E Māmā, e hoʻopilikia pū ʻia anei kāu pēpē e GBS? (Group B Strep) E ʻike pono kākou!

ʻO ka hapa nui o ka manawa, ke lohe ʻoe e pili ana i kēia `(Group B Strep)` a i ʻole GBS , e hopohopo iki paha ʻoe. Akā, mai makaʻu, mai hopohopo . He mea kēia i loaʻa i nā makuahine he nui, a aia nā mea hiki iā ʻoe ke hana e hōʻemi i nā hopena i hiki iā ia ke loaʻa i kāu pēpē. I kēia lā, e kamaʻilio kikoʻī mākou, maʻalahi loa, e pili ana i ke ʻano o kēia GBS, nā mea hiki ke hana, a pehea e hiki ai iā mākou ke mālama i kā mākou pēpē.

He aha ka GBS, ke ʻoluʻolu?

I ka ʻōlelo maʻalahi, ʻo kēia `(Group B Streptococcus)` ka mea a mākou e kapa nei ʻo GBS no ka pōkole. He ʻano bacteria maoli kēia. Ua like ia me nā meaola liʻiliʻi, ʻike ʻole ʻia (a ʻike ʻole ʻia paha e ka maka) e noho ana i loko o ko mākou kino. Noho pinepine kēia bacteria GBS ma kekahi mau wahi o ko mākou kino me ka ʻole o ka hoʻopilikia ʻana. Eia kekahi laʻana:

• Kou ala mimi
• ʻŌnaehana hoʻoheheʻe
• Hiki i kēia bacteria ke loaʻa i loko o ke ala hānau.

E noʻonoʻo, komo kēia bacteria i loko o ko kākou kino, noho no kekahi manawa, a laila nalo hou. ʻO ia ke kumu i ʻike ʻole ai ka poʻe he nui he GBS ko lākou i loko o ko lākou kino , no ka mea, ʻaʻole lākou e hōʻike i kekahi mau hōʻailona . ʻO ia hoʻi, ma ke ʻano laulā, ʻaʻole pinepine ka GBS i nā pilikia olakino nui.

A laila, ʻaʻole e hoʻopilikia ʻo GBS?

ʻOiai ʻaʻole ia e hoʻopilikia pinepine, hiki i kekahi poʻe ke loaʻa nā pilikia olakino ma muli o ka bacteria GBS. He ʻoiaʻiʻo loa kēia no ka poʻe ʻelemakule a i ʻole ka poʻe me nā maʻi maʻi ʻē aʻe (e like me ka maʻi diabetes). Hiki i ka GBS ke hoʻoulu i nā maʻi ma nā ʻāpana like ʻole o ke kino. Hiki iā ia ke hoʻoulu i nā maʻi i loko o ke koko, nā māmā, ka ʻili, a i ʻole nā ​​​​iwi.

I kēia manawa, e kamaʻilio kākou e pili ana i nā wahine hāpai. Ua ʻike ʻia aia ma kahi o hoʻokahi o nā wahine hāpai ʻehā (ma kahi o 25%) i loaʻa kēia bacteria GBS i loko o ko lākou kino . Inā loaʻa ka GBS i ka wā hāpai, hiki iā ia ke hana i nā kūlana e like me nā maʻi ʻōnaehana mimi , nā maʻi placenta, nā maʻi ʻōpū, a i ʻole nā ​​maʻi wai amniotic.

ʻO ka mea nui, ʻoiai inā ʻaʻohe hōʻailona o ka maʻi GBS i ka makuahine hāpai, hiki ke hoʻoili ʻia kēia bacteria i ka pēpē i ka wā hānau.

Pehea ka hopena o GBS i nā pēpē?

I ka hapa nui o ka manawa, ke hāʻawi ʻia nā lāʻau antibiotic i nā makuahine me GBS i ka wā hānau, ʻaʻohe pilikia o kā lākou mau pēpē . Eia nō naʻe, hiki i kekahi mau pēpē ke loaʻa i nā maʻi koʻikoʻi mai GBS. ʻOi aku hoʻi,ʻOi aku ka nui o ka pilikia o nā pēpē i hānau mua ʻia i ka maʻi GBS no ka mea ʻaʻole i hoʻomohala piha ʻia ko lākou kino a me nā ʻōnaehana pale.

ʻElua mau ʻano nui o nā kūlana e hiki ai i ka GBS ke hana i nā pēpē:

1. Nā maʻi hoʻomaka mua: Loaʻa kēia i loko o ka pule mua o ke ola. Hoʻomaka pinepine nā hōʻailona e ʻike ʻia i loko o 24 mau hola o ka hānau ʻana.

