E kahaha paha ʻoe i ka ʻike ʻana he mau triliona o nā bacteria e noho ana i loko o ko kākou kino. He ʻoiaʻiʻo nō. Noho kēia mau bacteria ma nā wahi e like me ko kākou ʻōpū a me nā ʻōnaehana hānau keiki. Hana ka hapa nui o lākou i nā mea maikaʻi, e like me ke kōkua ʻana iā kākou e hoʻoheheʻe i ka meaʻai a kākou e ʻai ai a hoʻohuli i ko kākou ʻano. Akā i kekahi manawa, hiki i kekahi o kēia mau bacteria ke hoʻopilikia nui iā kākou. I kēia lā e kamaʻilio kākou e pili ana i kekahi ʻano bacteria.
He aha nā Enterococci?
I ka ʻōlelo maʻalahi, ʻo ka enterococci kahi hui o nā bacteria e noho maʻamau i loko o ko kākou ʻōpū. ʻO ka ʻoiaʻiʻo, hiki ke loaʻa iā lākou i loko o nā ʻōpū o aneane nā holoholona āpau ma ka Honua. ʻOiai he ʻoi aku ma mua o 17 mau ʻano i loko o kēia hui, he kakaikahi wale nō nā ʻano e hoʻoulu ai i nā maʻi i loko o ke kanaka. ʻO kēia mau mea, ʻelua mau mea nui:
- ʻO Enterococcus faecalis (E. faecalis)
- Enterococcus faecium (E. faecium)
ʻO ka pilikia nui me kēia mau maʻi bacteria, he paʻakikī loa lākou e mālama. ʻO ke kumu, ʻaʻole hiki ke pepehi maʻalahi ʻia kēia mau bacteria e nā antibiotics maʻamau. I nā huaʻōlelo ʻē aʻe, ua kūpaʻa loa lākou i nā lāʻau lapaʻau .
Pehea e hiki mai ai kēia maʻi?
ʻO ke ʻano maʻamau o ka maʻi enterococcal i loko o ke kanaka, ua hoʻokumu ʻia e kahi bacteria i kapa ʻia ʻo Enterococcus faecalis. He mea kūikawā kēia bacteria no ka mea hiki iā ia ke ola i nā ʻano kūlana kaiapuni like ʻole, me ka wela nui a me ke anu. Ma waho aʻe o ko kākou mau ʻōpū, hiki i kēia bacteria ke noho i loko o ko kākou waha a me nā ʻōpū o nā wahine.
Ma muli o kēia mau hiki kūikawā o kēia bacteria, ʻaʻole hana nā antibiotic he nui i kēia mau maʻi. No ka laʻana, hiki i kēia bacteria ke kū i nā antibiotic he nui:
| Papa lāʻau antibiotic | Nā Laʻana |
|---|---|
| Nā Penicillins | Penicillin, Ampicillin, Amoxicillin |
| Nā Kephalosporins | Kūpaʻa i ka hapa nui o nā cephalosporins. |
| Nā Glycopeptides | ʻO Vancomycin (ʻike ʻia hoʻi ʻo Vancomycin-Resistant Enterococci - VRE) |
He aha nā pilikia olakino e hiki ke hana ʻia e Enterococci?
ʻIke pinepine ʻia kēia mau maʻi bacteria ma nā haukapila. Wahi a nā helu helu, ʻoi aku hoʻi ma nā ʻāina e like me ʻAmelika Hui Pū ʻIa, ua hōʻike ʻia ka nui o nā maʻi urinary tract , nā maʻi ʻeha , nā maʻi koko, a me nā maʻi puʻuwai i kēlā me kēia makahiki ma muli o kēia bacteria. E nānā kākou i kēlā me kēia o kēia mau maʻi ma ke kaʻawale.
| ʻAno o ka maʻi | Ka wehewehe a me nā hōʻailona |
|---|---|
| Nā Maʻi ʻAla Mimi (UTI) | He maʻi ma nā wahi a pau o kou ʻōnaehana mimi (nā puʻupaʻa, ka ʻōpū mimi, ka urethra). ʻOi aku ka pilikia o nā wāhine. Nā hōʻailona: – Pono pinepine e mimi - ʻEha a me ke kuni i ka wā e mimi ai – ʻO ka mimi he ao, ʻulaʻula, poni, a ʻeleʻele paha ʻEha o ka ʻōpū lalo |
| Nā maʻi ʻeha | ʻO ka maʻi ʻana o nā ʻoki, nā ʻōpala, nā nahu holoholona, nā ʻeha i humuhumu ʻia, a me nā mea ʻē aʻe hiki ke hana i loko o 24-72 mau hola. Nā hōʻailona: – Ke kahe nei ka pus mai ka ʻeha – Ke hohola nei i ka ʻulaʻula a puni ka ʻeha - Hoʻonui ʻia ka ʻeha a me ka pehu – Kuni – Nā ʻōpū lymph pehu |
| Ke komo ʻana o ka bacteria i ke koko (Bacteremia) | Hoʻolaha kahi maʻi i loko o ke kino (e like me ka maʻi ʻōpū mimi) i ke kahe koko. He kūlana weliweli loa kēia. Nā hōʻailona: – Ke kuni a me ke anu – Ka luaʻi, ka luaʻi – Paʻakikī ka hanu ʻana, ka wikiwiki o ka puʻuwai – Ka huikau a nalowale paha o ka ʻike |
| ʻO ka maʻi valve puʻuwai (Endocarditis) | Hiki i nā bacteria e laha ana ma ke koko ke hoʻopili i ka uhi o ka puʻuwai a me nā valves o ka puʻuwai, e hana ana i kahi maʻi. He maʻi koʻikoʻi loa kēia. Nā hōʻailona: – Nā hōʻailona o ke anu a i ʻole ka maʻi palū, e like me ke kuni, ka ʻeha kino, a me ka hou ʻana i ka pō – He ʻōhumu puʻuwai hou - Nā puʻupuʻu liʻiliʻi ma nā lima a i ʻole nā wāwae |
Pehea e laha ai kēia bacteria?
