E noʻonoʻo e hele ana i kahi huakaʻi i kahi wahi nani a maʻi koke, pono e hele i ka lua i nā manawa he nui i ka lā ... Malia paha e luaʻi pū me ke kuni. Hiki i ka huakaʻi holoʻokoʻa ke lilo i mea luhi iki, ʻeā? ʻO ka hapa nui o ka manawa, ʻo kēia no ka mea ua ʻai a inu paha mākou i kahi mea lepo me ka ʻike ʻole. Ua kapa ʻia kēia ʻano ʻo 'Traveler's Diarrhea'. E like me ka inoa e hōʻike nei, he mea maʻamau ia i waena o ka poʻe huakaʻi.
He aha ka Diarrhea a ka Mea Huakaʻi?
I ka ʻōlelo maʻalahi, ʻo kēia 'Traveler's Diarrhea' he maʻi ia e kū mai ana i loko o ka ʻōpū i ka wā e hele ai mākou, ʻoiai ke hele mākou i kahi ʻāina a i ʻole ʻāina ʻē aʻe, ma muli o ka meaʻai a mea inu paha i haumia. I ka pololei, he mea hoʻonāukiuki iki kēia e hoʻopilikia ai i kā mākou ʻōnaehana hoʻoheheʻe (gastrointestinal tract) . ʻO ia hoʻi, he maʻi ia e kū mai ana i loko o kou ʻōpū. ʻOiai e hoʻomaikaʻi pinepine kēia i loko o kekahi mau lā, he ʻike hoʻonāukiuki loa ia i loko o kēlā mau lā. Hoʻomaka kou ʻōpū e ʻeha, pono ʻoe e hele pinepine i ka lua, a i kekahi manawa luaʻi ʻoe a nāwaliwali. E noʻonoʻo i kou huhū inā ʻoe e hele i kāu wahi punahele, ʻono i kahi meaʻai ma laila, a hana ʻia kekahi mea e like me kēia!
ʻO ka hapa pinepine, hoʻokumu ʻia kēia e ka bacteria . Eia nō naʻe, i kekahi manawa hiki i nā virus a i ʻole nā parasites ʻōpū ke kuleana. Hoʻonui kēia pilikia ke hele mākou i nā wahi ʻokoʻa mai ko mākou wahi maʻamau a he maikaʻi ʻole nā kūlana hoʻomaʻemaʻe.
Pehea ka maʻamau o kēia?
ʻO kaʻoiaʻiʻo, ʻo ka 'Traveler's Diarrhea' kahi pilikia olakino maʻamau i waena o ka poʻe huakaʻi. Wahi a nā noiʻi, hiki ke loaʻa kēia maʻi ma waena o 30% a me 70% o ka poʻe huakaʻi , ma muli o kahi e hele ai a me ka manawa o ka makahiki. ʻO ia hoʻi, mai loko mai o nā kānaka he ʻumi e hele ana, ʻekolu a ʻehiku paha e loaʻa iā ia.
Kiʻekiʻe loa kēia pilikia ma nā ʻāina me nā aniau wela a pulu . ʻO kēia no ka mea ʻoi aku ka nui o ka ulu ʻana o ka bacteria i ia mau wahi. No ka laʻana, ma nā ʻāpana o ʻAsia, ka Hikina Waena, ʻApelika, Mekiko, a me ʻAmelika Waena a me ʻAmelika Hema, ʻoi aku ka nui o ka poʻe e hele ana i kēia mau wahi i ka loaʻa ʻana o ka 'diarrhea o ka mea hele'.
He aha nā hōʻailona?
Inā manaʻo ʻoe he Traveler's Diarrhea kou, e makaʻala i kēia mau hōʻailona:
- Ke kahe ʻana o nā ʻōpala palahalaha (e like me ka wai) ma mua o ʻekolu manawa i loko o 24 mau hola .
- Pono pinepine, koke e hele i ka lua.
- ʻŌpū ʻeha a me ka luaʻi.
- Ka luaʻi a me ka luaʻi.
- Kuni.
