Ke maʻi koke nei ʻoe me ke kuni kiʻekiʻe a ʻike i nā ʻulaʻula a i ʻole nā kiko ma kou kino? Inā ʻike ʻia kēia mau hōʻailona ma hope o ke kipa ʻana i kahi ululāʻau a ʻāina mahiʻai paha, a inā ua ʻike ʻoe i nā mea ʻino e like me nā ʻuku moe a i ʻole nā ʻuku lele i loko o kou home, he hōʻailona paha ia o ka typhus. Manaʻo ka poʻe he nui ua hala kēia maʻi, akā ma Nirogi Lanka, makemake mākou e ʻike ʻoe he pilikia olakino maoli nō ia e pono ai ka nānā ʻana.
He aha ka maʻi Tifus?
I nā huaʻōlelo maʻalahi, ʻo Typhus kahi hui o nā maʻi lele i hoʻokumu ʻia e nā ʻano bacteria kikoʻī. Hoʻoili ʻia kēia mau mea iā ʻoe ma o nā nahu o nā pepeke i loaʻa i ka maʻi. ʻO nā hōʻailona mua he kuni nui a me ka ʻulaʻula o ke kino. Inā ʻaʻole mālama ʻia, hiki iā ia ke lilo i mau pilikia olakino koʻikoʻi, no laila e ʻoluʻolu e lawe koʻikoʻi.
I ka wā ma mua, ua lawe nā maʻi ahulau typhus i nā haneli haneli o nā ola, ʻoiai i ka wā o ke kaua a me ka wī. ʻOiai ua kakaikahi kēia mau maʻi ahulau nui i kēia manawa, ʻo ke ʻano i ʻike ʻia ʻo 'Scrub Typhus' e hoʻopilikia mau nei i nā miliona o ka poʻe ma ka honua holoʻokoʻa i kēlā me kēia makahiki. He ʻano ia e pono ai ʻoe e makaʻala.
He aha nā ʻano o ka maʻi typhus?
E nānā kākou i nā ʻano nui ʻekolu o ka typhus:
- ʻO Murine Typhus: ʻIke ʻia hoʻi ʻo 'endemic typhus,' loaʻa kēia ʻano ma nā wahi he nui o ka honua, me Sri Lanka. ʻOi aku ka palupalu ma mua o nā ʻano ʻē aʻe. Hoʻolaha ʻia ka Murine typhus e nā ʻuku; hiki i kahi ʻuku mai kahi holoholona home e like me ka ʻīlio a pōpoki paha ke hoʻoili i kēia iā ʻoe.
- ʻO ka maʻi Typhus: I kekahi manawa i kapa ʻia ʻo 'sylvatic typhus,' ʻo ia ka mea maʻamau ma nā ʻāpana o ʻApelika, a me ʻAmelika Waena a i ʻole ʻAmelika Hema. Hoʻolaha ʻia ia e nā ʻuku kino. Ma nā ʻāina e like me ʻAmelika Hui Pū ʻIa, hiki nō hoʻi ke hana ma o ka hoʻopili ʻana me nā ʻiole lele i loaʻa i ka maʻi.
- ʻO ka Scrub Typhus: E like me kā mākou i ʻōlelo ai, ʻo kēia ke ʻano maʻamau. Loaʻa ia ma nā wahi kuaʻāina ma ka Hikina Hema a me ka Hikina o ʻAsia, nā mokupuni Pākīpika, Rusia, a me Australia. Loaʻa ia ma Sri Lanka, ʻoi aku hoʻi ma nā wahi kuaʻāina a ululāʻau paha. Hoʻolaha ʻia ka Scrub typhus e nā chiggers (nā ʻuku larval) e lawe ana i ka bacteria.
He aha nā hōʻailona o ka maʻi typhus?
