He aha te SIRS (Systemic Inflammatory Response Syndrome)? He rite ki te ahi nui i roto i te tinana? Me kōrero tāua!

Kua rongo kē koe i tētahi mate e kiia nei ko te SIRS (Systemic Inflammatory Response Syndrome)? Tērā pea he ingoa hou tēnei ki a koe. Engari he mate tino morearea tēnei ka puta i roto i ō tātou tinana. He rite ki te tinana e tauhohe nui ana ki tētahi raruraru iti, ā, ka tīmata he ahi nui. Me kōrero taipitopito tātou mō tēnei?

He aha te SIRS (Syndrome Whakautu Mumura Pūnaha)?

Ki te kī māmā noa, ko te SIRS te wā e nui rawa ai te tauhohenga o tō tātou tinana ki tētahi mea e pāngia ai te ahotea. Whakaarohia he rite ki te pūnaha parepare o tētahi whenua. Ina tae mai tētahi hoariri iti, me whawhai tika. Engari i roto i te SIRS, me te mea kei te tīmata tēnei ope taua i tētahi pakanga nui mō tētahi mea iti. Ka puta he mumura nui puta noa i te tinana. Ka taea e tēnei mumura te kino i ō tātou whekau nui, ka mutu ai tā rātou mahi, ā, i ētahi wā ka mate pea. Koia te take he morearea. Ina kōrero tātou mō ngā mea e pāngia ai te ahotea, he aha ēnei?

• Ngā Mate Pukupuku : Ngā mate pukupuku i puta mai i te huakita , te huaketo , te harore, me ētahi atu. I ētahi wā, ahakoa he mate iti noa i te patunga ka pā te kirika, engari ki te kino haere, ka arahi pea ki te SIRS.
• Pokanga: Ahakoa i muri i te pokanga nui, ka taea e te tinana te tauhohe pēnei i ētahi wā.
• Mumura whakapeka: Ina puta he mumura ohorere, kino i tētahi wāhi o te tinana, hei tauira, te pancreatitis .
• Ischemia: Koinei te wā ka heke te rere o te toto ki tētahi wāhanga o te tinana, ki tētahi okana rānei. Kātahi ka tīmata te mate o ngā pūtau i aua wāhi, ā, ka taea hoki e te tinana te aro atu ki tēnei.
• Matepukupuku: Ka puta anō hoki te SIRS i roto i ētahi āhuatanga matepukupuku.

Ko ēnei ngā tino take o te SIRS.

He rite tonu te SIRS me te Sepsis?

Āe, ahakoa he hononga pakupaku i waenganui i ngā mea e rua, he āhua rerekē te sepsis i te SIRS. Whakarongo mai. Mena he mate te pūtake o te SIRS, koinā te mea e kīia nei e tātou he sepsis . Kei te mārama koe? Arā, tata ki te katoa e pāngia ana e te sepsis he SIRS. Nā te mea ka puta ngā tohu o te SIRS ina urupare te tinana ki tētahi mate. Heoi, ehara i te katoa e pāngia ana e te SIRS he sepsis. Nā te mea ka taea te pāngia e ngā mate, engari nā ētahi atu take anō hoki pērā i te pokanga, te mate pukupuku, me te ischemia, e ai ki te kōrero i mua ake nei. He āhua tino morearea hoki te sepsis e hiahia ana kia rongoatia wawetia.Koia te mea nui kia mōhio koe ki ngā mea e rua.

He pēhea te noa o te SIRS?

He uaua ki ngā kairangahau te kī tika i te auau o tēnei āhuatanga, nā te mea kāore te katoa e pāngia ana e te SIRS e tae atu ki te hōhipera i te wā tika. Engari he āhuatanga noa te SIRS i roto i ngā tari rūma ohorere me ngā wāhanga tiaki nui (ICU) . I roto i tētahi rangahau, i tirohia e rātou tata ki te 27,000 ngā tūroro i te hōhipera. O ēnei, 15% i pāngia e te rua o ngā tohu e kiia ana he SIRS i te wā i whakaurua ai rātou ki te hōhipera. Ā, 47% i tutuki i ngā paearu mō te SIRS i te iti rawa kotahi i te wā e noho ana rātou ki te hōhipera. Nō reira, ka taea e koe te whakaaro ki te kino o tēnei āhuatanga.

