Hele mākou a pau i ka haukapila e mālama ʻia no kahi maʻi. Akā i kekahi manawa, ʻoiai mākou i loko o ka haukapila, hiki iā mākou ke loaʻa i nā maʻi ʻē aʻe. Kāhea mākou i kēia mau maʻi i loaʻa i ka haukapila . He mea maʻamau nā maʻi fungal i waena o kēia mau mea. ʻOiai hiki ke ho'ōla ʻia ka hapa nui o nā maʻi fungal , i kēia lā ke kamaʻilio nei mākou e pili ana i kahi ʻano fungus hou i ʻike ʻia nei a he paʻakikī ke kāohi me nā lāʻau lapaʻau. ʻO ia ʻo Candida auris.
I ka ʻōlelo maʻalahi, he aha ʻo Candida auris?
ʻO Candida auris, i ʻike ʻia hoʻi ʻo C. auris, he ʻano hū ia no ka ʻohana Candida o nā fungi. Ua lohe paha ʻoe iā Candida. Nui nā ʻano Candida e noho palekana ana ma ko mākou ʻili, i loko o ko mākou waha, a i loko o ko mākou ʻōpū. Akā i kekahi manawa, ke ulu nui lākou, hiki iā lākou ke hoʻoulu i nā maʻi. No ka laʻana, hiki i nā wahine ke loaʻa i nā maʻi hū vaginal.
Eia nō naʻe, ʻaʻole like ʻo C. auris me nā ʻano Candida ʻē aʻe. He fungus hou ia. Ua ʻike mua ʻia i ka makahiki 2009. Hoʻopilikia nui ia i ka poʻe e mālama ʻia nei no nā maʻi ʻē aʻe ma nā haukapila a i ʻole nā hale mālama.
E like me nā ʻano Candida ʻē aʻe, ʻaʻole loaʻa pinepine ʻo C. auris i nā kānaka olakino. Hoʻokumu ʻia kēia maʻi ma muli o ka ʻike ʻia ʻana o ka fungus mai waho mai. ʻO ka pōʻino nui loa, ʻo ia ke kūpaʻa ʻana i nā lāʻau antifungal he nui. Inā pālahalaha ka maʻi i ke koko a i ʻole nā ʻōpū o loko, hiki ke make. ʻO ka ʻoiaʻiʻo, ma kahi o hoʻokahi o ʻekolu mau kānaka e loaʻa ana i kēia maʻi koʻikoʻi C. auris e make .
ʻO wai ka mea i pilikia nui i ka hoʻomohala ʻana i kēia?
ʻAʻole paha e loaʻa i ke kanaka olakino maikaʻi kēia maʻi. He maʻi nosocomial kēia. ʻO ia hoʻi, ua loaʻa ia e kekahi mea e ʻeha nei i kahi maʻi ʻē aʻe. I kēlā manawa, no ka nāwaliwali o ke kūpale ʻana o ko lākou kino, hiki i ka fungus `C. auris` ke ulu maʻalahi a hoʻoulu i ka maʻi.
ʻOi aku ka nui o ka maʻi o ka poʻe me nā kumu pilikia ma lalo nei i ka maʻi ʻia e C. auris.
| Kumu Hoʻopilikia | He wehewehe maʻalahi |
|---|---|
| Loaʻa kahi Catheter Venous Waena | He ʻōmole i hoʻokomo ʻia i loko o kahi kīʻaha koko nui ma ka ʻāʻī, ka umauma, a i ʻole ka ʻūhā. |
| Loaʻa kahi catheter urinary | He ʻōmole i hoʻohana ʻia no ke kahe ʻana o ka mimi. |
| Ka hoʻopau ʻana i ka pale ʻana | Nā laʻana: ka mālama ʻana i ke kanesa, ka maʻi HIV, nā lāʻau lapaʻau i lawe ʻia ma hope o ka hoʻoili ʻana o kahi kino. |
| Maʻi diabetes (Diabetes Mellitus) | Nā maʻi diabetes i kāohi ʻole ʻia. |
| Maʻi puʻupaʻa mau loa | Hana ʻino o ka puʻupaʻa. |
| Ka hoʻohana hou ʻana i nā antibiotics a i ʻole anti-fungals | Ua hoʻohana ʻia kēia mau lāʻau lapaʻau i nā lā 30 i hala. |
| Hoʻoili koko a i ʻole Hemodialysis | Ke hāʻawi ʻana i ke koko a i ʻole ka hoʻohana ʻana i ka mīkini e hana i ka hana o nā puʻupaʻa. |
| Ma hope o ka hana ʻoki kino ʻana i hala koke aku nei | Ma hope o ke ʻoki ʻana i loko o nā lā 30 i hala iho nei. |
| Ke loaʻa nei ka lāʻau lapaʻau ma kahi keʻena mālama koʻikoʻi (ICU) | ʻO ka noho ʻana i loko o kahi keʻena kahi e mālama ʻia ai nā maʻi koʻikoʻi. |
ʻĀ, pehea lā e laha ai kēia?
