Nu emaw pa emaw i nih angin i fa laka i hlauhthawn zia chu tumah i hrilh thei lo. Kan fain khawsik emaw, khawsik emaw a neih huna kan rilrua hlauhna lo lang chu kan hre vek a ni lawm ni? Mahse, a châng chuan bacteria infection, natna tlanglawn tak anga inṭan chu kan taksa chhungah thil pawi tak leh nunna atana hlauhawm takah a lo chang thei tih i hria em? Chu dinhmun hlauhawm tak chu damdawi lama sepsis kan tih chu a ni. Hei hi kan hriat chian a ngai tak zet a ni.
A awlsam zawngin, sepsis chu eng nge ni?
Ngaihtuah teh, hrik, a bik takin bacterium, kan taksaa a luh chuan kan taksa hriselna (immune system) chuan a do tan ta a ni. Hei hi thil pangngai a ni. Mahse sepsis an tih dinhmunah chuan he immune system response hi control theih lohvin a kal a, overdrive-ah a lut ta a ni. Chumi awmzia chu, he immune system hian hrik chauh ni lovin, taksa chhunga tissue leh organ hrisel tak takte pawh a bei tan tihna a ni.
Ram venghimtu sipai, hmelma chauh ni lo, ram chhunga mi sual nei lote bei ang mai a ni. Chumi avang chuan kan taksa peng hrang hrangte chu pakhat hnu pakhatin a thawk tha lo tan thin. Kidney, liver, lung leh heart ang chi taksa peng lian tak takte hnathawh a tawp chuan eng nge thleng ang? Nunna atana hlauhawm tak a ni. Khawvel puma sepsis vei hmun thuma ṭhena hmun khat vel chu an thi a ni. Damchhuak ṭhenkhat chuan dam chhung zawnga harsatna an tawk a, chu chu natna rei tak, taksa peng ṭha lo, leh a châng chuan ke ruhte pawh tan a ngai hial a ni.
Naupangte hi an hlauhawm zawk tih hi a dik em?
Awle. Sepsis hi kum upa lam zingah a tam ber a, mahse naupangte pawh hlauhawm takin a nghawng thei bawk. Buaina ber chu naupang sepsis symptoms hi a tir lamah hriat a harsa hle a ni. Khawsik emaw flu emaw natna lan chhuah dan nen an inang hle. Tin, naupang tête pawhin, "Hetah hian ka rilru a na lutuk" tih hmanga an hrehawmna leh lungawi lohna lantir dan an hre lo bawk. Chumi avang chuan taksa chhunga natna a nasat hma loh chuan kan hre lo mai thei.
Doctor-te pawhin heng symptoms te hi naupang hrang hrangah a inang lo thei a, a chhan chu hriat a harsa thei hle niin an sawi. United States-ah ringawt pawh nitin sepsis vangin naupang 18 an thi a ni. Hei hian he dinhmun hi a nasat zia hriat theihna min pe a ni. Mahse a tha ber chu, keini nu leh pa te hian hei hi kan hriat chian a, a natna lanchhuahna hi kan hriat hmasak phawt chuan kan fate nunna chhanchhuahna chance ropui tak kan nei a ni.
He thawnthu dik tak hian thil tam tak a zirtir ang che.
A chang chuan thawnthu kan hriat hian thil pawizia kan hrethiam tak zet a ni. Hei hi Zach, fapa kum 11 mi chanchin a ni. A nu Marnie hi Doctor a ni a.
Zan khat chu baseball a khelh zawh hnu chuan Zack-a chu a tap tan ta a. A lu a na a, a lu a na a, a khup pawh a na tih a sawi bawk. Nu leh pa chuan inkhelh laiin a khup a na a ni ngei ang tih an ngaihtuah a. A tuk zingah chuan a khup chu a la na hle a, chuvang chuan Mom chuan natna tidamtu damdawi engemaw zat a pe a, sikul kal turin a tir ta a. Mahse rei vak lo hnuah chuan sikul chuan an rawn call a.
"School nurse chuan min rawn call a, a ke ruh a, a khup a na tih min hrilh a. A khawsik a nei lo a, mahse nurse-in min hrilh kha ka theihnghilh ngai lovang. 'A hmel a dik lo chauh a, thil dik lo a awm a ni,' a ti a ni," a ti. " "
Doctor ni mahse Marnie chuan a fapa ngei chunga thil thleng chu a ngaihtuah thei lo. Zach chu a hnathawhna hmuna doctor dang hnenah a hruai a. Thisen tlem a la a, a test a, antibiotics a pe tan ta a ni.
Mahse thisen test a lo let leh chuan inflammation marker a sang hle. Ruh specialist hmu turin an kal a. Chutih lai chuan Zach-a chu a hrehawm hle a. Doctor chuan ruh natna a ni mai thei tih a ngaihtuah a. Mahse Zach-a dinhmun chu a chhe zual sauh sauh a. A tuk zanah chuan a na em em a, che pawh a che thei tawh lo. Tichuan a hriatna a hloh ta a.
