Ua ʻike anei ʻoe i ka "Valley Fever" i laha ma nā wahi o ʻAmelika? E kamaʻilio kākou e pili ana i ia mea!

Ua hele mua ʻoe i ke Komohana Hema o ʻAmelika, a i ʻole nā ​​ʻāpana o ʻAmelika Waena a me ʻAmelika Hema? A i ʻole ke hoʻolālā nei ʻoe e hele? Inā pēlā, he mea hoihoi paha kēia iā ʻoe. I kēia lā e kamaʻilio mākou e pili ana i kahi maʻi fungal ʻē i kapa ʻia ʻo "Valley Fever." Hoʻopilikia ia i ko mākou mau māmā.

He aha ka "Valley Fever"? I ka pōkole...

I ka ʻōlelo maʻalahi, ʻo ka "valley fever" kahi maʻi fungal o kou mau māmā. Hoʻokumu ʻia ia e kahi ʻano fungus i kapa ʻia ʻo Coccidioides. Noho kēia fungus i ke kaiapuni, ʻoi aku hoʻi ma ke komohana 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.

E noʻonoʻo, ʻo ke kahua mua o kēia maʻi fungal `(Coccidioides)` ua kapa ʻia ʻo `(Valley Fever).` I kekahi manawa ke hana ʻia kēia, hiki ke ʻike ʻia nā hōʻailona e like me ke anu a i ʻole ka maʻi palū, a i ʻole e nalo paha me ka ʻole o nā hōʻailona. Eia nō naʻe, i kekahi manawa hiki i kēia ke lilo i maʻi koʻikoʻi.

Ua ʻōlelo ʻia he iwakālua tausani kānaka e loaʻa ana i ka "Valley Fever" i kēlā me kēia makahiki. He mea maʻamau ia ma Kaleponi a me ʻAlikona. Ua kapa ʻia hoʻi ʻo ia he "Coccidioidomycosis".

He aha nā hōʻailona o ke "kuni haʻahaʻa"? E nānā inā loaʻa iā ʻoe kēia mau mea pū kekahi

ʻO ka hapa nui o ka manawa, ʻaʻole kēia maʻi e hōʻike i kekahi mau hōʻailona. Eia nō naʻe, inā loaʻa iā ʻoe nā hōʻailona o ka "Valley Fever", hiki iā lākou ke komo pū me:

• He ʻulaʻula me nā puʻupuʻu ma ka ʻili i hoʻololi ʻia ke kala (ʻulaʻula, poni, ʻeleʻele, a ʻeleʻele paha). Kāhea nā kauka i kēia ʻano he `(Erythema Nodosum)`.
• Kuke
• Manaʻo luhi loa (Fatigue)
• kuni
• ʻEha hui
• ʻEha ʻiʻo
• Nā hou o ka pō
• Ka paʻakikī o ka hanu ʻana (Dyspnea)

I kekahi manawa, kuhikuhi nā kauka i kēia ʻili ʻili, ke kuni, a me ka ʻoʻoleʻa o nā hono e like me ka "rheumatism o ka wao nahele."

Pehea lā e loaʻa ai i kekahi ke "valley fever"?

ʻElua ʻano fungi Coccidioides e hoʻoulu ai i ka Valley Fever:

1. `(Coccidioides immitis)` (`C. immitis`): Ke ulu nei keia hamu ma ka lepo o Kaleponi.

2. `(Coccidioides posadasii)` (`C. posadasii`): Loaʻa kēia ma nā wahi ʻē aʻe o ʻAmelika a ma ka lepo o ʻAmelika Waena a me ʻAmelika Hema.

Hoʻokumu nā ʻano ʻelua i nā hōʻailona like.

I kēia manawa, e nānā kākou pehea e komo ai kēia i loko o ko kākou kino. Ke hoʻopilikia ʻia ka lepo, ʻo ia hoʻi, ke ʻeli mākou iā ia, e like me ka makani, e haki ana kēia mau fungi. Ke haki lākou, e hoʻokuʻu ʻia nā ʻāpana hānau liʻiliʻi, i kapa ʻia he spores , i ka lewa. Ke hanu ʻoe i ka lewa e loaʻa ana kēia mau spores, e hele lākou i loko o kou mau māmā a noho, kahi e hoʻomaka ai lākou e ulu i nā hui spores nui aʻe, i kapa ʻia he spherules.

Hiki i kēia mau spherules ke haki hou, e hoʻouna ana i nā spores hou aʻe i nā ʻāpana ʻē aʻe o kou mau māmā, a i kekahi manawa i nā ʻāpana ʻē aʻe o kou kino. A laila hiki i kēlā mau spores ke hana hou i nā spherules, e hoʻolaha ana i ka fungus ma kou kino.