He aha ngā tohu o te SIRS? Me pēhea te mōhio ki a rātou?

Nā te mea he maha ngā take o te SIRS, ā, he maha hoki ngā wāhanga rerekē o te tinana e pāngia ana, ka rerekē rawa ngā tohu. Engari, ki te pāngia koe e tētahi, e ētahi rānei o ēnei tohu, kaua e warewaretia. He mea whakaaro nui kia rapu tohutohu hauora tonu. Anei ētahi o ngā tohu:

• Te whero me te pupuhi (edema) i ngā wāhi o te tinana e pāngia ana: he rite ki te pupuhi i te taha o te patunga, engari ka kaha ake pea.
• Mamae nui: He mamae nui e kore e taea te whakamanawanui i te wāhi e pāngia ana.
• Te ngaronga o te mahi a ngā wāhanga o te tinana: Hei tauira, te kore e taea te neke i te ringa, i te waewae rānei.
• Ngenge nui: Tērā pea ka tino ngenge koe, ka hiamoe hoki, ā, kāore e taea e koe te mahi i tetahi mea.
• Te tere o te manawa (Tachycardia): Ka tere ake te pā o te manawa i te mea noa. Ka neke atu i te 90 ngā pā i te meneti.
• Ngā āhuatanga rerekē o te manawa: Te uaua ki te manawa, te tere o te manawa (neke atu i te 20 ngā wā ia meneti).
• Te Kirika, te Hauāwai rānei: Ka wera rawa te tinana, ka pāngia e te kirika, ka heke rānei te pāmahana o te tinana ki raro iho i te 36 nekehanga Celsius (96.8 Fahrenheit).
• Te wiri, te mātao rānei: Ka tīmata te wiri me te mea kei te kirika koe.
• Ka wera, ka mākū rānei te kiri i te werawera: I ētahi wā ka wera, ka mākū rānei te kiri i te werawera.
• Ponana kiri: Ka puta mai ngā momo ponana ki te kiri, pērā i te ekisema.
• Te pōhēhē, te ohooho, ētahi atu huringa hinengaro rānei: Ngā tohu pēnei i te pōhēhē, te ohooho, me te kōrero pōturi.
• Te ngaronga o te māramatanga: He tohu tino morearea tēnei.

Ko te mea tino nui:Ki te pāngia koe e ēnei tohu, kaua e noho ki te kāinga. Haere ki te hōhipera tata rawa atu i te wā e taea ai, waea atu rānei ki te 1990 mō tētahi waka tūroro. He āhuatanga ohorere hauora te SIRS.

He aha ngā pūtake o te SIRS?

Ka puta te SIRS, e ai ki te kōrero i mua ake nei, ina nui rawa te urupare a tō tātou pūnaha ārai mate ki tētahi mea taumaha. I te nuinga o te wā, ka whakamahia e tō tātou tinana te mumura hei āwhina i a tātou. Whakaarohia, ina pāngia tātou e te patunga, ka pupuhi, ka whero nā te mea ka haere mai ngā pūtau ki te whawhai ki a ia, ka tīmata ki te whakaora i te patunga. Engari i roto i te SIRS, ka tino kino rawa atu tēnei urupare, ā, ka nui te kino o tēnei mumura ki a tātou. Anei ētahi o ngā take matua ka pā ki te āhua o te SIRS:

• Te mimiti tere o te kai, o te wai rānei: Mēnā ka horomia te kai, te wai rānei i a koe e kai ana, e inu ana rānei, ā, ka uru ēnei mea ki roto i ngā pukahukahu, ka pāngia hoki koe e te SIRS.
• Te ischemia whakapeka o ngā okana mutunga: Ina mutu ohorere, ina tino heke rānei te rere o te toto ki tētahi okana nui, pērā i te roro, te ngākau, ngā whatukuhu rānei.
• Te mate pāwera nui: He mate kino anō hoki tēnei.
• Ngā urupare kino ki tētahi rongoā: Ka pā kino pea te urupare kino a te tinana ki ētahi rongoā.
• Ngā mate kitakita: Ngā mate kitakita kino pērā i te niumōnia me te meningitis.
• Ngā mate pukupuku toto (mate pukupuku toto): Ngā āhuatanga pēnei i te leukemia, te lymphoma, me te myeloma maha.
• Ngā weranga: Ka puta anō hoki te SIRS nā ngā weranga nui.
• Erythema multiforme: He tauhohenga kiri kino tēnei.
• Te korenga o te rere o te toto ki ō whekau me te pakaru o te puku.
• Te whakamahinga o ngā matū kore-haumanu me te nui rawa o te whakamahinga.
• Vasculitis: He mate mumura tēnei e puta ana i roto i ngā oko toto.
• Te mate pāwera kino: He mate morearea hoki tēnei e hua mai ana i te mate kitakita.
• Ngā whara me ngā whara e pā ana ki te pokanga.
• Ngā āhuatanga rite ki te rewharewha huaketo: I ētahi wā, ahakoa te rewharewha noa, ka huri hei SIRS mēnā ka kino rawa atu.
• Te horapa whānui o ngā mate harore i roto i te hunga ngoikore te pūnaha ārai mate.

Kua mārama pea koe ināianei he maha ngā take e puta ai te SIRS.

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

He nui ake te tūponotanga ka pāngia ētahi e te SIRS i ētahi atu. Kia kitea tātou ko wai rātou.

• Tau: He nui ake te mōrearea o ngā tamariki nohinohi me te hunga neke atu i te 65 tau te pakeke nā te mea he ngoikore ake pea te pūnaha ārai mate o ēnei tāngata e rua.
• He ngoikore te pūnaha ārai mate: Ko te hunga e rongoatia ana ki te mate pukupuku, te hunga whai HIV, me te hunga kua whakawhiti okana, kua ngoikore te pūnaha ārai mate, ā, ka nui ake te tūponotanga ka pāngia rātou e te SIRS.
• Ngā mate pūmau: Ko te hunga he mate roa tō rātou pēnei i te mate huka, te cirrhosis (te whakapakeketanga o te ate), me te COPD (te mate pūkahukahu aukati mau tonu) ka nui ake te mōrearea ki tēnei mate.
• Mate pāwera o nāianei: Mena kua pāngia koe e tētahi mate pāwera, pērā i te niumōnia, te meningitis, te cellulitis rānei (he mate kiri), he nui ake te tūponotanga ka kino haere, ka huri hei SIRS.

Nō reira, ki te mea kei a koe, kei tētahi rānei e mōhio ana koe, ēnei āhuatanga mōrearea, he mea tino nui kia mōhio koe ki ngā tohu o te SIRS.

Me pēhea te tautuhi a ngā tākuta i te SIRS?

Nā te mea he mate morearea pea te SIRS, ka ngana ngā tākuta ki te tautuhi i te mate i te wā e taea ai. Ka whakamahia e rātou ēnei hei mahi i tēnei:

• Whakamātautau tinana: Ka tirotirohia tō tinana, inā koa ngā tohu ora pēnei i te kirika, te tere o te manawa, te tere o te manawa, me te toto totoka.
• Ō tohumate: Ka pātai atu mātou ki a koe mō te mamae e pā ana ki a koe.
• Tō hītori hauora: Ka pātaihia koe mō ngā mea pēnei i ngā mate o mua me ngā rongoā i tangohia e koe.
• Te take pea o te SIRS: Ki te kitea te take o te SIRS, ka āwhina anō hoki i te tautuhi mate.

I te nuinga o te wā, ka whakapae te tākuta kei a ia ēnei tohumate kei te pāngia koe e te SIRS, ā, ka tīmata tonu te maimoatanga. Heoi anō, hei tāpiritanga, ka whakahaerehia pea e rātou ētahi atu whakamātautau hei aromatawai anō i tō hauora, hei whakatau hoki i te tino take o te SIRS. Hei tauira:

• Ngā whakamātautau toto: He maha ngā mea ka taea te tirotiro. Hei tauira, te papatohu pākia taketake, te tatau toto katoa (CBC) (ka tirohia te maha o ngā toto toto mā), te whakamātautau waikawa lactic, ngā whakamātautau mahi ate, ngā whakamātautau mahi tākihi, me ētahi atu.
• Te taumata hāora toto.
• Te tātaritanga mimi.
• Whakamātautau ahurea kitakita: Hei kimi mēnā he mate, ā, mēnā he mate, nā te aha te kitakita i puta ai.
• Ngā whakamātautau whakaahua:Ka taea e ngā mea pēnei i ngā hihi-X me ngā karapa CT te whakaatu i ngā mea e tupu ana i roto i te tinana.

