He aha kou manaʻo inā hoʻi mai ʻoe mai kahi huakaʻi i kahi ʻāina ʻē, a i ʻole kahi huakaʻi i kahi wahi paʻakikī ma Sri Lanka, a loaʻa iā ʻoe kahi maʻi e like me ke anu, nāwaliwali, a loaʻa ke kuni? ʻO ka maʻamau, manaʻo mākou, "He kuni viral paha ia." Eia naʻe, hiki ke lilo i mea ʻoi aku ka koʻikoʻi. ʻO ka Malaria kekahi maʻi weliweli. He maʻi lawe ʻia e nā makika kēia e hiki ke hoʻoweliweli i ke ola inā ʻaʻole mālama pono ʻia. No laila, e kamaʻilio kākou e pili ana i ka malaria ma nā ʻōlelo maʻalahi i kēia lā.
He aha ka Malaria?
I ka ʻōlelo maʻalahi, ʻo ka malaria kahi maʻi i hoʻokumu ʻia e kahi parasite e komo i loko o ko kākou kino ma o ka nahu ʻana o kahi makika i loaʻa i ka maʻi. Kāhea mākou i kēia parasite ʻo Plasmodium . ʻOiai ʻaʻole laha ka malaria ma Sri Lanka, ʻike ʻia kēia maʻi i waena o ka poʻe i huakaʻi i nā ʻāina ʻApelika, kekahi mau ʻāpana o ʻAmelika Hema, a me nā ʻāina ma Asia Hikina Hema.
ʻO kaʻoiaʻiʻo, miliona mau kānaka a puni ka honua e loaʻa ana i ka malaria i kēlā me kēia makahiki, a he mau haneli haneli e make ana mai ia mea. No laila, ʻaʻole ia he maʻi e lawe māmā ʻia. ʻO ka makika e hoʻouna ana i kēia maʻi ua kapa ʻia ʻo ka makika Anopheles. Pono lākou i nā aniau mahana e ulu ai. ʻO ia ke kumu i ʻike nui ʻia ai lākou ma nā ʻāina ʻApelika a me ʻAsia.
Nā ʻano parasites e hoʻoulu ai i ka malaria
Aia kekahi mau ʻano o nā parasite Plasmodium e hoʻoulu ai i ka malaria. Hoʻokumu kēlā me kēia ʻano i kahi ʻano maʻi ʻokoʻa iki. E nānā kākou i nā ʻano nui.
| ʻAno parasite | Kūikawā |
|---|---|
| Plasmodium falciparum (P. falciparum) | ʻO kēia ke ʻano malaria koʻikoʻi loa a weliweli hoʻi . Hoʻonui koke kēia parasite i loko o ke koko, e luku ana i ka nui o nā hunaola koko ʻulaʻula. Hiki iā ia ke ālai i nā kīʻaha koko liʻiliʻi i loko o ka lolo, e hana ana i kahi pilikia hoʻoweliweli ola i kapa ʻia ʻo ka malaria cerebral. |
| ʻO ka Plasmodium vivax (P. vivax) | Hiki i kēia ʻano ke moe hiamoe i loko o kou ake a hoʻāla hou i nā mahina, a i ʻole nā makahiki, ma hope o ka nahu ʻana o kahi namu. |
| Plasmodium ovale (P. ovale) | Ua like loa kēia me ke ʻano vivax a ʻo ia ka mea maʻamau ma ʻApelika Komohana a me nā mokupuni Pākīpika. |
| Plasmodium malariae (P. malariae) | Inā ʻaʻole mālama ʻia, hiki i kēia ʻano ke hoʻoulu i kahi maʻi mau loa e mau ana i ke ola holoʻokoʻa. ʻIke ʻia kēia ʻano ma ka honua holoʻokoʻa. |
Pehea e laha ai ka maʻi malaria?
He pōʻaiapuni maʻalahi loa kēia. E noʻonoʻo, nahu kahi makika Anopheles i kahi kanaka me ka malaria. A laila komo nā parasites i loko o ke koko o ka mea maʻi i ke kino o ka makika. A laila, ma kahi o hoʻokahi pule ma hope mai, ulu kēlā mau parasites i loko o nā ʻōpū salivary o ka makika. I kēia manawa, ke nahu kēia makika i kahi kanaka olakino, komo kēlā mau parasites i ke kino o kekahi kanaka me ka saliva.