He mea nui: ʻAʻole loaʻa pinepine kēia haʻalulu ma ka lepo o Sri Lanka. Ua kaupalena ʻia ia i nā wahi kikoʻī. No laila, ʻaʻohe pono no ka poʻe e noho ana ma Sri Lanka e hopohopo nui e pili ana i kēia. Eia nō naʻe, he mea nui i ka poʻe e hele ana i kēia mau wahi e makaʻala i kēia.

He maʻi laha anei ka "valley fever"?

ʻAʻole, ʻaʻole he maʻi lele ka Valley Fever. ʻAʻole hiki iā ʻoe ke loaʻa mai kekahi kanaka ʻē aʻe. Eia nō naʻe, hiki iā ia ke laha i kekahi manawa ma nā wahi i nui ai ka lepo i ka lewa, no ka laʻana ma nā wahi me nā makani ikaika a i ʻole i ka wā o ke kūkulu ʻana.

Eia nō naʻe, he mea kakaikahi loa, hiki iā ʻoe ke hanu i nā spores mai kahi ʻeha hāmama ma ke kino o kekahi mea i loaʻa i ka "Valley Fever." Akā, he haʻahaʻa loa ka manawa e hiki ai kēlā. I ka hapanui o nā hihia, ʻo ke ala wale nō e loaʻa ai, ʻo ia ka hanu ʻana i nā spores i ka lewa ma waho.

ʻO wai ka mea i pilikia nui i ka hoʻomohala ʻana i kēia?

Inā hanu kekahi i ka haʻiki `(C. immitis)` a i ʻole `(C. posadasii)`, hiki iā lākou ke loaʻa i ka `(Valley Fever).` Eia nō naʻe, inā ʻoe ma luna o 60 mau makahiki, ʻoi aku ka nui o ka loaʻa ʻana o kēia.

Eia kekahi, ʻoi aku kou pilikia o ka loaʻa ʻana o ka "Valley Fever" inā ʻoe:

• Inā he ʻeleʻele ʻoe a he Pilipino paha.
• Inā ʻoe i ke kolu o ka trimester o ka hāpai ʻana.
• Inā nāwaliwali kou ʻōnaehana pale kino, ua "immunocompromised" ʻoe. Hiki ke loaʻa kēia ma muli o kahi maʻi e like me "HIV/AIDS", a i ʻole hiki ke loaʻa ma muli o ka lawe ʻana i kekahi mau lāʻau lapaʻau e like me "immunosuppressants" a i ʻole "immunomodulators".
• Inā loaʻa iā ʻoe ka maʻi diabetes (Diabetes Mellitus).
• Inā ua huakaʻi a neʻe paha ʻoe i kahi e noho ai kēia haʻiki.
• Inā ʻoe e hana me ka lepo a i ʻole ka lepo (e.g. mahiʻai, kūkulu hale).

He aha nā pilikia e hiki mai ana o ka "valley fever"?

ʻO ka maʻamau, he mea kākaʻikahi nā pilikia mai ka Valley Fever. He 5 a 10 wale nō o kēlā me kēia 100 poʻe e loaʻa i nā hōʻailona koʻikoʻi. Eia kekahi, he 1 wale nō o kēlā me kēia 100 poʻe e loaʻa i ka maʻi i nā ʻāpana ʻē aʻe o ke kino.

Eia nō naʻe, inā loaʻa iā ʻoe nā pilikia koʻikoʻi, hiki iā lākou ke komo pū me:

• ʻO ka maʻi hoʻopilikia hanu koʻikoʻi (ARDS)
• ʻO ka Pleural Effusion a i ʻole Empyema
• Ka laha ʻana o ka maʻi ma waho o nā māmā (Disseminated Coccidioidomycosis)
• Pneumonia
• ʻO Hydropneumothorax (kahi ʻeke piha i ka wai a i ʻole ka ea i loko o nā māmā)

ʻO kēia mau mea, ʻo ka pilikia weliweli loa o Valley Fever ʻo ia ka laha ʻana o ka maʻi ma waho o nā māmā. Hiki i kēia ke laha i kou mau kino e like me:

• Iwi
• lolo
• Huina
• Ake
• nā puʻupaʻa
• ʻO ka pancreas
• ʻIli

Inā pālahalaha ka Coccidioidomycosis i ka lolo, hiki iā ʻoe ke loaʻa i kahi maʻi i kapa ʻia ʻo Coccidioidal Meningitis. Hiki i kēia ke hoʻoweliweli i ke ola . Hiki iā ia ke hana i nā hōʻailona neurological e like me nā loli o ka ʻike a me ka lohe, nā ʻeha poʻo, a me ka ʻāʻī ʻoʻoleʻa.

