Wetin na SIRS (Sistemik Inflammatory Response Syndrome)? Yu tink se i tan lɛk big faya insay di bɔdi? Mek wi tok!

Yu dɔn ɛva yɛri bɔt wan sik we dɛn kɔl SIRS (Systemic Inflammatory Response Syndrome)? Dis nem kin bi nyu tin to yu. Bɔt na wan bad bad tin we kin apin insay wi bɔdi. I tan lɛk se di bɔdi de riak pasmak pan smɔl prɔblɛm ɛn bigin big faya. Wi go tɔk bɔt dis ditayli?

Wetin na SIRS (Sistemik Inflammatory Response Syndrome)?

Fɔ tɔk am simpul wan, SIRS na we wi bɔdi de riak pasmak pan sɔntin we de mek wi strɛs. Tink bɔt am lɛk di difɛns sistɛm na wan kɔntri. We smɔl ɛnimi kam, i gɛt fɔ fɛt am di rayt we. Bot fo SIRS, e bi laik se dis ami stat big wo fo smol tin. Dis kin mek di bɔdi wam bad bad wan . Dis inflamɛns kin pwɛl wi impɔtant pat dɛn, mek dɛn stɔp fɔ wok, ɛn sɔntɛnde i kin ivin put wi layf pan denja. Na dat mek i denja. We wi de tɔk bɔt tin dɛn we kin mek wi strɛs, wetin na dɛn?

• Infεkshכn : Infεkshכn dεm we baktri , vayrus , fεnshכn, εtk.
• Ɔpreshɔn: Ivin afta dɛn dɔn du big ɔpreshɔn, sɔntɛnde di bɔdi kin biev lɛk dis.
• Akyu inflameshn : We wan wan, bad bad inflamɛns de sɔmsay na di bɔdi, fɔ ɛgzampul, pankrias .
• Ischemia: Dis na we di blɔd nɔ de flɔ to wan pat na di bɔdi ɔ wan ɔgan. Dɔn di sɛl dɛn we de na dɛn say dɛn de kin bigin fɔ day, ɛn di bɔdi kin du dis bak.
• Kansa: SIRS kin apin bak pan sɔm kansa kɔndishɔn.

Tin dɛm lɛk dis na di men tin dɛm we kin mek pɔsin gɛt SIRS.

SIRS en Sepsis na di sem tin?

Yes, pan ɔl we smɔl kɔnekshɔn de bitwin di tu, sɛpsis na smɔl difrɛn kɔndishɔn frɔm SIRS. Lisin gud gud wan. If di tin we kin mek pɔsin gɛt SIRS na infɛkshɔn , na dat wi kin kɔl sɛpsis . Yu ɔndastand? Dat min se, ɔlmost ɔlman we gɛt sɛpsis gɛt SIRS. Bikɔs di sayn dɛm fɔ SIRS kin apin we di bɔdi de ansa to infɛkshɔn. Bɔt nɔto ɔlman we gɛt SIRS gɛt sɛpsis. Bikɔs SIRS nɔto jɔs bikɔs ɔf infɛkshɔn, bɔt ɔda tin dɛn lɛk ɔpreshɔn, kansa, ɛn ischemia, lɛk aw wi bin dɔn tɔk. Sepsis na wan sik bak wae de mek yu layf de pan denja pasmak wae nid fɔ gɛt mɛrɛsin kwik kwik wan.Na dat mek i rili impɔtant fɔ no bɔt dɛn tu tin ya.

Aw kɔmɔn tin fɔ SIRS?

I at fɔ mek di wan dɛn we de du risach tɔk klia wan aw dis kɔmɔn, bikɔs nɔto ɔlman we gɛt SIRS kin kam na di ɔspitul di rayt tɛm. Bɔt SIRS na wan tin we nɔ kin apin so na di dipatmɛnt dɛn we de na di imejensi rum ɛn di say dɛn we dɛn kin kia fɔ pipul dɛn we sik bad bad wan (ICU) . Insay wan stɔdi, dɛn bin luk lɛk 27,000 pipul dɛn we bin de na ɔspitul. Fɔ dɛn wan ya, 15% bin gɛt at le tu pan di simptom dɛm we dɛn go tek as SIRS we dɛn admit dɛn na ɔspitul. Ɛn 47% mit di krayteria fɔ SIRS at le wan tɛm we dɛn de na ɔspitul. So yu kin imajin aw dis kin rili siriɔs.

Wetin na di sayn dɛm fɔ SIRS? Aw yu no dɛn?

