Ua loaʻa anei iā ʻoe ka ʻōpū ʻeha, ka nausea, a i ʻole ka maʻi diarrhea ma hope koke iho o ka ʻai ʻana i ka ʻai? I kekahi manawa manaʻo mākou ua ʻoi aku ka ʻala o ka meaʻai a ʻaʻole i moʻa pono ʻia. Eia nō naʻe, he ʻenemi liʻiliʻi a ʻike ʻole ʻia e hiki ke lilo ma hope o kēia mau mea he bacteria i kapa ʻia ʻo Bacillus cereus . I kēia lā, e kamaʻilio mākou e pili ana i kēia me nā kikoʻī a me ka maʻalahi.
He aha kēia 'Bacillus cereus'?
I ka ʻōlelo maʻalahi, ʻo 'Bacillus cereus' kahi ʻano bacteria liʻiliʻi loa, ʻike wale ʻia ma lalo o kahi microscope. Loaʻa pinepine lākou i ke kaiapuni. Eia naʻe, hiki i kēia bacteria ke hana i kahi mea ʻawahia e hoʻomaʻi ai iā mākou. ʻO ia ke kumu o nā pilikia iā mākou.
Hiki i kēia mau ʻano ʻelua o ka `Bacillus cereus` ke hoʻopilikia nui iā mākou:
1. ʻO ke ʻano e hoʻopilikia ai i kāu ʻōnaehana hoʻoheheʻe (kapa mākou i kēia ʻo 'ʻōpū').
2. ʻO ke ʻano e hoʻopilikia ai i nā ʻāpana ʻē aʻe o kou kino (ua kapa ʻia kēia he 'ʻōpū ʻole').
Hoʻokumu ʻia ka lāʻau make i ka meaʻai e ka bacteria Bacillus cereus, ka mea e hoʻopilikia ai i ka ʻōnaehana hoʻoheheʻe. ʻO ka hapa nui o ka manawa, e hoʻomaikaʻi ia iā ia iho i loko o hoʻokahi a ʻelua paha lā. Eia nō naʻe, inā he nāwaliwali kou ʻōnaehana pale maʻi , hiki ke ʻoi aku ka koʻikoʻi.
ʻO nā maʻi i hoʻokumu ʻia e ka Bacillus cereus ʻaʻole i loko o ka ʻōpū, ʻaʻole pili i ka lāʻau make meaʻai, hiki ke ʻoi aku ka koʻikoʻi i kekahi manawa. ʻOi aku kou pilikia inā loaʻa iā ʻoe kēia mau kūlana:
- Loaʻa i kahi ʻōnaehana pale maʻi nāwaliwali.
- Loaʻa nā ʻeha mai ke ʻoki ʻana a i ʻole nā ulia ʻē aʻe.
He aha nā ʻano Bacillus cereus e hoʻoulu ai i ka lāʻau make meaʻai?
E like me kā mākou i ʻōlelo ai ma mua, ua hoʻokumu ʻia ka lāʻau make i ka meaʻai e Bacillus cereus, ka mea e hoʻopilikia ai i ka ʻōnaehana hoʻoheheʻe. ʻElua ʻano nui o kēia.
1. ʻO ke ʻano e hoʻoulu ai i ka maʻi diarrhea (`Enterotoxins` a i ʻole `diarrheal syndrome`)
ʻO ka mea e hana ʻia ana, ma hope o kou ʻai ʻana i ka meaʻai i loaʻa ka bacteria a i ʻole kā lākou spores, hana ʻia ka toxin i loko o kou ʻōpū liʻiliʻi . ʻO kēia ʻano maʻi, i hoʻokumu ʻia e Bacillus cereus, ʻo ia ka mea maʻamau ma nā ʻāina e like me ʻAmelika a me ʻEulopa.
ʻIke pinepine ʻia nā hōʻailona ma waena o 6 a me 15 mau hola ma hope o ka ʻai ʻana i ka meaʻai haumia. ʻO nā meaʻai e hiki ke hoʻoulu i kēia maʻi:
- Iʻa
- Nā huahana waiū
- Nā ʻiʻo
- Nā mea ʻono
- Nā sopa a me nā mea ʻala
- Nā mea kanu
2. Ka maʻi emetic a i ʻole ka luaʻi ʻana
ʻO ka mea e hana ʻia ana, aia mua ka mea ʻawahia i loko o ka meaʻai ma mua o kou ʻai ʻana. Hiki iā ʻoe ke maʻi ma waena o 1 a me 6 mau hola ma hope o ka ʻai ʻana i ka meaʻai haumia.
