I kēia lā, e kamaʻilio kākou e pili ana i kahi maʻi weliweli i kamaʻilio pinepine ʻia i ka wā ua ma ko kākou ʻāina. Ua lohe anei ʻoe i ka 'bee fever' ? ʻO ia ke ʻano. Akā ma ke ʻano lapaʻau, ua kapa ʻia ʻo Leptospirosis. No laila i kēia lā, e kamaʻilio kākou e pili ana i ke ʻano o kēia, pehea i hana ʻia ai, he aha nā hōʻailona, a pehea e pale ai iā ʻoe iho mai ia mea.
BMI Calculator
Know your body mass index (BMI) and weight classification
He aha ka Leptospirosis? Ma nā huaʻōlelo maʻalahi...
He maʻi ʻo Leptospirosis i hoʻokumu ʻia e kahi ʻano bacteria i kapa ʻia ʻo Leptospira. Hiki i kēia bacteria ke komo i kou kino ma o kahi ʻōpala liʻiliʻi a ʻoki paha ma kou ʻili, a i ʻole ma o nā wahi hāmama e like me kou mau maka, ihu, a waha paha. E noʻonoʻo e like me ka ʻaihue e komo ana i loko o kou hale.
He maʻi zoonotic kēia. ʻO ke ʻano kēia hiki iā ʻoe ke loaʻa i ka maʻi inā ʻoe e pili pono ana me ka mimi (kapa mākou he mimi ) a i ʻole nā wai mai ka ʻōnaehana hānau o kahi holoholona i loaʻa i ka maʻi, a inā ʻoe e ʻai i ka wai, ka lepo, a i ʻole ka meaʻai i haumia me kēia bacteria.
ʻO wai ka mea i pilikia nui i ka hoʻomohala ʻana i kēia?
ʻOiaʻiʻo, hiki i kekahi ma ka honua ke loaʻa i ka leptospirosis. Eia nō naʻe, ʻoi aku ka maʻamau ma nā ʻāina wela a wela hoʻi, ʻoi aku hoʻi ma nā wahi me ka ua maikaʻi i ka makahiki holoʻokoʻa . ʻO ko mākou ʻāina, ʻo Sri Lanka, kekahi o lākou. No laila, inā ʻoe e noho ana ma ia wahi, a inā ʻoe e hele, ʻoi aku ka kiʻekiʻe o ka pilikia.
E noʻonoʻo e pili ana i kēia ʻano:
- Nā mahiʻai e hana ana ma nā mahina ʻai , nā kānaka e hana ana ma nā wahi pulu.
- ʻO ka poʻe e hoʻomaʻemaʻe i nā ʻōnaehana paipu , nā limahana o ke kūlanakauhale.
- ʻO ka poʻe e hana pū ana me nā holoholona ma nā mahiʻai (nā holoholona e like me nā bipi, nā kao, nā puaʻa, a me nā ʻīlio).
- No ka poʻe e ʻau ana i ka wai lepo i ka wā o nā pōʻino kūlohelohe e like me ke kahe ʻana , a no nā limahana kōkua.
- I kekahi manawa, hiki ke loaʻa kēia pilikia i ka wā e ʻauʻau ana i loko o ka muliwai, ke kahawai, ka muliwai, a i ʻole ka loko no ka leʻaleʻa , ʻoiai ma nā wahi i manaʻo ʻia ai he lepo ka wai, a i ʻole i ka wā e hana ana i nā haʻuki wai (e like me ka holo waʻa wai keʻokeʻo). ʻOi aku ka nui o kēia pilikia i ka wā ua a ma hope o ke kahe ʻana o ke kai.
ʻOiai ma ʻAmelika, ua laha kēia maʻi ma hope o ke kahe ʻana ma nā mokuʻāina e like me Hawaiʻi a me Florida. No laila, ʻaʻole kēia he mea e lawe māmā ʻia.
Clinical vitamins and nutritional supplements
Clinically proven high quality vitamins, minerals and immune nutritional supplements.
