Hoʻomaopopo ʻia ka maʻi bacteria ma ke alo o nā koʻohune i loko o ke koko. Hiki iā ia ke hopena o nā hana maʻamau e like me ka palaki ʻana o nā niho, ka mālama ʻana i nā niho a i ʻole nā ​​kaʻina hana olakino, a i ʻole nā ​​kumu maʻi e like me ka niumonia a me nā maʻi maʻi urinary tract. ʻO ka maʻamau, ʻaʻole hele pū kekahi bacteremia me nā ʻōuli, akā i kekahi manawa hōʻiliʻili ʻia ka bacteria i loko o kekahi mau aʻa a i ʻole nā ​​ʻoki a kuleana no nā maʻi ʻino. ʻO nā kānaka i pilikia nui i nā pilikia mai ka bacteremia e mālama ʻia me nā lāʻau ʻalopiko ma mua o kekahi mau hanana niho a me nā kaʻina hana olakino. Inā hoʻohuoi ʻia ka bacteremia, paipai ʻia ka lawelawe ʻana o nā lāʻau antibiotic. Hoʻololi ʻia ka hoʻomaʻamaʻa e pili ana i nā hopena o ka moʻomeheu a me nā hoʻokolohua ʻike.

Hoʻomaopopo ʻia ke koʻohune e ke alo o nā koʻohune i ke kahe o ke koko. ʻO ke koko i ka ʻoiaʻiʻo he waiola olaola maʻamau. ʻO ka ʻike ʻana o nā koʻohune i loko o ke koko no laila a priori ʻano ʻē. Hoʻomaopopo ʻia ke koʻohune e ka moʻomeheu koko, ʻo ia hoʻi ka mahi ʻana o ke kahe o ke koko.

ʻO ka makahiki maʻamau o nā mea maʻi me ka bacteriaemia he 68 mau makahiki. ʻO ka hapa nui o nā bacteremia he mono-microbial (94%), ʻo ia hoʻi ma muli o ke kū ʻana o kahi ʻano bacteria. ʻO ka 6% i koe he polymicrobial. Hoʻokaʻawale nā ​​kumu nui, i ka hanana o ka bacteremia, ʻo Escherichia coli (31%) a me Staphylococcus aureus (15%), a 52% o nā bacteremias no nosocomial (enterobacteria, Staphylococcus aureus).

Hiki ke kumu ʻia ka maʻi bacteria e kekahi mea maikaʻi ʻole e like me ka palaki ʻana i kou mau niho a i ʻole ka maʻi maʻi nui.

ʻO ka bacteremia non-pathological

Kūlike lākou i nā hoʻokuʻu pōkole o ke koʻohune i ʻike ʻia ma ke ʻano he hopena o nā hana maʻamau i ka poʻe olakino.

• i ka manawa o ka bacteria digestion hiki ke komo i ke kahe o ke koko mai ka ʻōpū;
• ma hope o ka holoi ikaika ʻana o ka niho, i ka manawa e "hoʻokuʻi ʻia" nā bacteria e noho ana i nā kāʻei i ke kahe o ke koko;
• ma hope o kekahi mau hana e like me ka unuhi ʻana o ka niho a i ʻole ka unahi ʻana, i ka wā e hiki ke wehe ʻia ka bacteria i loko o nā gum a hiki i ke kahe o ke koko;
• ma hope o ka digestive endoscopy;
• ma hope o ke kau ʻana i kahi catheter genitourinary a i ʻole kahi catheter intravenous. ʻOiai hoʻohana ʻia nā ʻenehana aseptic, hiki i kēia mau kaʻina hana ke neʻe i nā koʻohune i loko o ke kahe o ke koko;
• ma hope o ke kuʻi ʻana i nā lāʻau leʻaleʻa, no ka mea, haumia mau nā nila i hoʻohana ʻia me ka bacteria, a ʻaʻole hoʻomaʻemaʻe pinepine nā mea hoʻohana i ko lākou ʻili.

ʻO ka maʻi maʻi pathological

Kūlike lākou i kahi maʻi āpau i hōʻike ʻia e ka hoʻokuʻu nui ʻana o nā bacteria i loko o ke koko mai ka nānā mua infectious, ma hope o ka pulumonia, kahi ʻeha a i ʻole kahi maʻi maʻi urinary tract. ʻO kahi laʻana, hiki i ka ʻoki ʻana i nā ʻeha i loaʻa i ka maʻi, nā abscesses i ʻōlelo ʻia he hōʻiliʻili o ka pus, a me nā bedores, hiki ke hoʻopau i nā bacteria i loaʻa i ka wahi i loaʻa i ka maʻi a hana i ka bacteremia. 

Kaukaʻi ʻia i nā ʻano pathophysiological, hiki i ka bacteremia ke:

• intermittent no ka thromboembolic a me ka endocarditic bacteremia: a laila kūlike ʻole nā ​​hoʻokuʻu a hana hou ʻia;
• mau no ka bacteremia o ke kumu lymphatic e like me brucellosis a i ʻole typhoid fever.

