Hiki i kāu keiki ke loaʻa i kēia maʻi ilo? E aʻo kākou e pili ana i (Visceral Larva Migrans)!

Ua ʻike anei ʻoe i kāu keiki liʻiliʻi e loaʻa ana ka lepo i loko o ko lākou waha i kekahi manawa i ka wā e pāʻani ana ma waho? A i ʻole ua manaʻo paha ʻoe e hiki iā ʻoe, ʻoi aku hoʻi i kāu mau keiki, ke maʻi mai kāu ʻīlio aloha a pōpoki paha ma ka home? I kēia lā e kamaʻilio mākou e pili ana i kahi maʻi ilo hiki iā mākou, ʻoi aku hoʻi i kā mākou mau keiki, ke loaʻa mai ia mau holoholona, ​​​​akā ʻaʻole mākou i lohe nui e pili ana i ia mea, akā he mea nui loa ia. ʻO kēia ka mea a nā kauka e kapa nei he `(Visceral Larva Migrans)`.

He aha kēia Visceral Larva Migrans?

I ka ʻōlelo maʻalahi, ʻo Visceral Larva Migrans kahi maʻi i hoʻokumu ʻia e kahi ilo parasitic hiki ke hoʻoili ʻia mai nā holoholona a i nā kānaka, ʻoi aku hoʻi nā keiki ʻōpio. Loaʻa pinepine kēia mau ilo i loko o nā ʻōpū o nā holoholona e like me nā ʻīlio a me nā pōpoki. ʻO ka hapa nui o ka manawa, ʻaʻole kēia maʻi e hōʻike i nā hōʻailona nui. ʻO ia hoʻi, ʻaʻole paha ʻoe a i ʻole kāu keiki e ʻike iā ʻoe. Eia nō naʻe, hiki i kekahi poʻe ke ʻike i nā hōʻailona e like me ka ʻeha o ka ʻōpū a me ka nāwaliwali. ʻO ia ka manawa e pono ai ka lāʻau lapaʻau.

No laila he aha ke ʻano o nā ilo e hoʻoulu ai i kēia maʻi?

ʻO ke kumu nui o ka Visceral Larva Migrans he ilo poepoe i kapa ʻia ʻo Toxocara. Aia kekahi mau ʻano ilo Toxocara:

• `(Toxocara canis)`: ʻO kēia nā mea i loaʻa i loko o nā ʻōpū o nā ʻīlio.
• `(Toxocara cati)`: Noho kēia poʻe i loko o nā ʻōpū o nā pōpoki.
• `(Ascaris suum)`: Hoʻolaha ʻia kēia ʻano mai nā puaʻa mai.
• `(Baylisascaris procyonis)`: Hoʻoulu kūikawā kēia poʻe i nā holoholona i kapa ʻia he raccoons (ʻaʻohe pono e hopohopo no kēia no ka mea ʻaʻohe raccoons ma Sri Lanka).

I ko mākou ʻāina, ʻo nā ʻīlio a me nā pōpoki nā mea nui i ka laha ʻana o kēia maʻi.

He aha ka Toxocariasis?

ʻO `(Toxocariasis)` ka inoa lapaʻau no ka maʻi i hoʻokumu ʻia e nā larvae o nā ilo `(Toxocara)`, ʻo ia hoʻi, nā ilo `(Toxocara canis)` i ʻōlelo mua ʻia mai nā ʻīlio a me nā ilo `(Toxocara cati)` i loaʻa mai nā pōpoki. I ka pololei, ʻo `(Toxocara)` he maʻi ia me `(Toxocara)`.

Hiki i kēia maʻi (Toxocariasis) ke hoʻopilikia i ko mākou kino ma nā ʻano nui ʻekolu:

1. Visceral Larva Migrans: ʻO kēia ka manawa e hele ai nā ʻenuhe ilo i ko kākou mau ʻōpū o loko, e like me ke akepaʻa, nā māmā, a me ka puʻuwai, a hōʻino iā lākou.

2. Nā ʻīlio lele maka: Ma kēia ʻano, komo nā ʻīlio ilo i loko o ka maka a hoʻoulu i ka mumū i loko o ka maka. I kekahi manawa, hiki i kēia ke alakaʻi i ka nalowale o ka ʻike.

