Kua pāngia koe e te mamae o te puku i muri i te kai? Tērā pea nā te Bacillus cereus!

Kua pāngia koe e te mamae o te puku, te whakapairuaki, te mate korere rānei i muri tata mai i te kai? I ētahi wā ka whakaaro tātou he tino werawera rawa te kai, kāore rānei i tunua tika. Heoi, ko tētahi hoariri iti, kāore e kitea kei muri i ēnei mea ko te huakita e kiia nei ko Bacillus cereus . I tēnei rā, ka kōrerohia tēnei mea me te taipitopito, me te ngāwari hoki.

He aha tēnei 'Bacillus cereus'?

He kupu whakarāpopoto, he momo huakita iti rawa te 'Bacillus cereus' , ā, ka kitea noa i raro i te karuārai. He mea noa iho ēnei i te taiao. Heoi, ka taea e ēnei huakita te whakaputa i tētahi paitini e mate ai tātou. Koinei te take e raru ai tātou.

Ka pāngia tātou e ēnei momo e rua o te 'Bacillus cereus':

1. Ko te momo e pā ana ki tō pūnaha nakunaku (e kiia ana tēnei ko te 'whekau').

2. Ko te momo e pā ana ki ētahi atu wāhanga o tō tinana (e kiia ana tēnei ko te 'kore-whekau').

Ko te huakita Bacillus cereus te pūtake o te paihana kai , e pā ana ki te pūnaha nakunaku. I te nuinga o te wā, ka pai ake i roto i te rā kotahi, e rua rānei. Heoi, ki te ngoikore tō pūnaha ārai mate , ka nui ake te kino.

Ko ngā mate urutā i puta mai i te Bacillus cereus ehara i te mea nō te puku, kāore nei e pā ana ki te paihana kai, ka nui ake te kino i ētahi wā. Ka tino mōrearea koe mēnā kei a koe ēnei āhuatanga e whai ake nei:

• He ngoikore te pūnaha ārai mate.
• Te whara i puta mai i te pokanga, i ētahi atu aituā rānei.

He aha ngā momo Bacillus cereus e whakararuraru ana i te paihana kai?

E ai ki tā mātou i kōrero ai i mua ake nei, ko te Bacillus cereus te pūtake o te paihana kai, e pā ana ki te pūnaha nakunaku. E rua ngā momo matua o tēnei.

1. Te momo e puta ai te mate korere (`Enterotoxins`, `diarrheal syndrome` rānei)

Ko te mea ka tupu, i muri i tō kai i ngā kai kei roto he huakita, he pua rānei, ka puta te paitini i roto i tō whekau iti . Ko tēnei momo mate, i puta mai i te Bacillus cereus, he mea tino noa i ngā whenua pēnei i Amerika me Ūropi.

Ko ngā tohumate ka puta i waenga i te 6 me te 15 hāora i muri i te kai i te kai poke. Ko ngā kai ka pā mai ai tēnei mate ko:

• Ika
• Ngā hua miraka
• Mīti
• Ngā ranu
• Ngā hupa me ngā wairākau
• Huawhenua

2. Te mate ruaki, te ruaki rānei

Ko te mea ka tupu, kua noho kē te paitini ki roto i te kai i mua i te kainga. Ka pāngia koe e te mate i waenga i te 1 me te 6 hāora i muri i te kai i te kai poke.

Whakaarohia te mea ka tupu mēnā ka waiho e tātou ētahi raihi i tunua i waho i te tina tae noa ki te pō, mēnā rānei ka waiho e tātou ētahi raihi i mauria mai i tētahi pāti i waho, kāore i tukuna ki roto i te pouaka whakamātao. Ko te wā tēnā ka uru mai ai ēnei huakita.Ki te kore te raihi kua tunua e rongoatia tika ki te pouaka whakamātao, ā, ki te waiho kia roa rawa te wā ki te pāmahana rūma, ka tipu pea ēnei huakita, ka whakaputa paitini. Ko te raihi te mea e honoa nuitia ana ki tēnei momo 'Bacillus cereus'. Ehara i te mea koinā anake, engari ko ngā tiihi, me ngā kai māngaro pērā i:

• Rimurapa
• Ngā momo keke
• Rīwai
• Sushi

Ka taea hoki tēnei paihana te puta mai i ngā mea pēnei i:

He mea nui: Ki tā ētahi he whakamate i ēnei huakita mā te whakamahana anō i te kai. He pono, ka mate pea ngā huakita. Heoi, kāore te paitini e whakaputaina ana e rātou e whakangaromia e te whakamahana. Koinei te raruraru!

