Me ako atu tātou mō te Lymphatic Filariasis / Elephantiasis.

Kua rongo kē koe i te mate e kiia nei ko te "waewae arewhana" me te "barawa" rānei? Kua kite pea koe i ngā ringaringa me ngā waewae o ētahi tāngata e pupuhi ana, e matotoru ana te kiri, ā, i ētahi wā ka hē te āhua, tika? He mate hopuhopu tēnei e tukuna ana e ngā waeroa e pā ana ki tō tātou pūnaha lymphatic. Kāore he mea e wehi ai, me kōrero taipitopito tātou mō tēnei, he tino māmā noa iho.

He aha tēnei arewhana e takahi ana? He māmā noa iho...

Ko te mate elephantiasis, arā, ko te Lymphatic Filariasis i roto i ngā kupu hauora, ka puta mai i ngā kutukutu pirinoa ririki (ngā kutukutu filarial) e uru ana ki roto i tō tātou pūnaha lymphatic ka whakararuraru i tana mahi. He tino iti ēnei kutukutu, he rite ki ngā huruhuru, ā, ka kitea noa mā te karuārai.

Whakaarohia he pūnaha motuhake tō tō tātou tinana e tango ana i ngā para, e āwhina ana hoki ki te ārai mate, arā, ko te pūnaha lymphatic. Kei roto i tēnei pūnaha he wai e kiia nei ko te lymph e rere ana i roto i ngā capillaries lymphatic. Ina āraia ēnei capillaries lymphatic e ngā kutukutu i kōrerotia e au, kāore te wai e rere tika, ā, ka mau ki te wāhi kotahi. Koinā te wā ka puta ai ngā tohu pēnei i te pupuhi me te matotoru o te kiri . I ētahi wā ka kino rawa tēnei mate, ka pupuhi pērā i te waewae o te arewhana, koia i huaina ai ko te "waewae arewhana."

Kia pēhea te horapa o tēnei mate puta noa i te ao?

I tēnei wā, tata ki te 1.5% o te taupori o te ao, tata ki te 120 miriona tāngata rānei, e pāngia ana e tēnei mate. He tino kitea tēnei mate i ngā whenua wera, pārūrū . Ko ngā whenua pēnei i a Āhia, Āwherika, me Amerika ki te Tonga te nuinga o ngā tūroro. Nā te mea he whenua pārūrū hoki tō tātou Sri Lanka, he mea nui kia āwangawanga tātou mō tēnei.

Engari kia maumahara ki tētahi mea, he tino iti te tūponotanga ka pangia koe e tēnei mate nā te mea he poto noa tō haerenga ki tētahi whenua pēnei. Hei pangia koe e tēnei mate, me noho koe ki tētahi rohe e horapa ana te mate mō ngā marama, mō ngā tau pea, ā, me noho tonu koe ki ngā ngau a ngā namu.

He aha ngā tohu o te mate Barawa?

I te nuinga o te wā, kāore te katoa e pangia ana e te mate Bara ka pāngia e ngā tohu kino. Tata ki te rua hautoru pea kāore he tohu nui. Heoi, he maha ngā wā ka ngoikore te pūnaha ārai mate e te mate.

Tērā pea ka pāngia ētahi tāngata e ēnei tohu:

• Mumura: He āhuatanga tēnei ka puta ina kaha rawa te mahi a te pūnaha ārai mate.
• Lymphedema: He pupuhi e puta mai ana i te kohikohinga o te wai i roto i te pūnaha lymphatic.
• Hydrocele: He pupuhi o ngā rakuraku i roto i ngā tāne.
• Edema: He pupuhi i puta mai i te kohikohinga o te wai i roto i ngā kiko rerekē o te tinana.

Ka pā pea ēnei tohu pupuhi ki ngā wāhanga e whai ake nei o te tinana:

• Ringaringa
• Waewae
• Ū
• Ngā whakamātautau
• Ira tāne
• Te rohe huri noa i te tara (vulva)
• Kanohi (onge noa iho)

He aha te take e nui haere ai tēnei taumaha?

I te whakarapopototanga, ko te filariasis te mate pirinoa e kiia nei ko te filariasis. Nā tētahi momo kutukutu porowhita i puta ai. He iti rawa ngā kutukutu, kāore e kitea e te kanohi tahanga . Ina tirohia i raro i te karu hiko, he rite ēnei kutukutu ki ngā miro.

He maha ngā momo kutukutu filarial:

• Wuchereria bancrofti: E 9 o roto i te 10 ngā mate ka puta i tēnei momo kutukutu.
• Brugia malayi: Koinei te take o te nuinga o ngā mate e toe ana.
• Brugia timori: Ka taea hoki e tēnei momo te whakararu i ngā mate.

Me pēhea te horapa o tēnei mate?

