E aʻo kākou e pili ana i ka Tick-Borne Relapsing Fever (TBRF)

E noʻonoʻo ʻoe ua loaʻa iā ʻoe ke kuni kiʻekiʻe no kekahi mau lā. A laila nalo ke kuni iā ​​ia iho. Manaʻo ʻoe ua maikaʻi ʻoe. Akā ma kahi o hoʻokahi pule ma hope mai, me ke kumu ʻike ʻole ʻia, loaʻa hou iā ʻoe ke kuni kiʻekiʻe. Hele mai kēia ʻano kuni a hele aku... ʻAʻole anei he mea kupanaha iki? ʻO kēia ka hōʻailona nui o ka Tick-Borne Relapsing Fever (TBRF) . ʻAʻole kēia he maʻi maʻamau loa, akā he mea nui loa ia e makaʻala iā ia.

Pehea e ulu ai kēia maʻi?

I ka ʻōlelo maʻalahi, ua hoʻokumu ʻia kēia maʻi e kekahi ʻano bacteria . Komo kēia bacteria i loko o ko mākou kino ma o ka nahu ʻana o kahi ʻano kūikawā o ka makika . Kāhea mākou i kēia mau makika he 'makika palupalu'.

ʻAʻole e like me nā ʻuku paʻakikī a mākou i kamaʻāina ai, ʻaʻole pili kēia mau ʻuku palupalu i ko mākou kino no nā lā. Omo lākou i ke koko i loko o kahi manawa pōkole, ma kahi o 15 a 30 mau minuke, a laila hoʻi i ko lākou wahi i hele mai ai. ʻO ka mea nui loa, ke nahu kēia mau ʻuku, ʻaʻole mākou e ʻeha. No laila, i kekahi manawa, ʻaʻole mākou i ʻike inā ua nahu ʻia mākou e kahi ʻuku.

Noho kēia mau ʻuku i loko o nā pūnana o nā holoholona liʻiliʻi e like me nā ʻiole a me nā ʻiole liʻiliʻi. ʻO ia ke kumu e pili nui ai kēia maʻi me nā hale liʻiliʻi ma nā wahi mauna. No ka mea, ma ia mau wahi, kūkulu nā holoholona e like me nā ʻiole i nā pūnana i loko o nā paia a me nā hale. I ka pō, i ko mākou hiamoe ʻana, puka mai nā ʻuku i loko o kēia mau pūnana a omo i ko mākou koko.

ʻOiai ʻaʻole i hōʻike pinepine ʻia kēia maʻi ma Sri Lanka, he mea nui loa ia e makaʻala i kēia inā ʻoe e hele ana i nā wahi mauna ma nā ʻāina ʻē, ʻoi aku hoʻi ma nā ʻāina e like me ʻAmelika Hui Pū ʻIa, Kanada, a me Mekiko.

He aha nā hōʻailona o kēia?

ʻO ka maʻamau, ma kahi o hoʻokahi pule e ʻike ʻia ai nā hōʻailona ma hope o ka nahu ʻana o ka makika. ʻO ka hōʻailona nui, e like me kaʻu i ʻōlelo ai ma mua, he kuni nui e hele mai a hele aku.

I ka hopena o kēlā me kēia hanana kuni, e piʻi koke paha ka mahana o kou kino i kahi pae kiʻekiʻe loa (hiki paha i 106.7 F). Hiki ke mau kēia no kahi o 10-30 mau minuke. A laila e emi koke ke kuni, a e hou nui paha ʻoe.

Ma waho aʻe o kēia hōʻailona nui, hiki ke ʻike ʻia kekahi mau hōʻailona ʻē aʻe.

Pehea e hana ʻia ai ka hōʻailona?

Inā ʻoe e hōʻike ana i kēia mau hōʻailona, ​​e nānā pono mua kāu kauka iā ʻoe. E nīnau pū ʻo ia e pili ana i nā huakaʻi i hala koke aku nei, ʻoiai hoʻi i nā wahi mauna a me nā hale lāʻau kahiko kahi e hiki ai i kēia mau makika palupalu ke noho.

No ka hōʻoia ʻana i ka maʻi, lawe ʻia kahi hāpana o kou koko. Lawe pinepine ʻia kēia hāpana koko ke loaʻa iā ʻoe ke kuni. Ma ka hale hana, nānā kekahi ʻepekema i kahi hāpana liʻiliʻi o kou koko ma lalo o kahi microscope. E hōʻike pololei kēia iā ʻoe inā paha aia nā bacteria e hoʻoulu ai i ka maʻi, i kapa ʻia ʻo *Borrelia*, i loko o kou koko. Ma lalo o kahi microscope, ua like kēia mau bacteria me kahi corkscrew liʻiliʻi.

