Sepsis: Engtin nge natna tenau tak chu nunna atana hlauhawm a nih theih?

I taksaah hliam i nei em, a natna tlem a kai chho zel em? A nih loh leh lung natna te tak te emaw, zun kawng infection emaw ang chi thil i buaipui em? Chûng thilte chu chawlh hahdam tlêm tê leh damdawi engemaw zât chuan a bo vek ang tih kan ngaihtuah tlângpui. Mahse, a châng chuan, beisei loh takin, chutiang natna tenau tak chu natna khirh takah a lo chang thei a, chu chuan taksa pum a nghawng a, nunna atana hlauhawm tak a ni. Chu dinhmun hlauhawm tak chu "sepsis" an ti a.

A awlsam zawngin, sepsis chu eng nge ni?

Kan ram humhalhtu sipai an awm tih han ngaihtuah teh. Pawn lam atanga hmelma lo kal chuan he sipai hian chu hmelma chu an bei a, an hneh a, ram an chhanhim thin. Kan taksa immune system hi he sipai ang hi a ni. Bacteria emaw virus emaw ang chi hrik taksaah a luh chuan kan immune system a thawk chhuak a, chu natna hrik chu a do a, natna lakah min chhanchhuak a ni.

Mahse, thil engemaw a lo thleng thut a, kan sipaite ngeiin hmêlma an beih tawh loh a, kan ram ngeia chenna in leh khawpui te an tihchhiat ṭan chuan eng ang chhiatna nge a thlen ang tih han ngaihtuah teh?

Sepsis hi chutiang thil chu a ni.

Infection a lo awm chuan a chang chuan kan taksa immune system chu a thunun theih loh phah thin. Infection dona a titawp a, kan taksa peng hrisel leh taksa peng hrang hrangte chu a bei tan ta a ni. Hei hian taksa pum puiah inflammation a siam a.

Chutih rual chuan thisen zamna system-ah chain reaction pangngai lo tak a intan a, thisen kalna kawng chhungah a tul lovah thisen zam a lo awm tan bawk. Hei hian taksa peng lian tak tak thluak, thinlung, kal, leh lung lama thisen kalna a ti tlem a ni. Heng taksa peng hrang hrangte hi oxygen leh ei leh in lama an tlakchham chuan nasa takin an chhe thei a, an thawk tha lo thei a, a tawpah chuan an thi hial thei a ni.

Sepsis hi stage hrang hrang a awm em?

Tun hma chuan doctor-te chuan sepsis hi stage thum-ah an ṭhen a, chungte chu sepsis, sepsis na tak leh septic shock te an ni.

Mahse tunah chuan hei hi hmasawnna lam hawi dinhmun angin kan hmu ta a ni. Chu chu infection awlsam tak atanga tan a ni a, bacteremia-ah a kal thei a, chutah sepsis-ah a kal thei a, a tawpah septic shock-ah a kal thei a, chu chuan taksa peng hrang hrang a tichhe thei a, thihna a thlen thei tihna a ni.

Tute nge sepsis vei theihna sang zawk?

Sepsis hian tu pawh a nghawng thei a, mahse mi thenkhat chu an hlauhawm zawk. Hei hi hri kai emaw, thisen atanga kai emaw nei tan chuan a dik hle. A hnuaia mite hi risk sang zawk an ni bawk:

Sepsis natna lanchhuahna chu engte nge ni?

Sepsis hian taksa peng tam tak a nghawng avangin symptom tam tak a awm thei. Chung zinga pakhat emaw, a aia tam emaw chu a rualin a thleng thei. Heng symptoms te hi hriat a pawimawh a, a hmaa hriat chian chuan nunna a chhanhim thei a ni.

• Khawsik emaw, taksa lumna hniam emaw: Taksa hian khawsik a nei thei. Tin, a chang chuan taksa lumna pawh a tlangpui aia hniam zawkin a tlahniam thei bawk (hypothermia).
• Thinrim leh khawsik i hriat: I taksaah tingling sensation i nei thei.
• Heart palpitations: Thinlung hian a hriat aia rang zawkin a thawk tan thin.
• Thâwk chakna sang: Thâwk a chak a, thawk hah ang maiin a awm thei.
• Buaina leh buaina: Luak chhuak, hriatna hloh, buai taka che. Thusawi pawh a hlimthla a ni thei.
• Thisen sang hniam: Thisen sang (BP) a tlahniam thut thei.
• Natna nasa tak: I taksaah tuar theih loh khawpa natna emaw, nuam lo emaw i nei thei.
• Vun inthlak danglam: A chang chuan vunah hmun sen emaw, rawng danglam emaw (sepsis rash) a lo lang thei. Vun pawh a lum emaw, a clammy emaw thei bawk.
• Zun chhuah tlem: I zun chhuah zat hi a tlangpui aia tlem zawk a ni.
• Chak lohna hriatna: chau lutuk leh chak lohna neia inhriatna.

