E aʻo hou kākou e pili ana i ka maʻi Legionnaires! E kamaʻilio kākou!

Ua lohe paha ʻoe i ka maʻi Legionnaires? He mea ʻē paha ke kani ʻana o ka inoa, ʻeā? Akā, he maʻi ia e hoʻopilikia ai i ko kākou mau māmā, a hiki ke lilo i mea weliweli loa i kekahi manawa. Hoʻokumu ʻia e kahi bacteria. I kēia lā, e kamaʻilio mākou e pili ana i ka maʻi Legionnaires ma ke ʻano maʻalahi a maʻalahi hoʻi e hoʻomaopopo.

He aha ka maʻi Legionnaires?

I ka ʻōlelo maʻalahi, ʻo ka maʻi Legionnaires kahi maʻi koʻikoʻi o ko kākou mau māmā i hoʻokumu ʻia e kahi ʻano bacteria i kapa ʻia ʻo `(Legionella)`. Ua like ia me ka niumonia. Hiki iā ia ke hoʻopilikia ʻaʻole wale i ko kākou mau māmā, akā i kekahi manawa i ko kākou lolo a me ko kākou ʻōpū gastrointestinal.

Aia kekahi kuni ʻoluʻolu ʻē aʻe i hoʻokumu ʻia e ka bacteria like, i kapa ʻia ʻo Pontiac fever. ʻAʻole ia i ʻoi aku ka koʻikoʻi e like me ka maʻi Legionnaires, a hoʻoulu i nā hōʻailona like me ke anu maʻamau, e like me ke kuni a me nā ʻeha kino. Eia nō naʻe, hiki i ka maʻi Legionnaires ke hoʻoweliweli i ke ola, no laila he mea nui e makaʻala i kēia.

He aha ka ʻokoʻa ma waena o ka maʻi pneumonia a me ka maʻi Legionnaires?

I kēia manawa ke noʻonoʻo nei paha ʻoe, "No laila, ʻelua mau mea like ʻole ka niumonia a me ka maʻi Legionnaires?" ʻAe, ʻoiaʻiʻo nō. ʻO ka niumonia kahi inoa maʻamau no ka maʻi māmā. He ʻano like ka maʻi Legionnaires me ka niumonia, akā kū maoli ia i ka wā e komo ai kahi bacteria i kapa ʻia ʻo `(Legionella)` i loko o nā māmā.

ʻO ka hapa nui o ka poʻe i loaʻa i ka maʻi a ua hoʻokomo ʻia i ka haukapila, loaʻa iā lākou nā hōʻailona e like me ke kuni a me ke kuni. Eia nō naʻe, hiki i kekahi ke ʻike i nā hōʻailona ʻē aʻe e like me ka maʻi pākī a me ka huikau (nalowale ka ʻike).

ʻO wai ka mea i ʻoi aku ka paʻakikī ke loaʻa i ka maʻi Legionnaires?

ʻO kaʻoiaʻiʻo, ʻaʻole nā ​​​​kānaka a pau i loaʻa i ka bacteria `(Legionella)` e loaʻa i kēia maʻi. Eia nō naʻe, ʻoi aku ka nui o ka pilikia o kekahi poʻe i ka loaʻa ʻana. E nānā inā pili kēia mau ʻoiaʻiʻo iā ʻoe:

• Inā ʻoe ma luna o 50 mau makahiki.
• Inā he mea puhi paka ʻoe, a i ʻole ua puhi paka ma mua.
• Inā ua nāwaliwali ka ʻōnaehana pale o kou kino. Hiki i kekahi mau maʻi (no ka laʻana, ka maʻi HIV, ka maʻi diabetes mellitus, ke kanesa, ka maʻi puʻupaʻa a i ʻole ke akepaʻa) a me kekahi mau lāʻau lapaʻau ke hoʻohaʻahaʻa i kou pale ʻana.
• Inā loaʻa iā ʻoe kahi maʻi hanu lōʻihi, e like me COPD (Maʻi Pulmonary Obstructive Chronic) a i ʻole Emphysema.
• Inā ʻoe e noho ana i kahi hale mālama lōʻihi, e like me kahi home hānai.
• Inā ua hoʻokomo ʻia ʻoe i ka haukapila i hala koke aku nei.
• Inā ua hana ʻia ʻoe i ke ʻoki kino ma lalo o ka anesthesia i hala koke nei.
• Inā ua hana hou ʻia ʻoe i kahi hoʻoili kino.

