Ua ʻike anei ʻoe i ka maʻi ilo i kapa ʻia ʻo Strongyloidiasis? E kamaʻilio kākou e pili ana i ia mea!

ʻAʻole paha ʻoe i lohe i kēia maʻi ilo ma mua. Akā hiki iā ia ke komo malū i loko o ko kākou kino a hoʻopilikia malū. No laila, i kēia lā e kamaʻilio mākou e pili ana i kahi maʻi i kapa ʻia ʻo Strongyloidiasis. Ua like ia me kahi malihini i kono ʻole ʻia e noho ana i loko o kou kino.

He aha ka Strongyloidiasis?

I ka ʻōlelo maʻalahi, ʻo Strongyloidiasis kahi maʻi i hoʻokumu ʻia e kahi ilo parasitic i kapa ʻia ʻo Strongyloides. He palupalu loa kēia ilo. Komo ia i loko o kou kino ma o kou ʻili, hele i kou mau māmā a me kou mau ʻōpū, kahi e ulu ai a hoʻohua hou. I kekahi manawa hiki ke loaʻa kēia maʻi no nā makahiki me ka ʻole o nā hōʻailona. Eia nō naʻe, hiki i kekahi poʻe ke loaʻa nā pilikia ʻili a me nā ʻeha ʻōpū e hele mai a hele. Eia nō naʻe, inā he ʻōnaehana pale palupalu kou, hiki i kēia ke hoʻoweliweli i ke ola. No laila he mea nui loa ka makaʻala i kēia.

ʻAuhea kahi i loaʻa pinepine ai ka ilo Strongyloides?

Loaʻa kēia ʻano ilo ma nā wahi he nui o ka honua. Akā , he mea maʻamau ia ma nā ʻāina me nā aniau mahana (ʻo ia hoʻi, nā wahi tropical a me subtropical), nā wahi kuaʻāina, a me nā wahi me ka maʻemaʻe maikaʻi ʻole. Pono hoʻi nā ʻāina e like me Sri Lanka e hopohopo e pili ana i kēia maʻi ilo. ʻOiai ma ʻAmelika Hui Pū ʻIa, ua loaʻa kēia ilo ma nā wahi kuaʻāina o ka Hema a me ka Hikina Hema, ʻoi aku hoʻi ma nā wahi e like me Appalachia. Eia nō naʻe, ʻo ka hapa nui o nā maʻi ma ʻAmelika Hui Pū ʻIa ua loaʻa i ka maʻi mai nā ʻāina ʻē aʻe.

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i kēia?

Hiki ke hana maoli ia i kekahi. Akā, ʻoi aku ka nui o ka pilikia o kekahi poʻe. E nānā kākou ʻo wai lākou:

• Nā kānaka me nā ʻōnaehana pale kino nāwaliwali: Hiki i kēia ke koʻikoʻi loa no ka poʻe e lawe ana i nā lāʻau lapaʻau e like me corticosteroids a i ʻole ka poʻe i loaʻa i ka HTLV-1 (Human T-cell Lymphotropic Virus-1).
• ʻO ka poʻe e hele ana ma ka honua me ka ʻole o nā kāmaʻa: Ua ʻike anei ʻoe e hiki i kēia mau ilo i loko o ka lepo ke eli i loko o kou ʻili a komo i loko o kou kino?
• ʻO ka poʻe e hana ana ma ka lepo: ʻOi aku ka pilikia o ka poʻe e hana ana ma ka mahiʻai a i ʻole ke eli ʻana inā haumia ka lepo.
• ʻO ka poʻe e noho ana ma nā wahi me nā pono hana hoʻomaʻemaʻe maikaʻi ʻole.

Pehea ʻoe e ʻike ai inā loaʻa iā ʻoe kahi maʻi Strongyloides?

He mea paʻakikī iki kēia no ka mea ua like pinepine nā hōʻailona o ka strongyloidiasis me nā maʻi ʻē aʻe. ʻAʻole hōʻike kekahi poʻe i kekahi mau hōʻailona.No laila, i mea e ʻike pono ai inā loaʻa iā ʻoe kēia maʻi a i ʻole, pono ʻoe e hoʻāʻo ʻia e ke kauka. Manaʻo nā loea he ma waena o 30 a me 100 miliona mau kānaka ma ka honua holoʻokoʻa i loaʻa i kēia mau ilo. Akā, no ka mea, ʻaʻohe hōʻailona o ka nui o ka poʻe, he paʻakikī ke ʻōlelo i ka nui o ka poʻe i loaʻa maoli.

Pehea e neʻe ai kēia ilo i loko o ke kino?

