Chii chinonzi SIRS (Systemic Inflammatory Response Syndrome)? Zvakafanana nemoto mukuru uri mukati memuviri here? Ngatikurukurei!

Wakambonzwa nezvechirwere chinonzi SIRS (Systemic Inflammatory Response Syndrome) here? Zita iri ringave idzva kwauri. Asi chirwere chine njodzi chinogona kuitika mumiviri yedu. Zvakafanana nemuviri unotora zvakanyanya dambudziko diki wotanga moto mukuru. Tinofanira kutaura nezvazvo zvakadzama here?

Chii chinonzi SIRS (Systemic Inflammatory Response Syndrome)?

Zvichitaurwa zviri nyore, SIRS zvinoreva apo muviri wedu unopindura zvakanyanya kune chinhu chinoshungurudza. Funga nezvazvo sedziviriro yenyika. Kana muvengi mudiki auya, anofanira kurwisa nenzira kwayo. Asi muSIRS, zvinoita sekunge uto iri rinotanga hondo huru pamusoro pechinhu chidiki. Izvi zvinokonzera kuzvimba kwakanyanya mumuviri wese. Kuzvimba uku kunogona kukuvadza nhengo dzedu dzinokosha, kuita kuti dzimire kushanda, uye dzimwe nguva kutoisa hupenyu panjodzi. Ndosaka zvine njodzi. Patinotaura nezvezvinhu zvinoshungurudza, chii ichocho?

• Utachiona : Utachiona hunokonzerwa nemabhakitiriya , mavhairasi , fungi, nezvimwewo. Dzimwe nguva, kunyangwe hutachiona hudiki hwemaronda hunogona kukonzera fivha, asi kana hukanyanya kuipa, hunogona kukonzera SIRS.
• Kuvhiyiwa: Kunyangwe mushure mekuvhiyiwa kukuru, muviri unogona kuita seizvi dzimwe nguva.
• Kuzvimba kwakanyanya: Kana paine kuzvimba kwakakomba kamwe kamwe mumuviri, semuenzaniso, pancreatitis .
• Ischemia: Apa ndipo apo ropa rinoyerera richienda kuchikamu chemuviri kana nhengo yemuviri parinodzikira. Ipapo masero ari munzvimbo idzodzo anotanga kufa, uye muviri unogona kupindurawo kune izvi.
• Kenza: SIRS inogonawo kuitika mune mamwe mamiriro ekenza.

Zvinhu zvakaita seizvi ndizvo zvinonyanya kukonzera SIRS.

SIRS naSepsis chinhu chimwe chete here?

Ehe, kunyangwe paine hukama hudiki pakati pezviviri izvi, sepsis chirwere chakasiyana zvishoma neSIRS. Teerera zvakanaka. Kana chikonzero cheSIRS chiri hutachiona , ndizvo zvatinodaidza kuti sepsis . Unonzwisisa here? Kureva kuti, anenge munhu wese ane sepsis ane SIRS. Nekuti zviratidzo zveSIRS zvinoitika kana muviri ukapindura kune hutachiona. Zvisinei, havasi vese vane SIRS vane sepsis. Nekuti SIRS inogona kukonzerwa kwete nehutachiona chete, asiwo nezvimwe zvikonzero zvakaita sekuvhiyiwa, kenza, uye ischemia, sezvambotaurwa. Sepsis chirwere chinotyisidzirawo hupenyu chinoda kurapwa nekukurumidza.Ndosaka zvichikosha kuziva zvese zviri zviviri.

SIRS yakajairika zvakadii?

Zvakaoma kuti vaongorori vataure kuti izvi zvakajairika sei, nekuti havasi vese vane SIRS vanosvika kuchipatara nenguva. Asi SIRS chirwere chinowanzoitika mumadhipatimendi e emergency room nema intensive care units (ICUs) . Mune imwe ongororo, vakatarisa varwere vanosvika 27,000 vari muchipatara. Pavari, 15% vaiva nezviratidzo zviviri zvingangoonekwa seSIRS pavakapinda muchipatara. Uye 47% vakasangana nezvinodiwa zveSIRS kanenge kamwe chete panguva yekugara kwavo muchipatara. Saka unogona kufungidzira kuti izvi zvingave zvakakomba sei.

Ndezvipi zviratidzo zveSIRS? Unozviziva sei?

