Ua ʻānai ʻia kāu keiki e kahi ʻīlio hele hewa i ka wā e pāʻani ana ma ka pā hale? A i ʻole ua loaʻa iā ʻoe kahi ʻoki liʻiliʻi i ka wā e hana ana i nā hana hale i ka wā e hoʻāʻo ana e hopu i kahi ʻōpeʻapeʻa i hāʻule mai luna o ka hale? Hiki i nā mea e like me kēia ke hana i ko mākou ola. ʻO ka hapa nui o ka manawa, ʻaʻole mākou e hoʻolohe i kēia mau ʻānai liʻiliʻi. Akā, ʻo ka pōʻino i hiki ke hana ʻia e kēia mau mea liʻiliʻi ʻaʻole ia he mea liʻiliʻi. I kēia lā, e kamaʻilio mākou e pili ana i kahi maʻi weliweli e hiki ke hoʻoili ʻia mai ia ʻano holoholona, ʻaʻohe lāʻau lapaʻau inā ulu ia, akā hiki ke pale ʻia he 100% inā ʻike ʻoe iā ia ma mua. ʻO ia ka rabies, a i ʻole e like me kā mākou e ʻike nei, ʻo Rabies.
I ka ʻōlelo maʻalahi, he aha ka rabies?
He maʻi ka Rabies i hoʻokumu ʻia e kahi maʻi (Rabies virus - RABV). Hoʻolaha nui ʻia ia ma o ka lawai o kahi holoholona i loaʻa i kēia maʻi. E noʻonoʻo, he ʻīlio i loaʻa i ka rabies e nahu iā ʻoe. Komo ka maʻi i loko o ka lawai o ka holoholona i kou kino ma o ka ʻeha. ʻAʻole wale ia, akā inā loaʻa ka lawai o ka holoholona ma kahi ʻeha i kahakaha ʻia, a inā paha e loaʻa kēia lawai ma kou mau maka, ihu, a waha paha, hiki iā ʻoe ke loaʻa i kēia maʻi.
ʻO ka mea ʻino loa e pili ana i kēia, ʻaʻohe lāʻau lapaʻau no ia mea ke ʻike ʻia nā hōʻailona, a he 100% make ia. Akā ʻo ka mea maikaʻi loa, inā loaʻa iā ʻoe ka lāʻau lapaʻau kūpono ma hope koke o ka nahu ʻana, ma mua o ka ʻike ʻia ʻana o nā hōʻailona, hiki iā ʻoe ke pale 100% i ka ulu ʻana o ka maʻi. No laila he mea nui ka makaʻala i kēia.
Pehea e hana ai ka maʻi rabies i loko o ke kino?
Ua like kēia me ka ʻenemi malū. Ma hope o ka nahu ʻana o kahi holoholona iā ʻoe, komo kēia maʻi i loko o ke kino ma o ka ʻeha a ʻaʻole ia e hoʻoulu koke i ka maʻi. Hele mālie loa ia. Hele mālie ia ma ko kākou mau aʻalolo a hiki i ko kākou ʻōnaehana nerve waena, ʻo ia hoʻi ke kaulahao iwi kuamoʻo a me ka lolo.
Hiki i kēia huakaʻi ke hala i nā pule, i kekahi manawa he mau mahina, a he kakaikahi loa nā makahiki. Kāhea mākou i kēia wā ʻo ka wā hoʻoulu . I loko o kēia manawa, ʻaʻole ʻoe e hōʻike i kekahi mau hōʻailona. ʻAʻole ʻoe e manaʻo i kekahi mea. Akā ke hana nei ka maʻi i loko o kou kino.
Hoʻomaka ka pāʻani maoli ke hiki aku ka maʻi i ka lolo. ʻO ia kahi e hōʻino ai i ka ʻōnaehana nerve a hoʻoulu i nā hōʻailona weliweli. Ma waho aʻe o kēlā kiko, lilo ka maʻi i mea hiki ʻole ke kāohi ʻia, a i ka hopena e alakaʻi ai i ka coma a me ka make.
ʻO ka mea nui loa, ʻo ia ka loaʻa ʻana o ka lāʻau lapaʻau i loko o kēia wā hoʻoulu ʻia, ʻo ia hoʻi, ma mua o ka ʻike ʻia ʻana o nā hōʻailona. A laila wale nō e hiki ai ke hoʻōla ʻia nā ola.
He aha nā hōʻailona e hōʻike ai nā kānaka?
ʻAʻole hiki koke mai nā hōʻailona o ka rabies. ʻIke ʻia lākou ma nā pae. Ua like loa nā hōʻailona mua me nā hōʻailona o ke anu maʻamau, no laila e hoʻowahāwahā paha kekahi poʻe iā lākou.
Nā hōʻailona prodromal
Hiki i kēia mau hōʻailona ke mau mai ʻelua a ʻumi mau lā ma hope o ke komo ʻana o ka maʻi i loko o ka ʻōnaehana nerve.
- Wela loa.
- Ka luhi nui loa.
