ʻAʻole paha ʻoe i lohe i kēia inoa ʻo 'Listeria'. Akā he mea kēia e pono ai kākou a pau e makaʻala. I ka ʻōlelo maʻalahi, he ʻano bacteria ʻo Listeria, ʻo ia hoʻi, he germ liʻiliʻi. Inā komo kēia i loko o ko kākou kino, hiki iā kākou ke loaʻa nā maʻi like ʻole. No laila, i kēia lā e kamaʻilio mākou e pili ana i kēia maʻi i kapa ʻia ʻo Listeriosis me ka kikoʻī a me ka maʻalahi.
He aha ʻo Listeria? No ke aha he mea weliweli ia?
He ʻano bacteria ʻo Listeria. Ke komo kēia bacteria i loko o ko kākou kino, kapa mākou iā ia ʻo Listeriosis. Ke hana ʻia kēia, ʻo nā hōʻailona maʻamau ka maʻi pākī, ka luaʻi ʻana, ke kuni, ka ʻeha o ke kino, a me ka ʻeha o nā hono. I ka hapanui o nā hihia, e emi ana kēia mau hōʻailona i loko o kekahi mau lā.
Eia nō naʻe, hiki i kekahi poʻe ke hoʻopilikia nui ʻia e kēia maʻi. Hiki ke ʻoiaʻiʻo loa kēia no nā wahine hāpai, nā keiki hānau hou, nā pākeke ma luna o 65, a me nā poʻe me nā ʻōnaehana pale nāwaliwali (e like me ka poʻe e hana ʻia ana i ka chemotherapy no ka maʻi kanesa). ʻO ia ke kumu he mea nui e makaʻala i kēia.
Pehea e loaʻa ai iā mākou ka listeria?
ʻO ka maʻi Listeria he ʻano lāʻau make meaʻai maoli nō ia. Hana ʻia ia ke ʻai a inu paha mākou i ka meaʻai me ka ʻike ʻole i loaʻa ka bacteria Listeria. ʻAe, aia i hea kēia bacteria?
Noho nui kēia bacteria ma ka lepo, ʻo ia hoʻi, ma ka lepo. Akā hiki ke loaʻa i loko o nā kino o nā holoholona, i ka wai, a ma nā wahi ʻē aʻe he nui. ʻO ka hapa nui o nā maʻi Listeria e:
- ʻAi ʻana i ka ʻiʻo a i ʻole nā huahana waiū mai nā holoholona i loaʻa i ka maʻi: I kekahi manawa hiki i nā holoholona e like me nā bipi a me nā kao ke loaʻa i kēia bacteria. Ke hana ʻia kēlā, hiki iā mākou ke maʻi inā mākou e ʻai i ka ʻiʻo a i ʻole ka waiū mai kēlā mau holoholona i moʻa pono ʻole ʻia.
- ʻAi ʻana i ka meaʻai i pili i kahi ʻili i haumia ʻia me ka bacteria: E noʻonoʻo ua kau kēia bacteria ma luna o kahi ʻili ma kahi hoʻomākaukau meaʻai. A laila hiki i kēia bacteria ke komo i loko o kahi mea e like me ka ʻiʻo i ʻoki ʻia (e.g. `(deli meat)`).
- ʻO ka inu ʻana i ka waiū maka ʻole i hoʻomaʻemaʻe ʻia (maka) a i ʻole ka ʻai ʻana i nā huahana waiū i hana ʻia mai ia mea: ʻO ka waiū maka ka waiū i hana ʻole ʻia i kekahi kaʻina hana sterilization. ʻOi aku ka nui o ka loaʻa ʻana o ka bacteria Listeria i kēia ʻano waiū.
- ʻAi ʻana i nā mea kanu a me nā huaʻai i haumia ʻia me nā bacteria mai ka lepo me ka holoi pono ʻole ʻana iā lākou: Ua ʻike mākou e ulu ana nā mea kanu a me nā huaʻai i loko o ka lepo. No laila, hiki i kēia mau bacteria i loko o ka lepo ke hoʻohaumia iā lākou. Inā ʻai mākou iā lākou me ka holoi pono ʻole ʻana iā lākou, hiki iā mākou ke loaʻa i ka maʻi.
ʻO ka mea nui loa , ʻaʻole hiki ke laha pololei ka maʻi Listeria mai kekahi kanaka a i kekahi kanaka. ʻO ia hoʻi, ʻaʻole hiki ke laha ma ke kamaʻilio ʻana me kekahi mea maʻi a i ʻole ke lulu lima ʻana.
Eia nō naʻe, ʻoiai ʻaʻole maopopo ke kumu pololei, ʻoi aku ka nui o ka pilikia o nā wahine hāpai i ka loaʻa ʻana o kēia maʻi. Inā loaʻa iā lākou, hiki i ka pēpē i loko o ka ʻōpū ke loaʻa pū i ka maʻi.
He aha nā hōʻailona o Listeria?
