E aʻo kākou e pili ana i ka maʻi Pseudomonas Aeruginosa. Hiki i kēia ke hoʻopilikia iā ʻoe pū kekahi?

Ua lohe paha ʻoe i kahi bacteria i kapa ʻia ʻo 'Pseudomonas'? ʻAʻole paha, ʻeā? Akā, he ʻano bacteria ia e hiki ke noho i ko kākou wahi, ʻoiai ma nā wahi pulu, i ka wai, a me ka lepo. I kekahi manawa hiki iā lākou ke noho ma ko kākou ʻili, akā me ka ʻole o ka hoʻoulu ʻana i kahi maʻi. I kēia lā, ke kamaʻilio nei mākou e pili ana iā 'Pseudomonas aeruginosa (P. aeruginosa)', ke ʻano nui e hoʻoulu ai i nā maʻi i loko o ke kanaka. ʻOiai he mea paʻakikī iki kēia, e kamaʻilio maʻalahi kākou e pili ana.

He aha kēia maʻi Pseudomonas?

I ka ʻōlelo maʻalahi, ʻo ka maʻi Pseudomonas kahi maʻi i hoʻokumu ʻia e nā ʻano bacteria like ʻole i kapa ʻia ʻo Pseudomonas. ʻO kēia mau mea, ʻo Pseudomonas aeruginosa (P. aeruginosa) ke ʻano maʻamau o ka maʻi i loko o ke kanaka. Loaʻa kēia bacteria i ke kaiapuni, ʻoi aku hoʻi i ka wai, nā mea kanu, a me ka lepo. Hiki ke loaʻa iā ia ma nā wahi pulu e like me nā lumi ʻauʻau a me nā poho holoi. I kekahi manawa, hiki i kēia bacteria ke noho ma kou ʻili, akā me ka ʻole o ka hoʻoulu ʻana i kekahi maʻi. Ua kapa nā kauka i kēia ʻano he koloni bacteria.

Eia nō naʻe, inā loaʻa iā ʻoe kahi maʻi me Pseudomonas aeruginosa, hiki ke paʻakikī iki ka hoʻōla ʻana. ʻO kēia no ka mea ua ulu kēia bacteria e hoʻololi i nā lāʻau lapaʻau i ka hala ʻana o ka manawa. ʻO ke ʻano kēia, ʻaʻole paha e hana kekahi o nā antibiotics i hāʻawi pinepine ʻia no kēia ʻano maʻi i kēia bacteria. Kāhea mākou i kēia he kū'ē antibiotic.

Pehea ke koʻikoʻi o ka maʻi Pseudomonas aeruginosa?

Aia nō ia i kou olakino. He mea kākaʻikahi loa ka loaʻa ʻana o ka maʻi Pseudomonas aeruginosa i kahi kanaka me kahi ʻōnaehana pale olakino . Eia nō naʻe, inā ua nāwaliwali kou ʻōnaehana pale (immunocompromised), hiki i kēia ke lilo i maʻi koʻikoʻi loa, a hiki ke hoʻoweliweli i ke ola.

Eia kekahi mau kumu maʻamau no ka hoʻonāwaliwali ʻia ʻana o ka ʻōnaehana pale:

• Nā kūlana Autoimmune - no ka laʻana, lupus a i ʻole ka rheumatoid arthritis.
• ʻO ke Kanesa.
• ʻO ka fibrosis cystic.
• Ka maʻi diabetes.
• ʻO ka maʻi HIV a me ka maʻi AIDS.
• Maʻi puʻupaʻa.
• Maʻi akepaʻa.
• Nā hoʻoili kino - no ka laʻana, kahi hoʻoili puʻuwai a i ʻole kahi hoʻoili māmā.
• Ka hāpai ʻana.
• Nā kuni nui.
• Ke hana ʻoki kino ʻia nei.

I nā hihia e like me kēia, nāwaliwali ka ʻōnaehana pale o ke kino, e maʻalahi ai ka hoʻouka ʻana o nā bacteria e like me Pseudomonas.

He ʻano sepsis anei ʻo Pseudomonas aeruginosa?

