Ua ʻōlelo anei kāu kauka i kahi "hoʻāʻo GBS" i nā pule hope loa o kou hāpai ʻana? Ua loaʻa paha iā ʻoe kēlā hoʻāʻo a ua ʻike ʻoe he "maikaʻi" ka hopena. He mea maʻamau ke manaʻo iki i ka makaʻu a me ka hopohopo ke lohe ʻoe i kēlā mau ʻōlelo. "E hōʻeha anei kēia iaʻu? E hana ʻia kekahi mea i kaʻu pēpē?" Ke noʻonoʻo nei paha ʻoe. Akā, mai hopohopo. E kamaʻilio kākou e pili ana i ke ʻano o ka Group B Strep, a i ʻole GBS, i kāna mea e hana ai, a me nā mea hiki iā kākou ke hana e pale aku i kā kākou pēpē.
I ka ʻōlelo maʻalahi, he aha ka Group B Strep (GBS)?
ʻO ka Group B Strep (GBS) kahi ʻano bacteria e noho maʻamau ana i loko o ke kino o nā pākeke olakino. ʻO ke kikoʻī, hiki iā ia ke noho me ka ʻino ʻole ma nā wahi e like me kou vagina, nā ʻōpū, a me ka rectum. No kahi pākeke olakino, ʻaʻole pilikia ka GBS.
Eia nō naʻe, i kou wā hāpai, ʻokoʻa iki ke kūlana. I ka wā hānau keiki, ʻo ia hoʻi, i ka wā e hānau ʻia ai ke pēpē ma o ka vagina, hiki ke hoʻoili ʻia kēia bacteria mai ou aku i ka pēpē, ʻo ia hoʻi, hiki ke loaʻa i ka maʻi. ʻOiai ʻaʻole lawa ka palekana o ka pēpē hānau hou e hakakā ai i kēia bacteria, hiki ke hoʻopilikia i ka pēpē.
ʻO ia ke kumu e hana ai nā kauka i kēia hoʻāʻo GBS ma waena o 36 a me 37 mau pule o kou hāpai ʻana. Ma kahi o hoʻokahi o nā wahine hāpai ʻehā e loaʻa iā lākou ka GBS. ʻO ia hoʻi, he maʻi maʻamau loa ia.
He aha nā hōʻailona e hiki i kahi pēpē ke ʻike ma muli o GBS?
Inā loaʻa i kahi pēpē hānau hou ʻo GBS, hiki i nā hōʻailona ke lilo i mea koʻikoʻi koke, no laila he mea nui e makaʻala i kēia mau hōʻailona.
| Hōʻailona | Wehewehena |
|---|---|
| kuni | Ua wela ke kino o ke pēpē. |
| Ka paʻakikī o ka inu ʻana i ka waiū | Inā ʻaʻole hānai waiū ka pēpē e like me ka mea maʻamau a hōʻole paha i ka ʻai. |
| Uē pinepine/huhū | Inā e uē mau ana ke pēpē a ʻaʻole hiki ke hōʻoluʻolu ʻia. |
| Paʻakikī ka hanu ʻana | Inā ʻoe e hana i kahi kani wheezing i ka wā e hanu ana a inā paha he wikiwiki kou hanu ʻana. |
| Ka hiamoe/lethargy | Inā paʻakikī ke hoʻāla i ka pēpē a i ʻole me he mea lā ua make. |
ʻO ka hapa nui o ka manawa, ʻike ʻia kēia mau hōʻailona i loko o nā hola mua a i ʻole nā lā ma hope o ka hānau ʻana o ka pēpē. Kāhea mākou i kēia ʻo "Early-onset GBS." ʻO kēia ka mea maʻamau a hiki ke koʻikoʻi loa. Akā hiki i kekahi mau pēpē ke loaʻa nā hōʻailona ma waena o hoʻokahi pule a me ʻekolu mahina. Ua kapa ʻia kēia ʻo "Late-onset GBS." He mea kakaikahi loa ia a ʻaʻole pinepine i koʻikoʻi.
