Kodi SIRS (Systemic Inflammatory Response Syndrome) ndi chiyani? Kodi ili ngati moto waukulu mkati mwa thupi? Tiyeni tikambirane!

Kodi mudamvapo za vuto lotchedwa SIRS (Systemic Inflammatory Response Syndrome)? Dzinali likhoza kukhala latsopano kwa inu. Koma ndi vuto loopsa kwambiri lomwe lingachitike m'thupi mwathu. Zili ngati thupi likuchita zinthu mopitirira muyeso pa vuto laling'ono n'kuyatsa moto waukulu. Kodi tikambirane izi mwatsatanetsatane?

Kodi SIRS (Systemic Inflammatory Response Syndrome) ndi chiyani?

Mwachidule, SIRS ndi pamene thupi lathu limayankha mopitirira muyeso ku chinthu chodetsa nkhawa. Taganizirani ngati chitetezo cha dziko. Mdani wamng'ono akabwera, ayenera kumenyana naye m'njira yoyenera. Koma mu SIRS, zimakhala ngati gulu lankhondoli limayambitsa nkhondo yayikulu pa chinthu chaching'ono. Izi zimayambitsa kutupa kwakukulu mthupi lonse. Kutupa kumeneku kumatha kuwononga ziwalo zathu zofunika, kuzipangitsa kuti zisiye kugwira ntchito, ndipo nthawi zina zimakhala zoopsa. Ndicho chifukwa chake ndizoopsa. Tikamalankhula za zinthu zodetsa nkhawa, ndi ziti?

• Matenda : Matenda oyambitsidwa ndi mabakiteriya , mavairasi , bowa, ndi zina zotero. Nthawi zina, ngakhale matenda ang'onoang'ono a bala angayambitse malungo, koma ngati apitirira muyeso, angayambitse matenda a SIRS.
• Opaleshoni: Ngakhale pambuyo pa opaleshoni yaikulu, thupi nthawi zina limatha kuchita izi.
• Kutupa kwadzidzidzi: Pamene pali kutupa kwadzidzidzi komanso kwakukulu kwinakwake m'thupi, mwachitsanzo, kapamba .
• Kuchepa kwa magazi m'thupi: Izi zimachitika pamene magazi amalowa m'thupi kapena m'chiwalo china. Kenako maselo m'malo amenewo amayamba kufa, ndipo thupi limathanso kuchitapo kanthu.
• Khansa: SIRS ingathenso kuchitika m'matenda ena a khansa.

Zinthu ngati izi ndi zomwe zimayambitsa SIRS.

Kodi SIRS ndi Sepsis ndi chinthu chimodzi?

Inde, ngakhale pali kugwirizana pang'ono pakati pa awiriwa, sepsis ndi vuto losiyana pang'ono ndi SIRS. Mvetserani mosamala. Ngati chomwe chimayambitsa SIRS ndi matenda , ndicho chomwe timatcha sepsis . Kodi mukumvetsa? Izi zikutanthauza kuti, pafupifupi aliyense amene ali ndi sepsis ali ndi SIRS. Chifukwa zizindikiro za SIRS zimachitika pamene thupi limayankha matenda. Komabe, si aliyense amene ali ndi SIRS amene ali ndi sepsis. Chifukwa SIRS ingayambitsidwe osati ndi matenda okha, komanso ndi zifukwa zina monga opaleshoni, khansa, ndi ischemia, monga tafotokozera kale. Sepsis ndi vuto lomwe limayambitsa imfa kwambiri lomwe limafuna chithandizo chadzidzidzi.Ndicho chifukwa chake ndikofunikira kwambiri kudziwa zonse ziwiri.

Kodi SIRS ndi yofala bwanji?

N'zovuta kwa ofufuza kunena momwe izi zimachitikira kawirikawiri, chifukwa si aliyense amene ali ndi SIRS amene amafika kuchipatala pa nthawi yake. Koma SIRS ndi vuto lofala kwambiri m'madipatimenti ogona anthu ovutika kwambiri komanso m'mayunitsi osamalira odwala kwambiri (ICU) . Mu kafukufuku wina, adayang'ana odwala pafupifupi 27,000 omwe ali m'chipatala. Mwa iwo, 15% anali ndi zizindikiro ziwiri zomwe zingaganizidwe kuti ndi SIRS akalowa kuchipatala. Ndipo 47% adakwaniritsa zofunikira za SIRS kamodzi kokha panthawi yomwe anali kuchipatala. Chifukwa chake mutha kuganiza momwe izi zingakhalire zoopsa.

