Ke uē pinepine nei kāu keiki liʻiliʻi, "E Māmā, ʻeha koʻu ʻōpū"? A i ʻole ke hōʻike nei ʻo ia i nā hōʻailona e like me ka nalowale o ka makemake a me ka luaʻi ʻana? He ʻike maʻamau kēia no nā mākua he nui ma ko mākou ʻāina. ʻO kekahi o nā kumu nui o kēia, ʻo ia nā ilo ʻōpū. No laila i kēia lā e kamaʻilio mākou e pili ana i kahi maʻi ilo maʻamau loa, akā ua ʻike nui ʻia. Ua kapa ʻia kēia ʻo Ascariasis.
He aha ka Ascariasis?
I ka ʻōlelo maʻalahi, ʻo ka ascariasis kahi maʻi e kū mai ana i loko o ko kākou ʻōpū. Hoʻokumu ʻia ia e kahi ʻano ilo poepoe i kapa ʻia ʻo 'Ascaris lumbricoides' . ʻO kēia ilo, e like me ka ilo, he parasite. ʻO ke ʻano kēia e hoʻohana kēia mau ilo i ko kākou kino ma ke ʻano he home no ka hoʻolilo ʻana i ko lākou ola, ulu, a waiho hua. I ka hoʻonui ʻana o kēia mau ilo i loko o ko kākou kino, e hoʻonui ʻia ka pōʻino a lākou e hana ai iā kākou.
Hoʻopuka ʻia kēia mau hua ilo mai ko kākou kino me ko kākou ʻōpala. E noʻonoʻo i ka mea e hana ʻia inā e ʻōpala kekahi me kēia maʻi ma kahi ʻaʻohe halepaku. Hōʻiliʻili nā hua ilo i loko o kēlā ʻōpala i loko o ka lepo a, i loko o kekahi mau pule, hiki ke hoʻopili i kekahi. A laila, inā hoʻopā hewa ʻia ka lepo e ko kākou mau lima i loko o kēia mau hua ilo a komo i loko o ko kākou waha, hoʻomaka kahi maʻi hou. No ka mea, he liʻiliʻi loa kēia mau hua e ʻike ʻia me ka maka ʻōlohelohe, hiki iā lākou ke komo i loko o ko kākou kino ma ka ʻai ʻana i nā mea kanu a me nā huaʻai i haumia i ka lepo, nā mea kanu a me nā huaʻai i holoi pono ʻole ʻia, a i ʻole ma ka inu ʻana i ka wai lepo.
He mea maʻamau kēia maʻi ma nā ʻāina e like me Sri Lanka, ʻoi aku hoʻi ma nā wahi me ka maʻemaʻe maikaʻi ʻole. He mea kākaʻikahi loa ia ma nā ʻāina e like me ʻAmelika.
Aia kekahi ʻano o kēia mau ilo?
ʻAe. ʻO ka hapa pinepine, hoʻokumu ʻia kēia maʻi e kahi ʻano ilo i kapa ʻia ʻo 'Ascaris lumbricoides', he mea kūikawā ia no kānaka. Eia nō naʻe, hiki i nā kānaka ke loaʻa i kēia maʻi mai kahi ʻano ilo poepoe i kapa ʻia ʻo 'Ascaris suum', e noho ana i loko o ke kino o nā puaʻa. He kiʻekiʻe loa kēia pilikia no ka poʻe e hānai puaʻa ana a hoʻohana paha i ka lepo puaʻa.
He aha nā hōʻailona o kēia maʻi?
He mea kupaianaha inā he kakaikahi wale nō kou mau ilo i loko o kou kino, ʻaʻole paha ʻoe e hōʻike i kekahi mau hōʻailona . Loaʻa paha iā ʻoe ka ʻeha ʻōpū e nalowale ana ma hope o kekahi manawa. ʻO ka manawa pinepine, ʻo ka manawa mua āu e ʻike ai i kēia maʻi ke puka mai kahi ilo mai kou luaʻi a i ʻole ka ʻōpala. ʻO ka nui o kēia mau ilo e like me ka penikala, ma waena o 6 a me 13 ʻīniha ka lōʻihi, a ua like ia me ka ilo maʻamau.
