He kuni i lawe ʻia e ka ʻuku! E aʻo kākou e pili ana i ka Rocky Mountain Spotted Fever

Ua hele wāwae paha ʻoe i loko o ka ululāʻau, i loko o ka mauʻu kiʻekiʻe, a i ʻole e pāʻani ana me kāu holoholona a loaʻa iā ʻoe kahi mea liʻiliʻi e like me ka makika? I kekahi manawa hiki i kēia mau mea liʻiliʻi ke lilo i mea hoʻonāukiuki maoli. I kēia lā e kamaʻilio mākou e pili ana i kahi maʻi i hiki ke hoʻolaha ʻia e nā makika, a hiki ke lilo i mea weliweli iki. Ua kapa ʻia ʻo Rocky Mountain Spotted Fever. ʻAʻole paha e pili ka inoa iā Sri Lanka, akā he mea nui loa ia e makaʻala i nā maʻi i lawe ʻia e nā makika e like me kēia.

He aha ka Rocky Mountain Spotted Fever?

I ka ʻōlelo maʻalahi, ʻo ka Rocky Mountain Spotted Fever (RMSF) kahi maʻi i hoʻokumu ʻia e kahi bacteria i kapa ʻia ʻo Rickettsia rickettsii. Hoʻolaha ʻia ia ma o nā nahu ʻana o ka makika. ʻO nā hōʻailona mua - e like me ke kuni, ka ʻeha poʻo, a me nā ʻulaʻula ʻili - hiki ke like me nā maʻi maʻamau ʻē aʻe. Akā inā ʻaʻole mālama koke ʻia, hiki i ka RMSF ke hoʻoweliweli i ke ola.

No kēia maʻi, ʻo RMSF, kahi hui nui o nā maʻi i kapa ʻia ʻo 'Spotted Fever Rickettsiosis (SFR)'.

He like anei ka Rocky Mountain Spotted Fever (RMSF) a me ka maʻi Lyme?

ʻAe, ʻoiai he mau maʻi ʻelua i lawe ʻia e ka ʻuku, ʻo Rocky Mountain Spotted Fever a me ka maʻi Lyme he ʻelua mau maʻi like ʻole. Hoʻokumu ʻia ka maʻi Lyme e kahi bacteria ʻokoʻa ma mua o RMSF, a ʻokoʻa nā hōʻailona. ʻO ka mea i loaʻa iā RMSF, ʻaʻole ia e loaʻa i ka maʻi Lyme.

ʻO wai ka mea hiki ke loaʻa i ka Rocky Mountain Spotted Fever (RMSF)?

ʻO kēlā me kēia mea i loko o kahi kaiapuni kahi i loaʻa ai nā makika - e like me ka mauʻu kiʻekiʻe, nā wahi ululāʻau, a i ʻole nā ​​​​holoholona waho - hiki ke loaʻa i ka maʻi. Ua hōʻike ʻia nā hihia RMSF ma ʻAmelika Hui Pū ʻIa, Kanada, Mekiko, a me ʻAmelika Hema a me Waena. ʻOiai hiki ke loaʻa nā hihia i kēlā me kēia manawa o ka makahiki, ʻike ʻia ka helu kiʻekiʻe loa o nā hihia i nā mahina mahana.

ʻO wai ka mea i pilikia nui?

Hiki i kekahi ke loaʻa iā RMSF i kēlā me kēia makahiki. Eia nō naʻe, ua hōʻike ʻia he mea maʻamau ia i nā kāne a me nā poʻe ma luna o 40 mau makahiki . ʻOi aku kou pilikia o ka loaʻa ʻana o ka RMSF koʻikoʻi inā ʻoe:

• Inā ʻoe ma lalo o 10 mau makahiki a ʻoi aku paha ma mua o 70 mau makahiki.
• Inā loaʻa iā ʻoe ka 'Glucose-6-phosphate dehydrogenase (G6PD) deficiency'.
• Inā he ʻōnaehana pale maʻi i hoʻopilikia ʻia kou.

Pehea ka maʻamau o ka Rocky Mountain Spotted Fever (RMSF)?

Ma ʻAmelika Hui Pū ʻIa, ua hōʻike ʻia ma kahi o 6,000 mau hihia o RMSF i kēlā me kēia makahiki. ʻOiai ka inoa ʻo "Rocky Mountain," ʻo ia ka mea maʻamau ma nā mokuʻāina e like me North Carolina, Tennessee, Missouri, Arkansas, a me Oklahoma. ʻOi aku ka nui o ka hiki ʻana mai o RMSF i ke kauwela, i ka wā e nui ai nā makika a aia nui nā kānaka ma waho.

