Ua loaʻa anei iā ʻoe kahi maʻi ʻōpū mimi , a i ʻole e like me kā mākou e ʻike nei, he maʻi ʻōpū mimi ( UTI )? He ʻike maʻamau loa kēia, ʻoiai no nā wahine. Hoʻomaka ia me kahi ʻoluʻolu iki, ka makemake pinepine e mimi, a me kahi ʻano wela i ka wā e mimi ai. ʻAʻole nui ka poʻe e nānā nui iā ia. Manaʻo lākou, "E inu hou i ka wai a e maikaʻi." Akā, ua ʻike anei ʻoe inā ʻaʻole mālama pono ʻia kahi maʻi mimi, ka mea i manaʻo ʻia he maʻamau, hiki ke lilo i maʻi koʻikoʻi e hiki ke hoʻoweliweli i ke ola? ʻO kēlā ʻano weliweli ka mea a mākou e kapa nei ʻo Urosepsis i ka lāʻau lapaʻau.
I ka ʻōlelo maʻalahi, he aha ʻo Urosepsis?
He mea maʻalahi loa kēia e hoʻomaopopo. E noʻonoʻo, ua komo kahi maʻi bacteria a fungal paha i loko o kāu ʻōnaehana mimi. Kāhea mākou i kēia he maʻi urinary tract (UTI). ʻO ka maʻamau, ke loaʻa kēia maʻi i loko o ka ʻōpū mimi, kapa mākou ia he cystitis . Inā ʻaʻole ʻoe e loaʻa koke i ka lāʻau lapaʻau, hiki i kēia mau germs infectious ke hele i luna o ka urethra a laha i kou mau puʻupaʻa . Kāhea mākou i kēia he pyelonephritis .
ʻO kēia ke kahua weliweli loa. Ke pālahalaha ka maʻi i nā puʻupaʻa, komo nā germs i loko o ke koko a hoʻomaka e laha ma ke kino holoʻokoʻa. I ka pane ʻana, hoʻomaka ka ʻōnaehana pale o ko mākou kino i kahi hakakā nui. Akā i ka wā e koʻikoʻi ai kēia hakakā, hoʻomaka ia e hōʻino i ko mākou mau kino ponoʻī. ʻO ia ka mea a mākou e kapa nei he sepsis .
ʻO Urosepsis kahi maʻi i kapa ʻia ʻo sepsis i hoʻokumu ʻia e ka maʻi ʻaʻai urinary (Uro-).
Ke lilo ka sepsis i mea koʻikoʻi, hiki iā ia ke alakaʻi i kahi kūlana i kapa ʻia ʻo septic shock . ʻO kēia ka wā e hāʻule ai ke koko i lalo loa, e hōʻeha ana i nā ʻōpū nui e like me ka puʻuwai, nā māmā, a me nā puʻupaʻa, a hiki i ka make. ʻOiai ka hapa nui o ka poʻe e hoʻōla ana mai ka sepsis maʻamau, ʻo ka nui o ka make ʻana o ka septic shock a hiki i ka 40%. No laila, ʻaʻole kēia he mea e lawe māmā ʻia.
Pehea e ʻike pono ai i nā hōʻailona?
ʻAʻole hiki koke mai nā hōʻailona o ka urosepsis. Hele mai lākou ma nā pae. ʻO nā hōʻailona mua, ʻo ia nā hōʻailona o ka maʻi mimi maʻamau. E nānā kākou i ka papa ma lalo nei e hoʻomaopopo pono i kēia.
| Nā pae o ka maʻi | Nā hōʻailona e manaʻo ʻia |
|---|---|
| 1. Ka maʻi ʻōpū mimi (Cystitis) |
|
| 2. Ka maʻi i pālahalaha i nā puʻupaʻa (Pyelonephritis) | |
| 3. Ke kūlana Sepsis | |
| 4. Sepsis Koʻikoʻi / Septic Shock |
Āhea ʻoe e ʻimi koke ai i ke aʻo lapaʻau?
ʻAʻole hiki ke mālama ʻia ʻo Urosepsis ma ka home. He pilikia olakino ia.
Inā manaʻo ʻoe he maʻi ʻaʻai mimi kou a ʻaʻole ia e nalowale ma hope o ka mālama ʻia ʻana,ʻOiai inā loaʻa iā ʻoe ke kuni, ke anu, ka hanu wikiwiki, a i ʻole ka huikau , e hele koke i ka Emergency Treatment Unit (ETU) o ka haukapila me ka hoʻokaʻulua ʻole.