Nekuti SIRS ine zvikonzero zvakawanda uye inokanganisa nhengo dzakasiyana dzemuviri, zviratidzo zvinogona kusiyana zvakanyanya. Asi kana uine chimwe chezviratidzo izvi kana kupfuura, usazviregeredza. Zvakanaka kutsvaga rubatsiro rwechiremba nekukasika. Heano mamwe ezviratidzo:

• Kutsvuka uye kuzvimba (edema) munzvimbo dzakakanganiswa dzemuviri: zvakafanana nekuzvimba kwakatenderedza ronda, kana kuti zvinogona kutowedzera kuipa.
• Kurwadziwa kwakanyanya: Kurwadziwa kusingatsungiririki munzvimbo yakakanganiswa.
• Kushaya simba remuviri: Semuenzaniso, kusakwanisa kufambisa ruoko kana gumbo.
• Kuneta kwakanyanya: Unganzwa kuneta uye hope zvekuti haugone kuita chero chinhu.
• Kurova kwemoyo kwakanyanya (Tachycardia): Mwoyo unorova nekukurumidza kupfuura zvakajairwa. Unogona kurova kupfuura 90 paminiti.
• Kusakwana kwekufema: Kutadza kufema zvakanaka, kuwedzera kwekufema (kanopfuura ka20 paminiti).
• Fivha kana Hypothermia : Muviri unogona kupisa zvakanyanya woita fivha, kana, zvakasiyana, tembiricha yemuviri inogona kuderera pasi pe36 degrees Celsius (96.8 Fahrenheit).
• Kudedera kana kutonhorwa: Unotanga kudedera sekunge une fivha.
• Ganda rinonzwa kupisa kana kusviba nekuda kwedikita: Dzimwe nguva ganda rinogona kunzwa kupisa kana kusviba nekuda kwedikita.
• Mapundu paganda: Mhando dzakasiyana dzemapundu, akadai se eczema, dzinogona kuoneka paganda.
• Kuvhiringidzika, kutsamwa, kana kumwe kuchinja kwepfungwa: Zviratidzo zvakaita sekuvhiringidzika, kutsamwa, uye kutaura kusina kujeka.
• Kurasikirwa nepfungwa: Ichi chiratidzo chine njodzi zvikuru.

Chinhu chinonyanya kukosha:Kana uine zviratidzo izvi, ndapota usagare kumba. Enda kuchipatara chiri pedyo nekukurumidza, kana kufonera 1990 kuti uwane amburenzi. SIRS idambudziko rehutano.

Ndezvipi zvikonzero zveSIRS?

SIRS inoitika, sezvambotaurwa, apo masoja edu emuviri anopindura zvakanyanya kune chinotishungurudza. Kazhinji, muviri wedu unoshandisa kuzvimba kuti utibatsire. Funga nezvazvo, patinowana ronda, rinozvimba uye rinoshanduka kuva dzvuku nekuti masero anouya kuzorwisa ronda racho otanga kuporesa ronda racho. Asi muSIRS, mhinduro iyi inova yakanyanya kuipa , uye kuzvimba uku pachakwo kunotikuvadza zvikuru. Heano mamwe ezvikonzero zvikuru zvinogona kukanganisa mamiriro eSIRS:

• Kusvuta chikafu kana zvinwiwa zvakanyanya: Kana chikafu kana zvinwiwa zvikamedzwa panguva yekudya kana kunwa, uye zvinhu izvi zvikapinda mumapapu, izvi zvinogonawo kukonzera SIRS.
• Kushaya simba kwenhengo dzemuviri: Kana ropa richisvika kunhengo inokosha, yakadai seuropi, moyo, kana itsvo, rikamira kamwe kamwe kana kuti radzikira zvakanyanya.
• Chirwere chepancreatitis chinokonzeresa kuputika kweropa: Ichi chirwere chakakombawo.
• Kusagadzikana kwemushonga: Muviri unogona kusagadzikana kune mimwe mishonga.
• Utachiona hwemabhakitiriya: Utachiona hwakakomba hwemabhakitiriya hwakadai sepneumonia uye meningitis.
• Kenza yeropa (hematologic malignancy): Zvirwere zvakaita seleukemia, lymphoma, uye multiple myeloma.
• Kutsva: SIRS inogonawo kuitika nekuda kwekutsva kukuru.
• Erythema multiforme: Uku kurwara kwakanyanya kweganda.
• Kusafamba kweropa muura hwako uye kuburitswa kwegomarara.
• Kushandiswa kwemishonga isiri yekurapa uye kunyanyisa.
• Vasculitis: Ichi chirwere chekuzvimba chinoitika mutsinga dzeropa.
• Toxic shock syndrome: Ichi chirwere chinotyisidzirawo hupenyu chinokonzerwa nehutachiona hwebhakitiriya.
• Kukuvara kwakabatana nekukuvara uye kuvhiyiwa.
• Zvirwere zvakaita sefuruwenza ine utachiona: Dzimwe nguva kunyange furuwenza yakajairika inogona kuchinja kuita SIRS kana ikanyanya kuipa.
• Kutapukirwa nefungus kwakapararira muvanhu vane masoja emuviri asina simba.

