Ua noʻonoʻo paha ʻoe, i kekahi manawa aia nā mea e hana nei i loko o ko kākou kino a ʻaʻole kākou i ʻike? No kekahi poʻe, ke loaʻa iā lākou nā pilikia ʻōpū a me ka pohō kaumaha, ʻo ka mea mua a lākou e noʻonoʻo ai, ʻo ia nā maʻi ilo tapeworm. Ua lohe paha ʻoe iā lākou, ʻeā? No laila, i kēia lā, e kamaʻilio kākou e pili ana i kēia mau ilo tapeworm.
He aha ka ilo lipine?
I ka ʻōlelo maʻalahi, he ilo pālahalaha a parasitic ka tapeworm. Noho ia i loko o nā ʻōpū o kahi holoholona (ʻo ia hoʻi, kona kikowaena). Hiki i nā holoholona e like me kā mākou ʻīlio a me nā pōpoki, a me nā bipi a me nā puaʻa, ke loaʻa i kēia mau ilo, a me mākou pū kekahi me nā kānaka. Hoʻopilikia nui ia i nā mammals e ʻai ana i ka ʻiʻo.
E like me nā parasites ʻē aʻe, noho kēia tapeworm i loko o ke kino o kāna holoholona hoʻokipa, e omo ana i kāna mau meaʻai. Hoʻopili ke poʻo o ka ilo i loko o kou ʻōpū, kahi e ʻai ai i ka meaʻai i hoʻoheheʻe ʻia.
I kona noho ʻana ma laila, hoʻomau ke kino o ka ilo i ka ulu a me ka waiho ʻana i nā hua. Hele kēia mau hua i lalo o nā ʻōpū o ka holoholona hoʻokipa a puka aku i loko o ka ʻōpala. Pēlā e loaʻa ai i kēia mau hua kahi hoʻokipa hou.
Pehea ke ʻano o kēia mau ilo lipine?
Ua kapa ʻia kēia ilo ma muli o kona ʻano. He pālahalaha ia, e like me kahi ʻāpana lipine. Hana ʻia kona kino me nā ʻāpana. ʻEkolu mau ʻāpana like ʻole o ka ilo lipine: ke poʻo (ka mea e hoʻopili ai i ka mea hoʻokipa), ka ʻāʻī (ka mea e hana i nā ʻāpana kino hou), a me ke kino haʻahaʻa i ʻāpana ʻia .
Hoʻopuka kēlā me kēia ʻāpana o ka ilo tapeworm i kāna mau hua ponoʻī. I kekahi mau ʻano ilo tapeworm, haki kēia mau ʻāpana me nā hua a hoʻopuka ʻia ma o nā ʻōpū o ka mea hoʻokipa i loko o ka feces. Ua like kēia mau ʻāpana me nā hua laiki keʻokeʻo . ʻO ka pinepine, ʻo ka hōʻailona mua o ka maʻi ilo tapeworm ka ʻike ʻia ʻana o kēia mau ʻāpana i loko o ka feces.
He aha ka maʻi ilo tapeworm?
Hiki ke loaʻa kahi maʻi tapeworm ma nā ʻano nui ʻelua:
Nā ilo lipine ʻōpū
E pili ana kēia i nā ilo lipine e puka mai ana mai nā hua i loko o nā ʻōpū o kahi holoholona hoʻokipa. Hoʻopili kēia mau ilo makua i nā paia o kou ʻōpū a omo i nā meaʻai mai ka meaʻai āu e ʻeli ai ma laila. ʻO ka hapa nui o ka manawa, ʻaʻole kēia mau ilo e hōʻike i kekahi mau hōʻailona . ʻAʻole ʻike ka nui o ka poʻe he maʻi ko lākou. Eia nō naʻe, inā koʻikoʻi ka maʻi, hiki iā ʻoe ke loaʻa i nā hemahema meaʻai , ka pohō kaumaha i wehewehe ʻole ʻia , ka nausea , a i ʻole ka maʻi diarrhea . Hiki i kekahi mau ilo lipine ke ola a hiki i 30 mau makahiki a ulu a hiki i 30 kapuaʻi ka lōʻihi! E noʻonoʻo i kēlā!