ʻO ka mea nui loa, ʻaʻole ka maʻi malaria he maʻi e hiki ke laha mai ke kanaka a i ke kanaka, e like me ke anu a i ʻole ka maʻi palū, ma o ka hoʻopā ʻana, kaʻana like ʻana i ka meaʻai, a i ʻole ka ʻūhā ʻana. ʻAʻole hoʻi ia e laha ma ke ʻano moekolohe. No ka loaʻa ʻana, pono ʻoe e nahu ʻia e kahi makika i loaʻa i ka maʻi.
Eia nō naʻe, he mea kākaʻikahi loa, hiki ke hoʻoili ʻia ma o nā ʻano ʻē aʻe.
- Ma ka hāʻawi ʻana i ke koko mai kahi kanaka i loaʻa i ka maʻi i kahi kanaka olakino.
- Ma ke kāpili ʻana i kahi ʻōkana mai kahi kanaka i loaʻa i ka maʻi.
- Ma ka kaʻana like ʻana i nā nila inikini i haumia i ke koko i loaʻa i ka maʻi.
- Inā loaʻa ka maʻi malaria i ka makuahine hāpai , hiki i ka pēpē ke loaʻa pū kekahi.
He aha nā hōʻailona o ka maʻi malaria?
Hoʻomaka ka ʻike ʻia ʻana o nā hōʻailona ma kahi o 10 a 15 mau lā ma hope o ka nahu ʻia ʻana e kahi makika i loaʻa i ka maʻi. Ua like loa kēia mau hōʻailona me nā hōʻailona o ke anu maʻamau, no laila hiki ke paʻakikī ke ʻike i ka wā mua.
| Nā hōʻailona maʻamau | Nā hōʻailona o kahi maʻi koʻikoʻi (pono koke ke aʻo ʻia e ke kauka!) |
|---|---|
|
He mea nui: Hiki i kekahi mau ʻano malaria, e like me P. vivax, ke hala ma mua o ʻelua pule e hoʻomohala i nā hōʻailona. No laila, inā loaʻa iā ʻoe ke kuni i loko o hoʻokahi mahina o ka huakaʻi ʻana i nā ʻāina ʻē, pono ʻoe e haʻi i kāu kauka e pili ana i ka huakaʻi.
Āhea wau e ʻike ai i ke kauka?
He maʻi ka maʻi Malaria e hiki ke lilo i mea ʻino koke. No laila , ʻoi aku ka maikaʻi o ka hoʻomaka ʻana i ka lāʻau lapaʻau i ka wā hikiwawe loa . Inā ua hele ʻoe i kahi ʻāina i loaʻa i ka maʻi malaria a loaʻa iā ʻoe ke kuni a i ʻole nā hōʻailona ʻē aʻe, e ʻike koke i ke kauka .
Inā loaʻa iā ʻoe nā hōʻailona koʻikoʻi e like me ka huikau, ka hopu ʻana, a i ʻole ka paʻakikī o ka hanu ʻana, e hele koke i ka ʻOihana Pilikia (ETU) o ka haukapila kokoke loa.
Pehea e ʻike ai i ka maʻi?
Inā kānalua kāu kauka i ka maʻi malaria ma hope o ka hoʻolohe ʻana i kāu mau hōʻailona a me ka mōʻaukala huakaʻi, e kauoha lākou i kekahi mau hoʻokolohua e hōʻoia iā ia.
- ʻO ka hoʻāʻo koko: ʻO kēia ka hoʻāʻo koʻikoʻi a pololei loa. Lawe ʻia kahi laʻana o kou koko, hoʻohui ʻia kahi kala kūikawā, a nānā ʻia ka laʻana ma lalo o kahi microscope e ʻike inā he mau parasite. Hiki i kēia ke hoʻoholo i ke ʻano o ka parasite a me ka nui o loko o kou koko.
- Hoʻāʻo Hōʻoia Wikiwiki (RDT): Ua like kēia me ka hoʻāʻo antigen COVID. Hiki iā ia ke hāʻawi koke i nā hopena me ka hoʻopā ʻana i ka manamana lima. Eia nō naʻe, ʻaʻole hiki iā ia ke ʻike pololei i ke ʻano o ka parasite, no laila pono pinepine ka smear koko.
