E kamaʻilio kākou e pili ana i ka maʻi Hydatid, ka mea e hoʻoulu ai i nā cysts i loko o ke akepaʻa, i kēia lā?

I kēia lā, e kamaʻilio kākou e pili ana i kahi maʻi e ulu ana i loko o ko kākou kino, akā, ʻaʻole kākou e kamaʻilio nui e pili ana i ia mea. Ua kapa ʻia kēia he maʻi hydatid. ʻAʻole paha ʻoe i lohe i kēia inoa ma mua. Akā, ʻo ka ʻike pono ʻana e pili ana i ia mea e kōkua iā kākou a me ko kākou mau ʻohana e pale aku i nā pilikia he nui. No laila, e kamaʻilio kākou e pili ana i ia mea me nā kikoʻī hou aku, ʻeā?

ʻAe, e nānā mua kākou i ke ʻano o kēia maʻi hydatid?

I ka ʻōlelo maʻalahi, ʻo ka maʻi hydatid kahi maʻi i hoʻokumu ʻia e kahi parasite. ʻO ka parasite, e noʻonoʻo iā ia, he mea liʻiliʻi e noho ana i loko o ko mākou kino, hānai iā mākou, a hoʻomaʻi iā mākou. Hoʻokumu ʻia ka maʻi Hydatid e nā hua o kahi tapeworm . ʻAe, ua lohe pololei ʻoe, he tapeworm! Noho pinepine kēia mau tapeworm i loko o nā holoholona e like me nā hipa a me nā kao a me nā ʻōpū o nā ʻīlio.

No laila pehea lā e loaʻa ai kēia? Hiki mai kēia maʻi ke ʻai mākou i nā hua o kēia mau ilo parasitic me ka ʻike ʻole. Ke komo kēia mau hua i loko o ko mākou kino, hele nā ​​​​​​larve e ulu ana mai ia mau mea i nā ʻōpū e like me ko mākou ake, nā māmā, a me ka lolo a hana i nā cysts , e like me nā pehu wai. Hiki i kēia mau cysts ke ulu nui aʻe. Ua kapa ʻia kēia ʻano he `(Cystic Echinococcosis)` i ka ʻepekema lapaʻau.

Ua ʻike anei ʻoe i ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana o kēia maʻi? ʻO wai ka mea i pilikia nui?

ʻOi aku ka maʻamau o kēia maʻi hydatid ma nā wahi kuaʻāina a i ʻole nā ​​wahi paʻakikī iki, kahi i hoʻomaʻemaʻe ʻole ʻia. ʻOi aku ka nui o ka pilikia o ka poʻe hānai hipa a holoholona ʻē aʻe paha, a me ka poʻe hānai ʻīlio, i ka loaʻa ʻana o kēia maʻi. E noʻonoʻo wale, ʻo nā hipa ke kikowaena nui o kēia parasite. ʻO ia hoʻi, noho maikaʻi ka parasite i loko o ke kino o nā hipa. A laila, inā ʻai ka ʻīlio i ka ʻiʻo o ia hipa maʻi, e loaʻa pū ka ʻīlio i kēia parasite.

Hiki paha iā ʻoe ke hoʻonui i ka pilikia o ka hoʻomohala ʻana i kēia maʻi ma muli o nā mea e like me:

• Inā ʻoe e hāʻawi i ka lāʻau hoʻopau ilo i nā ʻīlio i loaʻa i ka maʻi ma ka home a i ʻole inā ʻoe e lawelawe mau iā lākou.
• Inā ʻoe e noho a ʻai ma nā wahi e hele ai nā ʻīlio i loaʻa i ka maʻi.
• Inā ʻoe e noho ana i kahi ʻano me ka maʻemaʻe maikaʻi ʻole.
• Inā ʻoe e pepehi a hoʻomākaukau i nā hipa a i ʻole nā ​​holoholona ʻē aʻe no ka meaʻai ma ka home.

