He aha te Sepsis? Tohutohu, Take, me te Maimoatanga

Ko te sepsis te whakautu nui me te mate kino o to tinana ki tetahi mate. Whakaarohia he rite ki te mahi nui o to pūnaha ārai, ā, ka whakaeke rātou i ō ake whekau i te whawhai ki ngā mate.

Ka puta mai tēnei āhuatanga kino ina ka whakaoho ngā mate e tīmata ana i tētahi wāhanga o to tinana i tētahi raupapa mahi puta noa i tō pūnaha katoa. Ka tukuna e to tinana ngā matū hei whawhai ki te mate, engari ko ēnei matū ano ka puta he mumura whānui e taea te whakarahi i ngā whekau maha i te wa kotahi.

He aha te sepsis?

Ka puta te sepsis ina ka nui rawa te mahi a tō pūnaha ārai ki tetahi mate kei hea atu i roto i tō tinana. Ki te kore e āta whakaaro ki ngā huaketo kino, ka tīmata te pūnaha tiaki o tō tinana ki te whakaeke i ngā kiko hauora me ngā whekau.

Ka taea te whanake o tēnei āhuatanga mai i tetahi momo mate, ahakoa he tapawha ngāwari e pangia ana, he mate huaketo, he mate huango rānei. Ko te mea e kino ai te sepsis ko te tere o te ahu whakamua me te pānga ki ngā whekau nui penei i tō ngākau, ngā manawa, ngā whatukuhu, me te roro.

Ka karanga ngā tohunga hauora i etahi wā i te sepsis ko te "mate toto," ahakoa ehara tenei kupu i te tino tika, no te mea ehara i te mea katoa te mate e pā ana ki tō toto tika. Ko te take matua ko te whakautu mumura nui o tō tinana ki te mate.

He aha ngā tohu o te sepsis?

He uaua te mohio wawe ki te sepsis, no te mea he maha ngā tohu e rite ana ki ngā mate kino atu. Ka whakaatu pea tō tinana i ngā tohu kei te he tetahi mea, engari ka taea e ēnei tohu whakatūpato te whanake haere māmā, te puta rānei ohorere.

Ko ngā tohu wawe tino noa ko:

• Te kirika nui (neke atu i te 101°F, 38.3°C rānei) te iti rawa rānei o te pāmahana o te tinana
• Te tere o te ngākau (neke atu i te 90 pāwhiri ia meneti)
• Te manawa tere, te poto rānei o te manawa
• Te whakapohehe, te uaua rānei ki te whakaaro mārama
• Te ngenge nui, te ngoikore rānei
• Te mamae nui, te kore rānei o te ngāwari puta noa i tō tinana
• Te kiri makariri, te wera rānei

I te ahu whakamua o te sepsis, ka kite pea koe i ngā tohu nui ake e tohu ana kei te whawhai ō whekau. Kei roto i ēnei ngā hekenga nui o te toto, te iti o te mimi, te tae kikorangi o te kiri, me te uaua nui ki te manawa.

Ka pāngia etahi tangata e te mea e karanga ana ngā tākuta ko te "septic shock," te hekenga o te toto ki raro rawa kia kore ai e whiwhi ngā whekau nui i te hauora. Koinei te ahua tino kino o te sepsis, me te hiahia tonu ki te maimoatanga mate.

He aha ngā take o te sepsis?

He kaha te mate ki te whakaoho i te sepsis, ahakoa he nui ake te morearea o etahi momo i ētahi atu. Ko ngā take tino noa ko ngā mate huaketo, engari ka taea hoki e ngā huaketo, ngā harore, me ētahi atu mate te whakaoho i tēnei raupapa mahi kino.

Ko ngā mate e arahina pinepine ana ki te sepsis ko:

• Te mate huango, ētahi atu mate manawa rānei
• Ngā mate huaketo, ina koa ngā mate whatukuhu
• Ngā mate kiri me ngā kiko ngawari, tae atu ki ngā mate pokanga
• Ngā mate kopu penei i te mate appendicitis, ngā raruraru rānei o te whekau
• Ngā mate toto mai i ngā catheter IV, ētahi atu taputapu hauora rānei

Kaore e tino noa, ka taea te whanake o te sepsis mai i ngā mate i roto i tō roro, ngākau, i ngā wheua rānei. Ahakoa ngā mate iti penei i ngā mate niho, ngā tapawha pangia rānei ka taea te ahu whakamua ki te sepsis, ina koa ki ngā tangata he ngoikore o te pūnaha ārai.

