E aʻo hou aʻe kākou e pili ana i ka Lymphatic Filariasis / Elephantiasis.

Ua lohe paha ʻoe i ka maʻi i kapa ʻia ʻo "elephant foot" a i ʻole "barawa"? Ua ʻike paha ʻoe i nā lima a me nā wāwae o kekahi poʻe e pehu ana, mānoanoa ko lākou ʻili, a i kekahi manawa ua hewa ke ʻano, ʻeā? He maʻi lele maoli kēia i lawe ʻia e nā makika e hoʻopilikia ana i kā mākou ʻōnaehana lymphatic. ʻAʻohe mea e makaʻu ai, e kamaʻilio kākou e pili ana i kēia me nā kikoʻī a me ka maʻalahi loa.

He aha kēia ʻelepani e hehi ana? I ka ʻōlelo maʻalahi...

ʻO ka Elephantiasis, a i ʻole ma ka ʻōlelo lapaʻau, Lymphatic Filariasis, ua hoʻokumu ʻia e nā ilo parasitic liʻiliʻi (nā ilo filarial) e komo i loko o kā mākou ʻōnaehana lymphatic a hoʻopilikia i kāna hana. He liʻiliʻi loa kēia mau ilo, e like me ka lauoho, a hiki ke ʻike wale ʻia me kahi microscope.

E noʻonoʻo he ʻōnaehana kūikawā ko ko kākou kino e hoʻoneʻe ana i nā ʻōpala a kōkua i ka pale ʻana, ʻo ia hoʻi ka ʻōnaehana lymphatic. Aia i loko o kēia ʻōnaehana kahi wai i kapa ʻia ʻo lymph e kahe ana ma o nā capillaries lymphatic. Ke ālai nā ilo aʻu i ʻōlelo ai i kēia mau capillaries lymphatic, ʻaʻole kahe pono ka wai a paʻa i kahi hoʻokahi. ʻO ia ka manawa e ʻike ʻia ai nā hōʻailona e like me ka pehu ʻana a me ka mānoanoa o ka ʻili . I kekahi manawa ke koʻikoʻi kēia ʻano, pehu ia e like me ka wāwae o ka ʻelepani, ʻo ia ke kumu i kapa ʻia ai ʻo "ka wāwae o ka ʻelepani."

Pehea ka laha ʻana o kēia maʻi ma ka honua?

I kēia manawa, ma kahi o 1.5% o ka heluna kanaka o ka honua, a kokoke i 120 miliona mau kānaka, e ʻeha nei i kēia maʻi. He mea maʻamau ia ma nā ʻāina wela a me nā ʻāina wela . ʻO nā ʻāina e like me ʻAsia, ʻApelika, a me ʻAmelika Hema ka poʻe i loaʻa ka hapa nui o nā maʻi. ʻOiai he ʻāina wela hoʻi ko kākou Sri Lanka, he mea nui loa ia e hopohopo no kēia.

Akā e hoʻomanaʻo i hoʻokahi mea, ʻo ka hiki ke loaʻa i kēia maʻi no ka mea ua hele ʻoe i kahi huakaʻi pōkole i kahi ʻāina e like me ia he haʻahaʻa loa. No ka loaʻa ʻana o kēia maʻi, pono ʻoe e noho ma kahi i laha ai ka maʻi no nā mahina, a i ʻole nā ​​makahiki, a e pili mau ʻia e nā nahu namu.

He aha nā hōʻailona o ka maʻi Barawa?

ʻO ka hapa nui o ka manawa, ʻaʻole nā ​​​​kānaka a pau i loaʻa i ka maʻi Bara e loaʻa nā hōʻailona koʻikoʻi. Ma kahi o ʻelua hapakolu o ka poʻe ʻaʻole paha e loaʻa i kekahi mau hōʻailona nui. Eia nō naʻe, hoʻonāwaliwali pinepine ka maʻi i ka ʻōnaehana pale.

Hiki i kekahi poʻe ke loaʻa nā hōʻailona e like me kēia:

• ʻŌhū: He kūlana kēia e kū mai ana i ka wā e lilo ai ka ʻōnaehana pale i mea hana nui.
• Lymphedema: ʻO ka pehu ʻana i hana ʻia e ka hōʻiliʻili ʻana o ka wai i loko o ka ʻōnaehana lymphatic.
• Hydrocele: ʻO ka pehu ʻana o nā testicles i loko o nā kāne.
• Edema: ʻO ka pehu ʻana i hoʻokumu ʻia e ka hōʻiliʻili ʻana o ka wai i loko o nā ʻiʻo like ʻole o ke kino.

