E aʻo hou kākou e pili ana i nā maʻi akepaʻa. He mea nui kēia nou!

Ua lohe paha ʻoe i nā maʻi ʻaʻai akepaʻa? Ke noʻonoʻo nei paha ʻoe, 'ʻAuē, ʻaʻole hiki iaʻu ke loaʻa iā lākou.' Akā, ʻo kekahi mau mea a mākou e hana ai me ka ʻike ʻole e hiki ke hana i kēia mau kūlana. No laila i kēia lā, e kamaʻilio kākou e pili ana i ke ʻano o nā maʻi ʻaʻai akepaʻa, pehea lākou e komo ai i ke kino, a pehea e hiki ai iā mākou ke pale iā mākou iho.

He aha ka maʻi ʻaʻai liver?

I ka ʻōlelo maʻalahi, he mau ilo parasitic nā flukes akepaʻa. Noho lākou i loko o ko mākou kino a omo i kā mākou mau meaʻai. Me he mea lā e komo wale mai ana lākou i kou home me ka ʻole o ka kono ʻia a ʻai i nā meaʻai a me nā mea inu a pau i loko o ka hale. Hiki i nā flukes akepaʻa ke hōʻino i kou akepaʻa, gallbladder, a me nā ʻauwai bile . ʻO nā ala nui e komo ai lākou i loko o kou kino, ʻo ia ka ʻai ʻana i ka iʻa maka a i ʻole ka iʻa i moʻa ʻole ʻia, nā mea kanu wai (ʻoi aku ka watercress), a i ʻole ka inu ʻana i ka wai lepo. Hiki iā lākou ke hoʻopilikia i nā holoholona mahiʻai e like me nā bipi a me nā kao, a me nā holoholona e like me nā ʻīlio a me nā pōpoki.

ʻOiai ʻaʻole make pololei kēia mau ilo, hiki iā lākou ke noho i loko o kou kino no ka manawa lōʻihi . Hiki i kahi maʻi mau e like me kēia ke hoʻoulu i ka mumū o ke akepaʻa a hōʻino i nā ʻōpū. I kekahi mau hihia, hiki i kēia kūlana ke alakaʻi i nā maʻi weliweli e like me ke kanesa.

Aia kekahi mau ʻano ilo akepaʻa like ʻole?

ʻAe, aia kekahi mau ʻano maʻi ʻaʻai akepaʻa e hoʻopilikia nei i nā kānaka. ʻEkolu mau ʻano nui kā mākou e kamaʻilio nei:

• Clonorchis sinensis: ʻO kēia ke ʻano maʻamau o ka maʻi fluke akepaʻa. ʻO ka maʻi i hoʻokumu ʻia e kēia ʻano ua kapa ʻia ʻo clonorchiasis .
• ʻOpisthorchis: ʻElua ʻano o kēia parasite e hoʻopilikia i nā kānaka. ʻO lākou ʻo O. viverrini (Hema Hikina Hema o ʻAsia fluke ake) a me O. felineus (feline ate fluke). ʻO O. viverrini ka lua o nā ʻano maʻamau e hoʻoulu ai i nā maʻi fluke ake. ʻO nā maʻi i hoʻokumu ʻia e kēia mau ʻano ua kapa ʻia ʻo opisthorchiasis .
• Fasciola: ʻElua ʻano o kēia, ʻo F. hepatica lāua ʻo F. gigantica, hiki ke hoʻopili i nā kānaka. Ua kapa ʻia kēia mau maʻi he fascioliasis . Eia nō naʻe, ʻoi aku ka maʻamau o kēia ʻano Fasciola i nā holoholona mahiʻai ma mua o nā kānaka.

He aha nā hōʻailona o ka maʻi ilo i ke akepaʻa?

I kēia manawa ke noʻonoʻo nei paha ʻoe, 'ʻAe, pehea wau e ʻike ai inā loaʻa iaʻu kēia?' Aia kekahi mau hōʻailona maʻamau i maʻamau i nā ʻano maʻi āpau o ka ate. ʻO lākou:

• Ka luaʻi
• Ka luaʻi ʻana
• ʻEha a palupalu paha ka ʻōpū
• Ka maʻi pākī
• Ka paʻa ʻana o ka ʻōpū
• kuni
• Ke anu nei (Chills)
• ʻŌhū ʻili
• Ka paʻakikī o ka hanu ʻana (dyspnea)
• ʻEhaʻeha ʻiʻo
• Nā ʻōpū lymph pehu
• Nā ʻeha o nā hono

ʻO ka mea nui, ʻaʻole paha e loaʻa i kekahi poʻe kekahi mau hōʻailona, ​​a ʻaʻole paha lākou e nānā nui i nā hōʻailona inā loaʻa.

