He maʻi ʻē paha e hiki mai ana ma hope o ka hele wāwae ʻana i ka ululāʻau? He maʻi Lyme paha ia?

Ua ʻike paha ʻoe i nā holoholona liʻiliʻi e pipili ana i kou kino i kou hele ʻana i loko o ka nahele a i ʻole ma ke kula me ka mauʻu kiʻekiʻe. Ma waena o kēia mau mea, ʻo nā makika kahi holoholona āu e pono ai e makaʻala iki. No ka mea, hiki i kekahi mau makika ke hoʻoulu i nā maʻi. ʻO kekahi maʻi i lawe ʻia e nā makika a mākou e kamaʻilio ai i kēia lā ʻo ia ka maʻi Lyme.

He aha ka maʻi Lyme?

I ka ʻōlelo maʻalahi, ʻo ka maʻi Lyme kahi maʻi i hoʻokumu ʻia e kahi bacteria (kahi ʻano bacteria i kapa ʻia ʻo Borrelia burgdorferi). Hoʻoili ʻia ia iā mākou, e ʻoi aku ka pololei, ke nahu mai kahi ʻuala kikoʻī e lawe ana i kēia bacteria - i ʻike ʻia hoʻi he ʻuala dia a i ʻole ka ʻuala wāwae ʻeleʻele - iā mākou. ʻAʻole nā ​​ʻuala a pau a mākou e ʻike ai e lawe pinepine i ka maʻi. ʻAʻole lawe kekahi mau ʻuala lāʻau a i ʻole nā ​​ʻuala ʻīlio i ka germ.

Ua kapa ʻia kēia maʻi i kekahi manawa ʻo "borreliosis." Ua ʻike mua ʻia ka maʻi Lyme i ka makahiki 1975 ma ke kūlanakauhale ʻo Lyme, USA. Ma laila, ua loaʻa koke i nā keiki he nui nā hōʻailona e like me ka "juvenile rheumatoid arthritis." Ua ʻike nā kānaka noiʻi ma hope mai ʻo ke kumu o nā nahu o nā ʻuku dia i loaʻa i ka maʻi ma ia wahi.

He aha nā pae like ʻole o ka maʻi Lyme?

Hiki i ka maʻi Lyme ke ulu i nā pae. I kekahi manawa hiki i kēia mau pae ke hoʻopili a hoʻopili. Hiki i nā hōʻailona ke hoʻopilikia i ka ʻili, nā hono, ka puʻuwai, a i ʻole ka ʻōnaehana nerve. ʻEkolu mau pae nui:

• ʻO ka maʻi Lyme kūloko mua: ʻO kēia ka manawa ma kahi o hoʻokahi a ʻehā mau pule ma hope o ka nahu ʻana o ka tick.
• ʻO ka maʻi Lyme i hoʻolaha mua ʻia: Hiki i kēia ke hoʻopilikia i nā kānaka i hoʻokahi a ʻehā mahina ma hope o ka maʻi.
• ʻO ka maʻi hoʻomau mau, ka hoʻolaha hope ʻana a i ʻole ka maʻi Lyme hope loa: Hiki i kēia ke hoʻopili a hiki i ʻehā mahina, i kekahi manawa he mau makahiki, ma hope o ka hōʻike ʻana.

Pehea ka maʻamau o ka maʻi Lyme?

Ma nā ʻāina e like me ʻAmelika, ua ʻōlelo ʻia he 30,000 mau maʻi i hōʻike ʻia me ka maʻi Lyme i kēlā me kēia makahiki. Eia nō naʻe, aia paha he nui aku nā maʻi i hōʻike ʻole ʻia a ʻike ʻia me ka maʻi. ʻOiai ʻaʻohe helu kikoʻī e pili ana i ke kūlana ma Sri Lanka, he mea nui loa ia e makaʻala i kēia inā ʻoe e noho ana i kahi ʻano kahi i loaʻa ai nā ʻuku. No ka mea, ma ko mākou ʻāina pū kekahi, aia nā ʻuku ma nā wahi e like me nā wahi ululāʻau, nā māla kī, a me nā lau nahele.

He aha nā hōʻailona o ka maʻi Lyme?

ʻAe, e nānā kākou i nā hōʻailona o ka maʻi Lyme. Hiki ke ʻokoʻa kēia mau mea ma muli o ke kahua i ʻōlelo ʻia ma mua.

