Ua ʻike anei ʻoe e pili ana i kēia maʻi ilo e hiki ke noho i loko o kou ʻōpū no nā makahiki? (Strongyloidiasis)

Ua lohe mākou a pau e pili ana i nā ilo i ko mākou wā kamaliʻi, ʻeā? Ke noʻonoʻo mākou i nā ilo, manaʻo pinepine mākou i kahi mea hiki ke ho'ōla ʻia me kahi lāʻau lapaʻau liʻiliʻi. Akā ua ʻike anei ʻoe aia kekahi mau ʻano ilo e hiki ke noho i loko o kou kino no nā makahiki he nui, a hiki i nā makahiki he ʻumi, me ka ʻole o ka hōʻailona ʻana i kekahi mau hōʻailona? I kēia lā ke kamaʻilio nei mākou e pili ana i kahi maʻi ilo koʻikoʻi a hūnā ʻia. Ua kapa ʻia kēia ʻo Strongyloidiasis.

I ka pōkole, he aha ka Strongyloidiasis?

ʻO Strongyloidiasis kahi maʻi ʻōpū i hoʻokumu ʻia e kahi ilo poepoe i kapa ʻia ʻo 'Strongyloides stercoralis'. ʻO ka mea kūikawā e pili ana i kēia, ʻo ia ka waiho ʻana o kēia ilo i nā hua i loko o kou mau ʻōpū, a hiki i nā larvae e puka mai ana mai kēlā mau hua ke hoʻopili hou i kou kino. Kāhea mākou i kēia 'autoinfection'. Ua like ia me kahi mea hoʻolimalima e noho ana i loko o kahi hale me ka neʻe ʻole ʻana i waho, akā e neʻe ana me ka ʻohana. ʻO ia ke kumu e hiki ai i kēia maʻi ke hoʻomau no nā makahiki me ka ʻole o nā hōʻailona.

Pehea e komo ai kēia ilo i loko o ke kino?

ʻO ka parasite e hoʻokumu ai i kēia, ʻo ia ka ilo Strongyloides, noho i loko o ka lepo lepo, ka wai, a i ʻole ka feces. Ke hele wāwae ʻole ʻoe i ka lepo lepo, hana ma nā mahina ʻai, a i ʻole e launa pū me ka wai lepo, hiki i kēia mau ʻenuhe ilo ke komo i loko o kou ʻili a komo i loko o kou kino. Ke komo i loko, hele kēia mau ʻenuhe ma o kou koko a hiki i kou ʻōpū liʻiliʻi. Ma laila lākou e waiho ai i kā lākou mau hua. Hiki i ka wahine ke waiho a hiki i 40 mau hua i ka lā. Hoʻopuka ʻia kekahi o kēia mau hua i loko o ka feces a hoʻohaumia hou i ka lepo. ʻO nā ʻenuhe e ulu ana mai nā hua ʻē aʻe a laila komo i loko o ka ʻili a puni ka paia ʻōpū a i ʻole ka rectum a komo hou i loko o kou kino, e hoʻomau ana i ke kaʻina hana i kapa ʻia ʻo autoinfection.

He aha nā hōʻailona o kēia?

ʻO ka mea kupaianaha e pili ana i kēia , ʻaneʻane hapalua o ka poʻe me kēia maʻi ʻaʻole hōʻike i kekahi mau hōʻailona. ʻO ia ke kumu ʻaʻole lākou i ʻike he maʻi ko lākou. ʻO ka poʻe i loaʻa nā hōʻailona, ​​​​loaʻa pinepine iā lākou nā pilikia ʻōpū .

Pehea e ʻike pono ai i ka maʻi?

Hiki ke paʻakikī ke ʻike ʻana i kēia maʻi. No ka mea, ʻaʻole ʻike mau ʻia nā ilo ma ka nānā ʻana i kahi hāpana ʻōpala ma lalo o kahi microscope. No laila, ʻo ka hoʻāʻo ʻana i kekahi mau hāpana ʻōpala (ma ka liʻiliʻi he 3-5) i loko o kekahi mau lā hiki ke hāʻawi i nā hopena hilinaʻi. Eia kekahi, i kekahi manawa hiki ke hana ʻia kahi hoʻāʻo koko e nānā i nā antibodies i ka maʻi. Inā ua holomua ka maʻi a hoʻopilikia i nā māmā, hiki ke hoʻāʻo ʻia kahi hāpana o ka wai mai nā māmā (sputum) a i ʻole ka wai mai ka ʻōpū liʻiliʻi e hōʻoia i ka hōʻailona.