Pehea e komo ai kēia mau ilo akepaʻa i loko o ke kino?

ʻAe, e nānā kākou pehea e komo ai kēia mau ilo i loko o ko kākou kino. Noho nā larvae o nā ilo Opisthorchis a me C. sinensis i loko o nā kino o nā iʻa wai maʻemaʻe ma ke ʻano he cysts piha i ka wai. Hiki ke loaʻa nā cysts o nā ilo Fasciola e lana ana i ka wai a i hoʻokomo ʻia i loko o nā mea kanu wai e like me nā līlia wai.

No laila, loaʻa iā ʻoe kēia maʻi ilo inā ʻoe e ʻai i kahi mea i loaʻa kēia mau cysts i hoʻopilikia ʻia i loko. Ke komo kēia mau cysts i loko o kou ʻōnaehana hoʻoheheʻe , haki lākou a puka mai nā larvae. A laila hele kēia mau larvae i kou ake, gallbladder, a me nā ʻauwai bile, kahi e ulu ai lākou i nā ilo nui.

No laila, pehea lā e laha ai kēia?

Hiki iā ʻoe ke loaʻa i kahi maʻi fluke akepaʻa mai nā mea e like me:

• Aia kekahi pilikia mai ka ʻai ʻana i ka iʻa maka a i ʻole ka iʻa i moʻa ʻole ʻia. Aia kekahi pilikia mai ka ʻai ʻana i ka iʻa i paʻakai māmā ʻia, i puhi ʻia, a i ʻole i kāpala ʻia.
• Ka ʻai ʻana i ka watercress maka a i ʻole nā ​​​​mea kanu wai ʻē aʻe (hiki i kēia mau mea ke loaʻa nā ʻenuhe ilo).
• Ma ka inu ʻana i ka wai lepo a haumia a i ʻole ke ale ʻana i ia wai me ka ulia pōpilikia.
• ʻAi ʻana i nā mea kanu i holoi ʻia i ka wai haumia, a i ʻole nā ​​​​mea kanu i ulu ʻia i loko o ia wai.

He maʻi laha anei kēia mai ke kanaka a i ke kanaka?

ʻAʻole, ʻaʻole laha ka maʻi fluke akepaʻa. ʻO ke ʻano kēia, ʻaʻole ia he mea laha.

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i kēia?

Inā ʻoe e noho ana ma kahi i loaʻa pinepine ai nā maʻi ʻaʻai akepaʻa, a i ʻole ua hele ʻoe i kekahi, a inā ʻoe e hana pū me nā holoholona e like me nā bipi a me nā kao, ua nui aʻe kou pilikia o ka loaʻa ʻana o kēia maʻi.

Ma hea kahi i loaʻa pinepine ai kēia mau ilo akepaʻa?

Pono nā ʻūpā akepaʻa i nā kūlana kaiapuni kūikawā e ola ai a hoʻohua. No laila, ʻoiai ua loaʻa lākou ma ka honua holoʻokoʻa, ʻoi aku ka maʻamau o lākou ma nā wahi kikoʻī ma mua o kēlā me kēia ʻāina. Loaʻa nā ʻano ʻūpā akepaʻa like ʻole ma nā wahi like ʻole o ka honua. No ka laʻana, hiki ke loaʻa ke ʻano `F. hepatica` ma aneane kēlā me kēia ʻāina koe wale nō ʻo Antarctica. He mea maʻamau ka `C. sinensis` ma nā ʻāina e like me Kina, Kōlea Hema, a me Vietnam. Loaʻa ka `O. viverrini` ma nā ʻāina ʻĀsia e like me Thailand a me Laos.

He aha nā pilikia e hiki mai ana inā ʻaʻole mālama ʻia?

Inā ʻaʻole mālama pono ʻia kahi maʻi fluke ate, hiki ke loaʻa nā kūlana e like me:

• Ka ʻai ʻole ʻana
• Ake nui (hepatomegaly)
• ʻO ka ʻeha o ke akepaʻa a i ʻole ka 'fibrosis'
• ʻO ka mumū o ka ʻōpū gall a i ʻole 'cholecystitis'
• ʻO ka mumū o ke ala bile a i ʻole 'cholangitis'
• ʻO ke kanesa o ka ʻauwai bile (cholangiocarcinoma)

ʻAʻole wale kēlā, akā hiki i kēia mau ʻōpū akepaʻa ke hele i nā ʻāpana ʻē aʻe o kou kino. Eia kekahi laʻana:

• ʻO ka pancreas
• Nā māmā
• ʻIli
• ʻAla mimi
• Nā maka
• lolo

Pehea ʻoe e ʻike pololei ai i kēia maʻi?