ʻO ka hapa nui o ka manawa, ʻaʻole koʻikoʻi kēia mau hōʻailona. Inā he maʻi bacteria a viral paha, e hoʻomaka paha nā hōʻailona e ʻike ʻia i loko o 6 a 24 mau hola o ka maʻi . Eia nō naʻe, inā i hoʻokumu ʻia e kahi parasite, hiki ke hala i hoʻokahi pule a ʻekolu pule no ka ʻike ʻia ʻana o nā hōʻailona. ʻO ia ke kumu e hoʻomau nei kekahi poʻe i kēia mau hōʻailona ma hope o ka hoʻi ʻana i ka home mai kahi huakaʻi.
Pehea ka lōʻihi o ke ola ʻana o nā hōʻailona?
Aia kēlā i ke kumu.
- Inā he maʻi bacteria ia, e hoʻomaka ʻoe e ʻoluʻolu i loko o ʻelua a ʻekolu mau lā, ʻoiai inā ʻaʻole ʻoe e lawe i kekahi lāʻau lapaʻau. Eia nō naʻe, hiki ke hala a hiki i hoʻokahi pule no ka nalo loa ʻana o nā hōʻailona.
- Inā he maʻi viral , e hoʻomaikaʻi ia i loko o kekahi mau lā.
- Eia nō naʻe, inā loaʻa ka maʻi diarrhea o ka mea hele ma muli o kahi maʻi parasitic , hiki i nā hōʻailona ke mau no nā pule, a hiki i nā mahina. I kēlā hihia, pono ʻoe e ʻike i ke kauka.
No ke aha e loaʻa ai ka maʻi Diarrhea a ka Traveler?
ʻO ka diarrhea a ka mea hele ka pane a kou ʻōnaehana pale i kahi mea komo hewa mai nā ʻāina ʻē i komo i loko o kou ʻōpū. Hiki i kēia mau mea komo hewa ke lilo i bacteria, virus, a parasites paha. He aha lākou, hoʻāʻo kāu ʻōnaehana pale e luku iā lākou a kipaku iā lākou mai kou kino aku. ʻO ka pane mumū e kū mai ana i kēia hoʻāʻo ʻana ke kumu o nā hōʻailona e like me ka diarrhea a me nā ʻeha o ka ʻōpū.
I ka ʻōlelo maʻalahi, ʻo ka mea e hana nei ma ʻaneʻi ua like ia me nā koa o kou kino (ka ʻōnaehana pale) e hakakā ana i kahi ʻenemi (ka germ) i komo i loko o kou kino. ʻO kēia mau hōʻailona he hopena ia o kēlā hakakā.
He aha ke ʻano o nā germs e hoʻokumu ai i kēia?
E like me ka mea i ʻōlelo ʻia ma mua, hiki i nā bacteria, nā virus, a me nā parasites ke hana i kēia maʻi.
- Bacteria: ʻO nā maʻi bacteria ka mea maʻamau. I waena o lākou , ʻo E. coli ke kumu nui. Eia kekahi:
- Salmonella
- ka maʻi kolera
- ʻO Campylobacter jejuni
- Hiki i nā bacteria e like me Shigella ke hana iā ia.
- Nā maʻi ʻino:
- ʻO ka maʻi Norovirus
- Rotavirus
- Hoʻopilikia pū nā maʻi e like me Astrovirus i kēia.
- Nā Parasite:
- ʻO Giardia
- Cryptosporidium
- Hiki i nā Parasites e like me Cyclospora ke hana i kēia ʻano.
He mea laha anei kēia?
ʻAe, hiki ke laha ka maʻi Diarrhea a ka Huakaʻi. Hiki ke hoʻoili ʻia nā germs i loko o kou ʻōpū ʻai i kekahi ma o nā ʻāpana liʻiliʻi i loko o kou ʻōpala a i ʻole ka luaʻi. No ka laʻana, inā loaʻa iā ʻoe ka diarrhea a hele ʻoe i ka lua a hoʻopā i ka poho holoi ma mua o ka holoi ʻana i kou mau lima, hiki i ka mea aʻe e hoʻohana ana iā ia ke loaʻa nā germs ma ko lākou mau lima. Inā hoʻopā lākou i ko lākou waha me ka holoi ʻole ʻana i ko lākou mau lima, hiki iā lākou ke loaʻa nā germs mai ou aku. ʻO ia ke kumu e pono ai ʻoe e makaʻala loa i kou hoʻomaʻemaʻe pilikino .
ʻO wai ka mea i ʻoi aku ka paʻakikī ke hoʻomohala i kēia?
