Actinomycosis: E aʻo kākou e pili ana i kēia maʻi bacteria laha ʻole.

Ua ʻike anei ʻoe he miliona mau bacteria ko kākou e noho ana me ka ʻino ʻole i loko a ma luna o ko kākou ʻili? He mea maikaʻi nō hoʻi lākou iā kākou. Akā i kekahi manawa, ke komo kēia mau bacteria ʻino ʻole i nā wahi i kūpono ʻole ai lākou, hoʻomaka lākou e hoʻopilikia. ʻO kekahi maʻi bacteria kakaʻikahi a ʻano ʻē hoʻi i kapa ʻia ʻo actinomycosis . He maʻi ulu lohi ia, akā he maʻi koʻikoʻi paha e hiki ke hoʻopilikia i nā pilikia koʻikoʻi inā ʻaʻole mālama ʻia. No laila, e kamaʻilio hou kākou e pili ana i kēia, ʻeā?

He aha ka actinomycosis?

I ka ʻōlelo maʻalahi, he maʻi laha ʻole ka actinomycosis i hoʻokumu ʻia e kahi ʻano bacteria i kapa ʻia ʻo Actinomyces . Noho maʻamau kēia bacteria me ka ʻino ʻole i loko o ko mākou waha, ka puʻu, nā ʻōpū, a i kekahi manawa i loko o ka vagina o nā wahine. E like me nā bacteria maikaʻi ʻē aʻe i loko o ko mākou kino.

Akā, inā he ʻoki kino, ʻeha, a maʻi ʻē aʻe paha e koi ai i kēia mau bacteria e hele ma waho o ko lākou pae maʻamau, i kahi i pono ʻole ai lākou, ʻo ia ka manawa e hoʻomaka ai ka pilikia. Ma laila, ulu kēia mau bacteria a hoʻoulu i kahi maʻi.

Hoʻoulu kēia maʻi i nā lua piha i ka pus a i ʻole nā ​​abscesses . A puni lākou, hoʻokumu pū ʻia nā ʻiʻo e like me ka puʻupuʻu. ʻO ka mea ʻē loa, ʻo ia ka laha ʻana o kēia maʻi i nā ʻiʻo a puni. I ka manawa pinepine, hoʻoulu kēia i kahi ʻeha e like me ke tunnel ma lalo o ka ʻili. I loko o kēia mau ʻeha, hiki iā ʻoe ke ʻike i nā granules melemele liʻiliʻi i kapa ʻia ʻo "sulfur granules" me ka pus melemele. ʻOiai kēia inoa, ʻaʻole lākou i loko o ka sulfur. Loaʻa iā lākou ko lākou inoa mai ko lākou kala melemele. Hoʻokumu ʻia kēia mau granules e ka hōʻiliʻili ʻana o kā mākou mau cell immune a me nā ʻāpana bacteria.

ʻO kekahi mea, hiki ke hala i kekahi manawa he mau pule, a he mau mahina paha, no ka ʻike ʻia ʻana o nā hōʻailona ma hope o ka hoʻomaka ʻana o ka maʻi.

He aha nā ʻano o ka actinomycosis?

Hiki i nā bacteria Actinomyces ke hoʻoulu i nā maʻi ma nā ʻāpana like ʻole o ke kino. Ua hoʻokaʻawale ʻia lākou ma muli o kahi o ka maʻi.

• ʻO ka actinomycosis cervicofacial: ʻO kēia ke ʻano maʻamau. Hiki iā ia ke hoʻopilikia i kou maka, waha, ihu, ʻāʻī, a i ʻole ka ʻāwae. I kekahi manawa ua kapa ʻia ʻo "lumpy jaw," no ka mea, ke kumu ia i kahi puʻupuʻu i loko o ka ʻāwae. No ka laʻana, hiki ke hana ʻia kēia kūlana inā komo ka bacteria ma o ka unuhi ʻana o ka niho a i ʻole ka ʻeha o ka ʻāʻī.
• ʻO ka actinomycosis Thoracic a pulmonary paha: Hoʻopilikia kēia i kou mau māmā a i ʻole ka ʻāpana umauma. No ka laʻana, hiki ke hana inā paʻa ka meaʻai a mea inu paha i loko o kou mau māmā (aspiration).
• ʻO ka actinomycosis o ka ʻōpū a i ʻole ka pelvic:He ʻano maʻi ʻaʻai kēia e hoʻopilikia ai i nā wahine. Hiki iā ia ke hoʻopilikia i ka ʻāpana pelvic a me nā ʻōpū hānau, e like me ka uterus, nā fallopian tubes, a me nā fallopian tubes. Kiʻekiʻe loa kēia pilikia i nā wahine e hoʻohana ana i kahi mea hana intrauterine (IUD), ʻoiai inā ua lōʻihi ka IUD.
• ʻO ka actinomycosis ʻōpū: Hoʻopilikia kēia i nā ʻōpū a i ʻole nā ​​​​​​ʻōpū ʻē aʻe. No ka laʻana, hiki ke ulu aʻe ma muli o kahi kūlana e like me ka appendicitis a i ʻole ma hope o ke ʻoki ʻana o ka ʻōpū.