Eia nō naʻe, inā piʻi ka nui o nā ilo, e ʻike ʻia nā hōʻailona. Pili nō hoʻi kēlā mau hōʻailona i kahi o nā ilo i loko o ke kino. No ka mea, ke holoholo nei kēia ilo a puni nā ʻāpana like ʻole o ko kākou kino ma nā pae like ʻole o kona ola.
| Ka manawa kūpono o ka maʻi | Nā hōʻailona e ʻike ʻia |
|---|---|
| Ka maʻi ʻaʻai māmā (ke kahua mua) | ʻO nā ʻenuhe i puka mai nā hua ilo e hele mua i nā māmā. I kēia manawa, hiki ke ulu nā hōʻailona like me ka niumonia .
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| Ka maʻi ʻōpū (pae ma hope) | Noho nā ilo makua i loko o ko kākou ʻōpū. I kēia manawa, ʻokoʻa paha nā hōʻailona ma muli o ka helu o nā ilo.
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E hoʻomanaʻo, i ka piʻi ʻana o ka nui o nā ilo i loko o kou kino, e ʻoi aku ka koʻikoʻi o nā hōʻailona.
Pehea e laha ai kēia maʻi?
Hoʻolaha ʻia kēia maʻi ma o ka lima a i ka waha. ʻO ia hoʻi, inā ʻoe e hoʻopā i kahi mea i haumia ʻia me nā hua o ka ilo poepoe ʻo 'Ascaris lumbricoides' a laila ʻai i ka meaʻai me kēlā mau lima lepo, a inā ʻoe e hoʻokomo i kou lima i loko o kou waha, e komo kēia mau hua i ke kino.
E noʻonoʻo i kā mākou keiki liʻiliʻi. Holoholo ʻo ia a puni i loko o ka māla, e pāʻani ana, e pā ana i ka lepo. A laila, inā ʻai ʻo ia i kahi biscuit me ka lima hoʻokahi me ka holoi ʻole ʻana me ke kopa, inā he mau hua ilo i loko o kēlā lepo, hiki iā lākou ke komo maʻalahi i loko o ke kino o ke keiki.
Hiki nō hoʻi ke hoʻolaha ʻia ma kēia mau ʻano:
- Ka hoʻopā ʻana i ka lepo i loaʻa nā hua ilo a me ke kau ʻana i kēlā mau lima i loko a i ʻole kokoke i kou waha.
- ʻAi ʻana i nā mea kanu maka a me nā huaʻai i ulu ʻia i ka lepo me nā hua ilo me ka holoi ʻole ʻia me ka wai maʻemaʻe, ka ʻili ʻana, a me ka hoʻomoʻa ʻole ʻana.
- Ke inu nei i ka wai i haumia me nā hua ilo.
He aha ka hana a kēia ilo i loko o ko kākou kino? (Polokalamu ola)
He huakaʻi ʻano ʻē loa kēia. E nānā kākou i ka mea e hana ʻia mai ka manawa e ale ai kēia ilo i kahi hua manu.
1. Huakaʻi i nā ʻōpū: Hele nā hua i ale ʻia i ko kākou mau ʻōpū. Ma laila, puka mai nā ʻenuhe liʻiliʻi mai nā hua.
2. I nā māmā:Kolo kēia mau ʻenuhe ma loko o nā paia o ka ʻōpū, hoʻopili iā lākou iho i ko kākou mau kīʻaha koko a i ʻole nā kīʻaha lymph. Mai laila mai, hele pololei lākou i nā māmā. Noho lākou ma laila no kahi o ʻelua pule.
3. Hoʻi i loko o ka puʻu: A laila, piʻi kēia mau ʻenuhe i luna o nā ala ea mai nā māmā a i loko o ko kākou puʻu. A laila, i ka wā e ʻū ai kākou a hoʻihoʻi iā lākou i luna, ale hou kākou iā lākou me ka ʻike ʻole.
