Ua lohe anei ʻoe e pili ana i kēia bacteria i kapa ʻia ʻo Group B Strep (GBS) i kou wā hāpai? E ʻike kākou i ke ʻano o ia mea!

Ma ke ʻano he makuahine i ka wā hāpai, nui paha kāu mau nīnau a me nā kānalua, ʻeā? ʻOi loa aku hoʻi e pili ana i ke olakino o kāu pēpē. He mea nui paha ia iā ʻoe i kēia lā. ʻO ia ka bacteria Group B Strep, a i ʻole GBS no ka pōkole. Ua lohe paha ʻoe i kēia inoa. Mai hopohopo, e kamaʻilio maʻalahi mākou e pili ana i ia mea, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.

He aha ka Group B Strep (GBS)? E hoʻomaopopo maʻalahi kākou!

I ka ʻōlelo maʻalahi, ʻo Group B Strep, a i ʻole "Group B Streptococcus", he ʻano bacteria. E like me nā ʻano bacteria ʻē aʻe i loaʻa i loko o ko mākou kino, i kekahi manawa i loko o ko mākou waha a me nā ʻōpū, hiki ke loaʻa nā bacteria GBS ma kekahi mau ʻāpana o ko mākou kino, ʻoi aku hoʻi i loko o ke ala mimi, ka ʻōnaehana hoʻoheheʻe (ʻo ia hoʻi, nā ʻōpū), a ma nā ʻōnaehana hānau wahine (e like me ka vagina).

E noʻonoʻo iā ia e like me kahi malihini i loko o ko kākou kino. ʻO ia hoʻi, i kekahi manawa hiki i kēia bacteria ke noho i loko o ko kākou kino, a i kekahi manawa hiki ke nalowale. ʻO ka mea nui loa, ʻoiai aia kēia bacteria GBS i loko o ke kino, ʻaʻohe pilikia a maʻi paha o ka hapa nui o ka poʻe mai ia mea. No laila, ʻaʻole ʻike ka nui o ka poʻe he loaʻa iā lākou kēia bacteria i loko o ko lākou kino. No laila, ʻaʻole he maʻi nui ka loaʻa ʻana o GBS.

He aha nā pilikia e hiki ai iā GBS ke hana? Hoʻopilikia anei ia i nā kānaka a pau?

ʻAʻole pinepine ka GBS i pilikia olakino koʻikoʻi no nā pākeke olakino. Eia nō naʻe, hiki i kekahi poʻe, e like me ka poʻe ʻelemakule, ka poʻe me nā maʻi mau ʻē aʻe (e like me ka maʻi diabetes), a i ʻole ka poʻe me nā ʻōnaehana pale nāwaliwali, ke loaʻa i nā maʻi mai nā bacteria GBS. Hiki i kēlā mau maʻi ke hoʻopilikia i ke koko, nā māmā, ka ʻili, a i ʻole nā ​​​​iwi.

Pehea ka hopena o ka GBS i nā makuahine hāpai?

I kēia manawa, e nānā kākou pehea e pili ai kēia i nā wahine hāpai. Ua ʻike ʻia ma kahi o hoʻokahi o nā wahine hāpai ʻehā (ma kahi o 25%) paha e loaʻa ana ka bacteria GBS i loko o ko lākou kino. E like me ka mea i ʻōlelo ʻia ma mua, ʻaʻole e maʻi nā mea a pau i loaʻa iā ia. Eia nō naʻe, hiki i kekahi mau makuahine i loaʻa iā GBS i ka wā hāpai ke loaʻa i nā maʻi urinary tract (UTIs), nā maʻi placenta, nā maʻi uterine, a i ʻole nā ​​maʻi wai amniotic.

ʻO ka mea nui, ʻoiai inā ʻaʻohe hōʻailona o ka maʻi GBS i ka makuahine hāpai, inā loaʻa kēia bacteria i loko o kona kino, hiki ke hoʻoili ʻia ka bacteria i ka pēpē i ka wā hānau (i ka wā hānau a me ka hānau ʻana), ʻo ia hoʻi hiki i ka pēpē ke loaʻa iā ia. ʻO ia ke kumu e hopohopo nui ai mākou e pili ana i ka GBS i ka wā hāpai.

