Ua ʻike anei ʻoe e pili ana i kēia kuni ʻē e hele mai ana mai kāu mau holoholona mahiʻai? (Q Fever) E kamaʻilio kākou!

Ua lohe paha ʻoe i kēia maʻi i kapa ʻia ʻo Q Fever? ʻAʻole paha, ʻeā? No ka mea, ʻaʻole kēia he maʻi i ʻike pinepine ʻia ma ko kākou ʻāina. Akā, ʻoiai inā ʻoe he kanaka e hana pū ana me nā holoholona, ​​nā holoholona mahiʻai, a i ʻole e noho ana i ia ʻano kaiapuni, he mea nui loa ia e makaʻala iki i kēia. Ma kēia ʻatikala i kēia lā, e kamaʻilio mākou e pili ana i ke ʻano o kēia Q fever, pehea e ulu ai, he aha nā hōʻailona, ​​a pehea e hiki ai iā mākou ke pale aku iā mākou iho mai ia mea.

He aha ka Q Fever? I ka pōkole...

ʻO ke kuni Q kahi maʻi e loaʻa iā kākou ma ka hanu ʻana i nā ʻāpana lepo e loaʻa ana kahi bacteria i kapa ʻia ʻo 'Coxiella burnetii' a i ʻole ma ka ʻai ʻana i nā huahana mai nā holoholona i loaʻa i ka maʻi. Loaʻa nui kēia bacteria i loko o nā kino o nā holoholona e like me nā hipa, nā kao, a me nā bipi. Hiki i nā bacteria ke hōʻiliʻili i loko o ka lepo kahi e noho ai kēia mau holoholona. A laila hiki ke hoʻoili ʻia i nā kānaka ma o nā ʻāpana lepo i hoʻokuʻu ʻia mai kēlā lepo, a i ʻole ma o ka waiū, nā ʻōpala, a me nā wai i hoʻokuʻu ʻia i ka wā hānau.

No ke aha i kapa ʻia ai ʻo Q fever? He aha ke ʻano o ka inoa?

He moʻolelo ʻano ʻē nō hoʻi kēia. ʻO ke ʻano o ka leka 'Q' ma ka Q fever ʻo ia hoʻi ʻo 'Query' . ʻO 'Query' ke ʻano o 'nīnau' a i ʻole 'nīnau'. I ka wā ma mua, ma Australia i nā makahiki 1930 a laila ma ʻAmelika i nā makahiki 1940, i ka wā i hoʻomaka ai ka poʻe e loaʻa i kēia kuni ʻē, ʻaʻole hiki i nā kauka ke ʻike i ke kumu. No laila, he nui nā 'nīnau' e pili ana i kēia kuni. ʻO ia ke kumu i kapa ʻia ai ʻo 'Query Fever' a i ʻole Q fever. He maʻalahi loa, ʻeā?

He aha ka maʻi Q mau loa? He mea weliweli anei ia?

ʻAe, he mea hopohopo iki kēia. ʻO ke ʻano o ka huaʻōlelo 'chronic' ʻo ia hoʻi ka lōʻihi . No laila, ʻo ka maʻi Q mau loa he ʻano koʻikoʻi a lōʻihi o ka maʻi Q. Hiki iā ia ke hoʻopilikia i kou puʻuwai, nā kīʻaha koko, nā iwi , a me nā ʻōpū koʻikoʻi ʻē aʻe. Loaʻa kēia maʻi maʻi i kahi pakeneka liʻiliʻi loa o ka poʻe i loaʻa i ka bacteria C. burnetii, ma waena o 1% a me 5% .

ʻO kahi pilikia me kēia, hiki i kēia maʻi maʻi ke ulu i nā mahina a i ʻole nā ​​​​makahiki ma hope o ka pau ʻana o nā hōʻailona mua o ke kuni Q. ʻAʻole paha e hōʻike kekahi poʻe i kekahi mau hōʻailona i ka wā o ka maʻi mua akā ma hope e loaʻa ka kuni Q mau loa. ʻO ka pilikia maʻamau o ka kuni Q mau loa he maʻi ia o ka uhi o ka puʻuwai. Ua kapa ʻia e nā kauka he "endocarditis". He pilikia hoʻoweliweli ola kēia.

