He ʻeha kou ma kou ʻili e ola ʻole ai? He Leishmaniasis paha ia? E kamaʻilio kākou e pili ana!

Ua ʻike anei ʻoe he mau ʻeha ko kekahi poʻe ma ko lākou ʻili e lōʻihi ka manawa e hoʻōla ai, i kekahi manawa e waiho ana i nā ʻeha ʻino? A i ʻole he kuni e mau ana no nā lā, ka emi ʻana o ke kaumaha, a me ka ʻōpū pehu? Hiki i kēia ke lilo i mau hōʻailona o kahi maʻi a mākou e nānā ʻole ai i kekahi manawa, e like me kahi holoholona liʻiliʻi e like me ka nalo. ʻO kekahi o ia mau maʻi ʻo Leishmaniasis. I kēia lā, e kamaʻilio mākou e pili ana i kēia me nā kikoʻī, me ka maʻalahi loa.

He aha ka Leishmaniasis?

I ka ʻōlelo maʻalahi, ʻo Leishmaniasis kahi hui o nā maʻi i hoʻokumu ʻia e kahi parasite i kapa ʻia ʻo Leishmania . He liʻiliʻi loa kēia parasite ʻaʻole hiki ke ʻike ʻia me ka maka ʻōlohelohe koe wale nō ma lalo o kahi microscope. Ma ke ʻano pololei, no kahi hui o nā meaola i kapa ʻia ʻo protozoa, he mau meaola cell hoʻokahi.

Hoʻoili ʻia kēia maʻi iā kākou ke nahu mai kekahi ʻano nalo one iā kākou. He liʻiliʻi loa kēia mau nalo, i kekahi manawa he liʻiliʻi ma mua o nā makika. Hiki i kēia maʻi ke hana i nā ʻano maʻi like ʻole, mai nā ʻeha ʻili maikaʻi ʻole a hiki i nā pilikia e hoʻoweliweli ana i ke ola e pili ana i nā ʻōpū o loko.

ʻElua mau ala nui a mākou e ʻike pinepine ai i kēia:

1. ʻO ka leishmaniasis ʻili (`(Cutaneous leishmaniasis)`)

2. Visceral leishmaniasis ( ka mea e hoʻopilikia ai i nā ʻōpū o loko )

ʻO wai ka mea kūpono loa e loaʻa i kēia?

ʻO ka Leishmaniasis ka mea maʻamau ma nā wahi kuaʻāina, ʻoi aku hoʻi ma nā wahi me ka hoʻomaʻemaʻe maikaʻi ʻole . ʻO ka poʻe me nā ʻōnaehana pale nāwaliwali , e like me ka poʻe i loaʻa i ka maʻi HIV a i ʻole ka poʻe me nā hemahema pale ʻē aʻe, ʻoi aku ka nui o ka loaʻa ʻana o ka maʻi inā loaʻa lākou i ka parasite Leishmania.

Pehea ka maʻamau o ka Leishmaniasis? Aia anei ia ma Sri Lanka?

Ma ka honua holoʻokoʻa, ʻaʻole i loaʻa i kekahi poʻe i loaʻa i ka parasite Leishmania nā hōʻailona. No laila, he paʻakikī ke ʻōlelo pololei i kona ʻano maʻamau. Eia nō naʻe, ua manaʻo nā loea ma waena o 1.5 a me 2 miliona mau kānaka ma ka honua holoʻokoʻa e ʻeha nei i ka maʻi me nā hōʻailona i kēlā me kēia makahiki .

ʻAe, me ke kaumaha, aia pū kekahi ʻo Leishmaniasis ma Sri Lanka. ʻOi aku ka ʻano ʻili (`(Cutaneous leishmaniasis)`) i hōʻike ʻia ma nā wahi maloʻo o ko mākou ʻāina, no ka laʻana ma nā ʻāpana e like me Anuradhapura, Polonnaruwa, Hambantota, a me Matara. No laila, he mea nui loa ka makaʻala i kēia.

Ma hea kahi o ka honua i ʻike pinepine ʻia ai kēia?

Loaʻa ka parasite Leishmania ma mua o 90 mau ʻāina a puni ka honua. Hiki ke loaʻa nā ʻano Leishmania like ʻole ma nā wahi like ʻole o ka honua. Ua hoʻokaʻawale nā ​​​​loea iā ia i ʻelua ʻano, "Old World leishmaniasis" a me "New World leishmaniasis," ma muli o kahi i loaʻa ai.