Hiki ke ʻokoʻa nā hōʻailona ma muli o ke kanaka a me ke ʻano o ka typhus, akā ʻo ka hapa nui:
- Kuni Nui: ʻOi aku pinepine ma mua o 40°C (104°F), hiki ke hoʻomau no kekahi mau lā a i ʻole nā pule.
- Nā anu.
- ʻEha kino: ʻEha nui o nā ʻiʻo a me ke kino.
- ʻEha poʻo.
- ʻŌhūhū: ʻIke pinepine ʻia kekahi mau lā ma hope o ka hoʻomaka ʻana o nā hōʻailona ʻē aʻe, e hoʻomaka ana ma ka umauma a i ʻole ka ʻōpū a pālahalaha aku, akā maʻamau e mālama i nā poho lima a me nā kapuwaʻi o kou mau wāwae.
- Kuke.
- Ka luaʻi a i ʻole ka luaʻi ʻana.
- ʻEha ʻōpū.
- Nā ʻōpū lymph pehu: ʻOi loa ma ka ʻāʻī a i ʻole nā armpits.
- Ka huikau a i ʻole ka loli o ke kūlana noʻonoʻo.
- Nā ʻōʻili.
- Coma: Hana ʻia kēia i nā hihia koʻikoʻi loa.
- Eschar: He hōʻailona hiʻona o Scrub Typhus, e ʻike ʻia ana he ʻeha ʻeleʻele e like me ka ʻōpala ma kahi o ka nahu ʻana, e like pinepine me ke kuni.
E hoʻomanaʻo, ʻaʻole paha ʻoe e ʻike i kēia mau hōʻailona āpau. Eia nō naʻe, inā manaʻo ʻoe ua nahu ʻia ʻoe e kahi pepeke a hōʻike i kēia mau hōʻailona, e ʻoluʻolu e nīnau koke i ke kauka ma Nirogi Lanka a i ʻole kahi hale lapaʻau kokoke loa iā ʻoe.
He aha ke kumu o ka maʻi typhus?
Hoʻokumu ʻia nā ʻano typhus ʻekolu e nā bacteria microscopic:
- ʻO Rickettsia typhi ke kumu o ka maʻi murine typhus.
- ʻO ka maʻi typhus ahulau ke kumu o ka maʻi ʻo Rickettsia prowazekii .
- 'O Orientia tsutsugamushi ke kumu o ka scrub typhus.
ʻOiai he paʻakikī kēia mau inoa, he mea nui ia no kāu hui lapaʻau e hāʻawi i kahi hōʻailona pololei.
Pehea e laha ai ka maʻi typhus?
Hoʻolaha ʻia ka bacteria typhus ke nahu ʻia ʻoe e kahi ʻuku, ʻuku, a i ʻole mite i loaʻa i ka maʻi a waiho i kona ʻōpala kokoke i ka ʻeha nahu, a laila komo i loko o kou koko. He mea nui e mālama i ka hoʻomaʻemaʻe maikaʻi a me ka kaohi ʻana i nā mea ʻino.
- Murine Typhus: Hoʻolaha ʻia e nā ʻuku pōpoki (`Ctenocephalides felis`) a me nā ʻuku ʻiole (`Xenopsylla cheopis`). Pili ia me nā holoholona, nā ʻiole, nā opossums, a me nā raccoons. E mālama i kāu mau holoholona i ka maʻemaʻe a kāohi i nā ʻiole mai kou wahi noho.
- ʻO ka maʻi ahulau typhus: Hoʻolaha ʻia e nā ʻuku kino. Ulu kēia i nā wahi piha kanaka a maʻemaʻe ʻole kahi e hiki ʻole ai ke ʻauʻau a me nā lole maʻemaʻe.
- ʻO ka Scrub Typhus: Hoʻolaha ʻia e nā chiggers (nā ʻuku larval) i loaʻa i loko o ka nāhelehele mauʻu a ululāʻau paha. E akahele i ka wā e hele wāwae ana ma waena o nā mea kanu hihiu.
