SIRS (Systemic Inflammatory Response Syndrome) ni iki? Ese ni nk'umuriro munini uri mu mubiri? Reka tuganire!

Ese wigeze wumva indwara yitwa SIRS (Systemic Inflammatory Response Syndrome)? Iri zina rishobora kuba ari rishya kuri wewe. Ariko ni indwara iteje akaga cyane ishobora kubaho mu mibiri yacu. Ni nk'aho umubiri ukabije ku kibazo gito ugatangira umuriro munini. Ese tubiganireho birambuye?

SIRS (Systemic Inflammatory Response Syndrome) ni iki?

Mu magambo make, SIRS ni igihe umubiri wacu ukabije iyo uhuye n'ikintu gitera stress. Tekereza nk'uburyo bwo kwirwanaho bw'igihugu. Iyo umwanzi muto aje, agomba kumurwanya mu buryo bukwiye. Ariko muri SIRS, ni nk'aho iyi ngabo itangiye intambara ikomeye ku kintu gito. Ibi bitera ububyimbirwe bukomeye mu mubiri wose. Ubu bubyimbirwe bushobora kwangiza ingingo zacu z'ingenzi, bigatuma zihagarika gukora, ndetse rimwe na rimwe zikaba zashyira ubuzima mu kaga. Niyo mpamvu ari akaga. Iyo tuvuze ibintu bitera stress, ni ibihe?

• Indwara : Indwara ziterwa na bagiteri , virusi , ibihumyo, nibindi. Hari igihe, ndetse n'ubwandu bworoheje bw'igikomere bushobora gutera umuriro, ariko iyo burushijeho gukomera, bushobora gutera indwara ya SIRS.
• Kubagwa: Ndetse na nyuma yo kubagwa bikomeye, umubiri rimwe na rimwe ushobora kugira ibyiyumvo nk'ibi.
• Kubyimba gukabije: Iyo habayeho kubyimba gukomeye mu buryo butunguranye ahantu runaka mu mubiri, urugero, pancreatitis .
• Ischema: Ibi bibaho igihe amaraso atembera mu gice cy'umubiri cyangwa ku rugingo runaka. Hanyuma uturemangingo two muri utwo duce dutangira gupfa, umubiri nawo ukaba ushobora kubyitabira.
• Kanseri: SIRS ishobora no kugaragara mu ndwara zimwe na zimwe za kanseri.

Ibintu nk'ibi ni byo bintu by'ingenzi bitera SIRS.

Ese SIRS na Sepsis ni kimwe?

Yego, nubwo hari isano nto hagati y’ibyo byombi, sepsis ni indwara itandukanye gato na SIRS. Tega amatwi witonze. Niba impamvu ya SIRS ari ubwandu , ni cyo twita sepsis . Urabyumva? Ni ukuvuga ko hafi ya buri wese ufite sepsis aba afite SIRS. Kuko ibimenyetso bya SIRS bibaho iyo umubiri witabiriye ubwandu. Ariko, si buri wese ufite SIRS uba ufite sepsis. Kuko SIRS ishobora guterwa n’ubwandu gusa, ahubwo no guterwa n’izindi mpamvu nko kubagwa, kanseri, no kubura amaraso, nk’uko byavuzwe mbere. Sepsis nayo ni indwara ishobora gushyira ubuzima mu kaga cyane isaba ubuvuzi bwihutirwa.Niyo mpamvu ari ingenzi cyane kumenya byombi.

SIRS ni rusange gute?

Biragoye kubashakashatsi kuvuga neza uburyo ibi bikunze kugaragara, kuko si abantu bose bafite SIRS bagera kwa muganga ku gihe. Ariko SIRS ni indwara ikunze kugaragara mu byumba by’ubutabazi bw’ibanze n’ibyumba byita ku barwayi barembye (ICU) . Mu bushakashatsi bumwe, barebye abarwayi bagera ku 27.000 bari mu bitaro. Muri abo, 15% bari bafite nibura ibimenyetso bibiri byafatwaga nk'ibisanzwe iyo bashyizwe mu bitaro. Kandi 47% bujuje ibisabwa kugira ngo bahabwe SIRS nibura rimwe mu gihe bari mu bitaro. Bityo rero ushobora kwiyumvisha ukuntu ibi bishobora kuba bikomeye.

Ni ibihe bimenyetso bya SIRS? Ubimenya ute?