Kodi zizindikiro za SIRS ndi ziti? Kodi mumazizindikira bwanji?

Popeza SIRS ali ndi zifukwa zambiri ndipo amakhudza ziwalo zosiyanasiyana za thupi, zizindikiro zimatha kusiyana kwambiri. Koma ngati muli ndi chimodzi kapena zingapo mwa zizindikirozi, musanyalanyaze. Ndi bwino kufunafuna upangiri wa dokotala nthawi yomweyo. Nazi zina mwa zizindikirozo:

• Kufiira ndi kutupa (edema) m'malo okhudzidwa a thupi: mofanana ndi kutupa mozungulira bala, kapena kungakhale koipa kwambiri.
• Kupweteka kwambiri: Kupweteka kosapiririka m'dera lomwe lakhudzidwa.
• Kulephera kugwira ntchito kwa ziwalo za thupi: Mwachitsanzo, kusatha kusuntha mkono kapena mwendo.
• Kutopa kwambiri: Mungamve kutopa kwambiri komanso kugona tulo moti simungathe kuchita chilichonse.
• Kuthamanga kwa mtima (Tachycardia): Mtima umagunda mofulumira kuposa masiku onse. Umatha kupitirira kugunda 90 pamphindi.
• Kuvuta kupuma: Kuvuta kupuma, kuchuluka kwa mpweya wopuma (kupitirira nthawi 20 pa mphindi).
• Malungo kapena Hypothermia : Thupi likhoza kutenthedwa kwambiri ndikuyamba kutentha thupi, kapena, mosiyana, kutentha kwa thupi kungatsike pansi pa madigiri Celsius 36 (96.8 Fahrenheit).
• Kunjenjemera kapena kuzizira: Mumayamba kunjenjemera ngati muli ndi malungo.
• Khungu limamva kutentha kapena kuzizira chifukwa cha thukuta: Nthawi zina khungu limatha kumva kutentha kapena kuzizira chifukwa cha thukuta.
• Matuza pakhungu: Mitundu yosiyanasiyana ya matuza, monga eczema, imatha kuwoneka pakhungu.
• Kusokonezeka, kusokonezeka maganizo, kapena kusintha kwina kwa maganizo: Zizindikiro monga kusokonezeka maganizo, kusokonezeka maganizo, ndi kulankhula molakwika.
• Kutaya chidziwitso: Ichi ndi chizindikiro choopsa kwambiri.

Chofunika kwambiri:Ngati muli ndi zizindikiro izi, chonde musakhale panyumba. Pitani kuchipatala chapafupi mwamsanga, kapena imbani 1990 kuti muyitanitse ambulansi. SIRS ndi vuto lachipatala.

Kodi zifukwa za SIRS ndi ziti?

SIRS imachitika, monga tafotokozera kale, pamene chitetezo chathu cha mthupi chimachita zinthu mopitirira muyeso chifukwa cha vuto la kupsinjika maganizo. Nthawi zambiri, thupi lathu limagwiritsa ntchito kutupa kuti litithandize. Taganizirani izi, tikapeza bala, limatupa ndi kufiira chifukwa maselo amabwera kudzalimbana nalo ndikuyamba kuchiritsa bala. Koma mu SIRS, yankho ili limakhala loopsa kwambiri , ndipo kutupa kumeneku kumatibweretsera mavuto aakulu. Nazi zina mwazifukwa zazikulu zomwe zingakhudze mkhalidwe wa SIRS:

• Kutulutsa madzi m'thupi kapena chakudya: Ngati chakudya kapena zakumwa zamezedwa mukudya kapena kumwa, ndipo zinthuzi zalowa m'mapapo, izi zingayambitsenso SIRS.
• Kusakhazikika kwa magazi m'thupi: Pamene magazi akulowa m'chiwalo chofunikira monga ubongo, mtima, kapena impso, mwadzidzidzi amasiya kapena kuchepa kwambiri.
• Pancreatitis yoopsa: Iyi ndi matenda oopsa kwambiri.
• Kuyankha molakwika kwa mankhwala: Thupi limatha kuyankha molakwika kwa mankhwala ena.
• Matenda a bakiteriya: Matenda oopsa a bakiteriya monga chibayo ndi meningitis.
• Khansa ya m'magazi (hematologic mollusnancy): Matenda monga khansa ya m'magazi, lymphoma, ndi multiple myeloma.
• Kupsa: SIRS ingathenso kuchitika chifukwa cha kupsa kwakukulu.
• Erythema multiforme: Ichi ndi vuto lalikulu pakhungu.
• Kusayenda bwino kwa magazi m'matumbo anu komanso kubowoka kwa m'mimba.
• Kugwiritsa ntchito mankhwala osagwiritsidwa ntchito ndi dokotala komanso kugwiritsa ntchito mopitirira muyeso.
• Vasculitis: Iyi ndi matenda otupa omwe amapezeka m'mitsempha yamagazi.
• Matenda a Toxic shock: Ichinso ndi vuto lomwe lingayambitse imfa chifukwa cha matenda a bakiteriya.
• Kuvulala ndi kuvulala kokhudzana ndi opaleshoni.
• Matenda ofanana ndi chimfine choyambitsidwa ndi kachilombo: Nthawi zina ngakhale chimfine wamba chimatha kukhala SIRS ngati chikakula kwambiri.
• Matenda a bowa omwe amafalikira kwambiri mwa anthu omwe ali ndi chitetezo chamthupi chofooka.

