ʻO ka mea e pono ai ʻoe e ʻike e pili ana i ka bacteria Serratia marcescens

Ua ʻike anei ʻoe i kahi ʻulaʻula, i kekahi manawa he ʻulaʻula, ma luna o kou ʻauʻau a i ʻole ka lua? Ua manaʻo paha ʻoe he kopa a i ʻole kekahi mea i loko o ka wai. ʻO kaʻoiaʻiʻo, ua hoʻokumu pinepine ʻia e kahi bacteria i kapa ʻia ʻo Serratia marcescens. Akā, mai hopohopo, ma ka home, ʻaʻole ia e hoʻopilikia nui i ke kanaka olakino. Eia nō naʻe, ma nā wahi e like me nā haukapila, ʻoi aku hoʻi no ka poʻe me nā ʻōnaehana pale nāwaliwali, hiki i kēia bacteria ke lilo i mea weliweli iki a hiki ke hoʻoulu i nā maʻi like ʻole. E kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku.

He aha ka Serratia marcescens?

I ka ʻōlelo maʻalahi, ʻo Serratia marcescens kahi ʻano bacteria i loaʻa pinepine ʻia i ke kaiapuni. Loaʻa lākou ma nā wahi he nui, e like me ka lepo, ka wai, nā mea kanu, a me nā holoholona. Makemake nui lākou i nā wahi pulu. E like me kaʻu i ʻōlelo ai ma mua, hiki iā ʻoe ke ʻike i kēia ʻili poni i loko o kou lumi ʻauʻau, lua, a malia paha i loko o ke kīʻaha wai o kāu holoholona. ʻO ke kumu o kēia, ʻo ia ka hana ʻana o kēia bacteria i kahi pigment ʻulaʻula i kapa ʻia ʻo `(Prodigiosin)`.

E noʻonoʻo i kēia ʻano, ua like kēia bacteria me kahi malihini liʻiliʻi a ʻike ʻole ʻia. Aia ia ma nā wahi āpau o ke kaiapuni, akā hoʻomaʻi wale ia iā mākou i nā manawa kūikawā.

I ka hapanui o nā hihia, ʻaʻole i hoʻopilikia ʻia ka poʻe me ka ʻōnaehana pale olakino e kēia bacteria i loko o ko lākou wahi noho. Eia naʻe, ʻaʻole kēia manaʻo ʻaʻole pono mākou e hoʻolohe i ka maʻemaʻe. He mea nui loa ka mālama ʻana i nā wahi e like me nā lumi ʻauʻau a me nā lua i ka maʻemaʻe i nā manawa a pau.

No laila pehea lā e hiki ai i kēia ke hoʻoulu i ka maʻi, ʻoiai hoʻi ma nā haukapila?

Eia ke kumu nui. ʻIke pinepine ʻia nā maʻi Serratia marcescens ma nā haukapila. Kāhea mākou i kēia mau maʻi nosocomial. ʻO ia hoʻi, nā maʻi i loaʻa i loko o ka haukapila i ʻike ʻole ʻia i ka wā i komo ai.

E noʻonoʻo i kēia: ʻO ka hapa nui o nā maʻi ma kahi haukapila ua nāwaliwali nā ʻōnaehana pale. Eia kekahi, ma muli o ke ʻoki kino a me nā paipu i hoʻokomo ʻia i loko o ke kino (nā catheters, nā paipu hanu, a me nā mea ʻē aʻe), ʻoi aku ka nui o ka bacteria e komo i loko o ke kino. I loko o ia mau kūlana e lilo ai nā bacteria e like me Serratia marcescens i mea hana.

ʻO kekahi pilikia nui me kēia bacteria, hiki iā ia ke kū'ē i nā antibiotics a mākou e hāʻawi ai. ʻO ke ʻano kēia, ʻaʻole paha e hana nā lāʻau lapaʻau i hāʻawi pinepine ʻia no nā maʻi bacteria ma kēia bacteria. ʻOi aku ka paʻakikī o ka mālama ʻana.

He aha nā pilikia olakino e hiki ai i ka Serratia marcescens ke hana?

Hiki i kēia bacteria ke hoʻopilikia i nā ʻāpana like ʻole o ke kino a hoʻoulu i nā maʻi like ʻole.

