Ua lohe paha ʻoe i ka maʻi puʻupuʻu, ʻeā? Ua kapa pū kekahi poʻe iā ia he 'T.B.'. I ka wā ma mua, ua manaʻo ʻia kēia he maʻi koʻikoʻi, a ua makaʻu ka poʻe he nui iā ia. Akā, ua ʻike anei ʻoe, i kēia manawa ua holomua loa ka ʻepekema lapaʻau, inā ʻike mua ʻia kēia maʻi a mālama pono ʻia, hiki ke ho'ōla loa ʻia. No laila, ʻaʻohe kumu e makaʻu ai. I kēia lā, e kamaʻilio mākou e pili ana i ke ʻano o kēia maʻi, ʻo ia hoʻi, `(Tuberculosis)`, pehea e ulu ai, he aha nā hōʻailona, pehea ʻē aʻe e hiki ai iā ʻoe ke pale aku iā ʻoe iho mai ia mea, a pehea e mālama ai iā ia, ma ke ʻano maʻalahi a ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
He aha maoli ka maʻi puʻupuʻu?
I ka ʻōlelo maʻalahi, he maʻi lele ka maʻi puʻupuʻu i hoʻokumu ʻia e kahi ʻano bacteria kikoʻī. I ka lāʻau lapaʻau, kapa mākou i kēia bacteria ʻo '(Mycobacterium tuberculosis)' . He germ liʻiliʻi loa kēia ʻaʻole hiki iā mākou ke ʻike me ko mākou mau maka.
ʻO ka maʻamau, hoʻopilikia nui kēia maʻi puʻupuʻu i ko kākou mau māmā . Eia naʻe, ʻaʻole wale ia, i kekahi manawa hiki ke hoʻopilikia i nā ʻāpana ʻē aʻe o ke kino e like me nā puʻupaʻa, ka iwi kuamoʻo, a me ka lolo. ʻO ia ke kumu he maʻi kēia e pono ai ke mālama.
ʻIke ʻoe, i ka wā ma mua, ma kahi o ke kenekulia 19, he maʻi weliweli a make loa ka maʻi puʻupuʻu. Akā ma hope mai, i ka holomua ʻana o ke kūlana ola o kānaka a loaʻa iā lākou nā lawelawe olakino maikaʻi aʻe, ua emi mālie kēia maʻi. Eia naʻe, i kēia mau lā iho nei, ua hoʻi hou ka hoihoi i kēia maʻi. ʻOi aku hoʻi,
- No ka poʻe e noho ana ma nā wahi e noho kokoke loa ai kekahi poʻe (e laʻa, ma nā kahua hoʻopaʻahao, nā kahua hoʻomoana puʻuhonua).
- No ka poʻe i huakaʻi i nā ʻāina kahi i laha ai ka maʻi puʻupuʻu.
- No ka poʻe me nā ʻōnaehana pale i nāwaliwali. E noʻonoʻo, ʻo kekahi mea nona ka ʻōnaehana pale i nāwaliwali ma muli o kahi kūlana e like me ka "(maʻi HIV)" ʻoi aku ka nui o ka loaʻa ʻana o kēia maʻi.
No laila, ma muli o nā ʻoiaʻiʻo e like me kēia, he mea nui loa ia e makaʻala i ka maʻi puʻupuʻu.
He maʻi lele maoli anei ka maʻi puʻupuʻu? Pehea e laha ai?
ʻAe, he maʻi lele ka maʻi puʻupuʻu . ʻO ia ka mea mua e pono ai mākou e hoʻomaopopo.
Inā ʻoe e noʻonoʻo e pili ana i ke ʻano o kona laha ʻana, eia ka mea e hana ʻia: Ke ʻūhū, kihe, kamaʻilio, a hīmeni paha kekahi me ka maʻi TB i mālama ʻole ʻia, hoʻokuʻu ʻia nā kulu liʻiliʻi e loaʻa ana ka bacteria TB i ka lewa mai ko lākou ala hanu. E like me nā ʻāpana lepo. A laila, inā hanu kahi kanaka olakino i ka lewa e loaʻa ana ka bacteria, hiki iā lākou ke loaʻa i ka maʻi.
E hoʻomanaʻo, ʻo kēia maʻi ka mea hiki ke laha ma nā wahi i loko me nā puka a me nā puka makani i pani ʻia, ka ea maikaʻi ʻole, a me nā lehulehu. No laila, he mea nui e noho ma nā wahi me ka ea maikaʻi.
