Sepsis: Me pēhea te noho hei mate mōrearea mō te ora i tētahi mate iti noa iho?

He whara kei tō tinana e paku pangia ana? Kei te raru rānei koe i tētahi mate pēnei i te mate pūkahukahu iti, i te mate mimi rānei? E whakaaro ana tātou ka memeha haere ēnei mea mā te okiokinga me te rongoā. Engari i ētahi wā, i te kore e tūmanakohia, ka taea e tētahi mate pēnei te whanake hei mate kino ka pā ki te tinana katoa, ā, ka morearea te ora. Ko taua mate kino ka kiia ko te "sepsis."

He aha te tikanga o te sepsis?

Whakaarohia he ope taua kei te tiaki i tō tātou whenua. Ina puta mai he hoariri i waho, ka haere tēnei ope taua ki te whawhai ki taua hoariri, ka hinga i a rātou, ā, ka whakaora i te whenua. He rite te pūnaha ārai mate o tō tātou tinana ki tēnei ope taua. Ina uru mai he iroriki, pērā i te huakita, i te huaketo rānei, ki te tinana, ka whakahohehia tō tātou pūnaha ārai mate ka whawhai ki taua iroriki, ka whakaora i a tātou i ngā mate.

Engari, whakaarohia te momo whakangaromanga ka puta mai mēnā ka puta he hapa, ka mutu te whawhai a tō tātou ake ope taua ki te hoariri, ka tīmata te whakangaro i ngā kāinga me ngā tāone o tō tātou ake whenua?

He rite tonu te mate Sepsis.

Ina pā mai he mate, i ētahi wā ka kore e taea te whakahaere i te pūnaha ārai mate o te tinana. Ka mutu tana whawhai ki te mate, ka tīmata te whakaeke i ō tātou ake kiko me ngā okana hauora. Ka puta te mumura puta noa i te tinana.

I taua wā anō, ka tīmata he tauhohenga mekameka rerekē i roto i te pūnaha toto totoka, ā, ka tīmata te hanga toto totoka koretake i roto i ngā oko toto. Ka whakaitihia te rere o te toto ki ngā whekau nui pēnei i te roro, te ngākau, ngā whatukuhu, me ngā pukahukahu. Ina kore e whiwhi i te hāora me te kai mā ēnei whekau, ka tino kino, ka kore e mahi tika, ā, ka mate pea.

He wāhanga anō kei te sepsis?

I ngā wā o mua, i wehea e ngā tākuta te sepsis kia toru ngā wāhanga: te sepsis, te sepsis kino, me te ohorere septic.

Engari ināianei, e kite ana tātou i tēnei hei mate ahu whakamua. Arā, ka tīmata pea i te mate urutā noa, ka piki haere ki te bacteremia, kātahi ka puta he sepsis, ā, i te mutunga ko te septic shock, ka arahi pea ki te ngoikore o ngā okana me te mate.

Ko wai kei te nui ake te mōrearea ki te whakawhanake i te sepsis?

Ahakoa ka pāngia te tangata e te sepsis, he nui ake te mōrearea o ētahi tāngata. He pono rawa tēnei mō te hunga kua pangia e te mate, e te toto rānei. He nui ake hoki te mōrearea o ēnei tāngata e whai ake nei:

He aha ngā tohu o te sepsis?

Nā te mea he maha ngā wāhanga o te tinana e pāngia ana e te sepsis, he maha ngā tohu. Tērā pea ka puta tētahi, neke atu rānei o ēnei i te wā kotahi. He mea nui kia mōhio ki ēnei tohu, nā te mea mā te mōhio wawe ka taea te whakaora i te ora.

• Te kirika, te iti rānei o te pāmahana tinana: Ka pāngia te tinana e te kirika. Ā, i ētahi wā ka heke te pāmahana tinana ki raro rawa i te pāmahana noa (hypothermia).
• Te wiri me te mātao: Tērā pea ka rongo koe i te ngau kino i roto i tō tinana.
• Te tere o te pao o te ngākau: Ka tīmata te pao o te ngākau kia tere ake i tōna e rongohia ana.
• Te tere o te manawa: Ka tere haere te manawa, ā, ka rite pea ki te hāhā.
• Pōhēhē me te ohorere: Te pōuri, te ngaro o te māramatanga, te mahi pōhēhē. Tae noa ki te kōrero ka pōturi.
• Te toto toto iti: Ka taea e te toto toto (BP) te heke ohorere.
• Mamae nui: Tērā pea ka pāngia koe e te mamae e kore e taea te tohe, e te kore whakamarie rānei i roto i tō tinana.
• Ngā Huringa Kiri: I ētahi wā ka puta he whero, he kōwhai rānei ngā ira i runga i te kiri (sepsis rash). Ka mahana, ka mākū rānei te kiri i te werawera.
• Te iti o te mimi: He iti iho te nui o te mimi e tukuna ana e koe i te mea noa.
• Te ngoikore o te ngenge: te tino ngenge me te ngoikore.