He laha anei ka maʻi typhus mai ke kanaka a i ke kanaka?
ʻAʻole, ʻaʻohe o nā ʻano ʻekolu o ka Typhus i laha pololei mai ke kanaka a i ke kanaka. ʻO ia hoʻi, ʻaʻole ia e laha e like me ke anu maʻamau. Eia nō naʻe, i nā kūlana noho piha, hiki i nā ʻuku kino ke hoʻoili i ka bacteria typhus mai kekahi kanaka a i kekahi. No laila, he mea nui loa ka mālama ʻana i ka hoʻomaʻemaʻe pilikino.
ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o ka typhus?
Inā ʻoe e noho ana a i ʻole e hele ana i nā wahi i loaʻa ai nā ʻuku, nā ʻuku kino, a i ʻole nā ʻuku e lawe ana i ka bacteria typhus, aia ʻoe i ka pilikia o ka maʻi. Pono ʻoe e makaʻala loa i ka wā e kipa aku ai i ia mau wahi a i ʻole e hana ana ma waho.
He aha nā pilikia e hiki ke kū mai mai ka typhus?
Inā ʻaʻole mālama ʻia, hiki i ka typhus ke alakaʻi i kekahi mau pilikia, a he koʻikoʻi loa kekahi o ia mau mea:
- Nā ʻūpā koko.
- Splenomegaly (ʻōpū nui).
- Ka maʻi lolo o ka maka.
- Gangrene (make ʻana o nā ʻiʻo).
- Ka nalowale o ka lohe.
- ʻO ka meningitis (ka mumū o nā membrane e hoʻopuni ana i ka lolo).
- ʻO Myocarditis (ka mumū o ka ʻiʻo puʻuwai).
- ʻO ka neuritis optic (ka mumū o ke aʻalolo optic).
- Ka hoʻopili ʻana o ka wai a puni nā māmā (pleural effusion).
- Pneumonia.
- Ka hāʻule ʻana o ka hanu.
Inā loaʻa iā ʻoe ka maʻi typhus i nā wā mua o ka hāpai ʻana, aia kahi piʻi o ka pilikia o ka hāʻule ʻana o ka hāpai keiki, ka hānau mua ʻana, a me nā pēpē kaumaha haʻahaʻa i ka wā hānau. Pono nā makuahine hāpai e makaʻala loa.
Pehea e ʻike ʻia ai ka maʻi typhus?
ʻO ka maʻamau, e ʻike ke kauka i ka typhus ma muli o kāu mau hōʻailona a me kou mōʻaukala huakaʻi hou a i ʻole kou wahi noho ma nā wahi i laha ai ka maʻi. He ʻāpana ʻike koʻikoʻi kou mōʻaukala huakaʻi .
Eia kekahi, hiki i kāu kauka ke kauoha i kahi hoʻāʻo koko a hana paha i kahi biopsy ma kahi 'eschar' - ka ʻōpala ʻōpala e hana ana ma kahi o kahi nahu ʻupena.
Ke kūkākūkā ʻoe me ke kauka, e hōʻoia e haʻi i kekahi huakaʻi i hala koke aku nei a inā paha ʻoe e kānalua nei ua nahu ʻia ʻoe e nā ʻuku, nā ʻuku, a i ʻole nā ʻuku. ʻOiai inā ʻaʻole ʻoe maopopo, inā manaʻo ʻoe he hiki, e hoʻomaopopo iā lākou.
I kekahi manawa, hiki i nā hopena o ka hale hana no nā hoʻokolohua koko a i ʻole nā biopsies ke hala i kekahi mau pule, a pono paha ʻoe e hoʻāʻo hou. Eia nō naʻe, e hoʻomaka koke kāu kauka i ka lāʻau lapaʻau inā manaʻo lākou he typhus, me ke kali ʻole i nā hopena hope loa.
Hiki ke ho'ōla ʻia ka maʻi typhus?
