I ka wā ua, i ka wā e piha ai ka wai a puni mākou a hoʻomaka nā makika e hānau, ʻo kekahi o nā makaʻu nui e hiki mai ana i ka noʻonoʻo o nā mea a pau, ʻo ia ka dengue. ʻO ka ʻike ʻana i kahi makika liʻiliʻi e hoʻoluliluli i kou puʻuwai, ʻeā? No laila, i kēia lā e kamaʻilio pololei a maʻalahi mākou e pili ana i ka maʻi dengue, ka mea a nā mea a pau e kamaʻilio nei i kēia mau lā, kona mau hōʻailona, nā ala e noho palekana ai, a me ka mālama ʻana.
He aha maoli ka maʻi dengue?
I ka ʻōlelo maʻalahi, he maʻi ka maʻi dengue i hoʻokumu ʻia e kahi virus. Komo ia i loko o ko kākou kino ke nahu ʻia kākou e kahi makika o ka ʻano Aedes e lawe ana i ka maʻi dengue. Loaʻa i kēia makika ka maʻi ke omo ʻo ia i ke koko o ke kanaka i loaʻa mua i ka dengue. ʻO ka mea nui loa, ʻaʻole e laha pololei ka maʻi dengue mai kekahi kanaka a i kekahi. No kēia, pono kēlā makika e lilo i mea waena.
He mea maʻamau loa kēia maʻi ma nā ʻāina wela e like me Sri Lanka. No laila, he mea nui loa ia e makaʻala mau kākou i kēia.
Aia kekahi mau ʻano like ʻole o ka maʻi dengue?
ʻAe. ʻEhā ʻano nui, a i ʻole e like me ka kapa ʻana a nā kauka iā lākou, nā serotypes, o ka maʻi dengue.
- DENV-1
- DENV-2
- DENV-3
- DENV-4
Hoʻokumu nā ʻehā i nā hōʻailona like. Akā ʻo ka mea kūikawā ma ʻaneʻi, inā loaʻa iā ʻoe ka dengue mai kekahi ʻano maʻi (no ka laʻana, DENV-1), hoʻomohala kou kino i ka pale ʻana no ke ola holoʻokoʻa e kūʻē i kēlā ʻano. ʻO ke ʻano kēia, ʻaʻole ʻoe e loaʻa hou i ka dengue mai kēlā ʻano. Eia naʻe, loaʻa iā ʻoe ka pale manawa pōkole mai nā ʻano ʻekolu ʻē aʻe. No laila, aia ka pilikia o ka loaʻa ʻana o ka dengue i ka lua o ka manawa mai kahi ʻano maʻi ʻē aʻe.
He aha ka ʻokoʻa ma waena o ka dengue a me ka malaria?
E like me ka dengue, he maʻi lawe ʻia e ka makika ka malaria. Akā, he ʻokoʻa loa nā mea ʻelua. He mea nui e ʻike pono i kēia ʻokoʻa.
| Hiʻona | Ka maʻi Dengue | Malaria |
|---|---|---|
| Mea ola hānau | Ma muli o ka maʻi dengue. | Ma muli o kahi parasite malaria. |
| Namu lawe maʻi | Namu ʻAedes (nahu pinepine i ke ao). | ʻO ka makika Anopheles (nahu pinepine i ka pō). |
| Nā hōʻailona nui | Ke kuni nui, ʻeha ma lalo o nā maka, ʻeha ke kino a me nā hono, nā ʻōhūhū ʻili. | Ke kuni nui me ke anu, ka luhi loa, ka maʻi ʻaʻai, a me nā ʻōhūhū. |
| Lapaʻau | ʻAʻohe lāʻau lapaʻau kūikawā no ka maʻi. Hāʻawi ʻia nā lāʻau lapaʻau kākoʻo no nā hōʻailona. | Aia nā lāʻau lapaʻau kūikawā no ka malaria. |
He aha nā hōʻailona o ka maʻi dengue?
ʻO ka maʻamau, hoʻomaka ka ʻike ʻia ʻana o nā hōʻailona ma waena o 4 a me 10 mau lā ma hope o ka nahu ʻana o ka makika.