He aha nā hōʻailona e kū mai ana i ka wā e ulu ai kēia maʻi?

ʻOkoʻa nā hōʻailona o ka actinomycosis ma muli o ke kahua o ka maʻi. Ma waho aʻe o nā hōʻailona maʻamau, aia kekahi mau hōʻailona kikoʻī no kēlā me kēia ʻano.

• E loaʻa paha iā ʻoe ke kuni .
• E emi paha kou kaumaha .
• I ka hihia o kahi maʻi cervicofacial: Hiki iā ʻoe ke loaʻa nā puʻupuʻu a i ʻole nā ​​​​wahi piha i ka wai ma ka ʻāʻī, ka ʻauwae, ka maka, a i loko paha o ka waha. Hiki iā ʻoe ke ʻeha i ka wā e ʻai ai a hiki ke ʻike i kahi ʻauwae ʻoʻoleʻa.
• I ke ʻano o ka maʻi māmā (maʻi ʻōpū): ʻeha ka umauma, ka ʻū, a i kekahi manawa ke koko i ka wā e ʻū ai.
• ʻO ka maʻi ʻōpū a i ʻole ka pelvic: Hiki ke ʻike ʻia nā hōʻailona e like me ka ʻeha o ka ʻōpū a me ka pehu ʻana.
• Maʻi Pelvic: Hiki i nā wahine ke loaʻa i ke kahe ʻana o ka vaginal a i ʻole ke kahe koko.

E hoʻomanaʻo, no ka mea, lohi loa ka ulu ʻana o ka bacteria Actinomyces, hiki ke hala i nā mahina, a i ʻole nā ​​makahiki, no ka ʻike ʻia ʻana o nā hōʻailona ma hope o ke ʻoki kino a i ʻole ka maʻi i hoʻomaka ai i ka maʻi. ʻO ia ke kumu e hiki ai ke lōʻihi ka manawa e ʻike ai.

No ke aha e hana ai kēia actinomycosis?

ʻO ke kumu nui o kēia, ʻo ia ka ʻano bacteria ʻo 'Actinomyces israelii (A. israelii)' . Eia nō naʻe, hiki i kekahi mau ʻano ʻē aʻe ʻo 'Actinomyces', e like me 'A. naeslundii', 'A. odontolyticus', 'A. viscosus', 'A. gerencseriae', ke hana i kēia maʻi.

ʻO ka maʻamau, noho kēia mau bacteria i loko o nā membrane mucous o ko kākou puʻu, ka ʻōpū, a me ka vagina. Inā lākou ma laila, ʻaʻole lākou he pilikia. Eia nō naʻe, inā loaʻa iā lākou ka manawa e hele ai i kahi i manaʻo ʻole ʻia ai lākou, e like me nā ʻiʻo hohonu, hoʻonui lākou ma laila a hoʻomaka i kahi maʻi.

Pehea e hoʻoili ʻia ai kēia iā mākou ... a i ʻole e hoʻomohala ʻia ai?

ʻO ka mea nui loa , ʻaʻole he maʻi lele ka actinomycosis. ʻAʻole hiki ke laha mai kekahi kanaka a i kekahi kanaka.

Hana ʻia kēia ke komo nā bacteria Actinomyces i kahi ʻāpana o ke kino kahi i noho ʻole ai lākou. Eia kekahi laʻana:

• Maʻi ʻāʻī a i ʻole ka mālama ʻana i nā niho: ʻO kēia ke kumu maʻamau. Ke unuhi ʻia a hoʻomaʻemaʻe ʻia paha kahi niho, inā he ʻeha ma ka ʻāʻī, hiki i ka bacteria ke komo ma o ia mea.
• Nā mea hana intrauterine (IUD):Hiki i nā wāhine e komo ana i nā IUD, ʻoiai inā ua lōʻihi ko lākou noho ʻana, ke loaʻa i nā maʻi pelvic.
• Ka hanu ʻana o ka meaʻai, ka wai, a i ʻole kahi mea ʻē i loko o nā māmā: Hiki i kēia ke hana i nā maʻi māmā.
• Nā maʻi ʻōpū: ʻO nā kūlana e like me ka appendicitis, diverticulitis, a i ʻole ka maʻi ʻōpū peptic hiki ke ʻae i kēia bacteria e komo i loko o ka lua ʻōpū.
• ʻO ke ʻoki ʻōpū: Aia kēia pilikia ma hope o nā ʻoki ʻana e like me ka cholecystectomy a me ka colectomy.