ʻOi aku ka maʻalahi o kēia poʻe i ka hoʻomohala ʻana i ka maʻi Legionnaires ma mua o nā poʻe ʻē aʻe.

Pehea ka maʻamau o ka maʻi Legionnaires?

Ma kahi ʻāina e like me ʻAmelika, ma kahi o 18,000 mau kānaka e hoʻokipa ʻia ana i ka haukapila i kēlā me kēia makahiki ma muli o kēia maʻi. ʻIke pinepine ʻia mai Iune a ʻOkakopa. Hiki ke hōʻike ʻia nā kūlana like ma Sri Lanka, no laila he mea maikaʻi ke makaʻala.

He aha nā hōʻailona o ka maʻi Legionnaires?

Hoʻomaka nā hōʻailona o Legionella e ʻike ʻia i loko o ʻelua a ʻumikumamāhā mau lā o ka hōʻike ʻana i ka bacteria. ʻO nā hōʻailona e like me ka niumonia ka mea mua e ʻike ʻia. Eia kekahi, hiki ke ʻike ʻia nā hōʻailona e pili ana i ka ʻōnaehana nerve (lolo) a me ka ʻōnaehana gastrointestinal (ʻōpū).

E nānā kākou i kekahi o nā hōʻailona nui:

• Kuni (pinepine ma mua o 40 degere Celsius (104⁰ F/40⁰ C))
• ʻŪhā (pinepine ka ʻūhā maloʻo)
• Ka paʻakikī o ka hanu ʻana (Dyspnea)
• Ka maʻi pākī
• ʻEha ʻiʻo
• ʻEha poʻo
• Ka luaʻi (manaʻo maʻi)
• Huikau (huikau, disorientation)
• Ke ʻū ʻana i ke koko (Hemoptysis)
• ʻEha ʻōpū

Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​​​pono ʻoe e ʻike koke i ke kauka.

He aha ke kumu o ka maʻi Legionnaires?

E like me kā mākou i ʻōlelo ai ma mua, ʻo ke kumu nui o kēia maʻi ʻo ia ka bacteria `(Legionella)`. ʻOiai aia ma kahi o 60 mau ʻano bacteria `(Legionella)`, ʻo ka mea maʻamau e hoʻoulu ai i ka maʻi Legionnaires ʻo ia ka `(Legionella pneumophila). Loaʻa kēia maʻi ke komo kēia bacteria i loko o ko kākou mau māmā a hoʻoulu i kahi maʻi.

Noho maoli kēia bacteria `(Legionella)` i loko o nā loko, nā kahawai, a me ka lepo. Eia naʻe, hoʻolaha pinepine ʻia i nā kānaka ma o nā wahi e like me nā ʻōnaehana wai a me nā ʻōnaehana ea hoʻoluʻu i loko o nā hale nui. No ka laʻana, inā ʻaʻole mālama pono ʻia kēia mau ʻōnaehana i loko o nā hōkele, nā haukapila, a me nā keʻena nui, hiki i kēia bacteria ke ulu a hoʻokuʻu ʻia i ka lewa ma ke ʻano he mau kulu wai. Ke hanu mākou i kēlā mau kulu wai, hiki iā lākou ke hele pololei i ko mākou mau māmā. A i ʻole, hiki i ka wai haumia i loko o ko mākou waha ke "piʻi i luna i ka puʻu" a i loko o ko mākou mau māmā (ua kapa ʻia kēia ʻo `(aspiration)`).

Pehea e laha ai ka maʻi Legionnaires iā mākou?

Hoʻolaha nui ʻia kēia maʻi ma ka hanu ʻana i nā kulu wai liʻiliʻi (wai aerosolized a noe paha) i haumia ʻia me ka bacteria Legionella. A i ʻole, ma ka hanu ʻana i ka wai haumia pololei i loko o nā māmā (aspiration).

