Nā mea e pono ai ʻoe e ʻike e pili ana i ka maʻi GBS (Group B Strep) i ka wā hāpai!

Inā he makuahine hāpai ʻoe, ua kamaʻilio pinepine paha ʻoe me kāu kauka i kēia mau lā. Ua lohe paha ʻoe i ka huaʻōlelo ' Group B Strep', a i ʻole GBS . He mea hou paha kēia iā ʻoe. No laila, i kēia lā e kamaʻilio mākou e pili ana iā GBS, nā hopena hiki iā ia ke loaʻa iā ʻoe a me kāu pēpē, a me nā hoʻonā i ia mea ma ke ʻano maʻalahi a maʻalahi hoʻi e hoʻomaopopo. ʻAʻohe pono e hopohopo, ʻo ka mea nui ka makaʻala.

He aha ka GBS? No ke aha he mea nui ia no nā makuahine hāpai?

I ka ʻōlelo maʻalahi, ʻo GBS (Group B Strep) kahi maʻi i hoʻokumu ʻia e kahi ʻano bacteria i kapa ʻia ʻo Group B Streptococcus . Loaʻa pinepine kēia bacteria i loko o kou vagina a i ʻole ka rectal area. Mai kahaha, ma kahi o 25% o nā wahine hāpai, a i ʻole hoʻokahi o ka ʻehā, paha i loaʻa kēia bacteria GBS i loko o ko lākou kino. Akā, ʻaʻole ʻike ka nui o ka poʻe he loaʻa iā lākou, no ka mea, ʻo ka hapa nui o ka manawa ʻaʻole ia e hōʻike i kekahi mau hōʻailona .

No laila, inā loaʻa iā ʻoe ʻo GBS, aia kahi manawa e hiki ai ke hoʻoili ʻia kēia bacteria mai ou aku i kāu pēpē i ka wā hānau ʻana o ka wahine. ʻO nā keiki hānau hou, ka poʻe ʻelemakule, a i ʻole ka poʻe me nā ʻōnaehana pale nāwaliwali a i ʻole ka ulu ʻole o ka maʻi, ʻoi aku ka nui o ka loaʻa ʻana o nā pilikia mai GBS.

Akā e hoʻomanaʻo i kēia: ʻAʻole nā ​​​​pēpē a pau i loaʻa i ka maʻi GBS e maʻi. Eia nō naʻe, hiki i kahi pakeneka liʻiliʻi loa o nā pēpē ke loaʻa i nā maʻi koʻikoʻi, i kekahi manawa e hoʻoweliweli i ke ola mai kēia bacteria . ʻO ia ke kumu e hoʻāʻo ai nā kauka iā ʻoe no GBS ma ke ʻano he ʻāpana o kāu mālama maʻamau ma mua o ka hāpai ʻana. Inā ua hōʻoia ʻia he GBS kāu, e hāʻawi kāu kauka iā ʻoe i nā antibiotics.

Pehea e komo ai ʻo GBS i loko o ke kino?

He ʻano bacteria ka GBS e noho maoli ana i loko o ko kākou kino, e like me ko kākou ʻōpū, nā ʻōpū wahine, a me nā ala mimi. ʻAʻole ia e laha mai ke kanaka a i ke kanaka a i ʻole mai ka kaʻana like ʻana i ka meaʻai a mea inu paha me kahi kanaka i loaʻa i ka maʻi. ʻAʻole maopopo i nā loea ke kumu e laha ai kēia bacteria penei. Akā ua ʻike lākou he mea hōʻino ia i nā pēpē a me nā poʻe me nā ʻōnaehana pale nāwaliwali .

I ka manawa hea e hoʻāʻo ʻia ai ʻo GBS?

Paipai nā Centers for Disease Control and Prevention (CDC) i ka nānā mau ʻana no GBS i kēlā me kēia hāpai ʻana. Hoʻāʻo pinepine ʻia ʻoe no kēia ma waena o 36 a me 37 mau pule o ka hāpai ʻana.He maʻalahi loa ka hoʻāʻo GBS. Lawe ke kauka i kahi swab mai kou vagina a i ʻole rectum a hoʻouna aku i kahi lab no ka hoʻāʻo ʻana.

Ke hoʻopilikia nei anei ka maʻi Strep Group B i ka pēpē i loko o ka ʻōpū?

Eia nā mea āu e pono ai e hoʻomaopopo. ʻAʻole hoʻopilikia ka bacteria GBS i ka pēpē i loko o kou ʻōpū. Eia nō naʻe, hiki i ka pēpē ke loaʻa i ka maʻi GBS i ka wā hānau . ʻO ia ke kumu e hāʻawi ʻia ai nā antibiotics e pale aku i ka GBS. Hoʻemi nui kēia lāʻau i ka pilikia o ka hoʻoili ʻana i ka GBS mai ou aku i kāu pēpē.

