Ua ʻike anei ʻoe aia kahi pōʻai keʻokeʻo liʻiliʻi ma kou wāwae, ʻoi aku hoʻi ma nā kapuwaʻi o kou mau wāwae a i ʻole ma waena o kou mau manamana wāwae, me kahi kiko ʻeleʻele ma waena? He ʻeha a ʻā paha paha. Inā pēlā, he maʻi ʻili paha ia i kapa ʻia ʻo "tungiasis." Hoʻokumu ʻia kēia e kahi ʻuku one liʻiliʻi e ʻeli ana i loko o kou ʻili a waiho i nā hua. Mai hopohopo, e kamaʻilio mākou e pili ana i ia mea me nā kikoʻī.
He aha ka Tungiasis?
I ka ʻōlelo maʻalahi, ʻo Tungiasis kahi maʻi ʻili ʻeha a ʻānai i hoʻokumu ʻia e nā ʻuku one wahine e ʻeli ana i loko o ka ʻili, kahi a lākou e waiho ai i nā hua. E ʻike ʻoe i kahi ʻeha keʻokeʻo, poepoe me kahi kiko ʻeleʻele liʻiliʻi ma waena. ʻIke pinepine ʻia kēia mau mea ma nā wāwae, e like me nā kapuaʻi wāwae, nā kuʻekuʻe wāwae, a ma waena o nā manamana wāwae. Eia nō naʻe, hiki iā lākou ke ʻike ʻia ma nā wahi āpau o ke kino.
E noʻonoʻo wale, ua hōʻike mua ʻia kēia maʻi i nā makahiki 1500! Ua loaʻa pū kekahi o nā luina o Christopher Columbus i ka Tungiasis ma hope o ko lākou moku ʻana ma ka mokupuni ʻo Haiti ma ka Caribbean.
ʻO wai kēia ʻuku one?
ʻO nā inoa ʻepekema o nā ʻuku one e hoʻoulu ai i ka Tungiasis ʻo `(Tunga penetrans)` a me `(Tunga trimamillata)`. Ua kapa ʻia hoʻi lākou e nā inoa ʻē aʻe, no ka laʻana:
- "Bicho del pie" - ʻo ia hoʻi kekahi mea e like me "ilo ma ka wāwae."
- Nā ʻuku Chigoe
- Nā Jiggers
- Nigua
- Piko
ʻAʻole pono ʻoe e hoʻomanaʻo i kēia mau inoa āpau, akā ʻike ka hapa nui o ka poʻe i ka wā e ʻōlelo ai ʻoe "sand flea".
Aia i hea kēia ʻuku one?
ʻAʻole mākou e ʻike i kēia mau ʻuku one kūikawā ma nā wahi āpau ma Sri Lanka. E like me ka hōʻike ʻana o ko lākou inoa, makemake kēia mau ʻuku i nā wahi one, e like me nā kahakai. Hiki iā lākou ke noho i ka lepo mahana a maloʻo ma nā mahiʻai a me nā pā holoholona. Eia kekahi, hiki i kēia mau ʻuku ke neʻe mai kekahi wahi a i kekahi wahi ma ke pipili ʻana i ka huluhulu o nā holoholona.
I ka wā ma mua, ua loaʻa wale kēia mau ʻuku one ma West Indies a me Caribbean, akā i kēia manawa ua loaʻa pū lākou ma kēia mau wahi wela a me nā wahi subtropical:
- ʻApelika
- ʻInia
- ʻAmelika Latina
- Pakitana
Pehea ka maʻamau o ka Tungiasis?
ʻOi aku ma mua o 20 miliona mau kānaka ma ka honua holoʻokoʻa e pilikia ana i ka loaʻa ʻana o ka tungiasis. He mea maʻamau ia i waena o ka poʻe wāwae ʻole, ma nā wahi kuaʻāina, ma nā kauhale mamao, a ma nā wahi slums ma nā kūlanakauhale nui. ʻOi aku ka maʻamau i nā keikikāne ma waena o 5 a me 14 mau makahiki, a me ka poʻe ʻelemakule. Ua manaʻo ʻia he 8 mai loko mai o 10 mau keiki nele e noho ana ma nā wahi i loaʻa ai nā ʻuku one e loaʻa i ka tungiasis.
No ke aha e kū mai ai ʻo Tungiasis?
