He aha ka maʻi Chagas? E kamaʻilio maʻalahi kākou e pili ana.

Aia kekahi mau maʻi i lohe ʻole ʻia e kākou, akā he mea maʻamau ia ma kekahi mau ʻāina o ka honua. I kēia lā, e kamaʻilio kākou e pili ana i kahi maʻi i laha ma ke ʻano ʻē, ʻoi aku hoʻi ma nā ʻāina ʻo ʻAmelika ʻĀkau, Waena a me ʻAmelika Hema. Ua kapa ʻia kēia ʻo Chagas Disease. Ua kapa pū kekahi poʻe iā ia ʻo "American Trypanosomiasis". ʻOiai paha he mea weliweli ke kani o ka inoa, he mea nui loa ia e makaʻala i kēia, ʻoi aku hoʻi inā ʻoe e hele ana i ia ʻāina.

I ka ʻōlelo maʻalahi, he aha ka maʻi Chagas?

ʻO ka maʻi Chagas kahi maʻi i hoʻokumu ʻia e kahi parasite liʻiliʻi i kapa ʻia ʻo `(Trypanosoma cruzi)` . Lawe ʻia kēia parasite e kahi pepeke kūikawā loa. Ua kapa ʻia kēia pepeke ʻo "Triatomine bug". Akā ʻoi aku ka ʻike ʻia o kēia ʻo "Kissing Bug".

I kēia manawa, ke noʻonoʻo nei paha ʻoe no ke aha i kapa ʻia ai kēia pepeke ʻo "kissing bug." ʻO ke kumu, hele pinepine mai kēia pepeke i ka pō i ka wā e hiamoe ana ka poʻe a nahu i ko lākou mau maka, ʻoiai nā wahi a puni nā lehelehe a i ʻole nā ​​maka. Loaʻa kona inoa no ka mea e nahu ana ia ma ke ʻano e like me ka hāʻawi ʻana iā lākou i kahi honi.

Akā, ʻaʻole i laha wale ka maʻi ma o ka nahu ʻana o ka pepeke. Eia ka mea e hana ʻia:

1. I ka wā e omo ai ka "kissing bug" i ke koko mai kou kino, hoʻopuehu ia ma kahi kokoke i kahi i nahu ʻia ai.

2. ʻO ka parasite `(Trypanosoma cruzi)` aʻu i ʻōlelo ai ma mua ua loaʻa i loko o nā ʻōpala o kēia pepeke.

3. Inā ʻoe e kahakaha a hoʻopā paha i kahi nahu, hiki i nā ʻōpala o ka parasite ke komo i kou kino ma o ka ʻeha, kou mau maka, ihu, a i ʻole ka waha.

ʻO ka mea weliweli loa e pili ana i kēia maʻi, ʻo ia ka nui o ka poʻe i hōʻike ʻole i nā hōʻailona i nā wā mua o ka maʻi. No laila, ʻaʻole lākou i ʻike he maʻi ko lākou. Inā ʻaʻole mālama ʻia, hiki i kēia maʻi ke lilo i maʻi mau a hōʻeha nui i ka puʻuwai a me ka ʻōnaehana hoʻoheheʻe no nā makahiki, a hiki i nā makahiki he ʻumi.

He aha nā hōʻailona o ka maʻi Chagas?

ʻElua mau pae nui o ka maʻi Chagas: ke pae ʻāwīwī a me ke pae mau loa.

Nā hōʻailona mua (kahua koʻikoʻi)

Hiki ke ʻike ʻia kēia mau hōʻailona i loko o nā pule mua a ʻelua paha mahina ma hope o ka maʻi. Akā, ʻaʻohe hōʻailona o ka nui o ka poʻe , a he ʻoluʻolu loa paha nā hōʻailona i loaʻa iā lākou, e like me ka maʻi flu maʻamau.

• kuni
• ʻEha kino
• Luhi
• ʻEha poʻo
• Ka maʻi kahe a me ka luaʻi
• ʻO ka wahi i nahu ʻia ai ʻoe e ka pepeke e lilo i ʻulaʻula, pehu, a i kekahi manawa e lilo i ʻeha (chagoma).
• Pehu nui o ka lihilihi maka. Ua kapa ʻia kēia ʻo "Romaña's sign" ma ka ʻōlelo lapaʻau. He hōʻailona kikoʻī loa kēia.

