Loaʻa iā ʻoe kēia mau hōʻailona inā he mea nona pōpoki ʻoe? E aʻo kākou e pili ana i ka Cat Scratch Disease (CSD)!

Aloha mākou a pau i nā pōpoki a me nā kittens, ʻeā? Makemake mākou e nānā i ko lākou ʻano nani a pāʻani. ʻOiai ʻo ka pāʻani ʻana me lākou a me ka hamo ʻana iā lākou e lawe pinepine mai iā mākou i ka hauʻoli, i kekahi manawa hiki i kēia mau holoholona ke hoʻoili i kekahi mau maʻi iā mākou me ka ʻike ʻole. I kēia lā, e kamaʻilio mākou e pili ana i kahi maʻi e hiki ke hoʻoili ʻia mai nā pōpoki, akā ʻaʻole i ʻike nui ʻia. Ua kapa ʻia kēia ʻo "Cat Scratch Disease".

He aha ka Cat Scratch Disease (CSD)? I ka pōkole...

I ka ʻōlelo maʻalahi, ʻo ka Cat Scratch Disease (CSD) he maʻi i hoʻokumu ʻia e kahi bacteria i kapa ʻia ʻo `(Bartonella henselae)`. Hiki iā ʻoe ke loaʻa inā e kahakaha kahi pōpoki iā ʻoe, nahu iā ʻoe, a palu paha i kahi ʻeha ma kou kino. ʻO nā hōʻailona nui o kēia maʻi, ʻo ia nā glands pehu (i kapa ʻia hoʻi ʻo `(lymph nodes)` e nā kauka), nā puʻupuʻu liʻiliʻi ma ka ʻili (`(papules)`), a me ke kuni.

He mea maʻamau anei kēia? He mea koʻikoʻi anei ia?

ʻOiaʻiʻo, ʻaʻole maʻamau kēia maʻi i kapa ʻia ʻo `(CSD)`. No ka laʻana, ma kahi ʻāina e like me ʻAmelika, aia wale nō ma kahi o 12,000 mau kānaka e loaʻa ana i kēia maʻi i kēlā me kēia makahiki. ʻO ia hoʻi, hiki ke emi iki aku ma Sri Lanka.

ʻO ka mea maikaʻi loa , ʻo ka hapa nui o ka manawa, ʻaʻole koʻikoʻi loa kēia maʻi a hoʻōla me ka ʻole o kekahi lāʻau kūikawā. Eia naʻe, he mea kākaʻikahi loa, ʻo ia hoʻi, he kakaikahi wale nō ka poʻe, ma kahi o 500 i kēlā me kēia makahiki, e loaʻa i nā pilikia a pono e hoʻokomo ʻia i ka haukapila. No laila, ʻaʻohe mea e makaʻu ai, akā he mea nui loa ka makaʻala.

ʻO wai ka mea i ʻoi aku ka pilikia o ka loaʻa ʻana o kēia maʻi?

Hiki i kekahi mea e launa pū me nā pōpoki ke loaʻa i kēia ``(CSD)''. Eia nō naʻe, ua ʻike ʻia e ka noiʻi ʻana he ʻoi aku ka maʻamau o kēia maʻi i nā keiki ma lalo o 15 makahiki. ʻO kēia no ka mea ʻoi aku ka nui o ka hiki ke ʻōpala ʻia a nahu ʻia nā keiki ʻōpio e nā pōpoki ke pāʻani lākou me lākou, lawelawe iā lākou, a i kekahi manawa hiki ke ʻōpala ʻia a nahu ʻia e lākou.

ʻO kekahi mea nui ʻē aʻe, inā loaʻa ʻoe i ka maʻi `(HIV)` a i ʻole inā ua nāwaliwali kou ʻōnaehana pale no kekahi kumu ʻē aʻe, ʻoi aku kou pilikia o ka loaʻa ʻana o nā pilikia koʻikoʻi mai kēia maʻi. No laila, pono e akahele iki kēlā poʻe i ka wā e hana ai me kā lākou mau pōpoki.