Nā hōʻailona maʻamau o ka maʻi dengue:
- Kuni kiʻekiʻe loa (104°F / 40°C)
- ʻEha poʻo hiki ʻole ke hoʻomanawanui
- ʻEha ma hope o nā maka
- ʻEha nui ma ke kino, nā hono, a me nā iwi (ʻo ia ke kumu i kapa ʻia ai ʻo "breakbone fever")
- Ka luaʻi a me ka luaʻi
- ʻUlaʻula ʻili
I kekahi manawa, he ʻoluʻolu loa kēia mau hōʻailona a hiki ke like me ke anu maʻamau. No laila, inā he kānalua kāu, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka.
Nā hōʻailona weliweli e makaʻala ai!
I kekahi manawa, hiki i ka maʻi dengue maʻamau ke lilo i maʻi weliweli i kapa ʻia ʻo Dengue Hemorrhagic Fever . Inā ʻike ʻoe i kēia mau hōʻailona, pono ʻoe e hele koke i ka haukapila a i ʻole ka Emergency Treatment Unit (ETU) .
Nā Hōʻailona Hoʻolaha:
* ʻEha nui o ka ʻōpū
* Ka luaʻi ʻana ʻaʻole e pau
*Ke kahe ʻana o ke koko mai ka ihu a i ʻole nā ʻāʻī
* Ke kahe koko me ka luaʻi ʻana, ka ʻōpala, a i ʻole ka mimi
* Ke kahe ʻana o ke koko ma lalo o ka ʻili (e like me nā palapū)
* Paʻakikī ka hanu ʻana a i ʻole ka hanu wikiwiki
* Luhi nui, palaualelo
* Hoʻomaha ʻole a huhū paha
Hiki i kēia maʻi ke holomua i ka Dengue Shock Syndrome (DSS) a hiki ke hoʻoweliweli i ke ola. No laila e makaʻala pono i kēia mau hōʻailona.
Pehea e ʻike pono ai inā he dengue? (Diagnosis)
Inā kānalua ʻoe he dengue kou, hiki i ke kauka ke hōʻoia iā ia ma ka hana ʻana i kahi hoʻāʻo koko. Mai poina e haʻi i kāu kauka, ʻoiai inā ua hele ʻoe i kahi wahi maʻamau ka dengue a loaʻa iā ʻoe ke kuni.
Aia kekahi mau hoʻokolohua nui i hoʻohana ʻia no ka ʻike ʻana i ka dengue:
- Nā Hoʻāʻo Antibody: Nānā kēia i nā antibodies i loko o kou koko a kou kino e hana ai e kūʻē i ka maʻi dengue. ʻO kekahi o ia mau hoʻāʻo ʻo ia ka MAC-ELISA.
- Nā Hoʻāʻo Molekala: Ke nānā pololei nei kēia i ke alo o ka mea genetic o ka maʻi i loko o ke koko. ʻO ka hoʻāʻo maʻamau no kēia ʻano hoʻāʻo ʻo ia ka Polymerase Chain Reaction (PCR).
- Helu Koko Piha (CBC / FBC): He hoʻāʻo koʻikoʻi loa kēia i ka dengue. Ke hiki mai ka dengue, emi ka helu o nā platelets a me nā hunaola koko keʻokeʻo i loko o ko kākou koko. Hiki i kēia hoʻāʻo ke kōkua i ke kauka e loaʻa kahi manaʻo o ke koʻikoʻi o kou maʻi.
He aha nā lāʻau lapaʻau no ka dengue?
ʻO ka mea nui loa, ʻaʻohe lāʻau lapaʻau kikoʻī e pepehi i ka maʻi dengue. ʻO ka mea hiki iā mākou ke hana, ʻo ke kāohi i nā hōʻailona a kākoʻo i ke kino.
Inā manaʻo ʻoe he dengue kou, e hana i kēia mau mea:
1. E lawe i nā lāʻau ʻeha: E hoʻohana wale i ka paracetamol no ke kuni a me nā ʻeha kino.
2. E hōʻalo i kēia mau lāʻau lapaʻau: E hōʻalo i ka lawe ʻana i nā lāʻau ʻeha (NSAID) e like me ka aspirin a me ka ibuprofen . Hiki iā lākou ke hoʻonui i ka pilikia o ke kahe ʻana o ke koko.