4. Hoʻi i nā ʻōpū: Hoʻi nā ʻenuhe i moni ʻia i nā ʻōpū, kahi e ulu ai lākou i loko o nā ilo i ulu piha. Ma laila lākou e ʻākoakoa ai a waiho i nā hua. Hiki i hoʻokahi wahine ke waiho ma mua o 200,000 mau hua i ka lā!
5. Hoʻokuʻu ʻia i ke kaiapuni: Hoʻopuka ʻia kēia mau hua mai ke kino me kā mākou ʻōpala.
ʻElua a ʻekolu mahina ka lōʻihi o kēia pōʻaiapuni ola holoʻokoʻa. Ke hoʻokuʻu ʻia mai ke kino, he mau pule ka lōʻihi no kēia mau hua e hiki ai ke hoʻopili i kekahi kanaka. ʻO ka mea kupaianaha, hiki i kēia mau hua ke kū i nā kūlana ʻino a noho ikaika a hiki i 17 mau mahina.
He aha nā kūlana weliweli e hiki ke kū mai inā ʻaʻole mālama ʻia?
ʻOiai he maʻi hiki ke ho'ōla ʻia kēia i ka hapanui o nā hihia, hiki iā ia ke alakaʻi i nā pilikia koʻikoʻi inā waiho ʻole ʻia, ʻoiai hoʻi i nā keiki ʻōpio.
- Ka ālai ʻana o ka ʻōpū: Inā hōʻiliʻili ka nui o nā ilo i loko o nā ʻōpū, hiki ke ālai ʻia ke alahele e hele ai kā mākou meaʻai a me nā ʻōpala. E like me ke kaʻa paʻa. He pilikia kēia. Pono paha ʻoe e hele i ka ETU (Emergency Treatment Unit) .
- Ka mumū a me ka pehu: Ke hana nā ilo i ke ālai ʻana ma kēia ʻano, hiki ke loaʻa ka mumū nui o nā ʻōpū e like me ka pancreas (pancreatitis), gallbladder (cholecystitis), a i ʻole nā auwai bile (cholangitis).
- ʻAi ʻole: Hoʻopili nā ilo i loko o nā ʻōpū i nā meaola mai ka meaʻai a mākou e ʻai ai. Ua like ia me ka ʻaihue ʻana i kā mākou meaʻai. Hiki i kēia ke kumu i ka ʻai ʻole, ʻoiai hoʻi i nā keiki, a me ka ulu ʻole .
Ka ʻike ʻana a me ka mālama ʻana i ka maʻi
Inā loaʻa iā ʻoe a i kāu keiki paha kekahi o kēia mau hōʻailona, pono ʻoe e ʻike i ke kauka .
Pehea e ʻike ai i ka maʻi?
Ke komo nā ilo i loko o kou ʻōpū, e noi aku kāu kauka iā ʻoe i kahi hāpana ʻōpala . E nānā lākou iā ia ma lalo o kahi microscope e ʻike inā he mau hua ilo a i ʻole nā ilo.
He paʻakikī ke ʻike i ka maʻi i nā wā mua i ka wā e loaʻa ai ka maʻi i loko o nā māmā. Inā kānalua ke kauka i kēlā manawa, hiki iā ia ke kauoha i kahi X-ray umauma. Eia kekahi, hiki ke hoʻohana ʻia nā scan ultrasound, CT, a i ʻole MRI e ʻike i kahi o nā ilo i loko o ke kino a me ke koʻikoʻi o ka maʻi.
Pehea e mālama ʻia ai?
Hana ʻia kēia me nā lāʻau antiparasitic.Hoʻomake kēia lāʻau lapaʻau i nā ilo makua. Pono ʻoe e lawe i kēia lāʻau lapaʻau no hoʻokahi a ʻekolu lā. Ke lawe ʻoe i ka lāʻau lapaʻau, e hoʻomaka ana kāu mau hōʻailona e emi a e hoʻomaka ʻoe e ʻoluʻolu ma mua o ka make ʻana o nā ilo āpau.
I ka wā o ka mālama ʻana, ʻike paha ʻoe i nā ilo make e puka mai ana me nā ʻōpala. ʻOiai he mea ʻoluʻolu ʻole a weliweli paha, he mea maʻamau ia.
