Ua ʻike anei ʻoe i ke kuni e hele mai ana mai nā leeches? E kamaʻilio kākou e pili ana i ka Rocky Mountain Spotted Fever (RMSF)!

Ua noʻonoʻo paha ʻoe i ka nui o ka maʻi e hiki ai i kahi holoholona liʻiliʻi e like me ka leech ke hana? I kēia lā e kamaʻilio mākou e pili ana i kahi maʻi i hoʻoili ʻia e ia mau leeches, hiki ke lilo i mea koʻikoʻi iki, akā inā mālama pono ʻia, hiki iā ʻoe ke ho'ōla koke. Ua kapa ʻia kēia ʻo Rocky Mountain Spotted Fever . ʻAʻole paha ʻoe i lohe i kēia inoa, akā he mea nui loa ia e ʻike e pili ana i ia mea.

He aha ka Rocky Mountain Spotted Fever (RMSF)?

I ka ʻōlelo maʻalahi, he maʻi bacteria kēia. ʻO ia hoʻi, ua hoʻokumu ʻia kēia maʻi e kahi germ liʻiliʻi e komo ana i ke kino. Ua kapa ʻia kēia bacteria ʻo Rickettsia rickettsii. Akā, ʻaʻole hele wale mai kēia bacteria a komo i loko o ko kākou kino. He mea lawe kona. ʻO kēlā mea lawe ka leech. ʻAʻole nā ​​leech a pau, akā inā nahu ʻia mākou e kahi leech i loaʻa i kēia bacteria i kapa ʻia ʻo `(Rickettsia rickettsii)`, loaʻa iā mākou kēia maʻi. Ua like ia me ka makika dengue, ʻaʻole nā ​​makika a pau e hoʻolaha i ka dengue, ʻo ka makika wale nō me ka maʻi dengue e hana. Pēlā nō ia.

ʻOiai ua kapa ʻia kēia maʻi ʻo 'Rocky Mountain', ʻaʻole wale ia i loaʻa ma nā wahi mauna, akā hiki ke ʻike ʻia ma nā wahi ʻē aʻe o ka honua, ʻoiai ʻo ʻAmelika ʻĀkau a me ʻAmelika Hema. ʻAʻole i hōʻike pinepine ʻia kēia maʻi ma Sri Lanka, akā he mea maikaʻi ke makaʻala i kēia no ka mea aia kekahi mau maʻi ʻē aʻe i laha ʻia e nā leeches a no ka poʻe e hele ana i nā ʻāina ʻē .

Pehea e laha ai kēia maʻi? Pehea e pili ai nā leeches?

ʻAe, e nānā kākou pehea e hoʻolaha ai kēia leech i kēia. ʻO ka leech, ʻoiai ke ʻano o ka leech e lawe ana i kēia maʻi, lawe ʻo ia i ka bacteria `(Rickettsia rickettsii)` ma kona kino. Ke hele mai kēia leech a hoʻopili iā ia iho i ke kino o ke kanaka, a i kekahi manawa he holoholona e like me ka ʻīlio, a omo i ke koko, komo kēlā bacteria i loko o ko kākou koko me ka lawai o ka leech.

E noʻonoʻo e like me kahi syringe liʻiliʻi. Ke omo ka leech i ke koko, hoʻokomo ia i nā germs i loko o ko kākou kino. Akā, ʻaʻole e laha koke ka maʻi ma hope o ka hoʻopili ʻia ʻana o ka leech. ʻO ka maʻamau, pono e hoʻopili ʻia ka leech i ke kino no kekahi mau hola (malia paha he 4-6 mau hola a ʻoi aku paha) e omo i ke koko no ke komo ʻana o ka bacteria i loko o ke kino. ʻO ia ke kumu e ʻōlelo ʻia ai e wehe koke i kahi leech inā ʻike ʻoe iā ia e hoʻopili ʻia ana i kou kino.

ʻOi aku ka maʻamau o kēia maʻi i ka pūnāwai a me nā mahina kauwela . ʻO ia hoʻi, mai Malaki a Kepakemapa. ʻO kēia no ka mea ʻoi aku ka ikaika o nā leeches i kēlā manawa. ʻOi aku ka maʻamau o lākou ma nā ululāʻau, nā wahi mauʻu, a me nā wahi me nā kumu lāʻau he nui. No laila, inā ʻoe e hana a hele wāwae paha i waho, ʻoi aku hoʻi ma nā wahi ululāʻau, nā paka, a i ʻole ma kāu māla ponoʻī, he mea nui loa ia e makaʻala i nā leeches.

