Aloha nui kākou a pau i nā holoholona, ʻeā? Mālama kekahi poʻe i nā ʻīlio a me nā pōpoki ma ka home. Hana kekahi i nā mea e like me ka hānai ʻana i nā bipi a me nā kao. Akā i ka wā e noho pū ai kākou me kēia mau holoholona aloha, pono nō hoʻi kākou e noʻonoʻo iki i nā maʻi e hiki ai iā kākou ke loaʻa mai iā lākou. I kēia lā, e kamaʻilio kākou e pili ana i kahi maʻi e hiki ke hoʻoili ʻia mai nā holoholona a i nā kānaka, akā ʻaʻole i kamaʻilio nui ʻia ma ko kākou ʻāina. Ua kapa ʻia kēia ʻo Brucellosis .
He aha ka Brucellosis?
I ka ʻōlelo maʻalahi, he maʻi lele ka brucellosis i hoʻokumu ʻia e kahi ʻano bacteria i kapa ʻia ʻo 'Brucella'. ʻO ka mea kūikawā o kēia, hiki ke hoʻoili ʻia kēia bacteria mai nā holoholona a i nā kānaka.
Aia nā ʻano like ʻole o kēia bacteria 'Brucella'. Loaʻa kekahi mau ʻano i nā bipi a me nā bipi kāne. Hiki ke loaʻa nā ʻano ʻē aʻe i nā ʻīlio, nā puaʻa, nā hipa, nā kao a me nā kāmelo. ʻO ka mea kaumaha, i ka wā e loaʻa ai i kahi holoholona kēia maʻi, ʻaʻole hiki ke ho'ōla loa ʻia.
ʻOiai ʻaʻole i nui ka nānā ʻia ʻana o kēia maʻi ma nā ʻāina e like me Sri Lanka, he hoʻoweliweli koʻikoʻi ia no ke olakino ma kekahi mau wahi o ka honua. Wahi a ka World Health Organization, ʻoi aku ma mua o ka hapalua miliona mau kānaka i loaʻa i kēia maʻi i kēlā me kēia makahiki.
Pehea lā e laha ai kēia maʻi iā kākou?
Hoʻolaha pinepine ʻia kēia maʻi i nā kānaka ma o ka launa pū ʻana me kahi holoholona i loaʻa i ka bacteria Brucella a i ʻole kahi huahana i loaʻa mai ia holoholona.
ʻEkolu mau ala nui e hiki ai i nā bacteria ke komo i loko o kou kino:
- Ma o kahi ʻoki a i ʻole kahi kahakaha ma ka ʻili: Inā pili ke koko, ka waiū, a i ʻole nā mea huna ʻē aʻe mai kahi holoholona i loaʻa i ka maʻi me kahi ʻeha ma kou ʻili.
- Ma ka hanu ʻana i ka ea i loaʻa i ka maʻi: He mea kākaʻikahi kēia. Hiki ke loaʻa kēia pilikia ma nā wahi e like me nā mahi holoholona a me nā hale kūʻai ʻiʻo.
- Ma ka ʻai ʻana i ka meaʻai a mea inu paha i haumia: ʻO kēia ke ala maʻamau. Hiki ke laha ka maʻi ma ka ʻai ʻana i ka waiū a i ʻole ka tīhi i hoʻomaʻemaʻe ʻole ʻia a ma ka ʻai ʻana i ka ʻiʻo i moʻa ʻole ʻia.
He mea kākaʻikahi loa, hiki ke laha ka maʻi mai ke kanaka a i ke kanaka. No ka laʻana, ua loaʻa nā hōʻike e pili ana i ka laha ʻana mai kahi makuahine i loaʻa i ka brucellosis i kāna keiki i ka wā e hānai waiū ana a ma o ka moekolohe.
Aia kekahi mau ʻano nui o ka bacteria Brucella e hoʻoulu ai i ka brucellosis i loko o ke kanaka. E nānā kākou iā lākou ma kahi papa.
| ʻAno bacteria | ʻO ka holoholona maʻamau loa | Wehewehena |
|---|---|---|
| B. melitensis | Nā hipa a me nā kao | ʻO kēia ke ʻano e hoʻoulu pinepine ai i ka maʻi i loko o kānaka. He mea maʻamau ia ma nā ʻāina e like me ka Hikina Waena, India, a me ʻAmelika Latina. |
| B. suis | Nā puaʻa hihiu | Hiki ke ʻike ʻia ma nā wahi like ʻole o ʻEulopa, ʻAmelika Hema, a me Asia Hikina. |
| B. canis | ʻĪlio | Hiki i nā ʻīlio ke hoʻoili i ka maʻi i nā kānaka. E kamaʻilio hou aku kākou e pili ana i kēia. |
| B. hoʻopau ʻana | Pipi | Loaʻa ia ma nā wahi a puni o ka honua, akā ua hoʻopau ʻia kēia ʻano mai nā ʻāina he nui i hoʻomohala ʻia. |
Hiki iaʻu ke loaʻa i kēia maʻi mai ka ʻīlio i loko o koʻu hale?