He aha ngā mate urutā 'Bacillus cereus' kāore e pā ana ki te paihana kai? ('Bacillus cereus kore-whekau')

Ka pāngia ētahi atu wāhanga o te tinana i waho o tō pūnaha nakunaku e tēnei momo mate Bacillus cereus. Ka kitea whānuitia i roto i:

• I roto i ngā kanohi
• Pūnaha manawa
• I roto i ngā patunga

Ka taea e ēnei huakita te noho ki ngā wāhi pēnei i te puehu, ngā tipu, te oneone, me te wai.

Ko wai te mea ka nui ake te tūponotanga ka pāngia e tēnei `Bacillus cereus`?

Ina hoki, ka taea e te tangata katoa, ahakoa te pakeke, te iwi rānei, te pāngia e te paihana kai, e ētahi atu mate rānei e pā ana ki a Bacillus cereus.

Heoi, ka piki ake te mōrearea o te whakawhanake i ngā mate urutā Bacillus cereus kāore i roto i te puku mēnā:

• Mena he pēpi whānau hou.
• Ki te whakamahi tonu koe i tētahi catheter e noho ana i roto i te oko toto.
• Mena he ngoikore tō pūnaha ārai mate.
• Mena he patunga kāore anō kia ora i te pokanga, i tētahi atu aituā rānei.
• Mena he kaiwhakamahi koe i ngā rongoā ā-uaua (IV).

He pēhea te noa o ēnei mate urutā 'Bacillus cereus'?

He tino noa te paihana kai i puta mai i te huakita Bacillus cereus. I te Hononga o Amerika anake, e 63,400 ngā kēhi e pūrongohia ana i ia tau. Whakaarohia te maha o ngā kēhi i roto i tō tātou whenua, inā koa te āhua o tā tātou kai i waho.

Engari he onge ngā mate urutā Bacillus cereus kāore i te puta i te puku (kāore e pā ki te pūnaha nakunaku).

He aha te take e puta ai te paihana kai i te hua o tēnei 'Bacillus cereus'?

I te nuinga o te wā, ka puta tēnei ina kai koe i te kai kua waihotia ki te pāmahana rūma. Ahakoa ka whakamahana anō koe i te kai, ka taea tonu e ia te whakapōrearea i te kai.

Ka whakaputahia e te huakita 'Bacillus cereus' ngā pua, ā, ka tukuna e ēnei pua ngā paitini. Ka tere te whakatipu i ēnei pua i te pāmahana rūma. Ina kai koe i te kai kei roto ēnei pua, ka puta te ruaki, te korere rānei i ngā paitini. Whakaarohia, mēnā ka waihohia he peihana hupa pīni i tunua i te ata tae noa ki te ahiahi, mēnā rānei ka waihohia he hupa ika i waho o te pouaka whakamātao mō ngā rā e rua, he nui te tūponotanga o tēnei huakita ki te mahi i tana mahi.

He aha ngā tohu o te paihana kai i puta mai i te `Bacillus cereus`?

Ko ngā tohu o aua momo mate korere ('Enterotoxins') ko:

• Mamae puku, mamae puku
• Te mamae o te puku
• Mate korere wai

Ko ngā tohu o te 'emetic syndrome' ko:

• Whakapairuaki (te ahua e ruaki ana)
• Ruaki

He pēhea te pānga mai o ngā mate kai ki a Bacillus cereus?

Ko ēnei mate ka puta mai i ngā pua Bacillus cereus e uru ana ki te tinana o te tangata i tētahi ara, ā, ka whakaputa i ngā paitini. Ka taea e ēnei pua te uru ki te tinana mā roto i:

• Mai i ngā taputapu poke e whakamahia ana i ngā hōhipera, hei tauira, ngā katitere.
• Mai i ngā patunga pangia.
• Mā te hongi i te puehu poke.
• Mai i ngā mate urutā i riro mai i te hōhipera.

