Ðo to nyuie. Ne dɔlékui aɖe gbɔe SIRS tsona la , ke emae míeyɔna be sepsis . Èse egɔmea? Eyae nye be SIRS le amesiame kloe si ŋu sepsis le. Elabena SIRS ƒe dzesiwo dzena ne ŋutilãa wɔ nu ɖe ​​dɔlékui aɖe ŋu. Gake menye amesiame si ŋu SIRS le ye ŋu sepsis le o. Elabena menye dɔlékuiwo ɖeɖeko gbɔe SIRS ate ŋu atso o, ke boŋ nu bubuwo abe amekoko, kansa, kple ʋusɔgbɔdɔ hã ate ŋu atsoe, abe alesi míegblɔe va yi ene. Sepsis hã nye dɔléle si dea ame ƒe agbe afɔku me ŋutɔ si hiã be woawɔ atike na ame kpata.Esia tae wòle vevie ŋutɔ be nànɔ ŋudzɔ ɖe evea siaa ŋu ɖo.

Aleke gbegbee SIRS bɔe?

Esesẽna na numekulawo be woagblɔ alesi tututu esia bɔe, elabena menye amesiame si ŋu SIRS le ye ɖoa kɔdzi ɖe game dzi o. Gake SIRS nye nɔnɔme si bɔ vie le dɔwɔƒe siwo kpɔa dɔnɔwo gbɔ kpata kple dɔnɔdzikpɔƒewo (ICU) . Le numekuku aɖe me la, wolé ŋku ɖe dɔnɔ siwo ade 27,000 siwo woxɔ ɖe kɔdzi ŋu. Le ame mawo dome la, dzesi eve ya teti siwo woabu be wonye SIRS ne woxɔ wo ɖe kɔdzi la nɔ 15% ŋu. Eye 47% ɖo SIRS ƒe dzidzenuwo gbɔ zi ɖeka ya teti le woƒe kɔdzi nɔnɔ me. Eyata àte ŋu akpɔ alesi esia ate ŋu anye nu sesẽe le susu me.

Nukae nye SIRS ƒe dzesiwo? Aleke nèwɔna dea dzesi woe?

Esi wònye be nu geɖe gbɔe SIRS tsona eye wòdzea ŋutilã ƒe akpa vovovo geɖe dzi ta la, dzesiawo ate ŋu ato vovo ŋutɔ. Gake ne dzesi siawo dometɔ ɖeka alo esi wu nenema le ŋuwò la, mègaŋe aɖaba ƒu wo dzi o. Nunya le eme be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake. Dzesiawo dometɔ aɖewoe nye esi:

• Dzobibi kple vuvu (edema) le ŋutilã ƒe akpa siwo ŋu dɔlélea le: abe abi si ƒo xlã abi ene, alo ate ŋu agblẽ wu.
• Vevesese sesẽ: Vevesese si womate ŋu ado dzi atsɔ le teƒe si dɔlélea le o.
• Dɔmawɔmawɔ nyuie le ŋutilã ƒe akpa aɖewo me: Le kpɔɖeŋu me, alɔ alo afɔ mate ŋu aʋuʋu o.
• Ðeɖiteameŋu sesẽ: Ðewohĩ ɖeɖi te ŋuwò eye alɔ̃ le wuwòm ale gbegbe be màte ŋu awɔ naneke o.
• Dzi ƒe tsotso ƒe dzidziɖedzi (Tachycardia): Dzia ƒoa kabakaba wu alesi wòle dzɔdzɔmee. Ate ŋu aƒo 90 le miniti ɖeka me.
• Yagbɔgbɔ ƒe masɔmasɔ: Yagbɔgbɔ sesẽ, gbɔgbɔ ƒe dzidziɖedzi (si wu zi gbɔ zi 20 le miniti ɖeka me).
• Dzoxɔxɔ alo Dzoxɔxɔ si Mebɔna o : Ŋutilã ate ŋu axɔ dzo akpa eye wòaxɔ asrã, alo le go bubu me la, ŋutilã ƒe dzoxɔxɔ ate ŋu aɖiɖi va ɖo Celsius degree 36 (Fahrenheit 96.8).
• Ʋuʋudedi alo vuvɔ: Èdzea ʋuʋu gɔme abe ɖe asrã le ŋuwò ene.
• Fifia ƒe ŋutigbalẽa xɔa dzo alo ƒoa ƒu: Ɣeaɖewoɣi la, ŋutigbalẽa ate ŋu axɔ dzo alo aƒoe le fifia ta.
• Ŋutilã ƒe ʋuʋu: Aɖuɖɔtoe ƒomevi vovovowo, abe eczema ene, ate ŋu adze le ŋutigbalẽa ŋu.
• Tɔtɔ, dziɖeleameƒo, alo susu ƒe tɔtrɔ bubuwo: Dzesiwo abe tɔtɔ, tɔtɔ, kple nuƒoƒo ƒuƒlu ene.
• Ame ƒe susu meganɔa ame ŋu o: Esia nye dzesi si me afɔku le ŋutɔ.