He aha nā hōʻailona o ka Cat Scratch Disease (CSD)?

Hoʻomaka pinepine kēia mau hōʻailona e ʻike ʻia ma waena o 3 a me 10 mau lā ma hope o ka nahu ʻia ʻana o kahi pōpoki a i ʻole ka ʻeha ʻana. E nānā kākou i kēia mau hōʻailona:

• Hiki ke ʻike ʻia nā puʻupuʻu liʻiliʻi a i ʻole nā ​​​​papules (papules) ma ka ʻili, a i ʻole e like paha me ka ʻulaʻula: Loaʻa pinepine kēia mau mea ma kahi kokoke i kahi i kahakaha ai ka pōpoki. I kekahi manawa he ʻulaʻula a piʻi iki paha.
• Lymphadenopathy (pehu a me ka ʻeha):ʻO kēia kekahi o nā hōʻailona nui o kēia maʻi. ʻO nā puʻupuʻu kokoke loa i ka ʻōpala (no ka laʻana, nā puʻupuʻu ʻaoʻao inā he ʻōpala ma ka lima) e pehu a ʻeha ke pā.
• Kuni: E wela iki paha ʻoe.
• ʻEha kino: Hiki ke ʻeha i nā ʻiʻo, nā iwi, a me nā hono.
• Ka nalowale o ka makemake e ʻai a i ʻole ka pohō kaumaha: ʻO ka manaʻo o ka makemake ʻole e ʻai, hiki ke alakaʻi i ka pohō kaumaha.
• Luhi kino: Hiki paha iā ʻoe ke manaʻo luhi a make.

E noʻonoʻo, i kekahi mau lā ma hope o ka pāʻani ʻana o kāu keiki liʻiliʻi me kahi pōpoki, ʻike ʻia kahi pehu liʻiliʻi ma kahi i kahakaha ʻia o ko lākou lima, ua pehu kahi puʻupuʻu ma ko lākou ʻāʻī, a he kuni iki ko lākou. I nā manawa e like me kēia, pono ʻoe e noʻonoʻo e pili ana i kēia `(CSD)`.

He aha ke kumu o kēia? Pehea e laha ai?

E like me kā mākou i ʻōlelo ai ma mua, ʻo ke kumu o kēia maʻi `(CSD)` he bacteria i kapa ʻia ʻo `(Bartonella henselae).` I kēia manawa, e nānā kākou pehea e laha ai kēia bacteria i nā pōpoki a mai nā pōpoki iā kākou.

Hoʻoili ʻia kēia bacteria i nā pōpoki e nā ʻuku. ʻO ka mea kupaianaha, hiki i nā pōpoki (ʻoi aku hoʻi nā kittens) ke lawe i kēia bacteria no nā mahina me ka ʻole o ka hōʻike ʻana i nā hōʻailona. ʻO ia hoʻi, hiki i kāu pōpoki ke loaʻa kēia bacteria ma ko lākou kino ʻoiai inā ʻike ʻia lākou he olakino.

A laila, hoʻoili ʻia ka bacteria iā mākou ma o ka lawai o ka pōpoki . ʻO ke ʻano kēia inā e kahakaha ka pōpoki iā ʻoe, nahu iā ʻoe, a loaʻa paha kona lawai ma kahi ʻeha ma kou kino, hiki iā ʻoe ke loaʻa i ka maʻi.

Manaʻo kekahi poʻe hiki i ka nahu pololei ʻana mai kahi ʻuku ke kumu o kēia maʻi, akā ʻaʻole i hōʻoia ʻia kēia.

Pehea e ʻike ai ke kauka i kēia?

