E coli enteritis

E coli enteritis ka pehu (pehu) o ka ʻōpū liʻiliʻi mai Escherichia coli (E coli) koʻohune. ʻO ia ke kumu maʻamau o ka diarrhea huakaʻi.

E coli he ʻano bacteria e noho ana i loko o nā ʻōpū o nā kānaka a me nā holoholona. ʻO ka hapa nui o ka manawa, ʻaʻole ia e pilikia. Eia nō naʻe, kekahi mau ʻano (a i ʻole nā ​​kānana) o E coli hiki ke hoʻopōʻino i ka meaʻai. Hoʻokahi kānana (E coli ʻO157: H7) hiki ke hana i kahi hihia koʻikoʻi o ka lāʻau make.

Hiki i nā bacteria ke komo i kāu meaʻai i nā ʻano like ʻole:

• Hiki i ka ʻai a i ʻole ka moa moa ke hoʻopili aku me nā koʻohune maʻamau mai nā ʻōpū o kahi holoholona ke hana ʻia.
• ʻO ka wai i hoʻohana ʻia i ka wā e ulu ana a hoʻouna paha paha i nā ʻōpala holoholona a kanaka paha.
• Lawe ʻia paha ka meaʻai i kahi ala palekana ʻole i ka wā o ka lawe a mālama ʻana paha.
• Hiki ke mālama ʻia a hoʻomākaukau ʻai ʻole ʻole paha i nā hale kūʻai, nā hale ʻaina, a me nā hale paha.

Hiki ke hana i ka lāʻau makeʻai ma hope o ka ʻai ʻana a inu paha

• ʻO ka meaʻai i hoʻomākaukau ʻia e kahi kanaka holoi ʻole i nā lima
• Hoʻomākaukau ʻia ka meaʻai me ka hoʻohana ʻana i nā ipu kuke haumia, nā papa ʻoki, a me nā mea hana ʻē aʻe
• Nā huahana hana waiū a i ʻole nā ​​meaʻai i loaʻa ka mayonnaise (e like me coleslaw a i ʻole saleta ʻuala) i lōʻihi loa i waho o ka pahu hau.
• ʻO nā meaʻai paʻahau a i ʻole nā ​​pahu hau i hoʻāhu ʻole ʻia i ka mahana kūpono a i ʻole hoʻomaʻamaʻa pono ʻia
• ʻO ka iʻa a i ʻole nā ​​ʻōpelu
• ʻO nā hua maka a mea ʻai paha i holoi ʻole ʻia
• ʻO nā mea kanu maka a i ʻole nā ​​wai momona a me nā huahana waiū
• Nā ʻiʻo undercooked a i ʻole nā ​​hua manu
• Ka wai mai ka luawai a kahawai paha, a i ʻole ka wai kaona a kūlanakauhale paha i mālama ʻole ʻia

ʻOiai ʻaʻole maʻamau, E coli hiki ke hoʻolaha ʻia mai kekahi kanaka a i kekahi. Hiki paha kēia ke holoi ʻole kekahi i ko lākou mau lima ma hope o ka ʻōpū a laila pili i nā mea ʻē aʻe a i nā lima o haʻi.

Kū nā ʻōuli i ka wā E coli komo ka bacteria i loko o ka ʻōpū. ʻO ka hapanui o nā manawa e hoʻomohala i 24 a 72 mau hola ma hope o ka maʻi. ʻO ka ʻōuli maʻamau ka hū ʻole, ka maʻi diarrhea nui e kahe pinepine ke koko.

Hiki i nā ʻōuli ʻē aʻe ke:

• Fiva
• Gasekine
• Loaʻa ka ʻai ʻole
• ʻ .miʻi ʻōpū
• ʻO ka luaʻi (rare)

Nā ʻōuli o kahi laha ʻole akā koʻikoʻi E coli maʻiʻaʻai nā:

• ʻO nā ʻūlū hiki wawe
• ʻIli pale
• Mimi ʻulaʻula a koko paha
• Hoemi i ka nui o ka mimi
  

E hana i kāu mea mālama ola i kahi hoʻokolohua kino. Hiki ke hana ʻia kahi moʻomeheu e nānā ai i ka hopena o ka maʻi E coli.

ʻO ka hapa nui o ka manawa, e ola ʻoe mai nā ʻano maʻamau o E coli maʻi i loko o nā lā ʻelua. ʻO ka pahuhopu o ka mālama ʻana e hōʻoluʻolu iā ʻoe a pale i ka make wai. ʻO ka lawa ʻana o ka wai a me ke aʻo ʻana i ka mea e ʻai ai e kōkua ai iā ʻoe a i ʻoluʻolu hoʻi i kāu keiki.

