He kanaka makemake ʻoe e hele wāwae i loko o ka ululāʻau, e māla ana, a e pāʻani ana paha me kahi holoholona? Inā pēlā, i kēia lā ke kamaʻilio nei mākou e pili ana i kahi maʻi kakaikahi akā koʻikoʻi hiki iā mākou ke loaʻa mai nā holoholona, ka lepo, a i ʻole nā mea pepeke. Ua kapa ʻia kēia maʻi ʻo tularemia. I kekahi manawa ua kapa ʻia ʻo "rabbit fever." Mai hopohopo, ʻoiai ʻaʻole ia he mea maʻamau ma Sri Lanka, he mea nui loa ia e makaʻala iā ia.
I ka ʻōlelo maʻalahi, he aha ʻo Tularemia?
He maʻi ʻo Tularemia i hoʻokumu ʻia e kahi bacteria i kapa ʻia ʻo `(Francisella tularensis)`. ʻAʻole kēia he maʻi kūlohelohe i waena o kānaka. Noho nui kēia bacteria i loko o nā kino o nā holoholona, i ka lepo a me ka wai. ʻOi aku ka maʻi o kēia maʻi i nā holoholona liʻiliʻi e like me nā lāpaki a me nā ʻiole, nā manu, a me nā hipa. Hiki i nā holoholona e like me nā ʻīlio a me nā pōpoki i loko o ko mākou mau home ke loaʻa iā ia. Hiki i kēia bacteria ke ola no nā pule i ka lepo, ka wai, a i ʻole ma luna o nā kino o nā holoholona make. ʻO ia ke kumu e hiki ai ke laha iā mākou ma nā ʻano like ʻole.
Pehea lā e laha ai kēia maʻi iā kākou?
ʻAʻole laha pinepine kēia maʻi mai kekahi kanaka a i kekahi kanaka. Eia nō naʻe, hiki iā ʻoe ke loaʻa iā ia ma nā ʻano penei:
- Nā nahu pepeke : Hiki i nā pepeke e like me nā ʻuku a me nā ʻuku ke hoʻoili i ka maʻi inā e nahu lākou i kahi holoholona i loaʻa i ka maʻi a laila nahu iā ʻoe.
- Ma ka hoʻopā ʻana i nā holoholona i loaʻa i ka maʻi: Inā ʻoe e hoʻopā i kahi holoholona i loaʻa i ka maʻi (ola a make paha), a inā ʻoe e hoʻopā i ka ʻiʻo a i ʻole ka huluhulu o kēlā holoholona.
- Ma o ka meaʻai a i ʻole ka wai i haumia : Ma ka inu ʻana i ka wai i haumia ʻia me ka bacteria a i ʻole ka ʻai ʻana i ka ʻiʻo i moʻa ʻole ʻia mai kahi holoholona i loaʻa i ka maʻi.
- Ma ka hanu ʻana: Ma ka hanu ʻana i nā bacteria e piʻi mai ana mai ka lepo i ka wā o nā hana e like me ka māla ʻana a me ka hoʻomaʻemaʻe ʻāina.
- Mai nā holoholona: Hiki ke laha ma o ka lawai mai kāu ʻīlio a pōpoki paha i launa pū me kahi holoholona i loaʻa i ka maʻi.
ʻO ka mea nui, ʻaʻole e maʻi nā kānaka a pau i pili i kēia bacteria. Eia nō naʻe, he mea nui loa ka makaʻala i nā hōʻailona.
Nā ʻano like ʻole a me nā hōʻailona o tularemia
Hiki ke ʻokoʻa nā hōʻailona a me ke ʻano o ka maʻi ma muli o ke komo ʻana o ka bacteria i loko o ke kino. Hoʻomaka ka ʻike ʻia ʻana o nā hōʻailona ma waena o 3 a me 5 mau lā ma hope o ke komo ʻana o ka bacteria i loko o ke kino, akā i kekahi manawa hiki ke hala a hiki i ʻelua pule. E wehewehe hou aku kākou i kēia ma ka papa ma lalo.
| ʻAno Tularemia | Nā hōʻailona nui |
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| ʻO ka Ulceroglandular tularemia ke ʻano maʻamau, i hoʻoulu pinepine ʻia e ka nahu ʻana o kahi pepeke. | - Ke hoʻokumu ʻia ʻana o kahi ʻeha ʻili ma kahi o ka nahu ʻana o nā pepeke.
- ʻO ka pehu ʻana a me ka ʻeha i loko o nā lymph nodes.
- Kuni, ʻeha kino a me ka ʻeha poʻo .
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| ʻO ka tularemia Oculoglandular kahi ʻano e hoʻopilikia ai i nā maka. | - ʻUlaʻula nā maka , pehu, a me ka ʻeha.
- Ka hoʻokahe ʻana o ka maka a i ʻole ka hoʻokahe ʻana.
- He ʻeha liʻiliʻi i loko o ka maka.
- Ka pehu ʻana o ka ʻili a puni nā pepeiao, ka ʻāʻī, a me ka ʻauwae.
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| ʻO ka tularemia oropharyngeal ke ʻano e hoʻopilikia ai i ke ala ʻai. | - ʻEha ka ʻāʻī , pehu nā tonsils.
- Ka luaʻi ʻana a me ka maʻi pākī.
- Nā ʻeha waha.
- Ka pehu ʻana o ka ʻāʻī.
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| ʻO ka tularemia pneumonic ke ʻano koʻikoʻi loa, e hoʻopilikia ana i nā māmā. | - ʻŪhū maloʻo.
- ʻEha ka umauma.
- Paʻakikī ka hanu ʻana.
