Loaʻa iā ʻoe i kekahi manawa ke kuni, ʻeha kino, a i ʻole ka hou ʻana me ke kumu ʻole? Nalo anei kēia mau mea ma hope o kekahi mau lā a laila hoʻi mai? Manaʻo paha ʻoe he kuni viral maʻamau kēia. Akā hiki nō hoʻi ke laha mai iā mākou mai nā holoholona, a hiki nō hoʻi ke lilo i maʻi i hūnā ʻia i loko o ke kino. I kēia lā, ke kamaʻilio nei mākou e pili ana i ia ʻano maʻi. ʻO ia ʻo Brucellosis. ʻOiai he inoa ʻē kēia, he mea nui loa ia e ʻike e pili ana i ia mea.
He aha maoli ka Brucellosis?
I ka ʻōlelo maʻalahi, he maʻi ka brucellosis i hoʻokumu ʻia e kahi bacteria i kapa ʻia ʻo 'Brucella'. ʻO ke ʻano kūikawā o kēia, ʻo ia ka laha ʻana mai iā mākou mai nā holoholona . No laila, kapa mākou ia he maʻi zoonotic. Ua kapa ʻia kēia maʻi ʻo ka Malta fever a me ka Mediterranean fever.
I kēia maʻi, ʻo nā hōʻailona e like me ke kuni, ka ʻeha o nā hono, a me ka hou ʻana e hele mai a hele aku, a laila hoʻi mai, a mau paha no nā mahina, a i ʻole nā makahiki.
ʻO wai ka mea i ʻoi aku ka pilikia o ka loaʻa ʻana o kēia maʻi?
ʻIke ʻia kēia maʻi ma nā ʻāina he nui a puni ka honua. Inā ʻo ʻoe kekahi o kēia mau mea, ʻoi aku ka nui o kou pilikia o ka loaʻa ʻana o kēia maʻi.
- He kauka holoholona a i ʻole kekahi mea e hana pū ana me nā holoholona.
- Inā ʻoe e hana ana ma kahi mahiʻai waiū a wahi hānai holoholona paha.
- Inā ʻoe e hana ma kahi hale kūʻai ʻiʻo, hale pepehi kanaka, a lawelawe paha i ka ʻiʻo maka.
- Inā hahai holoholona kekahi.
- Inā ʻoe e hana ana i loko o kahi keʻena hoʻokolohua e hana ana i nā hoʻokolohua ma nā bacteria 'Brucella'.
- Inā ʻoe e ʻai i ka ʻiʻo i moʻa ʻole ʻia a ʻai paha i ka waiū i hoʻomaʻemaʻe ʻole ʻia a me nā huahana waiū (e like me ka tīhi, ka yogurt).
ʻOiai ʻaʻole i hōʻike pinepine ʻia kēia maʻi ma Sri Lanka, ua hōʻike ʻia ma kahi o 500,000 mau hihia ma ka honua holoʻokoʻa i kēlā me kēia makahiki. No laila, he mea nui loa ia no ka poʻe i loko o nā hui pilikia e makaʻala i kēia.
He aha nā hōʻailona o kēia maʻi?
ʻElua a ʻehā pule a ʻoi aku paha ka lōʻihi o ka ʻike ʻia ʻana o nā hōʻailona o ka maʻi Brucella. E noʻonoʻo i ke ʻano hoʻonāukiuki o ka hele ʻana mai a me ka hele ʻana o kēia mau hōʻailona no nā mahina. No laila, e makaʻala i kēia mau hōʻailona.
| Hōʻailona | ʻIke hou aku |
|---|---|
| kuni | Hiki ke piʻi a emi paha ke kuni i kēlā lā a i kēia lā. |
| Ka hou ʻana | I kekahi manawa hiki i ka hou ke loaʻa kahi ʻala ʻōpala. |
| ʻEha hui | ʻEha, ʻoi aku hoʻi 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. |
| ʻEha poʻo | ʻEha pinepine ka ʻeha. |
| Nā hiʻohiʻona ʻē aʻe | ʻEha ka ʻōpū, nalowale ka makemake i ka ʻai, kaumaha, nā ʻōpū lymph pehu a ʻeha, a me ka manaʻo o ka nāwaliwali. |
Pehea e laha ai kēia brucellosis iā kākou?
