Ua loaʻa anei iā ʻoe ka ʻeha o ka ʻōpū, ka luaʻi ʻana, a me ka melemele o ka ʻili? A i ʻole ua loaʻa iā ʻoe ke kuni me ka nele o ka ikaika a me ka nalowale o ka makemake? ʻO kēia nā hōʻailona o ka maʻi ate i kapa ʻia ʻo Hepatitis E, kahi a mākou e nānā ʻole ai i kekahi manawa. No laila e aʻo hou kākou e pili ana i ka Hepatitis E i kēia lā.
He aha ka Hepatitis E?
I ka ʻōlelo maʻalahi, ʻo ka Hepatitis E kahi maʻi viral o kou ake. Hoʻokumu ʻia e ka Hepatitis E Virus (HEV) . Hiki iā ia ke hana i nā hōʻailona ʻai e like me ka ʻeha o ka ʻōpū, ka luaʻi ʻana, a me ka maʻi pākī.
No ka hapa nui o nā kānaka, ʻaʻole he maʻi koʻikoʻi ka Hepatitis E. Hoʻopau pinepine ia i loko o kekahi mau pule me ka ʻole o kekahi lāʻau lapaʻau kūikawā. Eia nō naʻe, inā hāpai ʻoe, hiki ke ʻoi aku ka koʻikoʻi. Hiki i ka Hepatitis E ke kumu o ka hāʻule ʻana o ke akepaʻa a me nā pilikia i ka wā hāpai. No laila, inā hāpai ʻoe a manaʻo ʻoe he Hepatitis E kou, he mea nui e haʻi koke i kāu kauka.
He aha nā hōʻailona o ka Hepatitis E?
I ka wā e ulu ai ka maʻi hepatitis E, ʻike mua ʻia nā hōʻailona aʻe:
- kuni
- Ka luaʻi a me ka luaʻi
- Makemake nui
- ʻEha ʻōpū (ʻeha ʻōpū)
Ma hope o kekahi mau lā, e ʻike ʻia paha nā hōʻailona hou aʻe. ʻO kēia mau mea:
- ʻĀnai
- ʻŌhūhū
- ʻEha hui
- Mimi ʻeleʻele
- ʻŌpū keʻokeʻo a pālolo paha
- Ka maʻi pākī
- Melemele o ka ʻili a i ʻole nā maka (jaundice )
Eia nō naʻe, hiki i kekahi poʻe ke loaʻa i kēia maʻi a ho'ōla me ka ʻole o ka hōʻike ʻana i nā hōʻailona.
He aha nā kumu o ka maʻi Hepatitis E?
E like me ka mea i ʻōlelo ʻia ma mua, ua hoʻokumu ʻia ka Hepatitis E e ka maʻi Hepatitis E (HEV) . Aia kekahi mau ala nui e hiki ai i kēia maʻi ke komo i loko o ko kākou kino:
- ʻO ka inu ʻana i ka wai i haumia ʻia me nā ʻōpala i loaʻa i ka maʻi. ʻO kēia ke ala maʻamau e loaʻa ai ka Hepatitis E. E hoʻomanaʻo, ʻoi aku ka kiʻekiʻe o kēia pilikia ma nā wahi i mālama pono ʻole ʻia ai ka wai.
- ʻAi ʻana i nā ʻiʻo i moʻa ʻole ʻia. ʻOiai ma nā ʻāina e like me ʻAmelika Hui Pū ʻIa kahi i ʻike ʻole ʻia ai ka maʻi hepatitis E, hiki i kekahi manawa ke loaʻa i ka maʻi ma ka ʻai ʻana i ka puaʻa i moʻa ʻole ʻia, ka dia, ka puaʻa hihiu, a i ʻole nā meaʻai kai e like me ka shellfish.
- Ka laha ʻana o ke kino: Hana ʻia kēia i ka wā e laha ai ka maʻi mai ka makuahine a i ke keiki ma o ka placenta i ka wā hāpai.
He laha anei ka Hepatitis E mai ke kanaka a i ke kanaka?
