Hōʻike Strep B

Anter
- He aha ka hoʻāʻo B strep hōʻike?
- No ke aha ia e hoʻohana ai?
- No ke aha wau e pono ai i kahi hoʻāʻo strep group B?
- He aha ka hana i ka wā o ka hoʻāʻo B strep?
- Pono wau e hana i kekahi mea e hoʻomākaukau ai no ka hoʻāʻo?
- Aia kekahi mau pilikia i ka hoʻāʻo?
- He aha ke ʻano o nā hopena?
- Aia kekahi mea ʻē aʻe e pono iaʻu e ʻike e pili ana i kahi hoʻāʻo B strep test?
- Nā kūmole
He aha ka hoʻāʻo B strep hōʻike?
ʻO Strep B, i ʻike ʻia ma ke ʻano he pūʻulu B strep (GBS), kahi ʻano o nā koʻohune i loaʻa pinepine ʻia i ka digestive tract, urinary tract, a me nā genital area. ʻAʻohe kumu iki i nā hōʻailona a i ʻole nā pilikia i nā mākua akā hiki ke make i nā keiki hānau hou.
I nā wahine, ʻike ʻia ka GBS ma ka ʻōpala a me ka pololei. No laila, ʻo ka wahine hāpai i loaʻa i ka maʻi hiki ke hāʻawi i nā koʻohune i kāna pēpē i ka wā o ka hana a hānau. Hiki i ka GBS ke hana i ka pulumonia, meningitis, a me nā maʻi koʻikoʻi ʻē aʻe i ka pēpē. ʻO nā maʻi GBS ke kumu o ka make a me ke kīnā ʻole i nā keiki hānau hou.
E hōʻoia i kahi hui B strep hōʻoia no ka bacteria bacteria GBS.Inā hōʻike ka hōʻike he GBS ka wahine hāpai, hiki iā ia ke lawe i nā lāʻau ʻalopika i ka wā hana e pale aku ai i kāna pēpē mai ka maʻi.
Nā inoa ʻē aʻe: ka hui B streptococcus, ka hui B beta-hemolytic streptococcus, streptococcus agalactiae, beta-hemolytic strep moʻomeheu
No ke aha ia e hoʻohana ai?
Hoʻohana pinepine ʻia kahi hoʻāʻo B strep e nānā no ka bacteria GBS i nā wahine hāpai. ʻO ka hapa nui o nā wahine hāpai e hoʻāʻo ʻia ma ke ʻano he mahele o ka kānana prenatal maʻamau. Hoʻohana ʻia nō paha ia e hoʻāʻo i nā pēpē e hōʻike ana i nā hōʻailona o ka maʻi.
No ke aha wau e pono ai i kahi hoʻāʻo strep group B?
Pono ʻoe i kahi hoʻāʻo strep B inā hāpai ʻoe. Paipai ka American College of Obstetricians a me Gynecologists i ka hoʻokolohua GBS no nā wahine hāpai āpau. Hana maʻamau i nā hōʻike ma ka 36th a i ʻole 37th wiki o ka hāpai keiki. Inā hele ʻoe i ka hana ma mua o 36 mau pule, e hoʻāʻo ʻia ʻoe i kēlā manawa.
Pono paha i kahi pēpē i kahi hoʻāʻo B strep test inā loaʻa iā ia nā ʻōuli o ka maʻi. Pākuʻi ʻia kēia mau mea:
- Wela wela
- Pilikia i ka hānai ʻana
- Hī pilikia
- Ka nele o ka ikehu (paʻakikī e ala aʻe)
He aha ka hana i ka wā o ka hoʻāʻo B strep?
Inā hāpai ʻoe, hiki i kāu mea mālama ola ke kauoha i kahi hoʻokolohua swab a i ʻole kahi hōʻoia mimi.
No kahi hoʻāʻo swab, e moe ʻoe ma kou kua ma ka papa hōʻike. E hoʻohana kāu mea olakino i kahi swab pulupulu liʻiliʻi e lawe i kahi laʻana o nā hunaola a me nā wai mai kou ʻōpala a me kou kiko.
