Ua ʻike anei ʻoe i ka maʻi weliweli i kapa ʻia ʻo Botulism? E kamaʻilio kākou e pili ana!

Ua lohe paha ʻoe i kēia maʻi laha ʻole akā koʻikoʻi i kapa ʻia ʻo botulism? He maʻi weliweli loa kēia. No laila he mea nui e makaʻala iā ia. I kēia lā, e kamaʻilio mākou e pili ana iā ia ma ke ʻano maʻalahi e hiki ai iā ʻoe ke hoʻomaopopo.

He aha kēia botulism?

I ka ʻōlelo maʻalahi, he maʻi koʻikoʻi ka botulism i hoʻokumu ʻia e kahi bacteria i kapa ʻia ʻo Clostridium botulinum. Hoʻopuka kēia bacteria i kahi mea make weliweli loa, a i ʻole toxin . Hoʻouka kēia mea make i ka ʻōnaehana nerve o ko mākou kino . Inā ʻaʻole mālama pono ʻia, hiki i kēia kūlana ke make.

ʻO ka mea nui, he mea kākaʻikahi loa ka botulism. Eia nō naʻe, hiki ke make, no laila inā manaʻo ʻoe he mau hōʻailona o ka botulism iā ʻoe a i ʻole kāu keiki liʻiliʻi, pono ʻoe e hele koke i ka lumi pilikia kokoke loa . Hiki i nā hōʻailona ke komo pū me nā lihilihi maka e hāʻule ana a me nā hōʻailona ʻē aʻe e hoʻopilikia i nā ʻiʻo o ka maka, nā maka, a me ka ʻāʻī. I ka hopena, hiki iā ia ke hoʻopilikia i nā ʻiʻo e pili ana i ka hanu ʻana.

He aha ka mea e hana ai inā komo ka Clostridium botulinum i loko o ke kino?

E noʻonoʻo e hoʻouka ana ka mea ʻawaʻawa i hana ʻia e kēia bacteria, ʻo Clostridium botulinum, i kā mākou ʻōnaehana nerve. ʻO ka mea e hana ʻia, ʻo ko mākou mau ʻiʻo, nā ʻiʻo e hoʻoneʻe iā mākou, e kamaʻilio iā mākou, a e ale iā mākou , e lilo i nāwaliwali a hana ʻole (paralyzed) . Inā hoʻouka kēia mea ʻawaʻawa i nā aʻalolo e kaohi ana i ko mākou hanu ʻana, hiki ke hoʻoweliweli i ke ola.

Aia nā ʻano botulism like ʻole. ʻO nā ʻano maʻamau ka botulism i lawe ʻia i ka meaʻai, ka botulism pēpē, a me ka botulism ʻeha. Eia kekahi, aia nā ʻano kakaikahi i kapa ʻia ʻo iatrogenic botulism a me ka botulism toxemia intestinal makua.

He aha nā ʻano nui o ka botulism?

E nānā kākou i kēia mau ʻano botulism me nā kikoʻī hou aku.

ʻO ka botulism i lawe ʻia e ka meaʻai

Hana ʻia kēia ke ʻai ʻoe i ka meaʻai i haumia ʻia me nā spores o ka bacteria Clostridium botulinum. Inā ʻaʻole mālama pono ʻia ka meaʻai, hoʻomaka kēia mau bacteria e ulu. I ka ulu ʻana o ka bacteria, hoʻohui lākou i nā mea ʻawahia i ka meaʻai.