Check Availability →Pehea ka maʻamau o kēia maʻi? Pehea ia i waena o nā kānaka?
Ma ka honua holoʻokoʻa, ua manaʻo ʻia he ʻoi aku ma mua o hoʻokahi miliona mau kānaka e loaʻa ana i ka leptospirosis i kēlā me kēia makahiki . Ma waena o kēia mau mea , kokoke i kanaono tausani e make ana . ʻO ia hoʻi, he maʻi make kēia. No laila he mea nui iā kākou e makaʻala i kēia.
He aha nā pae o ka leptospirosis?
ʻElua mau pae nui o ka leptospirosis.
1. Ka pae Leptospiremic a i ʻole ka pae koʻikoʻi:ʻO kēia ke kahua mua. Hiki ke hoʻomaka kēia kahua i ʻelua a ʻumikumamāhā mau lā ma hope o ke komo ʻana o ka bacteria 'Leptospira' i ke kino. ʻO ka maʻamau, he ʻekolu a ʻumi mau lā ka lōʻihi. I loko o kēia manawa, kaʻapuni ka bacteria i loko o kou koko a hele i kou mau ʻōpū o loko . Hiki i kahi hoʻāʻo koko i kēia manawa ke hōʻike i nā hōʻailona o ka maʻi. Loaʻa paha i kekahi poʻe nā hōʻailona liʻiliʻi e like me ke kuni i kēia manawa, aʻo kekahi poʻe ʻaʻohe hōʻailona iki.
2. Ka pae pale ʻana (ka pae hope): I loko o kēia pae, ua laha nā bacteria mai ke koko a i kou mau kino. Hōʻiliʻili kēia bacteria i loko o nā puʻupaʻa, ʻoi aku hoʻi i loko o nā puʻupaʻa . (Ua like nā puʻupaʻa me kahi kānana i loko o ko mākou kino e hoʻomaʻemaʻe i ke koko). No laila, inā ʻoe e hana i kahi hoʻāʻo mimi i kēia manawa, hiki iā ʻoe ke ʻike i nā hōʻailona o ka bacteria. Hiki iā ʻoe ke ʻike i nā antibodies e kūʻē i ka bacteria 'Leptospira' i loko o kou koko.
I loko o kēia pane ʻana o ka pale ʻana o ka maʻi, loaʻa i kekahi poʻe kahi maʻi koʻikoʻi i kapa ʻia ʻo Weil's syndrome . Hiki i kēia ke hana i nā pilikia koʻikoʻi e like me ke kahe ʻana o ke koko i loko, ka hōʻino ʻana o nā puʻupaʻa, a me ka melemele o nā maka a me ka ʻili (jaundice).
He aha nā hōʻailona o ka leptospirosis?
Loaʻa i kekahi poʻe nā hōʻailona iki e like me ke kuni, aʻo kekahi poʻe ʻaʻohe hōʻailona iki. I nā hihia koʻikoʻi, ʻo nā hōʻailona e komo pū me ke kahe ʻana o ke koko i loko a me ka hōʻino ʻana o nā kino.
Nā hōʻailona e ʻike koke ʻia ma ka leptospirosis koʻikoʻi:
- Loaʻa i ke kuni kiʻekiʻe
- ʻUlaʻula o nā maka (ʻinikini conjunctival)
- ʻEha poʻo
- Anuanu ( manaʻo anuanu )
- ʻEhaʻeha ʻiʻo
- ʻEha ʻōpū
- Ka luaʻi a me ka luaʻi
- Ka maʻi pākī
- Melemele o ka ʻili a me nā maka (Jaundice) - He hōʻailona kēia e pono ai ʻoe e makaʻala.
- He ʻulaʻula ʻili, he ʻulaʻula
Nā hōʻailona o ka leptospirosis koʻikoʻi "Weil's syndrome" (hiki ke ʻike ʻia he 3-10 mau lā ma hope o ka hoʻomaka ʻana o nā hōʻailona mua):
- Ke ʻū ʻana i ke koko (hemoptysis)
- ʻEha umauma
- Ka pilikia o ka hanu ʻana
- Melemele ʻeleʻele o ka ʻili a me nā maka
- ʻEleʻele a ʻūlū ka lepo - He hōʻailona paha kēia o ke kahe koko i loko.