I mea e ʻike pono ai inā loaʻa iā ʻoe kahi maʻi fluke akepaʻa, e lawe ke kauka i kahi hāpana ʻōpala a nānā i nā parasites i loko. Hiki iā lākou ke lawe i nā hāpana ma mua o hoʻokahi manawa, i kekahi mau lā. Eia kekahi, hiki iā lākou ke hana i kēia mau hoʻokolohua:

• Nā hoʻāʻo koko: Nānā kēia i nā antibodies e kūʻē i nā parasites (i kapa ʻia ʻo serology), ka hana o ke akepaʻa, a me ka hoʻonui ʻia ʻana o kahi ʻano cell i kapa ʻia ʻo eosinophils i loko o ke koko. ʻO ka hoʻonui ʻia ʻana o nā eosinophils hiki ke lilo i hōʻailona o kahi maʻi parasitic.
• Kiʻi: Me ka ultrasound, CT scan (computed tomography scan), a i ʻole MRI (magnetic resonance imaging), hiki i kāu kauka ke ʻike i nā hōʻailona o ka maʻi fluke ate (e like me nā cysts).
• ʻO ka biopsy akepaʻa: Pili kēia i ka lawe ʻana i kahi ʻāpana liʻiliʻi o ka ʻiʻo mai ke akepaʻa a nānā iā ia no nā hōʻailona o nā parasites.

Pehea e hoʻopau ai i kēia mau ilo akepaʻa? (Lāʻau lapaʻau)

Hoʻōla nā kauka i nā maʻi fluke akepaʻa me nā lāʻau antiparasitic . Eia kekahi mau laʻana:

• ʻO Triclabendazole (hāʻawi ʻia kēia no nā maʻi Fasciola)
• ʻO Praziquantel (Hāʻawi ʻia kēia no nā maʻi Opisthorchis a me Clonorchis)
• ʻO Albendazole (hāʻawi ʻia no nā maʻi Opisthorchis a me Clonorchis)

He aha kāu e manaʻo ai inā loaʻa iā ʻoe ka maʻi ateworm?

ʻO nā lāʻau antiparasitic i lawe ʻia no kahi manawa pōkole (ma kahi o hoʻokahi a ʻehiku mau lā) hiki ke ho'ōla i nā maʻi ʻaʻai akepaʻa. Eia nō naʻe, inā ʻaʻole mālama ʻia, hiki i kēia mau maʻi ʻaʻai akepaʻa ke noho i loko o kou kino no ʻelima a iwakāluakūmālima mau makahiki.Eia nō naʻe, hiki i ka poʻe i loaʻa i ia ʻano maʻi lōʻihi ke hoʻomohala i nā pilikia olakino koʻikoʻi, e like me ka hōʻino ʻana i ke ake, ka gallbladder, a me nā ʻauwai bile.

Pehea ʻoe e pale aku ai i kēia mau maʻi ilo akepaʻa?

Aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i kou pilikia o ka loaʻa ʻana o nā maʻi fluke akepaʻa:

• Mai ʻai maka i ka watercress a me nā mea kanu wai ʻē aʻe.
• Mai ʻai i ka iʻa wai maʻemaʻe maka a i ʻole i moʻa pono ʻole ʻia. ʻO kēia hoʻi ka iʻa i puhi ʻia, i kāpīpī ʻia, a i ʻole i paʻakai iki ʻia. I ka wā e kuke ai i ka iʻa, e kuke i ka mahana i ʻōlelo ʻia e ka FDA (Food and Drug Administration).
• E holoi maikaʻi i nā mea kanu, e ʻili iā lākou, a e hoʻomoʻa maikaʻi paha ma mua o ka ʻai ʻana.
• Inā ʻoe e noho ana ma kahi me ka maʻemaʻe maikaʻi ʻole a i ʻole kahi āu e manaʻo ai ua haumia ka wai, e hoʻohana i ka wai ʻōmole no ka inu ʻana a me ka kuke ʻana.
• E pale i ka hoʻokomo ʻana i ka wai i haumia i loko o kou waha a ihu paha, ʻoiai mai nā wahi e like me nā ʻauwaha, nā loko wai, a i ʻole nā ​​​​kulapū i piha i ka wai.