"Dar 3 p.m vel khan tui min dil a," tiin Marnie chuan a sawi. "Tui bottle ka pek dawn lai chuan min rawn en a, 'Khawngaihin kan inah hian tu emaw chuan airlift thei ang em?' Rang takin Zach chu damdawi in hnai ber emergency room (ETU)-ah a hruai a. Chuta tang chuan pediatric intensive care unit (PICU) awmna damdawi inah sawn a ni.
"Chutih lai chuan tumahin eng thil nge thleng tih pawh an hre lo. Tuman, 'Sepsis a nei' an ti lo." Tick-borne disease niin an ngai a, mahse a lung, liver leh kidney te chu a fail tih an hria a ni."
Intensive care unit-ah chuan Zach-a chu antibiotics chak tak tak pek a ni a, ventilator-ah dah a ni. Ni hnih hnuah doctor-te chuan Zach-a chu a ke dinglam ruhah natna khirh tak (osteomyelitis) a nei tih an hmuchhuak a, chu chuan sepsis a thlen a ni. Zach chu rang takin operation an ti a, a zun chu a chhuah tir ta a ni.
Kar hnih vel zet chu Zach chu a rilru a buai hle a, ventilator-ah a awm a. Khawsik sang, thisen sang vawn thatna tur damdawi, leh lung chhiatna... A nu leh pa tan chuan hremhmun a ni. Mahse kar hnih hnuah chuan a dinhmun chu a ṭha chho zauh zauh a.
Sepsis natna lan chhuah dan hi engtin nge kan hriat theih ang?
Zach-a chanchin hian a hmaa a lan chhuah dan chu a fiah lo thei hle tih min hriattir a ni. Chuvangin nu leh pa kan nih angin a hnuaia symptoms te hi kan ngaihven em em a ngai a ni. I fain heng zinga pakhat emaw, a aia tam emaw a neih chuan, a bik takin khawsik emaw, natna dang emaw a neih chuan tihkhawtlai suh. Doctor pan nghal rawh. A tul chuan hospital-a Emergency Department (ETU)-ah direct-in kal tur a ni.
| Symptom a ni | Eng nge ngaihven tur |
|---|---|
| Vun lan dan leh a lum leh vawt | A khawih chuan a lum danglam hle tih hriat te, vunah blue/purple mottled patches awm te, vun dum tak tak nei te. |
| Thâwk chhuah | Thâwk a thawk rang hle. |
| Vun a hring chhuak | Glass hmanga press a nih chuan a bo lo tur rash neih. |
| Naupang thiltih dan | Mut a hah hle a, harh harsa tak, fit a nei bawk. |
| Naupang kum 5 hnuai lam tan feature dang a awm bawk | |
| Ei leh in leh luak chhuak | Ei leh in duh lohna, luak chhuak reng. |
| Zun chhuah | Darkar 12 emaw a aia rei emaw zun loh. |
"Golden Hour" leh Enkawl dan tur
Doctor-te chuan sepsis rinhlelh a nih chuan , antibiotics hi a rang thei ang bera tan a pawimawh a, a diagnosis finfiah nghah ngai lovin. Darkar khatna chhunga enkawlna tan chuan nunna leh thihna inthlauhna a awm thei. Hei hi "Golden Hour" an ti a.
Zach-a chanchin ang bawkin naupang damchhuakte pawhin harsatna an tawk thei a, chu chuan an dam chhung zawng a nghawng thei a ni. Zach hian a ke pakhatah nerve damage a la nei a, chu chu a ke chu a thang tha lo ang tihna a ni. Ngaihtuahna lama harsatna leh lungkhamna a nei bawk. Chumi awmzia chu damdawi in a chhuahsan hnuah pawh sepsis natna indona chu a tawp lo tihna a ni.
Take-Home Thuchah a ni
- Sepsis hi medical emergency a ni. Khawsik emaw infection emaw chauh a ni lo.
- Infection eng pawh, a bik takin bacteria infection chu a na hle a, sepsis-ah a chang thei bawk.
- Naupang vun rawng inthlak danglam, khawsik danglam tak, thawk chakna sang, leh mut tam lutuk ang chi natna lan chhuah danah fimkhur hle ang che.
- Heng symptoms zinga pakhat tal i hmuh chuan in lama awm mai mai lovin "kan en ang" tih mai mai suh. Doctor hmu la, damdawi in Emergency Department (ETU) ah a rang thei ang bera kal rawh.
- Enkawlna an tan hma chuan naupang nunna chhanhim theihna leh hun rei tak chhunga harsatna awm thei tur venna chance a sang zawk.
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