Ua manaʻo paha ʻoe i ka ʻeha a me ke kuni ma hope o ka hele wāwae ʻana i loko o ka ululāʻau, a ma hope paha o ka hana ʻana a i ʻole ka pāʻani ʻana ma ka māla. I kekahi manawa, hiki ke hana koke ʻia nā mea e like me kēia, ma muli o kahi ʻuku liʻiliʻi. I kēia lā e kamaʻilio mākou e pili ana i kahi maʻi i lawe ʻia e ka ʻuku e pono ʻoe e makaʻala. ʻO ia ke ʻano i kapa ʻia ʻo anaplasmosis.
He aha ka Anaplasmosis?
I ka ʻōlelo maʻalahi, he maʻi bacteria ka anaplasmosis. ʻO ka bacteria e hoʻoulu ai ua kapa ʻia ʻo `(Anaplasma phagocytophilum)`. Komo ia i loko o ko kākou kino ke nahu ʻia kākou e kahi ʻuku i loaʻa i ka maʻi. Hoʻomaka ia me nā hōʻailona liʻiliʻi e like me ke kuni a me ke anu, akā inā ʻaʻole i mālama koke ʻia, hiki ke lilo i mea koʻikoʻi. Kapa pū kekahi poʻe iā ia ʻo `(human granulocytic anaplasmosis - HGA)`.
Pehea ka maʻamau o kēia maʻi?
Ma nā ʻāina e like me ʻAmelika, ua hōʻike ʻia ma kahi o 5,000 a 6,000 mau kānaka e loaʻa ana kēia maʻi i kēlā me kēia makahiki. ʻOiai hiki ke loaʻa i kēlā me kēia manawa o ka makahiki, ʻoi aku ka maʻamau i nā mahina o Iune, Iulai, ʻOkakopa, a me Nowemapa. ʻO kēia no ka mea ʻoi aku ka hana o ka ʻuku wāwae ʻeleʻele i kēlā manawa. ʻOiai aia nō hoʻi nā ʻuku ma ko mākou ʻāina, he mea nui loa ia e makaʻala i kēia.
He aha nā hōʻailona o ka maʻi Anaplasmosis?
ʻO ka maʻamau, hoʻomaka nā hōʻailona o kēia maʻi e ʻike ʻia i loko o hoʻokahi a ʻelua paha pule ma hope o ka nahu ʻana o ka makika. ʻO nā hōʻailona nui e ʻike ʻia:
- Wela loa.
- Anuanu
- ʻEha poʻo
- ʻEha kino, ʻeha ʻiʻo
- Luhi, luhi
- Ka luaʻi a me ka luaʻi
- ʻeha ka ʻōpū
- ʻO ka ʻili ʻulaʻula (ʻaʻole kēia i maʻamau)
He mea nui: Inā ʻike ʻoe i kēia mau hōʻailona a manaʻo, "He anu maʻamau wale nō kēia," a ʻaʻole ʻoe e mālama, hiki i ke kūlana ke ʻoi aku ka ʻino. Hiki paha iā ʻoe ke loaʻa nā hōʻailona koʻikoʻi, e like me ka nalowale o ka ʻike a me nā hopu ʻana.
No ke aha e hana ai ka Anaplasmosis?
E like me kā mākou i ʻōlelo ai ma mua, ʻo ke kumu nui o kēia, ʻo ia ka bacteria `(Anaplasma phagocytophilum)`. Komo kēia bacteria i loko o ko kākou kino ma o nā makika i kapa ʻia ʻo `(blacklegged ticks)` (i kapa ʻia hoʻi he deer ticks) a me `(western blacklegged ticks)`. Ke omo kēia mau makika i ke koko o nā holoholona e like me ka dia, nā ʻiole, nā bipi, a me nā lio, inā loaʻa kēlā mau holoholona i kēia bacteria, loaʻa pū ka makika i ka maʻi. A laila, i ka wā e nahu ai kēlā makika iā kākou, komo ka bacteria i loko o ko kākou kino.
E noʻonoʻo, ua hele aku kekahi hoaaloha ou, e ʻōlelo kākou ʻo Kasun, e holoholo ana i loko o kahi ululāʻau kokoke iā Nuwara Eliya. I kekahi mau lā ma hope mai, ua loaʻa iā ia ke kuni nui, nā ʻeha kino, a me ke poʻo. I kona ʻike ʻana i ke kauka, ua ʻike ʻo ia ua loaʻa iā ia ka anaplasmosis mai kahi nahu ʻupena. No laila, pono ʻoe e makaʻala loa i ka hele ʻana i nā ululāʻau a me nā wahi me ka nui o ka mauʻu.
