Maʻi tiga oona

Toxic shock syndrome o se faʻamaʻi ogaoga e aofia ai fiva, teʻi, ma faʻafitauli i le tele o totoga o le tino.

Toxic shock syndrome e mafua mai i se vailaʻau oona na gaosia e nisi ituaiga o siama staphylococcus. O se faʻafitauli faapena, e taʻua o le faʻateʻia-pei o le syndrome (TSLS), e mafai ona mafua mai i le vailaʻau oona mai le siama streptococcal E leʻo faʻamaʻi pipisi e mafua ai le faʻateia o le mafaufau.

O uluaʻi mataupu lava o le faʻateʻia o le faʻateʻia o tamaʻitaʻi na aofia ai fafine na faʻaaoga tampons i o latou taimi masina. Ae ui i lea, o aso nei e le atoa se afa o mataupu e fesoʻotaʻi ma le faʻaaogaina o le tampon. Toxic shock syndrome e mafai foi ona tupu i le paʻu o le paʻu, mu, ma pe a uma le taotoga. O le tulaga e mafai foi ona aafia ai tamaiti, postmenopausal fafine, ma alii.

Mea lamatia aofia ai:

• Fanau talu ai nei
• Siama ma Staphylococcus aureus (S aureus), e masani ona taʻua ole faʻamaʻi pipisi
• Tino mai fafo poʻo teuina (pei o na e masani ona taofi nifo) i totonu o le tino
• Vaitaimi
• Talu ai nei taotoga
• Faʻaoga Tampon (faʻatasi ai ma se tulaga maualuga atu pe a e tuʻua se tasi mo se taimi umi)
• Faamaʻi pipisi ina ua maeʻa le taotoga

Faʻailoga aofia ai:

• Le mautonu
• Manava tata
• Lagona lautele maʻi
• Ulu ulu
• Fiva maualuga, o nisi taimi eo mai ma le malulu
• Maualalo le toto
• Ua tiga maso
• Faanoi ma puaʻi
• Faʻaletonu o totoga (tele o taimi fatugaʻo ma ate)
• Mumu o mata, gutu, faʻaʻi
• Faoa faamalosi
• Faʻasalalau lautele mumu e pei o le susulu o le la - paʻu paʻu e tupu i le 1 i le 2 vaiaso pe a maeʻa le mageso, ae maise lava i alofilima poʻo lalo o vae.

Leai se faʻataʻitaʻiga e tasi e mafai ona faʻamaonia le faʻateʻia oona

O le a vaʻaia e le tausi soifua maloloina mea nei:

• Fiva
• Maualalo le toto
• Faaseʻe lena paʻe peʻa maeʻa le 1 i le 2 vaiaso
• Faʻafitauli ma le aoga o le le itiiti ifo i le 3 totoga

I nisi tulaga, toto aganuu ono lelei mo le tuputupu aʻe o S aureus peStreptoccus pyogenes.

Togafitiga aofia ai:

• Aveʻesega o mea, pei o tampons, omoni omomi, poʻo nasal teuina
• Alavai o faʻamaʻi nofoaga (pei o se taotoga manuʻa)

O le faʻamoemoe o togafitiga o le faʻatumauina o le taua o galuega a le tino. E mafai ona aofia ai:

• Antibiotics mo soʻo se faʻamaʻi pipisi (e mafai ona tuʻuina atu e ala ile IV)
• Dialysis (peʻa iai ni faʻafitauli ogaoga fatugaʻo)
• Fluids ala i se alatoto (IV)
• Vailaau e faʻatonutonu ai le toto
• Intravenous gamma globulin i tulaga ogaoga
• Nofo i le falemaʻi potu tigaina tiga (ICU) mo le mataituina

Toxic shock syndrome atonu e leaga i le 50% o mataupu. E mafai ona toe foi le tulaga ia i latou e faasaoina.

Faʻafitauli e ono aofia ai:

• Faʻaleagaina totoga e aofia ai fatugaʻo, fatu, ma le ate toilalo
• Teʻi
• Oti

Toxic shock syndrome o se faʻalavelave faafuaseʻi. Saili loa le fesoasoani faafomaʻi pe a fai ua oso lou oso i le fiva, fiva, ma lagona le maʻi, aemaise lava ile taimi ole paʻu ma togafiti faʻaaoga pe pe a fai na e faia se taotoga lata mai.

Oe mafai tuʻu i lalo lou tulaga lamatia mo masina faʻafuaseʻi maʻi shock syndrome e:

• Aloese mai tampbent tampo vaʻaia
• Suʻesuʻe tampons masani (a itiiti mai uma 8 itula)
• Naʻo le faʻaaogaina o tampons tasi i sina taimi i le taimi o le masina

Staphylococcal puta faʻafuaseʻi syndrome; Toxic shock-like syndrome; TSLS

• Anatine uterine anatomy (tipi le vaega)
• Siama

Gardella C, Eckert LO, Lentz GM. Faʻamaʻi totoga o kenera: papala, measā, faʻaʻautagata, poʻava o le faʻateia, o le endometritis, ma le salpingitis. I: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Faʻapitoa Gynecology. 7th ed. Filatelefia, PA: Elsevier; 2017: mata 23.

Kroshinsky D. Macular, papular, purpuric, vesiculobullous, ma maʻi pustular. I totonu: Goldman L, Schafer AI, eds. Faʻafomaʻi Goldman-Cecil. 26th lomiga. Filatelefia, PA: Elsevier; 2020: mata 410.

Larioza J, Brown RB. Maʻi tiga oona. I totonu: Kellerman RD, Rakel DP, eds. Conn's Taimi Nei Togafitiga 2020. Filatelefaia, PA: Elsevier 2020: 649-652.

Que Y-A, Moreillon P. Staphyloccus aureus (aofia ai ma le staphyloccocal puta o loʻo tupu ai le faʻateia syndrome). I totonu: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, ma Bennett's Mataupu Faavae ma Faʻataʻitaʻiga o Faamaʻi pipisi. 9th ed. Filatelefia, PA: Elsevier; 2020: chap 194