Ua ʻulaʻula a waimaka kou mau maka? E aʻo kākou e pili ana i kēia maʻi weliweli, ʻo Trachoma.

ʻUlaʻula mau a maneʻo paha kou mau maka? Aia kekahi mau kahe wai mai kou mau maka? Malia paha ua pehu kou mau lihilihi a paʻakikī ke ʻike? ʻAʻole kēia he mau hōʻailona maikaʻi. He mau hōʻailona mua paha kēia o kahi maʻi maka i kapa ʻia ʻo trachoma, a mākou e kamaʻilio nei i kēia lā. Mai hopohopo, e akāka kākou e pili ana i kēia. No ka mea, e like me nā maʻi āpau, ʻo ka wikiwiki o ka ʻike ʻia ʻana, ʻo ka maʻalahi o ka mālama ʻana.

He aha ka trachoma? No ke aha he mea weliweli?

I ka ʻōlelo maʻalahi, he maʻi bacteria ka trachoma i ko kākou mau maka. Hoʻokumu ʻia ia e kahi bacteria i kapa ʻia ʻo Chlamydia trachomatis. Inā ʻaʻole mālama ʻia, hiki iā ia ke alakaʻi mālie i ka nalowale o ka ʻike a me ka makapō hiki ʻole ke hoʻihoʻi ʻia . E noʻonoʻo i ka ʻeha o ia mea.

ʻOi aku ka maʻamau o kēia maʻi ma nā wahi ʻilihune a kuaʻāina o ka honua. ʻO ke ʻano kēia, ʻoi aku ka nui o ka pilikia o ka laha ʻana o kēia maʻi ma nā wahi i nele ai ka maʻemaʻe, kaupalena ʻia ka wai maʻemaʻe a me ka hoʻomaʻemaʻe, a noho ka poʻe i nā kūlana piha loa . E noʻonoʻo, inā he nui ka poʻe e noho ana i ka hale liʻiliʻi hoʻokahi, a inā he maʻemaʻe maikaʻi ʻole, pehea ka nui o ka hiki ke laha aku kahi maʻi e like me kēia mai kekahi kanaka a i kekahi.

Wahi a ka World Health Organization, i ka makahiki 2020 wale nō, ua hāʻawi ʻia ma kahi o 32.8 miliona mau kānaka i nā lāʻau antibiotic no ka trachoma. Ua pono ma mua o 42,000 mau kānaka e hana ʻoki kino ma muli o ka maʻi. Ma kahi o 1.9 miliona mau kānaka i makapō a i ʻole he ʻike maka ʻole ma muli o ka trachoma . He kūlana kaumaha maoli kēia, ʻeā? ʻOi aku ka ʻino o ka maʻi ma ka ʻāina ʻApelika. Akā loaʻa pū ka trachoma ma nā ʻāina e like me ʻAsia, Australia, ka Hikina Waena, ʻAmelika Waena a me ʻAmelika Hema.

He aha nā hōʻailona o ka trachoma?

Aia kekahi mau hōʻailona mua o ka trachoma. E nānā kākou i ke ʻano o lākou:

• Nā maka ʻulaʻula a me he mea lā e ʻā ana.
• Ka pehu ʻana o nā lihilihi maka.
• ʻAʻole hiki ke ʻike maopopo, me he mea lā ua palalulu.
• Ke kahe nei kahi wai wai (snot) mai nā maka mai.
• I kekahi manawa, hiki ke loaʻa kahi ihu wai.

Ke ʻike ʻoe i kēia mau hōʻailona, ​​​​manaʻo paha kekahi poʻe, "ʻAuē, he maʻi maka wale nō kēia." Akā, ʻaʻole kēia he mea e hoʻokuʻu wale ʻia e like me kēlā. No ka mea, e ʻoi aku ka ʻino o ka pilikia ke hoʻi hou mai kēia maʻi a hoʻoulu i ka mumū i loko o nā maka .

He aha ka mea e hana ʻia ke ʻino aʻe ka maʻi (Trachomatous trichiasis)?

E noʻonoʻo, i ka wā e hoʻopilikia mau ʻia ai ka maka e kēia bacteria, hoʻomaka nā ʻōpala liʻiliʻi (ʻiʻo ʻōpala) e hana i loko o ka maka, ʻo ia hoʻi, ma loko o ka lihilihi . Ma muli o kēia mau ʻōpala, emi ka lihilihi i loko, a huli ka kuʻemaka ma ka lihilihi i loko . ʻO kēia ka pilikia nui loa. ʻO ka lihilihi e huli i loko e like me kēia, i kēlā me kēia manawa a mākou e ʻimo ai , hamo ia i ke apo ʻeleʻele o ka maka, ʻo ia hoʻi, ka cornea .

