Pūʻulu B streptococcus - hāpai keiki

ʻO ka Group B streptococcus (GBS) kahi ʻano bacteria i lawe ʻia e kekahi mau wahine i loko o ko lākou ʻōpū a me kā lākou puʻupuʻu. ʻAʻole ia e hele ʻia ma o ka pili moekolohe.

ʻO ka hapanui o ka manawa, ʻaʻohe pilikia ʻo GBS. Eia nō naʻe, hiki ke hāʻawi ʻia i GBS i kahi keiki hānau hou i ka wā hānau.

ʻO ka hapa nui o nā pēpē e launa pū me GBS i ka wā hānau ʻaʻole e maʻi. Akā ʻo nā pēpē liʻiliʻi e hele a maʻi hiki ke loaʻa nā pilikia koʻikoʻi.

Ma hope o ka hānau ʻana o kāu pēpē, hiki i ka GBS ke alakaʻi i nā maʻi i:

• Ke koko (sepsis)
• ʻO nā mumū (pneumonia)
• Ka lolo (meningitis)

ʻO ka hapa nui o nā pēpē i loaʻa iā GBS e hoʻomaka lākou i nā pilikia i ko lākou pule mua o ke ola. ʻAʻole maʻi kekahi mau pēpē a hiki i ka wā ma hope. Hiki i nā ʻōuli ke lōʻihi o 3 mahina e ʻikea.

ʻO nā maʻi i hoʻokumu ʻia e GBS he koʻikoʻi a hiki ke make. Akā hiki i ka mālama koke ʻana ke alakaʻi i ka hoʻopau hou ʻana.

ʻAʻole maopopo ka wahine e hāpai ana iā GBS iā ia. E hoʻoili aku paha ʻoe i nā koʻohune GBS i kāu pēpē inā:

• Hele ʻoe i ka hana ma mua o ka hebedoma 37.
• Haki kou wai ma mua o ka hebedoma 37.
• Ua hala he 18 a ʻoi paha mau hola mai ka wāwahi ʻana o kāu wai, akā ʻaʻole ʻoe i loaʻa i kāu pēpē i kēia manawa.
• Loaʻa ʻoe i ke kuni o 100.4 ° F (38 ° C) a ʻoi aku paha i ka wā o ka hana.
• Loaʻa iā ʻoe kahi pēpē me GBS i ka wā hāpai hou.
• Loaʻa iā ʻoe nā maʻi maʻi urinary i hoʻokumu ʻia e GBS.

Ke hāpai ʻoe i 35 a 37 mau hebedoma, hana paha kāu kauka i kahi hoʻokolohua no GBS. Lawe ke kauka i kahi moʻomeheu ma ka hoʻopili ʻana i ka ʻaoʻao i waho o kou ʻōpū a me kou kiko. E hoʻāʻo ʻia ka swab no GBS. Mākaukau pinepine nā hopena i kekahi mau lā.

ʻAʻole hōʻoia kekahi kauka no GBS. Ma ka hakahaka, e mālama lākou i kekahi wahine i makaʻu i ka loaʻa ʻana o kā lākou pēpē e GBS.

ʻAʻohe lāʻau lapaʻau e pale ai i nā wahine a me nā pēpē mai GBS.

Inā hōʻike kahi hōʻike e halihali ʻoe iā GBS, hāʻawi kāu kauka iā ʻoe i nā lāʻau ʻino ma o ka IV i kāu hana. ʻOiai ʻaʻole ʻoe e hoʻāʻo ʻia no GBS akā loaʻa nā mea pilikia, e hāʻawi nō kāu kauka iā ʻoe i ka lāʻau like.

ʻAʻohe ala e pale ai i ka loaʻa ʻana o GBS.

• Pālahalaha ka bacteria. ʻO ka poʻe lawe i ka GBS ʻaʻohe o lākou mau ʻōuli. Hiki iā GBS ke hele a hele.
• ʻO ka hōʻoia ʻana i ka maikaʻi no GBS ʻaʻole ia he manaʻo no ʻoe e mau ana. Akā e noʻonoʻo ʻia ʻoe he lawe no ke koena o kou ola.

Kahakaha: Hoʻokumu ʻia ka puʻu ʻo Strep e kahi bacteria ʻokoʻa. Inā loaʻa iā ʻoe ka puʻu strep, a i ʻole ke loaʻa iā ʻoe i ka wā e hāpai ana, ʻaʻole ia he manaʻo he GBS kāu.

GBS - hāpai keiki

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ʻO Esper F. Nā maʻi maʻi bacteria Postnatal. I: Martin RJ, Fanaroff AA, Walsh MC, hua. ʻO Fanaroff lāua ʻo Martin's Neonatal-Perinatal Medicine. 11th hua. Piladelapia, PA: Elsevier; 2020: chap 48.

ʻO Pannaraj PS, ʻO Baker CJ. Nā maʻi maʻi streptococcal B. I: Cherry J, Harrison GJ, Kaplan SL, Steinbach WJ, Hotez PJ, hua. ʻO Feigin lāua ʻo Cherry's Textbook of Pediatric Infectious Diseases. 8th ed. Piladelapia, PA: Elsevier; 2019: chap 83.

ʻO Verani JR, McGee L, Schrag SJ; Māhele o nā maʻi bacteria, National Center for Immunization and Respiratory Diseases, Nā kikowaena no ka mālama ʻana i nā maʻi a me nā Kāohi (CDC). Kāohi ʻana i ka maʻi perinatal hui B streptococcal maʻi - nā lula hou o CDC, 2010. ʻO MMWR Rekua Rep. 2010; 59 (RR-10): 1-36. PMID: 21088663 pubmed.ncbi.nlm.nih.gov/21088663/.

• Nā maʻi āpau a me ka hāpai keiki
• Nā maʻi maʻi Streptococcal