E noʻonoʻo i ka mea e hana ʻia inā e waiho mākou i kahi laiki a mākou i kuke ai i ka ʻaina awakea a hiki i ka pō, a i ʻole inā e waiho mākou i kahi laiki a mākou i lawe mai ai mai kahi pāʻina me ka ʻole o ka waiho ʻana i loko o ka friji. ʻO ia ka manawa e komo mai ai kēia bacteria.Inā ʻaʻole i hoʻokomo pono ʻia ka laiki i loko o ka pahu hau , a waiho ʻia ma ka mahana o ka lumi no ka manawa lōʻihi, hiki i kēia bacteria ke ulu a hana i nā mea ʻawahia. ʻO ka laiki ka mea i pili pinepine ʻia me kēia ʻano 'Bacillus cereus'. ʻAʻole wale ia, akā, ʻo nā tīhi, a me nā meaʻai starchy e like me:
- Pasta
- Nā ʻano mea ʻono
- ʻUala
- Sushi
Hiki ke hana ʻia kēia lāʻau make mai nā mea e like me:
He mea nui: Manaʻo kekahi poʻe e pepehi ka hoʻomehana hou ʻana i ka meaʻai i kēia mau bacteria. ʻOiaʻiʻo, hiki i nā bacteria ke make. Eia naʻe, ʻaʻole i luku ʻia ka mea ʻawahia a lākou e hana ai ma ka hoʻomehana ʻana. ʻO ia ka pilikia!
He aha nā maʻi 'Bacillus cereus' i pili ʻole i ka lāʻau make meaʻai? ('ʻO Bacillus cereus ʻaʻole i loko o ka ʻōpū')
Hoʻopilikia kēia ʻano maʻi Bacillus cereus i nā ʻāpana ʻē aʻe o ke kino ma waho o kāu ʻōnaehana hoʻoheheʻe. ʻIke pinepine ʻia ia ma:
- I loko o nā maka
- ʻŌnaehana hanu
- I loko o nā ʻeha
Hiki i kēia bacteria ke noho ma nā wahi e like me ka lepo, nā mea kanu, ka lepo, a me ka wai.
ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana o kēia 'Bacillus cereus'?
ʻO ka mea ʻoiaʻiʻo, hiki i kekahi, me ka nānā ʻole i ka makahiki a i ʻole ka lāhui, ke hoʻomohala i ka lāʻau make meaʻai a i ʻole nā maʻi ʻē aʻe e pili ana me Bacillus cereus.
Eia nō naʻe, piʻi ka pilikia o ka hoʻomohala ʻana i nā maʻi Bacillus cereus ʻole inā ʻoe:
- Inā he pēpē hānau hou.
- Inā ʻoe e hoʻomau i ka hoʻohana ʻana i kahi catheter noho indwelling.
- Inā he ʻōnaehana pale maʻi nāwaliwali kou.
- Inā he mau ʻeha i ho'ōla ʻole ʻia mai ke ʻoki ʻana a i ʻole kekahi ulia ʻē aʻe.
- Inā he mea hoʻohana ʻoe i nā lāʻau lapaʻau intravenous (IV).
Pehea ka maʻamau o kēia mau maʻi 'Bacillus cereus'?
He mea maʻamau loa ka make ʻana o ka meaʻai i hoʻokumu ʻia e ka bacteria Bacillus cereus. Ma ʻAmelika Hui Pū ʻIa wale nō, aia ma kahi o 63,400 mau hihia i hōʻike ʻia i kēlā me kēia makahiki. E noʻonoʻo i ka nui o nā hihia i loaʻa ma ko mākou ʻāina, ʻoiai me ke ʻano o kā mākou ʻai ʻana ma waho.
Akā, he mea kakaikahi iki nā maʻi ʻōpū ʻole (ʻaʻole pili i ka ʻōnaehana hoʻoheheʻe).
Pehea lā e hoʻoulu ai kēia 'Bacillus cereus' i ka lāʻau make i ka meaʻai?
ʻO ka hapa pinepine, hana ʻia ia ke ʻai ʻoe i ka meaʻai i waiho ʻia ma ka mahana o ka lumi. ʻOiai inā ua hoʻomehana hou ʻia ka meaʻai, hiki i kekahi manawa ke hoʻoulu i ka lāʻau make.
