Ua lohe paha ʻoe i kahi hoahānau a hoaaloha paha i loko o kahi keʻena mālama koʻikoʻi (ICU) e loaʻa ana i kahi "maʻi i loaʻa i ka haukapila"? I kekahi manawa ma muli o kahi ʻano bacteria a mākou e kamaʻilio nei, he kūpaʻa i nā lāʻau lapaʻau he nui a he mea weliweli iki. ʻOiai ʻaʻole kēia bacteria e hoʻopilikia nui i ka poʻe olakino, hiki iā ia ke lilo i mea hoʻoweliweli koʻikoʻi i kahi mea i hoʻokipa ʻia a he nāwaliwali kona ʻōnaehana pale.
He aha maoli ka Acinetobacter baumannii?
I ka ʻōlelo maʻalahi, he ʻano bacteria kēia. Nui lākou i ke kaiapuni, ʻoi aku hoʻi i ka lepo a me ka wai. I loko o nā hoʻokolohua hoʻokolohua, ua hoʻokaʻawale ʻia kēia bacteria he "Gram-negative". ʻO ia hoʻi, he ʻulaʻula kona ʻano ke hoʻoluʻu ʻia me kahi kala. ʻOiai ʻaʻole paha ia he mea nui iā mākou, he mea nui ia i nā kauka.
Akā ʻo ke kumu nui o ko kākou makaʻu ʻana i kēia bacteria, ʻo ia kona hiki ke kūʻē i nā antibiotics . Ua ʻike mākou i ka wā e loaʻa ai iā kākou kahi maʻi bacteria, hāʻawi ke kauka iā mākou i nā antibiotics. Akā, ua loaʻa i kēia bacteria, ʻo Acinetobacter baumannii, nā ala e kūʻē ai i nā antibiotics he nui. Kāhea mākou i kēia he multidrug resistance. Ua like ia me ke kūkulu ʻana i nā ʻano bunkers like ʻole e peʻe ai i ka wā e hiki mai ai kahi ʻenemi. No laila, pono nā kauka e kū i kahi pilikia nui e ho'ōla i nā maʻi i hoʻokumu ʻia e kēia bacteria.
Pehea e laha ai kēia maʻi? ʻO wai ka mea i pilikia nui?
He mea kākaʻikahi loa kēia maʻi bacteria i ka heluna kanaka ma waho o kahi hoʻonohonoho haukapila. Eia nō naʻe, hiki ke loaʻa i kekahi manawa ma waho o kahi hoʻonohonoho haukapila i nā poʻe me ka maʻi diabetes, ka maʻi māmā mau, a i ʻole kahi ʻōnaehana pale kino nāwaliwali.
Akā ʻo ka pilikia nui loa no nā poʻe maʻi i hoʻokipa ʻia i ka haukapila, ʻoiai ka poʻe maʻi loa. E noʻonoʻo i kēia: ʻO ke kanaka i loko o ke kūlana e like me kēia, ʻoi aku ka nui o ka loaʻa ʻana o kēia maʻi:
- ʻO ka poʻe e mālama ʻia ana ma ka Intensive Care Unit (ICU).
- ʻO nā kānaka e pili ana i nā mīkini hanu.
- ʻO nā kānaka me nā catheters urinary a i ʻole nā catheters venous.
- ʻO ka poʻe i noho ma ka haukapila no ka manawa lōʻihi.
- Nā kānaka me nā ʻeha ʻoki hāmama.
ʻO nā ala nui e hiki ai ke laha aku kēia maʻi ma o nā lima o nā limahana o ka haukapila, ma ka hoʻopā ʻana i kahi mea maʻi i loaʻa i ka maʻi, ma o nā kulu liʻiliʻi e komo i ka lewa i ka wā e ʻū ai a kihe paha ka mea maʻi, a ma o nā lako lapaʻau i hoʻomaʻemaʻe pono ʻole ʻia.
Hiki i kēia bacteria ke ola no ka manawa lōʻihi ma luna o nā ʻili e like me nā lako a me nā moena o ka haukapila. ʻO ia ke kumu he mea nui loa nā mea e like me ka maʻemaʻe ma nā haukapila a me ka holoi lima ʻana e nā limahana.
Ua hoʻokomo pū ka World Health Organization (WHO) i kēia bacteria 'Acinetobacter baumannii' i waena o nā bacteria e hoʻoweliweli nui nei i ke kanaka. ʻO ke kumu o kēia, ʻo ia ka hiki kupaianaha ke kūʻē i nā lāʻau antibiotic i ʻōlelo ʻia ma luna.
He aha nā hōʻailona o kēia maʻi?
Aia nā hōʻailona ma ka ʻāpana o ke kino i loaʻa ai ka bacteria. Eia kekahi laʻana, inā loaʻa ka maʻi i nā māmā, ʻaʻohe hōʻailona, akā inā loaʻa ka maʻi i ka lolo, e loaʻa nō.
