Aloha! Pehea ʻoe? I kēia lā, e kamaʻilio ana kākou e pili ana i kahi maʻi a kākou i lohe ʻole ai, akā he mea maikaʻi ke ʻike. Ua ʻike kākou a pau he hiki i nā ʻuku, ʻoiai he mau holoholona liʻiliʻi lākou, ke hoʻoili i nā maʻi like ʻole. Ua lohe paha ʻoe i nā maʻi e like me ka `(Lyme disease)`. Akā, ʻoi aku ka kakaʻikahi o kēia maʻi maʻi Powassan a kākou e kamaʻilio nei i kēia lā. Akā, ʻoiai he kakaʻikahi ia, he mea kūpono ke ʻike iki ʻia, ʻeā?
He aha kēia maʻi Powassan Virus?
I ka ʻōlelo maʻalahi, he maʻi kēia i hoʻokumu ʻia e kahi maʻi . Komo kēia maʻi i loko o ko kākou kino ke nahu mai kahi ʻuku i loaʻa iā kākou. E hoʻomanaʻo, ʻaʻole lawe nā ʻuku a pau i kēia maʻi. Akā, hiki i kekahi mau ʻuku ke loaʻa i kēia maʻi. ʻO ia ʻuku ka mea e hoʻolaha i kēia maʻi.
Ua lohe paha ʻoe i kekahi maʻi ʻē aʻe i lawe ʻia e ka ʻuku i kapa ʻia ʻo `(Lyme disease)`. ʻOi aku ka kaulana o ia ma mua o kēia, no ka mea, ʻoi aku ka maʻamau. Akā, he maʻi laha ʻole kēia maʻi Powassan. ʻAʻohe hōʻike nui e like me ia ma Sri Lanka i kēia manawa. Eia nō naʻe, ua hōʻike ʻia ma kekahi mau ʻāina o ka honua, no ka laʻana, ʻo Kanada, nā panalāʻau ʻākau o ʻAmelika, a me Rusia. No laila, inā he kanaka ʻoe e hele ana i ia mau ʻāina a hoʻolilo i ka manawa nui ma waho, he mea maikaʻi ke ʻike iki e pili ana i kēia.
He aha nā hōʻailona e hiki mai ana inā ulu kēia maʻi?
ʻAe, e nānā kākou i nā hōʻailona e hiki ai i kēia maʻi Powassan ke hana. ʻO ka mea nui, ʻaʻole loaʻa i nā kānaka a pau nā hōʻailona . Hiki i kekahi poʻe ke loaʻa i kēia maʻi a ʻaʻole hōʻike i kekahi mau hōʻailona.
Eia nō naʻe, inā ʻike ʻia nā hōʻailona, hoʻomaka pinepine lākou i loko o hoʻokahi pule a i hoʻokahi mahina ma hope o ka nahu ʻana o ka makika. Hiki iā lākou ke komo pū me:
- Ke loaʻa nei iaʻu ke kuni kiʻekiʻe.
- ʻEha loa koʻu poʻo .
- Luaʻi .
- Hiki i ke kino ke manaʻo ua make loa , a i kekahi manawa hiki i ka noʻonoʻo ke huikau , ʻo ia hoʻi, ʻaʻole hiki i ka noʻonoʻo ke kālele.
- Loaʻa i kekahi poʻe nā maʻi like me ke kinoea (nā ʻōʻiliʻili) .
- ʻO ka poina ʻana , ʻo ia hoʻi ka nalowale o ka hoʻomanaʻo, hiki nō hoʻi ke hana ʻia.
- I nā hihia koʻikoʻi, hiki ke loaʻa nā pilikia e pili ana i ka lolo . Hoʻokomo pū ʻia kēia:
- ʻO ka Meningitis : He mumū kēia o nā membrane pale e hoʻopuni ana i ko mākou lolo a me ke kaula iwi kuamoʻo. Ua like ia me ka maʻi palū lolo.
- ʻEncephalitis : He pehu pololei kēia o ka lolo. He kūlana weliweli loa nō hoʻi kēia.
