He aha ka Group B Strep? Nā hōʻailona, nā kumu, a me ka mālama

ʻO ka Group B Strep (GBS) kahi ʻano maʻamau o ka bacteria e noho maoli ana i loko o nā kino o nā kānaka he nui me ka ʻole o ka hoʻoulu ʻana i nā pilikia. Ma kahi o 1 i 4 mau mākua e halihali ana i kēia bacteria i loko o ko lākou ʻōpū a i ʻole kahi genital, a ʻaʻole ka nui o lākou e ʻike i kona noho ʻana ma laila no ka mea ʻaʻole ia e hoʻoliʻiliʻi iā lākou.

E noʻonoʻo i ka GBS ma ke ʻano he bacteria maʻamau ʻole e lilo i mea hopohopo nui i ka wā hāpai a me ka hānau ʻana. ʻOiai ʻaʻole ia he mea weliweli no nā mākua olakino, hiki iā ia ke hoʻopilikia i nā pēpē hou inā hoʻoili ʻia mai ka makuahine i ke keiki i ka wā hānau.

He aha ka Group B Strep?

ʻO ka Group B Streptococcus kahi ʻano o ka bacteria i kapa ʻia ʻo Streptococcus agalactiae ma ke ʻano ʻepekema. He ʻokoʻa loa ia mai ka Group A Strep, ka mea e hoʻoulu ai i ka ʻāʻī strep.

Ke noho nei kēia bacteria ma kāu ʻōnaehana ʻai a me kahi genital ma ke ʻano he ʻāpana o kāu mau mea kanu kino maʻamau. Ke hele mai nei a hele aku ma luna o kona iho, a hiki iā ʻoe ke hoʻāʻo i ka maikaʻi i hoʻokahi lā a maikaʻi ʻole i ka lā aʻe. No ka hapa nui o nā mākua olakino, ʻaʻole hoʻoulu ka GBS i nā hōʻailona a pono ʻole i ka mālama.

ʻO ka pilikia nui me ka GBS e hana ana i ka wā hāpai. Inā ʻoe e halihali ana i ka GBS i ka wā e hānau ai ʻoe, aia kahi manawa liʻiliʻi e hiki ai iā ʻoe ke hoʻoili iā ia i kāu pēpē i ka wā hānau, ka mea e alakaʻi ai i nā maʻi koʻikoʻi i nā pēpē hou.

He aha nā hōʻailona o ka Group B Strep?

ʻAʻohe hōʻailona o ka hapa nui o nā mākua me ka GBS. Ke noho mālie nei ka bacteria i loko o kou kino me ka ʻole o ka hoʻoulu ʻana i nā pilikia a i ʻole nā ​​mea ʻoluʻolu.

Eia naʻe, hiki i ka GBS ke hoʻoulu i nā maʻi i kekahi mau kūlana. Eia nā hōʻailona āu e ʻike ai inā hoʻoulu ka GBS i ka maʻi:

Nā hōʻailona maʻamau i nā mākua:

• Nā hōʻailona o ka maʻi urinary tract e like me ka puhi ʻana i ka wā urination a i ʻole ka urination pinepine
• Fever a me nā chills
• ʻEha a puhi paha i ka wā urination
• Urine cloudy a i ʻole ikaika-ʻala
• ʻEha pelvic i nā wahine

Nā hōʻailona ʻoi aku ka nui o ka pilikia e pono ai ke kōkua olakino koke:

• Wela kiʻekiʻe ma luna o 101°F (38.3°C)
• ʻEha nui o ka ʻōpū a i ʻole ke kua
• Nausea a me ka luaʻi
• Hoʻoulu koke ʻana o ka naʻau a i ʻole ka hanu
• Hōʻuluʻulu a i ʻole pilikia e noho ala

He mea maʻamau ʻole kēia mau hōʻailona ʻoi aku ka nui o ka pilikia, akā hiki ke hōʻike i ka maʻi nui e pono ai ka mālama koke. Inā loaʻa iā ʻoe kekahi o kēia mau mea, he mea nui ke ʻimi i ka mālama olakino koke.

