He ʻōpū ʻino kou? E aʻo kākou e pili ana i kēia maʻi kolera!

Ke hoʻomanaʻo nei ʻoe i ke ʻano o ka loaʻa koke ʻana o ka maʻi diarrhea i kekahi manawa? I kekahi manawa he lā a ʻelua paha ka lōʻihi a laila e hoʻomaikaʻi ia iā ia iho. Akā, e noʻonoʻo, inā loaʻa iā ʻoe ka maʻi diarrhea e wai mau ana i nā manawa a pau, manaʻo ʻoe ua nāwaliwali, a hoʻomaka ʻoe e luaʻi ... A laila pono ʻoe e akahele iki. No ka mea, he hōʻailona paha ia o kahi maʻi i kapa ʻia ʻo Cholera, hiki ke lilo i mea weliweli iki. Mai makaʻu, i kēia lā e kamaʻilio maʻalahi mākou e pili ana i kēia cholera, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo. He mea nui loa ka ʻike e pili ana i kēia, no ka mea a laila hiki iā mākou ke pale iā mākou iho a loaʻa koke ka lāʻau lapaʻau inā pono.

He aha ke kolera? I ka ʻōlelo maʻalahi...

I ka ʻōlelo maʻalahi, he maʻi bacteria ka cholera e kū mai ana i loko o ko kākou ʻōpū. Hoʻoulu kēia i ka maʻi diarrhea nui a wai. I ka pololei, nalowale nā ​​​​wai a pau i loko o ke kino. Kāhea mākou i kēia maʻi he dehydration . ʻAʻole wale ia, akā nalowale pū ko mākou kino i nā electrolytes , he mau minelala koʻikoʻi e kōkua i ke kino e hana.

He mea nui: He maʻi kolera hiki ke make inā ʻaʻole mālama pono ʻia. Inā loaʻa iā ʻoe ka maʻi diarrhea, e hoʻomaka e inu i ka nui o nā wai, e like me ka wai a me ka wai huaʻai. Inā koʻikoʻi ka maʻi diarrhea, inā nui kou luaʻi ʻana, a inā he mau hōʻailona o ka make wai ʻana, pono ʻoe e hele koke i ka haukapila .

ʻO ka maʻi kolera ka mea maʻamau ma nā wahi me ka ʻole o ka wai maʻemaʻe a me ka hoʻomaʻemaʻe kūpono. Hiki ke loaʻa iā ia mai ka ʻai ʻana i nā meaʻai kai maka, e like me ka iʻa paʻi. I kekahi manawa, hiki i ka kolera ke laha ma nā maʻi ahulau ma hope o nā pōʻino kūlohelohe, e like me nā ua nui, nā ōlaʻi, a me nā makani ʻino.

Ma nā wahi hea i loaʻa pinepine ai ka cholera?

Ma ka mōʻaukala, ua loaʻa nā maʻi ahulau kolera ma nā wahi āpau o ka honua. Eia nō naʻe, i nā manawa i hala iho nei, ua hōʻike ʻia nā maʻi ahulau hou loa ma:

• Mai kekahi mau ʻāina ma ʻĀsia mai
• Nā ʻāina ma ka hema o ka wao nahele ʻo Sahara ma ʻApelika (ʻApelika Hema-Saharan)
• Mai nā mokupuni Karipiano mai

Ua manaʻo ʻia aia ma waena o hoʻokahi miliona a ʻehā miliona mau kānaka ma ka honua holoʻokoʻa e loaʻa ana i ka maʻi kolera i kēlā me kēia makahiki, a aia ma waena o 20,000 a ʻoi aku paha ma mua o 100,000 mau kānaka e make ana mai ia mea i kēlā me kēia makahiki. No laila, ʻaʻole kēia he maʻi e lawe māmā ʻia.

He aha nā hōʻailona o ke kolera? Pehea ʻoe e ʻike ai iā lākou?