ʻO wai ka mea e hoʻoweliweli ai kēia? (Hyperinfection Syndrome)

Ke hoʻonāwaliwali ʻia ka ʻōnaehana pale maʻi, hoʻonui nui kēia mau ilo, ka mea e pakele ana mai ke kino aku, neʻe aku i waho o ka ʻōpū a hoʻomaka e laha aku i nā ʻāpana koʻikoʻi ʻē aʻe o ke kino e like me nā māmā, ke akepaʻa, ka puʻuwai, a me ka lolo. Kāhea mākou i kēia maʻi ʻo 'Hyperinfection Syndrome'. I ia mau hihia, hiki i ka nui o ka make ke piʻi aʻe i ka 80%.

ʻO nā kānaka i ʻoi aku ka pilikia o ka Hyperinfection Syndrome:

• Nā Steroid `(ʻO ka poʻe e lawe ana i nā lāʻau steroid no ka manawa lōʻihi (e.g. no nā maʻi e like me ka hānō a me ka arthritis)
• ʻO ka poʻe e mālama ʻia ana no ka maʻi kanesa (ʻoiai ke kanesa koko)
• ʻO ka poʻe i hana ʻia i kahi hoʻoili kino a ke lawe nei i nā lāʻau lapaʻau e kāohi ana i ka ʻōnaehana pale
• Nā kānaka me ka maʻi diabetes
• Nā kānaka i loaʻa i ka maʻi HIV
• ʻO ka poʻe me kahi maʻi virus laha ʻole i kapa ʻia ʻo `HTLV-1`
• ʻO ka poʻe e inu nui ana i ka waiʻona
• ʻO nā kānaka me nā maʻi mau loa e like me ka hāʻule ʻana o ka puʻupaʻa

Pehea e mālama ʻia ai? A pehea e pale ʻia ai?

Aia nā lāʻau lapaʻau kūpono loa no kēia maʻi. No kahi maʻi maʻamau, hiki ke hāʻawi ʻia kahi lāʻau i kapa ʻia ʻo 'Ivermectin' no 1-2 mau lā. I kekahi mau hihia, hāʻawi ʻia kahi lāʻau i kapa ʻia ʻo 'Albendazole' no 7 mau lā. Akā e hoʻomanaʻo, mai lawe i kēia mau lāʻau lapaʻau ma ka hale kūʻai lāʻau e like me kou makemake. Pono ʻoe e ʻike i ke kauka a lawe i ka nui i kuhikuhi ʻia a me ka lōʻihi o ka lāʻau. ʻOi aku hoʻi i ka hihia koʻikoʻi o ka 'Hyperinfection Syndrome', pono ʻoe e hoʻokomo ʻia i ka haukapila a mālama ʻia no nā pule.

ʻOi aku ka maikaʻi o ka pale ʻana!

Eia kekahi mau mea maʻalahi e hiki ai iā kākou ke hana e pale iā kākou iho mai kēia maʻi:

• E komo i nā kāmaʻa: E hōʻoia e komo i nā kāmaʻa a i ʻole nā ​​​​sandala, ʻoiai ke hele wāwae ma ka lepo, ka lepo, a i ʻole ka ʻāina pulu. Pono ka poʻe mahiʻai a mahiʻai paha e makaʻala i kēia.
• Ka hoʻohana ʻana i ka lua a me ka mālama ʻana i nā ʻōpala: E hahai i nā hana hoʻomaʻemaʻe kūpono. E pale i ka hōʻiliʻili ʻana o nā ʻōpala i ke kaiapuni.
• Maʻemaʻe: E pale i ka pili ʻana me ka wai lepo a i ʻole nā ​​​​wahi i loaʻa ai ka wai ʻino.
• Nā Holoholona: E wehe pono a hoʻomaʻemaʻe i nā ʻōpala o nā holoholona e like me nā ʻīlio.

Strongyloidiasis, nā maʻi ilo, nā ilo ʻōpū, Strongyloides, nā maʻi i lawe ʻia e ka lepo, hyperinfection, Ivermectin