He ilo i loko o ka maka? Ua hala, ʻeā? E kamaʻilio kākou e pili ana i kēia Loiasis!

Ua noʻonoʻo paha ʻoe e pili ana i ka ʻike ʻana i kahi ilo liʻiliʻi e neʻe ana a puni i loko o kou maka? ʻAuē, haʻalulu ʻoe i ka noʻonoʻo wale ʻana i ia mea, ʻeā? Akā, he mea maoli kēia. ʻO kēia ka mea a nā kauka e kapa nei he 'Loiasis'. Ua kapa pū kekahi poʻe iā ia he 'African eyeworm.' No laila i kēia lā, e kamaʻilio hou kākou e pili ana i kēia maʻi, kēia maʻi ilo. No ka mea, he mea nui loa ia no nā mea a pau e makaʻala i nā mea e like me kēia.

He aha ka 'Loiasis'? I ka pōkole...

I ka ʻōlelo maʻalahi, ʻo 'Loiasis' kahi maʻi i hoʻokumu ʻia e kahi ʻano ilo kūikawā i kapa ʻia ʻo 'Loa loa'. He maʻi ilo parasitic kēia. I ka pololei, no ka hui o nā maʻi ilo i kapa ʻia ʻo 'filariasis'. ʻO 'Filariasis' kahi maʻi i hoʻokumu ʻia e nā 'ilo filarial', ʻo ia hoʻi, he ʻano ilo lahilahi, e like me ke kaula.

No laila pehea e komo ai kēia ilo i loko o ko kākou kino? Hana ʻia kēia ke nahu mai kekahi ʻano lele i kapa ʻia he `deerfly` (kapa pū kekahi poʻe he `mango fly` a i ʻole `mangrove fly`) iā kākou. Akā, ʻaʻole kēia mau lele ma nā wahi a pau. Loaʻa pinepine lākou a hoʻoulu i kekahi mau ululāʻau ma ʻApelika Komohana a me Waena. No laila, ʻo ka poʻe e noho ana ma ia mau wahi a i ʻole e hele ana i kēlā mau wahi, ua pilikia lākou.

Ke komo kēia mau ilo Loa loa i loko o ko kākou kino, hoʻomaka lākou e ola a hoʻohua. Makemake lākou e noho ma kēia mau wahi ma luna o ko kākou kino:

• I loko o kou koko (`Blood`)
• I loko o nā māmā (`Lungs`)
• ʻŌnaehana Lymphatic - He ʻāpana kēia o ka ʻōnaehana pale o ko mākou kino, a ua hana ʻia kekahi mau hunaola koko ma ʻaneʻi.
• I loko o nā ʻiʻo ma lalo o ka ʻili (`Nā ʻiʻo Subcutaneous`)

ʻO wai ka mea hiki ke hoʻomohala nui i kēia?

He pilikia nui ʻo Loiasis ma nā ʻāpana o ʻApelika Komohana a me Waena. Ua manaʻo ʻia he ʻoi aku ma mua o 29 miliona mau kānaka i ka pilikia o ka loaʻa ʻana o ka maʻi. He nui kēlā poʻe, ʻeā?

E makapō maoli anei ka ilo inā komo i loko o kou maka? (He mea kēia a ka poʻe he nui e makaʻu nei)

ʻO ka ʻoiaʻiʻo, ʻo ka ʻike ʻana i kahi ilo e neʻe ana a puni i loko o kou maka hiki ke lilo i mea ʻoluʻolu ʻole a weliweli hoʻi. He mea paʻakikī ke noʻonoʻo. Akā ʻo ka mea nui, ʻo kēia mau ilo 'Loa loa' (ma kahi o 2.5 a 7.5 kenimika ka lōʻihi) ʻaʻole lākou e hoʻomakapō iā ʻoe. A ʻaʻole lākou e hōʻeha nui i ka maka.

Eia ka mea e hana ʻia: Hele ka ilo ma ka maka a laila komo hou i loko o ke kino ma hope o kekahi manawa. Hiki i ke kauka ke wehe i kahi ilo i ʻike ʻia ma luna o ka maka me kahi hana liʻiliʻi. Akā e hoʻomanaʻo, ʻo ka wehe ʻana i kahi ilo e like me kēia ʻaʻole ia e ho'ōla i ka maʻi holoʻokoʻa. Pono e mālama ʻokoʻa ʻia.

