Ua manaʻo paha ʻoe e hiki i kahi bacteria liʻiliʻi i loaʻa i ka lepo a i ʻole i loko o ka wai a puni mākou ke komo i loko o ko mākou kino a hoʻoulu i kahi maʻi koʻikoʻi? I kēia lā e kamaʻilio mākou e pili ana i kahi maʻi i lohe pinepine ʻole ʻia, akā he mea nui loa ia e ʻike. Kāhea mākou i kēia ʻo "Nocardiosis". ʻOiai ke kani ʻē paha ka inoa, ke maopopo iā ʻoe, ʻaʻohe mea e makaʻu ai.
He aha maoli ka Nocardiosis?
I ka ʻōlelo maʻalahi, ʻo ka nocardiosis kahi maʻi i hoʻokumu ʻia e kahi ʻano bacteria i kapa ʻia ʻo *Nocardia* e komo i loko o ko kākou kino. Noho maʻamau kēia bacteria i ko kākou wahi noho, ʻoi aku hoʻi i ka lepo a me ka wai kūpaʻa.
Hoʻomaka mua kēia maʻi i loko o ko kākou mau māmā a i ʻole ka ʻili. Eia nō naʻe, inā ʻaʻole mālama pono ʻia, hiki i kēia bacteria ke hele ma ke kahe koko a laha i nā ʻāpana ʻē aʻe o ke kino, ʻoi aku hoʻi ka lolo, e hoʻoulu ai i nā maʻi koʻikoʻi . No laila he mea nui loa ka makaʻala i kēia.
Pehea i hoʻokumu ʻia ai kēia? ʻElua ʻano nui.
ʻElua ala nui e hiki ai i ka nocardiosis ke komo i loko o ko kākou kino. No laila, ʻelua ʻano o ia mea.
1. Pulmonary Nocardiosis: ʻO kēia ke ʻano maʻamau. Komo kēia bacteria i loko o ko kākou mau māmā ma o ka hanu ʻana i ka lepo mai ka lepo a i ʻole ka mahu wai haumia. Ua like ia me ka hanu ʻana i ka lepo.
2. ʻO ka Nocardiosis ʻili mua: Hana ʻia kēia ke komo ka bacteria i ke kino ma o kahi ʻeha hāmama a i ʻole kahi ʻōpala ma ka ʻili. No ka laʻana, inā loaʻa iā ʻoe kahi ʻōpala liʻiliʻi i ka wā e mahi ana i ka māla a loaʻa ka lepo ma luna, he maʻalahi i ka bacteria ke komo i loko o ke kino.
ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i kēia?
ʻOiai aia kēia bacteria i loko o ke kaiapuni, ʻaʻole i loaʻa i nā kānaka a pau kēia maʻi. ʻO ka maʻamau, ke kaua nei kā mākou ʻōnaehana pale i kēia mau germs a pale iā mākou. Eia nō naʻe, ʻoi aku ka nui o ka pilikia o kekahi poʻe i ka loaʻa ʻana o kēia maʻi.
- ʻO ka poʻe me nā ʻōnaehana pale nāwaliwali: ʻO ka poʻe me nā maʻi e like me ka maʻi diabetes, HIV, a me ke kanesa he haʻahaʻa ko lākou pale ʻana, no laila hiki iā lākou ke loaʻa maʻalahi i kēia maʻi.
- Nā mea i loaʻa i nā hoʻoili kino: ʻO ka poʻe i loaʻa i nā hoʻoili kino a i ʻole ka iwi iwi e pilikia nui ana ma muli o nā lāʻau lapaʻau i hāʻawi ʻia e kāohi i ka ʻōnaehana pale.
- ʻO ka poʻe e lawe ana i kekahi mau lāʻau lapaʻau: ʻO ka poʻe e lawe ana i nā lāʻau lapaʻau ikaika e like me nā steroids no ka manawa lōʻihi e pilikia pū kekahi.
- Nā Kāne: ʻO ka mea kupanaha, ʻekolu manawa ka nui o ka loaʻa ʻana o kēia maʻi i nā kāne ma mua o nā wahine. ʻO nā kāne waena e hana ana ma waho (e laʻa me nā māla, nā mahiʻai, nā limahana kūkulu hale) ka poʻe i pilikia nui.
ʻO ka mea nui, ʻoiai ke kanaka olakino a palupalu i ka pale ʻana o ka maʻi, he liʻiliʻi ka manawa e loaʻa ai kēia maʻi. No laila, he mea nui i nā mea a pau ke makaʻala i nā hōʻailona.
He aha nā hōʻailona o kēia maʻi?