E noʻonoʻo, komo kēia mau ilo liʻiliʻi ma kou ʻili. ʻAʻole pono lākou e haki. I kekahi manawa hiki iā lākou ke ʻike ʻia he ʻulaʻula me ka maneʻo. Ke komo i loko o ke kino, hele lākou ma ke kahe koko i nā māmā. Ma laila lākou e ulu ai. I kekahi manawa hiki iā lākou ke waiho i nā hua i loko o nā māmā a hoʻopili iā ʻoe. A laila hiki iā ʻoe ke manaʻo i ka ʻū a me ka ʻāʻī ʻāʻī. A laila, hiki iā ʻoe ke ʻū i kēia mau ilo nui. A laila hele lākou i ka ʻōpū a me ka ʻōnaehana digestive (GI tract). Ma laila, waiho lākou i nā hua i loko o nā ʻōpū. Hoʻomohala hou kēlā mau hua i mau ilo. Hiki i kēia ke hana i nā hōʻailona e like me ka nausea, ka maʻi diarrhea, a me ka ʻeha o ka ʻōpū. Hiki i kēia mau ilo ke puka mai i loko o kou ʻōpala a hoʻolaha i ka maʻi i kekahi. Eia kekahi, hiki iā lākou ke hoʻopili hou iā ʻoe i loko (ua kapa ʻia kēia he autoinfection) a i ʻole e komo hou ma o ka ʻili.

He aha kēia maʻi maʻi ponoʻī?

He mea kūikawā loa kēia. Hiki i ka ilo Strongyloides ke hoʻopau i kona pōʻaiapuni ola holoʻokoʻa (ʻo ia hoʻi, e waiho i nā hua a hana i nā ilo hou e hiki ai ke hoʻoulu hou i ka maʻi) i loko o kou kino. ʻO ke ʻano kēia, ʻoiai inā ʻaʻole ʻoe i loaʻa i kahi ilo hou mai ka lepo mai, e hoʻomau nā ilo i loko o kou kino i ka hoʻopilikia ʻana iā ʻoe. Inā hoʻomau kēia pōʻaiapuni, hiki iā ia ke lilo i strongyloidiasis mau loa . ʻO ke ʻano kēia, hiki iā ia ke noho i loko o kou kino no nā makahiki he nui inā ʻaʻole mālama ʻia.

He aha ka maʻi hyperinfection Strongyloides? He mea weliweli anei ia?

Loaʻa i ka hapa nui o nā kānaka nā ʻōnaehana pale ikaika e pale aku ai i kahi maʻi Strongyloidiasis koʻikoʻi. Eia nō naʻe, inā nāwaliwali kou ʻōnaehana pale, hiki i nā ilo ke komo i nā ʻāpana ʻē aʻe o ke kino. Ua kapa ʻia kēia he strongyloidiasis disseminated. Hiki i kēia ke hoʻoulu i ka pehu nui o nā ʻōpū a me nā bacteria e komo i ke koko. Hiki i kēia ke alakaʻi i nā kūlana hoʻoweliweli ola e like me ka sepsis a me ka pneumonia. ʻOi aku kou pilikia o ka loaʻa ʻana o kēia hyperinfection.

• Inā ʻoe e lawe ana i ka lāʻau lapaʻau '(corticosteroid)'.
• Inā loaʻa iā ʻoe ka maʻi `(HTLV-1)`.
• Inā loaʻa iā ʻoe kahi maʻi e hoʻopilikia ai i ke koko a i ʻole ka iwi iwi (e like me ka leukemia a i ʻole lymphoma).
• Inā ua loaʻa iā ʻoe kahi hoʻoili kino a i ʻole kahi cell kumu .

He aha nā hōʻailona o Strongyloidiasis?

ʻO kēia nā hōʻailona i ʻike pinepine ʻia:

• He ʻulaʻula, pehu, a maneʻo ka ʻili (larva currens): Hiki ke ʻike pinepine ʻia kēia ma waena o nā puʻupuʻu, ma nā ʻūhā, a ma nā pulima paha.
• Ka luaʻi .
• ʻŌpū ʻeha ( diarrhea ).
• ʻEha ma ka ʻōpū o luna: Hiki ke like kēia me ka ʻeha mai ka gastritis a i ʻole ka ʻōpū ʻōpū.
• Hoʻopiha i ka ʻōpū .
• ʻUmiʻumi a i ʻole ka manaʻo e ʻānai ana kou puʻu (ʻaʻole kēia he mea maʻamau).