Inā loaʻa iā ʻoe nā hōʻailona o `(CSD)`, e hana pinepine ke kauka i kēia mau mea:

• Hoʻokolokolo kino:
• E nānā ʻia kou ʻōpala a i ʻole kou ʻeha (inā he).
• E nānā i ka ʻili no ka ʻulaʻula a i ʻole nā ​​puʻupuʻu.
• E hoʻopā lākou i kou mau ʻūpā a nānā inā pehu a ʻeha paha.
• I ka manawa pinepine, hiki ke ʻike ʻia ka maʻi me kēia hoʻokolohua kino wale nō.
• I kekahi manawa, hiki i ke kauka ke:
• Lawe ʻia kahi hāpana koko a hoʻāʻo ʻia e ʻike inā loaʻa ka bacteria (B. henselae).
• He mea kākaʻikahi loa, hiki ke lawe ʻia kahi hāpana wai mai kahi pehu pehu a hoʻāʻo ʻia no ke alo o kēia bacteria.

Pehea e mālama ʻia ai?

I ka hapa nui o ka manawa, hoʻopau wale ʻo CSD iā ia iho me ka ʻole o kekahi lāʻau lapaʻau kikoʻī . No laila, kōkua wale nā ​​​​kauka i ka hōʻemi ʻana i nā hōʻailona.

Eia nō naʻe, inā nāwaliwali kou ʻōnaehana pale, a inā ʻaʻole i hoʻomaikaʻi kāu mau hōʻailona ma hope o ʻelua mahina, hiki i ke kauka ke hāʻawi iā ʻoe i kahi lāʻau antibiotic e like me azithromycin. E hoʻāʻo kēia e pepehi i ka bacteria.

Pehea e hoʻoponopono ai i nā hōʻailona ma ka home?

Aia kekahi mau hana maʻalahi hiki iā ʻoe ke hana ma ka home e kōkua i ka hoʻokele ʻana i nā hōʻailona:

• E lawe i nā lāʻau ʻeha: No ke kuni a me nā ʻeha kino, e hoʻohana i kahi lāʻau ʻeha ma luna o ke kauka e like me ka ibuprofen (e.g., Advil®) a i ʻole naproxen (e.g., Aleve®). Eia nō naʻe, ʻoi aku ka maikaʻi o ke kūkākūkā ʻana me ke kauka.
• E hoʻopili i kahi ʻūpā mahana i nā pehu ʻeha: E hoʻomohu i kahi lole maʻemaʻe i loko o ka wai wela, e ʻūmi i waho, a kau ma luna o ka pehu ʻeha. Hiki paha i kēia ke kōkua i ka hōʻoluʻolu ʻana i kekahi o ka ʻeha.

Inā pehu nui kou cyst a ke hōʻeha nei i ka ʻeha hiki ʻole ke hoʻomanawanui, hiki iā ʻoe ke kamaʻilio me ke kauka a nīnau inā hiki iā lākou ke hoʻokahe i kekahi o ke wai.

Pehea e pale ai iā ʻoe iho mai kēia? Nā ʻano pale

Aia kekahi mau mea maʻalahi hiki iā ʻoe ke hana e pale iā ʻoe iho mai kēia maʻi (CSD) i ka wā e noho pū ana me nā pōpoki:

• E ho'āʻo e pale i ka ʻōpala ʻia a i ʻole ka nahu ʻia e nā pōpoki: E makaʻala i ka pāʻani ʻana me nā pōpoki a me ka lawelawe ʻana iā lākou. Mai pāʻani ma ke ʻano e hoʻoweliweli a hoʻonāukiuki paha iā lākou.
• E holoi pono i kou mau lima me ke kopa ma hope o ka pāʻani ʻana, paʻa ʻana, a hoʻopā ʻana paha i ka pōpoki.
• E ho'āʻo e mālama i kāu pōpoki i loko o ka hale: ʻOi aku ka paʻakikī o nā pōpoki e hele i waho e pale aku i nā ʻuku. ʻOi aku ka palekana o lākou mai nā ʻuku ke noho lākou i loko.
• Mai hoʻopā a lawe paha i nā pōpoki a me nā pōpoki hele hewa ma ke alanui. ʻAʻole mākou i ʻike i ke ʻano o nā maʻi i loaʻa iā lākou.
• Mai ʻae i kāu pōpoki e palu i kou mau ʻōpala a me nā ʻeha.
• E nīnau i kāu kauka holoholona pehea e pale ai i kāu pōpoki mai nā ʻuku. Aia nā lāʻau lapaʻau a me nā ʻano hana e pono ai no kēia.
• Inā nāwaliwali kou ʻōnaehana pale maʻi, ʻoi aku ka maikaʻi o ka hānai ʻana i kahi pōpoki ma luna o hoʻokahi makahiki ma kahi o kahi pōpoki liʻiliʻi , no ka mea, ʻoi aku ka nui o ka loaʻa ʻana o kēia bacteria i nā pōpoki liʻiliʻi.