E noʻonoʻo i kēia. Ua hele aku kekahi hoaaloha ou, e ʻōlelo kākou ʻo Nimal, i ke kauka ma muli o ka pilikia me kona niho. Ua hoʻoholo ke kauka e unuhi i ka niho. I kekahi mau lā ma hope o ka unuhi ʻia ʻana o ka niho, ua loaʻa iā Nimal kahi pehu liʻiliʻi ma ia wahi, a ua ulu mālie a hoʻomaka e ʻeha. I kona hōʻike ʻana i ke kauka, ua ʻike ʻo ia he maʻi actinomycosis ia. Ua komo ka bacteria 'Actinomyces' i loko o kona waha ma o ka ʻeha kahi i unuhi ʻia ai ka niho.

ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana o kēia? (Nā kumu pilikia)

ʻO kekahi mea e hiki ke hōʻino i nā ʻiʻo o ka waha, ka ʻōnaehana hoʻoheheʻe, a i ʻole ka uterus e hoʻonui i ka pilikia o ka hoʻomohala ʻana i ka actinomycosis.

• Nā maʻi a i ʻole nā ​​kūlana e hōʻino ai i nā ʻiʻo.
• Hiki i ka hoʻomaʻemaʻe waha maikaʻi ʻole (ka hoʻomaʻemaʻe niho maikaʻi ʻole) ke kōkua i kēia, me ka palaki pono ʻole ʻana i kou mau niho a me ka maʻi ʻāʻī.
• Nā mea hana i hoʻokomo ʻia i loko o ke kino (e.g., `(IUD)`), ʻoki kino, a i ʻole nā ​​​​kaʻina hana lapaʻau. I ke ʻano o `(IUD)`, piʻi ka pilikia i ka lōʻihi o kona noho ʻana i loko o ke kino.
• Nā kānaka me nā ʻōnaehana pale kino nāwaliwali: ʻOi aku ka nui o ka poʻe me nā ʻōnaehana pale kino nāwaliwali e loaʻa i kēia mau maʻi no ka mea he paʻakikī iā lākou ke kaua aku i nā maʻi. ʻO kēia hoʻi nā kānaka me ka maʻi diabetes, nā kānaka i loaʻa i ka maʻi HIV, a me nā kānaka e mālama ʻia ana no ka maʻi kanesa.
• ʻOiai ʻaʻole ʻike ʻia ke kumu kikoʻī, ua ʻike ʻia he ʻoi aku ka nui o ka loaʻa ʻana o kēia maʻi i nā kāne ma mua o nā wahine .

He aha nā pilikia e hiki mai ana inā ʻaʻole mālama ʻia?

Inā ʻaʻole i mālama pono ʻia kēia, a inā ʻaʻole i pau ka papa o nā antibiotics i hoʻomaka ʻia, hiki i ka maʻi bacteria ke pālahalaha hou aʻe a hoʻoulu i nā pilikia koʻikoʻi. ʻO kēia mau mea:

• Make ʻana o nā ʻiʻo (necrosis): Hiki ke make nā ʻiʻo ma nā wahi i loaʻa i ka maʻi.
• ʻO ka maʻi iwi (osteomyelitis) a me ka luku ʻia ʻana o ka iwi: Hiki i ka maʻi ke laha i nā iwi, e hoʻoheheʻe ai a luku ʻia.
• ʻO ka ʻōpū lolo: Hiki ke loaʻa kēia ʻano weliweli inā e pālahalaha nā maʻi, ʻoiai nā mea e pili ana i ka ihu, i ka lolo.
• Ka hemahema o ke kino: Hiki i ka maʻi ke kumu o ka nalowale ʻana o ka hana o nā kino koʻikoʻi.

No laila, he mea nui loa ke ʻike koke ʻana i ke kauka inā loaʻa iā ʻoe nā hōʻailona o kēia maʻi.

Pehea e ʻike ai nā kauka i kēia?

