SIRS (Systemic Inflammatory Response Syndrome) hi eng nge ni? Taksa chhunga mei lian tak ang mai a ni em? Kan sawi dun teh ang!

SIRS (Systemic Inflammatory Response Syndrome) tih natna hi i hre tawh em? He hming hi i tan chuan thil thar a ni mai thei. Mahse kan taksa chhunga awm thei dinhmun hlauhawm tak a ni. Harsatna tenau takah taksain a overreact a, meipui lian tak a tihchhuah ang mai a ni. Hemi chungchang hi chipchiar takin kan sawi dawn em ni?

SIRS (Systemic Inflammatory Response Syndrome) hi eng nge ni?

A awlsam zawngin SIRS chu kan taksain stressor a tihbuai lutuk hi a ni. Ram venhimna kalphung ang maiin han ngaihtuah teh. Hmelma tenau a lo kal chuan kawng dik taka a beih a ngai a ni. Mahse SIRS-ah chuan he sipai hian thil tenawm tak avanga indona lian tak an tan ang mai a ni. Hei hian taksa pum puiah inflammation nasa tak a thlen a ni. He inflammation hian kan taksa peng pawimawh tak takte a tichhe thei a, hnathawh a titawp thei a, a chang chuan nunna atana hlauhawm pawh a ni thei. Chuvang chuan a hlauhawm em em a ni. Stress kan sawi hian eng nge ni?

• Infection : Infections caused by bacteria , virus , fungi, etc. A chang chuan, hliam tenau tak pawhin khawsik a thlen thei a, mahse a na zual chuan SIRS a thlen thei.
• Surgery: Surgery lian tak hnuah pawh taksa hian hetiang hian a che thei fo thin.
• Acute inflammation : Taksa hmun dangah inflammation na tak, entirnan, pancreatitis .
• Ischemia: Hei hi taksa peng pakhat emaw, taksa peng pakhat emawa thisen kal a tihtlem chuan a ni. Tichuan, chu hmuna cell te chu an thi tan a, taksa pawhin hei hi a chhang let thei bawk.
• Cancer: SIRS hi cancer natna thenkhatah pawh a awm thei bawk.

Hetiang thil hi SIRS thlentu ber a ni.

SIRS leh Sepsis hi thil inang an ni em?

Ni e, an pahnih inkarah hian inzawmna tlemte awm mah se, sepsis hi SIRS aiin a danglam deuh hlek a ni. Ngun takin ngaithla rawh. SIRS thlentu hi infection a nih chuan chu chu sepsis kan tih chu a ni . I hrethiam em? Chu chu sepsis vei zawng zawng deuhthaw hian SIRS an nei tihna a ni. A chhan chu SIRS symptoms hi taksain natna hrik a dawn chuan a lo lang thin a ni. Mahse, SIRS vei zawng zawng hian sepsis an nei vek lo. A chhan chu SIRS hi infection vang chauh ni lovin, a hmaa kan sawi tawh ang khan surgery, cancer, leh ischemia te pawh a ni thei. Sepsis hi nunna atana hlauhawm tak a ni bawk a, emergency medical treatment a ngai a ni.Chuvang chuan a pahnih hi fimkhur a pawimawh hle.

SIRS hi engtiang chiahin nge a awm?

Hei hi zirchiangtute tan chuan engtiang chiahin nge a awm tih sawi a harsa a, a chhan chu SIRS vei zawng zawng hian a hun takah damdawi in an thleng vek lo. Mahse SIRS hi emergency room department leh intensive care unit (ICU) -ah te chuan a awm fo thin . Zirna pakhatah chuan damdawi ina awm damlo 27,000 vêl an enfiah a. Chumi zinga 15% chuan damdawi ina an luh hunah SIRS anga ngaih tur symptom pahnih tal an nei a ni. Tin, 47% chuan damdawi ina an awm chhungin vawi khat tal SIRS atana tehfung an tlin bawk. Chuvângin, hei hi a pawizia chu i ngaihtuah thei a ni.

SIRS natna lan chhuah dan chu engte nge ni? Engtin nge i hriat chian?

SIRS hian chhan tam tak a neih avangin taksa peng hrang hrang tam tak a nghawng avangin a natna lan chhuah dan hi a inang lo thei hle. Mahse heng symptoms pakhat emaw a aia tam emaw i neih chuan ngaihthah suh. Damdawi lam thurawn lak nghal hi a finthlak. A lan chhuah dan thenkhat chu hetiang hi a ni:

