I taksa chhungah hian harsatna lian tak a awm em? Waterhouse-Friderichsen Syndrome chungchang hi i zir dawn teh ang!

Taksa chhunga gland te tak te pahnih hian hna an thawk tawh lo va, chu chuan i nunah nghawng lian tak a nei thei tih i hre ngai em? Vawiin hian hetiang dinhmun hlauhawm tak hi kan sawi dawn a, enkawl vat loh chuan thihna thlen thei a ni. Hei hi Waterhouse-Friderichsen Syndrome an ti a. A hming hi sei deuhin lang mah se, eng nge a nih, engvangin nge a lo awm tih leh engtin nge kan dam khawchhuah theih tih te hi han sawi mai ila.

He Waterhouse-Friderichsen Syndrome hi eng nge ni?

A awlsam zawngin sawi ila, Waterhouse-Friderichsen Syndrome (WFS) hi natna khirh tak a ni. Thil thleng chu i adrenal glands , i kal chunga awm gland te tak te pahnih te chu thisen chhuak (hei hi `adrenal hemorrhage` kan ti) a, heng gland pakhat emaw pahnih emaw hian hna an thawk tawh lo. A tam zawkah chuan hei hi infection na tak avanga lo awm a ni. Enkawl loh chuan heng adrenal glands te hian kan taksa tana pawimawh hormone cortisol siam chhuah chu an titawp vek mai. Hei hi adrenal crisis kan tih chu a ni . A dik tak chuan emergency a ni!

Hei hi hming dang a awm a, chu chu ``hemorrhagic adrenalitis'' tih a ni.Chu chu adrenal glands thisen chhuakin a inflamed tihna a ni.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Dik tak chuan Waterhouse-Friderickson syndrome hi a awm lo hle . A tlangpuiin, autopsy-ah chuan he natna hian thihna 1% vel chauh a thlen tih hmuhchhuah a ni. Chumi awmzia chu mi zawng zawng tuar thei natna a ni lo va, a lo awm a nih chuan a hlauhawm hle tihna a ni.

He natna lan chhuah dan engte nge ni?

Ngaihtuah teh, virus emaw bacteria emaw i kai nghal a, he WFS condition hi i nei ta a ni. Tichuan, infection symptoms i lantir nghal thei a ni. Chu chu eng nge a nih i hria em?

• Ka khawsik a sang chho zel a.
• Taksa chu a vawt a, a khur (Chills).
• Ka lu a na hle mai.
• Ka luak chhuak ang, ka luak chhuak ang.
• Ka taksa ruhte chu a na a, a bik takin ka hnungzang hnuai lam, ka pum leh ka ke te ang chi hmunah te chuan a na hle.
• Ka ruh a na.
• A châng chuan hriatna hloh (syncope) a awm thei bawk.

He thisen chhuahna hian adrenal glands chauh ni lovin taksa peng dang a nghawng tan chuan symptom dang a lang thei bawk. Chung zingah chuan:

• Disseminated intravascular coagulation (DIC): Hei hi a buaithlak deuhin a lang a ni lawm ni? A awlsam zawngin sawi ila, taksa pum puia thisen zam (blotting process) chu a kal chak lo (haywire) thin natna a ni. Hmun khata thisen zam a lo awm chuan hmun dangah thisen chhuah a titawp thei lo.
• Vun natna: 1.1.A chang chuan vunah hian dot te te emaw, spot lian tak emaw angin an lang thei bawk.
• Septic shock: Hei hi natna hrik kai avanga thisen sang hlauhawm taka a tlahniam a, taksa peng hrang hrangin thisen an dawng tlem phah thin. Hei pawh hi a hlauhawm hle.

Adrenal gland thisen chhuak hian eng symptoms nge a neih?

WFS hi adrenal hemorrhage nen a inzawm a, hei hi symptom dang nen a inzawm thei a ni:

• Pum a na.
• Kawr chunglam, ruh (loins) hnuai lam a na.
• Malaise, nuam lo tihna.
• Sluggishness a ni.
• Nausea leh luak chhuak.
• Kawthalo.

Eng thilin nge hei hi a thlen?

A tam zawkah chuan Waterhouse-Friderickson syndrome thlentu ber chu bacteria leh virus infection (sepsis) vang a ni. A dik zawka sawi chuan hrik pakhat chu taksaah a lut a, thunun lohvin taksa pum puiah a darh vek a ni.