Sepsis natna thlentu berte chu engte nge ni?

Sepsis thlentu ber chu bacteria infection a ni . Mahse, a chang chuan fungal, parasitic leh viral infection te hian sepsis a thlen thei bawk. Pawimawh tak chu khawi hmunah pawh awm se, taksain a chhân lêtna chu thunun theih loh chain reaction a ni a, chu chuan sepsis a thlen a ni.

Hengte hi hri kai tan theihna hmun tam berte chu an ni:

Thluak lam hawi

• Lung infection, a bik takin pneumonia ang chi dinhmun.

Urinary system a ni

• Zun kawng natna a awm. Hetiang hlauhawmna hi urinary catheter nei tan chuan a sang hle.

Gastrointestinal system a ni

• Appendicitis natna a ni.
• Intestinal lama harsatna a awm.
• Pum chhunga natna hrik (Peritonitis) a awm.
• Liver emaw gallbladder emaw natna a awm thei.

Central nervous system a ni

• Thluak emaw, ruhro emaw a natna (e.g. meningitis) a awm.

Vun

• Bacteria te hi hliam, hliam emaw, saline cannulas ang chi insertion site hmangin taksaah an lut thin.
• Vun natna chi hrang hrang, cellulitis ang chi te.

Sepsis hi a kai theih em?

Ni lo, Sepsis ngei pawh hi kai theih a ni lo. Sepsis vei i khawih emaw, i bula i awm emaw chuan sepsis i nei lovang.

Mahse, sepsis thlentu infection hi a chang chuan kai theih a ni. Entirnan, thawkna lama natna hrik, pneumonia ang chi a nih chuan, a natna thlentu hrik chu midang hnenah a kai thei a ni.

Engtin nge doctor chuan sepsis i vei tih chiang taka a hriat theih ang?

Sepsis hriat theihna tur test chiang tak pakhat chauh a awm lo va, chuvangin doctor-te chuan damlo exam, laboratory test leh X-ray atanga information lakkhawm hmangin he natna hi an finfiah thin.

Doctor-in damdawi ina a luh veleh sepsis a rinhlelh chuan rapid assessment an ti ang. Hei hi ``(qSOFA)`` tih method hmanga tih a ni. Sepsis kai nia rinhlelh mi pakhatin a hnuaia symptom pahnih emaw a aia tam emaw a neih chuan rinhlelh a ni.

• Thisen sang hniam: Systolic pressure (a sang ber) chu 100 mmHg aia tlem a ni.
• Thâwk chakna sang: Minute khatah vawi 22 aia tam thawk.
• Confusion/Consciousness: Glasgow Coma Scale-a score 15 aia tlem lo, damlo hriatna level tehna.

He rinhlelhna hmasa ber hnuah hian test eng emaw zat an nei leh a, chu chu eng nge a nih tih leh taksa peng eng emaw zat a chhiat leh chhiat loh hriat theih a ni.

• Thisen test: Complete Blood Count (CBC), thisen culture, thin leh kal hnathawh, leh thisen zam harsatna te.
• Thisen oxygen level: Kut zungtang-ah hian clip ang chi hmanrua an bun a, thisenah oxygen awm zat tehna a ni.
• Zun test: Zun kawng infection a awm leh awm loh enfiah thin.
• Scan dang: Chest X-ray emaw CT scan emaw pawh tih theih a ni.

Sepsis hi engtin nge enkawl a nih?

Sepsis enkawlna hi tan nghal a ngai a ni . Diagnosis tih hma leh enkawlna tan hma poh leh nunna chhanchhuah theihna chance a sang zawk.

A tlangpuiin damlo sepsis vei nia hriat chu damdawi in Intensive Care Unit (ICU) -ah specialized treatment atan dah a ni.