Nu vevitɔ kekeake:Ne dzesi siawo le ŋuwò la, taflatse mèganɔ aƒeme o. Yi kɔdzi si te ɖe ŋuwò kaba ale si nàte ŋui, alo nàƒo ka na 1990 be nàxɔ dɔnɔdzikpɔʋu. SIRS nye atikewɔwɔ ƒe nɔnɔme kpata.

Nukawoe hea SIRS vɛ?

SIRS dzɔna, abe alesi míegblɔe va yi ene, ne míaƒe dɔlélenutsiŋutete wɔ nu wògbɔ eme ɖe nuteɖeamedzinu aɖe ŋu. Zi geɖe la, míaƒe ŋutilã zãa dɔdzẽ tsɔ kpena ɖe mía ŋu. Bu eŋu kpɔ, ne míexɔ abi la, evuvu hetrɔna biã elabena lãmenugbagbeviwo va wɔa avu kplii eye wodzea abi la dada gɔme. Gake le SIRS me la, ŋuɖoɖo sia va nu sẽna madzemadzee , eye dɔdzẽ sia ŋutɔ gblẽa nu le mía ŋu vevie. Susu vevi siwo ate ŋu akpɔ ŋusẽ ɖe SIRS ƒe nɔnɔmea dzi dometɔ aɖewoe nye esi:

• Nuɖuɖu alo tsiwo ƒe ʋuʋu kpata: Ne womi nuɖuɖu alo tsiwo esime wole nu ɖum alo le nu nom, eye nu siawo ge ɖe lãkusi me la, esia hã ate ŋu ahe SIRS vɛ.
• Acute end-organ ischemia: Ne ʋu si yia ŋutinu vevi aɖe abe ahɔhɔ̃, dzi, alo ayiku ene me tɔ zi ɖeka alo dzi ɖe kpɔtɔ ŋutɔ.
• Dɔdzẽ sesẽ: Esia hã nye dɔléle sesẽ aɖe.
• Atike aɖe ƒe nugbegblẽ le ame ŋu: Ŋutilã ate ŋu awɔ nu gbegblẽ ɖe atike aɖewo ŋu.
• Dɔlékuiwo ƒe dɔlélewo: Dɔlékuiwo ƒe dɔléle sesẽwo abe aklãdɔ kple taɖuame ene.
• Ʋu me kansa (ʋumenugbagbeviɣidɔ): Nɔnɔmewo abe ʋumenugbagbeviɣidɔ, ʋumenugbagbeviɣidɔ, kple ʋumenugbagbeviɣidɔ ene.
• Dzobibi: SIRS ate ŋu adzɔ le dzobibi gãwo hã ta.
• Erythema multiforme: Esia nye ŋutigbalẽ ƒe dɔléle sesẽ aɖe.
• Ʋu ƒe sisi yi wò dɔgbowo me ƒe anyimanɔmanɔ kple dɔgbo ƒe ʋuʋu.
• Atike siwo menye atikewɔwɔ o zazã kple wo zazã wògbɔ eme.
• Vasculitis: Esia nye dɔdzẽ ƒe dɔléle si dzɔna le ʋukawo me.
• Toxic shock syndrome: Esia hã nye nɔnɔme si ate ŋu ade ame ƒe agbe afɔku me si dɔlékui ƒe dɔléle aɖe hena vɛ.
• Nuveviwɔame kple nuveviwɔame si do ƒome kple amekoko.
• Nɔnɔme siwo ɖi dɔlékui ƒe dzamezã: Ɣeaɖewoɣi la, dzamezã si sɔ gɔ̃ hã ate ŋu atrɔ azu SIRS ne eva nu sẽ.
• Fungi dɔlékui siwo kaka ɖe amesiwo ƒe dɔlélenutsiŋutete gbɔdzɔ la me.