He rerekē ngā mate e puta ai te sepsis, engari ko ngā take huaketo noa ko te Staphylococcus, Streptococcus, me te E. coli. Ka taea hoki e ngā mate huaketo mai i te mate huaketo, COVID-19, ētahi atu mate manawa rānei te whakaoho i te sepsis i etahi wā.

Nōhea te haere ki te tākuta mō te sepsis?

He āwangawanga hauora tonu te sepsis e hiahia ana ki te maimoatanga whare hauora tonu. Ki te whakaaro koe he sepsis koe, he tangata rānei, karanga atu ki te 111, haere atu rānei ki te ruma āwangawanga tonu, kaua e tatari mō te whakatau a te tākuta noa.

Rapua te tiaki āwangawanga tonu ki te whai koe i ngā tohu o te mate me ētahi o ēnei tohu whakatūpato: te kirika nui me te whakapohehe, te manawa tere, te ngoikore nui, te kiri wera, te makariri rānei ki te pa.

Kaua e tatari kia pai ake ngā tohu. Ka taea e te sepsis te kino haere tere, i roto i ngā haora, ā, ka pai ake te whakaora i te maimoatanga wawe.

Ki te whai koe i tetahi mate e kitea ana e kino haere ana ahakoa te maimoatanga, ki te whanake koe i ngā tohu hou penei i te whakapohehe, te uaua rānei ki te manawa, ko ēnei pea ngā tohu wawe kei te whanake te sepsis.

He aha ngā take morearea mō te sepsis?

Ahakoa tetahi ka taea te whanake i te sepsis mai i te mate, he maha ngā take e kaha ake ai te ngoikore o etahi tangata ki tēnei raruraru kino. Ka taea e te mārama ki tō taumata morearea te āwhina ia koe ki te tupato ki ngā tohu me te rapu i te tiaki tere ina hiahia koe.

Ko ngā tangata kei te nui ake te morearea ko:

• Ngā pakeke neke atu i te 65 tau te pakeke
• Ngā pēpi iti iho i te 1 tau te pakeke
• Ngā tangata he mate roa penei i te mate huka, te mate ngākau, te mate whatukuhu rānei
• Ngā tangata he ngoikore o te pūnaha ārai mai i te maimoatanga mate pukupuku, HIV, ngā rongoā whakaiti pūnaha ārai rānei
• Ngā tangata kua pokanga hou, kua noho rānei i te whare hauora
• Ngā tangata he taputapu hauora penei i ngā catheter, ngā pūnaha manawa, ngā raina IV rānei
• Ngā tangata he whara nui, he tahuna rānei

Ka taea hoki e te hapu te whakanui ake i te morearea sepsis, ina koa i te wā o te whānau. I tua atu, ka nui ake pea te ngoikore o ngā tangata e whakamahi ana i te waipiro, i ngā raau taero rānei, na te ngoikore o te mahi pūnaha ārai me te nui ake o te morearea mate.

Ko te whai i ēnei take morearea ehara i te tikanga ka whanake koe i te sepsis, engari ko te tikanga me tupato koe ki te ārai i ngā mate me te rapu i te tiaki hauora tere ina kore koe e pai.

He aha ngā raruraru pea o te sepsis?

Ka taea e te sepsis te whakarahi i te kino puta noa i tō tinana, no te mea ka pā ki ngā pūnaha whekau maha i te wa kotahi. Ka taea e te mumura me te iti o te toto te whakarahi i ngā whekau nui, i etahi wā ka puta he kino pumau, he raruraru mate rānei.

