He kuni ʻē i laha ʻia e nā holoholona? E kamaʻilio kākou e pili ana i ka Brucellosis!

Ke manaʻo nei ʻoe i kekahi manawa ua nāwaliwali ʻoe me ke kumu ʻole? ʻEha paha kou mau hono, manaʻo ʻoe i ke kuni, hou ʻoe, akā nalo ia ma hope o kekahi mau lā a laila hoʻi mai? Inā hoʻomau kēia mau hōʻailona, ​​​​hiki ke lilo i maʻi a mākou e kamaʻilio nui ʻole ai, akā he mea pono ke ʻike. ʻO kekahi o ia mau maʻi ʻo Brucellosis.

He aha ka Brucellosis?

I ka ʻōlelo maʻalahi, ʻo ka brucellosis kahi maʻi i hoʻokumu ʻia e kahi ʻano bacteria i kapa ʻia ʻo Brucella . ʻO nā hōʻailona e komo pū me ke kuni, ka ʻeha o nā hono, a me ka hou ʻana. Eia naʻe, ʻaʻole hele mai kēia mau hōʻailona a hele koke mai, a i kekahi manawa hele mai a hele i ka hala ʻana o ka manawa.

He maʻi zoonotic ka Brucellosis, ʻo ia hoʻi, ua hoʻomaka ia mai nā holoholona . Ua ʻike ʻia hoʻi ia e nā inoa ʻē aʻe, e like me 'undulant fever', 'Malta fever', a me 'Mediterranean fever'.

ʻO wai ka mea i ʻoi aku ka nui o ka loaʻa ʻana o ka brucellosis?

Loaʻa kēia maʻi i kapa ʻia ʻo brucellosis ma nā ʻāina he nui a puni ka honua. ʻOi aku kou pilikia o ka loaʻa ʻana o kēia bacteria 'Brucella' inā ʻoe:

• ʻO kekahi kanaka e hana pū ana me nā holoholona , ​​e like me ke kauka 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 i ʻole kekahi mea e lawelawe ana i ka ʻiʻo maka.
• Inā he mea hahai holoholona ʻoe a hoʻomākaukau paha i ka ʻiʻo o nā holoholona i hahai ʻia.
• Inā ʻoe e hana ana i loko o kahi keʻena hoʻokolohua e hoʻāʻo ai no ka bacteria 'Brucella'.
• Inā ʻoe e ʻai i ka ʻiʻo i moʻa pono ʻole ʻia a hoʻohana paha i nā huahana waiū i hoʻomaʻemaʻe ʻole ʻia (e like me ka waiū, ka tīhi, ka yogurt).

Pehea ka maʻamau o kēia?

Inā ʻoe e nānā a puni ka honua, ma kahi o 500,000 mau hihia o ka brucellosis i hōʻike ʻia i kēlā me kēia makahiki. Eia nō naʻe, ma nā ʻāina e like me ʻAmelika, ua emi iki kēia, ma kahi o 100-200 mau hihia wale nō i hōʻike ʻia i kēlā me kēia makahiki. ʻOiai ʻaʻohe helu kikoʻī e pili ana i ke ʻano o ia mea ma ko mākou ʻāina, aia paha kēia pilikia i waena o ka poʻe e hana nei me nā holoholona.

He aha ka hopena o ka brucellosis i nā kānaka?

E noʻonoʻo e pili ana i ia mea, he maalea loa kēia bacteria i kapa ʻia ʻo 'Brucella'. Komo ia i loko o kou kino ma o kou waha, ihu, maka, a i ʻole kahi ʻeha liʻiliʻi ma kou ʻili . A laila, hele ia i kou mau lymph nodes a i ʻole nā ​​​​ʻiʻo ʻē aʻe a hoʻomaka mālie e hoʻonui. Mai laila mai, hiki i kēia bacteria ke laha i aneane i nā ʻāpana āpau o kou kino. Hiki iā ia ke hele i nā wahi e like me kou puʻuwai, akepaʻa, lolo, a me nā iwi , kahi e hiki ai iā lākou ke pehu a hoʻomaka e hōʻino.

He aha nā hōʻailona o kēia?