• ʻO ka leishmaniasis o ka Honua Kahiko (`(Old World leishmaniasis)`) ma ka Hikina Hikina, ʻo ia hoʻi:
• ʻO kekahi mau ʻāpana o ʻĀsia
• Ma ʻApelika, ʻoi aku hoʻi ma nā ʻāina wela a me ʻApelika ʻĀkau
• ʻEulopa Hema
• Hikina Waena
• ʻO ka leishmaniasis Honua Hou (`(Leishmaniasis Honua Hou)`) ma ka Hemisphere Komohana, ʻo ia hoʻi:
• ʻAmelika Waena
• ʻAmelika Hema
• ʻO kekahi mau wahi o Mekiko

ʻOiai he mea maʻamau ʻole ia ma ʻAmelika Hui Pū ʻIa, ua hōʻike ʻia nā hihia o ka leishmaniasis cutaneous mai nā mokuʻāina e like me Texas a me Oklahoma.

He aha nā ʻano nui o Leishmaniasis?

Hiki ke hoʻokaʻawale ʻia ka leishmaniasis i ʻekolu mau ʻano nui: ʻili, mucosal, a me visceral.

ʻO ka Leishmaniasis ʻili (CL)

He maʻi kēia e kū mai ana ma ka ʻili kahi i nahu ʻia ai e kahi nalo one . Hoʻomaka ia ma ke ʻano he nodule liʻiliʻi a laila lilo i ʻōpū nui. He lōʻihi ka manawa e ho'ōla ai kēia mau ʻōpū, a i kekahi manawa ʻaʻole lākou e ho'ōla iā lākou iho. Hiki ke hoʻomaka nā hōʻailona i loko o kekahi mau pule a i kekahi mau mahina ma hope o ka nahu ʻana o kahi nalo one.

He mea kākaʻikahi loa, hiki i kekahi poʻe ke loaʻa i kēia mau puʻupuʻu a i ʻole nā ​​​​​​ʻeha ma nā wahi he nui o ka ʻili. Ua kapa ʻia kēia ʻo `(diffuse cutaneous leishmaniasis)`. Hiki i kēia mau mea ke hana hou ʻia ma hope o ka mālama ʻia ʻana.

ʻO ka Leishmaniasis Mucosal/Mucocutaneous (ML)

ʻO ka maʻamau, hana ʻia kēia ma ke ʻano he pilikia o ka leishmaniasis ʻili . Hoʻopilikia ia i nā membrane mucous i loko o ka ihu, ka waha, a i ʻole ka puʻu. Kākaʻikahi ka hoʻopau ʻana o ke kūlana ma kāna iho a he mea make pinepine ia inā ʻaʻole mālama ʻia . Hiki iā ia ke hana i ka hōʻino ʻana o ka helehelena.

ʻO ka Leishmaniasis Visceral (VL) / Kala-azar

ʻO kēia ke ʻano koʻikoʻi loa o ka maʻi . Hoʻokumu ʻia e kahi ʻano Leishmania kikoʻī. Hoʻopilikia ia i kou mau ʻōpū kūloko, ʻoiai kou spleen a me ke akepaʻa . Hiki i nā hōʻailona ke hala i kekahi mau mahina a i hoʻokahi makahiki a ʻoi aku paha e ʻike ʻia ma hope o kou nahu ʻia ʻana e kahi lele i loaʻa i ka maʻi. Hiki i kēia ʻano (VL) ke lilo i mea koʻikoʻi koke a aneane make mau inā waiho ʻole ʻia .

He aha nā hōʻailona o kēia maʻi?

ʻOkoʻa nā hōʻailona o ka leishmaniasis ma muli o ke ʻano āu e loaʻa ai. ʻO nā ʻano e hoʻopilikia ai i ka ʻili a me nā membrane mucous e hoʻoulu ai i nā ʻeha nui a lohi ka ho'ōla ʻana. ʻO nā ʻano e hoʻopilikia ai i nā ʻōpū o loko e hoʻoulu ai i nā hōʻailona maʻamau e like me ke kuni, ka pohō kaumaha, a me ka pehu ʻana o ka ʻōpū.

Nā hōʻailona o ka Leishmaniasis ʻili

Hoʻokumu ʻia kahi puʻupuʻu ma ka ʻili kahi i nahu ʻia ai e ka nalo one. Loaʻa paha kahi ʻōpala/ʻili ma luna. I ka hala ʻana o ka manawa, hiki i kēia ke lilo i ʻeha.He lihi paʻakikī a puni ia, a he kikowaena piholo (e like me ka lua pele).

