ʻO nā maʻi Staph i ka haukapila

Pōkole ʻo "Staph" (haʻi ʻia nā limahana) no Staphylococcus. ʻO Staph kahi ʻōpala (bacteria) i hiki ke hōʻeha i nā maʻi i kēlā me kēia ʻāpana o ke kino, akā ʻo ka hapa nui nā maʻi ʻili. Hiki i ka Staph ke hoʻopili i nā puka ma ka ʻili, e like me nā ʻōpala, nā pimples, a i ʻole nā cist ʻili. Hiki i kēlā me kēia mea ke loaʻa i kahi maʻi staph.
Hiki i nā mea maʻi maʻi ke loaʻa i nā maʻi staph o ka ʻili.
- Ma nā wahi āpau e komo ai kahi catheter a i ʻole paipu i ke kino. Hoʻopili kēia i nā paipu umauma, nā cateter mimi, IV, a i ʻole nā laina waena
- I nā ʻoki ʻoki, nā ʻeha kaomi (i kapa ʻia hoʻi nā ʻeha moe), a i ʻole nā ulcer wāwae
Ke komo ka germ staph i loko o ke kino, hiki ke pālahalaha i nā iwi, nā hono, a me ke koko. Hiki iā ia ke pālahalaha aku i nā meaola, e like me nā mumū, ka puʻuwai, a me ka lolo.
Hiki iā Staph ke hoʻolaha ʻia mai kekahi kanaka a i kekahi.
Hoʻolahalaha nui ʻia nā mikena Staph e ka pili o ka ʻili i ka ʻili (pili). He kauka, kahu hānai, kahu mālama ʻē aʻe, a i ʻole he kipa paha nā malihini kipa i ko lākou kino a hohola aku iā lākou i kahi mea maʻi. Hiki i kēia ke hana ke:
- Hāpai kahi mea hoʻolako i ka staph ma ka ʻili e like me ka bacteria maʻamau.
- Hoʻopā ke kauka, kahu hānai, mea lawelawe ʻē aʻe, a i ʻole mea kipa i kahi kanaka i loaʻa i ka maʻi staph.
- Hoʻoulu kekahi i kahi maʻi staph ma ka home a lawe i kēia germ i ka haukapila. Inā hoʻopā ke kanaka a laila me kekahi kanaka me ka holoi ʻole ʻana i ko lākou mau lima ma mua, pāhola paha nā māhua staph.
Eia kekahi, loaʻa i kahi mea maʻi kahi maʻi staph ma mua o ka hiki ʻana i ka haukapila. Hiki i kēia ke hana me ka ʻike ʻole o ke kanaka iā ia.
I kekahi mau hihia, hiki i ka poʻe ke loaʻa i nā maʻi staph ma ka hoʻopā ʻana i nā lole, nā poho, a i ʻole nā mea ʻē aʻe i loaʻa iā lākou nā mikena staph ma luna o lākou.
ʻO hoʻokahi ʻano germ germ, i kapa ʻia he methicillin-resistant Staphylococcus aureus (MRSA), ʻoi aku ka paʻakikī o ka mālama ʻana. ʻO kēia no ka mea ʻaʻole i pepehi ʻia ʻo MRSA e kekahi mau lāʻau ʻaloʻalo i hoʻohana ʻia e mālama i nā gīpī staph maʻamau.
Nui nā poʻe olakino i staph ma ko lākou ʻili. ʻO ka hapa nui o ka manawa, ʻaʻole ia e kumu i kahi maʻi a i ʻole nā ʻōuli. Kāhea ʻia kēia e kolone ʻia me staph. ʻIke ʻia kēia poʻe he mau hāpai. Hiki iā lākou ke pālahalaha i ka staph i nā poʻe ʻē aʻe.Hoʻomohala kekahi poʻe me staph i kahi maʻi staph maoli e maʻi ai iā lākou.
