Ua maʻi anei ʻoe no kekahi mau lā, me nā ʻehaʻeha a me nā ʻāʻī, a me ke kuni? Malia paha ke hana nei ʻoe me nā holoholona, a ʻai paha ʻoe i ka waiū maka a i ʻole ka waiū momona mai kahi kauhale. A laila he mea nui loa iā ʻoe ke makaʻala i kēia maʻi, i kapa ʻia ʻo Brucellosis.
He aha maoli ka Brucellosis?
I ka ʻōlelo maʻalahi, ʻo ka brucellosis kahi maʻi i hoʻokumu ʻia e kahi ʻano bacteria i kapa ʻia ʻo Brucella. ʻO ka mea kūikawā o kēia, he maʻi ia e laha mai nā holoholona a i nā kānaka. I ka lāʻau lapaʻau, kapa mākou i kēia he maʻi zoonotic. Hiki i kēia maʻi ke hana i nā hōʻailona e like me ka ʻeha o ke kino no ka manawa lōʻihi, ke kuni, ka ʻeha o nā hono, a me ka hou nui. ʻO nā inoa ʻē aʻe no kēia maʻi ʻo ia ka Malta fever a i ʻole ke Mediterranean fever.
ʻOiai ʻaʻole ia he mea maʻamau loa ma Sri Lanka, ma kahi o 500,000 mau hihia i hōʻike ʻia ma ka honua holoʻokoʻa i kēlā me kēia makahiki. No laila, he mea nui loa ia e makaʻala i kēia.
ʻO wai ka mea i ʻoi aku ka pilikia o ka loaʻa ʻana o kēia maʻi?
ʻAʻole loaʻa i nā kānaka a pau kēia maʻi. Akā, aia kekahi poʻe i kahi pilikia kiʻekiʻe iki ma muli o kā lākou ʻoihana a i ʻole ke ʻano o ka nohona. E nānā inā hāʻule ʻoe i loko o kēia māhele.
| Pūʻulu pilikia | Wehewehena |
|---|---|
| Nā kauka holoholona a me ka poʻe e hana pū ana me nā holoholona | Ma muli o ka hoʻopili pinepine ʻana me nā wai kino a i ʻole nā ʻiʻo o nā holoholona i loaʻa i ka maʻi. |
| Nā mahi waiū a me nā limahana mahiʻai | Ma muli o ka pili kokoke ʻana me nā holoholona i loaʻa i ka maʻi e like me nā bipi wahine, nā kao, a me nā hipa. |
| Nā mea ʻokiʻoki a me nā limahana hale pepehi kanaka | Ma muli o ka lawelawe ʻana i ka ʻiʻo maka a me nā ʻiʻo o nā holoholona i loaʻa i ka maʻi. |
| Nā mea hahai holoholona | Ma muli o ka lawelawe ʻana i ka ʻiʻo a me nā ʻiʻo o nā holoholona hihiu e like me ka dia a me ka elk. |
| Nā limahana keʻena hoʻokolohua | I ka wā e lawelawe ai i ka bacteria Brucella no ka hoʻāʻo ʻana. |
| ʻO ka poʻe e ʻai ana i nā huahana waiū maka a me ka ʻiʻo i moʻa ʻole ʻia | Ma ka ʻai ʻana i ka waiū i hoʻomaʻemaʻe ʻole ʻia, ka tīhi, ka yogurt, a me ka ʻiʻo i moʻa ʻole ʻia. |
He aha nā hōʻailona o kēia maʻi?
ʻIke pinepine ʻia nā hōʻailona o Brucella i ʻelua a ʻehā pule, a ʻoi aku paha, ma hope o ke komo ʻana o ka bacteria i loko o ke kino. Hiki i kēia mau hōʻailona ke hele mai a hele no nā mahina, a hiki i nā makahiki. Hiki i kēia ke paʻakikī i ka ʻike ʻana.
| Nā hōʻailona nui | Wehewehena |
|---|---|
| kuni | Hiki ke piʻi aʻe ke kuni i kēlā me kēia lā, a hiki ke hōʻike i kahi ʻano e like me ka loaʻa ʻana o ke kuni i ka manawa like o ka lā. |
| Ka hou ʻana | Nui kou hou, ʻoiai i ka pō, a i kekahi manawa e honi paha ʻoe i kahi ʻala pilau. |
| ʻEha hui | ʻEha nui, ʻoiai ma nā pūhaka, nā kuli, a i ʻole ke kua i lalo. |
| Ka emi ʻana o ke kaumaha | Ka pohō kaumaha me ke kumu ʻole. |
| Nā hiʻohiʻona ʻē aʻe | ʻEha poʻo, ʻeha ʻōpū, nalowale o ka makemake, kaumaha, nā ʻōpū pehu, a me ka malaise maʻamau. |
Pehea lā e loaʻa ai kēia maʻi iā kākou?
Hoʻolaha nui ʻia kēia maʻi ma o nā holoholona i loaʻa i ka maʻi a i ʻole nā huahana i loaʻa mai iā lākou. E nānā kākou pehea.