Hoʻomaopopo ke kauka i ka actinomycosis ma ka nānā ʻana i kāu mau hōʻailona a lawe i kahi hāpana o ka wai a i ʻole ka ʻiʻo mai ka wahi i loaʻa i ka maʻi. Nānā ke kauka maʻi i kēia hāpana ma lalo o kahi microscope e ʻike inā loaʻa ka bacteria Actinomyces a i ʻole "sulfur granules".

No ka mea, he maʻi laha ʻole ka actinomycosis a i kekahi manawa hōʻike i nā hōʻailona like me nā maʻi ʻē aʻe, e like me ke kanesa, hiki i kekahi manawa ke lōʻihi ka manawa e ʻike pololei ai.

He aha nā lāʻau lapaʻau no kēia?

Hoʻōla ʻia ka Actinomycosis me nā dosis kiʻekiʻe o nā antibiotics . ʻO ka maʻamau, hāʻawi ʻia nā antibiotics ma ke ʻano intravenous (IV) no kekahi mau lā a i ʻole mau pule. Ma hope o kēlā, e hoʻomau ʻoe i ka lawe ʻana i nā antibiotics ma ke ʻano he mau pila e lawe ai ma ka home. I kekahi manawa, pono paha ka hoʻokahe ʻana a me ka debridement o ka wahi i loaʻa i ka maʻi.

Aia kekahi mau ʻano antibiotic i hiki ke hoʻohana ʻia no kēia:

• ʻO ka penicillin
• ʻAmoxicillin
• ʻErythromycin
• ʻO ka Tetracycline
• ʻO Doxycycline ( Doxycycline )
• ʻO Minocycline
• ʻO Clindamycin

E koho ke kauka i ka antibiotic kūpono loa iā ʻoe.

ʻEhia ka lōʻihi e ola ai ma hope o ka lawe ʻana i ka lāʻau lapaʻau? He aha kā mākou e manaʻo ai?

Hiki ke hala nā mahina, a i ʻole nā ​​makahiki, no ka ho'ōla piha ʻana o ka maʻi actinomycosis. He lāʻau lōʻihi kēia. Inā ʻoe e hoʻōki koke i ka lawe ʻana i nā antibiotics, hiki i ka maʻi ke hoʻi hou mai a laha paha. No laila, he mea nui loa ka lawe ʻana i ka lāʻau e like me ka ʻōlelo a kāu kauka iā ʻoe.

Pono ʻoe e ʻike pinepine i kāu kauka e hōʻoia i ka hana pono ʻana o ka lāʻau lapaʻau, a e makaʻala i kāu mau hōʻailona a haʻi koke i kāu kauka inā ʻike ʻia lākou e ʻoi aku ka ʻino.

He aha nā manawa kūpono e ho'ōla ai inā loaʻa iā ʻoe kēia maʻi?

Hiki ke mālama ʻia ka Actinomycosis. ʻO ka manawa kūpono loa no ka ho'ōla piha ʻana:

• Inā ʻike mua ʻia ka maʻi a hoʻomaka ʻia ka lāʻau lapaʻau.
• Inā ʻoe e lawe i ka papa holoʻokoʻa o nā antibiotics i kuhikuhi ʻia e ke kauka, e like me ke kauoha.
• Ke ʻole ʻoe he mau pilikia ʻē aʻe o ka ʻōnaehana pale.

Hiki paha i kēia ke make?

ʻAe, hiki i ka actinomycosis ke make. ʻOiai ke ola nei ka hapa nui o ka poʻe me ka lāʻau lapaʻau, inā waiho ʻole ʻia a hoʻōki mua ʻia paha, hiki i ka maʻi ke laha a lilo i mea hoʻoweliweli i ke ola. ʻO nā maʻi ma ka ihu, ʻoi aku hoʻi, hiki ke lilo i mea weliweli no ka mea hiki iā lākou ke laha i ka lolo.

Pehea e pale aku ai i ka actinomycosis?

I mea e pale aku ai i ka cervicofacial actinomycosis (ke ʻano maʻamau), pono ʻoe e mālama pono i kou olakino waha.

• E hōʻalo loa i ka puhipaka a me nā huahana paka ʻē aʻe.
• E palaki i kou mau niho me ka toothpaste i loaʻa ka fluoride ma ka liʻiliʻi ʻelua i ka lā.
• E holoi i ka floss ma waena o kou mau niho i kēlā me kēia lā.
• E hoʻohana i kahi holoi waha antibacterial (ʻoi aku ka maikaʻi o ka nīnau ʻana i kāu kauka niho e pili ana i kēia).
• E ʻike pinepine i ke kauka niho. Ma kēlā ala, inā he pilikia me kou mau niho a i ʻole nā ​​ʻāʻī, hiki iā ʻoe ke ʻike mua.

