Ma ko mākou ʻāina, ʻo nā makika kekahi mea a mākou e ʻike mau ai. I kekahi manawa manaʻo mākou he ʻano ʻūlū iki wale nō ka nahu ʻana o ka makika a he pehu liʻiliʻi paha, akā hiki i kekahi ʻano makika ke lawe i nā maʻi weliweli. Ua ʻike maopopo mākou i nā maʻi e like me ka dengue a me ka chikungunya. I kēia lā e kamaʻilio mākou e pili ana i kahi maʻi ʻē aʻe i lawe ʻia e ka makika he mea hou iki iā mākou, akā he mea nui loa ia e ʻike. ʻO kēia ka Jamestown Canyon Virus (JCV) .
He aha ka maʻi hoʻomakeʻa o Jamestown Canyon?
I ka ʻōlelo maʻalahi, he maʻi laha ʻole ka Jamestown Canyon Virus (JCV) akā he maʻi laha wikiwiki ia i hōʻike ʻia ma nā ʻāina e like me ʻAmelika Hui Pū ʻIa. Hoʻoili ʻia ia iā mākou ke nahu mai kahi makika i loaʻa iā mākou.
I ka hapa nui o ka manawa, ʻaʻole hōʻike ka maʻi JCV i kekahi mau hōʻailona. Eia nō naʻe, hiki i kekahi poʻe ke loaʻa i ke kuni, ka luhi, a me ke poʻo. He mea kākaʻikahi ka lilo ʻana i mea koʻikoʻi e pono ai ke mālama ʻia i ka haukapila. No laila, ʻo ke ala maikaʻi loa e pale aku ai iā ʻoe iho mai kēia ʻano maʻi, ʻo ia ka pale ʻana i nā nahu namu.
No ke aha i kapa ʻia ai kēia ʻo ka maʻi Jamestown Canyon?
Ua loaʻa kona inoa no kekahi kumu maʻalahi loa. Ua ʻike mua ʻia kēia maʻi i ka makahiki 1961 i loko o nā makika e noho ana i loko o kahi awāwa ma ka ʻāina ʻo Jamestown o Colorado, USA. ʻO ia ke kumu i kapa ʻia ai ʻo ia ka maʻi Jamestown Canyon.
He aha ke ʻano o kēia maʻi?
He arbovirus ka Jamestown Canyon Virus (JCV). He ʻano virus ka arbovirus i laha ʻia i nā kānaka e nā pepeke (arthropods) e like me nā makika a me nā ʻuku. Ua lohe paha ʻoe i ka maʻi Lyme . Hoʻolaha ʻia e nā ʻuku, akā he maʻi bacteria ia, ʻaʻole he arbovirus.
He aha nā maʻi arbovirus ʻē aʻe?
I kēia manawa, e hoʻomanaʻo paha ʻoe he mau maʻi e like me ke kuni Dengue a me Chikungunya, he mea maʻamau i ko mākou ʻāina, e laha pū ʻia e nā makika. Pēlā nō hoʻi kēia (JCV). ʻO nā maʻi viral ʻē aʻe e pili ana i kēia māhele, ʻo ia hoʻi, e laha ʻia e nā pepeke, penei:
- ʻO ka encephalitis La Crosse
- ʻO ka maʻi Powassan
- ʻO ke kuni kiko o Rocky Mountain (RMSF) (i hoʻokumu ʻia e ka bacteria, akā i kekahi manawa i kapa ʻia ʻo kēia no ka mea ua laha ʻia e kahi pepeke)
- ʻO ka maʻi lāpaki kāmaʻa hau
- ka maʻi Nile Komohana
- ka maʻi Zika
He mea hou paha kēia mau inoa iā ʻoe, akā no ke kumu hoʻokahi lākou a pau, ʻo ia hoʻi nā pepeke.
He mea kākaʻikahi anei ka maʻi Jamestown Canyon (JCV)?
ʻAe, he maʻi laha ʻole kēia. Akā, ke kuhikuhi nei nā kikowaena US no ka mālama ʻana i nā maʻi a me ka pale ʻana i nā maʻi (CDC)Ua ʻōlelo ke keʻena ua piʻi iki ka nui o nā hihia a lākou e hōʻike nei. No ka laʻana, mai 2012 a i 2021, ua loaʻa iā lākou he 267 mau hōʻike o kēia maʻi. I ka makahiki 2021 wale nō, ua hōʻike ʻia he 32 mau hihia.