Hiki i kāu kauka ke kapa aku i kēia maʻi ilo tapeworm ʻo 'taeniasis'. Pili kēia i kahi maʻi i hoʻokumu ʻia e nā ilo tapeworm o ka genus Taenia. ʻO nā mea hoʻokipa nui ʻo Taenia solium (ilo puaʻa tapeworm), Taenia saginata (ilo pipi), a me Taenia asiatica (ilo tapeworm ʻĀkia - ʻo ia hoʻi ka ilo puaʻa tapeworm). Eia nō naʻe, ʻo nā ʻano ʻē aʻe, e like me Diphyllobothrium latum (ilo tapeworm iʻa) a me Hymenolepis nana (ilo tapeworm dwarf - he ʻano liʻiliʻi), hoʻopilikia pū i nā ʻōpū o ke kanaka.
Ka maʻi ʻana o ka larva tapeworm invasive
He ʻokoʻa iki kēia. Hana ʻia kēia maʻi parasitic invasive i ka wā e haʻalele ai nā larvae tapeworm i loko o kou ʻōpū i nā ʻōpū a komo i loko o kou koko a me nā ʻōpū ʻē aʻe. Hoʻopili kēia mau larvae iā lākou iho i nā ʻāpana like ʻole o kou kino, kahi e hana ai lākou i nā cysts. Ua like kēia mau cysts me nā ʻeke piha i ka wai. I ka ulu ʻana o nā larvae, ulu nui kēia mau cysts. Ma muli o kahi i loaʻa ai kēia mau cysts, hiki iā lākou ke hana i nā ʻano pilikia like ʻole. No ka laʻana, inā hana ʻia kēia mau cysts ma nā wahi e like me nā māmā, ke akepaʻa, a i ʻole ka puʻuwai, hiki iā lākou ke lilo i mea nui loa a hiki iā lākou ke hoʻopilikia i ka hana maʻamau o kēlā mau ʻōpū. Inā hoʻopili kēia mau cysts i ke kaula spinal a i ʻole ka lolo, hiki iā lākou ke hana i nā hōʻailona neurological e like me ka epilepsy.
Hiki iā ʻoe ke loaʻa i kēia maʻi me ka ʻole o kahi ilo tapeworm ʻōpū. ʻO ka ilo tapeworm puaʻa (Taenia solium) ke kumu o kahi maʻi ʻōpū, a me kēia cysticercosis invasive. ʻO kekahi mau ʻano ilo tapeworm ʻē aʻe e hoʻopili wale i nā kānaka i ko lākou pae larval. He ʻokoʻa nā inoa o kēia mau maʻi ma muli o ke ʻano o ka ilo - ka maʻi cystic hydatid (echinococcosis), ka maʻi alveolar, sparganosis a me coenurosis - akā ua like lākou a pau me nā cysts. ʻAʻohe pōʻino o kekahi mau cysts, akā hiki i kekahi ke hoʻopilikia a pono e wehe ʻia.
Pehea ka maʻamau o kēia?
Hiki ke loaʻa nā maʻi ilo tapeworm ma ka honua holoʻokoʻa. He mea maʻamau lākou ma nā ʻāina kahi e ʻai pinepine ʻia ai ka ʻiʻo maka a me ka iʻa a maikaʻi ʻole ka maʻemaʻe. Ma nā ʻāina e like me ʻAmelika Hui Pū ʻIa, he mea kākaʻikahi loa kēia. Akā hiki i ka poʻe ma ia mau ʻāina ke hele i nā ʻāina ʻē a hoʻi mai i ka maʻi. Ke nānā nei a puni ka honua, he paʻakikī ke ʻōlelo pololei i ka nui o nā maʻi ilo tapeworm. No ka mea, i ka hapanui o nā hihia, ʻaʻole kēia mau maʻi e hōʻike i nā hōʻailona maopopo . Eia kekahi, ʻaʻohe o nā ʻāina he nui nā pono e ʻike ai i nā mea āpau i loaʻa nā hōʻailona. No laila, ʻoi aku ka maʻamau o kēia ma mua o ko mākou manaʻo.
Pehea kou manaʻo no kēia?
Hoʻomohala ʻia nā ilo tapeworm i ʻekolu mau pae: hua manu, larva, a me ka ilo makua. ʻAʻole hiki i ka ilo makua ke ola ma waho o kahi kikowaena. Eia naʻe, hiki i nā hua a me nā larva. ʻO nā hua, i hoʻokahe ʻia mai ka kikowaena mua i loko o nā ʻōpala, ua hoʻokuʻu ʻia i loko o ka lepo a me ka wai a puni. Ma laila, hoʻohaumia lākou i ka meaʻai a me ka wai o nā holoholona ʻē aʻe. Hoʻomohala ʻia nā larva tapeworm i loko o nā kino o nā holoholona e ʻai ana i kēia mau hua - e like me nā pepeke a me nā iʻa. Loaʻa ka maʻi i nā kānaka ma ka ʻai ʻana i kēia mau hua a i ʻole larva me ka ʻike ʻole.
