Ua ʻike paha ʻoe i kahi ʻuku liʻiliʻi e pili ana i kou kino i kou hele ʻana i loko o ka ululāʻau a i ʻole e pāʻani ana i ka mauʻu i loko o kāu māla. I kēlā manawa, manaʻo mākou, "Auē, kēia mea liʻiliʻi, he aha kaʻu e hana ai?" a hoʻolei wale mākou iā ia, ʻeā? Akā ua ʻike anei ʻoe hiki i kēia mau ʻuku liʻiliʻi ke hoʻoili i nā maʻi a mākou i noʻonoʻo ʻole ai, i kekahi manawa he mea hoʻoweliweli i ke ola ? ʻĀ, i kēia lā e kamaʻilio mākou e pili ana i kahi maʻi i lawe ʻia e ka ʻuku me kahi inoa ʻē, akā hiki ke weliweli inā ʻaʻole mālama pono ʻia, i kapa ʻia ʻo Ehrlichiosis .
He aha ʻo Ehrlichiosis? I ka ʻōlelo maʻalahi...
I ka ʻōlelo maʻalahi, ʻo Ehrlichiosis kahi maʻi i hoʻokumu ʻia e kahi ʻano bacteria . Hoʻokumu ʻia ia e ka bacteria 'Ehrlichia chaffeensis', 'E. ewingii' a i ʻole 'E. muris eauclairensis'. Komo kēia bacteria i ke kino ke nahu kahi ʻuiki i loaʻa i ka maʻi . E like me ka dengue e laha ʻia e kahi makika. Aia ʻelua ʻano ʻuiki e kuleana nui no kēia, ʻo ia hoʻi ka 'lone star tick' a me ka 'blacklegged tick'.
Hiki i kēia maʻi ke hoʻomaka ma ke ʻano he anu a he maʻi palū maʻamau . No laila, ʻaʻole paha mākou e nānā nui iā ia. Eia naʻe, inā ʻaʻole mālama koke ʻia, hiki ke lilo i mea koʻikoʻi a hoʻoweliweli i ke ola . I kekahi manawa ua kapa ʻia kēia maʻi ʻo 'human monocytic ehrlichiosis (HME)'.
Ua like kēia me ka maʻi Lyme?
Ua lohe paha ʻoe i ka maʻi Lyme. He maʻi nō hoʻi ia e lawe ʻia e ka makika. ʻOiai ua laha nā maʻi ʻelua e nā makika, aia kekahi mau ʻokoʻa iki i nā hōʻailona . Akā ʻo ka mea nui e hoʻomanaʻo ai, ʻo ia ka hiki i ka Ehrlichiosis ke ʻoi aku ka koʻikoʻi ma mua o ka maʻi Lyme inā ʻaʻole mālama koke ʻia .
He mea weliweli maoli anei ka bacteria Ehrlichia?
ʻAe, hiki i kēia maʻi Ehrlichia ke lilo i mea weliweli inā ʻaʻole mālama ʻia . E noʻonoʻo wale, ma kahi o 60 o 100 mau kānaka e loaʻa ana i kēia maʻi e pono e hoʻokomo ʻia i ka haukapila . Eia kekahi, e like me nā hōʻike, ma kahi o hoʻokahi o 100 mau kānaka e loaʻa ana i kēia maʻi e make paha . No laila, ʻaʻole kēia he maʻi maikaʻi e noʻonoʻo māmā ʻia.
ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana o Ehrlichiosis?
ʻO kaʻoiaʻiʻo, hiki i kekahi mea i nahu ʻia e ka ʻuku ke loaʻa i kēia maʻi. Loaʻa pinepine nā ʻuku ma nā mauʻu kiʻekiʻe a me nā wahi ululāʻau. Hiki ke loaʻa kēia mau ʻuku ma nā kino o kā mākou mau holoholona .
Eia nō naʻe, ʻoi aku ka nui o ka pilikia o kekahi poʻe i ka loaʻa ʻana o kahi ʻano maʻi ʻoi aku ka koʻikoʻi inā loaʻa iā lākou. Eia kēia mau mea:
- Nā kānaka ma luna o 50 mau makahiki.
- Nā kānaka me nā ʻōnaehana pale kino nāwaliwali. Eia kekahi laʻana, nā kānaka me ka maʻi HIV, nā maʻi kanesa, a i ʻole ka poʻe e lawe ana i nā lāʻau lapaʻau e kāohi ana i ka ʻōnaehana pale kino.