• Antibiotics: Bacteria infection a nih chuan a remchan dan anga antibiotics chak tak chu vein (intravenous - IV) hmangin tan nghal a ni ang.
• Intravenous fluids (IV fluids): Tui tam tak, saline ang chi hi taksa peng hrang hranga thisen kal tha tur leh BP tlahniam tur venna atan pek thin a ni.
• Blood pressure control damdawi (Vasopressors): Saline pek ni mahse BP hi a level tling thei lo a nih chuan thisen kalna kawng tikhawtlai a BP tipung thei vasopressor damdawi pek thin a ni.
• Organ support: Organ pakhat a chhiat chuan supportive care pek a ni. Entirnan, kal (kidney) a tha lo a nih chuan dialysis a ngai mai thei. Thâwk a harsat chuan mechanical ventilation a ngai mai thei.
• Surgery: Infection awm chhan chu hliam na tak emaw, pum natna ang chi emaw a nih chuan tissue chhia chu surgery hmanga lakchhuah a ngai dawn a ni.

Sepsis atanga i dam leh hnuah eng nge thleng?

He natna hi hriatchhuah a, enkawl vat a nih chuan sepsis vei tam zawk chu an dam chhuak vek ang. Mahse, a natna a nasat chuan, a bik takin septic shock-ah a kal chuan enkawlna hnuaiah pawh nunna chhanchhuah a harsa thei hle. Septic shock-ah chuan darkar 12 chhungin thihna a thleng thei a ni.

Sepsis hian nunna chhanhim thei mah se, mi thenkhat chuan hun rei tak chhung nghawng an nei thei a ni.

• Mut theih lohna, mumang chhia.
• Panic attack a awm thin.
• Ruh leh ruh natna.
• Ngaihtuahna, hriatrengna leh thutlukna siam thiamna tlahniam.
• Hun rei tak chhunga taksa peng pakhat hnathawh that lohna.

Tin, vawi khat sepsis vei tawh chuan a vei leh theihna a hlauhawm hle bawk. Chuvang chuan hri kai thar a lo awm a nih chuan inenkawlna zawn vat a pawimawh hle.

Dam lehna tur zinkawng... in lama a haw hnuah

Sepsis atanga i dam leh hnua i haw hnuah i taksa leh rilru dam leh turin hun i pek a ngai a ni. A tirah chuan lungawi lohna i nei thei a, chungte chu:

Taksa lama harsatna: 1.1.

• Chauhna leh chak lohna nasa tak.
• Thâwk harsa.
• Taksa natna.
• Kal harsa, hna thawh harsa, leh mut harsatna.
• Chaw ei chakna hloh leh taksa rihna tlahniam.
• Vun a vawt, a hring, nail a hring (brittle nail) a, sam a tlakbuak bawk.

Rilru leh rilru lama harsatna: 1.1.

• Mahni chauha awm duhna.
• Flashbacks te pawh a awm.
• Thil ngaihtuah harsa tak a ni.
• Lungkhamna leh Depression.
• Thinrimna rang, lungawi lohna.
• Rilru tibuai.

Hemi hun chhung hian i theih ang tawkin chawlh hahdam rawh. I doctor thupek zawm rawh. A tirah chuan thil tum tê tê, inbual leh inchei ang chite siam tum la, chu chu thawk chhuak rawh. Chhungte leh ṭhiante hnenah i rilru put hmang sawipui rawh. He zinkawng hian hun engemaw chen a la ngai dawn a, mahse zawi zawiin i normal leh tawh ang.

Sepsis lakah engtin nge i inven theih ang?

Sepsis laka invenna tha ber chu hri kai lo tur venna leh hri kai a awm tak tak a nih chuan enkawl vat vat hi a ni.

• Faina \ha: Sahbawn leh tuiin uluk takin kut sil \hin tur a ni.
• Hliam fai taka vawn dan: Hliam hrual leh hrual ang chi te chu uluk takin silfai la, a dam hma chu khuh vek tur a ni.
• Vaccine lak: Vaccine mamawh zawng zawng a hun takah lak vek tur a ni.
• Chronic disease management: Zunthlum ang chi natna i neih chuan uluk takin enkawl rawh.
• Damdawi lam thurawn zawng nghal rawh:

Infection i neih i rinhlelh chuan, a reh lo a nih chuan, a na zual deuh nia a lan chuan, rei lovah Doctor pan mai tur a ni. Thil tenawm anga ngaihthah infection chu nunna atana hlauhawm tak a ni thei.