Hiki i kēia mau hōʻailona pehu ke hoʻopili i nā ʻāpana o ke kino:

• Nā lima
• Nā wāwae
• ʻŪhā
• Nā ʻōpū
• Kāne kāne
• ʻO ka wahi a puni ka vagina (vulva)
• Maka (kākaʻikahi)

No ke aha e hōʻiliʻili ai kēia kaumaha? He aha ke kumu?

I ka ʻōlelo maʻalahi, hoʻokumu ʻia ka filariasis e kahi maʻi parasitic i kapa ʻia ʻo filariasis. Hoʻokumu ʻia ia e kahi ʻano ilo poepoe. He liʻiliʻi loa nā ilo a ʻike ʻole ʻia e ka maka ʻōlohelohe . Ke nānā ʻia ma lalo o kahi microscope, ua like kēia mau ilo me nā kaula.

Aia kekahi mau ʻano o nā ilo filarial:

• Wuchereria bancrofti: ʻO kēia ʻano ilo ke kumu o 9 o 10 mau maʻi.
• ʻO Brugia malayi: ʻO kēia ke kumu o ka hapa nui o nā maʻi i koe.
• Brugia timori: Hiki i kēia ʻano ke hana i nā maʻi.

Pehea e laha ai kēia maʻi?

ʻO kēia ka mea nui loa. Hoʻolaha ʻia ka maʻi malaria e nā makika. E noʻonoʻo, nahu kahi makika i kahi kanaka i loaʻa i ka maʻi malaria. A laila, komo nā ilo filarial (microfilariae) i loko o ke koko o kēlā kanaka i loko o ke kino o ka makika. A laila, i ka wā e nahu ai kēlā makika i loaʻa i ka maʻi i kekahi kanaka olakino ʻē aʻe, komo kēlā mau ilo i ke koko o kekahi kanaka.

ʻO ka maʻamau, ʻaʻole hoʻokahi nahu makika e hoʻoulu ai i ka maʻi. No ka loaʻa ʻana o ka maʻi, pono ʻoe e hoʻopilikia mau ʻia e nā nahu mai nā makika i loaʻa i ka maʻi no kekahi mau mahina, i kekahi manawa he mau makahiki.

Ke komo kēia mau ilo i loko o kou koko, hele pololei lākou i kāu ʻōnaehana lymphatic. Ma laila lākou e ulu ai a lilo i mau ilo liʻiliʻi. Hiki i kēia mau ilo liʻiliʻi ke noho i loko o kou kino a hiki i 7 mau makahiki. A laila hoʻonui lākou a hoʻokuʻu i nā miliona o nā ilo hou aʻe (microfilariae) i loko o kou koko.

He mea nui: Hoʻopuni pinepine kēia mau microfilariae i loko o ke koko i ka pō. ʻO ia ke kumu e pono ai ke lawe ʻia nā hoʻāʻo koko i ka pō.

He aha nā pilikia o ka maʻi Barawa?

Ke hōʻino ʻia kāu ʻōnaehana lymphatic i ka hala ʻana o ka manawa, e emi ana ka hiki o kou kino ke hakakā i nā maʻi. Hiki i kēia pale ʻana i emi iho ke alakaʻi i nā kūlana e like me:

• Nā maʻi bacteria pinepine. I kekahi manawa ua māwae a ʻeha paha ka ʻili, e ʻae ana i ka maʻi e komo.
• Ka mānoanoa o ka ʻili a me ka paʻa ʻana o ke wai, e hopena ana i ka pehu ʻana, ka ʻeha, a me ka hoʻonui ʻia ʻana o nā ʻāpana o ke kino .
• ʻO ka maʻi eosinophilia pulmonary tropical: He kūlana kēia e hoʻonui ai ka helu o nā eosinophils, kahi ʻano keʻokeʻo koko. Hiki i kēia ke kumu i ka ʻū ʻana a me ka paʻakikī o ka hanu ʻana.

Pehea e hana ʻia ai ka hōʻailona?

I mea e ʻike pono ai inā loaʻa iā ʻoe ka maʻi Bara, pono ke kauka e hoʻāʻo i kahi hāpana o kou koko. Hiki ke hana ʻia kēia me ka hoʻohana ʻana i kēia mau ʻano hana:

• Hoʻāʻo koko microscopic: Nānā ʻia kāu hāpana koko ma lalo o kahi microscope. E nānā kēia i nā ilo filarial i loko o ke koko. E like me kaʻu i ʻōlelo ai ma mua, hana nui kēia mau ilo i loko o ke koko i ka pō. No laila, pono paha ʻoe e hāʻawi i ke koko i ka pō.
• Hoʻāʻo antibody:Hoʻāʻo ʻia kāu hāpana koko no nā antibodies. ʻO nā antibodies nā mea a kou kino e hana ai i ka pane ʻana i kahi maʻi. Hiki ke hana ʻia kēia hoʻāʻo i ke ao.

