Ua loaʻa koke iā ʻoe nā hōʻailona e like me ka maʻi kahe a me ke kuni me ka ʻeha ʻōpū? Malia paha ʻo ke kumu he bacteria i kapa ʻia ʻo Shigella. He maʻi maʻamau loa kēia. I kēia lā, e kamaʻilio mākou e pili ana i kēia maʻi Shigella, a i ʻole e like me ke kapa ʻana o nā kauka, ʻo Shigellosis. Ke ʻike pono ʻoe i ke ʻano o ia mea, e maopopo iā ʻoe pehea e pale aku ai a me ka mea e hana ai inā hana ia.
He aha ka maʻi Shigella? I ka pōkole...
He ʻano bacteria ʻo Shigella. Hoʻopilikia kēia bacteria i kā mākou ʻōnaehana hoʻoheheʻe . ʻOi aku hoʻi, ko mākou ʻōpū. Ke komo i loko o ke kino, hana ia i nā hōʻailona e like me ka ʻōpū ʻeha, ka maʻi pākī, a me ke kuni. I kekahi manawa, hiki ke hele pū ka maʻi pākī me ke koko a i ʻole ka mucus.
ʻO ka mea weliweli loa e pili ana i kēia, ʻo ia ka maʻi lele loa ʻo Shigella. Hiki ke laha maʻalahi mai kekahi kanaka a i kekahi. Pehea e laha ai? ʻO ka mea nui ma o ka meaʻai a me ka wai i haumia ʻia. E noʻonoʻo, ke ʻauʻau nei ʻoe i kahi me ka wai i haumia ʻia, a inā ʻoe e moni hewa i kekahi o ka wai, hiki nō iā ʻoe ke loaʻa i ka maʻi.
I kekahi manawa, kapa nā kauka i kēia maʻi he bacillary dysentery . ʻO ka huaʻōlelo "dysentery" ʻo ia hoʻi ka maʻi diarrhea me ke koko a i ʻole ka mucus. No laila ua kapa ʻia pēlā no ka mea hōʻike pū ka maʻi Shigella i nā hōʻailona like.
ʻO wai ka mea i ʻoi aku ka paʻakikī ke loaʻa i ka maʻi Shigella?
ʻOiaʻiʻo, hiki i kekahi ke loaʻa . Eia nō naʻe, ʻoi aku ka nui o ka loaʻa ʻana o ia mea i kekahi poʻe. He mea maʻamau ia ma nā wahi me ka maʻemaʻe maikaʻi ʻole a me nā wahi piha kanaka.
ʻo kahi laʻana:
- Kula
- Nā kikowaena mālama lā
- Nā hale mālama keiki
Aia nā kamaliʻi ʻōpio, hoʻokomo mau lākou i ko lākou mau lima i loko o ko lākou waha, hoʻokomo lākou i nā mea pāʻani i loko o ko lākou waha. No laila, he kiʻekiʻe loa ko lākou manawa e loaʻa ai kēia bacteria Shigella i loko o ko lākou kino. ʻO ia ke kumu he mea maʻamau kēia i waena o nā kamaliʻi.
Pehea ka maʻamau o kēia kūlana a puni ka honua?
ʻAʻole i kaupalena ʻia kēia maʻi Shigella i Sri Lanka. He pilikia ia e kū nei ma ka honua holoʻokoʻa . E noʻonoʻo wale, ma kahi o 188 miliona mau kānaka e loaʻa ana i kēia i kēlā me kēia makahiki, a he mau haneli tausani, a he miliona paha, o ka poʻe e make ana ma muli o ia mea. ʻOiai ma nā ʻāina i kapa ʻia he hoʻomohala ʻia, ua hōʻike ʻia ma kahi o 1.5 miliona mau maʻi i kēlā me kēia makahiki. ʻOiai ma kahi ʻāina e like me ʻAmelika, ma kahi o 4.5 miliona mau kānaka e hāʻule nei i kēia maʻi i kēlā me kēia makahiki. No laila, hiki iā ʻoe ke ʻike i ka laha ʻana o kēia, ʻeā?
Pehea e ulu ai ʻo Shigellosis? He aha ke kumu maoli?
Ua ʻōlelo mua mākou he bacteria kēia. Loaʻa pinepine kēia bacteria Shigella i loko o ka ʻōpala (poop) o kahi kanaka i loaʻa i ka maʻi . No laila, pehea e laha ai?