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| He ʻano tularemia kakaikahi a koʻikoʻi loa ka typhoidal tularemia e hoʻopilikia ana i ke kino holoʻokoʻa. | - Kuni kiʻekiʻe.
- Luhi loa.
- Ka luaʻi ʻana a me ka maʻi pākī.
- Ka pehu ʻana o ke akepaʻa a me ka spleen.
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ʻO wai ka mea i ʻoi aku ka pilikia?
ʻOiai he maʻi laha ʻole kēia, ʻoi aku ka pilikia o kekahi poʻe ma mua o nā poʻe ʻē aʻe. Hiki iā ʻoe ke kiʻekiʻe iki aʻe i ka pilikia inā ʻoe:
- ʻO ka poʻe e hana ana i nā hana e pili pinepine ai i ka launa pū ʻana me nā holoholona a me ka lepo, e like me nā mahiʻai, nā kauka holoholona, nā mea mālama ʻāina, a me nā luna holoholona hihiu .
- Nā kānaka e hahai holoholona ana ma ke ʻano he hana leʻaleʻa a he hana paha.
- ʻO ka poʻe e ʻai maka ana i ka ʻiʻo holoholona a i ʻole i moʻa pono ʻole ʻia.
- ʻO ka poʻe e hoʻolilo i ka manawa nui ma waho i loko o ka nahele.
- Nā kānaka me nā ʻōnaehana pale kino nāwaliwali (e.g., diabetes, nā maʻi kanesa).
Pehea e ʻike ʻia ai a mālama ʻia ai ka maʻi?
Hiki ke paʻakikī ke ʻike i ka tularemia no ka mea hiki ke like kona mau hōʻailona me nā maʻi maʻamau ʻē aʻe, e like me ka niumonia a me ka maʻi palū. No laila he mea nui
e haʻi i kāu kauka e pili ana i kāu mau hōʻailona. E nānā kāu kauka iā ʻoe a, inā pono, e paipai i nā hoʻokolohua aʻe:
- Nā hoʻāʻo koko: E nānā i nā antibodies a ke kino e hana ai e kūʻē i ka bacteria.
- Biopsy: Ka lawe ʻana i kahi ʻāpana liʻiliʻi o ka ʻiʻo mai kahi ʻeha ʻili a i ʻole ka pehu ʻana no ka hoʻokolokolo ʻana.
- Nā hoʻāʻo swab: Lawe ʻia kahi hāpana mai ka puʻu a i ʻole ka ihu a hoʻāʻo ʻia.
- X-ray umauma: No ka nānā ʻana no ka maʻi māmā (pneumonia).
He aha nā lāʻau lapaʻau?
ʻOiai he maʻi bacteria kēia, hāʻawi ʻia
nā antibiotics ma ke ʻano he lāʻau lapaʻau. Hiki ke hāʻawi ʻia kēia mau mea ma ke ʻano he mau pila a i ʻole nā inikini.
He mea nui loa ka hoʻohana ʻana i nā antibiotics i kuhikuhi ʻia e ke kauka no ka papa holoʻokoʻa. Inā ʻoe e hoʻōki i ka lawe ʻana iā lākou i ka hapalua, hiki ke hoʻi hou mai ka maʻi.
Inā hoʻomaka koke ka lāʻau lapaʻau, hiki ke ho'ōla loa ʻia ka tularemia. No laila, inā loaʻa iā ʻoe nā hōʻailona, mai hopohopo a e ʻike koke i ke kauka. Inā loaʻa kahi maʻi koʻikoʻi, e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
Pehea ʻoe e pale ai iā ʻoe iho mai kēia maʻi?
ʻO ka mea maikaʻi loa e hana ai, ʻo ia ke palekana mai kēia maʻi. Hiki iā ʻoe ke hana i kēia mau mea maʻalahi e kōkua ai:
- Mai ho'āʻo e hopu i nā holoholona hihiu make a maʻi paha.
- Inā ʻoe e hele ana i ka nahele, kahi ʻauwaha, a i ʻole kekahi wahi e loaʻa ai nā makika a i ʻole nā ʻuku , e ʻaʻahu i nā lole e uhi pono i kou kino .
- E hoʻohana i nā mea pale pepeke .
- E hāʻawi i kāu holoholona i ka lāʻau lapaʻau e pale aku ai iā lākou mai nā makika, a e mālama mau iā lākou i ka maʻemaʻe.
- Inā ʻoe e ʻai i ka ʻiʻo holoholona hihiu, e kuke maikaʻi .
- E komo i nā mīkina lima i ka wā e hana ana i waho, ʻoiai ke hana nei me ka lepo.
- E inu wale i ka wai maʻemaʻe .
Leka Lawe-Home
- He maʻi bacteria laha ʻole ʻo Tularemia i hiki ke laha mai nā holoholona, nā pepeke, a me ka lepo.
- ʻO ke kuni, nā ʻeha ʻili, a me nā ʻōpū lymph pehu nā hōʻailona maʻamau, akā ʻokoʻa nā hōʻailona ma muli o ke ʻano o ka maʻi.
- Inā kānalua ʻoe he maʻi kou, e ʻike koke i ke kauka. Hiki i ka lāʻau lapaʻau koke ke ho'ōla loa iā ia.
- ʻO nā hana maʻalahi e like me ka pale ʻana i ka lawelawe ʻana i nā holoholona make, ka pale ʻana iā ʻoe iho mai nā pepeke, a me ka kuke pono ʻana i ka meaʻai hiki ke kōkua i ka pale ʻana iā ʻoe mai kēia maʻi.
ʻO Tularemia, nā maʻi i lawe ʻia e nā holoholona, nā ʻuku, nā maʻi bacteria, nā ʻeha ʻili, ke kuni
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