Pehea e loaʻa ai i kahi pēpē ka GBS? He aha nā ʻano?

ʻElua ala nui e hiki ai i nā pēpē ke loaʻa i ka maʻi GBS:

• ʻO ka maʻi mua: ʻO ka hapa nui o nā pēpē (ma kahi o 75%) i loaʻa iā GBS ka maʻi i loko o ka pule mua o ke ola . ʻIke pinepine ʻia ka maʻi GBS i loko o kekahi mau hola o ka hānau ʻana. ʻOiai ʻoi aku ka nui o ka pilikia o nā pēpē hānau mua i ka maʻi, ʻo ka hapa nui o nā pēpē i loaʻa iā GBS ua hānau piha lākou.
• Ka maʻi lohi: Hiki i kahi pēpē ke loaʻa i ka maʻi GBS mai hoʻokahi pule ma hope o ka hānau ʻana a hiki i ʻekolu mahina. ʻAʻole maʻamau kēia a ʻaʻole paha e hoʻoweliweli i ke ola o kahi pēpē ma mua o ka maʻi mua.

Pehea ka maʻamau o GBS?

ʻO ka mea pōmaikaʻi, ua emi nui ka nui o kēia maʻi ma muli o ka nānā ʻana iā GBS i ka wā hāpai. Wahi a ka CDC, ma kahi o 930 mau pēpē ma ʻAmelika Hui Pū ʻIa e loaʻa ana i ka maʻi GBS i ka wā mua a ma kahi o 1,050 mau maʻi GBS i ka wā ma hope i kēlā me kēia makahiki. Ma kahi o 4% o nā pēpē e loaʻa ana iā GBS e make . ʻO ia ke kumu he mea nui ka nānā ʻana a me ka mālama ʻana.

He aha nā hōʻailona o GBS?

ʻAʻole hōʻike ka nui o nā pākeke me GBS i kekahi mau hōʻailona . ʻAʻole paha e loaʻa pinepine nā hōʻailona i ka poʻe ʻelemakule a me ka poʻe me kekahi mau kūlana olakino. ʻO kēia mau mea:

• Kuni, anu, a me ka luhi nui.
• Paʻakikī ka hanu ʻana.
• ʻEha ka umauma .
• ʻOʻoleʻa o nā ʻiʻo.

Eia nō naʻe, ʻokoʻa nā hōʻailona o ka maʻi GBS i nā pēpē hānau hou :

• Kuni.
• Ka paʻakikī o ka inu ʻana i ka waiū.
• Ka hoʻomaha mau a me ka uē ʻana (Irritability).
• Paʻakikī ka hanu ʻana.
• Ka nele o ka ikehu.

Hiki i kēia mau hōʻailona ke lilo koke i mea koʻikoʻi i nā pēpē hānau hou no ka mea ua nāwaliwali ko lākou ʻōnaehana pale. Hiki i ka maʻi GBS ke hoʻoulu i nā pilikia koʻikoʻi no ka pēpē, e like me ka sepsis (kahi ʻano like me ka lāʻau make koko), ka pneumonia, a me ka meningitis (kahi ʻano like me ka mumū o ka lolo).

E laha anei ka GBS i kaʻu hoa a i ʻole nā ​​poʻe ʻē aʻe o ka hale?

ʻAʻole. ʻAʻohe pilikia e maʻi ai nā poʻe ʻē aʻe o kou hale, me kāu mau keiki ʻē aʻe, mai iā ʻoe inā loaʻa iā lākou ka GBS. ʻAʻole kēia ke ʻano o ka laha ʻana.

E hoʻāʻo ʻia anei au no GBS?

ʻAe, ʻoiaʻiʻo nō. E hoʻāʻo kāu kauka iā ʻoe no GBS i ka hapa hope o kou hāpai ʻana, ma waena o 36 a me 37 mau pule .

E hoʻohana kāu kauka hānau keiki i kahi pulupulu pulupulu e lawe i kahi hāpana o nā keena mai kou vagina a me ka rectum. ʻAʻohe ʻeha o kēia hoʻāʻo a ʻaʻole i hala i hoʻokahi minuke . A laila hoʻouna ʻia ka hāpana i kahi lab e hoʻāʻo ʻia no GBS. Loaʻa pinepine nā hopena i loko o 48 mau hola. ʻO ka hopena hoʻāʻo maikaʻi ke ʻano he mea lawe ʻoe i ka GBS. Akā, ʻaʻole ia he manaʻo e maʻi maoli ʻoe a i ʻole kāu pēpē .

Inā ʻoe e hoʻohana ana i nā lawelawe a ke kahu hānau keiki, e hāʻawi ʻia paha ʻoe i nā kuhikuhi no ka hana ʻana i kēia hoʻāʻo ma ka home a noi ʻia e hoʻouna i ka hāpana i ka hale hana.