Bikɔs SIRS gɛt bɔku tin dɛn we kin mek i apin ɛn i kin afɛkt bɔku difrɛn pat dɛn na di bɔdi, di sayn dɛn kin difrɛn bad bad wan. Bɔt if yu gɛt wan ɔ mɔ pan dɛn sayn ya, nɔ ignore dɛn. I fayn fɔ mek yu go to dɔktɔ wantɛm wantɛm. Na sɔm pan di sayn dɛm wae de sho se yu gɛt dis sik:

• Rɛd ɛn swel (ɛdima) na di say dɛn we di bɔdi afɛkt: i tan lɛk we yu swel rawnd wund, ɔ i kin wɔs.
• Siriɔs pen: Pen we yu nɔ go ebul fɔ bia na di say we di sik dɔn afɛkt.
• Di pat dɛn na di bɔdi nɔ de wok fayn: Fɔ ɛgzampul, we yu nɔ ebul fɔ muv yu an ɔ yu leg.
• Taya bad bad wan: Yu kin fil so taya ɛn slip dat yu nɔ go ebul fɔ du natin.
• di at rit we de bכku (Tachycardia): di at de bit fast pas aw i nכmal. I kin pas 90 bit dɛn fɔ wan minit.
• di abnכmal brith: I at fכ brith, di brith rεt we de go כp (mכr dan 20 tεm pan minit).
• Fiva ɔ Hypothermia : Di bɔdi kin wam pasmak ɛn gɛt fiva, ɔ, di ɔda we, di bɔdi in tɛmpracha kin go dɔŋ pas 36 digri sɛlshiɔs (96.8 Fahrenheit).
• Shiv ɔ kol: Yu kin bigin fɔ shek lɛk se yu gɛt fiva.
• Skin kin fil wam ɔ klem wit swet: Sɔntɛnde di skin kin fil wam ɔ klem wit swet.
• Skin rash: Difrɛn kayn rash lɛk ɛkzema kin kɔmɔt na di skin.
• Kɔnfyushɔn, agyumɛnt, ɔ ɔda chenj na yu maynd: Sɔm sayn dɛm lɛk kɔnfyushɔn, agyumɛnt, ɛn we yu nɔ de tɔk fayn.
• We yu nɔ de no natin: Dis na sayn we rili denja.

Di tin we impɔtant pas ɔl:If yu gɛt dɛn sik ya, duya nɔ de na os. Go na di ɔspitul we de nia yu kwik kwik wan, ɔ kɔl 1990 fɔ ambulans. SIRS na mɛdikal imejensi.

Wetin na di tin dɛn we kin mek pɔsin gɛt SIRS?

SIRS kin apin, lɛk aw wi bin dɔn tɔk, we wi imyun sistɛm de riak pasmak to sɔntin we de mek wi strɛs. Nɔmal wan, wi bɔdi kin yuz inflamɛns fɔ ɛp wi. Tink bɔt am, we wi gɛt wund, i kin swel ɛn tɔn rɛd bikɔs sɛl dɛn kin kam fɔ fɛt am ɛn bigin fɔ mɛn di wund. Bɔt insay SIRS, dis rispɔns kin bi bad bad wan we nɔ nid fɔ bi , ɛn dis inflamɛns insɛf kin mek wi sɔfa bad bad wan. Na sɔm pan di men rizin dɛm wae kin afɛkt di kɔndishɔn fɔ SIRS:

• Akyu aspireshɔn fɔ it ɔ wata: If yu swɛla it ɔ wata we yu de it ɔ drink, ɛn dɛn tin ya go insay di lɔng, dis kin mek bak SIRS.
• Acute end-organ ischemia: We di blɔd we de gi to wan impɔtant ɔgan lɛk di bren, at, ɔ kidni, kin stɔp wantɛm wantɛm ɔ i kin ridyus bad bad wan.
• Akyu pankrias: Dis na siriɔs sik bak.
• Di bad tin we kin apin to pɔsin we yu tek mɛrɛsin: Di bɔdi kin du bad to sɔm mɛrɛsin dɛn.
• Baktri infεkshכn: Na bad bad baktri infεkshכn lεk nyumonia εn mεningaytis.
• Blɔd kansa (hematologic malignancy): Kɔndishɔn lɛk lukimiya, limfoma, ɛn mɔltipɛl mayloma.
• Bɔn: SIRS kin apin bak bikɔs ɔf big big bɔn.
• Erythema multiforme: Dis na wan bad bad tin we kin apin to di skin.
• Blɔd nɔ de flɔ to yu intestinal ɛn di gastrointestinal perforation.
• Yuz sɔbstans we nɔto mɛrɛsin ɛn ɔvados.
• Vasculitis: Dis na inflammatory condition we de apin na di blɔd vesel dɛm.
• Toxic shock syndrome: Dis na sik bak we de mek pɔsin in layf de pan denja we pɔsin gɛt baktriyal infɛkshɔn.
• Trauma ɛn trauma we gɛt fɔ du wit ɔpreshɔn.
• Kɔndishɔn dɛn we tan lɛk vayral flu: Sɔntɛnde ivin nɔmal flu kin tɔn to SIRS if i rili bad.
• Bɔrku bɔrku fɛns infεkshɔn pan pipul dɛm wae gɛt wik imyun sistɛm.