ʻO ka hōʻailona nui o ka cholera, ʻo ia ka ʻōpala wai . He ʻano hina hina kēia, he ao iki, e like me ka mucus. E noʻonoʻo i ka wai e puka mai ana i ka wā e holoi ai mākou i ka laiki ma mua o ka kuke ʻana ... ʻo ia ke ʻano. I kekahi manawa hiki iā ʻoe ke ʻike i nā ʻāpana liʻiliʻi o ka mucus e lana ana i loko o ka ʻōpala. Ua kapa pū nā kauka i kēia 'ʻōpala wai laiki' . Hiki i kēia maʻi diarrhea ke lilo koke i mea koʻikoʻi a hiki ke alakaʻi i ka make wai e hoʻoweliweli ai i ke ola.

ʻO nā hōʻailona ʻē aʻe:

• Ka luaʻi ʻana
• Makewai nui
• Luhi
• ʻEha a nāwaliwali paha nā ʻiʻo
• Pōʻino
• Ua emi loa a ua pau paha ka mimi ʻana
• Ka wikiwiki o ka puʻuwai

Akā, pono ʻoe e ʻike he nui ka poʻe i loaʻa i ka cholera ʻaʻole paha e hōʻike i kekahi mau hōʻailona. Hiki iā lākou ke hoʻolaha i ka maʻi i nā poʻe ʻē aʻe, me ka ʻike ʻole ua maʻi lākou.

He aha ke kumu o ke kolera? Pehea mākou e loaʻa ai?

Hoʻokumu ʻia ke kolera e kekahi ʻano bacteria i kapa ʻia ʻo Vibrio cholerae (a i ʻole V. cholerae) . Noho kēia bacteria i loko o ka wai mehana, paʻakai iki (ʻawaʻawa). No laila, ke inu mākou i ka wai a ʻai paha i ka meaʻai i haumia ʻia me kēia bacteria V. cholerae, hoʻopili kēia bacteria i nā paia o ko mākou ʻōpū liʻiliʻi a hana i nā mea ʻawaʻawa ma laila. Ma muli o kēia mau mea ʻawaʻawa e loaʻa ai iā mākou ka maʻi diarrhea.

No laila, ʻo nā ala nui e hiki ai iā mākou ke loaʻa i ka cholera:

• Ma ka ʻai ʻana i nā meaʻai kai maka e like me nā ʻoysters.
• Ma ka inu ʻana i ka wai i haumia me ka ʻōpala/nahele i loaʻa ka bacteria V. cholerae.
• Ma ka ʻai ʻana i ka meaʻai i hoʻomākaukau ʻia me ka wai i loaʻa ka bacteria V. cholerae.

Hiki ke laha ke kolera mai ke kanaka a i ke kanaka?

ʻAʻole laha pololei ka maʻi kolera mai ke kanaka a i ke kanaka, e like me ke anu. ʻO ia hoʻi, ʻaʻole laha ma ke kamaʻilio ʻana a i ʻole ke kokoke ʻana i kekahi. Eia naʻe, hiki ke laha pololei ʻole ʻia . Ua ʻike anei ʻoe pehea ? Ma nā wahi i ʻole ka wai maʻemaʻe a me nā halepaku liʻiliʻi, inā haumia ka ʻōpala (poop) o ke kanaka me ka kolera a komo i ke kaiapuni, hiki iā ia ke hoʻohaumia i ka wai (no ka laʻana, ka wai luawai, ka wai muliwai). Inā ʻoe e inu i kēlā wai, a kuke paha me kēlā wai, a holoi paha i kou mau lima me ia, hiki iā ʻoe ke hoʻolaha i ka maʻi i nā poʻe ʻē aʻe. ʻO ia ke kumu he mea nui ka maʻemaʻe.

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

ʻOi aku ka nui o ka hiki ʻana mai o nā maʻi kolera ma nā wahi i nele i ka wai maʻemaʻe, ka hoʻomaʻemaʻe kūpono, a me nā ʻano hana hoʻomaʻemaʻe wai inu a me ka wai kuke. ʻOi aku ka kiʻekiʻe o kēia pilikia ma nā wahi i hoʻopilikia ʻia e nā pōʻino kūlohelohe (e like me nā ōlaʻi a i ʻole nā ​​​​kahekahe).