- ʻO nā kānaka me nā maʻi mau loa e like me ka maʻi diabetes mellitus, a i ʻole nā maʻi pili o nā ʻiʻo.
ʻOiai ʻaʻohe ʻikepili maopopo e pili ana i ka laha ʻana o kēia maʻi ma Sri Lanka, he mea maʻamau ia ma kekahi mau ʻāina o ka honua, ʻoi aku hoʻi ma kekahi mau wahi o ʻAmelika. ʻO ka hapa nui o ka manawa, ua hōʻike nui ʻia kēia maʻi i nā mahina kauwela, ʻo ia hoʻi, i nā mahina o Mei, Iune, Iulai a me Kepakemapa . ʻO kēia no ka mea i loko o ia manawa, hoʻolōʻihi ka poʻe i ka manawa ma waho, a ʻoi aku ka nui o nā makika i kēlā manawa.
Pehea ka hopena o Ehrlichiosis i ko mākou kino?
ʻO nā bacteria Ehrlichia e hoʻoulu ai i ka Ehrlichiosis e komo i loko o ko kākou koko ma hope o ka nahu ʻana o ka makika. A laila hoʻouka pololei nā bacteria i nā hunaola koko keʻokeʻo, he ʻāpana koʻikoʻi loa ia o kā kākou ʻōnaehana pale . E noʻonoʻo iā lākou he mau kiaʻi o ke kino. Kōkua lākou iā mākou e hakakā i nā germs a pale iā mākou mai nā maʻi. Hoʻouka ka bacteria a luku hope i kēia mau hunaola koko keʻokeʻo. Hoʻemi kēia i ka hiki o ko mākou kino ke hakakā i nā maʻi.
He aha nā hōʻailona o Ehrlichiosis?
Hoʻomaka nā hōʻailona o kēia maʻi e ʻike ʻia ma waena o 5 a me 14 mau lā ma hope o ka nahu ʻana o ka makika. Hōʻike pinepine ʻia nā hōʻailona me ka koke . ʻO nā hōʻailona e like me ke kuni a me ke anu e hele mua mai.
Nā hōʻailona e hiki ke ʻike ʻia i nā lā mua:
- Ke hiki mai nei ke kuni .
- Lilo ke kino i anu ( manaʻo anuanu ).
- He ʻeha koʻu poʻo .
- ʻEha ke kino, ʻeha nā ʻiʻo .
- Ua luhi loa wau .
Ma hope o kekahi mau lā, hiki ke ʻike ʻia nā hōʻailona ʻē aʻe:
- ʻŌhūhū ʻili. Hiki ke ʻike ʻia kēia ma ke ʻano he mau kiko ʻulaʻula a i ʻole nā kiko liʻiliʻi. ʻOi aku ka maʻamau o kēia ʻōhūhū i nā keiki ʻōpio ma mua o nā pākeke.
- E ʻū paha ʻoe.
- Hiki ke loaʻa ka luaʻi a me ka luaʻi .
- E ʻeha paha kou ʻōpū .
- Nā pilikia hoʻomanaʻo a me ka nānā ʻana, a me ka huikau paha.
Mea nui: Inā ʻike ʻoe i kekahi a ʻoi aku paha o kēia mau hōʻailona, ʻoiai inā ʻoe ma kahi i loaʻa ai nā makika, e ʻike koke i ke kauka.
Pehea e ʻike ai nā kauka i kēia maʻi? (Diagnosis)
I mea e ʻike pono ai inā he ehrlichiosis kou, e nānā ke kauka iā ʻoe. E nīnau lākou iā ʻoe e pili ana i kāu mau hōʻailona a me kou mōʻaukala olakino.He mea nui loa e haʻi aku i kāu kauka inā ua hele wāwae ʻoe i loko o kahi ululāʻau a i ʻole ma ka mauʻu kiʻekiʻe kahi e loaʻa ai nā makika. ʻOiai inā ʻaʻole ʻoe e hoʻomanaʻo i kou nahu ʻia ʻana e kahi makika, pono ʻoe e haʻi aku i kāu kauka inā ua noho ʻoe ma ia wahi. ʻO kēia ʻike, me nā hoʻāʻo koko, e kōkua i kāu kauka e hoʻoholo inā pono ʻoe i ka lāʻau no ka ehrlichiosis.
He aha nā hoʻokolohua e hana ʻia?