3. Neurotoxocariasis: He maʻi laha ʻole kēia. I kēia hihia, hoʻopilikia ka ʻenuhe ilo i ka lolo a me ke kaula kuamoʻo. Hiki i kēia ke hana i ka pehu nui, nā hopu ʻana, a me ka huikau noʻonoʻo (encephalopathy).

Pehea lā e laha ai kēia mau ilo `(Toxocara)` mai nā holoholona a i o kākou nei? Ma ke ʻano ʻē loa!

E noʻonoʻo, noho nā ilo `(Toxocara)` i loko o nā ʻōpū o ka holoholona a lākou e hoʻopili ai, ʻo ia hoʻi, he ʻīlio a he pōpoki paha. Ma laila, waiho nā ilo i nā hua. Puka mai kēia mau hua me ka lepo o ka holoholona. A laila, hōʻiliʻili nā lepo o kēia mau holoholona i loaʻa nā hua `(Toxocara)` i loko o ka lepo, ʻo ia hoʻi, i ka lepo. Ma kēia ʻano , hiki i nā hua i loaʻa i ka maʻi ke noho ikaika i loko o ka lepo no nā mahina.

Ua ʻike anei ʻoe pehea mākou e loaʻa ai i kēia `(Toxocara)`? Inā hoʻokomo hewa mākou i ka lepo me kēia mau hua i loko o ko mākou waha. Ke pāʻani nā keiki liʻiliʻi ma waho, ʻohi lākou i ka lepo a i kekahi manawa hoʻokomo i loko o ko lākou waha. ʻO ia ka manawa e loaʻa ai iā lākou ka maʻi. Eia kekahi, hiki ke laha mai nā mea kanu a me nā huaʻai i ulu ʻia ma ia ʻano lepo a ʻai ʻia me ka holoi pono ʻole ʻia.

ʻO ka mea nui, ma hope o ke komo ʻana o kēia mau hua "(Toxocara)" i loko o ko kākou kino, ʻaʻole lākou e ulu a lilo i mau ilo nui a hoʻomaka e waiho i nā hua i loko o ko kākou ʻōpū. Akā, puka mai nā ʻenuhe mai nā hua mai. Puka mai kēia mau ʻenuhe mai ko kākou ʻōpū a hele i nā ʻiʻo ʻē aʻe o ke kino. Nā wahi e like me ke akepaʻa, nā māmā, nā maka, a me ka lolo. I ka hopena, make kēia mau ʻenuhe ma laila. Eia naʻe, i ko lākou hele ʻana, hōʻino lākou i ko kākou mau ʻiʻo. Ma muli o kēia pōʻino i ʻike ʻia ai nā hōʻailona.

He aha ka ʻokoʻa ma waena o 'Visceral larva migrans' a me 'Cutaneous larva migrans'?

ʻOiai ke kani like ʻana o nā inoa, ʻokoʻa loa nā kūlana ʻelua. Hoʻokumu ʻia ka visceral larva migrans e nā larva o nā ilo poepoe i ʻōlelo ʻia ma mua e neʻe ana i loko o nā ʻiʻo o loko o ke kino a make. Hoʻokumu ʻia ka cutaneous larva migrans e kahi ʻano ilo ʻokoʻa i kapa ʻia he hookworms. ʻO ka maʻamau, hoʻoulu ka cutaneous larva migrans i kahi ʻulaʻula a ʻānai ma ka ʻili.

Pehea ka maʻamau o kēia maʻi? Aia anei mākou i ka pilikia?

Inā ʻoe e nānā i nā helu helu ma kahi ʻāina e like me ʻAmelika, ua loaʻa i hoʻokahi o ka ʻumi mau kānaka ka maʻi me `(Toxocara)` i kekahi manawa o ko lākou ola. Eia nō naʻe, ʻaʻole nui ka poʻe i loaʻa i kekahi mau hōʻailona a ʻaʻole hoʻi i ʻike ua loaʻa iā lākou kēlā maʻi.

ʻOi aku ka nui o ka maʻi o ka poʻe ma nā ʻāina e ulu ana i ka maʻi ʻia e Toxocara, a ʻoi aku hoʻi ka nui o ka loaʻa ʻana o Visceral Larva Migrans.