ʻO ka cornea ka "puka makani" ʻālohilohi a piʻo ma ke alo o ko kākou maka. Kōkua ia iā kākou e ʻike maopopo.

No laila, ke hoʻomau ka hamo ʻana o ka kuʻemaka i ka cornea e like me kēlā, e kahakaha ʻia. Ua like ia me ka hamo ʻana i ke aniani me ka pepa one. I ka hala ʻana o ka manawa, hoʻoulu nā kahakaha i ka cornea e mānoanoa mālie a lilo i opaque, e pale ana i ka mālamalama mai ke komo ʻana . ʻO ia ka manawa e nalowale ai ka ʻike.

I ka trachoma holomua, nā hōʻailona e like me:

• Huki ʻia nā lihilihi maka i loko a paʻa ma muli o ka ʻiʻo palapū.
• Ua huli ʻia ke kuʻemaka i loko.
• He ʻeha maka hiki ʻole ke hoʻomanawanui ʻia ma muli o ka hamo ʻana o ke kuʻemaka i ka cornea.
• ʻAʻole hiki ke nānā i ka mālamalama (photosensitivity).
• Ka nāwaliwali o ka ʻike, a ʻo ka hopena e alakaʻi ai i ka makapō.

He aha ke kumu o ka trachoma? Pehea e laha ai?

E like me kā mākou i ʻōlelo ai ma mua, he maʻi bacteria ka trachoma. I ka wā mua, ua like ia me ka "maʻi maka" maʻamau "(Conjunctivitis)". Lilo nā maka i ʻulaʻula, maneʻo, a ʻāwili. ʻO ka mea maikaʻi loa, inā ʻike mua ʻoe i ke kauka a lawe i nā lāʻau antibiotic, hiki ke ho'ōla loa ʻia .

Hoʻolaha ʻia kēia maʻi ma o ka launa pilikino . ʻO ia hoʻi, inā loaʻa ka wai (sputum, mucus) mai nā maka a i ʻole ka ihu o kahi kanaka i loaʻa i ka maʻi ma nā lima, nā lole, a i ʻole nā ​​​​​​wahi moe o haʻi, hiki ke laha. ʻO nā nalo kekahi kumu nui o ka laha . Ke pae nā nalo ma nā maka a i ʻole ka ihu o kahi kanaka i loaʻa i ka maʻi, lawe lākou i nā germs a pae ma nā maka o kekahi kanaka. A laila laha ka maʻi.

ʻIke pinepine ʻia nā hōʻailona i loko o 5 a 12 mau lā ma hope o ke komo ʻana o ka germ i ke kino. ʻOi aku ka nui o ka pilikia o nā wahine a me nā keiki liʻiliʻi i ka loaʻa ʻana o kēia maʻi . ʻO kēia no ka mea ʻo nā makuahine ka poʻe e hoʻolilo pinepine i ka manawa me nā keiki a mālama iā lākou. Eia kekahi, hiki i nā keiki liʻiliʻi ke loaʻa maʻalahi i ka maʻi no ka mea hoʻopā pinepine lākou i ko lākou mau maka a me ko lākou ihu a ʻaʻole lākou e mālama nui i ka maʻemaʻe.

Pehea e ʻike ai ke kauka i ka trachoma?

Inā loaʻa iā ʻoe nā hōʻailona i ʻōlelo ʻia ma luna, pono ʻoe e ʻike i kahi kauka maka. E nīnau ke kauka iā ʻoe a lawe i kahi mōʻaukala olakino. Ma ke ʻano kūikawā, e nīnau lākou inā ua hele ʻoe i kahi wahi i loaʻa pinepine ai ka trachoma a i ʻole inā ʻoe e noho ana i kahi wahi i loaʻa pinepine ai.

A laila hana ʻia kahi hoʻokolokolo maka . I kekahi manawa, hiki ke hoʻonui ʻia ka maka a hiki ke lawe ʻia kahi hāpana liʻiliʻi o ka wai mai ka maka a hoʻouna ʻia i kahi keʻena hoʻokolohua. E kōkua kēia i ka hoʻoholo ʻana inā ua hoʻokumu ʻia ka maʻi e ka bacteria (Chlamydia trachomatis).

He aha nā lāʻau lapaʻau no ka trachoma?

