He aha ka sepsis? Aia kāu keiki i ka pilikia? E ʻike pono kākou!

Ua lohe paha ʻoe a ʻike paha i ka huaʻōlelo 'sepsis'. He huaʻōlelo weliweli ia, akā he mea nui e ʻike e pili ana i ia mea, ʻoiai inā he mau keiki ʻuʻuku kāu. I ka ʻōlelo maʻalahi, ʻo ka sepsis kahi pilikia olakino kahi e pane nui ai ka ʻōnaehana pale o ko mākou kino i kahi maʻi a hōʻino i ko mākou mau kino ponoʻī.

He aha ka Sepsis, ma ka ʻōlelo maʻalahi?

E noʻonoʻo, i ka wā e komo ai kahi germ, ʻo ia hoʻi, kahi maʻi, i loko o ko kākou kino, kahi ʻāpana o ko kākou kino e like me ke koa, ʻo ia hoʻi, ka ʻōnaehana pale , e hakakā ana i kēia maʻi, ʻeā? He mea maʻamau kēia. Akā i ka sepsis, ʻo ka mea e hana ʻia, ʻo ia ka lilo ʻana o ka hakakā o kēia ʻōnaehana pale i waho o ke kaohi, lilo i mea hana nui, a hoʻomaka e hōʻino ʻaʻole wale i ka maʻi, akā, i nā pūnaewele maikaʻi, nā ʻiʻo, a me nā ʻōpū o ko kākou kino ponoʻī. Ua like ia me ke kī ʻana iā ʻoe iho i waenakonu o ke kaua.

Hiki i kēia kūlana ke hoʻohaʻahaʻa nui i ke koko , a mākou e kapa nei he "Septic Shock". He mea weliweli loa kēia no ke ola. Hiki i ka Sepsis ke hōʻino i nā ʻōpū nui e like me ko mākou mau puʻupaʻa, nā māmā, ka lolo, a me ka puʻuwai , a hiki ke hoʻopilikia i ka ʻōnaehana hoʻopaʻa koko. I kekahi manawa hiki ke alakaʻi i ka make. ʻO ia ke kumu i manaʻo ʻia ai ka sepsis he pilikia olakino e pono ai ka mālama koke ʻana . Inā ʻike ʻoe i kona mau hōʻailona i ka wā mua, hiki iā ʻoe ke loaʻa koke ka mālama ʻana a pale i kahi ulia nui.

He aha nā hōʻailona o ka sepsis? Pehea ʻoe e ʻike ai?

ʻO kēia kahi e lilo ai i mea paʻakikī iki. Hiki i nā hōʻailona o ka sepsis ke like loa me nā maʻi maʻamau o nā kamaliʻi e like me ka maʻi palū a i ʻole ke anu. No laila hiki ke paʻakikī ke ʻike i kekahi manawa.

ʻO ka mea nui loa, ʻo ia ka hilinaʻi i kou manaʻo naʻau ma ke ʻano he makuahine a makua paha. Inā ʻike ʻia kāu keiki ʻoi aku ka maʻi ma mua o ka maʻamau, a inā ʻike ʻoe i kahi mea ʻē a ʻokoʻa paha, mai hoʻowahāwahā iā ia.

ʻAʻole lawa ka hōʻailona hoʻokahi e ʻike pono ai inā he sepsis kou. Eia nō naʻe, inā ʻike ʻoe i kekahi o kēia mau hōʻailona i ka manawa hoʻokahi, pono ʻoe e kānalua he sepsis paha ia:

• Ke kuni nui, ke anu, a i ʻole ka emi nui ʻana o ka mahana o ke kino.
• Ka hanu wikiwiki, ka hanu pāpaʻu (me he mea lā he hanu paʻakikī).
• Puʻuwai wikiwiki, me he mea lā ua holo wale ka puʻuwai (hiki ke hana kēia ʻoiai ʻaʻohe kuni).
• Ka hou ʻana, ka ʻili ʻeleʻele ( keʻokeʻo , ʻike ʻia nā kiko ma nā wahi).
• Mimi ( mimi)) Ka emi ʻana o ka nui o ka mimi a i ʻole ka emi ʻana o ka nui o ka mimi ʻana i kēlā me kēia lā.
• ʻOi aku ka hiamoe ma mua o ka maʻamau, paʻakikī ke ala ʻana, a me ka huikau.
• Ke hoʻopiʻi nei no ka ʻeha nui o ke kino (ʻo nā pēpē ʻōpio hiki ʻole ke kamaʻilio e uē mau ana paha).