Fifia ɖewohĩ èse egɔme be SIRS ate ŋu adzɔ le susu geɖe ta.

Amekawoe le afɔku gã me be woaxɔ SIRS?

Ame aɖewo ate ŋu axɔ SIRS wu ame bubuwo. Mina míadi amesiwo wonye.

• Ƒe: Ðevi suewo kple amesiwo xɔ wu ƒe 65 le afɔku me wu elabena ame siawo evea siaa ƒe dɔlélenutsiŋutete ate ŋu agbɔdzɔ vie.
• Dɔlélenutsiŋutete ƒe gbɔdzɔgbɔdzɔ ƒe amesinɔnɔ: Amesiwo le kansadɔ dam, amesiwo ŋu HIV le, kple amesiwo wodo ŋutinuwo na ƒe dɔlélenutsiŋutete gbɔdzɔ, si wɔe be woate ŋu axɔ SIRS.
• Nɔnɔme siwo nɔa anyi didi: Amesiwo ŋu dɔléle siwo nɔa anyi didi abe suklidɔ, ʋumenugbagbeviɣidɔ (aklã ƒe sesẽ), kple COPD (aklãdɔ si xea mɔ na ame ƒe dɔwɔwɔ atraɖii) hã le afɔku me wu.
• Dɔlékui si li xoxo: Ne dɔlékui aɖe le ŋuwò xoxo, abe aklãdɔ, taɖuame, alo cellulitis (ŋutilãdɔ) ene la, anɔ eme be wòasẽ eye wòava zu SIRS.

Eyata ne afɔku siawo le wò alo ame aɖe si nènya ŋu la, ele vevie ŋutɔ be nànya SIRS ƒe dzesiwo etɔxɛe.

Aleke ɖɔktawo wɔa dea dzesi SIRS?

Esi wònye be SIRS nye dɔléle si ate ŋu ade ame ƒe agbe afɔku me ta la, ɖɔktawo dzea agbagba be yewoakpɔe kaba ale si yewoate ŋui. Wozãa nusiwo gbɔna tsɔ wɔa esia:

• Lãmedodokpɔ: Wodoa wò ŋutilã kpɔna, vevietɔ dzesi veviwo abe dzoxɔxɔ, dzi ƒe tsotso, gbɔgbɔ ƒe tsotso, kple ʋu ƒe sisi ene.
• Wò dzesiwo: Míebiaa wò nyuie tso vevesese si le fu ɖem na wò ŋu.
• Wò atikewɔwɔ ŋutinya: Woabia nya wò tso nuwo abe dɔléle siwo nèkpɔ va yi kple atike siwo nèno ene ŋu.
• Nusi ate ŋu ahe SIRS vɛ: Ne woate ŋu ake ɖe nusi gbɔ SIRS tso ŋu la, akpe ɖe ame ŋu le dɔlélea didi hã me.