Ngā paearu SIRS

Hei tātaritanga mō te SIRS, me rua pea ngā tohu e whai ake nei i a koe:

• Te pāmahana tinana: He pikinga ake i te 38 nekehanga Celsius (100.4 Fahrenheit) he hekenga rānei neke atu i te 36 nekehanga Celsius (96.8 Fahrenheit).
• Te tere o te manawa: Ka piki ake ki te neke atu i te 90 ngā pao i te meneti.
• Te tere o te manawa: He pikinga ake o te maha o ngā manawa ia meneti neke atu i te 20, he hekenga rānei o te pēhanga wāhanga o te CO2 i roto i te toto iti iho i te 32 mmHg.
• Te maha o ngā pūtau toto mā (leukocyte): Te pikinga ake i te 12,000.

Engari mō ngā tamariki, he rerekē ngā paearu nei. Hei tātaritanga mō te SIRS, me rerekē te maha o ngā toto toto mā, me rerekē hoki te pāmahana o te tinana. Nā te mea he paku teitei ake te tere o te manawa me te manawa o ngā tamariki i ō ngā pakeke.

Me pēhea te rongoā mō te SIRS?

E rua ngā mea matua hei whakaaroaro māu i te wā e rongoā ana i te SIRS. Ko tētahi he rongoā i te pūtake o te SIRS. Ko tētahi he ārai i te mate ngoikore o ngā okana maha (MODS). Tērā pea ka rerekē ngā kōwhiringa rongoā i runga i te pūtake o te SIRS. Heoi, anei ētahi o ngā rongoā e tino kitea ana:

• Te hoatu wai mā roto i te uaua (wai IV): Mā tēnei ka pai te rere o te toto ki ngā whekau o te tinana, ā, ka ārai hoki i te hekenga o te toto toto ki raro rawa.
• Ngā rongoā paturopi: Mena he mate kitakita te take o te SIRS, ka hoatu ēnei rongoā.
• Ngā rongoā Vasopressor: Mena he iti rawa tō toto toto, ka hoatu ēnei hei whakahoki i tōna toto ki te āhua noa.
• Corticosteroids: Ka whakamahia ēnei hei ārai i te tinana kei pā ki te ohorere, hei āwhina rānei i a ia kia ora ake i taua ohorere.
• Te werohanga insulin mā roto i te uaua (insulin IV): Whakahaerehia ngā taumata huka toto (mēnā e tika ana).
• Pokanga: Hei tauira, he pokanga tūhura hei tango i te pupuhi mai i te patunga pupuhi, hei tango i te kiko kua pakaru, hei kimi rānei he aha te hē o roto.

Whakaarohia, ki te pāngia koe e te ngoikore o ō whatukuhu, me hiahia pea koe ki te dialysis (te purenga toto). Waihoki, ki te pāngia koe e te ngoikore o tō manawa, me hono pea koe ki tētahi mīhini manawa.

Ka taea te ora ake i te SIRS? He aha te tirohanga?

Ko te matapae mō te SIRS e whakawhirinaki ana ki ētahi āhuatanga.

• Te tere o te tautuhi me te maimoatanga i a koe.
• He aha te pūtake o te SIRS?
• Mena kei a koe ngā āhuatanga mōrearea mō te whakawhanake i te SIRS (hei tauira, he ngoikore te pūnaha ārai mate).

Ko te rongo pai, ki te tere te rongoā, ka ora katoa te nuinga o te hunga whai SIRS, ā, ka taea e rātou te hoki ki te oranga noa. Heoi, he mate kino tēnei, ā, i ētahi wā ka mate pea. Ko te reiti mate mai i te SIRS e 7%. Ko te reiti mate mai i te sepsis, inā koa, koia tēnei:

• Mō te sepsis: 1.3%
• Mō te sepsis kino: 9.2%
• Mō te ohorere septic (he āhuatanga i puta mai i te sepsis): 28%

Nō reira, he mea tino nui kia rapu tohutohu hauora i te wā tonu e puta ai ngā tohu o te SIRS, nā te mea kei te tūpono te mate.