E noʻonoʻo, ua loaʻa i kāu pēpē ke kuni no ʻelua a ʻekolu paha lā. Ke wikiwiki nei kona hanu ʻana, ʻaʻole ʻo ia e inu waiū, a ua hiamoe wale ʻo ia. I kēlā hihia, pono ʻoe e ʻike koke i ke kauka.

No ke aha e kū mai ai ka sepsis? He aha nā kumu?

Hoʻomaka ka Sepsis me kahi maʻi i loko o ke kino i hoʻokumu ʻia e kahi germ. Hiki i kēia mau germs ke bacteria, virus, fungi, a i ʻole parasites.

ʻO ka maʻamau, ke loaʻa iā kākou kahi maʻi, hana ko kākou kino i kekahi mau kemika e hakakā ai. Hana wale kēia mau kemika ma kahi o ka maʻi. Akā i ka sepsis, komo kēia mau kemika i loko o ke koko a laha ma ke kino holoʻokoʻa, e hōʻino ana i nā ʻōkana olakino ʻē aʻe.

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i ka sepsis?

Hiki ke loaʻa ka Sepsis i kēlā me kēia makahiki, akā ʻoi aku ka nui o ka pilikia o kekahi poʻe i ka loaʻa ʻana. ʻO kēia mau mea:

• Nā pēpē ma lalo o hoʻokahi makahiki , ʻoi aku hoʻi nā pēpē ma lalo o hoʻokahi mahina a me nā pēpē hānau ʻole ʻia.
• Nā mākua ma luna o 65 mau makahiki.
• ʻO nā kānaka me nā maʻi olakino mau loa (e like me ka maʻi diabetes , ka maʻi puʻuwai, ka maʻi puʻupaʻa).
• ʻO ka poʻe i hoʻokomo ʻia kahi mea lapaʻau i loko o ko lākou kino (e like me ka catheter a i ʻole ka laina IV lōʻihi).
• ʻO ka poʻe i hana ʻia i ke ʻoki kino hou a i ʻole i loaʻa i kahi ulia nui.
• ʻO ka poʻe me ka ʻōnaehana pale kino nāwaliwali. ʻO ia hoʻi ka poʻe me ka maʻi HIV, nā maʻi kanesa , a i ʻole ka poʻe e lawe ana i nā immunosuppressants.

Pehea e ʻike ai nā kauka i ka sepsis?

ʻAʻohe hoʻāʻo kikoʻī e hiki ke haʻi pololei iā ʻoe inā loaʻa i kekahi ka sepsis. Hoʻohana nā kauka i ka hui pū ʻana o ka mōʻaukala olakino o ka mea maʻi, nā hōʻailona, ​​​​ka hoʻokolokolo kino, a me nā hoʻokolohua like ʻole e hoʻoholo ai inā loaʻa iā lākou ka sepsis.

Hiki i nā hoʻāʻo no kēia ke komo pū me:

• Nā hoʻokolohua lab: Nā mea e like me nā hoʻokolohua koko a i ʻole nā ​​​​hoʻokolohua mimi .
• Nā hoʻokolohua radiological:ʻO nā mea e like me nā kiʻi X-ray, nā scan ultrasound, nā scan CT.

Kōkua kēia mau hoʻokolohua e hoʻoholo i ka maʻi i hoʻokumu i ka sepsis a inā paha ua hōʻino ʻia nā kino.

He aha nā lāʻau lapaʻau no ka sepsis?

Hoʻōla ʻia ka Sepsis ma kahi haukapila . ʻAe kēia i nā kauka e nānā pono i ka mea maʻi. Pono paha kekahi mau keiki, ʻoiai ka poʻe me nā hihia koʻikoʻi, e hoʻokomo ʻia i kahi Pediatric Intensive Care Unit (PICU) no ka nānā kūikawā a me ka mālama ʻana.

Hoʻomau ʻia ka nānā ʻana i ka puʻuwai o ka mea maʻi a me ka hanu ʻana. Lawe koʻikoʻi ʻia ke kaomi koko. I kekahi manawa hoʻokomo ʻia kahi mea kūikawā i kapa ʻia ʻo "Arterial Line" a ana mau ʻia ke kaomi koko i loko o ke aʻa.

Ma ke ʻano he lāʻau lapaʻau, hāʻawi ʻia nā antibiotics ma o kahi laina intravenous (IV) e hakakā i ka maʻi. Hoʻomaka pinepine nā kauka i kēia mau antibiotics i ka wā e kānalua ʻia ai ka sepsis, ʻoiai ma mua o ka hōʻoia ʻia ʻana o ka hōʻailona.