I ka ʻōlelo maʻalahi, ʻelua mau ala:
- ʻAi ʻana i nā hua ma o ka wai a i ʻole ka meaʻai haumia: ʻOi aku ka nui o ka poʻe e noho ana ma nā wahi me ka maʻemaʻe maikaʻi ʻole a me ka maʻemaʻe ʻole e loaʻa i kēia maʻi. Hiki i ka meaʻai a me ka wai i haumia me nā ʻōpala kanaka a me nā holoholona ke loaʻa nā hua tapeworm, kahi mea ʻike ʻole ʻia e ka maka ʻōlohelohe. Ke ʻai ka poʻe i kēia mau hua, ulu lākou i loko o nā ʻōpū. ʻO ia ka manawa e hiki ai iā lākou ke neʻe a puni. Ke haʻalele kēia mau ʻōpū i nā ʻōpū, hana ʻia ka 'infection larval invasive' i ʻōlelo ʻia ma mua.
- ʻAi ʻana i ka ʻiʻo maka a i ʻole i kuke pono ʻole ʻia: ʻOi aku ka nui o ka maʻi o ka poʻe ma nā ʻāina holomua i kēia ʻano. ʻO ka ʻiʻo i loaʻa i ka maʻi, ʻo ia hoʻi ka ʻiʻo me nā ʻōpū ilo tapeworm i loko. Inā ʻai ʻia me ka ʻole o ka kuke pono ʻana a i ʻole ka hoʻoheheʻe ʻana, ʻaʻole e make kēia mau ʻōpū. Hiki i nā iʻa wai maʻemaʻe nui, e like me ka salmon, ke hana i kēia maʻi. Ke ʻai ka poʻe i kēia ʻiʻo i loaʻa i ka maʻi, hele nā ʻōpū i loko o ko lākou ʻōpū, kahi e ulu ai lākou i nā ilo nui. ʻO kēia ka manawa e loaʻa ai ka maʻi ilo ʻōpū.
He aha nā hōʻailona o kēia maʻi ilo tapeworm?
Inā loaʻa iā ʻoe nā ilo liʻiliʻi o ka ʻōpū, ʻo nā hōʻailona maʻamau ka ʻeha iki o ka ʻōpū . ʻAʻole paha ʻoe e ʻike i kekahi mea. Eia nō naʻe, e ʻike paha ʻoe i nā mea e like me:
- Manaʻo pōloli (`Pōloli`)
- Ka nalowale o ka makemake
- Ka luaʻi
- Luhi
- ʻŌpū ʻeha
- Ka maʻi pākī
ʻAʻole hōʻike pinepine nā maʻi ʻōpū cystic i nā hōʻailona . Hiki ke ʻike ʻia lākou he mau puʻupuʻu ma lalo o ka ʻili. A i ʻole e ʻike wale ʻia lākou ke ulu nā pilikia me nā ʻōpū o loko. He mau makahiki kēia maʻamau.
He aha nā pilikia e hiki mai ana mai ka maʻi tapeworm?
Pili nā pilikia i ke ʻano o ka tapeworm āu i loaʻa ai, inā he ʻōpū a invasive paha, a me kahi o nā larvae invasive.
ʻO ka mea nui, ʻaʻole i loaʻa kēia mau pilikia i nā kānaka a pau, akā he mea maikaʻi ke ʻike iā lākou.
- Ka ālai ʻana o ke ala ʻai: He mea kākaʻikahi loa, hiki i kekahi mau ilo lipine ʻōpū ke ulu nui a hiki ke ālai i nā alahele o kāu ala ʻai, me nā ʻōpū, ka ileum, nā ʻāpana bile, a me nā ʻāpana pancreatic.
- Anemia nele i ka wikamina: Makemake nui nā ilo tapeworms, ʻoiai nā mea i loaʻa mai i ka iʻa, e omo i ka wikamina B12. Hiki i kēia ke alakaʻi i ka anemia (ka nele i ke koko).
- Nā Allergies: Hiki i nā larvae ke hana i nā hopena allergies i kou kino, e like me ka ʻeha, ka hives, a me ka paʻakikī o ka hanu ʻana.
- ʻUmi a me ka ʻeha o ka umauma: Hiki ke hana kēia mau mea inā ulu nā cysts i loko o nā māmā.