Hana ʻia nā hoʻāʻo koko.
- Hoʻokomo ʻia kahi nila liʻiliʻi i loko o kahi aa koko ma kou lima a lawe ʻia kahi hāpana koko.
- E hana ke keʻena hoʻokolohua i kahi helu koko piha ma kēia hāpana koko. E nānā pū lākou i nā hōʻailona o ka bacteria e hoʻoulu ai iā Ehrlichiosis. I kekahi manawa e hoʻāʻo pū lākou e hoʻoulu i ka bacteria (culture).
- Eia nō naʻe, hiki ke hala kekahi mau pule no ka ulu ʻana o kēia bacteria. No laila, ma mua o ka hiki ʻana mai o ka hōʻike lab, hiki i kāu kauka ke hoʻoholo e hoʻomaka i ka lāʻau lapaʻau ma muli o kāu mau hōʻailona a me nā ʻike ʻē aʻe . Hiki i ka helu koko wikiwiki ke hāʻawi iā ʻoe i kahi manaʻo inā loaʻa paha iā ʻoe kahi maʻi.
Pehea e mālama ʻia ai kēia?
Hoʻōla ʻia ʻo Ehrlichiosis me nā antibiotics . Lawe pinepine ʻia kēia mau lāʻau no ʻelima a ʻehiku mau lā. ʻO ke ʻano kēia, pono ʻoe e lawe i ka lāʻau no ʻekolu mau lā ma hope o ka emi ʻana o kou kuni a ua hoʻomaikaʻi ʻia kāu mau hōʻailona ʻē aʻe.
He mea nui e hoʻomaka koke i ka lāʻau lapaʻau. ʻOi aku ka maikaʻi o ka lāʻau lapaʻau ke hoʻomaka koke ʻia i ka wā e ʻike ʻia ai nā hōʻailona. Inā waiho ʻia a lohi loa, hiki i ka ehrlichiosis ke alakaʻi i nā pilikia koʻikoʻi a hiki i ka hoʻokipa ʻia ʻana.
Pehea e mālama ai i nā hōʻailona ma ka home?
Inā ʻaʻole koʻikoʻi kou mau hōʻailona, hiki i kāu kauka ke haʻi aku iā ʻoe e lawe i nā lāʻau lapaʻau ma luna o ke kūʻai aku e kāohi i kou mau hōʻailona. Eia nō naʻe, ʻoi aku ka maikaʻi o ke kūkākūkā me kāu kauka ma mua o ka lawe ʻana i kekahi lāʻau lapaʻau.
Ma hope o ka hoʻomaka ʻana i nā lāʻau antibiotic, pono ʻoe e hoʻomaka e ʻoluʻolu i loko o 24 a 48 mau hola , ʻoiai inā hoʻomaka mua ʻoe i ka lāʻau. Eia naʻe, mai hoʻōki i ka lawe ʻana i ka lāʻau ma mua o ka manawa i kuhikuhi ʻia. ʻO ka hana ʻana pēlā e hoʻi hou mai ai ka maʻi. Inā ʻaʻole ʻoe e ʻoluʻolu ma hope o kekahi mau lā, e ʻike hou i kāu kauka.
Pehea e hiki ai iā ʻoe ke pale aku iā Ehrlichiosis? (Pehea e hōʻemi ai i ka pilikia)
ʻO ke ala maikaʻi loa e pale aku ai iā ʻoe iho mai kēia maʻi, ʻo ia ka pale ʻana i ka nahu ʻia ʻana e nā ʻuku . Aia kekahi mau mea hiki iā ʻoe ke hana e hana ai i kēia:
- E ʻoki pōkole i ka mauʻu o kāu māla , ʻaʻole iʻoi aku ma mua o 5 ʻīniha ke kiʻekiʻe.
- Inā e hele ana ma nā wahi ululāʻau, e hahai wale i nā ala ākea (ma nā ala ākea) .
- He lāʻau pīpī i loaʻa ka 'DEET' , he mea pale pepeke e pale aku ai i nā makika.E hoʻohana. A i ʻole e hoʻohana i kahi mea pale pepeke ʻē aʻe i ʻāpono ʻia e ke kauka.
- I ke komo ʻana i loko o ka ululāʻau a i ʻole ka mauʻu lōʻihi , e ʻaʻahu i nā lole e uhi ana i ka nui o kou kino e like me ka hiki . E like me nā lole lōʻihi a me nā pālule lima lōʻihi. Inā ʻoe kekahi e hoʻolilo pinepine ana i ka manawa ma nā wahi i loaʻa ai nā makika, makemake paha ʻoe e kūʻai i nā lole kūikawā e pale aku ai i nā makika.