E noʻonoʻo i kēia ʻano. Ma kekahi o ko mākou mau kauhale, mālama ʻia nā ʻīlio i loko o nā hale. I kekahi manawa hele kēia mau ʻīlio i waho a ʻai i nā mea like ʻole. Hiki ke hoʻohui ʻia kēia mau hua parasite i ke kaiapuni me kā lākou mau ʻōpala. Inā ʻaʻole mākou e makaʻala e pili ana i ia mea, aia kahi manawa kiʻekiʻe e komo ai kēlā mau hua i loko o ko mākou waha ma o ko mākou mau lima.

He laha anei ka maʻi hydatid mai kekahi kanaka a i kekahi kanaka?

ʻAʻole, ʻo kēia ka mea nui loa . ʻAʻole laha pololei ka maʻi Hydatid mai kekahi kanaka a i kekahi. ʻO ia hoʻi, ʻaʻole hiki iā ʻoe ke loaʻa i kēia maʻi ma ka hoʻopā wale ʻana i kahi mea i loaʻa i kēia maʻi, ma ke kokoke ʻana iā lākou. I mea e loaʻa ai i kekahi kēia maʻi, pono e ʻai ʻia kēlā mau hua parasite aʻu i ʻōlelo ai ma mua.

ʻElua ʻano o ka echinococcosis, ʻeā? He aha lākou?

ʻAe, aia kekahi maʻi parasitic i hoʻokumu ʻia e nā tapeworms no ka genus `(Echinocococcus)`. Ua kapa ʻia ʻo iaUa kapa ʻia ʻo ia ʻo `Alveolar Echinococcosis (AE). Eia naʻe, ʻo kēia ʻano `(AE)` e laha pinepine ʻia i nā kānaka mai nā holoholona e like me nā ʻalopeke a me nā ʻīlio hae, ʻaʻole mai nā hipa.

Ke kamaʻilio nei mākou e pili ana i ka `(Cystic Echinococcosis - CE)`, ʻo ia hoʻi, ʻo `(AE)` kahi maʻi ʻoi aku ka koʻikoʻi ma mua o ka maʻi hydatid. Hiki i ka `(AE)` ke hana i nā puʻupuʻu ma nā wahi e like me ke akepaʻa, nā māmā, a me ka lolo. ʻAʻole kēia mau puʻupuʻu he maʻi kanesa, akā pālahalaha lākou ma ka wikiwiki e like me ke kanesa.

He aha ka ʻokoʻa ma waena o kahi cyst hydatid a me kahi cyst akepaʻa maʻalahi?

He mea kēia e huikau ai ka poʻe he nui. ʻO ka hydatid cyst ka hopena o kahi maʻi parasitic. ʻO ia hoʻi, he mea ia e ulu ana i ka wā e komo ai kēlā mau hua tapeworm i loko o ke kino.

Eia nō naʻe, ʻike pinepine ʻia nā cysts akepaʻa maʻalahi i ka wā hānau. Kākaʻikahi lākou e nui loa a hoʻopilikia paha i ka hana o ke akepaʻa. Eia naʻe, ʻaʻole like nā cysts hydatid me ia, a hiki iā lākou ke lilo i nui e hoʻopilikia i ka hana o ke akepaʻa. Eia kekahi, ʻokoʻa loa nā lāʻau lapaʻau no kēia mau ʻano cysts ʻelua.

Pehea ka maʻamau o ka maʻi hydatid ma ka honua a ma ko mākou wahi?

ʻAʻole maʻamau kēia maʻi ma nā ʻāina i hoʻomohala ʻia e like me ʻAmelika ʻĀkau. Eia nō naʻe, he pilikia olakino lehulehu e ulu nei ma nā wahi ʻilihune a me nā wahi kuaʻāina o ʻApelika, nā ʻāpana o ʻEulopa, ʻĀsia, ka Hikina Waena, a me ʻAmelika Waena a me ʻAmelika Hema. Ma ka honua holoʻokoʻa, ma kahi o ʻelua a ʻekolu miliona mau kānaka e loaʻa ana i kēia maʻi '(Echinococcal)' i kēlā me kēia makahiki. Ma waena o kēia mau mea, 95% ka maʻi hydatid a mākou e kamaʻilio nei, ʻo ia hoʻi, '(Cystic Echinococcosis).' He mea maikaʻi ke ʻike i kēia ma Sri Lanka, ʻoi aku hoʻi ma nā wahi e mālama ʻia ai nā holoholona.