• Taksa natna hmuna sen leh hring (edema): hliam chhehvela hring ang chi, a nih loh leh a na zawk thei.
• Natna nasa tak: A natna hmuna natna tuar theih loh.
• Taksa peng hrang hranga hnathawh hloh: Entirnan, kut emaw ke emaw che thei lo.
• Intense fatigue: I chau lutuk a, i muhil a, engmah i ti thei lo mai thei.
• Heart rate sang (Tachycardia): Lung hi a pangngai aia rang zawkin a thawk thin. Minute khatah beat 90 aia tam a pe thei.
• Thâwk lak dan dik lo: Thâwk harsa, thawk chakna sang (minute khatah vawi 20 aia tam).
• Fever emaw Hypothermia : Taksa chu a lum lutuk a, khawsik a nei thei a, a lehlamah chuan taksa lumna chu 36 degree Celsius (96.8 Fahrenheit) hnuaiah a tlahniam thei bawk.
• Sivering or chills: Khawsik nei ang maiin i khur tan thin.
• Vun hi thawmhnaw nen a lum emaw, a hring emaw a ni: A chang chuan vun hi thawmhnaw nen a lum emaw, a hnim emaw a awm thei.
• Skin rash: Vun rawng chi hrang hrang, eczema ang chi hi vunah a lo lang thei a.
• Buaina, buaina emaw, rilru lama inthlak danglamna dang emaw: Buaina, buaina, leh thusawi thiam loh ang chi chhinchhiahna.
• Hriat lohna: Hei hi chhinchhiahna hlauhawm tak a ni.

A pawimawh ber chu:Heng symptoms te hi i neih chuan in lama awm lo turin kan ngen a che u. A rang thei ang bera damdawi in hnai ber pan la, a nih loh leh 1990 ah ambulance call rawh. SIRS hi medical emergency a ni a.

SIRS awm chhante chu engte nge ni?

SIRS hi a hmaa kan sawi tawh ang khan kan immune system hian stressor pakhat a overreact hian a lo awm thin. A tlangpuiin kan taksa hian inflammation hmangin min pui thin. Ngaihtuah teh, hliam kan neih hian a hring a, a sen a, a chhan chu cell-te chu do turin an lo kal a, hliam chu an tidam tan a ni. But in SIRS, this response becomes unnecessarily severe , leh he inflammation ngei hian harsatna nasa tak min thlen thin. SIRS dinhmun tichhe thei chhan lian ber ber thenkhat chu hetiang hi a ni:

• Chaw emaw tui emaw acute aspiration: Ei leh in laiin ei leh in emaw, tui emaw kan ei a, heng thilte hi lung chhungah a lut a nih chuan hei hian SIRS a thlen thei bawk.
• Acute end-organ ischemia: Thil pawimawh tak, thluak, thinlung emaw, kal emaw-a thisen supply chu a tawp nghal emaw, nasa taka a tlahniam emaw chuan.
• Acute pancreatitis: Hei pawh hi natna khirh tak a ni.
• Damdawi ei avanga thil tha lo: Damdawi thenkhat ei hian taksain a chhe thei hle.
• Bacterial infection: Bacteria infection na tak tak, pneumonia leh meningitis te.
• Thisen cancer (hematologic malignancy): Leukemia, lymphoma, leh multiple myeloma te ang chi natna.
• Kangmei: Kangmei lian tak tak avangin SIRS hi a awm thei bawk.
• Erythema multiforme: Hei hi vun natna nasa tak a ni.
• I intestines-a thisen kal loh leh gastrointestinal perforation.
• Damdawi lam ni lo substance hman leh overdose.
• Vasculitis: Hei hi thisen kalna kawnga inflammatory condition a ni.
• Toxic shock syndrome: Hei hi bacteria infection avanga nunna atana hlauhawm tak a ni bawk.
• Trauma leh surgery nena inzawm trauma.
• Viral flu ang chi dinhmun: A chang chuan flu pangngai pawh a nasat chuan SIRS ah a chang thei.
• Immune system chak lote zingah fungal infection zau tak a awm.

Tunah chuan SIRS hi chhan tam tak avangin a lo awm thei tih i hrethiam tawh mai thei.

Tute nge SIRS vei theihna chance sang zawk?

Mi thenkhat chuan midang aiin SIRS an vei tam zawk. Tute nge an nih i chhui chhuak ang u.

• Kum: Naupang tê tê leh kum 65 chunglamte chu an hlauhawmna a sang zawk a, a chhan chu heng mi pahnihte taksa chakna (immune system) hi a chak lo deuh thei a ni.
• Immune system chak lo neih: Cancer enkawl mek te, HIV vei te, leh taksa peng thlak tawh te hian immune system a chak lo a, SIRS an vei tam zawk a ni.
• Chronic conditions: Hun rei tak chhunga natna nei, zunthlum, cirrhosis (liver hardening), leh COPD (chronic obstructive pulmonary disease) te pawh an hlauhawm hle.
• Infection awm tawh: Infection i neih tawh chuan, pneumonia, meningitis, cellulitis (vun natna) te hi a nasat phah a, SIRS-ah a kal zel a rinawm.