ʻO nā lāʻau lapaʻau i kuhikuhi ʻia e ke kauka e komo pū me nā lāʻau lapaʻau e like me 'Albendazole', 'Ivermectin', a me 'Pyrantel pamoate'.
Hoʻopau pinepine kēia mau lāʻau lapaʻau i nā ilo makua. ʻAʻole nui ko lākou hopena i nā ʻenuhe i loko o nā māmā. No laila, e haʻi aku paha ke kauka iā ʻoe e lawe i kahi pōʻai lāʻau hou i loko o hoʻokahi a ʻekolu mahina , ma hope o ka hāʻawi ʻana i ka manawa i nā ʻenuhe e ulu ai i nā ilo makua.
Pehea ʻoe e pale ai iā ʻoe iho mai kēia maʻi?
"ʻOi aku ka maikaʻi o ka pale ʻana ma mua o ka hoʻōla ʻana," wahi a lākou. No laila, aia kekahi mau mea maʻalahi loa, akā he mea nui loa hiki iā mākou ke hana e pale aku iā mākou iho mai kēia maʻi.
| Ke ʻano pale ʻana | He aha e hana ai |
|---|---|
| Holoi lima | E holoi pono i kou mau lima me ke kopa a me ka wai ma mua o ka hoʻomākaukau ʻana i ka meaʻai, ma mua o ka ʻai ʻana, a ma hope o ka hoʻohana ʻana i ka lua. E aʻo i kāu mau keiki i kēia ʻano mai ka wā ʻōpiopio. |
| Palekana meaʻai | E holoi pono i nā mea kanu a me nā huaʻai i ʻai maka ʻia, ʻoiai nā mea e ulu ana i ka lepo, me ka wai maʻemaʻe . E ʻili iā lākou inā hiki. ʻOi aku ka maikaʻi o ka ʻai ʻana iā lākou i moʻa. |
| Ka maʻemaʻe | E pale i ka pāʻani ʻana me ka lepo. Inā hana ʻoe pēlā, e holoi koke i kou mau lima. E mālama i kou mau kui i pōkole a maʻemaʻe. |
| Hoʻomaʻemaʻe | E hoʻohana mau i ka lua e hoʻomaʻemaʻe ai i ka ʻōpū. E pale i ka hoʻomaʻemaʻe ʻana ma kahi ākea. |
ʻAʻole ia he manaʻo maikaʻi e kali a hoʻōla nā ilo iā lākou iho me ka ʻole o ka lawe ʻana i ka lāʻau lapaʻau. Hiki i kēia ke alakaʻi i nā pilikia a mākou i kūkākūkā ai ma luna. Eia kekahi, inā ʻoe e noho ana ma kahi i loaʻa pinepine ai ka maʻi, ʻoi aku ka nui o ka loaʻa hou ʻana iā ʻoe. No laila, inā loaʻa iā ʻoe nā hōʻailona a ʻike paha i nā ilo i loko o kou ʻōpala, e ʻimi koke i ke kōkua lapaʻau.
Leka Lawe-Home
- He maʻi ʻiole ka Ascariasis ma ka honua holoʻokoʻa, ʻoi aku hoʻi i waena o nā keiki.
- Hoʻolaha ʻia ma ka ʻai ʻana i nā hua ilo ma o nā lima lepo, ka meaʻai, a i ʻole ka wai.
- ʻO nā hōʻailona paha e komo pū me ka ʻeha o ka ʻōpū, ka luaʻi ʻana, ka nalowale o ka makemake, a me ke kuni. I kekahi manawa, ʻaʻohe hōʻailona iki.
- Hiki ke pale maʻalahi i kēia maʻi ma ka hahai ʻana i ka hoʻomaʻemaʻe pilikino a me nā hana hoʻomaʻemaʻe kūpono.
- Inā loaʻa iā ʻoe nā hōʻailona a i ʻole kānalua paha, e ʻike koke i kāu kauka . Hiki ke ho'ōla loa ʻia kēia maʻi me ka mālama kūpono.











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