Nā hōʻailona o ka Mucosal Leishmaniasis

Nā ʻeha ma nā membrane mucous i loko o ka ihu, ka waha, a i ʻole ka puʻu. ʻO ka maʻamau, hele mua ʻia kēia mau ʻeha a hele pū ʻia paha e hoʻokahi a ʻoi aku paha nā ʻeha ʻili.

Nā hōʻailona o ka Visceral Leishmaniasis

ʻO kēia mau hōʻailona:

• Kuni: Hiki ke hoʻomaka koke kēia a hiki ke hele a hele aku no nā pule.
• Ke anu nei a me ka hou.
• Nā ʻōpū lymph pehu.
• ʻO ka pehu ʻana o ka ʻōpū ma muli o ka hoʻonui ʻia ʻana o ka spleen.
• Ka emi ʻana o ke kaumaha.
• Luhi nui, māluhiluhi.
• Ka nāwaliwali.
• Ka ʻeleʻele a i ʻole ke ʻano ʻē o kekahi mau wahi o ka ʻili.

He aha ke kumu o ka Leishmaniasis? Pehea e laha ai?

Hoʻokumu ʻia ʻo Leishmaniasis e nā parasites i kapa ʻia ʻo Leishmania. Noho kēia mau parasites i loko o nā kānaka a me nā holoholona e like me nā ʻīlio, nā pōpoki, nā opossums, nā ʻiole, a me nā ʻalopeke.

Hoʻolaha nui ʻia ia ma o ka nahu ʻana o kahi ʻano nalo i kapa ʻia ʻo ka nalo one phlebotomine . Ke nahu kēia nalo i kahi kanaka a holoholona paha i loaʻa i ka maʻi, a laila nahu i kekahi kanaka ʻē aʻe, hoʻokomo ia i ka parasite Leishmania i loko o ke kino o kekahi kanaka.

Ma waho aʻe o kēia, ʻo nā ala ʻē aʻe e hiki ai iā ʻoe ke loaʻa i ka maʻi Leishmania, he mea kakaikahi loa ia:

• Ma ka kaʻana like ʻana i nā nila.
• Ma o ke kahe koko ʻana.
• Mai ka makuahine hāpai a i ke keiki i loko o ka ʻōpū.

He mea nui: ʻAʻole hiki iā ʻoe ke loaʻa pololei ka leishmaniasis mai kahi ʻīlio a i ʻole kekahi holoholona ʻē aʻe. Eia nō naʻe, aia nā hōʻike e hiki i nā ʻīlio ke hoʻoili iā ia i nā ʻīlio ʻē aʻe. ʻOiai hiki i nā ʻīlio ke hoʻoili iā ia i nā kānaka ma o nā nalo one, he mea nui e pale i nā ʻīlio mai ka loaʻa ʻana.

Pehea ʻoe e ʻike ai inā loaʻa iā ʻoe ka Leishmaniasis?

Nānā ke kauka i ka maʻi ma ka lawe ʻana i nā laʻana ʻiʻo mai kou kino a hoʻāʻo iā lākou no ka parasite Leishmania. Hiki ke lawe ʻia kēia mau laʻana mai nā ʻeha, ka spleen, nā lymph nodes, a i ʻole ka iwi iwi. Ma nā ʻāina kahi i maʻamau ai ka leishmaniasis, ʻike pinepine nā kauka i ka maʻi ma ka hoʻolohe ʻana i nā hōʻailona a i ʻole ka nānā ʻana i ka ʻili.

He aha nā hoʻokolohua e hana ʻia?

• Biopsy nila: Hoʻohana ke kauka i kahi nila e lawe i kahi laʻana o nā ʻiʻo mai kou spleen, lymph node, a i ʻole ka iwi iwi. Nānā kekahi loea lab iā ia ma lalo o kahi microscope e ʻike inā loaʻa ʻo Leishmania. ʻO kēia ke ala maikaʻi loa e ʻike ai i ka visceral leishmaniasis.
• Biopsy ʻili: Lawe ke kauka i kahi hāpana ʻiʻo mai kahi ʻeha ma kou ʻili, ihu, a waha paha. Hoʻāʻo ʻia no Leishmania. Kōkua kēia i ka ʻike ʻana i ka leishmaniasis ʻili a mucosal paha.
• Nā hoʻāʻo koko (Serology) : I kekahi manawa hiki i ke kauka ke nānā i kou koko no nā hōʻailona o ka maʻi Leishmania. Eia nō naʻe, ʻaʻole pono loa nā hoʻāʻo koko i ka ʻike ʻana i kahi maʻi e kū nei. No ka mea hiki i kekahi poʻe ke loaʻa me ka ʻole o nā hōʻailona, ​​​​hiki i kahi hoʻāʻo koko ke maikaʻi ʻoiai inā ʻaʻole ʻoe i loaʻa i ka maʻi i kēia manawa.