ʻAʻole, ʻaʻole ʻo 'Pseudomonas aeruginosa' he ʻano 'sepsis'. Eia nō naʻe, hiki i ka maʻi 'Pseudomonas aeruginosa' ke hana i ka 'sepsis'.

He pilikia olakino ka Sepsis. ʻO kēia ka manawa e pau ai kāu ʻōnaehana pale i ke kaua ʻana i ka maʻi a hoʻomaka e hoʻouka i kāu mau ʻiʻo a me nā ʻōpū olakino ponoʻī. Ua hōʻike ʻia nā noiʻi ʻo ka bacteria P. aeruginosa ke kumu nui o ka sepsis i nā poʻe me nā kuni nui.

He aha nā ʻano maʻi Pseudomonas aeruginosa?

Hiki i ka bacteria `Pseudomonas aeruginosa` ke hana i nā ʻano maʻi like ʻole. ʻO kekahi o lākou:

• Maʻi koko (septicemia) - He mea weliweli loa kēia.
• Nā maʻi pepeiao - Hiki i kēia ke hana i nā maʻi pepeiao, ʻoiai ka pepeiao o ka mea ʻauʻau.
• Maʻi maka - ʻOi aku ke kiʻekiʻe o kēia pilikia no ka poʻe e hoʻohana ana i nā aniani hoʻopili i hoʻomaʻemaʻe pono ʻole ʻia.
• ʻO ka maʻi māmā (pneumonia) - Hiki ke koʻikoʻi loa kēia no ka poʻe i hoʻokomo ʻia i ka haukapila a ua nāwaliwali nā ʻōnaehana pale.
• ʻO ka maʻi ʻili (cellulitis) - Hiki ke hana kēia ma o nā ʻeha a me nā kuni.
• Nā maʻi ʻaʻai mimi (UTIs) - He mea weliweli kēia no ka poʻe me kahi catheter.

ʻAʻole wale ia, akā hiki iā ia ke hoʻoulu i nā maʻi i loko o kou ʻōnaehana gastrointestinal (GI). Hoʻokomo pū kēia i kou waha, esophagus, ʻōpū, ʻōpū liʻiliʻi, ʻōpū nui, a me ka rectum.

Pehea ka maʻamau o nā maʻi Pseudomonas?

He mea maʻamau loa nā maʻi Pseudomonas. I ka makahiki 2017, ua manaʻo ʻia ma kahi noiʻi ua loaʻa ma mua o 32,000 mau kānaka i ka maʻi P. aeruginosa. Akā, mai hopohopo. ʻO ka hapa nui o ka manawa, loaʻa kēia mau maʻi i nā poʻe me nā maʻi olakino.

He aha nā hōʻailona o ka maʻi Pseudomonas aeruginosa?

Aia nā hōʻailona ma kahi o kou kino i hoʻopilikia ʻia e ka maʻi Pseudomonas aeruginosa. E nānā kākou i nā hōʻailona kikoʻī no kēlā me kēia wahi.

Inā he maʻi i loko o ke koko:

• Nā anu.
• Manaʻo luhi loa.
• Kuni.
• ʻEha hui.
• Ke koko haʻahaʻa (hypotension).
• ʻEha ʻiʻo.

Inā loaʻa iā ʻoe kahi maʻi pepeiao:

• ʻEha pepeiao.
• He kahe ʻana e like me ke wai mai loko mai o ka pepeiao.
• Pepeiao ʻāʻī.
• Pehu pepeiao.
• Ka nalowale o ka lohe.

Inā loaʻa iā ʻoe kahi maʻi ʻōpū (GI):

• ʻEha poʻo .
• Ka maʻi pākī.
• Ka luaʻi a me ka luaʻi.

Inā loaʻa iā ʻoe kahi maʻi maka:

• Ka mumū.
• ʻEha.
• Puhi.
• Nā maka ʻulaʻula.
• Ka pehu ʻana o nā maka.
• Ka nalowale koke o ka ʻike -He hōʻailona weliweli loa kēia, pono ʻoe e ʻike koke i ke kauka.

Inā he maʻi i loko o nā māmā:

• Nā anu.
• Kuke.
• Paʻakikī ka hanu ʻana.
• Kuni.