Akā, aia kekahi mea ʻē aʻe āu e pono ai e ʻike. ʻAʻole e maʻi nā kānaka a pau i loaʻa i ka maʻi TB. ʻO ia hoʻi, ʻaʻole e loaʻa i nā kānaka a pau nā hōʻailona. ʻO ia ke kumu e hoʻokaʻawale ai nā kauka i ka TB i ʻelua ʻano:
1. Ka maʻi TB huna :
- ʻO ka mea e hana ʻia ma kēia hihia, ua komo ka bacteria tuberculosis i loko o ke kino, akā ua "moe" mau ka bacteria.
- ʻAʻole hōʻike kēia poʻe i kekahi mau hōʻailona . ʻAʻole lākou i ʻike ua loaʻa iā lākou ka maʻi.
- ʻO ka mea nui loa, ʻaʻole e hoʻolaha kēia poʻe i ka maʻi i nā poʻe ʻē aʻe .
- Eia nō naʻe, inā ʻaʻole i loaʻa i kēia poʻe ka lāʻau kūpono, aia kahi hiki ke "ala" nā bacteria "hiamoe" i kekahi lā a lilo i mea hana, e hana ana i nā hōʻailona a hiki ai iā lākou ke hoʻopili i nā poʻe ʻē aʻe.
2. ʻO ka maʻi puʻupuʻu ikaika (ʻo ka maʻi TB) :
- ʻO ka mea e hana ʻia ma kēia hihia, ʻo ia ka hana ʻana o nā bacteria maʻi puʻupuʻu i komo i ke kino a hoʻoulu i ka maʻi.
- Loaʻa i kēia poʻe nā hōʻailona e pili ana i ka maʻi puʻupuʻu .
- Hiki i kēia poʻe ke hoʻolaha maʻalahi i ka maʻi i nā poʻe ʻē aʻe .
Maopopo iā ʻoe kēia ʻokoʻa? I loko o ka maʻi `Latent TB infection`, aia ka germ i loko o ke kino, akā ʻaʻole i loaʻa ka maʻi a ʻaʻole ia he mea laha. Akā i loko o ka maʻi `TB`, aia ka maʻi a laha.
He aha nā hōʻailona o ka maʻi puʻupuʻu? Pehea mākou e ʻike ai?
ʻAe, i kēia manawa e nānā kākou i nā hōʻailona o ka maʻi puʻupuʻu ikaika (maʻi TB). Inā loaʻa iā ʻoe a i ʻole kekahi āu i ʻike ai kekahi a ʻoi aku paha o kēia mau mea, pono ʻoe e ʻimi i ke aʻo lapaʻau.
- Kuke : ʻO kēia ka hōʻailona nui. Hiki ke mau no ʻelua a ʻekolu mau pule . I kekahi manawa, hiki i ka kuke ke hoʻāla i kahi koko liʻiliʻi me ka mucus.
- Ka hou ʻana i ka pō : ʻAʻole wale ka hou ʻana, akā, ka hou nui ʻana a pulu nā moena.
- Kuni a anu paha : Hiki iā ʻoe ke wela i ke ahiahi a i ka pō paha.
- Luhi a me ka māluhiluhi : Manaʻo mau i ka luhi, ʻoiai me ka hana ʻole ʻana i kekahi hana.
- Anorexia : Ka nalowale ʻana o ka makemake a pau e ʻai.
- ʻEha umauma : E ʻeha paha ʻoe i ka umauma i ka wā e hanu ana a i ʻole ke kuʻi ʻana.
- Ka emi ʻana o ke kaumaha me ke kumu ʻole : Inā emi koke kou kaumaha, ʻoiai inā ʻaʻole ʻoe e kaohi i kāu ʻai a hoʻoikaika kino paha, he hōʻailona nō hoʻi ia e hopohopo ai.
Mai makaʻu i ka maʻi puʻupuʻu no ka mea he hoʻokahi a ʻelua paha o kēia mau hōʻailona kou. Eia nō naʻe, inā hoʻomau kēia mau hōʻailona, he mea naʻauao ke ʻike pono i ke kauka a nānā ʻia.
Pehea ʻoe e ʻike pono ai inā loaʻa iā ʻoe ka maʻi puʻupuʻu?
I kēia manawa, ke noʻonoʻo nei paha ʻoe, "ʻAe, inā ʻo kēia nā hōʻailona, pehea lā e ʻike maopopo ai ke kauka he TB kēia?" Hoʻāʻo nā kauka no ka 'maʻi TB latent' a me ka 'maʻi TB'. ʻElua ʻano nui o ka hoʻāʻo ʻana:
1. Hoʻāʻo ʻili Tuberculin (TST) :
- Kapa kekahi poʻe i kēia ʻo ka "Mantoux test." Hana pinepine ʻia kēia hoʻāʻo e ʻike inā loaʻa i nā keiki ʻōpio ka maʻi puʻupuʻu.