ʻOiai hiki i kekahi mea i loaʻa i ka bacteria V. cholerae ke loaʻa i ka cholera, ʻoi aku ka nui o ka pilikia o kekahi poʻe. Hiki paha iā ʻoe ke loaʻa i ka cholera inā ʻoe:

• Inā he wahine ʻoe.
• Inā ʻo kou ʻano koko he 'O'.
• Inā haʻahaʻa ka waikawa o kou ʻōpū, ʻo ia hoʻi, inā he maʻi kou i kapa ʻia ʻo hypochlorhydria (no ka laʻana, inā lawe mau ʻoe i nā antacids a i ʻole nā ​​​​​​mea hoʻopaʻa proton pump no ka gastritis).
• Inā ua hana ʻia ʻoe i ke ʻoki ʻana e wehe i kahi hapa a i ʻole kou ʻōpū holoʻokoʻa (gastrectomy).
• Inā loaʻa iā ʻoe kahi maʻi H. pylori .

He aha nā pilikia e hiki mai ana o ke kolera? He mea weliweli anei kēia?

He mea weliweli ka Cholera ma muli o ʻelua mau mea : ka maloʻo ʻana o ka wai a me ka nalowale ʻana o nā electrolytes i loko o ke kino . Hiki i nā pilikia i hoʻokumu ʻia e kēia mau kūlana ke make koke. ʻO ia mau pilikia:

• ʻO ka haʻalulu hypovolemic: He ʻano haʻalulu kēia i hoʻokumu ʻia e ka emi ʻana o ka nui o ke koko a me ka wai i loko o ke kino.
• Nā pilikia o ka puʻuwai.
• Ka hemahema o nā ʻōkana, ʻoiai nā puʻupaʻa.

ʻO ia ke kumu a mākou e ʻōlelo nei inā kānalua ʻia ka maʻi kolera, he mea nui loa ia e ʻimi koke i ka lāʻau lapaʻau.

Pehea e ʻike pololei ʻia ai ka maʻi kolera?

Hoʻoholo nā kauka i ka maʻi kolera ma ka lawe ʻana i kahi hāpana ʻōpala a me ka nānā ʻana i ke alo o ka bacteria V. cholerae. I kekahi manawa e hana paha kāu kauka i nā hoʻāʻo koko e nānā i kou pae paʻakai a me ka maloʻo ʻana o ka wai.

He aha nā lāʻau lapaʻau no ka cholera?

ʻO ka mea nui e hana ai i ka wā e mālama ai i ka cholera, ʻo ia ke pale ʻana i ka maloʻo ʻana o ka wai . Hiki ke hana ʻia kēia ma ka inu ʻana i nā wai he nui, a i ʻole ma ka hāʻawi ʻana i nā wai intravenous (IV fluids) inā pono. Eia kekahi, kuhikuhi pinepine nā kauka i nā antibiotics e like me doxycycline, erythromycin, a i ʻole azithromycin e kōkua iā ʻoe e hoʻōla wikiwiki.

ʻO ka hāʻawi ʻana i nā mea hoʻopihapiha zinc i nā keiki ʻōpio ma waena o 6 mahina a me 5 mau makahiki he ʻāpana ia o ka lāʻau lapaʻau.

He mea nui: ʻAʻole ʻōlelo ʻia nā lāʻau antidiarrheal no ka maʻi cholera. Hiki iā lākou ke hoʻonui i nā hōʻailona. ʻO kēia no ka mea ʻo ka diarrhea kahi ala no ke kino e kipaku aku i nā germs.

Pehea e pale ai iā ʻoe iho mai ke kolera? He aha nā ʻano hana pale?

