He ʻiole anei kou i loko o kou hale? A laila e makaʻala i kēia maʻi weliweli (Lymphocytic Choriomeningitis)

He mea maʻamau loa nā ʻiole i loko o ko kākou mau home, ʻeā? I kekahi manawa, ʻaʻole mākou e nānā nui i kēia mau holoholona. Akā, ua ʻike anei ʻoe hiki i kēia mau mea liʻiliʻi ke hoʻoulu i nā maʻi koʻikoʻi iā kākou? I kēia lā, e kamaʻilio ana mākou e pili ana i kahi maʻi i laha ʻia e nā holoholona e like me nā ʻiole a hiki ke hoʻopilikia i kā mākou ʻōnaehana nerve. Kāhea mākou i kēia he Lymphocytic Choriomeningitis, a i ʻole LCM no ka pōkole.

I ka ʻōlelo maʻalahi, he aha kēia LCM?

He maʻi kēia i hoʻokumu ʻia e kahi virus. ʻO kēia virus (LCM virus) he ʻano `(RNA virus)`. Hoʻopili mua ia i nā holoholona e like me nā ʻiole, hamsters, a me nā puaʻa guinea. ʻO ka ʻiole maʻamau (`Mus musculus`) a mākou e ʻike ai i loko o ko mākou mau home ka mea lawe nui o kēia virus. E noʻonoʻo, ʻoiai ua loaʻa kēia mau holoholona i ka virus, ʻike pinepine ʻia lākou he olakino. Lawe kekahi mau holoholona i ka virus i loko o ko lākou kino i ko lākou ola a pau me ka hōʻike ʻole ʻana i nā hōʻailona o ka maʻi. ʻO ia hoʻi, hiki iā lākou ke hoʻolaha i kēia maʻi i ko lākou ola ʻana.

Pehea lā e loaʻa ai kēia maʻi iā kākou?

ʻO kēia ka mea nui loa. Hiki ke loaʻa ka maʻi i loko o ka mimi, ka lawai, ka ʻōpala, a me nā mea ʻē aʻe a ka holoholona i loaʻa i ka maʻi . I kēia manawa, e noʻonoʻo, inā ʻoe e hoʻomaʻemaʻe ana i kou hale a ke wehe nei ʻoe i ka lepo o ka ʻiole, inā he ʻōpala liʻiliʻi a ʻeha paha kou ma kou lima, hiki i ka maʻi ke komo i kou kino ma o ia mea. Eia kekahi, inā ʻoe e hoʻopā i kou mau maka, ihu, a waha paha me kou mau lima i hoʻopā i kēia mau mea lepo, hiki iā ʻoe ke loaʻa i ka maʻi ma o ia mea. Inā ʻoe e nahu ʻia e kahi holoholona, ​​he pilikia nō hoʻi ia. Eia nō naʻe, aia kekahi wahi e pono ai mākou e makaʻala loa . Inā loaʻa i kahi makuahine hāpai kēia maʻi, hiki ke hoʻoili ʻia ka maʻi i ka pēpē i loko o ka ʻōpū ma o ka placenta. He mea weliweli loa kēia no ka pēpē. I kēlā hihia, hiki i ka pēpē ke loaʻa nā pilikia e like me:

• ʻO ka hydrocephalus congenital: Hiki i kēia ke hoʻolilo i ke poʻo o ke keiki i mea nui loa.
• Ka lohi o ka noʻonoʻo ma muli o ka ulu ʻana o ka lolo
• Ka pōʻino o ka maka (Chorioretinitis): Hiki ke hōʻino ʻia ka retina a me nā ʻano kūloko o ka maka.
• Poʻo liʻiliʻi ma ke ʻano ʻē (Microcephaly): Hana ʻia kēia ʻano ke ulu pono ʻole ka lolo i loko o ka ʻōpū.
• Nā hemahema o ka ʻike maka

Eia kekahi, hiki ke hoʻolaha ʻia kēia maʻi i ka wā o nā hoʻoili ʻana o nā kino.

He aha nā hōʻailona ke loaʻa i nā kānaka?

