He kuni ʻē mai nā holoholona mai? E kamaʻilio kākou e pili ana iā 'Tularemia'!

Ua lohe paha ʻoe i kahi maʻi i kapa ʻia ʻo "Tularemia"? Malia paha he mea hou kēia inoa. Akā he mea ia e pono ai kākou e ʻike, no ka mea, he maʻi ia e hiki ke laha mai iā kākou mai nā holoholona mai, a hiki ke koʻikoʻi loa. Ua kapa pū kekahi poʻe iā ia he "fiva lāpaki". No laila, mai hopohopo, i kēia lā e kamaʻilio mākou e pili ana i ka "Tularemia" ma ke ʻano maʻalahi e hiki ai iā ʻoe ke hoʻomaopopo.

He aha ka 'Tularemia'? I ka ʻōlelo maʻalahi...

He maʻi ʻo Tularemia i hoʻokumu ʻia e kahi bacteria i kapa ʻia ʻo Francisella tularensis (F. tularensis). He maʻi zoonotic ia. ʻOi aku ka pololei, laha ia i nā kānaka ma o ka launa pū ʻana me nā holoholona i loaʻa i ka maʻi a i ʻole ma o ka launa pū ʻana me nā holoholona e lawe ana i ka bacteria, e like me nā ʻuku a me nā ʻuku.

Ke loaʻa iā ʻoe kēia maʻi, hiki i kou mau lymph nodes ke pehu ʻeha . ʻAʻole wale kēlā, akā ma muli o kahi i komo ai ka bacteria i kou kino, hiki iā ʻoe ke ʻike i nā hōʻailona like ʻole i loko o kou mau māmā, nā maka, ka ʻāʻī, a me nā ʻōpū. E noʻonoʻo e pili ana i ia mea, i kekahi manawa ke hele mākou e hele wāwae i loko o ka nahele, inā e kahakaha mai kahi holoholona liʻiliʻi iā mākou a nahu paha iā mākou, e like me ka ʻuku, loaʻa iā mākou kahi ʻeha, a hiki i kēia bacteria ke komo i loko o ko mākou kino ma o kēlā ʻeha.

Pehea ke ʻano o ka tularemia ma ke kino?

ʻO ka hōʻailona nui o ka tularemia ka pehu ʻana o nā lymph nodes, hiki ke ʻike ʻia he mau puʻupuʻu nui ma ke kino, e like me ka ʻāʻī a me nā armpits. I kekahi manawa, hiki ke loaʻa kahi ulceration ma kahi i komo ai ka bacteria i ke kino. ʻO ia hoʻi, ua like ia me kahi ʻeha liʻiliʻi.

ʻO wai ka mea i loaʻa i kēia 'tularemia'? ʻO wai ka mea i pilikia?

Hiki i kekahi ke loaʻa i ka tularemia. Eia nō naʻe, ʻo kāu hana, nā leʻaleʻa, a i ʻole ke kaiapuni āu e noho nei e hoʻonui paha i kou pilikia o ka pili ʻana i kēia bacteria. E nānā inā ʻo ʻoe kekahi o kēia poʻe:

• ʻO ka poʻe e hahai holoholona ana a lawelawe paha i ka ʻiʻo i moʻa ʻole ʻia : Hiki ke laha kēia mai ka ʻiʻo holoholona.
• ʻO ka poʻe e hana mau me nā holoholona, ​​​​e like me nā kauka holoholona a me nā luna hoʻomalu holoholona : ua piʻi aʻe ka pilikia ma muli o ka pilina kokoke me nā holoholona i loaʻa i ka maʻi.
• ʻO ka poʻe e noho ana i nā wahi me ka nui o nā pepeke nahu e like me nā ʻuku a me nā ʻuku .
• ʻO ka poʻe me ka ʻōnaehana pale nāwaliwali : No ka laʻana, ka poʻe me ka maʻi HIV, nā maʻi kanesa, a i ʻole ka poʻe e lawe ana i nā lāʻau immunosuppressant.
• ʻO nā limahana mahiʻai, nā mea ʻoki hipa, a me ka poʻe e hana pū ana me ka bacteria `F. tularensis` i loko o nā keʻena hoʻokolohua : Aia kēia poʻe i ka pilikia nui o ka loaʻa ʻana o `Pneumonic tularemia`, ka mea e hoʻopilikia ai i nā māmā.

