Ua lohe paha ʻoe e pili ana i nā nūhou e pili ana i nā maʻi hou a weliweli e laha ana i kekahi manawa ma nā ʻāina ʻApelika. No laila, e kamaʻilio mākou e pili ana i kahi maʻi viral e pono ai mākou āpau e makaʻala iki, a he mea nui loa ia e ʻike e pili ana i ia mea. ʻO kēia ka Marburg Virus Disease (MVD) . ʻAʻole paha ʻoe e ʻike i ka inoa ke lohe ʻoe, akā he mea nui loa ia e makaʻala iā ia.
He aha ka maʻi maʻi Marburg (MVD)? E hoʻomaopopo maʻalahi kākou.
I ka ʻōlelo maʻalahi, he maʻi koʻikoʻi loa ka maʻi Marburg, a i kekahi manawa he maʻi make . ʻO ia ka mea maʻamau ma nā ʻāina ʻApelika. I ka wā mua, he mea maʻamau nā hōʻailona, e like me ke kuni a me ke anu. Akā ma hope o kekahi manawa, hiki i ke ʻano ke lilo i mea koʻikoʻi, me ka luaʻi nui, ke kahe ʻana o ke koko, a me nā pilikia neurological e hoʻopilikia ai i ka lolo a me ka ʻōnaehana nerve.
E noʻonoʻo, hoʻomaka pinepine kēia maʻi i nā ʻōpeʻapeʻa a i ʻole nā primate a laha i nā kānaka. A laila, hiki iā ia ke laha mai ke kanaka a i ke kanaka . Pēlā e laha ai e like me kahi maʻi ahulau.
ʻO ka mea nui loa, he maʻi hemorrhagic viral ʻo Marburg. ʻO ia hoʻi, hōʻino kēia maʻi i nā kīʻaha koko i loko o ko mākou kino, e hoʻoulu ai i ke kahe koko i loko a i waho o ke kino. Ua lohe anei ʻoe i ka maʻi Ebola ? ʻĀ, no ka ʻohana hoʻokahi nō hoʻi ka maʻi Marburg me ka maʻi Ebola. ʻO ia ke kumu he mea weliweli loa ia.
Pehea ka maʻamau o kēia maʻi Marburg? Pono anei mākou e hopohopo?
ʻOiaʻiʻo, he mea kakaikahi loa ka maʻi Marburg. Eia nō naʻe, loaʻa pinepine ia ma kekahi mau wahi o ʻApelika. Ke hiki mai kēlā maʻi ahulau, hiki iā ia ke hoʻopili i kekahi mau kānaka a hiki i nā haneli i ka manawa like.
I kēia mau lā aku nei, i ka makahiki 2023, ua hōʻike ʻia ʻelua mau maʻi ahulau. ʻO kekahi ma Equatorial Guinea i Pepeluali 2023. He 16 mau hihia i hōʻoia ʻia, a he 12 o lākou i make. ʻO kekahi, ʻaʻohe pili, aia ma Tanzania i Malaki 2023. He 8 mau hihia i hōʻoia ʻia, a he 5 i make.
Ua loaʻa nā maʻi ahulau nui e like me kēia ma mua:
- Ma Uganda i ka makahiki 2012 - ua loaʻa he 15 mau kānaka i ka maʻi a ua make he 4.
- Ma Angola, mai 2004 a i 2005 - ua loaʻa i 252 mau kānaka ka maʻi a ua make he 227. E nānā i ke kiʻekiʻe o kēlā helu make.
- Ma ka Repubalika Demokarata o Kongo (DRC) mai 1998 a i 2000 - ua hoʻopilikia nui ia i nā mea hana maina a me ko lākou mau ʻohana. Ua hoʻopilikia ʻia he 154 poʻe a ua make he 128.
- ʻElua mau maʻi ahulau ma ʻEulopa i ka manawa like - ma Kelemania a me Yugoslavia i ka makahiki 1967. Ua hana ʻia nā mea ʻelua i waena o nā limahana i lawelawe i nā mōneki ʻōmaʻomaʻo ʻApelika i lawe ʻia mai Uganda mai. Ua loaʻa i 31 mau kānaka ka maʻi a ua make he 7.
Hōʻike kēia mau helu i ke koʻikoʻi o kēia, ʻeā? ʻO ia ke kumu he mea nui iā kākou e makaʻala i kēia.
Aia nō hoʻi ka maʻi Marburg ma ʻAmelika?
ʻAʻole, ʻaʻohe hihia i hōʻike ʻia o ka maʻi Marburg ma ʻAmelika Hui Pū ʻIa (US). I ka makahiki 2008, ua loaʻa i kahi kanaka i hele i Uganda nā hōʻailona Marburg ma hope o kona hoʻi ʻana i ʻAmelika Hui Pū ʻIa. Eia naʻe, ua ola loa ʻo ia a ʻaʻole i hoʻolaha i ka maʻi i kekahi. Hōʻike kēia inā ʻike mua ʻia a lawe ʻia nā hana e pono ai, hiki ke kāohi ʻia ka laha ʻana o ka maʻi.
He aha nā hōʻailona o ka maʻi Marburg? Pehea e ʻike ai?
Hōʻike ʻia nā hōʻailona Marburg i ʻelua mau pae nui.
Ka hana mua (mau ma kahi o 5-7 mau lā):
- kuni
- Anuanu
- ʻEha poʻo nui
- Kuke
- ʻEha ʻiʻo a hui paha
- ʻeha ka ʻāʻī
- ʻŌhū ʻili - Hiki ke ʻike ʻia kēia me he mau wahi pālahalaha a hāpai ʻia (maculopapular).
Ma hope o ka ʻike ʻia ʻana o kēia mau hōʻailona, hiki iā ʻoe ke manaʻo iki aʻe no hoʻokahi a ʻelua paha lā. Akā a laila hoʻomaka nā hōʻailona ʻoi aku ka koʻikoʻi o ka pae ʻelua .
Nā hōʻailona o ka lua o ka pae:
- ʻEha ʻōpū a umauma paha
- Ka luaʻi ʻana
- Ka maʻi kahe (pehu ʻana)
- Pōʻino
- Ka pohō kaumaha i manaʻo ʻole ʻia
- Ka luaʻi ʻana i ke koko a i ʻole ke kahe ʻana o ke koko i loko o ka ʻōpala
- Ke kahe ʻana o ke koko mai ka ihu, ka waha, nā maka, a i ʻole ka vagina
- Ka huikau
Inā loaʻa iā ʻoe a i ʻole kekahi āu i ʻike ai kēia mau hōʻailona, ʻoiai inā ua hele ʻoe i kahi i laha ai ʻo Marburg, pono ʻoe e ʻimi koke i ke kōkua lapaʻau. ʻAʻole kēia he maʻi e hoʻohenehene ʻia.
He aha ke kumu o ka maʻi Marburg?
ʻO ka maʻi Marburg (MVD) i hoʻokumu ʻia e ʻelua mau maʻi pili. ʻO ia ka maʻi Marburg (MARV) a me ka maʻi Ravn (RAVV) . Pili pū lāua i ka maʻi Ebola. E like me ka mea i ʻōlelo ʻia ma mua, he maʻi hemorrhagic viral kēia, ʻo ia hoʻi hiki ke hōʻino i nā kīʻaha koko a hoʻoulu i ke kahe koko nui.
Pehea e laha ai ka maʻi Marburg?
He mea kēia e pono ai kākou a pau e makaʻala loa. Hoʻolaha ʻia ka maʻi Marburg ma o ka hoʻopili ʻana me nā wai kino o ka poʻe a i ʻole nā holoholona i loaʻa i ka maʻi .
He aha kēia mau wai o ke kino?
- Koko
- Mimi/Mimi
- ʻŌpū/noho
- Tuha/Luha
- Waiū umauma
- Semen
- Nā wai o ka ʻōpū
ʻAʻole wale kēlā,Hiki nō hoʻi ke laha ma o nā ʻili haumia, nā mea, a i ʻole nā lako lapaʻau. ʻO ia ke kumu e lawe ʻia ai nā hana palekana kiʻekiʻe loa i ka mālama ʻana i kahi mea maʻi e like me kēia.
Pehea e loaʻa ai i nā kānaka ka maʻi Marburg?
Manaʻo nā loea ʻo nā rousettes ʻAigupita, kahi ʻano o ka ʻōpeʻapeʻa hua, nā kikowaena nui o nā maʻi MARV a me RAVV. Hoʻopili mua ʻia nā kānaka ma o ka hoʻopili ʻana me nā wai kino a i ʻole nā ʻiʻo o nā ʻōpeʻapeʻa i loaʻa i ka maʻi a i ʻole nā primate ʻaʻole kanaka. A laila hiki iā lākou ke hoʻolaha i ka maʻi i nā poʻe ʻē aʻe, ʻoi aku hoʻi nā ʻohana pili a me nā limahana mālama ola e mālama ana iā lākou .
ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o ka maʻi Marburg?
Aia ʻoe i ka pilikia o ka loaʻa ʻana o MVD inā :
- Inā ʻoe e hana me nā holoholona i lawe paha i ka maʻi.
- Inā ʻoe e hana ana i loko o nā lua maina, nā ana, a i ʻole nā wahi e noho ai nā ʻōpeʻapeʻa hua.
- Inā ʻoe e pili kokoke ana me kekahi mea i loaʻa i kēia maʻi a mālama paha.
Pehea e ʻike ʻia ai ka maʻi Marburg?
Hoʻomaopopo nā kauka i ka maʻi Marburg me kahi hoʻāʻo koko . Akā hiki ke paʻakikī ke ʻike ʻia no ka mea hiki ke like kona mau hōʻailona me nā maʻi ʻē aʻe, e like me ke kuni melemele, ka malaria, a me ke kuni typhoid .
No laila, inā manaʻo ʻoe ua loaʻa paha iā ʻoe ka maʻi Marburg ma o ka huakaʻi hou a i ʻole nā ʻano ʻē aʻe, pono ʻoe e haʻi i kāu kauka.
Aia kekahi lāʻau lapaʻau no ka maʻi Marburg?
ʻO ka mea pōʻino, ʻaʻohe lāʻau lapaʻau kūikawā a lāʻau lapaʻau paha no ka maʻi Marburg i kēia manawa . Hiki i nā kauka ke kōkua i ka hoʻokele ʻana i kāu mau hōʻailona, mālama i nā pilikia e kū mai ana, a hoʻāʻo e hoʻopaʻa i kou kūlana. Hiki iā lākou ke hāʻawi iā ʻoe i kēia mau mea:
- ʻOkikene
- Nā wai intravenous (IV) - ʻo ia hoʻi nā mea e like me ka saline.
- Lapaʻau no nā hōʻailona kikoʻī, e like me nā mea ʻeha.
He aha ka mea e hana ai inā loaʻa iaʻu ka maʻi Marburg?
Inā loaʻa iā ʻoe ka MVD, pono ʻoe e noho mamao mai nā poʻe ʻē aʻe. Pono nā kauka a me nā poʻe ʻē aʻe e mālama iā ʻoe e hahai i nā hana palekana kūikawā. ʻO kēia ka hoʻokomo ʻana i nā lole pale (e like me ka pale maka, nā mīkina lima, nā goggles, a me nā apron) a me ka hoʻokaʻawale ʻana iā ʻoe mai nā poʻe ʻē aʻe. Pono hoʻi ʻoe e kiaʻi pono ʻia no nā pilikia e hoʻoweliweli ana i ke ola.
ʻOiai ma hope o ka ho'ōla ʻana, hiki ke loaʻa kekahi mau hopena lōʻihi . ʻO kēia mau mea:
- Nā pilikia me ka hoʻomanaʻo a me ka hiki ke noʻonoʻo.
- Ka ʻili ʻana o ka ʻili.
- Luhi mau ka manaʻo.
- ʻEha ʻiʻo.
- Ka nalowale o ka lauoho.
ʻO kekahi mea nui e hoʻomanaʻo ai, ʻoiai ma hope o kou hoʻōla ʻana, hiki i ka maʻi ke noho i loko o ka sperm no ka manawa lōʻihi . No laila, i mea e pale ai i ka hoʻoili ʻana i ka maʻi i kāu hoa, e hoʻohana i ka condom i ka wā moe. E nīnau i kāu kauka e pili ana i nā hoʻokolohua e hiki ai ke hōʻoia ʻaʻole i loko o kāu sperm ka maʻi.
Hiki iā ʻoe ke ola i ka maʻi Marburg?
He maʻi make ʻo Marburg maʻamau. Eia nō naʻe, aia kekahi poʻe i ola. ʻO ka awelika o ka make ma kahi o 80% . Eia nō naʻe, i nā kūlana ahulau, hiki ke ʻokoʻa loa kēia helu make. I kekahi manawa hiki ke ʻokoʻa mai 23% a 90%. ʻO ke ʻano kēia ʻaʻole like ke kūlana o kēlā me kēia kanaka.
Pehea e pale ai iā ʻoe iho mai ka maʻi Marburg? ʻO kēia ka ʻāpana koʻikoʻi loa!
Ke hoʻāʻo nei nā hui olakino lehulehu e kāohi i nā maʻi ahulau e like me kēia ma o ka nānā ʻana i nā hihia hou, e hōʻoiaʻiʻo ana i ka palekana o nā limahana mālama ola e mālama ana i nā maʻi MVD, a pēlā aku. Eia kekahi mau hana hiki iā ʻoe ke hana:
- Inā ʻoe e mālama ana i kahi mea maʻi me MVD, e hoʻohana pono i nā lako pale (e like me ka pale maka, nā goggles, ka ʻapena, nā mīkina lima). E pale i ka hoʻopili ʻana me ko lākou mau wai kino. ʻOiai inā ʻoe e komo i nā mīkina lima, e holoi pono i kou mau lima ma hope o ka hoʻopili ʻana.
- E hoʻohana i nā condom a i ʻole e hōʻole i ka moekolohe a hiki i kou maopopo ʻana ʻaʻole i loko o kāu semen ka maʻi (inā ua loaʻa iā ʻoe a i ʻole kāu hoa ka maʻi ʻeha o ka ʻōpū). ʻOiai inā olakino ʻoe, hiki i ka maʻi ke noho i loko o ka semen no ka manawa lōʻihi. He kakaikahi nā hōʻike e hiki ai iā ia ke ola i kēlā lōʻihi i loko o nā wai o ka wahine.
- E pale i ka hoʻopili ʻana me nā mea āu e manaʻo ai ua haumia i nā wai o ke kino i loaʻa i ka maʻi. Mai hoʻopā i ka sperm a hiki i kou maopopo ʻana ʻaʻohe maʻi.
- Mai hoʻopā i ke kino o kekahi i make i ka MVD. Inā pono, e hoʻohana i nā lako pale. E makaʻala hoʻi i kēia i ka wā o nā hana hoʻolewa.
- E pale i ka launa pū ʻana me nā holoholona e like me nā ʻōpeʻapeʻa hua a me nā mōneki a me nā wahi e noho ai lākou (e like me nā ana a me nā lua eli).
- E pale i ka ʻai ʻana i ka ʻiʻo o ka nahele.
- Inā ua huakaʻi ʻoe i kahi i laha ai ka maʻi Marburg, e nānā i kāu mau hōʻailona no 21 mau lā. Inā kū mai nā hōʻailona, e ʻimi koke i ke kōkua lapaʻau.
- Inā manaʻo ʻoe he loaʻa iā ʻoe ʻo Marburg, e noho mamao aku mai nā poʻe ʻē aʻe.
Āhea wau e ʻike ai i ke kauka?
Inā manaʻo ʻoe ua loaʻa paha iā ʻoe ka maʻi Marburg - no ka laʻana, inā ʻoe e noho ana ma kahi e lawe ai nā holoholona i ka maʻi, a inā paha ua hele ʻoe i kahi e loaʻa ai kahi maʻi ahulau - a loaʻa iā ʻoe nā hōʻailona, e ʻike koke i ke kauka. E makaʻala i kāu mau hōʻailona no 21 mau lā ma hope o ka hōʻike ʻana. E haʻi i kāu kauka ua loaʻa paha iā ʻoe ʻo Marburg a pehea ʻoe i hōʻike ʻia ai.
Āhea ʻoe e hele ai i ka Emergency Treatment Unit (ETU) ?
Inā loaʻa iā ʻoe kēia mau hōʻailona koʻikoʻi, e hele koke i ka lumi pilikia:
- Ke kuni nui (ma luna o 103 Fahrenheit a i ʻole 40 Celsius).
- Ke kahe koko ʻano ʻē.
- ʻEha poʻo nui.
- ʻEha umauma a ʻeha ʻōpū paha.
- Ka huikau a i ʻole nā loli noʻonoʻo.
He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?
He mea kōkua paha ke nīnau aku i kāu kauka i kēia mau nīnau:
- Pehea e hiki ai iā ʻoe ke pale aku i ka laha ʻana o ka maʻi i nā poʻe ʻē aʻe?
- He aha nā koho lapaʻau e loaʻa iaʻu?
- Pehea ka lōʻihi o koʻu hoʻolaha ʻana i ka maʻi?
ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)
He maʻi laha ʻole ʻo Marburg, akā he maʻi make paha . Ke lohe ʻoe e pili ana i nā maʻi ahulau, he mea maʻamau ke makaʻu, "Auē, e hiki mai ana kēia iaʻu pū kekahi?" Eia nō naʻe, inā he manawa kūpono e pili ana paha ʻoe i ka maʻi Marburg, aia nā mea hiki iā ʻoe ke hana e pale aku iā ʻoe iho a pale i ka laha ʻana o ka maʻi.
ʻO ka mea nui loa, ʻo ia ke makaʻala i kou olakino inā manaʻo ʻoe ua loaʻa paha iā ʻoe ka maʻi. Inā loaʻa iā ʻoe nā hōʻailona, mai hopohopo a hoʻokaʻulua paha, akā e ʻimi koke i ke kōkua lapaʻau. ʻO ka ʻike ʻana i kēia mau mea a me ka hahai ʻana i nā hana palekana ka mea maikaʻi loa hiki iā kākou āpau ke hana.
ʻO ka maʻi Marburg, MVD, ka maʻi kuni hemorrhagic viral, Ebola, maʻi lele, ʻApelika, nā hōʻailona, ka pale ʻana











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