Hoʻokumu pinepine ʻia ka botulism i lawe ʻia mai ka meaʻai e nā meaʻai i hana ʻia ma ka home i hoʻomākaukau pono ʻole ʻia a mālama ʻia paha, e like me nā pickles a me nā moju . ʻOiai he mea kakaikahi, hiki i nā meaʻai i kūʻai ʻia ma ka hale kūʻai ke hana i ka botulism inā ʻaʻole lākou i hoʻomākaukau pono ʻia. ʻO nā kumu meaʻai ʻē aʻe:

• Nā ʻaila lāʻau lapaʻau.
• ʻUala i kālua ʻia i loko o ka pepa alumini.
• Nā mea ʻono tīhi i loko o ka pahu.
• Kālika ʻōmole.
• Nā tōmato i hoʻopaʻa ʻia.
• Wai kāloti.
• ʻAi i mālama ʻia mehana a i ʻole ka meaʻai i waiho ʻia ma waho no ka manawa lōʻihi me ka ʻole o ka hoʻokomo ʻia ʻana i loko o ka pahu hau. E noʻonoʻo i ka mea e hana ai inā ʻoe e waiho i nā mea e like me ka pudding laiki a me nā mea kanu āu i hana ai i ke kakahiaka a hiki i ka pō.

ʻO ka botulism pēpē

Hiki i nā pēpē ke loaʻa i ka botulism inā lākou e ʻai i nā spores o ka bacteria Clostridium botulinum. Ke komo kēia mau spores i loko o nā ʻōpū o ka pēpē, ulu lākou a hoʻokuʻu i kahi toxin. ʻAʻole maopopo mau kahi i puka mai ai kēia mau spores. Eia nō naʻe, loaʻa pinepine lākou i ka lepo a me ka lepo. Ke loaʻa kēia mau spores i ka lewa, hiki i ka pēpē ke hanu iā lākou.

Hiki ke loaʻa kēia mau spores i loko o ka meli . ʻAʻole loaʻa i nā keiki olakino a me nā pākeke ka botulism inā lākou e ʻai i kēia mau spores botulinum. Eia nō naʻe, no kekahi kumu, ua hana ʻia kēia toxin i loko o ke kino o nā pēpē ma lalo o hoʻokahi makahiki . ʻO ia ke kumu e ʻōlelo ai nā loea ʻaʻole pono e hāʻawi ʻia ka meli i nā pēpē a hiki i ko lākou makahiki hoʻokahi. He mea kēia e pono ai nā mākua he nui e hoʻomanaʻo.

ʻO ka botulism ʻeha

Hiki ke loaʻa ka botulism ʻeha inā komo nā spores o Clostridium botulinum i loko o kahi ʻeha. Ke komo kēia mau spores i loko o ka ʻeha, ulu lākou a hoʻokuʻu i nā mea ʻawahia i loko o ko kākou koko.

ʻIke pinepine ʻia kēia ʻano botulism i waena o ka poʻe e hoʻokomo i nā lāʻau lapaʻau ʻae ʻole i loko o ke kino . I kekahi manawa, hiki ke hana ʻia ke ʻano ma hope o ke ʻoki ʻana a i ʻole kahi ʻeha koʻikoʻi.

ʻO ka botulism iatrogenic

He kūlana kākaʻikahi loa kēia. Hiki ke loaʻa kēia kūlana inā lawe ʻoe i ka nui o Botox®, kahi ʻano injectable o ka botulinum toxin. ʻO Botox® kahi toxin i hoʻomaʻemaʻe ʻia a hoʻoheheʻe nui ʻia mai ka bacteria Clostridium botulinum. Hoʻohana kekahi poʻe iā Botox® no nā kumu hoʻonani, e like me ka hōʻemi ʻana i nā wrinkles. A i ʻole hoʻohana lākou no nā kumu lapaʻau, e like me ka migraines.

ʻAʻole paha e hoʻoulu ka Botox® i ka botulism. Eia nō naʻe, inā ʻoe e loaʻa ana i kahi inikini botulinum toxin, pono e hana ʻia e kahi loea lapaʻau laikini i ʻike pehea e hāʻawi palekana ai a ma ka nui kūpono.