He pilikia kēia i loaʻa i nā kānaka he nui. ʻAe, hiki i nā ʻīlio ke loaʻa i kahi ʻano bacteria i kapa ʻia ʻo 'B. canis'. Ua loaʻa nā hihia o nā mea nona nā holoholona i loaʻa i ka maʻi mai ia mau ʻīlio, akā he maʻi maʻamau ia.
I ka hapanui o nā hihia, ʻaʻole e hoʻoili ka ʻīlio i loaʻa i ka maʻi i kona mea nona. Eia nō naʻe, inā pili ʻoe me ke koko, ka mimi, a i ʻole nā mea huna ʻē aʻe o kahi ʻīlio i loaʻa i ka maʻi, ʻoi aku ka nui o ka pilikia. ʻO ia ke kumu e ʻoi aku ai ka pilikia o nā kauka holoholona.
Mea nui: Inā nāwaliwali kou ʻōnaehana pale (no ka laʻana, ma muli o kahi maʻi e like me ke kanesa, HIV, a i ʻole kekahi mau lāʻau lapaʻau), ʻoi aku ka palekana o ka pale ʻana i ka pili ʻana me nā ʻīlio i loaʻa i ka Brucella.
ʻO wai ka mea i ʻoi aku ka pilikia o ka loaʻa ʻana o kēia maʻi?
ʻOiai hiki i kekahi ke loaʻa i kēia maʻi, ʻoi aku ka nui o ka pilikia o kekahi poʻe, ʻoiai ka poʻe e hana pū ana me nā holoholona.
- ʻO ka poʻe e ʻai ana i ka waiū i hoʻomaʻemaʻe ʻole ʻia a me nā huahana waiū (e.g. tīhi, yogurt). Loaʻa kēia pilikia ma muli o ka waiū i hoʻomehana pono ʻole ʻia, ka mea i kapa ʻia ʻo "waiū kauhale" ma ko mākou ʻāina.
- ʻO ka poʻe e hana ana ma nā mahiʻai, nā hale kūʻai ʻiʻo, a i ʻole nā hale pepehi kanaka .
- Nā kauka holoholona a me ka poʻe e hana ana ma ke kahua olakino holoholona.
- Nā mea hahai holoholona , ʻoiai ka poʻe hahai holoholona e like me nā puaʻa hihiu.
- ʻO ka poʻe e hele ana i nā ʻāina ʻē kahi i maʻamau ai ka brucellosis.
He aha nā hōʻailona o kēia maʻi?
Ua like pinepine nā hōʻailona o ka brucellosis me nā hōʻailona o ke anu maʻamau a i ʻole ka maʻi flu , no laila hiki ke paʻakikī ke ʻike. Hoʻomaka ka ʻike ʻia ʻana o nā hōʻailona ma waena o 5 a me 30 mau lā ma hope o ka hōʻike ʻana i ka bacteria.
ʻO nā hōʻailona maʻamau:
- Kuni: ʻO kēia ka hōʻailona nui a maʻamau. E ʻike paha ʻoe i kahi ʻano o ke kuni e piʻi ana, ʻoi aku hoʻi i ke ahiahi .
- ʻEha kua a me ke ʻeha kino.
- ʻEha poʻo.
- Ka nalowale o ka makemake a me ka pohō kaumaha.
- Ka hou o ka pō.
- Ka nāwaliwali a me ka luhi.
- ʻEha ʻōpū a me ke kuni.
Hiki ke ʻokoʻa ke koʻikoʻi o nā hōʻailona ma muli o ke ʻano o Brucella i loaʻa iā ʻoe. No ka laʻana, ʻo B. abortus ke kumu o nā hōʻailona iki, ʻoiai ʻo B. melitensis hiki ke hana i nā hōʻailona koke a koʻikoʻi a me ke kīnā.
Pehea e ʻike ai ke kauka i kēia?
Inā loaʻa iā ʻoe nā hōʻailona e like me ke kuni, ka ʻeha o ke kino, a he kanaka ʻoe e launa pū me nā holoholona, e ʻike koke i ke kauka. E nānā ke kauka iā ʻoe.