- ʻO ka inu ʻana a i ʻole ka ʻai ʻana i nā huahana waiū i hoʻomaʻemaʻe ʻole ʻia: Hiki ke loaʻa kēia bacteria i ka waiū maka, ka tīhi, a me ka ʻaikalima mai nā holoholona i loaʻa i ka maʻi. Akā e hoʻomanaʻo, ʻo ka inu ʻana i ka waiū i hoʻomaʻemaʻe ʻia ʻaʻole ia e hoʻoulu i kēia maʻi. Pepehi kēia kaʻina hana i ka bacteria.
- Ka hoʻopili ʻana me nā ʻiʻo a i ʻole nā wai kino o kahi holoholona i loaʻa i ka maʻi: Inā he ʻoki a ʻōpala paha kou ma kou ʻili, hiki i ka bacteria ke komo i kou kino ma o ia mea, a i ʻole ma o kou mau maka, ihu, a waha paha.
- Ke hanu ʻana i ka bacteria: Hiki ke laha ka maʻi ma ka hanu ʻana i nā ʻāpana liʻiliʻi e lele ana i ka lewa i ka wā e hana ana me nā ʻiʻo a i ʻole ke koko mai kahi holoholona i loaʻa i ka maʻi. ʻOi aku ka pilikia o ka poʻe e hana ana ma nā mahiʻai, nā hale pepehi holoholona, nā hale hana ʻokiʻoki ʻiʻo, a me nā keʻena hoʻokolohua.
- ʻAi ʻana i ka ʻiʻo i moʻa ʻole ʻia: Aia kekahi pilikia o ka loaʻa ʻana o ka maʻi ma ka ʻai ʻana i ka ʻiʻo o kahi holoholona i loaʻa i ka maʻi me ka ʻole o ka kuke pono ʻana.
ʻO ka mea nui, he mea kākaʻikahi loa ka laha ʻana o ka maʻi mai ke kanaka a i ke kanaka. ʻOiai he mau hihia kākaʻikahi loa o ka laha ʻana mai kahi makuahine hāpai i kāna keiki, i ka wā hānai waiū, a i ʻole i ka wā moe kolohe, ʻaʻole he maʻi i laha ma ke kolohe (STI) ka brucellosis.
E ke kauka, pehea ʻoe e ʻike ai he maʻi kēia?
Ke hele ʻoe e ʻike i kāu kauka, e nīnau ʻo ia e pili ana i kāu mau hōʻailona, kāu ʻoihana, inā he pilina kou me nā holoholona, a inā ʻoe e ʻai i nā mea e like me nā huahana waiū maka. No ka mea ua like kēia mau hōʻailona me nā maʻi ʻē aʻe he nui, pono paha kekahi mau hoʻokolohua e hana i kahi hōʻailona pololei.
| Hoʻāʻo | E aha hana ʻoe? |
|---|---|
| Nā hoʻāʻo koko | Lawe ʻia kahi hāpana koko e nānā i nā antibodies i hana ʻia e ke kino e kūʻē i ka bacteria Brucella , a i ʻole e hoʻāʻo ʻia e hoʻoulu i ka bacteria i loko o ke koko. |
| Ke hoʻāʻo ʻana i nā wai kino ʻē aʻe | Lawe ʻia nā laʻana o ka wai o ke kuamoʻo a me ka wai o ke hono a hoʻāʻo ʻia no ke alo o ka bacteria. |
| ʻO ka biopsy ʻiʻo | Lawe ʻia kahi ʻāpana liʻiliʻi o nā ʻiʻo, e like me ka iwi iwi, a hoʻāʻo ʻia. |
| Nā hoʻokolohua kiʻi | Hoʻohana ʻia nā hoʻokolohua e like me nā X-ray, CT scans, a me MRI scans e nānā no ka hōʻino ʻia ʻana o nā iwi a i ʻole nā ʻōpū o loko e like me ke akepaʻa a me ka spleen. |
He aha nā lāʻau lapaʻau no kēia?
ʻO ka nūhou maikaʻi, hiki ke ho'ōla loa ʻia ka brucellosis me nā antibiotics . Eia nō naʻe, ʻaʻole lawa hoʻokahi antibiotic wale nō. ʻO ka maʻamau, pono e hoʻohana pū ʻia ʻelua a ʻoi aku paha nā ʻano antibiotics.
He lōʻihi iki ka manawa lapaʻau. Pono ʻoe e lawe mau i ka lāʻau lapaʻau no ka liʻiliʻi he 6-8 mau pule. Mai hoʻōki i ka lāʻau lapaʻau i ka hapalua no ka mea ua ʻoluʻolu iki ʻoe. Inā hana ʻoe pēlā, kiʻekiʻe loa ka manawa e hoʻi hou mai ai ka maʻi. No laila, he mea nui e lawe i ka lāʻau lapaʻau a hiki i ka wā e kuhikuhi ai ke kauka.