- Ke koko i loko o ka mimi (hematuria)
- Ka emi ʻana o ka mimi ʻana
- Nā kiko ʻulaʻula pālahalaha ma ka ʻili, e like me ka ʻōpala (petechiae)
Inā loaʻa iā ʻoe kekahi o kēia mau ʻōuli koʻikoʻi, pono ʻoe e hele koke i ka haukapila .
Nā kumu a me ka laha ʻana o ka leptospirosis
E like me kā mākou i ʻōlelo ai ma mua, ua hoʻokumu ʻia ka leptospirosis e kahi bacteria i kapa ʻia ʻo 'Leptospira'. Komo kēia bacteria i kou kino ma o kou waha, ihu, maka, a i ʻole kahi haki i kou ʻili. A laila hele ia ma o kou kahe koko i kou mau kino, ʻoiai kou mau puʻupaʻa. ʻO nā puʻupaʻa kahi e "hoʻomaʻemaʻe ʻia ai ko mākou koko".
Hoʻokuʻu nā puʻupaʻa i nā huahana ʻōpala a me nā mea ʻawahia ma o ka mimi. No laila, puka pū kēia mau bacteria i loko o nā puʻupaʻa i ke kino ma o ka mimi. Pēlā e laha ai ka leptospirosis i kekahi kanaka a holoholona paha.
ʻO ka hapa pinepine, loaʻa i nā kānaka kēia maʻi ma o ka mimi o nā holoholona i loaʻa ka bacteria Leptospira. ʻO nā ʻiole nā mea lawe nui, ʻo ia ke kumu i kapa ʻia ai ʻo rat fever'. Akā, ʻaʻole wale nā ʻiole, akā, hiki i nā mammal e like me nā ʻīlio, nā bipi, nā lio, nā puaʻa ke loaʻa i kēia maʻi, a hiki iā kākou ke loaʻa mai iā lākou. ʻAʻole paha e hōʻike kekahi mau holoholona i nā hōʻailona ke loaʻa iā lākou ka maʻi.
No laila, inā ʻoe e launa pū me ka wai pāpaʻi, wai ʻino, wai kahe) a i ʻole ka lepo i haumia ʻia me ka mimi o kēia mau holoholona, hiki iā ʻoe ke maʻi. Maʻalahi:
- Ka pilina pololei me ka mimi a i ʻole nā wai kino ʻē aʻe o kahi holoholona i loaʻa i ka maʻi.
- Ma ka hoʻokomo ʻana i ka wai haumia a i ʻole ka lepo i loko o kou mau maka, ihu, a waha paha, a i ʻole ma ka hoʻopā ʻana i kahi ʻili i haki .
Ma hope o ka ua nui a i ʻole ke kahe ʻana, hiki i nā kānaka he nui ke loaʻa i kēia maʻi i ka manawa hoʻokahi. I ke kahe ʻana o nā wai kahe, hōʻiliʻili kēia bacteria i loko o nā muliwai, nā kahawai, a me nā loko.
ʻO ka mea nui loa, ʻaʻole laha pinepine ka leptospirosis mai kekahi kanaka a i kekahi. ʻO ia hoʻi, ʻaʻole hiki ke laha ma ke kamaʻilio ʻana a i ʻole ke lulu lima ʻana me kahi kanaka maʻi.