He aha nā hōʻailona o ka Rocky Mountain Spotted Fever (RMSF)?

ʻAʻole hōʻike koke kēia maʻi i nā hōʻailona nui. ʻO ka maʻamau, ma waena o 2 a me 14 mau lā ma hope o ka nahu ʻia ʻana e ka leech.ʻO kēia ka manawa e hoʻomaka ai nā hōʻailona e ʻike ʻia. ʻO ka hapa pinepine, ʻike ʻia nā hōʻailona i loko o 5-7 mau lā.

ʻO ka mea mua e hele mai nā hiʻohiʻona aʻe:

• Wela loa. Ua wela koke koʻu kino a loaʻa iaʻu ke kuni.
• ʻEha poʻo nui. E ʻeha paha ʻoe i kou poʻo.
• ʻEha kino, ʻeha ʻiʻo. E like me ka wā e loaʻa ai iā ʻoe kahi fiva viral.
• Ka luaʻi a me ka luaʻi. E maʻi paha kou ʻōpū a e luaʻi.
• ʻeha ka ʻōpū.
• ʻUlaʻula o nā maka .
• Ka nalowale o ka makemake.

Ke hele wale mai kēia mau hōʻailona, ​​manaʻo paha mākou he maʻi viral maʻamau kēia. ʻO ia wale nō ka pōʻino i loko o kēia. No ka mea, ua lohi paha ka hana ʻana i kahi hōʻailona pololei.

Akā, he ʻano kikoʻī loa ko kēia maʻi. ʻO ia ka ʻulaʻula e kū mai ana ma ka ʻili . ʻO ia ke kumu i kapa ʻia ai ʻo 'spotted fever'.

• ʻIke mua ʻia kēia mau ʻeha a puni nā pulima a me nā kuʻekuʻe wāwae e like me nā kiko ʻulaʻula liʻiliʻi a i ʻole nā ​​kiko.
• A laila e pālahalaha mālie kēia mau ʻeha i nā poho lima a me nā kapuwaʻi . He mea kūikawā iki kēia, no ka mea, ʻaʻole nā ​​maʻi āpau e hoʻoulu i nā ʻeha ma nā poho lima a me nā kapuwaʻi.
• Ma hope o kēlā, hoʻomaka kēia mau ʻeha e pālahalaha i luna ma nā lima a me nā wāwae, i ke kino .
• I ka wā mua, he ʻulaʻula kēia mau kiko, akā ma hope o kekahi mau lā, hiki iā lākou ke lilo i poni me nā kahe koko liʻiliʻi. Ua kapa ʻia hoʻi kēia he " petechiae ".

ʻO ka mea nui, ʻaʻole loaʻa i nā kānaka a pau kēia mau hōʻailona. ʻO kekahi poʻe, ʻoi aku ka poʻe ʻelemakule a i kekahi manawa nā keiki, ʻaʻole paha e loaʻa kēia mau hōʻailona a loaʻa wale ke kuni a me nā hōʻailona ʻē aʻe. I kēlā hihia, e lilo ia i mea paʻakikī ke ʻike i ka maʻi.

ʻIke pinepine ʻia kēia mau hōʻailona i loko o 2-5 mau lā o ka hoʻomaka ʻana o ke kuni. No laila, inā loaʻa iā ʻoe ke kuni, ʻeha kino, a me kēia mau hōʻailona, ​​ʻoiai inā ua noho ʻoe ma kahi i loaʻa ai nā leeches, pono ʻoe e ʻike koke i ke kauka.

Āhea mākou e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe nā hōʻailona aʻu i ʻōlelo ai ma mua - ke kuni nui, ka ʻeha poʻo, ka ʻeha kino , ka luaʻi, a me kēlā ʻulaʻula kikoʻī - ʻoiai inā ʻoe e hoʻomanaʻo ua nahu ʻia e ka leech a inā paha ʻoe i kahi wahi e loaʻa ai nā leeches , ʻoi aku ka maikaʻi o ka ʻimi ʻana i ka ʻōlelo aʻo lapaʻau me ka hoʻokaʻulua ʻole.