Hiki i kā mākou mau holoholona aloha, nā ʻīlio a me nā pōpoki, ke loaʻa i kēia mau ilo. ʻOi aku hoʻi ka poʻe e hoʻolilo i ka manawa nui ma waho. Ua ʻike ʻia nā noiʻi he 2% o nā ʻīlio a me 5% o nā pōpoki ma ʻAmelika Hui Pū ʻIa he ilo i loko o ko lākou ʻōpū. No laila, ʻo ke kūlana ma ko mākou ʻāina e like paha a ʻoi aku paha.

ʻO wai ka mea e loaʻa pinepine ai i ka 'Visceral Larva Migrans'?

• ʻO nā keiki ma lalo o 6 mau makahiki ka mea i loaʻa pinepine i kēia ʻano `(Toxocara)` a loaʻa iā lākou ka `(Visceral Larva Migrans`. ʻO kēia no ka mea ʻo lākou ka poʻe i ʻai nui i ka lepo i ka wā e pāʻani ana ma waho.
• ʻOi aku ke kiʻekiʻe o kēia pilikia no ka poʻe mālama holoholona e like me nā ʻīlio a me nā pōpoki.
• ʻOi aku ka nui o ka pilikia o ka poʻe e noho ana i nā wahi mehana i ka loaʻa ʻana o kēia mau hua `(Toxocara)`. ʻO ke kumu, hiki i kēia mau hua ke ola lōʻihi i ka lepo i loaʻa i ka maʻi i ka wā mehana. He mea pili loa kēia no kahi ʻāina e like me Sri Lanka.

No ke aha e ʻike ʻia ai nā hōʻailona i ka wā e ulu ai ka 'Visceral Larva Migrans'?

ʻO ka Visceral Larva Migrans ke kumu o ka larvae o ka ilo poepoe (Toxocara). Ma hope o kou loaʻa ʻana i ka maʻi, haʻalele kēia mau larvae i nā ʻōpū a hele i nā ʻōpū i loko o kou umauma a me kou ʻōpū. I kekahi manawa, hiki i kēia mau larvae ke hele i kou mau maka, ka lolo, a me ke kaulahao kuamoʻo.

I ka pane ʻana i kahi maʻi Toxocara, hoʻopuka kou kino i nā hunaola pale maʻi hou aʻe i loko o kou koko. Hoʻonui kēia i ke kahe ʻana o ke koko a me ke kahe ʻana o nā hunaola pale maʻi i ka wahi i hoʻopilikia ʻia, kahi e hoʻoulu ai i ka mumū. Aia nā hōʻailona āu e ʻike ai i ka ikaika o ka pane ʻana o kāu ʻōnaehana pale maʻi i ka maʻi Toxocara.

He aha nā hōʻailona o kēia maʻi? Loaʻa anei ia i nā kānaka a pau?

ʻAʻole ʻike ka hapa nui o ka poʻe i loaʻa i ka Toxocara i kekahi mau hōʻailona. Eia nō naʻe, inā loaʻa nā hōʻailona, ​​​​hiki iā lākou ke komo pū me:

• Luhi
• kuni
• Ka piʻi ʻana o ka helu o nā eosinophils (kahi ʻano o ke koko keʻokeʻo) i loko o ke koko (eosinophilia) - Hōʻike kēia aia kahi maʻi parasitic a i ʻole allergy i loko o ke kino.
• ʻO ka lymphadenopathy
• ʻEha ʻōpū
• ʻUlu/urticaria
• Kuke
• Hanu ʻana
• ʻO ka pehu ʻana o ke akepaʻa (hepatomegaly)
• ʻO ka splenomegaly

Pehea e ʻike ai ke kauka i kēia? He aha nā hoʻokolohua a lākou e hana ai?

E ʻike ke kauka i nā Visceral Larva Migrans ma ka hana ʻana i kahi hoʻokolokolo kino a me nā hoʻāʻo koko. E hōʻoia e haʻi i kāu kauka inā he mau holoholona kāu a inā manaʻo ʻoe ua pili ʻoe i ka lepo haumia.

ʻO ka hoʻāʻo nui i hoʻohana ʻia no ka ʻike ʻana i ka toxocariasis he hoʻāʻo koko i kapa ʻia he enzyme-linked immunosorbent assay (ELISA) . Ke nānā nei kēia hoʻāʻo i nā antibodies i Toxocara i loko o kou koko. ʻAʻole ia e hōʻoia inā loaʻa iā ʻoe kahi maʻi Toxocara. Akā, ke nānā nei ia i nā hōʻailona i loko o kou koko ua pane kāu ʻōnaehana pale i kahi maʻi i ka wā i hala koke nei.