Pehea ka hopena o GBS i nā pēpē?

I ka hapanui o ka manawa, inā hāʻawi ʻia ka makuahine me GBS i nā lāʻau antibiotic i ka wā hānau, ʻaʻole e loaʻa i kā lākou pēpē kekahi pilikia. E olakino ka pēpē. Eia nō naʻe, hiki i kekahi mau pēpē ke loaʻa i kahi manawa paʻakikī loa me kēia bacteria GBS, a hiki iā lākou ke maʻi nui.

ʻOi loa akuʻOi aku ka nui o ka pilikia o nā pēpē i hānau mua ʻia i ka loaʻa ʻana o ka maʻi GBS no ka mea, ʻaʻole i piha pono nā ʻōnaehana kino o lākou, ʻoiai ka ʻōnaehana pale e hakakā nei i nā maʻi.

ʻElua ʻano nui o nā kūlana a GBS e hana ai i nā pēpē:

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

2. Nā maʻi hoʻomaka hope: Loaʻa kēia i kekahi mau pule, a i ʻole he mau mahina paha, ma hope o ka hānau ʻana o ka pēpē. ʻAʻole maopopo loa i nā kauka pehea e ulu ai kēia maʻi GBS hoʻomaka hope.

He aha nā hōʻailona o GBS i nā pēpē?

Inā he pēpē hānau hou a he pēpē paha i kekahi mau mahina i loaʻa iā GBS, hiki iā lākou ke hōʻike i nā hōʻailona e like me kēia. Ma ke ʻano he mau makuahine, he mea nui loa iā ʻoe ke makaʻala i kēia mau mea:

• Kuni: Hoʻonui ʻia ka mahana o ke kino.
• Paʻakikī i ka inu waiū: ʻAʻole makemake ka pēpē e inu i ka waiū, a ʻaʻole omo pono.
• Nā pilikia hanu: hanu wikiwiki, wheezing, manaʻo ua pio.
• Uē mau a hoʻomaha ʻole paha: Ua huhū loa ke pēpē a he mea paʻakikī ke hoʻomālielie iā ia.
• Ola ʻole a palaualelo paha: Hiki ke ʻano ola ʻole ke pēpē a he mau lālā e kulou ana.
• Paʻakikī ke kāohi ʻana i ka mahana o ke kino: ʻAʻole hiki ke mālama i ka mahana o ke kino mau (hiki paha ke kuni, i kekahi manawa ke anu).

He aha ka mea e hana ai inā lilo ka GBS i mea koʻikoʻi i loko o kahi pēpē?

Inā lilo ka GBS i mea koʻikoʻi i loko o kahi pēpē, hiki iā ia ke hana i nā pilikia koʻikoʻi loa. ʻO nā mea nui:

• Pneumonia: He maʻi o nā māmā.
• Sepsis: Ka lāʻau make koko. He maʻi koʻikoʻi kēia e hoʻopilikia ai i ke kino holoʻokoʻa.
• Meningitis: He maʻi o nā membrane a me ke wai e hoʻopuni ana i ka lolo a me ke kaula spinal. Kāhea pū mākou i kēia "fiva lolo."

ʻO kēia maʻi, i kapa ʻia ʻo 'Meningitis', he mea maʻamau ia me ka 'GBS hoʻomaka hope'. Inā ulu ka 'Meningitis', hiki i kekahi mau pēpē ke nalowale i ka lohe, nalowale ka ʻike, loaʻa nā pilikia aʻo, loaʻa nā 'hōʻeha', a ʻo ka mea pōʻino, make i kekahi manawa. No laila, ʻaʻole ia he mea e lawe māmā ʻia ai ka GBS.

Pehea e ʻike ʻia ai ka maʻi Strep Group B (GBS)?

ʻO ka mea pōmaikaʻi, aia nā ala e hoʻāʻo ai i nā wahine hāpai no GBS.

