Mea Kākau: Robert Simon
Lā O Ka Hana: 18 Iune 2021
HōʻAno Hou I Ka Lā: 19 Nowemapa 2024
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Hōʻike Overview

Klebsiella pneumoniae (K. pneumoniae) he mau koʻohune e noho maʻamau i kou ʻōpū a me nā feces.

ʻAʻohe makaʻu kēia mau koʻohune ke hiki lākou i kou ʻōpū. Akā inā hoʻolaha lākou i kekahi ʻāpana o kou kino, hiki iā lākou ke hōʻeha i nā maʻi ʻino. ʻOi aku ka kiʻekiʻe inā ʻoe maʻi.

K. pneumoniae hiki ke hoʻopili i kāu:

  • māmā
  • ʻōpū
  • lolo
  • ake
  • maka
  • koko
  • ʻeha

ʻO ka wahi o kāu maʻi e hoʻoholo ai i kāu mau ʻōuli a me kāu lāʻau. ʻO ka maʻamau, ʻaʻole loaʻa ka poʻe olakino K. pneumoniae nā maʻi maʻi. ʻOi aku paha ka loaʻa inā loaʻa iā ʻoe kahi ʻōnaehana pale nāwaliwali ma muli o kahi ʻano olakino a hoʻohana lāʻau antibiotic lōʻihi paha.

K. pneumoniae mālama ʻia nā maʻi me nā lāʻau ʻalopika, akā ua ulu kekahi mau ʻano i ke kūpaʻa lāʻau. He paʻakikī loa kēia mau maʻi e mālama me nā antibiotic maʻamau.

ʻO ke kumu o ka maʻi Klebsiella pneumoniae

A ʻO Klebsiella ʻo ka maʻi ʻaʻai ke kumu o ka maʻi bacteria K. pneumoniae. Hana ʻia ia i ka wā K. pneumoniae komo pololei i ke kino. Hana ʻia kēia ma muli o ka pili o ke kanaka a ke kanaka.


I ke kino, hiki i ke koʻohune ke ola i nā pale o ka ʻōnaehana pale a hana i ka maʻi.

Nā ʻōuli o Klebsiella pneumoniae

No ka mea K. pneumoniae hiki ke hoʻopili i nā ʻāpana like ʻole o ke kino, hiki iā ia ke kumu i nā ʻano maʻi like ʻole.

He mau ʻōuli ʻokoʻa ko kēlā me kēia maʻi.

Pulumonia

K. pneumoniae kumu pinepine i ka maʻi koʻohune bacteria, a i ʻole ka maʻi maʻi o nā akemāmā. Hana ia ke komo ka bacteria i kāu mana hanu.

Kūpono ka pulumonia i loaʻa i ke kaiāulu inā ʻoe e maʻi i loko o kahi kaiāulu, e like me ke kikowaena kūʻai a i ʻole ke ala kaʻaahi. Loaʻa ka maʻi ʻaʻaia i loaʻa i ka haukapila inā loaʻa ʻoe i maʻi i ka haukapila a i ʻole hale hānai.

I nā ʻāina Komohana, K. pneumoniae kumu e pili ana i ka loaʻa i ke kaiāulu pneumonia. He kuleana pū kekahi ia no ka maʻi maʻi maʻi i loaʻa i ka maʻi maʻi puni honua.

Nā ʻōuli o ka niumonia me:

  • fiva
  • haʻalulu
  • ʻūhā
  • melemele a kōkoʻa koko paha
  • pokole o ka hanu
  • ʻeha ka umauma

Maʻi ʻaʻai Urinary

Inā K. pneumoniae komo i loko o kāu mimi, hiki iā ia ke kumu i kahi maʻi urinary tract (UTI). Hoʻopili pū kāu kīʻaha urinary i kou urethra, bladder, ureter, a me nā puʻupaʻa.


ʻO Klebsiella Kū nā UTI ke komo ka bacteria i loko o ka urinary tract. Hiki iā ia ke hana ma hope o ka hoʻohana ʻana i ka catheter urinary no kahi manawa lōʻihi.

Maʻamau, K. pneumoniae kumu i nā UTI i nā wahine makua.