ʻO ka botulism toxemia ʻōpū makua

Ua kapa ʻia hoʻi kēia he kolona ʻōpū makua. He ʻano botulism kakaikahi loa kēia. Hiki ke hana inā komo nā spores Clostridium botulinum i loko o kou mau ʻōpū. Ulu nā spores a hana i kahi toxin, e like me nā pēpē. Inā loaʻa iā ʻoe kahi maʻi koʻikoʻi e hoʻopilikia ai i kāu ʻōnaehana hoʻoheheʻe , ʻoi aku ka nui o kou loaʻa ʻana i kēia ʻano botulism.

Pehea ka maʻamau o kēia maʻi?

He maʻi laha ʻole ka botulism. No ka laʻana, i ka makahiki 2018, ua hōʻike wale nā ​​​​Centers for Disease Control and Prevention (CDC) i 242 mau hihia i hōʻoia ʻia o ka botulism. ʻO ka hapa nui o kēia mau mea, ʻo ka botulism pēpē. He mea paʻakikī ke loaʻa nā helu helu ma kēia ma Sri Lanka, akā ua maopopo he mea laha ʻole ia ma ka pae honua.

He aha nā hōʻailona o ka botulism?

I kēia manawa, e nānā kākou i nā hōʻailona o kēia maʻi. Hiki iā ia ke hoʻopilikia i nā pēpē a me nā pākeke ma nā ʻano like ʻole.

Nā hōʻailona i nā pēpē

Hiki i nā hōʻailona botulism pēpē ke ʻano like ʻole mai ka ʻoluʻolu a i ka ʻino. Hiki ke ʻike ʻia nā hōʻailona i loko o ʻekolu a 30 mau lā ma hope o ka ʻike ʻia ʻana i nā spores Clostridium botulinum. Eia nā hōʻailona nui:

• Ka lihilihi ʻana o ka maka `(ptosis)` .
• Ua emi ka helehelena.
• Ke kahe nei ka wai.
• Uē nāwaliwali .
• Ka emi ʻana a lohi paha o ka ʻai ʻana i ka waiū a i ʻole ka meaʻai.
• Ua emi ka gag reflex.
• Ka paʻa ʻana o ka ʻōpū .
• Ka nāwaliwali a i ʻole ka palaualelo.
• Paʻakikī ka hanu ʻana.

Inā he makuahine ʻoe me kahi pēpē liʻiliʻi, pono ʻoe e makaʻala loa i kēia mau hōʻailona. Inā ʻoi aku ka palaualelo o kāu pēpē ma mua o ka maʻamau, ʻaʻole makemake e hānai waiū, a i ʻole e uē nui ʻole, e ʻike koke i ke kauka.

Nā hōʻailona i nā pākeke a me nā keiki ʻōpio

ʻO nā hōʻailona o ka botulism i nā keiki makua a me nā pākeke e hoʻomaka pinepine i nā ʻiʻo o ka maka, nā maka, a me ka ʻāʻī . Inā ʻaʻole mālama ʻia, hiki i nā hōʻailona ke laha i nā ʻāpana ʻē aʻe o ke kino. Hiki ke ʻike ʻia nā hōʻailona i loko o nā hola a i nā lā ma hope o ka ʻai ʻia ʻana o nā spores botulinum. Eia nā hōʻailona:

• Ka lihilihi ʻana o ka maka `(ptosis)` .
• ʻIke pālua a i ʻole ka ʻike pōwehiwehi.
• Waha maloʻo (xerostomia)
• He huikau ka moʻolelo.
• Ka paʻakikī i ke ale ʻana (dysphagia) .
• Paʻakikī ka hanu ʻana.
• Ka nāwaliwali a i ʻole ka mae ʻana o nā lālā.
• Ka luaʻi a me ka luaʻi (mea maʻamau i ka botulism i lawe ʻia e ka meaʻai).

He aha ke kumu o ka botulism?