He aha ka mea e hoʻoulu ai i ka Group B Strep?

ʻAʻole ia he mea āu e 'hopu' mai kekahi kanaka ʻē aʻe ma ke ʻano kuʻuna. Aia kūlohelohe kēia bacteria i loko o ke kaiapuni a ma nā kino o nā kānaka he nui ma ke ʻano he hapa o ko lākou kaiāulu bacteria maʻamau.

Hiki iā ʻoe ke loaʻa i ka GBS ma o nā hana maʻamau o kēlā me kēia lā. Hiki i ka bacteria ke komo i kou kino ma o kou ʻōnaehana ʻai mai ka meaʻai, ka wai, a i ʻole ka hoʻopā ʻana i nā ʻili haumia. Hiki nō hoʻi ke loaʻa i kou wahi genital ma ke ʻano he hapa o kou kaulike bacteria maʻamau.

He mau mea e hiki ke hoʻopilikia i kou lawe ʻana i ka GBS:

• Nā loli bacteria maʻamau i kou kino i ka manawa
• Nā loli hormonal i ka wā hāpai
• Nā loli i kou ʻōnaehana pale kino
• Ka moekolohe, ʻoiai ʻaʻole ia i manaʻo ʻia he maʻi moekolohe i hoʻoili ʻia
• Ka hoʻohana ʻana i nā lāʻau antibiotic ma mua, kahi e hiki ai ke hoʻololi i kou kaulike bacteria maʻamau

He mea nui e hoʻomaopopo ʻaʻole ʻoe i hana hewa i ka lawe ʻana i ka GBS. Hiki mai a hele aku kēia bacteria ma ke ʻano kūlohelohe, a nui nā kānaka olakino e lawe iā ia me ka ʻole o nā pilikia.

I ka wā e ʻike ai i ke kauka no ka Group B Strep?

Pono ʻoe e hoʻokaʻaʻike i kāu mea lawelawe olakino inā loaʻa iā ʻoe nā hōʻailona o ka maʻi urinary tract a i ʻole kekahi hōʻailona o ka maʻi, ʻoi aku inā hāpai ʻoe.

Eia ka wā e pono ai ʻoe ke ʻimi i ka mālama olakino:

• Inā hāpai ʻoe a loaʻa iā ʻoe kekahi mau hōʻailona o ka maʻi e like me ka wela, ka ulu ʻana o ka maʻi, a i ʻole ka puhi ʻana i ka wā e mimi ai
• Inā loaʻa iā ʻoe ka maʻi suka a loaʻa iā ʻoe kekahi mau hōʻailona o ka maʻi
• Inā nāwaliwali kou ʻōnaehana pale kino a ʻike ʻoe i kekahi mau hōʻailona maʻamau ʻole
• Inā ʻeha nui ʻoe e like me ka wela nui, ka ʻeha nui, a i ʻole ka huikau
• Inā ʻoe ma luna o 65 a loaʻa iā ʻoe kekahi mau hōʻailona o ka maʻi

No nā wāhine hāpai, ʻo ka hoʻokolokolo maʻamau ʻana o GBS he ʻāpana maʻamau ia o ka mālama ʻana i ka wā hāpai ma waena o 35-37 mau wiki o ka hāpai ʻana. ʻAʻole kēia no ka mea maʻi ʻoe, akā no ka mea e kōkua ana i kāu kauka e hoʻolālā i ka hānau ʻana i palekana loa no ʻoe a me kāu pēpē.

He aha nā kumu pilikia no ka Group B Strep?

ʻOiai hiki i kekahi ke lawe i ka GBS, hiki i kekahi mau mea ke hoʻonui i kou pilikia o ka loaʻa ʻana o ka maʻi a i ʻole ka loaʻa ʻana o nā pilikia mai ka bacteria.