Loaʻa ka loaʻa ʻana o kahi prostesis hui a prostesis paha, a i ʻole he pilikia me nā valves puʻuwai, hoʻonui i ka makaʻu o ka bacteremia hoʻomau a i ʻole ka makaʻu ʻo ia ke kumu o nā pilikia. .

ʻO ka maʻamau, ʻo ka bacteraemia i hoʻokumu ʻia e nā hanana maʻamau, e like me ka mālama ʻana i nā niho, ʻaʻole kuleana iki no ka maʻi, ʻoiai he wahi liʻiliʻi wale nō o nā koʻohune i loaʻa a hoʻopau koke ʻia kēia e ke kino ponoʻī. , mahalo i ka ʻōnaehana phagocytes-mononuclear (ke akepaʻa, palapū, iwi iwi), a i ʻole i nā huaʻōlelo ʻē aʻe, mahalo i kā mākou ʻōnaehana pale.

ʻO kēia mau bacteremia he manawa pōkole ia a ʻaʻole hele pū ʻia me kekahi ʻōuli. ʻO kēia mau bacteremia, me ka ʻole o ka hopena no ka hapanui o ka poʻe, e hōʻike paha i kahi pilikia i ka wā o ka maʻi valvular a i ʻole ka immunosuppression koʻikoʻi. Inā lawa ka lōʻihi o ke koʻohune a me ka lawa o ka nui, keu hoʻi i nā mea maʻi me kahi ʻōnaehana nawaliwali nāwaliwali, hiki i ka bacteremia ke hana i nā maʻi ʻē aʻe a i kekahi manawa e hoʻonā i kahi pane ākea ākea a sepsis paha.

ʻO ke koʻohune i hoʻokumu ʻia e nā kumu ʻē aʻe hiki i ke kuni. Inā loaʻa i kahi kanaka me ka bacteremia nā hōʻailona aʻe, ke ʻeha nei paha lākou i ka sepsis a i ʻole ka septic shock:

• kuni hoʻomau;
• hoʻonui ka helu o ka puʻuwai;
• haʻalulu;
• ke kahe haʻahaʻa a i ʻole ke kiʻekiʻe kiʻekiʻe;
• ʻōpū gastrointestinal e like me ka ʻeha o ka ʻōpū, nausea, ka luaʻi a me ka palahī;
• hanu wikiwiki a i ʻole tachypnée ;
• hoʻohaʻahaʻa manaʻo, ʻeha paha ʻo ia i ka sepsis a i ʻole ka septic shock.

Hoʻokumu ka haʻalulu Septic i 25 a 40% o nā mea maʻi me ka bacteremia koʻikoʻi. ʻO nā koʻohune i hoʻopau ʻole ʻia e ka ʻōnaehana pale pale hiki ke hōʻiliʻili i nā wahi like ʻole o ke kino, e hana ana i nā maʻi i:

• nāʻiʻo e uhi ana i ka lolo (meningitis);
• ka envelope waho o ka puʻuwai (pericarditis);
• nā hunaola e uhi ana i nā nū o ka puʻuwai (endocarditis);
• iwi iwi (osteomyelitis);
• nā ami (ka maʻi maʻi infectious).
  

Kāohi

ʻO kekahi poʻe e like me kēia e kū nei i ka makaʻu nui i nā pilikia mai ka bacteraemia:

• nā kānaka me nā valves puʻuwai hana;
• nā poʻe me nā prostheses hui pū;
• nā kānaka me nā mākia naʻau kūpono ʻole.

Mālama pinepine ʻia kēia mau mea me nā lāʻau ʻaloʻalo ma mua o kekahi o nā kaʻina hana i kuleana no ka bacteremia e like me kekahi mālama niho, nā lāʻau lapaʻau kaʻina hana, ʻoki lāʻau lapaʻau o ka iho mailoko eha. Hiki i nā Antibiotics ke pale aku i ka bacteremia a no laila ka ulu ʻana o nā maʻi a me nā sepsis.

lapaʻau

Inā kānalua ʻia ka maʻi bacteria, koi ʻia e lawelawe i nā lāʻau ʻaloʻalo empirically, ʻo ia ka ʻōlelo me ke kali ʻole i ka ʻike o ka microorganism i nīnau ʻia, ma hope o ka lawe ʻana i nā mea laʻana no ka moʻomeheu o nā pūnaewele o ke kumu. hiki. ʻO ke koena o ka mālama ʻana:

• hoʻoponopono i nā antibiotic e pili ana i nā hopena o nā moʻomeheu a me ka hoʻāʻo ʻana o ka susceptibility;
• ninini i nā abscesses surgically, inā he abscess;
• e hoʻoneʻe i nā hāmeʻa kūloko a pau paha i kumu ʻia o ka bacteria.