- Ka hoʻopilikia ʻana i ka hana o ke kino: Inā komo nā ʻenuhe i loko o ke akepaʻa, ka puʻuwai, nā maka, a i ʻole nā māmā, e hoʻopilikia ʻia paha ka hana maʻamau o kēlā mau kino.
- Nā hōʻailona neurological: Inā hiki nā ilo i ke kikowaena o ke kino (ʻo ia hoʻi ka lolo a me ke kaula kuamoʻo), hiki iā lākou ke hana i nā ʻeha poʻo, nā hopu ʻana, ka nalowale o ka hoʻomanaʻo, ka maningitis, a me ka pehu ʻana o ka lolo.
Pehea ʻoe e ʻike ai inā he mau ilo lipine kou?
Inā kānalua ʻoe he mau ilo tapeworm kou, e nānā i kou ʻōpala no nā ʻāpana ilo. E like me ka mea i ʻōlelo ʻia ma mua, ua like lākou me nā hua laiki. Inā loaʻa iā ʻoe kahi infestation tapeworm invasive, ʻike paha ʻoe i nā puʻupuʻu (cysts) ma kekahi mau wahi o kou kino. Eia nō naʻe, inā aia nā cysts i loko o kou kino, ʻaʻole paha lākou e ʻike ʻia a hiki i ka wā e hoʻoulu ai i nā pilikia.
Hiki ke loaʻa nā pilikia inā lilo kēia mau cysts i mea nui a hoʻopilikia i ke kahe koko a i ʻole ka hana maʻamau o nā ʻōpū. A i ʻole, hiki ke kū mai nā pilikia ke pahū nā cysts a hoʻomaka e make. A laila komo hou nā cysts i ke kahe koko. I kēlā manawa, ʻike kāu ʻōnaehana pale maʻi aia kahi maʻi. A laila hoʻomaka ʻoe e hōʻike i nā hōʻailona maʻamau o kahi maʻi, e like me ke kuni.
Pehea e ʻike ai nā kauka i kahi maʻi tapeworm?
Hoʻoponopono nā kauka i nā ilo tapeworms ma ka nānā ʻana i kou ʻōpala i loko o kahi keʻena hoʻokolohua. Hiki iā lākou ke nānā i nā hua ilo tapeworm a me nā ʻāpana ilo. Hiki iā lākou ke haʻi iā ʻoe i ke ʻano o ka ilo āu ma ka nānā ʻana i kekahi o nā hōʻailona. Hāʻawi ʻia ka lāʻau lapaʻau like no nā ʻano āpau, akā ʻokoʻa ka nui o ka lāʻau ma muli o ke ʻano o ka ilo. Inā loaʻa iā ʻoe ka ilo tapeworm puaʻa, e hoʻāʻo pū kāu kauka iā ʻoe no ka cysticercosis.
No ka nānā ʻana i kahi maʻi ilo invasive, hana mua paha kāu kauka i kahi hoʻāʻo koko. E nānā kēia inā e hana ana kou kino i nā antibodies e kūʻē i nā ilo. Inā maikaʻi ka hoʻāʻo koko, a inā he kumu ʻē aʻe e kānalua ai i kahi maʻi ilo, e hana kāu kauka i kahi hoʻāʻo kiʻi (kahi scan e nānā ana i loko o kou kino) e nānā i nā cysts. He maikaʻi loa nā MRI a me nā CT scans i ka nānā ʻana i nā ʻiʻo i loko o kou kino.
Pehea ʻoe e hoʻopau ai i ka tapeworm?
ʻO kēia ka mea maikaʻi loa! Aia nā lāʻau anthelmintic e hiki ke pepehi maʻalahi i nā tapeworms . ʻO nā laʻana e like me ka praziquantel (Biltricide®), albendazole (Albenza®), a me ka nitazoxanide (Alinia®). Paipai pinepine nā kauka i ka praziquantel no ka mea hoʻomake ia i ka ilo, e koi ana iā ia e hemo mai ka paia o ka ʻōpū. He mea nui e wehe ʻia ka ʻāʻī o ka ilo a hoʻokuʻu ʻia i waho o ke kino, no ka mea hiki i ka ilo ke ulu hou mai ka ʻāʻī. ʻOiai ma hope o ka mālama ʻana, e nānā kāu kauka i kou ʻōpala no hoʻokahi a ʻekolu mahina e ʻike inā he mau hōʻailona o ka maʻi tapeworm.
He aha nā lāʻau lapaʻau no ka maʻi larval invasive?
