E makaʻala i ka nānā mua ʻana o GBS

01 He aha ka GBS?

ʻO ka Group B Streptococcus (GBS) he streptococcus Gram-positive e noho ana ma ke ala ʻai haʻahaʻa a me ke ala genitourinary o ke kino kanaka. He pathogen opportunistic ia. Hoʻopilikia nui ʻo GBS i ka uterus a me nā membrane fetal ma o ka vagina piʻi. Hiki i ka GBS ke hoʻoulu i ka maʻi urinary tract maternal, ka maʻi intrauterine, ka bacteremia a me ka postpartum endometritis, a hoʻonui i ka pilikia o ka hānau mua ʻana a i ʻole ka hānau make.

Hiki i ka GBS ke alakaʻi i ka maʻi neonatal a i ʻole ka pēpē. Ma kahi o 10%-30% o nā wahine hāpai e loaʻa ana i ka maʻi GBS. Hiki ke hoʻoili pololei ʻia he 50% o kēia mau mea i ka pēpē hānau hou i ka wā hānau me ke komo ʻole ʻana, e hopena ana i ka maʻi neonatal.

Wahi a ka manawa hoʻomaka o ka maʻi GBS, hiki ke hoʻokaʻawale ʻia i ʻelua ʻano, ʻo kekahi ka maʻi GBS early-onset (GBS-EOD), kahi e kū mai ana ma hope o 7 mau lā ma hope o ka hānau ʻana, ʻo ia hoʻi he 12-48 mau hola ma hope o ka hānau ʻana, a ʻike nui ʻia ʻo ia he neonatal Bacteremia, pneumonia, a i ʻole meningitis. ʻO kekahi ʻo ia ka maʻi GBS late-onset (GBS-LOD), kahi e kū mai ana mai 7 mau lā a i 3 mau mahina ma hope o ka hānau ʻana a ʻike nui ʻia ʻo ia he neonatal/infant bacteremia, meningitis, pneumonia, a i ʻole ka maʻi o nā ʻiʻo palupalu.

Hiki i ka nānā ʻana i ka GBS prenatal a me ka hana antibiotic intrapartum ke hōʻemi i ka nui o nā maʻi neonatal mua, hoʻonui i ka nui o ke ola o ka neonatal a me ka maikaʻi o ke ola.

02 Pehea e pale aku ai?

I ka makahiki 2010, ua hoʻokumu ka US Centers for Disease Control and Prevention (CDC) i nā "Guidelines for the Prevention of Perinatal GBS", e paipai ana i ka nānā mau ʻana no GBS i nā pule 35-37 o ka hāpai ʻana i ke kolu o ka trimester.

I ka makahiki 2020, ua ʻōlelo ka American College of Obstetricians and Gynecologists (ACOG) "Consensus on the Prevention of Early-onset Group B Streptococcal Disease in Newborns" e pono i nā wahine hāpai āpau ke hana i ka nānā ʻana iā GBS ma waena o 36+0-37+6 mau pule o ka hāpai ʻana.

I ka makahiki 2021, ua ʻōlelo ka "Expert Consensus on the Prevention of Perinatal Group B Streptococcal Disease (Kina)" i hoʻopuka ʻia e ka Perinatal Medicine Branch o ka Chinese Medical Association e paipai ana i ka nānā ʻana iā GBS no nā wahine hāpai āpau ma 35-37 mau pule o ka hāpai ʻana. Paipai ia e kūpono ka nānā ʻana iā GBS no 5 mau pule. A inā ʻaʻole i hānau ka mea i loaʻa ʻole iā GBS no nā pule he 5 a ʻoi, ua ʻōlelo ʻia e hana hou i ka nānā ʻana.

03 Hoʻonā

Ua hoʻomohala ʻo Macro & Micro-Test i ka Group B Streptococcus Nucleic Acid Detection Kit (Fluorescence PCR), kahi e ʻike ai i nā laʻana e like me ke ala hānau kanaka a me nā mea huna rectal e loiloi i ke kūlana o ka maʻi streptococcal hui B, a kōkua i nā wahine hāpai me ka ʻike ʻana i ka maʻi GBS. Ua hōʻoia ʻia ka huahana e EU CE a me US FDA, a he hana huahana maikaʻi loa a me ka ʻike mea hoʻohana maikaʻi.

Nā Pōmaikaʻi

Wikiwiki: Laʻana maʻalahi, unuhi hoʻokahi-ʻanuʻu, ʻike wikiwiki

ʻIke kiʻekiʻe: ʻo ka LoD o ka pahu he 1000 Kope/mL

ʻAno liʻiliʻi he nui: me 12 mau ʻano liʻiliʻi e like me la, lb, lc, II, III

Anti-pollution: Hoʻohui ʻia ka enzyme UNG i ka ʻōnaehana e pale pono i ka haumia o ka waikawa nucleic i loko o ka hale hana

 

Helu Papa Kuhikuhi	Inoa Huahana	Nā kikoʻī
HWTS-UR027A	Pūʻulu B Streptococcus Nucleic Acid Detection Kit (Fluorescence PCR)	50 mau hoʻāʻo/kit
HWTS-UR028A/B	Pahu Hoʻāʻo ʻIke ʻAkika Nucleic Streptococcus Group B i hoʻomaloʻo ʻia (Fluorescence PCR)	20 mau hoʻāʻo/kit50 mau hoʻāʻo/kit