He aha ka 'Valley Fever'? E nā poʻe huakaʻi, e makaʻala!

Ua hele anei ʻoe i ʻAmelika Hui Pū ʻIa, ʻoi aku hoʻi ma ke komohana hema o ʻAmelika Hui Pū ʻIa, a i ʻole ʻAmelika Waena a Hema paha? A i ʻole ke hoʻolālā nei ʻoe e hele i ia ʻāina? A laila he mea nui loa iā ʻoe ke makaʻala i kaʻu mea e ʻōlelo ai. E noʻonoʻo ʻoe he kuni kou, he ʻū, a he ʻeha kino no kekahi mau lā. Manaʻo paha ʻoe he anu maʻamau kēia. Eia naʻe, inā ua hele ʻoe i kēlā mau wahi, hiki paha he maʻi fungal kēia i kapa ʻia ʻo 'valley fever' a i ʻole Valley Fever . Mai hopohopo, e kamaʻilio maʻalahi kākou e pili ana i kēia.

He aha maoli ka 'Valley Fever'?

I ka ʻōlelo maʻalahi, he maʻi fungal ʻo Valley Fever e hoʻopilikia i kou mau māmā. Hoʻokumu ʻia ia e kahi ʻano fungus i kapa ʻia ʻo Coccidioides (KOCK-SI-DE-OY-DIES). Noho kēia fungus i loko o ka lepo. Akā, ʻaʻole ma Sri Lanka. Loaʻa pinepine ʻia ma nā ʻāpana hema hema o ʻAmelika Hui Pū ʻIa (e like me Kaleponi a me ʻAlikona), nā ʻāpana o ka mokuʻāina ʻo Wakinekona, a ma ka lepo o ʻAmelika Waena a me ʻAmelika Hema.

No laila pehea e komo ai kēia i loko o ko kākou kino? E noʻonoʻo e like me ka makani ikaika e puhi ana i ko kākou ʻaoʻao, e hoʻoulu ana i ka lepo, a i ʻole ke hoʻoulu ʻia ka lepo e ka ʻeli ʻana, ke kūkulu ʻana, a i ʻole nā ​​makani ikaika ma ia mau wahi, e komo nā spores liʻiliʻi o kēia fungus i loko o ka lepo i ka lewa. Ke hanu kākou i kēlā ea, e komo kēlā mau spores i loko o ko kākou mau māmā a hoʻomaka e ulu ma laila. Pēlā e hana ai kēia maʻi.

E makaʻala i kēia mau hōʻailona.

ʻO ka hapa nui o ka manawa, ʻaʻole hōʻike kēia haʻalulu i kekahi mau hōʻailona ʻoiai ke komo i loko o ke kino. Eia nō naʻe, inā ʻike ʻia nā hōʻailona, ​​ua like loa lākou me nā hōʻailona o ke anu maʻamau. ʻO ia ke kumu e huikau ai ka poʻe he nui.

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia?

Hiki i kekahi mea e hanu ana i ka fungus Coccidioides ke loaʻa i ka maʻi. Eia nō naʻe, ʻoi aku ka nui o ka loaʻa ʻana o nā hōʻailona koʻikoʻi a i ʻole nā ​​​​pilikia.

• Nā kānaka ma luna o 60 mau makahiki: I kou wā ʻelemakule, e emi iki ana paha ka ikaika o ka ʻōnaehana pale.
• Nā makuahine hāpai: ʻOi loa aku no nā makuahine i ke kolu o ka trimester o ka hāpai ʻana.
• ʻAʻole i maʻi ka pale ʻana i ka maʻi: ʻO ka poʻe me nā maʻi e like me ka HIV/AIDS, ka poʻe e mālama ʻia ana no ka maʻi kanesa, a i ʻole ka poʻe e lawe ana i nā lāʻau lapaʻau e hoʻopau i ka ʻōnaehana pale e like me nā immunosuppressants e piʻi aʻe ka pilikia.
• Nā kānaka me ka maʻi diabetes.
• Nā kānaka o kekahi mau lāhui: Ua hōʻike ʻia e ka noiʻi he ʻoi aku ka nui o ka pilikia o ka poʻe ʻeleʻele a me ka poʻe Pilipino i ka loaʻa ʻana o kēia maʻi.
• ʻO ka poʻe e hana me ka lepo: ʻO ka poʻe e hana ana i nā wahi lepo, e like me nā mea kālaihonua a me nā limahana kūkulu hale, ʻoi aku ka nui o ka pilikia.

Hiki paha kēia ke lilo i mea koʻikoʻi? He aha nā pilikia?

ʻO ka hapa nui o nā kānaka (ma kahi o 90-95 mai loko mai o 100) i loaʻa i ka Valley Fever ʻaʻole lākou e loaʻa i kahi maʻi koʻikoʻi a hoʻōla iā lākou iho i loko o kekahi mau pule a i ʻole mau mahina. Eia nō naʻe, hiki i kahi poʻe liʻiliʻi loa ke loaʻa i nā pilikia.