Naw yu go dɔn ɔndastand se SIRS kin apin fɔ bɔku rizin dɛn.

Udat de pan ay risk fɔ gɛt SIRS?

Sɔm pipul dɛn kin gɛt SIRS pas ɔda pipul dɛn. Lɛ wi no udat dɛn bi.

• Ej: Yɔŋ pikin dɛm ɛn pipul dɛm wae dɔn pas 65 ia kin gɛt bɔrku risk bikɔs dɛn tu pipul ya in bɔdi kin wik smɔl.
• Fɔ gɛt wikɛd imyun sistɛm: Pipul dɛn we de du kansa tritmɛnt, di wan dɛn we gɛt HIV, ɛn di wan dɛn we dɔn gɛt ɔgan transplant dɔn wik, we de mek dɛn gɛt SIRS mɔ.
• Krɛse sik: Pipul wae gɛt lɔng tɛm sik lɛk dayabitis, sirosis (di liva kin at), ɛn COPD (chronic obstructive pulmonary disease) dɛnsɛf kin gɛt mɔ risk.
• Infεkshכn we de naw: If yu dɔn ɔlrɛdi gɛt infεkshɔn, lεk nyumonia, mεningayt, ɔ sεlyulayt (infεkshɔn na di skin), i go mɔs bi se i go tranga ɛn go bifo to SIRS.

So if yu ɔ pɔrsin wae yu sabi gɛt dɛn kayn risk factor ya, i rili impɔtant fɔ no mɔr bɔt di sayn dɛm fɔ SIRS.

Aw dɔktɔ dɛn kin no if pɔsin gɛt SIRS?

Bikɔs SIRS na sik we kin mek pɔsin in layf de pan denja, dɔktɔ dɛn kin tray fɔ no am kwik kwik wan. Dɛn kin yuz dɛn tin ya fɔ du dat:

• Fɔ chɛk yu bɔdi: Dɛn kin chɛk yu bɔdi, mɔ di impɔtant sayn dɛn lɛk fiva, at rit, we yu de blo, ɛn blɔd prɛshɔn.
• Yu sayn dɛm: Wi kin tek tɛm aks yu bɔt de diskɔmfɔt wae yu de fil.
• Yu mɛdikal histri: Dɛn go aks yu bɔt tin dɛn lɛk di sik dɛn we yu bin dɔn gɛt trade ɛn di mɛrɛsin dɛn we yu bin de tek.
• Posisibul kɔz fɔ SIRS: If dɛn kin no di kɔz fɔ SIRS, i go ɛp bak fɔ no di sik.

Bɔku tɛm, dɔktɔ we gɛt dɛn sik ya go sɔprayz se i gɛt SIRS ɛn bigin fɔ trit am wantɛm wantɛm. Bɔt apat frɔm dat, dɛn kin du sɔm ɔda tɛst dɛn bak fɔ no mɔ bɔt yu wɛlbɔdi ɛn fɔ no wetin rili mek yu gɛt SIRS. Fɔ ɛgzampul:

• Blɔd tɛst: Dɛn tin ya kin chɛk bɔku tin. fכ egzampl, besik mεtabolik panεl, komplit bכdi kכnt (CBC) (dis de chεk di nכmba fכ di wayt blכd sεl dεm), laktik asid tεst, liva fכnshכn tεst, kidni fכnshכn tεst, εtk.
• Blɔd ɔksijɛn lɛvɛl.
• Urinalysis we dɛn kin du.
• Bacterial culture test: Fɔ no if infɛkshɔn de ɛn if na so, us baktri de mek i gɛt am.
• Di tɛst dɛn we dɛn kin du fɔ tek pikchɔ:Tin dεm lεk εks-ray כ CT skan kin sho wetin de apin insay di bכdi.