He maʻi laha pili i ke moekolohe (STI) anei ka GBS?

ʻAʻole, ʻaʻole ʻo GBS kahi maʻi i laha ma ke ʻano moekolohe (STI) . Noho kūlohelohe nā bacteria e hoʻoulu ai i ka GBS i loko o kou vagina a i ʻole rectum. ʻAʻole ia e hōʻike i kekahi mau hōʻailona i ka hapa nui o nā kānaka. No laila, ʻaʻole ia he mea āu i hana hewa ai.

He aha ka mea e hana ai inā loaʻa iā ʻoe ka GBS i ka wā hāpai?

E noʻonoʻo ua hoʻāʻo maikaʻi ʻia ʻoe no GBS. He aha kāu e hana ai i kēia manawa? Mai hopohopo. E hāʻawi nā kauka iā ʻoe i nā lāʻau antibiotic intravenous (IV) i ka wā hānau a me ka hānau ʻana e pale aku i kāu pēpē mai ka loaʻa ʻana o GBS. ʻO nā lāʻau antibiotic maʻamau i hoʻohana ʻia e mālama ai iā GBS he penicillin a ampicillin paha .

ʻO ka hāʻawi ʻana iā ʻoe i nā lāʻau antibiotic i kēia manawa hiki ke kōkua i ka pale ʻana iā ʻoe mai ka hoʻolaha ʻana o GBS i kāu pēpē hānau hou. ʻAʻole maikaʻi loa ka mālama ʻana iā GBS ma mua o ka hānau ʻana. Hana maikaʻi kēia mau lāʻau antibiotic inā hāʻawi ʻia ma ka liʻiliʻi he ʻehā hola ma mua o ka hānau ʻana . Ua ʻōlelo ʻia hiki i kēia ʻano lāʻau ke pale aku i 90% o nā maʻi.

E noʻonoʻo, ua hana ʻia kahi hoʻāʻo GBS iā Nimali i kona pule 36. Ua hoʻi mai ka hōʻike 'maikaʻi' i ʻelua lā ma hope mai. Ua makaʻu iki ʻo Nimali. 'Auē, e hana ʻia kekahi mea i kaʻu pēpē?' i manaʻo ai ʻo ia. Akā ua ʻōlelo ke kauka, 'E Nimali, mai hopohopo. He nui nā makuahine i loaʻa i kēia. Hāʻawi mākou i ka lāʻau intravenous i ka wā hānau, no laila ʻaʻole e pilikia ka pēpē.' Pēlā nō ia.

Aia kekahi hihia kūikawā e pili ana i ka manawa o ka mālama ʻana: Inā ʻike ʻia ka maʻi GBS i loko o ka mimi, a laila hoʻomaka ka mālama ʻana me nā antibiotic waha i ka wā e ʻike ʻia ai ka GBS, me ka nānā ʻole i ke kahua o ka hāpai ʻana. Eia nō naʻe, pono e hāʻawi ʻia nā antibiotic intravenous (IV) i ka wā hānau .

Eia kekahi, ʻo kēlā me kēia wahine hāpai i hānau mua i kahi pēpē i loaʻa i ka maʻi GBS, a i ʻole i loaʻa i kahi maʻi urinary tract (UTI) ma muli o GBS i kēia wā hāpai, e mālama ʻia hoʻi i ka wā hānau.

Pehea e mālama ʻia ai ʻo GBS i nā pēpē hānau hou?

I kekahi manawa, ʻoiai ma hope o ka hoʻāʻo ʻana a me nā lāʻau antibiotic i ka wā hānau, he mea kākaʻikahi loa, hiki i kekahi mau pēpē ke loaʻa iā GBS . Inā hana ʻia kēia, hiki i nā kauka ke hoʻāʻo i kahi hāpana koko a i ʻole kahi hāpana wai spinal e ʻike ai inā loaʻa i kāu pēpē ʻo GBS. Inā loaʻa i kāu pēpē ʻo GBS, e mālama ʻia ʻo ia me nā lāʻau antibiotic intravenous (IV) .

Pehea e hōʻemi ai i ka pilikia o GBS?

Hiki i kekahi ke loaʻa iā GBS. Akā, ʻoi aku ka nui o ka pilikia o kekahi poʻe, ma muli paha o kekahi mau kūlana olakino a i ʻole ma muli o ko lākou mau makahiki. Hiki i nā mea aʻe ke hoʻonui i kou pilikia o ka loaʻa ʻana o kahi pēpē me GBS:

• Ua maikaʻi ʻoe no GBS.
• Loaʻa iā ʻoe ke kuni i ka wā hānau.
• ʻOi aku ma mua o 18 mau hola e hala ma waena o kou haki ʻana o ka wai a me ka hānau ʻana o kāu pēpē.
• Loaʻa iā ʻoe nā maʻi e like me ka maʻi diabetes mellitus , ka maʻi puʻuwai , a i ʻole ke kanesa .