Aia nā hōʻailona i ke ʻano o ka nocardiosis āu. E nānā kākou i ka papa ma lalo nei e hoʻomaopopo pono ai i kēia.
| ʻAno o ka maʻi | ʻĀpana i hoʻopilikia ʻia a me nā hōʻailona |
|---|---|
| Maʻi puʻupaʻa (Pulmonary) | Hoʻohālikelike pinepine nā hōʻailona o kēia me nā hōʻailona o ka maʻi pneumonia a i ʻole ka maʻi tuberculosis.
|
| Ka maʻi ʻili (ʻili) | ʻO ka hōʻailona nui ka hoʻokumu ʻia ʻana o nā abscesses ʻili.
|
| E makaʻala! Inā laha ka maʻi... (Disseminated Nocardiosis) | |
| Inā pālahalaha ia i ka lolo | He kūlana koʻikoʻi loa kēia.
|
Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, mai hoʻonele i ka manawa a e ʻike koke i ke kauka .
Pehea ʻoe e ʻike ai i kēia, e Kauka?
Hiki ke paʻakikī ke hoʻokaʻawale i ka nocardiosis mai nā maʻi ʻē aʻe no ka mea ua like nā hōʻailona o ka maʻi māmā me ka pneumonia, a ua like nā hōʻailona o ka maʻi ʻili me nā maʻi ʻili maʻamau ʻē aʻe.
No laila, no ka hana ʻana i kahi hōʻoia pololei, e hana kāu kauka i kekahi mau hoʻokolohua.
- Hoʻāʻo ʻana i ka laʻana: Lawe ʻia kahi laʻana ʻiʻo a wai paha mai kahi i loaʻa i ka maʻi a hoʻouna ʻia i kahi keʻena hoʻokolohua no ka hoʻāʻo ʻana. I ke ʻano o nā māmā, hiki ke lawe ʻia kahi laʻana o ka mucus, a i ʻole i ke ʻili, hiki ke lawe ʻia kahi ʻāpana liʻiliʻi o ka puʻupuʻu.
- ʻO ke kiʻi X-ray o ka umauma a i ʻole CT scan: Inā aia ka maʻi i loko o nā māmā, e hana ʻia kahi kiʻi X-ray o ka umauma. Pono paha ʻoe i kahi CT scan, hiki ke hāʻawi i kahi kiʻi maopopo a kikoʻī hoʻi.
Aia kekahi lāʻau lapaʻau? Mai hopohopo!
ʻAe! ʻO ka nūhou maikaʻi loa, hiki ke ho'ōla loa ʻia ka nocardiosis me nā antibiotics .
Akā eia ka mea. ʻAʻole hana nā antibiotics āpau i kēia bacteria. No laila, pono kāu kauka e holo i kekahi mau hoʻokolohua lab ma kāu hāpana e ʻike pono ai i ka antibiotic maikaʻi loa iā ʻoe.
Hiki ke loli ka lōʻihi o ka mālama ʻana ma muli o ke koʻikoʻi o ka maʻi. I kekahi manawa hiki ke ho'ōla ʻia i loko o 6 mau pule wale nō. I nā maʻi koʻikoʻi, pono paha ʻoe e lawe i ka lāʻau lapaʻau a hiki i hoʻokahi makahiki.
ʻO ka mea nui loa, ʻo ia ka lawe ʻana i ka lāʻau lapaʻau e like me ke kuhikuhi a ke kauka, me ka ʻole o ka hala ʻana o hoʻokahi lā. Mai hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau i ka hapalua no ka mea ua ʻoluʻolu iki ʻoe.
I kekahi mau hihia, pono paha ke ʻoki liʻiliʻi e wehe i nā abscesses ʻili nui a hoʻokahe paha i ka pus mai o lākou.
Leka Lawe-Home
- ʻO ka Nocardiosis kahi maʻi i hoʻoulu ʻia e nā bacteria i loaʻa i ka lepo a me ka wai.
- Hoʻopilikia nui kēia i nā māmā a me ka ʻili.
- ʻOi aku ka pilikia o ka poʻe me nā ʻōnaehana pale kino nāwaliwali (nā maʻi diabetes, nā maʻi kanesa) a me nā kāne e hana ana ma waho.
- E makaʻala i nā hōʻailona o ka māmā e like me ka niumonia a i ʻole nā ʻōpū ʻili.
- Inā loaʻa iā ʻoe kēia mau hōʻailona, e ʻimi koke i ke kōkua lapaʻau.
- Hiki i nā lāʻau antibiotic ke ho'ōla loa i kēia maʻi. He mea nui e lawe i ka lāʻau i kuhikuhi ʻia e ke kauka no ka manawa piha.
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