Zi geɖe la, ɖɔkta si ŋu dzesi siawo le la asusu be SIRS le eŋu eye wòadze atikewɔwɔ gɔme enumake. Gake tsɔ kpe ɖe eŋu la, woate ŋu awɔ dodokpɔ bubu geɖe hã atsɔ ada wò lãmesẽ kpɔ geɖe wu ahanya nusi tututu gbɔ SIRS tso. Le kpɔɖeŋu me:

• Ʋudodokpɔ: Esiawo ate ŋu alé ŋku ɖe nu geɖe ŋu. Le kpɔɖeŋu me, basic metabolic panel, complete blood count (CBC) (esia léa ŋku ɖe ʋumenugbagbevi ɣiwo ƒe xexlẽme ŋu), lactic acid dodokpɔ, aklã ƒe dɔwɔwɔ dodokpɔ, ayiku ƒe dɔwɔwɔ dodokpɔ, kple bubuawo.
• Oxygen ƒe agbɔsɔsɔ le ʋu me.
• Aɖuɖɔtoe me dzodzro.
• Dɔlékuiwo ƒe dekɔnu dodokpɔ: Be woanya ne dɔlékui aɖe li eye ne ele nenema la, dɔlékui ka gbɔe wòtso.
• Nɔnɔmetatawo ɖeɖe ƒe dodokpɔwo:Nuwo abe X-ray alo CT scan ene ate ŋu aɖe nusi le edzi yim le ŋutilãa me afia.

SIRS ƒe dzidzenuwo

Be woakpɔe be SIRS le ŋuwò la, ele be dzesi siwo gbɔna la dometɔ eve ya teti nanɔ ŋuwò:

• Ŋutilã ƒe dzoxɔxɔ: Dzidziɖedzi si wu Celsius dzidzenu 38 (Fahrenheit 100.4) alo ɖiɖi wu Celsius dzidzenu 36 (Fahrenheit 96.8).
• Dzi ƒe tsotso: Edzina ɖe edzi wòwua 90 le aɖabaƒoƒo ɖeka me.
• Yagbɔgbɔ ƒe tsɔtsɔme: Yagbɔgbɔ ƒe agbɔsɔsɔ si le aɖabaƒoƒo ɖeka me ƒe dzidziɖedzi wu 20, alo CO2 ƒe nyaƒoɖeamenu ƒe akpa aɖe dzi ɖeɖe kpɔtɔ le ʋu me si mede 32 mmHg o.
• Leukocyte (ʋumenugbagbevi ɣiwo) ƒe xexlẽme: Dzidziɖedzi si wu 12,000.

Gake le ɖeviwo gome la, dzidzenu siawo to vovo vie. Be woakpɔe be SIRS le wo ŋu la, ele be ʋumenugbagbevi ɣiwo ƒe xexlẽme si mesɔ o nanɔ wo si eye woƒe ŋutilã ƒe dzoxɔxɔ nasɔ. Esia le alea elabena zi geɖe la, ɖeviwo ƒe dzi ƒe tsotso kple gbɔgbɔ ƒe tsotso sɔa gbɔ vie wu ame tsitsiwo tɔ.

Aleke wowɔa atike na SIRS?

Nu vevi eve li siwo ŋu wòle be woabu ne wole SIRS dam. Ðekae nye be woada nusi gbɔ SIRS tsona. Bubue nye be woaxe mɔ ɖe ŋutinu geɖe ƒe dɔmawɔmawɔ nyuie ƒe dɔléle (MODS) nu. Atikewɔwɔ ƒe tiatia ate ŋu ato vovo le nusi gbɔ SIRS tso nu. Gake atikewɔmɔnu siwo bɔ wu dometɔ aɖewoe nye esi:

• Tsi nana to ʋuka me (IV fluids): Esia kpena ɖe ame ŋu be ʋu sina nyuie yia ŋutilã ƒe ŋutinuwo me eye wòxea mɔ na ʋu ƒe sisi be wòaɖiɖi akpa.
• Dɔlékuiwutikewo: Ne dɔlékui aɖe gbɔe SIRS tso la, wonaa atike siawo.
• Vasopressor atikewo: Ne wò ʋu ƒe sisi ɖiɖi akpa la, wonaa esiawo be wòagaɖo eƒe nɔnɔme nyuitɔ me.
• Corticosteroids: Wozãa esiawo tsɔ xea mɔ na ŋutilãa be wòagatsi dzodzodzoe alo be wòakpe ɖe eŋu wòahaya tso eme o.
• Insulin to vein me (IV insulin): Kpɔ sukli ƒe agbɔsɔsɔ le ʋu me dzi (ne ehiã).
• Amekoko: Le kpɔɖeŋu me, amekoko si me woaku nu me le be woaɖe abi si le abi si le ʋuʋum la ɖa, aɖe lãkusi siwo gblẽ, alo anya nusi gblẽ le ememe.