- Hoʻāʻo PCR: Nānā kēia i ke alo o ka DNA parasite i loko o ke koko. Hiki i kēia ke ʻike pololei i ke ʻano o ka parasite.
He aha nā lāʻau lapaʻau no ka malaria?
Hoʻoholo ʻia ka lāʻau lapaʻau ma muli o kekahi mau kumu.
- Ke ʻano o ka parasite i loaʻa iā ʻoe.
- Ka nui o nā hōʻailona.
- Ma hea ʻoe i loaʻa ai ka maʻi (e ʻike inā he mau parasite kūʻē i ka lāʻau lapaʻau ma ia wahi).
- Inā paha ua hāpai ʻoe a ʻaʻole paha.
- kou mau makahiki.
E nānā ke kauka i kēia mau mea a pau a kuhikuhi i ka lāʻau lapaʻau kūpono loa nāu. ʻO ka maʻamau, ʻo nā hui lāʻau lapaʻau i hoʻohana ʻia ʻo `(Chloroquine)` a me `(Artemisinin-based combination therapy – ACT)`. Mai lawe i kekahi lāʻau lapaʻau āu e makemake ai me ka ʻole o ke aʻo ʻana a ke kauka. Hoʻokomo ʻia nā maʻi i ke kūlana koʻikoʻi i ka haukapila a mālama ʻia me ka intravenous `(IV)`.
Pehea e pale ai iā ʻoe iho mai ka malaria?
E makaʻala i kēia mau mea, ʻoiai inā ʻoe e hele ana i kahi ʻāina kahi i laha pinepine ai ka maʻi malaria.
- E ʻaʻahu i nā lole e uhi pono ana i kou kino: nā lole lōʻihi, nā pālule lima lōʻihi. E hōʻemi i ka manawa e nahu ai nā makika iā ʻoe.
- E hoʻohana i nā mea pale pepeke: E hoʻopili i ka mea pale pepeke i loaʻa nā mea e like me DEET a i ʻole Picaridin ma ka ʻili i hōʻike ʻia.
- E hoʻohana i nā ʻupena makika: He mea nui e hoʻohana i ka ʻupena makika i ka wā e hiamoe ana, ʻoiai inā ʻaʻole i pale ʻia nā puka makani.
- E lawe i ka lāʻau pale: Ma mua o ka hele ʻana i kahi wahi i maʻalahi ai ka maʻi malaria, e ʻike i kāu kauka a loaʻa i kahi lāʻau pale malaria (prophylaxis). Pono e lawe ʻia kēia mau lāʻau ma mua, i ka wā, a no kekahi manawa i hoʻonohonoho ʻia ma hope o ka huakaʻi.
- Lāʻau Pale Malaria: Ua ʻōlelo aku ka World Health Organization i nā lāʻau pale `(RTS,S/AS01)` a me `(R21/Matrix-M)` no nā keiki ma ka ʻāina ʻApelika, kahi i laha ai ka malaria. He holomua nui kēia i ka kaohi ʻana i ka malaria.
Leka Lawe-Home
- He maʻi koʻikoʻi ka Malaria, a he maʻi hoʻoweliweli paha i ke ola e laha ʻia e nā makika i loaʻa i ka maʻi.
- Inā loaʻa iā ʻoe nā hōʻailona e like me ke kuni a me ka ʻeha o ke kino ma hope o ka huakaʻi ʻana i nā ʻāina ʻē, ʻoiai hoʻi i kahi ʻāina kahi i loaʻa pinepine ai ka malaria, e ʻike koke i ke kauka.
- He mea nui loa e haʻi i kāu kauka e pili ana i kāu ʻike huakaʻi.
- Hiki i ka ʻike mua a me ka mālama ʻana ke pale i nā pilikia koʻikoʻi.
- Ma mua o ka hele ʻana i kahi i loaʻa pinepine ai ka malaria, e kamaʻilio me kāu kauka e pili ana i nā ala e pale aku ai iā ʻoe iho mai ka malaria a me nā lāʻau lapaʻau pale.
Malaria, Nā makika, Kuni, Nā hōʻailona Malaria, Lāʻau Malaria, Palekana Malaria, Plasmodium

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