Pehea e nānā ai i nā wahine hāpai

Hoʻāʻo pinepine ʻia nā wahine hāpai no GBS i ka hopena o ko lākou hāpai ʻana, ma waena o 35 a me 37 mau pule. He maʻalahi kēia hoʻāʻo, ʻaʻohe pipiʻi, a ʻaʻohe ʻeha. Ua kapa ʻia ʻo ia he 'culture test'.

ʻO kēia ka hoʻohana ʻana i kahi swab nui e hōʻiliʻili i nā laʻana mai ka vagina a me ka rectum (kahi e puka mai ai ka ʻōpala). Hoʻouna ʻia kēia mau laʻana i kahi lab e hoʻāʻo ʻia no ke alo o ka bacteria GBS. Loaʻa pinepine nā hopena i loko o hoʻokahi a ʻekolu paha lā.

Inā ʻike kēia hoʻāʻo i ka bacteria GBS, ua ʻōlelo ʻia ka makuahine he "GBS-positive." E hoʻomanaʻo, ʻo ka GBS-positive ʻo ia hoʻi he loaʻa iā ʻoe ka bacteria i loko o kou kino. ʻAʻole ia manaʻo e maʻi maoli ʻoe a i ʻole kāu pēpē. He olakino ka nui o nā makuahine GBS-positive a me kā lākou mau pēpē.

Pehea e hoʻāʻo ai i kahi pēpē no GBS

I mea e ʻike pono ai inā loaʻa i kahi pēpē kahi maʻi GBS, pono e hoʻāʻo ʻia kahi hāpana koko a i ʻole kahi hāpana wai o ka iwi kuamoʻo (he hoʻāʻo kēia e lawe i ka wai mai ka iwi kuamoʻo).

Eia naʻe, ʻaʻole pono nā pēpē a pau i hānau ʻia i kahi makuahine GBS-positive i kēia mau hoʻokolohua. I ka hapanui o nā hihia, nānā pono ʻia nā pēpē olakino a ʻaʻohe hōʻailona e nā kauka a me nā kahu maʻi no nā hōʻailona o ka maʻi GBS.

Pehea e mālama ʻia ai ka maʻi Strep Group B (GBS)?

ʻO ka nūhou maikaʻi loa, he lāʻau lapaʻau ko GBS.

Lapaʻau no nā makuahine hāpai

Inā hoʻāʻo nā kauka i kahi makuahine hāpai a ʻike ʻia he GBS-positive ʻo ia, e hāʻawi ʻia ka makuahine i nā lāʻau antibiotic intravenous (IV antibiotics) i ka wā hānau. Pepehi kēia mau lāʻau antibiotic i ka bacteria GBS. ʻO ka hapa pinepine, ʻo ka lāʻau antibiotic i hoʻohana ʻia he penicillin. Eia nō naʻe, inā he maʻi āpau ka makuahine i ka penicillin, e hāʻawi ʻia nā lāʻau antibiotic kūpono ʻē aʻe.

ʻOi aku ka kūpono a me ka maikaʻi o ka hoʻomaka ʻana i kēia mau lāʻau antibiotic ma ka liʻiliʻi he 4 mau hola ma mua o ka hānau ʻana o ka pēpē. Hiki i kēia hana maʻalahi ke pale nui i ka laha ʻana o ka bacteria GBS mai ka makuahine a i ka pēpē.

I kekahi mau hihia, hoʻoholo nā kauka e hāʻawi i nā lāʻau antibiotic i ka wā hānau, ʻoiai inā ʻaʻole i hoʻāʻo ʻia ka makuahine hāpai no GBS. ʻO ia mau hihia:

• Inā hoʻomaka mua ka hānau ʻana (inā hānau ʻia ka pēpē i hoʻokahi mahina ma mua) ma mua o ka hana ʻana i ka hoʻāʻo GBS.
• Inā ʻaʻole i hana ʻia ka hoʻāʻo GBS, a haki ka wai, hānau ka pēpē ma hope o 18 mau hola a ʻoi aku paha .
• He aha inā loaʻa i ka makuahine ke kuni i ka wā hānau me ka ʻole o ka hoʻāʻo ʻia no GBS?
• Inā ua loaʻa iā ʻoe kahi maʻi ʻōpū mimi ma muli o GBS i kēia wā hāpai.
• Inā ua loaʻa iā ʻoe kahi pēpē me GBS ma mua.

