Methicillin-resistant Staphylococcus aureus (MRSA)

Kū ka MRSA i ka methicillin-resistant Staphylococcus aureus. ʻO MRSA kahi germ "staph" (bacteria) ʻaʻole maikaʻi me ka ʻano o nā antibiotic e hoʻōla maʻamau i nā maʻi staph.
Ke hiki mai kēia, ua ʻōlelo ʻia he kūʻē ka germ i ka lāʻau antibiotic.
Hoʻolahalaha ka hapa nui o nā g staph e ka pili o ka ʻili i ka ʻili (pili). ʻO ke kauka, kahu hānai, lawelawe mālama olakino ʻē aʻe, a i ʻole nā mea kipa i kahi haukapila e loaʻa i nā gaph staph ma ko lākou kino i hiki ke laha i kahi mea maʻi.
Ke komo ka germ staph i loko o ke kino, hiki ke pālahalaha i nā iwi, nā hono, ke koko, a i ʻole nā mea ʻē aʻe, e like me nā akemāmā, puʻuwai, a lolo paha.
ʻOi aku ka maʻi o nā maʻi staph koʻikoʻi i ka poʻe me nā pilikia olakino lōʻihi (lōʻihi). Pākuʻi ʻia kēia mau mea i:
- Aia i loko o nā haukapila a me nā wahi mālama wā lōʻihi no ka manawa lōʻihi
- Aia ma ka dialysis hakuʻala (hemodialysis)
- Loaʻa i ka mālama ʻana i ka maʻi ʻaʻai a i ʻole nā lāʻau e hoʻonāwaliwali i kā lākou ʻōnaehana pale
Hiki i nā maʻi MRSA ke hana i nā kānaka olakino i hele ʻole mai i ka haukapila. ʻO ka hapa nui o kēia mau maʻi MRSA ma ka ʻili, a ʻoi aku ka liʻiliʻi o ka maʻi, i ka akemāmā. ʻO ka poʻe e makaʻu nei paha:
- ʻO nā mea pāʻani a me nā poʻe ʻē aʻe e kaʻana like i nā mea e like me nā kāwele a me nā pahi kaua
- ʻO ka poʻe e hoʻokomo i nā lāʻau kū ʻole i ke kānāwai
- ʻO ka poʻe i loaʻa i ke kaʻi i ka makahiki i hala
- ʻO nā keiki i ka mālama lā
- Nā lālā o ka pūʻali koa
- ʻO ka poʻe i kiʻi i ka peʻa
- ʻO ka maʻi maʻi influenza i hala iho nei
He mea maʻamau no ka poʻe olakino e staph ma ko lākou ʻili. Hana ka hapa nui o mākou. ʻO ka hapa nui o ka manawa, ʻaʻole ia e kumu i kahi maʻi a i ʻole nā hōʻailona. Kāhea ʻia kēia ʻo "colonization" a i ʻole "ke noho kolone ʻana." Hiki i kekahi mea i kolone ʻia me MRSA ke hoʻolaha aku i kekahi mau poʻe ʻē aʻe.
ʻO kahi hōʻailona o ka maʻi ʻili staph kahi ʻulaʻula, pehu, a ʻeha hoʻi ma ka ʻili. Hiki ke hoʻokahe iā Pus a i ʻole nā wai ʻē aʻe mai kēia wahi. E like paha me ka paila. Kūpono paha kēia mau ʻōuli inā ʻoki ʻia a ʻānai ʻia ka ʻili, no ka mea hāʻawi kēia i ka germ MRSA i kahi ala e komo ai i kou kino. ʻOi aku ka nui o nā ʻōuli ma nā wahi i nui ka lauoho o ke kino, no ka mea, hiki i ka germ ke komo i loko o nā follicle o ka lauoho.
ʻO ka maʻi MRSA i ka poʻe i loko o nā ʻoihana olakino e koʻikoʻi loa. Aia paha kēia mau maʻi i ke kahe o ke koko, ka puʻuwai, nā mumū a i ʻole nā mea ʻē aʻe, mimi, a i ʻole ma kahi o kahi ʻoki hou. ʻO kekahi mau hōʻailona o kēia mau maʻi ʻino e hoʻopili pū paha:
- ʻEha ʻeha
- Cough a pōkole paha o ka hanu
- Ka luhi
- Fiva a me nā anuanu
- Manaʻo maʻi laulā
- ʻEha poʻo
- Rash
- Nā hōʻeha hōʻola ʻole
ʻO ke ala wale nō e ʻike maopopo inā he MRSA a i ʻole maʻi maʻi staph ka ʻike ʻana i kahi mea hāʻawi.
Hoʻohana ʻia kahi pulupulu e ʻohiʻohi i kahi laʻana mai kahi ʻili ākea a ʻeha paha o ka ʻili. A i ʻole, e hōʻiliʻili ʻia kahi hāpana o ke koko, mimi, sputum, a i ʻole pus mai kahi abscess. Hoʻouna ʻia kahi laʻana i kahi lab e hoʻāʻo no ka ʻike ʻana i kahi bacteria i loaʻa, me staph. Inā loaʻa ka staph, e hoʻāʻo ʻia ia e ʻike ai i nā lāʻau ʻaloʻolo a maikaʻi ʻole e kūʻē iā ia. Kōkua kēia kaʻina hana inā MRSA aia a me nā lāʻau ʻino e hiki ke hoʻohana e mālama ai i ka maʻi.