Ko ngā mate kore-whekau ka puta mai i te B. cereus ko:

• Ngā huakita e tomo ana ki te toto (bacteremia)
• Te mate kitakita, te mate harore rānei o te kanohi (endophthalmitis) - He tino morearea tēnei.
• Te whēwhe roro
• Te mate kiri (cellulitis)
• Te mate o te arai o roto o te ngākau (endocarditis)
• Te mate kiriuhi roro - e kiia ana hoki ko te kirika roro.
• Mate wheua (Osteomyelitis)
• Pūkahukahu

He aha ngā tohu o ngā mate urutā Bacillus cereus i waho o te awa kai?

Ka rerekē ngā tohu i runga i te momo mate. Ko te endophthalmitis te momo tino kino o te mate. Ko ngā tohu o tēnei mate kanohi e morearea ana ki te ora ko:

• Mamae kanohi
• Mahi uaua
• Kirika
• Te nui haere o te maha o ngā toto toto ma (leukocytosis)
• Ngaronga o te tirohanga
• Te whero o ngā kanohi
• Mate pukupuku porowhita-āhua

Tērā pea ka ngaro te kanohi o ētahi tūroro endophthalmitis. Nō reira, ki te kite koe i tētahi mea rerekē mō ō kanohi, me toro atu koe ki te tākuta tonu.

Me pēhea te tātaritanga a ngā tākuta i te paihana kai i puta mai i te `Bacillus cereus`? (`Tautoko`)

I te nuinga o te wā ka whakapae te tākuta kei te pāngia koe e te paihana kai i runga i ō tohu (ruaki, korere, mamae puku) me te kai whakamutunga i kainga e koe. Kātahi ka tirotirohia e rātou te tinana. Hei whakaū ko B. cereus te take, me whakamātauria he tauira o te kai i kainga e koe me te tauira o tō tūtae, o tō ruaki rānei. Ina koa, ka whakaūtia te paihana kai ina 100,000, neke atu rānei ngā rauropi B. cereus i ia karamu o te kai. Mēnā he korere, ka taea hoki te whakamātautau toto hei rapu i te paitini.

Me pēhea te tautuhi i te mate Bacillus cereus i waho o te awa kai?

Ki te whakapae koe kei te pāngia koe e tēnei mate, ka mahia he whakamātautau toto ('ngā ahurea toto') hei tirotiro mēnā he huakita kei roto i te toto.Koinei te mea tino noa. Waihoki, ka tangohia ngā tauira wai tinana (hei tauira, te wai vitreous i roto i te take o te endophthalmitis) ka whakamatautauria mō ngā huakita mā te whakamahi i ngā ahurea paerewa me te tae Gram. Ko te tae Gram he tae i tētahi tauira ki runga i tētahi kiriata karāhe me tētahi tae motuhake, kātahi ka tirohia i raro i te karu hiko.

He aha ngā rongoā mō te paihana kai i puta mai i te `Bacillus cereus`?

Ko te nuinga o ngā mate kai i puta mai i te Bacillus cereus ka memeha noa iho i roto i ngā haora 24. Tērā pea ka kī atu te tākuta kia mahia e koe ēnei e whai ake nei:

• Okioki pai.
• Inumia he nui te wai hei ārai i te matewai. He mea tino nui tēnei. Ina pāngia koe e te mate korere, e te ruaki rānei, ka ngaro te nui o te wai i roto i tō tinana, nō reira me whakakapi. He pai anō hoki te inu i tētahi inu pēnei i a Jeevani.

Mena he nui te mate korere, te ruaki rānei, ka tūtohu pea te tākuta kia hoatu he tote ki a koe ('wai IV') .

He aha ngā maimoatanga mō ngā mate urutā Bacillus cereus i waho o te awa kai?