Zvino pamwe wava kunzwisisa kuti SIRS inogona kuitika nekuda kwezvikonzero zvakawanda.

Ndiani ari panjodzi huru yekubatwa neSIRS?

Vamwe vanhu vane mukana mukuru wekuva neSIRS kupfuura vamwe. Ngationei kuti ndivanaani.

• Zera: Vana vadiki nevanhu vane makore anopfuura 65 vari panjodzi huru nekuti masoja emuviri evanhu ava ese anogona kunge asina simba.
• Kuva nemasoja ekudzivirira chirwere asina simba: Vanhu vari kurapwa kenza, avo vane HIV, uye avo vakamboisirwa nhengo dzemuviri vane masoja ekudzivirira chirwere asina simba, zvichiita kuti vave nenjodzi huru yekubatwa neSIRS.
• Zvirwere zvisingaperi: Vanhu vane zvirwere zvenguva refu zvakaita sechirwere cheshuga, cirrhosis (kuoma kwechiropa), uye COPD (chirwere chemapapu chisingaperi) vari panjodzi yakakura.
• Utachiona huripo: Kana uine hutachiona hwakadai sepneumonia, meningitis, kana cellulitis (hutachiona hweganda), hunogona kukura zvakanyanya uye hunoenda kuSIRS.

Saka kana iwe kana mumwe munhu waunoziva aine zvinhu izvi zvine njodzi, zvakakosha kuti uzive zviratidzo zveSIRS.

Vanachiremba vanoongorora sei SIRS?

Nekuti SIRS chirwere chinogona kuisa hupenyu panjodzi, vanachiremba vanoedza kuchiongorora nekukurumidza sezvinobvira. Vanoshandisa zvinotevera kuita izvi:

• Kuongororwa kwemuviri: Muviri wako unoongororwa, kunyanya zviratidzo zvakakosha zvakaita sefivha, kurova kwemoyo, kufema, uye BP.
• Zviratidzo zvako: Tinokubvunza nokungwarira nezvekusagadzikana kwauri kunzwa.
• Nhoroondo yako yezvekurapa: Uchabvunzwa nezvezvinhu zvakaita sezvirwere zvekare nemishonga yawakashandisa.
• Zvinogona kukonzera SIRS: Kana chikonzero cheSIRS chikawanikwa, zvinobatsirawo pakuongororwa kwechirwere.

Kazhinji, chiremba ane zviratidzo izvi anofungira kuti ane SIRS uye otanga kurapwa nekukasika. Zvisinei, pamusoro pezvo, vanogonawo kuita mimwe miedzo yakati wandei kuti vaongorore hutano hwako uye vaone chikonzero chaicho cheSIRS. Semuenzaniso:

• Kuongororwa kweropa: Izvi zvinogona kuongorora zvinhu zvakawanda. Semuenzaniso, metabolic panel, kuverenga ropa rose (CBC) (izvi zvinoongorora huwandu hwemasero machena eropa), bvunzo yelactic acid, bvunzo dzekushanda kwechiropa, bvunzo dzekushanda kweitsvo, nezvimwewo.
• Mwero weokisijeni muropa.
• Kuongororwa kweweti.
• Kuongororwa kwebhakitiriya: Kuti uone kana paine hutachiona uye, kana zvakadaro, hunokonzerwa nemabhakitiriya api.
• Miedzo yemifananidzo:Zvinhu zvakaita seX-rays kana CT scans zvinogona kuratidza zviri kuitika mumuviri.