Aia kekahi mau ʻano bacteria Brucella e hoʻoulu ai i kēia maʻi. Noho nui kēia bacteria i loko o nā kino o nā holoholona. Eia kekahi laʻana:
- Pipi wahine
- Nā kao
- Nā puaʻa
- Dia
- Hipa
- ʻĪlio
- Nā Kāmelo
Aia kekahi mau ala nui e hiki ai iā mākou ke loaʻa ka maʻi mai kēia mau holoholona.
| ʻAno o ka hoʻoili ʻana | I ka ʻōlelo maʻalahi... |
|---|---|
| Ka ʻai ʻana i ka waiū i hoʻomaʻemaʻe ʻole ʻia | Ma ka inu ʻana i ka waiū maka mai kahi holoholona i loaʻa i ka maʻi a i ʻole ka ʻai ʻana i ka tīhi, ka ʻaikalima, a me nā mea ʻē aʻe i hana ʻia mai kēlā waiū. ʻO ka Pasteurization ke kaʻina hana o ka hoʻomehana ʻana i ka waiū e pepehi i nā germs. ʻO ka waiū i pasteurized ʻia he palekana ke inu. |
| Hoʻopili me nā ʻāpana kino a i ʻole nā wai o kahi holoholona i loaʻa i ka maʻi | Hiki i nā bacteria ke komo i kou kino ma o kahi ʻoki a ʻeha paha ma kou ʻili, a ma o kou mau maka, ihu, a waha paha. |
| Ka hanu ʻana o ka bacteria | Ma ka hanu ʻana i nā ʻāpana bacteria ea mai ka ʻiʻo holoholona a i ʻole ke koko i loaʻa i ka maʻi. ʻOi aku ka nui o ka pilikia o ka poʻe e hana ana ma nā mahiʻai a ma nā hale pepehi holoholona. |
| Nā kīʻaha ʻiʻo i moʻa ʻole ʻia | Ma ka ʻai ʻana i ka ʻiʻo i moʻa ʻole ʻia mai kahi holoholona i loaʻa i ka maʻi. |
ʻO ka mea nui, he mea kākaʻikahi loa ka laha ʻana o kēia maʻi mai ke kanaka a i ke kanaka . Eia nō naʻe, ua loaʻa nā hihia kākaʻikahi loa o ka laha ʻana mai ka makuahine hāpai i kāna keiki, ma o ka hānai waiū a i ʻole ma o ka moekolohe. Eia naʻe, ʻaʻole kēia i manaʻo ʻia he maʻi i laha ma ke moekolohe (STI).
Pehea e ʻike ai ke kauka i kēia maʻi?
Ke hele ʻoe e ʻike i ke kauka, e nīnau ʻo ia e pili ana i kāu mau hōʻailona, inā ʻoe e hana pū ana me nā holoholona, a i ʻole ua inu ʻoe i ka waiū maka. No ka mea ua like nā hōʻailona o ka brucellosis me nā maʻi ʻē aʻe, pono kekahi mau hoʻokolohua e hōʻoia i ka hōʻailona.
- Nā hoʻāʻo koko: Lawe ʻia kahi hāpana o kou koko e nānā i nā antibodies e kūʻē i ka bacteria Brucella. Hiki ke hoʻoulu ʻia ka hāpana koko i loko o kahi lab e ʻike ai inā loaʻa nā bacteria. Eia nō naʻe, no ka mea, lohi loa ka ulu ʻana o ka bacteria, hiki ke hala i nā pule e loaʻa ai ka hopena.
- Ke hoʻāʻo ʻana i nā wai kino ʻē aʻe: ʻO ka hoʻāʻo ʻana i nā mea e like me ka wai o ke kuamoʻo a me ka wai hui e hiki ke nānā i nā bacteria.
- ʻO ka biopsy ʻiʻo: Lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo mai kahi e like me ka iwi iwi a nānā ʻia.
- Nā hoʻokolohua kiʻi: Ma muli o kāu mau hōʻailona, hiki ke hana ʻia nā hoʻokolohua e like me X-ray, CT scans, a me MRI e nānā i ka hōʻino ʻia o nā ʻōpū e like me nā iwi, ke akepaʻa, a me ka puʻuwai.
He aha nā lāʻau lapaʻau no kēia?
ʻO ka nūhou maikaʻi, hiki ke ho'ōla loa ʻia ka brucellosis me nā lāʻau antibiotic . Akā, aia kahi ʻokoʻa iki.
Pono ʻoe ma ka liʻiliʻi he ʻelua ʻano lāʻau antibiotic i ka manawa like, no ka liʻiliʻi he 6-8 mau pule.Hāʻawi ʻia ia no ka manawa lōʻihi, e like me. No ka mea, peʻe kēia bacteria i loko o nā hunaola o ke kino, pono ka lāʻau lōʻihi e hoʻopau loa iā ia.
ʻO nā lāʻau antibiotic i hiki i kāu kauka ke kuhikuhi aku paha:
- ʻO Doxycycline ( Doxycycline (Doxycycline) )
- ʻO ka Rifampin
- ʻO Streptomycin a i ʻole Gentamicin
- ʻO ka Trimethoprim/sulfamethoxazole (TMP/SMX)
- ʻO Ciprofloxacin
He mea nui loa: He mea nui e lawe i ka lāʻau lapaʻau no ka manawa holoʻokoʻa i kuhikuhi ʻia e ke kauka, me ka ʻole o ka hala ʻana o hoʻokahi lā. Inā ʻoe e hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau i ka hapalua o ka manawa, ʻoiai inā ʻoe e manaʻo iki ana ua maikaʻi iki, ʻoi aku ka kiʻekiʻe o ka manawa e hoʻi hou mai ai ka maʻi.