Nā hōʻailona e ulu aʻe ana i ka hala ʻana o ka manawa (kahua mau)

Inā ʻaʻole mālama ʻia ke kahua mua, e noho mau ana ka maʻi i loko o ke kino. Akā hiki ke noho no nā makahiki me ka ʻole o ka hōʻike ʻana i nā hōʻailona. Ma kahi o 30% - 40% o ka poʻe i loaʻa i ka maʻi e loaʻa i nā pilikia koʻikoʻi. Eia nā hōʻailona weliweli loa:

ʻO ka "kisin bug" wale nō anei ka mea e hoʻolaha nei i kēia maʻi?

Hoʻolaha nui ʻia kēia maʻi e ka "kissing bug". Eia nō naʻe, hiki ke hoʻolaha ʻia ma kekahi mau ʻano ʻē aʻe.

• Mai ka makuahine a i ke keiki: Inā loaʻa kēia maʻi i ka makuahine hāpai, hiki ke laha i kāna pēpē ma o ka placenta, i ka wā hānau keiki, a i ʻole ma o ka hānai waiū.
• Ma o ka meaʻai i loaʻa i ka maʻi: Ma ka inu ʻana i ka meaʻai a i ʻole ka wai huaʻai (ʻoi aku ka mea i hoʻomaʻemaʻe ʻole ʻia) i haumia ʻia me ka parasite.
• Ke hoʻoili koko a i ʻole ka hoʻoili kino: Ke loaʻa ʻana o ke koko a i ʻole nā ​​​​kino mai kahi kanaka i loaʻa i ka maʻi. Eia nō naʻe, ua emi loa kēia pilikia i nā ʻāina he nui no ka mea ua nānā ʻia nā mea hāʻawi koko no ka maʻi Chagas.

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

ʻAʻole maʻamau kēia maʻi ma Sri Lanka, akā ʻoi aku ka kiʻekiʻe o ka pilikia no ka poʻe i loaʻa i kēia mau kūlana:

• Inā ʻoe e noho ana a i ʻole ua noho paha ma nā wahi kuaʻāina o ʻAmelika Hema, ʻAmelika Waena, a i ʻole Mekiko, ʻoiai hoʻi ma nā hale me nā paia lepo, nā hale mauʻu, a ʻaʻohe pale ma nā puka makani, ʻoi aku ka nui o ka noho ʻana o ka "kissing bug" ma ia mau wahi.
• Inā loaʻa ka maʻi Chagas i ka makuahine a hānau ʻia ke keiki.
• Inā ua hōʻiliʻili ʻia ke koko ma mua o ka loaʻa ʻana o nā ʻano hoʻāʻo koko (ma ka hapa nui o nā ʻāina ma waena o 1990-2007).

Nā pilikia koʻikoʻi e hiki ke kū mai ma muli o ka maʻi Chagas

Pono kākou e hopohopo nui e pili ana i kēia maʻi ma muli o nā pilikia lōʻihi e hiki ke hana.

ʻO nā pilikia nui e hiki ke hana i ka wā maʻi mau loa:

• Ka puʻuwai kūpono ʻole (Arrhythmia): Puʻuwai kūpono ʻole.
• Hopu ka puʻuwai: Hoʻōki koke ʻia ka hana a ka puʻuwai.
• Dilated cardiomyopathy: Lilo ka ʻiʻo o ka puʻuwai i nāwaliwali, hoʻonui ʻia ka puʻuwai, a ʻaʻole hiki ke pamu pono i ke koko.
• Ka hāʻule ʻana o ka puʻuwai: ʻAʻole hiki i ka puʻuwai ke pamu i ke koko kūpono i ke kino.
• ʻO ka esophagus i hoʻonui ʻia: Paʻakikī i ka ale ʻana i ka meaʻai.
• ʻO ka kolona nui: Loaʻa ka paʻa paʻa nui.

Pehea ʻoe e ʻike ai inā loaʻa iā ʻoe kēia maʻi?