He aha ngā tino take o te sepsis?

Ko te tino take o te sepsis ko te mate huakita . Heoi, i ētahi wā ka taea hoki e ngā mate harore, pirinoa, me te huaketo te take o te sepsis. Ko te mea nui, ahakoa kei hea te mate, ko te urupare a te tinana ki a ia he tauhohenga mekameka kore e taea te whakahaere e arahi ana ki te sepsis.

Koinei ngā wāhi tino noa ka tīmata ai te mate:

Pūnaha manawa

• Ngā mate pukupuku, inā koa ngā mate pēnei i te niumōnia.

Pūnaha mimi

• Ngā mate urutā o te ara mimi. He tino teitei tēnei mō te hunga whai catheter mimi.

Pūnaha whekau

• Te āpuku.
• Ngā raruraru o te puku.
• Ngā mate urutā i roto i te kōhao puku (Peritonitis).
• Ngā mate pukupuku o te ate, o te pūkahukahu rānei.

Pūnaha io matua

• Ngā mate urutā o te roro, o te taurakira rānei (hei tauira, te meningitis).

Kiri

• Ka uru te huakita ki te tinana mā roto i ngā patunga, i ngā motu, i ngā wāhi rānei e kuhua ana pērā i ngā ipu tote.
• Ngā mate kiri pērā i te cellulitis.

He mate hopuhopu te sepsis?

Kāo. Ehara te mate pāwera i te mea hopuhopu. E kore koe e pāngia e te mate pāwera mēnā ka pā atu koe, ka tata rānei koe ki tētahi tangata e pāngia ana e te mate pāwera.

Heoi, i ētahi wā ka taea e te mate e puta ai te sepsis te horapa. Hei tauira, mēnā he mate manawa pērā i te niumōnia, ka taea e ngā iroriki e puta ai te mate te horapa ki tētahi atu.

Me pēhea te mōhio o te tākuta mēnā kei a koe te sepsis?

Kāore he whakamātautau kotahi hei tautuhi i te sepsis, nō reira ka whakamahia e ngā tākuta he huinga o ngā mōhiohio mai i ngā whakamātautau tūroro, ngā whakamātautau taiwhanga, me ngā hihi-X hei whakaū i te mate.

Ki te whakapae te tākuta he mate pāwera ia i te taenga ki te hōhipera, ka whakahaerehia he aromatawai tere. Ka mahia tēnei mā te whakamahi i tētahi tikanga e kiia nei ko te ``(qSOFA)``. Ka whakapaetia te mate pāwera mēnā e rua, neke atu rānei o ngā tohu e whai ake nei kei te tangata e whakapaetia ana he mate pāwera:

• Te toto toto iti: Ko te toto toto systolic (te tau teitei) kei raro iho i te 100 mmHg.
• Te tere o te manawa: Te manawa neke atu i te 22 ngā wā ia meneti.
• Pōhēhē/Mōhiotanga: He kaute 15, iti iho rānei i te Glasgow Coma Scale, e ine ana i te taumata o te mōhiotanga o te tūroro.

Whai muri i tēnei whakapae tuatahi, ka whakahaerehia ētahi atu whakamātautau hei whakatau ko tēhea te mate, me te mea hoki kua pakaru ētahi okana.

• Ngā whakamātautau toto: Te tatau toto katoa (CBC), ngā ahurea toto, te mahi ate me te whatukuhu, me ngā raruraru toto totoka.
• Te taumata hāora i roto i te toto: Ka tāpirihia he taputapu rite ki te topenga ki te matihao hei ine i te nui o te hāora i roto i te toto.
• Ngā whakamātautau mimi: Tirohia mēnā he mate pāwera kei roto i te ara mimi.
• Ētahi atu matawai: Tērā pea ka mahia he matawai X-ray o te uma, he matawai CT rānei.

Me pēhea te rongoā mō te sepsis?

Me tīmata tonu te rongoā mō te sepsis. Ko te tere o te tautuhi mate, me te tere o te tīmatanga o te rongoā, ka nui ake te tūponotanga ka ora te tangata.

Ko te tikanga, ka whakaurua te tūroro kua tāpaetia he mate sepsis ki te Wāhanga Tiaki Kaha (ICU) o te hōhipera mō te maimoatanga motuhake.

