E aʻo kākou e pili ana iā Pseudomonas Aeruginosa, kahi bacteria maʻamau a weliweli hoʻi i nā haukapila!

He miliona mau bacteria e noho ana i ko kākou wahi noho, ʻoi aku hoʻi i ka lepo a me ka wai, a ʻike ʻole ʻia e ka maka ʻōlohelohe. ʻOiai ʻo ka hapa nui o lākou he mea ʻino ʻole, he mea weliweli kekahi. ʻO kekahi o ia mau bacteria ʻo Pseudomonas aeruginosa. ʻOiai paha he ʻano ʻino iki ka inoa, he mea nui iā kākou āpau e makaʻala i nā kūlana i hoʻokumu ʻia e kēia bacteria.

I ka ʻōlelo maʻalahi, he aha ka Pseudomonas?

ʻO Pseudomonas kahi hui o nā bacteria e noho maʻamau ma waho, i ka lepo, ka wai, a ma nā wahi pulu i loko o nā hale. Inā maikaʻi kou olakino, ʻaʻole pono ʻoe e hopohopo e pili ana i ka maʻi ʻana mai kēia bacteria. Hiki iā ʻoe ke loaʻa i kahi ʻulaʻula ʻili liʻiliʻi, kahi maʻi pepeiao, a i ʻole kahi maʻi maka. I kekahi manawa hiki i kēia bacteria ke hana i ka pepeiao ʻauʻau, ʻo ia ke ʻano e hoʻoulu ai i nā ʻeha pepeiao ma hope o nā loko ʻauʻau, a me nā pehu ma ka ʻili ma hope o ka hoʻohana ʻana i nā ʻauʻau wela i hoʻomaʻemaʻe pono ʻole ʻia.

Pehea e komo ai kēia maʻi i loko o ko kākou kino?

Aia kekahi mau ala e hiki ai i kēia bacteria ke komo i loko o ko kākou kino. ʻOiai hiki i kēia bacteria ke ulu ma luna o nā huaʻai a me nā mea kanu, hiki ke laha ma o ia mau meaʻai lepo. Eia kekahi, ulu maikaʻi kēia bacteria ma nā wahi i koe ai ka makū, e like me nā pahu wai, nā loko ʻauʻau, nā lumi ʻauʻau, a me nā poho holoi kīhini. Eia nō naʻe, ʻo nā maʻi koʻikoʻi loa i hōʻike pinepine ʻia ma nā keʻena mālama ola e like me nā haukapila. E noʻonoʻo, inā ʻaʻole i hoʻomaʻemaʻe pono ʻia a hoʻomaʻemaʻe ʻia kekahi mau lako lapaʻau i hoʻohana ʻia ma nā haukapila, no ka laʻana, nā catheters a i ʻole nā ​​mīkini hanu , hiki i kēia bacteria ke ulu maʻalahi ma luna. Eia kekahi, inā ʻaʻole holoi pono kahi limahana mālama ola i kona mau lima, hiki ke laha maʻalahi kēia bacteria mai kahi maʻi i loaʻa i kahi maʻi ʻē aʻe.

Nā wahi kupanaha ʻē aʻe kahi e noho ai kēia bacteria

ʻO wai ka mea i ʻoi aku ka pilikia o ka loaʻa ʻana o kēia maʻi?

ʻOi aku ka nui o ka pilikia o ka poʻe me nā kūlana ma lalo nei i ka hoʻomohala ʻana i kahi maʻi Pseudomonas:

• No ka poʻe me nā ʻeha hāmama i ho'ōla ʻole ʻia ma hope o ke ʻoki ʻana.
• No ka poʻe e loaʻa ana i ka mālama ʻia no nā ʻeha i puhi ʻia .
• No ka poʻe e hoʻohana ana i nā lako lapaʻau e like me nā mīkini hanu a me nā catheters.
• No nā poʻe me ka maʻi diabetes .
• ʻO nā kānaka me nā maʻi māmā mau loa e like me ka cystic fibrosis.
• No ka poʻe me nā maʻi e hoʻonāwaliwali ai i ka ʻōnaehana pale, e like me ka maʻi HIV.
• No ka poʻe e lawe ana i nā lāʻau lapaʻau e hoʻopau i ka ʻōnaehana pale , e like me nā lāʻau lapaʻau maʻi kanesa.

He aha nā hōʻailona o kahi maʻi?

Aia nā hōʻailona o ka maʻi i ka ʻāpana o ke kino i hoʻopilikia ʻia e ka bacteria. Hiki ke loaʻa ka maʻi ma nā wahi āpau mai nā kui a i ke koko, nā māmā, ka ʻōpū, a me ke ala mimi. Eia kekahi, ʻo ke kuni kahi hōʻailona maʻamau o ka maʻi Pseudomonas koʻikoʻi.

Pehea e hiki ai i ke kauka ke ʻike inā loaʻa iaʻu kēia maʻi?

Hiki i kāu kauka ke kānalua i kēia ma hope o ka hoʻolohe ʻana i kāu mau hōʻailona a me ka hana ʻana i kahi hoʻokolokolo kino. No ka laʻana, inā ʻike ʻoe i nā loli i kou ʻili a i ʻole nā ​​maka. No ka hōʻoia ʻana i kēia kānalua, e lawe ʻo ia i kahi hāpana o kou koko a i ʻole kekahi wai kino ʻē aʻe (e like me ka sputum, mimi, a i ʻole ka pus mai kahi ʻeha) a hoʻouna aku no kahi hoʻāʻo lab a i ʻole ka moʻomeheu. I kekahi mau hihia, hiki ke hana ʻia nā hoʻokolohua kiʻi e like me ka X-ray, MRI, a i ʻole ultrasound e ʻike inā he maʻi hohonu i loko o kou kino. Hiki i nā hopena o kēia mau hoʻokolohua ke kōkua i kāu kauka e hoʻoholo i nā antibiotics maikaʻi loa no ka mālama ʻana i kāu maʻi.

