Sepsis an tih natna hlauhawm tak hi i hre tak tak em? Kan sawi dawn nia!

A châng chuan khawsik, khuh, a nih loh leh hliam tenau tak pawh hi harsatna lian takah a chang thei tih i hria em? Chutiang bawkin sepsis hi natna hlauhawm tak a ni a, kan taksain natna hrik a tawh chuan nasa taka a chhân lêt hian a thleng thei a ni. Hei hi medical emergency tak tak a ni a, enkawl vat loh chuan nunna atana hlauhawm tak a ni thei. Chuvang chuan hei hi kan hriat chian a pawimawh hle a ni.

Sepsis hi eng nge ni tak tak?

A awlsam zawngin sawi ila, sepsis chu i taksaa natna hrik awm a nih chuan i taksa immune system-in a overreact lutuk hi a ni. A tlangpuiin infection a lo awm chuan kan taksaa sipai ang maia kan immune cells te hian an do let thin. Mahse sepsis-ah chuan natna hrik do ai chuan he immune system hian taksa chhunga cell hrisel, tissue leh organ te chu a tichhe tan thin. Hei hian taksa pum puiah inflammation nasa tak a thlen a ni. Chutih rual chuan kan thisen zamna system-a chain reaction danglam tak a awm avangin thisen kalna kawngah thisen zam a lo awm ta hi han ngaihtuah teh. Tui pipe-a bawlhhlawh a tlakbuak a, tui a luang tawh loh ang bawkin, heng thisen zamte hian taksa peng hrang hranga thisen kal chu a ti tlem a ni. Hei hian chu taksa pengte chu nasa takin a tichhe thei a, a châng chuan a tichhe thei hial a ni. Chu chu a pawizia i hrethiam em?

Sepsis natna stage hrang hrangte pawh kan zir dawn em ni?

Doctor-te chuan sepsis stage pathum chungchang an sawi thin a, chungte chu sepsis, sepsis na tak, leh septic shock te an ni. Mahse tunah chuan chutiang chuan stage hrang hrangah an ṭhen tawh lo. Tunah chuan, condition zau zawk anga ngaih a ni ta. Infection leh bacteremia atanga tan a ni a, chu chu thisenah bacteria awm vang a ni. Chuta tang chuan sepsis-ah a kal thei a, chuta tang chuan septic shock-ah a kal thei bawk. Septic shock hi a na ber a ni a, taksa peng hrang hrang a chhiat avangin thihna pawh a thlen thei a ni.

Tute nge sepsis vei tam ber?

Sepsis hi tu chungah pawh a thleng thei. Mahse, natna hrik nei, a bik takin bacteremia (thisen chhunga bacteria awm) te hi an hlauhawm zawk. Chu bakah, a hnuaia dinhmunte hi i neih chuan i hlauhawm zawk a ni:

• Kum 65 chunglam i nih chuan.
• Naupai a nih chuan .
• Natna khirh tak tak , zunthlum , thau lutuk , cancer, leh kal natna te i neih chuan .
• Immune system a chak lo a nih chuan (e.g., HIV vei te , cancer enkawl mek te ).
• Damdawi lam thil dang avanga damdawi ina awm i nih chuan.
• Kangmei nasa tak emaw, hliam na tak dang emaw i neih chuan.
• I taksaah catheter, IV, thawkna kawng i neih chuan.

Nau piang thar leh naupang tê tê pawh an hlauhawm hle. An taksa chakna (immune system) a la thang kim lo a, hei vang hian natna hrik dona a harsa hle.

United States-ah ringawt pawh hian kum tin mi maktaduai 1.7 chuang zetin sepsis an vei nia sawi a ni. Hei hian a hluar theih zia a tilang chiang hle. Sepsis hi kum upa lam zingah a tam ber. Kum 65 hnu lama kum upat chhoh zel chuan a hlauhawmna a sang chho zel a ni.

Sepsis natna lanchhuahna chu engte nge ni?