He aha ka mea e hana ai ke loaʻa iā ʻoe ke kuni?

Hiki i ka Q fever ke hana i nā ʻano hōʻailona like ʻole. Eia nō naʻe, ʻo nā hōʻailona maʻamau ka mea o ke anu maʻamau, e like me ke kuni a me nā ʻeha kino . Hiki i ka bacteria 'C. burnetii' ke hoʻopili i kou mau māmā, puʻuwai, lolo, iwi, a i ʻole nā ​​​​​​ʻāpana ʻē aʻe o kou kino. ʻOkoʻa nā hōʻailona. Loaʻa i kekahi poʻe ka luhi nui.a hiki i nā hōʻailona ʻē aʻe ke mau no nā mahina, a hiki i nā makahiki. E like me ka mea i ʻōlelo ʻia ma mua, hiki i ka maʻi Q mau ke hoʻoweliweli i ke ola.

ʻO wai ka mea e loaʻa pinepine ai i ka Q fever?

Hoʻopilikia nui ka maʻi Q i ka poʻe e noho ana ma nā mahiʻai a i ʻole ka poʻe e pili kokoke ana me nā holoholona mahiʻai . Eia kekahi laʻana, inā he kauka holoholona ʻoe, he kanaka e kōkua ana i ka hānau ʻana o nā keiki bipi, he kanaka e hana ana ma kahi mahiʻai, kahi mahiʻai holoholona, ​​a i ʻole kahi hale pepehi holoholona, ​​​​ua ʻoi aku kou pilikia o ka loaʻa ʻana o ka maʻi. ʻO kēia no ka mea, pili pinepine kēia poʻe me nā holoholona i loaʻa i ka maʻi a me ke kaiapuni a lākou e noho nei.

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka maʻi nui ʻana mai ka maʻi palū?

ʻOi aku ka nui o ka poʻe e hoʻomohala i nā kūlana koʻikoʻi mai ka Q fever, ʻoiai:

• ʻOi aku ka nui o ka pilikia o nā wahine hāpai i nā pilikia i ka wā hāpai a me ka hāʻule ʻana.
• Aia ʻoe i ka pilikia nui o ka hoʻomohala ʻana i ka fever Q mau loa inā loaʻa iā ʻoe nā kūlana penei:
• Inā ua loaʻa iā ʻoe ma mua ka `(Endocarditis)` (ka mumū o ka ʻili o loko o ka puʻuwai).
• Inā he mau pilikia me nā valves o ka puʻuwai.
• Inā he mau aneurysms kou (ka nāwaliwali a me ka pehu ʻana o nā paia o ke kīʻaha koko) i loko o kou mau kīʻaha koko.
• Inā maikaʻi ʻole ka hana o nā puʻupaʻa (Renal insufficiency).
• Inā he mea i hoʻokomo mau ʻia kāu (vascular prosthesis) e hoʻoikaika i nā kīʻaha koko a hoʻomaikaʻi i ke kahe koko.
• Inā nāwaliwali kou ʻōnaehana pale (no ka laʻana, ka poʻe i loaʻa i ka maʻi HIV, nā maʻi kanesa, ka poʻe e lawe ana i nā lāʻau immunosuppressive).

N Pehea ka maʻamau o ka maʻi palū?

He maʻi laha ʻole ka maʻi Q fever. Eia kekahi laʻana, ma kahi ʻāina e like me ʻAmelika, aia wale nō ma kahi o 200 mau hihia i hōʻike ʻia i kēlā me kēia makahiki. ʻAʻole hoʻi i hōʻike pinepine ʻia ma Sri Lanka. Eia nō naʻe, he mea nui i ka poʻe i loko o nā hui pilikia e makaʻala.

He aha nā hōʻailona o ke kuni?