Pehea e ʻike ai nā kauka i ka "valley fever"?

E lawe ke kauka i kāu mōʻaukala olakino, e nīnau e pili ana i kāu mau hōʻailona a me kāu mōʻaukala huakaʻi, a e hana i kahi hoʻokolokolo kino. No ka ʻike pono inā loaʻa iā ʻoe ʻo Valley Fever, hiki iā lākou ke hana i kēia mau hoʻokolohua:

• Biopsy : Lawe ke kauka i kahi laʻana liʻiliʻi o kou ʻiʻo a hoʻouna iā ia i kahi lab e nānā i nā hōʻailona o ka fungus Coccidioides.
• Nā Hoʻāʻo Koko : Hoʻohana pinepine ʻia nā hoʻāʻo koko e ʻike ai i ka Valley Fever. Hoʻouna lākou i kahi hāpana koko i kahi keʻena hoʻokolohua a nānā i nā antibodies a i ʻole antigens e pili pono ana i ka fungus Coccidioides.
• Nā Hoʻāʻo Kiʻi: Hiki i kāu kauka ke hana i kahi X-ray umauma a i ʻole CT scan e nānā i nā hōʻailona o ka maʻi pneumonia i hoʻokumu ʻia e Valley Fever.

Pehea e mālama ʻia ai ka "valley fever"?

ʻO ke ʻano o ka mālama ʻana no ka Valley Fever e pili ana i kona koʻikoʻi. Hiki i kāu kauka ke paipai i kahi ala "kali makaʻala". ʻO ia hoʻi, ʻaʻole pono ʻoe i ka mālama koke ʻana no ka mea ʻaʻohe ou hōʻailona koʻikoʻi, akā e nānā pono lākou iā ʻoe a hana i nā hoʻokolohua maʻamau.

Inā loaʻa iā ʻoe kahi maʻi koʻikoʻi a mau paha, a inā paha ʻoe e pilikia ana i nā kūlana koʻikoʻi (no ka laʻana, ka maʻi pulmonary obstructive mau loa (COPD)), hiki iā lākou ke kuhikuhi i nā lāʻau antifungal. Hiki i kēia mau mea ke komo pū me:

• ʻO Amphotericin B i hāʻawi ʻia ma ke kino
• ʻO ka Fluconazole
• ʻItraconazole

Pono paha ʻoe e lawe i ka lāʻau antifungal no ʻekolu a ʻeono mahina. Eia nō naʻe, inā loaʻa iā ʻoe ka Valley Fever koʻikoʻi a i ʻole nā ​​​​pilikia, hiki ke lōʻihi kēia manawa.

Āhea wau e ʻike ai i ke kauka?

Inā ʻoe e noho ana ma kahi i loaʻa pinepine ai ka haʻiki `(Coccidioides)`, a i ʻole ua hele koke aku nei ʻoe i ia wahi, a loaʻa iā ʻoe nā hōʻailona like me ka maʻi flū e mau ana no ka ʻoi aku o hoʻokahi pule, e ʻike koke i ke kauka .

Inā ʻike ke kauka iā ʻoe me ka "Valley Fever" a loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​e kelepona koke aku iā lākou, a i ʻole e hele i ka lumi pilikia kokoke loa:

• Koko i loko o ka lawai
• ʻOʻoleʻa o ka ʻāʻī
• Paʻakikī ka hanu ʻana
• Nā loli i ka ʻike a i ʻole ka lohe ʻana

Ke ʻike ʻoe i kāu kauka, makemake paha ʻoe e nīnau iā lākou i kēia mau nīnau:

• Aia anei au i ka pilikia nui o ka loaʻa ʻana o kahi maʻi "Valley Fever" koʻikoʻi?
• He aha ke ʻano o ka fungus (Coccidioides) i hoʻoulu ai i koʻu maʻi?
• He aha nā lāʻau lapaʻau āu e paipai nei?
• Pono anei wau e makaʻala i nā hōʻailona ʻē aʻe?
• Āhea wau e hele ai i ka lumi pilikia?

Hiki ke pale ʻia ke "valley fever"?