E noʻonoʻo, ua hoʻi wale mai ʻoe mai ka pāʻani ʻana ma ka māla me kāu keiki, a i ʻole ua hele wāwae pōkole ʻoe i ka nahele. I kekahi mau lā ma hope mai, ua loaʻa i kāu keiki ke kuni, hoʻopiʻi i ka ʻeha o ke kino, a laila hoʻomaka e ulu nā kiko ʻulaʻula liʻiliʻi ma kona mau lima a me nā wāwae. I kēlā hihia, pono ʻoe e ʻike i ke kauka.

He mea nui ka ʻike mua ʻana a me ka mālama ʻana i kēia maʻi no ka palekana o ke ola, no ka mea, ʻo ka lohi o ka mālama ʻana hiki ke alakaʻi i nā pilikia koʻikoʻi.

Pehea e ʻike ai nā kauka i kēia maʻi?

E nānā nui ke kauka i kāu mau hōʻailona, ​​inā paha ua loaʻa iā ʻoe nā leeches, a me kahi hoʻokolohua kino e ʻike ai i kēia maʻi. He kōkua nui ia inā loaʻa iā ʻoe kēlā ʻano ʻulaʻula kikoʻī.

Akā, he paʻakikī ke ʻike inā he Rocky Mountain Spotted Fever (RMSF) kēia ma muli o nā hōʻailona wale nō, no ka mea, ua like nā hōʻailona mua me nā maʻi ʻē aʻe e like me ka maʻi palū.

No laila, kauoha pinepine nā kauka i kekahi mau hoʻāʻo koko. Aia nā hoʻāʻo e ʻimi ana i nā antibodies a ko mākou kino e hana ai e kūʻē i kēia bacteria. Akā no ka mea he mau lā e ulu ai kēia mau antibodies, hiki ke maikaʻi ʻole nā ​​​​hopena o kēia mau hoʻāʻo i nā pae mua o ka maʻi.

I kekahi manawa, hiki ke lawe ʻia kahi hāpana liʻiliʻi (biopsy ʻili) mai nā ʻeha a hoʻāʻo ʻia e ʻike inā loaʻa ka bacteria.

ʻO ka mea nui loa, ʻo ia ka hoʻomaka ʻana o nā kauka i ka lāʻau lapaʻau i ka wā e manaʻo ai lākou i kēia maʻi, me ka kali ʻole ʻana i nā hopena o nā hoʻāʻo koko. No ka mea, he mea nui loa ka lāʻau lapaʻau wikiwiki i kēia hihia.

He aha ka lāʻau lapaʻau no kēia?

Hoʻōla ʻia kēia maʻi me nā antibiotics. Hoʻohana pinepine ʻia ka antibiotic doxycycline no kēia. He kūpono ia no nā pākeke a me nā keiki.

He mea nui e lawe i ka nui pololei i kuhikuhi ʻia e ke kauka no ka manawa piha. Mai ho'ōki i ka lawe ʻana i ka lāʻau lapaʻau no ka mea ua emi kou kuni i loko o ʻelua a ʻekolu paha lā a ua ʻoi aku kou maikaʻi. Pono ʻoe e hoʻopau i ka papa holoʻokoʻa o ka lāʻau lapaʻau.

Inā hoʻomaka mua ʻia ka lāʻau lapaʻau, ʻo ia hoʻi, i loko o 5 mau lā o ka hoʻomaka ʻana o nā hōʻailona, ​​​​hoʻōla piha ka hapa nui o ka poʻe i loko o kekahi mau lā.

I kekahi manawa, inā koʻikoʻi iki ka maʻi, pono paha e hoʻokomo ʻia i ka haukapila a hāʻawi ʻia i nā lāʻau antibiotic intravenous (IV). Eia kekahi, hāʻawi ʻia ka mālama hou aku, e like me ka saline e pale aku ai i ka dehydration a me ka lāʻau lapaʻau e hoʻēmi i ke kuni.

He aha ka mea e hana ʻia inā ʻaʻole hāʻawi ʻia ka lāʻau lapaʻau? (Nā pilikia)

ʻO kēia ka pilikia e pono ai kākou e kālele nui aku. ʻO ka Rocky Mountain Spotted Fever (RMSF) kahi maʻi e hiki ke hoʻoweliweli i ke ola inā ʻaʻole mālama ʻia.

Inā hoʻopaneʻe ʻia ka lāʻau lapaʻau a waiho ʻole ʻia paha me ka mālama ʻole ʻia, hiki i kēia bacteria ke laha ma ke kino a hōʻino i nā ʻano kino like ʻole.

