Loaʻa iā ʻoe kahi pōpoki aloha ma ka home e nahu ana iā ʻoe a hāʻawi paha iā ʻoe i kahi nahu iki? ʻO ka hapa nui o ka manawa, lawe mākou ia mea no ka mea i hāʻawi ʻia a poina iā ia. Akā i kekahi manawa, ma hope o kahi hanana liʻiliʻi, pehu iki ka ʻeha, a ma hope o kekahi mau lā, ʻike ʻia nā puʻupuʻu e like me nā paila ma nā wahi e like me nā armpits a me ka ʻāʻī, a manaʻo paha ke kino i ka wela. Manaʻo mākou he anu. Akā ma hope o kēia he hui bacteria i kapa ʻia ʻo 'Bartonella'. I kēia lā ke kamaʻilio nei mākou e pili ana i kahi maʻi i kapa ʻia ʻo 'Bartonellosis' hiki ke hoʻoili ʻia iā mākou mai kēia mau holoholona. Mai hopohopo, e hoʻomaopopo maʻalahi kākou i kēia.
I ka ʻōlelo maʻalahi, he aha ka Bartonellosis?
ʻAʻole ʻo Bartonellosis he maʻi hoʻokahi. He hui ia o nā maʻi lele i hoʻokumu ʻia e nā bacteria i kapa ʻia ʻo Bartonella. Aia i kēia manawa he 22 mau ʻano o kēia bacteria i ʻike ʻia, a ma kahi o 15 mau ʻano e hiki ke hoʻoulu i nā maʻi i loko o kānaka.
He mea nui kēia maʻi iā kākou no ka mea he maʻi zoonotic ia . ʻO ia hoʻi, hiki iā kākou ke loaʻa mai kā kākou mau holoholona a i ʻole nā holoholona ʻē aʻe i loko o ka hale. Hoʻolaha ʻia kēia bacteria mai kekahi holoholona a i kekahi holoholona a mai nā holoholona a iā kākou ma o nā mea lawe e like me nā ʻuku, nā ʻuku, a i ʻole nā nalo one. Eia kekahi, inā nahu a ʻōpala paha kahi holoholona i loaʻa iā ʻoe, hiki i kēia bacteria ke komo i loko o kou kino, ʻoiai pololei.
He aha nā kumu o ka Bartonellosis?
Ua like ka bacteria 'Bartonella' me kahi parasite e komo malū ana i loko o ko kākou kino. Ke komo i loko o ke kino, kuhikuhi pololei kēia bacteria i kā kākou mau hunaola koko ʻulaʻula , nā macrophages , ʻo ia hoʻi nā hunaola koʻikoʻi o ka ʻōnaehana pale, a me nā hunaola endothelial, e uhi ana i loko o ko kākou mau kīʻaha koko. Hoʻoulu kēia bacteria i ka maʻi ma ke komo ʻana i kēia mau hunaola a peʻe i loko o lākou.
ʻOkoʻa ka maʻi i hoʻokumu ʻia e ka bacteria Bartonella ma muli o ke ʻano. ʻEkolu mau ʻano nui a mākou e ʻike pinepine ai a kamaʻilio e pili ana.
| Inoa o ka maʻi | Nā bacteria hoʻoulu | ʻAno o ka hoʻoili ʻana |
|---|---|---|
| Maʻi ʻōpala pōpoki | Bartonella henselae | Ma ke kahakaha ʻana, ka nahu ʻana, a i ʻole ka palu ʻana i kahi ʻeha mai kahi pōpoki i loaʻa i ka maʻi (ʻoi aku hoʻi nā pōpoki liʻiliʻi). Hoʻolaha ʻia ma waena o nā pōpoki e nā ʻuku. |
| Ka maʻi o Carrion | Bartonella bacilliformis | Ma ke nahu ʻia ʻana e nā nalo one. Hiki i kēia maʻi ke hele mai i ʻelua pae: ʻoi a me ka maʻi mau. |
| ʻAuwai kuni | Bartonella quintana | Hoʻolaha ʻia nā ʻuku kino i nā kānaka a he mea maʻamau ia i nā wahi me ka maʻemaʻe maikaʻi ʻole. |
ʻO ka mea nui, hiki i ka maʻi ke ʻoi aku ka ʻino i nā poʻe me nā ʻōnaehana pale nawaliwali . No ka laʻana, ʻo ka poʻe me ka maʻi HIV/AIDS, ka poʻe e mālama ʻia ana i ka maʻi kanesa, a i ʻole ka poʻe i loaʻa i nā hoʻoili kino, ʻoi aku ka nui o ka pilikia e ka maʻi Bartonella henselae a me B. quintana.