ʻOiai ua hōʻike nui ʻia kēia maʻi ma kekahi mau ʻāina, ʻoi aku hoʻi ma kekahi mau mokuʻāina ma ʻAmelika Hui Pū ʻIa, hiki i kekahi ke loaʻa i kēia maʻi ma kekahi wahi kahi i loaʻa ai kēia bacteria. ʻOiai ʻaʻole i hōʻike nui ʻia ma Sri Lanka, he mea maikaʻi iā kākou ke makaʻala.

Pehea ka maʻamau o ka Tularemia?

ʻAʻole ia he maʻi i ʻike ʻia ma nā wahi a pau o ka honua, he mea kākaʻikahi iki ia . Akā, e like me kaʻu i ʻōlelo ai ma mua, hiki ke lilo i mea koʻikoʻi inā loaʻa, no laila he mea nui loa iā kākou e makaʻala i kēia.

He aha nā ʻāpana o ke kino e hoʻopilikia ʻia e kēia maʻi?

Hiki i ka tularemia ke hoʻopilikia nui i kou mau lymph nodes, ʻili, maka, ʻāʻī, ʻōpū, a i ʻole nā ​​māmā . Eia nō naʻe, i nā hihia koʻikoʻi, hiki iā ia ke hoʻoulu i ka mumū i loko o kekahi ʻōkana, me ka lolo a me ka puʻuwai.

Pehea e hana ai kēia bacteria i loko o ke kino?

I ka ʻōlelo maʻalahi, ke komo ka bacteria `F. tularensis` i loko o ko kākou kino, ʻo nā pūnaewele o kā kākou ʻōnaehana pale e "ʻai" i ka bacteria. ʻO ka maʻamau, e luku kēia mau pūnaewele i ka bacteria. Eia naʻe, he maalea loa ka bacteria `F. tularensis`. Aia i loko o kēlā mau pūnaewele e hoʻonui ai ka bacteria . I ka hopena, ua luku ʻia nā pūnaewele pale, a ua laha ka nui o nā bacteria ma ke kino holoʻokoʻa, e hoʻopilikia ana i nā pūnaewele ʻē aʻe.

ʻO kēia luku ʻia ʻana o nā pūnaewele a me ka pane a kā mākou ʻōnaehana pale i kēia bacteria ke kumu o nā hōʻailona ma ka ʻāpana o ke kino i loaʻa i ka maʻi.

Aia kekahi mau ʻano like ʻole o Tularemia?

ʻAe, aia kekahi mau ʻano nui o ka tularemia. Ua hoʻokaʻawale ʻia kēia mau mea ma muli o ke ʻano o kou maʻi ʻana i ka bacteria a me kahi e ʻike ʻia ai nā hōʻailona.

1. ʻO ka tularemia Ulceroglandular

ʻO kēia ke ʻano maʻamau o ka tularemia . Loaʻa pinepine ia ma o ka nahu ʻana o kahi holoholona e like me ka makika a i ʻole kahi holoholona i loaʻa i ka maʻi. Hoʻopilikia ia i kou ʻili a me nā kelepa sebaceous. ʻO ka hōʻailona nui he kelepa sebaceous pehu me kahi ʻeha ʻili.

2. Tularemia glandular

Ua like kēia me ke ʻano i ʻōlelo ʻia ma luna, akā ʻaʻole ia e hoʻoulu i nā ʻeha ʻili, pehu wale nā ​​​​ʻūhā . Hiki ke hana ʻia e nā nahu ʻupena a i ʻole ka hoʻopili pololei ʻana me kahi holoholona i loaʻa i ka maʻi.

3. ʻAno e hoʻopilikia ana i nā maka (Oculoglandular tularemia)

Hiki mai kēia ʻano maʻi ke komo ʻoe i ka wai i loaʻa i ka maʻi a i ʻole nā ​​wai kino o ka holoholona i loko o kou maka. Hoʻoulu ia i nā hōʻailona ma ka maka . Hoʻopilikia pinepine ia i hoʻokahi maka wale nō.