Hoʻokumu ʻia ka botulism e kahi bacteria i kapa ʻia ʻo Clostridium botulinum. I kekahi manawa, hiki ke hoʻokumu ʻia e ka bacteria i kapa ʻia ʻo Clostridium butyricum a i ʻole Clostridium baratii. ʻAʻole paha ʻoe e maʻi inā ʻoe e launa pū me kēia bacteria a i ʻole kāna mau spores. Eia nō naʻe, ma lalo o kekahi mau kūlana , hoʻomaka kēia mau spores e ulu.

Hoʻokuʻu kēia mau bacteria ulu i nā mea ʻawahia. Ke hoʻokuʻu ʻia nā mea ʻawahia, komo koke lākou i ke koko a hoʻopili i ko kākou mau aʻalolo. Hana ʻia ka botulism ke pau ka hana ʻana o kēlā mau aʻalolo. ʻO nā kūlana e kōkua ai i nā spores e ulu a hoʻonui:

• He wahi me ka liʻiliʻi a ʻaʻohe oxygen paha (e like me loko o ka meaʻai i loko o ka pahu)
• Ua emi ka waikawa, ke kō, a i ʻole ka paʻakai.
• Haʻahaʻa loa ka mahana kuke. (I kekahi manawa, ʻaʻole pepehi nā mahana paila i nā spores.)
• Ka loaʻa ʻana o kahi nui o ka wai.
• Ua wela loa ka mahana o ka mālama ʻana.

ʻAuhea kahi e loaʻa pinepine ai ka Clostridium botulinum?

He mea maʻamau nā spore o ka bacteria Clostridium botulinum i ka lepo, akā ʻaʻole pinepine lākou e hoʻoulu i ka maʻi. I kekahi manawa hiki ke loaʻa iā lākou i loko o nā mea kanu i loko o ka pahu, iʻa, a i ʻole ka ʻiʻo. ʻOi aku ka nui o ka haumia o nā meaʻai i loko o ka hale i loko o ka pahu me kēia bacteria ma mua o nā meaʻai i kūʻai ʻia ma ka hale kūʻai. Hiki i nā pēpē ma lalo o hoʻokahi makahiki ke loaʻa i ka toxin Clostridium botulinum mai ka meli.

Pehea e ʻike ʻia ai ka botulism?

No ka ʻike ʻana i ka botulism, e hana kāu kauka i kahi hoʻokolokolo kino . E nīnau ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona a nānā i nā ʻiʻo nāwaliwali a hana ʻole paha.

Hiki ke like nā hōʻailona o ka botulism me nā maʻi ʻē aʻe, e like me ka hahau ʻana, ka meningitis, a me ka maʻi Guillain-Barré . No laila, pono paha kāu kauka e hana i nā hoʻokolohua hou aʻe e hōʻoia i ka botulism.

He aha nā hoʻokolohua i hana ʻia no kēia?

No ka hōʻoia ʻana i ka maʻi botulism, hiki i kāu kauka ke hana i kahi hoʻāʻo e ʻike ai inā loaʻa i kou koko, ʻōpala, a luaʻi paha ka toxin. Hiki ke hoʻāʻo ʻia nā laʻana meaʻai i manaʻo ʻia no ka toxin.

ʻO nā hoʻokolohua ʻē aʻe a ke kauka e hoʻohana ai:

• He scan lolo.
• He hoʻokolokolo wai o ka iwi kuamoʻo.
• Nā hoʻāʻo hana aʻalolo a me nā ʻiʻo (e.g. electromyography) .

Hiki ke hala kekahi mau lā ma mua o ka hoʻi ʻana mai o nā hopena o kēia mau hoʻokolohua, no laila inā kānalua ʻia ka botulism, hiki i ke kauka ke hoʻomaka koke i ka lāʻau .

Pehea e mālama ʻia ai ka botulism?