He nui ka poʻe (ma kahi o 5% o ka heluna kanaka) i loaʻa i kēia maʻi ʻaʻole lākou e hōʻike i kekahi mau hōʻailona. Inā ikaika kou ʻōnaehana pale, ʻaʻole paha ʻoe e ʻike ua maʻi ʻoe. Eia nō naʻe, hiki ke lilo i mea koʻikoʻi no ka poʻe me nā ʻōnaehana pale nāwaliwali, e like me nā wahine hāpai. Inā ʻike ʻia nā hōʻailona, ​​​​ʻike pinepine ʻia lākou ma waena o 8 a me 13 mau lā ma hope o ka hōʻike ʻana i ka maʻi. He maʻi biphasic ka maʻi. ʻO ia hoʻi, ʻike ʻia ka pae mua o nā hōʻailona, ​​​​e emi ana no kekahi mau lā, a laila hoʻomaka hou ka pae ʻelua. ʻAʻole pepehi pololei kēia maʻi i nā hunaola lolo. Eia nō naʻe, ke pane mai kā mākou ʻōnaehana pale iā ia, nui nā hunaola koko keʻokeʻo e hōʻiliʻili i loko o ka lolo. Hiki i nā kemika a lākou e hana ai ke hoʻoulu i ka pehu a me ka hōʻino ʻana i ka lolo a me nā membrane e uhi ana i ka lolo (meninges). ʻO ka nūhou maikaʻi, hiki i ke kanaka olakino ke hoʻōla piha mai kēia. ʻOi aku ka liʻiliʻi o ka make ma mua o 1%. Eia nō naʻe, e like me nā maʻi āpau e hoʻopilikia ai i ka ʻōnaehana nerve, hiki i kekahi poʻe ke loaʻa nā pilikia lōʻihi (e laʻa, kuli, arthritis) ma hope o ka hoʻōla ʻana.

Pehea ʻoe e ʻike ai i kēia, e Kauka?

Inā he mau holoholona kāu e like me nā ʻiole, a inā ʻoe e noho ana i kahi e loaʻa ai nā ʻiole, a loaʻa iā ʻoe nā hōʻailona a mākou i kamaʻilio ai,E ʻike pono i kāu kauka. No ka mea ua like kēia mau hōʻailona me nā maʻi viral ʻē aʻe he nui, pono paha kāu kauka e holo i kekahi mau hoʻokolohua e hana i kahi hōʻailona pololei.

• Hoʻāʻo koko ( Helu Koko Piha ): Hiki i kēia ke hōʻike i ka emi ʻana o nā hunaola koko keʻokeʻo (leukopenia) a me ka emi ʻana o nā platelets koko (thrombocytopenia).
• Nā Hoʻāʻo Hana o ke Ake: Hiki ke hoʻokiʻekiʻe ʻia nā pae enzyme o ke ake.
• Haʻawina Spinal Tap/CSF: Nānā kēia hoʻokolohua no ka hoʻonui ʻia ʻana o nā hunaola koko keʻokeʻo a me ka emi ʻana o nā pae glucose i loko o ka wai cerebrospinal.
• Nā hoʻāʻo Antibody : Ke nānā nei kēia mau hoʻokolohua i nā antibodies kikoʻī i kēia maʻi i loko o ke koko a me ka wai cerebrospinal.
• Hoʻāʻo PCR: Hiki i kēia ke ʻike pololei i ke alo o nā mea genetic (polymerase chain reaction - PCR) o ka maʻi.

He aha nā lāʻau lapaʻau?

