ʻO ka maʻi Legionnaire

ʻO ka maʻi Legionnaire kahi maʻi o nā akemāmā a me nā alaloa. Hoʻokumu ʻia e Legionella koʻohune.

ʻO nā koʻohune i kumu i ka maʻi Legionnaire i loaʻa i nā ʻōnaehana lawe wai. Hiki iā lākou ke ola i nā ʻōnaehana hoʻomehana wai hoʻomehana, pulu o nā hale nui, e like me nā haukapila.

Hoʻokumu ʻia ka hapa nui o nā maʻi e ka bacteria Legionella pneumophila. ʻO ke koena o nā hihia i kumu ʻia e kekahi Legionella ʻano laha.

ʻAʻole i hōʻike ʻia ka hoʻolaha ʻana o nā bacteria.

ʻO ka hapa nui o nā maʻi i waena o ka poʻe waena a ʻelemakule paha. I nā hihia maʻamau, hiki i nā keiki ke loaʻa i ka maʻi. Ke hana lākou, ʻoi aku ka maʻi o ka maʻi.

ʻO nā kumu pilikia me:

• Hoʻohana rama
• Puhi paka
• Nā maʻi maʻi, e like me ke kō ʻana o ke kōkō a i ʻole ka diabetes
• ʻO ka maʻi maʻi lōʻihi (kūlohelohe), e like me COPD
• Hoʻohana lōʻihi o kahi mīkini hanu (ventilator)
• Nā lāʻau e kāohi i ka ʻōnaehana pale, e like me chemotherapy a me nā lāʻau steroid
• Makahiki

ʻOi aku ka maikaʻi o nā ʻōuli ma nā lā 4 a 6 i hala. Hoʻonui pinepine lākou i nā lā 4 a 5 paha.

Pākuʻi ʻia paha nā ʻōuli:

• General discomfort, nalo o ka ikehu, a maʻi maʻi paha (malaise)
• ʻEha poʻo
• Fiva, haʻalulu nā haʻalulu
• ʻEha hui, ʻeha puʻupuʻu a me ka ʻoʻoleʻa
• ʻEha o ka umauma, pōkole o ka hanu
• Cough that does not paka much sputum or mucus (dry bat)
• Hoʻopau i ke koko (rare)
• ʻO ka palahī, nausea, ka luaʻi, a me ka ʻeha o ka ʻōpū

E hana ka mea mālama ola i kahi hoʻokolohua kino. Hiki ke lohe ʻia nā leo maʻamau, i kapa ʻia nā crackles, ke hoʻolohe nei i ka pahu me kahi stethoscope.

ʻO nā hoʻāʻo e hana ʻia ana paha:

• Nā ʻenekini koko arterial
• ʻO nā moʻomeheu koko e ʻike i ka bacteria
• ʻO Bronchoscopy e ʻike i nā alaloa a ʻike i nā maʻi maʻi
• Pākuʻi x-ray a i ʻole CT scan
• Helu piha ke koko (CBC), me ka helu keʻokeʻo o ke koko keʻokeʻo
• ESR (sed rate) e nānā i ka nui o ka mumū i loko o ke kino
• Nā hoʻāʻo ʻana i ke koko ate
• Nā hoʻāʻo a me nā moʻomeheu ma ka sputum e ʻike ai i ka bacteria bacteria
• Nā hōʻike mimi e nānā ai Legionella pneumophila koʻohune
• Nā ho'āʻo Molecular me ka hopena polymerase chain (PCR)

Hoʻohana ʻia nā antibiotic e hakakā i ka maʻi. Hoʻomaka ka mālama ʻana ke kuhi ʻia ka maʻi Legionnaire, me ke kali ʻole i nā hopena o nā hōʻike lab.

Hiki i nā mālama ʻē aʻe ke loaʻa:

• Nā Fluids ma o kahi aa (IV)
• Oxygen, i hāʻawi ʻia ma o ka mask a i ʻole ka mīkini hanu
• ʻO nā lāʻau i hanu ʻia e hanu ai e hanu maʻalahi
  
  

ʻO ka maʻi Legionnaire hiki ke hoʻoweliweli i ke ola. ʻOi aku ka makaʻu o ka make i nā poʻe i:

• Loaʻa i nā maʻi wā lōʻihi (mau)
• Ua hele a maʻi i ka haukapila
• He makua ʻelemakule

Kāhea koke aku i kāu mea hāʻawi inā loaʻa iā ʻoe kekahi ʻano o ka pilikia hanu a manaʻo ʻoe he hōʻailona kāu o ka maʻi Legionnaire.

Legionella pneumonia; Maʻi fiva Pontiac; Legionellosis; Legionella pneumophila

• ʻO Ponia i nā mākua - hoʻokuʻu

• ʻO ka maʻi Legionnaire - legismella meaola

ʻO Edelstein PH, Roy CR. ʻO ka maʻi ʻo Legionnaires a me ke kuni ʻo Pontiac. I: Bennett JE, Dolin R, Blaser MJ, hua pā. ʻO Mandell, Douglas, a me Bennett's Principal a me ka hoʻomaʻamaʻa ʻana i nā maʻi kūpikipiki, Hoʻopuka Hou. 8th ed. Piladelapia, PA: Elsevier Saunders; 2015: chap 234.

ʻO Marrie TJ. Legionella nā maʻi maʻi. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 314.