ʻO ka ʻai ʻana i ka meaʻai haumia a me ka inu ʻana i ka wai ke kumu nui o ka pilikia, akā ʻoi aku ka nui o ka loaʻa ʻana o kekahi mau hui ma mua o nā poʻe ʻē aʻe.
- ʻŌpio: ʻOiai ʻaʻole ʻike ka poʻe loea i ke kumu pololei, ʻoi aku ka nui o ka poʻe ʻōpio e loaʻa i ka maʻi diarrhea huakaʻi ma mua o ka poʻe ʻelemakule. Malia paha kēia no ka mea ʻoi aku ka nui o ka poʻe ʻōpio e hoʻāʻo i nā mea hou, ʻoiai ka meaʻai alanui.
- ʻO nā kānaka me ka ʻōnaehana pale maʻi nāwaliwali: E like me nā maʻi ʻē aʻe, hiki ke ulu maʻalahi ka maʻi diarrhea o ka poʻe hele i loko o kahi kanaka nona ka ʻōnaehana pale maʻi i nāwaliwali.
- ʻO ka poʻe me nā maʻi ʻōpū mau loa: No ka laʻana, ʻoi aku ka nui o ka pilikia o ka poʻe me nā maʻi e like me ka maʻi a Crohn , GERD (Gastroesophageal Reflux Disease) , a i ʻole Irritable Bowel Syndrome (IBS) .
He aha nā pilikia e hiki ai i kēia ke hana?
ʻO ka maloʻo wai ka pilikia maʻamau. ʻO ke ʻano kēia e emi ana ka nui o ka wai a me nā paʻakai i loko o ke kino. Hiki i ka maloʻo nui ke lilo i pilikia olakino.
Eia kekahi, ʻoiai he mea kakaikahi, hiki i ka diarrhea o ka mea hele ke hoʻonui i kahi maʻi ʻōpū. No ka laʻana, hiki iā ʻoe ke loaʻa i kahi maʻi i kapa ʻia ʻo post-infectious irritable bowel syndrome (PI-IBS) . Inā he predisposition genetic kou i ka hoʻomohala ʻana i ka maʻi ʻōpū mumū (IBD) , hiki ke ʻike ʻia kāu mau hōʻailona mua o IBD ma hope o kou loaʻa ʻana i ka diarrhea o ka mea hele. Inā koʻikoʻi ka diarrhea o kāu mea hele a hoʻokumu ʻia e kahi maʻi bacteria, hiki iā ʻoe ke ʻike i nā hōʻailona e like me ke koko a i ʻole ka mucus i loko o kou ʻōpala a me ke kuni.
Pehea e ʻike ai ke kauka i kēia?
I ka hapa nui o ka manawa, hiki i ke kauka ke haʻi inā loaʻa iā ʻoe ka maʻi diarrhea huakaʻi ma ka nīnau ʻana e pili ana i kāu mau hōʻailona a me kahi āu i hele ai. Akā i kekahi manawa, hiki i kāu kauka ke paipai i kahi hoʻāʻo ʻōpala e ʻike pono i ke ʻano o ka maʻi āu i loaʻa ai. Hiki i kēia ke kōkua i ka hoʻoholo ʻana i ka lāʻau kūpono, ʻoiai inā kānalua ʻia kahi maʻi parasitic. Pono paha e hoʻāʻo ma mua o hoʻokahi hāpana e hōʻoia i ka maʻi.
He aha nā lāʻau lapaʻau?
E haʻi aku kāu kauka iā ʻoe e hoʻomaha nui a inu i nā wai he nui . Hiki i kekahi mau mea inu haʻuki a me nā ʻano hoʻomaʻemaʻe haʻuki ma luna o ke kauka ke kōkua i ka hoʻololi ʻana i nā electrolytes i nalowale.
Eia nō naʻe, inā koʻikoʻi kou mau hōʻailona a ʻaʻole hoʻi e hoʻomaikaʻi i loko o kekahi mau lā, pono ʻoe e ʻike i ke kauka.Hiki ke hāʻawi ʻia iā ʻoe nā lāʻau antidiarrheal a i ʻole nā antibiotics .
