Ua lohe paha ʻoe i ka Black Death ma nā puke mōʻaukala a me nā kiʻiʻoniʻoni. I kēlā manawa, ua make nā miliona o ka poʻe ma ʻEulopa a me ʻĀsia i kēia maʻi. ʻO kēlā maʻi weliweli ke kumu o ka mea a mākou e kapa nei ʻo Plague i kēia lā. Akā, mai hopohopo, ʻaʻole ia i maʻamau i kēia manawa e like me ia manawa. Eia naʻe, ʻaʻole i hoʻopau loa ʻia kēia maʻi mai ka honua. ʻO ia ke kumu he mea nui loa ka makaʻala i kēia maʻi weliweli.
I ka ʻōlelo maʻalahi, he aha kēia maʻi ahulau?
He maʻi koʻikoʻi ka maʻi ahulau i hoʻokumu ʻia e kahi bacteria i kapa ʻia ʻo 'Yersinia pestis' (Y. pestis) . He maʻi ia e hiki ke laha mai nā holoholona a i nā kānaka. I ka pololei, laha pinepine ka maʻi i ka wā e nahu ai kahi ʻuku i kahi holoholona, e like me ka ʻiole, nona kēia bacteria, a hele mai kēlā ʻuku a nahu iā ʻoe.
Ke komo kēia bacteria i loko o kou kino, aia ʻekolu ʻano nui o ke ahulau, ma muli o kona wahi e noho ai i loko o ke kino. E nānā kākou i kēlā me kēia kikoʻī.
ʻO nā ʻano nui ʻekolu o ke ahulau
E noʻonoʻo ua komo ka bacteria (`Y. pestis`) i kou kino. ʻO kahi e hele ai i loko o kou kino e hoʻoholo ai i ke ʻano o ka maʻi ahulau āu e ulu ai.
| ʻAno ahulau | ʻĀpana kino i hoʻopilikia ʻia | Wehewehena |
|---|---|---|
| Maʻi ahulau Bubonic | Nā kikowaena lymph | ʻO kēia ke ʻano maʻamau a ʻo ia ka mea me ka manawa kūpono loa e hoʻōla ai inā mālama ʻia. Hoʻokahi a ʻoi aku paha nā lymph node e pehu nui. Ua kapa ʻia kēia mau puʻupuʻu pehu ʻo "bubos." |
| Maʻi ahulau Septicemic | ʻŌnaehana Kaʻapuni (Kahe Koko) | Hiki mai kēia kūlana ke komo pololei ka bacteria i ke koko. Hiki i kēia ke luku i nā ʻiʻo, hana i nā kūlana e like me ka gangrene, a alakaʻi i ka hāʻule ʻana o nā ʻōkana. |
| Maʻi ahulau Pneumonia | Nā māmā | ʻO kēia ke ʻano kakaikahi loa a weliweli loa. Hana ʻia ia i ka wā e hiki ai ka bacteria i nā māmā. Ua like ia me ke anu maʻamau, a hiki ke laha mai kekahi kanaka a i kekahi kanaka ma o ke kunu ʻana a me ka ʻūhā ʻana. |
ʻO ka mea nui, ʻo ia hoʻi, koe wale nō ka maʻi ahulau niumonia, ʻaʻole maʻalahi ka laha ʻana o nā ʻano ʻelua ʻē aʻe mai kekahi kanaka a i kekahi kanaka. Eia nō naʻe, hiki ke laha koke ka maʻi ahulau niumonia.
He aha nā hōʻailona o ka maʻi ahulau?
Ma waho aʻe o nā hōʻailona maʻamau o ke ahulau, aia kekahi mau hōʻailona kikoʻī ma muli o ke ʻano a mākou i kūkākūkā ai.
Nā hōʻailona maʻamau
- kuni kiʻekiʻe koke
- Haʻalulu ma muli o ke anu
- ʻEha nui ka ʻeha poʻo a me ke kino
- Ka luhi nui a me ka nāwaliwali o ke kino
- Pōʻino
- Ka luaʻi, ka luaʻi, a me ka maʻi pākī
Nā hōʻailona kikoʻī ma muli o ke ʻano
- Maʻi ahulau: Hoʻokahi a ʻoi aku paha nā lymph node kokoke i kahi o ka nahu ʻana (e like me ke kīkēkē, ka ʻūhā, a i ʻole ka ʻāʻī) e lilo i mea ʻeha loa a pehu. Hiki ke like kēia me nā puʻupuʻu nui.