Akā, manaʻoʻiʻo nā kānaka noiʻi he ʻoi aku ka nui o ka helu maoli o nā hihia ma muli o ka nele o ka ʻike a me ka nele o ka hoʻāʻo ʻana . ʻO ke ʻano kēia , ʻoi aku ka nui o nā hihia ma mua o ka mea i hōʻike ʻia. I kekahi manawa hiki ke huikau ʻia nā hōʻailona o kēia maʻi (JCV) me nā anu maʻamau ʻē aʻe.
ʻO wai ka mea i ʻoi aku ka paʻa i kēia maʻi?
Hiki i kekahi ke loaʻa i ka maʻi Jamestown Canyon (JCV) inā ua nahu ʻia lākou e kahi makika e lawe ana i ka maʻi . ʻOi aku ka maʻamau o nā maʻi ma waena o ʻApelila a me Kepakemapa, i ka wā e mahana ai ke aniau. ʻO ka hapa nui o nā hihia i hōʻike ʻia a hiki i kēia manawa ua pili i nā kāne.
Pehea e loaʻa ai iaʻu ka maʻi Jamestown Canyon (JCV)?
Loaʻa iā ʻoe kēia maʻi ke nahu ʻia ʻoe e kahi makika i loaʻa i ka maʻi. ʻAʻole kēia he maʻi e hiki ke laha mai ke kanaka a i ke kanaka. ʻO ke ʻano kēia, ʻaʻole hiki iā ʻoe ke loaʻa mai ka hoʻopā ʻana i kahi mea i loaʻa i kēia maʻi, ke kamaʻilio ʻana me lākou, a i ʻole ka hoʻohana ʻana i kahi mea a lākou i hoʻohana ai.
He aha nā hōʻailona o ka maʻi Jamestown Canyon (JCV)?
ʻAʻole hōʻike ka nui o ka poʻe i loaʻa i kēia maʻi i kekahi mau hōʻailona. A i ʻole, hiki iā ʻoe ke loaʻa nā hōʻailona e like me ka maʻi flu i kekahi mau lā a ʻelua pule ma hope o ka nahu ʻia ʻana e kahi makika.
ʻO nā hōʻailona i ʻike pinepine ʻia:
- kuni
- Luhi
- ʻEha poʻo
Eia kekahi, hiki ke hana ʻia nā mea e like me kēia:
- Ke anu nei (Chills)
- Kuke
- Pōʻino
- ʻEha ʻiʻo
- Ka luaʻi a i ʻole ka luaʻi
- Ihu holo (ihu holo a i ʻole ka ihu paʻa)
- ʻEha ka ʻāʻī (Pharyngitis)
ʻO ka poʻe me nā ʻōnaehana pale kino nāwaliwali (ʻo ia hoʻi ka poʻe me ka hiki ʻole ke pale aku i nā maʻi) a me ka poʻe ʻelemakule e ʻoi aku ka nui o ka loaʻa ʻana o nā hihia koʻikoʻi o ka maʻi Jamestown Canyon (JCV). Ua manaʻo ʻia ma kahi o 50% o ka poʻe i loaʻa i ka maʻi e pono e lawe ʻia i ka haukapila .
He aha nā hōʻailona koʻikoʻi? (Inā loaʻa kēia mau mea, e hele koke i ka haukapila!)
Inā loaʻa iā ʻoe a i ʻole kekahi mea kokoke iā ʻoe kekahi o nā hōʻailona ma lalo nei, pono ʻoe e hele koke i ka ʻoihana pilikia o ka haukapila kokoke loa iā ʻoe . Hiki i kēia mau mea ke hōʻike he maʻi ʻōnaehana nerve waena kou (maʻi Neuroinvasive) , e like me ka encephalitis (kahi maʻi o ka lolo).Aia paha kekahi kūlana e pono ai ka mālama ʻia ʻana i ka pilikia, e like me ka meningitis (kahi maʻi o nā membrane e uhi ana i ka lolo).
- Huikau - Manaʻo e like me ke hoʻopilikia ʻia nei kou ʻike, me he mea lā e poina ana iā ʻoe kahi o kou wahi.