Bacteria chi thenkhat chu a bik takin hetiang hi an vei thei hle. Entirna tlemte chu hetiang hi a ni:

• `Pseudomonas aeruginosa` tih a ni
• Meningococcus bacteria: Hei hi WFS thlen theitu hlauhawm ber a ni.
• `Streptococcus pneumoniae` tih hi a ni
• `Haemophilus influenzae` tih hi a ni
• `Escherichia coli (E. coli)` tih a ni
• `Staphylococcus aureus` tih hi a ni

Bacteria chi dang tam takin hetiang hi a thlen thei a ni.

Tin, virus chi thenkhat chuan hetiang hi a thlen thei bawk:

• Cytomegalovirus (CMV) natna hrik pai a ni.
• Parvovirus `(Parvovirus)` tih hi a ni
• Epstein-Barr virus a ni
• Ebola hri `(Ebola virus natna)`
• Varicella-zoster virus (hei hi chickenpox leh herpes ang chi natna thlentu a ni) .

Heng hri kai bakah hian WFS vei theihna tur thil dang engemaw zat a awm a:

• Anticoagulant damdawi hman. Chungte chuan thisen chhuah theihna a tipung a ni.
• Thrombocytopenia: Hei hian thisen a platelet (thisen titawp tura puitu cell) a tlahniam tihna a ni.
• Adrenal glands te hi eng emaw ti takin a chhe tawh a.

Hetiang dinhmun hian tute nge a nghawng nasa ber?

Waterhouse-Friderickson syndrome hi puitling aiin naupang tê têah a awm tam zawk . Chuvangin naupang tê têin khawsik leh taksa na ang chi symptoms a neih chuan fimkhur hle tur a ni.

Hei hian eng harsatna nge a thlen theih?

Hei hi a pawimawh ber a ni. Rang leh mumal taka enkawl loh chuan Waterhouse-Friderickson syndrome hi thihna thlen thei a ni. Chu chu nunna atana hlauhawm a ni thei tihna a ni. Chuvangin hei hi emergency anga ngaih tur a ni.

He natna hi engtin nge an hriat chhuah?

He natna hi hriat chian nan hian doctor puihna i mamawh tak zet a ni. Doctor chuan i symptoms te a zawt ang che a, i natna hmasa te a zawt ang che a, chumi hnuah i taksa chu a enfiah leh ang.

Mahse WFS hriatchhuah chu a harsa deuh thei a, a symptoms hi septic shock nen a inang hle a ni. Chuvangin WFS a nih leh nih loh finfiah nan Doctor chuan test chi hrang hrang a order ang.

Natna hriat theih nan eng test nge hman thin?

Infection a awm leh awm loh finfiah nan doctor chuan a hnuaia test te hi a ti thei ang:

Imaging test te pawh a awm

• Ultrasound scan emaw CT (computed tomography) scan emaw hmangin adrenal glands chhunga thisen a awm leh awm loh enfiah theih a ni. Heng scan-te hian taksa chhung lam thlalak a la a, chuvangin thisen chhuahna hmunte chu chiang takin a hmu thei a ni.

Thisen test a ni

• Thisen test hian bacteria infection i nei em tih a chiang thei. Hei hian i kut vein pakhat atanga needle te tak te lak a, thisen tlemte lak a, microscope hmanga en a huam a ni. Hei hian hri kai chhinchhiahna a zawng ang.

Meningococcus bacteria test a ni

Doctor chuan a chhan chu meningococcus bacteria a nih a rin chuan hetiang test hi an ti thei ang:

• Spinal tap / lumbar puncture: Hei hi i hnungzang hnuai lam, vertebrae pahnih inkar ah needle te tak te dahin, spinal fluid tlemte lak a ni. Hei hi hlauhawm tak angin a lang thei a, mahse doctor-te chuan fimkhur takin an ti thin.
• Skin biopsy: I vunah hliam i neih chuan vun te tak te chu la chhuakin an enfiah ang.
• Gram stain test: Bacteria zawng turin rinhlelhna hmun (hliam ang chi) atanga sample lak a ni.
• Urinalysis: I zun tur chu bawm bik ah i zun tir ang. Chumi hnuah zun sample chu hri kai chhinchhiahna a awm leh awm loh endik a ni ang.

