E mōhio ana koe ki te mate kino e kiia nei ko te sepsis? Me kōrero tāua!

I mōhio koe i ētahi wā ka huri te makariri noa, te maremare, te whara iti rānei hei raruraru nui? Waihoki, he mate morearea te sepsis e puta ana ina kaha te urupare a te tinana ki tētahi mate. He āhuatanga ohorere hauora tūturu tēnei, ā, ka mate pea mēnā kāore e tere te rongoā. Nō reira, he mea nui kia mōhio ki tēnei.

He aha tonu te sepsis?

I te whakarapopototanga, ko te sepsis te wā e nui rawa ai te urupare a te pūnaha ārai mate o tō tinana ki tētahi mate i roto i tō tinana. I te nuinga o te wā, ina puta he mate, ka whawhai ā tātou pūtau ārai mate, e rite ana ki ngā hōia i roto i tō tātou tinana. Engari i roto i te sepsis, hei utu mō te whawhai ki te mate, ka tīmata tēnei pūnaha ārai mate ki te kino i ngā pūtau hauora, ngā kiko, me ngā okana o te tinana. Ka puta he mumura nui puta noa i te tinana. Whakaarohia, i taua wā anō, ka puta he tauhohenga mekameka rerekē i roto i tō tātou pūnaha toto toto ka puta he toto toto i roto i ngā oko toto. Pērā i te wā e mau ai te paru ki roto i te paipa wai, ā, ka mutu te rere o te wai, ka whakaitihia e ēnei toto toto te rere o te toto ki ngā okana rerekē o te tinana. Ka taea e tēnei te kino nui ki aua okana, ā, i ētahi wā ka pakaru. E mārama ana koe ki te kino o tēnā?

Me ako anō hoki tātou mō ngā wāhanga o te sepsis?

I mua, e toru ngā wāhanga o te sepsis e kōrerohia ana e ngā tākuta: te sepsis, te sepsis kino, me te septic shock. Engari i nāianei, kāore rātou e wehewehe i tēnei ki ngā wāhanga pērā. I nāianei, e kiia ana he mate whānui. Ka tīmata me te mate pāwera me te bacteremia, arā, te noho mai o ngā huakita i roto i te toto. Mai i reira, ka taea te haere ki te sepsis, ā, mai i reira ki te septic shock. Ko te septic shock te wāhanga tino kino, ka ngoikore ngā whekau maha, ā, ka mate pea.

Ko wai te mea tino tūpono ka pāngia e te sepsis?

Ka pā te mate pāwera ki te tangata katoa. Heoi, he nui ake te mōrearea o te hunga e pangia ana e te mate, inā koa te bacteremia (te noho mai o ngā huakita i roto i te toto). Hei tāpiri, he nui ake tō mōrearea mēnā kei a koe tētahi o ēnei āhuatanga e whai ake nei:

• Mena kua neke atu i te 65 tau tō pakeke.
• Mena kei te hapu .
• Mena kei a koe ngā mate pūmau pēnei i te mate huka , te momona , te mate pukupuku, me te mate tākihi .
• Mena he ngoikore te pūnaha ārai mate (hei tauira, te hunga kua pangia e te HIV , te hunga e rongoatia ana ki te mate pukupuku ).
• Mena kei te hōhipera koe nā ētahi atu mate hauora.
• Mena he nui ō weranga, he whara kino rānei.
• Mena he catheter, he IV, he ngongo manawa rānei kei roto i tō tinana.

Kei roto hoki i te mōrearea ngā pēpi hou me ngā tamariki nohinohi. Kāore anō kia tino whanaketia ō rātou pūnaha ārai mate, ā, he uaua ki a rātou te whawhai ki ngā mate pāwera.

I te Hononga o Amerika anake, neke atu i te 1.7 miriona tāngata e pūrongohia ana ka pāngia e te sepsis i ia tau. E whakaatu ana tēnei i te whānui o tōna pānga. Ko te sepsis te mea tino noa i waenga i te hunga kaumātua. Ka piki ake te mōrearea i te pakeketanga i muri i te 65 tau.

He aha ngā tohu o te sepsis?