- ʻĀ, maneʻo, mae wale, a ʻeha paha ma kahi i nahu ʻia ai ka holoholona . He hōʻailona kikoʻī loa kēia.
- ʻŪhū a me ka ʻāʻī ʻeha.
- ʻEha kino.
- Ka luaʻi a me ka luaʻi.
Nā hōʻailona neurologic koʻikoʻi
I kēia pae, ua hoʻomaka ka maʻi e hōʻino nui i ka lolo a me ke kaula kuamoʻo. Hiki ke ʻike ʻia kēia mau hōʻailona ma nā ʻano nui ʻelua.
| ʻO ka Rabies Huhū - ʻO kēia ke ʻano maʻamau. | ʻO ka maʻi lolo |
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ʻOiai nā hōʻailona, e alakaʻi hope loa lākou i ka coma a me ka make. No laila, ʻaʻole maikaʻi ka kali ʻana i nā hōʻailona e ʻike ʻia.
He aha nā holoholona e hoʻoili i ka rabies?
Hiki i ka rabies ke hoʻopilikia i kekahi mammal (holoholona koko mahana). Ma waena o nā holoholona a puni mākou ma Sri Lanka, ʻo ka maʻi i hōʻike pinepine ʻia mai nā ʻīlio hele hewa. Eia nō naʻe, pono mākou e hopohopo no kēia mau holoholona:
- Puso
- ʻŌpeʻapeʻa
- ʻO Mugatiyo
- Nā holoholona mahiʻai e like me nā bipi a me nā kao
- ʻAlopeke
Akā e hoʻomanaʻo, hiki i kāu ʻīlio a pōpoki paha ke loaʻa i kēia maʻi inā ʻaʻole lākou i hoʻopili pono ʻia no ka rabies. No laila, he mea nui e hoʻopili i kāu mau holoholona i ka manawa kūpono.
ʻAʻole nui ka poʻe e nānā i nā ʻōpala, ʻoiai mai nā ʻōpeʻapeʻa. He liʻiliʻi loa nā niho o nā ʻōpeʻapeʻa a inā paha e nahu lākou, ʻaʻole paha ʻoe e ʻike i kahi ʻeha. No laila, inā loaʻa iā ʻoe kahi kuʻi me kahi ʻōpeʻapeʻa (no ka laʻana, inā he ʻōpeʻapeʻa i loko o kou lumi moe), pono ʻoe e ʻimi i ke kōkua lapaʻau.
He aha kāu e hana koke ai inā ua nahu ʻia ʻoe e kahi holoholona?
ʻO kēia ka ʻāpana koʻikoʻi loa o kēia ʻatikala. Inā ua nahu ʻia a ʻōpala ʻia paha ʻoe a i ʻole kekahi āu i ʻike ai e kahi holoholona, e hana i kēia mau mea me ka hoʻokaʻulua ʻole .
1. E holoi i ka ʻeha: E holoi koke i ka ʻeha ma lalo o ka wai e kahe ana (ma lalo o ka piula wai) me ke kopa a me ka wai no kahi o 10-15 mau minuke. Hiki i kēia ke wehe i ka hapa nui o ka maʻi mai ka ʻeha. ʻO kēia ke kōkua mua koʻikoʻi loa.
2. E ʻike i ke kauka: Ma hope o ka holoi ʻana i ka ʻeha, e hele koke i ka haukapila aupuni kokoke loa a i ʻole ke kauka. E wehewehe pono i ka mea i hana ʻia. E hāʻawi i nā kikoʻī e like me ke ʻano o ka holoholona nāna ʻoe i nahu, inā ʻike ʻoe i ka holoholona, a inā paha he ʻano ʻē ka holoholona.
3. Ke kau ʻana i ka lāʻau lapaʻau i ka ʻeha: Mai kau i kekahi mea e like me ka chalk, ka pauka chili, a i ʻole ka lepo kope i ka ʻeha. Eia kekahi, mai kāʻei i ka ʻeha. Na ke kauka e hāʻawi i ka lāʻau lapaʻau e pono ai.
4. Ke loaʻa ʻana o ka lāʻau lapaʻau: Ma muli o ke ʻano o kou ʻeha a me ka ʻike e pili ana i ka holoholona, e hoʻoholo kāu kauka inā pono ʻoe e loaʻa i kekahi mau lāʻau pale rabies (post-exposure prophylaxis/PEP).
He aha ka moʻo hoʻopili rabies (PEP)?
ʻO ka PEP ka lāʻau lapaʻau i hāʻawi ʻia e pale aku i ka rabies ma hope o ka nahu ʻana o kahi holoholona. ʻElua ona ʻāpana nui.
- Palekana Rabies: He ʻano kēia o nā pana i hāʻawi ʻia i loko o kekahi mau lā. ʻO ka maʻamau, hāʻawi ʻia he 4 a 5 mau pana i nā lā 0, 3, 7, a me 14 (i kekahi manawa 28). Aʻo kēia pana i ka ʻōnaehana pale o kou kino e hakakā i ka maʻi rabies.