Hoʻomaʻamaʻa nā kauka i kahi ʻano hana no kēia:
- ``E nānā a kali``:Inā ʻaʻole nā cysts e hoʻoulu i kekahi pilikia a i ʻole ʻaʻole ma kahi wahi weliweli, e ʻōlelo paha ke kauka ʻaʻole e hana i kekahi mea e pili ana iā lākou i kēia manawa. E nānā wale lākou.
- Ka mālama ʻana i nā hōʻailona lua: Inā ke kumu nei ka puʻupuʻu i nā pilikia, ʻoiai nā mea neurological, pono e mālama mua ʻia kēlā mau hōʻailona. Hiki i kēia ke komo pū me ka lāʻau anti-seizure a i ʻole ka lāʻau lapaʻau e hōʻemi i ka hōʻiliʻili ʻana o ka wai i loko a puni paha o ka lolo.
- Corticosteroids: Hiki ke hoʻohana ʻia nā lāʻau anti-inflammatory, e like me corticosteroids, no nā maʻi ʻōpū e hoʻoulu ai i ka mumū o nā ʻiʻo.
- Nā lāʻau lapaʻau anthelmintic: Hiki i nā lāʻau lapaʻau anthelmintic ke kōkua i ka hoʻēmi ʻana i nā ilo i loko. Hiki i kāu kauka ke hāʻawi iā ʻoe i nā lāʻau anthelmintic me nā corticosteroids e kōkua i ka hōʻemi ʻana i ka mumū e kū mai ana ke hoʻomaka nā ilo e make.
- Ka Hoʻokahe Wai: Inā he mau cysts e hoʻopilikia nei, hiki ke hana ʻia kēia i kekahi mau hihia. Hiki i ke kauka ke hoʻokomo i kahi nila i loko o ka cyst, hou iā ia, a hoʻokahe i ke wai ma o ka nila. ʻO ka hope, e holoi lākou i nā cysts me kahi lāʻau antiparasitic.
- ʻOki ʻana: Pono paha e wehe ʻia nā puʻupuʻu e hoʻoweliweli i ka hana o ke kino.
Pehea ʻoe e pale aku ai i kēia mau maʻi tapeworm?
Haʻahaʻa ka pilikia ma nā ʻāina i hoʻomohala ʻia. Eia nō naʻe, hiki ke piʻi aʻe ka pilikia i ka wā e hele ai i nā ʻāina e ulu ana a me ka ʻai ʻana i ka ʻiʻo a me ka iʻa maka a i ʻole i moʻa pono ʻole ʻia. No laila, e hahai i kēia mau ʻōlelo aʻoaʻo e pale aku i nā maʻi tapeworm:
- Nā hana hoʻomaʻemaʻe maikaʻi: E holoi pono i kou mau lima me ke kopa a me ka wai ma hope o ka hoʻohana ʻana i ka lua, ma hope o ka launa pū ʻana me nā holoholona, a ma mua o ka lawelawe ʻana i ka meaʻai.
- Ka hoʻohana ʻana i ka wai palekana: Ma nā wahi i hoʻomaʻemaʻe ʻole ʻia ai ka wai, e hoʻolapalapa i ka wai no hoʻokahi minuke ma mua o ka inu ʻana. A i ʻole, hiki iā ʻoe ke kānana i ka wai. Eia nō naʻe, pono ke kānana he `1 micron` a emi mai paha, a pono e hoʻoheheʻe ʻia nā papa iodine i loko o ka wai i kānana ʻia.
- Hoʻomākaukau ʻiʻo palekana: E hoʻohana i kahi ana wela meaʻai i ka wā e kuke ai i ka ʻiʻo. Pono e kuke ʻia nā ʻokiʻoki ʻiʻo holoʻokoʻa i ka mahana o loko o 63 degere Celsius (145 degere Fahrenheit) a waiho ʻia e kū no ʻekolu mau minuke ma mua o ka ʻai ʻana. Pono e kuke ʻia ka ʻiʻo wili ʻia a hiki i 71 degere Celsius (160 degere Fahrenheit). ʻAʻole e pale aku ka puhipaka a i ʻole ka hoʻomaloʻo ʻana i ka ʻiʻo i nā ilo tapeworm.