No ka mea wale nō he hoʻokahi a ʻelua paha o kēia mau hōʻailona kou, mai makaʻu e manaʻo he maʻi Powassan ia. Ma hope o nā mea a pau, ehia mau maʻi ʻē aʻe e hiki ai ke hoʻoulu i ke kuni a me ke poʻo? Eia nō naʻe, inā ua noho ʻoe i kahi e hiki ai i nā ʻuku ke noho, a he ʻoi aku ma mua o hoʻokahi o kēia mau hōʻailona kāu, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka.
E like me kaʻu i ʻōlelo ai ma mua, ua hōʻike pinepine ʻia kēia maʻi ma nā ʻāina e like me Kanada, nā ʻāpana hikina ʻākau o ʻAmelika Hui Pū ʻIa (ʻāina ʻo Great Lakes), a me Rusia. No laila, ʻo ka poʻe e hoʻolilo i ka manawa nui ma waho, ma nā wahi ululāʻau, a ma nā mahiʻai ma ia mau wahi, ʻoi aku ka nui o ka loaʻa ʻana o kēia maʻi.
Pehea e ʻike ai ke kauka i kahi maʻi Powassan?
I kēia manawa ke noʻonoʻo nei paha ʻoe, 'ʻAe, loaʻa iaʻu kēia mau hōʻailona, ua noho wau ma kahi i loaʻa ai nā ʻuku, pehea lā wau e loaʻa ai kēia wahi pololei?'
Eia ka mea maʻamau e hana ʻia: Ke hele ʻoe i ke kauka, e nīnau lākou iā ʻoe e pili ana i kāu mau hōʻailona . E nīnau pū lākou iā ʻoe inā ua noho ʻoe i kahi kaiapuni me nā makika i hala koke aku nei, a inā paha ua nahu ʻia ʻoe e kahi makika.
Ma muli o kēia ʻike, inā manaʻo ke kauka he maʻi Powassan kēia, e kauoha ʻo ia i kekahi mau hoʻokolohua kūikawā .
ʻO ka mea nui, ʻo ia ke lawe ʻana i kahi hāpana koko a hoʻouna aku i kahi keʻena hoʻokolohua e ʻike ai inā aia kēia maʻi i loko o ke kino.
I kekahi manawa, ʻoiai inā he mau hōʻailona e pili ana i ka lolo (e like me ka meningitis a i ʻole encephalitis), hiki i nā kauka ke hana i kahi hoʻāʻo ʻē aʻe. Ua kapa ʻia kēia he hoʻāʻo 'cerebrospinal fluid' (CSF) . ʻO kēia 'CSF' ka wai e hoʻopuni ana i ko mākou lolo a me ke kaula spinal i loko o ka iwi kuamoʻo. No ka loaʻa ʻana o kahi laʻana o kēia wai, lawe ʻia kahi laʻana liʻiliʻi mai ka iwi kuamoʻo me ka hoʻohana ʻana i kahi kaʻina hana i kapa ʻia ʻo 'lumbar puncture' . Ua kapa pū kekahi poʻe i kēia 'spinal tap'. Hiki i kēia hoʻāʻo ke ʻike maopopo inā he maʻi i loko o ka lolo.
No laila, ma o nā hoʻokolohua e like me kēia e hiki ai iā mākou ke hōʻoia pololei inā he maʻi Powassan kēia a i ʻole.
Aia kekahi lāʻau lapaʻau no kēia maʻi Powassan Virus?
He nīnau kēia a ka poʻe he nui e nīnau nei. 'Aia kekahi lāʻau lapaʻau no kēia? Hiki iaʻu ke hoʻōla koke?'
ʻO kaʻoiaʻiʻo, ʻaʻohe lāʻau lapaʻau kūikawā no kēia maʻi Powassan, ʻo ia hoʻi, ʻaʻohe lāʻau lapaʻau i hana ʻia e luku i kēia maʻi . ʻO ia hoʻi, e like me ka dengue, ʻaʻohe lāʻau lapaʻau kūikawā e pepehi i kēia maʻi.
He aha kāu e hana ai i kēlā manawa?
Inā ʻaʻole koʻikoʻi loa ka maʻi a he mau hōʻailona iki wale nō kou, hiki iā ʻoe ke ho'ōla ma ka hoʻomaha ʻana ma ka home a lawe i ka lāʻau lapaʻau i kauoha ʻia e kāu kauka e hoʻēmi i ke kuni a hoʻomaha i nā ʻeha.