• Paturopi: Mena he mate huakita, ka tīmata tonu te hoatu i ngā paturopi kaha e tika ana mā roto i te uaua (ā-uaua - IV).
• Wai ā-uaua (wai ā-infus): Ka hoatu he nui ngā wai, pērā i te tote, hei pupuri i te rere pai o te toto ki ngā whekau me te ārai i te hekenga o te toto toto.
• Ngā rongoā whakahaere toto toto (Vasopressors): Mena ka hoatu he tote engari kāore e taea te whakanui ake i te toto ki te taumata e tika ana, ka hoatu he rongoā vasopressor hei whakanui ake i te toto toto mā te whakawhāiti i ngā uaua toto.
• Tautoko okana: Mena kei te ngoikore tetahi okana, ka tukuna he tiaki tautoko. Hei tauira, mena kei te ngoikore ngā whatukuhu, me mahi pea te dialysis. Mena he uaua te manawa, me whakamahi pea i te manawa ā-ringa.
• Pokanga: Mena he rite ki te patunga pīrori, ki te mate puku rānei te pūtake o te mate, me tango te kiko kua pakaru mā te pokanga.

He aha ngā mea ka tupu i muri i tō whakaoranga mai i te sepsis?

Ki te kitea wawetia te mate, ā, ka rongoatia, ka ora katoa te nuinga o te hunga e pāngia ana e te sepsis. Heoi, ki te kino haere te mate, ina koa ka huri hei septic shock, he uaua ki te whakaora i te ora ahakoa te maimoatanga. I roto i te septic shock, ka mate pea i roto i te 12 hāora noa iho.

Ahakoa he oranga mō ētahi tāngata te sepsis, ka pāngia pea ētahi tāngata e ngā pānga mō te wā roa.

• Te kore moe, ngā moemoeā kino.
• Ngā whakaekenga mataku.
• Te mamae o ngā hononga me ngā uaua.
• Te hekenga o te kaha ki te whakaaro, ki te mahara, me te whakatau kaupapa.
• Te ngoikore mō te wā roa o te mahi a tētahi okana.

Waihoki, ko te tangata kua pāngia e te sepsis i mua, kei te tūpono anō kia pāngia e te mate. Nō reira, ki te puta he mate hou, he mea nui kia rapua tonutia he maimoatanga.

Te haerenga ki te whakaoranga... i muri i te hokinga ki te kāinga

I muri i tō oranga ake i te sepsis me te hokinga ki te kāinga, me hoatu he wā ki tō tinana me tō hinengaro kia ora ai. I te tuatahi, ka pāngia pea koe e te mamae pēnei i:

Ngā uauatanga ā-tinana:

• Te ngenge nui me te ngoikore.
• Te uaua ki te manawa.
• Mamae tinana.
• Te uaua ki te hikoi, te mahi i ngā mahi, me ngā raruraru moe.
• Te ngaronga o te hiahia kai me te taumaha.
• Kiri maroke, mākūkū, maikuku pakarukaru, me te ngaro o te makawe.

Ngā uauatanga hinengaro me ngā uauatanga kare ā-roto:

• Te hiahia kia noho mokemoke.
• Ngā mahara whakamuri.
• Te uaua ki te arotahi.
• Te Manukanuka me te Pouri.
• Tere ki te riri, te pōuri.
• Pōhēhētanga.

Kia okioki rawa koe i tēnei wā. Whaia ngā tohutohu a tō tākuta. I te tuatahi, ngana ki te whakatakoto i ngā whāinga iti, pērā i te kaukau me te whakakakahu, kātahi ka mahi ki te whakatutuki i aua whāinga. Kōrero ki te whānau me ngā hoa mō ō kare ā-roto. Ka roa pea tēnei haerenga, engari ka hoki mārire koe ki te āhua noa.

Me pēhea te tiaki i a koe mai i te sepsis?

Ko te huarahi pai hei karo i te sepsis ko te aukati i ngā mate urutā kei puta, me te rapu maimoatanga wawe tonu mēnā ka puta he mate urutā.

• Te akuaku pai: Horoia pai ō ringaringa ki te hopi me te wai i ngā wā katoa.
• Te pupuri i ngā patunga kia ma: Horoia pai ngā patunga pēnei i ngā motu me ngā karawarawa, ka hipoki kia ora rā anō.
• Te Werohanga: Me werohanga katoa e hiahiatia ana i te wā tika.
• Te whakahaere i ngā mate pūmau: Ki te mea kei a koe ngā mate pēnei i te mate huka, me whakahaere pai.
• Rapua he tohutohu hauora tonu:

Ki te whakaaro koe kei a koe tētahi mate urutā, ki te kore e memeha, ki te āhua kino haere rānei, me toro atu ki te tākuta i taua wā tonu. Ka taea e tētahi mate urutā e kore e arohia hei take iti noa te whakararu i te ora.