Kamaʻilio mau mākou e pili ana i nā maʻi e like me ka dengue a me ka malaria, ʻeā? Akā, aia kekahi mau maʻi i lohe nui ʻole ʻia e mākou, akā he mea nui loa ia e ʻike. ʻO kekahi o ia mau maʻi, ʻo ia ka maʻi Chagas. ʻOiai ʻaʻole kēia i maʻamau loa ma ko mākou ʻāina, he mea nui loa ia e makaʻala iā ia, ʻoiai inā ʻoe e hele ana i nā ʻāina ʻAmelika Hema. Hoʻokumu ʻia kēia maʻi e kahi parasite liʻiliʻi loa. Ma ke ʻano lapaʻau, ʻo ka inoa o kēia parasite ʻo `Trypanosoma cruzi (T. cruzi)`.
Pehea e komo ai kēia maʻi i ke kino?
ʻO ka mea mua e hoʻomaopopo ai, ʻaʻole kēia he maʻi e hiki ke laha maʻalahi mai ke kanaka a i ke kanaka e like me ke anu. He ala kikoʻī kona e laha ai.
Hoʻolaha ʻia kēia maʻi e kahi pepeke kūikawā. Ua kapa ʻia lākou ʻo "kissing bugs". Ma ka ʻōlelo Sinhala, hiki ke kapa ʻia lākou ʻo "kissing bug". ʻAʻole anei he inoa ʻē kēlā? Ua loaʻa iā lākou kēlā inoa no ka mea makemake lākou e omo i ke koko mai ka ʻili palupalu a puni nā maka a me ka waha o kānaka i ko lākou hiamoe ʻana. ʻOiai ʻaʻole ʻeha loa ka nahu ʻana o kēia pepeke, ʻaʻole paha e ʻike ka mea hiamoe.
Akā, ʻo ka mea kupaianaha, ʻaʻole i laha kēia maʻi ma o ka nahu ʻana o ka pepeke. Ua laha ia ma o ka ʻōpala o ka pepeke! E noʻonoʻo ua omo mua kēia pepeke i ke koko o kahi holoholona a i ʻole ke kanaka me kēia maʻi. A laila komo ka parasite `T. cruzi` i loko o ke kino o ka pepeke. A laila, i ka wā e omo ai kēia pepeke i ke koko mai kekahi kanaka ʻē aʻe, e ʻōpala ia ma ke kino o kēlā kanaka. Komo ka parasite i loko o kēlā ʻōpala i loko o ke kino ma o ka ʻeha a ka pepeke i nahu ai, a i ʻole ma o ko kākou mau maka, ihu, a waha paha.
I ka pōkole, nahu ka pepeke, kahe i loko o ka ʻōpū ma kahi kokoke, a ulu ka maʻi ke komo kēlā ʻōpala i loko o ko mākou kino me ka ʻike ʻole.
Ma waho aʻe o kēia pepeke, hiki ke laha kēia maʻi ma nā ʻano ʻē aʻe:
- Ke hoʻoili koko a i ʻole ke kāpili ʻana o nā kino: Ke loaʻa ʻana o ke koko a i ʻole kahi kino mai kahi mea i loaʻa i ka maʻi. (I kēia manawa ma nā ʻāina he nui o ka honua, ua hoʻāʻo ʻia nā hāʻawi koko no kēia maʻi.)
- Ma o ka meaʻai: Ma ka ʻai ʻana i ka meaʻai maka i haumia ʻia me ka parasite a i ʻole ma ka ʻai ʻana i ka ʻiʻo i moʻa ʻole ʻia mai kahi holoholona maʻi.
- Mai ka makuahine a i ke keiki: Inā loaʻa kēia maʻi i ka makuahine hāpai, hiki ke laha i ka pēpē i loko o ka ʻōpū.
He aha nā hōʻailona o kēia?
ʻElua mau pae nui o ka maʻi Chagas: ke pae mua (pae koʻikoʻi) a me ke pae ʻelua (pae mau loa).
ʻO ka mea mua, ʻo ia hoʻi, ka wā koʻikoʻi.
I loko o kēia manawa, he palupalu loa nā hōʻailona. I kekahi manawa, ʻaʻohe paha he mau hōʻailona. Inā he mau hōʻailona, ua like paha lākou me ke anu maʻamau.
| Hōʻailona | Wehewehena |
|---|---|
| Kuni a me ka malaise | Ua like paha ia me ke kuni viral maʻamau. ʻEha kou kino a luhi ʻoe. |
| ʻŌhū ʻili | Hiki ke ʻike ʻia nā kiko ʻulaʻula a ʻeleʻele paha ma ka ʻili. |
| He ʻeha kahi i komo ai ka parasite | Hiki ke pehu, ʻulaʻula, a ke nānā aku nei me he ʻeha lā kahi i nahu ʻia ai ka pepeke. |
| Ka luaʻi ʻana, ka maʻi pākī, ka nalowale o ka makemake | Loaʻa paha nā pilikia me ka ʻōnaehana hoʻoheheʻe. |
| Pehu ʻana o ka maka | He hōʻailona kūikawā kēia. Inā komo ka parasite ma o ka maka, e pehu kekahi lihilihi maka. Ua kapa ʻia hoʻi kēia ʻo ka hōʻailona Romaña i ka lāʻau lapaʻau. |
ʻO kēia mau hōʻailona mua—inā loaʻa—e emi pinepine ana iā lākou iho i loko o kekahi mau pule a i ʻole mau mahina. Akā ʻo ka pilikia, ʻaʻole i hoʻōla ʻia ka maʻi! Noho ka parasite i loko o ke kino. No nā keiki ʻōpio a me ka poʻe me nā ʻōnaehana pale nāwaliwali, hiki i kēia pae mua ke lilo i mea weliweli.