Kubera ko SIRS ifite impamvu nyinshi kandi ikagira ingaruka ku bice byinshi by'umubiri, ibimenyetso birashobora gutandukana cyane. Ariko niba ufite kimwe cyangwa byinshi muri ibi bimenyetso, ntukirengagize. Ni byiza kwihutira gushaka inama kwa muganga. Dore bimwe mu bimenyetso:

• Kubyimba no kubyimba (edema) mu bice by'umubiri byafashwe: bisa no kubyimba hafi y'igikomere, cyangwa bishobora kuba bibi kurushaho.
• Ububabare bukomeye: Ububabare bukabije mu gace kagize ikibazo.
• Kubura imikorere y'ingingo z'umubiri: Urugero, kudashobora kwimura ukuboko cyangwa ukuguru.
• Umunaniro mwinshi: Ushobora kumva unaniwe cyane kandi usinziriye ku buryo ntacyo ushobora gukora.
• Umutima utera cyane (Tachycardia): Umutima utera vuba kurusha uko bisanzwe. Ushobora kurenza ibitero 90 ku munota.
• Guhumeka nabi: Kugorwa no guhumeka, kwiyongera k'umuvuduko wo guhumeka (inshuro zirenga 20 ku munota).
• Umuriro cyangwa Hypothermia : Umubiri ushobora gushyuha cyane ugatangira kugira umuriro, cyangwa, ku rundi ruhande, ubushyuhe bw'umubiri bushobora kugabanuka munsi ya dogere selisiyusi 36 (96.8 Fahrenheit).
• Gutitira cyangwa gukonja: Utangira gutitira nk'aho ufite umuriro.
• Uruhu rushyushye cyangwa rumeze nk'urushyushye bitewe n'ibyuya: Hari igihe uruhu rushobora kumva rushyushye cyangwa rumeze nk'urushyushye bitewe n'ibyuya.
• Uduheri ku ruhu: Ubwoko butandukanye bw'uduheri, nka eczema, bushobora kugaragara ku ruhu.
• Urujijo, ihungabana, cyangwa izindi mpinduka zo mu mutwe: Ibimenyetso nko kwitiranya ibintu, ihungabana, no kuvuga nabi.
• Gutakaza ubwenge: Iki ni ikimenyetso kibi cyane.

Ikintu cy'ingenzi kurusha ibindi:Niba ufite ibi bimenyetso, nyamuneka ntugume mu rugo. Jya ku bitaro bikwegereye vuba bishoboka, cyangwa uhamagare 1990 kugira ngo uhamagare imbangukiragutabara. SIRS ni ikibazo cyihutirwa cy’ubuvuzi.

Ni izihe mpamvu zitera SIRS?

SIRS ibaho, nk'uko byavuzwe mbere, iyo ubudahangarwa bw'umubiri wacu bwifashe nabi iyo hari ikintu gitera stress. Ubusanzwe, umubiri wacu ukoresha ububyimbirwe kugira ngo budufashe. Tekereza kuri ibi, iyo tugize igikomere, kirabyimba kandi kigahinduka umutuku kuko uturemangingo tuza kukirwanya tugatangira gukiza igikomere. Ariko muri SIRS, iki gisubizo kiba gikomeye bitari ngombwa , kandi ubu bubyimbirwe ubwabwo budutera ingaruka mbi cyane. Dore zimwe mu mpamvu z'ingenzi zishobora kugira ingaruka ku buzima bwa SIRS:

• Gushyukwa cyane kw'ibiryo cyangwa ibinyobwa: Iyo ibiryo cyangwa ibinyobwa bimizwe mu gihe urya cyangwa unywa, kandi ibyo bintu bikinjira mu bihaha, bishobora no gutera SIRS.
• Ischemia ikabije y’ingingo z’umubiri: Iyo amaraso agana ku ngingo z’ingenzi, nk’ubwonko, umutima, cyangwa impyiko, ahagarara mu buryo butunguranye cyangwa akagabanuka cyane.
• Pancreatitis ikabije: Iyi nayo ni indwara ikomeye.
• Ingaruka mbi ku muti: Umubiri ushobora kwanga imiti imwe n'imwe.
• Indwara za bagiteri: Indwara zikomeye za bagiteri nka umusonga na meningitis.
• Kanseri z'amaraso (malaria y'amaraso): Indwara nka leukemia, lymphoma, na myeloma nyinshi.
• Ubushye: SIRS ishobora no guterwa n'ubushye bukomeye.
• Erythema multiforme: Iyi ni ingaruka ikomeye ku ruhu.
• Kudatera amaraso mu mara no gutobora igifu.
• Gukoresha ibiyobyabwenge bitari iby'ubuvuzi no kurenga urugero.
• Vasculitis: Iyi ni indwara yo kubyimba igaragara mu mitsi y'amaraso.
• Indwara y’uburozi: Iyi ni indwara ishobora gushyira ubuzima mu kaga iterwa n’ubwandu bwa bagiteri.
• Ihungabana n'ihungabana rijyanye no kubagwa.
• Indwara ziterwa n'ibicurane bya virusi: Hari igihe n'ibicurane bisanzwe bishobora guhinduka SIRS iyo bibaye bikomeye.
• Indwara z'ibihumyo zikwirakwira cyane mu bantu bafite ubudahangarwa bw'umubiri budakomeye.