Hoʻolaha pinepine nā maʻi E. faecalis ma nā wahi haukapila. ʻO ke kumu nui o kēia, ʻo ia ka nāwaliwali o ka ʻōnaehana pale maʻi o nā maʻi i hoʻokipa ʻia.
ʻO ka hapa pinepine, hoʻolaha ʻia kēia bacteria e nā limahana o ka haukapila. Hiki i kekahi o lākou ke noho i loko o ko lākou ʻōpū me ka ʻole o ka hōʻike ʻana i kekahi mau hōʻailona. Eia kekahi, hiki i kēia bacteria ke laha i nā mea maʻi ma o kekahi mau lako lapaʻau i hoʻohana ʻia ma nā haukapila.
ʻO ia ke kumu he mea nui loa i nā haukapila e mālama pono i nā kaʻina hana hoʻomaʻemaʻe, disinfection, a me sterilization. Ma nā haukapila kahi i hoʻokō pono ʻia ai kēlā mau kaʻina hana, ua haʻahaʻa loa ka pilikia o ka hoʻolaha ʻana i ia mau maʻi.
Pehea e mālama ʻia ai kēia mau maʻi?
E like me kā mākou i ʻōlelo ai ma mua, he paʻakikī ka mālama ʻana i nā maʻi i hoʻokumu ʻia e E. faecalis no ka mea ua kūpaʻa kēia bacteria i nā antibiotics he nui.
No laila, mālama pinepine nā kauka me ka hui pū ʻana o ʻelua ʻano lāʻau. No ka laʻana, hāʻawi ʻia kahi lāʻau e hoʻopilikia i ka paia o nā cell bacteria (e.g., penicillin, ampicillin, vancomycin) me kahi aminoglycoside (e.g., gentamicin, streptomycin).
Eia nō naʻe, ʻo nā kūlana koʻikoʻi, e like me nā maʻi ʻili a me nā maʻi valve puʻuwai (endocarditis), pono paha i kahi hui like ʻole o nā lāʻau lapaʻau. Eia nō naʻe, ʻoi aku ka maʻalahi o ka mālama ʻana i nā kūlana e like me nā maʻi urinary tract (UTIs). Hoʻokahi antibiotic, e like me ka ampicillin, ua lawa paha.
ʻO ka mea nui loa, no ka mea he mau maʻi koʻikoʻi kēia, inā loaʻa iā ʻoe nā hōʻailona e like me kēia, ʻoiai ma hope o ka hoʻokomo ʻia ʻana i ka haukapila, pono ʻoe e ʻike koke i kāu kauka.Mai ho'āʻo e lāʻau ponoʻī. Pono e hoʻoholo ʻia ka lāʻau lapaʻau e ke kauka ma hope o ka nānā ʻana i kou kūlana.
Leka Lawe-Home
- He ʻano bacteria ʻo Enterococci e noho maʻamau i loko o ko kākou ʻōpū, akā i kekahi mau hihia hiki iā lākou ke hana i nā maʻi koʻikoʻi.
- He mea maʻamau kēia mau maʻi i waena o nā poʻe maʻi ma ka haukapila a he paʻakikī ke mālama ʻia no ka mea ua kūpaʻa lākou i nā lāʻau antibiotic he nui.
- Hiki ke loaʻa nā ʻano maʻi like ʻole, mai nā maʻi ʻōpū mimi a me nā maʻi ʻeha a hiki i nā maʻi koko a me ka puʻuwai e hoʻoweliweli ai i ke ola (`Bacteremia`, `Endocarditis`).
- He mea nui loa ka mālama ʻana i nā hana hoʻomaʻemaʻe koʻikoʻi ma nā haukapila no ka pale ʻana i kēia mau maʻi.
- Inā loaʻa iā ʻoe nā hōʻailona e like me ke kuni, ka maʻi ʻeha, a i ʻole ka maʻi ʻōpū mimi, ʻoiai ma hope o ka hoʻokuʻu ʻia ʻana mai ka haukapila, e ʻimi koke i ke kōkua lapaʻau.
ʻEnterococci, Enterococcus faecalis, nā maʻi bacteria, nā maʻi haukapila, ke kū'ē ʻana i nā antibiotic, nā maʻi ʻōpū mimi, nā maʻi ʻeha
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