• Nā maʻi ʻōpū hanu: ʻO kahi laʻana o kēia ka niumonia.
• Nā maʻi ʻōpū mimi (UTI):He kiʻekiʻe loa kēia pilikia no ka poʻe me kahi catheter Foley.
• Nā maʻi maka: No ka laʻana, nā kūlana e like me ka mumū o ka cornea (keratitis). I kekahi manawa, hiki ke hana ʻia kēia mau mea ma muli o ke kau ʻana i nā aniani hoʻopili lepo.
• Nā maʻi ʻeha: Hiki i kēia bacteria ke hoʻopili i nā wahi e like me nā ʻeha ʻoki a me nā kuni.
• Nā maʻi ʻōpū: Nā kūlana e like me ka mumū o ka uhi o ka lua ʻōpū (peritonitis).
• Ka maʻi o ka lolo a me ke kaula kuamoʻo: Ua kapa ʻia kēia he meningitis. He maʻi koʻikoʻi iki kēia.
• Nā maʻi iwi ('Osteomyelitis').
• ʻO ka mumū o ka uhi o loko o ka puʻuwai (endocarditis).
• ʻO ka maʻi kahe koko (`Septicemia`): He kūlana weliweli loa kēia. Hana ʻia ia ke komo ka bacteria i loko o ke koko.

He aha nā hōʻailona o kēia maʻi?

Hiki ke ʻokoʻa nā hōʻailona ma muli o kahi i loaʻa ai ka maʻi, akā aia kekahi mau hōʻailona maʻamau:

• kuni
• Haʻalulu ma muli o ke anu
• Manaʻo luhi loa (`Lethargy`)

Ma muli o ke kahua kiko'ī o ka ma'i, hiki i nā hō'ailona ke komo pū:

• Nā maʻi ʻōpū hanu: paʻakikī ka hanu ʻana, ka ʻūlū, i kekahi manawa me ka phlegm pink, ʻeha ka umauma.
• Nā maʻi maka: Nā maka ʻulaʻula, nā maka waimaka, ʻeha maka, paʻakikī ke nānā aku i ka mālamalama.
• Nā maʻi ʻōpū mimi: ʻEha, ʻeha i ka wā mimi, mimi pinepine, a i kekahi manawa mimi ʻulaʻula.
• Meningitis: ʻEha poʻo nui, ʻāʻī ʻoʻoleʻa , luaʻi, ʻike i ka mālamalama, huikau.

Pehea e loaʻa ai i ke kanaka ka maʻi Serratia marcescens?

ʻO ka hapa pinepine, ua laha kēia mau maʻi ma nā haukapila a i ʻole nā ​​​​​​hale mālama lōʻihi. Aia kekahi mau ala e hiki ai i ka bacteria ke laha:

• Mai kekahi kanaka a i kekahi kanaka: ʻOi aku hoʻi mai nā lima o nā limahana mālama ola, inā lākou e hoʻopā i nā mea maʻi me ka holoi pono ʻole i ko lākou mau lima.
• Mai nā lako lapaʻau i haumia ʻia.
• Ma o nā mea lapaʻau i hoʻokomo ʻia i loko o ke kino: No ka laʻana, ma o nā mea e like me ka Foley catheter, ka ʻōmole hanu, a i ʻole ka IV cannula.
• I kekahi mau hihia, hiki i ka hoʻohana ʻana i nā aniani hoʻopili lepo ke hana i nā maʻi maka.

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

ʻOi aku ka nui o ka loaʻa ʻana o kēia maʻi Serratia marcescens i kekahi poʻe. ʻO lākou kēia:

• ʻO nā kānaka me nā ʻōnaehana pale kino nāwaliwali: e like me nā poʻe maʻi HIV/AIDS, nā mea i loaʻa i ka hoʻoili ʻana o nā kino, a me ka poʻe e mālama ʻia ana i ka maʻi kanesa.
• Nā maʻi kanesa.
• ʻO nā kānaka me ka maʻi diabetes (ʻO ka maʻi diabetes mellitus).
• ʻO ka poʻe e hoʻohana ana i nā mea lapaʻau i hoʻokomo ʻia i loko o ke kino (e like me nā ʻōmole hanu, nā ʻōmole hānai, nā catheters urinary) no ka manawa lōʻihi.
• ʻO ka poʻe e loaʻa ana i ka mālama maʻi lōʻihi ma kahi haukapila a i ʻole kahi keʻena mālama ola ʻē aʻe.
• ʻO ka poʻe i lawe i nā lāʻau antibiotic no ka manawa lōʻihi, a i ʻole ka poʻe e hoʻohana pinepine iā lākou (hiki i kēia ke pepehi i nā bacteria maikaʻi i loko o ke kino a ʻae i nā bacteria ʻino e ulu).
• ʻO ka poʻe e hoʻokomo i nā lāʻau lapaʻau ma o ka intravenous e piʻi aʻe ka pilikia o ka hoʻomohala ʻana i kēia mau maʻi.