ʻO nā kumu pilikia maʻamau e komo pū ana:

• Ke hāpai nei (ʻoi aku hoʻi kokoke i ka hānau ʻana)
• Ke ʻoi aku ma mua o 65 mau makahiki
• Ke loaʻa nei ka maʻi suka
• Ke nāwaliwali nei kou ʻōnaehana pale kino
• Ke loaʻa nei nā kūlana olakino lōʻihi e like me ka maʻi naʻau a i ʻole ka maʻi ate
• ʻO ka hana hou ʻana a i ʻole nā ​​​​kaʻina hana lapaʻau

Nā kumu pilikia hou aku ʻaʻole maʻamau akā nui:

• Ke loaʻa nei ka maʻi kanesa a i ʻole ke hana nei i ka mālama ʻana i ka maʻi kanesa
• Ke lawe nei i nā lāʻau lapaʻau e kāohi ana i kou ʻōnaehana pale kino
• Ke loaʻa nei ka HIV a i ʻole ka AIDS
• Ke noho nei i ka hale mālama a i ʻole kahi kahua mālama lōʻihi
• Ke loaʻa nei ka maʻi GBS ma mua

ʻO ka loaʻa ʻana o kēia mau kumu pilikia ʻaʻole ia he manaʻo e loaʻa maoli iā ʻoe ka maʻi GBS. ʻO ia wale nō ka manaʻo e makemake paha kāu kauka e nānā pono iā ʻoe a i ʻole e lawe i nā palekana hou aku inā lawe ʻoe i ka bacteria.

He aha nā pilikia hiki ke loaʻa mai ka Group B Strep?

No ka hapa nui o nā mākua olakino, ʻaʻole pinepine ka GBS e hoʻokumu i nā pilikia koʻikoʻi. Eia naʻe, i ka wā e loaʻa ai nā pilikia, hiki iā lākou ke koʻikoʻi a pono e mālama koke ʻia.

Hiki ke komo nā pilikia ma nā mākua i:

• Nā maʻi i loko o ke kahe koko (sepsis)
• Pneumonia a i ʻole nā maʻi o nā māmā
• Meningitis (maʻi o ka lolo a me ke kua)
• Nā maʻi o ka ʻili a me nā ʻiʻo palupalu
• Nā maʻi o nā iwi a me nā hono
• Nā maʻi o ka valve naʻau (endocarditis)

Hiki ke komo nā pilikia i ka wā hāpai i:

• Nā maʻi o ke ala mimi
• Nā maʻi o ka wai amniotic (chorioamnionitis)
• Hānau mua
• Hānau make (ʻano maʻamau ʻole)
• Nā maʻi ma hope o ka hānau ʻana

ʻO nā pilikia i nā pēpē hou ka mea nui loa e hopohopo ai:

• Ka maʻi GBS mua (i loko o ka hebedoma mua o ke ola)
• Ka maʻi GBS ma hope (ma hope o ka hebedoma mua o ke ola)
• Pneumonia
• Meningitis
• Sepsis

He mea nui e hoʻomanaʻo, me ka nānā pono a me ka mālama ʻana i ka wā hāpai, he mea maʻamau loa nā pilikia nui i nā pēpē hou. ʻO ka hapa nui o nā pēpē i hānau ʻia i nā māmā me ka GBS he olakino loa.

Pehea e ʻike ʻia ai ka Group B Strep?

He pololei ka ʻike ʻana i ka GBS a komo pū me nā hoʻokolohua lapaʻau maʻalahi e hiki ke ʻike i ka bacteria i loko o kou kino.

ʻO ka hoʻokolohua maʻamau loa ka moʻomeheu, kahi e lawe ai kāu kauka i kahi hāpana mai kou vagina a me kou rectum me kahi swab pulupulu. A laila, hoʻouna ʻia kēia hāpana i kahi hale hoʻokolohua kahi e hoʻokolohua ʻia ai no ke alo o ka bacteria GBS. Hoʻomaʻamaʻa nā hopena ma kahi o 2-3 mau lā.

No nā wāhine hāpai, hana mau ʻia kēia hoʻokolohua ma waena o 35-37 mau wiki o ka hāpai ʻana. He mea nui ka manawa no ka mea hiki i ka GBS ke hele mai a hele aku, no laila ʻaʻole paha e hōʻike pololei ka hoʻokolohua mua loa inā loaʻa iā ʻoe ka GBS i ka wā e hānau ai.