Ma muli o ke kumu o ka botulism a me ke koʻikoʻi o ke kūlana, hiki i kāu kauka ke hoʻohana i nā ʻano lapaʻau like ʻole. ʻO ka lāʻau lapaʻau maʻamau no kāu kauka e hāʻawi iā ʻoe i kahi lāʻau i kapa ʻia he antitoxin . Hana ka antitoxin ma ke kāohi ʻana i ka hana o ka toxin i loko o kou koko. Pale kēia i ka toxin mai ka hōʻino hou ʻana. Eia naʻe,ʻAʻole hiki i ka Antitoxin ke hoʻoponopono i nā pōʻino i hana mua ʻia. Pono paha ʻoe e noho i ka haukapila no nā pule a i ʻole nā ​​mahina e hoʻōla ai.

Inā pilikia ʻoe i ka hanu ʻana, e kau paha kāu kauka iā ʻoe ma luna o kahi ventilator . Kōkua kēia mīkini iā ​​ʻoe e hanu. Pono ʻoe e noho ma kēia mīkini a hiki i ka pau ʻana o ka hana ʻino e pili ana i kou hanu ʻana.

Inā loaʻa iā ʻoe ka botulism ʻeha, pono paha ʻoe e hana i ke ʻoki ʻana e wehe i ka ʻāpana i loaʻa i ka maʻi o ka ʻeha. Ma hope o ke ʻoki ʻana, pono ʻoe e lawe i nā lāʻau antibiotic e pale ai i ka hoʻi hou ʻana mai o ka maʻi.

Hiki ke ho'ōla loa ʻia ka botulism?

ʻAʻohe lāʻau lapaʻau kūikawā e ho'ōla loa ai i ka botulism, akā hiki ke mālama ʻia ka hōʻino iki ʻana o ke aʻalolo. Hiki i nā antitoxins ke pale i ka toxin mai ka hōʻino hou ʻana. ʻO ke ʻano kēia inā hāʻawi koke ʻia ka lāʻau lapaʻau, hiki ke pale ʻia ke kūlana mai ka ʻino ʻana.

He aha nā pilikia e hiki mai ana mai ka botulism?

Hiki i ka Botulism ke hoʻoulu i ka lolo o nā ʻiʻo e kōkua iā ʻoe e ale a hanu. ʻOiai ke kōkua nei ka antitoxin i ka hapa nui o nā hihia, hiki i kekahi poʻe ke make mai nā pilikia hanu a me ka maʻi . Eia kekahi, hiki i ka botulism ke hoʻoulu i nā pilikia olakino e like me:

• Luhi loa .
• Ka nāwaliwali mau.
• Ka paʻakikī o ka hanu ʻana (dyspnea) .
• ʻO ka niumonia aspiration a me nā maʻi i hoʻokumu ʻia e kahi mea i paʻa i ka puʻu.
• Nā pilikia o ka ʻōnaehana nerve.

He aha kāu e manaʻo ai ma hope o ka lāʻau lapaʻau?

Ma muli o ke koʻikoʻi o kou kūlana, hiki i ka hoʻōla ʻana mai ka botulism ke hala i nā pule, nā mahina, a i ʻole nā ​​​​makahiki . ʻO ka hapa nui o ka poʻe i loaʻa ka lāʻau lapaʻau koke e hoʻōla piha i loko o ʻelua pule .

Pehea e pale ai iā ʻoe iho mai ka botulism?

ʻO kēia ka ʻāpana koʻikoʻi loa. Aia kekahi mau mea hiki iā ʻoe ke hana e pale aku iā ʻoe iho mai nā ʻano botulism maʻamau.

Ka palekana ʻana mai ka botulism i lawe ʻia e ka meaʻai

• E hoʻokomo i ka meaʻai i loko o ka pahu hau i loko o ʻelua hola ma hope o ke kuke ʻana. Pale ka pahu hau i ka hoʻokumu ʻana o nā spores bacteria.
• E hoʻomoʻa maikaʻi i ka meaʻai.
• Mai hoʻohana i ka meaʻai i loko o ka pahu i ʻike ʻia ua hōʻino ʻia a pehu paha (he mau hōʻailona paha kēia o ke kinoea i hana ʻia e ka bacteria).
• E hoʻomaʻemaʻe i nā meaʻai i loko o ka pahu kini ma ka hoʻolapalapa ʻana iā lākou i loko o ka ipu kuke ma 121 kekelē Celsius (250 Fahrenheit) no 30 mau minuke .
• E hoʻolei aku i nā meaʻai i hoʻomoʻa ʻia a pilau ʻino .