Inā he maʻi ʻili:

• Nā puʻu i loli ke kala (ʻulaʻula, ʻeleʻele, a poni paha).
• He ʻeha i loaʻa kahi ʻala pilau a ke kahe nei ke wai moakāka a poni paha.
• ʻŌhūhū.
• Nā puʻupuʻu keʻokeʻo a melemele paha i piha i ka nahu (abscesses).

Inā loaʻa iā ʻoe kahi maʻi ʻōpū mimi:

• ʻO ke koi ʻole e hoʻōki i ka mimi ʻana ka pono koke a i ʻole ka makemake ʻole e kaohi i ka mimi.
• Ka hoʻōki ʻana o ka mimi.
• ʻEha a puni ka ʻāpana pelvic.
• ʻEha i ka wā e mimi ai (dysuria).
• Ka mimi pinepine ʻana.

Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​ʻoiai inā ʻike ʻoe ua nāwaliwali kou ʻōnaehana pale, ʻoi aku ka maikaʻi o ka ʻimi koke ʻana i ke kōkua lapaʻau.

He aha ke kumu o ka maʻi Pseudomonas?

Hiki ke hoʻoulu ʻia kēia mau maʻi e nā ʻano bacteria he nui i loko o ka hui 'Pseudomonas'. ʻO kēia mau mea, ʻo 'P. aeruginosa' ke kumu nui. Hiki i kēia bacteria ke ulu a laha ma nā ʻano he nui. Eia kekahi laʻana:

• Ma o ka wai: nā poho holoi, nā ʻauʻau, nā loko ʻauʻau, nā ʻauʻau wela, ka makū mai nā ea hoʻoluʻu (humidifiers), a me nā wahi pulu i loko o nā lumi kuke.
• Mai ka lepo mai.
• Mai ka meaʻai: Mai ka meaʻai haumia i hoʻomaʻemaʻe pono ʻole ʻia.
• Mai nā lako lapaʻau i haumia ʻia: No ka laʻana, inā ʻaʻole i hoʻomaʻemaʻe pono ʻia nā mea e like me nā ventilators a i ʻole nā ​​catheters urinary i hoʻohana ʻia ma nā haukapila.
• Ka pili ʻana o ka ʻili i ka ʻili: Ma ka hoʻopā ʻana i ka ʻili o ka mea i loaʻa i ka maʻi a i ʻole ma ka hoʻopā ʻana i kahi ʻili i loaʻa i ka maʻi a laila hoʻopā i kou mau maka, waha, a i ʻole nā ​​​​​​wahi ʻē aʻe o kou kino.

He maʻi lele anei ka maʻi Pseudomonas aeruginosa?

ʻAe, hiki ke laha ʻo Pseudomonas aeruginosa mai ke kanaka a i ke kanaka. Hoʻolaha pinepine ʻia ma o nā ʻili haumia a i ʻole nā ​​​​lima lepo. No laila he mea nui e holoi pinepine i kou mau lima.

ʻO wai ka mea i hoʻopilikia nui ʻia e ka maʻi Pseudomonas aeruginosa?

He bacteria maʻamau ka Pseudomonas aeruginosa i loaʻa i ko kākou wahi. Eia nō naʻe, ʻo ka hapa nui o ka poʻe me nā ʻōnaehana pale olakino, ʻaʻole lākou e loaʻa i kēia maʻi. ʻOi aku ka nui o kou loaʻa ʻana i kēia maʻi inā ua nāwaliwali kou ʻōnaehana pale . He mea maʻamau nō hoʻi ia ma nā wahi haukapila. Manaʻo kekahi mau noiʻi e hiki i ka 33% o nā maʻi maʻi i hoʻopaʻa ʻia i ka haukapila ke loaʻa paha iā P. aeruginosa.

He aha nā pilikia o ka maʻi Pseudomonas aeruginosa?

Hiki i ka bacteria Pseudomonas aeruginosa ke hoʻoulu i kahi maʻi e hoʻoweliweli i ke ola . Hiki i kēia ke laha i nā ʻāpana ʻē aʻe o ke kino, e hoʻoulu ai i nā kūlana koʻikoʻi e like me ka sepsis a me ka hāʻule ʻana o nā ʻōkana.

