Botulism pēpē

ʻO ka botulism pēpē kahi maʻi weliweli hiki ke hoʻoweliweli ʻia e ka bacteria i kapa ʻia ʻO Clostridium botulinum. Ulu ia i loko o ka pēpē gastrointestinal tract.

ʻO Clostridium botulinum he mea hoʻolauna spore i maʻa mau i ke kūlohelohe. Hiki ke loaʻa nā spores i ka lepo a me kekahi mau meaʻai (e like me ka meli a me kekahi syrups kānana).

ʻO ka botulism pēpē ka hapanui o nā pēpē ʻōpio ma waena o 6 mau pule a me 6 mau makahiki o ka makahiki. Hiki iā ia ke hoʻomaka i nā lā 6 a i ka hala o 1 makahiki.

ʻO nā kumuhana kūpilikiʻi me ka ale ʻana i ka meli ma ke ʻano he pēpē, kahi a puni ka lepo haumia, a me ka liʻiliʻi o hoʻokahi pahu i kēlā me kēia lā no kahi manawa i ʻoi aku ma mua o 2 mau mahina.

Pākuʻi ʻia paha nā ʻōuli:

• Ka hanu ʻana e kū a lohi paha
• Konipōpō
• Nā kuʻemaka e piʻo a i ʻole pani panina
• "Floppy"
• Ka nele o ke kau ʻana
• Ka nalowale o ke kaohi poʻo
• Paralysis e pālahalaha i lalo
• Hānai hānai maikaʻi ʻole a me ka omo waiwaliwali
• Hoʻoikaika hanu ʻole
• Ka luhi nui loa (lethargy)
• Uē nāwaliwali

E hana ka mea mālama ola i kahi hoʻokolohua kino. Hōʻike paha kēia i ke kani o ka puʻupuʻu i hoʻemi ʻia, kahi nalowale a i ʻole hoʻoliʻiliʻi gag reflex, nalowale a i ʻole hoʻoliʻiliʻi hohonu tendon reflexes, a me ka eyelid drooping.

Hiki ke nānā ʻia kahi laulau mai ka pēpē no ka botulinum toxin a i ʻole bacteria.

Hiki i ka Electromyography (EMG) ke hana e kōkua i ka haʻi ʻana i ka ʻokoʻa ma waena o nā pilikia muscle a me nā neurological.

ʻO Botulism immune globulin ka lapaʻau nui no kēia ʻano. ʻO nā keiki pēpē i loaʻa i kēia ʻano lapaʻau he pōkole ko lākou noho ʻana a me nā maʻi māmā.

Pono e loaʻa i nā pēpē āpau me ka botulism ka mālama kōkua i ko lākou ola ʻana. Pākuʻi ʻia kēia:

• Ka hōʻoia ʻana i ka meaʻai kūpono
• Ke mālama nei i ke ala ākea
• Ke kiaʻi nei i nā pilikia hanu

Inā ulu nā pilikia hanu, pono ke kākoʻo hanu, me ka hoʻohana ʻana o ka mīkini hanu.

ʻAʻole ʻike ʻia nā lāʻau antibiotic e kōkua i ka pēpē e hoʻomaikaʻi hou i ka wikiwiki. No laila, ʻaʻole pono lākou inā ʻaʻole e ulu aʻe kahi maʻi bacteria e like me ka maʻi pneumonia.

He mea kōkua paha ka hoʻohana ʻana i nā botulinum antitoxin i loaʻa i ke kanaka.

Ke ʻike a mālama ʻia ke ʻano i ke kakahiaka, hoʻomaikaʻi pinepine ke keiki. ʻO ka make a i ʻole kīnā paʻa mau paha ka hopena i nā hihia paʻakikī.

Hiki i ka hanu hanu ke ulu. Pono kēia i ke kōkua me ka hanu ʻana.

Hiki i ka botulism pēpē ke hoʻoweliweli i ke ola. E hele i ka lumi pilikia a kāhea paha i ka helu kūloko kūloko (e like me 911) inā loaʻa nā ʻōuli o kāu botulism i kāu pēpē.

I ke kumumanaʻo, hiki ke pale ʻia ka maʻi e ka pale ʻana i ka ʻike i nā spores. Loaʻa nā spores Clostridium i ka meli a me ka syrup kānana. ʻAʻole pono e hānai ʻia kēia mau meaʻai i nā pēpē ma lalo o 1 mau makahiki.

Birch TB, Bleck TP. Botulism (ʻO Clostridium botulinum). 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 245.

Khouri JM, Arnon SS. Botulism pēpē. 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 147.

Norton LE, Schleiss MR. Botulism (Clostridium botulinum). I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 237.