E hoʻomanaʻo, ʻaʻole hōʻike ka nui o ka poʻe i kekahi mau hōʻailona, ​​a hele mai a hele aku nā hōʻailona.

He aha ke kumu o kēia?

Hoʻokumu ʻia ʻo Strongyloidiasis e kekahi mau ʻano ilo parasitic i kapa ʻia ʻo Strongyloides e noho ana i ka lepo. ʻOi aku ka maʻamau o kēia mau ilo ma nā wahi me nā aniau mahana a kahi e ʻoi aku ka haumia o ka lepo me nā feces. ʻOiai inā ʻaʻohe ou ʻeha ma kou ʻili, hiki i kēia mau ilo ke komo i kou kino ma o kou ʻili. A laila hiki iā lākou ke hele i kou koko, nā māmā, a me nā ʻōpū. Loaʻa kahi maʻi koʻikoʻi i kapa ʻia ʻo "hyperinfection" i ka wā e nāwaliwali ai kāu ʻōnaehana pale. Hiki iā ʻoe ke loaʻa i ka strongyloidiasis me ka ʻole o nā hōʻailona ma mua, akā hiki i kēia "hyperinfection" ke hana ma hope, ʻoiai inā ua nāwaliwali kāu ʻōnaehana pale.

He maʻi laha anei ka Strongyloidiasis?

ʻAʻole maʻamau ka laha ʻana o ka Strongyloidiasis. Loaʻa i ka hapa nui o ka poʻe mai ka pili ʻana me ka lepo haumia. He mea kākaʻikahi loa ia e laha mai kekahi kanaka ʻē aʻe a i ʻole mai kahi ʻōpū i hoʻoili ʻia.

Pehea e ʻike ai i ka maʻi?

No ka ʻike ʻana i ka strongyloidiasis, e hoʻāʻo kāu kauka i hoʻokahi a ʻoi aku paha nā wai o ke kino no ke alo o ka ilo Strongyloides. E nānā pū lākou i kahi ʻulaʻula ma kou ʻili, ʻoi aku hoʻi ma kou mau pulima, nā ʻūhā, a ma waena o kou mau puʻupuʻu. Hiki ke hana ʻia nā hoʻāʻo aʻe:

• He hoʻāʻo ʻōpala/ʻōpala.
• He hoʻāʻo sputum (phlegm mai nā māmā).
• He hoʻāʻo koko.

Pehea e mālama ʻia ai?

Hoʻōla ʻia ʻo Strongyloidiasis me nā lāʻau antiparasitic. ʻO Ivermectin, i kekahi manawa me ka albendazole, ka lāʻau lapaʻau kūpono loa. ʻO ka maʻamau, mai ʻelua a ʻumikumamāhā mau lā ka lōʻihi o ka lāʻau, i kekahi manawa ʻoi aku ka lōʻihi. Inā ʻoe e lawe ana i ka lāʻau immunosuppressive, hiki i kāu kauka ke hōʻemi i ka nui o ka lāʻau no kekahi manawa.

ʻO ka mea nui loa, ʻoiai inā ʻaʻohe ou hōʻailona, ​​pono ʻoe e ʻimi i ka lāʻau lapaʻau inā loaʻa iā ʻoe kahi maʻi Strongyloides. A laila hiki iā ʻoe ke pale aku i kahi maʻi koʻikoʻi i kapa ʻia ʻo "hyperinfection."

Pehea lā ʻoe e ola ai i kēia?

Aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i kou pilikia o ka strongyloidiasis:

• E ʻaʻahu i nā lole pale i ka wā e pili ai me ka lepo ma nā wahi i loaʻa ai nā ilo Strongyloides. ʻO ia hoʻi nā kāmaʻa, nā mīkina lima, a pēlā aku.
• E makaʻala loa ma nā wahi me ka maʻemaʻe ʻole, no ka mea, ʻoi aku ka maʻalahi o ka lepo e haumia ma ia mau wahi.
• Inā ʻoe e hana ʻoki kino a hoʻomaka paha i ka lāʻau lapaʻau e hoʻonāwaliwali ai i kou ʻōnaehana pale, e noi i kāu kauka e nānā i ka maʻi. Inā ua ʻike ʻia ʻoe me ka strongyloidiasis i kēlā manawa, hiki iā ʻoe ke mālama iā ia ʻoiai e ikaika ana kou ʻōnaehana pale. Hiki i kēia ke kōkua i ka pale ʻana i ka "hyperinfection".

He aha ka mea e hana ai inā loaʻa iā ʻoe ʻo Strongyloidiasis?