Noneho ushobora kuba usobanukiwe ko SIRS ishobora kubaho kubera impamvu nyinshi.

Ni nde uri mu kaga gakomeye ko kwandura SIRS?

Hari abantu bashobora kugira amahirwe menshi yo kurwara SIR kurusha abandi. Reka tumenye abo ari bo.

• Imyaka: Abana bato n'abantu barengeje imyaka 65 bari mu kaga gakomeye kuko ubudahangarwa bw'umubiri bw'aba bantu bombi bushobora kuba bufite intege nke gato.
• Kugira ubudahangarwa bw'umubiri budakomeye: Abantu barimo kuvurwa kanseri, abarwaye virusi itera SIDA, n'abamaze guterwa ingingo z'umubiri baba bafite ubudahangarwa bw'umubiri budakomeye, bigatuma bashobora kurwara indwara ya SIRS.
• Indwara zidakira: Abantu bafite indwara z'igihe kirekire nka diyabete, cirrhose (gukomera kw'umwijima), na COPD (indwara idakira y'ibihaha) nabo bafite ibyago byinshi byo kurwara.
• Ubwandu buriho: Niba usanzwe ufite ubwandu, nka pneumonia, meningitis, cyangwa cellulitis (ubwandu bw'uruhu), birashoboka cyane ko burushaho gukomera kandi bukagera kuri SIRS.

Niba wowe cyangwa undi muntu uzi afite ibi bintu bishobora gutera ibyago, ni ngombwa cyane kumenya by'umwihariko ibimenyetso bya SIRS.

Ni gute abaganga basuzuma indwara ya SIRS?

Kubera ko SIRS ari indwara ishobora gushyira ubuzima mu kaga, abaganga bagerageza kuyisuzuma hakiri kare. Bakoresha ibi bikurikira kugira ngo babigereho:

• Isuzuma ry'umubiri: Umubiri wawe urasuzumwa, cyane cyane ibimenyetso by'ingenzi nko kugira umuriro, umutima utera cyane, guhumeka neza, n'umuvuduko w'amaraso.
• Ibimenyetso byawe: Turakubaza witonze ku kumererwa nabi uri kumva.
• Amateka yawe y'ubuvuzi: Uzabazwa ibintu nk'indwara za kera n'imiti wafataga.
• Impamvu ishoboka ya SIRS: Niba icyateye SIRS cyabonetse, bizafasha no mu gusuzuma indwara.

Ubusanzwe, umuganga ufite ibi bimenyetso ahita akeka ko ari SIRS maze agahita atangira kuvurwa. Ariko kandi, bashobora no gukora ibindi bipimo byinshi kugira ngo basuzume ubuzima bwawe kandi bamenye impamvu nyayo ya SIRS. Urugero:

• Ibipimo by'amaraso: Ibi bishobora kugenzura ibintu byinshi. Urugero, imiterere y'umubiri, umubare wuzuye w'amaraso (CBC) (ibi bigenzura umubare w'uturemangingo tw'amaraso twera), isuzuma rya aside lactic, isuzuma ry'imikorere y'umwijima, isuzuma ry'imikorere y'impyiko, n'ibindi.
• Urugero rwa ogisijeni mu maraso.
• Isuzuma ry'inkari.
• Ikizamini cyo gupima bagiteri: Kugira ngo hamenyekane niba hari ubwandu, niba ari bwo, niba buterwa na bagiteri.
• Ibizamini byo gushushanya:Ibintu nka X-ray cyangwa CT scans bishobora kwerekana ibirimo kuba mu mubiri.