Pono ʻoe e:

• Hoʻoponopono i ka palahī
• Kaohi i ka nausea a me ka luaʻi
• E hoʻomaha nui

Hiki iā ʻoe ke inu i nā hui puʻuwai waha e pani ai i nā wai a me nā minelala i nalowale ma o ka luaʻi ʻana a me ka diarrhea. Hiki ke kūʻai ʻia i ka pauka rehydration oral mai kahi kauka lāʻau. E hoʻopili pono i ka pauka i loko o ka wai palekana.

Hiki iā ʻoe ke hana i kāu hui ponoʻī ʻana e ka hoʻoheheʻe ʻana i hoʻokahi hapalua teaspoon (3 gram) o ka paʻakai, hoʻokahi hapalua teaspoon (2.5 gram) o ka soda bakena a me 4 punetēpu (50 gram) o ke kō i 4¼ mau kīʻaha (1 lita) o ka wai.

Pono ʻoe e loaʻa i nā wai ma o kahi aa koko (IV) inā loaʻa ʻoe i ka palahī a i ʻole ka luaʻi a ʻaʻole hiki ke inu a mālama i nā wai i lawa i kou kino. Pono ʻoe e hele i ke keʻena o kāu mea hoʻolako a i ʻole ke keʻena pilikia.

Inā ʻoe e lawe i nā diuretics (paila wai), e kamaʻilio me kāu mea hāʻawi. Pono paha ʻoe e hōʻoki i ka lawe ʻana i ka diuretic ʻoiai ʻoe e pākī ana. Mai hōʻoki a hoʻololi paha i nā lāʻau me ka ʻole e kamaʻilio mua me kāu mea hāʻawi. Hiki iā ʻoe ke kūʻai i nā lāʻau i ka hale kūʻai lāʻau e hiki ke kōkua i ka hōʻoki a i ʻole ka lohi o ka diarrhea. Mai hoʻohana i kēia mau lāʻau me ke kamaʻilio ʻole ʻana i kāu mea hāʻawi inā loaʻa ʻoe i ka maʻi diarrhea koko a i ʻole ke kuni. Mai hāʻawi i kēia mau lāʻau i nā keiki.

E ʻoi aku ka maikaʻi o ka hapa nui o nā kānaka i kekahi mau lā, me ka ʻole o ka lapaʻau. Kekahi mau ʻano launa ʻole o E coli hiki ke hoʻopilikia i ka anemia koʻikoʻi a i ʻole ka hakuʻala ʻole.

Kāhea i kahi manawa me kāu mea hāʻawi inā:

• ʻAʻole hiki iā ʻoe ke mālama i nā wai.
• ʻAʻole maikaʻi maikaʻi kāu maʻi diarrhea i nā lā he 5 (2 mau lā no kahi pēpē a keiki paha), a i ʻole e māhuahua paha ia.
• Ke luaʻi nei kāu keiki ma mua o 12 mau hola (i kahi keiki hānau hou ma lalo o 3 mau mahina, e kāhea koke ke hoʻomaka ka luaʻi a i ʻole ka palahī).
• He ʻeha ʻōpū kou i hele ʻole ma hope o ka ʻōpū.
• He kuni kāu ma luna o 101 ° F (38.3 ° C), a i ʻole he kuni kāu keiki ma luna o 100.4 ° F (38 ° C) me ka palahī.
• Ua huakaʻi hele ʻoe i kahi ʻāina ʻē a ulu i ka maʻi pākī.
• ʻIke ʻoe i ke koko a i ʻole pus i loko o kāu pahu holoi.
• Hoʻolālā ʻoe i nā ʻōuli o ka make wai, e like me ka ʻole ʻana i ka pīpī (a i ʻole nā ​​diapē maloʻo i loko o kahi pēpē), make wai, ʻānō, a me nā ʻālohilohi.
• Hoʻokumu ʻoe i nā ʻōuli hou.

Pohā ka huakaʻi o ka huakaʻi - E. coli; Lāʻau make ʻai - E. coli; E. coli maʻi diarrhea; Maʻi maʻi Hamburger

• Diarrhea - he aha e nīnau aku ai i kāu kauka - keiki
• Diarrhea - he aha e nīnau aku ai i kāu kahu mālama ola - makua

• ʻŌnaehana Digestive
• Nā ʻōnaehana ʻōnaehana Digestive
• Holoi lima

Nguyen T, Akhtar S. Gastroenteritis. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 84.

ʻO Schiller LR, Sellin JH. Pohā. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi Liver: Pathophysiology / Diagnosis / Management. 10 o ka lā. Piladelapia, PA: Elsevier Saunders; 2016: chap 16.

Wong KK, Griffin PM. Maʻi maʻi ʻaʻai. I: Bennett JE, Dolin R, Blaser MJ, hua pā. ʻO Mandell, Douglas, a me Bennett's Principle a me ka hoʻomaʻamaʻa ʻana i nā maʻi kūpilikiʻi. 9th ed. Piladelapia, PA: Elsevier; 2020: chap 101.