Pehea e ʻike ʻia ai kēia maʻi? (Diagnosis)
Inā loaʻa iā ʻoe nā hōʻailona o ka leptospirosis, e nānā ke kauka iā ʻoe a nīnau e pili ana i kāu mau hōʻailona, i kou wahi i hele ai (ʻoi aku hoʻi inā ua pili ʻoe i ka wai haumia), a me kāu mea e hana ai. A laila, hiki ke hana ʻia nā hoʻokolohua aʻe:
- Nā hoʻāʻo koko a me ka mimi: Lawe ʻia kahi koko liʻiliʻi mai kou lima, a i ʻole lawe ʻia kahi hāpana mimi, a hana ʻia ka hoʻāʻo e nānā i nā hōʻailona o ka bacteria Leptospira.
- Nā hoʻāʻo kiʻi: Inā loaʻa iā ʻoe nā hōʻailona koʻikoʻi, hiki i kāu kauka ke hana i kahi X-ray umauma a i ʻole CT scan . Hiki i kēia ke nānā no ka hōʻino ʻia o kou mau kino i loko.
Pehea e mālama ʻia ai ka leptospirosis?
Hoʻōla nā kauka i ka leptospirosis me nā lāʻau antibiotic . Inā loaʻa iā ʻoe nā hōʻailona maʻalahi a ʻoluʻolu hoʻi, e haʻi paha lākou iā ʻoe e ʻike inā e hoʻomaikaʻi ʻoe me ka ʻole o ka lāʻau lapaʻau, akā pono ʻoe e makaʻala i kāu mau hōʻailona.
Inā loaʻa iā ʻoe ka leptospirosis koʻikoʻi (e like me ka Weil's syndrome), pono ʻoe e lawe ʻia i ka haukapila.A laila hāʻawi pololei ʻia nā antibiotics i loko o ke koko ma o kahi wai saline (IV). Ma muli o ka mea i hoʻopilikia ʻia e kou mau kino, pono paha nā lāʻau lapaʻau a i ʻole nā lāʻau lapaʻau hou aʻe.
Nā lāʻau lapaʻau a me nā ʻano hana i hoʻohana ʻia no ka mālama ʻana:
- Nā lāʻau ʻaʻai: Hoʻohana ʻia nā lāʻau ʻaʻai e like me doxycycline, amoxicillin , ampicillin, penicillin-G, a me ceftriaxone no kēia. Na ke kauka e hoʻoholo i ka lāʻau e hāʻawi iā ʻoe ma muli o ke ʻano o kou kūlana a me kou mōʻaukala olakino.
- Hoʻoulu ʻana i ka ea: Inā ua pālahalaha ka maʻi i kou mau māmā a ke pilikia nei ʻoe i ka hanu ʻana, pono paha e hāʻawi ʻia ʻoe i kahi mīkini e hanu ai. I loko o kēia manawa, e hoʻomoe ʻia ʻoe.
- Plasmapheresis: Ua kapa ʻia hoʻi he hoʻololi plasma, hiki i kēia lāʻau lapaʻau ke kōkua i ka poʻe i pilikia i ka hōʻino ʻia o nā kino mai ka leptospirosis. Pili kēia i ka lawe ʻana i kou koko ma o kahi paipu i hoʻopili ʻia i kahi aʻa, me ka hoʻohana ʻana i kahi mīkini e hoʻokaʻawale i ka plasma mai kou koko, e hoʻololi iā ia me kahi pani plasma, a laila e hoʻokomo hou i ke koko i loko o kou kino.
Pehea e mālama ai i nā hōʻailona?
Inā loaʻa iā ʻoe nā hōʻailona iki, e haʻi aku kāu kauka iā ʻoe i ka mea e hana ai e kōkua i ka hoʻomaha ʻana iā lākou. No ke kuni a me nā ʻeha kino, hiki iā ʻoe ke lawe i nā lāʻau hoʻomaha ʻeha ma luna o ke kauka e like me ka ibuprofen (e.g., Advil®, Motrin®) a i ʻole acetaminophen (e.g., Tylenol®, Panadol®). Akā , mai lawe mau i kekahi lāʻau lapaʻau me ka ʻole o ka ʻōlelo aʻo a kāu kauka .