Nā hōʻailona kūloko mua (1-4 mau pule)

I ka wā e hiki mai ana, hiki iā ʻoe ke ʻike i nā mea e like me kēia:

• He wahi ʻulaʻula a ʻāpana ʻili paha: Ua kapa ʻia kēia e nā kauka he 'erythema migrans' (EM)ʻO kēia ka hōʻailona maʻamau. Hoʻomaka ka nahu ʻana o ka makika ma ke ʻano he wahi ʻulaʻula liʻiliʻi i loko o hoʻokahi a ʻehā paha pule. I loko o kekahi mau lā a i ʻole nā ​​pule, hoʻonui ʻia kēia wahi a hiki ke poepoe, triangular, a oval paha ke ʻano. He ʻano like ia me ka 'maka bipi'. ʻO ia hoʻi, aia kahi wahi maopopo ma waenakonu me ke apo ʻulaʻula a puni. Hiki i kēia wahi ke ʻano mai ka nui o kahi kālā a hiki i ka uhi ʻana i ke kua holoʻokoʻa o ke kanaka. I ka laha ʻana o ka maʻi, hiki ke ʻike ʻia kekahi mau wahi `(EM)` ma nā ʻāpana like ʻole o ke kino.
• kuni
• ʻEha poʻo
• ʻOʻoleʻa o ka ʻāʻī
• ʻEha kino a me nā ʻeha hono
• Luhi
• Nā ʻōpū lymph pehu

Nā hōʻailona hoʻolaha mua (1-4 mahina)

I kēia pae ʻelua, hiki ke ʻike ʻia nā hōʻailona penei:

• ʻO ke ʻano o nā kiko (rashes) e like me ka mea i ʻōlelo ʻia ma mua ma kekahi mau wahi o ke kino.
• ʻO ka maʻi lolo o ka maka (Bell's palsy). ʻO ke ʻano kēia, me he mea lā e kulou ana kekahi ʻaoʻao o ka maka.
• Nā ʻano hewa ʻole o ka puʻuwai, e like me ka hoʻopilikia ʻana i ka ʻōnaehana uila o ka puʻuwai (bloke puʻuwai).
• ʻO ka maneʻo a i ʻole nā ​​​​manaʻo ʻē aʻe ma kekahi mau wahi (neuropathy).

Nā hōʻailona hope loa (nā mahina a i ʻole nā ​​​​makahiki ma hope) e hiki mai ana inā ʻaʻole mālama ʻia

Inā ʻaʻole mālama pono ʻia ka maʻi, hiki ke hana ʻia ma hope o nā mahina:

• ʻO ka pehu hou ʻana o nā hono (arthritis), ʻoi aku ka hopena i nā hono nui e like me nā kuli.
• Paʻakikī ke kālele ʻana, me he mea lā ua uhi ʻia kou lolo i ka noe. Ua kapa ʻia hoʻi kēia ʻo 'brain fog '. Hiki ke hana ʻia kēia e ka hōʻino ʻana o ka lolo (`encephalopathy`).
• ʻO ka Polyneuropathy kahi maʻi e hoʻopilikia ai i nā aʻalolo ma ke kino holoʻokoʻa, e hoʻopilikia ana i ka ʻili, nā ʻiʻo, a me nā ʻōpū o loko.

Pehea e ʻike ʻia ai ka maʻi Lyme?

ʻĀ, pehea lā e ʻike ʻia ai ka maʻi Lyme?

E nānā ke kauka i kēia maʻi ma muli o kāu mau hōʻailona, ​​​​nā mea a lākou e ʻike ai i ka wā o ka hoʻokolokolo kino (e like me ka mea i kapa ʻia ʻo "(EM)"), a inā paha ʻoe i kahi i loaʻa ai nā ʻuku i loaʻa i ka maʻi.

E noʻonoʻo e pili ana i ia mea, ʻaʻole hoʻi e hoʻomanaʻo a ʻike paha ka poʻe he nui ua nahu ʻia lākou e kahi ʻuku. ʻO ke kumu, he liʻiliʻi loa kēia mau ʻuku a ʻaʻole lākou e ʻeha i ka wā e nahu ai.

E hana ke kauka i kahi hoʻāʻo koko e hōʻoia i ka hōʻailona. Inā maikaʻi ʻole kāu hoʻāʻo koko mua no ka maʻi Lyme, ʻaʻole pono ʻoe e hana i kahi hoʻāʻo ʻē aʻe. Eia nō naʻe, inā maikaʻi a kānalua paha ka hoʻāʻo mua, e hana kāu kauka i kahi hoʻāʻo ʻē aʻe. I mea e hōʻoia ai he maʻi Lyme kou , pono ʻoe i ʻelua mau hopena maikaʻi (malia paha he maikaʻi kekahi a he maopopo ʻole kekahi).