Hiki ke ulu pinepine kēia ʻano i nā poʻe maʻi i ka haukapila. Akā, ʻaʻole pono ia e like me ia. Hiki i kekahi ke ulu i kēia ʻano mai kahi maʻi ʻōpū mimi i mālama ʻole ʻia.
Pehea e mālama ʻia ai?
I ke ʻano o ka urosepsis, he mea nui ka manawa. No kēlā me kēia hola e hoʻopaneʻe ʻia ai ka mālama ʻana, e emi ana ka manawa ola o ka mea maʻi ma kahi o 8%. ʻO ia ke kumu e hoʻomaka ai nā kauka i ka mālama ʻana i loko o hoʻokahi hola o ka hōʻoia ʻana i ka hōʻailona.
ʻO nā ʻano lapaʻau nui:
- Nā lāʻau antibiotic: Ke hoʻouna ʻia nā laʻana mimi a me ke koko no ka hoʻāʻo ʻana, hāʻawi koke ʻia nā lāʻau antibiotic ikaika ma o ka intravenous (IV) e pepehi i nā germs e hoʻoulu ai i ka maʻi. ʻO ka maʻamau, hoʻohana ʻia nā lāʻau lapaʻau e like me `(Piperacillin)`, `(Third-generation cephalosporins)` a i ʻole `(Fluoroquinolones)`.
- Mālama Kākoʻo:
- Nā Wai Intravenous (IV Fluids): Hāʻawi ʻia nā nui o nā wai, e like me ka saline, e hoʻopaʻa i ke koko a mālama i nā pae wai i loko o ke kino.
- Nā Vasopressors: Inā hāʻule ke koko i lalo loa, hāʻawi ʻia nā lāʻau lapaʻau e like me `(Norepinephrine)` e kaohi iā ia.
- Oxygen: Hāʻawi ʻia ka oxygen inā pilikia ka hanu ʻana.
- Ke mālama ʻana i ke kumu kumu: I kekahi manawa, hiki ke loaʻa kēia maʻi ma muli o kahi ālai ʻana i ke ala mimi, e like me ka pōhaku puʻupaʻa. I ia mau hihia, hana koke ʻia ka mālama ʻana, e like me ka wehe ʻana i ka pōhaku a i ʻole ke kau ʻana i kahi stent e pale aku i ka ālai ʻana.
Pehea lā e hiki ai iā kākou ke pale aku iā kākou iho mai kēia kūlana weliweli?
ʻO ke ala maikaʻi loa a me ke ala hoʻokahi e pale aku ai i ka urosepsis, ʻo ia ke ʻimi i ka lāʻau lapaʻau kūpono i ka wā e ulu ai kahi maʻi urinary tract.
Inā loaʻa iā ʻoe nā hōʻailona o ka maʻi mimi, mai manaʻo wale, "E nalo wale kēia." ʻAʻole e ho'ōla ka inu wai wale ʻana. E ʻike koke i kāu kauka. E lawe i nā lāʻau antibiotic āna i kuhikuhi ai no ka manawa piha i kuhikuhi ʻia. Mai ho'ōki i ka lawe ʻana iā lākou no ka mea ua maikaʻi kou manaʻo. ʻO ka hana ʻana pēlā e hiki ai ke hoʻonui i ka maʻi a holomua i Urosepsis.
Leka Lawe-Home
- He maʻi koʻikoʻi ʻo Urosepsis, a he mea hoʻoweliweli paha ia i ke ola i ka wā e laha ai kahi maʻi ʻaʻai mimi (UTI) i mālama ʻole ʻia ma o nā puʻupaʻa a i loko o ke koko.
- Inā hele pū nā hōʻailona maʻamau o ka maʻi mimi (ka wela, ka mimi pinepine) me ke kuni, ka ʻūlū, ka huikau, a me ka hanu wikiwiki, hiki iā ia ke lilo i hōʻailona weliweli.
- Inā loaʻa iā ʻoe kēlā mau hōʻailona, pono ʻoe e hele koke i ka Emergency Treatment Unit (ETU) o ka haukapila me ka ʻole e kali ma ka home.
- ʻO ke ala maikaʻi loa e pale aku ai i ka urosepsis, ʻo ia ke ʻike ʻana i ke kauka i ka wā mua loa o ka maʻi mimi a loaʻa ka lāʻau lapaʻau piha.
Urosepsis, Maʻi ʻAla Mimi, UTI, Sepsis, Septic Shock, Maʻi Pūpū, Pyelonephritis
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