ʻO ke ala nui e hōʻoia ai inā loaʻa iā ʻoe ka maʻi Chagas, ʻo ia ka loaʻa ʻana o kahi hoʻāʻo koko . Nānā kēia i nā antibodies i loko o ke koko, ʻo ia ka pale o ke kino i ka parasite T. cruzi.

Inā loaʻa iā ʻoe kekahi mau hōʻailona e pili ana i kou puʻuwai a i ʻole ka ʻōnaehana hoʻoheheʻe, hiki i kāu kauka ke kauoha i nā hoʻokolohua hou aʻe.

• Echocardiogram: He scan e nānā i ka hana a me ke ʻano o ka puʻuwai.
• Electrocardiogram (EKG/ECG): He hoʻāʻo no ka hana uila o ka puʻuwai.
• X-ray a i ʻole CT scan: Ke kiʻi ʻana i nā kiʻi o ka umauma a i ʻole ka ʻōpū.
• ʻO ka endoscopy luna: Ka nānā ʻana o ka esophagus me ka hoʻohana ʻana i kahi ʻōmole me kahi kāmela.
• Colonoscopy: Ka nānā ʻana i ka ʻōpū nui.

Aia kekahi lāʻau lapaʻau?

ʻAe, ʻo ka mea pōmaikaʻi, aia kahi lāʻau lapaʻau no kēia. ʻElua mau lāʻau lapaʻau e pepehi i nā parasites e hoʻohana nui ʻia. ʻO lākou ʻo `benznidazole` a me `nifurtimox` .

Hiki i kekahi poʻe ke loaʻa nā hopena ʻaoʻao i ka wā e lawe ai i kēia lāʻau. Eia kekahi laʻana, ka nalowale o ka makemake, ka nausea, ka luaʻi ʻana, ka ʻeha poʻo , a me ka ʻeha ʻiʻo. Inā loaʻa kekahi mea e like me kēia, mai hoʻōki i ka lawe ʻana i ka lāʻau, akā e kamaʻilio koke me kāu kauka. E hāʻawi ʻo ia iā ʻoe i kahi hopena.

Āhea ʻoe e ʻike ai i ke kauka?

Inā ua noho ʻoe a i ʻole ua hele paha i kahi i loaʻa ai ka maʻi Chagas, he mea nui loa e ʻike i ke kauka no ka ʻōlelo aʻo ma nā kūlana aʻe:

• Inā he maʻi puʻuwai kou a i ʻole nā ​​pilikia o ka ʻōnaehana hoʻoheheʻe.
• Inā kānalua ʻoe he maʻi kou a makemake ʻoe e hoʻāʻo ʻia (ʻoi aku hoʻi ma mua a i ka wā hāpai paha).

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

Inā loaʻa kekahi o nā hōʻailona koʻikoʻi ma lalo nei, e hele koke i ka ʻOihana Pōpilikia (ETU) o ka haukapila kokoke loa.

• ʻEha poʻo nui loa
• ʻOʻoleʻa o ka ʻāʻī
• ʻEha nui o ka umauma
• Ka maʻi pākī nui a i ʻole ka luaʻi ʻana
• Ka huikau a i ʻole ka dementia

Hiki ke pale ʻia kēia maʻi?

ʻAe, aia nā ala e pale aku ai iā ʻoe iho, ʻoiai inā ʻoe e noho ana a i ʻole e hele ana i nā wahi pilikia kiʻekiʻe.

• Ke pīpī ʻana i nā insecticide i loko a puni nā hale.
• Ke sila pono ʻana i nā puka ma nā puka a me nā puka makani i ʻole e komo nā "kīkē honi" i loko o ka hale.
• Ka hoʻohana ʻana i nā ʻupena, e like me nā ʻupena makika, i ka wā e hiamoe ai.
• E hōʻalo i ka inu ʻana i ka wai huaʻai i hoʻomaʻemaʻe ʻole ʻia a me ka ʻai ʻana i nā meaʻai i haumia ʻia me ka parasite.

Inā ua huakaʻi ʻoe i kahi wahi pilikia a ke manaʻolana nei e hāpai, e kamaʻilio me kāu kauka e pili ana i ka hoʻāʻo ʻia no ka maʻi Chagas.