Ke makaʻu nei ʻoe i ka maʻi typhoid? E kamaʻilio maʻalahi kākou e pili ana!

Ua maʻi ʻoe no kekahi mau lā, me ke kuni nui a me ka ʻeha o ka ʻōpū? Manaʻo ʻoe ʻaʻohe ou makemake e ʻai a ʻeha paha ke poʻo? I nā manawa e like me kēia, manaʻo mākou he kuni viral maʻamau ia. Eia naʻe, hiki paha i kēia ke hoʻomaka o ka Typhoid Fever. Mai hopohopo. I kēia lā, e kamaʻilio mākou e pili ana i ke ʻano o ka typhoid, pehea e ulu ai, a me ka mea e hana ai e pili ana i ia mea ma ke ʻano maopopo a maʻalahi.

I ka ʻōlelo maʻalahi, he aha ka maʻi typhoid?

ʻO ka maʻi typhoid kahi maʻi i hoʻokumu ʻia e kahi ʻano bacteria i kapa ʻia ʻo 'Salmonella Typhi (S. Typhi)' . Hoʻopilikia nui kēia bacteria i ko mākou mau ʻōpū liʻiliʻi (nā ʻōpū). ʻO ia ke kumu e loaʻa ai nā hōʻailona e like me ke kuni nui a me nā ʻeha o ka ʻōpū. Ua kapa ʻia hoʻi ka maʻi typhoid he maʻi enteric .

Ua lohe paha ʻoe i ka maʻi paratyphoid. He maʻi like ia, akā ua hoʻokumu ʻia e kahi bacteria i kapa ʻia ʻo Salmonella Paratyphi (S. Paratyphi). ʻOi aku ka mālie o kona mau hōʻailona ma mua o ka typhoid.

Akā e hoʻomanaʻo i hoʻokahi mea: ʻOkoʻa loa nā bacteria e hoʻoulu ai i ka typhoid mai nā bacteria Salmonella a kākou e ʻike nei, ka mea maʻamau e hoʻoulu ai i ka lāʻau make i ka meaʻai.

ʻO wai ka mea i loaʻa pinepine i kēia maʻi?

He maʻi maʻamau ka maʻi typhoid ma nā ʻāina e ulu ana, ʻoi aku hoʻi ma nā wahi kuaʻāina me ka maʻemaʻe maikaʻi ʻole. ʻO ia ka mea maʻamau ma ʻAsia Hema (me Sri Lanka, India, Pakistan, a me Bangladesh), ʻAsia Hikina Hema, ʻApelika, a me ʻAmelika Hema.

ʻOi aku ka pilikia o nā keiki i ka loaʻa ʻana o ka maʻi typhoid ma mua o nā pākeke, no laila pono ʻoe e makaʻala loa inā he mau keiki ʻuʻuku kāu i loko o kou home.

He aha nā hōʻailona o ka maʻi typhoid?

ʻO ka hōʻailona nui o ka maʻi typhoid, e like me ka inoa e hōʻike nei, he kuni nui. Inā ʻaʻole mālama ʻia, hiki i kēia kuni ke mau no nā pule. Hoʻomaka ia me ka kuni haʻahaʻa i nā lā mua, a laila piʻi mālie i kēlā me kēia lā. Ua kapa ʻia kēia he "stepwise fever."

Ma waho aʻe o kēia hōʻailona nui, aia kekahi mau hōʻailona ʻē aʻe. E nānā kākou i ke ʻano o lākou.

Pehea lā e laha ai kēia maʻi iā kākou?

Hoʻolaha nui ʻia ke kuni typhoid ma ka ʻai ʻana i ka meaʻai a i ʻole ka wai i haumia ʻia me ka bacteria `S. Typhi`. Eia kekahi laʻana, inā hele kahi maʻi typhoid i ka lua a hoʻomākaukau i ka meaʻai me ka holoi pono ʻole i kona mau lima, a inā ʻoe e hoʻopā i ka meaʻai āu e ʻai ai, hiki i ka bacteria ke komo i loko o kou kino.

Ma nā wahi e like me ko kākou ʻāina, ʻo kekahi o nā ala nui e laha ai kēia ma o ka wai haumia. Inā komo ka wai haumia i hui pū ʻia me nā ʻōpala i loko o nā kumu wai inu, inā ʻoe e inu i kēlā wai, a inā ʻoe e holoi i nā mea kanu a me nā huaʻai me kēlā wai, hiki i kēia maʻi ke laha maʻalahi.