ʻAe, ʻoiaʻiʻo nō! Hiki ke ho'ōla loa ʻia nā maʻi typhus me nā antibiotics. Hoʻomaopopo pinepine nā kauka iā Doxycycline no Murine, Epidemic, a me Scrub typhus. Eia nō naʻe, inā hāpai ʻoe a i ʻole he mau maʻi olakino ʻē aʻe, hiki i kāu kauka ke koho i kahi antibiotic ʻokoʻa kūpono iā ʻoe.
He aha ka mea e hana ai inā loaʻa iā ʻoe ka typhus?
Inā loaʻa iā ʻoe ka typhus, pono ʻoe e lawe i nā lāʻau antibiotic no ka lōʻihi mai ʻekolu lā a ʻelua pule, ma muli o ke ʻano kikoʻī.
He mea nui e hoʻomaopopo inā ʻaʻole mālama ʻia ka Epidemic typhus, hiki i nā hōʻailona ke emi iki a ʻike hou ʻia i nā mahina a i ʻole nā makahiki ma hope. Ua kapa ʻia kēia ʻo ka maʻi Brill-Zinsser. ʻOi aku ka maʻalahi o kēia mau hōʻailona e hoʻi hou ana ma mua o ka maʻi mua a ʻaʻole pinepine e alakaʻi i nā pilikia nui. Eia nō naʻe, e hoʻomanaʻo i ka wā e hoʻi mai ai kēia mau hōʻailona, hiki i nā ʻuku ke hoʻoili i ka maʻi i nā poʻe ʻē aʻe.
Hiki ke ola inā loaʻa iā ʻoe ka maʻi typhus?
Ke ʻike mua ʻia a mālama pono ʻia me nā lāʻau antibiotic, aneane hiki ke ho'ōla ʻia nā ʻano typhus āpau. Ma ke ʻano laulā, maikaʻi loa ka wānana.
He mea kākaʻikahi loa ka make ʻana mai ka Murine typhus. Eia nō naʻe, inā ʻaʻole i mālama ʻia, ʻokoʻa ka nui o ka make no nā ʻano typhus ʻē aʻe. Wahi a nā loea me ka ʻole o ka mālama ʻia, hiki i ka nui o ka make no ka Epidemic a me Scrub typhus ke piʻi ma waena o 10% a me 30%. ʻAʻole kēia he kūlana e lawe māmā ʻia e ke kaiāulu Nirogi Lanka.
Āhea ʻoe e ʻimi ai i ke aʻo lapaʻau?
Inā ʻike ʻoe i nā hōʻailona o ka typhus a manaʻo paha ua nahu ʻia ʻoe e kahi ʻuku, ʻuku, a i ʻole ka makika (ʻoiai inā ʻaʻole ʻoe e hoʻomanaʻo pono), e ʻimi koke i ke kōkua lapaʻau. E hōʻoia e hoʻomaopopo i kāu kauka e pili ana i kekahi huakaʻi i hala koke nei.
Āhea ʻoe e hele ai i ka lumi pilikia?
Inā ʻike ʻoe i nā hōʻailona koʻikoʻi, e kelepona i ka 911 a i ʻole e kipa koke i kāu keʻena pilikia kokoke loa. ʻO kēia mau hōʻailona koʻikoʻi:
- Ke kuni nui a i ʻole ke kuni e mau ana no kekahi mau lā.
- Ka huikau a i ʻole nā loli ʻē aʻe o ke kūlana noʻonoʻo.
- Nā hōʻailona o ka hopu ʻana.
- Paʻakikī ka hanu ʻana.
- ʻEha ka umauma.
- Ka luhi nui a i ʻole ka nāwaliwali.
- Inā paʻakikī ke hoʻāla i kekahi, a nāwaliwali paha e kū, e kelepona koke aku i nā lawelawe ulia pōpilikia (911).