- Paʻakikī i ka ʻōlelo ʻana a i ʻole ka neʻe ʻana i kou kino
- Ka nalowale o ka hoʻonohonoho ʻana
- Nā hopu ʻana
- Photophobia (lilo nā maka i polū a hiki ʻole ke nānā aku i ke kukui)
- ʻĀʻī ʻoʻoleʻa
Inā ʻike ʻoe i kēia mau hōʻailona koʻikoʻi, mai hoʻokaʻulua. ʻO ka mea maikaʻi loa e hana ai, ʻo ia ke ʻimi koke i ke kōkua lapaʻau!
He aha ke kumu o ka maʻi Jamestown Canyon (JCV)?
He maʻalahi loa ke ʻano o ka laha ʻana o kēia maʻi:
1. ʻO ka mea mua, komo kahi ʻano liʻiliʻi loa o ka microbe (kēia virus) i loko o ke kino o nā mammals e like me ka dia a me ka elk a hoʻonui i loko o lākou. ʻIke pinepine ʻia kēia i nā holoholona e like me ka dia huelo keʻokeʻo.
2. A laila, hele nā makika a omo i ke koko o kēia mau holoholona i loaʻa i ka maʻi.
3. A laila komo ka maʻi i loko o ke kino o ka makika. A laila hele mai ka makika a nahu i nā kānaka.
4. Ke nahu ka makika, komo ka maʻi i loko o ka lawai o ka makika i loko o ko kākou koko a hoʻopilikia iā kākou.
I ka ʻōlelo maʻalahi, mai kahi holoholona a i kahi makika, mai ka makika a iā mākou.
He aha nā kumu pilikia no kēia?
ʻO ka nui o kou pili ʻana i nā makika, ʻo ka nui o kou pilikia o ka loaʻa ʻana o ka maʻi Jamestown Canyon Virus (JCV). Inā ʻoe e hoʻolilo i ka manawa nui ma waho, a inā ʻaʻole ʻoe e hana i nā hana kūpono e pale aku iā ʻoe iho mai nā makika, ʻoi aku ka nui o kou maʻi.
E noʻonoʻo ʻoe e hele pinepine ana ʻoe e holoholo ma nā wahi ululāʻau, e mahiʻai, a pāʻani paha ma ka pā hale i ke ahiahi... Nui aʻe paha nā makika i kēia mau manawa.
Nā mea e huki ai i nā makika
Hiki i kekahi mau ʻano makika ke ʻoi aku ka hoihoi iā ʻoe e nā kumu aʻe:
- Inā ʻoi aku kou ʻelemakule a hoʻopuka kou kino i ka nui o ke kalapona ʻokikene (CO2) a me ka waikawa lactic (lactic acid). (Hoʻokuʻu ʻia ka CO2 i ka wā e hanu ai mākou, a hana ʻia ka waikawa lactic i ka wā e hoʻoikaika kino ai mākou.)
- Kou ʻano koko. (Ua ʻike ʻia kahi noiʻi i ka makahiki 2004 ua makemake kekahi ʻano makika i ke ʻano koko 'O'. Akā, ʻaʻole kēia he mea maʻamau i nā makika āpau.)
- Inā ʻoe e neʻe a puni i ka wā e hana ana nā makika (a laila hoʻokuʻu ʻia ka CO2 a me ka waikawa lactic).
- Hiki ke lilo i ʻala kikoʻī e puka mai ana mai kou kino mai, e like me ka mea ʻala āu e ʻaʻahu ai, a i ʻole ke ʻala o ka hou, ʻoiai ke ʻala o nā wāwae hou .
- Ke ʻaʻahu nei ʻoe i nā lole ʻeleʻele.Inā ʻoe e ʻaʻahu ana ia mea. (ʻOi aku ka makemake o nā makika i nā lole ʻeleʻele ma mua o nā lole māmā.)
Pehea e ʻike ʻia ai ka maʻi Jamestown Canyon (JCV)?
No ka ʻike ʻana i kēia maʻi, e nīnau mua kāu kauka iā ʻoe e pili ana i kāu mau hōʻailona. Pono nō hoʻi ʻoe e haʻi iā lākou e pili ana i kāu mau hana i hala koke nei a me kekahi mōʻaukala huakaʻi.