Inā loaʻa iā ʻoe nā hōʻailona o ka maʻi o ke ala mimi, hiki i kāu kauka ke hoʻokolohua i kou mimi no ka GBS. Hiki i nā hoʻokolohua koko ke ʻike i ka GBS inā manaʻo kāu kauka he maʻi koko kāu.

Aia nō hoʻi kahi hōʻoia wikiwiki hou a hiki ke hana ʻia i ka wā hānau inā ʻaʻole ʻoe i hōʻoia ʻia a i ʻole inā ʻike ʻole ʻia kou kūlana GBS. Hāʻawi kēia hōʻoia i nā hopena ma kahi o hoʻokahi hola, ʻoiai ʻaʻole ia he pololei e like me ka hōʻoia moʻomeheu maʻamau.

He aha ka lāʻau lapaʻau no ka Group B Strep?

ʻO ka lāʻau lapaʻau no ka GBS e hilinaʻi ana i kou kūlana a inā loaʻa iā ʻoe kahi maʻi hana a i ʻole he mea lawe wale nō.

Inā ʻoe e hapai ana a hōʻoia ʻia ʻoe no ka GBS, e loaʻa iā ʻoe nā lāʻau lapaʻau i ka wā hānau a me ka hānau ʻana. ʻO ka lāʻau lapaʻau i hoʻohana pinepine ʻia ʻo ia ka penicillin, i hāʻawi ʻia ma o ka IV. Hoʻemi nui kēia lāʻau lapaʻau i ka pilikia o ka hoʻoili ʻana i ka GBS i kāu pēpē i ka wā hānau.

ʻO nā lāʻau lapaʻau maʻamau i ka wā hānau:

• Penicillin G i hāʻawi ʻia ma o IV i kēlā me kēia 4 mau hola i ka wā hānau
• Nā lāʻau lapaʻau ʻē aʻe e like me ka ampicillin inā ʻoe e pilikia i ka penicillin
• Clindamycin a i ʻole vancomycin no ka poʻe me nā pilikia penicillin nui
• Hoʻomaka ka lāʻau lapaʻau ma kahi o 4 mau hola ma mua o ka hānau ʻana no ka hopena nui loa

Inā loaʻa iā ʻoe kahi maʻi GBS hana ma waho o ka hapai ʻana, e kuhikuhi kāu kauka i nā lāʻau lapaʻau ma muli o ke ʻano a me ka nui o kāu maʻi. Hiki ke mālama pinepine ʻia nā maʻi māmā e like me nā maʻi urinary tract me nā lāʻau lapaʻau waha ma ka home.

Hiki i nā maʻi koʻikoʻi ke koi i ka hoʻokipa ʻana i ka haukapila a me nā lāʻau lapaʻau IV. ʻO ka lōʻihi o ka lāʻau lapaʻau e hilinaʻi ana i ka nui o kāu maʻi a me ka maikaʻi o kou pane ʻana i ka lāʻau lapaʻau.

Pehea e mālama ai i ka Group B Strep ma ka home?

Inā ʻoe he mea lawe GBS me nā hōʻailona ʻole, ʻaʻohe mea pono ʻoe e hana ma ka home. ʻAʻole pōʻino ka bacteria iā ʻoe, a ʻaʻole i manaʻo ʻia ka ho'āʻo ʻana e kāpae iā ia me nā lāʻau lapaʻau home.