Chuvangin nangmah emaw i hriat emaw hian heng risk factors te hi i neih chuan SIRS symptoms hi a bik takin hriat a pawimawh hle.

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

SIRS hi nunna atana hlauhawm thei a nih avangin doctor-te chuan a hma thei ang bera hriat chhuah an tum thin. Chutiang ti tur chuan a hnuaia mite hi an hmang thin:

• Taksa enfiah: I taksa enfiah a ni a, a bik takin chhinchhiahna pawimawh tak tak, khawsik, thinlung thawk, thawk hah, leh thisen sang te enfiah a ni.
• I natna lan chhuah dan: I rilru hahna i neih dan uluk takin kan zawt che a.
• I damdawi lam chanchin: I natna hmasa leh damdawi i ei tawh ang chi thilte zawhna i dawng ang.
• SIRS awm chhan awm thei: SIRS thlen chhan hi hriat theih a nih chuan diagnosis-ah pawh a pui dawn a ni.

A tlangpuiin heng symptoms nei doctor chuan SIRS hi a ringhlel ang a, enkawlna a tan nghal ang. Mahse, chu bâkah, i hriselna endik belh nân leh SIRS lo awm chhan dik tak hriat nân test dang engemaw zât an ti thei bawk. Entir nan:

• Thisen test: Hengte hian thil tam tak a check thei. Entirnan, basic metabolic panel, complete blood count (CBC) (hei hian thisen var awm zat a enfiah), lactic acid test, liver function test, kidney function test, etc.
• Thisenah oxygen level a awm.
• Urinalysis tih a ni.
• Bacterial culture test: Infection a awm leh awm loh hriat nan leh a awm a nih chuan eng bacteria atanga lo chhuak nge tih hriat nan.
• Imaging test hrang hrang:X-ray emaw CT scan ang chi thilte hian taksa chhunga thil thleng a tarlang thei a ni.

SIRS tehfung a ni

SIRS vei nia hriat tur chuan a hnuaia symptom pahnih tal i neih a ngai a ni:

• Taksa lumna: 38 degree Celsius (100.4 Fahrenheit) aia sang emaw, 36 degree Celsius (96.8 Fahrenheit) aia tlahniam emaw a ni.
• Heart rate: Minute khatah beat 90 aia tam a tihsan.
• Respiratory rate: Minute khata thawk zat 20 aia tam a pun emaw, thisena CO2 partial pressure 32 mmHg aia a tlahniam emaw a ni.
• Leukocyte (thisen var) zat: 12,000 chuang a pung.

Mahse naupang tan chuan heng tehfungte hi a danglam deuh hlek a ni. SIRS vei nia hriat tur chuan thisen var (white blood cell count) pangngai lo leh taksa lum leh vawt pawh a danglam a ngai a ni. Hei hi a chhan chu naupangte heart rate leh respiratory rate hi puitling aiin a sang deuh tlangpui a ni.

SIRS hi engtin nge enkawl a nih?

SIRS enkawlnaah hian thil pawimawh pahnih ngaihtuah tur a awm. Pakhat chu SIRS thlentu bulpui enkawlna a ni. A dang chu multi-organ dysfunction syndrome (MODS) venna a ni. SIRS awm chhan a zirin enkawl dan pawh a inang lo thei. Mahse, enkawl dan tlangpui thenkhat chu hetiang hi a ni:

• Vein hmanga tui pek (IV fluids): Hei hian taksa peng hrang hrangah thisen a kal tha thei a, thisen sang a tlahniam lutuk loh nan a pui bawk.
• Antibiotics: SIRS hi bacteria infection avanga lo awm a nih chuan heng damdawi te hi pek thin a ni.
• Vasopressor damdawi: I thisen sang a hniam lutuk chuan hengte hi a pangngaia a awm leh theih nan pek thin a ni .
• Corticosteroids: Hengte hi taksa chu shock-a a luh loh nan emaw, chutiang dinhmun atanga a lo harh chhuah theih nan emaw hman a ni.
• Insulin through a vein (IV insulin): Thisen sugar level (a tul chuan) control theih a ni.
• Surgery: Entirnan, exploratory surgery hmangin hliam hring hring atanga zun (pus) lakchhuah te, tissue chhia te lakchhuah te, a nih loh leh chhungril lama thil dik lo awm te hriatchhuah te.

Ngaihtuah teh, kal (kidney failure) i neih chuan dialysis (thisen tihthianghlim) i mamawh mai thei. Chutiang bawkin thawk lama harsatna i neih chuan mechanical ventilator nena inzawm a ngai mai thei.

SIRS atanga dam leh theih a ni em? Eng ang thlirna nge ni ang?

SIRS prognosis hi thil engemaw zatah a innghat a ni.