Krayteria fɔ SIRS

Fɔ mek dɛn no se yu gɛt SIRS, yu fɔ gɛt at le tu pan dɛn sayn ya:

• Di tɛmpracha na di bɔdi: I de go ɔp pas 38 digri sɛlshiɔs (100.4 Fahrenheit) ɔ i go dɔŋ pas 36 digri sɛlshiɔs (96.8 Fahrenheit).
• di at rit: I de inkrεs to pas 90 bit insay wan minit.
• di rεspiretכri rεt: di inkrεs pan di nכmba fכ brith pan minit we pas 20, כ di dכn pan di pat pan di prεshכn fכ CO2 na di bכdi we less dan 32 mmHg.
• di lukosayt (wayt blכd sεl) kכnt: I de inkrεs pas 12,000.

Bɔt fɔ pikin dɛn, dɛn krayteria ya difrɛn smɔl. Fɔ mek dɛn no se dɛn gɛt SIRS, dɛn fɔ gɛt abnɔmal wayt blɔd sɛl kɔnt ɛn abnɔmal bɔdi tɛmpracha. dis na biכs di pikin dεm in at rεt εn di rεspiretכri rεt kin hכy sכmtεm pas big pipul dεm.

Aw dɛn kin trit SIRS?

Tu men tin de fɔ tink bɔt we yu de trit SIRS. Wan na fɔ trit di ɔndalayn kɔz fɔ SIRS. Di ɔda wan na fɔ mek dɛn nɔ gɛt di sik we dɛn kɔl multi-organ dysfunction syndrome (MODS). Di tritmɛnt we dɛn kin pik kin difrɛn difrɛn wan fɔ di tin we kin mek pɔsin gɛt SIRS. Bɔt na sɔm pan di tritmɛnt dɛn we dɛn kin yuz mɔ:

• Fɔ gi wata tru wan vein (IV fluid): Dis kin ɛp fɔ mek shɔ se blɔd flɔ fayn fayn wan to di bɔdi in ɔgan dɛn ɛn mek blɔd prɛshɔn nɔ go dɔŋ tumɔs.
• Antibayɔtik: If na baktri infɛkshɔn mek SIRS, dɛn kin gi dɛn mɛrɛsin ya.
• Vasopressor medications: If yu blɔd prɛshɔn tu smɔl, dɛn kin gi dɛn tin ya fɔ mek i kam bak to nɔmal.
• Kɔtikosterɔyd: Dɛn kin yuz dɛn tin ya fɔ mek di bɔdi nɔ go shɔk ɔ fɔ ɛp am fɔ wɛl frɔm am.
• Insulin tru wan vein (IV insulin): Kɔntrol di blɔd shuga lɛvɛl (if nid de).
• Ɔpreshɔn: Fɔ ɛgzampul, ɔpreshɔn we dɛn kin du fɔ pul di pus we de na wund we de fεst, pul di tisu we dɔn pwɛl, ɔ fɔ no wetin nɔ rayt insay yu bɔdi.

Imajin, if yu kidni nɔ de wok fayn, yu kin nid fɔ du dayalaysis (blɔd purifyeshɔn). Semweso, if yu nɔ ebul fɔ blo fayn, yu go nid fɔ kɔnɛkt yu to mashin we yu de yuz fɔ blo.

I pɔsibul fɔ mek yu wɛl frɔm SIRS? Wetin na di tin dɛn we wi go si?

di prכgnosis fכ SIRS dipכnt pan sεvεra fכs tin dεm.

• Aw kwik dɛn bin no se yu gɛt di sik ɛn trit yu.
• Wetin na di rut kɔz fɔ SIRS?
• If yu gɛt risk factor fɔ mek yu gɛt SIRS (e.g., wik imyun sistɛm).

Di gud nyus na dat if dɛn trit dɛn kwik, bɔku pipul dɛn we gɛt SIRS kin wɛl ɔl ɛn dɛn kin go bak to dɛn nɔmal layf. Bɔt dis na siriɔs tin we kin mek pɔsin day sɔntɛnde. Di rεt fכ mכtalman frכm SIRS na bכt 7%. di mכtalman rεt frכm sepsis spεshal wan na dεn wan ya:

• Fɔ sɛpsis: 1.3% .
• Fɔ siriɔs sɛpsis: 9.2% .
• Fɔ sɛptik shɔk (wan kɔndishɔn we sepsis kin mek): 28% .

So, i rili impɔtant fɔ go to dɔktɔ as soon as di sayn dɛm fɔ SIRS de sho, bikɔs risk de fɔ day.

Wetin na di prɔblɛm dɛn we kin kam wit SIRS?