Hiki ke hala i ʻelua a ʻehā pule, a ʻoi aku paha ka lōʻihi, no ka ʻike ʻia ʻana o nā hōʻailona ma hope o kou hōʻike ʻia ʻana i ka bacteria Brucella.Hiki i kēia mau hōʻailona ke hele mai a hele aku no nā mahina, a hiki i nā makahiki. Eia lākou:

• Kuni.
• Ka hou ʻana (i kekahi manawa hiki ke honi e like me ka ʻōpala).
• ʻEha nā hono, ʻoiai ma kou mau pūhaka, nā kuli, a i ʻole ke kua i lalo.
• Ka pohō kaumaha i wehewehe ʻole ʻia.
• ʻEha poʻo .
• ʻEha ʻōpū.
• Manaʻo e like me ka nalowale o ka makemake e ʻai a i ʻole ka ʻōpū ʻeha.
• Nā kūlana noʻonoʻo e like me ke kaumaha.
• Hoʻonui ʻia nā lymph nodes a ʻeha.
• ʻO ka manaʻo maʻamau o ka ʻoluʻolu ʻole a me ke olakino ʻole.

He aha ke kumu o kēia?

Hoʻokumu ʻia ka Brucellosis e kekahi mau ʻano bacteria 'Brucella'. ʻO nā mea nui ʻo 'B. abortus', 'B. canis', 'B. melitensis' (ke ʻano e hoʻopilikia nui i nā kānaka) a me 'B. suis'. Loaʻa i nā holoholona kēia bacteria 'Brucella'. ʻO ia hoʻi, ʻo kēia mau holoholona nā mea lawe i kēia bacteria. E nānā kākou ʻo wai kēlā mau holoholona:

• Pipi
• Nā kao
• Nā puaʻa
• Dia
• ʻO Moose, Elk - ʻOiai ʻaʻole kēia mau holoholona ma Sri Lanka, loaʻa lākou ma nā wahi ʻē aʻe o ka honua.
• Hipa
• ʻĪlio - ʻAe, hiki i nā ʻīlio ke hoʻoili i kēia maʻi, ʻoiai ke ʻano `B. canis`.
• Nā Kāmelo

Pehea e laha ai ka brucellosis?

Hoʻolaha ʻia ka Brucellosis ma o ka hoʻopili ʻana me nā holoholona i loaʻa i ka maʻi a i ʻole ma o nā huahana waiū i hoʻomaʻemaʻe ʻole ʻia . Aia kekahi mau ala e hiki ai iā ʻoe ke loaʻa i ka maʻi:

• Ma ka inu ʻana i ka waiū maka ʻole i hoʻomaʻemaʻe ʻia a i ʻole ka ʻai ʻana i nā huahana waiū i hoʻomaʻemaʻe ʻole ʻia e like me ka tīhi a me ka ʻaikalima. Hiki i ka waiū mai nā holoholona i loaʻa i ka maʻi ke loaʻa kēia bacteria. Eia naʻe, ua luku ʻia nā bacteria e kahi hana i kapa ʻia ʻo pasteurization. No laila, inā loaʻa ka brucellosis i ka holoholona, ​​​​ua palekana ke inu i ka waiū kao, bipi wahine, hipa, a i ʻole ka waiū kāmelo i hoʻomaʻemaʻe ʻia.
• Ma ka hoʻopā ʻana i nā ʻiʻo a i ʻole nā ​​wai kino o kahi holoholona i loaʻa i ka maʻi. Hiki i ka bacteria Brucella ke komo i loko o kou kino ma o kahi ʻōpala liʻiliʻi a ʻoki paha ma kou ʻili, a ma o kou mau maka, ihu, a waha paha.
• Ma ka hanu ʻana i nā bacteria Brucella. Hiki iā ʻoe ke hanu i nā ʻāpana Brucella i hoʻokuʻu ʻia i ka lewa mai nā ʻiʻo i hōʻike ʻia a i ʻole ke koko o kahi holoholona i loaʻa i ka maʻi. ʻOi aku ke kiʻekiʻe o kēia pilikia inā ʻoe e hana me Brucella ma kahi keʻena hoʻokolohua, hoʻomākaukau i ka ʻiʻo hihiu, hana ma kahi mahiʻai, ma kahi hale pepehi holoholona, ​​a i ʻole ma kahi hale hana ʻoki ʻiʻo.
• Ma ka ʻai ʻana i ka ʻiʻo i moʻa pono ʻole ʻia.

He mea laha ʻole ka laha ʻana o ka brucellosis mai ke kanaka a i ke kanaka, akā ua nui nā hihia i hōʻike ʻia:

• Mai ka makuahine hāpai a i ke keiki i loko o ka ʻōpū.
• Ma ka hānai waiū ʻana.
• Mai ka moekolohe (akā he mea kakaikahi loa kēia).