Hiki iā ʻoe ke loaʻa i ka tungiasis mai ka hoʻopili pololei ʻana me nā ʻuku one ma ka honua, a i ʻole mai ka hoʻopā ʻana i ka huluhulu o kahi holoholona nona nā ʻuku one. ʻO kēia mau ʻuku ka mea maʻamau i loaʻa ma nā holoholona e like me ka puaʻa, nā bipi, nā ʻīlio, nā pōpoki, a me nā ʻiole. Eia kekahi,He liʻiliʻi loa kēia ʻuku one, ʻaʻole hiki iā mākou ke ʻike me ko mākou mau maka.
ʻO ka mea nui, ʻo nā ʻuku one wahine wale nō i mākaukau e waiho hua ke kumu o ka Tungiasis. ʻOmo pū nā ʻuku one kāne i ko mākou koko, akā no ka mea ʻaʻohe a lākou hua e waiho ai, ʻaʻole lākou e ʻeli i loko o ka ʻili, a no laila ʻaʻole lākou e hoʻoulu i ka Tungiasis.
Pehea lā e hiki maoli ai kēia?
ʻAe, e nānā kākou pehea e hana ai kēia. Nahu ka ʻuku one wahine a nau i kahi lua liʻiliʻi i loko o kou ʻili, ʻo ia hoʻi ka epidermis. A laila, hele ʻo ia ma kēlā lua a i loko o ka papa lua o kou ʻili, ʻo ia hoʻi ka dermis. Hoʻomaka ʻo ia e omo i ke koko mai nā kīʻaha koko ma laila. ʻO kou koko ka mea e pono ai ʻo ia e hana i kāna mau hua. Hanu ka ʻuku ma o kēlā lua i loko o kou ʻili.
ʻO ke kiko ʻeleʻele ma waenakonu o ka pōʻai keʻokeʻo āu e ʻike nei, ʻo ia ke kua o ka ʻuku one i ʻeli i loko o ka ʻili. Ma laila e puka mai ai nā hua.
Ma kēia ʻano, hiki i ka ʻuku one ke noho i loko o kou ʻili no ʻeono pule. Inu ia i kou koko a ulu pū me nā hua. I loko o kēia manawa, hiki iā ia ke waiho ma kahi o 100 mau hua. Hāʻule kēlā mau hua mai loko mai o ka lua o ka ʻili a hāʻule i ka lepo. Ma hope o ka waiho ʻana i nā hua, make ka ʻuku one a wehe ʻia ke hemo kou ʻili.
Ma hope o ʻehā lā, puka mai nā hua i hāʻule i ka lepo i loko o nā ʻūhini. ʻAi lākou i nā mea olaola i loko o ke one a i ʻole ka lepo. A laila, hoʻopuʻupuʻu nā ʻūhini, a ma hope o ʻehā pule, lilo lākou i mau ʻuku one piha. ʻO kēlā mau ʻuku ka poʻe e hoʻi mai e ʻimi i nā kānaka a hoʻomaka e omo i ke koko.
He aha nā hōʻailona o kēia?
ʻAʻole hiki i nā ʻuku one ke lele mamao loa. ʻO ia ke kumu e ʻeli nui ai lākou i loko o ka ʻili ma kou mau kapuwaʻi, ma waena o kou mau manamana wāwae, ma kou mau kuʻekuʻe wāwae, a i ʻole ma ke kua o kou mau wāwae. Ke komo mua kahi ʻuku one wahine i kou ʻili, ʻaʻole paha ʻoe e ʻike. Akā ma hope o kona ʻeli ʻana i loko o kou ʻili, e ʻike ʻoe i kahi pōʻai keʻokeʻo, e like me ke apo a i ʻole ka maka manu liʻiliʻi, me kahi kiko ʻeleʻele ma waena. I ka hala ʻana o ka manawa, i ka wā e ʻai ai ka ʻuku one i ke koko a ulu pū me kāna mau hua, e nui aʻe ana kēlā kiko ʻeleʻele.
Hiki ke nānā aku kēia ʻeha penei:
- ʻAkaʻaka maikaʻi loa ia.
- Aia pū kekahi ʻeha.
- He ʻulaʻula paha.
- He pehu a paʻa paha.
He aha nā pilikia e hiki ai i kēia ke hana?