SIRS (especially if na infεkshכn kכz am) kin go bifo to siriכs sεpsis כ sεptik shכk. I kin mek bak bɔku ɔgan ɔ wan ɔgan nɔ wok. Apat frɔm dat, prɔblɛm dɛn lɛk:

• Akyu adrenal insufficiency: Dis na we yu adrenal gland dεm nכ de prodyuz inof imכtant כmon dεm lεk kכtisol.
• Acute encephalopathy: Ɛni sik na di bren we de afɛkt di wok ɔ di we aw di bren de wok.
• Acute Respiratory Distress Syndrome (ARDS): I kin rili pwɛl di lɔng dɛn.
• Akyu transaminitis: Na inkrεs pan di lεvεl dεm fכ sכm εnzym dεm we de afekt di liva fכnshכn.
• Akyu tubular nεkrכsis: I de damej di kidni dεm.
• di bכdi de kכlכt na di dip vein dεm (Dip Vein Thrombosis - DVT).
• Disseminated Intravascular Coagulation (DIC): Dis kin mek smɔl smɔl blɔd klɔt ɔlsay na di bɔdi, we kin mek di blɔd kɔmɔt mɔ ɛn mɔ.
• Ɛmolaysis: Na di rɛd blɔd sɛl dɛn we de brok brok.
• mεtabolik asidכsis: I de inkrεs di asid na di bכdi.
• trombosaytosis (di pletlet kכnt de bכku) כ trombocytopenia (pletlet kכnt de dכn).

Sɔm pan dɛn prɔblɛm ya kin trit ɛn mɛn, ɛn dɛn kin rivɛns. Bɔt sɔm, lɛk we di bren pwɛl, kin de sote go. Na dat mek SIRS so denja.

Wetin wi kin du fɔ mek wi nɔ gɛt SIRS?

Pan ɔl we dɛn nɔ go ebul fɔ stɔp SIRS kpatakpata, sɔm tin dɛn de we wi kin du fɔ ridyus di chans fɔ mek i apin. Lɛ wi si wetin dɛn bi.

• Ɔltɛm fala gud hajɛns prɔsis: Tray fɔ mek yu nɔ gɛt vayral infɛkshɔn, mɔ tru tin dɛn lɛk fɔ was yu an.
• Fɔ kip di wund dɛn we yu kɔt ɛn ɔda wund dɛn klin te dɛn wɛl: Tek tɛm mek yu nɔ mek ivin smɔl wund dɛn fεs.
• Fɔ gɛt di vaysin dɛn we dɛn kin gi yu di rayt tɛm: Dis kin protɛkt yu frɔm bɔku infɛkshɔn.
• Gɛt di rayt mɛrɛsin fɔ di sik dɛn we nɔ de mɛn: I impɔtant fɔ mek yu kɔntrol sik dɛn lɛk dayabitis ɛn ay blɔd prɛshɔn.
• Si dɔktɔ if di sayn dɛm fɔ wan sik ɔr sik we yu dɔn gɛt dɔn wɔs: Nɔ ignore sɔmtin we smɔl.
• Go to dɔktɔ wantɛm wantɛm if yu gɛt siriɔs injuri ɔ yu tink se yu gɛt infekshɔn: If yu trit yu kwik kwik wan, dat kin mek yu nɔ gɛt big big damej.

Faynal Mɛsej fɔ Tek-Hom

Di fɔs tin we yu fɔ mɛmba na dat SIRS (Systemic Inflammatory Response Syndrome) na wan mɛdikal imejensi we kin mek yu layf de pan denja . Fɔ mek yu nɔ gɛt SIRS, i impɔtant fɔ go to tritmɛnt kwik kwik wan fɔ ɛni infɛkshɔn, kɔmplikeshɔn fɔ wan mɛdikal kɔndishɔn, ɔ siriɔs injuri. If dɛn nɔ trit am, SIRS kin mek siriɔs prɔblɛm dɛn ɛn ivin day. If yu gɛt tin dɛn we kin mek yu gɛt SIRS (e.g., di imyun sistɛm we wik, sik we nɔ de mɛn), tɔk to yu dɔktɔ bɔt aw fɔ manej dɛn risk dɛn de, wetin na di sayn dɛm fɔ SIRS, ɛn wetin fɔ du if dɛn apin. Tek kia ɔf yu wɛlbɔdi ɛn mek dɛn no bɔt yu. Dat na di tin we impɔtant pas ɔl! SIRS, Sεstεmik Inflammatory Rispכns Sεndrכm, Sεpsis, Sεpsis, Inflamεshכn, Infεkshכn, Bכdi in Rεspכns, Imejensi Tritmεnt