ʻOkoʻa nā hōʻailona o ka Q fever ma muli o ke kahua mua (ʻoi) a me nā kūlana ʻē aʻe e hiki mai ana ma hope.

Nā hōʻailona o ka wela Q koʻikoʻi

Hoʻomaka pinepine kēia mau hōʻailona e ʻike ʻia ma waena o 3 a me 30 mau lā ma hope o ke komo ʻana o ka bacteria i ke kino. Ua like pinepine lākou me nā hōʻailona o ke anu a i ʻole ka maʻi flu.

• kuni kiʻekiʻe
• Luhi nui a me ka luhi
• Anuanu
• Ka hou ʻana
• ʻEha kino, ʻeha ʻiʻo
• ʻIke i ka mālamalama, nā maka polū (Photophobia)
• ʻEha poʻo nui loa
• Ka luaʻi a me ka luaʻi
• Ka maʻi pākī
• Kuke
• ʻEha umauma
• ʻEha ʻōpū
• Nā kiko ʻulaʻula ma lalo o ka ʻili (Purpura)
• Ka paʻakikī o ka hanu ʻana (Dyspnea)

I kekahi manawa, hiki i kēia kuni Q koʻikoʻi ke hana i nā kūlana e like me nā maʻi māmā (Pneumonia), ka mumū o ka lolo a i ʻole nā ​​​​membrane e uhi ana i ka lolo (Encephalitis a i ʻole Meningitis), a i ʻole ka mumū o ke ake (Hepatitis).

Nā hōʻailona o ka Q fever fatigue syndrome (QFS)

Ma kahi o 20% o ka poʻe i loaʻa i ka Q fever e loaʻa paha ka luhi a me nā hōʻailona ʻē aʻe e mau ana no nā mahina, i kekahi manawa he mau makahiki, ma hope o ka maʻi mua. Ua kapa ʻia kēia ʻo Q fever fatigue syndrome.

• Luhi loa
• ʻEha poʻo
• Ka hou ʻana
• ʻEha hui
• ʻEha ʻiʻo

Nā Hōʻailona o ka maʻi Q mau loa

Hoʻomaka ka maʻi Q mau i nā mahina, a i ʻole nā ​​makahiki, ma hope o ka maʻi mua ʻana me ka bacteria C. burnetii. Hiki iā ia ke ulu aʻe inā ʻaʻohe ou hōʻailona i ka wā o ka maʻi mua. ʻO ka hapa nui o ka hopena, ʻo ia ka puʻuwai, nā valves o ka puʻuwai, a me nā kīʻaha koko, akā hiki ke ʻokoʻa nā hōʻailona ma muli o ka ʻāpana o ke kino i hoʻopilikia ʻia.

• kuni haʻahaʻa
• Nā hou o ka pō
• Ka emi ʻana o ke kaumaha
• Luhi
• Paʻakikī ka hanu ʻana
• Ka pehu ʻana o nā wāwae a i ʻole nā ​​​​wāwae

He aha ke kumu o ke kuni?

ʻO ke kumu nui o ka maʻi Q, ʻo ia ka bacteria Coxiella burnetii . Hiki i kēia bacteria ke ola i loko o nā holoholona, ​​ʻoiai nā bipi, nā hipa, a me nā kao, me ka ʻole o ka hōʻike ʻana i nā hōʻailona. Hiki i nā wai kino o nā holoholona i loaʻa i ka maʻi (e like me ka mimi, ka ʻōpala, ka waiū, a me ka wai amniotic) ke hoʻohaumia i ka lepo a lākou e noho ai. Loaʻa i nā kānaka kēia bacteria ma ka hanu ʻana i nā ʻāpana lepo a i ʻole ka mahu wai mai ka lepo i haumia ʻia.

Pehea e laha ai ka maʻi palū?

ʻO ke ala nui e laha ai ke kuni Q ma ka hanu ʻana i ka lepo a i ʻole ka mahu wai i haumia ʻia me ka bacteria `C. burnetii` . Hiki ke hana kēia inā ʻoe e noho a hana paha ma kahi e noho ai nā holoholona, ​​ʻoiai nā holoholona mahiʻai. No ka mea hiki i ka bacteria `C. burnetii` ke hele i kahi mamao ma ka lewa, ʻaʻole pono ʻoe e pili pono me nā holoholona e loaʻa ai.