He maʻi laha pili i ke moekolohe (STI) anei kēia?

ʻAʻole, ʻaʻole i manaʻo ʻia ka brucellosis he maʻi i laha ma ke ʻano moekolohe (STI). He kakaikahi loa nā hihia i hōʻike ʻia o ka brucellosis e laha ana ma o ka pili ʻana me ka moekolohe.

Pehea e ʻike ai nā kauka i kēia?

Hoʻoholo ke kauka i ka brucellosis ma ka nīnau ʻana e pili ana i kāu mau hōʻailona a laila hoʻāʻo i kou koko, ʻiʻo, a i ʻole nā ​​​​​​laʻana ʻē aʻe no nā hōʻailona o ka bacteria Brucella. No ka mea ua like nā hōʻailona o ka brucellosis me nā maʻi ʻē aʻe, hiki i kāu kauka ke hana i nā hoʻokolohua e kāpae i nā maʻi ʻē aʻe.

ʻO ke ala maikaʻi loa e hōʻoia ai i ka maʻi Brucella, ʻo ia ke kanu ʻana i ka bacteria mai kahi wai kino a i ʻole nā ​​​​ʻiʻo. Eia nō naʻe, he bacteria ulu lohi ʻo Brucella, no laila hiki ke hala i kekahi mau pule e hōʻoia i kāu hōʻailona. Pono paha ʻoe e loaʻa i nā hoʻāʻo koko he nui ma mua o hoʻokahi i kekahi mau pule e nānā i nā hōʻailona o Brucella.

He aha ke ʻano o nā hoʻokolohua e hana ʻia?

Hiki i kāu kauka ke hana i nā hoʻokolohua aʻe e ʻike ai inā he brucellosis kou:

• Nā hoʻāʻo koko: E lawe ke kauka i kahi hāpana koko mai kahi aʻa koko i kou lima me ka hoʻohana ʻana i kahi nila. E nānā ke keʻena hoʻokolohua no nā hōʻailona o ka bacteria Brucella (nā antibody, antigens, a i ʻole DNA) i loko o kēia hāpana koko, a i ʻole e ulu paha i ka hala ʻana o ka manawa (moʻomeheu).
• Ke hoʻāʻo ʻana i nā wai kino ʻē aʻe: Hiki ke lawe ʻia nā laʻana o ka wai mai kou wai iwi kuamoʻo, wai hono, a i ʻole nā ​​​​ʻāpana ʻē aʻe o kou kino e ʻimi a hoʻoulu iā Brucella.
• Biopsy ʻiʻo: Hiki ke lawe ʻia kahi laʻana o kou iwi iwi a i ʻole nā ​​​​ʻiʻo ʻē aʻe e ʻimi i nā hōʻailona o Brucella a ulu iā ia.
• Kiʻi: Ma muli o nā ʻāpana o kou kino i hoʻopilikia ʻia, hiki i kāu kauka ke kauoha i nā hoʻokolohua e like me nā X-ray, CT scans, MRIs, bone scans, ultrasounds, a i ʻole echocardiograms. Lawe kēia i nā kiʻi o loko o kou kino e ʻike inā he mau loli i kou mau iwi a i ʻole nā ​​​​​​ʻōpū.

Pehea e mālama ʻia ai kēia?

E mālama kāu kauka i ka brucellosis me ka hui pū ʻana o ʻelua mau ʻano antibiotic . Pono ʻoe e lawe i kēia mau lāʻau no ka liʻiliʻi he 6 a 8 mau pule. Ma muli o kou kūlana, pono paha nā lāʻau ʻē aʻe (no ka laʻana, e hoʻokahe i ka pus mai nā wahi i loaʻa i ka maʻi a i ʻole e hoʻokele i nā pilikia).

He aha nā lāʻau lapaʻau i hoʻohana ʻia no ka brucellosis?

ʻO nā lāʻau antibiotic a nā kauka e kuhikuhi ai e mālama i ka brucellosis:

• ʻO ka (Streptomycin) a i ʻole ka (Gentamicin)
• `(Rifampin)`
• ʻO Doxycycline (Doxycycline)
• `(Trimethoprim/sulfamethoxazole - TMP/SMX)`
• ʻO Ciprofloxacin

ʻO ka mea nui loa, ʻo ia ka lawe ʻana i kēia mau lāʻau lapaʻau e like me ke kuhikuhi a kāu kauka, ma ke ʻano kūpono, no ka lōʻihi o ka mālama ʻana. A i ʻole, hiki ke hoʻi hou mai ka maʻi.