No kahi hōʻike mimi, e haʻi ʻia paha ʻoe e hoʻohana i ka "mahele hopu hoʻomaʻemaʻe" e hōʻoia i ka makehewa o kāu hāpana. Hoʻopili pū ia i kēia mau kaʻina hana.
- E holoi i kou mau lima.
- E hoʻomaʻemaʻe i kou wahi genital me kahi pale hoʻomaʻemaʻe i hāʻawi ʻia iā ʻoe e kāu mea hāʻawi. E hoʻomaʻemaʻe, wehe i kāu labia a holoi mai mua a hope.
- Hoʻomaka e mimi i loko o ka lua.
- E hoʻoneʻe i ka ipu hōʻiliʻili ma lalo o kāu kahawai.
- E hōʻiliʻili ma kahi o hoʻokahi auneke a i ʻole ʻelua mau mimi i loko o ka ipu, i loaʻa nā māka e hōʻike ai i nā nui.
- Pau ka mimi i loko o ka lua.
- E hoʻihoʻi i ka ipu hāpana e like me ke kauoha a kāu mea mālama ola.
Inā pono e hoʻokolohua kāu pēpē, hana paha kahi mea hāʻawi i kahi hoʻokolohua koko a i ʻole ka piʻo ʻōiwi.
No kahi hōʻike koko, E hoʻohana kahi limahana olakino i kahi nila kuʻikuʻi e lawe i kahi hāpana koko mai kou kuʻekuʻe wāwae o kāu pēpē. Ma hope o ka hoʻokomo ʻia ʻana o ka nila, e hōʻiliʻili ʻia kahi koko liʻiliʻi i loko o kahi pahu hoʻāʻo a ipu paha. ʻIke iki paha kāu pēpē i ka wā e hele ai a i waho paha ka nila.
Kīwī kīwī, i ʻike ʻia he puncture lumbar, kahi hoʻāʻo e hōʻiliʻili a nānā i ka wai o ka iwi kuamoʻo, ka wai aniani e hoʻopuni i ka lolo a me ka iwi kuamoʻo. Ma ke kaʻina hana:
- Mālama kahi kahu hānai a mea lawelawe olakino ʻē aʻe paha i kāu pēpē i kahi kūlana wili ʻia.
- E hoʻomaʻemaʻe kahi mea mālama ola i kou kua pēpē a hoʻokomo i kahi anesthetic i loko o ka ʻili, no laila ʻaʻole e ʻike kāu pēpē i ka ʻeha i ka wā o ke kaʻina hana. Hiki i ka mea hāʻawi ke kau i ka kirima numbing ma ke kua o kāu pēpē ma mua o kēia hoʻouka.
- Hāʻawi paha ka mea hāʻawi i kāu pēpē i kahi mea hoʻohiamoe a me / a i ʻole mea ʻeha e kōkua iā ia e ʻae maikaʻi i ke kaʻina hana.
- Ke pau loa ka maka o ka ʻaoʻao ma hope, e hoʻokomo kāu mea hoʻolako i kahi nila kui lahilahi, a hollow ma waena o ʻelua vertebrae ma ka iwi ʻaoʻao lalo. ʻO Vertebrae nā iwi hope liʻiliʻi e hana ana i ka iwi kuamoʻo.
- E huki ka mea hoʻolako i kahi wai liʻiliʻi o ka cerebrospinal no ka hoʻāʻo ʻana. E ʻelima paha minuke kēia.
Pono wau e hana i kekahi mea e hoʻomākaukau ai no ka hoʻāʻo?
ʻAʻole ʻoe i kahi hoʻomākaukau kūikawā no nā hoʻāʻo strep pūʻulu B.
Aia kekahi mau pilikia i ka hoʻāʻo?
