He aha te mate huaketo B? Ngā tohu, ngā take, me te rongoā

Ko te mate huaketo B (GBS) tētahi momo huaketo noa e noho ana i roto i ngā tinana o te tini o te iwi, kāore hoki e pāngia. E 1 o ngā tāngata 4 e mau ana i tēnei huaketo i roto i ō rātou whekau, i te wāhi hūpē rānei, ā, ko te nuinga kāore e mōhio kei reira, nā te mea kāore i te whakamahi i te mate.

Whakaarohia te GBS hei huaketo noa e kore e kino, engari ka āwangawanga i te wā hapu me te whānau. Ahakoa kāore i te kino mō ngā pakeke hauora, ka taea e ia te whakaputa i ngā tūponotanga ki ngā pēpi hou mena ka tukuna atu i te whaea ki te pēpi i te wā whānau.

He aha te mate huaketo B?

Ko te Streptococcus B tētahi momo huaketo e kiia ana ko te Streptococcus agalactiae. He rerekē rawa atu i te mate huaketo A, e pā ana ki te mate korokoro.

E noho ana tēnei huaketo i roto i tō pūnaha kai me tō wāhi hūpē hei wāhanga o ngā huaketo noa o tō tinana. Ka haere mai, ka haere atu, ā, ka taea e koe te whakamātautau i tetahi rā, kaore hoki i tetahi atu rā. Mō te nuinga o ngā pakeke hauora, kāore te GBS e pāngia, ā, kāore hoki e hiahiatia te rongoā.

Ko te take nui o te GBS i te wā hapu. Mena kei a koe te GBS i te wā e whānau ana koe, he iti te tūponotanga ka tukuna atu ki tō pēpi i te wā whānau, ka taea te arahi ki ngā mate kino i ngā pēpi hou.

He aha ngā tohu o te mate huaketo B?

Ko te nuinga o ngā pakeke e mau ana ki te GBS kāore he tohu. E noho noa ana te huaketo i roto i tō tinana kāore e pāngia.

Heoi, ka taea e te GBS te pāngia i etahi wā. Ko ēnei ngā tohu ka pāngia koe mena ka pāngia koe e te GBS:

Ngā tohu noa i ngā pakeke:

• Ngā tohu o te mate mimi penei i te tahunga i te wā mimi, mimi pinepine rānei
• Te kirika me te wiri
• Te mamae, te tahunga rānei i te wā mimi
• Te mimi parauri, te kakara rānei
• Te mamae o te kopu i ngā wāhine

Ngā tohu kino ake e hiahia ana ki te tiaki hauora tonu:

• Te kirika teitei neke atu i te 101°F (38.3°C)
• Te mamae nui o te kopu, o te tuara rānei
• Te ruaki me te ruaki
• Te ngākau tere, te manawa rānei
• Te whakawareware, te uaua rānei ki te noho mataara

He onge ēnei tohu kino ake, engari ka taea te tohu i te mate kino e hiahia ana ki te rongoā tere. Mena ka pāngia koe e tētahi o ēnei, he mea nui kia rapu awhina hauora tonu.

He aha ngā take o te mate huaketo B?

Kāore te mate huaketo B e riro i tetahi atu tangata i te tikanga noa. E noho ana tēnei huaketo i te taiao, i roto hoki i ngā tinana o te tini o te iwi hei wāhanga o ō rātou huaketo noa.

Ka taea e koe te whiwhi i te GBS mā ngā mahi o ia rā. Ka taea e te huaketo te tomo ki tō tinana mā tō pūnaha kai i te kai, i te wai rānei, i te pā atu ki ngā papa paru. Ka taea hoki te noho i roto i tō wāhi hūpē hei wāhanga o tō toenga huaketo noa.

He maha ngā take ka pā ki te mau i te GBS:

• Ngā huringa huaketo noa i roto i tō tinana i te wā
• Ngā huringa homoni i te wā hapu
• Ngā huringa i roto i tō pūnaha ārai mate
• Te moe wahine, ahakoa kāore i te whakaarohia he mate e tukuna ana mā te moe
• Te whakamahinga o ngā rongoā mate huaketo i mua, ka taea te whakarereke i tō toenga huaketo noa

He mea nui te mōhio kei te mau koe i te GBS kāore e whakaatu i tetahi he i mahia e koe. Ka haere mai, ka haere atu tēnei huaketo, ā, he tokomaha ngā tāngata hauora e mau ana ki a ia kāore e pāngia.

Nōhea te haere ki te taote mō te mate huaketo B?

Me whakapiri atu koe ki tō kaiwhakarato hauora mena kei te pāngia koe e ngā tohu o te mate mimi, i tetahi tohu mate rānei, ina koa mena kei te hapu koe.