ʻAʻole, ʻaʻole he maʻi lele ka Hepatitis E. ʻO ia hoʻi, ʻaʻole pinepine ia e laha ma o ka launa pū ʻana, e like me ke kamaʻilio ʻana. Hoʻolaha nui ʻia ia ma o ka wai a me ka meaʻai i haumia.
ʻO wai ka mea i loaʻa ka pilikia nui loa o ka loaʻa ʻana o ka Hepatitis E?
ʻO ka maʻamau ka Hepatitis E ma Asia Hema a me Hikina, ʻApelika, a me ʻAmelika Waena. ʻO ka poʻe e noho ana ma nā wahi me ka ʻole o ka wai maʻemaʻe, ka hoʻomaʻemaʻe kūpono, a i ʻole ka mālama ola kino kūpono ka poʻe i pilikia nui loa.
Hiki i ka maʻi ke laha ma ke ʻano he ahulau ma nā wahi pilikia, e like me ke kaua, a i ʻole i ka wā e hoʻoneʻe ʻia ai ka nui o ka poʻe i kahi hoʻokahi. Eia nō naʻe, aia kekahi mau hihia sporadic i hōʻike ʻia a puni ka honua.
He aha nā pilikia e hiki ke loaʻa mai ka Hepatitis E?
ʻO nā wahine hāpai i loaʻa i ka maʻi hepatitis E, ʻoiai i ka trimester ʻekolu, ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o nā pilikia . ʻO nā mea nui:
- Ka hemahema o ke akepaʻa.
- Ka hāʻule ʻana o ka hāpai keiki.
- Hānau make.
ʻOiai i nā wahine hāpai ʻole, ʻaʻole hiki i ka maʻi hepatitis E ke kumu o ka hāʻule ʻana o ke akepaʻa. Inā he ʻōnaehana pale maʻi palupalu kou , ʻoi aku ka nui o kou pilikia o ka loaʻa ʻana o ka maʻi hepatitis E mau loa.
Pehea e ʻike ʻia ai ka maʻi Hepatitis E?
Hoʻomaopopo nā kauka i ka maʻi hepatitis E ma o nā hoʻāʻo koko a i ʻole nā hoʻāʻo ʻōpala . Ma ka hale hana hoʻokolohua, nānā ʻia kēia mau laʻana no nā hōʻailona o ka maʻi (kona mea genetic a i ʻole antigens ) a i ʻole nā antibodies i hana ʻia e kūʻē i ka maʻi.
Hiki ke ho'ōla ʻia ka Hepatitis E?
ʻAʻohe lāʻau lapaʻau kūikawā no ka Hepatitis E i kēia manawa. Eia nō naʻe, inā nāwaliwali kou ʻōnaehana pale a loaʻa iā ʻoe ka Hepatitis E no ka manawa lōʻihi, hiki i kāu kauka ke hāʻawi iā ʻoe i nā lāʻau antiviral, e like me ka ribavirin , a i ʻole nā lāʻau lapaʻau e hoʻoulu ai i ka ʻōnaehana pale, e like me ka interferon . Eia nō naʻe, e hoʻomanaʻo ʻaʻole kūpono kēia mau lāʻau lapaʻau no nā wahine hāpai.
He aha ka mea e hiki mai ana inā loaʻa iaʻu ka Hepatitis E?
ʻO ka maʻamau, ʻo ka maʻi Hepatitis E e mau ana ma kahi o hoʻokahi a ʻeono pule. Eia nō naʻe, hiki ke lōʻihi ka manawa no ka hoʻōla piha ʻana o kou akepaʻa. ʻO ka hapa nui o ka manawa, ʻaʻole pilikia ka maʻi hepatitis E.
Akā inā hāpai ʻoe, ʻoiai hoʻi i nā mahina ʻekolu hope loa o ka hāpai ʻana, pono nā kauka e nānā pono iā ʻoe a me kāu pēpē i hānau ʻole ʻia. Pono paha ʻoe e lawe ʻia i ka haukapila.
Inā nāwaliwali kou ʻōnaehana pale kino, ʻoi aku ka paʻakikī o kou kino i ke kaua ʻana i ka maʻi. No laila, hiki ke lōʻihi ka maʻi (he mau mahina a ʻoi aku paha). Pono paha ʻoe i ka lāʻau lapaʻau e kōkua i kou kino e hakakā i ka maʻi.