Pehea ka hopena o ka Rocky Mountain Spotted Fever (RMSF) i koʻu kino?

ʻO ka bacteria e hoʻoulu ai i ka RMSF, ʻo `R. rickettsii`, e komo i loko o kou koko ma o kahi nahu ʻupena. A laila hoʻouka ka bacteria i kou mau kīʻaha koko, nā ʻiʻo, a me nā ʻiʻo. Hiki i kēia ke hoʻokahe i ke koko mai kou mau kīʻaha koko, hōʻiliʻili ka wai i loko o kou mau ʻiʻo, a hōʻino i kou mau ʻiʻo, nā aʻalolo, a me nā ʻōpū.

He aha nā hōʻailona o ka Rocky Mountain Spotted Fever (RMSF)?

Inā ʻoe e nahu ʻia e kahi ʻuku i loaʻa i ka maʻi, e hoʻomaka paha ʻoe e hoʻomohala i nā hōʻailona o RMSF i loko o ʻelua lā a ʻelua pule. Hoʻomaka mālie nā hōʻailona i kekahi mau lā. Hiki iā lākou ke komo mua i ke kuni, ka ʻeha poʻo, ka nausea, ka luaʻi, a me nā ʻehaʻeha ʻiʻo .

ʻO ka mea nui loa: E loaʻa i kekahi poʻe kahi ʻulaʻula i loko o ʻekolu lā (ma kahi o 50%). Eia nō naʻe, he mea nui e ʻimi i ka lāʻau lapaʻau me ka kali ʻole i ka ʻike ʻia ʻana o ka ʻulaʻula.

ʻO nā hōʻailona nui o RMSF:

• kuni kiʻekiʻe
• ʻEha poʻo
• Makemake nui
• ʻEha a ʻeha paha nā ʻiʻo
• He ʻulaʻula ʻili - hoʻomaka pinepine ma nā pulima a me nā kuʻekuʻe wāwae a laha i nā ʻāpana ʻē aʻe o ke kino.
• Ka luaʻi a me ka luaʻi
• ʻeha ka ʻōpū
• ʻIke i ka mālamalama (photophobia)

Nā hōʻailona koʻikoʻi e hiki mai ana ma hope:

• Ka huikau
• Ka paʻakikī o ka hanu ʻana (dyspnea)
• Hopohopo, hoʻomaha ʻole, a i ʻole ka haunaele
• Nā hopu ʻana
• Ka mae a nāwaliwali paha o nā lālā

Pehea e laha ai ka Rocky Mountain Spotted Fever (RMSF)?

Hoʻolaha a lawe nā ʻuku i ka RMSF. Ma ʻAmelika Hui Pū ʻIa, ʻo ka ʻuku ʻīlio ʻAmelika a me ka ʻuku lāʻau ʻo Rocky Mountain nā mea lawe nui. Ma kekahi mau wahi, hiki i nā ʻano ʻuku ʻē aʻe, e like me ka ʻuku ʻīlio ʻeleʻele, ke hoʻolaha pū i ka RMSF.

He laha anei ka RMSF mai ke kanaka a i ke kanaka?

ʻAʻole, ʻaʻole laha ka Rocky Mountain Spotted Fever (ʻo ia hoʻi, ʻaʻole ia he maʻi laha).

Pehea ʻoe e ʻike ai inā ua nahu ʻia kahi ʻuku?

Inā ʻaʻole ʻoe e ʻike i kahi ʻuku ma kou kino, hiki i kekahi manawa ke paʻakikī ke ʻike inā ua nahu ʻia ʻoe e kahi ʻuku. Hiki i kahi ʻuku ke waiho i kahi māka ma kahi i nahu ʻia ai, hiki ke waiho i kahi ʻulaʻula, a i ʻole e nalo aku me ka ʻole o nā hōʻailona.

Pehea e ʻike ʻia ai ka Rocky Mountain Spotted Fever (RMSF)?

E ʻike kāu kauka i ka RMSF ma muli o kahi hoʻokolohua kino, kāu mau hōʻailona, ​​a inā ua nahu ʻia ʻoe e kahi ʻuku. ʻOiai hiki i nā hoʻokolohua koko a me nā hoʻokolohua ʻili ke kōkua i ka ʻike ʻana i ka RMSF, ʻaʻole i loaʻa koke nā hopena o kēia mau hoʻokolohua e hoʻomaka ai i ka mālama ʻana.