Bu eŋu kpɔ, ne ayiku megale dɔ wɔm nyuie o la, ate ŋu ahiã be woawɔ dialysis (ʋukɔkɔɖi) na wò. Nenema ke ne gbɔgbɔtsixe tsia ƒowò la, ahiã be woatsɔ mɔ̃ aɖe aƒo ya na wò.

Ðe wòanya wɔ be woahaya tso SIRS mea? Nukae nye mɔkpɔkpɔa?

SIRS ƒe ŋgɔdonya nɔ te ɖe nu geɖe dzi.

• Aleke gbegbe wokpɔ dɔlélea le ŋuwò kaba hewɔ atike na wòe nye si.
• Nuka gbɔe SIRS tsona?
• Ne afɔku siwo ate ŋu ana nàxɔ SIRS (e.g., dɔlélenutsiŋutete si gbɔdzɔ) le asiwò.

Nya nyuiae nye be ne woda dɔ na ame siwo ŋu SIRS le kaba la, wohayana keŋkeŋ eye woate ŋu atrɔ ayi agbenɔnɔ si sɔ me. Ke hã, esia nye nɔnɔme sesẽ aɖe si ate ŋu awu ame ɣeaɖewoɣi. Ame siwo kuna tso SIRS me la ade 7%. Amesiwo kuna le dɔlékuiwutikewo koŋ tae nye esi:

• Le dɔlékuiwutikewo gome la: 1.3% .
• Le dɔlékuiwutike sesẽ gome la: 9.2% .
• Le septic shock (nɔnɔme si tso sepsis gbɔ): 28% .

Eyata ele vevie ŋutɔ be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo ne SIRS ƒe dzesiwo dze ko, elabena ku ƒe afɔku le eme.

Nukawoe nye kuxi siwo ate ŋu ado tso SIRS me?

SIRS (vevietɔ ne dɔlékui aɖe gbɔe wòtso) ate ŋu ayi ŋgɔ ava zu sepsis sesẽ alo septic shock. Ate ŋu ana ŋutinu geɖe alo ŋutinu ɖeka nado kpo dɔwɔwɔ hã. Tsɔ kpe ɖe eŋu la, kuxiwo abe:

• Adrenal insufficiency sesẽ: Esiae nye esime wò adrenal glands mewɔa lãmetsi veviwo abe cortisol ene wòsɔ gbɔ o.
• Acute encephalopathy: Ahɔhɔ̃medɔléle ɖesiaɖe si gblẽa nu le ahɔhɔ̃a ƒe dɔwɔwɔ alo eƒe wɔwɔme ŋu.
• Acute Respiratory Distress Syndrome (ARDS): Nusiwo gblẽa nu le lãkusiwo ŋu vevie.
• Acute transaminitis: Enzyme aɖewo ƒe agbɔsɔsɔ si kpɔa ŋusẽ ɖe aklã ƒe dɔwɔwɔ dzi ƒe dzidziɖedzi.
• Acute tubular necrosis: Ayikuwo ƒe gbegblẽ.
• Ʋu ƒe sisi le ʋuka gogloawo me (Deep Vein Thrombosis - DVT).
• Disseminated Intravascular Coagulation (DIC): Esia wɔnɛ be ʋu suesuesuewo dona le ŋutilã bliboa me, si wɔnɛ be ʋu si dona le ame ŋu la dzina ɖe edzi.
• Ʋumenugbagbeviɣidɔ: Ʋumenugbagbevi dzĩwo ƒe gbagbã.
• Metabolic acidosis: Acid ƒe dzidziɖedzi le ŋutilã me.
• Thrombocytosis (ʋumenugbagbeviɣidɔ ƒe dzidziɖedzi) alo ʋumenugbagbeviɣidɔ (ʋumenugbagbevi dzĩwo ƒe xexlẽme dzi ɖeɖe kpɔtɔ).