Tsopano mwina mukumvetsa kuti SIRS ikhoza kuchitika pazifukwa zambiri.

Ndani ali pachiwopsezo chachikulu chotenga matenda a SIRS?

Anthu ena ali ndi mwayi waukulu wopeza SIRS kuposa ena. Tiyeni tidziwe kuti ndi ndani.

• Zaka: Ana aang'ono ndi anthu opitirira zaka 65 ali pachiwopsezo chachikulu chifukwa chitetezo cha mthupi cha anthu onsewa chingakhale chofooka pang'ono.
• Kukhala ndi chitetezo chamthupi chofooka: Anthu omwe akulandira chithandizo cha khansa, omwe ali ndi kachilombo ka HIV, komanso omwe adasinthidwa ziwalo zawo, chitetezo chamthupi chawo chafooka, zomwe zimapangitsa kuti akhale ndi SIRS.
• Matenda osatha: Anthu omwe ali ndi matenda a nthawi yayitali monga matenda a shuga, cirrhosis (kuuma kwa chiwindi), ndi COPD (matenda osatha obstructive pulmonary disease) nawonso ali pachiwopsezo chachikulu.
• Matenda omwe alipo: Ngati muli kale ndi matenda monga chibayo, meningitis, kapena cellulitis (matenda a pakhungu), nthawi zambiri amatha kukhala oopsa ndipo amatha kukhala SIRS.

Kotero ngati inu kapena munthu amene mumamudziwa ali ndi zinthu izi zoopsa, ndikofunikira kwambiri kudziwa bwino zizindikiro za SIRS.

Kodi madokotala amazindikira bwanji matenda a SIRS?

Popeza SIRS ndi matenda omwe angawopseze moyo, madokotala amayesa kuwazindikira msanga momwe angathere. Amagwiritsa ntchito zotsatirazi kuti achite izi:

• Kuyezetsa thupi: Thupi lanu limayesedwa, makamaka zizindikiro zofunika monga kutentha thupi, kugunda kwa mtima, kupuma movutikira, ndi kuthamanga kwa magazi.
• Zizindikiro zanu: Tikufunsani mosamala za kusasangalala komwe mukumva.
• Mbiri yanu yachipatala: Mudzafunsidwa za zinthu monga matenda omwe mudadwalapo kale komanso mankhwala omwe mudamwa.
• Chomwe chingayambitse SIRS: Ngati choyambitsa SIRS chingapezeke, chingathandizenso kupeza matenda.

Kawirikawiri, dokotala yemwe ali ndi zizindikiro izi amakayikira SIRS ndipo amayamba kulandira chithandizo nthawi yomweyo. Komabe, kuwonjezera apo, angachitenso mayeso ena angapo kuti awone thanzi lanu ndikupeza chomwe chimayambitsa SIRS. Mwachitsanzo:

• Mayeso a magazi: Izi zitha kuwona zinthu zambiri. Mwachitsanzo, gawo loyambira la kagayidwe kachakudya, kuchuluka kwa magazi (CBC) (izi zimayang'ana kuchuluka kwa maselo oyera amagazi), mayeso a lactic acid, mayeso a chiwindi, mayeso a impso, ndi zina zotero.
• Mlingo wa mpweya m'magazi.
• Kusanthula mkodzo.
• Kuyesa kwa bakiteriya: Kuti mudziwe ngati pali matenda, ndipo ngati alipo, ndi mabakiteriya ati omwe amayamba chifukwa cha matendawa.
• Mayeso ojambula zithunzi:Zinthu monga X-ray kapena CT scans zimatha kusonyeza zomwe zikuchitika mkati mwa thupi.