Hiki i kēia ke hoʻoulu i nā pilikia koʻikoʻi?

ʻAe, ʻo ka maʻi Serratia marcescens, ʻoiai inā komo ia i ke koko (septicemia), hiki ke hana i nā pilikia koʻikoʻi. ʻO nā mea nui:

• Sepsis: He pane koʻikoʻi kēia o ke kino i kahi maʻi. Hiki iā ia ke hoʻoweliweli i ke ola.
• Pūʻiwa: He kūlana kahi e hāʻule ai ke koko i lalo loa, e hopena ai i ka lawa ʻole o ke koko i nā ʻōkana o ke kino.
• Ka hemahema o ke kino: ʻO nā kino koʻikoʻi e like me nā puʻupaʻa, nā māmā, a me ke akepaʻa e oki paha i ka hana.

ʻO ia ke kumu he mea nui e ʻimi koke i ke kōkua lapaʻau inā manaʻo ʻoe he maʻi e like me kēia.

Pehea e ʻike pololei ai nā kauka i kahi maʻi Serratia marcescens?

Ma muli o kāu mau hōʻailona a me ka ʻāpana o kou kino kahi āu e manaʻo ai ua loaʻa iā ʻoe ka maʻi, e kauoha kāu kauka i nā hoʻokolohua e hōʻoia inā loaʻa iā ʻoe kahi maʻi Serratia marcescens. ʻO ka maʻamau, pili kēia i ka lawe ʻana i kahi hāpana mai kahi i loaʻa i ka maʻi a hoʻoulu ʻia i loko o kahi keʻena hoʻokolohua. Penei e hiki ai ke ʻike ʻia ka bacteria.

Hiki iā ʻoe ke lawe i nā laʻana penei:

• Sputum: Huhu mai loko mai o nā māmā.
• Koko.
• Mimi.
• He ʻāpana wai a ʻiʻo paha i lawe ʻia mai kahi ʻeha.
• ʻO ka wai Cerebrospinal (CSF): Hana ʻia kēia hoʻāʻo inā kānalua ʻia ka meningitis.

Ke ʻike ʻia ka bacteria ma o kēia hoʻāʻo "moʻomeheu", hana ʻia nā hoʻokolohua e ʻike ai i ka antibiotic kūpono nona (hoʻāʻo ʻana i ka ʻike antibiotic).

Pehea e mālama ai i ka Serratia marcescens?

Hoʻōla ʻia nā maʻi Serratia marcescens me nā antibiotics . Eia nō naʻe, e like me kaʻu i ʻōlelo ai ma mua, no ka mea ua kūpaʻa kēia bacteria i kekahi mau antibiotics, pono nā hoʻokolohua hoʻokolohua e hoʻoholo pono i nā lāʻau lapaʻau i ʻoi aku ka maikaʻi e kūʻē i kēia ʻano bacteria.

I kekahi manawa, pono e hāʻawi pū ʻia kekahi mau ʻano antibiotic e kāohi i ka maʻi. ʻOkoʻa ka lōʻihi o ka lāʻau lapaʻau ma muli o ke ʻano a me ke koʻikoʻi o ka maʻi. He mea nui e lawe i ka lāʻau lapaʻau no ka papa hana piha i kuhikuhi ʻia e kāu kauka, ʻoiai inā e emi ana kāu mau hōʻailona.

Āhea wau e ʻike ai i kaʻu kauka?

Inā he maʻi ʻoe ma ka haukapila, a i ʻole ua hoʻokuʻu ʻia mai ka haukapila mai, a ʻike ʻoe i kekahi mau loli ʻē i kou kino a i ʻole nā ​​​​hōʻailona o ka maʻi (e like me ke kuni, ka ʻeha, ka puʻuwai wikiwiki, ka luhi nui), he mea nui loa ia e hoʻomaopopo koke i kāu hui lapaʻau.

