I kēia mau lā, lohe pinepine kākou e pili ana i nā ʻano kuni like ʻole, ʻeā? Me nā mea e like me ka dengue a me ka influenza, ʻo kekahi inoa e hiki mai ana i ka noʻonoʻo ʻo "flea fever". Makaʻu maoli kekahi poʻe i kēia. No laila, he aha kēia flea fever? He mea weliweli anei? Pehea e hiki ai iā kākou ke makaʻala iā ia? I kēia lā, e kamaʻilio maʻalahi kākou e pili ana i kēia mau mea a pau, me he mea lā e kamaʻilio ana kākou me kahi hoaaloha.
I ka ʻōlelo maʻalahi, he aha ʻo Scrub Typhus?
ʻAʻole ʻo Scrub typhus, a i ʻole `(Scrub Typhus),` he maʻi i laha ʻia e nā ʻuku. Hoʻolaha ʻia ia ma o ka nahu ʻana o nā larvae o kahi ʻano mite liʻiliʻi loa no ko mākou mau maka e ʻike. Ua kapa ʻia kēia mau mite ʻo `(chiggers).` Hoʻokumu ʻia kēia maʻi e kahi bacteria i kapa ʻia
ʻo `Orientia tsutsugamushi.` E noʻonoʻo pehea e loaʻa ai kēia bacteria i kēia mau mite liʻiliʻi. ʻO ka hapa nui o ka manawa, hoʻolaha ʻia kēia bacteria i kēia mau mite mai ka ʻili o nā holoholona e like me nā ʻiole. A laila, ke nahu mai kēlā mite iā mākou, komo ka bacteria i loko o ko mākou kino. He liʻiliʻi loa kēia mau mite i kekahi manawa ʻaʻole hiki iā mākou ke ʻike iā lākou. He ʻulaʻula, melemele, a ʻalani paha ko lākou kala.
Ma hea kahi i loaʻa pinepine ai kēia maʻi?
ʻIke nui ʻia kēia maʻi ma nā ʻāina ʻĀsia, ʻoi aku hoʻi ma nā wahi kuaʻāina a me nā ululāʻau.
- Nā ʻĀina o Asia Hikina Hema
- ʻInia
- ʻInidonesia
- Kina
- Iapana
- Nā Panalāʻau ʻĀkau o ʻAukekulelia
Makemake kēia mau ʻuku e noho i
nā wahi mauʻu, nā lāʻau liʻiliʻi, pulu, a me ka malu . ʻO ke ʻano kēia, hiki ke loaʻa iā lākou ma kahi i mālama pono ʻole ʻia o kāu māla, ma ka lihi o ka ululāʻau, ma kahi puʻu o ka lau palaho, a i ʻole ma lalo o kahi lāʻau i piha i ka wai. Hana nui kēia mau ʻuku i ka hopena o ka pūnāwai a me ke kauwela.
He aha nā hōʻailona o ka maʻi ʻuku?
ʻAʻole paha ʻoe e ʻike i ka nahu ʻana o kēia mite. ʻAʻohe ʻeha. Akā ma hope o kekahi mau hola, e hoʻomaka ka ʻili o ka wahi e ʻānai nui a ʻike paha ʻoe i kahi ʻulaʻula liʻiliʻi. ʻAʻole paha ʻoe e ʻike i kekahi mea no kahi o 6-10 mau lā ma hope o ke komo ʻana o ka bacteria i loko o ke kino. Hoʻomaka koke nā hōʻailona e ʻike ʻia ma hope o 10-12 mau lā. He mea nui loa ia e ʻike pono i kēia mau hōʻailona.