• Engtiang chiahin nge i natna hmuhchhuah leh enkawl i nih thuai.
• SIRS hi eng nge a bulpui ber?
• SIRS vei theihna tur risk factor i neih leh neih loh (e.g., immune system chak lo).

Thu lawmawm tak chu enkawl vat a nih chuan SIRS vei tam zawk chu an dam chhuak vek a, nun pangngaiah an kir leh thei a ni. Mahse, hei hi natna khirh tak a ni a, a chang chuan thihna thlen thei a ni. SIRS avanga thihna hi 7% vel a ni. A bik takin sepsis vanga thihna rate chu hetiang hi a ni:

• Sepsis tan chuan: 1.3%
• Sepsis na tak tan chuan: 9.2%
• Septic shock (sepsis avanga natna awm) tan chuan 28% .

Chuvangin SIRS natna lanchhuahna a lan veleh damdawi lam thurawn lak a pawimawh hle a, thihna hlauhawm a awm avangin.

SIRS avanga harsatna awm thei te chu engte nge ni?

SIRS (a bik takin infection avanga lo awm a nih chuan) hi sepsis na tak emaw septic shock emaw thlengin a kal thei a ni. Multi-organ emaw single-organ emaw failure a thlen thei bawk. Chu bakah, harsatna hrang hrang:

• Acute adrenal insufficiency: Hei hi i adrenal glands ten cortisol ang chi hormone pawimawh tak tak an siam chhuah tlem vang a ni.
• Acute encephalopathy: Thluak natna eng pawh, thluak hnathawh emaw, a insiam dan emaw tichhe thei.
• Acute Respiratory Distress Syndrome (ARDS): Chuap natna nasa tak a thlen thin.
• Acute transaminitis: Liver hnathawh tichhe thei enzyme thenkhat level tihpun.
• Acute tubular necrosis: Kal (kidney) tichhe thei.
• Thisen hi thisen kalna kawng thuk takah a awm (Deep Vein Thrombosis - DVT).
• Disseminated Intravascular Coagulation (DIC): Hei hian taksa pum puiah thisen zam te te a siam a, chu chuan thisen a tipung a ni.
• Hemolysis: Thisen sen (red blood cells) tihchhiatna.
• Metabolic acidosis: Taksa a acidity a tipung.
• Thrombocytosis (platelet count tihpun) emaw thrombocytopenia (platelet count tlahniam) emaw a awm thei.

Heng harsatna thenkhat hi enkawl leh tihdam theih a ni a, tihdanglam theih a ni bawk. Mahse ṭhenkhat, thluak chhiatna ang chi chu a awm reng thei a ni. Chuvang chuan SIRS hi a hlauhawm em em a ni.

SIRS laka inven nan eng nge kan tih theih ang?

SIRS hi pumpelh vek theih ni lo mah se, a lo awm theihna tur tihtlem nan thil tlemte kan tih theih a awm. Eng nge an nih i en ang u.

• Faina dan tha zawm fo ang che: Viral infection laka inven tum la, a bik takin kut sil ang chi thil hmangin.
• Hliam hliam leh hliam dangte a dam hma loh chuan fai taka vawn reng: Hliam te tak te pawh a hring lo turin fimkhur rawh.
• Vaccine recommended a hun taka lak: Hei hian natna tam tak lakah a veng thei.
• Chronic conditions tan damdawi mumal tak la rawh: Zunthlum leh thisen sang ang chi natna te hi control a pawimawh hle.
• Thil awm tawh emaw, natna emaw chhinchhiahna a zual chuan doctor pan rawh: Thil tenawm tak chu ngaihthah suh.
• Hliam na tak i neih emaw, hri kai i rinhlelh emaw chuan damdawi lam pan nghal rawh: Enkawlna rang tak chuan chhiatna lian tham a veng thei.

Take-Home Thuchah hnuhnung ber

I hriat reng tur hmasa ber chu SIRS (Systemic Inflammatory Response Syndrome) hi medical emergency a ni a, nunna atana hlauhawm thei a ni . SIRS laka inven nan chuan natna hrik, damdawi lam thila harsatna awm emaw, hliam na tak emaw a awm chuan enkawl vat a pawimawh hle. Enkawl loh chuan SIRS hian harsatna lian tak a thlen thei a, thihna thlengin a thlen thei bawk. SIRS vei theihna tur risk factors (e.g., immune system chak lo, natna khirh tak) i neih chuan, chutiang risk te chu i enkawl dan tur te, SIRS symptoms te chu eng nge ni tih leh a lo awm a nih chuan eng nge tih tur tih te chu i doctor nen sawiho rawh. I hriselna enkawl la, hriattirna pe rawh. Chu chu a pawimawh ber a ni! SIRS, Systemic Inflammatory Response Syndrome, Sepsis, Sepsis, Inflammation, Infection, Taksa Chhanna, Emergency Treatment te a ni