He aha nā hōʻailona o ka Bartonellosis?
ʻO nā hōʻailona maʻamau o Bartonellosis e komo pū me ke kuni, ke anu, ka luhi, a me ke poʻo ʻeha. Eia nō naʻe, e like me kā mākou i kūkākūkā ai ma mua, ʻokoʻa nā hōʻailona kikoʻī ma muli o ke ʻano o ka bacteria e hoʻoulu ai i ka maʻi.
Maʻi ʻōpala pōpoki
ʻO kēia ke ʻano maʻamau o Bartonellosis. Hiki ke ʻike ʻia nā hōʻailona i kekahi mau lā a i ʻole mau pule ma hope o ka nahu ʻia ʻana o kahi pōpoki.
- Kahi o ka ʻeha: Hoʻomaka ia me he wahi ʻulaʻula lā, a laila ma hope o hoʻokahi pule, ulu aʻe ia i puʻupuʻu liʻiliʻi. ʻAʻole ia he ʻeha a he maneʻo paha. I kekahi manawa piha ia i ka wai, a laila maloʻo, a ho'ōla i loko o 1-3 pule, e waiho ana i kahi ʻeha.
- Lymphadenopathy: ʻO kēia ka hōʻailona nui o kēia maʻi. E pehu ana nā lymph nodes kokoke i ka ʻeha. No ka laʻana, inā he ʻeha ma ka lima, e pehu paha nā nodes ma ka armpit, inā he ʻeha ma ka wāwae, ma ka ʻūhā, a inā he ʻeha ma ka ʻāʻī, e pehu paha nā nodes ma ka ʻāʻī. Ke hoʻopā ʻia, hiki i kēia mau wahi pehu ke ʻeha, mehana, a hiki ke lilo i ʻulaʻula. I kekahi poʻe, hiki i kēia mau mea ke loaʻa i ka maʻi.
- Nā hōʻailona ʻē aʻe: ʻEha kino, luhi, ʻeha poʻo, kuni, nele i ka makemake e ʻai, ʻeha ka ʻāʻī, a me ka pohō kaumaha paha.
I ke kanaka olakino, e nalowale pinepine kēia mau hōʻailona i loko o ʻelua a ʻekolu mahina me ka ʻole o ka lāʻau lapaʻau. Eia nō naʻe, i loko o kekahi kanaka me ka ʻōnaehana pale nāwaliwali, hiki i ka bacteria ke laha i nā maka, ke akepaʻa, ka puʻuwai, ka lolo, ka spleen, a i ʻole nā iwi, e hana ana i nā maʻi koʻikoʻi.
Ka maʻi o Carrion
ʻAʻole kēia he mea maʻamau loa ma Sri Lanka. ʻElua mau pae nui o kēia.
- Ke kahua koʻikoʻi (Oroya Fever): Hōʻike ʻia kēia e ka hoʻomaka koke ʻana o ke kuni kiʻekiʻe, nā anu, ka ʻeha poʻo nui, ka nāwaliwali, a me ka ʻili keʻokeʻo. ʻO ka luku ʻia ʻana o nā hunaola koko ʻulaʻula hiki ke alakaʻi i ka anemia, hiki ke alakaʻi i nā kūlana koʻikoʻi e like me ka paʻakikī o ka hanu ʻana a me ka ʻeha o ka umauma.