4. ʻO ke ʻano e hoʻopilikia ai i ka puʻu a me ke ala ʻai (Oropharyngeal tularemia)

Hiki ke loaʻa kēia ʻano ma ka ʻai ʻana i ka meaʻai haumia, ka inu ʻana i ka wai haumia, a i ʻole ke kau ʻana i nā lima i haumia i ka bacteria i loko o ka waha me ka holoi ʻole ʻana iā lākou. ʻO ka hōʻailona nui ka ʻeha nui o ka puʻu . I kekahi manawa hiki ke loaʻa nā hōʻailona gastrointestinal.

5. ʻO ke ʻano e hoʻopilikia ai i nā māmā (Pneumonic tularemia)

ʻO kēia ke ʻano koʻikoʻi loa o ka tularemia . Hoʻoulu ia i nā hōʻailona e like me ka niumonia. Aia ʻelua ala e hiki ai ke ulu:

• Ka hanu pololei ʻana o ka bacteria `F. tularensis`Ke komo ʻana i loko o nā māmā.
• Ka laha ʻana o kahi maʻi F. tularensis ma nā wahi ʻē aʻe o ke kino i nā māmā .

6. ʻO ka tularemia typhoidal

ʻO ke ʻano o kēia ʻano tularemia e ke kuni nui a hoʻopilikia i nā ʻāpana like ʻole o ke kino . Hiki iā ia ke ulu like me nā ʻano tularemia ʻē aʻe.

Ua like anei ʻo 'Tularemia' me 'ka maʻi Lyme'?

He nīnau kēia a kekahi poʻe e nīnau ai. ʻOiai kekahi o nā hōʻailona o ka "Tularemia" ua like me ka "maʻi Lyme", ʻokoʻa ka hopena o nā maʻi ʻelua i ke kino. He maʻi ʻo "Tularemia" hiki ke hoʻopilikia i nā ʻāpana like ʻole o ke kino a hiki ke hoʻoweliweli i ke ola . ʻO ka "maʻi Lyme" ʻaʻole ia e hoʻoweliweli i ke ola, akā i kekahi manawa hiki iā ia ke hana i nā hōʻailona lōʻihi a paʻakikī ke mālama.

He aha nā hōʻailona o Tularemia?

ʻOkoʻa nā hōʻailona o ka tularemia ma muli o ke ʻano āu e loaʻa ai. ʻO ka hapa nui o nā ʻano e komo pū me ke kuni a me nā ʻano ʻulaʻula ʻili like ʻole . Eia kekahi, ʻike ʻia nā hōʻailona kikoʻī ma muli o kahi o ka maʻi.

Nā ʻano o nā ʻano ʻeha ʻili a me nā nodules Ulceroglandular a me Glandular:

• Kuni.
• Nā kikowaena lymph nui loa a pehu ʻeha .
• He ʻeha hāmama (ʻeha a ʻeha paha) ma ka ʻili - no ka 'Ulceroglandular tularemia' wale nō kēia.

Nā hōʻailona o ke ʻano Oculoglandular:

• ʻEha maka.
• Ka haehae ʻana o nā maka.
• ʻIke i ka mālamalama (photophobia) - ʻo ia hoʻi he paʻakikī ke nānā aku i ka mālamalama.
• Ka pehu ʻana a me ka ʻeha a puni nā pepeiao a i ʻole ka ʻāʻī.
• He ʻeha hāmama ma ka maka (ʻeha corneal).

Nā hōʻailona o ke ʻano Oropharyngeal e hoʻopilikia ana i ka puʻu a me ka esophagus:

• Kuni.
• ʻEha nui ka ʻāʻī .
• Pehu ʻāʻī, ʻulaʻula, a me nā kiko keʻokeʻo.

Hiki i kekahi poʻe ke ʻike:

• Ka luaʻi ʻana.
• Ka maʻi kahe (hiki ke komo i ke koko).
• ʻEha ʻōpū.