Ka rerekē te maimoatanga mō tēnei i runga i te āhua o tō mate. I te nuinga o te wā, ka tīmata te tākuta ki te hoatu i ngā paturopi hei whawhai i ngā huakita. Heoi, kua kitea he ātete a B. cereus ki ētahi paturopi. Nō reira, he mea tino nui kia tangohia te rongoā kia rite ki te whakahaunga a tō tākuta, mō te roanga o te wā.

Me pēhea te whakaiti i te mōrearea o te paihana kai i puta mai i te `Bacillus cereus`?

Ko te pupuri i te haumaru o te kai te huarahi anake hei whakaiti i tēnei mōrearea. Anei ētahi mea ka taea e koe te mahi:

• Ki te kore te kai kua tunua e kainga tonutia, whakamataohia kia iti iho i te 5 nekehanga Celsius (41 nekehanga Fahrenheit) i roto i ngā haora e ono . Hei tauira, kaua e waiho te raihi, te kari rānei kia tunua i te poutumarotanga tae noa ki te ahiahi, engari me whakanoho ki roto i te pouaka whakamātao ina oti te tunu.
• Penapenahia ngā kai e hiahia ana kia tio ki roto i te pouaka whakamātao i te pāmahana i raro iho i te 5 nekehanga Celsius (41 nekehanga Fahrenheit) .
• Puritia ngā kai e hiahia ana kia wera i te pāmahana neke atu i te 60 nekehanga Celsius (135 nekehanga Fahrenheit) . I ētahi wā ka kite tātou i ngā kai i runga i ngā wharekai i ngā kāinga me ngā pāti e whakamahanatia ana i roto i ngā rihi kua wera. Koia te āhua.
• Kia tino wera te kai e whakamahanahia ana e koe ki te 74 nekehanga Celsius (165 nekehanga Fahrenheit) pea . Kāore e ranea te mahana noa. Me tino wera rawa.
• Maka atu ngā kai e whakaaro ana koe kei roto pea he huakita. Ki te ruarua koe, kaua e kainga. Koinei te mea pai hei mahi.

Whakaarohia, ki te kai tātou i te 'raihi parai' i te 'kottu' rānei i hokona mai i te toa i te pō, ā, ka waiho ngā toenga kai ki waho, tera pea ka tupu te 'Bacillus cereus' ki runga i taua ra i te ata e whai ake nei. Nō reira, he mea tino nui kia tūpato ki te penapena kai.

Me pēhea te whakaiti i te mōrearea o te mate Bacillus cereus i waho o te mekameka kai?

Ka taea e koe te whakaiti i tēnei mōrearea mā te horoi i ō ringaringa i ngā wā katoa me te tika . Ka taea hoki e koe te:

• Mena he mate hauora tōu e ngoikore ai tō pūnaha ārai mate, me whiwhi maimoatanga tika.
• Kaua e whakamahia ngā rongoā werohanga ā-uaua.
• Mena ka pāngia koe e tētahi whara, e tētahi aituā rānei, me rapu tonu i te awhina hauora.

Ka aha mēnā ka puta te 'Bacillus cereus'?

Ki te kore tō pūnaha ārai mate e ngoikore, he onge ngā raruraru mai i te paihana kai i puta mai i te Bacillus cereus. Ko te nuinga o te hunga e pāngia ana e tēnei momo mate B. cereus ka tere te ora.

Heoi anō, i ētahi wā ka mate pea, ka pāngia rānei e ngā mate urutā Bacillus cereus kāore i te whēkau.

• Te mate o ngā kiko (‘Gangrene’)
• Te ngaronga tirohanga tuturu
• Te mate pāwera
• Te meningitis huaketo - Ahakoa ka tīmata tēnei i te huakita, ka puta pea ētahi atu raruraru.

He aha te āhua o te oranga mēnā ka pāngia koe e te `Bacillus cereus`?

Mena kei te pāngia koe e te paihana kai i puta mai i te Bacillus cereus, he tino pai te tirohanga mō te whakaoranga. Ka ora katoa te nuinga o te tangata.

Heoi, ki te mea kei waho atu i te awa kai te mate Bacillus cereus, ko te tirohanga mō te whakaoranga ka whakawhirinaki ki:

• Kei te tere o te whiwhi maimoatanga te mea e whakawhirinaki ana.
• I runga i te kaha o te mate.
• I runga anō i ētahi atu mate hauora kei a koe.