A laila e kauoha paha ke kauka i kekahi mau hoʻāʻo koko . ʻO kekahi o nā mea nui loa he hoʻāʻo antibody (hoʻāʻo immunoglobulin Virus-specific, a i ʻole hoʻāʻo IgM) . Hana ʻia kēia e kāpae i nā kūlana ʻē aʻe a e hoʻoholo inā he virus like ia. Ke maʻi kā mākou ʻōnaehana pale, hana ia i nā antibodies e kūʻē iā ia. No laila, inā loaʻa iā ʻoe kēia mau antibodies i loko o kou koko, ʻo ia hoʻi ke kaua nei kou kino i ka virus, ʻo ia hoʻi ua loaʻa iā ʻoe ka maʻi.
He aha nā hoʻokolohua ʻē aʻe e hiki ke ʻōlelo ʻia?
I kekahi manawa, pono paha nā hoʻokolohua hou aʻe e hōʻoia i ka hōʻailona. No ka mea he paʻakikī ke hoʻokaʻawale i ka Jamestown Canyon Virus (JCV) mai nā maʻi like ʻē aʻe, hiki i kāu kauka ke ʻōlelo pū i kēia mau hoʻokolohua:
- ʻO ke kī ʻana o ka iwi kuamoʻo/lumbar puncture: Nānā kēia e ʻike inā ua hoʻopilikia ʻia ka lolo a me ke kaula iwi kuamoʻo.
- ʻO ke scan MRI (Magnetic Resonance Imaging) : Nānā kēia i ke kūlana o ka lolo a me ka ʻōnaehana nerve.
- Hoʻāʻo PRNT (Plaque Reduction Neutralization Test)
- Hoʻāʻo RT-PCR (Reverse Transcription-Polymerase Chain Reaction) : Hoʻāʻo kēia no ke alo o nā ʻāpana genetic o ka maʻi.
He aha nā lāʻau lapaʻau no ka Jamestown Canyon Virus (JCV)?
I ka hapa nui o ka manawa, inā ʻaʻohe ou hōʻailona, ʻaʻole pono ʻoe i ka lāʻau lapaʻau. Inā he mau hōʻailona iki kou, hiki i kāu kauka ke paipai i ka hana ʻana i nā mea e like me:
- E inu i ka nui o nā wai e pale ai i ka dehydration.
- No ke poʻo ʻeha a me ke kuni, e lawe i nā lāʻau hoʻomaha ʻeha OTC hiki iā ʻoe ke loaʻa mai ka hale kūʻai lāʻau me ke kauoha ʻole ʻia .
- E hoʻomaha maikaʻi.
Eia nō naʻe, inā loaʻa iā ʻoe nā hōʻailona koʻikoʻi, pono paha ʻoe e hoʻokomo ʻia i ka haukapila a hāʻawi ʻia i nā wai IV , nā lāʻau lapaʻau e pono ai, a nānā ʻia. I kēia manawa, ʻaʻohe lāʻau lapaʻau kūikawā no ka Jamestown Canyon Virus (JCV). No laila, ua kaupalena ʻia ka lāʻau lapaʻau i ka mālama ʻana i nā hōʻailona.
He aha nā hopena lōʻihi o kēia maʻi?
ʻO ka hapa nui o ka poʻe i loaʻa i ka maʻi Jamestown Canyon (JCV) ʻaʻohe o lākou mau hōʻailona a i ʻole nā hopena lōʻihi. Akā inā loaʻa iā ʻoe ka maʻi nui, e hilinaʻi kāu hopena lōʻihi i kāu mau hōʻailona a me ka hoʻolālā lapaʻau āu e loaʻa ai. E kōkua kāu hui lapaʻau iā ʻoe e hoʻōla koke.
Hiki iā ʻoe ke pale iā ʻoe iho mai ka maʻi Jamestown Canyon (JCV)?
ʻAe! ʻO ke ala maikaʻi loa e pale aku ai iā ʻoe iho mai kēia, ʻo ia keKe pale ʻana i nā nahu makika. Pono ʻoe e makaʻala i kou wā ma waho, a pono hoʻi ʻoe e hahai i nā hana palekana i ka wā e hele ai i kahi wahi.
E hana i kēia mau mea e palekana ai mai nā makika:
- E hōʻemi i ka hele ʻana i nā wahi i loaʻa pinepine ai kēlā mau maʻi viral.
- E hoʻouka i nā pale ma nā puka makani a me nā puka o kou hale. E hoʻoponopono i nā lua a i ʻole nā māwae.