He aha ngā raruraru ka pā mai i te SIRS?

Ka taea e te SIRS (ina koa mēnā he mate te take) te whanake ki te sepsis kino, ki te septic shock rānei. Ka taea hoki e ia te arahi ki te ngoikore o te okana maha, o te okana kotahi rānei. Hei tāpiri, ko ngā raruraru pēnei i:

• Te ngoikore o te adrenal: Koinei te wā kāore e nui ngā homoni nui e whakaputaina ana e ō repe adrenal pēnei i te cortisol.
• Te mate roro e pā ana ki te mahi, ki te hanganga rānei o te roro.
• Te Mate Pōuri Manawa Whakapeka (ARDS): He kino nui ki ngā pukahukahu.
• Transaminitis whakapeka: He pikinga ake o ngā taumata o ētahi whākōkī e pā ana ki te mahi a te ate.
• Te mate pukupuku whakapeka: Te pakaru o ngā whatukuhu.
• Te toto totoka i roto i ngā uaua hohonu (Deep Vein Thrombosis - DVT).
• Te Pupuhitanga o te Toto i roto i ngā Āhuatanga Toto kua Horahia (DIC): Ka puta he toto iti puta noa i te tinana, ka nui ake te toto.
• Hemolysis: Te pakaru o ngā toto whero.
• Te waikawa pūmua: Te pikinga o te waikawa i roto i te tinana.
• Te thrombocytosis (te pikinga o te maha o ngā pereti toto) te thrombocytopenia rānei (te hekenga o te maha o ngā pereti toto).

Ka taea te rongoā me te whakaora i ētahi o ēnei raruraru, ā, ka taea hoki te whakakore. Engari ko ētahi, pērā i te pakaru o te roro, ka taea te noho pumau. Koia te take he tino morearea te SIRS.

He aha tā tātou e taea ai te ārai i te SIRS?

Ahakoa kāore e taea te ārai katoa i te SIRS, he iti noa ngā mea ka taea e tātou te mahi hei whakaiti i te tūponotanga o tōna putanga mai. Kia kite tātou he aha ēnei mea.

• Me whai i ngā tikanga akuaku pai i ngā wā katoa: Me ngana ki te ārai i ngā mate huaketo, inā koa mā te horoi ringa.
• Te pupuri i ngā motu me ngā patunga kia ma tae noa ki te wā e ora ai: Kia tūpato kei pirau tetahi patunga iti.
• Te whiwhi i ngā kano ārai mate kua tūtohutia i te wā tika: Ka taea e tēnei te tiaki i ngā mate maha.
• Me whiwhi maimoatanga hauora tika mō ngā mate pūmau: He mea nui kia whakahaeretia ngā mate pēnei i te mate huka me te toto toto tiketike.
• Tirohia te tākuta mēnā ka kino haere ngā tohu o tētahi mate, o tētahi āhuatanga rānei: Kaua e warewarehia tētahi mea iti noa.
• Rapua tonutia te awhina hauora mēnā he whara nui tōu, mēnā rānei kei te whakapae koe kei te pangia koe e te mate: Mā te maimoatanga wawe ka ārai i ngā kino nui.

Karere Whakamutunga mō te Tango ki te Kāinga

Ko te mea tuatahi me maumahara koe ko te SIRS (Systemic Inflammatory Response Syndrome) he āhuatanga ohorere hauora ka taea te whakararu i te ora . Hei ārai i te SIRS, he mea nui kia rapua he maimoatanga tonu mō tetahi mate, he raruraru o tētahi mate hauora, he whara kino rānei. Ki te kore e rongoatia, ka taea e te SIRS te whakararu i ngā raruraru kino, tae atu ki te mate. Mena he take mōrearea tōu mō te SIRS (hei tauira, te ngoikore o te pūnaha ārai mate, te mate mau tonu), kōrero ki tō tākuta mō te whakahaere i aua mōrearea, he aha ngā tohu o te SIRS, me te aha me mahi mēnā ka puta. Tiakina tō hauora, kia mōhio hoki. Koinei te mea nui! SIRS, Systemic Inflammatory Response Syndrome, Sepsis, Sepsis, Mumura, Mate Pāwera, Tauhohenga a te Tinana, Maimoatanga Ohorere