- Ma hope o kou hoʻi ʻana mai waho , e nānā i kou kino holoʻokoʻa no nā makika . E nānā kekahi i nā wahi paʻakikī ke ʻike (poʻo, kua) no nā makika.
- E nīnau i kāu kauka holoholona e pili ana i ke ala maikaʻi loa e pale aku ai i kāu mau holoholona mai nā makika . E nānā mau iā lākou no nā makika, ʻoiai ma hope o ka hoʻi ʻana mai i ka home mai waho.
- Inā ʻike ʻoe i kahi ʻuku e pili ana i kou kino, e hahai i kēia mau kuhikuhi no ka wehe ʻana me ka palekana (e kamaʻilio mākou e pili ana i kēia ma kahi ʻatikala ʻokoʻa).
He aha ka mea e hana ai inā loaʻa iaʻu ʻo Ehrlichiosis? E ola anei au?
Inā mālama koke ʻia, hoʻōla piha ka hapa nui o ka poʻe . Ma muli o kou kūlana, pono paha ʻoe e noho i ka haukapila no ka mālama ʻana.
Nā pilikia e hiki mai ana o Ehrlichiosis:
Inā ʻaʻole mālama koke ʻia, hiki i kekahi poʻe ke loaʻa i nā pilikia koʻikoʻi, a hiki ke hoʻoweliweli i ke ola. ʻO kekahi o kēia mau mea:
- ʻO ka hoʻopili ʻana o ke koko i loko o nā aʻa koko (DIC): He kūlana weliweli loa kēia kahi e hana ʻia ai nā ʻūpā koko i loko o nā aʻa koko a i ka manawa like, hoʻomaka ke kahe ʻana o ke koko ma kekahi mau wahi.
- ʻO ka maʻi pilikia hanu koʻikoʻi (ARDS) a i ʻole ka paʻakikī o ka hanu ʻana: ʻO ia ke ʻano i hana pono ʻole ai nā māmā, e paʻakikī loa ai ka hanu ʻana.
- ʻO ka hāʻule ʻana o ka puʻupaʻa / ka ʻeha puʻupaʻa koʻikoʻi : ʻAʻole hiki i nā puʻupaʻa ke kānana pono i nā ʻōpala mai ke kino.
- Ke kahe ʻana o ke koko i loko o ke kino (Hemorrhaging) .
- Sepsis : He maʻi ʻino kahi e komo ai nā germs i ke koko a laha ma ke kino holoʻokoʻa.
- ʻO ka mumū o ka lolo a me nā membrane e uhi ana iā ia (Meningoencephalitis) .
- Ka hāʻule ʻana o ka puʻuwai .
- Nā ʻūlū .
- Mokuʻāina koma `(Koma)` .
He mea weliweli kēia mau pilikia ke lohe ʻia. Akā e hoʻomanaʻo, hana pinepine kēia mau mea inā lohi ka mālama ʻana . ʻO ia ke kumu he mea nui ka mālama mua ʻana.
I ka manawa hea e pono ai iaʻu ke ʻike i ke kauka?
Inā ua nahu ʻia ʻoe e kahi ʻuku, a i ʻole ua noho ʻoe ma kahi i loaʻa ai nā ʻuku, a laila loaʻa nā hōʻailona o Ehrlichiosis, e like me ke kuni a me ka ʻeha o ke kino, e ʻike koke i ke kauka .
ʻAʻohe pono e ʻike koke i ke kauka ma hope o ka nahu ʻana o ka makika, ke ʻole ʻoe e loaʻa nā hōʻailona. ʻO ka lawe ʻana i nā lāʻau antibiotic me ka maʻi ʻole ʻaʻole ia e pale aku iā Ehrlichiosis. Eia nō naʻe, e makaʻala i nā hōʻailona.
I kahi lumi pilikiaI nā kūlana hea ʻoe e hele ai i (ETU)?
Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, e hele koke i ka lumi pilikia kokoke loa:
- He kuni ma luna o 103 degere F (39.4 C).
- Inā ʻoe e ʻū a kahe ke koko.
- Inā paʻakikī loa ka hanu ʻana.