Ibipimo ngenderwaho bya SIRS

Kugira ngo umenyekane ko ufite SIRS, ugomba kuba ufite nibura ibimenyetso bibiri muri ibi bikurikira:

• Ubushyuhe bw'umubiri: Kwiyongera kwa dogere selisiyusi zirenga 38 (100.4 Fahrenheit) cyangwa kugabanuka kwa dogere selisiyusi zirenga 36 (96.8 Fahrenheit).
• Igipimo cy'umutima: Cyariyongereye kigera ku bitero birenga 90 ku munota.
• Igipimo cyo guhumeka: Kwiyongera k'umubare w'umwuka urenga inshuro 20 ku munota, cyangwa kugabanuka k'umuvuduko wa CO2 mu maraso uri munsi ya 32 mmHg.
• Umubare w'uturemangingo tw'amaraso (leukocyte): Ubwiyongere bw'abantu barenga 12.000.

Ariko ku bana, ibi bipimo biratandukanye gato. Kugira ngo bamenyekane ko barwaye SIRS, bagomba kuba bafite umubare udasanzwe w’uturemangingo tw’amaraso yera n’ubushyuhe bw’umubiri budasanzwe. Ibi biterwa n’uko umuvuduko w’umutima w’abana n’umuvuduko w’ubuhumekero akenshi biba biri hejuru gato ugereranije n’uw’abantu bakuru.

SIRS ivurwa ite?

Hari ibintu bibiri by'ingenzi ugomba kwitaho mu gihe uvura SIRS. Kimwe ni ukuvura impamvu nyamukuru ya SIRS. Ikindi ni ukwirinda indwara yo kudakora neza kw'ingingo nyinshi (MODS). Uburyo bwo kuvura bushobora gutandukana bitewe n'impamvu ya SIRS. Ariko, dore bumwe mu buryo bukunze gukoreshwa:

• Gutanga amazi binyuze mu mitsi (IV fluids): Ibi bifasha gutuma amaraso atembera neza mu ngingo z'umubiri no gukumira umuvuduko w'amaraso kugabanuka cyane.
• Antibiyotike: Iyo SIRS itewe n'ubwandu bwa bagiteri, iyi miti iratangwa.
• Imiti igabanya umuvuduko w'amaraso: Iyo umuvuduko w'amaraso wawe uri hasi cyane, iyi miti itangwa kugira ngo wongere umere nk'uko bisanzwe.
• Corticosteroids: Izi zikoreshwa mu gukumira umubiri kugira impanuka cyangwa kugufasha gukira.
• Insulini inyura mu mutsi (insuline ikoresha imashini igabanya umuvuduko w'amaraso): Genzura urugero rw'isukari mu maraso (niba ari ngombwa).
• Kubagwa: Urugero, kubagwa hakoreshejwe ubushakashatsi kugira ngo bakureho amabyi mu gisebe cyari cyarangiritse, bakureho ingingo zangiritse, cyangwa bamenye ikibazo kiri imbere.

Tekereza, niba ufite ikibazo cy'impyiko, ushobora gukenera dialyse (gusukura amaraso). Mu buryo nk'ubwo, niba ufite ikibazo cy'ubuhumekero, ushobora gukenera guhuzwa n'icyuma gihumeka gikoresheje ikoranabuhanga.

Ese birashoboka gukira indwara ya SIRS? Ni iyihe ntego?

Iteganyagihe ry'indwara ya SIRS riterwa n'ibintu byinshi.

• Uburyo wasuzumwe vuba kandi ukavurwa.
• Ni iyihe mpamvu nyamukuru ya SIRS?
• Niba ufite ibintu bishobora gutuma urwara indwara ya SIRS (urugero: ubudahangarwa bw'umubiri budakora neza).

Inkuru nziza ni uko iyo bavuwe vuba, abantu benshi barwaye SIRS bakira burundu kandi bashobora gusubira mu buzima busanzwe. Ariko, iyi ni indwara ikomeye rimwe na rimwe ishobora kwica. Igipimo cy'impfu zikomoka kuri SIRS kiri hafi 7%. By'umwihariko, igipimo cy'impfu zikomoka kuri sepsis ni iki gikurikira:

• Ku bijyanye na sepsis: 1.3%
• Ku ndwara ya sepsis ikomeye: 9.2%
• Ku ndwara ya septic shock (indwara iterwa na sepsis): 28%

Bityo rero, ni ngombwa cyane gushaka inama kwa muganga vuba ibimenyetso bya SIRS bigaragaye, kuko hari ibyago byo gupfa.