He aha nā lāʻau lapaʻau no kēia?

Aia kekahi mau ʻano lāʻau anti-parasitic e hiki ke hoʻohana ʻia e mālama i ka Leishmaniasis. ʻO ka lāʻau lapaʻau a kāu kauka e kuhikuhi ai e pili ana i ke ʻano o ka Leishmaniasis āu. Hiki i kēia mau lāʻau lapaʻau ke loaʻa i nā ʻano like ʻole:

• Ke ale ʻana i nā pila.
• Nā kirīmi a i ʻole nā ​​lotion e hōʻoluʻolu ai i ka ʻili.
• Nā wai i hāʻawi ʻia e ke kauka ma o kahi paipu saline (IV catheter) i hoʻokomo ʻia i loko o kahi aa koko.

Inā loaʻa iā ʻoe ka leishmaniasis cutaneous, hiki i kāu kauka ke hoʻopili i ka lāʻau wela (thermotherapy), ka lāʻau anu (cryotherapy), a i ʻole ka lāʻau laser pololei i nā ʻeha. Hiki i kēia mau mea ke pepehi i ka parasite a kōkua i ka ho'ōla ʻana o nā ʻeha.

Nā lāʻau lapaʻau no ka Leishmaniasis:

• ʻAmphotericin
• Miltefosine
• Nā antimonial pentavalent, no ka laʻana sodium stibogluconate
• ʻO Paromomycin

Hāʻawi ʻia kekahi mau lāʻau lapaʻau ʻē aʻe no ka leishmaniasis ʻili. ʻO kēia mau mea:

• Thermotherapy : Hoʻopili ke kauka i ka wela i ka ʻeha a me ka ʻāpana a puni.
• Cryotherapy : Hoʻomaʻalili ke kauka i ka ʻeha a me ka ʻāpana a puni no kahi o 10-30 kekona.
• Lapaʻau Laser : Hoʻohana ke kauka i kahi hāmeʻa lima e kuhikuhi i nā kukuna laser i ka ʻeha a me ka ʻāina a puni.

Pehea e pale aku ai i ka Leishmaniasis?

ʻO ke ala maikaʻi loa e pale aku ai i nā ʻano Leishmaniasis āpau, ʻo ia ka pale ʻana i ka nahu ʻia e nā nalo one , ʻoiai ma nā wahi i loaʻa pinepine ai ʻo Leishmania. Eia kekahi mau ala e pale aku ai i nā nahu nalo one:

• E ʻaʻahu i nā lole e uhi pono i kou kino: nā lole lōʻihi, nā pālule lima lōʻihi, nā kāmaʻa wāwae, a pēlā aku.
• E hoʻohana i kahi mea pale pepeke i ʻāpono ʻia e ka EPA. ʻO ka maʻamau, aia ka DEET i loko o nā mea pale pepeke maikaʻi loa.
• E pīpī i ka mea pepehi pepeke e pepehi i nā nalo one i loko o nā hale, e like me nā lumi moe a me nā lumi hoʻokipa.
• E hiamoe i loko o kahi lumi me nā puka makani i pani ʻia a i ʻole me nā pale ma nā puka makani.
• E hiamoe ma lalo o kahi ʻupena moe makika. Ua mālama mua ʻia kekahi mau ʻupena me ka mea pale pepeke no ka pale hou aku. ʻOi aku ka liʻiliʻi o nā nalo one ma mua o nā makika. No laila, pono e liʻiliʻi loa nā lua o ka ʻupena e pale aku i nā nalo mai ke komo ʻana.

He aha ka mea e hana ai inā loaʻa iā ʻoe ka Leishmaniasis? Hiki ke ho'ōla ʻia?