ʻO kēia ka mea nui loa. I nā pae mua, hiki ke ho'ōla loa ʻia me nā lāʻau antibiotic i kuhikuhi ʻia e ke kauka . ʻElua ʻano lāʻau lapaʻau i kuhikuhi pinepine ʻia no ka trachoma he pila i kapa ʻia ʻo Azithromycin a me kahi ʻaila maka i loaʻa iā Tetracycline.

Eia nō naʻe, inā ʻaʻole mālama ʻia, a inā paha e hana pinepine ʻia ka trachoma, hiki ke hana ʻia ke ʻano koʻikoʻi i ʻōlelo ʻia ma mua, ʻo `(Trachomatous trichiasis)` (ka huli ʻana o ka maka maka i loko). I kēlā hihia, e kuhikuhi ke kauka i ke ʻoki kino . Hana ʻia kēia ʻoki kino e hoʻopololei hou i ka maka maka i hoʻohuli ʻia. A laila e pau ka hamo ʻana o ka maka maka i ka cornea, a e pau ka ʻeha hou aku.

Eia nō naʻe, inā ua hōʻino nui ʻia ka cornea, hiki i ke kauka ke ʻōlelo aku i kahi hoʻoili corneal .

ʻO ka mea nui e hoʻomanaʻo ai, ʻo ka wā e makapō ai ʻoe mai ka trachoma, ʻaʻole hiki ke ho'ōla ʻia. ʻO ia ke kumu a mākou e ʻōlelo nei he mea nui ka ʻike mua ʻana a me ka mālama ʻana.

He aha ka mea e hana ai inā loaʻa iaʻu ka trachoma? Hiki ke ho'ōla ʻia?

Inā loaʻa iā ʻoe ka trachoma i hoʻokahi manawa a lawe pono i nā lāʻau antibiotics, e ola koke ʻoe, ʻaʻohe mea e hopohopo ai . Hoʻomaka ka pilikia ke hana pinepine ʻia kēia maʻi a hoʻomaka ka hōʻino ʻia o ka cornea.

Ma hope o ke ʻoki ʻana o ka maka, e pau ka hōʻino ʻia ʻana o ka cornea. Eia nō naʻe, ʻaʻole hiki ke ho'ōla ʻia ka makapō i hoʻokumu ʻia e ka trachoma .

He aha kā mākou e hana ai e hōʻemi i ka nui o ka maʻi trachoma?

ʻO kēia ka mea nui loa. No ka hoʻōki ʻana i ka trachoma, he mea nui e hoʻomaikaʻi i ke komo ʻana i ka wai maʻemaʻe a me ka hoʻomaʻemaʻe . ʻO ia hoʻi, pono i nā kānaka a pau ke komo i ka wai maʻemaʻe a me ka hoʻomaʻemaʻe maikaʻi. He mea nui hoʻi e hōʻemi i ka nui o ka poʻe a hoʻemi i ka hoʻonāukiuki i hoʻokumu ʻia e nā nalo. Ke hoʻokō nei nā luna a puni ka honua i kēia mau hana e hoʻāʻo e hoʻopau i ka trachoma a me ka makapō i hoʻokumu ʻia. Hoʻohana ʻia ka huaʻōlelo pōkole SAFE no kēia:

• S - `(ʻoki kino)`: ʻO ke ʻoki kino e ho'ōla ai i kahi maʻi holomua.
• A - `(Antibiotics)`: Nā lāʻau antibiotic no nā maʻi.
• F - `(Hoʻomaʻemaʻe maka)`: Ka mālama ʻana i ka maka i maʻemaʻe e pale ai i ka laha ʻana o nā maʻi.
• E - `(Nā loli kaiapuni)`: Nā loli kaiapuni e like me ka wai maʻemaʻe a me nā lawelawe hoʻomaʻemaʻe.

Ma kekahi mau wahi, hāʻawi ʻia nā keiki ma waena o 1 a me 9 mau makahiki i nā lāʻau antibiotic ma ka liʻiliʻi hoʻokahi manawa i ka makahiki. Ua kapa ʻia kēia ʻo "blanket therapy" a i ʻole "blanket antibiotic therapy." Eia nō naʻe , aia ka hopohopo i ka wā e hāʻawi mau ʻia ai nā lāʻau antibiotic ma kēia ʻano, hiki i nā bacteria ke hoʻomohala i ke kūʻē ʻana i nā lāʻau antibiotic .

Aia kekahi mau mea hiki iā ʻoe ke hana ma kahi pae pilikino, ʻoiai inā ʻoe e noho ana a i ʻole e hele ana i kahi i laha ai ka trachoma:

• E mālama pono i kou maʻemaʻe . E holoi pono i kou maka a wehe i nā wai mai kou mau maka a me kou ihu.
• E holoi pinepine i kou mau lima me ka maikaʻi.He mea pono kēia, ʻoiai ke hana nei me nā keiki ʻuʻuku.
• Mai kaʻana like i kāu mau kāwele a me nā mea moe i hoʻohana ʻia me nā poʻe ʻē aʻe .
• E pale i nā wahi i nui ai nā nalo i ka hiki.