Pehea e mālama ʻia ai ka maʻi Lyme?

Hoʻōla ʻia ka maʻi Lyme me nā antibiotics . ʻO ka maʻamau, hoʻohana ʻia ka doxycycline a i ʻole amoxicillin. He kūpono loa kēia mau lāʻau lapaʻau no ka maʻi Lyme.

ʻO ka lōʻihi o kou lawe ʻana i ka lāʻau lapaʻau e pili ana i ke kahua o ka maʻi āu e loaʻa nei. Ua ʻōlelo pinepine ʻia ʻo ka wikiwiki o kou hoʻomaka ʻana i ka lāʻau lapaʻau, ʻo ka wikiwiki a me ka piha o kou ho'ōla ʻana.

Pono hoʻi nā wahine hāpai e ʻimi i ka lāʻau lapaʻau inā loaʻa iā lākou ka maʻi Lyme. Eia nō naʻe, ʻaʻohe hōʻike i hiki ke hoʻoili ʻia ka maʻi mai ka makuahine a i ka ʻōpū. ʻAʻohe hōʻike ikaika e hoʻonui ana ka maʻi Lyme i ka pilikia o ka hāʻule ʻana o ka hāpai keiki. No laila, mai hopohopo, e hahai wale i ka ʻōlelo a kāu kauka.

He aha kāu e hana ai inā e nahu ʻia ʻoe e kahi ʻuku?

E noʻonoʻo ua nahu ʻia ʻoe e kahi ʻuku. He aha kāu e hana ai? Mai hopohopo. Eia pehea e wehe ai i ka ʻuku:

• Me nā tweezers ʻoiʻoi, e hopu i ke 'poʻo' o ka makika, ʻo ia hoʻi, kahi i hoʻopili ʻia ai i kou ʻili, a huki mālie akā paʻa i luna a hiki i ka hemo ʻana mai kou ʻili aku.
• Mai ho'āʻo e ʻomi i ke kino o ka makika. Mai hoʻopā aku iā ia me kou mau lima ʻōlohelohe. ʻO ka hana ʻana pēlā e hiki ai iā ʻoe ke hōʻike i ka bacteria ma ke kino o ka makika.
• E holoi pono i ka wahi i nahu ʻia ai ka makika me ke kopa a me ka wai.
• Mai hoʻohana i ka kerosene a i ʻole ka petroleum jelly (e like me Vaseline®) e wehe i nā makika. Mai hoʻohana i nā ʻūpā cigarette wela e wehe i nā makika. He mau ʻano hana hewa kēia.
• Mai ʻomi i ke kino o ka makika me kou mau manamana lima a i ʻole nā ​​pliers.

Hiki ke pale ʻia ka maʻi Lyme?

Hiki ke pale ʻia ka maʻi Lyme ma mua o kona hiki ʻana mai? ʻAe, hiki nō ia.

Loaʻa ka hapa nui o ka poʻe i ka maʻi Lyme i ka hopena o ka pūnāwai, ke kauwela, a me ka hoʻomaka o ka hāʻule. ʻO kēia ka manawa e hele mai ai nā makika ʻōpiopio e hānai. I nā aniau mehana, ʻaʻole pinepine nā nahu makika i ka hoʻoilo.

ʻO kēia mau mea i kapa ʻia ʻo "deer ticks" ka mea maʻamau ma nā wahi ululāʻau a ma nā kula kokoke iā lākou. ʻOi loa ma nā kihi o kēia mau ululāʻau a me nā kula, hiki ke loaʻa i kēia mau ticks i kekahi manawa ma nā māla kahi e holoholo ai nā dia. Eia nō naʻe, ma nā wahi mauʻu lā, ʻaʻole ola lōʻihi nā ticks. Maloʻo koke lākou a make.

ʻO ka maʻamau, ʻo kahi wale nō 1% o nā ʻuku dia āpau e lawe i ka bacteria e hoʻoulu ai i ka maʻi Lyme. Eia nō naʻe, ma kekahi mau wahi, ʻoi aku ma mua o 50% o nā ʻuku e lawe i ka bacteria. ʻO nā ʻuku e lawe ana i ka maʻi ka mea maʻamau ma ka Hikina ʻĀkau a me ke Komohana ʻĀkau o ʻAmelika Hui Pū ʻIa, a me nā wahi kahakai.