He aha nā hōʻailona o Loiasis?

ʻO ka mea kupanaha, ʻo ka hapa nui o ka poʻe me ka loiasis ʻaʻohe o lākou hōʻailona. ʻAʻole lākou i ʻike he ilo ko lākou i loko o ko lākou kino. Eia nō naʻe, hiki i kekahi poʻe ke ʻike i nā hōʻailona e like me:

• Manaʻo luhi loa (`Fatigue`).
• ʻĀnai ia ma ke kino holoʻokoʻa.
• ʻIke ʻia nā wahi ʻānai, pehu, a ʻeha paha ma ke kino, ʻoiai a puni nā hono e like me nā kuli a me nā kuʻekuʻe lima. Ua kapa ʻia kēia ʻo "Calabar swellings." Hiki ke emi iho kēia pehu i loko o kekahi mau lā, akā hiki ke ʻike hou ʻia ma hope o kekahi mau lā a i ʻole nā ​​pule.
• ʻEha i nā ʻiʻo a i ʻole nā ​​hono.
• Hiki iā ʻoe ke ʻike i kahi ilo e neʻe ana ma lalo o ka ʻili. Ua like ia me kahi nalu o ka ʻili.
• Hiki ke ʻike ʻia kahi ilo e kolo ana ma o ka conjunctiva (ka membrane lahilahi e uhi ana i ke keʻokeʻo o ka maka a me loko o ka lihilihi). ʻO kēia ka mea e hopohopo ai nā kānaka he nui.

E noʻonoʻo, i kou wā e nalowale ana, manaʻo koke ʻoe i kahi mea e neʻe ana i mua o kou maka. Ke nānā ʻoe i ke aniani, manaʻo ʻoe i kahi mea e like me ke kaula liʻiliʻi e neʻe ana i mua o kou maka! Auē ka weliweli o ia mea!

He aha ke kumu o Loiasis? Pehea e laha ai?

E like me kā mākou i ʻōlelo ai ma mua, ua laha ka Loiasis ke nahu ʻia kou ʻili e kahi nalo i loaʻa i ka maʻi. ʻO nā nalo e lawe ana i ka maʻi ilo Loa loa, ʻo ia nā nalo dia a me nā nalo mangrove. Loaʻa wale kēia mau nalo ma ʻApelika. Ke nahu kēia mau nalo i kahi kanaka i loaʻa i ka maʻi, omo lākou i ke koko a hoʻokomo i nā ilo (i kapa ʻia he microfilariae, he mau ilo liʻiliʻi loa, microscopic) i loko o ka nalo. A laila, ke nahu ka nalo i kekahi kanaka ʻē aʻe, komo nā ilo i loko o ke kino o kēlā kanaka.

Ke komo kēia mau ilo liʻiliʻi, i kapa ʻia ʻo "microfilariae," i loko o kou kino, he mau mahina ia e ulu ai lākou i loko o nā ilo makua. I ko lākou ulu ʻana, hiki iā lākou ke hele i loko o nā ʻiʻo a me nā ʻōpū o kou kino, e like me kou mau māmā. Aia wale nō i loko o kou kino nā ilo makua, hiki iā ʻoe ke ʻike iā lākou e neʻe ana ma lalo o kou ʻili a i ʻole ma o kou mau maka.

Akā, he mea nui e hoʻomaopopo he haʻahaʻa loa ka manawa e loaʻa ai iā ʻoe ka loiasis mai kahi huakaʻi pōkole i ʻApelika. ʻO ka hapa nui o ka poʻe i loaʻa i ka maʻi e pono e nahu ʻia e nā nalo i loaʻa i nā maʻi i nā manawa he nui i loko o kekahi mau mahina. ʻO ke ʻano kēia, ʻaʻole ʻoe e loaʻa i ka maʻi mai hoʻokahi nalo wale nō.

He laha anei ka Loiasis mai ke kanaka a i ke kanaka?