E nīnau i kāu kauka e pili ana i nā lāʻau lapaʻau hou hiki iā ʻoe ke lawe e kāohi i nā hōʻailona e like me ke kuni a me ka ʻeha hui.
He aha ka mea e hana ʻia ma hope o ka mālama ʻana? Aia kekahi mau pilikia?
Hoʻōla loa ka hapa nui o ka poʻe ma hope o ka lāʻau lapaʻau, akā hiki i kekahi ke loaʻa nā hōʻailona e like me ka ʻeha o nā hono (arthritis) no ka manawa lōʻihi.
Inā ʻaʻole mālama pono ʻia ka maʻi, hiki ke ulu aʻe nā pilikia koʻikoʻi i ka hala ʻana o ka manawa.
- ʻO ka maʻi ʻaʻai mau.
- 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).
- Nā maʻi o ka lolo a i ʻole nā uhi o ka lolo (Encephalitis a i ʻole Meningitis).
- Nā maʻi o ka iwi kuamoʻo (Spondylitis) a i ʻole nā iwi ʻē aʻe (Osteomyelitis).
- Ka pehu ʻana o nā testicles a me nā ducts pili i nā kāne (Epididymo-orchitis).
- Ka hāʻule ʻana o ka wahine hāpai.
ʻOiai he mea weliweli kēia mau pilikia, hiki ke pale ʻia inā ʻike mua ʻia ka maʻi a mālama pono ʻia . He mea kākaʻikahi loa ka make mai kēia maʻi.
He aha kā kākou e hana ai e pale aku iā kākou iho mai kēia maʻi?
ʻO ka mea maikaʻi loa e hana ai, ʻo ia ke pale aku i ka brucellosis. Aia kekahi mau mea maʻalahi hiki iā ʻoe ke hana e kōkua.
- Mai inu i ka waiū maka i hoʻomaʻemaʻe ʻole ʻia. Eia kekahi, e pale i ka ʻai ʻana i nā meaʻai i hana ʻia mai ka waiū maka, e like me ka tīhi a me ka yogurt.
- Inā ʻoe e hana me nā holoholona (he mahiʻai, he kauka holoholona, he mea ʻiʻo), e ʻaʻahu mau i nā mea pale , e like me nā mīkina lima a me nā maka aniani.
- E hoʻomoʻa maikaʻi i nā ʻiʻo a ʻai iā lākou.
- E holoi pono i kou mau lima me ke kopa ma hope o ka lawelawe ʻana i ka ʻiʻo maka. E hoʻomaʻemaʻe hoʻi i nā papa ʻoki a me nā pahi.
Āhea wau e ʻike ai i ke kauka? He aha nā manawa e hele ai i ka ETU?
Inā loaʻa iā ʻoe kekahi o nā hōʻailona i ʻōlelo ʻia ma luna nei, ʻoiai inā he kanaka ʻoe e launa pū me nā holoholona, e ʻike pono i kāu kauka .
Eia kekahi, inā loaʻa iā ʻoe nā hōʻailona koʻikoʻi ma lalo nei, e hele koke i ka Emergency Department (ETU) o ka haukapila kokoke loa.
- Ke kuni kiʻekiʻe ma luna o 39.4 Celsius (103 Fahrenheit).
- He ʻeha ʻōpū nui loa.
- Ka huikau a i ʻole ka ʻike i loli.
I loko o ia kūlana, hiki ke pale ʻia nā pilikia koʻikoʻi ma ka ʻimi koke ʻana i ke kōkua lapaʻau ma mua o ka noho ʻana ma ka home.
Leka Lawe-Home
- ʻO ka Brucellosis kahi maʻi bacteria i laha ʻia mai nā holoholona a i nā kānaka.
- ʻO nā hōʻailona nui ka fiva pinepine, ka ʻeha o nā hono, a me ka hou ʻana.
- Hiki ke laha kēia maʻi ma ka inu ʻana i ka waiū maka, ka ʻai ʻana i ka ʻiʻo i moʻa ʻole ʻia, a me ka hoʻopā ʻana i nā holoholona i loaʻa i ka maʻi.
- Pono ka lāʻau lapaʻau i nā lāʻau antibiotic lōʻihi (6-8 mau pule), a he mea nui e lawe i ka lāʻau no ka manawa piha i kuhikuhi ʻia e ke kauka.
- Hiki ke pale loa ʻia kēia maʻi ma o ka hahai ʻana i nā hana palekana (inu ʻana i ka waiū pasteurized, kuke pono ʻana i ka ʻiʻo, a me ke komo ʻana i nā mea pale i ka wā e lawelawe ai i nā holoholona).
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