Ko ēnei ngā wā me rapu awhina hauora tonu:

• Mena kei te hapu koe, kei te pāngia koe e tetahi tohu mate penei i te kirika, te wiri, te tahunga rānei i te wā mimi
• Mena kei a koe te mate huka, ka puta mai tetahi tohu mate
• Mena he ngoikore tō pūnaha ārai mate, ka kite koe i tetahi tohu rerekē
• Mena kei te pāngia koe e ngā tohu kino penei i te kirika teitei, te mamae nui, te whakawareware rānei
• Mena neke atu i te 65 ō tau, ka puta mai tetahi tohu mate

Mō ngā wāhine hapu, ko te whakamātautau GBS noa tētahi wāhanga noa o te tiaki i mua i te whānau i waenganui i te 35-37 wiki o te hapu. Kāore tenei nā te mea kei te mate koe, engari nā te mea ka āwhina i tō taote ki te whakarite i te whānau haumaru mōu me tō pēpi.

He aha ngā take morearea mō te mate huaketo B?

Ahakoa ka taea e te tangata te mau i te GBS, ka taea e etahi take te whakapiki ake i tō morearea ki te whanake i te mate, ki te pāngia rānei e te huaketo.

Ngā take morearea noa:

• Te hapu (ina koa tata ki te whānau)
• Neke atu i te 65 ō tau
• Te mau i te mate huka
• Te ngoikore o te pūnaha ārai mate
• Te mau i ngā mate roa penei i te mate ngākau, te mate ate rānei
• Te pokanga, te mahi hauora hou rānei

Ngā take morearea atu e kore e noa, engari he mea nui:

• Te mau i te mate pukupuku, te whakaora rānei i te mate pukupuku
• Te kai i ngā rongoā e whakaiti ana i tō pūnaha ārai mate
• Te mau i te HIV, te AIDS rānei
• Te noho i te whare tiaki, te wāhi tiaki roa rānei
• Te mau i te mate GBS i mua

Ko te mau i ēnei take morearea kāore e whakaatu ka whanake koe i te mate GBS. E whakaatu ana noa i te hiahia o tō taote ki te tirotiro i a koe, ki te tango rānei i ngā whakaritenga atu mena kei te mau koe i te huaketo.

He aha ngā tūponotanga pea o te mate huaketo B?

Mō te nuinga o ngā pakeke hauora, he onge te pānga kino o te GBS. Heoi, ka puta mai ngā tūponotanga, ka taea te nui, ka hiahia hoki ki te rongoā hauora tere.

Ngā tūponotanga pea i ngā pakeke:

• Ngā mate toto (sepsis)
• Te mate huango, te mate ngāwari rānei
• Te meningitis (te mate o te roro me te tuaiwi)
• Ngā mate kiri me ngā ngāwari ngawari
• Ngā mate wheua me ngā hononga
• Ngā mate o te paraharaha o te ngākau (endocarditis)

Ngā tūponotanga i te wā hapu:

• Ngā mate mimi
• Ngā mate o te wai amniotic (chorioamnionitis)
• Te whānau wawe
• Te mate whānau (he onge rawa)
• Ngā mate i muri i te whānau

Ko ngā tūponotanga i ngā pēpi hou te take nui rawa:

• Te mate GBS tīmata wawe (i roto i te wiki tuatahi o te ora)
• Te mate GBS tīmata mutunga (i muri i te wiki tuatahi o te ora)
• Te mate huango
• Te meningitis
• Te sepsis

He mea nui te mahara ki te whakamātautau tika me te rongoā i te wā hapu, he onge rawa ngā tūponotanga kino i ngā pēpi. Ko te nuinga o ngā pēpi e whānau ana ki ngā whaea e mau ana ki te GBS he hauora katoa.

Me pēhea te whakamātautau i te mate huaketo B?

He ngāwari te whakamātautau i te GBS, ā, e whakamahi ana i ngā whakamātautau taiwhanga ngāwari ka taea te kite i te huaketo i roto i tō tinana.

Ko te whakamātautau noa ko te whakawhanake, ka tangohia e tō taote he tauira mai i tō wāhi hūpē me tō whekau mā te kāpia kotiro. Ka tukuna atu tēnei tauira ki te taiwhanga ka whakamātautauhia mō te huaketo GBS. Ko ngā hua e toru ki te whā rā.

Mō ngā wāhine hapu, ka mahia tēnei whakamātautau i waenganui i te 35-37 wiki o te hapu. He mea nui te wā, nā te mea ka taea e te GBS te haere mai, te haere atu rānei, no reira ko te whakamātautau i mua rawa pea kāore e whakaatu tika i te mau i te GBS i te wā e whānau ana koe.