Nā hōʻailona o ke ʻano Pneumonic e hoʻopilikia ana i nā māmā:

• Kuni.
• Kuke.
• Ka paʻakikī o ka hanu ʻana (dyspnea).
• ʻEha a ʻūmiʻi paha ka umauma.
• ʻEha ʻiʻo.
• Nā ʻōpuʻu ʻulaʻula a i ʻole nā ​​​​​​ʻeha ma ka ʻili (erythema nodosum).
• Ke ʻū ʻana i ke koko (hemoptysis).

Nā hōʻailona o ke kuni typhoid:

• Kuni kiʻekiʻe.
• Nā anu.
• ʻEha poʻo (ʻeha poʻo).
• ʻAʻohe ʻono o ka meaʻai.
• ʻEha ʻiʻo.
• ʻeha ka ʻāʻī.
• ʻEha ʻōpū.
• Ka maʻi pākī.
• Ka luaʻi a i ʻole ka luaʻi ʻana.
• Ka huikau.

ʻEhia ka lōʻihi e komo ai ka bacteria i loko o ke kino ma mua o ka ʻike ʻia ʻana o ka maʻi?

ʻO ka manawa hoʻoulu o tularemia, ʻo ia ka manawa mai ka hōʻike ʻana i ka bacteria a hiki i ka ʻike ʻia ʻana o nā hōʻailona, ​​​​​​maʻamauMa kahi o ʻekolu a ʻelima mau lā , akā ʻaʻole paha e hōʻike kekahi poʻe i nā hōʻailona no ʻelua pule.

He aha ke kumu o kēia maʻi 'Tularemia'?

E like me kaʻu i ʻōlelo ai ma mua, ua hoʻokumu ʻia e kahi bacteria i kapa ʻia ʻo `Francisella tularensis` (`F. tularensis`). Noho pinepine kēia bacteria i loko o nā kino o nā holoholona (ua kapa ʻia kēia mau holoholona lawe maʻi he "reservoirs") - ʻoiai nā lāpaki, nā lāpaki, nā holoholona liʻiliʻi e like me nā ʻiole, a me nā pōpoki. Hiki ke hoʻolaha ʻia e nā ʻuku a me nā pepeke nahu.

ʻElua ʻano nui o kēia bacteria 'F. tularensis' - ʻano A a me ke ʻano B. ʻO ke ʻano A ka mea maʻamau e hoʻoulu ai i kahi maʻi ʻoi aku ka koʻikoʻi, a ʻo ia ka mea maʻamau ma ʻAmelika. ʻO ke ʻano B ka mea maʻamau e hoʻoulu ai i nā hōʻailona ʻoluʻolu, a loaʻa ia ma ʻAmelika ʻĀkau a me ka hapa nui o nā wahi ʻē aʻe o ka honua.

Pehea lā e laha ai kēia maʻi iā kākou?

Aia kekahi mau ala e laha ai ʻo Tularemia iā mākou:

• Nā nahu mai nā pepeke nahu e like me nā ʻuku, nā makika, a me nā nalo dia .
• Ma ka nahu ʻia ʻana e nā holoholona i loaʻa i ka maʻi.
• Ma ka hoʻopā ʻana i nā holoholona i loaʻa i ka maʻi . Inā ʻoe e hoʻopā i nā ʻiʻo a i ʻole nā ​​wai kino o kahi holoholona i loaʻa i ka maʻi, hiki i ka bacteria ke komo i loko o kou kino ma o kahi haki liʻiliʻi i kou ʻili. Hiki nō hoʻi iā ʻoe ke loaʻa ka bacteria ma ka hoʻopā ʻana i nā mea i haumia ʻia me ka bacteria 'F. tularensis' a laila e hoʻopā i kou maka, maka, ihu, a waha paha.
• Ma ka inu ʻana i ka wai i loaʻa i ka maʻi a i ʻole ka ʻai ʻana i ka meaʻai i loaʻa i ka maʻi.
• Ma ka hanu ʻana i nā kulu liʻiliʻi (aerosol a noe paha) i loaʻa ka bacteria `F. tularensis` . Hiki ke hana ʻia kēia, no ka laʻana, inā ʻoki ʻia kahi holoholona i loaʻa i ka maʻi e ka mea ʻoki mauʻu a i ʻole nā ​​​​lako mahiʻai, a hiki ke hoʻokuʻu ʻia nā germs i ka lewa a hanu ʻia.