Eia naʻe, inā ʻoe e mālama ʻia no kahi maʻi GBS, eia kekahi mau mea e kōkua ai i kāu hoʻōla:

ʻO nā hana mālama maʻamau:

• E inu pono i nā lāʻau antibiotic i kuhikuhi ʻia, ʻoiai inā ua maikaʻi kou manaʻo
• E inu nui i ka wai e kōkua ai i ka holoi ʻana i nā bacteria mai kou kino
• E hoʻomaha pono e kākoʻo i kou ʻōnaehana pale kino
• E ʻai i ka ʻai kaulike me nā meaʻai probiotic e mālama i nā bacteria maikaʻi o ka ʻōpū
• E pale i ka moekolohe a hiki i ka pau ʻana o kāu maʻi (inā loaʻa iā ʻoe ka maʻi urinary tract)

No nā maʻi urinary tract ma ke ʻano kūikawā:

• E mimi pinepine a hoʻopau loa i kāu ʻeke mimi
• E holoi mai mua a hope ma hope o ka hoʻohana ʻana i ka lumipaku
• E pale i nā huahana hoʻonāukiuki e like me nā douches a i ʻole nā mea pīpī wahine
• E komo i nā lole lole pulupulu a me nā lole palalā
• E noʻonoʻo i ka wai cranberry, ʻoiai ua kaupalena ʻia ka hōʻike no kona pono

E hoʻomanaʻo he mea maʻamau ka lilo ʻana i mea lawe GBS a ʻaʻole pono i nā loli ola kūikawā. E nānā i ka mālama ʻana i ke olakino maikaʻi a hahai i nā ʻōlelo a kāu kauka.

Pehea ʻoe e hoʻomākaukau ai no kāu hālāwai me ke kauka?

Hiki i ka hoʻomākaukau ʻana no kāu hālāwai ke kōkua i ka hōʻoia ʻana e loaʻa iā ʻoe ka hōʻailona pololei loa a me ka mālama kūpono no kou kūlana.

Ma mua o kāu hālāwai, e hōʻiliʻili i kēia ʻike:

• Ka papa inoa o kāu mau hōʻailona āpau i kēia manawa a me ka manawa i hoʻomaka ai lākou
• Kāu moʻolelo lapaʻau piha, me nā maʻi ma mua
• Nā lāʻau āpau āu e lawe nei i kēia manawa, me nā mea hoʻohui
• ʻIke e pili ana i kāu hapai (inā pili), me ka lā hānau
• ʻO nā hopena hoʻokolohua GBS ma mua āu paha i loaʻa

Nā nīnau e nīnau i kāu kauka:

• Pono anei wau e hoʻokolohua ʻia no ka GBS?
• He aha ka manaʻo o kaʻu mau hopena hoʻokolohua?
• Inā au i hapai a loaʻa iaʻu ka GBS, he aha ka mea e hana ai i ka wā hānau?
• Aia kekahi mau pilikia i kaʻu pēpē?
• He aha nā hōʻailona o ka maʻi e pono ai wau e nānā?
• I ka manawa hea wau e kāhea aku ai iā ʻoe me nā hopohopo?

Inā hāpai ʻoe, e lawe mai i kāu mau moʻolelo prenatal a e mākaukau e kūkākūkā i kāu hoʻolālā hānau. Pono paha kāu kauka e hoʻoponopono i kekahi mau ʻāpana o kāu hoʻolālā hānau inā he maikaʻi kāu hōʻike no ka GBS.

Mai kānalua e noi i ka hoʻomaopopo ʻana inā ʻaʻole ʻoe i maopopo i kekahi mea. Makemake kāu kauka e hōʻoia iā ʻoe ua piha kāu ʻike e pili ana i kou kūlana a me nā koho lapaʻau.

He aha ka mea nui e pili ana i ka Group B Strep?

ʻO ka Group B Strep kahi bacteria maʻamau i lawe ʻia e nā kānaka olakino he nui me ka ʻole o nā pilikia. ʻOiai he mea palekana ia i nā mākua, hiki iā ia ke hoʻopilikia i nā pēpē hou inā hoʻoili ʻia i ka wā hānau.

ʻO ka mea nui loa e hoʻomanaʻo ai, ʻo ka nānā maʻamau i ka wā hāpai a me ka mālama kūpono i ka wā hānau ua lilo nā pilikia GBS koʻikoʻi i nā pēpē i mea maʻamau loa. Inā he maikaʻi kāu hōʻike no ka GBS i ka wā hāpai, ʻaʻole ia he manaʻo e loaʻa iā ʻoe a i kāu pēpē nā pilikia.