Pehea e pale ai iā ʻoe iho mai ka leptospirosis? (Kāohi ʻana)
ʻAʻohe lāʻau pale no kēia ma ʻAmelika Hui Pū ʻIa i kēia manawa, a pēlā nō hoʻi ma ko kākou ʻāina. No laila, ʻo ke ala maikaʻi loa e pale aku ai iā ʻoe iho mai ka leptospirosis, ʻo ia ka pale ʻana i ka ʻauʻau ʻana i loko a i ʻole ke komo ʻana i loko o ka wai i haumia paha me ka mimi holoholona . E noho mamao loa mai nā wai kahe.
Eia kekahi mau ala ʻē aʻe e hiki ai iā ʻoe ke hōʻemi i kou pilikia:
- Ke Lawe nei i ka Prophylaxis: Inā ʻoe e hele ana i kahi wahi pilikia nui a i ʻole e hana ana i kahi hana pilikia nui (e.g., hana kōkua waikahe), e nīnau i kāu kauka inā hiki iā ʻoe ke lawe i kahi lāʻau lapaʻau (e.g., doxycycline) e pale aku i ka ulu ʻana o ka maʻi.
- E noho mamao aku mai nā holoholona i loaʻa paha i ka leptospirosis. Mai hele i kahi e noho ai nā ʻiole.
- Inā ʻoe e hana me nā holoholona a i ʻole ʻoe i loko o kahi kaiapuni e pili ana i nā holoholona, e ʻaʻahu i nā lole pale a me nā kāmaʻa (e.g., nā kāmaʻa puki i ka wā e hele ai i ke kula).
- Inā pono ʻoe e kau i kou mau lima i loko o ka wai a i ʻole ka lepo i haumia paha, e ʻaʻahu i nā kāmaʻa pale a me nā lole.
- E ho'ōki i ka ʻauʻau ʻana a me ka pāʻani ʻana i nā haʻuki wai ma nā loko, nā muliwai, a me nā kahawai ma hope o ke kahe ʻana o ke kai.
- E inu wale i ka wai i hoʻomaʻemaʻe ʻia. Mai inu pololei i ka wai mai nā loko, nā muliwai, a i ʻole nā kahawai. Ma ka liʻiliʻi e hoʻolapalapa maikaʻi a inu.
- Inā pono ʻoe e lawelawe i nā holoholona make, e ʻaʻahu i nā mīkina lima. Mai hoʻopā aku iā lākou me nā lima ʻōlohelohe, a holoi pono i kou mau lima me ke kopa ma hope.
- E uhi i nā ʻeha hāmama a me nā kahakaha ma kou ʻili me kahi pāpale pale wai.
He aha ka mea e hana ai inā loaʻa iā ʻoe ka leptospirosis? (Prognosis)
He akahai ka hapa nui o nā hihia o ka leptospirosis, a i kekahi manawa e hoʻopau ʻia me ka ʻole o ka lāʻau lapaʻau . Eia nō naʻe, e nānā ke kauka i kāu mau hōʻailona.
Inā e ʻoi aku ka ʻino o kāu mau hōʻailona, a inā paha e loaʻa iā ʻoe nā hōʻailona hou, e haʻi koke i kāu kauka. Inā loaʻa iā ʻoe kekahi mau hōʻailona o ka maʻi Weil, e hele i ka lumi pilikia ma ka haukapila kokoke loa iā ʻoe.
Pehea ka lōʻihi o ka leptospirosis?
Hiki i ka leptospirosis ʻoluʻolu ke mau mai kekahi mau lā a i kekahi mau pule. Inā loaʻa iā ʻoe ka leptospirosis koʻikoʻi, pono ʻoe e noho i ka haukapila no ʻelua pule. Hiki i nā hihia koʻikoʻi ke hala i kekahi mau mahina e ho'ōla piha ai.
Āhea e hiki ai iaʻu ke hoʻi i ka hana/kula?
ʻAʻole laha pinepine ka leptospirosis mai kekahi kanaka a i kekahi kanaka, no laila ke ola maikaʻi ʻoe a ʻoluʻolu hoʻi, hiki iā ʻoe ke hoʻi i ka hana a i ke kula paha.