- Inā pili kekahi (pololei a ʻaʻole pololei paha) me nā ʻōpala o kahi kanaka i loaʻa i ka maʻi.
- Inā ʻoe e hoʻopā i kahi mea i haumia ʻia me nā ʻōpala (e like me kahi ʻūpā puka, kahi mea pāʻani) a ʻai me ia lima hoʻokahi.
I ka ʻōlelo maʻalahi, komo kēia bacteria i ke kino ma o ko kākou waha. Hiki iā ia:
- Inā ʻoe e ʻai i ka meaʻai lepo : Inā ʻoe e ʻai i ka meaʻai i loaʻa ka bacteria (ʻoi aku hoʻi inā ʻaʻole i moʻa pono ʻia).
- Inā ʻoe e inu i ka wai lepo : Inā ʻoe e inu i ka wai i loaʻa ka bacteria.
- Hiki nō hoʻi ke laha ma o ka moekolohe me kahi kanaka i loaʻa i ka maʻi (ʻoi aku hoʻi ma o nā hana e pili ana i ka ʻōpala). He mea nui e kamaʻilio ākea e pili ana i kēia, no ka mea, ʻo ka ʻike ke kī i ka palekana.
Loaʻa pinepine nā bacteria Shigella i nā mea kanu i moʻa ʻole ʻia (e.g., letus, inā ʻaʻole i holoi pono ʻia) a me kekahi mau meaʻai kai (e.g., oysters).
E noʻonoʻo, inā loaʻa i kahi keiki ma ke kula liʻiliʻi ʻo Shigella, a laila hele i ka lua me ka holoi ʻole ʻana i kona mau lima, kaʻana like i nā mea pāʻani me nā keiki ʻē aʻe, a i ʻole e hoʻopā i ka meaʻai a haʻi i ka wā e ʻai ana, hiki i nā keiki ʻē aʻe ke loaʻa maʻalahi i ka maʻi. Pēlā nō, hiki loa ke loaʻa i ka maʻi mai kahi mea e hoʻohana ana i ka lua lehulehu a holoi pono ʻole i kona mau lima.
He aha nā hōʻailona o ka maʻi Shigella? E nānā inā loaʻa iā ʻoe kēia mau mea pū kekahi
Hiki ke ʻokoʻa iki kēia mau hōʻailona mai kēlā kanaka a kēia kanaka, akā ʻo nā hōʻailona maʻamau:
- Ka maʻi kahe: ʻO kēia ka hōʻailona nui. Hiki ke wai a hiki ke hele pū me ke koko, ka mucus, a i ʻole ka pus . Hiki ke hana i nā manawa he nui i ka lā.
- ʻEha ʻōpū a me nā ʻūpā: ʻEha ʻōpū , kahi manaʻo o ka ʻūmiʻi a i ʻole ka ʻōwili ʻana i loko o ka ʻōpū.
- Luaʻi: Hiki i kekahi poʻe ke luaʻi.
- Kuni: Hiki i ke kino ke wela a hiki iā ʻoe ke loaʻa ke kuni.
ʻO ka mea nui, hiki i kekahi poʻe ke loaʻa kēia bacteria Shigella i loko o ko lākou kino me ka ʻole o nā hōʻailona . Akā hiki nō iā lākou ke hoʻopili i kekahi. ʻO ia hoʻi, ua like lākou me nā mea lawe o ka maʻi.
Pehea ʻoe e ʻike pono ai inā loaʻa iā ʻoe kēia? (Diagnosis)
Inā loaʻa iā ʻoe kēia mau hōʻailona, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke ʻike i ke kauka. E hoʻolohe ke kauka i kāu mau hōʻailona, e nānā iā ʻoe, a e hoʻoholo inā he maʻi Shigella paha kēia.
Eia nō naʻe, no ka ʻoiaʻiʻo, pono ʻoe e hana i kahi hoʻāʻo ʻana i ka ʻōpala e hoʻoholo ai inā he bacteria Shigella kou.
He aha nā lāʻau lapaʻau no Shigellosis? ʻAʻohe mea e hopohopo ai!
Aia ka lāʻau lapaʻau i ke koʻikoʻi o ka maʻi. ʻAʻole pono nā kānaka a pau i ka lāʻau lapaʻau like.