Ko ngā raruraru noa ko:

• Te kore mahi o ngā whekau e pā ana ki ō whatukuhu, ate, manawa, ngākau rānei
• Te septic shock me te toto iti rawa
• Ngā raruraru manawa e hiahia ana ki te manawa whakauru
• Ngā mate toto e taea te aukati i te toto ki ngā kiko
• Te maroke nui me ngā koretake o te electrolyte
• Te kore mahi o te roro e puta ai te whakapohehe, ngā raruraru mahara, te uaua rānei ki te aro

Ka whanake etahi tangata i te mea e karanga ana ko te post-sepsis syndrome, ka taea te puta mai he ngenge tonu, he ngoikore o ngā uaua, he uaua ki te moe, te uaua rānei ki te aro mō ngā marama i muri i te whakaora. Ka hiahiatia pea te mahi whakaora tinana me te whakaora hei tiki i te kaha me te mahi.

Ko te rongo pai ko te maha o ngā tangata e ora katoa ana i te sepsis me te mohio tere me te maimoatanga tika. Heoi, ko te kino o ngā raruraru e whakawhirinaki ana ki te tere o te tīmatanga o te maimoatanga me tō hauora katoa i mua i te whanake o te sepsis.

Me pēhea te ārai i te sepsis?

Ko te huarahi pai ki te ārai i te sepsis ko te ārai i ngā mate i te timatanga, me te maimoatanga tere i ngā mate i mua i te whakaoho i tēnei raruraru kino. Ka taea e ngā tikanga o ia rā te whakaiti i tō morearea mate.

Ko ngā rautaki ārai matua ko:

• Te horoi i ō ringa maha me te hopi me te wai
• Te pupuri i ngā tapawha me ngā whara kia ma, kia hipoki rānei
• Te whiwhi i ngā inopere e tūtohutia ana, tae atu ki ngā inopere mate huaketo me ngā inopere mate huango
• Te whakahaere i ngā mate roa penei i te mate huka hei pupuri i tō pūnaha ārai kia kaha
• Te rapu i te tiaki hauora tere mō ngā tohu o te mate
• Te tango i ngā rongoā antibiotic i whakaritea kia rite ki te tohutohu

Ki te noho koe i te whare hauora, kaua e whakaroa ki te whakamahara i ngā kaimahi hauora kia horoi ō ringa i mua i te tiaki ia koe. He mea nui te horoi tika i waenga i ngā kaimahi hauora hei ārai i ngā mate e whiwhi ana i te whare hauora e taea ai te sepsis.

Mō ngā tangata kei te nui ake te morearea, penei i te hunga he mate roa, he ngoikore rānei o te pūnaha ārai, ka taea e ngā tupato atu penei i te karo i ngā mano i te wā o te mate huaketo, te tupato rawa rānei ki te tiaki whara te whakarato i te tiaki atu.

Me pēhea te whakatau i te sepsis?

Ko te whakatau i te sepsis e hiahia ana ki te whakakotahitanga o te aromatawai hauora me ngā whakamātautau taiwhanga, no te mea kaore he whakamātautau kotahi e taea te whakau i te āhuatanga. Ka titiro ngā tākuta āwangawanga ki ngā tauira tohu me ngā hua whakamātautau e tohu ana kei te whawhai tō tinana i tetahi mate kino.

Ka mahi pea tō rōpū hauora i ngā whakamātautau maha tae atu ki te mahi toto hei tirotiro i ngā tohu o te mate me te mumura, te ine i tō tau o ngā pūtau toto ma, me te aromatawai i te pai o te mahi o ō whekau. Ka whakamātautau pea rātou i ō taumata hauora toto me te tirotiro i ngā huringa i tō tere ngākau me tō toto.

Ka taea e ngā whakamātautau atu te whakamātautau mimi, ngā rangahau whakaahua penei i ngā X-ray uma, ngā CT scan rānei, me ngā whakawhanaketanga o te toto, mimi, ētahi atu wai tinana rānei hei whakatau i te mate e puta ai tō mate. Ka āwhina ēnei whakamātautau whakawhanaketanga i ngā tākuta ki te whiriwhiri i ngā rongoā antibiotic tino whai hua.