Pehea e hoʻoili ʻia ai ʻo GBS? ʻO koʻu hewa anei kēia?
ʻO kēia ka nīnau nui loa a nā makuahine he nui. Ke noʻonoʻo nei kekahi poʻe, "No ka mea ua lepo wau?"
ʻAʻole. ʻAʻole loa. ʻAʻole i hana ʻia ʻo GBS e kou haumia, ka kaʻana like ʻana i ka meaʻai a mea inu paha, a i ʻole kahi maʻi i laha ma ke ʻano moekolohe (STI).
Noho maoli kēia bacteria i loko o ko kākou kino. ʻAʻole ia he hewa nou ke loaʻa iā ʻoe i loko o kou kino. A ʻaʻole ʻoe e hoʻolaha iā ia i nā poʻe ʻē aʻe o kou hale, a i ʻole i kāu mau keiki ʻē aʻe. No laila, mai hopohopo no ia mea.
Nā kumu e hoʻonui ai i ka pilikia o ka maʻi GBS i loko o ka pēpē
ʻOiai inā he GBS maikaʻi ʻoe, ʻo ka pilikia wale nō o ka maʻi i kāu pēpē inā ʻaʻole ʻoe e loaʻa i ka lāʻau lapaʻau. Aia kekahi mau kumu e hoʻonui ai i kēlā pilikia:
- Pēpē i hānau ʻia ma mua o 37 mau pule: ʻOi aku ke kiʻekiʻe o ka pilikia inā hānau ʻia ke pēpē ma kahi wā ma hope.
- Ua loaʻa i kāu hānau mua ʻana ka maʻi GBS: Inā he mea like ia ma kou mōʻaukala olakino i hala.
- Loaʻa iā ʻoe ke kuni i ka wā hānau: Inā piʻi ka mahana o kou kino i ka wā hānau.
- Ma mua o 18 mau hola ma hope o ka haki ʻana o ka wai: Inā haki ka wai a lōʻihi ka manawa e hānau ai i ka pēpē.
Akā e hoʻomanaʻo, hiki i ka lāʻau lapaʻau i ka wā hānau ke hōʻemi nui i kēia pilikia.
He aha ka mea e hana ai inā lilo ka maʻi GBS i mea koʻikoʻi?
Inā ʻaʻole mālama pono ʻia, hiki i ka maʻi GBS ke hoʻoweliweli i ke ola o ka pēpē. Hiki iā ia ke alakaʻi i nā kūlana koʻikoʻi e like me:
- Sepsis: Ua kapa ʻia kēia ʻo "ka lāʻau make koko." Hohola ka maʻi i loko o ke kino.
- Pneumonia: He maʻi e hoʻopilikia ana i nā māmā, kapa mākou i kēia "pneumonia".
- Meningitis: He maʻi ia o nā membrane e uhi ana i ka lolo a me ke kaula spinal. Kāhea pū mākou i kēia "fiva lolo."
He mea maʻamau ke makaʻu i ka lohe ʻana i kēia mau mea. Eia nō naʻe, he mea kakaikahi loa kēia mau kūlana , ʻoiai inā loaʻa iā ʻoe ka mālama kūpono i ka wā hānau. No laila, mai hopohopo. ʻO ka loaʻa ʻana o ka lāʻau lapaʻau i ka manawa kūpono ka mea nui loa.
E aʻo e pili ana i ka hoʻāʻo ʻana a me ka mālama ʻana iā GBS
Pehea e hana ʻia ai ka hoʻāʻo GBS?
E hana kāu kauka i kēia hoʻāʻo ma waena o nā pule 36 a me 37 o kou hāpai ʻana. He hoʻāʻo maʻalahi loa ia a ʻaʻohe ʻeha.
- E lawe ʻia kahi hāpana mai kou vagina a me ka rectum me ka hoʻohana ʻana i kahi swab.
- ʻAʻole i hala i hoʻokahi minute kēia.
- A laila hoʻouna ʻia kēia hāpana i kahi keʻena hoʻokolohua e nānā i ke alo o ka bacteria GBS.