He aha ka nui o ka make ma muli o ka Hepatitis E?
He kumu kakaikahi ka make ʻana o ka Hepatitis E i nā wahine hāpai ʻole. Eia nō naʻe, hiki i ka nui o ka make ʻana no ka hepatitis E i nā wahine hāpai ke piʻi a hiki i ka 30%. Eia kekahi, ua hōʻike kekahi mau noiʻi e hiki i ka nui o ka make ʻana o nā pēpē i hānau ʻia e nā makuahine i loaʻa i ka hepatitis E i ka wā hāpai ke piʻi a hiki i ka 6%. He mea hopohopo maoli kēia.
Hiki ke pale ʻia ka Hepatitis E?
ʻAe, hiki iā ʻoe. Inā ʻoe e noho ana ma kahi i loaʻa pinepine ai ka Hepatitis E, a i ʻole e hele ana i kahi, hiki iā ʻoe ke hōʻemi i kou pilikia ma ka lawe ʻana i kēia mau hana palekana:
- E inu wale i ka wai i hoʻomaʻemaʻe ʻia a i ʻole ka wai i hoʻomaʻemaʻe ʻia.
- Mai hoʻohana i ka hau (ke ʻole ʻoe i maopopo ua hana ʻia me ka wai maʻemaʻe).
- E hoʻohana i ka wai ʻōmole a i ʻole ka wai i hoʻomaʻemaʻe ʻia no ka kuke ʻana (e laʻa me ka holoi ʻana i nā huaʻai a me nā mea kanu).
- E ʻai wale i nā huaʻai a me nā mea kanu i ʻili ʻia a holoi maikaʻi ʻia paha me ka wai ʻōmole/i hoʻomaʻemaʻe ʻia.
- E holoi pinepine i kou mau lima, ʻoiai ma mua o ka ʻai ʻana a ma hope o ka hoʻohana ʻana i ka lua.
E hoʻomanaʻo: ʻO ka hoʻomaʻemaʻe pilikino a me ka meaʻai a me ka mea inu maʻemaʻe nā ala maikaʻi loa e pale aku ai iā ʻoe iho mai ka Hepatitis E.
Aia kekahi lāʻau pale no ka Hepatitis E?
ʻAe, loaʻa kahi lāʻau pale no ka Hepatitis E, HEV p239 (Hecolin®) , ma Kina a me kekahi mau wahi ʻē aʻe o ka honua. Eia naʻe, ʻaʻole i loaʻa kēia lāʻau pale i kēia manawa ma nā ʻāina e like me ʻAmelika Hui Pū ʻIa. ʻOi aku ka maikaʻi o ka nīnau ʻana i kāu kauka e pili ana i ke kūlana ma Sri Lanka.
Pehea wau e mālama ai iaʻu iho?
Inā loaʻa iā ʻoe ka Hepatitis E, hiki iā ʻoe ke mālama iā ʻoe iho ma o:
- E hoʻomau i ka inu wai. Inā ʻoe e luaʻi ana a loaʻa paha i ka maʻi pākī, e inu i ka nui o nā wai, ʻoiai ka wai a me ka sopa.
- E hōʻalo loa i ka waiʻona. Hiki i ka waiʻona ke kau i ke kaumaha hou aʻe ma kou akepaʻa a hiki ke hoʻoheheʻe i ka wai.
- E ʻike pinepine i kāu kauka. Makemake ʻo ia e nānā i ka hana o kou akepaʻa, e ʻike inā e hoʻomaikaʻi ana kāu mau hōʻailona, a e nīnau inā hiki iā ʻoe ke hoʻi i ka hana/kula.
Āhea wau e ʻike ai i ke kauka?
Inā loaʻa iā ʻoe nā hōʻailona o ka Hepatitis E, a noho ʻoe a i ʻole ua hele paha i kahi i loaʻa pinepine ai ka maʻi, ʻoiai inā hāpai ʻoe, e ʻike koke i ke kauka.
Āhea wau e hele ai i ka Emergency Treatment Unit (ETU) ?