ʻO ka mea nui, ʻo nā lāʻau antibiotic i hāʻawi ʻia i ka wā hānau hiki ke pale aku i ka maʻi GBS i ka wā mua. ʻAʻole ʻike ʻia ke kumu pololei o ka maʻi GBS i ka wā lohi, no laila ʻaʻohe ala e pale aku ai. Eia nō naʻe, ke hana nei nā kānaka noiʻi e hoʻomohala i kahi lāʻau pale e hiki ke pale aku i ka maʻi GBS.

Ka mālama ʻana i ka pēpē

Hoʻōla ʻia nā pēpē me GBS me nā antibiotics. He mea nui e hoʻomaka i kēia mau antibiotics i ka hikiwawe loa. Hiki i kēia ke kōkua i ka pale ʻana i nā pilikia koʻikoʻi mai ka ulu ʻana. Pono paha kēia mau pēpē i nā lāʻau lapaʻau ʻē aʻe ma waho aʻe o nā antibiotics. No ka laʻana, ke kōkua hanu a me nā wai IV.

He aha kāu e hana ai e pale aku i ka maʻi Group B Strep (GBS)? ʻO kā mākou leka hope loa!

ʻAe, ua kamaʻilio nui mākou e pili ana iā GBS. Manaʻolana wau ua maopopo iā ʻoe i kēia manawa. ʻO ka mea hope loa, he mea kūpono ke hoʻomanaʻo i kēia mau mea:

• Ma muli o ke komo mau ʻana o ka bacteria GBS i loko o ko kākou kino, he mea nui e hoʻāʻo ʻia no GBS i kēlā me kēia manawa āu e hāpai ai. ʻOiai ʻaʻole ʻoe i loaʻa iā GBS i ka hāpai ʻana ma mua, ʻaʻole ia he manaʻo ʻaʻole ʻoe e loaʻa iā ia i kēia manawa. A no ka mea ua loaʻa iā ʻoe i ka wā ma mua, ʻaʻole ia he manaʻo e loaʻa maoli iā ʻoe i kēia manawa. ʻO ia ke kumu he mea nui e hoʻāʻo ʻia.
• Inā loaʻa iā ʻoe ka GBS-positive, mai hopohopo. Inā lawe ʻoe i nā lāʻau antibiotic i ka manawa kūpono i ka wā hānau, i ka hapa nui o ka manawa, ʻaʻohe pilikia nou a i ʻole kāu pēpē. ʻAʻole hoʻoili ka hapa nui o nā makuahine i ka maʻi GBS i kā lākou mau pēpē ma muli o kēia lāʻau lapaʻau.
• Inā loaʻa iā ʻoe ka maʻi GBS-positive, e hele koke i ka haukapila ma hope o ka hoʻomaka ʻana o ka hānau ʻana, ma mua o ke kali ʻana ma ka home. ʻO ka hoʻomaka ʻana i nā lāʻau antibiotic IV ma ka liʻiliʻi he 4 mau hola ma mua o ka hānau ʻana o kāu pēpē hiki ke kōkua i ka pale ʻana i kāu pēpē mai ka hoʻomaka mua ʻana o GBS.
• Inā he mau nīnau a hopohopo paha kāu e pili ana iā GBS, mai kānalua e kamaʻilio me kāu kauka. Hiki iā ia ke wehewehe hou aku iā ʻoe a hāʻawi iā ʻoe i ka ʻōlelo aʻoaʻo āu e pono ai.

E hoʻomanaʻo, ʻo ka ʻike ka pale maikaʻi loa. ʻO ko mākou makemake wale nō e ola kino ʻoe a me kāu pēpē!

ʻO ka Strep Group B, hāpai keiki, hoʻāʻo GBS, nā lāʻau antibiotic, olakino hānau hou