Hiki i nā ʻūpā wāwae ʻeleʻele ke hoʻoili i kēia maʻi ʻaʻole wale mai ka dia, akā, mai nā ʻiole, nā voles, a me kekahi ʻano ʻiole.

He aha kāu e hana ai e palekana ai mai nā ʻuku?

I mea e palekana ai mai nā ʻuku, e hoʻomanaʻo i kēia mau mea:

• E pale aku i nā makika, ma luna o kou mau loleHiki iā ʻoe ke pīpī i kahi mea pepehi pepeke i kapa ʻia ʻo `(permethrin)` . Loaʻa kēia ma nā hale kūʻai lako māla. Hiki ke hoʻopili ʻia nā mea pale pepeke i loaʻa ka kemika `(DEET)` i nā lole a i ʻole pololei i ka ʻili. Akā e heluhelu pono i ka lepili. Mai hoʻohana nui. Hiki i ka hoʻopili nui ʻana ke hōʻino.
• E ʻaʻahu i nā lole lōʻihi a me nā pālule lima lōʻihi. ʻO ke komo ʻana i nā lole paʻa a puni nā kuʻekuʻe wāwae a me nā pulima e hōʻemi i ka hiki ʻana o nā makika ke hiki i ka ʻili, a hōʻemi pū i ka pili ʻana i ka mea pale pepeke.
• E komo i ka pāpale, e hoʻokomo i kou mau lole komo i loko o kou mau kāmaʻa wāwae, a e komo i nā kāmaʻa e uhi pono i kou mau wāwae.
• E ʻaʻahu i nā lole māmā i hiki iā ʻoe ke ʻike maʻalahi i kahi māka inā aia ma luna ou.
• I ka hele ʻana ma nā alanui a me nā alahele o ka nahele, e hele ma waenakonu. Ma kēlā ʻano, ʻaʻole ʻoe e nahu ʻia e nā makika mai ka mauʻu e kau ana ma luna a me nā lāʻau liʻiliʻi ma nā ʻaoʻao ʻelua.
• Ma hope o ka hoʻolilo ʻana i ka manawa ma waho i kahi āu e manaʻo ai he mau makika paha, e nānā pono i kou kino no nā makika (i kapa ʻia hoʻi he 'tick check'). He mea nui hoʻi e holoi a ʻauʻau maikaʻi ma hope, a e hamo maikaʻi iā ʻoe iho me kahi lole a i ʻole kekahi mea e hamo ai i kou kino.
• Inā he mau makika ma kou mau lole, e hoʻokomo iā lākou i loko o ka mīkini maloʻo no kahi o 15 mau minuke. E maloʻo a make nā makika.
• Hiki i nā ʻuku ke komo i kou home mai nā holoholona , ​​​​no laila e kamaʻilio me kāu kauka holoholona e pili ana i nā ala e pale aku ai i kāu holoholona mai nā ʻuku.

He aha ka wā e hiki mai ana no kekahi me ka maʻi Lyme?

I ka hapa nui o ka manawa, hiki ke mālama ʻia ka maʻi Lyme inā mālama koke ʻia. Hiki i ka lāʻau lapaʻau ke ho'ōla i ka maʻi Lyme. Eia nō naʻe, i kekahi manawa aia kekahi mau hopena lōʻihi. Inā waiho ʻole ʻia, hiki i ka maʻi Lyme ke alakaʻi i nā pilikia koʻikoʻi ʻē aʻe, akā ʻaʻole pinepine ia e make.

ʻO ka maʻi Lyme ma hope o ka mālama ʻana (PTLDS)

I kekahi manawa, ʻoiai ma hope o ka mālama ʻana, hiki i kekahi poʻe (ma waena o 5% a me 15% o ka poʻe) ke hoʻomau i ka luhi, nā ʻeha kino, a me nā poʻo. Ua kapa ʻia kēia ʻo ka maʻi Lyme ma hope o ka mālama ʻana (PTLDS) .

ʻO ka loaʻa ʻana o kēia mau hōʻailona ʻaʻole ia he manaʻo e loaʻa mau ana iā ʻoe ka maʻi. ʻAʻole pane ʻo PTLDS i nā lāʻau antibiotic hou aʻe. No ka hapa nui o ka poʻe ma kēia hui, e emi mālie ana kēia mau hōʻailona ma hope o ʻeono mahina.