He pilikia kēia no nā kānaka he nui. ʻAʻole, ʻaʻole laha pololei ʻo Loiasis mai kekahi kanaka a i kekahi. ʻO ke ʻano kēia, ʻaʻole hiki iā ʻoe ke loaʻa i ka maʻi ma ka hoʻopā ʻana i kahi mea i loaʻa i ka maʻi, kaʻana like ʻana i ka meaʻai a mea inu paha me lākou, a i ʻole ka hoʻohana ʻana i kahi kāwele a lākou i hoʻohana ai. No ka loaʻa ʻana, pono ʻoe e nahu ʻia e kēlā nalo.

Pehea ʻoe e ʻike pololei ai i ka Loiasis? (Diagnosis)

Inā ua hele ʻoe a noho paha ma kekahi o nā wahi pilikia ma ʻApelika a loaʻa iā ʻoe nā hōʻailona o ka loiasis, hiki i kāu kauka ke kauoha i kahi hoʻāʻo koko.Hiki i kēia hoʻāʻo koko ke nānā i ke alo o Loa loa microfilariae i loko o kou koko.

Eia kekahi, e nānā ke kauka iā ʻoe ('hoʻokolohua kino') e ʻike inā he mau hōʻailona kou o ka 'loiasis', ʻo ia hoʻi, nā mea e like me 'Calabar swellings'.

He aha nā lāʻau lapaʻau no Loiasis?

Aia nā lāʻau antiparasitic i hoʻohana ʻia e mālama iā Loiasis. ʻO nā mea nui i hoʻohana ʻia ʻo Ivermectin lāua ʻo Diethylcarbamazine (DEC) .

Nā mea nui e noʻonoʻo ai i ka wā e hāʻawi ai i ka lāʻau lapaʻau

Akā eia kekahi mea nui loa. Inā hāʻawi ʻia kēia mau lāʻau lapaʻau (ʻoi aku hoʻi ʻo DEC) i nā poʻe me nā pae kiʻekiʻe loa o ka Loa loa microfilariae i loko o ko lākou koko, hiki iā lākou ke loaʻa nā hopena koʻikoʻi a hoʻoweliweli i ke ola. No laila, ma mua o ka hāʻawi ʻana o ke kauka iā ʻoe iā Ivermectin a i ʻole DEC, pono lākou e hana i kahi hoʻāʻo e ana i ka helu o nā microfilariae i loko o kou koko.

E noʻonoʻo i ka ʻino o ia mea inā ʻo ka lāʻau lapaʻau i kuhikuhi ʻia e ho'ōla i ka maʻi ke kumu o kahi pilikia nui? ʻO ia ke kumu he mea nui kēia mau hoʻokolohua.

Inā ʻoi aku kou ma mua o 8,000 microfilariae i kēlā me kēia milliliter o ke koko, ʻaʻole palekana ʻo Ivermectin lāua ʻo DEC nou. Inā ʻo kēia ke ʻano, hiki i kāu kauka ke ʻōlelo aku e hoʻohana mua ʻoe i kahi lāʻau i kapa ʻia ʻo Albendazole a i ʻole ke kaʻina hana kānana koko. E hōʻemi ʻo Albendazole a me ke kānana koko i ka helu o nā microfilariae i loko o kou koko. A laila wale nō e palekana ai ʻoe e hoʻohana iā Ivermectin a i ʻole DEC.

He maʻi laha ʻole ʻo Loiasis ma nā ʻāina e like me Sri Lanka, no laila e kūkākūkā paha kāu kauka me kahi loea i ka lāʻau lapaʻau wela i ka wā e mālama ai. Inā loaʻa iā ʻoe kahi maʻi koʻikoʻi, pono ʻoe e ʻike i kahi loea akamai.

Pehea ʻoe e pale aku ai i ka loaʻa ʻana o Loiasis? (Ka pale ʻana)

ʻO ka mea pōʻino, ʻaʻohe lāʻau pale e pale aku ai iā Loiasis.