Ua hōʻike ʻia nā maʻi ahulau o ka maʻi Legionnaires ma nā wahi e like me nā hōkele, nā haukapila, nā hale mālama hānai, a me nā moku holo moana. Eia nō naʻe, hōʻike pinepine ʻia kēia mau mea he mau hanana kaʻawale.

Aia kekahi mau wahi e hiki ai ke laha kēia maʻi:

• Nā ʻauʻau wela a me nā jacuzzis
• Poʻo ʻauʻau (ʻauʻau i loko o nā lumi ʻauʻau)
• Piula wai
• Nā mea hoʻohaʻahaʻa wai
• Nā hiʻohiʻona wai hoʻonaninani e like me nā punawai
• Nā ʻōnaehana hoʻomehana a me ka hoʻoluʻu ʻana i nā hale nui
• Intubation (hoʻokomo ʻana i kahi ʻōmole i loko o ke alaloa i ka wā o ke ʻoki ʻana)
• Lepo (ʻoi aku hoʻi mai ka hanu ʻana i ka lepo ma nā kahua kūkulu)

He mea nui: ʻAʻole laha ka maʻi Legionnaires mai ke kanaka a i ke kanaka. ʻO ia hoʻi, ʻaʻole ia he maʻi lele. Loaʻa wale iā ʻoe inā loaʻa iā ʻoe ka bacteria mai ke kaiapuni.

Pehea e ʻike ʻia ai ka maʻi Legionnaires?

Inā loaʻa iā ʻoe nā hōʻailona o ka maʻi Legionnaires, ke ʻike ʻoe i ke kauka, e nīnau mua lākou iā ʻoe e pili ana i kāu mau hōʻailona, ​​​​kou mōʻaukala olakino, a me kekahi mōʻaukala huakaʻi hou. A laila e hana lākou i kahi hoʻokolokolo kino.

Hiki ke hana i nā hoʻokolohua e hōʻoia i ka maʻi:

• Hoʻāʻo mimi a i ʻole ka hoʻāʻo sputum: ʻO kēia nā hoʻāʻo maʻamau. Ke nānā nei lākou i ka bacteria Legionella i loko o kahi hāpana o kāu mimi a i ʻole kahi hāpana o ka sputum e puka mai ana mai kou ʻū ʻana.
• Nā hoʻāʻo koko: Hiki ke lawe ʻia kahi hāpana o kou koko e nānā i nā antibodies a i ʻole nā ​​​​ʻāpana o ka bacteria a kou kino i hana ai e kūʻē i ka bacteria Legionella. Hiki i kēia ke nānā i ka maikaʻi o ka hana ʻana o kāu mau ʻōpū ʻē aʻe.
• ʻO ke kiʻi X-ray a i ʻole CT scan: Hiki i kēia mau kiʻi ke kōkua i ka nānā ʻana i kahi maʻi i loko o kou mau māmā, e like me ka pneumonia.
• Bronchoscopy: I kekahi manawa, pono paha ke kauka e hoʻokomo i kahi ʻōmole lahilahi i lako me ke kāmela i loko o nā māmā. ʻAe kēia i ke kauka e nānā pololei i loko o nā māmā a lawe i nā laʻana no ka hoʻāʻo ʻana.
• Thoracentesis: Inā he wai a puni nā māmā, hiki ke lawe ʻia kahi hāpana o kēlā wai a hoʻāʻo ʻia no ka bacteria Legionella.

ʻO kēia mau hoʻokolohua wale nō ke ala e hoʻoholo pololei ai inā he maʻi Legionnaires kou a ʻaʻole paha.

Pehea e mālama ʻia ai ka maʻi Legionnaires?

Hoʻōla ʻia ka maʻi Legionnaires me nā antibiotics . Hiki ke hāʻawi ʻia kēia mau antibiotics ma ke ʻano he injection i loko o kahi vein (IV - intravenous) a i ʻole ma ke ʻano he pila, ma muli o ke koʻikoʻi o ka maʻi.

Inā pilikia ʻoe i ka hanu ʻana, pono paha e hāʻawi ʻia iā ʻoe ka oxygen. ʻO ka mālama ʻana no kēia ʻano maʻi e koi pinepine ʻia ka noho ʻana ma ka haukapila.