Eia kekahi, hiki i kahi maʻi Pseudomonas aeruginosa ke kū i nā antibiotics. ʻO ke ʻano kēia, ʻaʻole hiki i nā antibiotics a nā kauka e kuhikuhi pinepine ai e mālama i kahi maʻi ke pepehi i ka bacteria. Inā ʻoe e lawe i nā antibiotics no kahi maʻi Pseudomonas aeruginosa, ʻoi aku paha kou pilikia i ka loaʻa ʻana o kahi maʻi Clostridium difficile (C. diff).

Pehea e ʻike ʻia ai ka maʻi Pseudomonas aeruginosa?

Hiki i ke kauka ke ʻike i kahi maʻi Pseudomonas aeruginosa ma ka lawe ʻana i kāu mōʻaukala olakino, e nīnau e pili ana i kāu mau hōʻailona, ​​a me ka hana ʻana i kahi hoʻokolohua kino. Hiki i kēia hoʻokolohua kino ke komo pū me:

• Ke hoʻolohe nei i kou puʻuwai a me kou māmā me ka hoʻohana ʻana i ka stethoscope (auscultation).
• Ke hoʻopā nei i kou ʻōpū.
• Ke nānā nei i kou ʻili.
• Ke nānā nei i kou mau maka.

E kauoha pū lākou i nā hoʻokolohua e hōʻoia i ka hōʻailona.

He aha ke ʻano o nā hoʻokolohua e hana ʻia?

Hiki i kāu kauka ke kauoha i nā hoʻokolohua kiʻi e nānā i nā hōʻailona o ka maʻi ma nā wahi ʻē aʻe o kou kino. Hiki i kēia mau mea ke komo pū me:

• Nā kukuna-X.
• ʻO ke kani uila.
• Kiʻi Hoʻohui Magnetika (MRI).
• ʻO ke kiʻi ʻana o ka Tomography i helu ʻia (CT)

Hiki iā lākou ke lawe i nā laʻana o kou mau wai kino a i ʻole nā ​​​​ʻiʻo a hoʻouna iā lākou i kahi lab e nānā i ke alo o ka bacteria Pseudomonas.

Pehea e mālama ʻia ai ka maʻi Pseudomonas aeruginosa?

ʻO ka maʻamau, e kuhikuhi ke kauka i nā lāʻau antibiotic e mālama i kahi maʻi Pseudomonas aeruginosa. Hiki iā lākou ke kuhikuhi i hoʻokahi a ʻoi aku paha o kēia mau lāʻau antibiotic:

• ʻAsetereonama
• Nā Carbapenems
• ʻO Ceftazidime
• ʻO Ciprofloxacin
• ʻO Gentamicin
• ʻO ka Ticarcillin
• ʻUreidopenicillins

Hiki iā ʻoe ke lawe i kēia mau antibiotics ma ke ʻano he mau pila, ma ke ʻano he kirīmi, nā kulu maka, a i ʻole ma ke ʻano intravenous. Ma muli o ke koʻikoʻi o kou maʻi, pono paha ʻoe e lawe i nā antibiotics no kekahi mau pule, a i ʻole nā ​​​​mahina.

ʻO kahi mea nui loa:Ke kū nei nā maʻi Pseudomonas aeruginosa i nā ʻano antibiotic he nui, ʻoiai inā loaʻa iā ʻoe kahi maʻi ma kahi haukapila a i ʻole kahi mālama ola kino ʻē aʻe. No laila, he mea nui e lawe i nā antibiotics no ka papa holoʻokoʻa o ka mālama ʻana e like me ke kauoha a kāu kauka. Mai hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau ʻoiai inā ʻoe e manaʻo nei ua maikaʻi. Inā ʻaʻole ʻoe, hiki i ka maʻi Pseudomonas aeruginosa ke hoʻi hou mai a ʻoi aku ka paʻakikī o ka mālama ʻana.