Hiki ke laha ka maʻi ʻoiai inā ʻaʻohe hōʻailona?

ʻAe. ʻO kēia ka mea weliweli loa e pili ana i ka typhoid. Hiki i kekahi poʻe ke hoʻomau i ka loaʻa ʻana o ka bacteria `S. Typhi` i loko o ko lākou kino ma hope o ko lākou ho'ōla piha ʻana mai ka typhoid, me ka ʻole o nā hōʻailona. Kāhea mākou i kēia poʻe he "mea lawe lōʻihi"Hoʻokuʻu ʻia kēia bacteria i ke kaiapuni ma o ka ʻōpala o kēia poʻe. No laila, he mea nui loa ia e hōʻoia ʻaʻole ʻoe e hoʻopili i kekahi mea ʻē aʻe ma hope o kou hoʻōla ʻana mai ka maʻi.

ʻEhā pae o ka maʻi typhoid.

Inā ʻaʻole mālama ʻia, hiki i ka maʻi typhoid ke holomua i ʻehā mau pae. Eia nō naʻe, inā hoʻomaka mua ʻia nā antibiotics , hiki ke kaohi ʻia ka maʻi me ka ʻole o ka hele ʻana i kēia mau pae.

• Pae 1: Hoʻomaka nā hōʻailona e ʻike ʻia ma waena o 5 a me 14 mau lā ma hope o ke komo ʻana o ka germ i ke kino. ʻO ka hōʻailona mua he kuni e hoʻonui ana i kēlā me kēia lā. I kēia manawa, ke komo nei ka bacteria i kou koko.
• Pae 2: Ma kahi o ka lua o ka pule o ka maʻi palū, hoʻomaka ka bacteria e hoʻonui i nā ʻāpana Peyer, ʻo ia kekahi o kāu ʻōnaehana pale, i loko o kou ʻōpū. Hoʻoulu kēia i nā hōʻailona e like me ka ʻōpū ʻeha, ka maʻi diarrhea, a i ʻole ka constipation. Hoʻomohala pū kekahi poʻe i nā "rose spots" i ʻōlelo ʻia ma mua.
• Pae 3: Inā ʻaʻole mālama ʻia, i ke kolu o ka pule ma hope o ka hoʻomaka ʻana o nā hōʻailona, ​​​​hiki i ka bacteria ke hana i ka hōʻino nui. Hiki ke loaʻa nā pilikia koʻikoʻi e like me ke kahe koko kūloko mai nā ʻōpū a me ka mumū o ka lolo (encephalitis).
• Pae 4: Hoʻomaka ka hapa nui o ka poʻe e hoʻōla i kēia manawa. Hoʻomaka ke kuni kiʻekiʻe e emi. Eia nō naʻe, inā ʻaʻohe ou hōʻailona, ​​​​hiki i ka bacteria S. Typhi ke noho i loko o kou gallbladder. ʻO ia hoʻi, hiki iā ʻoe ke hoʻolaha i ka maʻi i kekahi ma hope o kou hoʻomaikaʻi ʻana.

Pehea e ʻike ai ke kauka i kēia? He aha ka lāʻau lapaʻau?

Ke hele ʻoe e ʻike i ke kauka, e nīnau ʻo ia iā ʻoe e pili ana i kou mau hōʻailona a me kekahi mōʻaukala huakaʻi hou. A laila e nānā ʻo ia iā ʻoe. Inā kānalua ʻo ia he typhoid, e kauoha ʻo ia i kekahi mau hoʻokolohua e hōʻoia i ia mea.

Nā hoʻāʻo e ʻike i ka maʻi

• Hoʻāʻo koko: Nānā i ke alo o ka bacteria `S. Typhi` i loko o ke koko.
• Hoʻāʻo ʻana i ka noho: Hoʻāʻo ʻia kahi hāpana noho no ke alo o ka bacteria.
• Hoʻāʻo mimi: Nānā ʻia kahi hāpana mimi no ka bacteria.
• I kekahi manawa, e noi ʻia paha ʻoe e lawe i kahi X-ray o ka umauma.

Lapaʻau no ka typhoid

Hoʻōla ʻia ke kuni typhoid me nā antibiotics . Na kāu kauka e hoʻoholo i ka antibiotic kūpono loa nāu ma muli o ke ʻano o ka bacteria typhoid i loaʻa iā ʻoe a me kahi i loaʻa ai iā ʻoe ka maʻi.