Inā loaʻa iā ʻoe kēia maʻi, pili kou prognosis i ke ʻano āu i loaʻa ai a me ke olakino o kāu ʻōnaehana pale. Pono e mālama koke ʻia ke ʻano e hoʻopilikia ai i nā ʻōpū kūloko (VL) a me ke ʻano e hoʻopilikia ai i nā membrane mucous (ML). ʻAneʻane make mau nā mea ʻelua inā waiho ʻole ʻia.

Hiki i ka leishmaniasis ʻili ke hoʻōla kūʻokoʻa a i ʻole me ka lāʻau lapaʻau. Eia nō naʻe, hiki ke hala i nā mahina e ho'ōla piha ai, a hiki ke loaʻa ka ʻeha mau loa.

Pono paha ʻoe e hoʻomau i ka lawe ʻana i ka lāʻau lapaʻau no nā pule a i ʻole nā ​​mahina e hōʻoia ai ua pau loa ka maʻi. E nīnau i kāu kauka e pili ana i ka lāʻau lapaʻau a me ka manawa hoʻōla.

Hiki ke ho'ōla pinepine ʻia ka Leishmaniasis inā ʻike mua ke kauka i ka maʻi a mālama iā ia me ka lāʻau lapaʻau. Me ka mālama mua ʻana, ʻoi aku ka nui o ka ho'ōla ʻana no ka visceral leishmaniasis ma mua o 90%, a no ka mucosal leishmaniasis, ʻoi aku ia ma mua o 75%. Hiki i kekahi poʻe ke maʻi hou i kekahi mau mahina ma hope o ko lākou hoʻōla ʻana a ua noa ka parasite (ua kapa ʻia kēia he relapse).

He paʻakikī ke mālama ʻana i ka leishmaniasis visceral a me mucosal inā waiho ʻole ʻia. He paʻakikī nō hoʻi ke mālama ʻia i ka poʻe me nā ʻōnaehana pale nāwaliwali.

He aha nā pilikia o kēia maʻi?

Hiki i nā pilikia o ka leishmaniasis ke koʻikoʻi a hoʻoweliweli paha i ke ola, ʻoiai ma nā ʻano visceral a me mucosal. Hoʻokomo pū lākou:

• Nā maʻi bacteria: Ua kapa ʻia kēia mau mea he mau maʻi lua. Hiki i kēia ke hoʻonui i nā ʻeha. Hiki i nā bacteria ke hele hohonu i loko o ke kino a hoʻoulu i nā maʻi koʻikoʻi.
• Ka ʻōpala: Hiki i ka leishmaniasis ʻili a me ka mucosal ke hana i ka hōʻino mau loa a me ka ʻōpala koʻikoʻi o ka ʻili, ka waha, a me ka ihu.
• Hoʻi hou: Loaʻa i kekahi poʻe nā hōʻailona e nalowale me ka mālama ʻana a laila hoʻi hou mai. ʻO nā ʻeha ʻili e hoʻi mai ana ua kapa ʻia ʻo "leishmaniasis recidivans." Inā hana ʻia kēia, pono paha ka mālama hou ʻana.
• Ka perforation a i ʻole ka hiolo ʻana o ka septal:Hiki i ka mucosal leishmaniasis ke hana i kahi lua i loko o ke kino ma waena o nā ala ihu ʻelua (ka paia ma waena o nā puka ihu - ``(septum)``). Hiki i ke ʻano o ka ihu ke hiolo. Hiki i kēia ke hana i nā deformities, nā maʻi, a me nā pilikia hanu.
• ʻO ka maʻi niumonia a i ʻole nā ​​​​maʻi ʻōpū (GI (gastrointestinal) tract infections): Hiki i ka mucosal a me ka visceral leishmaniasis ke hoʻoulu i nā maʻi ma nā wahi ʻē aʻe o ke kino.

Nā pilikia ʻē aʻe o ka leishmaniasis visceral:

• ʻO ka leishmaniasis dermal post kala-azar (PKDL): ʻO ka PKDL kahi kūlana e hoʻoulu ai i nā ʻeha nui a puʻupuʻu ma ka maka a i ʻole nā ​​​​​​ʻāpana ʻē aʻe o ke kino. Hiki ke hana ia i ka wā a ma hope paha o ka leishmaniasis visceral. Hiki iā ia ke lōʻihi a hiki ke hana i nā ʻeha koʻikoʻi.
• Ke kahe koko nui: Hiki ke make ke kahe koko nui.
• Hemophagocytic lymphohistiocytosis: He ʻano hoʻoweliweli ola kēia, a he ʻano hōʻino i ke kino.
• Sepsis: ʻO Sepsis ka pane hoʻoweliweli ola o ke kino i kahi maʻi koʻikoʻi.