Nā mea hiki iā ʻoe ke hana ma ka home (Nā hihia liʻiliʻi - inā he liʻiliʻi nā hōʻailona)
Inā ʻaʻole koʻikoʻi loa kāu mau hōʻailona, hiki iā ʻoe ke hoʻāʻo i kēia mau mea ma ka home e kōkua iā ʻoe e ho'ōla:
- E hoʻomaha nui: He mea nui e pale i ka hoʻoikaika nui ʻana i kou kino.
- E inu i ka nui o nā wai:Hoʻolilo ka maʻi kahe i ke kino i ka wai a me ka paʻakai. No laila, no ka pale ʻana i ka maloʻo ʻana , ʻo ia hoʻi ka mālama ʻana i ka wai i loko o ke kino, e inu mau i nā wai e like me ka wai, ka wai huaʻai, ka wai ʻalani, a me ka porridge.
- Lāʻau lapaʻau no ka maʻi pākī i kuhikuhi ʻia: I kekahi manawa, e ʻōlelo paha kāu kauka i kahi lāʻau lapaʻau e like me ke bismuth subsalicylate (e like me Pepto-Bismol®) e kōkua i ka hōʻemi ʻana i ka maʻi pākī. Eia nō naʻe, mai hoʻōla ponoʻī me ka ʻole o ke kūkākūkā ʻana me ke kauka.
- Mai lawe i kēia mau lāʻau lapaʻau: ʻAʻole ʻōlelo ʻia nā lāʻau lapaʻau e loaʻa ana ka loperamide (e.g., Imodium®) a i ʻole diphenoxylate me ka atropine (e.g., Lomotil®) i kēia manawa. Hoʻolohi lākou i ka hana o nā ʻōpū a mālama i nā bacteria i loko o ke kino no ka manawa lōʻihi. Hiki i kēia ke hoʻonui i ka maʻi.
Lapaʻau lapaʻau (Nā hihia koʻikoʻi - inā koʻikoʻi nā hōʻailona)
Inā koʻikoʻi kou mau hōʻailona, a inā he nāwaliwali kou ʻōnaehana pale maʻi (e.g. ma muli o kekahi maʻi ʻē aʻe, a inā he ʻelemakule ʻoe a he keiki liʻiliʻi paha), hiki i kāu kauka ke kuhikuhi i nā lāʻau antibiotic . No ka laʻana, hiki ke hāʻawi ʻia iā ʻoe ʻo Ciprofloxacin a i ʻole Azithromycin.
ʻO ka mea nui loa: E lawe i nā lāʻau antibiotic e like me ke kauoha a kāu kauka, no ka manawa piha . Mai ho'ōki i ka lawe ʻana iā lākou no ka mea ua maikaʻi kou manaʻo. ʻO ka hana ʻana pēlā e hiki ai ke hoʻi hou mai ka maʻi, a i ʻole e kūʻē ka bacteria i ka lāʻau.
He aha nā pilikia ʻē aʻe e hiki ke hana ma muli o Shigellosis?
ʻOiai e hoʻopau pinepine ʻia ʻo Shigellosis i loko o kekahi mau lā, hiki ke loaʻa nā pilikia i kekahi manawa.
- Ka maloʻo ʻana o ka wai: ʻO kēia ka pilikia maʻamau a koʻikoʻi hoʻi. Hana ʻia ia i ka wā e nalowale ai ke kino i ka nui o ka wai a me ka paʻakai ma muli o ka maʻi diarrhea. He mea weliweli loa kēia no nā keiki ʻōpio a me ka poʻe ʻelemakule. Hiki iā ia ke hoʻoweliweli i ke ola.
- Nā maʻi kahe koko: ʻOiai he mea kakaikahi, hiki i ka bacteria ke komo i ke kahe koko mai nā ʻōpū a laha ma ke kino holoʻokoʻa.
- Nā hopu ʻana: Hiki ke loaʻa nā hopu ʻana me ke kuni nui, ʻoi aku hoʻi i nā keiki ʻōpio.
- ʻO ka ʻāʻī ma hope o ka maʻi: Ua kapa ʻia kēia ʻo Reiter's syndrome a i ʻole reactive arthritis . Ma hope o ka maʻi Shigella, hiki i nā hono ke ʻeha, hiki i nā maka ke ʻulaʻula a pehu, a hiki ke loaʻa ka ʻeha i ka wā e mimi ai no kekahi mau pule.