Eia nō naʻe, inā he maʻi koʻikoʻi ka maʻi , e like me ka mea aʻu i ʻōlelo ai ma mua, inā pehu ka lolo (encephalitis) a pehu paha nā membrane a puni ka lolo (meningitis), pono ʻoe e lawe ʻia i ka haukapila a mālama ʻia .
He aha kāu e hana nei ma ka haukapila?
- Hāʻawi lākou i ka lāʻau lapaʻau no ke poʻo ʻeha a me ka luaʻi.
- Inā maloʻo ke kino, hāʻawi ʻia nā wai intravenous (nā wai IV), e like me ka saline .
- Inā koʻikoʻi loa ke kūlana, ʻo ia hoʻi inā pilikia ka hanu ʻana a inā ua hōʻino ʻia ka ʻike, a laila hāʻawi ʻia ka lāʻau lapaʻau ma ka Intensive Care Unit (ICU) .
- Inā he pehu i loko o ka lolo, e hāʻawi ʻia nā lāʻau lapaʻau kūikawā e hōʻemi iā ia. Eia kekahi, pono paha e hoʻohana ʻia nā mīkini e kōkua i ka hanu ʻana.
ʻO ka mea nui, ua hoʻolālā ʻia kēia mau lāʻau lapaʻau a pau e kāohi i nā hōʻailona a kōkua i ke kino e ho'ōla . ʻO kā mākou ʻōnaehana pale ponoʻī ka mea i manaʻo ʻia e hakakā a lanakila i ka maʻi. ʻO ka mea a nā kauka e hana ai, ʻo ia ke kōkua i ke kino i kēlā hakakā.
Hiki iā kākou ke ola i kēia maʻi Powassan Virus?
ʻĀ, ma hope o ke kamaʻilio ʻana e pili ana i ka lāʻau lapaʻau, ʻo ka mea nui aʻe, ʻo ia ka palekana mai kēia maʻi. No ka mea, e like me nā maʻi āpau, 'ʻOi aku ka maikaʻi o ka pale ʻana ma mua o ka hoʻōla ʻana', ʻo ia hoʻi, ʻoi aku ka maikaʻi o ka mālama ʻana i ka maʻi ma mua o ka ulu ʻana ma mua o ka mālama ʻana ma hope o ka ulu ʻana.
ʻO ke ala maikaʻi loa a ʻo ke ala wale nō e pale aku ai i ka maʻi Powassan, ʻo ia ka pale ʻana i nā ʻuku . Hoʻolaha ʻia kēia maʻi ma o ka nahu ʻana o kahi ʻuku i loaʻa i ka maʻi. No laila, inā ʻoe e hōʻemi i ka manawa kūpono o kahi ʻuku e launa pū me ʻoe, hiki iā ʻoe ke pale aku i ka ulu ʻana o ka maʻi.
E makaʻala loa inā ʻoe e hele ana i nā wahi ululāʻau, nā mahiʻai, nā wahi mauʻu, a i ʻole ma kahi āu e manaʻo ai he mau ʻuku paha:
- E ʻaʻahu i ka hiki ke uhi i kou kino . ʻO ke ʻano kēia e ʻaʻahu i nā lole lōʻihi, nā pālule lima lōʻihi, a me nā kāmaʻa pani a i ʻole nā kāmaʻa puki.
- E hoʻokomo i nā wāwae o kou lole i loko o kou mau kāmaʻa a i ʻole nā kāmaʻa puki . E hōʻemi kēia i ka manawa kūpono o nā makika e kolo ana i luna o kou lole.
- E ho'āʻo e ʻaʻahu i nā lole ʻālohilohi . ʻIke anei ʻoe i ke kumu? Inā he holoholona liʻiliʻi e like me ka makika ma luna o nā lole ʻālohilohi, e hopu maʻalahi ia i kou maka. He paʻakikī ke loaʻa iā lākou ma nā lole ʻeleʻele.
- Inā lōʻihi kou lauoho, e nakinaki pono a i ʻole e ʻaʻahu i ka pāpale . Hiki i kēia ke kōkua i ka pale ʻana i nā makika mai ke kau ʻana ma kou poʻo.