He maha atu anō ngā āhuatanga e nui ake ai te mōrearea o ngā raruraru?

I te nuinga o te wā, ki te ngoikore tō pūnaha ārai mate , ka nui ake te tūponotanga ka pāngia koe e ngā raruraru mai i ngā mate urutā Bacillus cereus. Waihoki, ki te mea:

• Mena he pēpi whānau hou.
• Mena kua mau kē tetahi ki te hōhipera.
• Ki te kore e tīmata wawe ngā rongoā paturopi mō te mate i waho o te awa kai.
• Mena he mate pukupuku tōu o ngā kiko hanga toto (ngā mate pukupuku toto) (hei tauira, te leukemia, te lymphoma, te myeloma maha).
• Mena he mate ate tōu.
• Mena he neutropenia tōu (he taumata iti o tētahi momo toto ma).
• Mena kei te tango koe i ngā rongoā pēnei i te corticosteroids.

I ngā āhuatanga pēnei, ka kino ake pea te matapae.

Me pēhea taku tiaki i ahau anō ina pāngia ahau e te Bacillus cereus?

Ina pāngia koe e te paihana kai i puta mai i te Bacillus cereus, ka taea e koe:

• Inuhia he nui te wai.
• Okioki pai.

Mena kei a koe te mate Bacillus cereus i waho o te awa kai:

• Noho i tētahi āhua noho hauora.
• Tangohia ngā rongoā tika kua tohua mō ngā āhuatanga hauora o raro.

Āhea ahau me toro atu ki te tākuta?

Mena he ngoikore tō pūnaha ārai mate, ā, ka puta ngā tohu o te paihana kai, te mate Bacillus cereus rānei, waea atu ki te 1990 tonu atu, haere rānei ki te hōhipera tata.

He tino mamae te pangia e te Bacillus cereus. He wheako tino kino te paihana kai, ā, ka tino pāngia koe e te mate. He waimarie, ka pai ake te paihana kai i puta mai i te Bacillus cereus i roto i te rā kotahi, ā, ka ora katoa te nuinga o te tangata. Ka taea hoki e te B. cereus te whakaputa mate i waho o te ara nakunaku, engari he onge ēnei. Mena he ngoikore tō pūnaha ārai mate, he mate hauora rānei kei raro i a koe, ka nui ake te kino o ngā momo mate Bacillus cereus e rua. Mā te inu nui i te wai me te okioki nui ka āwhina i a koe kia tere te ora mai i te paihana kai. Ka taea e ngā paturopi te āwhina i ngā mate i waho o te ara nakunaku. Ko te wawe o te whiwhi maimoatanga, ko te pai ake o ō tupono ki te ora.

Karere Whakamutunga mō te Tango ki te Kāinga

• He huakita te Bacillus cereus ka taea te whakararu i te kai me ētahi atu mate.
• Ka puta pea tēnei i ngā kai kua tunua, inā koa te raihi, kua roa rawa te waiho i te pāmahana rūma .
• Ko ngā tohu matua o te paihana kai ko te ruaki me/te korere rānei.
• Ahakoa ka ea tēnei i roto i te rā kotahi, he ahua morearea pea mō te hunga he ngoikore te pūnaha ārai mate .
• Ko te huarahi pai ki te karo i tēnei ko te whai i ngā tikanga haumaru kai . Tunua tika te kai, rongoatia kia tika, ā, rongoatia wawetia ngā toenga kai ki roto i te pouaka whakamātao.
• Ki te pāngia koe e ētahi tohu rerekē i roto i ngā kanohi, i ngā patunga, i te pūnaha manawa rānei, kia tūpato hoki ki tēnā.
• Ki te ruarua koe, me toro atu ki te tākuta. Kaua e manukanuka, mā te maimoatanga tere ka pai ake te oranga.

He mea nui hoki tō hauora ki a mātou!

Bacillus cereus, paihana kai, huakita, mate pāwera, korere, ruaki, haumaru kai, pua