Eia kekahi, hāʻawi ʻia nā wai e pono ai ke kino ma o kahi aʻa (IV Fluids). Inā pono, hāʻawi ʻia nā lāʻau lapaʻau i kapa ʻia ʻo Vasopressors e kāohi i ke koko. Pono paha kekahi mau keiki e hāʻawi ʻia i ke koko keu a i ʻole kekahi mau ʻāpana koko ma o kahi aʻa (Blood Transfusion). Kōkua kēia i ke koko e hoʻopaʻa a lawe i ka oxygen me ka maikaʻi.

I kekahi manawa, hiki ke hoʻohana ʻia kahi "IV Line" kūikawā, i kau ʻia i loko o kahi aa nui i kapa ʻia ʻo "Central Line." ʻAe kēia i nā lāʻau lapaʻau a me nā wai e pono ai e hāʻawi koke ʻia i ke kino.

Pono paha nā keiki me ka sepsis i ke kōkua hanu. Inā hana ʻia kēia, hiki i nā kauka ke hāʻawi iā lākou i ka oxygen a hoʻohui paha iā lākou i kahi mīkini hanu i kapa ʻia he "ventilator." Inā nāwaliwali loa ka puʻuwai a me nā māmā e hāʻawi i ke kino me ka oxygen lawa, hiki ke hoʻohana ʻia kahi lāʻau kūikawā i kapa ʻia ʻo "extracorporeal membrane oxygenation (ECMO)". Pili kēia i kahi mīkini e lawe manawa pōkole ana i ka hana o ka puʻuwai a me nā māmā, e hāʻawi ana i ke kino i ka manawa e hoʻōla ai.

Inā ua hōʻino ʻia nā puʻupaʻa a pau ka hana ʻana i ka mimi, hana ʻia ka hana hoʻomaʻemaʻe koko e pono ai nā puʻupaʻa e kahi mīkini dialysis.

Pehea e hiki ai iā kākou ke pale i kā kākou mau keiki (a me kākou iho) mai ka sepsis? He aha nā ʻano hana e pale aku ai?

ʻAʻole hiki ke pale ʻia ka Sepsis i nā manawa a pau. Eia nō naʻe, ma ka hoʻāʻo ʻana e pale i nā maʻi, hiki iā ʻoe ke hōʻemi i ka pilikia o ka loaʻa ʻana o ka sepsis.

E hana i kēia mau mea e pale ai i kāu mau keiki mai nā maʻi:

• E hāʻawi i kāu mau keiki i kā lākou mau lāʻau pale āpau i ka manawa kūpono. Kōkua kēia i ka pale ʻana i nā maʻi bacteria a me nā viral e hiki ai ke hoʻoulu i ka sepsis .
• E paipai i kāu mau keiki e holoi pinepine i ko lākou mau lima a e hoʻomohala iā ʻoe iho i ia ʻano maʻa.
• Inā he ʻeha a he ʻōpala paha kou ma kou kino, e hoʻomaʻemaʻe pono iā ia a kau i ka lāʻau lapaʻau. Eia kekahi, e nānā mau inā e ho'ōla pono ana ka ʻeha.
• Inā he mea lapaʻau kā kāu keiki (e like me ke catheter, ka laina IV lōʻihi), e hahai i nā ʻōlelo a ke kauka no ka mālama ʻana iā ia i ka maʻemaʻe a me ka hoʻohana ʻana.

ʻO ka mea nui loa, inā maʻi kāu keiki a ʻaʻole e hoʻomaikaʻi, a inā paha e ʻoi aku ka ʻino, e ʻike koke i ke kauka a lawe iā ia i ka haukapila. Inā kuhikuhi ke kauka i nā lāʻau antibiotic, e hāʻawi iā lākou e like me ke kauoha, no ka manawa piha.

"He sepsis paha kēia?" – Mai makaʻu e nīnau i ke kauka! (Leka Lawe-Home)

E like me kā mākou i ʻōlelo ai ma mua, ʻo ka mea āu e manaʻo ai ka mea nui loa. Inā ʻoi aku ka maʻi o kāu keiki ma mua o ka maʻamau, a inā paha e ʻoi aku ka ʻino o kahi maʻi e mālama ʻia nei a ʻaʻole e hoʻomaikaʻi, e ʻimi koke i ke kōkua lapaʻau.

Ke ʻike ʻoe i ke kauka, mai makaʻu a kānalua paha e nīnau, "E ke kauka, he sepsis paha kēia?" ʻIke maikaʻi ʻoe i kāu keiki. Inā ʻike mua ʻoe i kēia maʻi, nui ka manawa e hiki ai ke hoʻopakele ʻia ke ola o ke keiki me ka mālama koke ʻana. No laila, inā he kānalua kāu, e kamaʻilio pono me ke kauka e pili ana i ia mea. ʻO ia ka mea maikaʻi loa hiki iā ʻoe ke hana no kāu keiki.

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