- Hoʻomākaukau iʻa palekana: E kuke i nā iʻa wai maʻemaʻe nui e like me ka sālemona i ka mahana o loko o 63 degere Celsius (145 Fahrenheit). Inā ʻai i ka iʻa maka, ʻoi aku ka palekana o ka hoʻoheheʻe mua ʻana.Ma ka hapa nui o nā hale ʻaina sushi maikaʻi, hoʻopaʻahau koke ʻia ka iʻa hou i -35 degere Celsius (-31 degere Fahrenheit). A laila mālama lākou i ka iʻa ma -20 degere Celsius (-4 degere Fahrenheit) no kahi o 24 mau hola. Me ka ʻole o ka hoʻopaʻahau hohonu, koi ka FDA e hoʻopaʻahau ʻia ka iʻa ma -20 degere Celsius (-4 degere Fahrenheit) no ʻehiku mau lā e pepehi ai i nā parasites.
Pehea ka lōʻihi o koʻu loaʻa ʻana i ka maʻi ilo tapeworm?
Hiki ke lōʻihi ka manawa e ʻike ai he maʻi ilo tapeworm kāu. ʻAʻole paha e ʻike ʻia nā hōʻailona no nā mahina a i ʻole nā makahiki. Akā i ka wā e ʻike ʻia ai a mālama ʻia, e make ka ilo a puka i waho o kou kino. Eia nō naʻe, inā ʻaʻole ʻoe e ʻike, e make ka ilo tapeworm a puka i waho o kou kino ma hope o nā makahiki he nui.
Inā loaʻa iā ʻoe kahi maʻi ilo tapeworm invasive, a ʻaʻohe hōʻailona a pilikia paha mai nā cysts, e haʻi aku paha kāu kauka iā ʻoe ʻaʻole e hana i kekahi mea e pili ana i ia mea. Inā hana ʻia kēlā, e make nā ilo tapeworm ma hope o kekahi mau makahiki o ko lākou pōʻaiapuni ola. I kekahi manawa ʻike wale ka poʻe i ka wā e make ana lākou a hoʻomaka ʻia kahi pane mumū.
Inā loaʻa iā ʻoe kahi maʻi ilo tapeworm invasive e hoʻoulu ai i nā pilikia, ua loaʻa paha iā ʻoe no kekahi manawa. Ke loaʻa i kāu kauka, e wehe ʻo ia i ka ilo tapeworm pilikia a hana e kāohi i kāu mau hōʻailona. Pono ka wehe ʻana i ka ilo tapeworm e kōkua i ka hōʻemi ʻana i kāu mau hōʻailona. Akā i kekahi manawa, ua hiki ke hōʻino ʻia kou mau kino a i ʻole ka ʻōnaehana nerve waena.
Pehea e mālama ai iaʻu iho inā loaʻa iaʻu kahi maʻi tapeworm asymptomatic?
Inā ʻoe e noho ana me kahi maʻi tapeworm asymptomatic, ʻaʻole i mālama ʻia, e makaʻala i nā hōʻailona hou e ulu aʻe i ka hala ʻana o ka manawa. E ʻike ʻoe a me kāu kauka i kahi o nā cysts ma kou kino. No laila e makaʻala i nā hōʻailona ʻē aʻe ma kēlā mau wahi. E nānā i nā hōʻailona o ka mumū a i ʻole kahi pane pale e hiki mai ana i ka hoʻomaka ʻana o ka make ʻana o nā cysts. Hiki i kāu kauka ke kuhikuhi i ka lāʻau lapaʻau e kāohi i kāu mau hōʻailona.
Āhea wau e ʻike ai i ke kauka?
ʻOkoʻa loa nā hōʻailona o ka maʻi ilo tapeworm, inā loaʻa. ʻOi loa aku i nā maʻi ilo tapeworm. ʻAʻole paha ʻoe e ʻike e pili ana kāu mau hōʻailona i ka ilo tapeworm. Eia nō naʻe, inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē, e nīnau mau i kāu kauka . Inā he kumu kou e kānalua ai i kahi maʻi ilo tapeworm, e like me ka huakaʻi hou ʻana i nā ʻāina ʻē a i ʻole ka ʻai ʻana i ka meaʻai i moʻa ʻole ʻia, e hōʻoia e haʻi aku. Inā ʻike ʻoe i kekahi mau ʻāpana ilo i loko o kou ʻōpala, e hoʻāʻo koke ʻia .
ʻO ka mea hope loa, e hoʻomanaʻo i kēia.
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No laila, ʻaʻohe mea e makaʻu ai. ʻO ka mea nui, ʻo ia ka makaʻala a me ke akahele!
ʻIlo Tapeworm, Maʻi, Parasite, ʻŌpū, Nā Hōʻailona, Hoʻomaʻemaʻe











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