Ka whakamahi ngā tākuta i ngā pūnaha tohu e whakaaro ana ki tō pāmahana, tere ngākau, tere manawa, me tō tau o ngā pūtau toto ma hei awhina i te whakatau he sepsis koe. Ka titiro hoki rātou ki ngā tohu kaore ō whekau e mahi tika ana, penei i ngā huringa i te mahi whatukuhu, te āhua hinengaro rānei.

He aha te maimoatanga mō te sepsis?

Me tīmata tonu te maimoatanga sepsis, ā, e hiahia ana ki te tiaki nui i roto i tetahi taiao whare hauora. Ko ngā whāinga matua ko te whawhai ki te mate, te tautoko i ō whekau, me te ārai i ngā raruraru kei te whanake, kei te kino haere rānei.

Ko te maimoatanga e whakauru pinepine ana:

• Ngā rongoā antibiotic whānui e hoatu ana mā te IV hei whawhai ki te mate
• Ngā wai IV hei pupuri i te toto me te tautoko i te rere toto
• Te hauora hauora, te tautoko manawa rānei ki te hiahiatia
• Ngā rongoā hei tautoko i te toto me te mahi ngākau
• Te aro turuki tata o te mahi whekau
• Te maimoatanga o te take mate taketake

Ka hiahia pea tō rōpū hauora ki te tango i ngā taputapu pangia penei i ngā catheter, te whakaheke rānei i ngā kohinga wai pangia mā ngā tukanga. I roto i ngā take kino, ka hiahia pea koe ki te dialysis hei tautoko i te mahi whatukuhu, te manawa whakauru rānei hei awhina i te manawa.

Ka whakaritea ngā rongoā antibiotic motuhake ina whakatau ngā tākuta i te mate e puta ai tō mate mā ngā hua whakawhanaketanga. He rerekē te roa o te maimoatanga e whakawhirinaki ana ki te take mate me tō whakautu ki te rongoā, engari ko te nuinga o ngā tangata e hiahia ana ki te neke atu i ngā rā maha o te maimoatanga nui.

Me pēhea te whakahaere i te whakaora mai i te sepsis i te kāinga?

Ka haere tonu te whakaora mai i te sepsis mo ngā wiki, ngā marama rānei i muri i to haerenga mai i te whare hauora. E hiahia ana tō tinana ki te wā hei whakaora mai i te mumura me te ahotea o te mate, no reira he mea nui te manawanui ki te tukanga whakaora.

Aro atu ki te whiwhi i te okioki nui, no te mea he tino noa te ngenge i muri i te sepsis. Whakanuia haere māmā tō taumata mahi i te wa e kaha ake ai koe, engari kaua e whakarahi rawa i a koe. Ka taea e tō rōpū hauora te awhina ia koe ki te hanga i tetahi mahere whakakori haumaru.

Kai kai kai hauora hei tautoko i te whakaora, noho makona, tangohia katoa ngā rongoā i whakaritea kia rite ki te tohutohu. Ka taea pea tenei te mutu i tetahi akoranga o ngā rongoā antibiotic, te tango rānei i ngā rongoā hei tautoko i te mahi whekau.

Tirohia ngā tohu o ngā raruraru, ngā mate hou rānei, penei i te kirika, te nui ake o te ngenge, te kino haere rānei o ngā tohu. Pupurihia ngā whakatau whai muri kia taea ai e ō tākuta te aro turuki i tō whakaora me te whakatika i ngā take e haere tonu ana.

Me pēhea te whakarite mō tō whakatau a te tākuta?

Ki te whakaora koe mai i te sepsis, ki te manukanuka rānei ki ngā tohu e tohu ana pea i te sepsis, ka taea e te whakarite te awhina ia koe ki te whiwhi i te hua nui mai i tō whakatau hauora. Tuhia ō tohu, te wā i tīmata ai, me te āhua o te huringa i te wā.

Mau mai tētahi rārangi katoa o ō rongoā, tae atu ki ngā rongoā antibiotic kua tangohia e koe i te wā tata nei. Whakaritea hoki ngā korero mō ngā mate hou, ngā pokanga, ngā noho whare hauora rānei, no te mea ka āwhina ēnei taipitopito i ngā tākuta ki te mārama ki tō morearea sepsis.