- Ke kahua mau loa (Verruga Peruana): Ma hope o ke kahua ʻoi loa, hoʻomaka nā puʻupuʻu ʻulaʻula-poni (nā warts Peruvian) e ʻike ʻia ma ka ʻili. I ka hala ʻana o ka manawa, hiki i kēia mau mea ke pehu, ʻeha, a kahe ke koko.
ʻAuwai kuni
ʻAʻole hoʻi kēia he mea maʻamau i ko mākou ʻāina. I kēia hihia, ma kahi o 5 mau pule ma hope o ke komo ʻana o ka bacteria i ke kino, ʻike koke ʻia ke kuni, ka ʻeha poʻo, ka poniuniu, a me nā ʻeha kino. ʻO ka mea kupanaha loa, hiki i ke kuni ke emi no kahi o 5 mau lā a laila hoʻi hou mai.
Pehea e ʻike pono ai i kēia maʻi?
Ma muli o ke ʻano like o nā hōʻailona o Bartonellosis me nā maʻi bacteria maʻamau ʻē aʻe, he mea paʻakikī no ke kauka ke hōʻoia iā ia ma muli o nā hōʻailona wale nō. No laila, pono nā hoʻāʻo koko e hoʻoholo pono i kēia.
Hiki i kāu kauka ke lawe i kahi hāpana koko a hana i nā hoʻokolohua kikoʻī e like me PCR (Polymerase Chain Reaction) a i ʻole DNA Sequencing e nānā i nā ʻāpana DNA o ka bacteria Bartonella. Hiki iā lākou ke hana i nā hoʻokolohua e nānā i nā antibodies a ko mākou kino e hana ai e kūʻē i kēia bacteria.
Inā koʻikoʻi ka maʻi, hiki ke lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo i loaʻa i ka maʻi (e like me kahi lymph node pehu) (biopsy) a nānā ʻia.
He aha nā lāʻau lapaʻau no ka Bartonellosis?
ʻO ka nūhou maikaʻi, ʻo kahi maʻi liʻiliʻi e like me ka Cat Scratch Disease i loko o ke kanaka olakino hiki ke hoʻōla iā ia iho i loko o kekahi mau mahina me ka ʻole o nā lāʻau antibiotic.
Eia nō naʻe, inā koʻikoʻi kou mau hōʻailona, a inā he nāwaliwali kou ʻōnaehana pale kino, e kuhikuhi paha kāu kauka i nā antibiotics. ʻO ka maʻamau, he 4-6 mau pule ka lōʻihi o kēia lāʻau lapaʻau. E hāʻawi pū lākou iā ʻoe i ka lāʻau lapaʻau no ke kuni a me ka ʻeha.
- Maʻi ʻŌwili Pōpoki: Hāʻawi pinepine ʻia nā lāʻau antibiotic e like me 'Azithromycin', 'Rifampin', 'Ciprofloxacin' no kēia. ʻAʻole pono nā lāʻau lapaʻau e like me 'Penicillin' a me 'Amoxicillin' no ka mea ua kūpaʻa kēia bacteria iā lākou.
- ʻO ka maʻi ʻo Carrion: Hoʻōla ʻia kēia me nā lāʻau lapaʻau e like me 'Ciprofloxacin' a i ʻole 'Chloramphenicol'. Inā koʻikoʻi ka anemia, pono paha ke hoʻoili koko.
- ʻAuwaha Kuni: Hoʻōla ʻia kēia me ka " Doxycycline"Hāʻawi ʻia nā lāʻau lapaʻau e like me Doxycycline a i ʻole Gentamicin no 2-4 mau pule.
He mea nui: Hoʻoholo ʻia kēia mau lāʻau āpau e kāu kauka. Mai kūʻai i nā lāʻau antibiotic mai kahi hale kūʻai lāʻau lapaʻau ma kāu iho. E hoʻopilikia wale kēia i ka maʻi.
Pehea ʻoe e pale ai iā ʻoe iho mai kēia maʻi?
ʻAʻole paʻakikī ka palekana ʻana mai kēia maʻi. Ua lawa ka hahai ʻana i kekahi mau ʻanuʻu liʻiliʻi.