Hoʻolaha nui ʻia ʻo Candida auris ma o ka hoʻopā ʻana .
- Kanaka-i-ke-kanaka: E noʻonoʻo, hiki i kahi limahana o ka haukapila ke loaʻa kēia haʻihaʻi ma ko lākou mau lima a i ʻole nā lole me ka ʻike ʻole. Ke mālama lākou i kahi mea maʻi, hiki iā lākou ke hoʻopili i ka mea maʻi me ka haʻihaʻi.
- Ma o nā mea: Inā ʻoe e hoʻopā i kahi mea i haumia ʻia me ka haʻihaʻi C. auris, hiki iā ʻoe ke loaʻa. Hiki i ka haʻihaʻi ke ola no ka manawa lōʻihi ʻaʻole wale ma nā ʻili paʻakikī e like me nā papaʻaina a me nā ʻūpā puka, akā ma nā ʻūpā koko , nā pepa moe, nā paipu ventilator, a me nā lako lapaʻau ʻē aʻe . ʻO ia ke kumu e laha koke ai mai kekahi mea maʻi a i kekahi ma kahi haukapila a hale mālama paha.
Ma muli o kēia laha maʻalahi, hiki ke loaʻa nā maʻi ahulau C. auris ma nā haukapila a i ʻole nā hale mālama.
He aha nā hōʻailona o kēia?
Ma muli o ka hoʻopili ʻana o C. auris i nā poʻe i loaʻa mua i nā maʻi ʻē aʻe, hiki ke paʻakikī ke hoʻokaʻawale i nā hōʻailona pololei o kēia maʻi. Pili nā hōʻailona i ka ʻāpana o ke kino i loaʻa i ka maʻi. ʻO ka maʻamau, ua like kēia mau hōʻailona me nā maʻi bacteria a i ʻole nā maʻi fungal ʻē aʻe.
Ma keʻano laulā, ʻo nā ʻano maʻi i hiki ke hana ʻia e C. auris:
- ʻO ka maʻi kahe koko - ʻO nā hōʻailona nui o kēia, he kuni a me ke anu.
- ʻO ka maʻi ʻeha - ʻoiai nā ʻeha ʻoki a i ʻole nā ʻeha kuni.
- Maʻi pepeiao
- Maʻi ʻaʻai mimi
- Myocarditis - ka mumū o ka puʻuwai
- Meningitis - ka maʻi o nā membrane e uhi ana i ka lolo.
ʻOiai hiki ke hana ʻia kēia mau hōʻailona e nā maʻi ʻē aʻe, hiki ke ʻōlelo maopopo inā he maʻi C. auris ma hope o nā hoʻokolohua lapaʻau.
Pehea e ʻike ʻia ai kēia a mālama ʻia?
ʻIkepili
ʻO ke ala wale nō e hōʻoia pono ai i ka maʻi C. auris, ʻo ia ke lawe ʻana i kahi hāpana mai kahi ʻāpana kino i manaʻo ʻia (e.g., ke koko, ka mimi, ka pehu mai kahi ʻeha).Hana ʻia kahi hoʻāʻo moʻomeheu . A laila ma ka hale hana e ʻike ʻia ai ka microorganism kikoʻī e hoʻokumu ana i ka maʻi.
Eia nō naʻe, aia kahi pilikia iki ma aneʻi. No ka mea he fungus hou kēia, hiki i nā ʻano hoʻāʻo e kū nei ke kuhi hewa iā C. auris ma ke ʻano he ʻano maʻamau ʻē aʻe o Candida. Inā hana ʻia kēlā, ua lohi paha ka hoʻomaka ʻana i ka lāʻau kūpono.