Āhea mākou e ʻike ai i ke kauka?

Inā ʻoe e noho ana ma kahi me ka trachoma, a i ʻole ua hele ʻoe i kekahi, a loaʻa iā ʻoe ka wai kahe mai kou mau maka a i ʻole kou ihu, e ʻike pono i ke kauka . ʻOi loa aku inā loaʻa iā ʻoe ka ʻeha o ka maka, mai hoʻowahāwahā iā ia . ʻOi aku ka maikaʻi o ka haʻi ʻana i ke kauka e pili ana i ka ʻeha o ka maka, a i ʻole kekahi mau hōʻailona āu e kānalua nei.

He aha ka ʻokoʻa ma waena o ka chlamydial conjunctivitis a me ka trachoma?

He nīnau kēia a ka poʻe he nui e nīnau ai. ʻO ka Chlamydial conjunctivitis kahi maʻi maka i hoʻokumu ʻia e ka maʻi i hoʻouna ʻia ma ke ʻano moekolohe (STI) ʻo Chlamydia. ʻO ka bacteria e hoʻoulu ai ia mea ua like ia me ka bacteria e hoʻoulu ai i ka trachoma, ʻo Chlamydia trachomatis, akā ʻokoʻa nā ʻano o ka germ . ʻO ka mea nui, ʻaʻole ka trachoma he maʻi i hoʻouna ʻia ma ke ʻano moekolohe .

Inā ʻoe e noho ana ma kahi i loaʻa pinepine ai ka trachoma, a inā paha ʻoe e hele ana i kekahi, he mea nui e hana i nā hana e pale aku ai i ka laha ʻana o kēia maʻi. Hiki iā ʻoe ke pale iā ʻoe iho ma ka holoi maikaʻi ʻana i kou mau lima a me ka mālama ʻana i kou maka i ka maʻemaʻe. Inā ʻulaʻula a ʻānai paha kou mau maka, e ʻike pono i ke kauka. Hiki iā lākou ke kuhikuhi i nā lāʻau antibiotic e mālama i nā hōʻailona a me ka maʻi.

Nā mea nui e hoʻomanaʻo (Leka Lawe-Home)

ʻAe, ua kamaʻilio nui kākou e pili ana i ka trachoma i kēia lā, ʻeā? ʻO ka mea hope loa, eia nā mea nui e pono ai ʻoe e hoʻomanaʻo:

• He maʻi maka koʻikoʻi ʻo Trachoma i hoʻokumu ʻia e ka bacteria hiki ke alakaʻi i ka makapō.
• ʻO ka maʻemaʻe ka mea nui loa. He mea nui loa ka holoi maikaʻi ʻana i kou mau lima, ka mālama ʻana i kou maka i ka maʻemaʻe, a me ka hoʻohana ʻana i ka wai maʻemaʻe.
• Inā ʻike ʻoe i nā hōʻailona i ka wā mua a loaʻa ka lāʻau lapaʻau, hiki iā ʻoe ke ho'ōla loa. No laila, inā loaʻa iā ʻoe nā hōʻailona e like me ka ʻulaʻula, ka maneʻo, a i ʻole nā ​​maka ʻāʻī, e ʻike koke i ke kauka.
• E makaʻala i nā nalo. ʻO nā nalo nā mea nui e hoʻolaha i kēia maʻi.
• Inā ʻaʻole mālama ʻia, hiki i ka maka ke huli i loko, e hōʻino ana i ka cornea a e nalowale ai ka ʻike.
• He mea nui loa ke ʻano SAFE a ka World Health Organization (ʻoki kino, antibiotics, hoʻomaʻemaʻe maka, nā hoʻololi ʻana i ke kaiapuni) i ka kaohi ʻana i kēia maʻi.

No laila, inā mālama mākou i kēia mau kiko, hiki iā mākou ke pale iā mākou iho mai kēia ʻenemi leo ʻole i kapa ʻia ʻo trachoma. Inā he mau nīnau hou aku kāu e pili ana i kēia, mai makaʻu e nīnau i ke kauka. He waiwai nui nā maka olakino ʻelua i ke ola!

`Trachoma, nā maʻi maka, nā maʻi maka, Chlamydia trachomatis, makapō, olakino maka, pale ʻana