Hoʻopuka ka bacteria 'Bacillus cereus' i nā spores, a hoʻokuʻu kēia mau spores i nā mea ʻawahia. Hoʻonui koke kēia mau spores i ka mahana o ka lumi. Ke ʻai ʻoe i ka meaʻai i loaʻa kēia mau spores, hoʻoulu nā mea ʻawahia i ka luaʻi a i ʻole ka maʻi pākī. E noʻonoʻo, inā waiho ʻia kahi pola sopa lentil i kuke ʻia i ke kakahiaka a hiki i ke ahiahi, a inā waiho ʻia kahi iʻa iʻa ma waho o ka friji no ʻelua lā, a laila loaʻa i kēia bacteria kahi manawa kūpono e hana ai i kāna hana.
He aha nā hōʻailona o ka lāʻau make i hoʻokumu ʻia e ka 'Bacillus cereus'?
ʻO nā hōʻailona o kēlā mau ʻano hoʻoulu maʻi diarrhea ('Enterotoxins'):
- ʻEha ʻōpū, ʻeha ʻōpū
- ʻŌpū ʻeha
- Ka maʻi kahe wai
ʻO nā hōʻailona o ka `emetic syndrome` penei:
- Ka luaʻi (manaʻo e like me ka luaʻi ʻana)
- Ka luaʻi ʻana
Pehea e hoʻoulu ai ʻo Bacillus cereus i nā maʻi i lawe ʻia e ka meaʻai?
Hoʻokumu ʻia kēia mau maʻi e nā spores Bacillus cereus e komo i ke kino o ke kanaka ma kekahi ʻano a hana i nā mea ʻawahia. Hiki i kēia mau spores ke komo i ke kino ma o:
- Mai nā lako i haumia ʻia i hoʻohana ʻia ma nā haukapila, no ka laʻana, nā catheters.
- Mai nā ʻeha i loaʻa i ka maʻi.
- Ma ka hanu ʻana i ka lepo haumia.
- Mai nā maʻi i loaʻa i ka haukapila.
ʻO nā maʻi ʻōpū ʻole i hiki ke hana ʻia e B. cereus:
- ʻO ka bacteria e komo ana i ke koko (bacteremia)
- ʻO ka maʻi bacteria a fungal paha o ka maka (endophthalmitis) - He mea weliweli loa kēia.
- ʻO ka ʻōpū o ka lolo
- ʻO ka maʻi ʻili (cellulitis)
- ʻO ka maʻi o ka uhi o loko o ka puʻuwai (endocarditis)
- ʻO ka maʻi ʻōpū - i kapa ʻia hoʻi he kuni lolo.
- Ka maʻi iwi (Osteomyelitis)
- Pneumonia
He aha nā hōʻailona o nā maʻi Bacillus cereus ma waho o ke kahawai meaʻai?
ʻOkoʻa nā hōʻailona ma muli o ke ʻano o ka maʻi. ʻO ka Endophthalmitis ke ʻano koʻikoʻi loa o ke ʻano. ʻO nā hōʻailona o kēia maʻi maka e hoʻoweliweli nei i ke ola e komo pū me:
- ʻEha maka
- Hana paʻakikī
- kuni
- Hoʻonui ʻia ka helu o nā keʻena koko keʻokeʻo (leukocytosis)
- Pohō ka ʻike
- ʻUlaʻula o nā maka
- ʻEha corneal ʻano apo
Hiki i kekahi poʻe maʻi endophthalmitis ke nalowale kekahi maka. No laila, inā ʻike ʻoe i kekahi mea ʻē e pili ana i kou mau maka, pono ʻoe e ʻike koke i ke kauka.
Pehea e ʻike ai nā kauka i ka lāʻau make i hoʻokumu ʻia e ka `Bacillus cereus`? (`Diagnosis`)
E kānalua pinepine ke kauka i ka lāʻau make ma muli o kāu mau hōʻailona (luaʻi, diarrhea, ʻeha ʻōpū) a me ka ʻai hope loa āu i ʻai ai. A laila e hana lākou i kahi hoʻokolokolo kino. No ka hōʻoia ʻana ʻo B. cereus ke kumu, pono e hoʻāʻo ʻia kahi laʻana o ka meaʻai āu i ʻai ai a me kahi laʻana o kāu ʻōpala a luaʻi paha. ʻO ke kikoʻī, ua hōʻoia ʻia ka lāʻau make i ka wā he 100,000 a ʻoi aku paha nā meaola B. cereus no kēlā me kēia gram o ka meaʻai. I nā hihia o ka diarrhea, hiki ke hana ʻia kahi hoʻāʻo koko e ʻimi i ka toxin.