He aha nā lāʻau lapaʻau no ka maʻi Barawa?

ʻO ka hoʻolālā lapaʻau āu e loaʻa ai e hilinaʻi ia i nā hōʻailona āu e loaʻa ai a me ke koʻikoʻi o lākou. ʻO ka maʻamau, mālama ʻia ka maʻi Bara penei:

• Nā lāʻau lapaʻau antiparasitic: Hiki ke hāʻawi ʻia iā ʻoe nā lāʻau lapaʻau e like me ivermectin (Stromectol®), diethylcarbamazine (Hetrazan®), a i ʻole albendazole (Albenza®) . Hoʻopau kēia mau lāʻau i nā tapeworms i loko o kou koko a hoʻōki paha iā lākou mai ka hoʻonui ʻana. Hiki i ka lawe ʻana i kēia mau lāʻau ke pale iā ʻoe mai ka hoʻoili ʻana i ka maʻi i nā poʻe ʻē aʻe. Eia nō naʻe, no ka mea aia nō paha nā ilo i loko o kou kino, pono ʻoe e lawe i kēia mau lāʻau lapaʻau i hoʻokahi manawa i ka makahiki no kekahi mau pule .
• ʻOki kino: Pono paha ke ʻoki kino e wehe i nā ilo make mai kou koko. Inā ua hoʻoulu ka filariasis i ka hydrocele (pehu ʻana o nā testicles), pono paha ke ʻoki kino e wehe i ka wai i hōʻiliʻili ʻia.
• Ka mālama ʻana i ka Elephantiasis: Hiki i kāu kauka ke ʻōlelo i nā ʻano e kōkua ai i ka kaohi ʻana i ka pehu ʻana, e like me ka hoʻokiʻekiʻe ʻana i ka lima a i ʻole ka wāwae pehu, a i ʻole ka hoʻohana ʻana i nā lole hoʻopili.

Aia kekahi mau hopena ʻaoʻao o ka lāʻau lapaʻau?

Inā ʻoe e lawe ana i ka lāʻau lapaʻau no ka malaria, he mea nui loa ia e noho ma lalo o ka nānā pono ʻana o ke kauka , no ka mea, hiki i kēia mau lāʻau anti-parasitic ke hana i kekahi mau hopena koʻikoʻi. Eia kekahi laʻana:

• Pōʻino
• kuni
• ʻEha poʻo
• ʻEha ʻiʻo a hui paha
• Ka luaʻi

No laila, he mea nui loa ia e hahai pololei i nā ʻōlelo aʻoaʻo lapaʻau.

Hiki ke ho'ōla loa ʻia kēia maʻi?

ʻO kaʻoiaʻiʻo, ʻaʻohe lāʻau lapaʻau kūikawā no ka tapeworm i kēia manawa. Hiki i ka lāʻau lapaʻau ke pepehi i ka hapa nui o nā ilo a pale iā ʻoe mai ka hoʻoili ʻana i ka maʻi i nā poʻe ʻē aʻe. Hiki i ka lāʻau lapaʻau ke hōʻemi i kāu mau hōʻailona.

He aha ka mea e hana ʻia inā loaʻa iā ʻoe ka maʻi? He aha ka hopena o ka nohona?

I kekahi manawa, kū ka poʻe me ka rheumatoid arthritis i nā hopena pilikanaka maikaʻi ʻole . ʻOiai inā loaʻa iā lākou nā hōʻailona koʻikoʻi a ʻike ʻia, e like me ka pehu nui ʻana o nā lālā, hiki iā lākou ke manaʻo ua kaʻawale a hilahila hoʻi i ka nohona. Eia kekahi, hiki i ka pehu mau a i ʻole ka ʻeha ke hoʻopilikia i ka hiki o ke kanaka ke hana i nā hana o kēlā me kēia lā a paʻa i kahi hana.

Akā e hoʻomanaʻo, ʻoiai ʻaʻohe lāʻau lapaʻau piha no ka maʻi Bara, hiki iā ʻoe ke kāohi i ka maʻi, hōʻemi i nā hōʻailona, ​​a ola i kahi ola maʻamau. ʻO ka mea wale nō āu e hana ai, ʻo ia ke hahai i nā ʻōlelo aʻoaʻo lapaʻau kūpono a mālama i kou olakino.

Pehea e hiki ai ke pale ʻia kēia maʻi?