Zvinodiwa zveSIRS

Kuti uongororwe uine SIRS, unofanira kunge uine zviratidzo zviviri zvinotevera:

• Kupisa muviri: Kuwedzera kwekupisa kunodarika 38 degrees Celsius (100.4 Fahrenheit) kana kuderera kwe36 degrees Celsius (96.8 Fahrenheit).
• Kurova kwemoyo: Kwakawedzera kusvika pakurova kunopfuura 90 paminiti.
• Kufema: Kuwedzera kwehuwandu hwekufema paminiti inodarika makumi maviri, kana kudzikira kwechikamu cheCO2 muropa chisingasviki 32 mmHg.
• Kuwanda kwemasero machena eropa (leukocyte): Kuwanda kwemasero aya kunopfuura 12,000.

Asi kuvana, izvi zvinhu zvakasiyana zvishoma. Kuti vaongororwe kuti vane SIRS, vanofanira kunge vaine huwandu husina kujairika hwemasero machena eropa uye tembiricha yemuviri isingajairiki. Izvi zvinodaro nekuti kurova kwemwoyo kwevana uye kufema kwavo zvinowanzova zvakakwirira zvishoma pane zvevakuru.

SIRS inorapwa sei?

Pane zvinhu zviviri zvikuru zvekufunga nezvazvo pakurapa SIRS. Chimwe ndechekurapa chikonzero chikuru cheSIRS. Chimwe ndechekudzivirira multi-organ dysfunction syndrome (MODS). Nzira dzekurapa dzinogona kusiyana zvichienderana nechikonzero cheSIRS. Zvisinei, heano mamwe emishonga yakajairika:

• Kupa mvura kuburikidza netsinga (IV fluids): Izvi zvinobatsira kuona kuti ropa rinoyerera zvakanaka munhengo dzemuviri uye kudzivirira kuti BP isadzike zvakanyanya.
• Mishonga inorwisa mabhakitiriya: Kana SIRS yakakonzerwa nehutachiona hwebhakitiriya, mishonga iyi inopihwa.
• Mishonga yeVasopressor: Kana BP yako yakaderera zvakanyanya, inopihwa kuti idzokere payakajairika .
• Corticosteroids: Izvi zvinoshandiswa kudzivirira muviri kuti usarohwa nehana kana kuti ubatsire kuti upore kubva pairi.
• Insulin kuburikidza netsinga (insulin yemutsinga): Dzora huwandu hweshuga muropa (kana zvichidikanwa).
• Kuvhiya: Semuenzaniso, kuvhiya kunoongorora kubvisa urwa paronda riri kufenda, kubvisa nyama yakakuvara, kana kuona kuti chii chiri kunetsa mukati.

Fungidzira, kana uine dambudziko reitsvo, ungangoda dialysis (kucheneswa kweropa). Saizvozvowo, kana uine dambudziko rekufema, ungangoda kubatanidzwa nemuchina wekufema.

Zvinokwanisika here kupora kubva kuSIRS? Ndeipi tarisiro?

Kufanotaura kweSIRS kunoenderana nezvinhu zvakawanda.

• Kukurumidza kwawakaitwa kuongororwa uye kurapwa.
• Chii chinokonzera SIRS?
• Kana uine zvinhu zvinokonzera njodzi yekukudziridza SIRS (semuenzaniso, immune system isina simba).

Mashoko akanaka ndeekuti kana vakarapwa nekukurumidza, vanhu vazhinji vane SIRS vanopora zvachose uye vanogona kudzokera kuhupenyu hwavo hwemazuva ese. Zvisinei, ichi chirwere chakakomba chinogona kuuraya dzimwe nguva. Huwandu hwevakafa kubva kuSIRS hunosvika 7%. Huwandu hwevakafa kubva ku sepsis kunyanya ndehwekuti:

• Kune sepsis: 1.3%
• Kune sepsis yakanyanya: 9.2%
• Kune septic shock (chirwere chinokonzerwa ne sepsis): 28%

Saka, zvakakosha zvikuru kutsvaga rubatsiro rwechiremba kana zviratidzo zveSIRS zvangoonekwa, sezvo paine njodzi yekufa.

Ndezvipi zvinetso zvinogona kuitika nekuda kweSIRS?

