Toxic shock syndrome

ʻO ka maʻi kūpilikiʻi Toxic shock kahi maʻi koʻikoʻi e pili ana i ke kuni, kiki, a me nā pilikia me nā kino o ke kino.

Hoʻokumu ʻia ka maʻi ʻino Toxic e kahi toxin i hana ʻia e kekahi ʻano bacteria bacteria staphylococcus. ʻO kahi pilikia like, i kapa ʻia he lāʻau ʻino e like me ka shock (TSLS), hiki ke kumu ʻia e ka lāʻau make mai nā bacteria bacteria. ʻAʻole nā ​​maʻi staph a strep āpau paha e hoʻokumu i ka maʻi kūpikia.

ʻO nā hihia mua loa o ka maʻi hōʻeha kūpilikiʻi e pili ana i nā wahine i hoʻohana i nā tampons i ko lākou wā menstrual. Eia nō naʻe, i kēia lā ma lalo o hoʻokahi hapalua o nā hihia e hoʻopili i ka hoʻohana tampon. Hiki ke hana ʻia kahi maʻi hōʻeha Toxic me nā maʻi o ka ʻili, nā wela, a ma hope o ke kaha ʻana. Hiki i ke ʻano ke hoʻopili i nā keiki, nā wahine postmenopausal, a me nā kāne.

ʻO nā kumu pilikia me:

• Hānau hou ʻia
• Maʻi kīnā me Staphylococcus aureus (S aureus), i kapa ʻia he maʻi staph
• Nā kino haole a i ʻole nā ​​ʻākoʻi (e like me nā mea e kū ai ka ihu ihu) i loko o ke kino
• Wā Menstrual
• ʻOki kino hou
• Hoʻohana Tampon (me ka nui o ka makaʻu inā haʻalele ʻoe i hoʻokahi no ka manawa lōʻihi)
• ʻO ka maʻi hōʻeha ma hope o ke kahakaha ʻana

ʻO nā hōʻailona me:

• Huikau
• Pohā
• Manaʻo maʻi laulā
• Poʻo poʻo poʻo
• ʻO ke kuni kiʻekiʻe, i kekahi manawa me ka haʻalulu
• Kaomi haʻahaʻa
• ʻEha ka ʻili
• ʻO Nusea a me ka luaʻi
• ʻO ke kīnā ʻole o nā ʻōiwi (ʻo nā puʻupaʻa a me nā ake nui)
• ʻUlaʻula o nā maka, waha, puʻu
• Ka hopu ʻana i nā maʻi
• Hoʻolahalaha ka ʻulaʻula ākea e like me ka lā ʻana o ka lā - ka ʻili ʻana i ka ʻili i 1 a i ʻole 2 mau pule ma hope o ka hū, ʻo ia hoʻi ma nā poho lima a ma lalo o nā wāwae.

ʻAʻole hiki i kahi hoʻokolohua hoʻokahi ke ʻike pono i ka maʻi pīhoihoi.

E nānā ka mea mālama ola i kēia mau mea:

• Fiva
• Kaomi haʻahaʻa
• Holo i kēlā peels ma hope o 1 a 2 mau pule
• Nā pilikia me ka hana o 3 mau mea kino

I kekahi mau hihia, maikaʻi paha nā moʻomeheu koko no ka ulu ʻana o S aureus a i ʻoleʻO nā pyogenes Streptoccus.

Hoʻolālā pū kekahi:

• ʻO ka hemo ʻana o nā mea, e like me nā tampons, nā ʻupena ʻāʻī, a i ʻole nā ​​ʻūhū ihu
• Kahe o nā maʻi maʻi (e like me kahi ʻoki ʻoki)

ʻO ka pahuhopu o ka mālama ʻana e mālama i nā hana o ke kino nui. Hoʻopili paha kēia:

• Nā Antibiotics no nā maʻi āpau (hiki ke hāʻawi ʻia ma o IV)
• Dialysis (inā loaʻa nā pilikia ʻiʻo koʻikoʻi)
• Nā Fluids ma o kahi aa (IV)
• Nā lāʻau e kāohi i ke kahe o ke koko
• Intravenous gamma globulin i nā hihia koʻikoʻi
• Noho i ka haukapila ʻoihana mālama maʻi (ICU) no ka nānā ʻana

He mea make paha ka maʻi kūpilikiʻi Toxic shock a hiki i 50% o nā hihia. E hoʻi paha ke ʻano i ka poʻe i ola.

Komo pū nā pilikia:

• ʻO nā hōʻino kino e like me ka hakuʻala, ka puʻuwai, a me ka maikaʻi ʻole o ke ake
• Pāhaʻi
• Make

Toxic shock syndrome kahi pilikia olakino. E ʻimi koke i ke kōkua lapaʻau inā hoʻomōhala ʻoe i ka hū, kuni, a maʻi hoʻi, keu hoʻi i ka wā menstruation a me ka hoʻohana tampon a i ʻole inā he ʻoki hou kāu.

Hiki iā ʻoe ke hoʻohaʻahaʻa i kou makaʻaka no ka maʻi puʻupuʻu huehue menstrual e:

• Ke hōʻalo nei i nā tampons omo nui
• Hoʻololi pinepine i nā tampona (ma ka liʻiliʻi i kēlā me kēia 8 mau hola)
• Hoʻohana wale i nā tampons i kahi manawa i ka manawa o ka menstruation

Staphylococcal lāʻau hōʻeha hōʻeha maʻi; Toxic shock-like syndrome; TSLS

• Anatomy uterine maʻamau (ʻoki ʻoki)
• ʻO bacteria

Gardella C, Eckert LO, Lentz GM. ʻO nā maʻi maʻi genital: vulva, vagina, cervix, maʻi hōʻeha kūpilikiʻi, endometritis, a me salpingitis. I: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Gynecology Comprehensive. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 23.

Kroshinsky D. Macular, papular, purpuric, vesiculobullous, a me nā maʻi pustular. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 410.

ʻO Larioza J, Brown RB. Toxic shock syndrome. I: Kellerman RD, Rakel DP, eds. ʻO Conn's Current Therapy 2020. Piladelapia, PA: Elsevier 2020: 649-652.

ʻO Que Y-A, ʻo Moreillon P. Staphyloccus aureus (me ka staphyloccocal ʻāpiki lāʻau kūpilikiʻi syndrome). 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.