• Ka hōʻino ʻana i nā kīʻaha koko: Hiki i kēia ke hoʻoulu i ke kahe koko i loko o ke kino.
• Nā hopena ma ka lolo: Hiki ke loaʻa nā hōʻailona koʻikoʻi e like me ka pehu ʻana o ka lolo (encephalitis), nā kuʻi ʻana, a me ka coma.
• Nā hopena ma ka ʻōnaehana hanu: Hiki ke loaʻa ka maʻi niumonia a me ka edema pulmonary.
• Ka hāʻule ʻana o nā puʻupaʻa.
• Nā hopena ma ka puʻuwai.
• I kekahi manawa, ua hoʻopilikia ʻia ke kahe koko i nā lālā, a hiki i kēlā mau ʻāpana ke make (gangrene). Inā hana ʻia kēlā, pono paha e wehe ʻia kēlā mau ʻāpana ma ke ʻoki ʻana.

ʻO ia ke kumu i ʻōlelo ai au ma mua inā loaʻa iā ʻoe kēia mau hōʻailona, ​​ʻoiai inā manaʻo ʻoe ua nahu ʻia ʻoe e kahi leech, pono ʻoe e ʻike koke i ke kauka. Inā ʻoe e lawe i ka lāʻau lapaʻau i ka manawa kūpono, hiki iā ʻoe ke pale aku i kēia mau kūlana weliweli.

Pehea mākou e pale ai iā mākou iho mai nā leeches a me RMSF? (Ka pale ʻana)

ʻO ke ala maikaʻi loa e pale aku ai iā ʻoe iho mai kēia maʻi, ʻo ia ke pale ʻana i nā nahu ʻuʻuku. Aia kekahi mau mea hiki iā kākou ke hana e hana ai i kēia:

• E pale i nā wahi i loaʻa ai nā ʻūhini: E pale i ka hele wāwae ʻana i loko o nā ululāʻau, nā mauʻu kiʻekiʻe, a me nā wahi me nā kumu lāʻau he nui i ka hiki. Inā pono ʻoe e hele i ia mau wahi, e hoʻāʻo e hele ma waenakonu o nā alanui a ma nā wahi ākea.
• E ʻaʻahu i nā lole pale: E ʻaʻahu i nā lole lōʻihi a me nā pālule lima lōʻihi. E hoʻokomo i kou mau lole i loko o kou mau kāmaʻa. E kau i kou mau kāmaʻa ma luna o kou mau kāmaʻa. E ʻaʻahu i nā lole kala māmā i ʻike maʻalahi ʻia nā leeches inā aia lākou ma kou mau lole.
• E hoʻohana i nā mea pale pepeke: E hoʻopili i nā mea pale pepeke i loaʻa nā kemika e like me `(DEET)` a me `(Permethrin)` i kou ʻili a me kou lole. Eia nō naʻe, pono ʻoe e hahai i nā kuhikuhi i ka wā e hoʻohana ai i kēia mau mea. E ʻimi i ke kōkua lapaʻau, ʻoiai ke hoʻohana ʻana iā lākou ma nā keiki ʻōpio. Pono e hoʻopili ʻia `(Permethrin)` i nā lole a me nā lako e like me nā halelewa, ʻaʻole pololei i ka ʻili.
• E nānā i kou kino ma hope o kou hoʻi ʻana mai waho mai: Ke hoʻi ʻoe i ka home mai kahi i loaʻa ai nā ʻūhini, e hoʻololi i kou mau lole a pau a nānā pono i kou kino holoʻokoʻa. E makaʻala pono i nā wahi e like me ke poʻo, nā pepeiao, ka ʻāʻī, nā ʻāʻī lima, ka ʻūhā, a ma hope o nā kuli. E nānā pono hoʻi i kāu mau keiki.
• Holoi i nā lole: E holoi i nā lole āu i ʻaʻahu ai ma waho i ka wai wela. Inā hiki, e hoʻomaloʻo iā lākou i loko o kahi mea hoʻomaloʻo lole. E pepehi kēia i nā ʻale e loaʻa ana.
• E nānā i kāu mau holoholona: Inā he mau holoholona kāu e like me nā ʻīlio a me nā pōpoki ma ka home, e nānā mau iā lākou no nā leeches. E hoʻohana i nā huahana ʻole leeches no lākou. No ka mea, hiki i nā leeches ma nā holoholona ke komo i loko o kou hale a nahu pū iā ʻoe.
• E hoʻomaʻemaʻe i kāu māla: E ʻoki pōkole i ka mauʻu o kāu māla. E wehe i nā lau maloʻo. E hōʻemi kēia i ka nui o nā wahi peʻe no nā leeches.