Inā koʻikoʻi ka maʻi a loaʻa paha nā pilikia, pono paha ʻoe e lawe ʻia i ka haukapila no ka mālama ʻana. I kekahi manawa, me nā lāʻau antibiotic, hiki ke hāʻawi ʻia nā steroid e like me dexamethasone.

Ke kū'ē ʻana i nā lāʻau antibiotic

He pilikia olakino nui kēia i kēia lā. Ua kūʻē kekahi mau ʻano bacteria `S. Typhi` i kekahi o nā antibiotics a mākou e hoʻohana nei. ʻO ke ʻano kēia, ʻaʻole e make ka bacteria ʻoiai inā ʻoe e lawe i kēlā lāʻau lapaʻau. Kāhea mākou i kēia kūlana he kūʻē antibiotic . Kūʻē kekahi mau ʻano typhoid (XDR typhoid) i nā lāʻau he nui. ʻO ia ke kumu he mea nui loa ka loaʻa ʻana o kahi lāʻau pale e pale aku iā ʻoe iho mai ka typhoid.

Pehea e pale aku ai i ka typhoid?

ʻO ke ala maikaʻi loa a koʻikoʻi loa e pale aku ai iā ʻoe iho mai ka maʻi typhoid, ʻo ia ka loaʻa ʻana o ka lāʻau pale . Inā ʻoe e noho ana ma kahi i loaʻa pinepine ai ka typhoid, a inā ʻoe e hele ana i kekahi, he manaʻo maikaʻi e loaʻa ka lāʻau pale. Aia nā lāʻau pale waha a me nā lāʻau pale injectable.

Eia kekahi, he mea nui e pale i nā meaʻai a me nā mea inu haumia.

• Inā maʻi ʻoe, mai hoʻomākaukau i ka meaʻai no haʻi .
• E holoi pono i kou mau lima me ke kopa ma mua a ma hope o ka hoʻomākaukau ʻana i ka meaʻai, ma mua o ka ʻai ʻana, a ma hope o ka hoʻohana ʻana i ka lua.
• E holoi pono i nā mea hana a me nā kīʻaha hoʻomākaukau meaʻai a mālama iā lākou i ka maʻemaʻe.
• Inā ʻai ʻoe i waho, e koho i ka meaʻai wela a moʻa maikaʻi ʻia a i ʻole ka meaʻai i hoʻopili maikaʻi ʻia e like me ka hiki.
• Mai inu i ka wai mai nā kumu i ʻike ʻole ʻia . E inu wale i ka wai i hoʻolapalapa ʻia a i ʻole ka wai i ʻōmole ʻia.

Āhea ʻoe e ʻike koke ai i ke kauka?

Inā ʻoe e noho ana ma kahi i loaʻa pinepine ai ka typhoid a i ʻole ua huakaʻi hou ʻoe a loaʻa iā ʻoe nā hōʻailona o ka typhoid, e like me ke kuni a me ka ʻeha o ka ʻōpū, e ʻike koke i ke kauka . ʻO ka wikiwiki o kou hoʻomaka ʻana i ka lāʻau lapaʻau, ʻo ka wikiwiki o kou hoʻōla ʻana a pale aku i nā pilikia koʻikoʻi.

Inā loaʻa iā ʻoe nā ʻōuli koʻikoʻi ma lalo nei, e hele koke i ka ETU (Emergency Treatment Unit) o ​​ka haukapila .

• Kuni kiʻekiʻe loa.
• Ke koko i loko o ka ʻōpala a i ʻole nā ​​​​ʻōpala ʻeleʻele tarry.
• He ʻeha ʻōpū nui loa.
• Ke kahe koko ʻana i ka wā e ʻū ai a luaʻi paha.
• Nā hōʻailona neurological e like me ka huikau, ka nalowale o ka hoʻomanaʻo, a i ʻole ka hopu ʻana.

I ka hopena, ʻaʻole ka typhoid he maʻi e makaʻu ʻia, akā ʻaʻole ia he maʻi e lawe māmā ʻia . Hiki ke ho'ōla loa ʻia kēia maʻi me ka mālama pono ʻana i ka lāʻau lapaʻau a me ka hoʻomaʻemaʻe maikaʻi.