Ke Hoʻomaopopo ʻana i ka Scrub Typhus: Ka Mea e Pono ai ʻoe e ʻIke

I kēia mau lā iho nei, ua lohe nui kākou e pili ana i nā maʻi like ʻole e pili ana i ke kuni, ʻeā? Ma waho aʻe o nā hopohopo maʻamau e like me ka dengue a i ʻole ka maʻi palū, ua pinepine mai kekahi huaʻōlelo ʻē aʻe: “Scrub Typhus.” He mea maopopo ke hopohopo, akā e wehewehe pū kākou. He aha ia mea maoli? He mea weliweli anei? Pehea ʻoe e pale ai iā ʻoe iho? E kamaʻilio maʻalahi kākou e pili ana i ia mea, me he mea lā e kamaʻilio ana kākou me kahi hoaaloha.

I nā ʻōlelo maʻalahi: He aha ka Scrub Typhus?

ʻOiai kona inoa maʻamau, ʻaʻole i laha maoli ʻia ka Scrub Typhus e nā ʻuku. Hoʻokumu ʻia ia e ka nahu ʻana o kahi mite larval i loaʻa i ka maʻi, i ʻike nui ʻia ʻo `(chigger)`. He liʻiliʻi loa kēia mau mites a aneane ʻike ʻole ʻia e ka maka ʻōlohelohe. Hoʻokumu ʻia ka maʻi e kahi bacteria i kapa ʻia ʻo `Orientia tsutsugamushi` .

E noʻonoʻo i kēia ʻano: lawe kēia mau ʻenuhe liʻiliʻi i ka bacteria mai nā rodents e like me nā ʻiole a me nā ʻiole. Inā nahu kahi larva i loaʻa i ka maʻi iā ʻoe, komo ka bacteria i kou kino. He liʻiliʻi loa kēia mau ʻuku a he pinepine lākou i ka ʻulaʻula, melemele, a ʻalani paha ke kala.

Ma hea kahi i loaʻa ai kēia maʻi?

Loaʻa nui kēia maʻi ma nā ʻāpana ma ʻAsia, ma nā wahi kuaʻāina a i ʻole nā ​​​​wahi ululāʻau.

• Nā ʻāina ʻAsia Hikina Hema
• ʻInia
• ʻInidonesia
• Kina
• Iapana
• ʻAukekulelia ʻĀkau

Ulu maikaʻi kēia mau ʻuku i nā wahi mauʻu, palahalaha, pulu, a me ka malu . ʻO ke ʻano kēia e hālāwai paha ʻoe me lākou ma nā wahi i mālama ʻole ʻia o kou pā hale, nā lihi o ka ululāʻau, nā puʻu lau palaho, a i ʻole nā ​​​​​​lāʻau pulu. ʻO ka maʻamau, piʻi ka hana ʻana o nā ʻuku i ka hopena o ka pūnāwai a me ke kauwela.

He aha nā hōʻailona o ka maʻi Scrub Typhus?

ʻAʻole paha ʻoe e ʻike i ke nahu ʻana o ka chigger; ʻaʻohe ʻeha. Eia nō naʻe, ma hope o kekahi mau hola, e hoʻomaka paha ka ʻili e maneʻo, a e ʻike paha ʻoe i kahi puʻupuʻu ʻulaʻula liʻiliʻi.

Ma hope o ke komo ʻana o ka bacteria i loko o kou kino, aia kahi manawa hoʻoulu o kahi o 6-10 mau lā kahi e maikaʻi ai paha ʻoe. ʻIke koke ʻia nā hōʻailona ma kahi o 10-12 mau lā ma hope o ka hōʻike ʻana. He mea nui ka ʻike ʻana i kēia mau hōʻailona.

Pehea e ʻike ai ke kauka i ka Scrub Typhus?

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​ʻoiai inā ua noho ʻoe i nā wahi ululāʻau a palahalaha paha, e ʻike koke i kāu mea mālama ola .

E hana kāu kauka i kahi hoʻokolokolo kino, e ʻimi pono ana i ka `eschar`. Eia kekahi, hiki iā lākou ke kauoha i nā hoʻokolohua koko e ʻike i nā antibodies i hana ʻia e kou kino e hakakā i ka bacteria.