ʻO nā ala ʻē aʻe, akā ʻaʻole maʻamau, hiki ke hoʻouna ʻia ka fever Q:

• Ka ʻai ʻana a inu ʻana paha i nā huahana waiū i hoʻomaʻemaʻe ʻole ʻia (e like me ka waiū, ka tīhi, ka ice cream).
• Nahu ʻia e kahi ʻuku i loaʻa i ka maʻi .
• Mai ka makuahine hāpai a i kāna keiki i ka wā hāpai a hānau keiki paha .
• Ma o ke kahe koko (he mea kākaʻikahi loa kēia).

He mea nui: ʻAʻole laha pinepine ka maʻi Q fever mai ke kanaka a i ke kanaka . Ua loaʻa nā hōʻike kakaikahi o ka laha ʻana mai ka makuahine hāpai i kāna pēpē.

Pehea e ʻike ʻia ai ke kuni?

E ʻike kāu kauka i ka maʻi Q fever ma ka nīnau ʻana e pili ana i kāu mau hōʻailona , ​​​​​​ka nānā ʻana i kāu mōʻaukala olakino , a me ka hoʻāʻo ʻana i kahi hāpana koko . Hiki iā lākou ke nīnau inā ʻoe e noho a hana paha me nā holoholona.

Hiki i nā hopena hoʻāʻo no C. burnetii ke hala i kekahi mau pule e hoʻi mai ai, no laila inā manaʻo kāu kauka he Q fever kou, hiki iā lākou ke hoʻomaka i ka lāʻau me ka ʻole o ke kali ʻana i nā hopena hoʻāʻo.

He aha nā hoʻokolohua e hana ʻia no ke kuni?

No ka hoʻāʻo ʻana no ke kuni Q, e lawe kāu kauka i kahi hāpana o kou koko me ka hoʻohana ʻana i kahi nila liʻiliʻi. E hoʻouna ʻia kēia hāpana i kahi keʻena hoʻokolohua e nānā i nā hōʻailona (antibodies) o kahi maʻi C. burnetii. Hiki paha iā lākou ke hoʻāʻo e hoʻoulu i ka bacteria C. burnetii mai kāu hāpana.

Pono paha ʻoe e hāʻawi i nā hāpana koko i nā manawa he nui ma luna o kekahi manawa e loaʻa ai kahi hōʻoia paʻa.

Pehea e mālama ʻia ai ke kuni?

Hoʻōla ʻia ke kuni Q koʻikoʻi me nā lāʻau antibiotic . Hoʻōla pinepine ʻia ke kuni Q mau me ka hui pū ʻana o nā lāʻau antibiotic a me nā lāʻau anti-inflammatory, akā hiki ke paʻakikī ke mālama. E hoʻomohala kāu kauka i kahi hoʻolālā lapaʻau kikoʻī e pili ana i kou kūlana.

Inā ua ʻike ʻia ʻoe me ka maʻi Q a loaʻa iā ʻoe nā maʻi valve puʻuwai a i ʻole nā ​​​​​​maʻi koko, e kamaʻilio me kāu kauka e pili ana i ka mālama mua ʻana e hōʻemi i kou pilikia o ka maʻi Q mau loa.

He aha nā lāʻau lapaʻau/nā lāʻau lapaʻau i hoʻohana ʻia?

Hiki i ke kauka ke kuhikuhi i nā lāʻau lapaʻau penei:

• ʻO Doxycycline (Doxycycline)
• ʻO ka Hydroxychloroquine
• ʻO ka Trimethoprim-sulfamethoxazole (TMP-SMX)
• `(Rifampin)`
• `(Nā Fluoroquinolones)` (e.g. `(Ciprofloxacin)`, `(Ofloxacin)`)
• ʻO Clarithromycin

Hiki ke ho'ōla loa ʻia ke kuni?