SIRS (kunyanya kana zvichikonzerwa nehutachiona) inogona kufambira mberi kusvika pakukuvadzwa kwakanyanya kweropa kana septic shock. Inogonawo kutungamira mukukundikana kwenhengo dzakawanda kana nhengo imwe chete. Pamusoro pezvo, matambudziko akadai se:

• Kusakwana kweAdrenal: Apa ndipo apo ma adrenal glands ako asingagadzire mahormone akakosha akakwana senge cortisol.
• Acute encephalopathy: Chero chirwere cheuropi chinokanganisa mashandiro kana chimiro cheuropi.
• Chirwere cheAcute Respiratory Distress Syndrome (ARDS): Kukuvadzwa kwakanyanya kwemapapu.
• Kupararira kweropa muropa: Kuwedzera kwehuwandu hwemamwe ma enzymes anokanganisa mashandiro echiropa.
• Kukuvara kwetsinga dzemudumbu: Kukuvara kweitsvo.
• Kugwamba kweropa mutsinga dzakadzika (Deep Vein Thrombosis - DVT).
• Kubatana kweropa mutsinga dzeropa (DIC): Izvi zvinokonzera kuti ropa diki riungane mumuviri wese, izvo zvinoita kuti ropa riwedzere kubuda.
• Kuparara kwemasero matsvuku eropa: Kuparara kwemasero matsvuku eropa.
• Metabolic acidosis: Kuwedzera kweacidity mumuviri.
• Kudzikira kwehuwandu hwemaplatelet muropa (thrombocytopenia) kana kudzikira kwehuwandu hwemaplatelet muropa (thrombocytopenia).

Mamwe ematambudziko aya anogona kurapwa uye kurapwa, uye anogona kugadziriswa. Asi mamwe, akadai sekukuvadzwa kweuropi, anogona kugara aripo zvachose. Ndosaka SIRS iri nengozi.

Chii chatingaita kudzivirira SIRS?

Kunyangwe SIRS isingadzivirirwe zvachose, pane zvinhu zvishoma zvatinogona kuita kuderedza mikana yekuti zviitike. Ngationei kuti chii.

• Gara uchitevedzera tsika dzakanaka dzehutsanana: Edza kudzivirira hutachiona, kunyanya kuburikidza nezvinhu zvakaita sekugeza maoko.
• Kuchengeta maronda nemamwe maronda akachena kusvika apora: Chenjerera kuti ronda diki risaita serinokura.
• Kuwana majekiseni anokurudzirwa nenguva: Izvi zvinogona kudzivirira kubva kuzvirwere zvakawanda.
• Wana kurapwa kwakakodzera kwezvirwere zvisingaperi: Zvakakosha kudzora zvirwere zvakaita sechirwere cheshuga neBP.
• Ona chiremba kana zviratidzo zvechirwere chiripo kana kuti chirwere zvikawedzera: Usaregeredza chimwe chinhu chidiki.
• Tsvaga rubatsiro rwechiremba nekukasika kana uine kukuvara kwakanyanya kana kuti uchifungidzira kuti une hutachiona: Kurapwa nekukasika kunogona kudzivirira kukuvara kukuru.

Mharidzo Yekupedzisira Yekuenda Kumba

Chinhu chekutanga chaunofanira kuyeuka ndechekuti SIRS (Systemic Inflammatory Response Syndrome) chirwere chekurapa chinogona kuisa hupenyu panjodzi . Kuti udzivise SIRS, zvakakosha kutsvaga kurapwa nekukurumidza kwehutachiona, matambudziko echirwere, kana kukuvara kwakakomba. Kana ikasarapwa, SIRS inogona kukonzera matambudziko akakomba uye kunyange rufu. Kana uine zvinhu zvinokonzera SIRS (semuenzaniso, immune system isina simba, chirwere chisingaperi), taura nachiremba wako nezvekuti ungagadzirisa sei njodzi idzodzo, zviratidzo zveSIRS, uye zvekuita kana zvikaitika. Chengetedza hutano hwako uye uzive. Ndicho chinhu chakakosha! SIRS, Systemic Inflammatory Response Syndrome, Sepsis, Sepsis, Kuzvimba, Kutapukirwa, Mhinduro yeMuviri, Kurapwa Kwekukurumidza