Ua hele paha ʻoe i waho e holoholo i loko o ka ululāʻau, a pāʻani paha me kāu ʻīlio a pōpoki paha, a ua maʻi koke a loaʻa iā ʻoe ke kuni nui i kekahi mau lā ma hope? Me kēlā, he ʻeha poʻo a ʻeha kino paha kou? ʻO ka maʻamau, manaʻo mākou, 'He kuni viral kēia.' Eia naʻe, inā he kānalua iki kou ua nahu ʻia ʻoe e kahi holoholona e like me ka ʻuku, ʻaʻole paha kēia he mea e lawe māmā ʻia. I kēia lā ke kamaʻilio nei mākou e pili ana i kahi maʻi i hoʻoili ʻia e ia mau ʻuku, hiki ke hoʻoweliweli i ke ola inā ʻaʻole mālama koke ʻia a kūpono. ʻO ia ka Rocky Mountain Spotted Fever, a i ʻole RMSF no ka pōkole.
I ka ʻōlelo maʻalahi, he aha ka Rocky Mountain Spotted Fever (RMSF)?
ʻO ka Rocky Mountain Spotted Fever kahi maʻi i hoʻokumu ʻia e kahi bacteria i kapa ʻia ʻo `(Rickettsia rickettsii)`. E like me ke komo ʻana o ka maʻi dengue i loko o ko mākou kino ma o kahi makika, komo pū kēia bacteria `R. rickettsii` i loko o ko mākou kino ma o ka nahu ʻana o kahi ʻuku i loaʻa i ka maʻi.
ʻO ka pilikia nui me kēia, ʻo ia i nā lā mua, ua like loa nā hōʻailona me nā hōʻailona o ke anu maʻamau a i ʻole ke kuni viral. Manaʻo ka poʻe he nui he koʻikoʻi ia ma muli o nā mea e like me ke kuni, ka ʻeha poʻo, a me nā ʻeha kino. Akā inā hoʻopaneʻe ʻia ka mālama ʻana, hiki ke lilo i mea koʻikoʻi loa.
Manaʻo kekahi poʻe ua like kēia me kekahi maʻi ʻē aʻe i lawe ʻia e ka ʻuku, e like me ka maʻi Lyme. Eia nō naʻe, ua hoʻokumu ʻia kēia mau maʻi ʻelua e nā ʻano bacteria ʻelua like ʻole. He ʻokoʻa nō hoʻi nā hōʻailona. No laila, mai huikau i nā maʻi ʻelua.
ʻO wai ka mea i pilikia nui i ka loaʻa ʻana o kēia maʻi?
ʻO kaʻoiaʻiʻo, hiki i kekahi mea i loaʻa i nā ʻuku ke loaʻa i ka maʻi. Hiki i nā ʻuku ke noho i ka mauʻu kiʻekiʻe, ma nā wahi ululāʻau, a ma luna o kā mākou mau holoholona e pāʻani ana ma waho. Ua hōʻike ʻia ka maʻi ma nā ʻāina he nui a puni ka honua.
Eia nō naʻe, inā loaʻa i kekahi poʻe kēia maʻi, ʻoi aku ka nui o ka pilikia o ka lilo ʻana i mea koʻikoʻi. E ʻike kākou ʻo wai lākou.
| Māhele pilikia | Wehewehena |
|---|---|
| Makahiki | Hiki i ka maʻi ke koʻikoʻi i nā keiki ma lalo o 10 mau makahiki a me nā pākeke ma luna o 70 mau makahiki. |
| Nā kānaka me nā ʻōnaehana pale maʻi nāwaliwali | ʻOi aku ka pilikia o ka poʻe i nāwaliwali ka ʻōnaehana pale ma muli o nā maʻi ʻē aʻe (e like me ke kanesa) a i ʻole nā lāʻau lapaʻau. |
| Nā kānaka me ka hemahema o G6PD | He kūlana hoʻoilina kēia. ʻO ka poʻe me ka "Glucose-6-phosphate dehydrogenase (G6PD) deficiency" ʻoi aku ka nui o ka loaʻa ʻana o ka maʻi. |
He aha ka mea e hana maoli ai ke komo ka maʻi i loko o ke kino?