Pehea e mālama ai i nā hōʻailona?

ʻOiai ʻoe e lawe ana i nā lāʻau antibiotic i kuhikuhi ʻia e pepehi i ka bacteria, hiki iā ʻoe ke hoʻokele i kekahi o nā hōʻailona o ka brucellosis, e like me ka ʻeha hui a me ke kuni, ma ka home. E nīnau i kāu kauka inā he mau lāʻau lapaʻau over-the-counter (OTC) a i ʻole nā ​​​​lāʻau lapaʻau ʻē aʻe hiki iā ʻoe ke hoʻohana no kāu mau hōʻailona a inā palekana lākou iā ʻoe.

Pehea e hiki ai ke pale ʻia kēia?

Hiki iā ʻoe ke hōʻemi i kou pilikia o ka loaʻa ʻana o ka brucellosis ma ka hahai ʻana i nā hana palekana meaʻai a me ke komo ʻana i nā lole pale i ka wā e hana pū ana me nā holoholona. Eia kekahi laʻana:

• Mai inu i ka waiū i hoʻomaʻemaʻe ʻole ʻia, a mai ʻai i nā meaʻai i hana ʻia me ka waiū i hoʻomaʻemaʻe ʻole ʻia.
• E ʻaʻahu i nā lako palekana kūpono i ka wā e hana ai me nā holoholona a me nā ʻiʻo holoholona. Hiki i kēia ke komo pū me nā mīkina lima, kahi ʻapena, a i ʻole nā ​​​​maka aniani palekana. Pono e makaʻala loa ka poʻe e hana ana ma nā hale kūʻai ʻiʻo, nā kauka holoholona, ​​nā mea hahai holoholona, ​​nā mahiʻai, nā limahana hale pepehi holoholona, ​​​​a me nā limahana lab lapaʻau .
• E kuke i ka ʻiʻo i nā mahana palekana. Eia kekahi, e holoi mau i kou mau lima, nā mea hana, a me nā papa ʻokiʻoki ma hope o ka hoʻomākaukau ʻana i ka meaʻai. Hiki i ka ʻiʻo hihiu ke loaʻa ka bacteria Brucella.

E hoʻomanaʻo, ʻoiai ma ko kākou ʻāina, inu kekahi poʻe ma nā wahi kuaʻāina i ka waiū a lākou i ninini wale ai ma ka home me ka ʻole o ka hoʻomehana ʻana. ʻAʻole ia he mea maikaʻi iki. ʻOi aku ka palekana o ka hoʻohana ʻana i ka waiū i hoʻomehana pono ʻia a i ʻole i pasteurized ʻia.

He aha ka mea e hana ai inā loaʻa iā ʻoe ka brucellosis? (Prognosis)

Hoʻōla loa ka hapa nui o ka poʻe me ka brucellosis me ka lāʻau antibiotic. Akā hiki ke lōʻihi. Pono paha ʻoe e lawe i nā antibiotic no nā pule, a i ʻole nā ​​​​mahina, e hōʻoia i ka pau ʻana o nā bacteria a pau i loko o kou kino.

I kekahi manawa, hiki ke hoʻi mai ka brucellosis ma hope o ka pau ʻana o ka lāʻau lapaʻau. He ʻoiaʻiʻo loa kēia inā ʻaʻole ʻoe e lawe i nā antibiotics e like me ke kauoha. Hiki ke hoʻomau kekahi mau hōʻailona, ​​​​e like me ka arthritis, ma hope o ka pau ʻana o ka lāʻau lapaʻau. Inā hoʻoulu ka brucellosis i nā pilikia, pono paha ʻoe i nā lāʻau lapaʻau hou a i ʻole ka lāʻau lapaʻau.

He aha nā pilikia e hiki mai ana o kēia?