ʻAʻohe makaʻu iā ʻoe mai kahi swab a i ʻole hoʻāʻo mimi. Loaʻa paha i kāu pēpē ka ʻeha a ʻehaʻeha paha ma hope o ka hoʻāʻo ʻana i ke koko, akā e hele wikiwiki kēlā. E ʻike paha kāu pēpē i kahi ʻeha ma hope o ke kuamoʻo o ka iwi kuamoʻo, akā ʻaʻole ia e lōʻihi lōʻihi Aia kekahi wahi liʻiliʻi o ka maʻi a i ʻole ke kahe ʻana ma hope o ke kuamoʻo o ka iwi kuamoo.
He aha ke ʻano o nā hopena?
Inā hāpai ʻoe a hōʻike nā hopena i loaʻa iā ʻoe ka bacteria bacteria GBS, hāʻawi ʻia iā ʻoe nā lāʻau ʻalopika (e IV) i ka wā hana, ma ka liʻiliʻi ʻehā mau hola ma mua o ka hānau. Pale kēia iā ʻoe mai ka hoʻoili ʻana i nā bacteria i kāu pēpē. ʻAʻole maikaʻi ka lawe ʻana i nā antibiotic ma mua o kou hāpai ʻana, no ka mea, hiki ke ulu koke nā bacteria. ʻOi aku ka maikaʻi o ka lawe ʻana i nā antibiotic ma o kou aa, ma mua o ka waha.
ʻAʻole paha ʻoe e pono i nā lāʻau ʻaloʻalo inā loaʻa iā ʻoe kahi hoʻolālā i hoʻolālā ʻia e ka ʻāpana Cesarean (ʻāpana C). I loko o kahi ʻāpana C, hāʻawi ʻia kahi pēpē ma o ka ʻōpū o ka makuahine ma mua o ka wahine. Akā pono ʻoe e hoʻāʻo ʻia i ka wā o ka hāpai ʻana no ka mea hiki iā ʻoe ke hele i ka hana ma mua o kāu ʻāpana C i hoʻonohonoho ʻia.
Inā hōʻike nā hopena o kāu pēpē i kahi maʻi GBS, e mālama ʻia ʻo ia me nā lāʻau ʻaloʻalo. Inā kānalua kāu mea hāʻawi i kahi maʻi GBS, hiki iā ia ke mālama i kāu pēpē ma mua o ka loaʻa ʻana o nā hopena hōʻike. ʻO kēia no ka mea hiki i ka GBS ke hana i nā maʻi nui a make paha.
Inā he mau nīnau kāu e pili ana i kāu hopena a i ʻole nā hopena o kāu pēpē, e kamaʻilio me kāu kauka olakino.
E aʻo hou aʻe e pili ana i nā hoʻokolohua hoʻokolohua, nā pae kuhikuhi, a me ka hoʻomaopopo ʻana i nā hopena.
Aia kekahi mea ʻē aʻe e pono iaʻu e ʻike e pili ana i kahi hoʻāʻo B strep test?
ʻO Strep B kahi ʻano o nā koʻohune strep. Hoʻokumu nā ʻano ʻē aʻe o ka strep i nā ʻano maʻi like ʻole. Pākuʻi ʻia kēia mau mea me ka strep A, kahi e kumu ai i ka ʻāʻī strep, a me ka streptococcus pneumoniae, ka mea i kumu i ka maʻi maʻamau o ka maʻi ponia. Hiki i nā bacteria bacteria Streptococcus ke kumu i nā maʻi o ka pepeiao, nā lawehala, a me nā kahe o ke koko.
Nā kūmole
- ACOG: Ke Kulanui ʻAmelika o nā Obstetricians a me nā Gynecologists [Pūnaewele]. Wakinekona D.C .: Ke Kulanui ʻAmelika o nā Obstetricians a me nā Gynecologists; c2019. Pūʻulu B Strep a me ka hāpai keiki; 2019 Jul [helu ʻia 2019 Nov 15]; [ma kahi o 3 pale]. Loaʻa mai: https://www.acog.org/Patients/FAQs/Group-B-Strep-and-Pregnancy
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ʻAʻole pono e hoʻohana i ka ʻike ma kēia pūnaewele i pani no ka mālama olakino ʻoihana a ʻōlelo aʻoaʻo paha. Kāhea aku i ka mea mālama ola inā he nīnau kāu e pili ana i kou olakino.