Inā loaʻa iā ʻoe nā hōʻailona koʻikoʻi e like me kēia, e hele koke i ka lumi pilikia:
- ʻEha nui o ka ʻōpū.
- Ka luaʻi nui ʻana a i ʻole ke kūlana kahi hiki ʻole ai iā ʻoe ke mālama i kekahi mea i lalo.
- Ka luaʻi ʻana i ke koko a i ʻole ka luaʻi e like me ke ʻano o ka lepo kofe.
- Melemele o nā maka, melemele o ka ʻili (jaundice ).
- Ka huikau a i ʻole ka loli o ke kūlana noʻonoʻo ( hepatic encephalopathy) - He ʻano kēia e hoʻopilikia ʻia ai ka lolo e ka hōʻino ʻia o ke akepaʻa.
- Ka mimi ʻeleʻele a i ʻole ka emi nui ʻana o ka nui o ka mimi.
- Nā noho lepo a hina paha.
He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?
He mea kōkua paha ka nīnau ʻana i kāu kauka i nā nīnau e like me kēia:
- Pehea lā wau e mālama ai iaʻu iho ma ka home?
- Āhea e hiki ai iaʻu ke hoʻi i ka hana/kula?
- He aha nā hōʻailona koʻikoʻi e pono iaʻu e makaʻala?
- Āhea wau e hele hou mai ai e ʻike iā ʻoe?
He aha ka ʻokoʻa ma waena o ka Hepatitis E a me nā ʻano maʻi hepatitis ʻē aʻe?
ʻO ka Hepatitis A, B, C, D, a me E nā maʻi āpau o ke akepaʻa i hoʻokumu ʻia e nā virus. Akā, ua hoʻokumu ʻia kēlā me kēia e nā ʻano virus like ʻole. Hoʻolaha iki kēlā me kēia virus, loaʻa i kekahi nā lāʻau pale, ʻaʻole kekahi. Pono kekahi i ka lāʻau lapaʻau, ʻaʻole kekahi. He ʻokoʻa ka Hepatitis E mai ka hapa nui o nā ʻano hepatitis ʻē aʻe no ka mea, ʻaʻole ia e laha pinepine mai ke kanaka a i ke kanaka.
Hiki i ka Hepatitis E ke hana i nā hōʻailona ʻoluʻolu ʻole, a pono ʻoe e makaʻala i kou olakino e hōʻoia ʻaʻole lākou e ʻoi aku ka ʻino. ʻO ka mea pōmaikaʻi, hoʻōla ka hapa nui o ka poʻe me ka ʻole o nā pilikia.
Eia nō naʻe, inā hāpai ʻoe, hiki ke hopohopo ka ʻike ʻana he Hepatitis E kou. Hiki iā ia ke hoʻohui i ke kaumaha pono ʻole i kahi manawa naʻau. Inā hāpai ʻoe a manaʻo ʻoe he Hepatitis E kou, e haʻi koke i kāu kauka. Hiki iā lākou ke nānā iā ʻoe a kōkua iā ʻoe e ʻike i nā hōʻailona koʻikoʻi e hiki ke kōkua iā ʻoe a me kou hāpai ʻana i ke olakino.
ʻO ka mea hope loa, leka lawe i ka home:
No laila, ʻo ka Hepatitis E kahi maʻi ate i laha nui ʻia ma o ka wai a me ka meaʻai i haumia ʻia. ʻOiai ʻaʻole ia he maʻi koʻikoʻi no ka hapa nui o ka poʻe, aia nā wahine hāpai i ka pilikia nui. No laila, he mea nui loa ia e mālama i ka hoʻomaʻemaʻe a e ʻimi koke i ke kōkua lapaʻau inā ʻike ʻia nā hōʻailona. Pono nā wahine hāpai e makaʻala i kēia a pale iā lākou iho a me kā lākou keiki i hānau ʻole ʻia. Inā he mau nīnau hou kāu e pili ana i kēia, mai kānalua e kamaʻilio me kāu kauka ʻohana.
Hepatitis E, Hepatitis E, Ake, Maʻi Viral, Jaundice, Hāpai keiki, Ola kino, HEV, Nā Hōʻailona
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