He aha ka mea e hiki ke hana ʻia e pale aku ai i ka maʻi Barawa?ʻO ke ala maikaʻi loa e pale aku ai iā ʻoe iho mai nā nahu namu, ʻo ia ke pale aku iā lākou. He mea nui loa kēia ma nā wahi wela. Inā ʻoe e noho ana ma kahi e pilikia ai ʻoe i ka loaʻa ʻana o ka maʻi malaria, a inā paha ʻoe e hele ana i kekahi, e hahai i kēia mau ʻanuʻu e pale aku ai i nā nahu namu:

• E hiamoe ma lalo o ka ʻupena makika.
• E hoʻopili i ka mea pale pepeke ma luna o ka ʻili i hōʻike ʻia, ʻoiai hoʻi i ka pō.
• E ʻaʻahu i nā lole loloa a me nā lole lima lōʻihi.
• E mālama i kou māla a me kou wahi e puni ana. E wehe i nā wahi hoʻoulu namu (nā ʻili, nā pūpū niu, nā kini, a pēlā aku).

Ke paipai nei ka World Health Organization (WHO) i nā wahi i laha ai ka maʻi malaria, e hāʻawi ʻia i ke kaiāulu holoʻokoʻa i ka chemotherapy pale . Ma kēia ʻano hana, hāʻawi ʻia ka poʻe i pilikia i ka maʻi i kahi mahele lāʻau paʻa i hoʻokahi manawa i ka makahiki. ʻOiai ʻaʻole nui ka hopena o kēia mau lāʻau i nā ilo makua, pale lākou i ka hoʻonui ʻana o nā ilo ʻōpio. Pale pū lākou i ka laha ʻana o nā parasites i nā makika.

Āhea ʻoe e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe kekahi pehu a mānoanoa paha o ka ʻili me ka ʻike ʻole ʻia - ʻoiai ma kou mau lima, nā wāwae, nā umauma, ka scrotum, a i ʻole ka ʻāpana vaginal - e hōʻoia e hoʻomaopopo i ke kauka. A laila hiki i ke kauka ke hana i nā hoʻokolohua e pono ai e hōʻoia i ka maʻi a i ʻole e kāpae iā ia.

He aha nā nīnau koʻikoʻi e nīnau aku ai i ke kauka?

Ke hele ʻoe e ʻike i ke kauka, hiki iā ʻoe ke nīnau i nā nīnau e like me kēia:

• Hiki paha i kēia kūlana aʻu e noho nei ma muli nui o koʻu kaumaha?
• Pehea e hoʻokele ai i nā hōʻailona e pili ana i ka piʻi ʻana o ke kaumaha?
• He aha nā lāʻau lapaʻau āu e paipai mai ai iaʻu?
• He aha nā hopena ʻaoʻao o ka lāʻau lapaʻau?
• He aha nā kūlana o ka hoʻi hou ʻana o ka maʻi ma hope o ka mālama ʻana?
• Pehea e hiki ai iaʻu ke pale aku iaʻu iho mai ka maʻi Barawa?

Pehea e mālama ai i nā hōʻailona o ka lymphedema?

ʻOiai inā pepehi ka lāʻau lapaʻau i nā ilo filarial, hiki nō iā ʻoe ke loaʻa i kahi maʻi pehu i kapa ʻia ʻo lymphedema. Hiki iā ʻoe ke hana i kēia mau mea e mālama ai i kēia mau hōʻailona pehu:

• E hoʻomaʻemaʻe a uhi pono i nā ʻeha.
• E hoʻokiʻekiʻe i nā lima a i ʻole nā ​​wāwae i pehu.
• E hoʻonui i kāu pae hana (paipai kēia i ke kahe ʻana o ka lymph).
• E holoi a hoʻomaloʻo i nā wahi pehu o kou kino i kēlā me kēia lā.
• E hōʻemi i ka pilikia o ka hāʻule ʻana a me nā ʻeha ma ke kau ʻana i nā kāmaʻa kūpono.

Leka Hoʻihoʻi Hope Loa

He maʻi maʻamau ka Malaria i nā ʻāina subtropical a me nā ʻāina wela kahi i loaʻa pinepine ai nā ilo filarial. ʻO ka maʻamau, pono ke nahu pinepine ʻia ke kanaka e nā makika i loaʻa i ka maʻi e loaʻa ai kēia maʻi. No laila, ʻo ka maʻi pinepine e loaʻa i ka poʻe e noho ana ma nā wahi pilikia nui.He mea kākaʻikahi loa ka poʻe huakaʻi no ka manawa pōkole e paʻa i ka ʻāina.

Eia nō naʻe, inā loaʻa iā ʻoe nā hōʻailona, ​​​​he mea nui loa ia e haʻi aku i ke kauka. Hiki i kahi hoʻāʻo koko maʻalahi ke hōʻoia inā he maʻi parasitic kou. Mai hopohopo, ʻo ka mea nui loa, ʻo ia ka hoʻomaopopo ʻia a hana i nā hana e pono ai.

ʻO Barawa, ʻElepani, Lymphatic Filariasis, ʻElepani, Maʻi Namu, ʻŌnaehana Lymphatic, Filariasis