Maʻi Lyme mau loa

Hoʻohana kekahi poʻe i ka huaʻōlelo "Maʻi Lyme Mau" e pili ana i kahi mea i loaʻa i ka maʻi Lyme a loaʻa iā ia nā hōʻailona o "PTLDS". Manaʻo kekahi poʻe he like ka maʻi Lyme mau a me "PTLDS". Eia nō naʻe, aia kekahi mau manawa i ʻike ʻia ai kekahi poʻe me ka "Maʻi Lyme Mau" me ka ʻole o ka hōʻike mua ʻana o ka maʻi Lyme. I kekahi manawa, ua ʻōlelo ʻia e kōkua ka hoʻomau ʻana i nā antibiotics.

ʻO kēia huaʻōlelo paha ke kumu e manaʻo ai kekahi poʻe hiki iā ʻoe ke loaʻa i ka maʻi Lyme me ka ʻole o ka nahu ʻia e kahi ʻuku. ʻAʻole lawa nā hōʻike e hōʻoia ai e hoʻoili nā makika i ka maʻi Lyme. ʻAʻole makemake ka nui o nā kānaka noiʻi e hoʻohana i ka huaʻōlelo 'maʻi Lyme mau' no ka mea he mea huikau a hoʻopaʻapaʻa.

Āhea ʻoe e ʻike ai i ke kauka?

No laila, i ka manawa hea ʻoe e ʻike ai i ke kauka?

• Inā maʻi ʻoe ma hope o kou noho ʻana i kahi e loaʻa ai nā ʻuku, e ʻike pono i ke kauka.
• Inā ua ʻike ʻia ʻoe me ka maʻi Lyme a ʻaʻole ʻoe e maikaʻi ana ʻoiai ua lawe ʻoe i nā lāʻau antibiotic āpau i kuhikuhi ʻia, pono ʻoe e hoʻomaopopo i kāu kauka. He mea nui loa kēia inā loaʻa iā ʻoe nā hōʻailona e like me ka ʻāʻī ʻoʻoleʻa a i ʻole ka huikau.

Hiki ke ho'ōla loa ʻia ka maʻi Lyme?

ʻAe! Hoʻopau pinepine ka maʻi Lyme ma hope o ʻelua a ʻehā pule o nā lāʻau antibiotic waha. I kekahi mau hihia koʻikoʻi, pono paha nā lāʻau antibiotic intravenous no ʻehā pule hou aʻe. Eia nō naʻe, ʻaʻohe kumu e manaʻo ai e noho mau ka maʻi Lyme i loko o kou kino ma hope o ka mālama ʻana.

Nā mea e hoʻomanaʻo ai mai kēia ʻatikala (Leka Lawe-Home)

ʻAe, no laila e hoʻomanaʻo aku iā ʻoe i kekahi mau mea a mākou i kamaʻilio ai i kēia lā e pili ana i ka maʻi Lyme a mākou e manaʻo nei he mea nui:

• E ʻaʻahu i nā lole pale i ka wā e hele ai i nā wahi i loaʻa ai nā makika (nā ululāʻau, nā kula). Nā mea e like me nā lole lōʻihi, nā pālule lima lōʻihi, a me nā kāmaʻa.
• E hoʻohana i ka mea pale pepeke, akā e makaʻala.
• Ma hope o ka hoʻolilo ʻana i ka manawa ma waho , e nānā pono i kou kino no nā ʻuku.
• Inā he ʻuku, e wehe pono. Mai hopohopo.
• Inā loaʻa iā ʻoe ke kuni, ʻeha kino, a i ʻole kahi wahi ʻē ma kou ʻili (ʻoi aku hoʻi ka mea e like me kahi pahuhopu), ma hope o ka nahu ʻia ʻana e kahi ʻuku a i ʻole ma hope o ke kipa ʻana i kahi i loaʻa ai nā ʻuku, e ʻike koke i ke kauka.
• Hiki ke ho'ōla ʻia ka maʻi Lyme inā mālama ʻia i ka wā mua. E lawe i nā lāʻau antibiotic i kuhikuhi ʻia e kāu kauka me ka pololei a no ka manawa i kuhikuhi ʻia.

ʻO ka hoʻomanaʻo ʻana i kēia mau mea e kōkua nui i ka pale ʻana iā ʻoe mai ka maʻi Lyme, ka mea i laha ʻia e nā ʻuku. E noho olakino!

ʻO ka maʻi Lyme, nā ʻuku, nā nahu ʻuku, Borrelia burgdorferi, erythema migrans, nā hōʻailona, ​​​​​​lāʻau lapaʻau, pale ʻana