He paʻakikī ke ʻōlelo aku aia kekahi ala kikoʻī e pale aku ai i nā ʻano actinomycosis ʻē aʻe, akā ʻaʻole lākou i maʻamau.

Pehea lā wau e mālama ai iaʻu iho?

ʻO ka mea maikaʻi loa hiki iā ʻoe ke hana ma ke ʻano he kanaka me ka actinomycosis, ʻo ia ka lawe ʻana i kāu mau lāʻau lapaʻau a pau e like me ke kauoha a e hoʻomau i ka ʻike ʻana i kāu kauka i ka manawa kūpono. E hoʻomanaʻo i ka hoʻōki koke ʻana i nā antibiotics hiki ke hoʻi hou mai ka maʻi a hoʻoulu i nā pilikia koʻikoʻi.

Āhea wau e ʻike ai i ke kauka? / Āhea wau e hele ai i kahi lumi pilikia?

Inā manaʻo ʻoe he mau hōʻailona kou o ka actinomycosis, a inā he ʻeha kou i ho'ōla ʻole a hoʻomau paha i ka laha, e ʻike pono i ke kauka.

E hoʻomau i ka launa pū me kāu kauka i kou wā e mālama ʻia ai no ka actinomycosis. Inā loaʻa iā ʻoe kekahi mau pilikia a i ʻole inā manaʻo ʻoe e ʻoi aku ka ʻino o kāu mau hōʻailona, ​​e haʻi koke i kāu kauka .

I ka manawa hea e hele ai i kahi Emergency Treatment Unit (ETU) :

Inā loaʻa iā ʻoe kēia mau hōʻailona koʻikoʻi, e hele koke i ka lumi pilikia o ka haukapila:

• Kuni ma luna o 103 Fahrenheit (40 Celsius).
• ʻEha nui loa.
• Inā hele mai ia e like me ka maʻi ʻōʻili.
• Inā he huikau a he manaʻo ʻole paha.

He aha kaʻu e nīnau aku ai i kaʻu kauka?

Ke hele ʻoe e ʻike i kāu kauka, he mea kōkua ke nīnau i kēia mau nīnau:

• Pehea ʻoe e mālama ai i nā ʻeha o ka ʻili?
• Pehea ka lōʻihi e pono ai iaʻu e lawe i nā antibiotics?
• Pehea pololei e pono ai iaʻu ke lawe i kēia lāʻau? (manawa, ma mua a ma hope paha o ka ʻai ʻana, a pēlā aku)
• Āhea wau e hele hou mai ai e ʻike iā ʻoe?
• He aha nā hōʻailona hou e pono iaʻu e makaʻala? A i ʻole he aha kekahi o nā hōʻailona i loaʻa iaʻu e hiki ke lilo i mea weliweli inā e ʻoi aku ka ʻino?

ʻO ka mea hope loa, nā mea nui e pono ai ʻoe e hoʻomanaʻo

ʻOiai ʻaʻole hōʻeha kekahi mau bacteria ma ko mākou kino iā mākou, i kekahi manawa hiki iā lākou ke hana i nā pilikia inā komo lākou i nā wahi i manaʻo ʻole ʻia. ʻAʻole ʻokoʻa nā bacteria Actinomyces. ʻO ka maʻi a lākou e hana ai, i kapa ʻia ʻo actinomycosis, hiki ke lōʻihi a hiki ke hōʻino i nā ʻiʻo.

Eia nō naʻe, inā ʻike mua ʻia kēia a mālama pono ʻia, hiki ke ho'ōla loa ʻia. He manawa iki ka lāʻau lapaʻau, no laila pono ʻoe e hoʻomanawanui. E ʻike mau i kāu kauka a hahai pololei i kāna mau kuhikuhi. A laila, e kuhikuhi ke kauka i ka antibiotic kūpono loa nāu a haʻi iā ʻoe i ka wā hiki iā ʻoe ke hoʻōki i ka lawe ʻana i ka lāʻau. ʻAʻohe mea e hopohopo ai, inā hana pololei ʻoe, hiki iā ʻoe ke hoʻōla i kēia!

ʻactinomycosis , maʻi bacteria, abscess, maʻi waha, maʻi māmā, IUD, antibiotics