He laha anei ka tularemia mai ke kanaka a i ke kanaka?

ʻAʻole, ʻaʻole laha ka tularemia. ʻO ia hoʻi, ʻaʻole ia e laha ma ke kamaʻilio ʻana a i ʻole ke lulu lima ʻana me kahi kanaka i loaʻa i ka maʻi. Eia nō naʻe, he laha loa ia . ʻO ia hoʻi, inā he liʻiliʻi loa ka nui o ka bacteria e komo i loko o ke kino, kiʻekiʻe ka pilikia o ka loaʻa ʻana o ka maʻi.

He palekana anei ka ʻai ʻana i kahi holoholona i loaʻa i ka tularemia?

Ke moʻa pono ʻia ka ʻiʻo, pepehi ʻia ka bacteria. Eia nō naʻe, inā ʻike ʻoe ua loaʻa i kahi holoholona ka "Tularemia", ʻaʻole maikaʻi ka ʻai ʻana i ka ʻiʻo o ia holoholona .

Pehea e ʻike ai ke kauka i ka Tularemia?

No ka ʻike ʻana i ka tularemia, e nānā ke kauka iā ʻoe, e nīnau e pili ana i kāu mau hōʻailona, ​​a kauoha i nā hoʻokolohua ma kou koko a i ʻole nā ​​​​wai kino ʻē aʻe. Ma muli o kāu mau hōʻailona, ​​e nānā ʻo ia i kou mau ʻāʻī, puʻu, maka, a me ka ʻili no nā ʻeha, nā puʻupuʻu, a i ʻole nā ​​​​​​ʻeha.

He aha nā hoʻokolohua e hana ʻia nei no kēia?

No ka hōʻoia ʻana i ka tularemia, hiki i kāu kauka ke hana i nā hoʻokolohua aʻe:

• Nā hoʻāʻo kokoE hoʻouna ʻia kahi hāpana koko i lawe ʻia mai kou lima i kahi keʻena hoʻokolohua e hoʻāʻo ʻia no nā hōʻailona o ka tularemia a e ʻike inā e ulu ana ka bacteria F. tularensis. Ma muli o ka ulu lohi ʻana o ka bacteria F. tularensis, he mea maʻamau paha ka hoʻāʻo koko mua. No laila pono paha ʻoe e hana hou i kahi hoʻāʻo koko i kekahi mau pule ma hope.
• ʻO kahi biopsy : Inā pehu nui kou ʻulaʻula a i ʻole he mau ʻeha ʻili, e lawe kāu kauka i kahi ʻāpana liʻiliʻi o ka ʻiʻo (he 'biopsy') mai ka wahi a hoʻouna aku i kahi keʻena hoʻokolohua e ʻike ai inā aia ka bacteria 'F. tularensis' a ke ulu nei paha.
• ʻUmi ihu a ʻāʻī paha : E hoʻohana ke kauka i kahi ʻumi i hoʻopili ʻia i kahi lāʻau lōʻihi e lawe i kahi hāpana o ka mucus mai kou ihu a ʻāʻī paha, e hoʻouna iā ia i kahi lab, a nānā i ke alo a me ka ulu ʻana o ka bacteria F. tularensis.
• Hoʻāʻo wai Pleural / thoracentesis : Inā he hōʻiliʻili wai a puni kou mau māmā (pleural effusion), e lawe kāu kauka i kahi laʻana o ia mea ma o ke kaʻina hana i kapa ʻia ʻo thoracentesis a hoʻouna aku no ka hoʻāʻo ʻana.

ʻĀ, he aha nā lāʻau lapaʻau no kēia maʻi 'Tularemia'?

Hoʻōla ʻia ʻo Tularemia me nā antibiotics ākea . Hiki ke hāʻawi ʻia kēia mau mea ma ke ʻano he injection a i ʻole he mau pila. Inā loaʻa iā ʻoe nā pilikia koʻikoʻi, pono paha ʻoe i nā lāʻau ʻē aʻe.