ʻO kekahi o nā antibiotic i hoʻohana pinepine ʻia:
- ʻO Doxycycline ( Doxycycline )
- ʻO Rifampin
- Streptomycin a i ʻole Gentamicin
- ʻO Trimethoprim/sulfamethoxazole (TMP/SMX)
E nīnau i kāu kauka e pili ana i nā ala e hoʻokele ai i nā hōʻailona e like me ke kuni a me ka ʻeha hui i ka wā e lawe ana i kēia mau lāʻau antibiotic.
He aha ka mea e hana ʻia ma hope o ka mālama ʻana? Aia kekahi mau pilikia?
Hoʻōla piha ka hapa nui o ka poʻe ma hope o ka mālama ʻana i ka lāʻau antibiotic, akā ʻo kekahi mau hōʻailona, ʻoi aku ka ʻeha o nā hono e like me ka arthritis, e mau no kekahi manawa ma hope o ka mālama ʻana.
Inā ʻaʻole ʻike ʻia ka maʻi no ka manawa lōʻihi, hiki ke loaʻa kekahi mau pilikia. He mea koʻikoʻi loa kēia.
- Nā kūlana arthritic lōʻihi.
- Ka pehu ʻana o ke akepaʻa (hepatomegaly) a i ʻole ka spleen (splenomegaly).
- ʻO ka maʻi o ka uhi o loko o ka puʻuwai (endocarditis).
- Ka maʻi o ka lolo a i ʻole ka uhi o ka lolo (encephalitis a i ʻole meningitis).
- Nā maʻi o ka iwi kuamoʻo a i ʻole nā iwi ʻē aʻe (spondylitis, osteomyelitis)
- ʻO ka mumū ʻana o nā testicles a me nā ducts pili i nā kāne (epididymo-orchitis).
- No ka makuahine hāpai, aia kahi pilikia o ka hāʻule ʻana.
Akā, mai hopohopo, he mea kākaʻikahi loa ka make ʻana mai kēia maʻi.
Pehea e hiki ai iā ʻoe ke pale aku i kēia maʻi?
Aia kekahi mau hana maʻalahi akā koʻikoʻi loa e hiki ai iā kākou ke hana e pale iā kākou iho mai kēia maʻi.
| He aha e hana ai | No ke aha he mea nui? |
|---|---|
| E hōʻalo i ka waiū a me nā huahana i hoʻomaʻemaʻe ʻole ʻia. | ʻO kēia ke ala nui e laha ai ka maʻi. E pale i ka ʻai ʻana i nā mea i kapa ʻia ʻo "waiū maka." |
| E ʻaʻahu i nā lole palekana i ka wā e hana ai me nā holoholona. | ʻO ke kau ʻana i nā mīkina lima a me nā goggles hiki ke pale i ka komo ʻana o ka bacteria i ke kino. |
| E hoʻomoʻa maikaʻi i ka ʻiʻo a ʻai. | ʻO ka kuke ʻana i ka ʻiʻo a hiki i ka mahana kūpono o loko e pepehi i ka bacteria. |
| E mālama i ka maʻemaʻe. | E holoi pono i nā lima, nā pahi, nā papa ʻokiʻoki, a me nā mea hana ʻē aʻe me ke kopa ma hope o ka lawelawe ʻana i ka ʻiʻo maka. |
Āhea ʻoe e ʻike ai i ke kauka?
Inā loaʻa iā ʻoe kekahi o nā hōʻailona i ʻōlelo ʻia ma kēia ʻatikala, ʻoiai inā ʻoe no kekahi o nā hui pilikia i ʻōlelo ʻia ma luna, e ʻike koke i ke kauka. ʻO ka wā mua e ʻike ʻia ai ka maʻi, ʻoi aku ka maʻalahi o ka mālama ʻana a me ka pale ʻana i nā pilikia.
Āhea ʻoe e hele ai i ka Emergency Treatment Unit (ETU)?
Inā loaʻa iā ʻoe kekahi o nā hōʻailona koʻikoʻi ma lalo nei, e hele koke i ka ʻOihana Pilikia (ETU) o ka haukapila kokoke loa.
- He kuni kiʻekiʻe ma luna o 39.4 kekelē Celsius (103 Fahrenheit).
- He ʻeha ʻōpū nui loa.
- Ka huikau a i ʻole ka ʻike i loli.
Leka Lawe-Home
- He maʻi bacteria ka Brucellosis e hiki ke hoʻoili ʻia mai nā holoholona a i nā kānaka.
- ʻO ke kuni hou, ka ʻeha o nā hono, a me ka hou nui ʻana nā hōʻailona nui.
- ʻO ke ala maikaʻi loa e pale aku ai iā ʻoe iho, ʻo ia ka pale ʻana i ka ʻai ʻana i nā huahana waiū i hoʻomaʻemaʻe ʻole ʻia a me ka ʻiʻo i moʻa ʻole ʻia.
- Hiki ke ho'ōla loa ʻia kēia me nā lāʻau antibiotic, akā he mea nui e lawe i ka lāʻau no ka manawa piha i kauoha ʻia e ke kauka.
- Inā loaʻa iā ʻoe nā hōʻailona, ʻoiai inā ʻoe e hana pū me nā holoholona, e ʻike pono i ke kauka.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo