Pono anei kākou e aʻo e pili ana i ka maʻi ilo akemāmā (Paragonimiasis), i hiki ke loaʻa mai ka ʻai ʻana i nā pāpaʻi maka a me nā pāpaʻi wai maʻemaʻe?

Makemake ʻoe e ʻai i nā mea e like me nā pāpaʻi a me nā pāpaʻi wai? ʻOi loa aku hoʻi ma ko mākou ʻāina, ʻo ka curry pāpaʻi, ka ʻaila pāpaʻi, a me ka meaʻai ʻala e hoʻoinu ai i kou waha i ka wai, ʻeā? Pēlā nō, makemake pū kekahi poʻe i nā mea e like me nā pickles pāpaʻi maka a i ʻole i kuke pono ʻole ʻia a me nā salakeke i hana ʻia me ka vīnega. Akā, ua ʻike anei ʻoe aia kahi parasite weliweli e hiki ke komo i loko o ko mākou kino ma o kēia meaʻai ʻono a hōʻino i ko mākou mau māmā, ʻoi aku hoʻi? ʻO ka maʻi i hoʻokumu ʻia e kēlā parasite ua kapa ʻia ʻo Paragonimiasis. E kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku i kēia lā.

He aha ka Paragonimiasis? I ka ʻōlelo maʻalahi...

I ka ʻōlelo maʻalahi, ʻo Paragonimiasis kahi maʻi parasitic i hoʻokumu ʻia e kahi ilo pālahalaha (ʻike ʻia hoʻi he fluke) o ka genus Paragonimus. Hiki iā ʻoe ke loaʻa inā ʻoe e ʻai i nā pāpaʻi maka, moʻa pono ʻole, a i ʻole nā ​​​​pāpaʻi a i ʻole crayfish i hoʻomoʻa ʻia.

ʻO ka maʻamau, hoʻopilikia nui kēia parasite 'Paragonimus' i kou mau māmā . Eia nō naʻe, i kekahi manawa hiki i kēia mau ilo ke hele i kou ʻili (cutaneous paragonimiasis) a i ʻole kou lolo (cerebral paragonimiasis) a hoʻoulu i nā maʻi ma laila. Eia kekahi, ʻo nā hōʻailona o kēia maʻi - e like me ke kunu ʻana i ke koko, ka ʻeha o ka umauma, a me ka pohō kaumaha - hiki ke huikau maʻalahi me ka maʻi puʻupuʻu (TB) a i ʻole ke kanesa o ka māmā. No laila he mea nui loa ka loaʻa ʻana o kahi hōʻailona pololei.

ʻAuhea kahi i loaʻa pinepine ai kēia parasite (Paragonimus)?

Loaʻa kēia mau ilo ʻo 'Paragonimus' ma nā wahi he nui o ka honua. Ua hōʻike ʻia hoʻi lākou aia ma kekahi mau wahi o ʻAmelika a me Kanada. Eia nō naʻe, ʻo ka hapa nui o nā hihia o ka paragonimiasis i hōʻike ʻia mai kekahi mau ʻāina ma ʻAsia, ʻApelika, a me ʻAmelika Latina. No laila, he mea nui e makaʻala i kēia ma ka ʻāina ʻAsia kahi a mākou e noho nei.

He aha nā hōʻailona o ka Paragonimiasis?

Hiki ke hoʻomaka nā hōʻailona e ʻike ʻia ma waena o ʻelua a ʻewalu pule ma hope o kou loaʻa ʻana i kēia parasite. Hiki iā ʻoe ke ʻike mua i ka ʻeha o ka ʻōpū a i ʻole nā ​​hōʻailona digestive. A laila, ʻike ʻia nā hōʻailona o ka māmā.

Eia kekahi mau hōʻailona maʻamau :

• Kuni.
• ʻEha ka umauma.
• Luhi, luhi.
• Kuke: Hiki ke hoʻomaka kēia me he kuke maloʻo, a laila lilo i mea koʻikoʻi e hana i ka phlegm kala ʻulaʻula, a i ʻole ke koko .
• Ka hoʻemi kaumaha me ka ʻole o kou hoʻāʻo ʻana.
• ʻŌpū ʻeha (diarrhea).
• ʻEha ʻōpū.
• Nā puʻupuʻu liʻiliʻi e ʻike ʻia ma lalo o ka ʻili o ka ʻōpū. Hiki ke ʻeha kēia mau mea ke hoʻopā aku, a hiki ke manaʻo ʻia e neʻe ana i luna, i ka umauma.

Nā hōʻailona inā ua pilikia ka lolo ('Cerebral Paragonimiasis`)

Inā hiki koke mai kēia parasite 'Paragonimus' i kāu ʻōnaehana nerve, ʻo ia hoʻi kou lolo a me ke kaula spinal, hiki iā ʻoe ke ʻike i nā hōʻailona penei:

• Nā ʻūlū .
• ʻEha poʻo .
• Nā pilikia ʻike e like me ka ʻike pālua a me ka ʻike pōwehiwehi.
• Ka huikau, ka manaʻo me he mea lā ua hoʻopilikia ʻia ka ʻike.
• Ka luaʻi ʻana.
• ʻOʻoleʻa ka ʻāʻī, paʻakikī ke kūlou.
• Ka nāwaliwali o nā ʻiʻo.

Inā kū mai kēia mau hōʻailona, ​​​​he mea nui e ʻimi koke i ke kōkua lapaʻau.

No ke aha e hana ʻia ai kēia paragonimiasis? He aha ke kumu?

E like me kā mākou i ʻōlelo ai ma mua, ua hoʻokumu ʻia kēia e kahi ilo pālahalaha parasitic i kapa ʻia ʻo 'Paragonimus'. Loaʻa iā ʻoe mai ka ʻai ʻana i nā pāpaʻi maka a i ʻole nā ​​pāpaʻi wai maʻemaʻe. E noʻonoʻo wale, ʻo nā 'cysts' liʻiliʻi o kēia mau ilo, ʻo ia hoʻi nā larvae (ʻo ia hoʻi, nā ʻōpiopio), hiki ke loaʻa i loko o ka ʻiʻo o nā pāpaʻi a i ʻole i loko o ko lākou wai kino.

Ke ʻai ʻoe i kahi mea e like me ia, puka mai nā larvae mai kēia mau cysts i loko o kou ʻōpū liʻiliʻi . A laila, hele kēia mau larvae ma o ka paia o ka ʻōpū, ma o ka diaphragm (ka membrane e hoʻokaʻawale ana i ka ʻōpū a me ka umauma) a i loko o kou mau māmā. Ma laila lākou e ulu mālie ai a lilo i mau ilo makua.

Ke kaua nei ka ʻōnaehana pale o kou kino i kēia mau ilo i loko o kou mau māmā, e hana ana i nā pūpū paʻakikī i kapa ʻia he cysts a puni lākou. Ua like kēia me ka hoʻāʻo ʻana e hoʻopahele i kahi ʻenemi. Eia nō naʻe, hiki i kēia mau cysts ke pahū i kekahi manawa, e hoʻokuʻu ana i ke koko, ka pus, a me nā hua ilo i loko o kou mau māmā. Hiki i kēia ke alakaʻi pinepine i nā maʻi bacteria lua.

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

ʻAʻole. E hoʻomanaʻo i kēia. ʻAʻole ʻo Paragonimiasis kahi maʻi e hiki ke laha mai kekahi kanaka a i kekahi. Loaʻa iā ʻoe inā ʻoe e ʻai i ka meaʻai i loaʻa ka parasite, e like me kā mākou i ʻōlelo ai ma mua.

He aha nā pilikia e hiki mai ana o kēia maʻi?

ʻO nā pilikia mai ka paragonimiasis e pili pinepine ana i kou mau māmā. ʻO kekahi o lākou:

• Pneumonia
• Bronchiectasis - ka hoʻonui ʻia ʻana o nā alaloa ala.
• ʻŌpū o ka māmā - He hōʻiliʻili ʻana o ka pus a me nā ʻiʻo make i loko o ka māmā.
• ʻO ka effusion pleural - Ka hōʻiliʻili ʻana o ka wai a puni nā māmā.
• Empyema - He hōʻiliʻili o ka pus a puni nā māmā.

Pehea e ʻike ai ke kauka i ka paragonimiasis?

E ʻike ke kauka i kēia maʻi ma ka nānā ʻana i kou mau wai kino a i ʻole nā ​​ʻiʻo no ka loaʻa ʻana o nā hua o ka parasite. Hana pinepine ʻia kēia e:

• Hoʻāʻo sputum: Lawe ʻia kahi hāpana o ka mucus mai kou mau māmā a hoʻāʻo ʻia.
• Hoʻāʻo ʻana i ka noho: I kekahi manawa hiki ke hoʻokomo ʻia nā hua ilo i loko o ka noho.
• Ke nānā ʻana i ke kahe a puni nā māmā (wai pleural).
• Ka hoʻāʻo ʻana i ka ʻili a i ʻole nā ​​​​ʻiʻo ʻē aʻe: I kekahi manawa, inā he mau puʻupuʻu ʻili, lawe ʻia kahi ʻāpana ʻili liʻiliʻi a nānā ʻia.

Loaʻa paha iā ʻoe nā hoʻokolohua kiʻi kūikawā e nānā i kou mau māmā a me nā ʻōpū ʻē aʻe i hoʻopilikia ʻia. Ma muli o kāu mau hōʻailona, ​​​​loaʻa paha iā ʻoe kahi hoʻāʻo koko e nānā i nā antibodies i ka ilo, a i ʻole kahi hoʻāʻo wai cerebrospinal inā hoʻopilikia ʻia kou lolo.

He aha nā hoʻokolohua a me nā ʻano hana i hana ʻia?

Hiki i kāu kauka ke hoʻohana i nā hoʻokolohua a me nā kaʻina hana e like me kēia:

• Nā hoʻāʻo koko
• X-ray umauma
• Nānā CT
• ʻO ke kiʻi MRI `(MRI)`
• Bronchoscopy: Pili kēia i ke komo ʻana i kahi ʻōmole me kahi kāmela liʻiliʻi i loko o ka trachea e nānā i loko o nā māmā a lawe i nā laʻana inā pono.
• Biopsy ʻili: Inā he puʻupuʻu ʻili, lawe ʻia kahi ʻāpana liʻiliʻi a nānā ʻia.

Pehea e mālama ʻia ai kēia?

ʻO ka nūhou maikaʻi, aia kahi lāʻau lapaʻau no ka paragonimiasis! Hoʻohana nā kauka i nā lāʻau antiparasitic e mālama ai. ʻO nā lāʻau lapaʻau maʻamau ʻo Praziquantel a i ʻole Triclabendazole .

Mea nui: He mea nui loa e lawe i kēia lāʻau lapaʻau e like me ke kauoha a ke kauka, no ka manawa i kauoha ʻia.

Inā loaʻa iā ʻoe ka paragonimiasis cerebral, kahi maʻi e hoʻopilikia ai i ka lolo, hiki i nā kauka ke hāʻawi iā ʻoe i kahi lāʻau i kapa ʻia ʻo corticosteroids e hōʻemi i ka mumū i loko o ka lolo a me ke kaula spinal. He mea kākaʻikahi loa, pono paha ʻoe i ke ʻoki ʻana e wehe i nā cysts i hana ʻia e kēia mau ilo.

Hiki ke ho'ōla loa ʻia ka paragonimiasis?

ʻAe, he maʻi hiki ke ho'ōla ʻia kēia. Ua hōʻike ʻia nā haʻawina i hana ʻia ma Iapana e hiki i ka lāʻau lapaʻau ʻo Praziquantel ke ho'ōla piha ma waena o 86% a me 100% o nā maʻi ʻo 'Paragonimus'. No laila, ʻaʻohe mea e hopohopo ai, inā loaʻa iā ʻoe ka lāʻau kūpono, hiki ke ho'ōla ʻia.

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

Inā loaʻa iā ʻoe ka paragonimiasis, e hāʻawi pinepine ʻia ʻoe i kahi papa pōkole o ka lāʻau antiparasitic, maʻamau hoʻokahi a ʻekolu mau lā. Eia nō naʻe, i kekahi manawa inā ʻaʻole hoʻopau loa ka lāʻau i nā ilo, e hoʻi hou paha kāu mau hōʻailona. Inā hana ʻia kēia, pono ʻoe e mālama hou ʻia.

He mea weliweli anei kēia inā ʻaʻole mālama ʻia? Hiki ke make?

ʻAe, inā ʻaʻole mālama ʻia, ma kahi o 5% o nā maʻi me ka paragonimiasis cerebral, ka mea e hoʻopilikia ai i ka lolo, e make paha. No laila, inā he mau hōʻailona, ​​ʻaʻole ia he manaʻo maikaʻi e hoʻopaneʻe i ka ʻimi ʻana i ka lāʻau lapaʻau.

Pehea ʻoe e pale aku ai i ka paragonimiasis? (Kāohi ʻana)

ʻO kēia ka ʻāpana koʻikoʻi loa. I mea e pale aku ai i kēia pilikia, pono ʻoe e pale i ka ʻai ʻana i nā pāpaʻi a me nā iʻa i manaʻo ʻia he mau mea nona ka parasite 'Paragonimus'. E hoʻomanaʻo, ʻo ka kuke pono ʻana i ka meaʻai ka pale maikaʻi loa.

E akahele loa i kēia mau meaʻai:

• Pāpaʻi maka a i ʻole i moʻa pono ʻole ʻia.
• Pāpaʻi paʻakai: Aia kahi pilikia inā ʻaʻole i hoʻomoʻa pono ʻia.
• Pāpaʻi paʻakai: ʻAʻole paha e pepehi kēia ʻano hana i ka parasite.
• Pāpaʻi "ʻona": Nā pāpaʻi i hoʻomoʻa ʻia a hoʻomoʻa ʻia paha i loko o ka waiʻona, e like me ka waina. Mai manaʻo e pepehi ka waiʻona i ka parasite.
• Wai pāpaʻi: Hoʻohana ʻia kēia mau mea ma kekahi mau wahi. He mea weliweli lākou inā ʻai maka ʻia.

I ka ʻōlelo maʻalahi, inā ʻoe e ʻai i nā pāpaʻi a me nā iʻa ʻē aʻe, e kuke maikaʻi iā lākou i kahi mahana ma luna o 63 degere Celsius (145 Fahrenheit). ʻO ia ka manawa e make ai kēia mau parasites.

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe nā hōʻailona o ka paragonimiasis (ka ʻū, ka ʻeha o ka umauma, a me ke kuni a mākou i kamaʻilio ai ma mua), e ʻike koke i ke kauka. ʻOi loa aku inā ʻoe e hoʻomanaʻo nei i ka ʻai ʻana i ka pāpaʻi a i ʻole nā ​​​​​​mussels i moʻa ʻole ʻia, e haʻi i kāu kauka e pili ana i kēlā. Hiki ke hala i ʻelua pule a ʻelua mahina no ka ʻike ʻia ʻana o nā hōʻailona, ​​​​no laila mai poina e ʻai i kahi mea āu i ʻai ai ma mua.

I ka manawa hea ʻoe e pono ai e hele i ka Emergency Treatment Unit (ETU) ?

Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona koʻikoʻi, e hele koke i ka lumi pilikia kokoke loa:

• Ke kuni nui (ma luna o 103 degere Fahrenheit/40 degere Celsius).
• ʻEha nui o ka umauma.
• Inā ʻoe e ʻū ana i ke koko.
• Inā loaʻa iā ʻoe nā ʻōʻili .
• Inā manaʻo ʻoe he huikau a i ʻole he ʻano noʻonoʻo i loli.

He mau hōʻailona paha kēia o kahi maʻi koʻikoʻi, no laila mai hoʻokaʻulua.

He aha nā nīnau koʻikoʻi e nīnau aku ai i ke kauka?

Ke hele ʻoe e ʻike i ke kauka, he mea kōkua paha ka nīnau ʻana i kēia mau nīnau:

• Pehea ka lōʻihi e pono ai iaʻu e hoʻomaikaʻi?
• Pehea pololei e pono ai iaʻu ke lawe i kēia lāʻau? (nā manawa e lawe ai, ma mua a ma hope paha o ka ʻai ʻana, a pēlā aku)
• He aha nā hōʻailona koʻikoʻi e pono iaʻu e hopohopo? (ʻo ia hoʻi nā hōʻailona e pono ai ke ʻike hou i ke kauka)
• Āhea wau e hele hou aku ai e ʻike iā ʻoe? (No ka hahai ʻana)

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

He maʻi parasitic ka Paragonimiasis i hiki ke loaʻa mai ka ʻai ʻana i nā pāpaʻi i moʻa ʻole ʻia a me nā ʻōpae wai maʻemaʻe. Hoʻopilikia pinepine ia i nā māmā, akā i kekahi manawa hiki ke hoʻopilikia i ka lolo a me ka ʻili.

ʻO ka mea maikaʻi loa, he maʻalahi loa ka pale ʻana i kēia. I ka ʻai ʻana i nā mea e like me nā pāpaʻi a me nā ʻūpā , ʻo ka mea nui ka kuke pono ʻana iā lākou. E pale i ka ʻai maka, ka ʻai moʻa ʻole, a i ʻole ka ʻai ʻole ʻia me ka vīnega.

Inā manaʻo ʻoe he mau hōʻailona kou o kēia maʻi, mai makaʻu a e ʻike koke i ke kauka. Aia nā lāʻau lapaʻau maikaʻi no kēia, a inā mālama pono ʻia, hiki ke ho'ōla loa ʻia. No laila, he mea nui e makaʻala iki i ka meaʻai āu e ʻai ai a noho olakino. Ua maopopo iā ʻoe?

ʻO Paragonimiasis, ka maʻi ilo māmā, ka pāpaʻi maka, ka pāpaʻi wai maʻemaʻe, nā maʻi parasitic, ka ʻūhā ʻana i ke koko, ka ʻeha o ka umauma