Sepsis hian taksa peng hrang hrang a nghawng thei a, chuvangin symptom tam tak a awm thei. A lan chhuah dan dik tak chu a thlentu natna chi hrang hrangah a innghat a ni. A chang chuan sepsis hi septicemia an tih natna avanga lo awm a nih chuan i vunah hian vun a rawn chhuak thei bawk. Hei hi sepsis rash an ti a. Hei hian vun a sen a, a rawng a tidanglam thei a ni. I vunah hian hmun te te, sen dum tak tak i hmu thei bawk. Sepsis natna lan chhuah dan tlangpui dangte chu:

• Zun chhuah tlem emaw, zun tam ngai anga inhriatna emaw.
• Chak lohna/chak lohna.
• Heart rate a sang (fast heart rate).
• Thisen sang hniam.
• Khawsik emaw taksa lumna hniam lutuk (hypothermia).
• Taksa khur emaw, khur (chills) emaw.
• Vun chu thawmhnaw nen a lum emaw a clammy emaw a ni.
• Buaina emaw, buaina emaw.
• Thâwk rang (hyperventilation) emaw thawk harsa emaw.
• Tuar theih loh khawpa natna emaw, hrehawmna emaw hriat.

Heng symptoms pakhat emaw a aia tam emaw i neih chuan, a bik takin infection i nei tih i hriat chuan doctor thurawn lak nghal a pawimawh hle! Hun khawhral suh.

Sepsis awm chhante chu engte nge ni?

Sepsis thlentu ber chu bacteria infection a ni. Mahse, fungal, parasitic, leh viral infection te hian sepsis a thlen thei bawk. A awlsam zawngin, sepsis hi i taksaa natna hrik awmin i taksa pum puiah chain reaction a thlen a, chu chuan i taksa peng hrang hrangte a tichhe thei a ni. Sepsis thlentu natna hi i taksa hmun hrang hrangah a intan thei a ni. Sepsis thlentu natna chi hrang hrang leh awmna hmun tam ber chu:

• Thluak lam hawi: 1.1.
• Lung infection, entirnan pneumonia.
• Urinary system: 1.1.
• Urinary tract infection, a bik takin catheter i neih chuan.
• Chaw ei dan: 1.1.
• Appendicitis natna a ni.
• Intestinal lama harsatna a awm.
• Pum chhunga natna hrik (Peritonitis) a awm.
• Gallbladder emaw liver infection emaw a awm thei.
• Central nervous system te chu: 1.1.
• Thluak emaw, ruhro emaw a natna hrik awm.
• Vun:
• Bacteria hi hliam emaw, vun tliak emaw, catheter leh IV dahna hmangin emaw a lut thei a ni.
• Cellulitis (vun inzawmkhawmna tissue a hring) ang chi natna.

Sepsis hi a kai theih em?

Ni lo, sepsis ngei pawh hi kai theih a ni lo - chu chu midang hnenah sepsis i thehdarh thei lo tihna a ni. Mahse, sepsis thlentu natna (e.g. pneumonia, vun natna) te hi mi pakhat atanga mi dangah a darh thei a ni. Chuvang chuan faina tha tih leh kut sil hi a pawimawh em em a ni.

Doctor-te hian engtin nge sepsis hi an hriat theih?

Sepsis vei hriat thuai a pawimawh a, a chhan chu enkawlna hi tan thuai a ngai a ni. Sepsis i vei em tih chiang taka hriat theihna tur test pakhat mah a awm lo. Chuvangin doctor-te chuan taksa enfiahna, lab test hrang hrang, X-ray leh test dangte aṭanga thu hriatte chu an inzawm khawm a, chu chuan natna chu eng nge a nih (entir nan, thisen culture) an hre hmasa a, chutah chuan sepsis i vei leh vei loh an rel leh a ni. A châng chuan doctor-te chuan damlo pakhatin sepsis a vei leh vei loh rang taka hriat theih nân hmanraw an hmang ṭhin. Chu chu qSOFA (quick sequential organ failure assessment) tih a ni. Hei hian a hnuaia symptom pahnih tal chu hri kai tih finfiah emaw rinhlelh emaw nen zawn a huam a ni:

• Thisen sang hniam: Systolic blood pressure (a sang ber) chu mercury millimeter 100 (100 mmHg) aia tlem a ni.
• Thâwk chakna sang: Minute khatah vawi 22 aia tam thawk.
• Glasgow Coma Scale tlahniam:He scale-a score 15 aia tlem lo, mindfulness (mindfulness hniam tihna) tehna.