- Hana ʻia kēia ma nā ʻanuʻu ʻelua.
- Ka hana muaHoʻokomo ʻia kahi wai liʻiliʻi loa i kapa ʻia ʻo "tuberculin" i loko o ka ʻili ma lalo o kou lima. ʻAʻole ia e ʻeha nui.
- KaʻAnuʻu Hana 2 : A laila pono ʻoe e ʻike hou i kāu kauka i loko o 48 a 72 mau hola (ʻo ia hoʻi ma kahi o ʻelua a ʻekolu mau lā). A laila e nānā ke kauka a i ʻole kekahi limahana olakino i kahi i hoʻokomo ʻia ai ka lāʻau lapaʻau e ʻike inā he hopena i ka ʻili.
- Inā unahi ka ʻili ma laila, ʻulaʻula, a paʻakikī iki, ʻo ia hoʻi he bacteria maʻi tuberculosis kou i loko o kou kino.
2. Hoʻāʻo koko :
- Hoʻopili kēia i ka lawe ʻana i kahi hāpana o kou koko, e hoʻouna ana i kahi lab e hoʻāʻo ai no ke alo o ka bacteria tuberculosis.
Inā he "maikaʻi" ka hoʻāʻo ʻili a me ke koko, ʻo ia hoʻi ka hopena "ʻae, aia nā bacteria i loko o kou kino," a laila e noi aku kāu kauka iā ʻoe e hana i kahi X-ray umauma . Hiki iā ia ke kauoha i nā hoʻokolohua ʻē aʻe e hōʻoia inā he "maʻi TB latent" a i ʻole "maʻi TB" kou. No ka laʻana, e noi ʻia paha ʻoe e hana i kahi hoʻāʻo sputum.
Pehea e mālama ʻia ai ka maʻi puʻupuʻu? ʻAʻohe mea e makaʻu ai!
ʻO ka nūhou maikaʻi, aia nā lāʻau lapaʻau kūpono no ka maʻi puʻupuʻu! Hiki ke mālama ʻia ka hapa nui o ka poʻe me ka maʻi puʻupuʻu ma ka home. Pono wale nō ka hoʻokipa ʻana i ka haukapila i nā hihia kūikawā loa.
Hoʻōla pinepine nā kauka i ka maʻi puʻupuʻu me nā lāʻau lapaʻau waha, ʻo ia hoʻi ka hui pū ʻana o nā antibiotics . Akā aia kekahi mea e pono ai ʻoe e hoʻomanaʻo:
He manawa iki ka lōʻihi e pepehi loa ai i nā bacteria TB, no laila pono ʻoe e lawe i ke kauoha holoʻokoʻa no ka manawa piha (he mau mahina, malia paha 6 mahina a ʻoi aku paha) a kāu kauka i kauoha mai ai.
ʻOiai inā e emi ana kou mau hōʻailona a i ʻole ʻoe e ʻoluʻolu, mai hoʻōki i ka lawe ʻana i kāu lāʻau lapaʻau a hiki i ka wā e ʻōlelo aku ai kāu kauka iā ʻoe. ʻO ia ke ala maikaʻi loa e pepehi loa ai i nā bacteria ʻino. Inā ʻoe e hoʻōki i ka lawe ʻana i kāu lāʻau lapaʻau i ka hapalua a i ʻole ʻaʻole e lawe pono, eia ka mea e hana ʻia: ʻO nā bacteria e noho nei i loko o kou kino e hoʻomohala i ke kūʻē ʻana i nā antibiotics, kahi e paʻakikī ai ka pepehi ʻana iā lākou. Hiki i kēia ke alakaʻi i nā ʻano maʻi puʻupuʻu ʻoi aku ka weliweli a paʻakikī ke mālama. No laila, he mea nui loa ka lawe ʻana i kāu lāʻau lapaʻau e like me kāu kauka e ʻōlelo aku ai iā ʻoe.
He aha kā mākou e hana ai e pale aku i ka maʻi puʻupuʻu?
"ʻOi aku ka maikaʻi o ka pale ʻana i ka maʻi ma mua o ka mālama ʻana ma hope o kona hiki ʻana mai." No laila, aia kekahi mau mea maʻalahi hiki iā kākou ke hana e palekana ai mai ka maʻi puʻupuʻu wale nō, akā, mai nā maʻi ʻē aʻe he nui. He mea maikaʻi inā e hahai nā mea a pau o kou ʻohana i kēia mau mea:
- E holoi pono i kou mau lima: E holoi mau i kou mau lima me ke kopa a me ka wai, ʻoiai ma mua o ka ʻai ʻana, ma hope o ka hoʻohana ʻana i ka lua, a ma hope o ka hele ʻana mai waho.