Pehea ʻoe e ʻike ai i kahi maʻi Bacillus cereus ma waho o ke kahawai meaʻai?
Inā kānalua ʻoe i kahi maʻi e like me kēia, e hana ʻia kahi hoʻāʻo koko ('blood cultures') e ʻike ai inā he bacteria i loko o ke koko.ʻO kēia ka mea maʻamau. Eia kekahi, lawe ʻia nā laʻana o nā wai o ke kino (no ka laʻana, ka wai vitreous i ka hihia o ka endophthalmitis) a hoʻāʻo ʻia no ka bacteria me ka hoʻohana ʻana i nā moʻomeheu maʻamau a me kahi Gram stain. ʻO kahi Gram stain e pili ana i ka pena ʻana i kahi laʻana ma kahi slide aniani me kahi dye kūikawā a nānā iā ia ma lalo o kahi microscope.
He aha nā lāʻau lapaʻau no ka lāʻau make meaʻai i hoʻokumu ʻia e ka 'Bacillus cereus'?
ʻO ka hapa nui o nā hihia o ka lāʻau make i hoʻokumu ʻia e Bacillus cereus e hoʻoponopono iā lākou iho i loko o 24 mau hola. Hiki i ke kauka ke haʻi aku iā ʻoe e hana i kēia mau mea:
- E hoʻomaha maikaʻi.
- E inu i ka wai he nui e pale aku ai i ka maloʻo ʻana o ka wai. He mea nui loa kēia. Ke loaʻa iā ʻoe ka maʻi pākī a i ʻole ka luaʻi ʻana, nalowale ka nui o ka wai i kou kino, no laila pono ʻoe e hoʻololi. He mea maikaʻi nō hoʻi ka inu ʻana i kahi mea inu e like me Jeevani.
Inā loaʻa iā ʻoe ka maʻi pākī nui a i ʻole ka luaʻi ʻana, hiki i ke kauka ke ʻōlelo aku e hāʻawi iā ʻoe i ka saline intravenous ('IV fluids') .
He aha nā lāʻau lapaʻau no nā maʻi Bacillus cereus ma waho o ke kahawai ʻai?
ʻOkoʻa ka lāʻau lapaʻau no kēia ma muli o ke kūlana kikoʻī āu i loaʻa ai. ʻO ka maʻamau, e hoʻomaka ke kauka iā ʻoe i nā antibiotics e hakakā i ka bacteria. Eia nō naʻe, ua ʻike ʻia ʻo B. cereus he kūʻē i kekahi mau antibiotics. No laila, he mea nui loa ia e lawe i ka lāʻau lapaʻau e like me ke kuhikuhi ʻana a kāu kauka, no ka manawa kikoʻī.
Pehea e hōʻemi ai i ka pilikia o ka lāʻau make i hoʻokumu ʻia e ka `Bacillus cereus`?
ʻO ka mālama ʻana i ka palekana o ka meaʻai ke ala wale nō e hōʻemi ai i kēia pilikia. Eia kekahi mau mea hiki iā ʻoe ke hana:
- Inā ʻaʻole e ʻai koke ʻia ka meaʻai i moʻa ʻia , e hoʻalili iā ia i ka mahana ma lalo o 5 degere Celsius (41 degere Fahrenheit) i loko o ʻeono hola . Eia kekahi laʻana, mai waiho i ka laiki a i ʻole ka curry i moʻa i ke awakea a hiki i ke ahiahi, akā e waiho i loko o ka friji i ka wā e moʻa ai.
- E mālama i nā meaʻai e pono ai ke hoʻopaʻahau ʻia i loko o ka pahu hau ma kahi mahana ma lalo o 5 degere Celsius (41 degere Fahrenheit) .
- E mālama i ka meaʻai e pono ai ke mālama wela ma kahi mahana ʻoi aku ma mua o 60 degere Celsius (135 degere Fahrenheit) . I kekahi manawa ʻike mākou i ka meaʻai ma nā buffet ma nā home a me nā pāʻina e mālama mahana ʻia i loko o nā kīʻaha chafing. Pēlā nō ia.