He aha nā lāʻau lapaʻau?

I ka hapa nui o ka manawa, hiki ke ho'ōla ʻia kēia maʻi me ka ʻole o ka lāʻau lapaʻau. Eia nō naʻe, inā ua hōʻoia ʻia ka maʻi, e kuhikuhi kāu kauka i nā antibiotics . Hoʻopau kēia i nā bacteria e hoʻoulu ai i ka maʻi. ʻO nā lāʻau lapaʻau i hoʻohana pinepine ʻia ʻo tetracycline a me doxycycline. ʻO nā wahine hāpai a me nā keiki liʻiliʻi e kuhikuhi pinepine ʻia i nā lāʻau ʻē aʻe, e like me ka erythromycin.Hāʻawi ʻia kahi lāʻau antibiotic. Manaʻo ka hapa nui o ka poʻe ua ʻoi aku ka maikaʻi i loko o kekahi mau lā o ka hoʻomaka ʻana i ka lāʻau.

He mea kūikawā e hoʻomanaʻo ai!

Eia kekahi mea kūikawā e ʻike ai: ʻOi aku ma mua o ka hapalua o ka poʻe i loaʻa ka lāʻau lapaʻau e ʻike paha i ka hoʻonui ʻia ʻana o nā hōʻailona no ka manawa pōkole (ke kuni kiʻekiʻe, ke anu) i loko o nā hola mua ma hope o ka hoʻomaka ʻana i nā lāʻau antibiotic.

ʻO ka hapa nui o ka manawa, e nalo wale kēia mau hōʻailona i loko o kekahi mau hola. Hiki i kāu kauka ke noi iā ʻoe e noho i ka haukapila no ka nānā ʻana no nā hola mua ma hope o ka hoʻomaka ʻana i ka lāʻau lapaʻau. He mea kākaʻikahi loa, hiki i kekahi poʻe ke pilikia i ka hanu ʻana. Inā hana ʻia kēia, he mea nui e ʻimi koke i ka ʻōlelo aʻoaʻo lapaʻau a i ʻole e hele i ka Emergency Department (ETU).

Hiki ke loaʻa nā pilikia?

Me ka lāʻau antibiotic kūpono, e pau loa kēia maʻi i loko o kekahi mau lā. He mea kākaʻikahi nā pilikia.

Eia nō naʻe, i nā hihia kakaikahi, hiki i ka TBRF ke hōʻino i nā aʻalolo e hoʻopili ai i kou mau maka a i ʻole nā ​​pepeiao. Hiki i kēia ke kumu i ka nalowale o ka lohe a i ʻole ka ʻike. Hiki iā ia ke hana i kahi maʻi lolo manawa pōkole o nā ʻiʻo maka, i kapa ʻia ʻo Bell's palsy . I nā hihia kakaikahi, hiki ke loaʻa ka mumū o ka puʻuwai.

Inā loaʻa iā ʻoe kēia maʻi i ka wā hāpai, hiki ke hoʻonui iki ʻia ka pilikia o nā pilikia e like me ka hānau mua ʻana a i ʻole ke kaumaha hānau haʻahaʻa. No laila, pono ka makuahine hāpai e makaʻala loa i kēia.

Pehea ʻoe e pale ai iā ʻoe iho mai kēia maʻi?

ʻO ka mea maikaʻi loa e hana ai, ʻo ia ke pale aku i ka nahu ʻia ʻana e nā ʻuku.

• Inā ʻoe e hele ana i kahi e loaʻa ai nā makika, e hoʻohana i ka mea pale pepeke i ka wā ma waho. Hiki iā ʻoe ke hoʻohana i kahi wai i loaʻa ka permethrin ma nā lole, a i ʻole kahi huahana i loaʻa ka DEET ma ka ʻili a me nā lole.
• Inā ʻoe e noho ana i kahi hale hoʻokipa lāʻau kahiko, e nānā i nā ʻiole. E nānā i nā mea e like me nā kolone pi. Inā ʻike ʻoe i kekahi, e hoʻopau i nā ʻiole a me ko lākou mau pūnana me ke kōkua o kahi loea kaohi pest.

Kuni, Mākaʻi, TBRF, Kuni Hoʻi Hou, Borrelia, Lāʻau Lapaʻau, Nā Hōʻailona, ​​Nā Maʻi ʻAʻai