Chu bâkah, i doctor chuan eng ang natna chi nge i neih tih leh taksa peng chhiatna a awm leh awm loh hriat nân test dang engemaw zât a ti thei bawk. Entir nan:

• Thisen test: Thisen chhiar (CBC) kimchang, thisen culture, thin leh kal hnathawh dan dik lo enfiahna test, thisen zam harsatna, leh electrolyte dik lo.
• Blood oxygen level: I thisena oxygen awm zat tehna test a ni.
• Zun test: Urinalysis leh zun culture.
• Imaging test: X-ray emaw CT scan ang chi thil.

Sepsis enkawlna tur engte nge ni?

Sepsis enkawlna hi tan nghal tur a ni. Hriatchhuah hmasak leh enkawl vat hi a pawimawh hle. Minute tin hi a chhiar tel vek. Doctor-in sepsis a vei tih a hriat chuan damdawi in intensive care unit (ICU)-ah special care atan dah i ni tlangpui ang. Enkawlna i dawng thei a, chungte chu:

• Antibiotics: Bacteria infection i neih chuan a rang thei ang bera antibiotics pek tan a ni ang.
• IV (intravenous) fluids: I taksa peng hrang hranga thisen a kal zel theih nan leh i thisen sang a tlahniam lutuk loh nan vein kaltlangin tui pek a ni ang.
• Vasopressor damdawi: Heng damdawi te hian thisen kalna kawng (blood vessels) a tikhawlo (constrict) in hna a thawk thin. A \henah chuan thisen sang \ha tak vawng reng turin an \ul mai thei.
• A tul angin supportive care: Organ failure a awm chuan, entirnan, kidney failure, dialysis a ngai thei a, thawk harsatna a awm chuan enkawlna dang, mechanical ventilation ang chi te a ngai thei bawk.
• Surgery: Tissue chhia lakchhuah nan emaw, natna thlenna hmun lakchhuah nan emaw operation neih a ngai thei.

Sepsis hi engtin nge kan ven theih ang?

Sepsis laka invenna tur thil engemaw zat a awm. Hengte hi a awlsam hle a, mahse a pawimawh hle a ni:

• Faina tha tak hmang la, a bik takin kut sil fo thin ang che. Chaw ei hma te, toilet hman zawh te, hliam i khawih hmain sahbawn leh tuiin uluk takin kut sil thin ang che.
• Hliam hliam leh hliam dangte chu a dam hma loh chuan thianghlim leh khuh reng.
• Vaccine recommended a hun taka lak. Entirnan, Pneumonia vaccine, flu vaccine, etc.
• Natna khirh tak (e.g. zunthlum) i neih chuan damdawi mumal tak la la, control rawh.
• Infection i neih nia i rinhlelh chuan damdawi lam thurawn la nghal rawh. Khawsik, taksa na, hliam luang chhuak ang chi symptom i neih chuan doctor pan ngei ngei tur a ni.

Sepsis atanga dam leh theih nan eng chen nge hun a duh? Eng ang thlirna nge ni ang?