Nā lāʻau lapaʻau antidiarrheal
Hoʻomalu wale kēia mau lāʻau lapaʻau i kou maʻi diarrhea, ʻaʻole lākou e ho'ōla i ka maʻi. Hoʻolohi wale lākou i kou neʻe ʻana o ka ʻōpū (motility) - nā ʻūlū o nā ʻiʻo e hoʻokuke i ka ʻōpala ma o kou mau ʻōpū - i kahi liʻiliʻi. Hāʻawi kēia i kou mau ʻōpū i ka manawa hou aʻe e omo i ka wai mai kou ʻōpala i loko o kou kino.
ʻO ka hemahema, aia nō nā huakini i loko o kou kino. Ke maʻi nei ʻoe, a hiki nō iā ʻoe ke hoʻolaha i ka maʻi i nā poʻe ʻē aʻe. No laila, pono ʻoe e hahai pono i nā ʻōlelo a kāu kauka i ka wā e hoʻohana ai i kēia mau lāʻau. He mea naʻauao ke lawe pū me ʻoe i kekahi o kēia mau lāʻau i ka wā e hele ai:
- ʻO Atropine diphenoxylate (e.g. Lomotil® )
- Bismuth (e.g. Pepto-Bismol® )
- ʻO Loperamide (e.g. Imodium® )
Nā lāʻau lapaʻau
Inā loaʻa iā ʻoe kahi maʻi bacteria koʻikoʻi, a inā ʻaʻole hoʻomaikaʻi kou maʻi diarrhea ma hope o kekahi mau lā, hiki i kāu kauka ke kuhikuhi i nā antibiotics. ʻO kekahi o nā ʻano antibiotics maʻamau:
- ʻO Ciprofloxacin (e.g. Cipro® )
- ʻO Levofloxacin (e.g. Levaquin® )
- ʻO Azithromycin (e.g. Zmax® )
- ʻO Rifaximin (e.g. Xifaxan® )
- ʻO Metronidazole (e.g. Flagyl® ) (ʻoi aku hoʻi no nā maʻi parasitic)
- ʻO Nitazoxanide (e.g. Alinia® ) (no nā maʻi parasitic)
Mea nui: Mai lawe i nā lāʻau antibiotic iā ʻoe iho me ke kūkākūkā ʻole me ke kauka. ʻO ka hana ʻana pēlā e hiki ai ke hana i nā pilikia ʻē aʻe.
Aia kekahi mau lāʻau lapaʻau kūlohelohe?
Ua ʻōlelo ʻia kekahi mau lāʻau lapaʻau kūlohelohe, e like me ka ʻaila o ka oregano a i ʻole ka extract o ka echinacea, e kōkua i ka pale ʻana i nā maʻi e hoʻoulu ai i ka maʻi diarrhea o ka poʻe huakaʻi. Eia nō naʻe, pono ʻoe e nānā mau me kāu kauka e hōʻoia i ka palekana o kēia mau mea iā ʻoe e hoʻohana.
He aha kāu e manaʻo ai inā loaʻa iā ʻoe ka Traveler's Diarrhea?
E like me ka hapa nui o nā kānaka, e ola ʻoe i loko o kekahi mau lā. Inā loaʻa iā ʻoe nā hōʻailona koʻikoʻi, a inā hoʻomau nā hōʻailona, a ke hele nei ʻoe, e nīnau i kāu ʻelele ma kou ʻāina, i kahi kanaka hilinaʻi, a i ʻole ke kauka maikaʻi ma ia wahi.
Pehea lā ʻoe e ola ai i kēia?
He mea hiki ʻole ke pale aku i nā maʻi āpau e hoʻoulu ai i ka maʻi diarrhea o ka poʻe hele, akā hiki iā ʻoe ke hōʻemi nui i kou pilikia ma ka hahai ʻana i kēia mau hana:
- E holoi pono i kou mau lima , ʻoiai ma mua o ka ʻai ʻana. E kau i ke kopa a hamo i kou mau lima no 20 kekona ma ka liʻiliʻi.
- E hoʻohana ma nā wahi i loaʻa ʻole ai nā lako holoi lima.E lawe i kahi mea hoʻomaʻemaʻe lima i loaʻa ka waiʻona.
- I ka ʻauʻau ʻana, e makaʻala i ʻole e komo ka wai mai ka ʻauʻau i kou waha .
- E hoʻohana i ka wai ʻōmole e palaki ai i kou mau niho. Mai hoʻohana i ka wai piula.