Ka pā te sepsis ki ngā wāhanga rerekē o te tinana, nō reira he maha ngā tohu. Ko ngā tohu tuturu e whakawhirinaki ana ki te momo mate i tīmata ai. I ētahi wā, mēnā ko te sepsis te take o tētahi mate e kiia nei ko te septicemia, ka puta pea he ponana ki tō kiri. Ka kiia tēnei he ponana sepsis. Ka taea e tēnei te whero me te huri i te tae o te kiri. Ka kitea pea e koe ngā ira whero iti, pouri ki tō kiri. Ko ētahi atu tohu noa o te sepsis ko:

• Te hekenga o te mimi, te āhua rānei me mimi pinepine koe.
• Ngāwari/ngoikore.
• Te pikinga o te tere o te manawa (te tere o te manawa).
• Te toto toto iti.
• Te kirika, te tino iti rānei o te pāmahana tinana (hypothermia).
• Te wiri o te tinana, te makariri rānei.
• Ka wera, ka mākū rānei te kiri i te werawera.
• Te pōhēhē, te oho rānei.
• Te tere o te manawa (te nui o te manawa) te uaua rānei o te manawa.
• Te mamae e kore e taea te tohe, te kore rānei e pai.

Mena kei a koe tētahi, ētahi rānei o ēnei tohu, inā koa mēnā e mōhio ana koe kei a koe te mate urutā, he mea tino nui kia rapu tohutohu hauora tonu! Kaua e moumou taima.

He aha ngā take o te sepsis?

Ko te tino take o te sepsis ko ngā mate kitakita. Heoi, ka taea hoki e ngā mate harore, pirinoa, me te huaketo te take o te sepsis. He māmā noa iho, ka puta te sepsis ina puta he tauhohenga mekameka puta noa i te tinana nā te mate i roto i tō tinana, ka ngoikore ai ō whekau. Ka taea e te mate e puta ai te sepsis te tīmata i ngā wāhi rerekē o tō tinana. Ko ngā momo me ngā wāhi tino noa o te mate e puta ai te sepsis ko:

• Pūnaha manawa:
• Ngā mate pukupuku, hei tauira, te niumōnia.
• Pūnaha mimi:
• Ngā mate urutā o te ara mimi, inā koa mēnā he catheter tāu.
• Pūnaha nakunaku:
• Te āpuku.
• Ngā raruraru o te puku.
• Te mate urutā o te puku (Peritonitis).
• Ngā mate pukupuku o te puku, o te ate rānei.
• Pūnaha io matua:
• Ngā mate urutā o te roro, o te taurakira rānei.
• Kiri:
• Ka taea e te huakita te tomo mā roto i ngā patunga, i ngā pakaru kiri, mā te whakaurunga rānei o ngā katitere me ngā werohanga IV.
• Ngā āhuatanga pēnei i te cellulitis (te pupuhi o te kiko honohono o te kiri).

He mate hopuhopu te sepsis?

Kāo, ehara te sepsis i te mea hopuhopu - arā, kāore e taea e koe te hora i te sepsis ki tētahi atu. Heoi, ko ngā mate e puta ai te sepsis (hei tauira, te niumōnia, ngā mate kiri) ka taea te hora mai i te tangata ki te tangata. Koia te mea nui kia pai te akuaku me te horoi i ō ringaringa.

Me pēhea te tautuhi a ngā tākuta i te sepsis?

He mea nui kia tere te kite i tētahi tangata e pangia ana e te sepsis, nā te mea me tere te tīmata o te maimoatanga. Kāore he whakamātautau kotahi e taea te kī mēnā he sepsis tōu. Nō reira, ka whakakotahi ngā tākuta i ngā mōhiohio mai i te whakamātautau tinana, ngā whakamātautau taiwhanga maha, ngā hihi-X, me ētahi atu whakamātautau hei whakatau tuatahi he aha te mate (hei tauira, ngā ahurea toto), kātahi ka whakatau mēnā he sepsis tōu. I ētahi wā ka whakamahia e ngā tākuta tētahi tikanga hei whakatau wawe mēnā he sepsis tō tētahi tūroro. Ka kiia ko te qSOFA (aromatawai ngoikore o te okana raupapa tere) . Ko te tikanga o tēnei ko te rapu i te iti rawa e rua o ngā tohu e whai ake nei me te mate kua whakapumautia, kua whakapaetia rānei:

• Te toto toto iti: Ko te toto toto systolic (te tau teitei) he iti iho i te 100 mirimita o te mercury (100 mmHg).
• Te tere o te manawa: Te manawa neke atu i te 22 ngā wā ia meneti.
• Te Ine i te Tauine Koma o Glasgow kua Whakaitihia:He kaute 15, iti iho rānei i runga i tēnei tauine e ine ana i te aroāroaro (arā, te aroāroaro iti).