Zofunikira za SIRS

Kuti mupezeke ndi SIRS, muyenera kukhala ndi zizindikiro ziwiri zotsatirazi:

• Kutentha kwa thupi: Kuwonjezeka kwa madigiri opitilira 38 Celsius (100.4 Fahrenheit) kapena kuchepa kwa madigiri opitilira 36 Celsius (96.8 Fahrenheit).
• Kugunda kwa mtima: Kuwonjezeka kufika pa kugunda kopitilira 90 pamphindi.
• Kuthamanga kwa mpweya: Kuwonjezeka kwa kuchuluka kwa mpweya womwe munthu amapuma pamphindi imodzi kupitirira 20, kapena kuchepa kwa kupanikizika pang'ono kwa CO2 m'magazi kopitirira 32 mmHg.
• Chiwerengero cha maselo oyera m'magazi (leukocyte): Kuwonjezeka kwa maselo ofiira m'magazi opitilira 12,000.

Koma kwa ana, njira zimenezi n’zosiyana pang’ono. Kuti apezeke ndi matenda a SIRS, ayenera kukhala ndi kuchuluka kwa maselo oyera m’magazi kosazolowereka komanso kutentha kwa thupi kosazolowereka. Izi zili choncho chifukwa kugunda kwa mtima kwa ana ndi kupuma nthawi zambiri kumakhala kokwera pang’ono kuposa kwa akuluakulu.

Kodi SIRS amachiritsidwa bwanji?

Pali zinthu ziwiri zazikulu zomwe muyenera kuziganizira pochiza SIRS. Choyamba ndi kuchiza chomwe chimayambitsa SIRS. China ndi kupewa multi-organ dysfunction syndrome (MODS). Njira zochiritsira zimatha kusiyana kutengera chomwe chimayambitsa SIRS. Komabe, nazi zina mwa njira zochiritsira zodziwika bwino:

• Kupereka madzi kudzera mu mitsempha (IV fluids): Izi zimathandiza kuonetsetsa kuti magazi akuyenda bwino kupita ku ziwalo za thupi komanso kupewa kuthamanga kwa magazi kuti kuchepe kwambiri.
• Mankhwala opha tizilombo: Ngati SIRS yayamba chifukwa cha matenda a bakiteriya, mankhwalawa amaperekedwa.
• Mankhwala a Vasopressor: Ngati kuthamanga kwa magazi kwanu kuli kotsika kwambiri, amaperekedwa kuti abwerere mwakale.
• Corticosteroids: Izi zimagwiritsidwa ntchito poletsa thupi kuti lisagwedezeke kapena kuti lichiritse vutoli.
• Insulini kudzera m'mitsempha (insulin ya m'magazi): Kuwongolera kuchuluka kwa shuga m'magazi (ngati kuli kofunikira).
• Opaleshoni: Mwachitsanzo, opaleshoni yofufuza kuti achotse mafinya pa bala lomwe likutuluka mafinya, kuchotsa minofu yowonongeka, kapena kupeza vuto mkati.

Tangoganizirani, ngati muli ndi vuto la impso, mungafunike dialysis (kuyeretsa magazi). Mofananamo, ngati muli ndi vuto la kupuma, mungafunike kulumikizidwa ndi makina opumira mpweya.

Kodi n'zotheka kuchira ku SIRS? Kodi chiyembekezo chili bwanji?

Kuyezetsa kwa matenda a SIRS kumadalira zinthu zingapo.

• Momwe munadziwidwira ndi kulandira chithandizo mwachangu.
• Kodi chifukwa chachikulu cha SIRS ndi chiyani?
• Kaya muli ndi zinthu zomwe zingakupangitseni kukhala ndi SIRS (monga chitetezo chamthupi chofooka).

Nkhani yabwino ndi yakuti ngati atalandira chithandizo mwachangu, anthu ambiri omwe ali ndi SIRS amachira kwathunthu ndipo amatha kubwerera ku moyo wabwinobwino. Komabe, uwu ndi vuto lalikulu lomwe nthawi zina limatha kupha. Chiŵerengero cha imfa kuchokera ku SIRS ndi pafupifupi 7%. Chiŵerengero cha imfa kuchokera ku sepsis makamaka ndi ichi:

• Pa sepsis: 1.3%
• Pa sepsis yoopsa: 9.2%
• Kwa matenda a septic shock (vuto lomwe limayamba chifukwa cha sepsis): 28%

Choncho, ndikofunikira kwambiri kufunafuna upangiri wa dokotala zizindikiro za SIRS zikaonekera, chifukwa pali chiopsezo cha imfa.

