ʻO ka maʻi pipi pupule a me ka vCJD: Pono anei mākou e makaʻu?

Ua lohe paha ʻoe i ka inoa ʻo ' Mad Cow Disease ' a ua makaʻu? Ke lohe ʻoe i kēlā inoa, manaʻo ʻoe e like me ʻoe i loko o kahi kiʻiʻoniʻoni weliweli, ʻeā? Nui ka poʻe i makaʻu nui ʻole no ka mea ʻaʻole lākou i ʻike nui e pili ana i ia mea. Akā i kēia lā, e kamaʻilio wale kākou e pili ana i kona ʻano maoli, pehea ia e pili ai i nā kānaka, a inā paha e makaʻu maoli kākou iā ia.

ʻO ka mea mua, he aha ka 'maʻi pipi pupule'?

I ka ʻōlelo maʻalahi, ʻo ka maʻi bipi pupule kahi maʻi o ka ʻōnaehana nerve o nā bipi. ʻO ka inoa lapaʻau no ia mea ʻo Bovine Spongiform Encephalopathy (BSE) . ʻAʻole ia i hoʻokumu ʻia e kahi bacteria a i ʻole kahi virus. Hoʻokumu ʻia ia e kahi protein ʻano ʻē i kapa ʻia ʻo prion.

E noʻonoʻo, me ke kumu ʻole, kahi protein i loaʻa mau i loko o ko mākou kino e pelu koke 'maikaʻi ʻole', lawe i kahi ʻano kūpono ʻole, a hoʻomaka e hana ma ke ʻano ʻino. Hiki i kēia protein i pelu hewa ʻia (prion) ke hoʻololi i nā protein maikaʻi ʻē aʻe i mau protein maikaʻi ʻole e like me ia iho. Mālie, hōʻiliʻili kēia protein maikaʻi ʻole i loko o ka lolo a me ke kaulahao iwi kuamoʻo, e luku ana i nā ʻiʻo nerve. Ke loaʻa i nā bipi kēia maʻi, ʻaʻole hiki iā lākou ke kū a hele pono paha, a hiki iā lākou ke hoʻomaha a huhū. Eia nō naʻe, ma kahi o 4-6 mau makahiki no ka bipi e hōʻike i kēia mau hōʻailona ma hope o ka maʻi ʻia.

Ua laha nui ka maʻi ma United Kingdom i nā makahiki 1980 a me 1990, i ka wā i hānai ʻia ai nā pipi olakino i ka meaʻai holoholona i hana ʻia mai ka ʻiʻo a me nā iwi o nā holoholona i loaʻa i ka maʻi. Eia nō naʻe, ma muli o nā lula paʻa a me nā hana palekana i kau ʻia ma nā ʻāina he nui a puni ka honua, ua haʻahaʻa loa ka nui o ka maʻi i nā pipi i kēia manawa.

ʻAe, pehea lā kēia e pili ai i nā kānaka?

ʻAe, hiki i kēia maʻi ke hoʻopili i nā kānaka. Akā, ʻaʻole ia i kapa ʻia ʻo 'maʻi bipi pupule'. Ua kapa ʻia kēia ʻano maʻi i loko o nā kānaka ʻo Variant Creutzfeldt-Jakob Disease (vCJD) .

Akā, aia kekahi mea nui ʻaʻole pono ʻoe e huikau ma ʻaneʻi. Aia kekahi maʻi ʻē aʻe i kapa ʻia ʻo CJD . Ua kapa ʻia ʻo Classic CJD (Sporadic CJD). ʻO ia ke ʻano o kēia vCJD.

• ʻO CJD Kuʻuna: ʻAʻole kēia i hana ʻia e ka ʻai ʻana i ka pipi. He maʻi laha ʻole kēia e hiki ke kū maoli, me ke kumu ʻole i ʻike ʻia, ma nā wahi āpau o ka honua, i loko o kekahi mea e ʻai ana i ka pipi a i ʻole. Hoʻopilikia pinepine ia i ka poʻe ma luna o 65 mau makahiki.
• ʻAno CJD (vCJD): Pili kēia i ka ʻai ʻana i ka pipi i loaʻa i ka maʻi BSE. Hiki iā ia ke hoʻopilikia i nā kānaka o kēlā me kēia makahiki.