Hiki ke paʻakikī ka ʻike ʻana i kēia no ka mea ua like nā hōʻailona me nā maʻi maʻamau e like me ka dengue, leptospirosis, a i ʻole typhoid. Ma muli o kēia, pono i kāu kauka ke noʻonoʻo i kekahi mau mea hiki. I kekahi manawa, inā ʻaʻole maopopo ka hoʻāʻo koko mua, pono paha ʻoe i kahi hoʻāʻo hahai 1-3 mau pule ma hope. I kēlā mau hihia, hiki i kāu kauka ke hoʻomaka i ka lāʻau lapaʻau ma muli o nā hōʻailona lapaʻau ma mua o ke kali ʻana i nā hopena lab.

Pehea e mālama ʻia ai?

ʻO ka nūhou maikaʻi, hiki ke ho'ōla piha ʻia ʻo Scrub Typhus me nā antibiotics. ʻO ka hana nui loa, ʻo ia ka hoʻomaka ʻana i ka lāʻau lapaʻau i ka wā hikiwawe e hōʻoia i ka ho'ōla koke ʻana.

E kuhikuhi paha kāu kauka i kahi lāʻau antibiotic i kapa ʻia ʻo 'doxycycline' , maʻamau no 7 mau lā a ʻoi aku paha. I nā hihia koʻikoʻi, hiki ke hāʻawi ʻia ma ke ʻano intravenous (IV). No nā keiki, ua ʻōlelo pinepine ʻia kahi papa hana pōkole he 5 lā e pale aku i nā hopena ʻaoʻao e like me ke kala ʻana o nā niho. No nā wahine hāpai a i ʻole ka poʻe maʻi i ka doxycycline, hoʻohana ʻia nā lāʻau antibiotic palekana ʻē aʻe e like me 'azithromycin' .

Nā pilikia kūpono o ka maʻi i mālama ʻole ʻia

Inā ʻaʻole mālama ʻia, hiki i ka Scrub Typhus ke hōʻino i nā ʻōnaehana koʻikoʻi:

Inā loaʻa iā ʻoe kekahi mau hōʻailona koʻikoʻi, e ʻimi koke i ke kōkua lapaʻau mai kāu kauka a i ʻole e kipa aku i ka keʻena ulia pōpilikia kokoke loa i ka haukapila.

Aia kekahi lāʻau pale? Pehea ʻoe e palekana ai?

I kēia manawa, ʻaʻohe lāʻau pale e pale aku ai i ka Scrub Typhus.

Inā ʻoe e hele ana i nā wahi ululāʻau a palahalaha paha, e mālama i kēia mau mea:

• E ʻaʻahu i nā lole pale. E ʻaʻahu i nā lole lōʻihi a me nā pālule lima lōʻihi. ʻO ka hoʻokomo ʻana i kou mau lole i loko o kou mau soka hiki ke hoʻohui i ka palekana hou aku.
• E hoʻohana i ka mea pale pepeke. E kau i kahi mea pale pepeke me ka ` DEET` i ka ʻili a me nā lole i hōʻike ʻia.
• E pale i ka noho pololei ʻana ma luna o ka mauʻu a i ʻole nā ​​​​​​mea kanu.
• No nā pēpē a me nā keiki liʻiliʻi, e uhi pono i ko lākou mau lālā. E pale i kā lākou stroller a i ʻole ka mea hāpai me ka ʻupena pale.
• Mai pīpī pololei i ka mea pale ma luna o ka ʻili o ke keiki. E pīpī mua ma kou mau lima ponoʻī, a laila e kau ma luna o ke keiki. E kūkākūkā me kāu kauka keiki ma mua o ka hoʻohana ʻana i nā mea pale ma luna o nā keiki ma lalo o 2 mau makahiki.
• Ma hope o ka hele ʻana i waho, e holoi i kou mau lole i ka wai wela (ʻoi aku ka maikaʻi ma ka liʻiliʻi he 30 mau minuke) a ʻauʻau me ke kopa mahana.
• Inā ʻoe e hele pinepine i nā wahi ululāʻau, e noʻonoʻo e mālama mua i kou lole a me kou mau lako me ka 0.5% permethrin . Hoʻopau kēia i nā chiggers i ka wā e pili ai a noho mau ka maikaʻi ma o kekahi mau holoi ʻana. Mai hoʻopili pololei i kēia i ka ʻili. No nā lole a me nā lako wale nō.

Scrub Typhus, typhus, chiggers, Orientia tsutsugamushi, eschar, doxycycline, ʻōlelo aʻoaʻo olakino, nā hōʻailona kuni