Pehea e mālama ʻia ai? He mea weliweli anei kēia?

Inā loaʻa iā ʻoe kahi maʻi liʻiliʻi, hiki iā ʻoe ke mālama iā ia me nā antibiotics i kuhikuhi ʻia e kāu kauka. Ma muli o kahi o ka maʻi, hiki ke hele mai kēia mau lāʻau lapaʻau ma ke ʻano o ka kirīmi, nā kulu e kau i loko o nā maka a i ʻole nā ​​pepeiao, a i ʻole nā ​​​​​​pile e lawe ma ka waha. Eia nō naʻe, inā loaʻa iā ʻoe kahi maʻi koʻikoʻi, pono paha ʻoe e lawe i nā antibiotics intravenously (IV) no nā pule. Ma muli o ka loli mau ʻana o ka bacteria Pseudomonas a ke ikaika nei, hiki ke paʻakikī ke mālama i nā maʻi. No laila, ʻoi aku ma mua o hoʻokahi ʻano antibiotic e pono ai e pepehi loa i ka bacteria.

Ke kū'ē ʻana i nā lāʻau antibiotic

ʻO kēia ka pilikia nui loa no kēia bacteria. ʻO kekahi mau ʻano bacteria Pseudomonas, ʻoiai ke ʻano CP-CRPA (Carbapenem-resistant Pseudomonas aeruginosa) , he kūpaʻa i nā antibiotics he nui. He kūpaʻa nō hoʻi lākou i nā carbapenems, he mau antibiotics ikaika loa i hāʻawi ʻia i ka wā ʻaʻohe lāʻau ʻē aʻe e hiki ke ho'ōla i ka maʻi.

He aha nā pilikia ʻē aʻe e hiki ke hana ma muli o ka maʻi?

• Nā maʻi ʻē aʻe: ʻO ka lawe ʻana i nā antibiotics i kekahi manawa hiki ke hoʻoulu i nā maʻi bacteria ʻē aʻe, e like me Clostridioides difficile (C. diff). ʻO nā hōʻailona e komo pū me ka maʻi pākī a me ka ʻeha ʻōpū.
• Ke kū'ē ʻana i ka antibiotic: Inā ʻaʻole pane ka maʻi i ka lāʻau lapaʻau, hiki iā ia ke alakaʻi i nā kipa kauka hou aku, nā haukapila, nā kumukūʻai lapaʻau kiʻekiʻe, a me nā hopena ʻaoʻao mai ka mālama ʻana.
• Sepsis: He kūlana koʻikoʻi loa kēia kahi e hoʻomaka ai ka ʻōnaehana pale o ke kino, ka mea i manaʻo ʻia e hakakā i ka maʻi, e hoʻouka i nā ʻōpū ponoʻī o ke kino.
• Ka hemahema o ke kino: Inā waiho ʻole ʻia a i ʻole ma muli o kahi maʻi koʻikoʻi, hiki ke hōʻino ʻia nā kino koʻikoʻi.

No laila, pehea ʻoe e palekana ai mai kēia maʻi weliweli?

Hiki iā ʻoe ke hōʻemi i kou pilikia o ka maʻi ma ka pale ʻana i ka launa pū ʻana me kēia bacteria. ʻOi aku ka maʻalahi o ka hahai ʻana i kēia mau ʻōlelo aʻoaʻo ma mua o kou manaʻo.

• E holoi pinepine i kou mau lima: ʻO kēia ka pale maikaʻi loa. E holoi pono i kou mau lima me ke kopa a me ka wai. Inā ʻoe ma ka haukapila, e hōʻoia i ka holoi mau ʻana o ke kauka a kahu maʻi paha i ko lākou mau lima ma mua o ka hoʻopā ʻana iā ʻoe, a i ʻole e hoʻohana i ka mea hoʻomaʻemaʻe lima. Mai makaʻu e nīnau.
• E holoi pono i nā mea kanu a me nā huaʻai ma mua o ka ʻai ʻana: Pono e holoi pono ʻia ka letuse.
• E mālama i kāu mau ʻōmole wai maʻemaʻe: E holoi a hoʻomaʻemaʻe iā lākou me ka wai wela ma hope o ka hoʻohana ʻana.
• E holoi pinepine i nā mea moe a me nā kāwele i ka wai wela.
• E pale i ka puhipaka: Hoʻemi ka puhipaka i ka hiki o kou mau māmā ke hakakā i nā germs.
• E hoʻomaʻemaʻe i nā ʻili i hoʻopā pinepine ʻia i loko o kou hale: nā ʻūmiʻi puka, nā lima holoi o ka lua, nā kuapo kukui, a pēlā aku. Mai poina i kāu kelepona a me kāu kamepiula lawe.
• E pale i nā loko ʻauʻau lepo a me nā ʻauʻau wela.
• E mālama i kou olakino: E lawe i kāu mau lāʻau lapaʻau e like me ke kauoha a kāu kauka. Ma hope o ke ʻoki ʻana, e nānā i nā hōʻailona o ka maʻi. Inā ʻike ʻoe i ke kuni, ka ʻeha, a i ʻole ka ʻulaʻula a i ʻole ka kahe ʻana o ke koko mai kahi i ʻoki ʻia ai , e hoʻomaopopo koke i kāu kauka.

Pseudomonas aeruginosa, Pseudomonas, maʻi bacteria, maʻi haukapila, kū'ē i nā antibiotic, pepeiao ʻauʻau