- ʻO ka maʻi hemolytic uremic (HUS): He ʻano koʻikoʻi a laha ʻole kēia. Hoʻopōʻino ia i nā kīʻaha koko liʻiliʻi i loko o nā puʻupaʻa, e hoʻopau ai i nā hunaola koko, e hoʻoulu ai i ka anemia , a hiki ke alakaʻi i ka hāʻule ʻana o nā puʻupaʻa.
Pehea e pale aku ai i ka Shigellosis? He mea nui loa kēia mau mea!
Nui nā mea maʻalahi e hiki ai iā kākou ke hana e hōʻemi i ka pilikia o ka loaʻa ʻana o kēia maʻi a hoʻōki i kona laha ʻana. Inā ʻoe e hahai pono i kēia mau ʻanuʻu, hiki iā ʻoe ke pale iā ʻoe iho a me kou ʻohana.
- E holoi pono i kou mau lima me ke kopa i nā manawa a pau: ʻO kēia ka mea nui loa .
- Ma mua o ka ʻai ʻana a ma hope o ka ʻai ʻana.
- Ma hope o ka hele ʻana i ka lua.
- Ma hope o ka hoʻololi ʻana i ka diaper o ke pēpē.
- Ma mua o ka kuke ʻana.
- Inā ʻoe e hoʻopā i kahi kanaka i loaʻa i ka maʻi a i kā lākou mau mea paha.
I ka holoi ʻana i kou mau lima, pono ʻoe e hoʻohana i ke kopa a hamo maikaʻi iā lākou no ka liʻiliʻi he 20 kekona.
- E holoi a hoʻomoʻa pono i ka meaʻai: E holoi pono i nā mea kanu maka a me nā huaʻai me ka wai maʻemaʻe. E hoʻomoʻa pono i ka ʻiʻo, ka iʻa, a me nā hua manu.
- E pale i ka hoʻoluʻu ʻana iā ʻoe iho i loko o nā loko ʻauʻau, nā loko, a i ʻole nā loko wai: Hiki i ka wai o kēia mau wahi ke loaʻa nā bacteria.
- E hoʻolei pono i nā diaper i hoʻohana ʻia: E hoʻololi i ka diaper, e ʻōwili pono iā ia, a waiho i loko o kahi ʻōpala me ke poʻi. E holoi pono i kou mau lima ma hope.
- E makaʻala i ka meaʻai a me ka mea inu i ka wā e hele ai i nā ʻāina ʻē aʻe: ʻOiai ʻaʻole maikaʻi ka hoʻomaʻemaʻe ma kekahi mau ʻāina, e inu wale i ka wai ʻōmole a hōʻemi i ka ʻai ʻana ma nā hale kūʻai ma ke alanui.
- E makaʻala i ka wā e moe ai: ʻOiai ma hope o ka ho'ōla ʻana o kāu hoa mai ka maʻi diarrhea, ʻoi aku ka maikaʻi o ke kali ʻana ma ka liʻiliʻi he hoʻokahi pule ma mua o ka moe ʻana.
- He lāʻau pale: Ke hoʻāʻo nei nā kānaka noiʻi e hoʻomohala i kahi lāʻau pale e kūʻē i kēia bacteria Shigella, akā ʻaʻohe lāʻau pale e like me ia i kēia manawa.
Pehea ka lōʻihi e ho'ōla ai mai ka Shigellosis? (Outlook)
ʻO ka hapa nui o ka poʻe i loaʻa i ka maʻi Shigella e hoʻōla i loko o 4 a 7 mau lā, me ka emi ʻana o nā hōʻailona. Eia nō naʻe, e hoʻomanaʻo hiki iā ʻoe ke hoʻolaha i ka maʻi i nā poʻe ʻē aʻe no kekahi mau pule ma hope o kou hoʻōla ʻana . No laila, inā hoʻōla ʻoe, e akahele loa i ka wā e lawelawe ai i ka meaʻai a me nā mea inu, ʻoiai ke kokoke ʻoe i nā poʻe ʻē aʻe.
No kekahi poʻe me nā maʻi koʻikoʻi, maʻi paha lākou no 3 a 6 mau pule. E like me ka mea i ʻōlelo ʻia ma mua, he kakaikahi nā pilikia, akā ʻaʻole hiki ʻole.
Āhea ʻoe e ʻike ai i ke kauka? E makaʻala i kēia mau hōʻailona!
ʻOiai e hoʻoponopono pinepine ʻia ma ka home, pono ʻoe e ʻike i ke kauka inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona:
- Inā loaʻa iā ʻoe ka maʻi pākī me ke koko.