Inā loaʻa iā ʻoe kahi maʻi liʻiliʻi, e kuhikuhi kāu kauka i nā lāʻau lapaʻau ma ka home. Hoʻokomo pū kēia i ka hāʻawi ʻana iā ʻoe i ka lāʻau lapaʻau e kāohi i nā hōʻailona e like me ke kuni, ka ʻeha poʻo, a me ka luaʻi. Ua kapa ʻia kēia he lāʻau lapaʻau kākoʻo . Eia nō naʻe, inā loaʻa iā ʻoe kahi maʻi koʻikoʻi e like me ka meningitis a i ʻole encephalitis, pono ʻoe e hoʻokomo ʻia i ka haukapila . I kekahi manawa, i nā hihia o ka hydrocephalus acute, pono paha ke ʻoki ʻana i ka pilikia e hōʻoluʻolu i ke kaomi. ʻAʻohe lāʻau antiviral i kēia manawa no kēia ʻano i ʻōlelo ʻia no nā kānaka. ʻOiai ua hōʻike ʻia ka lāʻau ribavirin he pono i nā hoʻokolohua hoʻokolohua, ʻaʻohe hōʻike e hana ana ia i nā kānaka.

ʻO ka mea nui loa: Pehea e hiki ai iā ʻoe ke ola i kēia?

ʻOi aku ka maikaʻi o ka pale ʻana ma mua o ka hoʻōla ʻana. Aia kekahi mau mea maʻalahi hiki iā ʻoe ke hana e pale aku iā ʻoe iho mai kēia maʻi weliweli.

• E kāohi i nā ʻiole mai ke komo ʻana i kou hale: E pani i nā puka i loko o kou hale, e like me nā māwae ma nā paia a me nā māwae, kahi e hiki ai i nā ʻiole ke komo.
• Maʻemaʻe: E ʻaʻahu mau i nā mīkina lima i ka wā e hoʻomaʻemaʻe ai i nā wahi e noho ai nā ʻiole a me ko lākou lepo. E holoi pono i kou mau lima me ke kopa ma hope o ka hoʻomaʻemaʻe ʻana.
• E mālama i kāu mau holoholona: Inā he hamster a he ʻiole ʻē aʻe kāu, e hoʻomaʻemaʻe i ko lākou mau hale manu. I ka hoʻomaʻemaʻe ʻana i nā hale manu, e hana ma waho a i ʻole ma kahi ea maikaʻi.
• E noho mamao aku mai nā holoholona hihiu: E pale i ka launa pū ʻana me nā ʻiole hihiu.
• Pehea e aloha ai i kāu mau holoholona: Mai honi a paʻa paha i kāu ʻiole a hamster paha i kou alo.

Pono ka poʻe i pilikia nui i ka mālama ʻana i nā ʻiole: nā wahine hāpai, ka poʻe e hoʻolālā ana e hāpai koke, a me ka poʻe me nā ʻōnaehana pale nāwaliwali ma muli o nā maʻi e like me ke kanesa, HIV, a i ʻole nā ​​​​lāʻau lapaʻau ʻē aʻe. ʻOi aku ka maikaʻi o ka loaʻa ʻana o kekahi mea ʻē aʻe i loko o ka hale e mālama i kāu mau holoholona.

Leka Lawe-Home

• He maʻi viral ka LCM i laha ʻia ma o ka ʻōpala a me ka mimi o nā holoholona e like me nā ʻiole.
• ʻOiai ʻaʻole ʻike ka hapa nui o ka poʻe i nā hōʻailona, ​​​​hiki i kekahi ke loaʻa i ke kuni, nā ʻeha kino, a i nā hihia koʻikoʻi loa, hiki ke ulu nā kūlana e like me ke kuni lolo.
• He mea weliweli loa kēia no nā makuahine hāpai , no ka mea, hiki iā ia ke hoʻoulu i nā pilikia koʻikoʻi no ke pēpē i hānau ʻole ʻia.
• ʻO ke kāohi ke ala maikaʻi loa e pale aku ai i ka hoʻouka ʻana o nā ʻiole. He mea nui e kāohi i nā ʻiole i loko o ka home a mālama i ka maʻemaʻe.
• Inā loaʻa nā hōʻailona ma hope o ka ʻike ʻia ʻana e nā ʻiole, e ʻike koke i kāu kauka .

ʻO Lymphocytic Choriomeningitis, LCM, kuni ʻiole, nā maʻi viral, nā maʻi i hoʻouna ʻia e nā ʻiole, kuni lolo, hāpai keiki, maʻi i lawe ʻia e nā ʻiole, meningitis, encephalitis