Meningococcemia

ʻO ka Meningococcemia kahi maʻi koʻikoʻi a weliweli paha i ke kahe o ke koko.

Hoʻokumu ʻia ka Meningococcemia e nā bacteria i kāhea ʻia Neisseria meningitidis. Noho pinepine ka bacteria i loko o ka hanu luna o ke kanaka me ka hana ʻole i nā hōʻailona o ka maʻi. Hiki iā lākou ke pālahalaha ʻia mai kekahi kanaka i kekahi kanaka ma o nā droplets hanu. ʻO kahi laʻana, lilo ʻoe i maʻi inā puni ʻoe i kekahi me ke ʻano a ʻū a uha paha lākou.

ʻO nā lālā o ka ʻohana a me nā mea i pili loa i kekahi me ke ʻano i ka nui o ka makaʻu. Kū pinepine ka maʻi i ka hoʻoilo a me ka mua o ka puna.

Maliʻa paha he mau ʻōuli ma ka mua. Pili pū paha kekahi:

• Fiva
• ʻEha poʻo
• Huhū
• ʻEha ʻeha
• Nusea
• Rash me nā wahi ʻulaʻula a ʻulaʻula paha ma nā wāwae a me nā wāwae

Hiki i nā ʻōuli ke komo pū:

• ʻO ka hāʻule o kāu pae o ka ʻike
• Nā wahi nui o ke kahe ʻana ma lalo o ka ʻili
• Pāhaʻi

E nānā ka mea mālama ola iā ʻoe a nīnau e pili ana i kāu mau hōʻailona.

E hana ʻia nā hoʻokolohua koko e hōʻole i nā maʻi ʻē aʻe a kōkua i ka hōʻoia ʻana i ka meningococcemia. ʻO ia mau hoʻāʻo e komo pū paha:

• Moʻomeheu Koko
• Helu piha ke koko me ka ʻokoʻa
• Nā hoʻopaʻa haʻawina koko

Nā hoʻokolohua ʻē aʻe i hana ʻia e hoʻopili ʻia:

• Pākuʻi ʻia ʻo Lumbar e kiʻi i kahi laʻana o ka wai āpau no ka stain Gram a me ka moʻomeheu
• ʻO ka maʻi biopsy o ka ʻili a me ka Gram
• Loiloi mimi

ʻO Meningococcemia kahi pilikia olakino. Hoʻokomo pinepine ʻia ka poʻe me kēia maʻi i ka hale mālama nui o ka haukapila, kahi e nānā pono ʻia ai lākou. Hoʻonoho ʻia lākou i ka hoʻokaʻawale hanu no 24 mau hola e kōkua ai i ka pale ʻana i ka hoʻolaha ʻana o ka maʻi i nā poʻe ʻē aʻe.

Hiki i nā mālama ke hoʻopili:

• Hāʻawi ʻia nā antibiotic ma o ke aa koke
• Kākoʻo hanu
• ʻO nā kumu Clotting a i ʻole ka pāhaʻi hou, inā ulu nā maʻi hoʻokahe
• Nā loli ma o kahi aa
• Nā lāʻau e mālama i ke kaomi haʻahaʻa
• Mālama ʻeha no nā wahi o ka ʻili me nā huʻa koko

ʻO nā hopena ma mua ke hopena i kahi hopena maikaʻi. Ke hoʻomohala i ka haʻalulu, ʻaʻole maopopo ka hopena.

ʻO ke kūlana weliweli loa i ke ola i ka poʻe i loaʻa:

• ʻO kahi maʻi kūpilikiʻi koʻikoʻi i kapa ʻia ʻo ka coagulopathy intravascular dissemined (DIC)
• Hewa ʻole nā ​​hakuʻala
• Pāhaʻi

ʻO nā pilikia kūpono o kēia maʻi ʻo:

• Pākuʻi
• ʻO ka maʻi maʻi maʻi (DIC)
• ʻO Gangrene ma muli o ka lawa ʻole o ka lako o ke koko
• ʻO ka hoʻohaunaele o nā kīʻaha koko i ka ʻili
• Ka hoʻohaunaele o ka puʻuwai puʻuwai
• Ka hoʻohaunaele o ka naʻau i uhi ʻia
• Pāhaʻi
• ʻO ka hōʻino koʻikoʻi i nā ʻōpū adrenal i hiki ke alakaʻi i ke koko haʻahaʻa (Waterhouse-Friderichsen Syndrome)

E hele koke i ka lumi pilikia inā loaʻa iā ʻoe nā ʻōuli o ka meningococcemia. Kāhea i kāu mea hāʻawi inā ua puni ʻoe i kekahi me ka maʻi.

Paipai pinepine ʻia nā antibiotic Preventive no nā lālā o ka ʻohana a me nā pilina pili ʻē aʻe. E kamaʻilio me kāu mea hāʻawi e pili ana i kēia koho.

Kahi lāʻau lapaʻau e uhi ai i kekahi, akā ʻaʻole naʻe nā mea āpau o ka meningococcus e paipai ʻia no nā keiki 11 a i ʻole 12. Hāʻawi ʻia kahi booster i nā makahiki 16. Hāʻawi ʻia ia i mau mau pule ma mua o ko lākou neʻe mua ʻana i ka hale moe. E kamaʻilio i kāu mea hoʻolako e pili ana i kēia lāʻau āpau.

Septicemia Meningococcal; Lāʻau make koko Meningococcal; Meningococcal bacteremia

ʻO Marquez L. Meningococcal maʻi. I: Cherry JD, Harrison GJ, Kaplan SL, Steinbach WJ, Hotez PJ, eds. ʻO Feigin lāua ʻo Cherry's Textbook of Pediatric Infectious Diseases. 8th ed. Piladelapia, PA: Elsevier; 2019: chap 88.

Stephens DS, Apicella MA. Neisseria meningitidis. 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 213.