Loaʻa i ka poʻe me ka tungiasis ka pilikia nui o ka loaʻa ʻana o nā maʻi bacteria koʻikoʻi mai ka pepeke e ʻeli ana i loko o ka ʻili a me ke kahakaha ʻana. Hiki i kēia mau maʻi ke alakaʻi i nā kīnā mau o nā wāwae a me ka hiki ʻole ke hele.
ʻO nā pilikia ʻē aʻe e hiki ke hana ʻia:
- ʻO ka maʻi bacteria o ke koko (`(Bacteremia)`), hiki ke alakaʻi i nā maʻi koʻikoʻi e like me `(Septicemia)` a me `(Sepsis)`.
- ʻO ka cellulitis kahi maʻi ʻili i hoʻokumu ʻia e kahi nahu pepeke.
- Gangrene (make ʻana o nā ʻiʻo).
- ʻO Tetanus (kahi maʻi bacteria e hoʻopilikia i ka ʻōnaehana nerve a hiki ke hoʻoweliweli i ke ola).
Pehea ʻoe e ʻike ai i kēia?
Hiki i nā limahana olakino e hana ana ma nā wahi i ʻike nui ʻia ai ka tungiasis ke ʻike i ka maʻi ma ka nānā ʻana i ka ʻili. ʻO ka ʻoiaʻiʻo, ua ʻike ka nui o ka poʻe e noho ana ma ia mau wahi i ka tungiasis a ʻike iā lākou iho ke loaʻa iā lākou.
Pehea lā e mālama ai nā kauka i kēia?
Hiki i kāu kauka ke hoʻohana i nā forceps sterile a i ʻole kahi nila e wehe ai i ka ʻuku one mai ka ʻili. No ka mea ua pehu ka ʻuku mai ke koko, pono paha kahi ʻoki liʻiliʻi (excision) e wehe loa i ka ʻuku.
ʻO nā ala ʻē aʻe e hoʻopau ai i nā ʻuku one:
- ʻO ka hoʻopili ʻana i kahi lāʻau antiparasitic, kahi wax mānoanoa, a i ʻole ka jelly i ka ʻeha e pepehi i ka ʻuku one.
- Hoʻopau ka Cryotherapy i nā ʻuku one ma ka hoʻopaʻahau ʻana i nā ʻiʻo ʻili.
Hiki ke mālama ʻia kēia ma ka home?
ʻAuē, mai hana ʻoe i kēlā! ʻO kahi loea mālama ola kino kūpono wale nō e hoʻāʻo e wehe i kahi ʻuku one i komo i loko o ka ʻili, me ka hoʻohana ʻana i nā lako i hoʻomaʻemaʻe ʻia.
Ma nā wahi i loaʻa ʻole ai ka mālama ola kino a pipiʻi paha, hoʻohana kekahi poʻe i nā lako hana i hoʻomaʻemaʻe ʻole ʻia e mālama i nā ʻuku one. I kekahi manawa, hoʻohana ʻia nā lako like e mālama i kekahi poʻe ma kahi ʻohana a kauhale paha.
Hiki i kēia mau ʻano hana palekana ʻole ke alakaʻi i:
- Hiki i nā ʻuku one ke pohā i loko o ka ʻili, e hana ana i kahi maʻi bacteria.
- ʻO ka hoʻohana ʻana i nā lako hana i hoʻomaʻemaʻe ʻole ʻia hiki ke hoʻolaha i nā maʻi e like me `(Hepatitis B)`, `(Hepatitis C)`, a me `(HIV/AIDS)`.
Pehea lā ʻoe e ola ai i kēia?
Inā ʻoe e hele ana i kahi i loaʻa ai ka tungiasis, hiki iā ʻoe ke hōʻemi i kou pilikia ma ka hana ʻana i kēia mau mea:
- E komo i nā kāmaʻa i pani piha ʻia.
- E ʻaʻahu i nā kāmaʻa wāwae e uhi ana i kou mau kuʻekuʻe wāwae.
- E ʻaʻahu i nā lole lōʻihi.
- E pale i ka hele wāwae ʻole i ka hiki.
- Hiki iā ʻoe ke hoʻopili i kahi lāʻau pepehi kanaka lāʻau `(Zanzarin®)` (he mea pale pepeke kūikawā e like me kēia) i kou mau wāwae i ʻelua manawa i ka lā. Hiki i kēia ke hōʻemi i ka pilikia o ka tungiasis. Hiki i kāu kauka ke kōkua iā ʻoe e ʻimi i kēia lāʻau lapaʻau.