Kākaʻikahi loa,Ua hōʻike ʻia e hiki ke laha kēia maʻi ma o ke kahe koko.
ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o kēia maʻi?
Hiki i kekahi ke loaʻa i ka anaplasmosis. Eia nō naʻe, ʻoi aku ka nui o ka maʻi o kekahi poʻe mai ia mea. ʻO kēia mau mea:
- Nā kānaka ma luna o 50 mau makahiki
- Nā kānaka me nā ʻōnaehana pale kino nāwaliwali. Eia kekahi laʻana, nā kānaka me ka maʻi HIV, nā maʻi kanesa, a i ʻole ka poʻe e lawe ana i nā lāʻau immunosuppressant.
- Inā ʻaʻole e ʻimi ʻia ka lāʻau lapaʻau i loko o nā lā mua o ka hoʻomaka ʻana o nā hōʻailona.
He aha nā pilikia e hiki ke loaʻa mai ka Anaplasmosis?
Inā ʻaʻole i mālama koke ʻia, a inā nāwaliwali kou ʻōnaehana pale, hiki i ka anaplasmosis ke hana i nā pilikia koʻikoʻi. ʻO kekahi o lākou:
- ʻO ka maʻi pilikia hanu koʻikoʻi (ARDS) : ʻO ke ʻano kēia ua pau ka hana pono ʻana o nā māmā.
- Ka hāʻule ʻana o ka hanu
- Ka hāʻule ʻana o ka puʻupaʻa (ʻeha puʻupaʻa koʻikoʻi)
- Ke kahe koko ʻana o loko (hemorrhaging)
- ʻO kahi maʻi a pehu paha o ka lolo (meningoencephalitis)
Hiki i kēia mau kūlana ke hoʻoweliweli i ke ola, ʻo ia ke kumu e paipai aku ai mākou iā ʻoe e ʻike koke i ke kauka inā loaʻa iā ʻoe kekahi mau hōʻailona.
Pehea e ʻike ʻia ai ka Anaplasmosis?
ʻO ke ala maikaʻi loa e ʻike ai i ka anaplasmosis, ʻo ia ke hana i kahi moʻomeheu bacteria o kahi hāpana o kou koko a i ʻole kekahi wai kino ʻē aʻe. Eia nō naʻe, no ka mea hiki ke hala kekahi mau pule no ka ulu ʻana o ka bacteria, pono pinepine kāu kauka e hoʻoholo inā e hoʻomaka i ka lāʻau lapaʻau ma mua o ka loaʻa ʻana o nā hopena.
I kēia manawa, hiki i ke kauka ke hoʻoholo mua ma muli o kēia mau ʻoiaʻiʻo:
- ʻO kou mau hōʻailona a me ka mōʻaukala olakino.
- Hoʻokolokolo kino.
- Inā paha ʻoe i hele koke aku nei (i loko o nā pule ʻekolu i hala iho nei) i kahi i loaʻa ai nā ʻuku (ʻoiai inā ʻaʻole ʻoe e hoʻomanaʻo i ka nahu ʻia ʻana e kahi ʻuku).
- Helu koko a me nā hoʻokolohua koko ʻē aʻe. Hiki i kēia ke hāʻawi i nā hopena wikiwiki ma mua o nā moʻomeheu bacteria, akā ʻaʻole paha e pololei.
He aha nā hoʻāʻo koko kūikawā no kēia?
Hiki i kekahi mau hoʻokolohua koko ke hōʻoia i kahi maʻi anaplasmosis. E lawe kāu kauka i kahi ʻōkuʻi liʻiliʻi mai kou lima a lawe i kahi hāpana koko, kahi e hoʻouna ʻia i kahi lab. Hiki i ka lab ke hana i nā hoʻokolohua aʻe:
- Helu koko piha: Nānā kēia i ka helu o nā ʻāpana like ʻole i loko o kou koko i hoʻohālikelike ʻia me ka helu maʻamau no kekahi me ka ʻole o ka anaplasmosis.
- Nā hoʻāʻo PCR `(Nā hoʻāʻo PCR - Polymerase chain reaction)`:Hiki i kēia hoʻāʻo ke ʻike i nā wahi liʻiliʻi loa o nā mea genetic o ka bacteria (DNA a i ʻole RNA) i loko o kahi hāpana koko.
- Serology: Nānā kēia e ʻike inā he mau antibodies kou e kūʻē i ka bacteria e hoʻoulu ai i ka anaplasmosis.
- Moʻomeheu bacteria: E like me ka mea i ʻōlelo ʻia ma mua, pili kēia i ka hoʻāʻo ʻana e ulu i ka bacteria mai kahi hāpana koko.