Ni izihe ngorane zishobora guterwa na SIRS?

SIRS (cyane cyane iyo itewe n'ubwandu) ishobora gutera sepsis ikomeye cyangwa septic shock. Ishobora kandi gutuma habaho kunanirwa kw'ingingo nyinshi cyangwa imwe. Byongeye kandi, ingorane nka:

• Kunanirwa gukabije kw'imisemburo y'inkondo y'umura: Ibi bibaho iyo imisemburo y'inkondo y'umura idakora imisemburo y'ingenzi ihagije nka cortisol.
• Indwara yo mu bwonko itera indwara ikomeye: Indwara iyo ari yo yose y’ubwonko igira ingaruka ku mikorere cyangwa imiterere y’ubwonko.
• Indwara yo mu bihaha iterwa n'indwara y'ubuhumekero (ARDS): Kwangirika gukomeye kw'ibihaha.
• Transaminite ikabije: Ubwiyongere bw'ingano ya enzymes zimwe na zimwe zigira ingaruka ku mikorere y'umwijima.
• Necrosis y'imiyoboro y'amaraso: Kwangirika kw'impyiko.
• Amaraso apfundika mu mitsi miremire (Deep Vein Thrombosis - DVT).
• Gufungana kw'imitsi mu maraso (DIC): Ibi bituma amaraso agabanuka mu mubiri wose, bigatuma amaraso asohoka yongera.
• Hemolysis: Gusenyuka kw'uturemangingo dutukura tw'amaraso.
• Asidekisi y'umubiri: Iyongera ry'aside mu mubiri.
• Thrombocytosis (ubwiyongere bw'umubare wa platelets) cyangwa thrombocytopenia (kugabanuka kw'umubare wa platelets).

Zimwe muri izi ngorane zishobora kuvurwa no kuvurwa, kandi zishobora gusubizwa inyuma. Ariko zimwe, nko kwangirika k'ubwonko, zishobora kuba burundu. Niyo mpamvu SIRS ari mbi cyane.

Ni iki twakora kugira ngo twirinde SIRS?

Nubwo SIRS idashobora kwirindwa burundu, hari ibintu bike dushobora gukora kugira ngo tugabanye amahirwe yo kubyakira. Reka turebe ibyo ari byo.

• Buri gihe kurikiza isuku: Gerageza kwirinda kwandura virusi, cyane cyane binyuze mu bintu nko gukaraba intoki.
• Gukomeza gusiga ibikomere n'ibindi bikomere kugeza bikize: Witondere ko n'igikomere gito kidakomeza kwangirika.
• Kubona inkingo zisabwa ku gihe: Ibi bishobora kurinda indwara nyinshi.
• Shaka ubuvuzi bukwiye ku ndwara zidakira: Ni ngombwa kugenzura indwara nka diyabete n'umuvuduko ukabije w'amaraso.
• Shaka muganga niba ibimenyetso by'indwara cyangwa indwara isanzwe ikomeje kwiyongera: Ntukirengagize ikintu gito.
• Shaka ubuvuzi bwihuse niba ufite igikomere gikomeye cyangwa ukeka ko ufite ubwandu: Guvurwa vuba bishobora gukumira kwangirika gukomeye.

Ubutumwa bwa nyuma bwo kujyana mu rugo

Ikintu cya mbere ugomba kwibuka ni uko SIRS (Systemic Inflammatory Response Syndrome) ari ikibazo cyihutirwa gishobora gushyira ubuzima mu kaga . Kugira ngo wirinde SIRS, ni ngombwa gushaka ubuvuzi bwihuse ku ndwara iyo ari yo yose, ingorane z'uburwayi, cyangwa imvune ikomeye. Iyo itavuwe, SIRS ishobora gutera ingorane zikomeye ndetse n'urupfu. Niba ufite ibintu bishobora gutera SIRS (urugero: ubudahangarwa bw'umubiri budakora neza, indwara zidakira), ganira na muganga wawe uburyo bwo gucunga izo ngaruka, ibimenyetso bya SIRS, n'icyo wakora mu gihe bibaye. Wite ku buzima bwawe kandi umenyeshwe. Icyo ni cyo kintu cy'ingenzi cyane! SIRS, Syndrome Systemic Inflammatory Response Syndrome, Sepsis, Sepsis, Inflammation, Infection, Umubiri, Ubuvuzi bwihutirwa