- E noho i loko o ka hale i ka hiki ke hiki i nā manawa e hana nui ai nā makika, ʻo ia hoʻi i ka napoʻo ʻana o ka lā a me ka wanaʻao .
- E wehe i nā wahi e hōʻiliʻili ai ka wai (e like me nā kaila, nā pūpū niu, nā ipu pua), no ka mea, waiho nā makika i kā lākou hua ma ia mau wahi.
E hana i kēia mau mea i ka wā e hana ai ma waho:
- E ʻaʻahu i nā lole e uhi ana i ka nui o kou kino e like me ka hiki, e like me nā pālule lima lōʻihi a me nā pālule.
- I ka wā e hiamoe ai , e hiamoe i loko o ka hale a i ʻole ma lalo o kahi ʻupena makika.
- Inā ʻoe e hoʻomoana ana, e hoʻopili iā Permethrin i kou lole a me nā lako o waho.
- E hoʻopili i kahi mea pale pepeke i ʻae ʻia e ka EPA (Environmental Protection Agency) i kou ʻili a me kou lole. Loaʻa pinepine iā lākou ka DEET a i ʻole Picaridin.
Āhea wau e ʻimi ai i ke aʻo lapaʻau e pili ana i kēia?
Inā loaʻa iā ʻoe nā hōʻailona ʻē (e like me ke kuni, ka ʻeha kino, a i ʻole ke poʻo ʻeha) i kekahi mau lā a i ʻole nā pule ma hope o ka nahu ʻia ʻana e kahi makika , e ʻike i ke kauka. Eia kekahi, inā loaʻa iā ʻoe kekahi mau pilikia olakino ma hope o ka huakaʻi ʻana i kahi wahi i loaʻa pinepine ai nā maʻi i lawe ʻia e nā makika, e hoʻomaopopo i kāu hui lapaʻau. ʻO ka wikiwiki o kou ʻike ʻana i ka maʻi, ʻo ka ʻoi aku ka maikaʻi o ka lāʻau lapaʻau hiki iā ʻoe ke loaʻa.
He nui ka poʻe i nahu ʻia e nā makika, ʻoiai i ka wā mahana. Akā hiki ke hopohopo iki ke noʻonoʻo he ʻoi aku ia ma mua o ka maneʻo wale nō, ʻeā? He maʻi laha ʻole ka Jamestown Canyon Virus (JCV) akā he maʻi weliweli paha. No ka pale ʻana iā ʻoe iho a me kāu poʻe aloha mai kēia maʻi, a me nā maʻi ʻē aʻe i lawe ʻia e nā makika, e makaʻala i ka wā e hana ana a e pāʻani ana ma waho. ʻO ka lawe ʻana i kēia mau hana pale e kōkua iā ʻoe e noho olakino i ka makahiki holoʻokoʻa.
ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)
- He maʻi laha ʻole ka Jamestown Canyon Virus (JCV) i laha ʻia e nā makika.
- ʻAʻole hōʻike ka hapa nui o ka poʻe i nā hōʻailona, akā hiki i kekahi ke loaʻa i ke kuni, ka luhi, a me ke poʻo.
- I kekahi manawa , hiki ke lilo i mea koʻikoʻi a hoʻopilikia i ka ʻōnaehana nerve. Inā hana kēia, pono ʻoe e lawe koke ʻia i ka haukapila.
- ʻAʻohe lāʻau lapaʻau kūikawā no kēia, kau ʻia ka lāʻau lapaʻau ma luna o nā hōʻailona.
- ʻO ka mea maikaʻi loa e hana ai, ʻo ia ke pale iā ʻoe iho mai nā makika. No ka hana ʻana i kēia, e ʻaʻahu i nā lole kūpono, e hoʻohana i ka mea pale makika, a e mālama i kou home a me nā wahi e puni ana.
- Inā ʻike ʻoe i nā hōʻailona ʻē ma hope o ka nahu ʻia ʻana e kahi makikaMai hoʻokaʻulua i ka ʻimi ʻana i ke aʻo lapaʻau.
E hoʻomanaʻo, ʻoiai he mau mea liʻiliʻi nā makika, hiki iā lākou ke lawe i nā maʻi nui. No laila he mea nui e makaʻala mau!
ʻO ka maʻi ʻo Jamestown Canyon, ka maʻi makika, ka maʻi viral, ke kuni, nā hōʻailona, ka pale ʻana i ka makika, ka pale ʻana
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