Hiki ke ʻokoʻa nā hōʻailona o ka maʻi Listeria mai kēlā kanaka a kēia kanaka, ma muli o ka ikaika o ka ʻōnaehana pale o ke kanaka.
- No kekahi kanaka me ka ʻōnaehana pale ikaika: ʻO nā hōʻailona maʻamau ka wela, ka luaʻi ʻana, ka maʻi pākīkī (ʻeha ʻōpū), a me ka ʻeha o nā hono. Hoʻopau pinepine kēia i loko o kekahi mau lā.
- No nā poʻe me nā ʻōnaehana pale kino nāwaliwali a me ka poʻe ma luna o 65 mau makahiki: Hiki ke ʻoi aku ka koʻikoʻi o ke kūlana no kēia poʻe. Hiki ke loaʻa nā kūlana koʻikoʻi e like me ka hōʻiliʻili ʻana o ka bacteria i loko o ke koko (`(Bacteremia)`) a i ʻole ka maʻi o nā membrane e hoʻopuni ana i ka lolo (`(Meningitis)`).
- No nā wahine hāpai: ʻO ka mea kupanaha, inā loaʻa i ka wahine hāpai ka listeria, he kakaikahi wale nō paha kona mau hōʻailona. Malia paha he kuni iki a me nā ʻeha kino. Eia nō naʻe, hiki ke lilo i mea ʻino loa i ka pēpē i loko o ka ʻōpū. Hiki i kēia maʻi ke hana i ka hānau mua ʻana o ka pēpē (hanau mua), loaʻa kahi hāʻule ʻana, a i ʻole ka hānau make ʻana (stillbirth). ʻO ia ke kumu he mea nui e makaʻala loa i kēia i ka wā hāpai.
Pehea e ʻike pono ai i kahi maʻi Listeria?
Inā loaʻa iā ʻoe nā hōʻailona o ka listeria, e nānā ke kauka iā ʻoe a nīnau e pili ana i kāu mau hōʻailona a me nā mea āu i ʻai ai a inu ai i hala koke aku nei. I kekahi manawa, kānalua nā kauka i kahi maʻi listeria inā he mau kānaka ma kahi like nā hōʻailona like, a inā paha he mau kānaka i ʻai i ka meaʻai mai kahi like e maʻi ana.
ʻAʻole ʻike pinepine ʻia nā bacteria Listeria i nā hoʻokolohua ʻōpala. No laila, ʻaʻole hana pinepine nā kauka i kēia hoʻokolohua ke ʻole lākou e ʻimi nei i nā maʻi ʻē aʻe. Eia nō naʻe, i kekahi manawa pono lākou e hana i nā mea e like me nā hoʻokolohua koko e nānā i nā bacteria i loko o ke koko, kahi kī ʻana o ka iwi kuamoʻo e nānā i ka maʻi lolo, a i ʻole kahi placenta e nānā i ka maʻi i ka wā hāpai.
He aha nā lāʻau lapaʻau no ka maʻi Listeria?
Inā loaʻa i nā keiki olakino, nā ʻōpio, a me nā pākeke ka maʻi listeria, ʻo ka mea nui loa, ʻo ia ka inu ʻana i nā wai he nui. E kōkua kēia i ka pale ʻana i ka maloʻo ʻana o ka wai. Pono nō hoʻi ʻoe e hoʻomaha nui. ʻAʻole maikaʻi kekahi mau lāʻau anti-diarrhea i kēia manawa, no ka mea hiki iā lākou ke hoʻonui i ka maʻi diarrhea. No laila, mai lawe i kekahi lāʻau lapaʻau me ka ʻole o ke kamaʻilio mua ʻana me ke kauka.
Eia nō naʻe, no ka poʻe i ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o nā pilikia koʻikoʻi mai ka maʻi Listeria (e.g., nā wahine hāpai, nā poʻe me nā ʻōnaehana pale nāwaliwali), hiki i nā kauka ke kuhikuhi i nā antibiotics. Hāʻawi pinepine ʻia kēia mau lāʻau lapaʻau ma ke ʻano intravenous (IV).
He aha kā mākou e hana ai e pale aku i ka ulu ʻana o ka listeria?
"ʻOi aku ka maikaʻi o ka pale ʻana ma mua o ka hoʻōla ʻana," wahi a lākou. No laila, aia kekahi mau hana maʻalahi, akā koʻikoʻi loa, hiki iā mākou ke hana i ka wā e pili ana i ka meaʻai a me ka mea inu e palekana ai mai Listeria. E nānā kākou i ke ʻano o lākou:
- E hoʻomoʻa pono i ka moa, ka pipi, ka puaʻa, a me nā meaʻai kai: I ke kuke ʻana i kēia mau mea, e hoʻomoʻa a moʻa pono i loko. Mai ʻai i ka ʻiʻo a iʻa paha i moʻa ʻole ʻia.
- E hoʻomoʻa i nā yolks hua manu a paʻakikī loa: E pale i ka ʻai ʻana i nā hua maka.