ʻAʻole pinepine nā UTI i nā hōʻailona. Inā loaʻa iā ʻoe nā hōʻailona, ​​ʻike paha ʻoe:

  • koi pinepine e mimi
  • ʻeha a me ke ahi i ka wā e mimi ai
  • mimi koko a ʻōpua paha
  • mimi ikaika loa
  • e hele liʻiliʻi ana i ka mimi
  • ʻeha ma ka ʻaoʻao hope a pelvic paha
  • hōʻoluʻolu i ka ʻōpū o lalo

Inā loaʻa kahi UTI i kāu mau puʻupaʻa, loaʻa paha iā ʻoe:

  • fiva
  • haʻalulu
  • nausea
  • ka luaʻi
  • ʻeha ma ke kua o luna a me ka ʻaoʻao

ʻO ka maʻi ʻili a palupalu paha

Inā K. pneumoniae komo i loko o kahi haki i kou ʻili, hiki iā ia ke hoʻopili i kou ʻili a i ʻole nā ​​mea palupalu. ʻO ka maʻamau, hana kēia me nā ʻeha i hoʻokumu ʻia e ka ʻeha a ʻoki paha.

K. pneumoniae ʻo nā maʻi ʻeha pū kekahi:

  • cellulitis
  • ʻāpana frotciitis
  • myositis

Kaukaʻi ʻia i ke ʻano o ka maʻi, ʻike paha ʻoe:


  • fiva
  • ʻulaʻula
  • pehu
  • ʻeha
  • nā ʻōuli like flu
  • luhi

Meningitis

I nā hihia kakaikahi, K. pneumoniae hiki ke hoʻoulu i ka meningitis bacteria, a i ʻole ka mumū o nā membrane e uhi i ka lolo a me ka iwi kuamoʻo. Hana ʻia ia i ka wā e maʻi ai nā bacteria i ka wai a puni ka lolo a me ka iwi kuamoo.

ʻO ka hapa nui o nā hihia o K. pulumoniae hana ʻia ka meningitis ma nā wahi o ka haukapila.

ʻO ka maʻamau, ʻo ka meningitis ke kumu o ka hoʻomaka koke ʻana o:

  • wela wela
  • ʻeha poʻo
  • ʻāʻī ʻoʻoleʻa

Hiki i nā ʻōuli ʻē aʻe ke:

  • nausea
  • ka luaʻi
  • ikepili koʻikoʻi i ka malamalama (photophobia)
  • huikau

Endophthalmitis

Inā K. pneumoniae Aia i loko o ke koko, hiki ke pālahalaha i ka maka a hoʻomaka i ka endophthalmitis. He maʻi kēia e hoʻonā ai i ke keʻokeʻo o kou maka.

Pākuʻi ʻia paha nā ʻōuli:

  • ʻeha ka maka
  • ʻulaʻula
  • hoʻokuʻu keʻokeʻo a melemele paha
  • ʻōmaʻomaʻo keʻokeʻo ma ke kihi
  • photophobia
  • ʻike hihi ʻole

Pau ke ake o ke ake Pyogenic

Pinepine, K. pneumoniae maʻi i ke akepaʻa. Hiki i kēia ke kumu i kahi abscess ate pyogen, a i ʻole kahi liona piha i ka pus.

K. pneumoniae pā pinepine nā abscesses o ke akepaʻa i ka poʻe me ka maʻi diabetes a i ʻole ka mea lawe i nā lāʻau ʻaloʻalo no kekahi manawa lōʻihi.

ʻO nā ʻōuli maʻamau ka:

  • fiva
  • ʻeha ma ka ʻōpū luna pono
  • nausea
  • ka luaʻi
  • pāhoehoe

Maʻi ʻaʻai Koko

Inā K. pneumoniae komo i loko o kou koko, hiki iā ia ke kumu i ka bacteremia, a i ʻole ke kū ʻana o nā bacteria i ke koko.

I ka bacteremia mua, K. pneumoniae hoʻopili pono i kāu kahe koko. I ka bacteremia lua, K. pneumoniae hohola i kou koko mai kahi maʻi i kahi ʻē aʻe i kou kino.