| Hōʻailona | Wehewehena |
|---|
| kuni | Hoʻomaka koke ke kuni nui a me ke anu. |
| ʻEleʻele ʻōpala (Eschar) | ʻO kēia ka hiʻohiʻona ʻokoʻa loa o kēia maʻi. Ma kahi o ka nahu ʻana o ka makika, ma hope o ke kuni ʻana, e kū mai ana kahi ʻulaʻula ʻeleʻele, liʻiliʻi, e like me ka ʻōpala. |
| Nā ʻōhū ʻili | Aia paha he ʻulaʻula ma ke kino. |
| ʻEha kino | ʻEha nui ka ʻeha poʻo, ʻeha kino, a me ka ʻeha ʻiʻo. |
| Nā hiʻohiʻona ʻē aʻe | Huikau, pehu ʻana o nā lymph node, ʻulaʻula nā maka, luaʻi, kahe koko, a me nā maʻi o ka māmā. |
ʻO ka mea nui loa: Inā ʻaʻole mālama koke ʻia kēia mau hōʻailona a ʻaʻole ʻimi ʻia ke kōkua lapaʻau, hiki i ka maʻi ke ʻoi aku ka ʻino a alakaʻi i nā kūlana koʻikoʻi e like me ka coma a i ʻole ka hāʻule ʻana o nā ʻōkana.
Pehea e ʻike pololei ai ke kauka i ka maʻi flea?
Inā loaʻa iā ʻoe kēia mau hōʻailona, ʻoiai inā ua hele ʻoe i kahi ululāʻau a i ʻole kahi ululāʻau,
e ʻike koke i kāu kauka . E nānā mua ke kauka i kou kino, ʻoiai no ka ʻōpala ʻeleʻele (eschar). Eia kekahi, e hana ʻia kahi hoʻāʻo koko e hōʻoia i ka maʻi, a e nānā i nā antibodies a ke kino e hana ai e kūʻē i ka bacteria. ʻO kahi pilikia me kēia, ʻo ia ka like loa o nā hōʻailona o ka maʻi flea me nā hōʻailona o nā maʻi i maʻamau i ko mākou ʻāina, e like me ka dengue, leptospirosis, a me ka typhoid fever. No laila, pono ke kauka e noʻonoʻo e pili ana i kēia mau maʻi a pau a hiki i kahi hōʻailona. I kekahi manawa, inā ʻaʻole hiki ke loaʻa pololei ka hoʻāʻo koko mua, pono paha e hana i kahi hoʻāʻo ʻē aʻe ma hope o 1-3 mau pule. I kēlā hihia, hiki i ke kauka ke hoʻomaka i ka lāʻau lapaʻau ma muli o nā hōʻailona me ka kali ʻole i nā hopena.
He aha nā lāʻau lapaʻau no kēia?
ʻO ka nūhou maikaʻi, he maʻi
hiki ke ho'ōla loa ʻia ka maʻi ʻuku me nā lāʻau antibiotic. ʻO ka mea nui loa, ʻo ia ka hoʻomaka ʻana i ka lāʻau i ka wā hikiwawe loa. A laila hiki iā ʻoe ke ola koke. E haʻi aku paha ke kauka iā ʻoe
Hāʻawi ʻia ka lāʻau antibiotic doxycycline. Hāʻawi ʻia kēia ma ka waha no 7 mau lā a ʻoi aku paha. I kekahi manawa hiki ke hāʻawi ʻia ma ke ʻano intravenous (IV). No nā keiki ʻōpio, ʻoiai inā he akahai ka maʻi, ua ʻōlelo ʻia kahi papa pōkole o 5 mau lā. ʻO kēia ke pale aku i nā hopena ʻaoʻao e like me ka waihoʻoluʻu niho inā hoʻohana ʻia kēia lāʻau lapaʻau no ka manawa lōʻihi. No nā wahine hāpai a i ʻole ka poʻe i maʻi āpau i ka doxycycline, hāʻawi ʻia nā lāʻau antibiotic ʻē aʻe e palekana e like me azithromycin . Nā pilikia koʻikoʻi e hiki ke kū mai inā ʻaʻole mālama ʻia
Inā waiho ʻole ʻia kēia maʻi me ka mālama ʻole ʻia, me ka manaʻo he maʻi palū wale nō ia, hiki iā ia ke hōʻino i nā ʻōkana koʻikoʻi o ke kino. | ʻŌnaehana kino | Ka pilikia hiki ke loaʻa |
|---|
| Puʻuwai | Nā kūlana e like me nā maʻi o ka puʻuwai puʻuwai a me ka mumū o ka ʻiʻo o ka puʻuwai (myocarditis). |
| ʻŌnaehana hoʻoheheʻe | Ka luaʻi ʻana, ka maʻi pākī, nā pilikia o ke akepaʻa, ka pancreatitis, a me ke kahe ʻana o ke koko i loko. |
| ʻŌnaehana hanu | I nā hihia koʻikoʻi, hōʻiliʻili ka wai i loko o nā māmā, e paʻakikī ai ka hanu ʻana, e alakaʻi ana i kahi maʻi hoʻoweliweli ola i kapa ʻia ʻo 'Acute Respiratory Distress Syndrome (ARDS).' |
| nā puʻupaʻa | ʻEha puʻupaʻa koʻikoʻi (AKI) a me ka hāʻule ʻana o ka puʻupaʻa. |
| ʻŌnaehana nerve | ʻO nā kūlana e like me ka meningitis a me ka meningoencephalitis, hiki ke hoʻoulu i ka hopu ʻana a me nā loli o ke ʻano. |
Aia kekahi lāʻau pale no ke kuni ʻuku? Pehea e hiki ai iā kākou ke pale iā kākou iho?