Inā he ʻōnaehana pale kino nāwaliwali kou, pono ʻoe e ʻimi koke i ka lāʻau no ka maʻi Strongyloides. Pono paha ʻoe e lawe ʻia i ka haukapila, a i ʻole pono paha ʻoe e lawe i kekahi mau papa o ka lāʻau e hoʻopau loa i ka maʻi. Inā olakino kou ʻōnaehana pale kino, hiki i nā lāʻau antiparasitic ke mālama pono i ka maʻi. Pono nō hoʻi ʻoe e ʻike i kāu kauka ma hope o ka lāʻau e hōʻoia i ka pau ʻana o nā ilo.

Hiki ke ho'ōla loa ʻia ʻo Strongyloidiasis?

ʻAe, hiki ke ho'ōla ʻia ka strongyloidiasis me nā lāʻau antiparasitic, ʻoi aku hoʻi i ka poʻe me nā ʻōnaehana pale olakino. Eia nō naʻe, inā hiki i kahi kūlana o ka "hyperinfection", ʻoi aku ka paʻakikī o ka ho'ōla ʻana ma muli o nā pilikia e hele mai me ia.

Pehea wau e mālama ai iaʻu iho?

Inā nāwaliwali kou ʻōnaehana pale, e kamaʻilio me kāu kauka e pili ana i ka hoʻāʻo ʻia no nā maʻi. E aʻo pehea e pale ai iā ʻoe iho mai ka maʻi a me ka mea e hana ai inā maʻi ʻoe.

Āhea ʻoe e ʻike ai i ke kauka?

E ʻike i ke kauka ma kēia mau hihia:

• Inā he mau hōʻailona kou o strongyloidiasis.
• Inā nāwaliwali kou ʻōnaehana pale maʻi a ke hopohopo nei ʻoe e pili ana i nā maʻi Strongyloides.
• Inā ʻoe e hele ana i kahi i loaʻa pinepine ai ʻo Strongyloides (ʻoi aku hoʻi inā nāwaliwali kou ʻōnaehana pale), e kamaʻilio me kāu kauka e pili ana i nā ala e pale aku ai i ka maʻi.
• Inā e loaʻa iā ʻoe kahi lāʻau lapaʻau a ʻoki kino paha e hoʻonāwaliwali ai i kou ʻōnaehana pale kino, e hoʻāʻo paha kāu kauka iā ʻoe no nā maʻi ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau.

I ka manawa hea ʻoe e pono ai e hele i kahi Emergency Treatment Unit (ETU)?

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona koʻikoʻi, e hele koke i kahi lumi pilikia (ETU) :

• Ke kuni nui (103 kekelē Fahrenheit / 39.4 kekelē Celsius).
• Ka huikau a i ʻole nā ​​​​loli noʻonoʻo ʻē aʻe.
• Ke koko haʻahaʻa.
• Paʻakikī ka hanu ʻana a i ʻole ka pōkole o ka hanu ʻoiai ke kū mālie.
• ʻEha hou a ʻeha paha ka ʻeha o ka umauma.
• ʻAʻohe a i ʻole ka liʻiliʻi loa o ka mimi i hoʻopuka ʻia.

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

Hiki iā ʻoe ke nīnau i kāu kauka i kēia mau nīnau:

• Pehea e hiki ai iā ʻoe ke pale aku i nā maʻi e like me Strongyloides?
• Pono anei au e hoʻāʻo ʻia no ka strongyloidiasis?
• Aia anei au i ka pilikia nui o ka maʻi nui ʻana me ka strongyloidiasis?
• Pehea lā wau e lawe ai i kaʻu lāʻau lapaʻau?
• Pehea ka wikiwiki o koʻu hoʻomaikaʻi ʻana?
• Āhea wau e hele hou mai ai e ʻike iā ʻoe?
• Āhea wau e pono ai e hele i kahi Emergency Treatment Unit (ETU) ?

Nā mea pōkole e hoʻomanaʻo ai

ʻAʻole maʻi nui ka hapa nui o ka poʻe i loaʻa i ka strongyloidiasis. Eia nō naʻe , inā nāwaliwali kou ʻōnaehana pale kino, hiki ke hoʻoweliweli i ke ola. Inā kokoke ʻoe e loaʻa i kahi hoʻoili kino, kokoke e hoʻomaka e lawe i nā corticosteroids, a inā ua nāwaliwali kou ʻōnaehana pale kino no kekahi kumu ʻē aʻe, e nīnau i kāu kauka e pili ana i ka hoʻāʻo ʻia no ka strongyloidiasis. ʻO ka mālama mua ʻana ke ala maikaʻi loa e pale aku ai i ka maʻi nui.