- Ma kekahi mau ʻāina, ua pīpī ʻia kahi ʻano lāʻau pepehi pepeke ʻokoʻa ma ka lepo e pepehi i nā ʻuku one.
He aha ka mea e hana ʻia inā hana ʻia kēia? E ola anei ka hapa nui o ka poʻe?
Hoʻōla ka hapa nui o ka poʻe me ka tungiasis me ka ʻole o ka lāʻau lapaʻau. Eia nō naʻe, ʻo ka ʻeha a me ka maneʻo a hiki i ka make ʻana o nā ʻuku one hiki ke lilo i mea ʻoluʻolu ʻole. Ma nā wahi ʻilihune me ka ʻole o ka mālama olakino maikaʻi, hiki i nā maʻi i hoʻokumu ʻia e ka tungiasis ke hoʻopau a hoʻoweliweli i ke ola.
Āhea wau e ʻike ai i ke kauka?
Inā ʻike ʻoe i kekahi o kēia mau mea ma hope o kou hoʻi ʻana mai kahi i loaʻa ai nā ʻuku one, e ʻike koke i ke kauka:
- Inā he mau ʻeha/kiko keʻokeʻo kou ma kou mau wāwae, nā kuʻekuʻe wāwae, a i ʻole ma kahi ʻē aʻe o kou kino.
- Inā maneʻo ka ʻili, ʻeha, a i ʻole e like me ka ʻulaʻula .
- Inā loaʻa iā ʻoe ke kuni ma hope o ka mālama ʻana no Tungiasis, a inā ʻike ʻoe i nā kaha ʻulaʻula ma kou ʻili (hiki i kēia ke lilo i mau hōʻailona o kahi maʻi).
He aha kāu e nīnau ai i ke kauka?
Hiki iā ʻoe ke nīnau i ke kauka i nā nīnau e like me kēia:
- He aha ka lāʻau lapaʻau maikaʻi loa no ka Tungiasis?
- He aha kaʻu e hana ai e pale aku iaʻu iho mai ka Tungiasis i koʻu wā e hele ai?
- He aha nā hōʻailona o Tungiasis e pono iaʻu e makaʻala?
- Pono anei au e nānā i nā pilikia?
He aha ka ʻokoʻa ma waena o ka Tungiasis a me nā nahu ʻuku maʻamau?
ʻO ka ʻokoʻa nui loa, ʻo nā ʻuku one wale nō (nāna e hoʻoulu ai i ka tungiasis) e ʻeli i loko o kou ʻili a omo i ke koko. Hele mai nā ʻano ʻuku ʻē aʻe i ka ʻili o kou ʻili a omo i ke koko no kekahi manawa. A laila e ʻike paha ʻoe i kekahi mau pehu ʻulaʻula liʻiliʻi. ʻOiai hiki i kēia mau nahu ʻuku maʻamau ke ʻānai a hoʻonāukiuki, ʻaʻole lākou he hoʻoweliweli olakino nui e like me nā mea i hoʻokumu ʻia e ka tungiasis, akā he mea hoʻonāukiuki.
ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai
Inā ʻoe e hele ana i kahi e loaʻa ai nā ʻuku one, he mea nui e hana i nā hana palekana e hōʻemi i kou pilikia o ka loaʻa ʻana o ka tungiasis. E ʻaʻahu i nā kāmaʻa i pani piha ʻia, nā socks e uhi ana i kou mau kuʻekuʻe wāwae, a e kau i kahi mea pale pepeke kūikawā i kou mau wāwae. Ma mua o kou huakaʻi, e nīnau i kāu kauka e pili ana i ke ʻano o ka loaʻa ʻana o ia ʻano mea pale pepeke.
He nui ka poʻe me ka tungiasis e ʻimi nei i ka lāʻau lapaʻau e wehe a pepehi paha i ka ʻuku one. I mea e hōʻemi ai i ka pilikia o ka maʻi a me nā pilikia ʻē aʻe, he mea nui e ʻimi i ke kōkua lapaʻau kūpono e wehe i ka ʻuku one. E hoʻomanaʻo, mai ho'āʻo e hana i kēia ma ka home wale nō. ʻO kou palekana ka mea nui loa!
ʻO Tungiasis, ʻuku one, maʻi ʻili, maneʻo, ʻeha, maʻi ʻaʻai, jiggers
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