- I ke kūʻai ʻana i nā huahana waiū, e nānā inā ua pasteurized ʻia: E pale i ka ʻai ʻana i ka waiū maka a me nā huahana i hana ʻia mai ia mea, e like me ka tīhi a me ka yogurt.
- E waiho i nā koena i loko o ka friji i loko o 2 mau hola: Eia kekahi, mai mālama iā lākou no nā lā ʻoi aku ma mua o 3-4.
- I ka hoʻomehana hou ʻana i ke koena o ka meaʻai, e hoʻomehana a hiki i ka puhipaka maikaʻi ʻana.
- E holoi pono i nā huaʻai a me nā mea kanu ma mua o ka ʻai ʻana: ʻO nā mea e like me ka ʻuala a me ka ʻuala i ʻeli ʻia mai ka lepo, a me nā mea e ulu ana i ka lepo e like me ka letus, pono e hoʻomaʻemaʻe pono ʻia.
- E ʻai koke i nā hua e like me ka wai meli ma hope o ka ʻoki ʻana iā lākou, a i ʻole e hoʻokomo i loko o ka pahu hau: Mai ʻai i ka wai meli i ʻoki ʻia ma ka mahana o ka lumi no nā hola he 4 a ʻoi aʻe a i ʻole i loko o ka pahu hau no nā lā he 7 a ʻoi aku, e hoʻolei aku.
- E holoi pono i nā papa ʻokiʻoki a pau, ka pahi, ka ipu, a me ke pākaukau i hoʻopā i ka ʻiʻo maka, ka moa, nā ʻīlio wela, a me nā ʻiʻo deli.
- E mālama i kāu pahu hau ma 4 degere Celsius (40 degere Fahrenheit) a i ʻole haʻahaʻa. E mālama i kāu pahu hau ma -18 degere Celsius (0 degere Fahrenheit) a i ʻole haʻahaʻa. ʻO ka kaohi ʻana i kēia mahana e hiki ke kōkua i ka hōʻemi ʻana i ka ulu ʻana o ka bacteria.
Inā hāpai ʻoe a i ʻole he kiʻekiʻe aʻe kou pilikia o ka loaʻa ʻana o ka listeria (e.g., kekahi me ka ʻōnaehana pale nāwaliwali), e ʻoluʻolu e nīnau i kāu kauka i nā mea ʻē aʻe āu e hiki ai ke hana e pale aku iā ʻoe iho mai kēia maʻi. Hiki paha iā lākou ke haʻi aku iā ʻoe e pale loa i kekahi mau meaʻai.
Āhea wau e ʻike ai i ke kauka?
Inā loaʻa i kāu keiki ka maʻi diarrhea no hoʻokahi pule a ʻoi aku paha, a i ʻole he mau hōʻailona kēia, e ʻike koke i ke kauka:
- kuni
- Ka luaʻi ʻana
- Inā he koko me ka maʻi pākī
- Nā hōʻailona o ka make wai (e.g., ka mimi ʻana ma mua o ka maʻamau, ka waha maloʻo, ʻaʻohe waimaka i ka wā e uē ana, nā maka i lalo)
- Hiamoe nui
ʻO nā mākua ka mea ʻike maikaʻi loa i ke keiki. No laila, inā he mau hopohopo a makaʻu paha kāu e pili ana i kāu keiki ma waho aʻe o nā hōʻailona i ʻōlelo ʻia ma luna, mai hoʻowahāwahā iā lākou. Kāhea i ke kauka a loaʻa ka ʻōlelo aʻoaʻo.
Nā mea nui e hoʻomanaʻo (Leka Lawe-Home)
ʻAe, ua kamaʻilio nui kākou e pili ana iā Listeria i kēia lā, ʻeā? I ka pōkole, he maʻi bacteria ʻo Listeria i laha ma o ka meaʻai. ʻOiai e hoʻopau pinepine ʻia i loko o kekahi mau lā no ke kanaka maʻamau, hiki ke lilo i mea weliweli no nā wahine hāpai, nā keiki ʻōpio, ka poʻe ʻelemakule, a me ka poʻe me nā ʻōnaehana pale nāwaliwali.
ʻO ka mea nui loa, ʻo ia ka makaʻala i ka palekana o ka meaʻai. Inā hana pono mākou i kēia mau mea i ka wā e kuke ai, mālama ai, a hoʻomaʻemaʻe ai i ka meaʻai, hiki iā mākou ke pale aku ʻaʻole wale i ka listeria, akā, i nā mea ʻawahia ʻē aʻe he nui.
Inā he mau nīnau hou aku kāu e pili ana i kēia, a inā manaʻo ʻoe he mau hōʻailona paha kāu a i ʻole kekahi o kou ʻohana o Listeria, e ʻoluʻolu e ʻimi i ke kōkua lapaʻau. Mai hopohopo, ʻo ka mea nui loa, ʻo ia ka makaʻala a loaʻa koke ka lāʻau lapaʻau.
Listeria , Listeriosis, lāʻau make meaʻai, bacteria, hāpai keiki, palekana meaʻai, nā hōʻailona
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