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe nā hōʻailona o ka maʻi fluke akepaʻa, ʻoiai inā ʻoe e noho ana ma kahi i loaʻa pinepine ai kēia mau ilo a i ʻole ua hele ʻoe i kekahi , e ʻike pono i ke kauka. Inā manaʻo ʻoe ua ʻai a inu paha ʻoe i kahi mea i haumia, ʻoiai inā he mau makahiki i hala , e haʻi i kāu kauka .

Āhea wau e hele ai i ka haukapila (ETU) i ka hikiwawe loa?

Inā loaʻa iā ʻoe nā hōʻailona koʻikoʻi e like me kēia, e hele koke i ka lumi pilikia:

• Inā ʻoi aku ke kuni ma mua o 103 Fahrenheit (40 Celsius).
• ʻAʻohe pilikia inā e luaʻi nui ana ʻoe, a inā he maʻi pākī kou.
• Inā he huikau a he manaʻo ʻole paha.
• Inā melemele kou ʻili a maka paha (jaundice).
• Inā loaʻa iā ʻoe nā hōʻailona o ka make wai (e laʻa, ka makewai nui, ka mimi iki ʻana, ka nāwaliwali, ka piʻi ʻana o ka puʻuwai).

He aha nā nīnau āu e nīnau ai i ke kauka?

Ke ʻike ʻoe i ke kauka, e ʻike paha ʻoe he mea kōkua ke nīnau i nā nīnau e like me kēia:

• "Pehea lā wau e lawe ai i kēia lāʻau lapaʻau?"
• "Pehea ka lōʻihi e ola ai au?"
• "Pehea ka lōʻihi o koʻu loaʻa ʻana i kēia maʻi?"
• "Ua loaʻa anei iaʻu kekahi pōʻino lōʻihi?"
• "He aha koʻu manaʻo ma kēia kūlana?"

He mea maʻamau anei kēia mau maʻi ʻaʻai akepaʻa i nā kānaka? No ke aha i kapa ʻia ai ʻo "liver fluke"?

Ua manaʻo ʻia aia ma kahi o 50 miliona mau kānaka ma ka honua holoʻokoʻa i loaʻa i kekahi ʻano maʻi akepaʻa. He mea maʻamau loa kēia mau maʻi ma nā ʻāpana o nā ʻāina e like me Kina, Thailand, a me Rusia.

No ke aha i kapa ʻia ai kēia he "Liver Fluke"? ʻO ke ʻano o "Fluke"He inoa maʻamau i hāʻawi ʻia i kahi ʻano ilo pālahalaha (`trematodes a i ʻole parasitic flatworm`). Hiki i kekahi poʻe ke huikau i kēia me kahi ʻano iʻa pālahalaha, i kapa ʻia hoʻi he `fluke`. Ua kapa ʻia kēia mau ilo ʻo `liver flukes` no ka mea e hoʻopilikia lākou i ke ake.

No laila, he aha nā mea nui loa e pono ai kākou e lawe i ka home mai kēia moʻolelo?

ʻOiai ʻaʻole mākou e lohe pinepine e pili ana i nā maʻi ʻaʻai akepaʻa ma Sri Lanka, ma kekahi mau wahi o ka honua, miliona mau kānaka e loaʻa paha iā lākou, me ka ʻike ʻole paha. Inā ʻoe e noho ana ma kahi i loaʻa pinepine ai kēia mau ilo, a inā paha ua hele ʻoe i kekahi, he mea nui loa ia e makaʻala i nā hōʻailona o kēia maʻi. Inā loaʻa iā ʻoe nā hōʻailona, ​​a inā paha ʻoe e manaʻo ua ʻai a inu paha ʻoe i kahi mea haumia, mai poina e haʻi i kāu kauka . No ka mea, inā hoʻomau kēia no ka manawa lōʻihi, hiki ke alakaʻi i nā maʻi koʻikoʻi, akā maʻamau he lāʻau wikiwiki a maikaʻi hoʻi. No laila, inā he kānalua a hōʻailona paha kāu, ʻoi aku ka maikaʻi o ka ʻimi ʻana i ka ʻōlelo aʻoaʻo lapaʻau.

ʻO ka maʻi ʻaʻai, nā maʻi parasitic, nā maʻi akepaʻa, ka ʻai ʻana i ka iʻa maka, nā mea kanu wai, ke olakino