Hei tāpiritanga, ka whakahaerehia pea e tō tākuta ētahi atu whakamātautau hei whakatau i te momo mate kei a koe, me te mea kua pā mai he kino ki ngā okana. Hei tauira:

• Ngā whakamātautau toto: Te tatau toto katoa (CBC), ngā ahurea toto, ngā whakamātautau hei tirotiro i te mahi ate me te whatukuhu rerekē, ngā raruraru toto totoka, me ngā rerekētanga o te electrolyte.
• Te taumata hāora i roto i te toto: He whakamātautau e ine ana i te nui o te hāora i roto i tō toto.
• Ngā whakamātautau mimi: Te tātaritanga mimi me te ahurea mimi.
• Ngā whakamātautau whakaahua: Ngā mea pēnei i ngā hihi-X me ngā karapa CT.

He aha ngā maimoatanga mō te sepsis?

Me tīmata tonu te maimoatanga o te sepsis. He mea nui te tautuhi wawe me te maimoatanga tere. He mea nui ia meneti. Mena ka tautuhia koe e te tākuta he sepsis, ka whakaurua koe ki te wāhanga tiaki nui (ICU) o te hōhipera mō te tiaki motuhake. Ka whiwhi pea koe i te maimoatanga pēnei i:

• Ngā rongoā paturopi: Mena he mate kitakita tōu, ka tīmata wawe tonu te hoatu i ngā rongoā paturopi.
• Wai IV (ā-uaua): Ka hoatu he wai mā roto i te uaua hei pupuri i te rere o te toto ki ō whekau, hei ārai hoki i te heke rawa o tō toto toto.
• Ngā rongoā vasopressor: Ko te mahi a ēnei rongoā mā te whakawhāiti i ngā uaua toto. I ētahi wā, ka hiahiatia pea hei pupuri i te toto totoka e tika ana.
• Te manaaki tautoko e hiahiatia ana: Mena ka puta te ngoikore o ngā okana, hei tauira, te ngoikore o te whatukuhu, ka hiahiatia pea te dialysis, mena ka puta he uauatanga manawa, ka hiahiatia pea ētahi atu maimoatanga, pēnei i te manawa miihini.
• Pokanga: Tērā pea ka hiahiatia te pokanga hei tango i te kiko kua pakaru, hei tango rānei i te pūtake o te mate.

Me pēhea te ārai i te sepsis?

He maha ngā mea ka taea e koe te mahi hei ārai i te sepsis. He tino māmā ēnei engari he mea nui:

• Kia pai te akuaku, ina koa te horoi ringa i ngā wā katoa. Horoia pai ō ringaringa ki te hopi me te wai i mua i te kai, i muri i te whakamahi i te wharepaku, me mua i te pā atu ki te patunga.
• Te pupuri i ngā motu me ngā patunga kia ma, kia hipokina kia ora rā anō.
• Te whiwhi i ngā kano ārai mate kua tūtohutia i te wā tika. Hei tauira, te kano ārai mate niumōnia, te kano ārai mate rewharewha, me ētahi atu.
• Mena kei a koe ngā mate mau tonu (hei tauira, te mate huka), me tiki te maimoatanga hauora tika, ā, me whakahaere hoki i aua mate.
• Ki te whakapae koe kei te pāngia koe e te mate, rapua tonutia he tohutohu hauora. Ki te pā mai ngā tohu pēnei i te kirika, te mamae o te tinana, te patunga rānei e turuturu ana, me toro atu ki te tākuta.

Kia pēhea te roa o te wā e ora ai i te sepsis? He aha te tirohanga whakamua?