- E pale i kāu mau holoholona (pōpoki, ʻīlio) mai nā ʻuku a me nā mea kolo ʻē aʻe ma ka hāʻawi ʻana iā lākou i ka lāʻau lapaʻau e pono ai i ka manawa kūpono.
- E pale i nā ʻōpala a me nā nahu i ka hiki ke pāʻani me kāu pōpoki. E holoi pono i kou mau lima me ke kopa ma hope o ka pāʻani ʻana me kāu pōpoki.
- E pale iā ʻoe iho mai nā ʻuku (ʻoi aku hoʻi nā ʻuku kino). E noho maʻemaʻe.
- E pale iā ʻoe iho mai nā nalo one ma nā wahi i loaʻa pinepine ai lākou. E hoʻohana i nā mea pale pepeke a me nā ʻupena makika.
- Inā he nāwaliwali kou ʻōnaehana pale maʻi, he holoholona kāu, a i ʻole he mau hopohopo ʻē aʻe kāu, e kamaʻilio me kāu kauka no ka ʻōlelo aʻo.
Leka Lawe-Home
- He maʻi bacteria ʻo
Bartonellosisi hiki ke hoʻolaha ʻia mai nā holoholona (ʻoi aku hoʻi nā pōpoki) a me nā pepeke e like me nā ʻuku a me nā ʻuku. - ʻAʻohe pono e hopohopo e pili ana i ka nahu ʻia ʻana o kahi pōpoki. Eia nō naʻe, inā pehu ka ʻeha, pehu nā lymph node kokoke, a aia ke kuni, mai hoʻowahāwahā.
- Inā loaʻa iā ʻoe nā hōʻailona ʻē ma hope o ke kahakaha ʻia ʻana, ka nahu ʻia ʻana, a i ʻole ka nahu ʻia ʻana e kahi holoholona, e ʻike pono i kāu kauka.
- Hiki ke pale nui ʻia kēia maʻi ma ka mālama ʻana i nā holoholona i ka maʻemaʻe a me ka mālama ʻana i kā lākou mau parasites.
- I ke ʻano o kekahi maʻi olakino, e ʻimi wale i ka mālama ʻana ma lalo o ke aʻo ʻana a ke kauka.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 🧐 He aha ke kumu o nā lymph nodes pehu i ka ʻāʻī?
Nui nā kumu e hiki ai ke hōʻeha ʻia ka ʻāʻī. Hiki ke hana pinepine ʻia e ka maʻi ʻāʻī. Akā ua ʻike anei ʻoe inā he mau pōpoki kāu i loko o kou hale, hiki iā lākou ke hōʻeha i ka ʻāʻī ma muli o kahi maʻi i kapa ʻia ʻo Bartonellosis (Cat Scratch Disease) i laha ʻia e lākou?
💬 🐱 Hiki i ka pōpoki ke loaʻa maoli nā ʻuku ma kona ʻāʻī inā nahu a walu paha ia?
ʻAe, ʻoiaʻiʻo nō. Hoʻoili ʻia ka bacteria Bartonella i nā pōpoki ma o nā ʻuku. A laila, inā e kahakaha a nahu paha kahi pōpoki iā ʻoe, hiki i ka bacteria ke komo i kou kino a hoʻoulu i nā lymph node kokoke e pehu. He kumu nui kēia o nā ʻulaʻula ʻāʻī a i ʻole nā armpit.
💬 🤒 Pehea ʻoe e ʻike ai inā he Bartonellosis ia inā loaʻa iā ʻoe ke kuni me ka ʻeha o ka puʻu?
Inā loaʻa iā ʻoe ke kuni kiʻekiʻe, ʻeha ke kino, a me kahi pehu liʻiliʻi ma kahi i kahakaha ai ka pōpoki iā ʻoe, ʻo Bartonellosis paha ia. ʻAʻohe mea e hopohopo ai, akā ʻoi aku ka maikaʻi o ka ʻike ʻana i ke kauka i ka wā hikiwawe loa no ka mea pono ʻoe e lawe i nā lāʻau antibiotic.
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