Inā ua hele ʻoe i kahi wahi e loaʻa ai nā makika i nā pule ʻelua i hala iho nei, ʻoiai inā ʻaʻole ʻoe e hoʻomanaʻo i kou nahu ʻia ʻana e kahi makika a i ʻole he makika ma kou kino, e hōʻoia e haʻi i kāu kauka. He mea nui loa kēia no lākou e hoʻoholo ai inā e mālama iā RMSF.

He aha nā hoʻokolohua i hoʻohana ʻia e ʻike ai i ka RMSF?

Hiki i kāu kauka ke ʻike i ka RMSF me nā hoʻāʻo koko a me nā hoʻāʻo ʻili, akā hiki ke lōʻihi ka manawa e hoʻi mai ai nā hopena. Pono paha kāu kauka e hoʻoholo inā e mālama iā RMSF ma mua o ka hoʻi ʻana mai o nā hopena o kāu hoʻāʻo.

• Nā hoʻāʻo koko: Lawe ʻia kahi hāpana o kou koko e nānā i ka bacteria e hoʻoulu ai i ka RMSF. ʻAʻole i hoʻāʻo maikaʻi ʻia kou koko no RMSF a hiki i 7-10 mau lā ma hope o kou maʻi ʻana. Pono paha ʻoe e hana i kahi hoʻāʻo koko ʻē aʻe inā e ʻoi aku ka ʻino o kou maʻi a i ʻole ma hope o kou hoʻōla ʻana.
• Nā hoʻāʻo ʻili: Hoʻohana ʻia kahi mea hana kūikawā i kapa ʻia he punch e lawe i kahi ʻāpana ʻili liʻiliʻi mai kahi ʻeha ma kou ʻili (hiki ke manaʻo ʻia kēia e like me ka ʻōʻō a i ʻole ka ʻono iki). A laila hoʻāʻo ʻia ka hāpana ʻili no nā hōʻailona o ka bacteria R. rickettsii.

Pehea e mālama ʻia ai ka Rocky Mountain Spotted Fever (RMSF)?

Hoʻōla ʻia ʻo RMSF me nā lāʻau antibiotic , ka mea i lawe pinepine ʻia no 7 a 10 mau lā.

ʻOi aku ka maikaʻi o ka lāʻau lapaʻau inā hoʻomaka ʻoe i ka lāʻau lapaʻau i loko o ʻelima mau lā o ka hoʻomaka ʻana o kāu mau hōʻailona. Inā hoʻomaka ʻoe i nā lāʻau antibiotics ma hope loa, hiki i ka RMSF ke hōʻino i kou kino a hoʻoulu i nā pilikia e hoʻoweliweli i ke ola.

Inā loaʻa iā ʻoe nā pilikia, pono paha ʻoe i kahi lāʻau lapaʻau hou aʻe. Hiki i kēia ke komo pū me ka hoʻoili koko, ka hoʻoulu ʻana i ka ea, a i ʻole nā ​​​​lāʻau lapaʻau ʻē aʻe.

He aha nā lāʻau lapaʻau i hoʻohana ʻia no RMSF?

ʻO Doxycycline wale nō ka antibiotic i ʻōlelo ʻia no ka mālama ʻana iā RMSF. Inā he maʻi ʻoe i ka doxycycline , hiki i kāu kauka ke hāʻawi iā ʻoe i ka chloramphenicol ma ke ʻano he koho ʻē aʻe. Eia nō naʻe, paʻakikī ke loaʻa ka chloramphenicol ma kekahi mau ʻāina, a ʻaʻole ia he hopena no RMSF e like me ka doxycycline .

Pehea e mālama ai i nā hōʻailona RMSF?

Inā ʻaʻole koʻikoʻi kou mau hōʻailona, ​​hiki paha iā ʻoe ke mālama iā lākou ma ka home me nā lāʻau lapaʻau i kūʻai ʻia ma ke kūʻai ʻole ʻia. Eia nō naʻe, he mea nui e nīnau i kāu kauka i nā lāʻau lapaʻau e palekana e hoʻohana.

Pehea ka wikiwiki o koʻu ho'ōla ʻana ma hope o ka mālama ʻia no RMSF?

Inā hoʻomaka ʻoe i nā lāʻau antibiotic i ka wā e hoʻomaka ai kāu mau hōʻailona RMSF, pono ʻoe e ʻoluʻolu i loko o 48 mau hola. Eia nō naʻe, pono ʻoe e lawe i nā lāʻau antibiotic no kekahi mau lā hou aʻe. ʻOiai inā ʻoluʻolu ʻoe, e hoʻomau i ka lawe ʻana i nā lāʻau lapaʻau āpau e like me ke kauoha. Inā ʻaʻole e hoʻomaikaʻi kāu mau hōʻailona, ​​e ʻike koke i kāu kauka.