2. Nā maʻi hoʻomaka hope: Hiki i kēia ke hana i nā pule a i ʻole nā ​​​​mahina ma hope o ka hānau ʻana o ka pēpē. ʻAʻole maopopo loa i nā kauka kēia ʻano GBS.

He aha nā hōʻailona o GBS i nā pēpē?

Inā loaʻa i kahi pēpē hānau hou a ʻōpiopio paha ka GBS, hiki iā lākou ke hōʻike i nā hōʻailona e like me:

• ʻO ka mea me ke kuni
• Ka paʻakikī i ka hānai ʻana i ka waiū (ʻaʻole hānai pono i ka waiū, ʻaʻole noi i ka waiū)
• Nā pilikia hanu (hanu wikiwiki, manaʻo ua pio ka hanu)
• Hoʻonāukiuki pinepine a hoʻoluhi paha
• Ka hana ʻole a i ʻole ka palupalu
• ʻAʻole hiki ke mālama i ka mahana kino maʻamau (manaʻo anu a i ʻole ke kuni mau)

Inā loaʻa i kāu pēpē kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​​​he mea nui loa ia e ʻimi koke i ke kōkua lapaʻau . Mai hoʻokaʻulua.

Nā kūlana koʻikoʻi e hiki ke hana i nā pēpē ma muli o GBS

Inā ʻaʻole mālama pono ʻia ʻo GBS, hiki i ka pēpē ke loaʻa nā pilikia koʻikoʻi e like me:

• Pneumonia (maʻi māmā)
• Sepsis (kahi ʻano like me ka lāʻau make koko)
• ʻO ka maʻi meningitis (ka maʻi o ke kahe a me nā membrane e hoʻopuni ana i ka lolo). ʻOi aku ka maʻamau o kēia ʻano maʻi i ka GBS hope loa. I kekahi mau hihia, hiki iā ia ke kumu i ka nalowale o ka lohe, ka nalowale o ka ʻike , nā pilikia aʻo, nā hopu ʻana , a me ka make . ʻO ia ke kumu e hopohopo nui ai mākou e pili ana iā GBS.

Pehea e ʻike ai inā loaʻa iā ʻoe ka GBS?

Hoʻāʻo ʻia nā wahine hāpai no GBS i ka hopena o ka hāpai ʻana, ma waena o 35 a me 37 mau pule . He hoʻāʻo maʻalahi kēia, ʻaʻohe pipiʻi, a ʻeha ʻole. Ua kapa ʻia kēia he hoʻāʻo 'Culture' .ʻO kēia ka lawe ʻana i kahi hāpana liʻiliʻi mai ka vagina a me ka rectum me ka hoʻohana ʻana i kahi swab pulupulu. Hoʻouna ʻia ka hāpana i kahi lab e hoʻāʻo ʻia no ke alo o ka bacteria GBS. Loaʻa pinepine nā hopena i loko o 1 a 3 mau lā.

Inā hōʻike ka hoʻāʻo he GBS kou, ua ʻōlelo ʻia ʻoe he "GBS-positive." ʻO ke ʻano wale nō kēia he loaʻa iā ʻoe ka bacteria GBS i loko o kou kino . ʻAʻole ia manaʻo e maʻi maoli ʻoe a i ʻole kāu pēpē mai ia mea. No laila, mai hopohopo e pili ana i ka "GBS-positive."

Hoʻohana ʻia kahi hāpana koko a i ʻole kahi hāpana wai o ka iwi kuamoʻo e hoʻāʻo ai inā loaʻa i kahi pēpē ka maʻi GBS. Eia naʻe, ʻaʻole pono kēia mau hoʻāʻo i nā pēpē āpau i hānau ʻia e nā makuahine GBS-positive. Nānā pono ʻia ka hapa nui o nā pēpē olakino e nā kauka no nā hōʻailona o ka maʻi .

Pehea e mālama ʻia ai ʻo GBS?

Inā hāpai ʻoe, e hoʻāʻo kāu kauka iā ʻoe no GBS. Inā he GBS-positive ʻoe, e hāʻawi ʻia ʻoe i nā lāʻau antibiotic IV i ka wā hānau . Pepehi kēia i ka bacteria. Hoʻohana pinepine ʻia ka Penicillin. Eia nō naʻe, inā he maʻi ʻoe i ka penicillin, hiki ke hāʻawi ʻia nā lāʻau lapaʻau ʻē aʻe.

ʻOi aku ka maikaʻi o ka lawe ʻana i kēia mau lāʻau antibiotic ma ka liʻiliʻi he 4 mau hola ma mua o ka hānau ʻana. Hiki i kēia hana maʻalahi ke hele lōʻihi i ka pale ʻana i ka bacteria GBS mai ka laha ʻana i ka pēpē.