- Maʻi ahulau Septicemic: ʻEha ʻōpū, kahe koko mai ka ihu, ka waha, a i ʻole ma lalo o ka ʻili. I kekahi manawa, make nā ʻiʻo ma nā wahi e like me nā manamana lima, nā lima, a me nā wāwae a lilo i ʻeleʻele (gangrene).
- Maʻi ahulau niumonia: Paʻakikī ka hanu ʻana, ʻeha ka umauma, ka ʻū nui, a me ka phlegm me ke koko a i ʻole ka wai e kahe ana.
ʻOiai ke hōʻike nei nā kiʻi pena kahiko i nā maʻi ahulau me nā ʻeha ma ko lākou kino holoʻokoʻa, ʻaʻole kēia he hōʻailona o ke ahulau. ʻOi aku ka maʻi ʻē aʻe, e like me ka maʻi ʻōpū. ʻO ka hōʻailona nui o ke ahulau, ʻo ia nā lymph node pehu (buboes).
Pehea e laha ai kēia maʻi?
E like me kā mākou i kamaʻilio ai ma mua iki, aia kekahi mau ala nui e hiki ai i ka bacteria Y. pestis ke hoʻoili i nā kānaka.
1. Mai nā ʻuku: ʻO kēia ke ala nui. ʻO kahi ʻuku e nahu ana i kahi ʻiole a holoholona paha i loaʻa i ka maʻi e like me ka ʻiole hiki ke hoʻopili iā ʻoe me ka maʻi.
2. Mai nā holoholona i loaʻa i ka maʻi: Hiki ke laha ka maʻi inā komo nā wai kino a i ʻole nā ʻiʻo o kahi holoholona i loaʻa i ka maʻi (ola a make paha) i kou kino ma o kahi ʻoki a ʻeha paha ma kou ʻili.
3. Mai kekahi kanaka a i kekahi kanaka: Ua kapa ʻia kēia he Maʻi Pneumonic.Mai kahi mea i loaʻa iā ia wale nō. Hiki i kekahi kanaka ke loaʻa i ka maʻi ma ka hanu ʻana i nā kulu wai e puka mai ana i waho i ka wā e ʻū ai a ʻūhā paha.
E hoʻomanaʻo, ʻaʻole wale nā ʻiole, akā, ʻo nā rodents e like me nā squirrels, nā puaʻa guinea, nā ʻīlio, nā pōpoki, nā dia, a me nā kāmelo ke loaʻa a hoʻolaha i kēia maʻi.
Pehea e ʻike ai ke kauka i kēia? He aha nā lāʻau lapaʻau?
Inā loaʻa iā ʻoe nā hōʻailona o ka maʻi ahulau, ʻoiai inā ua noho ʻoe i kahi wahi e hiki ai i nā ʻuku ke nahu, a inā he ʻeha kou lymph node pehu (bubo), pono ʻoe e ʻike koke i ke kauka. E haʻi aku i kāu kauka i kēia mau mea:
- Ua hele anei ʻoe i kahi wahi i hōʻike ʻia ai ka maʻi ahulau?
- Ke kānalua nei ʻoe he ʻuku kou?
- Ua hoʻopā anei ʻoe i kahi holoholona i loaʻa paha i ka maʻi?
No ka hōʻoia ʻana i ka maʻi, e hoʻouna aku kāu kauka i kahi hāpana o kou koko, sputum, a i ʻole ka wai mai kahi lymph node pehu i kahi keʻena hoʻokolohua e nānā i ke alo o ka bacteria Y. pestis.
Lapaʻau
He maʻi ka maʻi ahulau e pono ai ka mālama koke ʻana. Inā hiki ke hoʻomaka ʻia ka mālama ʻana i loko o 24 mau hola o ka hoʻomaka ʻana o nā hōʻailona, ʻoi aku ka kiʻekiʻe o ka manawa e hoʻōla ai.