Kodi mavuto omwe angakhalepo chifukwa cha SIRS ndi ati?

SIRS (makamaka ngati yayambitsidwa ndi matenda) imatha kupita ku sepsis yayikulu kapena septic shock. Ikhozanso kuyambitsa kulephera kwa ziwalo zambiri kapena chiwalo chimodzi. Kuphatikiza apo, mavuto monga:

• Kulephera kwa adrenal: Izi zimachitika pamene ma adrenal glands anu sapanga mahomoni ofunikira okwanira monga cortisol.
• Matenda a ubongo otchedwa acute encephalopathy: Matenda aliwonse a muubongo omwe amakhudza ntchito kapena kapangidwe ka ubongo.
• Matenda Ovuta Kwambiri Okhudza Kupuma (ARDS): Kuwonongeka kwakukulu kwa mapapo.
• Kuchuluka kwa transaminitis: Kuwonjezeka kwa kuchuluka kwa ma enzyme ena omwe amakhudza magwiridwe antchito a chiwindi.
• Kuwonongeka kwa impso: Kuwonongeka kwa impso.
• Kuundana kwa magazi m'mitsempha yakuya (Deep Vein Thrombosis - DVT).
• Kugawanika kwa Mitsempha Yamagazi (DIC): Izi zimapangitsa kuti magazi aziundana pang'ono m'thupi lonse, zomwe zimapangitsa kuti magazi azituluka kwambiri.
• Hemolysis: Kuwonongeka kwa maselo ofiira a magazi.
• Kagayidwe ka asidi m'thupi: Kuchuluka kwa asidi m'thupi.
• Kuchuluka kwa magazi m'magazi (thrombocytosis) kapena kuchepa kwa magazi m'magazi (thrombocytopenia).

Zina mwa mavutowa zimatha kuchiritsidwa ndikuchiritsidwa, ndipo zitha kuthetsedwa. Koma zina, monga kuwonongeka kwa ubongo, zimatha kukhala zamuyaya. Ichi ndichifukwa chake SIRS ndi yoopsa kwambiri.

Kodi tingatani kuti tipewe matenda a SIRS?

Ngakhale kuti SIRS sitingathe kupewedwa kotheratu, pali zinthu zingapo zomwe tingachite kuti tichepetse mwayi woti izi zichitike. Tiyeni tiwone zomwe zili.

• Nthawi zonse tsatirani njira zabwino zaukhondo: Yesetsani kupewa matenda opatsirana ndi mavairasi, makamaka pogwiritsa ntchito zinthu monga kusamba m'manja.
• Kusunga mabala ndi mabala ena oyera mpaka atachira: Samalani kuti ngakhale bala laling'ono lisapse.
• Kupeza katemera woyenera pa nthawi yake: Izi zingateteze ku matenda ambiri.
• Pezani chithandizo choyenera cha matenda osatha: Ndikofunikira kuti matenda monga matenda a shuga ndi kuthamanga kwa magazi azilamuliridwa bwino.
• Pitani kwa dokotala ngati zizindikiro za matenda kapena vuto lomwe muli nalo zikukulirakulira: Musanyalanyaze chinthu chaching'ono.
• Fufuzani chithandizo chamankhwala mwachangu ngati mwavulala kwambiri kapena mukukayikira kuti muli ndi kachilombo: Chithandizo chachangu chingalepheretse kuwonongeka kwakukulu.

Uthenga Womaliza Wopita Nawo Kunyumba

Chinthu choyamba chomwe muyenera kukumbukira ndichakuti SIRS (Systemic Inflammatory Response Syndrome) ndi vuto lachipatala lomwe lingakhale pachiwopsezo cha moyo . Kuti mupewe SIRS, ndikofunikira kufunafuna chithandizo mwachangu cha matenda aliwonse, zovuta za matenda, kapena kuvulala kwakukulu. Ngati simulandira chithandizo, SIRS ingayambitse mavuto akulu komanso imfa. Ngati muli ndi zinthu zomwe zimayambitsa SIRS (monga kufooka kwa chitetezo chamthupi, matenda osatha), lankhulani ndi dokotala wanu za momwe mungathanirane ndi zoopsazo, zizindikiro za SIRS, ndi zomwe mungachite ngati zitachitika. Samalirani thanzi lanu ndipo mudziwe zambiri. Ndicho chinthu chofunikira kwambiri! SIRS, Systemic Inflammatory Response Syndrome, Sepsis, Sepsis, Kutupa, Matenda, Kuyankha kwa Thupi, Chithandizo cha Mwadzidzidzi