ʻAe, hiki i ka hapa nui o ka poʻe ke ho'ōla piha mai ka maʻi Q koʻikoʻi me nā lāʻau antibiotic. Eia nō naʻe, ʻoiai i loko o ka poʻe liʻiliʻi e loaʻa ana i ka maʻi Q koʻikoʻi, hiki i nā hōʻailona ke hoʻomau no nā mahina a i ʻole nā ​​makahiki, ʻoiai inā i mālama ʻia. ʻOi aku ka paʻakikī o ka mālama ʻana i ka maʻi Q mau loa.

Pehea e hiki ai iaʻu ke hōʻemi i koʻu pilikia o ka maʻi Q?

Aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i kou pilikia o ka Q fever:

• E ʻaʻahu i ka pale maka a me nā mīkina lima i ka wā e lawelawe ai i nā wai o ke kino o nā holoholona, ​​​​ʻoiai nā mea i hoʻokuʻu ʻia i ka wā hānau .
• E pale i ka ʻai ʻana a i ʻole ka inu ʻana i nā huahana waiū i hoʻomaʻemaʻe ʻole ʻia .
• Manaʻo kekahi mau haʻawina e hiki i ka nānā ʻana a me ka mālama ʻana i nā pilikia o ka valve puʻuwai i nā poʻe i ʻike ʻia me ka Q fever ke pale i ka Q fever mau loa.
• Inā ʻoe e hana ana i kahi hana pilikia kiʻekiʻe a noho ma kahi i loaʻa ai kahi lāʻau pale no ka fiva Q (loaʻa wale nō ma Australia i kēia manawa), e nīnau i kāu kauka e pili ana i ka loaʻa ʻana o ka lāʻau pale.

Inā ʻoe e noho a hana paha a puni nā holoholona mahiʻai, a aia ʻoe i ka nui o ka pilikia no nā pilikia mai ka Q fever (e laʻa, nā poʻe me nā pilikia o ka valve puʻuwai a i ʻole nā ​​​​​​pilikia o ke kīʻaha koko, nā wahine hāpai, nā poʻe me nā ʻōnaehana pale nāwaliwali), e kamaʻilio me kāu kauka e pili ana i ke ʻano o ka pale ʻana i ka Q fever.

He aha kaʻu e manaʻo ai inā loaʻa iaʻu ka Q fever?

Hiki i nā hōʻailona o ke kuni Q ke mau no ka manawa lōʻihi , mai 10 a 90 mau lā . Eia nō naʻe, hoʻōla piha ka hapa nui o ka poʻe . Inā ua kuhikuhi ʻia ʻoe i nā lāʻau antibiotic, pono ʻoe e lawe iā lākou no ʻelua pule ma ka liʻiliʻi. Ma kahi o 1 i loko o 5 mau kānaka (20%) e loaʻa paha kahi manaʻo luhi (`(Q fever fatigue syndrome)`) e mau ana no nā mahina a i ʻole nā ​​​​makahiki.

He kakaikahi loa ka poʻe (ma waena o 1% a me 5%), ʻoiai ka poʻe me nā maʻi ʻē aʻe, hiki ke loaʻa i ka fiva Q mau loa. Inā loaʻa iā ʻoe ka fiva Q mau loa, pono paha ʻoe e mālama ʻia no 18 mau mahina a ʻoi aku paha .

He aha nā pilikia o ke kuni?

Hiki ke loaʻa nā pilikia me ke kuni Q koʻikoʻi a me ke kuni Q mau loa. Eia nō naʻe, ʻoi aku ka maʻamau o kēia mau mea a ʻoi aku ka koʻikoʻi i ka kuni Q mau loa. ʻO nā pilikia e komo pū ana me:

• He aʻa palupalu a puʻupuʻu (Aneurysm)
• ʻO ka fistula arterial, kahi kūlana e kahe pono ʻole ai ke koko
• ʻO ka maʻi ʻōpū
• Ka ʻeha o nā māmā (Fibrosis)
• ʻO ka maʻi pilikia hanu koʻikoʻi (ARDS)
• Ka hāʻule ʻana o ka puʻuwai
• Ka maʻi iwi (Osteomyelitis)
• Ka hāʻule ʻana o ka hāpai keiki
• Kaumaha hānau haʻahaʻa

He aha ka nānā ʻana no ka maʻi palū?