ʻO kekahi o nā ʻano antibiotic nui i hoʻohana ʻia no ka mālama ʻana:

• ʻAzithromycin
• ʻO Levofloxacin, Moxifloxacin a i ʻole Ciprofloxacin
• ʻO ka Tetracycline, doxycycline , a i ʻole minocycline
• ʻO Rifampin (hāʻawi pū ʻia me nā lāʻau antibiotic ʻē aʻe)

I kekahi mau hihia koʻikoʻi, inā ʻaʻole hiki iā ʻoe ke hanu iā ʻoe iho, pono paha ʻoe e hāʻawi ʻia i ke kōkua hanu me ke kōkua o kahi mīkini (mechanical ventilation).

He aha kā mākou e hana ai e pale aku iā mākou iho mai ka maʻi Legionnaires?

Aia kekahi mau mea hiki iā mākou, a me nā luna hoʻokele hale, ke hana e hōʻemi i kēia pilikia.

• Nā Luna Hoʻokele o nā hale nui: He mea nui e mālama pono a hoʻomaʻemaʻe i ka paipu wai o kou hale, ka ea hoʻoluʻu, a me nā hale hoʻoluʻu. Hiki i kēia ke kōkua i ka kaohi ʻana i ka ulu ʻana o ka bacteria Legionella.
• Nā mea hiki iā mākou ke hana ma ka home:
• E hoʻomaʻemaʻe pinepine i nā mea e like me nā poʻo ʻauʻau, nā faucet, nā ʻauʻau wela, a me nā mea hoʻomaʻemaʻe wai.
• Mai hoʻohana i ka wai maʻemaʻe ma kahi o ka wai holoi makani i loko o kāu kaʻa, no ka mea, hiki i kēia bacteria ke ulu i loko o kēlā pahu wai.

He aha kāu e manaʻo ai inā loaʻa iā ʻoe ka maʻi Legionnaires?

Hiki i ka maʻi Legionnaires ke hoʻomaʻi nui iā ʻoe, e koi pinepine ʻia ai ka mālama ʻana ma ka haukapila. Akā ʻo ka nūhou maikaʻi, hiki ke mālama ʻia me nā antibiotics.

Pono ʻoe e lawe i ka lāʻau lapaʻau ma hope o kou hoʻi ʻana mai ka haukapila a hiki i ka pau ʻana o ka maʻi. Loaʻa paha i kekahi poʻe kēia mau hōʻailona no kekahi mau mahina ma hope o ko lākou hoʻōla ʻana:

• Manaʻo luhi loa (Fatigue)
• Nā pilikia me ke kaulike a i ʻole ka hoʻonohonoho ʻana
• Paʻakikī ka hele wāwae
• ʻŌlelo ʻino
• ʻEha ʻiʻo

Inā hoʻomau nā hōʻailona e like me kēia, he mea nui e kamaʻilio me kāu kauka.

Nā pilikia o ka maʻi Legionnaires

I kekahi manawa, hiki i ka maʻi Legionnaires ke hoʻoulu i nā pilikia koʻikoʻi. Hiki i kēia ke hoʻopilikia i ko mākou mau kino a me nā ʻiʻo.

• Ka hāʻule ʻana o ka hanu: Ke hiki ʻole i nā māmā ke hoʻolako i ka oxygen lawa i ke koko, ua kapa ʻia ia he hāʻule ʻana o ka hanu. I kēia hihia, hāʻawi ʻia ka hanu ʻana me ke kōkua o kahi mīkini (mechanical ventilation).
• ʻEha puʻupaʻa koʻikoʻi (AKI): Ke pau ka hana ʻana o nā puʻupaʻa, ʻaʻole hiki iā lākou ke kānana i nā huahana ʻōpala mai ke koko. Hoʻōla ʻia kēia me ka lāʻau lapaʻau a i ʻole ka mīkini hoʻomaʻemaʻe koko (dialysis).
• Encephalopathy: ʻO nā hōʻailona e pili ana i ka ʻōnaehana nerve (huikau, pilikia kaulike, paʻakikī i ka ʻōlelo ʻana) e ʻoi aku ka ʻino.
• Empyema: He lua piha i ka nahu ma kahi a puni nā māmā. Pono paha kēia i kahi ʻōmole umauma e hoʻokahe i ka nahu.
• Ka mumū o kou puʻuwai: Hiki i nā maʻi bacteria o ka puʻuwai ke hoʻoulu i ka mumū. Hiki ke mālama ʻia kēia mau mea me ka lāʻau lapaʻau.
• Rhabdomyolysis: He kūlana i hoʻokumu ʻia e ka hōʻino ʻana a me ka haki ʻana o nā ʻiʻo. Hoʻōla ʻia kēia ma ka wehe ʻana i nā mea ʻawahia mai ke kino.