Inā ʻoe e noho ana ma kahi i ʻike nui ʻia ai nā spores Coccidioides, hiki ke paʻakikī ke pale aku i ka hanu ʻana iā lākou. Eia nō naʻe, hiki iā ʻoe ke hana i kēia mau mea e hōʻemi ai i kou pilikia o ka loaʻa ʻana o ka Valley Fever:

• E pale i nā wahi i loaʻa ai ka lepo a me ka lepo paha.
• I ka wā o nā ʻino lepo, e pani i nā puka makani a noho i loko.
• E hoʻohana i nā kānana High-Efficiency Particulate Air (HEPA) ma kou home.
• E komo i ka pale maka respirator N95 i ka wā e mahi ana, e ʻeli ana, a i ʻole e hana ana i nā hana waho ʻē aʻe e hiki ai ke hōʻike iā ʻoe i nā spores fungal.

He aha kaʻu e manaʻo ai inā loaʻa iaʻu ka "valley fever"?

Hoʻōla ka hapa nui o ka poʻe mai ka Valley Fever me ka ʻole o nā pilikia lōʻihi. Eia nō naʻe, hiki i kahi poʻe liʻiliʻi ke loaʻa i nā maʻi māmā mau. Hiki i kēia ke lōʻihi ka manawa e hoʻōla ai - i kekahi manawa he mau makahiki. ʻO ka nui o ka make mai ka Valley Fever he emi ma mua o hoʻokahi i kēlā me kēia haneli hihia.

I kekahi manawa, hiki i ka haʻiki ke laha i nā wahi ʻē aʻe o kou kino. Inā ʻaʻole mālama ʻia, hiki i ka coccidioidomycosis i loko o kou lolo ke make.

Pehea ka lōʻihi o ke "valley fever"?

ʻO ka maʻamau, nalo nā hōʻailona o ka coccidioimycosis iā lākou iho i loko o kekahi mau pule a i ʻole mau mahina.

Eia nō naʻe, hiki i kahi poʻe liʻiliʻi ke loaʻa ka maʻi mau i loko o ko lākou mau māmā. Inā lōʻihi kēia, kapa nā kauka iā ia he māmā mau loa (lōʻihi) `(coccidioidomycosis). ʻO nā hōʻailona o ka māmā mau loa `(coccidioidomycosis)` penei:

• ʻEha umauma
• ʻŪhū mau loa
• Ke ʻū ʻana i ke koko (Hemoptysis)
• Paʻakikī ka hanu ʻana
• ʻO ka pohō kaumaha me ke kumu ʻole

Hiki ke loaʻa hou mai ke "fiva haʻahaʻa" i ka lua o ka manawa?

I ka hapanui o nā hihia, inā loaʻa iā ʻoe ʻo Valley Fever a hoʻōla, haʻahaʻa ka manawa e loaʻa hou ai.

Pehea e hiki ai iaʻu ke hoʻopau i ka fungus e hoʻoulu ai i ka "valley fever" i loko o kaʻu māla?

He liʻiliʻi loa nā spores o Coccidioides - hiki ke ʻike wale ʻia me kahi microscope. ʻAʻohe ala maʻalahi e ʻike ai iā lākou a wehe paha iā lākou mai kāu māla.

He mea nui: Pili kēia ʻōlelo aʻoaʻo i ka poʻe e noho ana ma nā wahi o ʻAmelika Hui Pū ʻIa kahi i laha ai ka haʻiki `(Coccidioides)`. ʻAʻohe pono e makaʻu nui i kēia haʻiki ma nā mahi kanu ʻo Sri Lanka.

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

Inā ʻoe e noho ana ma kahi e ulu ai ka haʻiki Coccidioides, hiki ke paʻakikī iki ke pale aku i ka Valley Fever. ʻO ka mea pōmaikaʻi, ʻaʻole koʻikoʻi ka hapa nui o nā hihia a hoʻoponopono iā lākou iho.

Eia nō naʻe, inā hāpai ʻoe, ma luna o 60, a i ʻole he ʻōnaehana pale nāwaliwali, he manaʻo maikaʻi e hana i kekahi mau hana hou e pale aku iā ʻoe iho. Hiki nō iā ʻoe ke hauʻoli i waho. Eia nō naʻe, he manaʻo maikaʻi e komo i ka pale maka N95 a noho i loko o ka hale, ʻoi aku hoʻi i nā lā makani. E kamaʻilio me kāu kauka e pili ana i nā ala ʻē aʻe e hiki ai iā ʻoe ke pale i kou olakino a me nā hōʻailona āu e makaʻala ai.

E hoʻomanaʻo: He maʻi kēia e kū pono ana i kekahi mau wahi o ʻAmelika Hui Pū ʻIa. Eia nō naʻe, ma ke ʻano he mea huakaʻi ma nā wahi a pau o ka honua, he mea kūpono mau ka makaʻala i kēia mau mea. E noho olakino!

ʻO ke kuni awāwa, Coccidioides, maʻi fungal, maʻi māmā, kuni, kuni, maʻi fungal, maʻi māmā