E noʻonoʻo ʻoe ua nahu ʻia ʻoe e kahi ʻuku i loaʻa i ka maʻi. Lawe ka lawai o ka ʻuku i ka bacteria `R. rickettsii` i loko o kou koko. Mai laila mai, ʻo ka pahuhopu nui o ka bacteria ʻo ko kākou mau kīʻaha koko .
I ka ʻōlelo maʻalahi, hōʻino kēia bacteria i nā paia o ko kākou mau kīʻaha koko. E like me ka loaʻa ʻana o nā lua liʻiliʻi i ka paipu wai, ke hōʻino kēia bacteria i ko kākou mau kīʻaha koko, hoʻomaka lākou e hoʻokahe i ke koko a me nā wai i loko o nā ʻiʻo a puni. ʻO kēia ke kumu o nā hōʻailona. Hiki i kēia leakage ke hōʻino i ko kākou mau ʻiʻo, nā aʻalolo, a me nā ʻōpū koʻikoʻi e like me ka lolo a me nā puʻupaʻa.
He aha nā hōʻailona? Pehea mākou e ʻike ai iā lākou?
Hiki ke ʻike ʻia nā hōʻailona i loko o ʻelua lā a ʻelua pule ma hope o ka nahu ʻana o ka ʻuku. Hiki ke hoʻokaʻawale ʻia kēia mau mea i nā hōʻailona mua a me nā hōʻailona ma hope e ulu ana i ka holomua ʻana o ka maʻi.
| Hōʻailona | ʻIke hou aku |
|---|---|
| Nā hōʻailona i nā lā mua | |
| kuni kiʻekiʻe | He kuni nui a koke. |
| ʻEha poʻo nui | He ʻeha poʻo e like me ka mea e pahū ana. |
| Ka nalowale o ka makemake, ka nausea, a me ka luaʻi ʻana | ʻAʻole paha ʻoe makemake e ʻai, a e ʻeha paha kou ʻōpū a me ka luaʻi ʻana. |
| ʻEha kino | E ʻeha nui paha ʻoe, ʻoiai hoʻi ma nā ʻiʻo. |
| ʻŌhū ʻili | Ma kahi o 3 mau lā ma hope o ka hoʻomaka ʻana o ka maʻi, hiki ke ʻike ʻia nā kiko ʻulaʻula liʻiliʻi ma ka ʻili. Hoʻomaka pinepine kēia ma nā pulima a me nā kuʻekuʻe wāwae o nā lima a me nā wāwae. A laila hiki iā lākou ke laha ma ke kino holoʻokoʻa. Eia naʻe, ʻaʻole i loaʻa i nā kānaka a pau ka ʻulaʻula. |
| Nā hōʻailona koʻikoʻi e hiki mai ana i ka wā o ka exacerbation o ka maʻi | |
| Ka huikau noʻonoʻo | Ka huikau, ka hoʻonāukiuki, ka ʻōlelo ʻana me ka ʻole o ka ʻike. |
| Paʻakikī ka hanu ʻana | Pōkole o ka hanu (dyspnea). |
| Ka mae ʻana, ka nāwaliwali o nā lālā | Ka manaʻo o ke ola ʻole ma nā ʻāpana o ke kino. |
| Nā hopu ʻana | He kūlana kūpono. |
ʻO ka mea nui loa, mai kali a ʻike ʻia ka ʻulaʻula. ʻAʻole loaʻa i kekahi poʻe ka ʻulaʻula, a i ʻole e lohi paha. Inā loaʻa iā ʻoe nā hōʻailona e like me ke kuni a me ke poʻo, a kānalua ʻoe i kahi nahu ʻuku, e ʻike koke i ke kauka.