Acute adrenal crisis test hmanga enfiah a ni

Heng test-te hian adrenal crisis , adrenal glands-te hnathawh ṭhat lohna dinhmun i neih leh neih loh hriat theih nan a pui a ni:

• Adrenocorticotropic hormone (ACTH) stimulation test: He test-ah hian i doctor chuan ACTH an tih hormone injection te tak te a pe che a. Tichuan, minute 30 atanga 60 hnuah thisen sample an la a, i adrenal glands ten ACTH an chhan dan an en a. Hei hi i adrenal glands te hnathawh that dan tehna test a ni.
• Thisen thlum test dan: 1.1.Thisen tlemte lak a, a chhunga sugar (glucose) awm zat an teh thin. Adrenal crisis lai hian sugar level a hniam thei.
• Cortisol test: I thisen, zun, hmui emaw, heng zinga pahnih emaw pathum emaw sample lak a, i adrenal glands-in cortisol engzat nge a siam tih enfiah a ni.
• pH thisen test: Thisen sample lak a, a acid-base level (pH) teh a ni. Hei hi arterial blood gas (ABG) test emaw electrolyte panel emaw hmanga tih theih a ni. A tlangpuiin kan thisen pH hi 7.35 leh 7.45 inkar a ni tur a ni.
• Potassium blood test: I thisen a potassium awm zat tehna atana thisen test a ni. Potassium hi nutrient a ni a, kan nerve leh muscle te a thawk tha hle. Heng level te hi adrenal crisis lai hian a danglam thei a ni.
• Sodium thisen test: Thisen test hian i thisena sodium awm zat a teh a. Sodium hi i nerve leh muscle te hnathawh dan tur dik tak atan pawh a pawimawh hle. Heng level te hi a inang lo thei bawk.

Hei hi engtin nge enkawl a nih?

WFS i neih chuan sepsis i nei thei bawk . Chuvangin, doctor-te’n an tih hmasak ber tur chu WFS thlentu dik tak hriat tumin test an neih lai hian antibiotics ei tir nghal che hi a ni. I electrolyte (salt) leh tui level te pawh an enfiah bawk ang.

Sepsis natna lan chhuah dan chu thunun theih a nih hnuah doctor-te chuan damdawi glucocorticoids leh mineralocorticoids tih te chu an pe tan ang che. Hengte hi steroid hormone an ni. Glucocorticoids hian taksaa inflammation tihziaawmna turin hna a thawk a. Mineralocorticoids hian i taksa chi leh tui level a tidanglam thei a ni. A awlsam zawngin sawi ila, i adrenal glands-in a siam chhuah tur, mahse a siam chhuah loh hormone pek che ang mai an ni.

Thisen pek emaw, angioembolization tih emaw i mamawh mai thei. Hei hian angiogram leh thisen zam (embolization) hmanga adrenal glands-a thisen petu thisen kalna kawngte hriatchhuah leh block a huam a ni. Hei hi thisen chhuah tihtawp nan tih a ni.

A pawimawh ber chu WFS hnuah chuan mi tam tak chuan an dam chhung zawng hormone damdawi dang ei a ngai dawn a ni , a chhan chu vawi khat adrenal glands a chhiat chuan hormone an siam tha thei tawh lo mai thei.

Engtiang chiahin nge enkawl hnuah ka dam leh thuai ang?

Mi tam zawk chuan enkawlna an tan atanga kar khat emaw kar hnih emaw chhungin an dam tan thin . Mahse, i dam kim hnuah pawh thla tam tak chhung, kum tam tak chhung chu taksa emaw rilru lam emaw harsatna engemaw zat i la nei thei tho. Entir nan:

• Chaw chu a thlum lo.
• Chau lutuk.
• Mut harsa (insomnia).
• Damlo awlsam taka awm duhna.
• Hlauhthawnna.
• Lungngaihna.

Chuvangin a dam kim theih nan hun eng emaw chen a la ngai mai thei tih hriat reng a pawimawh.

He natna hi i kai a nih chuan eng nge i beisei theih ang?

Kan sawi tawh ang khan enkawl loh chuan WFS hi thihna thlen thei a ni. Rinhlelhna a awm lo.