Nā Nīnau e Nīnau aku ai i kāu Kauka
Ke kipa aku ʻoe i kāu kauka, hiki i kēia mau nīnau ke kōkua iā ʻoe e mālama maikaʻi i kou olakino:
- Pehea maoli e pono ai iaʻu ke lawe i kēia mau lāʻau lapaʻau?
- He aha nā ala maikaʻi loa e pale aku ai iaʻu iho mai nā ʻuku, nā ʻuku, a me nā ʻuku?
- Inā ua piha koʻu wahi noho i nā ʻuku a i ʻole nā ʻuku lele, pehea e hiki ai iaʻu ke hoʻopau iā lākou me ka palekana?
Pehea e pale aku ai i ka typhus
ʻO ke ala kūpono loa e pale aku ai i ka typhus, ʻo ia ka pale ʻana i nā nahu mai nā ʻuku, nā ʻuku, a me nā ʻuku. Hiki iā ʻoe ke hana i kēia mau hana e pale aku iā ʻoe iho:
- I ka wā e hele ai i waho, e hoʻohana i kahi mea pale pepeke i ʻāpono ʻia e ka EPA.
- E ʻaʻahu i nā lole loloa, nā pālule lima lōʻihi, a me nā kāmaʻa wāwae e uhi i ka nui o ka ʻili i ka hiki ke hele ma waho.
- Inā ʻoe e kipa aku ana i nā wahi i ʻike ʻia no nā ʻuku, nā ʻuku, a i ʻole nā ʻuku, e hoʻohana i nā lole i mālama ʻia me ka permethrin. Mai hoʻopili pololei i ka permethrin i kou ʻili.
- E kūkākūkā me kāu kauka holoholona no ka pehea e pale aku ai i nā ʻuku mai kāu mau holoholona.
- E mālama i nā ʻiole a me nā opossum mai kou home a me nā wahi pāʻani. E hoʻomaʻemaʻe i ka palaki, e hoʻopaʻa pono i nā ʻōpala, a e sila i nā wahi komo e komo ai nā ʻiole.
- E uhi pono i nā meaʻai a me nā mea inu a pau, ʻoiai i ka wā e ʻai ai ma waho.
- E ʻauʻau mau me ke kopa a me ka wai mehana.
- E hoʻololi a holoi i kou mau lole ma ka liʻiliʻi hoʻokahi manawa i ka pule.
- Mai kaʻana like i nā mea pilikino e like me nā lole moe, nā kāwele, a i ʻole nā lole me nā poʻe ʻē aʻe.
- Inā ua piha kou mau lole i nā ʻuku, e holoi iā lākou i ka wai wela a hoʻomaloʻo iā lākou ma ka wela nui. No nā mea hiki ʻole ke holoi ʻia me ka mīkini, e hoʻopaʻa iā lākou i loko o nā ʻeke plastik no ʻelua pule e pepehi i nā ʻuku.
ʻOiai he mea hoʻonāukiuki wale nā pepeke, hiki iā lākou ke hoʻoili i nā maʻi koʻikoʻi. ʻOiai inā he kakaikahi ka typhus ma kou wahi, ʻo ka ʻike ʻana i nā hōʻailona, pehea e laha ai, a pehea e noho palekana ai he ʻāpana koʻikoʻi ia o kāu huakaʻi olakino me Nirogi Lanka.
Nā Manaʻo Koʻikoʻi
- He maʻi bacteria ka typhus i laha ʻia e nā pepeke (ʻuku, ʻuku, ʻuiki). He maʻi koʻikoʻi ia e pono ai ka mālama koke ʻana i ke kauka.
- Inā loaʻa iā ʻoe ke kuni nui, ka ʻulaʻula, ka ʻeha kino, a i ʻole ka ʻeha poʻo nui - ʻoiai ma hope o ke noho ʻana i kahi e loaʻa ai kēia mau pepeke - e ʻike koke i ke kauka.