- E uhi i kou waha a me kou ihu me kahi ʻili pepa a i ʻole kou kuʻekuʻe lima i ka wā e ʻū ai a ʻū paha: Mai hoʻohana i kou mau lima. Hiki i kēia ke hoʻolaha i nā germs i kou mau lima a me nā ʻili ʻē aʻe āu e hoʻopā ai.
- Mai kaʻana like i kāu mau kāwele, nā kīʻaha inu, a i ʻole nā mea ʻai me nā poʻe ʻē aʻe . ʻOi aku ka maikaʻi o kēlā me kēia kanaka e hoʻohana i kā lākou mau mea ponoʻī.
- E noho mamao aku mai ka poʻe maʻi i ka hiki : E akahele loa i ka wā e hele ai i nā wahi i loaʻa ai ka poʻe me ke kuni a me ke anu.
ʻO ka hahai ʻana i kēia mau hana e kōkua iā ʻoe e pale iā ʻoe iho mai ka maʻi puʻupuʻu wale nō, akā, mai nā maʻi ʻē aʻe he nui.
I ka manawa e like me kēia, pono ʻoe e ʻike i ke kauka!
ʻO ka mea hope loa, e nānā kākou i ka wā e pono ai ʻoe e ʻike i ke kauka. Inā loaʻa iā ʻoe a i ʻole kekahi o kou ʻohana kekahi o kēia mau hōʻailona, e ʻoluʻolu e ʻimi koke i ke kōkua lapaʻau:
- Inā ua pili kokoke ʻoe me kekahi mea i loaʻa i ka maʻi puʻupuʻu (e.g. e noho ana ma ka hale hoʻokahi, e hana ana ma kahi hana hoʻokahi).
- Inā he kuni kou e mau ana no ka manawa lōʻihi .
- Inā ʻoe e hou nui i ka pō .
- Inā he ʻūhū lōʻihi kou a inā paha e ʻūhū ana ʻoe i ke koko me ka huʻa .
- Inā ʻoe e lilo ana ke kaumaha no ke kumu ʻole .
Inā ʻike ʻoe i kahi mea e like me kēia, mai manaʻo wale, "He mea maʻamau wale nō paha kēia." Ma ka ʻike koke ʻana i ke kauka a me ka nānā ʻana iā ia iho, hiki iā ʻoe ke ʻike i kekahi maʻi i ka wā mua a hoʻomaka i ka mālama ʻana.
ʻO nā mea nui e pono ai ʻoe e hoʻomanaʻo mai kēia ʻatikala (Leka Lawe-Home)
ʻAe, ua kamaʻilio nui kākou e pili ana i ka maʻi puʻupuʻu, ʻeā? ʻO nā mea nui e hoʻomanaʻo ai mai kēia mau mea a pau:
- He maʻi ka maʻi puʻupuʻu i hoʻoulu ʻia e ka bacteria e hoʻopilikia nui ana i nā māmā.
- Hoʻolaha ʻia ia ma ka hanu ʻana i nā germs i hoʻokuʻu ʻia i ka lewa i ka wā e ʻū ai a kihe paha ka mea maʻi.
- E makaʻala inā loaʻa iā ʻoe nā hōʻailona e like me ka ʻū ʻana e mau ana no nā pule ʻelua a ʻoi, ka hou ʻana o ka pō, ke kuni, a me ka pohō kaumaha .
- Aia nā hoʻāʻo ʻili (TST) a me nā hoʻāʻo koko e ʻike ai i ka maʻi puʻupuʻu.
- Aia nā lāʻau lapaʻau kūpono no ka maʻi puʻupuʻu ('Antibiotics') . Eia nō naʻe, he mea nui loa ka lawe ʻana i ka lāʻau lapaʻau no ka manawa piha i kuhikuhi ʻia e ke kauka. A i ʻole, hiki ke kūʻē i ka lāʻau.
- ʻO ka hoʻomaʻamaʻa ʻana i nā hana olakino maikaʻi e kōkua i ka pale ʻana i ka maʻi puʻupuʻu.
E hoʻomanaʻo, ʻaʻole ka maʻi puʻupuʻu he mea e makaʻu ai, akā he mea e hopohopo ai. Inā ʻike mua ʻia a mālama pono ʻia, hiki ke ho'ōla loa ʻia. Inā he kānalua kou, e ʻike koke i ke kauka. E ola kino!
ʻO ka maʻi puʻupuʻu, ka maʻi puʻupuʻu, ka maʻi T.B., ka maʻi māmā, nā maʻi lele, nā hōʻailona o ka maʻi puʻupuʻu, ka mālama ʻana i ka maʻi puʻupuʻu











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