ʻO ka hoʻāʻo ʻia ʻana no GBS a (inā loaʻa iā ʻoe ka hopena maikaʻi) ʻo ka lawe ʻana i nā lāʻau antibiotic ke ala maikaʻi loa e pale ai i kāu pēpē mai ka maʻi.

He aha nā pilikia lōʻihi e hiki ai i ka GBS ke hana i nā pēpē hānau hou?

Hiki i nā pēpē i loaʻa i ka maʻi GBS ke loaʻa i nā maʻi e like me ka meningitis , ka pneumonia , a i ʻole ka sepsis . Hiki i kēia mau maʻi ke hoʻoweliweli i ke ola. Eia nō naʻe, ʻaʻohe pilikia lōʻihi o ka hapa nui o nā pēpē . Eia nō naʻe, ma kahi o 25% o nā pēpē i loaʻa i ka meningitis ma muli o GBS hiki ke loaʻa i nā pilikia lōʻihi e like me ka cerebral palsy , nā pilikia lohe , nā pilikia aʻo , a i ʻole nā ​​hopu ʻana . ʻO ia ke kumu he mea nui ka pale ʻana i ka GBS a me ka mālama ʻana iā ia i ka wā mua.

E hoʻāʻo hou ʻia anei au no GBS?

ʻAʻole. Ke hoʻāʻo maikaʻi ʻoe no GBS, ua manaʻo ʻia ʻoe he maikaʻi no ke koena o kou hāpai ʻana . ʻAʻole ʻoe e hoʻāʻo hou ʻia.

Pono anei au i ka lāʻau lapaʻau no GBS inā he ʻoki C-section kaʻu?

ʻO ka maʻamau, inā ʻoe e hana ana i kahi ʻoki cesarean i hoʻolālā ʻia (C-section) , ʻaʻole pono ʻoe i nā lāʻau antibiotic no GBS. ʻO kēia no ka mea, me ka ʻoki C-section, ʻaʻole hānau ʻia ke pēpē ma o ka vagina, no laila ʻaʻole nui ka manawa e hoʻoili ai i ka GBS i ka pēpē.

Eia nō naʻe, ke hoʻāʻo ʻia nei ʻoe no GBS . ʻO kēia no ka mea hiki ke hoʻomaka ka hānau ʻana ma mua o kāu ʻoki C-section i hoʻonohonoho ʻia. Inā haki kou wai a loaʻa iā ʻoe ka GBS maikaʻi, ua pilikia kāu pēpē i ka loaʻa ʻana o ka maʻi. I ia mau hihia, hiki ke hāʻawi ʻia nā antibiotics.

Inā loaʻa iaʻu ka maʻi GBS, i ka manawa hea e pono ai iaʻu e ʻike i ke kauka?

I kekahi mau hihia, hiki i ka GBS ke hoʻoulu i ka maʻi i ka wā hāpai. Inā loaʻa iā ʻoe nā hōʻailona e like me ke kuni, ka ʻeha, a me ka piʻi ʻana o ka puʻuwai, e haʻi koke i kāu kauka. Hiki i kēia ke alakaʻi i ka hānau mua ʻana .

Hiki i ka GBS ke hoʻoulu i kahi maʻi ʻaʻai mimi (UTI) , pono e mālama ʻia me nā lāʻau antibiotic waha.

Inā loaʻa iā ʻoe ʻo GBS, e kamaʻilio me kāu kauka e pili ana i ka mea e manaʻo ai i ka wā hānau.

ʻO ka mea hope loa, ʻo ka mea nui e hoʻomanaʻo ai (Leka Lawe-Home)

Inā haʻi aku kāu kauka iā ʻoe he maikaʻi ʻoe no GBS i ka wā hāpai , mai makaʻu a hopohopo paha . Hoʻokumu ʻia kēia e kahi bacteria i loaʻa maoli i loko o kou kino, ʻaʻole na kekahi mea āu i hana hewa ai.

He haʻahaʻa loa ka hiki ke hoʻoili i ka GBS mai ou aku i kāu pēpē, ʻoiai inā ʻoe e lawe i nā lāʻau antibiotic i ka wā hānau.

E kamaʻilio me kāu kauka e pili ana i nā nīnau a hopohopo paha āu e pili ana iā GBS. E hoʻomanaʻo, i ka hapanui o nā hihia, ʻoiai inā he GBS maikaʻi ʻoe, ʻaʻohe pilikia a e hānau olakino ʻia kāu pēpē . ʻO ka mea nui loa, ʻo ia ka hoʻomaopopo ʻia a hahai i nā ʻōlelo aʻo a kāu kauka.