Pehea ka wā e hiki mai ana o kēia maʻi?

ʻO ka hapa nui o ka manawa, he maʻi hoʻopau ponoʻī ka CSD. ʻO ia hoʻi, e hoʻōla ia iā ia iho me ka ʻole o nā pilikia a i ʻole nā ​​​​hopena lōʻihi. Eia nō naʻe, i loko o kahi heluna liʻiliʻi loa o ka poʻe, hiki i ka maʻi ke laha i nā ʻōpū ʻē aʻe a hoʻoulu i nā kūlana koʻikoʻi.

Pehea ka lōʻihi o kēia?

ʻO ka hōʻailona nui o CSD ka pehu ʻana o nā ʻāʻī, hiki ke mau mai ʻelua a ʻewalu pule . Akā, e hoʻomaikaʻi pinepine ia ma kāna iho.

He aha nā pilikia koʻikoʻi e hiki mai ana?

ʻOiai he mea kakaikahi kēia, he mea nui e makaʻala. Inā pālahalaha ka CSD i nā ʻōpū ʻē aʻe, hiki ke loaʻa nā pilikia penei:

• Endocarditis: He mumū kēia o ka ʻili o loko o ka puʻuwai. Hiki i kēia ke hana i nā hōʻailona e like me ka ʻeha o nā ʻiʻo a me nā hono, ka ʻeha o ka umauma, a me ka hou ʻana i ka pō.He kūlana hoʻoweliweli paha kēia i ke ola.
• Hepatosplenomegaly: ʻO kēia ka wā e pehu ai kou akepaʻa a me kou spleen. Hiki i kēia ke hōʻeha i ka ʻōpū, ka nausea, a me ka luaʻi.
• ʻO ka maʻi oculoglandular o Parinaud: I kēia kūlana, lilo ka conjunctiva i ʻulaʻula a pehu, a pehu pū nā kelepa kokoke i ka pepeiao.
• Neuroretinitis: Ka mumū o ka maka a me ke aʻalolo optic. Hiki i kēia ke lilo i ka ʻike.
• Encephalopathy: Nā pilikia me ka hana o ka lolo. Hiki i kēia ke hoʻoulu i ka huikau, nā ʻeha poʻo nui, a i kekahi manawa nā hopu ʻana.

ʻAʻole au i haʻi aku i kēia mau pilikia e hoʻomakaʻu iā ʻoe, akā he mea maikaʻi ke loaʻa kahi ʻike iki e pili ana i ia mau mea.

Pehea wau e mālama ai iaʻu iho?

Inā ʻānai a nahu paha kahi pōpoki iā ʻoe, ʻo ka mea mua e hana ai, ʻo ia ka hoʻomaʻemaʻe pono ʻana i ka ʻeha . E holoi me ke kopa a me ka wai. A laila e nānā pono i ka ʻeha. E nānā i nā hōʻailona o ka maʻi (ʻulaʻula, pehu, pus) a i ʻole nā ​​hōʻailona o ka "CSD" (pehu ʻana o ka ʻili, kuni). Inā ʻike ʻoe i kekahi o kēia mau mea, e ʻike koke i ke kauka.

I ka manawa hea e pono ai i kahi pōpoki ke ʻike i ke kauka?