Eia kekahi, hiki i nā kauka ke hoʻoholo e hāʻawi i ka makuahine hāpai i nā lāʻau antibiotic i ka wā hānau ma nā hihia aʻe:

• Inā hana mua ka hānau ʻana ma mua o ka hana ʻana o ka hoʻāʻo GBS.
• Inā ʻaʻole i hana ʻia ka hoʻāʻo ʻana o GBS, a ua hala he 18 mau hola a ʻoi aʻe paha mai ka wā i haki ai kou wai.
• Inā ʻaʻole i hana ʻia ka hoʻāʻo ʻana o GBS, a aia ke kuni i ka wā hānau.
• Inā loaʻa iā ʻoe kahi maʻi ʻōpū mimi ma muli o GBS i kēia wā hāpai.
• Inā he GBS ka pēpē ma mua.

ʻO nā lāʻau antibiotic i ka wā hānau keiki hiki ke pale aku i ka GBS mua . No ka mea, ʻaʻole ʻike ʻia ke kumu pololei o ka GBS hope loa, ʻaʻohe ala e pale aku ai. Eia nō naʻe, ke hana nei nā kānaka noiʻi i kahi lāʻau pale e pale aku i ka maʻi GBS. Inā holo pono kēlā, he mea nui ia!

Hoʻōla ʻia nā pēpē me GBS me nā antibiotics. Hoʻomaka koke ʻia kēia lāʻau lapaʻau, ma mua o ka ʻoi aku o ka ʻino o nā pilikia. Pono paha ka pēpē i nā lāʻau lapaʻau ʻē aʻe, e like me ke kōkua hanu ʻana a i ʻole nā ​​​​wai IV.

He aha kaʻu e hana ai e pale aku i ka maʻi GBS?

Ma muli o ka hiki i ka bacteria GBS ke komo i loko o ke kino, he mea nui loa ia e hoʻāʻo ʻia no GBS i kēlā me kēia hāpai ʻana.Inā loaʻa iā ʻoe ka maʻi GBS-positive, a lawe ʻoe i nā lāʻau antibiotic i ka manawa kūpono i ka wā hānau, he mea maikaʻi ia nou a me kāu pēpē. I ka hapanui o nā hihia, hiki iā ʻoe ke pale i ka maʻi mai ka laha ʻana i kāu pēpē.

Inā ʻike ʻoe he GBS-positive ʻoe a ke ʻike nei ʻoe i nā hōʻailona o ka hānau ʻana, e hele koke i ka haukapila me ka ʻole o ka ʻeha. Hiki iā ʻoe ke kōkua i ka pale ʻana i kāu pēpē mai ka maʻi GBS mua ma ka loaʻa ʻana o nā lāʻau antibiotic intravenous (IV antibiotics) ma ka liʻiliʻi he 4 mau hola ma mua o ka hānau ʻana.

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

ʻAe, ke lana nei koʻu manaʻo ua maopopo iā ʻoe ka GBS mai nā mea a mākou i kūkākūkā ai. E hoʻomanaʻo:

• He bacteria maʻamau ka GBS i loaʻa i nā makuahine he nui. Mai makaʻu iā ia.
• He mea pono e hana i kahi hoʻāʻo GBS ma waena o 35-37 mau pule o ka hāpai ʻana.
• Inā loaʻa iā ʻoe ka maʻi GBS, e hahai pono i nā ʻōlelo a kāu kauka. ʻO ka mea nui loa, ʻo ia ka lawe ʻana i nā lāʻau antibiotic IV i ka wā hānau.
• Ma hope o ka hānau ʻana o kāu pēpē, e nānā i nā hōʻailona o ka maʻi GBS (e like me ke kuni, ka hānai ʻole ʻana i ka waiū, a i ʻole ka paʻakikī o ka hanu ʻana). Inā ʻike ʻoe i kekahi o kēia mau mea, e ʻike koke i ke kauka.
• Ma ka hopohopo ʻole, ka hoʻomaopopo ʻia, a me ka hahai ʻana i nā ʻōlelo aʻoaʻo lapaʻau, hiki iā ʻoe ke mālama iā ʻoe a me kāu pēpē.

Inā he mau nīnau hou aku kāu, e ʻoluʻolu e kamaʻilio me kāu kauka. E hiki iā lākou ke kōkua hou aku iā ʻoe. Makemake wau iā ʻoe i kahi pēpē olakino a hauʻoli hoʻi!

Hāpai keiki, Pūʻulu B Strep, GBS, Ola o ka Pēpē, Nā lāʻau lapaʻau antibiotic, Hoʻāʻo GBS, Hānau keiki