He aha nā hōʻailona a mākou e ʻike ai i ka wā e loaʻa ai kēia maʻi iā mākou?

Hiki ke hala nā makahiki no ka ʻike ʻia ʻana o nā hōʻailona o ka maʻi hydatid . ʻO ia ka mea e weliweli ai. ʻAʻole paha ʻoe e ʻike i kekahi mea a hiki i ka ulu nui ʻana o nā cysts i loko o ke akepaʻa, nā māmā, a i ʻole nā ​​​​​​ʻōpū ʻē aʻe. Eia nō naʻe, i ka ulu nui ʻana o nā cysts, hiki iā ʻoe ke ʻike i nā hōʻailona e like me:

• Koko i loko o ka ʻōpala.
• Kuke.
• Manaʻo o ka ʻoluʻolu ʻole a i ʻole ka ʻeha ma ka ʻōpū a i ʻole ka umauma.
• ʻUhi a ʻulaʻula paha o ka ʻili.
• Melemele o nā maka a me ka ʻili (Jaundice).
• Manaʻo e like me ke puʻupuʻu ma ka ʻōpū.
• Ka luaʻi a me ka luaʻi.
• Paʻakikī ka hanu ʻana.
• Ka wiwi ʻana me ke kumu ʻole.

Mai makaʻu i kēia maʻi no ka mea wale nō he hoʻokahi a ʻelua paha o kēia mau hōʻailona kou. Akā inā hoʻomau kēia mau mea, he mea naʻauao ke ʻike i ke kauka.

He aha nā pilikia weliweli e hiki ke kū mai ma muli o ka maʻi hydatid?

Inā nui kēia mau cysts, hiki iā lākou ke hana pono ʻole i ke kino i hoʻopilikia ʻia (e like me ke akepaʻa a i ʻole nā ​​māmā). ʻO ka mea ʻoi aku ka weliweli, hiki i kēia mau cysts ke pahū koke (rupture).Inā hana ʻia kēia, hiki ke loaʻa nā pilikia e hoʻoweliweli ana i ke ola. Hiki i nā hōʻailona o kahi cyst hydatid i haki ke komo pū me:

• He hopena maʻi ʻino koʻikoʻi ka anaphylaxis e hiki ai ke pilikia koke i ka hanu ʻana, ke koko haʻahaʻa, a me ka nalowale ʻana o ka ʻike.
• ʻEha nui o ka ʻōpū.
• Hiki ke make koke.

ʻO ia ke kumu a mākou e ʻōlelo nei he mea nui e makaʻala i kēia mau hōʻailona a e ʻimi koke i ka lāʻau lapaʻau.

Pehea e komo ai kēia parasite i loko o ko kākou kino? E aʻo kākou e pili ana i nā ʻano o ka laha ʻana o ka maʻi.

ʻO ke kumu nui o ka loaʻa ʻana o ka maʻi hydatid i nā kānaka ma o ka hoʻopili ʻana me ka ʻōpala ʻīlio, kahi i loaʻa ai nā hua parasite . I ka hala ʻana o ka manawa, ulu kēia mau parasites i loko o ke kino a hana i nā cysts. Hiki ke laha ka maʻi ma nā ʻano penei:

• Ke inu nei i ka wai i haumia me nā hua parasite.
• Hiki iā ʻoe ke loaʻa ma ka ʻai ʻana i ka lepo i haumia me nā hua parasite, hiki ke loaʻa i nā mea e like me nā mea kanu, nā mea kanu, a i ʻole nā ​​​​huaʻai. (ʻO ia ke kumu he mea nui e holoi pono i kāu mau mea kanu a me nā huaʻai ma mua o ka ʻai ʻana!)
• Ma ka hamo ʻana a i ʻole ka hoʻopā ʻana i kahi ʻīlio i loaʻa i ka maʻi (a laila ʻai i ka meaʻai me ka holoi pono ʻole ʻana i kou mau lima).

Pehea e ʻike pololei ai nā kauka i kēia maʻi? (Diagnosis)

ʻO nā hoʻokolohua kiʻi a me nā hoʻokolohua koko nā ʻano hana nui i hoʻohana ʻia no ka ʻike ʻana i ka maʻi hydatid. Hiki i nā hoʻokolohua koko ke nānā i nā pae kiʻekiʻe o nā antibodies e kūʻē i ka maʻi Echinococcal. Hiki i nā hoʻokolohua kiʻi ke hōʻike i ka nui, ke ʻano, a me kahi o nā cysts.