He mea nui loa ka hoʻomaka ʻana i ka lāʻau lapaʻau no ka tularemia i ka hikiwawe loa. I kekahi manawa, e hoʻomaka nā kauka i nā antibiotics ma mua o ka loaʻa ʻana o kāu mau hōʻike lab no ka mea makemake lākou e pale aku i kona lilo ʻana i mea koʻikoʻi.

Hiki i nā kānaka ke ho'ōla loa mai kēia ma'i, ʻo Tularemia?

ʻAe, hiki nō. He maʻi hiki ke ho'ōla ʻia ʻo Tularemia. Hiki i nā lāʻau antibiotic ke pepehi i nā bacteria e hoʻoulu ai.

He aha nā lāʻau lapaʻau i hāʻawi ʻia no Tularemia?

ʻO nā ʻano antibiotic i hoʻohana ʻia e mālama ai i ka tularemia:

• ʻO Streptomycin
• ʻO Gentamicin
• ʻO Doxycycline (Doxycycline)
• ʻAzithromycin
• ʻO Ciprofloxacin a i ʻole levofloxacin

Pehea wau e mālama ai iaʻu iho ma ka home i ka wā e lawe ana i ka lāʻau lapaʻau? Pehea wau e mālama ai i nā hōʻailona?

He mea nui e lawe i nā lāʻau antibiotic a pau i kuhikuhi ʻia e kāu kauka no ka manawa piha i kuhikuhi ʻia . Mai hoʻōki i ka lawe ʻana i ka lāʻau a hiki i ka wā e ʻōlelo aku ai kāu kauka iā ʻoe. Inā ʻoe e hoʻōki koke i ka lawe ʻana i nā lāʻau antibiotic, hiki i kekahi o nā bacteria ke noho i loko o kou kino a hoʻihoʻi mai i ka maʻi.

Ma waho aʻe o nā lāʻau antibiotic i kuhikuhi ʻia, hiki iā ʻoe ke hoʻokele i kekahi o nā hōʻailona o ka tularemia ma ka home. E nīnau i kāu kauka e pili ana i nā lāʻau lapaʻau over-the-counter (OTC) a i ʻole nā ​​​​lāʻau lapaʻau ʻē aʻe e hiki ke kōkua me kāu mau hōʻailona.

He aha kā mākou e hana ai e palekana ai mai kēia maʻi i kapa ʻia ʻo 'Tularemia'?

Hiki iā ʻoe ke hōʻemi i ka pilikia o ka tularemia ma ka pale ʻana iā ʻoe iho a me kāu mau holoholona mai nā nahu pepeke, e makaʻala i ka wā e launa pū ai me nā holoholona, ​​a me ka kuke pono ʻana i ka ʻiʻo.

• I nā manawa hiki, e ʻaʻahu i nā lole e uhi pono i kou kino i waho, ʻoiai ma ka mauʻu kiʻekiʻe a i ʻole nā ​​​​wahi ululāʻau. E hoʻohana i kahi pīpī pepeke e loaʻa ana ka DEET.
• Ma hope o kou hoʻi ʻana mai waho, e nānā iā ʻoe iho a me kāu mau holoholona no nā makika . He manaʻo maikaʻi e noi i kekahi e nānā i nā wahi āu e ʻike ʻole ai, e like me ke poʻo.
• E nīnau i kāu kauka holoholona i ka mea hiki iā ʻoe ke hana e pale aku i kāu mau holoholona mai nā makika. Hiki i nā pōpoki e hele i waho ke loaʻa i ka tularemia.
• E kiaʻi i kāu mau holoholona ke hele lākou i waho. Hiki ke laha ka tularemia ma o nā nahu ʻana mai nā holoholona ʻē aʻe.
• E ʻaʻahu i nā mīkina lima i ka wā e lawelawe ai i nā holoholona (ola a make paha) . Mai hoʻopā aku i kahi holoholona hihiu me kou mau lima ʻōlohelohe. ʻOiai inā ʻoe e ʻaʻahu i nā mīkina lima, e holoi pono i kou mau lima me ke kopa a me ka wai ma hope o ka lawelawe ʻana i nā holoholona.
• E hoʻomoʻa pono i ka ʻiʻo i kahi mahana palekana . E holoi mau i nā lima, nā ʻili, a me nā mea hana ma hope o ka hoʻomākaukau ʻana i ka meaʻai. Hiki i nā holoholona hihiu ke loaʻa ka bacteria e hoʻoulu ai i ka tularemia.
• Mai inu i ka wai i mālama ʻole ʻia.
• Inā hiki, e pale i ka ʻoki ʻoki ʻana a i ʻole ka hoʻohana ʻana i nā mīkini ʻē aʻe kokoke i nā kupapaʻu holoholona . Inā hiki, mai hoʻokuʻu i nā holoholona i nā mīkini. ʻO ke kau ʻana i ka pale maka i ka wā e hoʻohana ai i ka mea ʻoki mauʻu a i ʻole nā ​​​​lako mahiʻai e kōkua paha i ka pale ʻana i ka hanu ʻana i nā ʻāpana liʻiliʻi i ka lewa, akā pono ka noiʻi hou aku e hōʻoia i kēia.
• Inā manaʻo ʻoe ua loaʻa iā ʻoe ka tularemia, e nīnau i kāu kauka inā pono ʻoe e lawe i nā lāʻau antibiotic e pale aku i ka ulu ʻana o ka maʻi.