Hiki paha i ke kauka ke ʻōlelo i nā hoʻokolohua ʻē aʻe e hōʻoia hou i ka hōʻailona, ​​​​e like me:

• Helu koko piha (CBC): Nānā kēia i ka nui o nā hunaola koko ʻulaʻula, nā hunaola koko keʻokeʻo, nā platelets, a me ka hemoglobin i loko o ke koko.
• Nā hoʻāʻo kiʻi:Eia kekahi laʻana, hiki ke hana ʻia kahi ultrasound, CT scan, a i ʻole MRI scan e nānā ai no ka pehu ʻana.
• Hoʻāʻo ʻana i ka hāpana ʻōpala: Ke nānā nei kēia i nā hōʻike o nā parasites i loko o ka ʻōpala.
• Biopsy: Lawe ʻia kahi hāpana liʻiliʻi o ka ʻiʻo i hoʻopilikia ʻia a nānā ʻia e ʻike inā loaʻa nā ʻenuhe (hana kākaʻikahi ʻia kēia).

He aha nā lāʻau lapaʻau no kēia? Pono anei au e hopohopo?

ʻO ka nūhou maikaʻi, ʻaʻole pono ka hapa nui o ka poʻe me Visceral Larva Migrans i kekahi lāʻau lapaʻau kūikawā. ʻO ka hoʻomaha a me ke kali ʻana i ka emi ʻana o ka mumū ma kāna iho ka mea maʻamau e pono ai.

Eia nō naʻe, inā he mau hōʻailona kou, hiki i kāu kauka ke ʻōlelo i nā mea e like me:

• E hōʻemi i ka pehu me nā corticosteroids a i ʻole nā ​​​​lāʻau anti-inflammatory nonsteroidal (NSAIDs) .
• Hoʻemi nā antihistamines i ka pane pale o ke kino.

Inā ʻike kāu kauka he mau ʻenuhe ola kou i loko o kou kino, hiki iā ia ke kuhikuhi i ka lāʻau antiparasitic e pepehi iā lākou. Hiki i kēia ke kōkua i ka pale ʻana i nā ʻenuhe ola mai ke komo ʻana i kou kino a me ka hōʻino hou ʻana. He mea nui loa kēia no ka pale ʻana i ka hōʻino ʻana i kou mau maka, ka lolo, a i ʻole ke kaula kuamoʻo.

Pehea e hiki ai iā ʻoe ke pale aku i kēia? He aha nā ʻano hana e pale aku ai?

Aia kekahi mau mea maʻalahi e hiki ai iā mākou ke hana e pale iā mākou iho mai kēia maʻi (Visceral Larva Migrans):

• E pale i ka ʻai ʻana i nā meaʻai i ulu ʻia ma ka lepo i haumia paha me nā ʻōpala ʻīlio a pōpoki paha.
• E makaʻala pono i kāu mau keiki i ka wā e pāʻani ana lākou ma waho. Mai ʻae iā lākou e hoʻokomo i ka lepo i loko o ko lākou waha.
• E holoi pono i nā huaʻai a me nā mea kanu ma mua o ka ʻai ʻana.
• E hoʻomaʻamaʻa i ka holoi pono ʻana i kou mau lima . E aʻo aku i kāu mau keiki e holoi i ko lākou mau lima ma mua o ka ʻai ʻana, ma hope o ka pāʻani ʻana ma waho, a ma hope o ka hoʻopā ʻana i nā holoholona.
• E hoʻokaʻawale i kahi kikoʻī no kāu mau holoholona e hoʻomoe ai i ka lepo. E ʻeke i kā lākou ʻōpala a hoʻolei pono iā ia, a i ʻole e mālama i ka pahu ʻōpala no nā pōpoki.
• E lawe pinepine i kāu mau holoholona i ke kauka holoholona e nānā i nā parasites a hāʻawi iā lākou i ka lāʻau hoʻomaʻemaʻe ilo.

He aha ka mea e hana ʻia inā loaʻa iaʻu kēia maʻi? E ho'ōla ʻia anei?

ʻO ka maʻamau, hoʻōla wale kēia maʻi me ka ʻole o kekahi lāʻau lapaʻau.