Pehea e hiki ai iaʻu ke hōʻemi i ka pilikia o ka Rocky Mountain Spotted Fever (RMSF)?

ʻO ka pale ʻana i nā nahu ʻupena ke ala maikaʻi loa e hōʻemi ai i ka pilikia o RMSF.

• E ʻoki mau i kou mauʻu. ʻO ka mauʻu i ʻoi aku ke kiʻekiʻe ma mua o 5 ʻīniha e huki mai i nā ʻuku.
• I ka hele wāwae ʻana i nā wahi ululāʻau, e hoʻohana wale i nā ala i hoʻomaʻemaʻe ʻia.
• E hoʻohana i nā pīpī pepeke i loaʻa nā mea hoʻopau makika (e laʻa me nā mea i loaʻa ka DEET).
• I ke komo ʻana i loko o ka ululāʻau a i ʻole nā ​​wahi me ka mauʻu kiʻekiʻe, e ʻaʻahu i nā lole e uhi ana i ka nui o kou kino e like me ka hiki. Loaʻa kekahi mau lole i mālama mua ʻia e pale aku i nā makika.
• E nānā i kou kino no nā makika ma hope o kou hoʻi ʻana mai waho. Inā hiki, e noi i kekahi e nānā i nā wahi āu e ʻike ʻole ai (e like me kou kua a i ʻole ke poʻo).
• E pale i kāu mau holoholona mai nā ʻuku me nā lāʻau lapaʻau i ʻōlelo ʻia e kāu kauka holoholona. E nānā mau i nā ʻuku ma hope o ko lākou hele ʻana i waho.

He aha kāu e manaʻo ai inā loaʻa iā ʻoe ka Rocky Mountain Spotted Fever (RMSF)?

Hoʻōla ka hapa nui o ka poʻe mai ka RMSF me ka ʻole o nā pilikia lōʻihi inā loaʻa iā lākou ka lāʻau lapaʻau ma hope koke o ka hoʻomaka ʻana o nā hōʻailona. Hiki i kekahi poʻe ke loaʻa nā pilikia koʻikoʻi e pono ai ke komo i ka haukapila no ka mālama ʻana.

ʻOiai inā olakino ʻoe, i kekahi manawa hiki ke loaʻa nā pilikia olakino lōʻihi.

Nā pilikia o ka Rocky Mountain Spotted Fever (RMSF)

ʻOiai me ka mālama ʻana i nā lāʻau antibiotic, hiki i kekahi poʻe me RMSF ke hoʻomohala i nā pilikia koʻikoʻi a hoʻoweliweli paha i ke ola, e like me:

• ʻO ka maʻi pilikia hanu koʻikoʻi (ARDS)
• ʻEha puʻupaʻa koʻikoʻi
• ʻEdema puʻuwai
• Anemia
• Maʻi puʻuwai
• Ke kahe koko ʻana o loko
• Sepsis (kahi ʻano like me ka lāʻau make koko)
• ʻO ka maʻi lolo hapa
• ʻAʻole hiki ke kāohi i ke kahe o ka ʻōpala ('fecal incontinence') a i ʻole ka mimi ('urinary incontinence')
• ʻO ke gangrene e pono ai ke ʻoki ʻia
• Ka maʻi/ka mumū o ka lolo (encephalitis)
• Ka hāʻule ʻana o ke kino

Nānā no nā RMSF

He maikaʻi nā manawa e ho'ōla ai mai ka RMSF inā e mālama mua ʻia. Ma ʻAmelika Hui Pū ʻIa, ʻo ka nui o ka make mai ka RMSF, ʻoiai me ka mālama ʻia ʻana, ma waena o 5% a me 10%. Ma kekahi mau ʻāina, e like me Mekiko a me Brazil, ʻoi aku ka kiʻekiʻe o kēia pakeneka.

Inā maʻi nui ʻoe me RMSF, hiki iā ʻoe ke loaʻa nā hopena lōʻihi ma hope o kou ho'ōla ʻana. Eia kekahi laʻana:

• Ka pōʻino o ke aʻalolo a i ʻole ka lolo
• Poho lohe
• Paʻakikī i ka ʻōlelo ʻana
• Ka nalowale o ka ʻike
• Nā pilikia o ka ʻōnaehana nerve, e like me nā pilikia kaulike a i ʻole ka dizziness (vertigo)

Hiki ke ho'ōla loa ʻia ka Rocky Mountain Spotted Fever (RMSF)?