E wehewehe hou aku kākou i kēia me ka papa ma lalo nei.
| ʻAno o ka maʻi | Ka wehewehe a me nā hōʻailona |
|---|---|
| Ka niumonia i loaʻa i ka haukapila | ʻO kēia ka maʻi maʻamau i hoʻokumu ʻia e kēia bacteria. Hiki ke loaʻa ma nā poʻe ma ka ICU a i ʻole ma nā mīkini hanu. Nā hōʻailona: kuni, paʻakikī ka hanu ʻana, ka puʻuwai wikiwiki, ka ʻeha o ka umauma, a me ke anu. |
| Nā maʻi koko / Sepsis | Komo nā bacteria i loko o ke koko a laha a puni ke kino. He kūlana weliweli loa kēia. I loko o kahi ICU, ʻo ka pilikia o ka make mai ia ʻano maʻi ma kahi o 30%-40%. Nā hōʻailona: Ke kuni nui, ke anu, ka hanu wikiwiki, a me ka huikau. |
| Nā maʻi ʻōnaehana nerve waena | Hiki ke loaʻa ka maʻi meningitis, kahi maʻi o nā membrane e uhi ana i ka lolo, ʻoiai ma hope o ke ʻoki ʻana o ka lolo. ʻO nā hōʻailona e komo pū me ke kuni nui, ka nalowale o ka ʻike, nā ʻeha, ka ʻāʻī ʻoʻoleʻa, ka ʻeha poʻo, a me ka hiki ʻole ke nānā aku i nā kukui ʻālohilohi. |
| Nā maʻi ʻē aʻe | Hiki nō hoʻi ke loaʻa nā maʻi ʻōpū mimi, nā maʻi iwi, nā maʻi ʻili a me nā ʻiʻo palupalu, nā maʻi ʻeha, a me nā maʻi o ka uhi o loko o ka puʻuwai (endocarditis). |
Pehea e mālama ʻia ai kēia?
ʻO kēia ka pilikia nui loa. No ka mea, ua kūpaʻa kēia bacteria i nā lāʻau antibiotic he nui, he mea paʻakikī loa i nā kauka ke koho i kahi lāʻau lapaʻau.
ʻO kēia ka mea maʻamau e hana ʻia:
Ke kānalua kāu kauka i kahi maʻi, e lawe lākou i kahi hāpana (e like me ke koko, ka phlegm, a i ʻole ka wai mai kahi ʻeha) mai kahi i loaʻa i ka maʻi a hoʻouna aku i kahi lab. Ua kapa ʻia kēia he hoʻāʻo "culture".
Akā, he mau lā ka lōʻihi no ka hoʻi ʻana mai o nā hopena o kēlā "(moʻomeheu)". Inā maʻi nui ka mea maʻi, ʻaʻole hiki iā ʻoe ke kali no kēlā mau hopena. No laila, hoʻomaka ke kauka i ka lāʻau lapaʻau ma muli o kāna kuhi maikaʻi loa , ma muli o kona ʻike me nā ʻano bacteria i maʻamau i ka haukapila a me nā lāʻau antibiotic i kūleʻa i kēia manawa.
Ke hiki mai ka hōʻike moʻomeheu i loko o kekahi mau lā, e hōʻike maopopo ana i nā bacteria e hoʻoulu nei i ka maʻi, nā antibiotics e hana ana, a me nā antibiotics ʻaʻole. A laila e hoʻoholo ke kauka inā e hoʻololi a ʻaʻole paha i ka lāʻau i hoʻomaka mua ʻia ma muli o kēlā hōʻike.
I kekahi manawa, kūʻē kēia bacteria i nā lāʻau antibiotic ikaika loa, "hope loa" e like me "carbapenem". I ia mau hihia, lilo ka lāʻau i mea paʻakikī loa. No laila, i ia mau hihia, e waiho wale i ka hoʻoholo no ka lāʻau i kāu kauka.
Leka Lawe-Home
- He maʻi ʻino ka Acinetobacter baumannii i kū i nā ʻano antibiotic he nui a ua laha nui ia ma nā haukapila.
- ʻO ka pilikia nui loa no nā poʻe maʻi maʻi koʻikoʻi i loko o nā keʻena mālama koʻikoʻi (ICU), ka poʻe ma luna o nā mīkini hanu, ka poʻe me nā ʻeha ʻoki, a me ka poʻe me nā ʻōnaehana pale kino nāwaliwali.
- Pili nā hōʻailona i ka ʻāpana o ke kino i loaʻa i ka maʻi (nā māmā, ke koko, ka lolo, a pēlā aku).
- He paʻakikī ka lāʻau lapaʻau a pono e mālama ʻia e kāu kauka ma muli o nā hōʻike hoʻokolohua hoʻokolohua.
- ʻO ke ala maikaʻi loa e pale aku ai i kēia maʻi, ʻo ia ka mālama pono ʻana i nā hana hoʻomaʻemaʻe kūpono ma nā haukapila (ʻoi aku ka holoi lima ʻana e nā limahana).
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