ʻO ka lua, ʻo ia ka wā maʻi.
ʻOiai inā ʻaʻohe hōʻailona i ka wā mua, hiki i ka parasite ke noho moe i loko o ke kino a puka hou i nā makahiki, a hiki i nā makahiki he ʻumi ma hope . ʻO kēia pae ʻelua ka mea weliweli loa. I loko o kēia manawa, hiki ke loaʻa nā pilikia koʻikoʻi o ka puʻuwai a me ka ʻōpū.
- Ka hoʻonui ʻia ʻana o ka puʻuwai, ka esophagus, a i ʻole ka colon.
- Ka hāʻule ʻana o ka puʻuwai.
- Ka helu ʻana o ka puʻuwai kūpono ʻole.
- Nā ʻūpā koko.
- Paʻa koke ka puʻuwai.
Pehea e mālama ʻia ai?
ʻOi aku ka maʻalahi o ka mālama ʻana i ka maʻi Chagas i nā pae mua, akā he paʻakikī ke ʻike i kēlā pae no ka mea ʻaʻohe hōʻailona.
Inā kānalua ʻoe ua loaʻa iā ʻoe kēia maʻi, ʻoiai inā ua huakaʻi ʻoe i kahi ʻāina e like me ʻAmelika Hema, e ʻike pono i kāu kauka. E haʻi iā ia e pili ana i kāu mōʻaukala huakaʻi. Hiki i nā hoʻāʻo koko ke hōʻoia inā loaʻa iā ʻoe kēia maʻi. Inā ua ʻike ʻia ʻoe me ka maʻi, pono paha ʻoe e loaʻa nā hoʻokolohua e like me ka EKG e ʻike inā ua hoʻopilikia ʻia kou puʻuwai.
ʻElua ʻano lāʻau lapaʻau nui i hoʻohana ʻia e mālama i kēia maʻi: ʻo `benznidazole` a me `nifurtimox`. Hana kēia mau lāʻau lapaʻau ma ka luku ʻana i nā parasites i loko o ke kino. Inā lawe ʻia kēia mau lāʻau lapaʻau i ka wā mua o ka maʻi, ʻoi aku ka maikaʻi o nā hopena. I ka holomua ʻana o ka maʻi, hiki ke emi ka pono o nā lāʻau lapaʻau.
Pono e lawe mau ʻia kēia lāʻau lapaʻau no ʻelua mahina. Eia kekahi, hiki ke loaʻa kekahi mau hopena ʻaoʻao, ʻoi aku hoʻi i ka poʻe ʻelemakule. No laila, pono e hana ʻia kēia mau lāʻau lapaʻau a pau ma lalo o ka nānā pono ʻana a ke kauka. ʻAʻole hāʻawi ʻia kēia lāʻau lapaʻau i nā makuahine hāpai, akā inā loaʻa ka maʻi i ka pēpē hānau hou, hiki ke mālama ʻia ka pēpē.
Aia kekahi ala e pale aku ai i kēia?
ʻO ka mea kaumaha, ʻaʻole i loaʻa kahi lāʻau pale e pale aku ai i kēia maʻi.
No laila, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke noho mamao aku mai ka "kiko honi." Noho nui kēia mau pepeke i loko o nā māwae o nā paia o nā hale i hana ʻia me ka lepo, ka ʻōpala, a me nā lau pāma. Inā ʻoe e hele ana i kahi ʻāina ʻAmelika Hema, e pale i ka noho ʻana ma ia mau wahi. Eia kekahi, ʻo ka hoʻohana ʻana i ka ʻupena, e like me ka ʻupena makika, i ka wā e hiamoe ana hiki ke hāʻawi i ka palekana nui.
Leka Lawe-Home
- ʻAʻole laha ka maʻi Chagas ma o ka nahu ʻana o ka "kissing bug", akā ma o kona mau ʻōpala e komo ana i ke kino.
- ʻOi aku ka maʻamau o kēia maʻi ma nā ʻāina ʻo ʻAmelika Hema, no laila e makaʻala loa inā ʻoe e hele ana i kēlā mau wahi.
- Hiki ke akahai a ʻaʻohe paha nā hōʻailona mua, akā ma hope o nā makahiki o ke ola ʻana i loko o ke kino, hiki i ka parasite ke hoʻoulu i nā maʻi puʻuwai koʻikoʻi.
- Inā ua huakaʻi ʻoe i ia ʻāina a maʻi ʻoe, e ʻike koke i kāu kauka a haʻi iā lākou e pili ana i kāu huakaʻi.
- ʻOiai ʻaʻohe lāʻau pale no kēia, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke pale iā ʻoe iho mai nā pepeke.
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