Akā inā ʻoe e huakaʻi ana i ʻApelika Komohana a i ʻApelika Waena paha, ʻoiai inā ʻoe e hoʻolālā e noho ma laila no ka manawa lōʻihi, aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i kou pilikia o ka loaʻa ʻana o kēia maʻi:

• Ke lawe nei i 300 milligrams o diethylcarbamazine (DEC) i hoʻokahi manawa i ka pule. (Pono e hana ʻia kēia ma ke ʻōlelo aʻo a ke kauka.)
• Ke hoʻohana nei i nā mea pale pepeke e loaʻa ana ka DEET (N,N-Diethyl-meta-toluamide). He mau huahana wai kēia i hoʻopili ʻia i ke kino.
• ʻO ke komo ʻana i nā lole loloa a me nā pālule lima lōʻihi e hōʻemi i ka manawa kūpono o nā nalo e nahu i kou ʻili.
• Ke kau nei i kahi mea pepehi kanaka i kapa ʻia ʻo `permethrin` i kou mau lole. Hoʻokuke kēia i nā pepeke e like me nā nalo.

He aha ka mea e hana ai inā loaʻa iā ʻoe ʻo 'Loiasis'? Pono ʻoe e hopohopo?

ʻO kaʻoiaʻiʻo, ʻaʻole ʻike ka nui o ka poʻe me loiasis, a ʻaʻole paha ia e hoʻopilikia nui i ko lākou olakino. ʻO ia hoʻi, ʻaʻole e ʻike nā kānaka a pau i nā hōʻailona koʻikoʻi.

Eia nō naʻe, inā loaʻa iā ʻoe nā hōʻailona a i ʻole kānalua paha he loiasis kou, e kamaʻilio me ke kauka. Loaʻa nā lāʻau lapaʻau e mālama ai, hiki ke kōkua i ka hoʻomaʻemaʻe ʻana i ka maʻi a pale i nā pilikia.

He aha nā manawa kūpono loa e ʻike ai i ke kauka?

I nā hihia e like me kēia, pono ʻoe e ʻike i ke kauka:

• Inā ua hele ʻoe i ʻApelika Komohana a i ʻApelika Waena paha a ke hōʻike nei ʻoe i nā hōʻailona o Loiasis (e.g., maneʻo, pehu ʻana o Calabar, a i ʻole kekahi mea e nānā ana i loko o kou maka).
• Inā ʻoe e hoʻolālā ana e huakaʻi i ʻApelika Komohana a i ʻApelika Waena paha a manaʻo ʻoe e pono paha ʻoe i ka lāʻau DEC e pale aku i ka maʻi, ʻoi aku ka maikaʻi o ka ʻike ʻana i ke kauka i ka wā hikiwawe ma mua o kāu huakaʻi, no ka mea, hiki ke hala kekahi mau pule e loaʻa ai ka lāʻau DEC.

Leka Lawe-Home

ʻAe, mai nā mea a mākou i kamaʻilio ai, ke lana nei koʻu manaʻo ua loaʻa iā ʻoe kahi manaʻo maikaʻi e pili ana iā 'Loiasis' a i ʻole 'African eyeworm'.

E hoʻomanaʻo, he maʻi ilo parasitic ʻo Loiasis. Hiki iā ia ke hana i nā ʻano hōʻailona like ʻole, a i ʻole hiki ke asymptomatic.

He mea weliweli ka ʻike ʻana i kahi ilo i loko o kou maka. Akā, hele pinepine ka ilo ma ka maka a nalowale i loko o kekahi mau hola. A i ʻole hiki i ke kauka ke wehe iā ia me kahi hana liʻiliʻi.

ʻO ka mea nui, inā ʻoe e hele ana i nā wahi pilikia ma ʻApelika, hiki iā ʻoe ke hana i nā hana e pale aku ai i ka loiasis. Eia kekahi, inā loaʻa iā ʻoe ka maʻi, hiki i ke kauka ke mālama iā ia me nā lāʻau antiparasitic.

No laila, mai makaʻu pono ʻole i kēia, akā, mai hoʻomāmā hoʻi. ʻO ka mea nui loa, ʻo ia ka ʻike. Inā he mau nīnau a kānalua paha kāu, ʻaʻole loa e lohi ke kamaʻilio me ke kauka.

ʻO Loiasis, ilo maka ʻApelika, maʻi ilo parasitic, nahu lele, ilo ʻili, pehu Calabar, diethylcarbamazine, filariasis, microfilariae, ivermectin, albendazole, DEET, nā hōʻailona ilo, nā lele ʻApelika