Mena kei a koe ngā tohu o te mate mimi, ka taea e tō taote te whakamātautau i tō mimi mō te GBS. Ka taea hoki e ngā whakamātautau toto te kite i te GBS mena ka whakaaro tō taote kei te pāngia koe e te mate toto.

He whakamātautau tere hou hoki ka taea te mahi i te wā whānau mena kāore koe i whakamātautau, mena kāore e mōhiotia tō tūāhua GBS. Ka homai tēnei whakamātautau ngā hua i roto i te haora, ahakoa kāore i te tika penei i te whakamātautau whakawhanake noa.

He aha te rongoā mō te mate huaketo B?

Ko te rongoā mō te GBS e whakawhirinaki ana ki tō āhuatanga, ki te pāngia koe rānei e te mate, ki te kawe noa rānei.

Mena kei te hapu koe, ka whakamātautauhia koe mō te GBS, ka whiwhi koe i ngā rongoā mate huaketo i te wā whānau. Ko te rongoā mate huaketo e whakamahia ana ko te penicillin, e hoatu ana mā te IV. Ka whakaiti nui tēnei rongoā i te morearea o te tuku i te GBS ki tō pēpi i te wā whānau.

Ko te rongoā mate huaketo i te wā whānau:

• Penicillin G e hoatu ana mā te IV i ngā haora 4 i te wā whānau
• Ngā rongoā mate huaketo atu penei i te ampicillin mena kei te mate koe ki te penicillin
• Clindamycin, vancomycin rānei mō te hunga e mate kino ana ki te penicillin
• Te tīmatanga o te rongoā neke atu i te 4 haora i mua i te whānau mō te hua nui

Mena kei a koe te mate GBS i waho o te hapu, ka tukuna e tō taote ngā rongoā mate huaketo e whakawhirinaki ana ki te momo me te kino o tō mate. Ka taea te whakaora i ngā mate ngawari penei i ngā mate mimi mā ngā rongoā mate huaketo waha i te kāinga.

Ka hiahia pea ngā mate kino ake ki te noho i te hohipera me ngā rongoā mate huaketo IV. Ko te roa o te rongoā e whakawhirinaki ana ki te kino o tō mate, ki te pai o tō whakautu ki te rongoā rānei.

Me pēhea te whakahaere i te mate huaketo B i te kāinga?

Mena he kaimau GBS koe kāore he tohu, kāore he mea e hiahia ana koe ki te mahi i te kāinga. Kāore te huaketo e kino ki a koe, ā, kāore e tūtohutia te whakakore i a ia mā ngā rongoā kāinga.

Heoi, mena kei te whakaorahia koe mō te mate GBS, ko ēnei ngā mea ka taea te awhina i tō whakaora:

Ngā tikanga tiaki whānui:

• Te tango i ngā rongoā mate huaketo i whakaritea tika, ahakoa kei te pai ake koe
• Te inu wai nui hei horoi i te huaketo i roto i tō pūnaha
• Te moe pai hei tautoko i tō pūnaha ārai mate
• Te kai kai tōtika me ngā kai probiotic hei pupuri i ngā huaketo whekau hauora
• Te karo i te moe wahine kia maoa ra ano tō mate (mena kei a koe te mate mimi)

Mō ngā mate mimi:

• Te mimi pinepine, te whakamahinga katoa o tō putea mimi
• Te horoi i mua ki muri i muri i te whakamahinga o te wharepaku
• Te karo i ngā hua whakaohooho penei i ngā douches, i ngā whakamahinga wahine rānei
• Te kakahu i ngā kakahu kotonu me ngā kakahu ngawari
• Te whakaaro ki te wai karamu, ahakoa he iti te mōhio mō tō hua

Kia mahara ko te noho hei kaimau GBS he mea noa, kāore hoki e hiahia ki tetahi huringa oranga motuhake. Arotake ki te pupuri i te hauora pai, me te whai i ngā tūtohu a tō taote.

Me pēhea te whakarite mō tō whakatau ki te taote?

Ko te whakarite mō tō whakatau ka taea te awhina i te whakarite ka whiwhi koe i te whakamātautau tika me te rongoā tika mō tō āhuatanga.

I mua i tō whakatau, kohia ēnei korero:

• He rārangi o ō tohu katoa me te wā i tīmata ai rātou
• Tō hītori hauora katoa, tae atu ki ngā mate i mua
• Ngā rongoā katoa e inu ana koe, tae atu ki ngā taapiri
• Ngā korero mō tō hapu (mena e tika ana), tae atu ki te rā whānau
• Ngā hua whakamātautau GBS i mua pea

Ngā pātai ki te ui ki tō taote:

• Me whakamātautau ahau mō te GBS?
• He aha te tikanga o ōku hua whakamātautau?
• Mena kei te hapu ahau, kei te mau hoki ki te GBS, he aha te mea ka puta i te wā whānau?
• He morearea pea ki taku pēpi?
• He aha ngā tohu mate me titiro atu ahau?
• Nōhea me karanga atu ahau ki a koe me ngā āwangawanga?