Kuhi ʻia kahi noiʻi ma kahi o 50 pākēneka o ʻO Klebsiella mai nā maʻi koko mai ʻO Klebsiella maʻi ʻo

Hoʻoulu koke nā ʻōuli. Hoʻopili paha kēia:

  • fiva
  • haʻalulu
  • luliluli ʻana

Pono e mālama koke ʻia ka maʻi bacteria. Inā haʻalele ʻole ʻia, hiki i ka bacteremia ke lilo i mea hoʻoweliweli i ke ola a lilo i sepsis.

Pilikia Pilikino

ʻO Bacteremia kahi pilikia olakino. E hele i kahi lumi pilikia kokoke a kāhea paha iā 911 a i ʻole nā ​​lawelawe kūloko kūloko inā manaʻo ʻoe he loaʻa paha kāu iā ia. ʻOi aku ka maikaʻi o kāu wānana inā mālama mua ʻia ʻoe. E hoʻohaʻahaʻa nō ia i kāu makaʻu o nā pilikia hoʻoweliweli ola.

Nā kumu weliweli o Klebsiella pneumoniae

Loaʻa paha ʻoe i ka loaʻa K. pneumoniae inā loaʻa iā ʻoe kahi pūnaewele pale nāwaliwali.

ʻO nā kumu pilikia o ka maʻi i loaʻa:

  • hoʻonui makahiki
  • lawe i nā antibiotic no ka manawa lōʻihi
  • ke lawe nei i nā corticosteroids

    Ka lawe ʻana o Klebsiella pneumoniae

    K. pneumoniae hohola ma o ka pili kanaka ʻana i kekahi kanaka. Hiki ke hana kēia inā pili ʻoe i kekahi i loaʻa i ka maʻi.

    Hiki i kekahi mea maʻi ʻole ke hāpai i ka bacteria mai kekahi kanaka a i kekahi.

    Hoʻohui ʻia, hoʻopōʻino paha ka bacteria i nā mea olakino e like me:

    • mea hoʻāhu ea
    • nā mea hoʻoheheʻe ureter
    • nā pōpō huhū

    K. pneumoniae ʻaʻole hiki ke pālahalaha i ka lewa.

    Ke hōʻike nei i kahi maʻi

    Hiki i ke kauka ke hana i nā hoʻokolohua like ʻole e kuhikuhi a ʻO Klebsiella maʻi maʻi.

    E pili nā hōʻike i kāu mau ʻōuli. Hoʻopili paha kēia:

    • ʻImi kino. Inā loaʻa iā ʻoe kahi ʻeha, e nānā ke kauka no nā hōʻailona o ka maʻi. Hiki iā lākou ke nānā i kou maka inā loaʻa nā ʻōuli e pili ana i ka maka.
    • Nā laʻana wai. Lawe paha kāu kauka i nā laʻana o ke koko, mucus, mimi, a i ʻole ka cerebral spinal fluid. E nānā ʻia nā laʻana no ka bacteria.
    • Nā hoʻāʻo kiʻi. Inā kānalua ke kauka i ka maʻi ponia, e lawe lākou i ka X-ray umauma a i ʻole PET scan e nānā ai i kou mau māmā. Inā manaʻo kāu kauka he abscess kou ake, hana paha lākou i kahi ultrasound a i ʻole CT scan.

    Inā ʻoe e hoʻohana ana i kahi ea a i ʻole catheter e hoʻāʻo paha kāu kauka i kēia mau mea K. pneumoniae.

    ʻO ka lāʻau maʻi Klebsiella pneumoniae

    K. pneumoniae mālama ʻia nā maʻi me nā antibiotic. Eia nō naʻe, hiki i ka bacteria ke paʻakikī e mālama. Kūlana kūpaʻa loa kekahi mau ʻano i nā antibiotic.

    Inā loaʻa iā ʻoe kahi maʻi kūpaʻa lāʻau, e kauoha ke kauka i nā hoʻokolohua lab e hoʻoholo ai i kahi antibiotic e holo pono loa.

    E mālama mau i nā ʻōlelo aʻo a kāu kauka. Inā kū koke ʻoe i ka lawe ʻana i nā lāʻau ʻaloʻalo, hoʻi paha ka maʻi.