Ma nā ʻāina e like me Sri Lanka, kokoke loa ka pilikia o ka hoʻomohala ʻana i ka vCJD mai ka ʻai ʻana i ka pipi i ka ʻole . ʻO kēia no ka mea he mau kaohi maikaʻi loa i ka lawe ʻana mai i nā pipi a me ka ʻiʻo i loko o ko mākou mau ʻāina a ʻaʻohe hōʻike o ka BSE i waena o nā pipi ma ko mākou ʻāina.

He aha nā hōʻailona o vCJD?

He mea paʻakikī iki ke ʻike i kēia maʻi no ka mea ua like nā hōʻailona mua me nā pilikia noʻonoʻo. I ka holomua ʻana o ka maʻi, ʻike ʻia nā hōʻailona e pili ana i ka ʻōnaehana nerve.

I ka holomua ʻana o ka maʻi i kona mau pae hope loa, lilo ka mea maʻi i mea huikau a nalowale ka manawa a me ka wahi. ʻO ka mea pōʻino, hiki pinepine ka make i loko o 13 mau mahina o ka loaʻa ʻana o ka vCJD.

Pehea e ʻike ʻia ai kēia maʻi a mālama ʻia?

He mea paʻakikī ke ʻōlelo me ka maopopo 100% ua loaʻa i kekahi ka vCJD i ko lākou ola ʻana. ʻO ke ala wale nō e maopopo loa ai, ʻo ia ka hana ʻana i kahi biopsy lolo ma hope o ka make ʻana.

Eia nō naʻe, inā kānalua ʻia kekahi ua loaʻa kēia maʻi, e hana nā kauka i kekahi mau hoʻokolohua e kāpae i nā kūlana olakino ʻē aʻe.

• Nā scan lolo MRI
• Nā hoʻokolohua EEG e nānā ana i ka hana o ka lolo
• ʻO ke kuʻi ʻana o ka lumbar
• Nā hoʻāʻo koko
• Nā hoʻokolohua genetic

Aia kekahi lāʻau lapaʻau?

I kēia manawa, ʻo ka mea wale nō e hana ʻia nei, ʻo ia ke kāohi i nā hōʻailona a hāʻawi i ka hōʻoluʻolu i ka mea maʻi. Eia kekahi laʻana, hāʻawi ʻia nā lāʻau lapaʻau no ka ʻeha, ka pilikia o ka noʻonoʻo, a me ka hiamoe ʻole.

Pehea lā e hiki ai iā kākou ke pale aku iā kākou iho mai kēia?

ʻO ka hopena maikaʻi loa i kēia, ʻo ia ka pale ʻana i nā pipi mai ka loaʻa ʻana o ka BSE. Ua lawe nā ʻāina a puni ka honua i nā hana koʻikoʻi e hana pēlā.

• Ke hoʻāʻo ʻana i nā bipi no ka BSE.
• Ka luku ʻana i nā holoholona maʻi.
• He pāpā piha i ka hoʻokomo ʻia ʻana o nā ʻāpana pilikia e like me ka lolo bipi a me nā kaula kuamoʻo i loko o ke kaulahao meaʻai kanaka a me ka meaʻai holoholona.

Nā mea nui e ʻike ai ʻoe ma ke ʻano he kanaka:

• ʻAʻole pepehi ka kuke ʻana i nā prion: ʻO ka maʻamau, ke kuke mākou, pepehi ka hoʻomehana ʻana i nā germs. Eia nō naʻe, ʻaʻole luku ʻia kēia mau protein i kapa ʻia ʻo prions e nā mahana kiʻekiʻe, nā waikawa, a i ʻole ka radiation.
• Palekana ka waiū a me nā huahana waiū: Ua hōʻike ʻia nā noiʻi ʻaʻole hoʻoili ka inu ʻana i ka waiū mai ka bipi i loaʻa i ka maʻi i ka vCJD. No laila, ʻaʻohe pono e hopohopo e pili ana i ka waiū, ka yogurt, ka tīhi, a pēlā aku.
• Hāʻawi koko: I nā hihia kakaikahi loa, hiki ke laha ka maʻi ma o ke koko mai kahi kanaka i loaʻa i ka maʻi. No ka hōʻemi ʻana i kēia pilikia, ua kāpae ʻia nā mea hāʻawi koko i noho ma nā ʻāina kahi i hōʻike ʻia ai ka BSE mai ka hāʻawi koko ʻana.

I ka hopena, ke noho nei ma kahi ʻāina e like me Sri Lanka, ʻaʻohe kumu e makaʻu pono ʻole ai mākou e pili ana i ka vCJD. He kiʻekiʻe loa nā kūlana palekana meaʻai o ko mākou ʻāina.