Pehea lā wau e mālama ai iaʻu iho?

E nīnau i kāu kauka pehea e mālama ai iā ʻoe iho a hiki i kou hoʻōla ʻana. Inā loaʻa iā ʻoe ka leishmaniasis cutaneous, e haʻi aku kāu kauka iā ʻoe pehea e hoʻomaʻemaʻe a mālama i nā ʻeha a hiki i ko lākou hoʻōla ʻana. Me nā ʻano leishmaniasis āpau, e makaʻala i nā hōʻailona e hoʻi mai ana ma hope o kou manaʻo ua hoʻōla ʻia ʻoe.

Āhea wau e ʻike ai i ke kauka?

E ʻike i kāu kauka ma kēia mau hihia:

• Inā ʻoe e noho ana ma kahi i laha ai ʻo Leishmania a i ʻole ua huakaʻi ʻoe a loaʻa nā hōʻailona.
• Inā lōʻihi ka manawa e ho'ōla ai i kahi ʻeha ma kou ʻili.
• Inā nāwaliwali kou ʻōnaehana pale maʻi a i ʻole he mau hōʻailona kou o ka maʻi, e ʻike i ke kauka.

Inā ʻaʻohe ou hōʻailona ma hope o ka nahu ʻia ʻana e kahi nalo one, ʻaʻole pono ʻoe e ʻike i ke kauka. ʻAʻole nā ​​nalo one a pau e hoʻolaha i nā maʻi. I kekahi manawa hiki i ko mākou kino ke pale aku i kahi maʻi Leishmania me ka ʻole o ka maʻi. Inā ʻaʻole nāwaliwali kou ʻōnaehana pale a i ʻole ua maʻi mua ʻoe, ʻaʻole mālama nā kauka iā ʻoe.

I ka manawa hea ʻoe e hele ai i kahi Emergency Treatment Unit (ETU) ?

Inā loaʻa iā ʻoe kēia mau hōʻailona koʻikoʻi, e hele i ka lumi pilikia kokoke loa:

• Inā loaʻa iā ʻoe ke kuni kiʻekiʻe (ʻoi aku ma luna o 103 Fahrenheit / 40 Celsius) ʻaʻole ia e emi.
• Paʻakikī ka hanu ʻana.
• He pehu ʻana o ka ʻōpū i ʻike nui ʻia.
• Melemele o ka ʻili a i ʻole nā ​​maka (jaundice).
• Polū ke kala o ka ʻili, nā lehelehe, a i ʻole nā ​​​​kui lima (cyanosis, kahi hōʻailona o ka oxygen haʻahaʻa i loko o ke koko).

He aha nā nīnau e pono iaʻu e nīnau aku i ke kauka?

He mea kōkua paha ke nīnau aku i kāu kauka i kēia mau nīnau:

• He aha nā koho lapaʻau e loaʻa iaʻu?
• Pehea lā wau e mālama ai i koʻu mau ʻeha?
• Āhea wau e hoʻomaikaʻi ai/e ola anei koʻu mau ʻeha?
• Pehea ke koʻikoʻi o koʻu maʻi?
• Pehea lā wau e lawe ai i kaʻu lāʻau lapaʻau?
• Āhea wau e hele ai i ka lumi pilikia?
• Āhea wau e ʻike hou ai iā ʻoe?

E hoʻomanaʻo ma ke ʻano he hōʻuluʻulu manaʻo

He maʻi parasitic ʻo Leishmaniasis e hiki ke hoʻoulu i nā maʻi ʻeha a hoʻoweliweli i ke ola. Inā ʻoe e noho ana a i ʻole e hele ana i kahi wahi i loaʻa pinepine ai ʻo Leishmania, e hana i nā hana e pale aku iā ʻoe iho. Inā loaʻa iā ʻoe nā hōʻailona o Leishmaniasis, a inā he ʻeha kou i ho'ōla ʻole ʻia a i ʻole e ʻoi aku ka ʻino, e ʻimi pono i ke kōkua lapaʻau. ʻO ka hapa nui o ka poʻe i loaʻa ka lāʻau lapaʻau ma mua o ka ʻino ʻana e hiki ke ho'ōla piha. No laila, he mea nui e makaʻala i kēia mau hōʻailona a e ʻimi koke i ka lāʻau lapaʻau.

leishmaniasis , kala-azar, lele one, ʻeha ʻili, parasite