- I waho, ʻoi aku hoʻi ma ka mauʻu, mai noho ma ka honua . ʻOi aku ka maikaʻi o ka hoʻohana ʻana i kahi mea e like me ka noho.
- E hoʻohana i kahi mea pale pepeke . Loaʻa kēia mau mea ma ka hale kūʻai. I ke kūʻai ʻana, e ʻimi i kahi kemika i kapa ʻia ʻo DEET (N,N-diethyl-meta-toluamide) nona ka 10% a 30% o ka kemika. ʻO DEET kahi mea e pale aku ai i nā ʻuku a me nā makika. Eia nō naʻe, i ka wā e hoʻohana ai i kēia mau mea, pono ʻoe e hahai pono i nā kuhikuhi ma ka ʻōmole, ʻoiai inā ʻoe e hoʻohana ana iā lākou i nā keiki ʻōpio.
- E nānā mau iā ʻoe iho a me kou ʻohana no nā makika ke hele ʻoe i waho a ma hope o kou hoʻi ʻana i ka home. E makaʻala pono i nā wahi i loaʻa ai nā ʻili, e like me nā ʻāʻī lima, ka ʻūhā, ke poʻo, ma hope o nā pepeiao, a ma hope o nā kuli.
- Mai poina e nānā i kāu mau holoholona . Hiki i nā makika ma luna o lākou ke laha i nā poʻe ʻē aʻe i kou home.
ʻO kekahi mea ʻē aʻe, he mea nui loa hoʻi e ʻike pehea e wehe pono ai i kahi māka.Inā loaʻa iā ʻoe kahi ʻuku i hoʻopili ʻia i kou kino, mai huki wale iā ia me kou mau lima. Aia kekahi ala e hana ai i kēlā. E makaʻala hoʻi i kēlā.
Nā mea e pono ai mākou e hoʻomanaʻo
ʻAe, ke lana nei koʻu manaʻo ua maopopo iā ʻoe i kēia manawa ka maʻi Powassan a mākou i kamaʻilio ai i kēia lā. ʻO ka mea hope loa, e hoʻomanaʻo kākou iā kākou iho i kēia mau mea koʻikoʻi:
- ʻO ka mea mua, he maʻi laha ʻole kēia . No laila, ʻaʻohe pono e hopohopo. Akā, he mea pono ke makaʻala, ʻoiai inā ʻoe e hele ana i nā wahi i loaʻa pinepine ai nā ʻuku.
- ʻO ka lua, ʻo ke ala maikaʻi loa e pale aku ai iā ʻoe iho mai kēia maʻi, ʻo ia ka pale ʻana i nā makika . He mea nui loa ia e hahai i nā hana palekana aʻu i ʻōlelo ai ma mua.
- ʻO ke kolu, inā manaʻo ʻoe ua nahu ʻia ʻoe e kahi ʻuku, a inā loaʻa iā ʻoe nā hōʻailona e like me ke kuni, ka ʻeha poʻo, ka luaʻi ʻana, a i ʻole ka nāwaliwali, e ʻike koke i ke kauka . E wehewehe i ke kūlana i ke kauka a hana i nā hoʻokolohua e pono ai.
- ʻOiai ʻaʻohe lāʻau lapaʻau kūikawā no kēia, hāʻawi ʻia ka mālama kākoʻo ma o ka hoʻokipa ʻana ma ka haukapila ma muli o nā hōʻailona . No laila, mai hopohopo a e hahai i nā ʻōlelo a ke kauka.
E hoʻomanaʻo, ʻo ka ʻike ʻana i kēia mau maʻi ʻaʻole ia e pili ana i ka hoʻoweliweli wale ʻana iā kākou. E pili ana i ka hoʻomaopopo ʻana pehea e pale ai iā kākou iho, ka mea e hana ai inā kū mai kahi pilikia, a me ke kōkua ʻana iā kākou e ola i nā ola olakino.
Ke makemake nei iā ʻoukou a pau i ke olakino maikaʻi!
ʻO ka maʻi Powassan Virus, nā makika, nā nahu makika, encephalitis, nā hōʻailona, ka pale ʻana











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