- E hōʻoia i ka wela o ka meaʻai āu e hoʻomehana hou nei i ka liʻiliʻi he 74 degere Celsius (165 degere Fahrenheit) . ʻAʻole lawa ka mehana wale nō. Pono ia e wela loa.
- E hoʻolei aku i nā meaʻai āu e manaʻo ai he bacteria paha. Inā kānalua, mai ʻai. ʻO ia ka mea maikaʻi loa e hana ai.
E noʻonoʻo wale, inā ʻai kākou i ka `laiki palai` a i ʻole `kottu` a kākou e kūʻai ai mai ka hale kūʻai i ka pō a waiho i nā koena i waho, aia kahi manawa kūpono e ulu aʻe ai ʻo `Bacillus cereus` ma luna o ia mea i ke kakahiaka aʻe. No laila, he mea nui loa ia e makaʻala i ka mālama ʻana i ka meaʻai.
Pehea e hōʻemi ai i ka pilikia o ka maʻi Bacillus cereus ma waho o ke kaulahao meaʻai?
Hiki iā ʻoe ke hōʻemi i kēia pilikia ma ka holoi pinepine ʻana i kou mau lima a me ke kūpono . Hiki iā ʻoe ke:
- Inā loaʻa iā ʻoe kahi maʻi e hoʻonāwaliwali ai i kou ʻōnaehana pale kino, e mālama pono iā ia.
- Mai hoʻohana i nā lāʻau lapaʻau intravenous.
- Inā loaʻa iā ʻoe kekahi ʻeha a ulia paha, e ʻimi koke i ke kōkua lapaʻau.
He aha ka mea e hana ai inā ulu ka `Bacillus cereus`?
Inā ʻaʻole nāwaliwali kou ʻōnaehana pale maʻi, he mea kākaʻikahi nā pilikia mai ka lāʻau make i hoʻokumu ʻia e Bacillus cereus. Hoʻōla koke ka hapa nui o ka poʻe i loaʻa i kēia ʻano maʻi B. cereus.
Eia nō naʻe, hiki i nā maʻi Bacillus cereus ʻaʻole i loko o ka ʻōpū ke hoʻoulu i ka make a i ʻole nā pilikia ʻē aʻe.
- Ka make ʻana o nā ʻiʻo (`Gangrene`)
- Poho mau loa ka ʻike
- ʻO ka maʻi septicemia
- ʻO ka maningitis viral - ʻOiai hoʻomaka kēia me ka bacteria, hiki ke loaʻa nā pilikia ʻē aʻe.
He aha ka wānana no ka ho'ōla hou ʻana inā loaʻa iā ʻoe ka `Bacillus cereus`?
Inā loaʻa iā ʻoe ka lāʻau make i hoʻokumu ʻia e Bacillus cereus, maikaʻi loa ka manaʻolana no ka hoʻōla ʻana. Hoʻōla piha ka hapa nui o ka poʻe.
Eia nō naʻe, inā loaʻa iā ʻoe kahi maʻi Bacillus cereus ma waho o ke kahawai ʻai, ʻo ka nānā ʻana no ka hoʻōla ʻana e pili ana i:
- Aia ia i ka wikiwiki o kou loaʻa ʻana o ka lāʻau lapaʻau.
- Ma muli o ke koʻikoʻi o ka maʻi.
- Ma muli o nā kūlana olakino ʻē aʻe āu e loaʻa nei.
Aia kekahi mau kūlana ʻē aʻe i ʻoi aku ka nui o ka pilikia o nā pilikia?
Ma keʻano laulā, inā nāwaliwali kou ʻōnaehana pale , ʻoi aku ka nui o kou loaʻa ʻana o nā pilikia mai nā maʻi Bacillus cereus. Eia kekahi, inā ʻoe:
- Inā he pēpē hānau hou.
- Inā ua hoʻopaʻa mua ʻia kekahi ma ka haukapila.
- Inā ʻaʻole hoʻomaka mua ʻia nā antibiotics no kahi maʻi ma waho o ke kahawai meaʻai.
- Inā he maʻi ʻaʻai kou o nā ʻiʻo hoʻokumu koko (nā maʻi hematologic) (e.g. leukemia, lymphoma, multiple myeloma).
- Inā he maʻi kou akepaʻa.