A hiki i kēia lā, ʻaʻohe lāʻau pale i hana ʻia no ka pale ʻana i ka maʻi flea. No laila, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke pale iā ʻoe iho mai ka maʻi ma mua o kona ulu ʻana. ʻO ia hoʻi, e pale aku i ka nahu ʻia e ka ʻuku.
- E ʻaʻahu i kahi ʻano e uhi ai i kou kino holoʻokoʻa. E ʻaʻahu i nā lole lōʻihi a me nā pālule lima lōʻihi. ʻOi aku ka maikaʻi inā hiki iā ʻoe ke hoʻokomo i nā wēlau o kou mau lole i loko o kou mau kāmaʻa wāwae.
- 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.
- Mai noho pololei ma luna o ka mauʻu a i ʻole nā mea kanu.
- I ka lawe ʻana i nā pēpē a me nā kamaliʻi liʻiliʻi i waho, e uhi pono i ko lākou mau lima a me nā wāwae. E uhi i kā lākou stroller a i ʻole ka mea hāpai me kahi ʻupena palekana.
- Mai pīpī pololei i ka mea pale pepeke ma ka ʻili o nā keiki. E pīpī mua ma kou lima, a laila e kau ma ka ʻili o kāu keiki. E nīnau i ke kauka ma mua o ka hoʻohana ʻana iā ia ma nā keiki ma lalo o 2 mau makahiki.
- Ma hope o kou hoʻi ʻana mai waho, e hoʻomohu i kou mau lole a pau i loko o ka wai wela no kahi o 30 mau minuke. E holoi pono hoʻi i kou kino me ke kopa a me ka wai wela.
- Inā ʻoe e hele pinepine i nā wahi ululāʻau, hiki iā ʻoe ke mālama mua i kou mau lole a me kou mau kāmaʻa me kahi wai i loaʻa iā 'Permethrin' 0.5% . Pepehi kēia i nā ʻuku a noho pono ma hope o nā holoi ʻana he nui. Mai hoʻopili i kēia i kou ʻili. No nā lole wale nō.
Leka Lawe-Home
- He maʻi bacteria ka Scrub Typhus. Hiki ke koʻikoʻi, akā hiki ke ho'ōla loa ʻia me nā antibiotics .
- Hoʻolaha ʻia ia ma o ke nahu ʻana i nā ʻuku liʻiliʻi (chiggers) i loaʻa ma nā wahi e like me ka mauʻu a me nā lāʻau liʻiliʻi.
- ʻO nā hōʻailona nui ka wela, ka ʻehaʻeha o ke kino, a me ke kūkulu ʻia ʻana o kahi ʻōpala ʻeleʻele (eschar) ma kahi o ka nahu ʻana o ka makika.
- Inā loaʻa iā ʻoe kēia mau hōʻailona, mai hopohopo a e ʻike koke i ke kauka. ʻO ka wikiwiki o kou hoʻomaka ʻana i ka lāʻau lapaʻau, ʻoi aku ka maikaʻi.
- ʻO ka mea maikaʻi loa e hana ai, ʻo ia ke pale aku i ka maʻi. E uhi i kou kino i ka wā e hele ai i nā wahi ulu lāʻau, a e hoʻohana i ka mea pale pepeke.
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