Pehea e mālama ai ka Anaplasmosis?
Hoʻōla nā kauka i ka anaplasmosis me kahi lāʻau antibiotic i kapa ʻia ʻo doxycycline . Lawe pinepine ʻia kēia no 7 a 10 mau lā. He mea nui loa ia e lawe i ka lāʻau no ka manawa piha i kuhikuhi ʻia e kāu kauka , a mai hoʻōki i ka lawe ʻana inā hoʻomaikaʻi kāu mau hōʻailona.
He aha ka mea e hana ʻia inā loaʻa iā ʻoe kēia maʻi? Pehea ʻoe e ola ai?
I ka hapanui o nā hihia, inā hoʻomaka ʻia ka lāʻau lapaʻau i ka wā e hoʻomaka ai nā hōʻailona, hiki iā ʻoe ke ho'ōla piha me ka ʻole o nā pilikia koʻikoʻi. Eia nō naʻe, ma muli o ke koʻikoʻi o kou maʻi, pono paha ʻoe e hoʻokomo ʻia i ka haukapila no ka lāʻau lapaʻau.
E hoʻomaka ʻoe e ʻoluʻolu i loko o 24 a 48 mau hola o ka hoʻomaka ʻana i nā lāʻau antibiotic. Eia nō naʻe, hiki ke hala kekahi mau pule e hoʻōla piha ai. No laila, mai hopohopo.
Hiki ke ho'ōla loa ʻia ka Anaplasmosis?
ʻAe, hiki ke ho'ōla loa ʻia ka anaplasmosis me ka lāʻau antibiotic. Eia nō naʻe, e like me ka mea i ʻōlelo ʻia ma mua, hiki ke lōʻihi ka manawa no ka nalo loa ʻana o nā hōʻailona e like me ka lethargy a me ka luhi.
He aha ka pilikia o ka make mai kēia maʻi?
ʻO ka nui o ka make no ka anaplasmosis ma kahi o 0.5%, ʻo ia hoʻi ma kahi o hoʻokahi i kēlā me kēia ʻelua haneli poʻe i loaʻa i ka maʻi. Eia nō naʻe, hiki ke kiʻekiʻe aʻe kēia helu i nā poʻe me nā ʻōnaehana pale nāwaliwali.
Pehea e pale aku ai i ka anaplasmosis?
ʻO ke ala maikaʻi loa e pale aku ai iā ʻoe iho mai kēia, ʻo ia ke pale aku iā ʻoe iho mai nā ʻuku. Hiki iā ʻoe ke hana i kēia mau mea:
- ʻAʻole e ʻoki ʻia ka mauʻu o ka māla ma mua o ʻelima ʻīniha.
- I ka hele wāwae ʻana i nā wahi ululāʻau, e hoʻohana wale i nā ala i hoʻomaʻemaʻe ʻia.
- E hoʻohana i nā pīpī pepeke i loaʻa ka DEET, ka mea e kipaku aku ai i nā makika. A i ʻole e hoʻohana i kahi wai ʻē aʻe i ʻae ʻia no ka pale ʻana i nā makika.
- I ke komo ʻana i loko o ka ululāʻau a i ʻole nā wahi mauʻu, e ʻaʻahu i nā lole e uhi ana i ka nui o kou kino e like me ka hiki. Nā pālule lima lōʻihi, nā lole lōʻihi, a me nā kāmaʻa wāwae. Inā hele pinepine ʻoe i nā wahi i loaʻa ai nā makika, hiki iā ʻoe ke kūʻai i nā lole pale makika.
- E nānā i kou kino no nā makika ma hope o kou hoʻi ʻana mai waho. Mai poina e nānā i nā wahi āu e nānā ʻole ai, e like me kou ʻūhā a me kou mau lima. Inā hiki, e noi i kekahi e nānā i nā wahi āu e ʻike ʻole ai (e like me kou kua, poʻo).
- E nīnau i kāu kauka holoholona e pili ana i ke ala maikaʻi loa e pale aku ai i kāu mau holoholona mai nā makika. Eia kekahi, e nānā mau i nā makika ke hele lākou i waho.
- Inā ʻike ʻoe i kahi māka ma kou kino, e ʻike pono pehea e wehe ai me ka palekana a hana pēlā.
Āhea wau e ʻike ai i ke kauka?
Inā ua nahu ʻia ʻoe e kahi ʻuku - a i ʻole ua noho ʻoe ma kahi i loaʻa ai nā ʻuku - a loaʻa iā ʻoe nā hōʻailona o ka anaplasmosis, e ʻike koke i ke kauka.