Woate ŋu ada kuxi siawo dometɔ aɖewo ahada wo, eye woate ŋu atrɔ wo. Gake ɖewo, abe ahɔhɔ̃ ƒe gbegblẽ ene, ate ŋu anɔ anyi ɖaa. Esia tae SIRS nye afɔku alea gbegbe ɖo.

Nukae míate ŋu awɔ atsɔ axe mɔ ɖe SIRS nu?

Togbɔ be womate ŋu axe mɔ ɖe SIRS nu keŋkeŋ o hã la, nu ʋɛ aɖewo li míate ŋu awɔ atsɔ aɖe mɔnukpɔkpɔ si li be wòadzɔ dzi akpɔtɔ. Na míakpɔ nusiwo wonye ɖa.

• Wɔ ɖe dzadzɛnyenye ƒe mɔnu nyuiwo dzi ɣesiaɣi: Dze agbagba nàxe mɔ ɖe dɔlékuiwo xɔxɔ nu, vevietɔ to nuwo abe asikɔklɔ ene dzi.
• Alesi nàna abi siwo wotso kple abi bubuwo nanɔ dzadzɛ vaseɖe esime woahaya: Kpɔ nyuie be màgana abi sue aɖe gɔ̃ hã naƒo o.
• Atike siwo wokafu xɔxɔ ɖe game dzi: Esia ate ŋu akpɔ ame ta tso dɔlékui geɖe xɔxɔ me.
• Na atike nyuiwo nakpɔ dɔléle siwo nɔa anyi didi: Ele vevie be nàɖu dɔlélewo abe suklidɔ kple ʋusɔgbɔdɔ ene dzi.
• Kpɔ ɖɔkta ne nɔnɔme alo dɔléle aɖe si li xoxo ƒe dzesiwo gagblẽ ɖe edzi: Mègaŋe aɖaba ƒu nu sue aɖe dzi o.
• Di atikewɔla enumake ne èxɔ abi vevie alo nèsusu be dɔlékui aɖe le ŋuwò: Atikewɔwɔ kaba ate ŋu axe mɔ ɖe nusiwo gblẽ le ŋuwò vevie nu.

Gbedasi Mamlɛtɔ si Wotsɔ Yi Aƒeme

Nu gbãtɔ si dzi wòle be nàɖo ŋkui enye be SIRS (Systemic Inflammatory Response Syndrome) nye atikewɔwɔ kpata si ate ŋu ade ame ƒe agbe afɔku me . Be woaxe mɔ ɖe SIRS nu la, ele vevie be woadi atikewɔwɔ enumake ɖe dɔlékui ɖesiaɖe, atikewɔwɔ ƒe nɔnɔme aɖe ƒe kuxi, alo abi gã aɖe ta. Ne womewɔ atike na SIRS o la, ate ŋu ahe kuxi sesẽwo vɛ eye wòaku gɔ̃ hã. Ne nusiwo ate ŋu ana nàxɔ SIRS (e.g., dɔlélenutsiŋutete ƒe gbɔdzɔgbɔdzɔ, dɔléle si nɔa anyi didi) la, ƒo nu kple wò ɖɔkta tso alesi nàkpɔ afɔku mawo gbɔe, nusiwo nye SIRS ƒe dzesiwo, kple nusi nàwɔ ne wodzɔ ŋu. Lé be na wò lãmesẽ eye nàna nànya. Emae nye nu vevitɔ kekeake! SIRS, Systemic Inflammatory Response Syndrome, Sepsis, Sepsis, Dzoxɔxɔ, Dɔlékui, Ŋutilã ƒe Ŋuɖoɖo, Atikewɔwɔ Kpata