- Ua pehu ke akepaʻa a i ʻole ka spleen?
- Ua pehu nā ʻāpana lymph?
- Loaʻa iā ʻoe ke kuni me ke kumu ʻole?
- Ua pehu a ʻeha kou mau hono?
Akā, no ka ʻike pono ʻana i kēia maʻi, pono kahi hoʻāʻo koko . Ma o kēia, hiki ke ʻike pono inā aia ka bacteria Brucella i loko o ke kino a he aha ke ʻano o ia maʻi.
He aha nā lāʻau lapaʻau no ka brucellosis?
He maʻi paʻakikī ka mālama ʻana i ka Brucellosis, akā hiki ke ho'ōla ʻia. Inā ʻike ʻia ʻoe me ka maʻi, e kuhikuhi kāu kauka i nā lāʻau antibiotic .
ʻO ka maʻamau, ʻo ka hui pū ʻana o ʻelua mau lāʻau antibiotic, e like me ka 'doxycycline' a me ka 'rifampin', e lawe ʻia no kahi manawa lōʻihi, e like me 6-8 mau pule .
E hoʻomanaʻo pono i kēia:I mea e pale ai i ka hoʻi hou ʻana o ka maʻi, pono ʻoe e lawe i ka lāʻau lapaʻau no ka papa piha i kuhikuhi ʻia e kāu kauka, me ka ʻole o ka hala ʻana o hoʻokahi lā. Aia kahi pilikia o 5-15% o ka hoʻi hou ʻana ma hope o ka mālama ʻana.
Hiki ke hala kekahi mau pule, i kekahi manawa he mau mahina, e ho'ōla piha ai. Inā hoʻomaka ka lāʻau lapaʻau i loko o hoʻokahi mahina o ka hoʻomaka ʻana o nā hōʻailona, kiʻekiʻe ka manawa e ho'ōla piha ʻia ai.
He aha ka mea e hana ai inā lilo ka maʻi i mea paʻakikī?
Inā ʻaʻole mālama pono ʻia, hiki i ka brucellosis ke lilo i mea koʻikoʻi a hoʻoulu i nā pilikia koʻikoʻi.
- Ka maʻi o ka ʻōnaehana nerve waena.
- ʻO ka maʻi o ka uhi o loko a i ʻole nā kiwikā o ka puʻuwai (endocarditis).
- ʻŌpū o ke akepaʻa.
No kekahi poʻe, hiki ke hoʻomau nā hōʻailona ma hope o ka pau ʻana o ka maʻi. Eia kekahi laʻana, ka luhi mau loa, ke kuni pinepine, a me ka ʻeha o nā hono.
Inā loaʻa i ka makuahine hāpai ka brucellosis, hiki iā ia ke hoʻopau i ka hāʻule ʻana o ka manawa a i ʻole nā kīnā hānau i ka pēpē. No laila, pono e mālama pono inā ʻoe e pili ana i nā holoholona i ka wā hāpai.
Leka Lawe-Home
- ʻO Brucellosis kahi maʻi i hoʻoulu ʻia e ka bacteria Brucella, ka mea i laha mai nā holoholona a i nā kānaka .
- ʻO ka pilikia nui mai ka ʻai ʻana i nā huahana i hoʻomaʻemaʻe ʻole ʻia (ʻaʻole i hoʻomehana pono ʻia) e like me ka waiū a me ka tīhi a mai ka pilina kokoke ʻana me nā holoholona i loaʻa i ka maʻi.
- Ua like nā hōʻailona me ka maʻi palū maʻamau. ʻO nā hōʻailona nui, ʻo ia ke kuni e hoʻonui ana i ke ahiahi, ʻeha kino, a me ka hou .
- Inā ʻoe e hana me nā holoholona a i ʻole ua inu i ka waiū i hoʻomaʻemaʻe ʻole ʻia a loaʻa iā ʻoe nā hōʻailona i luna, e ʻike koke i kāu kauka .
- Pono e lawe ʻia nā lāʻau antibiotic no ka manawa lōʻihi no ka mālama ʻana, a he mea nui e hoʻopau i ka papa holoʻokoʻa o ka lāʻau lapaʻau e like me ke kuhikuhi a kāu kauka .
- ʻOi aku ka maikaʻi o ka palekana. E hoʻohana mau i nā huahana waiū pasteurized wale nō. E hoʻohana i nā hana palekana e like me nā mīkina lima i ka wā e hana ai me nā holoholona.
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