    Ka wā e ʻike ai i ke kauka

    Pono ʻoe e ʻike i kāu kauka inā ʻike ʻoe i kahi hōʻailona o ka maʻi. Inā loaʻa ʻoe i ke kuni hikiwawe a i ʻole hiki ʻole ke hanu, e kiʻi koke i ke kōkua lapaʻau.

    ʻO Klebsiella hiki i nā maʻi ke hohola koke i loko o ke kino, no laila he mea nui e ʻimi i ke kōkua.

    Kāohi ʻana i kahi maʻi

    No ka mea K. pneumoniae pālahalaha ʻia ma o ka pili kanaka a ke kanaka, ʻo ke ala ʻoi loa e pale aku ai i ka maʻi ka holoi pinepine ʻana i kou mau lima.

    E hoʻomaʻemaʻe ka hoʻomaʻemaʻe lima maikaʻi i ka laha ʻole ʻana o nā g germ. E holoi ʻoe i kou mau lima:

    • ma mua o ka hoʻopā ʻana i kou mau maka, ihu, a waha paha
    • ma mua a ma hope o ka hoʻomākaukau a ʻai ʻana paha i ka meaʻai
    • ma mua a ma hope o ka hoʻololi ʻana i nā lole ʻeha
    • ma hope o ka hoʻohana ʻana i ka lua
    • ma hope o ka ʻū ʻana a i ʻole ka ʻū ʻana

    Inā ʻoe i ka haukapila, pono i nā limahana ke komo i nā mikina lima a me nā ʻaʻahu ke pā aku me nā poʻe ʻē aʻe ʻO Klebsiella maʻi maʻi. Pono lākou e holoi i ko lākou mau lima ma hope o ka hoʻopā ʻana i nā wahi o ka haukapila.

    Inā pilikia ʻoe i ka maʻi, hiki i ke kauka ke wehewehe i nā ala ʻē aʻe e palekana.

    Prognosis a me ka hoʻōla

    Hoʻololi nui ka ʻike a me ka hoʻōla. Aia kēia i nā kumu he nui, e like me kāu:

    • makahiki
    • kūlana olakino
    • kānana o K. pneumoniae
    • ʻano maʻi
    • ke koʻikoʻi o ka maʻi

    I kekahi mau hihia, hiki i ka maʻi ke hoʻokumu i nā hopena mau loa. O kahi laʻana, ʻO Klebsiella e hōʻino mau paha ka niumonia i ka hana māmā.

    ʻOi aku ka maikaʻi o kāu wānana inā mālama mua ʻia ʻoe. E hoʻohaʻahaʻa nō ia i kāu makaʻu o nā pilikia hoʻoweliweli ola.

    Hiki i ka hoʻōla ke lawe i kahi mai kekahi mau pule a i mau mahina.

    I kēia manawa, e lawe i kāu lāʻau āpau āpau a hele i kāu koho ʻana.

    Lawe aku

    Klebsiella pneumoniae (K. pneumoniae) ʻaʻohe mea hōʻeha. Noho ka bacteria i kou ʻōpū a me nā feces, akā hiki ke makaʻu i nā wahi ʻē aʻe o kou kino.

    ʻO Klebsiella hiki ke hana i nā maʻi ʻino loa i loko o kou mau māmā, bladder, lolo, ate, maka, koko, a me nā ʻeha. Pili kāu mau ʻōuli i ke ʻano o ka maʻi.

    Hoʻolahalaha ka maʻi ma o ka pili kanaka a kekahi kanaka. ʻOi aku kou makaʻu inā maʻi ʻoe. ʻO ka maʻamau, ʻaʻole loaʻa ka poʻe olakino ʻO Klebsiella nā maʻi maʻi.

    Inā loaʻa iā ʻoe K. pneumoniae, pono ʻoe i nā antibiotic. Kūpono kekahi mau ʻano i nā lāʻau lapaʻau, akā hiki i kāu kauka ke hoʻoholo i kahi antibiotic e holo pono loa. Hiki i ka hoʻōla ke lilo i mau mahina, akā ʻo ka hoʻomaʻamaʻa mua ʻana e hoʻomaikaʻi ai i kāu wānana.

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