Ke ola nei anei nā kānaka i ka leptospirosis?
ʻAe, ʻoiaʻiʻo nō. ʻO ka hapa nui o ka poʻe i loaʻa i ka leptospirosis ʻaʻohe o lākou hōʻailona, a i ʻole nā hōʻailona liʻiliʻi loa, a hoʻopau lākou iā lākou iho.
Ma kahi o 1% wale nō o ka poʻe i loaʻa i ka leptospirosis e loaʻa i ke ʻano koʻikoʻi i ʻike ʻia ʻo Weil's syndrome. Hiki i ka Weil's syndrome ke make inā ʻaʻole mālama koke ʻia a i ʻole inā hoʻopaneʻe ʻia ka mālama ʻana. Eia nō naʻe , inā ʻike mua ʻia a mālama pono ʻia, aia kahi manawa kūpono e hoʻōla piha ai.
Pehea wau e mālama ai iaʻu iho?
Inā ua ʻike ʻia ʻoe me ka leptospirosis, e makaʻala pono i kāu mau hōʻailona. E haʻi i kāu kauka inā e ʻoi aku ka ʻino a inā paha e loaʻa iā ʻoe nā hōʻailona hou. E inu i ka nui o nā wai a hoʻomaha.
Āhea wau e ʻike ai i ke kauka?
Inā ua pili ʻoe i ka wai a i ʻole ka lepo i haumia ʻia a laila loaʻa iā ʻoe kekahi mau hōʻailona o ka leptospirosis, e ʻike i ke kauka.
Āhea ʻoe e hele ai i ka Emergency Treatment Unit (ETU) ?
Inā loaʻa iā ʻoe kēia mau hōʻailona, e hele koke i ka haukapila kokoke loa:
- Inā ʻoe e ʻū a kahe ke koko
- Inā loaʻa iā ʻoe ka ʻeha o ka umauma
- Inā pilikia ʻoe i ka hanu ʻana
- Inā melemele nā maka a me ka ʻili
- Inā he ʻeleʻele kou mau ʻōpala tarry
- Inā he koko i loko o ka mimi
- Inā ua emi ka nui o ka mimi i hana ʻia
- Inā he mau kiko ʻulaʻula kou ma kou ʻili (e like me ka ʻulaʻula)
He aha nā nīnau āu e nīnau ai i ke kauka?
Ke ʻike ʻoe i kāu kauka, hiki iā ʻoe ke nīnau i kēia mau nīnau:
- Pehea i loaʻa ai iaʻu kēia maʻi?
- Āhea wau e ʻike hou ai i ke kauka?
- He aha nā hōʻailona e pono iaʻu e makaʻala, a inā loaʻa lākou, pono anei iaʻu e kamaʻilio me ʻoe?
- He aha nā hōʻailona e pono ai iaʻu e hele i ka lumi pilikia?
ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)
ʻO Leptospirosis, a i ʻole 'fiva ʻiole' e like me kā mākou e kapa nei, he maʻi ia e hōʻike pinepine ai i nā hōʻailona liʻiliʻi, akā hiki ke koʻikoʻi i kekahi manawa. He mea nui e ʻike inā ʻoe e pilikia ana i ka hoʻopili ʻia ma muli o kāu hana a i ʻole nā leʻaleʻa.
Akā, ʻaʻole ia manaʻo e hoʻōki ʻoe i ka hoe ʻana i kāu waʻa a me ka hoe ʻana ma nā kula. Ma ka ʻike ʻana i nā pilikia, ka mālama ʻana i nā hana palekana, a me ka ʻike ʻana i nā hōʻailona, hiki iā ʻoe ke noho olakino a palekana. E makaʻala loa i ka wā ua a me ke kahe ʻana o ke kai. ʻO ka mālama ʻana i kou wahi a puni he ala maikaʻi nō hoʻi ia e palekana ai mai kēia mau maʻi.
No comments yet. Be the first to share your question or experience below.