Hoʻopau pinepine ʻia ka RMSF me ka lāʻau lapaʻau. Eia nō naʻe, hiki i kekahi poʻe ke hoʻomau i ka loaʻa ʻana o nā hōʻailona ma hope o ka pau ʻana o ka maʻi, ma muli o ka hōʻino ʻia ʻana o nā aʻalolo a me nā ʻiʻo.

Inā ʻaʻole mālama ʻia, ʻo ka manawa o ka make mai RMSF ma waena o 20% a me 30%.

Hiki iā RMSF ke hana ma mua o hoʻokahi manawa?

He mea paʻakikī loa ke loaʻa iā ʻoe ka RMSF ma mua o hoʻokahi manawa. Manaʻo nā loea i ka wā i loaʻa ai iā ʻoe ka RMSF, loaʻa iā ʻoe ka 'palekana' iā ia. ʻO ke ʻano kēia ua ʻike kou kino pehea e hakakā ai, no laila ʻaʻole ia e hana hou ʻia.

Pehea wau e mālama ai iaʻu iho inā loaʻa iaʻu ka RMSF?

Inā ke mālama nei kāu kauka iā ʻoe no RMSF, e hōʻoia e lawe i kāu mau lāʻau lapaʻau a pau e like me ke kauoha. Inā ʻoe e hoʻōki i ka lawe ʻana i nā lāʻau antibiotic i ka wā mua, hiki iā ʻoe ke maʻi hou.

E haʻi aku kāu kauka iā ʻoe pehea e hoʻokele maikaʻi ai i kāu mau hōʻailona ma ka home. Hiki iā RMSF ke lilo i mea ʻino koke. Inā loaʻa iā ʻoe nā hōʻailona hou a i ʻole inā e ʻino aʻe kāu mau hōʻailona, ​​e kāhea koke i kāu kauka.

Āhea ʻoe e ʻike ai i ke kauka e pili ana i ka Rocky Mountain Spotted Fever (RMSF)?

Inā ua nahu ʻia ʻoe e kahi ʻuku, a inā paha ʻoe ma kahi i loaʻa ai nā ʻuku a loaʻa nā hōʻailona o RMSF, e ʻike koke i ke kauka.

ʻOiai inā ua nahu ʻia ʻoe e kahi ʻuku akā ʻaʻohe ou hōʻailona, ​​ʻaʻole pono ʻoe e ʻike i ke kauka - ʻo ka lawe ʻana i nā lāʻau antibiotic me ka ʻole o ka maʻi ʻaʻole ia e kōkua i ka pale ʻana i ka RMSF.

Āhea wau e hele ai i kahi Emergency Treatment Unit (ETU) ?

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​e hele i ka lumi pilikia kokoke loa:

• Inā ʻoi aku ke kuni ma mua o 39.4 Celsius (103 Fahrenheit)
• Inā ʻoe e ʻū i ke koko
• Inā pehu kou mau lima a wāwae paha
• Inā loaʻa iā ʻoe ka ʻeha nui o ka ʻōpū
• Inā he huikau kou a i ʻole nā ​​loli noʻonoʻo ʻē aʻe
• Inā loaʻa nā hopu ʻana
• Inā he nāwaliwali a he ʻano ʻino paha kou mau lālā
• Inā ʻoe e luaʻi nui ana

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

• Pehea lā wau e lawe ai i kaʻu lāʻau lapaʻau?
• He aha nā hōʻailona hou a i ʻole e ʻoi aʻe ana ka ʻino e pono iaʻu e makaʻala?
• Pehea ka wikiwiki o koʻu hoʻomaikaʻi ʻana?
• Āhea wau e hele hou mai ai e ʻike iā ʻoe?

Nā Mea e Hoʻomanaʻo ai (Leka Lawe-Home)

ʻAʻole hoʻonāukiuki wale nā ​​ʻuku - hiki i ko lākou nahu liʻiliʻi ke hoʻomaʻi loa iā ʻoe. ʻO ke ala maikaʻi loa e pale aku ai i ka Rocky Mountain Spotted Fever (RMSF) ʻo ia ka pale ʻana i ka nahu ʻia e nā ʻuku. Eia nō naʻe, inā ua nahu ʻia ʻoe e kahi ʻuku a loaʻa iā ʻoe nā hōʻailona, ​​e ʻike koke i kāu kauka. ʻO ka mālama mua ʻana ke ala maikaʻi loa e ola koke ai. E mālama i kou olakino a e noho palekana!

ʻUku , Kuni ʻIli Mauna Pōhaku, Kuni, ʻŌhūhū ʻIli, Maʻi Bacteria, Palekana ʻUku, Antibiotics