He aha ka mea e hana ai inā loaʻa iā ʻoe ka tularemia? Pehea ka lōʻihi e ho'ōla ai?

Hoʻōla loa ka hapa nui o ka poʻe i loaʻa i ka tularemia. Pono ʻoe e lawe i nā lāʻau antibiotic no 10 a 21 mau lā.

Ma muli o kāu mau hōʻailona, ​​e nānā pono kāu kauka iā ʻoe no nā lā mua ma hope o ka hoʻomaka ʻana o ka lāʻau lapaʻau. Inā hoʻomaka koke ʻoe i nā antibiotics ma hope o ka hoʻomaka ʻana o kāu mau hōʻailona, ​​​​hiki iā ʻoe ke loaʻa nā pilikia koʻikoʻi.

Hiki ke hoʻi mai nā hōʻailona o kekahi poʻe ma hope o ko lākou hoʻōla ʻana (relapse). Inā hana kēlā iā ʻoe, pono paha ʻoe e lawe i kahi papa antibiotic ʻē aʻe.

ʻO ka maʻamau, ʻelua a ʻekolu pule ka lōʻihi o ka mālama ʻana no ka tularemia. Eia nō naʻe, hiki ke lōʻihi ka manawa e ola maikaʻi ai. I kekahi manawa, hiki i nā ʻeha ʻili i hoʻokumu ʻia e ka tularemia ke hana i kahi ʻeha mau loa.

Āhea e hiki ai iaʻu ke hoʻi i ka hana/kula?

ʻOiai ʻaʻole laha ka tularemia, hiki iā ʻoe ke hoʻi i ka hana a i ke kula paha i ka wā e maikaʻi ai ʻoe .

He aha ka manaʻolana no ka tularemia?

He maikaʻi ka nānā ʻana no ka tularemia inā mālama koke ʻia . Inā mālama koke ʻia me nā lāʻau antibiotic, ʻoi aku ka liʻiliʻi o ka make mai ka tularemia ma mua o 1%.

He aha nā pilikia e hiki ke loaʻa mai i ka Tularemia?

ʻO ka maʻamau, loaʻa nā pilikia o ka tularemia me ka maʻi pneumonic a i ʻole ka typhoid fever. ʻO kekahi o kēia mau mea:

• Paʻakikī nui ka hanu ʻana (Acute Respiratory Distress Syndrome - ARDS).
• Ka wela o ka lolo (meningitis a i ʻole meningoencephalitis).
• ʻO ka mumū o ka puʻuwai (myocarditis, pericarditis a i ʻole endocarditis).
• Ka mumū ʻana o nā iwi, ka iwi ʻiʻo, a i ʻole nā ​​hono (osteomyelitis a i ʻole arthritis).
• Ka mumū ʻana o ke akepaʻa (hepatitis).
• Ka hāʻule ʻana o ka puʻupaʻa.
• Ke kahe koko ʻana o loko (hemorrhage).