Mahse, a hmaa enkawl, uluk taka enkawl leh siamthat a nih chuan WFS vei tam zawk chu an dam leh thin. Mahse, damdawi lam enkawlna nasa tak i mamawh mai thei a, WFS hian thla tam tak, kum tam tak chhung pawh a daih thei a ni. Chuvangin, ngaihthah tur thil a ni lo.

Hetiang dinhmun hi ven theih a ni em?

Waterhouse-Friderickson syndrome vei theihna tur thil engemaw zat a awm a:

• Kut sil fo leh uluk taka silfai hian natna hrik a veng thei a ni. Hei hi thil awlsam tak a ni a, mahse natna tam tak lakah a chhanhim thei che a ni.
• Naupang tan chuan meningococcal bacteria vaccine lak hi a pawimawh hle.
• Infection i neih i rinhlelh chuan enkawlna zawng nghal rawh. Khawsik emaw, khuh emaw te chu ngaihthah suh.

I dam leh lai hian engtin nge i in enkawl?

I dam chhoh zel chuan nang leh i doctor chuan i tana remchang, him leh tha ber tur rehabilitation plan siam turin in thawk ho tur a ni. Chu ruahmannaah chuan:

• Chawlh hahdam tam rawh. Taksa leh rilru pawhin chawlh hahdam a mamawh a ni.
• I chakna neih leh theihna tura puitu tur ei leh in inthlau tak zawm hi thil tha tak a ni. Hemi atan hian nutritionist hnen atangin thurawn i la thei a nih chuan a ropui hle ang.
• Tum tenau te siam rawh. Entirnan, khumah thut, ding, mahni chauha inchei, inbual, hla vak lo kal, stairs pakhat chhoh te.
• Heng hun harsa tak karah hian i chhungte, i thiante emaw, therapist emaw nena i rilru put hmang sawipui hi a pawimawh hle.
• Chakna leh chakna i neih hunah exercise la. Zawi zawiin tan la, doctor thupek angin exercise la.

Engtikah nge Doctor ka hmuh ang? / Engtikah nge emergency room-ah ka kal ang?

Enkawlna hnuah pawh i la dam lo a nih chuan, emaw, i rehabilitation tum i thlen harsat a nih chuan, i doctor nen inbiakna neihpui ngei ang che.

WFS hi natna khirh tak a ni a, enkawl loh chuan thihna thlen thei a ni. WFS symptoms i neih chuan, entirnan, infection a zual zel a, a bo lo a nih chuan emergency room (ETU) ah i kal nghal tur a ni.Hei hi sawn hlat a tha lo.

I doctor hnenah eng zawhna nge i zawh tur?

WFS i nei tih i hriat chuan zawhna tam tak i nei mai thei. Hlau suh, i rinhlelhna tihfel nan i doctor hnenah hetiang zawhna hi zawt la:

• Engtin nge Waterhouse-Friderickson syndrome ka vei tih i hriat?
• Waterhouse-Friderickson syndrome ka neih loh chuan eng natna dang nge ka neih theih ang?
• Ka Waterhouse-Friderickson syndrome hi eng nge a chhan?
• Ka adrenal glands siamthat nan operation ka neih a ngai dawn em ni?
• Ka dam leh vek i ring em?
• Hormone extra ka ei a ngai dawn em ni?
• Eng chen nge hormone dang ka ei a ngai dawn?

Chuti a nih chuan, he thil atang hian eng thil nge kan hriat reng tur pawimawh ber?

Waterhouse-Friderichsen syndrome (WFS) hi natna khirh tak a ni a, damdawi lam pan vat a ngai a ni. Heng symptoms te hi i neih chuan, a nih loh leh infection i neih chuan a dam lo a nih chuan emergency room-ah a rang thei ang bera kal a pawimawh.

I doctor-in enkawl dan tur a pek zawng zawng chu dik takin zawm rawh. Chumi hnuah chauh chuan he WFS condition hi i control thei ang a, a rang thei ang bera i recover thei ang. Inenkawl hmasak hian nunna a chhanhim thei tih hre reng ang che! Tin, i dam chhung hian i in enkawl that a pawimawh hle bawk.

` Waterhouse-Friderichsen syndrome, adrenal glands, cortisol, sepsis, natna hrik, emergency care, hormone te