ʻOi aku ka nui o ka pilikia o ka Brucellosis inā ʻaʻole mālama ʻia no ka manawa lōʻihi. ʻO kēia mau pilikia:

• ʻO ka maʻi ʻaʻai e hoʻomau nei.
• ʻO ke akepaʻa i hoʻonui ʻia (Hepatomegaly) a i ʻole ka spleen i hoʻonui ʻia (Splenomegaly).
• ʻO ke kūlana i kapa ʻia ʻo `(Chronic Hepatosplenic Suppurative Brucellosis - CHSB) . ʻO kēia ka wā e ulu ai nā abscesses (nā ʻeke o ka pus) i loko o kou spleen a me ke ake. Hiki ke hana i kēia i nā makahiki ma hope o ka maʻi `Brucella`.
• ʻO nā maʻi a me ka pehu ʻana o kou 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)` , nā maʻi o nā iwi (Osteomyelitis)` a i ʻole nā ​​​​maʻi o ke kua haʻahaʻa (Sacroiliitis)` .
• ʻO ka Epididymo-orchitis kahi mumū o nā testicles a me nā vas deferens i nā kāne.
• Ka hāʻule ʻana o ka hāpai keiki.

Hiki ke ho'ōla ʻia ʻo Brucella i loko o ke kanaka?

ʻAe, hiki ke ho'ōla ʻia nā maʻi Brucella i loko o ke kanaka me nā lāʻau antibiotic. Eia nō naʻe, hiki i kekahi mau pilikia ke hōʻeha i ka wā lōʻihi.

Hiki i ka brucellosis ke hoʻoulu i ka make?

He mea kākaʻikahi loa ka make ʻana o kekahi mai ka brucellosis. ʻO ka nui o ka make no ka brucellosis ma waena o 1% a me 2% wale nō o nā hihia āpau.

Pehea e mālama ai iaʻu iho ma ke ʻano he kanaka me ka brucellosis?

Inā haʻi aku kāu kauka iā ʻoe he brucellosis kou, ʻoiai inā maikaʻi kou manaʻo, e lawe i nā lāʻau lapaʻau a pau e like me ke kauoha a no ka manawa piha. Inā ʻoe e hoʻōki koke i ka lawe ʻana i nā antibiotics, hiki i ka brucellosis ke hoʻi hou mai. Inā loaʻa iā ʻoe nā hōʻailona hou a i ʻole inā e ʻoi aku ka ʻino o kāu mau hōʻailona, ​​e haʻi koke i kāu kauka.

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe nā hōʻailona o ka brucellosis, ʻoiai inā ʻo kāu hana a i ʻole nā ​​​​​​mea leʻaleʻa e hoʻoweliweli iā ʻoe i ka loaʻa ʻana o kēia maʻi, e ʻike pono i ke kauka.

Āhea ʻoe e hele ai i ka Emergency Treatment Unit (ETU) ?

Inā loaʻa iā ʻoe kēia mau hōʻailona koʻikoʻi, e hele koke i ka lumi pilikia:

• Kuni kiʻekiʻe loa (ma luna o 103 Fahrenheit / 39.4 Celsius).
• ʻEha nui o ka ʻōpū.
• Ka huikau a i ʻole nā ​​​​loli noʻonoʻo ʻē aʻe.

He aha nā nīnau āu e nīnau ai i ke kauka?

Ke hele ʻoe e ʻike i ke kauka, he mea maikaʻi ke nīnau ʻana i kēia mau nīnau:

• Pehea ka lōʻihi o ka mālama ʻana?
• Pehea lā wau e lawe ai i ka lāʻau lapaʻau?
• Pehea e hiki ai iaʻu ke mālama i kaʻu mau hōʻailona ma ka home?
• Āhea wau e kamaʻilio hou aku ai me ʻoe?
• He aha nā hōʻailona e pono ai iaʻu ke hele i ka ER?

Leka Hoʻihoʻi Hope Loa

He maʻi bacteria ka Brucellosis e hiki ke hoʻomaka mālie loa, lōʻihi ka manawa, a ʻaʻole maʻamau loa. Ua like kona mau hōʻailona me nā maʻi ʻē aʻe he nui, no laila he mea nui e ʻike i ke kauka no kahi hōʻoia pololei a me ka mālama ʻana. ʻAʻole koʻikoʻi loa ka Brucellosis. Akā hiki iā ia ke hoʻopilikia i kou mau iwi a me nā ʻōpū o loko, no laila he mea nui e makaʻala pono i kāu mau hōʻailona. Inā loaʻa iā ʻoe nā hōʻailona hou a inā hopohopo ʻoe no kahi mea āu i loaʻa mua ai, mai kānalua e hoʻokaʻaʻike aku i kāu kauka.

Brucellosis , nā maʻi holoholona, ​​nā maʻi bacteria, ke kuni, ʻeha hui, waiū i hoʻomaʻemaʻe ʻole ʻia