Eia kekahi, inā ua nahu ʻia ʻoe e kahi ʻuku akā ʻaʻohe ou hōʻailona, he manaʻo maikaʻi nō naʻe e kamaʻilio me ke kauka. ʻOiai ʻaʻole hiki i nā lāʻau antibiotic wale nō ke pale i ka ulu ʻana o ka anaplasmosis, hiki i ke kauka ke haʻi iā ʻoe i kēia mau mea:
- Inā pono nā lāʻau antibiotic pale no nā maʻi ʻē aʻe i lawe ʻia e ka ʻuku.
- He aha nā hōʻailona e pono ai ʻoe e makaʻala?
- Āhea wau e ʻike hou ai iā ia a i ʻole kekahi kauka ʻē aʻe?
I ka manawa hea ʻoe e hele ai i kahi Emergency Treatment Unit (ETU) ?
Inā loaʻa iā ʻoe kēia mau hōʻailona koʻikoʻi, e hele koke i ka lumi pilikia kokoke loa:
- Inā ʻoi aku ke kuni ma mua o 40 degere Celsius (103 Fahrenheit).
- Inā ʻoe e ʻū ana i ke koko.
- Inā pilikia nui ʻoe i ka hanu ʻana.
- Inā he mau loli i ka ʻike a i ʻole ka huikau.
- Inā loaʻa iā ʻoe ka ʻeha nui o ka ʻōpū.
- Inā loaʻa iā ʻoe kahi ʻōʻō.
He aha nā nīnau āu e nīnau ai i ke kauka?
Ke hele ʻoe i kāu kauka, he mea kōkua paha ke nīnau i nā nīnau e like me kēia:
- Pehea pololei e pono ai iaʻu ke hoʻohana i kēia lāʻau lapaʻau?
- He aha nā lāʻau lapaʻau ʻē aʻe e hiki iaʻu ke lawe e kāohi i koʻu mau hōʻailona ma ka home?
- He aha nā hōʻailona hou a i ʻole ka hoʻonui ʻia ʻana o nā hōʻailona e kū nei e pono iaʻu e makaʻala?
- Pehea ka wikiwiki e hiki ai iaʻu ke manaʻo e ho'ōla?
- Āhea wau e ʻike hou ai iā ʻoe?
He like anei ka maʻi Lyme a me ka maʻi Anaplasmosis?
ʻAe, ʻelua mau maʻi like ʻole ka anaplasmosis a me ka maʻi Lyme. Hoʻokumu ʻia nā mea ʻelua e ka bacteria i hoʻouna ʻia e nā ʻuku. Eia nō naʻe, hoʻokumu ʻia ka maʻi Lyme e kahi bacteria i kapa ʻia ʻo Borrelia burgdorferi, ʻoiai ʻo ka anaplasmosis i hoʻokumu ʻia e kahi bacteria i kapa ʻia ʻo Anaplasma phagocytophilum.
Hiki ke ʻike ʻia nā hōʻailona e like me ke kuni a me ka ʻeha o ke kino i nā maʻi ʻē aʻe he nui - ʻaʻole i hoʻokumu ʻia e nā ʻuku. Eia nō naʻe, i ka manawa e like me kēia, i ka wā ʻaʻohe maʻi ʻē aʻe e laha ana, inā ua noho ʻoe i kahi i loaʻa ai nā ʻuku a ke ʻike nei i kēia mau hōʻailona, he mea nui e kamaʻilio me ke kauka. E haʻi aku ʻo ia iā ʻoe i nā hoʻokolohua a me nā lāʻau lapaʻau āu e pono ai, a i ʻole inā pono ʻoe e makaʻala i kāu mau hōʻailona a ʻike hou iā lākou.
ʻO ka mea hope loa, he aha e hoʻomanaʻo ai
No laila, ua maopopo paha iā ʻoe i kēia manawa he maʻi lawe ʻia e ka ʻuku ka Anaplasmosis e pono ai ke mālama. ʻO ka mea nui loa, ʻo ia ka pale ʻana iā ʻoe iho mai nā ʻuku. Inā ʻoe ma waho, ʻoi aku hoʻi ma nā wahi ulu lāʻau a mauʻu paha, mai poina e hahai i nā hana palekana.
Inā loaʻa iā ʻoe nā hōʻailona, mai manaʻo wale "he anu maʻamau wale nō ia," akā e ʻike koke i ke kauka. Hiki i ka lāʻau lapaʻau koke ke kōkua iā ʻoe e ho'ōla loa i kēia maʻi a pale i nā pilikia koʻikoʻi. E mālama i kou olakino!
ʻAnaplasmosis , nā makika, kuni makika, maʻi bacteria, kuni, nā hōʻailona, ka pale ʻana











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