- Loaʻa nā hopena i loko o kahi o 48 mau hola.
ʻO ka hopena "maikaʻi" ʻo ia hoʻi he loaʻa iā ʻoe ka bacteria GBS i loko o kou kino. ʻAʻole ia manaʻo e maʻi maoli ʻoe a i ʻole kāu pēpē. ʻO ia hoʻi, pono ʻoe e mālama ʻia i ka wā hānau.
Pehea e mālama ʻia ai?
Inā loaʻa iā ʻoe ka maʻi GBS maikaʻi, ke hele ʻoe i ka haukapila no ka hānau ʻana, e hāʻawi aku ke limahana lapaʻau iā ʻoe i nā lāʻau antibiotic IV (intravenous) . ʻO ke ʻano kēia, ua hāʻawi ʻia ka lāʻau i loko o kahi aʻa koko ma kou lima, e like me ka saline.
ʻO ka mea nui loa, ʻo ia ka lawe ʻana i kēia lāʻau antibiotic ma ka liʻiliʻi he ʻehā hola ma mua o ka hānau ʻana o ka pēpē. ʻO ia ka manawa e hana pono ai ka lāʻau lapaʻau a pale i ka laha ʻana o ka maʻi i ka pēpē.
ʻO nā lāʻau antibiotic i hoʻohana pinepine ʻia ʻo Penicillin a i ʻole Ampicillin. Me kēia lāʻau lapaʻau, hoʻokahi wale nō i loko o 4,000 mau pēpē e loaʻa i ka maʻi. Akā inā ʻaʻole mālama ʻia, ʻoi aku ka kiʻekiʻe o ka loaʻa ʻana o ka maʻi, me hoʻokahi i loko o 200 mau pēpē. E ʻike i ke koʻikoʻi o ka lāʻau lapaʻau.
Pono anei au i ka lāʻau GBS inā he ʻoki C-section kaʻu?
He nīnau kēia a nā poʻe he nui e nīnau ai. Inā ʻoe e hana ana i kahi ʻāpana C-Section i hoʻolālā ʻia , a ʻaʻole ʻoe i hoʻomaka i ka hānau ʻana i kēlā manawa, a i ʻole ʻaʻole i haki kou wai, ʻaʻole pono ʻoe i ka mālama ʻana iā GBS.
Eia nō naʻe, ua hoʻāʻo ʻia ʻoe no GBS no ka mea e hoʻomaka paha ka hānau ʻana ma mua o ka lā o kāu ʻoki C. Inā haki kou wai a hoʻomaka paha ka hānau ʻana, e hāʻawi ʻia ʻoe i nā lāʻau antibiotic IV no ka mea aia kahi pilikia o ka maʻi i ka pēpē inā he GBS maikaʻi ʻoe.
Leka Lawe-Home
- ʻO ka Group B Strep (GBS) kahi bacteria i loaʻa maoli i loko o ka hapa nui o nā kino o nā wahine. ʻAʻole ia he hewa nou a he haumia paha ʻoe.
- Hiki ke ʻike ʻia kēia me kahi hoʻāʻo maʻalahi i hana ʻia ma ka hopena o ka hāpai ʻana.
- Inā loaʻa iā ʻoe ka GBS ma ka hoʻāʻo maikaʻi, hiki i nā lāʻau antibiotic IV i hāʻawi ʻia i ka wā hānau ke pale i kāu pēpē mai ka maʻi. He mea kūpono loa kēia lāʻau lapaʻau.
- Ke komo ʻoe i ka haukapila no ka hānau ʻana, e hoʻomanaʻo i nā limahana lapaʻau ua loaʻa iā ʻoe ka GBS maikaʻi. He mea nui loa kēia.
- Inā he mau nīnau, hopohopo, a kānalua paha kāu e pili ana i kēia, e kūkākūkā ākea me kāu kauka. E hāʻawi lākou iā ʻoe i ka ʻike a me ke kākoʻo āpau āu e pono ai.
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