Hiki ke ho'ōla ʻia ʻo Tularemia me ka ʻole o nā lāʻau antibiotic?

Hiki i kekahi poʻe ke ho'ōla mai ka tularemia me ka ʻole o nā lāʻau antibiotic. Eia nō naʻe, kiʻekiʻe loa ka pilikia o nā pilikia koʻikoʻi, me ka hōʻino ʻana o nā kino . Inā ʻaʻole mālama ʻia, hiki i ka tularemia ʻano A ke hopena i ka make ma kahi o 30% o nā hihia. No laila, inā he kānalua, he mea naʻauao ke ʻimi koke i ka ʻōlelo aʻoaʻo lapaʻau.

Āhea wau e ʻike ai i ke kauka?

E ʻike i ke kauka inā ʻoe:

• Inā loaʻa iā ʻoe nā hōʻailona o 'Tularemia'.
• Inā manaʻo ʻoe ua loaʻa iā ʻoe ka tularemia, hiki i ke kauka ke ʻōlelo aku e lawe i nā lāʻau antibiotic e pale aku i ka ulu ʻana o ka maʻi.
• Inā hoʻi hou nā hōʻailona o ka tularemia i ka wā a ma hope paha o ka pau ʻana o ka lāʻau lapaʻau.

I ka manawa hea e pono ai ʻoe e hele i kahi Emergency Treatment Unit (ETU) ?

Inā loaʻa iā ʻoe kēia mau hōʻailona koʻikoʻi , e hele koke i ka lumi pilikia kokoke loa:

• Inā ʻoi aku ke kuni ma mua o 103 Fahrenheit (39.4 Celsius).
• Ka huikau a i ʻole nā ​​​​loli noʻonoʻo ʻē aʻe.
• Inā he koko i loko o ka luaʻi a i ʻole ka ʻōpala.
• Inā ʻoe e ʻū ana i ke koko.
• Inā ʻike ʻoe i kahi waihoʻoluʻu polū i kou ʻili, lehelehe, a i ʻole nā ​​​​mākuʻi lima (he hōʻailona kēia o ka nele o ka oxygen - 'hypoxia').
• ʻEha nui o ka ʻōpū.
• Ka paʻakikī nui a koke paha i ka hanu ʻana.

He aha nā mea nui e pono iaʻu e nīnau aku i kaʻu kauka?

He manaʻo maikaʻi e nīnau i kēia mau nīnau ke ʻike ʻoe i kāu kauka:

• Pehea e lawe pono ai au i kaʻu lāʻau lapaʻau?
• He aha kaʻu e hana ai e hōʻoluʻolu i koʻu mau hōʻailona ma ka home?
• Āhea wau e hele hou mai ai e ʻike iā ʻoe?
• Āhea wau e hele ai i ka lumi pilikia?

Ua hoʻohana ʻia anei ka tularemia ma ke ʻano he mea kaua olaola?

Ma muli o ka hiki ke laha koke ʻia, aia ka hopohopo e hiki ke hoʻohana ʻia ka bacteria F. tularensis, ka mea e hoʻoulu ai i ka tularemia, ma ke ʻano he mea kaua olaola. Eia nō naʻe, ʻaʻohe mea i hōʻike ʻia a hōʻoia ʻia paha o nā maʻi tularemia e pili ana i nā mea kaua olaola .

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

No laila, he maʻi laha ʻole kēia 'Tularemia', akā i kekahi manawa he maʻi koʻikoʻi e pono ai ke mālama ʻia . Inā manaʻo ʻoe ua loaʻa iā ʻoe, a inā he mau hōʻailona kāu, e ʻike koke i ke kauka . Inā loaʻa koke iā ʻoe ka lāʻau lapaʻau, hiki iā ʻoe ke ho'ōla piha. No laila, ʻo ka mea nui loa, ʻaʻole ia e makaʻu, akā e makaʻala a akahele. Ua maopopo iā ʻoe?

ʻO Tularemia, Francisella tularensis, kuni lāpaki, kuni lele dia, maʻi zoonotic, nā lymph nodes, maʻi i lawe ʻia e ka ʻuku, ka maʻi bacteria, nā maʻi i lawe ʻia e ka ʻuku