Inā ʻike ʻoe i kekahi o kēia mau mea, he mea maikaʻi ke ʻike i ke kauka ma hope o ka luaʻi ʻana o ka pōpoki:

• Inā ʻaʻole e ho'ōla ʻia ke kahakaha, a inā paha e hoʻomau ka ʻulaʻula a puni ia no nā lā ʻelua a ʻoi.
• Inā he kuni kou no kekahi mau lā.
• Inā pehu ʻeha ka scrotum.
• Inā he ʻeha kou i kou mau ʻiʻo, iwi, a i ʻole nā ​​hono.

I ka manawa hea e pono ai ʻoe e hele i kahi Emergency Treatment Unit (ETU) ?

Inā ʻaʻole e ho'ōla ana kou ʻeha a ke hōʻike nei ʻoe i nā hōʻailona ua laha ka maʻi i nā ʻāpana ʻē aʻe o kou kino, pono ʻoe e hele koke i kahi lumi pilikia. ʻO ia mau hōʻailona:

• Kuni kiʻekiʻe.
• Ka huikau o ka noʻonoʻo.
• ʻEha poʻo nui.
• Nā ʻōʻili.
• ʻEha ka umauma a i ʻole ka paʻakikī o ka hanu ʻana.
• ʻEha ʻōpū me ka nausea a i ʻole ka luaʻi ʻana.

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

Ke hele ʻoe e ʻike i ke kauka, he mea kōkua ke nīnau i nā nīnau e like me kēia:

• Ua maikaʻi anei iaʻu ke lawe i nā lāʻau antibiotic?
• He aha nā hōʻailona ʻē aʻe e pono iaʻu e makaʻala?
• Āhea wau e hele hou mai ai e ʻike iā ʻoe?
• I nā kūlana hea e pono ai iaʻu ke kāhea aku iā ʻoe a i ʻole e hele i ka lumi pilikia?

Hiki i nā pōpoki e noho ana ma ka home ke loaʻa i kēia maʻi?

Ua loaʻa i nā pōpoki ka bacteria `(B. henselae)` mai nā ʻuku, no laila, ʻo ka pōpoki ʻaʻole hele i waho a noho i loko o ka hale, ʻaʻole paha e loaʻa i kēia maʻi. Eia nō naʻe, inā ua loaʻa i kāu pōpoki nā ʻuku ma mua, a inā he pōpoki hou kāu (ʻoi aku hoʻi he kitten), loaʻa paha iā ia kēia maʻi `(B. henselae)`. No laila, he mea nui loa ka pale ʻana i nā pōpoki o loko mai nā ʻuku.

Pono anei ka pōpoki e loaʻa i ka pana tetanus?

ʻAʻole pono ka pōpoki e loaʻa i ka lāʻau pale tetanus. Eia nō naʻe, he mea nui loa ka loaʻa ʻana o nā lāʻau lapaʻau mua a me nā lāʻau hoʻoikaika i nā manawa kūpono e pale aku ai i ka tetanus, no ka mea, ʻoi aku ka nui o ka loaʻa ʻana o ka tetanus ma o nā ʻano ʻē aʻe ma mua o ke kahakaha ʻana o ka pōpoki.

Nā mea nui loa āu e hoʻomanaʻo ai (Leka Lawe-Home)

No laila, he maʻi maoli ka "Cat Scratch Fever" a i ʻole `(CSD)`. Akā, e ka poʻe aloha pōpoki, ʻaʻohe mea e makaʻu ai. Aia nā ala maʻalahi e pale aku ai iā ʻoe iho a me kāu pōpoki aloha mai ia mau maʻi. ʻO ka noho maʻemaʻe, ka makaʻala i ka launa pū ʻana me nā pōpoki, a me ka pale ʻana i kāu pōpoki mai nā ʻuku nā mea nui loa.

Inā manaʻo ʻoe he mau hōʻailona kou o `(CSD)`, e ʻike pono i ke kauka. E hāʻawi ʻo ia iā ʻoe i nā ʻōlelo aʻoaʻo e pono ai a nānā iā ʻoe no kekahi mau pilikia.

Nā maʻi i lawe ʻia e ka pōpoki, ka maʻi ʻōpala pōpoki, CSD, Bartonella henselae, ka fiva ʻōpala pōpoki, ke olakino pōpoki