3. E hoʻomaha nui: E hāʻawi i kou kino i ka hoʻomaha e like me ka hiki.
4. E inu i ka nui o nā wai: He mea nui loa ia e pale aku i ka maloʻo ʻana o ka wai. E hoʻomau i ka inu ʻana i ka wai, nā wai huaʻai, ka porridge, a me nā wai ʻē aʻe.
Inā koʻikoʻi kou mau hōʻailona, inā emi kou kuni ma hope o ʻelua a ʻekolu paha lā a maʻi hou ʻoe, a inā loaʻa iā ʻoe kekahi o nā hōʻailona weliweli a mākou i kūkākūkā ai ma mua, e ʻimi koke i ke kōkua lapaʻau. Pono paha ʻoe e lawe ʻia i ka haukapila no ka mālama ʻana.
Pehea e pale ai iā ʻoe iho mai ka dengue? (Kāohi ʻana)
ʻO ke ala maikaʻi loa e pale aku ai iā ʻoe iho mai ka dengue, ʻo ia ke pale aku iā ʻoe iho mai nā makika. Pono kākou a pau e hana pū e hana i kēia.
E mālama iā ʻoe iho:
- E hoʻohana i nā mea pale makika: E kau i ka mea pale makika ma loko a ma waho.
- E ʻaʻahu kūpono: E ʻaʻahu i nā lole loloa a me nā lole lima lōʻihi i ka wā e hele ai i waho.
- E hoʻohana i nā ʻupena makika: E hōʻoia e hiamoe ma lalo o kahi ʻupena makika ke hiamoe ʻoe.
- E kau i nā ʻupena ma nā puka a me nā puka makani:Inā hiki, e hoʻokomo i nā pale ma nā puka a me nā puka makani e pale ai i ke komo ʻana o nā makika.
E hoʻopau kākou i nā wahi hoʻoulu namu:
ʻO kēia ka mea nui loa. Hoʻomoe ka makika ʻAedes i kāna mau hua i loko o ka wai maʻemaʻe a paʻa . No laila e nānā pinepine i kāu māla a me nā wahi e puni ana.
- E hoʻolei aku i nā mea e like me nā kaila kahiko, nā kīʻaha yogurt, nā pūpū niu, a me nā kini hakahaka.
- E hoʻokahe mau a hoʻomaloʻo i nā pā liʻiliʻi ma lalo o nā ipu pua a me nā pā ma hope o ka pahu hau kahi e hōʻiliʻili ai ka wai.
- E nānā i nā ʻauwai ma luna o ka hale no nā lau e paʻa ana a e hōʻiliʻili ana ka wai.
- E pani pono i nā mea e like me nā pahu wai a me nā barela.
Inā loaʻa kekahi o kou ʻohana i ka maʻi dengue, e akahele loa e pale i nā poʻe ʻē aʻe mai nā makika, no ka mea, hiki i kahi makika e nahu i kēlā kanaka ke hoʻolaha i ka maʻi i nā poʻe ʻē aʻe o ka ʻohana.
Leka Lawe-Home
- Hoʻolaha ʻia ke kuni dengue e ka makika ʻAedes. ʻAʻole ia e laha pololei mai ke kanaka a i ke kanaka.
- ʻOiai he mau hōʻailona maʻamau ke kuni nui, ka ʻeha poʻo, a me ka ʻeha o ke kino, e makaʻala mau i nā hōʻailona weliweli e like me ka ʻeha nui o ka ʻōpū, ka luaʻi mau ʻana, a me ke kahe ʻana o ke koko .
- ʻAʻohe lāʻau lapaʻau kūikawā no ka maʻi dengue. ʻO ka mālama ʻana he mālama kākoʻo wale nō e like me ka hoʻomaha, nā wai, a me ka paracetamol .
- Mai lawe i nā lāʻau ʻeha e like me ka aspirin a i ʻole ibuprofen.
- ʻO ke ala maikaʻi loa e pale aku ai iā ʻoe iho mai ka dengue, ʻo ia ka pale ʻana i nā nahu makika a me ka luku ʻana i nā wahi hoʻoulu makika. ʻO kou kuleana ka mālama ʻana i kou wahi a puni i ka maʻemaʻe.
- Inā kānalua a inā paha e ʻike ʻia nā hōʻailona weliweli, e ʻike koke i kāu kauka a i ʻole e hele i ka haukapila.
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