- Inā loaʻa iā ʻoe ka neutropenia (kahi pae haʻahaʻa o kahi ʻano o ke koko keʻokeʻo).
- Inā ʻoe e lawe ana i nā lāʻau lapaʻau e like me corticosteroids.
I nā hihia e like me kēia, hiki i ka wānana ke lilo i mea ʻino iki aʻe.
Pehea wau e mālama ai iaʻu iho i ka wā e loaʻa ai iaʻu ʻo Bacillus cereus?
Ke loaʻa iā ʻoe ka lāʻau make i hoʻokumu ʻia e Bacillus cereus, hiki iā ʻoe ke:
- E inu i ka wai nui.
- E hoʻomaha maikaʻi.
Inā loaʻa iā ʻoe kahi maʻi Bacillus cereus ma waho o ke kahawai ʻai:
- E ola i kahi nohona olakino.
- E lawe i nā lāʻau lapaʻau like i kuhikuhi ʻia no nā kūlana olakino ma lalo.
Āhea wau e ʻike ai i ke kauka?
Inā he nāwaliwali kou ʻōnaehana pale maʻi a loaʻa iā ʻoe nā hōʻailona o ka lāʻau make i ka meaʻai a i ʻole ka maʻi Bacillus cereus, e kāhea koke i ka 1990 a i ʻole e hele i ka haukapila kokoke loa.
ʻO ka loaʻa ʻana o Bacillus cereus he mea ʻeha maoli ia i ka hoki. He ʻike ʻoluʻolu ʻole ka lāʻau make i ka meaʻai a hiki ke hoʻomaʻi loa iā ʻoe. ʻO ka mea pōmaikaʻi, ʻo ka lāʻau make i hoʻokumu ʻia e Bacillus cereus e hoʻomaikaʻi pinepine ʻia i loko o hoʻokahi lā a i ʻole, a hoʻōla piha ka hapa nui o ka poʻe. Hiki iā B. cereus ke hana i nā maʻi ma waho o ke ala ʻai, akā he mea kakaikahi kēia. Inā he ʻōnaehana pale palupalu kou a i ʻole nā maʻi olakino ʻē aʻe, hiki i nā ʻano maʻi ʻelua o Bacillus cereus ke ʻoi aku ka koʻikoʻi. ʻO ka inu ʻana i ka wai nui a me ka loaʻa ʻana o ka hoʻomaha nui e kōkua iā ʻoe e hoʻōla koke mai ka lāʻau make i ka meaʻai. Hiki i nā antibiotics ke kōkua i nā maʻi ma waho o ke ala ʻai. ʻO ka wikiwiki o kou loaʻa ʻana o ka lāʻau lapaʻau, ʻoi aku ka maikaʻi o kou manawa e hoʻōla ai.
Leka Hoʻihoʻi Hope Loa
- He bacteria ʻo Bacillus cereus e hiki ai ke hoʻoulu i ka mea ʻawahia i ka meaʻai a me nā maʻi ʻē aʻe.
- Hiki ke hana ʻia kēia mai nā meaʻai i moʻa ʻia, ʻoi aku hoʻi ka laiki, i waiho ʻia ma ka mahana o ka lumi no ka manawa lōʻihi loa .
- ʻO nā hōʻailona nui o ka lāʻau make i ka meaʻai, ʻo ia ka luaʻi ʻana a me/a i ʻole ka maʻi pākī.
- ʻOiai e hoʻoponopono pinepine ʻia kēia i loko o hoʻokahi lā, hiki ke lilo i mea weliweli iki no ka poʻe me nā ʻōnaehana pale nāwaliwali .
- ʻO ke ala maikaʻi loa e pale aku ai i kēia, ʻo ia ka hahai ʻana i nā hana palekana meaʻai . E kuke pono i ka meaʻai, e mālama pono, a e hoʻokomo koke i nā koena i loko o ka pahu hau.
- Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē aʻe i nā maka, nā ʻeha, a i ʻole ka ʻōnaehana hanu, e makaʻala hoʻi i kēlā.
- Inā kānalua, e ʻike pono i ke kauka. Mai hopohopo, hiki i ka mālama koke ke alakaʻi pinepine i kahi ho'ōla maikaʻi.
He mea nui kou olakino iā mākou nō hoʻi!
ʻO Bacillus cereus, ka lāʻau make meaʻai, bacteria, maʻi, diarrhea, luaʻi, palekana meaʻai, spores











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