Mena kei te hapu koe, kawea mai ō rēkōta i mua i te whānau, kia rite ki te kōrero mō tō mahere whānau. Pea ka hiahia tō taote ki te whakarereke i etahi wāhanga o tō mahere whānau mena ka whakamātautauhia koe mō te GBS.

Kaua e whakaroa ki te ui mō te whakamārama mena kāore koe e mōhio ki tetahi mea. E hiahia ana tō taote kia tino mōhio koe mō tō āhuatanga me ngā whiringa rongoā.

He aha te mea nui mō te mate huaketo B?

Ko te mate huaketo B he huaketo noa e mau ana te tini o ngā tāngata hauora kāore he raruraru. Ahakoa he noa te kino ki ngā pakeke, ka taea te whakaputa i ngā morearea ki ngā pēpi hou mena ka tukuna atu i te wā whānau.

Ko te mea nui rawa atu hei mahara ko te whakamātautau noa i te wā hapu me te rongoā tika i te wā whānau kua whakaiti i ngā tūponotanga kino o te GBS i ngā pēpi. Mena ka whakamātautauhia koe mō te GBS i te wā hapu, kāore e whakaatu ka pāngia koe, tō pēpi rānei.

Mā te tiaki hauora tika me te rongoā mate huaketo ina hiahiatia, ko te nuinga o ngā tāngata e mau ana ki te GBS ka haere tonu ki ngā hua hauora. Noho mōhio, whai i ngā tūtohu a tō taote, kaua hoki e whakaroa ki te ui pātai mō tō tiaki.

Kia mahara ko te mau i te GBS kāore i tō he, kāore hoki e whakaatu i ō tikanga hauora. He rerekētanga noa i ngā huaketo e noho ana i roto i ō tātou tinana.

Ngā pātai e ui pinepinetia ana mō te mate huaketo B

P1: Ka taea te tuku i te mate huaketo B mā te moe?

Ahakoa ka kitea te GBS i te wāhi hūpē, ā, ka taea e te mahi moe te whakauru ki tōna tuku, kāore i te whakaingoatia hei mate e tukuna ana mā te moe. He tokomaha ngā tāngata kāore ano i moe, ka taea te mau i te GBS, ka taea te haere mai, te haere atu rānei kāore he hononga moe.

P2: Mena ka whakamātautauhia ahau mō te GBS i te wā hapu, ka mau tonu ahau ki a ia?

Kāore pea. Ka taea e te GBS te haere mai, te haere atu rānei i tō oranga. Ka taea e koe te whakamātautau i tetahi hapu, kāore hoki i tetahi atu. Koia te take i mahia ai te whakamātautau i te mutunga o te hapu, tata ki te 35-37 wiki, hei whiwhi i te whakaahua tika o tō tūāhua GBS i te wā whānau.

P3: Ka taea e au te aukati i te whiwhi i te mate huaketo B?

Kāore he huarahi pono ki te aukati i te GBS nā te mea he wāhanga ia o te huaketo noa i roto i ngā tinana o te tini o te iwi. Ko ngā tikanga hauora pai me te pupuri i te hauora whānui ka taea te tautoko i tō pūnaha ārai mate, engari kāore te GBS e taea te karo mā ngā huringa oranga.

P4: He aha te mea ka puta mena kei te mate ahau ki te penicillin, me te rongoā GBS hoki?

Mena kei te mate koe ki te penicillin, ka tukuna e tō taote ngā rongoā mate huaketo atu e haumaru ana, e whai hua ana hoki ki te GBS. Ko ngā whiringa ko te clindamycin, erythromycin, vancomycin rānei, e whakawhirinaki ana ki te kino o tō mate, ki te momo GBS e mau ana koe rānei.

P5: Ka pāngia e te mate huaketo B tō kaha ki te whāngai u?

Ko te mau i te GBS, te whiwhi rongoā mate huaketo rānei mō ia, kāore e pāngia tō kaha ki te whāngai u haumaru. Ko ngā rongoā mate huaketo e whakamahia ana ki te whakaora i te GBS he haumaru noa i te wā whāngai u, ā, kāore te GBS i te aukati i a koe ki te whāngai i tō pēpi. Heoi, kōrero tonu ki tō kaiwhakarato hauora mō ngā āwangawanga.