- Mai ho'āʻo e nānā ponoʻī a mālama paha iā ʻoe iho. Pono ʻoe i kahi loiloi lapaʻau loea e hōʻoia i ka loaʻa ʻana o nā lāʻau antibiotic kūpono.
- ʻO ka pale ʻana kou pale maikaʻi loa. ʻO ka hoʻohana ʻana i ka mea pale, ka uhi ʻana, ka mālama ʻana i kou home i ka maʻemaʻe, a me ka mālama ʻana i ke olakino o kāu mau holoholona he mea nui ia.
- Pono nā makuahine hāpai e makaʻala loa a e pili pono i kēia mau hana pale.
Inā he mau nīnau hou kāu a i ʻole ke ʻike nei ʻoe i nā hōʻailona e pili ana, mai kānalua e kamaʻilio me kāu kauka. ʻO ka noho ʻana i ka ʻike ka hana mua i ka noho olakino!
👩🏽⚕️ Nā Nīnau i Nīnau Pinepine ʻia (FAQs)
💬 Ua like anei ke ʻano o ka typhoid me ke ʻano o ka typhoid?
ʻAʻole loa! He ʻelua mau maʻi ʻokoʻa loa kēia. Hoʻokumu ʻia ka maʻi typhoid e ka bacteria Salmonella e laha pinepine ana ma o ka meaʻai a i ʻole ka wai i haumia. I ka hoʻohālikelike ʻana, hoʻokumu ʻia ka Typhus e ka bacteria Rickettsia , kahi i laha ʻia iā ʻoe ma o nā nahu o nā pepeke e like me nā ʻuku, nā ʻuku, a i ʻole nā chiggers. He maʻi koʻikoʻi ka Typhus a laha wikiwiki e pono ai ke mālama lapaʻau kūikawā.
💬 He aha nā hōʻailona hōʻailona o ka maʻi typhus ma hope o ka nahu ʻana o kahi pepeke?
ʻO ka maʻamau, ma kahi o 10 mau lā ma hope o ka hōʻike ʻana, hiki iā ʻoe ke loaʻa i kahi kuni kiʻekiʻe koke me ka ʻeha poʻo nui a me nā ʻehaʻeha nui o nā ʻiʻo. ʻO kahi hōʻailona nui e nānā ai he ʻulaʻula macular ʻeleʻele e ʻike pinepine ʻia ma kahi o ka lā ʻehā o ka maʻi, e hoʻomaka ana ma kou umauma a i ʻole ka ʻōpū a pālahalaha i loko o kou kino.
💬 Hiki iaʻu ke mālama i ka maʻi typhus me Paracetamol?
ʻAʻole. No ka mea he maʻi bacteria kēia, ʻaʻole e hoʻōla nā lāʻau hoʻohaʻahaʻa kuni e like me Paracetamol. Hiki ke hoʻoweliweli ka hoʻāʻo ʻana e mālama i kēia ma ka home, no ka mea, hiki i ka Typhus i mālama ʻole ʻia ke alakaʻi i nā pilikia koʻikoʻi, me ka hōʻino ʻana i kou mau māmā, nā puʻupaʻa, a me ka lolo. Inā kānalua ʻoe he mau hōʻailona kēia, e kelepona i ka 911 a i ʻole e kipa koke i kāu keʻena pilikia kokoke loa. ʻO ka mea pōmaikaʻi, i ka wā i ʻike ʻia ai, pane maikaʻi loa ʻo Typhus i kahi papa o Doxycycline - kahi antibiotic kūpono a kūpono hoʻi - ka mea maʻamau e hoʻopau i ke kuni i loko o 24 a 48 mau hola. E ʻimi mau i ka ʻōlelo aʻoaʻo loea mai Nirogi Lanka a i ʻole kāu mea mālama ola kino kūloko.
Nā huaʻōlelo: Typhus, kuni i lawe ʻia e nā pepeke, maʻi bacteria, ʻuku, ʻuku, Chiggers, Scrub Typhus