• ʻO ka maʻi māmā lōʻihi: I kekahi poʻe, hiki i kēia maʻi ke hoʻomau i loko o nā māmā. Hiki i kēia ke hana i nā hōʻailona e like me ka ʻū mau, ka ʻeha o ka umauma, a me ka pohō kaumaha.
• Pneumonia: Hiki ke loaʻa kahi maʻi maʻi nui.
• ʻO ka coccidioidomycosis i hoʻolaha ʻia: ʻO kēia ka pilikia weliweli loa. I kēia hihia, hiki i ka fungus ke haʻalele i nā māmā a laha ma ke kahe koko i nā ʻāpana ʻē aʻe o ke kino, e like me nā iwi, nā hono, ka ʻili, a me ka lolo .

Pehea ʻoe e ʻike ai i kēia, e Kauka?

Inā ua hele ʻoe i kahi wahi i maʻamau ai ka Valley Fever a ua loaʻa iā ʻoe nā hōʻailona e like me ka maʻi flū no nā pule he nui, he mea nui e haʻi i kāu kauka. He mea nui loa kou mōʻaukala huakaʻi i ka ʻike ʻana i kēia maʻi.

Hiki i ke kauka ke kuhikuhi i kekahi mau hoʻokolohua e hōʻoia i ka hōʻailona:

• Nā hoʻāʻo koko: ʻO kēia ke ʻano i hoʻohana pinepine ʻia. Ke nānā nei ia i nā antibodies a kou kino e hana ai e kūʻē i ka fungus Coccidioides a i ʻole no nā ʻāpana o ka fungus (antigens) i loko o kou koko.
• ʻO ke kiʻi X-ray o ka umauma a i ʻole CT scan: No ka nānā ʻana i nā hōʻailona o ka maʻi i loko o nā māmā.
• Biopsy: He mea kākaʻikahi loa, lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo mai ka ʻili a i ʻole nā ​​māmā a nānā ʻia ma lalo o kahi microscope e ʻike inā loaʻa ka fungus.

Pehea e mālama ʻia ai?

Hoʻoholo ʻia ka lāʻau lapaʻau e ke koʻikoʻi o ka maʻi.

• ʻAʻole pono ka hapa nui o ka poʻe i ka lāʻau lapaʻau: Inā ʻaʻole koʻikoʻi kāu mau hōʻailona, ​​​​hiki i ka ʻōnaehana pale o kou kino ke kāohi i ka maʻi ma kāna iho. E haʻi aku kāu kauka iā ʻoe e hoʻomaha a nānā i kāu mau hōʻailona.
• Nā lāʻau lapaʻau antifungal: Inā koʻikoʻi ka maʻi, e pālahalaha ana, a inā he mau kumu pilikia ʻē aʻe kāu, hiki i kāu kauka ke kuhikuhi i nā lāʻau antifungal. Hiki i kēia ke komo pū me nā pila e like me Fluconazole, Itraconazole, a i ʻole, i nā hihia koʻikoʻi, nā lāʻau lapaʻau intravenous e like me Amphotericin B.

ʻO ka maʻamau, he 3 a 6 mahina a ʻoi aku paha ka lōʻihi o kēia lāʻau.

Āhea ʻoe e ʻimi koke ai i ke aʻo lapaʻau?

Inā ua ʻike ʻia ʻoe me Valley Fever, e hele koke i ka lumi pilikia haukapila kokoke loa (ETU) inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona. He mau hōʻailona paha kēia e laha ana ka maʻi.

• Koko i loko o ka lawai
• ʻO ka ʻoʻoleʻa o ka ʻāʻī a me ke poʻo ʻeha nui
• Paʻakikī nui ka hanu ʻana
• Nā loli koke i ka ʻike a i ʻole ka lohe ʻana

Pehea e pale ai iā ʻoe iho?

Inā ʻoe e noho ana a i ʻole e hele ana i kahi wahi i loaʻa pinepine ai ka haʻiki Coccidioides, he mea paʻakikī ke pale aku iā ia. Akā hiki iā ʻoe ke hana i kēia mau mea e hōʻemi ai i kou pilikia:

• E pale i nā wahi lepo: E pale i ka hele ʻana i waho, ʻoiai i ka wā o ke kūkulu ʻana a me nā ʻino lepo.
• E noho i loko o ka hale me nā puka makani e pani ʻia ana i ka wā e ʻino ai ka lepo.
• Inā ʻoe e hana ana i loko o ka māla a i ʻole e ʻeli ana, e ʻaʻahu i ka pale maka N95.
• He mea maikaʻi inā hiki iā ʻoe ke hoʻohana i kahi kānana 'HEPA' e hoʻomaʻemaʻe i ka ea i loko o kou home.