ʻO ʻoe ka mea i ʻike maikaʻi loa i kou kino. Inā manaʻo ʻoe ʻaʻole pololei kekahi mea, ʻoiai inā ʻaʻole maopopo i nā poʻe ʻē aʻe i kēlā manawa, e ʻōlelo pono.

Hiki i ka ʻike mua ʻana a me ka mālama ʻana ke pale i ka lilo ʻana o ka maʻi i mea koʻikoʻi.

He aha kaʻu e manaʻo ai inā loaʻa iaʻu kēia maʻi?

ʻO ka mea āu e kū ai me kahi maʻi Serratia marcescens e hilinaʻi nui ʻia ma kahi o ke kino i loaʻa ai ka maʻi a me nā kūlana olakino ʻē aʻe (comorbidities) āu i loaʻa ai.

Eia kekahi laʻana, hiki ke mālama pono ʻia a ho'ōla ʻia nā maʻi ʻōpū mimi (UTI). Eia nō naʻe, inā ua komo ka bacteria i loko o ke koko (septicemia), he maʻi koʻikoʻi loa ia.

ʻO ka mea nui loa, ʻo ia ka lawe ʻana i nā lāʻau lapaʻau a pau a kāu kauka e kuhikuhi ai, ma ke ʻano kūpono, no ka lōʻihi o ka manawa. Mai hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau ʻoiai inā ʻoe e manaʻo nei ua ʻoi aku ka maikaʻi. ʻO ka hana ʻana pēlā e hiki ai ke hoʻi hou mai ka maʻi a i ʻole e kūʻē ka bacteria i ka antibiotic.

Hiki ke pale ʻia nā maʻi Serratia marcescens?

ʻAe, aia nā hana palekana a me ka hoʻomaʻemaʻe ʻana a nā limahana olakino e hahai ai e pale aku i kēia ʻano maʻi i loaʻa i ka haukapila. ʻO kēia mau mea:

• E holoi pinepine i kou mau lima a holoi pono.
• Ka hoʻomaʻemaʻe pinepine ʻana i nā ʻili i loko o ka haukapila me nā lāʻau disinfectant.
• ʻO ke kuhikuhi ʻana i nā antibiotics no nā maʻi bacteria wale nō a me ka hoʻēmi ʻana i kā lākou hoʻohana pono ʻole.
• Ka sterilization kūpono o nā lako lapaʻau.
• Ke hoʻokaʻawale ʻana i nā maʻi me nā maʻi e like me Serratia marcescens e pale aku iā lākou mai ka laha ʻana i nā poʻe ʻē aʻe.

Hiki iā ʻoe ke kōkua i ka pale ʻana i kēia mau maʻi:

• E holoi pinepine i kou mau lima, ʻoiai inā ʻoe e mālama ana i kahi kanaka me ka ʻōnaehana pale nāwaliwali a i ʻole kekahi i noho hou nei i ka haukapila.
• Inā he mea lapaʻau kāu i hoʻokomo ʻia i loko o kou kino, e like me ka catheter, e nīnau i kāu kauka i ka lōʻihi o kou mālama ʻana iā ia i loko. ʻO ka waiho ʻana i kēia mau mea i loko no ka manawa lōʻihi pono ʻole e hoʻonui i ka pilikia o ka maʻi.

ʻO ka mea hope loa, pono wau e ʻōlelo

Hoʻoikaika nui nā limahana mālama ola e mālama i nā haukapila a me nā hale mālama lōʻihi e like me ka hiki. Eia nō naʻe, i kekahi manawa, hiki i nā bacteria e like me Serratia marcescens ke hoʻoulu i nā maʻi i loaʻa i ka haukapila. ʻOiai he maʻalahi ka mālama ʻana i kekahi mau maʻi, hiki i kekahi ke koʻikoʻi.

Inā he hopohopo, kānalua, a nīnau paha kāu a i ʻole kekahi mea aloha e pili ana i ka maʻi Serratia marcescens, mai kānalua e kamaʻilio me ke kauka e pili ana i ia mea. E hiki iā lākou ke pane i kāu mau nīnau a pau.

ʻO ka mea nui loa, ʻo ia ka mālama ʻana i kou olakino.

ʻO Serratia marcescens, nā maʻi bacteria, nā maʻi nosocomial, ke kū'ē ʻana i ka antibiotic, maka ʻulaʻula, UTI, pneumonia