Hoʻohana ʻia nā lāʻau antibiotic no kēia. Ma muli o kou kūlana, hiki i kāu kauka ke hoʻoholo e hoʻomaka i ka lāʻau me ke kali ʻole i nā hopena hoʻāʻo. Hiki ke hāʻawi ʻia kēia mau lāʻau lapaʻau ma ke ʻano intravenous (IV) a i ʻole he mau pila. ʻO nā lāʻau lapaʻau i hoʻohana pinepine ʻia ʻo 'Ciprofloxacin', ' Doxycycline ( Doxycycline (Doxycycline) ) ', 'Gentamicin'.
Inā loaʻa iā ʻoe ka lāʻau lapaʻau, e hoʻomaka ʻoe e ʻoluʻolu i loko o hoʻokahi a ʻelua paha pule. Eia nō naʻe, hiki ke hala kekahi mau pule no ka ho'ōla ʻana o nā lymph node pehu (buboes). Mai lawe i kēia ʻano lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a ke kauka.
Pehea e pale ai iā ʻoe iho mai ka maʻi ahulau?
ʻO ke ala maikaʻi loa e pale aku ai i kēia, ʻo ia ke noho mamao aku mai nā ʻuku a me nā holoholona i loaʻa paha i ka maʻi.
- E mālama i ke kaiapuni i maʻemaʻe: E wehe i nā puʻu wahie a me nā puʻu ʻōpala kahi e peʻe ai nā holoholona e like me nā ʻiole a me nā ʻiole liʻiliʻi.
- Mai hānai i nā holoholona hihiu: Mai waiho i ka meaʻai holoholona ma kahi ākea. Hiki iā ia ke huki i nā holoholona hihiu.
- E pale iā ʻoe iho mai nā ʻuku: Inā ʻoe e hele ana i nā wahi hihiu, e hoʻohana i ka pīpī pepeke e loaʻa ana ka DEET.
- E mālama i kāu mau holoholona: E nīnau i kāu kauka holoholona e pili ana i nā lāʻau lapaʻau no kāu ʻīlio a pōpoki paha.
- E akahele i ka wā e lawelawe ai i nā holoholona:Inā pono ʻoe e lawelawe i kahi holoholona maʻi a make paha, e pono e komo i nā mīkina lima.
- Mai hoʻokuʻu i kāu mau holoholona: Inā ʻoe e noho ana i kahi i hōʻike ʻia ai ke ahulau, mai hoʻokuʻu i kāu mau holoholona i waho.
Inā loaʻa iā ʻoe kekahi kānalua iki ua loaʻa iā ʻoe ka maʻi ahulau, e kamaʻilio koke me kāu kauka a noi i ka ʻōlelo aʻoaʻo inā pono ʻoe e lawe i nā lāʻau antibiotic e pale aku i ka ulu ʻana o ka maʻi.
Leka Lawe-Home
- He maʻi koʻikoʻi ka maʻi ahulau, akā he maʻi kakaikahi loa i kēia manawa, i hoʻokumu ʻia e ka bacteria Yersinia pestis .
- ʻEkolu ʻano nui o ke ahulau: bubonic, septicemic, a me ka pneumonic. Ma waena o kēia mau mea, hiki ke laha ke ahulau pneumonic mai kekahi kanaka a i kekahi kanaka.
- ʻO nā hōʻailona nui ka wela koke, ka ʻeha kino, a me nā lymph node (nodules) pehu ʻeha.
- ʻOiai he maʻi weliweli kēia, he mea nui loa ia e ʻimi i ke kōkua lapaʻau i ka wā e ʻike ʻia ai nā hōʻailona. He mea kūpono ke hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
- Hiki i nā lāʻau antibiotic ke mālama pono i kēia maʻi, akā pono e hoʻomaka koke ka lāʻau.
- ʻO ke ala maikaʻi loa e pale aku ai i kēia, ʻo ia ka pale ʻana iā ʻoe iho mai nā ʻuku a me nā holoholona e hiki ke lawe i ka maʻi.











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