- Inā ʻoe e kamaʻilio lapuwale ana, inā ʻaʻole hiki iā ʻoe ke noʻonoʻo pono, inā ʻoe e hōʻike ana i nā loli noʻonoʻo.
- Inā loaʻa iā ʻoe ka ʻeha nui o ka ʻōpū.
- Inā loaʻa kahi hopu ʻana.
Loaʻa pū i kā mākou mau holoholona kēia maʻi?
ʻAe, hiki i nā ʻīlio ke loaʻa iā Ehrlichiosis, a hiki ke lilo i mea weliweli no lākou inā ʻaʻole mālama ʻia . I kekahi manawa hiki ke lilo i maʻi mau loa a hiki i ka make. Inā he hopohopo kou e pili ana i ke kūlana o kāu holoholona, e kamaʻilio me kāu kauka holoholona.
Nā mea nui a mākou e hoʻomanaʻo ai (Leka Lawe-Home)
Pono kākou a pau e hoʻomanaʻo ʻaʻole wale nā māka he mau mea hoʻonāukiuki e pipili ana i ko kākou kino a omo i ko kākou koko, akā hiki iā lākou ke hoʻoili i nā maʻi weliweli e like me Ehrlichiosis .
Inā ʻoe e noho ana i kahi ululāʻau a mauʻu, e hana i nā mea āpau e pale aku ai iā ʻoe iho mai nā ʻuku. Inā ʻike ʻoe i kahi ʻuku ma kou kino, e wehe koke iā ia.
- Mai lawe māmā i nā hōʻailona e like me ke kuni, ka ʻeha kino, nā ʻeha poʻo nui, a me nā ʻulaʻula ʻili , ʻoiai ma hope o ke noho ʻana i kahi e loaʻa ai nā makika.
- E ʻimi koke i ke kōkua lapaʻau . Inā hoʻomaka koke ka lāʻau lapaʻau, hiki iā ʻoe ke ho'ōla piha mai kēia maʻi.
- E lawe i nā lāʻau antibiotic i kuhikuhi ʻia e kāu kauka no ka manawa piha . Mai hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau ke ʻoluʻolu ʻoe.
E mālama i kou olakino a me ko kou ʻohana! ʻO ka ʻike ʻana i kēia mau maʻi e kōkua nui i ka pale ʻana iā ʻoe iho mai ia mau maʻi.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He kuni lawe ʻia e ka makika anei ʻo Ehrlichiosis?
ʻAʻole, ʻaʻole ia e laha ʻia e nā makika e like me ka dengue. He kuni ia e laha ʻia ma o ka nahu ʻana o nā ʻuku (e like me ka ʻuku Lone Star) e lawe ana i ka bacteria Ehrlichia. Hoʻokomo ka ʻuku i kēia bacteria i loko o ke kino ke hoʻopili ʻia i ke kino no kahi o 1-2 mau lā a omo i ke koko.
💬 He mea weliweli anei ka haʻahaʻa o ka helu o nā hunaola koko keʻokeʻo?
ʻAe! Ke hoʻāʻo ʻia kēia mau maʻi (FBC), haʻahaʻa loa nā keʻokeʻo koko (WBC) a me nā platelets i loko o ko lākou koko (e like me ka dengue). Eia kekahi, kiʻekiʻe nā enzymes o ke akepaʻa, a hiki i kekahi poʻe ke loaʻa nā kiko ʻulaʻula liʻiliʻi (Rash) ma ko lākou kino. No laila he paʻakikī ke ʻike koke i kēia.
💬 He aha kāu e hana ai inā loaʻa iā ʻoe ke kuni i hoʻokahi pule ma hope o ke nahu ʻia ʻana e kahi holoholona?
Inā loaʻa koke iā ʻoe ke kuni kiʻekiʻe, ka ʻeha poʻo, a me ka ʻehaʻeha o nā ʻiʻo 1-2 mau pule ma hope o ka nahu ʻia ʻana e kahi makika, pono ʻoe e hoʻomaka koke e lawe i kahi lāʻau antibiotic (Doxycycline), me ka kali ʻole i kāu mau hopena hoʻāʻo koko. Inā hoʻopaneʻe ʻia ka lāʻau, hiki i kēia ke lilo i maʻi make e hiki ke hōʻino i nā puʻupaʻa a laha i ka lolo, e pepehi iā ʻoe.
ʻEhrlichiosis , makika, kuni makika, maʻi bacteria, kuni, nā ʻeha ʻili, pale ʻana











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