- ʻO Human Rabies Immune Globulin (HRIG): Hāʻawi ʻia kēia i ka poʻe i loaʻa ʻole i ka lāʻau pale rabies ma mua, ʻoiai i nā hihia o nā ʻeha koʻikoʻi. Hana ia ma ka hoʻokomo ʻana i nā antibodies i loko o ka ʻeha e hakakā i ka maʻi a hiki i ka wā e kūkulu ai kou kino i ka palekana. Ua like ia me ka lawe ʻana mai i kahi hui pūʻali koa kūikawā mai waho a hiki i ka mākaukau ʻana o ka pūʻali koa ponoʻī o kou kino.
He mea nui loa ka hoʻopau ʻana i kēia moʻo o nā lāʻau pale e like me ke kuhikuhi a ke kauka, ma nā lā i hoʻonohonoho ʻia. Mai hōʻalo i hoʻokahi lāʻau pale.
Pehea e pale ai iā ʻoe iho mai ka rabies?
ʻO ka Rabies kahi maʻi i maʻalahi ka pale ʻana ma mua o ka mālama ʻana.
- E pale i kāu mau holoholona: E hōʻoia e pale i kāu mau ʻīlio a me nā pōpoki mai ka rabies i ka manawa kūpono.
- Mai hoʻokuʻu i nā holoholona: E mālama iā lākou ma lalo o kāu mākaʻikaʻi i ʻole lākou e launa pū me nā holoholona maʻi ʻē aʻe.
- Mai hoʻokokoke aku i nā holoholona kamaʻāina ʻole: Mai hoʻokokoke aku i nā ʻīlio a pōpoki paha ma ke alanui, a i ʻole ʻaʻohe ona mea. E aʻo aku i kāu mau keiki e pili ana i kēia.
- E noho mamao aku mai nā holoholona hihiu: Mai hoʻokokoke aku a hānai paha i nā holoholona hihiu. Inā ʻike ʻoe i kahi holoholona i ʻeha, mai hoʻokokoke aku a hānai paha iā ia a e hoʻomaopopo i nā luna holoholona hihiu.
- Inā he ʻano ʻē ke ʻano o kahi holoholona: Inā he holoholona e hoʻonāukiuki ana me ke kumu ʻole, a i ʻole e hoʻouka ana i nā mea a pau, e noho mamao aku mai ia mea. E hōʻike aku i nā luna kūpono.
- ʻO ka poʻe i nā ʻoihana pilikia kiʻekiʻe: He akamai nā kauka holoholona, nā mea lawelawe holoholona, a me nā luna holoholona hihiu e kiʻi i ka lāʻau pale rabies (pre-exposure prophylaxis/PREP). E kamaʻilio me kāu kauka e pili ana i ia mea.
Āhea ʻoe e hele ai i ka Emergency Treatment Unit (ETU)?
He mea nui e ʻike i ke kauka i kēlā me kēia manawa ma hope o ka nahu ʻana o kahi holoholona. Eia nō naʻe, i nā hihia aʻe, e hele koke i ka Emergency Treatment Unit (ETU) o ka haukapila.
- Inā hohonu ka ʻeha.
- Inā ʻaʻole hiki ke hoʻōki i ke kahe ʻana o ke koko mai ka ʻeha.
- Inā aia ka ʻeha ma kahi me ka nui o nā aʻalolo, e like me kou maka, ʻāʻī, a i ʻole nā manamana lima.
ʻAʻole he maʻi ka rabies e lawe māmā ʻia. Akā, ʻaʻole ia he mea e makaʻu ai. ʻO ka mea nui loa, ʻo ia ka makaʻala a hana me ke kuleana. ʻO ka hoʻopili ʻana i kāu holoholona i ka manawa kūpono, ka makaʻala me nā holoholona maʻa ʻole, a me ka ʻimi ʻana i ka mālama olakino kūpono me ka hoʻokaʻulua ʻole inā loaʻa kekahi ulia ka ala maikaʻi loa e pale aku ai iā ʻoe iho a me kou ʻohana.
Leka Lawe-Home
- He maʻi make ka rabies 100% inā kū mai nā hōʻailona.
- Akā inā loaʻa iā ʻoe ka lāʻau kūpono (moʻo lāʻau pale) ma hope koke iho o ka nahu ʻia ʻana e kahi holoholona, hiki ke pale ʻia ka maʻi 100% .
- Inā ua nahu ʻia ʻoe a kahakaha ʻia paha e kekahi mammal, e holoi koke i ka wahi me ke kopa a me ka wai e kahe ana no 10-15 mau minuke .
- I kou hoʻomaʻemaʻe ʻana i ka ʻeha, mai hoʻonele i ka manawa a hele i ka haukapila kokoke loa a i ʻole ke kauka.
- E hōʻoia e hāʻawi i kāu mau ʻīlio a me nā pōpoki ma kou home i kā lākou mau lāʻau pale rabies i ka manawa kūpono .
- E pale i ka hoʻokokoke ʻana aku i nā holoholona hele hewa a ʻauwana. E aʻo pū i nā keiki e pili ana i kēia.











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