Hriatchhuah leh enkawl vat a nih chuan sepsis na lo nei tam zawk chu an dam leh thin. Mahse enkawl loh chuan sepsis na tak nei tam tak an thi thei a ni. Enkawlna pek a nih pawhin sepsis natna nasa ber, septic shock an tih, 30% atanga 40% vel chu an thi thin. Septic shock hian darkar 12 chhungin thihna a thlen thei a ni. Chuvang chuan emergency an ti a ni. Sepsis atanga damchhuah hnuah pawh mi thenkhat chu a hnu thla leh kum engemaw zat chhungin an la thi reng a ni. Mahse zirchiangtute chuan he thihna hlauhawmna sang tak hi sepsis a lo neih tawh vang nge, a hnuaia hriselna dinhmun dang vang nge tih hi chiang takin an la hre lo. Chuvangin sepsis atanga damchhuakte tan chuan an hriselna enkawl chhunzawm zel a pawimawh hle.

Sepsis hnuah hian hun rei tak chhung nghawng a nei em?

Enkawlna rang tak pek a nih chuan sepsis vei tam zawk chu an dam vek a, nun pangngaiah an awm zui ta a ni. Mahse, mi ṭhenkhat chuan hun rei tak chhûng nghawng a nei thei a ni. Harsatna i nei thei a, chungte chu:

• Mu thei lo.
• Mumang chhia emaw, hallucination emaw neih.
• Panic attack a awm thin.
• Joint leh muscle natna.
• Cognitive functioning tlahniam - Hei hian zirlai, hriatrengna, ngaihvenna, leh thutlukna siamna ang chi thila chhiatna a kawk a ni.
• Organ failure (e.g., kal chak lo zual zel).

Tin, sepsis i vei leh theihna chance a sang zawk bawk. Chuvang chuan hri kai thar i neih chuan inenkawlna zawng vat a pawimawh hle.

In lama ka haw hnua dam leh turin eng nge ka tih ang?

Sepsis atanga i dam leh hnu leh damdawi in atanga i haw hnuah i taksa chu a buai hle tawh avangin rehabilitation treatment i chhunzawm a ngai mai thei. In i thlen chuan a hnuaia mite hi i tawng thei ang: Taksa lama nghawng:

• Chauhna leh chak lohna.
• Thâwk harsa.
• Taksa natna.
• Inkalpawhna leh mut harsat.
• Chaw ei duh lohna leh/ emaw, taksa rihna tlahniam.
• Vun vawt, itchy tak.
• Nail a chhe awlsam hle.
• Sam tlakchhamna.

Rilru leh rilru lama nghawng a neih dan:

• Mahni chauh awm duhna.
• Flashbacks te pawh a awm.
• Thil ngaihtuah harsa tak a ni.
• Lungkhamna leh/ emaw lungngaihna.
• Frustration leh thinrimna.
• Thil hriatna hloh.

I doctor chuan i dam lehna kawngah hmasawnna tur ruahmanna siam turin a pui ang che. A tîrah chuan, inbual leh incheina ang chi thil tê tê, hlen chhuah theihte chu i thawk ang. I taksa chakna siam thar leh i tum bawk ang a, i rilru hriselna enkawl a pawimawh hle. I chhungte, i thiante leh doctor nen i rilru put hmang chungchang sawipui rawh. Hun a la ngai dawn a, mahse a tawpah chuan i rilru a hahdam tan ang. Dawhtheih a pawimawh.

Kan hriat reng tur pawimawh ber chu

Okay, chuti a nih chuan kan sawi tawh sepsis hi medical emergency a ni a, nunna atana hlauhawm thei a ni. Sepsis laka inven nan chuan eng natna pawh a awm chuan enkawl vat a pawimawh hle. Enkawlna i tihkhawtlai chuan natna tenau tak pawh hi thihna thlen thei a ni.

Infection i neih chuan a dam lo emaw, a zual deuh deuh anga a lan chuan (e.g., khawsik a zual, thawk harsa, hriatna a danglam), doctor pan emaw, damdawi in pan nghal vat la, rei lo te.

Sepsis hi enkawl loh chuan harsatna lian tak a thlen thei a, thihna pawh a thlen thei tih hre reng ang che. Chuvangin he thil hi i fimkhur hle a ngai a ni lawm ni? I nunna hi a hlu a ni!