ʻAʻole loaʻa kēia mau pilikia i nā kānaka a pau, akā inā lilo ka maʻi i mea koʻikoʻi, hiki ke hana ʻia kēia mau mea, no laila he mea nui loa ka ʻimi koke ʻana i ka lāʻau lapaʻau.

Hiki iā ʻoe ke ola i ka maʻi Legionnaires?

ʻOiai he maʻi koʻikoʻi ka maʻi Legionnaires, hoʻōla ka hapa nui o ka poʻe mai ia mea. Me ka mālama pono ʻana, ʻo ka nui o ka make mai nā maʻi māmā i hoʻokumu ʻia e Legionella ma waena o 5% a me 10%. Eia nō naʻe, inā ʻaʻole mālama ʻia, hiki i ka pilikia o ka make ke piʻi aʻe i 30% a 80%. No laila, ʻo ka ʻimi ʻana i ke aʻo lapaʻau i ka wā e ʻike ʻia ai nā hōʻailona hiki ke hoʻōla i ke ola.

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe nā hōʻailona o ka maʻi Legionnaires (e like me ke kuni, ka ʻū, ka hanu pōkole, ka maʻi pākī, a me ka huikau a mākou i kūkākūkā ai ma mua), e ʻike koke i ke kauka.

Eia kekahi, inā ʻoe e lohe i kahi maʻi ahulau o ka maʻi Legionnaires ma kahi āu e hana ai a noho paha, e nīnau i kāu kauka i nā mea e pono ai ʻoe e hana.

Āhea wau e hele ai i kahi Emergency Treatment Unit (ETU) ?

Inā loaʻa iā ʻoe ke kuni kiʻekiʻe, paʻakikī nui ka hanu ʻana, ke ʻūhā ʻana i ke koko, a i ʻole nā ​​​​hōʻailona e pili ana i ka ʻōnaehana nerve (nā pilikia kaulike, ka ʻōlelo ʻole, ka huikau), e hele koke i ka lumi pilikia kokoke loa.

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

Inā ua ʻike ʻia ʻoe me ka maʻi Legionnaires, makemake paha ʻoe e nīnau i kāu kauka i nā nīnau e like me kēia:

• Pehea ka lōʻihi o koʻu ola ʻana?
• Pehea pololei e pono ai iaʻu ke hoʻohana i kēia lāʻau lapaʻau?
• He aha nā hōʻailona hou a mau paha e pono iaʻu e hopohopo?

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

No laila, ʻo ka maʻi Legionnaires, a mākou i kamaʻilio ai i kēia lā, he kūlana ia e pono ai mākou e hopohopo, a i kekahi manawa hiki ke hoʻoweliweli i ke ola. Akā, ʻo ka mea nui loa, he maʻi ia e hiki ke mālama ʻia a hoʻōla ʻia .

E hoʻomanaʻo:

* Inā loaʻa iā ʻoe nā hōʻailona o kēia maʻi, mai hoʻonele i ka manawa a e ʻimi koke i ke kōkua lapaʻau.

* E akahele loa i kēia inā ʻoe no kahi hui pilikia (e like me ka ʻoi aku ma mua o 50, kahi mea puhi paka, a i ʻole kekahi me ka ʻōnaehana pale nāwaliwali).

* He mea nui loa ka mālama pono ʻana i nā ʻōnaehana wai a puni mākou, ʻoiai hoʻi nā mea i loko o nā hale nui a me nā hōkele, no ka pale ʻana i ka laha ʻana o kēia maʻi.

* E mālama i nā mea e like me nā paipu a me nā poʻo ʻauʻau ma ka home.

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

ʻO ka maʻi Legionnaires , Pneumonia, Legionella, Maʻi ʻAʻai Mama, Bacteria, Paʻakikī Hanu, Antibiotics