Me ka mālama lapaʻau kūpono a me ka lāʻau antibiotic i ka wā e pono ai, ʻo ka hapa nui o nā kānaka me ka GBS e hele i nā hopena olakino. E noʻonoʻo, e hahai i nā ʻōlelo a kāu kauka, a mai kānalua e nīnau i nā nīnau e pili ana i kāu mālama.

E hoʻomanaʻo ʻaʻole kāu hewa ka lawe ʻana i ka GBS a ʻaʻole ia e hōʻike i kāu mau hana olakino. He ʻokoʻa maʻamau wale nō ia i nā bacteria e noho maoli ana i loko o ko kākou kino.

Nā nīnau pinepine e pili ana i ka Group B Strep

Q1: Hiki ke hoʻoili ʻia ka Group B Strep ma ke ʻano moekolohe?

ʻOiai hiki ke loaʻa ka GBS ma ka wahi genital a hiki i ka hana moekolohe ke pāʻani i ka hoʻoili ʻana, ʻaʻole ia i hoʻokomo ʻia ma ke ʻano he maʻi moekolohe. Hiki i nā kānaka he nui i ʻole i hana moekolohe ke lawe i ka GBS, a hiki ke hele mai a hele aku maoli me ka ʻole o kekahi pilina moekolohe.

Q2: Inā he maikaʻi kaʻu hōʻike no ka GBS i ka wā hāpai, e loaʻa mau ia iaʻu?

ʻAʻole pono. Hiki i ka GBS ke hele mai a hele aku ma kona iho i loko o kou ola. Hiki paha iā ʻoe ke hōʻoia maikaʻi i ka wā hāpai kekahi a maikaʻi ʻole i ka wā hāpai ʻē aʻe. ʻO ia ke kumu e hana ʻia ai ka hoʻokolohua ma hope o ka hāpai ʻana, ma kahi o 35-37 mau wiki, e kiʻi i ka hiʻohiʻona pololei loa o kou kūlana GBS i ka manawa hānau.

Q3: Hiki iaʻu ke pale aku i ka loaʻa ʻana o ka Group B Strep?

ʻAʻohe ala hilinaʻi e pale aku ai i ka GBS ʻoiai ʻo ia kekahi o ka hui bacteria maʻamau i loko o nā kino o nā kānaka he nui. Hiki i nā hana hoʻomaʻemaʻe maikaʻi a me ka mālama ʻana i ke olakino holoʻokoʻa ke kākoʻo i kou ʻōnaehana pale, akā ʻaʻole hiki iā ʻoe ke pale aku loa i ka GBS ma o nā loli ʻano ola.

Q4: He aha ka mea e hana inā he maʻi ʻiliʻili wau i ka penicillin a pono i ka lāʻau GBS?

Inā he maʻi ʻiliʻili ʻoe i ka penicillin, e kuhikuhi kāu kauka i nā lāʻau ʻē aʻe e palekana a maikaʻi hoʻi e kūʻē i ka GBS. ʻO nā koho e komo pū ana me ka clindamycin, erythromycin, a i ʻole vancomycin, ma muli o ka nui o kou maʻi ʻiliʻili a me ka ʻano kikoʻī o ka GBS āu e lawe nei.

Q5: Hiki i ka Group B Strep ke hoʻopilikia i koʻu hiki ke hānai waiū?

ʻO ka loaʻa ʻana o ka GBS a i ʻole ka loaʻa ʻana o ka lāʻau antibiotic no ia mea ʻaʻole ia e hoʻopilikia i kou hiki ke hānai waiū me ka palekana. ʻO nā lāʻau antibiotic i hoʻohana ʻia e mālama i ka GBS he palekana maʻamau i ka wā hānai waiū, a ʻaʻole ke pale aku ka GBS iā ʻoe mai ka hānai ʻana i kāu pēpē. Eia naʻe, e kūkākūkā mau i nā manaʻo hopohopo me kāu mea lawelawe olakino.