Mā te tātaritanga me te maimoatanga tere, ka ora te nuinga o te hunga e pāngia ana e te sepsis ngawari. Engari ki te kore e rongoatia, he maha ngā tāngata e pāngia ana e te sepsis kino ka mate. Ahakoa te maimoatanga, 30% ki te 40% o te hunga e pāngia ana e te wāhanga tino kino o te sepsis, e kiia nei ko te septic shock, ka mate. Ka taea e te septic shock te mate i roto i te 12 hāora noa iho. Koia i kiia ai he ohorere. Ahakoa i ora mai i te sepsis, ka mate tonu ētahi tāngata i ngā marama me ngā tau e whai ake nei. Engari kāore anō kia tino mōhio ngā kairangahau mēnā ko tēnei pikinga o te mōrearea o te mate nā te mea kua pāngia rātou e te sepsis i mua, nā tētahi atu mate hauora rānei. Koia te mea nui kia haere tonu te tiaki a te hunga kua ora mai i te sepsis i ō rātou hauora.

He pānga roa kei muri i te sepsis?

Mā te maimoatanga tere, ka ora katoa te nuinga o te hunga e pāngia ana e te sepsis, ā, ka noho tonu ki te oranga noa. Heoi, ka pāngia pea ētahi tāngata e ngā pānga roa. Tērā pea ka pāngia koe e ngā raruraru pēnei i:

• Te kore moe.
• Te moemoeā kino, te moemoeā pōhewa rānei.
• Ngā whakaekenga mataku.
• Te mamae o ngā hononga me ngā uaua.
• Te ngoikore o te mahi hinengaro - Ko te tikanga tēnei he ngoikore ki ngā mea pēnei i te ako, te mahara, te aro, me te whakatau kaupapa.
• Te ngoikore o ngā okana (hei tauira, te ngoikore haere o te whatukuhu).

Waihoki, he nui ake te mōrearea o te pāngia anō e te sepsis. Nō reira, he mea nui kia rapua tonutia he maimoatanga mēnā ka pāngia koe e tētahi mate hou.

Me aha ahau kia ora ake ai i muri i taku hokinga ki te kāinga?

I muri i tō oranga ake i te sepsis me te hoki mai i te hōhipera ki te kāinga, me haere tonu pea koe ki ngā maimoatanga whakaora nā te mea kua pāngia tō tinana e te ahotea nui. Ina tae koe ki te kāinga, ka pāngia pea koe e ēnei e whai ake nei: Ngā pānga tinana:

• Te ngenge me te ngoikore.
• Te uaua ki te manawa.
• Mamae tinana.
• Te uaua ki te neke haere me te moe.
• Te ngaronga o te hiahia kai me/te ngaronga taumaha rānei.
• Kiri maroke, kiri mākūkū.
• Ka whati ngāwari ngā whao.
• Te ngaro o te makawe.

Ngā pānga hinengaro me ngā pānga kare ā-roto:

• Te hiahia kia noho mokemoke.
• Ngā mahara whakamuri.
• Te uaua ki te arotahi.
• Te manukanuka me/ranei te pouri.
• Te pōuri me te riri.
• Te ngaronga o te māramatanga.

Mā tō tākuta koe e āwhina ki te whakawhanake i tētahi mahere hei anga whakamua i tō haerenga whakaora. I te tuatahi, ka mahi koe i ngā whāinga iti, ka taea te whakatutuki, pērā i te kaukau me te whakakakahu. Ka ngana anō koe ki te hanga anō i tō kaha tinana, ā, he mea nui kia tiakina tō hauora hinengaro. Kōrero ki tō whānau, ki ō hoa, me te tākuta mō ō kare ā-roto. Ka roa te wā, engari i te mutunga ka tīmata koe ki te pai ake. He mea nui kia manawanui.

Ko te mea nui rawa atu me maumahara tātou ko

Āe, ko te sepsis kua kōrerohia nei e tātou he āhuatanga ohorere hauora ka tūpono ki te ora. Hei ārai i te sepsis, he mea nui kia whiwhi maimoatanga tonu mō tetahi mate. Ki te whakaroa koe ki te whiwhi maimoatanga, ahakoa he mate iti noa iho ka mate pea.

Ki te pāngia koe e te mate, kāore e pai ake, ki te āhua kino haere rānei (hei tauira, ka piki te kirika, ka uaua te manawa, ka rerekē te māramatanga), me toro atu ki te tākuta, me haere rānei ki te hōhipera tonu tonu.

Kia maumahara, ki te kore e rongoatia, ka arahi pea te sepsis ki ngā raruraru nui, tae atu ki te mate. Nō reira me tino tupato koe ki tēnei, tika? He mea utu nui tō oranga!