ʻO nā ala maikaʻi loa e pale aku ai i ka cholera:

• E inu wale i ka wai i hoʻomaʻemaʻe ʻia. E hoʻolapalapa pono i ka wai. A i ʻole e mālama me ka chlorine e hoʻomaʻemaʻe iā ia.
• E holoi pono i kou mau lima me ka wai maʻemaʻe a me ke kopa, ʻoiai ma mua o ka ʻai ʻana, ka hoʻomākaukau ʻana i ka meaʻai, a ma hope o ka hoʻohana ʻana i ka lua.
• Inā ʻaʻole ʻoe maopopo i ka maʻemaʻe o ka wai ma kou wahi e noho ai, e hoʻohana wale i ka wai ʻōmole no ka inu ʻana a me ka kuke ʻana.

Inā ʻoe e noho ana ma kahi e pilikia nui ai ʻoe i ka maʻi cholera, a inā ʻoe e hele ana i kekahi, loaʻa nā lāʻau pale waha. E hoʻomanaʻo ʻoiai hiki i kēia mau mea ke kōkua i ka hōʻemi ʻana i ka pilikia o ka loaʻa ʻana o ka maʻi, ʻaʻole lākou e hoʻopau loa i ka pilikia.

Ma kahi pae nui aʻe, ʻo ke ala maikaʻi loa e pale aku ai i ka maʻi kolera, ʻo ia ka hāʻawi ʻana i nā mea āpau i ka wai inu maʻemaʻe a me ka hoʻomaʻemaʻe maikaʻi. Pono kēia i nā papahana kōkua kanaka a me nā papahana olakino lehulehu o ka honua.

He aha kāu e hana ai inā loaʻa iā ʻoe ka maʻi kolera? Āhea ʻoe e hele koke ai i ka haukapila?

Inā loaʻa iā ʻoe ka maʻi kolera - a i ʻole kekahi maʻi e hoʻoulu ai i ka maʻi pākī a i ʻole ka luaʻi - ʻo ka mea nui loa, ʻo ia ka inu ʻana i nā wai he nui ma mua o kou maloʻo ʻana .

• He aha ka mea maikaʻi e inu ai?ʻO ka wai, ka porridge paʻakai, nā sopa, a me nā hopena hoʻomaʻemaʻe waha (ORS), e like me kā mākou Jeevani, a i ʻole Pedialyte® a i ʻole Ceralyte®, hiki iā ʻoe ke kūʻai ma ka hale kūʻai lāʻau lapaʻau, ʻo ia nā koho maikaʻi loa no ka noho ʻana i ka wai.
• He aha nā mea ʻaʻole e inu? ʻO nā mea inu ʻono e like me nā mea inu haʻuki, nā wai huaʻai, a me ka soda hiki ke hoʻonui i ka maʻi diarrhea no ka mea he kiʻekiʻe ko lākou kō. Eia kekahi, e pale i ka lawe ʻana i nā lāʻau anti-diarrhea.

Āhea ʻoe e hele koke ai i ka haukapila (ETU) ?

Hiki i ka maʻi kahe ke hoʻomaloʻo koke iā ʻoe. Inā loaʻa iā ʻoe ka maʻi kahe nui a i ʻole ka luaʻi ʻana, e hele i ka haukapila a i ʻole e ʻimi koke i ke kōkua lapaʻau. Inā loaʻa iā ʻoe ka maʻi kahe a i ʻole ka luaʻi ʻana a me kēia mau hōʻailona, ​​e kelepona koke i ka 911 (1990 Suwaseriya ma Sri Lanka) a i ʻole e hele koke i ka haukapila:

• ʻEhaʻeha o nā ʻiʻo
• Makewai nui
• Ua emi loa a nalowale loa paha ka mimi
• Pōʻino
• Nāwaliwali
• Ka wikiwiki o ka puʻuwai
• Ka huikau a i ʻole ke kūlana noʻonoʻo i hoʻololi ʻia

E ho'ōla ʻia anei ke kolera me ka ʻole o ka lāʻau lapaʻau?

ʻAe, hiki ke ho'ōla ʻia ke kolera me ka ʻole o nā lāʻau antibiotic. Eia nō naʻe, he mea nui e hoʻokele pono i nā hōʻailona . ʻO ke ʻano kēia o ka inu ʻana i ka nui o nā wai, ka hoʻololi ʻana i nā electrolytes, a me ka pale ʻana i nā maʻi koʻikoʻi.