Pehea e ʻike ai ke kauka i ka maʻi?
Ke hele ʻoe i ke kauka, ʻo ka mea mua āna e hana ai, ʻo ia ke nīnau iā ʻoe.
- He aha kou mau hōʻailona a pehea ka lōʻihi o kou loaʻa ʻana iā lākou?
- Ua hele wāwae anei ʻoe i loko o ka ululāʻau i hala koke aku nei, ma kahi me ka mauʻu lōʻihi?
- Aia kekahi mau holoholona ma ka home?
- Ua ʻike anei ʻoe i kahi ʻuku e kau ana ma kekahi wahi ma kou kino?
Ma muli o kāu mau pane i kēia mau nīnau, e nānā kāu kauka iā ʻoe. Inā hōʻike kāu mau hōʻailona he RMSF paha kēia, hiki ke hoʻomaka ʻia ka lāʻau lapaʻau.
Aia nā hoʻāʻo koko a i kekahi manawa he biopsy ʻili e hōʻoia i ka hōʻailona. Eia nō naʻe, hiki i nā hopena o kēia mau hoʻāʻo ke hala i 7 a 10 mau lā e hoʻi mai ai. Ma muli o ke koʻikoʻi o ka maʻi, ʻaʻole e kali kāu kauka no nā hopena. Inā hōʻike kāu mau hōʻailona a me ka ʻike āu e hāʻawi ai he RMSF kāu, e hoʻomaka koke ka lāʻau.
He aha nā lāʻau lapaʻau? Pehea ka lōʻihi e hoʻōla ai?
ʻO ka lāʻau lapaʻau maikaʻi loa a ʻōlelo wale ʻia no RMSF he mau antibiotics . ʻO ka antibiotic i hoʻohana kūikawā ʻia no kēia ʻo ia ka `( Doxycycline (
- He mea nui e hoʻomaka koke: ʻOi aku ka maikaʻi o ka lāʻau lapaʻau ke hoʻomaka ʻia i loko o nā lā 5 mua o nā hōʻailona.
- Piha: Pono ʻoe e lawe i kēia lāʻau lapaʻau no 7-10 mau lā. ʻOiai inā ʻoe e ʻoluʻolu i loko o ʻelua a ʻekolu paha lā, pono ʻoe e lawe i ka lāʻau lapaʻau no ka helu piha o nā lā i kuhikuhi ʻia e ke kauka. A i ʻole, e hoʻi hou mai paha ka maʻi.
- Nā hihia koʻikoʻi: Inā koʻikoʻi ka maʻi, pono paha ʻoe e lawe ʻia i ka haukapila a mālama ʻia. Pono paha ʻoe e loaʻa i nā lāʻau antibiotic intravenous a me nā lāʻau ʻē aʻe (e like me ka mechanical ventilation).
Inā hoʻomaka pono ʻoe i ka lāʻau lapaʻau, e hoʻomaka ʻoe e ʻoi aku ka maikaʻi i loko o 48 mau hola.
Pehea ʻoe e pale ai iā ʻoe iho mai kēia maʻi?
ʻAʻohe lāʻau pale no kēia maʻi, no laila ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke pale aku i nā nahu ʻuku. Aia kekahi mau mea hiki iā ʻoe ke hana e pale aku ai i kēia.
- E mālama i kou māla a me kou pā hale maʻemaʻe: He mauʻu lōʻihi a me nā lāʻau liʻiliʻi nā wahi maikaʻi no nā ʻuku e noho ai. No laila e mālama i ka mauʻu o kou pā hale i ʻoki ʻia a hoʻomaʻemaʻe ʻia.