- Inā loaʻa iā ʻoe ke kuni kiʻekiʻe (inā ʻaʻole i iho ke kuni).
- Inā loaʻa iā ʻoe ka ʻeha nui o ka ʻōpū.
- Inā ʻaʻole hiki iā ʻoe ke inu i nā wai lawa , inā paha ma muli o ka luaʻi ʻana a i ʻole nā kumu ʻē aʻe, ua maloʻo paha ʻoe, no laila e haʻi koke aku i kāu kauka (e laʻa me ka waha maloʻo, nā maka i piholo, ka emi ʻana o ka mimi ʻana, ka ʻili maloʻo).
Pehea e mālama ai iaʻu iho? (Mālama ponoʻī inā loaʻa ka maʻi)
Inā loaʻa iā ʻoe ka Shigellosis,ʻO ka mea nui, ʻo ia ka mālama ʻana i ka hydration kūpono.
- E inu i ka wai nui.
- E inu i nā mea inu e hoʻopiha hou i nā electrolytes, e like me Jeevani.
- E inu i ka wai ʻalani, ka wai niu, ka porridge, a me nā sopa.
- Hiki iā ʻoe ke hāʻawi i nā mea liʻiliʻi e like me nā ʻeke hau (Popsicles®) (ʻoiai he ʻano wai lākou).
He aha nā meaʻai e hoʻoulu ai i ka maʻi Shigella?
ʻO ka mea maʻamau, hiki ke laha ʻo Shigella ma o ka meaʻai maka .
ʻo kahi laʻana:
- Nā salakeke (ʻoi aku hoʻi i ka wā e ʻai ʻia ai ma waho).
- Nā hua (inā ʻaʻole i holoi maikaʻi ʻia).
- Nā mea kanu (ʻoi aku hoʻi nā mea i ulu ʻia ma ka lepo i haumia ʻia me nā ʻōpala kanaka, inā ʻaʻole i holoi pono ʻia).
Akā, e hoʻomanaʻo i kēia: Hiki ke laha ma o kekahi meaʻai, mai nā lima lepo, a i ʻole mai kekahi e hoʻomākaukau ana i ka meaʻai me ka nānā ʻole i ka maʻemaʻe. No laila, he mea nui e makaʻala i nā wahi āu e ʻai ai a me ka poʻe e hoʻomākaukau ana i ka meaʻai.
Hiki ke loaʻa ka maʻi Shigella ma mua o hoʻokahi manawa?
Ke loaʻa iā ʻoe, he mea kākaʻikahi loa ia, akā ʻaʻole hiki ʻole ke loaʻa hou. ʻO kēia no ka mea he ʻano like ʻole o ka bacteria Shigella. Ke loaʻa iā ʻoe kekahi ʻano, hiki iā ʻoe ke hoʻomohala i ka pale ʻana iā ia.
Ma ke ʻano he hōʻuluʻulu manaʻo, e hoʻomanaʻo i kēia (Leka Lawe-Home)
ʻO Shigellosis, a i ʻole ka maʻi i hoʻokumu ʻia e ka bacteria Shigella a mākou i kamaʻilio ai, ʻo ia ke kumu o ka maʻi kahe wai, i kekahi manawa koko. Hiki ke hele pū me ka ʻeha o ka ʻōpū a me ke kuni.
ʻO ke ala maikaʻi loa a maʻalahi hoʻi e pale aku ai i kēia, ʻo ia ka holoi mau ʻana i kou mau lima me ke kopa. A e mālama pū i ka maʻemaʻe o ka meaʻai a me nā mea inu.
Inā loaʻa iā ʻoe nā hōʻailona koʻikoʻi, e like me ka ʻeha nui, ke kuni nui, a i ʻole ka maʻi kahe koko, pono ʻoe e ʻike i ke kauka. I ka hapa nui o ka manawa, hiki iā ʻoe ke hoʻomaikaʻi ma ka home ma ka hoʻomaha ʻana a me ka inu ʻana i nā wai he nui. I kekahi poʻe, hiki i kāu kauka ke kuhikuhi i nā lāʻau antibiotic.
Mai hopohopo, hoʻōla loa ka hapa nui o ka poʻe mai kēia maʻi. ʻO ka mea nui loa, ʻo ia ka ʻike a me ke akahele!
ʻO Shigella, shigellosis, diarrhea, ʻeha ʻōpū, germs, maʻi bacteria, lāʻau make meaʻai











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