ʻO nā kumu pilikia maʻamau no ka hoʻomohala ʻana i kahi maʻi staph koʻikoʻi ʻo:
- Ke noho nei i loko o kahi haukapila a i ʻole kekahi ʻano o nā lawelawe mālama no kahi manawa lōʻihi
- Loaʻa i kahi ʻōnaehana nāwaliwali a i ʻole ka maʻi mau (hoʻomau)
- Loaʻa keʻoki ākea a ʻeha paha
- Loaʻa i kāu mea olakino i loko o kou kino e like me kahi ami synthetic
- ʻO ka hoʻokomo ʻana i nā lāʻau a i ʻole nā lāʻau kū ʻole i ke kānāwai
- Ke noho nei a i ʻole ke launa ʻana me kahi kanaka i loaʻa ka staph
- Aia ma ka dialysis hakuʻala
I kēlā me kēia manawa ke ʻano ʻulaʻula, pehu, a crusty paha kahi ʻāpana o kou ʻili, ʻo ka maʻi staph paha ke kumu. ʻO ke ala wale nō e ʻike maopopo ai ka loaʻa ʻana o kahi hōʻike i kapa ʻia he moʻomeheu ʻili. E hana i ka moʻomeheu, hiki i kāu mea hāʻawi ke hoʻohana i kahi pulupulu e ʻohiʻohi i kahi laʻana mai kahi ʻeha hāmama, ʻili a me nā ʻili. Lawe ʻia kekahi laʻana mai kahi ʻeha, koko, a sputum (phlegm). Hoʻouna ʻia ka laʻana i ka lab no ka hoʻāʻo ʻana.
ʻO ke ala ʻoi loa e pale aku ai i ka hoʻolaha ʻana o staph no nā mea āpau e hoʻomaʻemaʻe i ko lākou mau lima. He mea nui e holoi pono i kou mau lima. E hana i kēia:
- E pulu i kou mau lima a me kou mau lima, a laila hoʻopili i ke kopa.
- E hamo i kou mau lima, nā kua o kou mau lima, nā manamana lima, a ma waena o kou mau manamana lima a hiki i ka huʻa ʻana o ke kopa.
- E holoi maʻemaʻe me ka wai holo.
- Hoʻomaloʻo me kahi kāwele pepa maʻemaʻe.
- E hoʻohana i kahi kāwele pepa e hoʻopau ai i ka faucet.
Hiki ke hoʻohana pū ʻia nā gels kūmole inā ʻaʻohe haumia ʻike ʻia kou mau lima.
- Pono kēia mau gels ma kahi o 60% ka waiʻona.
- E hoʻohana i ka gel lawa e hoʻopulu i kou mau lima.
- E hamo i kou mau lima a maloʻo.
E noi i ka poʻe kipa e holoi i ko lākou mau lima ma mua o ko lākou hiki ʻana i kou keʻena haukapila. Pono lākou e holoi i ko lākou mau lima ke haʻalele lākou i kou lumi.
Hiki i nā limahana olakino a me nā limahana o ka haukapila ke pale i ka maʻi staph e:
- Holoi i ko lākou mau lima ma mua a ma hope o ka hoʻopā ʻana i kēlā me kēia mea maʻi.
- Ke komo ʻana i nā mīkina lima a me nā lole pale ʻē aʻe ke mālama lākou i nā ʻeha, pili i nā IV a me nā catheters, a i ka wā e lawelawe ai lākou i nā wai o ke kino.
- Ke hoʻohana nei i nā hana pono sterile.
- Hoʻomaʻemaʻe koke ma hope o ka lole ʻana (bandage) nā loli, nā kaʻina hana, nā ʻoki, a me nā ninini.
- Ke hoʻohana mau nei i nā pono hana sterile a me nā ʻenehana sterile ke mālama nei i nā maʻi a me nā pono hana.
- Ke nānā nei a hōʻike koke i kahi hōʻailona o nā maʻi ʻeha.
Paipai nā haukapila he nui i nā mea maʻi e nīnau i kā lākou mea hāʻawi inā holoi lākou i ko lākou mau lima. Ma ke ʻano he mea hoʻomanawanui, he kuleana kāu e nīnau.
Holoi lima
ʻO Calfee DP. Kāohi a me ka kaohi o nā maʻi pili i ka mālama olakino. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 266.
Nā kikowaena no ka pūnaewele Disease Control a me Infection. Nā hoʻonohonoho olakino: pale i ka hoʻolaha ʻana o MRSA. www.cdc.gov/mrsa/healthcare/index.html. Hoʻohou i Pepeluali 28, 2019. Loaʻa iā ʻOkakopa 22, 2019.
ʻO Que YA, ʻo Moreillon P. Staphylococcus aureus (me Staphylococcal lāʻau hōʻeha kūpilikiʻi). 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 194.
- Kaohi maʻi ʻaʻai
- MRSA