He mea kākaʻikahi loa nā pilikia lōʻihi. Inā loaʻa lākou, hiki iā lākou ke komo pū me:

• Ka mumū ʻana o ka ʻiʻo puʻuwai (myocarditis)
• Pneumonia
• Ka ʻeha o ka ʻiʻo o ka māmā (pulmonary fibrosis)

ʻO ka poʻe me nā kūlana i ʻōlelo ʻia ma mua ʻo 'Ocular larva migrans' (e hoʻopilikia ana i nā maka) a me 'Neurotoxocariasis' (e hoʻopilikia ana i ka lolo a me ke kaulahao iwi kuamoʻo) hiki ke loaʻa i nā pilikia koʻikoʻi. Eia kekahi laʻana:

• Makapō
• ʻO ka pehu ʻana o ka lolo a me ke kaula spinal (meningoencephalitis)

Pehea mākou e mālama ai iā mākou iho a me kā mākou mau keiki? Pehea lā e hiki ai iā mākou ke pale aku i kēia mai ka hana hou ʻana?

Inā ua ʻike ʻia ʻoe a i ʻole kāu keiki me Visceral Larva Migrans, he mea nui e ʻike pehea i ulu ai i hiki iā ʻoe ke pale aku i nā maʻi i ka wā e hiki mai ana.

Inā he ʻīlio a pōpoki paha kāu, e lawe pinepine iā lākou i ke kauka holoholona no nā nānā ʻana a me ka hoʻomaʻemaʻe ilo. E nīnau i kāu kauka holoholona e pili ana i ka hoʻomaʻemaʻe ilo maʻamau, ʻoiai inā he holoholona waho kāu holoholona.

Hiki i nā hua Toxocara ke ola i loko o ka lepo no nā mahina. No laila, ʻo ka hoʻomaʻemaʻe ʻana i nā ʻōpala holoholona i ka wā e ʻike ai ʻoe iā lākou hiki ke kōkua i ka pale ʻana i ka maʻi.

Ke noʻonoʻo nei paha ʻoe, "Auē, pehea lā e hoʻolaha ai kaʻu holoholona aloha i kahi maʻi i koʻu ʻohana?" Akā, ʻo ka ʻoiaʻiʻo, hiki i nā ʻīlio a me nā pōpoki ke lawe i nā ilo poepoe i kapa ʻia ʻo "Visceral Larva Migrans" i loko o ko lākou ʻōpū. Inā he mau holoholona kāu, e akahele loa i ka hoʻomaʻemaʻe ʻana i kā lākou ʻōpala, a e lawe pinepine iā lākou i ke kauka holoholona.

No laila, he aha nā mea e pono ai kākou e hoʻomanaʻo mai kēia moʻolelo?

Ua kamaʻilio nui mākou e pili ana i kēia maʻi ilo i kapa ʻia ʻo "Visceral Larva Migrans" i kēia lā. No laila, ʻo ka mea nui loa, he maʻi hiki ke pale ʻia kēia.

• Hiki iā kākou ke loaʻa kēia mau hua ilo mai kā kākou mau holoholona, ​​ʻoiai hoʻi ma o ko lākou mau ʻōpala.
• ʻO nā keiki ʻōpio ke kūlana kiʻekiʻe loa, no ka mea, me ka ʻike ʻole, hiki iā lākou ke hoʻokomo i nā hua ilo i loko o ko lākou waha i ka wā e pāʻani ana me ka lepo.
• ʻO ka maʻemaʻe ka mea nui loa. He mea nui loa ka holoi pono ʻana i nā lima, ka holoi ʻana i nā huaʻai a me nā mea kanu ma mua o ka ʻai ʻana, a me ka hoʻolei pono ʻana i nā ʻōpala holoholona.
• Mai poina e hoʻomaʻemaʻe i kāu mau holoholona i ka manawa kūpono. E noi i kāu kauka holoholona no ka ʻōlelo aʻoaʻo no kēia.

Inā ʻoe e mālama i kēia mau mea, hiki iā ʻoe a me kou ʻohana, ʻoiai kāu mau keiki aloha, ke noho olakino a palekana mai kēia maʻi ilo i kapa ʻia ʻo `(Visceral Larva Migrans)`. ʻAʻohe mea e makaʻu ai, ʻo ka ʻike a me ke akahele nā ​​mea nui loa!

Nā ilo, nā maʻi zoonotic, ke olakino o nā keiki, Toxocara, ka neʻe ʻana o ka Visceral Lava, lepo, nā holoholona