Ka palekana ʻana mai ka botulism pēpē

• Mai hāʻawi i ka meli i nā pēpē ma lalo o hoʻokahi makahiki. He mea kēia e pono ai ʻoe e hoʻomanaʻo.
• Inā ulu ka botulism , e hānai i kāu pēpē i ka waiū e pale ai i ka hoʻonui ʻana o ka maʻi.

Ka palekana ʻana mai ka botulism ʻeha

• Mai hoʻokomo i nā lāʻau lapaʻau kū ʻole i ke kānāwai.
• Inā ʻulaʻula ka ʻeha, ʻeha, pehu, a i ʻole he mau hōʻailona o ka maʻi, e like me ka pus, e ʻimi koke i ke kōkua lapaʻau.
• E hoʻomaʻemaʻe pono i nā ʻeha i haumia i ka lepo a me ka lepo.

Ka palekana ʻana mai ka botulism e pili ana i ka mālama ola

• Inā ʻoe e loaʻa ana i nā inikini e like me Botox®, e kiʻi wale iā lākou mai kahi loea lapaʻau laikini ʻia .

He aha ka mea e hana ai inā loaʻa iā ʻoe ka botulism? (Outlook)

He maʻi ka botulism hiki ke make inā ʻaʻole mālama ʻia. Eia nō naʻe, me ka ʻike mua ʻana a me ka mālama ʻana, hiki i nā poʻe he nui ke hoʻōla piha mai ka maʻi a hoʻomau i ka hana maʻamau no ke koena o ko lākou ola.

He maʻi koʻikoʻi ka Botulism e hoʻouka ana i ka ʻōnaehana nerve o kou kino, e hoʻoulu ai i ka nāwaliwali a me ka lolo ʻana o nā ʻiʻo. He mea kākaʻikahi ka lāʻau ʻona Botulism, akā hiki ke make inā waiho ʻole ʻia. Inā loaʻa iā ʻoe a i ʻole kāu keiki kekahi o nā hōʻailona o ka botulism, e hele koke i ka lumi pilikia kokoke loa. Me ka nānā koke ʻana o ke kauka, hiki ke mālama ʻia ka botulism.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai

ʻAe, i kēia manawa ua ʻike nui ʻoe e pili ana i ka botulism. Eia kekahi mau mea nui e hoʻomanaʻo ai:

• He maʻi ʻino ka Botulism i hoʻokumu ʻia e kahi mea ʻawahia i hana ʻia e ka bacteria Clostridium botulinum.
• Hiki ke laha ma o ka meaʻai, nā ʻeha, a kākaʻikahi hoʻi ma o ka mālama ʻana i nā maʻi .
• He mea nui loa ʻaʻole e hāʻawi i ka meli i nā pēpē ma lalo o hoʻokahi makahiki .
• Hiki ke pale nui ʻia kēia ma ka mālama ʻana i ka palekana o ka meaʻai (e kuke maikaʻi, e mālama pono).
• Inā ʻike ʻoe i nā hōʻailona , ​​e ʻimi koke i ke kōkua lapaʻau . Hiki i ka mālama koke ke hoʻōla i ke ola.

Manaʻolana wau he mea pono kēia ʻike iā ʻoe. E ola kino!

ʻO ka Botulism, Clostridium botulinum, ka lāʻau make meaʻai, ke olakino o ke keiki, nā maʻi neurological, nā mea ʻawahia, ka palekana meaʻai