ʻO ka hoʻokahe ʻana i ka maʻi ka mea hoʻokahi wale nō e pono ai no ka maʻi MRSA ʻili ʻaʻole pālahalaha. Pono kahi mea hoʻolako e hana i kēia kaʻina hana. Mai hoʻāʻo e pop wehe a hoʻokahe iā ʻoe iho i ka maʻi. E mālama i nā ʻeha a i ʻole nā ʻeha i uhi ʻia me ka bandage maʻemaʻe.
Ke paʻakikī nei ka mālama ʻana i nā maʻi MRSA nui. E haʻi nā hopena hōʻike i kāu kauka i ke kauka i nā lāʻau antibiotic e mālama i kāu maʻi. E hāhai kāu kauka i nā kulekele e pili ana i nā lāʻau ʻino e hoʻohana ai, a e nānā i kāu mōʻaukala olakino pilikino. ʻOi aku ka paʻakikī o nā maʻi MRSA e mālama inā kū lākou i:
- ʻO nā māmā a me ke koko
- ʻO ka poʻe i maʻi ʻino a i ʻole ka pūnaewele pale nawaliwali
Pono paha ʻoe e hoʻomau i ka lawe ʻana i nā antibiotic no kekahi manawa lōʻihi, ʻoiai ma hope o kou haʻalele ʻana i ka haukapila.
E mālama pono i nā ʻōkuhi pehea e mālama ai i kāu maʻi ma ka home.
No ka ʻike hou aku e pili ana i ka MRSA, e ʻike i nā kikowaena o ka Pūnaewele Disease Control: www.cdc.gov/mrsa.
Aia ke ʻano o ke kanaka ma muli o ka ʻino o ka maʻi, a me ke olakino olakino o ke kanaka. Hoʻopili ʻia ka maʻi pulumonia a me nā kahe o ke koko ma muli o MRSA me nā helu make kiʻekiʻe.
Kāhea i kāu mea hāʻawi inā loaʻa kahi ʻeha e like me ka ʻoi aku o ka maikaʻi ma mua o ka hoʻōla.
E hāhai i kēia mau kaʻina e hōʻalo i kahi maʻi staph a pale i kahi maʻi mai ka laha ʻana:
- E hoʻomaʻemaʻe i kou mau lima ma ka holoi ʻana iā lākou me ke kopa a me ka wai. A i ʻole, e hoʻohana i kahi hoʻomaʻemaʻe lima lima wai paʻa.
- E holoi i kou mau lima i ka wā hiki ma hope o ka haʻalele ʻana i kahi keʻena olakino.
- E mālama i nā ʻoki a me nā ʻōpala i maʻemaʻe a uhi ʻia me nā bandages a hiki i ka wā e ola ai.
- Hōʻalo i ka launa ʻana me nā ʻeha a nā poʻe ʻē aʻe a i ʻole nā kaula.
- Mai kaʻanalike i nā mea pilikino e like me nā kāwele, nā lole, a me nā mea hoʻonani.
ʻO nā ʻanuʻu maʻalahi no nā mea haʻuki e komo pū:
- Uhi i nā ʻeha me kahi kāwele maʻemaʻe. MAI hoʻopili i nā bandages o haʻi.
- E holoi maikaʻi i kou mau lima ma mua a ma hope o ka pāʻani ʻana i nā haʻuki.
- Ua pono ma hope o ka hoʻoikaika kino. Mai kaʻana like i ke kopa, nā pahi kahi, a me nā kāwele.
- Inā ʻoe e kaʻana like i nā pono haʻuki, hoʻomaʻemaʻe mua ia me ka hopena antiseptic a i ʻole ka holoi. E kau i ka lole a i ʻole ke kāwele ma waena o kou ʻili a me nā pono hana.
- Mai hoʻohana i kahi whirlpool maʻamau a i ʻole sauna inā hoʻohana ʻia e kekahi kanaka me ka ʻeha hāmama. E hoʻohana mau i ka lole a i ʻole ke kāwele i mea pale.
- Mai kaʻanalike i nā splint, nā bandages, a i nā pale.
- E hōʻoia i ka maʻemaʻe o nā wahi e ʻauʻau ai. Inā ʻaʻole lākou maʻemaʻe, ʻauʻau i ka home.
Inā ua hoʻolālā ʻoe i kahi ʻoki, e haʻi i kāu mea hāʻawi inā:
- Loaʻa pinepine ʻoe i nā maʻi
- Ua loaʻa ʻoe i kahi maʻi MRSA ma mua
Methicillin-resistant Staphylococcus aureus; MRSA i loaʻa i ka haukapila (HA-MRSA); Staph - MRSA; ʻO Staphylococcal - MRSA
Nā kikowaena no ka pūnaewele Disease Control a me Prevent. Methicillin-kūpaʻa Staphylococcus aureus (MRSA). www.cdc.gov/mrsa/index.html. Hoʻohou i Pepeluali 5, 2019. Loaʻa iā ʻOkakopa 22, 2019.
ʻO Que Y-A, ʻo Moreillon P. Staphylococcus aureus (me ka staphylococcal huikā shock 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.