Lapaʻau
He paʻakikī ka mālama ʻana iā C. auris no ka mea, e like me ka mea i ʻōlelo ʻia ma mua, he kūpaʻa ia i nā lāʻau antifungal he nui.
- I kēia manawa, ʻo ka lāʻau lapaʻau kūpono loa i manaʻo ʻia he papa o nā lāʻau antifungal i kapa ʻia ʻo echinocandins . Hoʻōla ka hapa nui o nā maʻi mai kēia mau lāʻau.
- Eia nō naʻe, kūʻē kekahi mau ʻano o C. auris i nā lāʻau lapaʻau he nui. I ia mau hihia, pono nā kauka e hoʻohui i nā lāʻau antifungal like ʻole, i kekahi manawa i nā dosis kiʻekiʻe loa. No ka mea, ʻaʻohe protocol lapaʻau kikoʻī no ia mau hihia, hoʻoholo ke kauka i ka lāʻau lapaʻau i kūpono loa no kēlā me kēia maʻi.
ʻO ka mea nui loa: Pehea e pale ai iā ʻoe iho mai kēia? (Ka pale ʻana)
Wahi a nā loea , ʻoi aku ka maikaʻi o ka pale ʻana i ka laha ʻana o kēia maʻi ma mua o ka mālama ʻana . Inā ʻoe e kipa aku ana i kekahi ma ka haukapila a i ʻole ka hale mālama maʻi, e makaʻala hoʻi i kēia mau mea.
- E holoi pinepine i kou mau lima: E hoʻomaʻemaʻe i kou mau lima me ke kopa a me ka wai a i ʻole kahi mea hoʻomaʻemaʻe lima i loaʻa ka waiʻona. ʻO kēia ka mea nui loa.
- Ka mālama ʻana i ke kaiapuni maʻemaʻe: He mea nui loa i nā limahana o ka haukapila e hoʻomaʻemaʻe pono i nā ʻili a me nā lako lapaʻau i loko o ka lumi o ka mea maʻi.
Inā ua ʻike ʻia kahi maʻi me ka maʻi C. auris, e hana ka haukapila i nā hana kūikawā e pale aku ai i ka laha ʻana.
- Ke hoʻoili nei i ka mea maʻi i kahi lumi kaʻawale e hōʻemi i ka launa pū ʻana me nā mea maʻi ʻē aʻe.
- Pono nā limahana lapaʻau e mālama ana i ka mea maʻi a me nā malihini e ʻaʻahu i nā lole pale kūikawā a me nā mīkina lima.
- Ke hoʻohana nei i kahi mea hoʻomaʻemaʻe disinfectant ʻokoʻa a ʻoi aku ka ikaika ma mua o ka maʻamau e hoʻomaʻemaʻe i ka lumi o ka mea maʻi a me nā lako.
- E aʻo i nā ʻohana a me nā limahana e launa pū ana me ka mea maʻi e holoi pono i ko lākou mau lima ma hope o kēlā me kēia kipa ʻana.
Inā he hopohopo a kānalua paha kou a i ʻole kekahi o kou ʻohana e pili ana i kēia maʻi 'Candida auris', e ʻoluʻolu e kamaʻilio me kāu kauka a i ʻole ke limahana lapaʻau ma ka haukapila e pili ana i ia mea.
Leka Lawe-Home
- He maʻi fungal koʻikoʻi ʻo Candida auris, kūpaʻa i ka lāʻau lapaʻau e hiki ke laha ma nā wahi mālama ola e like me nā haukapila a me nā hale hānai.
- ʻO ka mea nui, hoʻopilikia kēia i nā poʻe maʻi i hoʻonāwaliwali ʻia ko lākou pale ʻana e nā maʻi ʻē aʻe, ʻaʻole i nā poʻe olakino.
- Hola koke ia ma o ka launa pū ʻana me ka poʻe i loaʻa i ka maʻi a me nā ʻili i haumia ʻia a lākou i hoʻohana ai.
- ʻO ka holoi pono ʻana i kou mau lima pinepine ke ala maʻalahi a koʻikoʻi hoʻi e pale ai i ka laha ʻana o kēia maʻi.
- Inā he mau hopohopo kāu e pili ana i kahi mea aloha i hoʻopaʻa ʻia ma ka haukapila, he mea nui e kamaʻilio ākea e pili ana i ia mea me ke kauka a i ʻole nā limahana e mālama ana iā lākou.
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