- E palekana i ke komo ʻana i loko o ka ululāʻau: Inā ʻoe e hele ana i loko o ka ululāʻau a i ʻole ka nahelehele, e ʻaʻahu i nā lole e uhi ana i kou kino i ka hiki. E ʻaʻahu i nā lole lōʻihi, nā pālule lima lōʻihi, nā kāmaʻa, a me nā soka. ʻOi aku ka maikaʻi inā hiki iā ʻoe ke hoʻokomo i kou mau lole i loko o kou mau soka.
- E hoʻohana i nā mea pale pepeke: E hoʻohana i nā mea pale e pale aku i nā pepeke e like me nā ʻuku. ʻO nā mea i loaʻa ka DEET ka mea maikaʻi loa. Aia kekahi mau pīpī kūikawā hiki iā ʻoe ke hoʻopili i nā lole.
- E nānā i kou kino ma hope o kou hele ʻana i waho: Ma hope o kou hoʻi ʻana mai i waho, ʻoiai ma nā wahi mauʻu, e nānā i kou kino holoʻokoʻa no nā ʻuku. E makaʻala pono i nā wahi e like me kou mau ʻāʻī, ka ʻūhā, ke poʻo, ma hope o kou mau pepeiao, a me ka piko.
- E pale i kāu mau holoholona: E pale i kāu mau holoholona, e like me nā ʻīlio a me nā pōpoki, mai nā ʻuku. E kūkākūkā me ke kauka holoholona a hoʻohana pono i nā lāʻau lapaʻau a me nā kāʻei e pono ai. E nānā i ko lākou kino ma hope o ka hoʻokuʻu ʻana iā lākou i waho.
Āhea wau e ʻike ai i ke kauka? Pono anei wau e hele i ka ETU?
He mea nui loa kēia, no ka mea, hiki i ka hana kūpono ke hoʻopakele i ke ola.
| Kūlana | He aha e hana ai |
|---|---|
| Manaʻo wau ua nahu ʻia au e kahi ʻuku, a i loko o kekahi mau lā ua loaʻa iaʻu nā hōʻailona e like me ke kuni, ka ʻeha poʻo, a me ka ʻehaʻeha o ke kino. | E ʻike koke i kāu kauka ʻohana. Mai hoʻokaʻulua. |
| Ua nahu ʻia au e kahi ʻuku, akā ʻaʻohe hōʻailona. | ʻAʻohe pono e ʻike i ke kauka i kēia manawa. ʻAʻole e kōkua ka lawe ʻana i nā lāʻau antibiotic me ka ʻole o nā hōʻailona. Eia nō naʻe, e makaʻala inā e ʻike ʻia nā hōʻailona i nā pule ʻelua e hiki mai ana. |
| Inā loaʻa iā ʻoe kēia mau ʻōuli koʻikoʻi, e hele koke i ka Emergency Treatment Unit (ETU) o ka haukapila. | |
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Leka Lawe-Home
- ʻO ka Rocky Mountain Spotted Fever (RMSF) kahi maʻi bacteria i laha ʻia e nā ʻuku e hiki ke hoʻoweliweli i ke ola inā ʻaʻole mālama koke ʻia.
- Mai hoʻopunipuni ʻia e ka ʻoiaʻiʻo ua like nā hōʻailona mua (ke kuni, ka ʻeha poʻo, ka ʻeha o ke kino) me ka maʻi viral maʻamau.
- Mai kali a ʻike ʻia kahi ʻulaʻula o ka ʻili. ʻAʻole paha e loaʻa i kekahi poʻe kahi ʻulaʻula.
- Inā ʻike ʻia nā hōʻailona ma luna ma hope o ka pili ʻana i kahi wahi i piha i nā ʻuku, e ʻike koke i ke kauka.
- Hiki ke ho'ōla loa ʻia ka maʻi inā hoʻomaka koke ka lāʻau lapaʻau.
- ʻO ke ala maikaʻi loa e pale aku ai i kēia maʻi, ʻo ia ke pale ʻana iā ʻoe iho mai nā ʻuku.
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