ʻO ka Pseudomonas aeruginosa kū'ē i ka Carbapenem (CRPA)

He hui liʻiliʻi o nā bacteria Pseudomonas aeruginosa i kū i nā antibiotic carbapenem. Kāhea mākou iā lākou he carbapenem-resistant Pseudomonas aeruginosa (CRPA). Hoʻopuka lākou i nā enzymes i kapa ʻia ʻo carbapenemases. Pale kēia mau enzymes i ka hana ʻana o ka carbapenem a me nā antibiotic beta-lactam ʻē aʻe. ʻAʻole hana ka nui o nā antibiotics i loaʻa i kēia manawa ma kēia mau CRPAs e hana ana i nā carbapenemase (CP). Hiki i kēia mau CP-CRPA ke kaʻana like i ke code genetic e hana ai i nā carbapenemases me nā bacteria ʻē aʻe. A laila pālahalaha koke kēia kū'ē. He mea paʻakikī iki ia, akā he mea maikaʻi ke ʻike.

E hoʻōla pono anei ka maʻi Pseudomonas aeruginosa?

Inā ʻaʻohe ou hōʻailona a i ʻole he mau hōʻailona liʻiliʻi wale nō, e nalowale paha kāu maʻi Pseudomonas aeruginosa me ka ʻole o ka lāʻau lapaʻau. Eia naʻe, ʻaʻole kēia ka hihia no nā mea āpau.

Eia nō naʻe, ʻaʻole e ho'ōla ʻia nā maʻi koʻikoʻi o Pseudomonas aeruginosa me ka ʻole o ka lāʻau lapaʻau a hiki ke alakaʻi i nā pilikia e hoʻoweliweli ana i ke ola.

Pehea ka wikiwiki o koʻu ho'ōla ʻana ma hope o ka lāʻau lapaʻau?

Inā loaʻa iā ʻoe kahi maʻi Pseudomonas aeruginosa iki, e hoʻomaka paha ʻoe e ʻoluʻolu i loko o kekahi mau lā o ka hoʻomaka ʻana o ka lāʻau lapaʻau. Eia nō naʻe, hiki i kahi maʻi koʻikoʻi ke hala i nā hebedoma, a i ʻole nā ​​​​mahina, e ho'ōla.

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

I ka hapanui o nā hihia, maikaʻi ka nānā ʻana no ka maʻi Pseudomonas aeruginosa inā olakino kou ʻōnaehana pale. E hoʻopau ʻia nā maʻi liʻiliʻi i loko o kekahi mau lā inā mālama pono ʻia. Eia nō naʻe, pono ʻoe e lawe i ka papa holoʻokoʻa o nā antibiotics. Inā ʻaʻole ʻoe, hiki ke paʻakikī loa ka ho'ōla ʻana i ka maʻi.

Inā nāwaliwali kou ʻōnaehana pale, hiki i ka maʻi Pseudomonas aeruginosa ke lilo i mea koʻikoʻi, a hiki ke make. Pono paha ʻoe e lawe i nā ʻano antibiotic he nui. Pono paha ʻoe e lawe i nā antibiotics no ka manawa lōʻihi e pale ai i ka maʻi mai ka ʻino ʻana.

Hiki ke pale ʻia ka maʻi Pseudomonas aeruginosa?

ʻAe, hiki iā ʻoe ke hana i kēia mau mea e hōʻemi i kou pilikia o ka hoʻomohala ʻana i kahi maʻi Pseudomonas aeruginosa:

• E holoi pinepine i kou mau lima:ʻO ka holoi ʻana i kou mau lima me ke kopa antibacterial a me ka wai maʻemaʻe ke ala maikaʻi loa e pale aku ai i ka maʻi. Inā ʻaʻole loaʻa ka holoi lima, e hoʻohana i kahi mea hoʻomaʻemaʻe lima i loaʻa ka waiʻona.
• E holoi pono i nā huaʻai a me nā mea kanu: E holoi pono i nā huaʻai a me nā mea kanu me ka wai maʻemaʻe. Inā hiki, e hoʻohana i ke kopa holoi huaʻai/mea kanu.
• Inu i ka wai maʻemaʻe: Inā ʻaʻohe ou wai maʻemaʻe, e hōʻoia e inu i ka wai ʻōmole, wai i hoʻopaʻa ʻia, wai i hoʻomaʻemaʻe ʻia me ka kemika.
• E hoʻomaʻemaʻe pono i nā ʻili: E hoʻohana i ka lāʻau disinfectant e hoʻomaʻemaʻe i nā ʻili i hoʻopā pinepine ʻia (e like me nā ʻūpā puka, nā pākaukau, nā poho holoi).
• E pale i nā ʻauʻau wela lepo a me nā loko ʻauʻau: E hōʻoia i ka hoʻomaʻemaʻe mau ʻia ʻana o ka wai i loko o ka ʻauʻau wela a i ʻole ka loko ʻauʻau me ka chlorine.

Āhea ʻoe e ʻike ai i ke kauka?

No ka mea, hiki i ka maʻi Pseudomonas aeruginosa ke lilo i mea koʻikoʻi koke inā nāwaliwali kou ʻōnaehana pale, he mea nui e kamaʻilio koke me ke kauka inā loaʻa iā ʻoe nā hōʻailona o kahi maʻi, a inā ʻaʻole i hoʻomaikaʻi kāu mau hōʻailona ma hope o ka mālama ʻana.

I ka manawa hea ʻoe e hele ai i kahi Emergency Treatment Unit (ETU) ?

Inā loaʻa iā ʻoe nā hōʻailona o kahi maʻi koʻikoʻi e like me kēia, e hele i ka lumi pilikia kokoke loa, a i ʻole e kelepona iā 1990 (inā ma Sri Lanka):

• Ke kuni nui (103 Fahrenheit a i ʻole 39.4 Celsius).
• Ka huikau.
• Ke koko haʻahaʻa.

He aha nā nīnau āu e nīnau ai i ke kauka?

Ke hele ʻoe e ʻike i ke kauka, he mea kōkua paha ka nīnau ʻana i nā nīnau e like me kēia:

• Pehea i loaʻa ai iaʻu ka maʻi Pseudomonas aeruginosa?
• Inā ʻaʻohe oʻu maʻi Pseudomonas aeruginosa, he aha nā maʻi ʻē aʻe e loaʻa iaʻu?
• He aha ka lāʻau lapaʻau āu e paipai nei?
• Pono anei iaʻu e lawe i nā ʻano antibiotic he nui?
• He aha kaʻu e hana ai inā poina iaʻu e lawe i kahi mahele o nā lāʻau antibiotic?
• Aia kekahi mau hōʻailona e hōʻike ana e ʻoi aku ka ʻino o ka maʻi e pono iaʻu e makaʻala?

Nā mea nui e hoʻomanaʻo (Leka Lawe-Home)

Loaʻa nā bacteria Pseudomonas ma nā wahi a puni o ka honua, ma nā wahi pulu e like me ka wai a me ka lepo. Hiki iā lākou ke noho ma kou ʻili, akā me ka ʻole o ka hoʻoulu ʻana i kahi maʻi. Inā olakino kou ʻōnaehana pale, ʻaʻole maʻamau nā maʻi Pseudomonas aeruginosa - ʻaʻole paha ʻoe e ʻike i kekahi mau hōʻailona.

Eia nō naʻe, inā nāwaliwali kou ʻōnaehana pale, hiki i kēia mau maʻi ke koʻikoʻi. Inā loaʻa iā ʻoe nā hōʻailona o kahi maʻi Pseudomonas aeruginosa, e kamaʻilio me ke kauka. Hiki iā lākou ke ʻike i ka maʻi a kuhikuhi i nā antibiotics kūpono e kāohi i ka bacteria a pale iā ia mai ka ʻino ʻana. E ʻimi koke i ke kōkua lapaʻau, ʻoiai inā loaʻa iā ʻoe nā hōʻailona, ​​ʻoiai inā ʻoe i loko o kahi hui pilikia.

`Pseudomonas, Pseudomonas Aeruginosa, Pseudomonas Aeruginosa, Maʻi bacteria, Kū'ē antibiotic, Sepsis, Nā maʻi haukapila