ʻO ka wānana no ka maʻi kuni Q koʻikoʻi ma ke ʻano laulā he maikaʻi inā mālama ʻia me nā antibiotics. ʻO ka nui o ka make no ka maʻi kuni Q koʻikoʻi ma waena o 0.5% a me 1.5% . ʻOi aku ka nui o ka pilikia o ka poʻe e loaʻa ana i ka maʻi kuni Q mau loa i nā pilikia a me ka make. ʻO ka nui o ka make no ka maʻi kuni Q mau loa ma waena o 12% a me 25% .

Pehea wau e mālama ai iaʻu iho?

Inā ua ʻike ʻia ʻoe me ka maʻi Q, he mea nui loa ia e lawe i nā lāʻau lapaʻau āpau i kuhikuhi ʻia i ka manawa kūpono . E nīnau i kāu kauka pehea e mālama ai i kāu mau hōʻailona a inā he mau ala e hōʻemi ai i ka pilikia o nā hōʻailona lōʻihi a i ʻole ka maʻi Q mau loa.

Āhea wau e ʻike ai i ke kauka?

Inā ʻoe e hana a noho paha me nā bipi, nā kao, a i ʻole nā ​​hipa, a loaʻa iā ʻoe nā hōʻailona o ka maʻi Q, e ʻike koke i ke kauka . Inā loaʻa iā ʻoe nā hōʻailona o ka maʻi Q mau loa, a manaʻo ʻoe ua loaʻa paha iā ʻoe ka bacteria 'C. burnetii' i ka wā ma mua (ʻoiai inā ua hala kekahi manawa), e haʻi i kāu kauka.

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

• Pono anei au e lawe i ka lāʻau lapaʻau ma mua e hōʻemi i ka pilikia o ka maʻi Q mau loa?
• Pono anei au e hoʻāʻo ʻia no nā pilikia o ka puʻuwai a me nā kīʻaha koko?
• Pehea e lawe ai au i kēia lāʻau lapaʻau?
• Āhea wau e hele hou mai ai e ʻike iā ʻoe?
• He aha kaʻu e hana ai e mālama i kaʻu mau hōʻailona?

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

ʻOiai he maʻi laha ʻole ka Q fever, he mea nui e makaʻala iā ia a lawe i nā hana palekana inā ʻoe e hana a noho paha i kahi ʻano pilikia kiʻekiʻe. ʻO nā mea maʻalahi e like me ke kau ʻana i ka pale maka, nā mīkina lima, a me ka pale ʻana i nā huahana waiū i hoʻomaʻemaʻe ʻole ʻia hiki ke hana i kahi ʻokoʻa nui, ʻoiai ke hana pū me nā holoholona mahiʻai .

ʻOiai ʻo ka maʻi Q mau loa e hoʻopilikia wale i kahi poʻe liʻiliʻi, hiki iā ia ke hoʻoulu i nā pilikia e hoʻoweliweli i ke ola. No laila, inā manaʻo ʻoe he maʻi Q kou, a inā he hopohopo kāu e pili ana i ia mea, mai kānalua e ʻimi i ka ʻōlelo aʻoaʻo lapaʻau . ʻO ka haʻi ʻana i kāu kauka e pili ana i kou mōʻaukala olakino a me ka mōʻaukala hana e kōkua iā lākou e hoʻomaopopo i kāu mau kumu pilikia a hāʻawi i ka lāʻau lapaʻau maikaʻi loa.

ʻO ke kuni Q, Coxiella burnetii, nā maʻi pili holoholona, ​​nā hōʻailona kuni, ke kuni Q mau loa, olakino mahiʻai, nā maʻi bacteria