Me ka mālama ʻana - ʻo ia hoʻi, me ka hoʻokele wai kūpono e pale aku i ka maloʻo ʻana - ʻo ka nui o ka make mai ka cholera ma lalo o 1%. Eia nō naʻe, inā ʻaʻole mālama ʻia, ʻoi aku kēia helu ma mua o 50% . Hōʻike kēlā i ke koʻikoʻi o ka mālama ʻana, ʻeā?

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

Inā manaʻo ʻoe he cholera kou, he mea kōkua paha ke nīnau i kēia mau nīnau ke ʻike ʻoe i ke kauka:

• He aha ke ala maikaʻi loa e noho hydrated ai?
• He aha kaʻu e hana ai inā manaʻo wau ua maloʻo wau?
• He aha kaʻu e hana ai e pale aku ai i ka laha ʻana o ke kolera i nā poʻe ʻē aʻe?

Inā hele au i kahi i loaʻa ai ka maʻi kolera, pehea lā e hiki ai iaʻu ke pale aku iaʻu iho?

Ma ʻAmelika Hui Pū ʻIa, aia kahi hui i kapa ʻia ʻo CDC (Centers for Disease Control and Prevention). Ma kā lākou pūnaewele (Travel Health Notices), hiki i nā mea huakaʻi ke loaʻa ka ʻike e pili ana i nā wahi i laha ai nā maʻi e like me ke kolera.

Inā ʻoe e noho ana ma kahi i laha nui ai ka maʻi kolera, a inā paha ʻoe e hoʻolālā ana e hele i kekahi, e makaʻala loa i ka wai āu e inu ai. E holoi pono i kou mau lima, a e makaʻala i ka hoʻomākaukau ʻana i ka meaʻai. Hiki i kēia mau mea ke kōkua iā ʻoe:

• Wai ʻōmole
• Nā papa chlorine - hoʻomaʻemaʻe i ka wai
• ʻO ka bleach hale - e hoʻomaʻemaʻe i ka wai (e hoʻohana i ka nui kūpono)
• Nā papa iodine - hoʻomaʻemaʻe i ka wai
• Nā meaʻai i hoʻopili mua ʻia

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

No laila, inā loaʻa iā ʻoe ka maʻi diarrhea koʻikoʻi, inā paha mai ka cholera a i ʻole kekahi kumu ʻē aʻe, e ʻike koke i ke kauka . Pono ʻoe e hoʻololi i nā wai a me nā electrolytes e pale aku i ka dehydration. ʻO kēia pilikia, i kapa ʻia ʻo dehydration, hiki ke hana i nā pilikia olakino koʻikoʻi a me ka make.

ʻOiai ʻaʻole mākou e lohe pinepine e pili ana i ka maʻi kolera, he hoʻoweliweli nui ia no ke olakino a puni ka honua. Ke hana pū nei nā keʻena olakino lehulehu e hōʻemi i nā maʻi ahulau a me nā make kolera, ʻoi aku hoʻi ma nā wahi i hoʻopilikia ʻia.

Inā ʻoe e hele ana i kahi wahi i laha nui ai ka maʻi cholera, hiki i ka loaʻa ʻana o kahi lāʻau pale ke kōkua i ka pale ʻana iā ʻoe a me nā poʻe ʻē aʻe. E inu i ka wai nui, ka porridge paʻakai, a me ka jeevani i ka wā e loaʻa ai iā ʻoe ka maʻi diarrhea. Inā ʻaʻole ʻoe maopopo inā hiki iā ʻoe ke noho hydrated, e ʻimi koke i ke aʻo lapaʻau . E hoʻomanaʻo, ʻo ka maʻemaʻe ka pale maikaʻi loa i ka cholera!

ʻO ke kolera, ka maʻi pākī, ka luaʻi ʻana, ka maloʻo ʻana o ka wai, ka maʻi bacteria, Vibrio cholerae, ka wai maʻemaʻe, ka hoʻomaʻemaʻe ʻana, nā maʻi lele