Hiki i kāu kauka ke hoʻohana i kahi X-ray, CT scan, a i ʻole ultrasound e nānā i ka cyst. He nui nā hiʻohiʻona o nā cysts Hydatid i ʻokoʻa mai nā cysts akepaʻa maʻamau. Eia kekahi laʻana:

• He mea e like me kekahi puʻupuʻu i hiolo i loko o ka paia o ka puʻupuʻu.
• Ua hana ʻia ka paia o ka hua i kekahi mau papa.
• Ua mānoanoa ka paia o ka cyst a ua calcified paha.

He aha nā lāʻau lapaʻau no ka maʻi hydatid? Pehea mākou e ho'ōla ai?

ʻO ka lāʻau no ka maʻi hydatid e pili ana i ka nui o nā cysts a me ko lākou wahi . ʻO nā lāʻau lapaʻau i hoʻohana pinepine ʻia:

Aia kekahi mau lāʻau lapaʻau?

ʻAe, inā he liʻiliʻi nā cysts, ʻilikai, a ma kahi hoʻokahi wale nō, hiki ke mālama ʻia me nā lāʻau anti-parasitic i kapa ʻia ʻo benzimidazoles . Hoʻopau kēia mau lāʻau i nā parasites a hoʻemi i nā cysts. I kekahi manawa, hiki i kāu kauka ke hoʻoholo e hana i kahi kaʻina hana e hoʻokahe i ka cyst a hana paha i ke ʻoki ʻana e wehe i ka wai mai ka cyst.

He hana kūikawā anei ke ʻano PAIR?

ʻAe, he ʻano hana kūikawā ka `PAIR` (Puncture, Aspiration, Injection, Re-aspiration) . Ma kēia, hoʻokahe mālie ʻia ka wai i loko o ka cyst me ka hoʻohana ʻana i kahi nila a i ʻole kahi paipu liʻiliʻi (catheter). A laila, hoʻokomo ʻia kahi mea kemika e hana kūʻē i nā parasites i loko o ka cyst. A laila hoʻokahe hou ʻia ka wai. Hana hou ʻia kēia kaʻina hana i nā manawa he nui a hiki i ka wā e hakahaka loa ai ka cyst. Hana pinepine ʻia kēia ma lalo o ke alakaʻi ʻana o kahi scan e like me ka ultrasound.

Pono anei nā kānaka a pau e hana i ke ʻoki kino?

Pono paha e wehe ʻia nā puʻupuʻu nui a hohonu i loko o ke ʻoki kino. Hiki i kēia ke pili i ka wehe ʻana i ka puʻupuʻu holoʻokoʻa a i ʻole kekahi hapa o ke akepaʻa. Eia nō naʻe, aia kahi pilikia e laha aku nā parasites i loko o ke puʻupuʻu i nā ʻāpana ʻē aʻe o ka lua ʻōpū. No laila, ʻo ke kauka akamai wale nō ke hana i kēia ʻano ʻoki kino.

Pehea lā e hiki ai iā kākou ke pale aku iā kākou iho mai kēia maʻi hydatid weliweli? (Ka pale ʻana)

ʻO ke ala wale nō e kāohi ai i ka maʻi hydatid ʻo ia ke kāohi ʻana i ka laha ʻana o kēia mau parasites. Pono ka poʻe i pilikia i ka loaʻa ʻana o kēia maʻi e makaʻala loa i kēia mau mea:

• Mai ʻai i kekahi meaʻai a mea inu paha i pili paha me nā ʻōpala ʻīlio.
• Inā ʻoe e hāʻawi ana i kāu ʻīlio i ka lāʻau hoʻopau ilo, mai hana ʻoe iā ʻoe iho ma ka home, akā e hana ʻia e ke kauka holoholona i aʻo ʻia .
• E pale i ka pili kokoke ʻana me nā ʻīlio āu e manaʻo nei ua loaʻa paha ka maʻi.
• Mai pepehi i nā hipa a i ʻole nā ​​holoholona ʻē aʻe no ka meaʻai ma ka home a hoʻomākaukau iā ia no ka ʻai ʻana (ʻoi aku ka maikaʻi o ke kiʻi ʻana mai kahi mea ʻokiʻoki loea).
• E pale i nā ʻīlio mai ka ʻai ʻana i ka ʻiʻo hipa i loaʻa i ka maʻi.
• E holoi pono i nā huaʻai a me nā mea kanu ma mua o ka ʻai ʻana.
• E holoi pinepine i kou mau lima me ke kopa a me ka wai , ʻoiai ma mua o ka hoʻomākaukau ʻana i ka meaʻai a ma hope o ka lawelawe ʻana i nā ʻīlio. He mea maʻalahi loa kēia, akā he hana palekana maikaʻi loa ia.

He aha ka mea e hana ai inā loaʻa iā ʻoe ka maʻi hydatid? Hiki ke ho'ōla ʻia? (Prognosis/Outlook)

Inā ʻaʻole mālama ʻia, hiki i ka maʻi hydatid ke make . Hiki i nā cysts ke ulu nui a hōʻeha i nā ʻōpū. Eia kekahi, inā pahū nā cysts, hiki ke loaʻa kahi hopena allergies e hoʻoweliweli ana i ke ola i kapa ʻia ʻo "Anaphylaxis". No laila, he mea nui e ʻike mua i ka maʻi a loaʻa ka lāʻau kūpono. Inā hana ʻoe pēlā, kiʻekiʻe kou manawa e hoʻōla ai.

Āhea mākou e ʻike ai i ke kauka e pili ana i kēia mau hōʻailona?

Inā loaʻa iā ʻoe kekahi mau hōʻailona āu e manaʻo ai he maʻi hydatid (e laʻa me ka ʻeha mau o ka ʻōpū, ka melemele o nā maka, ka paʻakikī o ka hanu ʻana), e ʻike koke i ke kauka .Inā ua noho ʻoe i kahi kūlana kiʻekiʻe (e laʻa, ka hana ʻana me nā hipa a ʻīlio paha) no kekahi manawa, e haʻi i kāu kauka. E kōkua kēia ʻike i kāu kauka e hoʻokaʻawale ma waena o kahi cyst hydatid a me kahi cyst maʻamau.

E hoʻomanaʻo, hiki i ka ʻike mua ʻana a me ka mālama ʻana ke hōʻemi nui i ka pilikia o ka loaʻa ʻana o nā pilikia olakino koʻikoʻi a i ʻole ka make.

No laila, ʻo nā mea nui e hoʻomanaʻo mai kēia kamaʻilio ʻana a pau (Leka Lawe-Home)

ʻAe, ua kamaʻilio nui mākou e pili ana i ka maʻi hydatid. I ka pōkole, he maʻi parasitic ia i hoʻokumu ʻia e nā hua tapeworm . Loaʻa ka maʻi i ka wā e komo ai kēia mau hua, i loaʻa i loko o nā ʻōpala ʻīlio, i ko mākou kino me ka ʻike ʻole. ʻO kēia ke kumu o ka hoʻokumu ʻia ʻana o nā cysts i loko o nā ʻōpū e like me ko mākou ake.

• He mea nui loa ka maʻemaʻe! Mai poina e holoi pono i kou mau lima a holoi i nā huaʻai a me nā mea kanu ma mua o ka ʻai ʻana.
• Inā he mau ʻīlio kāu, e mālama i ko lākou olakino. E hāʻawi iā lākou i ka lāʻau hoʻopau ilo me ke kūpono, e like me ke kuhikuhi a ke kauka holoholona.
• Inā ʻoe e pili ana i ka mahi holoholona, ​​ʻoiai ka hana ʻana me nā hipa, e akahele loa.
• Inā ʻike ʻia nā hōʻailona, ​​e ʻike koke i ke kauka.

Manaʻolana wau he mea pono kēia ʻike iā ʻoe. E ola kino!

ʻO ka maʻi Hydatid, nā maʻi parasitic, nā cysts ate, nā ilo tapeworm, nā maʻi i lawe ʻia e ka ʻīlio, ke olakino holoholona