He aha kāu e hana ai inā pili kahi leech i kou kino?

Inā ʻike ʻoe i kahi leech e pili ana i kou kino, mai hopohopo. ʻO ka mea nui, ʻo ia ke wehe pono iā ia.

1. E hoʻohana i nā tweezers lahilahi.

2. E hoʻohana i nā forceps e hopu i ka leech a kokoke loa i ka ʻili, e paʻa ana ma ka ʻaoʻao o kona poʻo.

3. Huki pololei i luna, mālie a akahele, me ka wikiwiki paʻa. Mai wili a ʻomi paha. ʻO ka hana ʻana pēlā e hiki ai ke hoʻopaʻa i ke poʻo o ka leech i loko o ka ʻili, a i ʻole e hoʻolaha hou aku i nā germs i loko o ke kino.

4. Ma hope o ka wehe ʻana i ka leech, e holoi pono i ka wahi me ke kopa a me ka wai, a laila e hoʻomaʻemaʻe me kahi mea e like me ka waiʻona.

5. E hoʻolei i ka leech i lawe ʻia i loko o ka lua, a i ʻole e waiho i loko o kahi pahu me ka waiʻona. A i ʻole e hoʻopili i ka lipine a hoʻolei i loko o ka ʻōpala. Mai kuʻi wale iā ia me kou mau lima.

6. E hoʻomanaʻo i ka lā i wehe ʻia ai ka leech. Inā loaʻa iā ʻoe nā hōʻailona e like me ke kuni a i ʻole ke anu i nā pule e hiki mai ana, e haʻi i ke kauka a haʻi iā lākou ua nahu ʻia ʻoe e kahi leech.

ʻO ka mea hope loa, leka lawe i ka home

ʻAe, ua kamaʻilio nui kākou e pili ana i ka Rocky Mountain Spotted Fever (RMSF) i kēia manawa, ʻeā? He maʻi kēia i laha ʻia e nā leeches, a ʻoiai hiki ke koʻikoʻi iki, hiki ke ho'ōla loa ʻia inā ʻike ʻia a mālama ʻia i ka wā mua.

• ʻO ka palekana mai nā leeches ka mea nui loa. E ʻaʻahu i nā lole pale i ka wā e hele ai i nā wahi hihiu a mauʻu paha, e hoʻohana i ka mea pale pepeke, a e nānā iā ʻoe iho ke hoʻi ʻoe i ka home.
• Inā he ʻulaʻula kou e hoʻomaka ana ma kou mau pulima a me nā kuʻekuʻe wāwae a laha pū me ke kuni, ka ʻeha poʻo, a me nā ʻeha kino, ʻoiai inā manaʻo ʻoe ua nahu ʻia ʻoe e ka leech, e ʻimi koke i ke kōkua lapaʻau.
• Inā kānalua nā kauka i kēia maʻi, ʻaʻole lākou e hoʻokaʻulua i ka hoʻomaka ʻana i ka lāʻau. No laila, inā loaʻa iā ʻoe nā hōʻailona, ​​mai hoʻokaʻulua i ka ʻike ʻana i ke kauka.
• E lawe i nā antibiotic e like me ke kauoha, no ka manawa piha.

ʻOiai ʻaʻole maʻamau kēia maʻi ma Sri Lanka, aia kekahi mau maʻi ʻē aʻe i laha ʻia e nā leeches. Eia kekahi, inā ua huakaʻi kekahi i nā ʻāina ʻē a hōʻike i kēia mau hōʻailona, ​​​​he mea maikaʻi ke kānalua i kēia maʻi pū kekahi.

Inā he mau nīnau hou aku kāu e pili ana i kēia, mai kānalua e nīnau i kāu kauka ʻohana. E noho olakino!

ʻO ka maʻi kuni ʻo Rocky Mountain, RMSF, nā leeches, nā maʻi i lawe ʻia e ka leech, ke kuni, nā ʻeha ʻili, ka maʻi bacteria, Rickettsia rickettsii, nā antibiotics, doxycycline ( Doxycycline ) , ka maʻi i lawe ʻia e ka tick, ka pale ʻana i ka nahu ʻana o ka tick