- E hōʻalo i nā mea inu me nā hau hau, no ka mea, ua hana ʻia paha nā hau hau me ka wai piula.
- Inā ʻoe e ʻai i nā mea kanu a me nā huaʻai hou, e koho wale i nā mea hiki iā ʻoe ke ʻili iā ʻoe iho. Mai kūʻai i nā hua i ʻoki mua ʻia mai ka hale kūʻai.
- E ʻai wale i ka meaʻai wela a moʻa maikaʻi. Mai hele i nā hale kūʻai meaʻai a pau āu e hālāwai ai.
- E hoʻohana wale i nā mea inu i loko o ka pahu a i ʻole ka ʻōmole. E nānā pū i ka sila pono ʻia ʻana.
Pehea wau e mālama ai iaʻu iho?
Inā loaʻa iā ʻoe a i ʻole kāu keiki ka maʻi diarrhea huakaʻi, hiki i kēia mau mea ke kōkua:
- E inu i ka nui o nā wai: ʻO ka wai ʻōmole, kekahi mau mea inu haʻuki, a me nā hopena rehydration waha e like me Jeevani, hiki iā ʻoe ke kūʻai ma ka hale kūʻai lāʻau, kōkua lākou a pau i ka mālama ʻana i nā pae wai o ke kino.
- E ʻai, akā e makaʻala: ʻO ka mea mua , e hoʻāʻo i nā sopa māmā a me nā ʻeke hau . A laila e hoʻāʻo i ka ʻai BRAT (Maʻa, Laiki, ʻĀpala, Toast ). He maʻalahi kēia mau mea e ʻeli ʻia. ʻOi aku ka maikaʻi o ka pale ʻana i nā meaʻai ʻaila, mea ʻala, a me nā meaʻai waiū no kekahi mau lā.
Āhea ʻoe e pono ai e ʻike i ke kauka?
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e ʻike pono i ke kauka:
- Inā he koko a mucus paha i loko o kou ʻōpala , a inā ʻike ʻoe i kekahi o kēia mau mea ma hope o ka hele ʻana i ka lua a holoi.
- Ke kuni nui (ʻoi aku ma mua o 38.5 kekelē Celsius / 101.3 kekelē Fahrenheit).
- Inā he nui kou mau ʻōpala palupalu ma mua o ʻekolu manawa i ka lā , i ka wā o ka lāʻau lapaʻau a i ʻole e lawe ana i ka lāʻau lapaʻau.
- Inā loaʻa iā ʻoe ka ʻeha nui o ka ʻōpū .
- Inā he mau hōʻailona kou o ka make wai (waha maloʻo, maka i lalo, emi ʻana o ka mimi ʻana, mimi ʻeleʻele, make wai nui, puʻuwai wikiwiki, dizziness).
- Inā ʻaʻole hoʻomaikaʻi nā hōʻailona ma hope o kekahi mau lā a i ʻole e lilo i mea ʻino.
ʻO ka mea nui loa (Leka Lawe-Home)
ʻAʻole paha he kumu ka maʻi diarrhea o ka mea huakaʻi i kāu mau hoʻolālā huakaʻi, akā hiki ke hana inā ʻoe e ʻai hewa i ka meaʻai a mea inu paha i haumia. Hiki iā ʻoe ke hōʻemi i kou pilikia ma ka holoi pinepine ʻana i kou mau lima, ka inu ʻana i ka wai ʻōmole, a me ka palena ʻana i kāu ʻai ʻana i nā meaʻai i moʻa maikaʻi ʻia a me nā mea inu i loko o ka pahu .
Inā pilikia ʻoe i kēia maʻi, mai hopohopo. E hoʻomaha nui a inu i nā wai he nui. ʻO ka hapa nui o ka manawa e ʻoi aku ka maikaʻi o kou manaʻo i loko o kekahi mau lā. Inā ʻaʻole, e ʻike koke i ke kauka. E loaʻa iā ʻoe kahi huakaʻi palekana a olakino hoʻi!
ʻO ka maʻi palahēhē o ka mea huakaʻi, ka maʻi palahēhē, ka ʻōpū ʻeha, nā germs, ka huakaʻi, ka lāʻau make meaʻai, ka maloʻo wai











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