Whakaarohia te kawe mai i tētahi mema whānau, hoa rānei e taea te awhina ia koe ki te mahara ki ngā korero nui me te uiui. Ka pāngia etahi wā te aro me te mahara i te whakaora mai i te sepsis, no reira he mea nui te tautoko.

Tuhia ngā pātai i mua, penei i ngā manukanuka mō ngā tohu e haere tonu ana, ngā herenga mahi, ngā tohu rānei hei titiro atu. Kaua e whakaroa ki te uiui mō tō wa whakaora me te mea e tatari ana koe i ngā wiki, ngā marama rānei e haere mai ana.

He aha te mea nui mō te sepsis?

He āwangawanga hauora nui te sepsis e hiahia ana ki te maimoatanga tonu, engari me te tiaki tere, ka ora katoa te nuinga o ngā tangata. Ko te mea nui rawa hei mahara ko te wā he mea nui rawa i roto i te maimoatanga sepsis.

Whakawhirinaki ki ō tūmanako ki te kore koe e pai, ina koa ki te whai koe i ngā tohu o te mate me te whakapohehe, te manawa tere, te ngoikore nui rānei. Ki te kore koe e tino mohio, rapuhia te tiaki hauora āwangawanga, kaua e tatari kia pai ake ngā tohu.

Ko te ārai mā te horoi pai, te maimoatanga tere o ngā mate, me te pupuri i ngā inopere hou tonu te tiaki pai rawa atu mō te sepsis. Mō te hunga kei te nui ake te morearea, ka taea e te tupato atu ki te ārai mate me te maimoatanga wawe te whakarereke nui.

Ngā pātai e ui pinepinetia ana mō te sepsis

Ka taea te whakaora katoa i te sepsis?

Ae, ka ora katoa te nuinga o ngā tangata i te sepsis me te maimoatanga tere me te tika. Heoi, ka pāngia pea etahi tangata e ngā pānga e haere tonu ana penei i te ngenge, te ngoikore o ngā uaua, te uaua rānei ki te aro mō ngā marama i muri i te whakaora. Ko te ki ki te whakaora katoa ko te mohio wawe me te maimoatanga hauora tonu.

E hia te roa te whakaora mai i te sepsis?

He rerekē te roa o te whakaora e whakawhirinaki ana ki te kino o te sepsis me tō hauora katoa. Ko ngā noho whare hauora e roa ana i ngā rā maha ki ngā wiki, engari ka taea te whakaora katoa i te kāinga mo ngā marama. Ka pai ake te ahua o etahi tangata i roto i ngā wiki torutoru, engari ka hiahia etahi atu ki ngā marama maha hei tiki i ō rātou kaha me ō rātou taumata kaha katoa.

Ka taea e koe te whiwhi sepsis neke atu i te kotahi wā?

Aroha mai, ko te whai sepsis kotahi kaore e tiaki ia koe i te whiwhi ano. Ko te tikanga, ko etahi tangata kua sepsis pea kei te nui ake te morearea mō ngā wāhanga e haere mai ana, ina koa ki te whai rātou i ngā āhuatanga hauora e haere tonu ana, he ngoikore rānei o te pūnaha ārai. Ka nui ake te nui o te ārai mate mō ngā kaiora sepsis.

He mate pāhoko te sepsis?

Ehara te sepsis i te mate pāhoko, engari ka taea e ngā mate e puta ai te sepsis te horapa mai i te tangata ki te tangata. Hei tauira, ki te whai tetahi i te sepsis mai i te mate huango, ka taea pea e koe te hopu i te mate huango, engari e kore koe e hopu tika i te sepsis. Ka āwhina ngā tikanga horoi pai ki te ārai i te horapa o ngā mate e taea ai te sepsis.

He aha te rerekētanga i waenga i te sepsis me te septic shock?

Ko te septic shock te ahua tino kino o te sepsis. Ahakoa ko te sepsis te whakautu nui o tō tinana ki te mate, ka puta te septic shock ina ka puta mai te sepsis i te toto iti rawa kia kore ai e whiwhi ngā whekau i te hauora hei mahi tika. E hiahia ana te septic shock ki te maimoatanga nui ake, he nui ake te morearea o ngā raruraru i te sepsis anake.