Koinei te mea tino nui. Ka horahia te mate malaria e ngā waeroa. Whakaarohia, ka ngaua e te waeroa tētahi tangata he mate malaria tōna. Kātahi ka uru ngā kutukutu filarial (microfilariae) i roto i te toto o taua tangata ki roto i te tinana o te waeroa. Kātahi, ina ngaua e taua waeroa pangia tētahi atu tangata hauora, ka uru aua kutukutu ki te toto o te tangata kē.

I te nuinga o te wā, kāore te mate e puta mai i te ngau kotahi a te waeroa. Hei whakawhanake i te mate, me noho tonu koe ki ngā ngau a ngā waeroa kua pangia mō ngā marama maha, i ētahi wā tae noa ki ngā tau.

Kia uru atu ēnei kutukutu ki roto i tō toto, ka haere tika atu ki tō pūnaha lymphatic. Ko te wāhi tēnei e tipu ai rātou, ka huri hei kutukutu pine. Ka taea e ēnei kutukutu pine te noho i roto i tō tinana mō te 7 tau. Kātahi ka whakanuia, ka tukuna atu he miriona atu kutukutu pine (microfilariae) ki roto i tō toto.

He mea nui: Ko te tikanga ka rere ēnei microfilariae i roto i te toto i te pō. Koia te take me whakahaere ngā whakamātautau toto i te pō.

He aha ngā raruraru o te mate Barawa?

Ina pakaru tō pūnaha lymphatic i roto i te wā, ka heke te kaha o tō tinana ki te whawhai ki ngā mate. Ka taea e tēnei ngoikore o te ārai mate te arahi ki ngā āhuatanga penei:

• Ngā mate kitakita auau. I ētahi wā ka ngatata, ka whara rānei te kiri, ka taea ai te uru mai o te mate.
• Te matotoru o te kiri me te pupuri wai, ka hua ake te pupuhi, te mamae, me te rahi o ngā wāhanga o te tinana .
• Te mate pūkahukahu eosinophilia tropical: He āhuatanga tēnei e piki ake ai te maha o ngā eosinophil, he momo toto mā. Ka taea e tēnei te maremare me te uaua ki te manawa.

Me pēhea te tautuhi i te mate?

Hei tino mōhio mēnā kei a koe te mate Bara, me whakamātautau te tākuta i tētahi tauira o tō toto. Ka taea tēnei mā te whakamahi i ēnei tikanga:

• Whakamātautau toto mariko: Ka tirohia tō tauira toto i raro i te mariko. Mā tēnei ka rapua ngā kutukutu filarial i roto i te toto. E ai ki taku kōrero i mua ake nei, he kaha te mahi a ēnei kutukutu i roto i te toto i te pō. Nō reira, me tuku toto pea koe i te pō.
• Whakamātautau paturopi:Ka whakamātauria tō tauira toto mō ngā paturopi. Ko ngā paturopi he matū ka hangaia e tō tinana hei urupare ki tētahi mate. Ka taea tēnei whakamātautau i te awatea.

He aha ngā rongoā mō te mate Barawa?

Ko te mahere maimoatanga ka whakawhiwhia ki a koe ka whakawhirinaki ki ngā tohumate kei a koe me te kaha o aua tohumate. Ko te tikanga o te rongoā mō te mate Bara penei:

• Ngā rongoā ārai pararutiki: Tērā pea ka hoatu he rongoā ki a koe pērā i te ivermectin (Stromectol®), te diethylcarbamazine (Hetrazan®), te albendazole rānei (Albenza®) . Ka patua e ēnei rongoā ngā kutukutu rīpene i roto i ō toto, ka aukati rānei i tō rātou whakatipuranga. Mā te tango i ēnei rongoā ka ārai i a koe kei horahia te mate ki ētahi atu. Heoi, nā te mea kei roto tonu pea ngā kutukutu i tō tinana, me tango e koe ēnei rongoā kotahi i te tau mō ētahi wiki .
• Pokanga: Me pokanga pea hei tango i ngā kutukutu mate i roto i ō toto. Mena kua puta he hydrocele (te pupuhi o ngā huakita) i te filariasis, me pokanga pea hei tango i te wai kua kohia.
• Te whakahaere i te mate arewhana: Ka tūtohu pea tō tākuta i ngā tikanga hei āwhina i te whakahaere i te pupuhi, pērā i te hiki ake i te ringa, i te waewae rānei e pupuhi ana, te whakamahi rānei i ngā kākahu pēhi.

He pānga taha kei te rongoā?

Mena kei te tango koe i te rongoā mō te malaria, he mea tino nui kia noho koe i raro i te tirotiro tata a te tākuta , nā te mea ka pā mai ētahi pānga kino kino ki ēnei rongoā ārai-parasitic. Hei tauira:

• Pōuriuri
• Kirika
• Ānini
• Mamae uaua, mamae hononga rānei
• Whakapairuaki

Nō reira, he mea tino nui kia tino whai i ngā tohutohu hauora.

Ka taea te whakaora rawa i tēnei mate?

Ki te pono, kāore anō kia kitea he rongoā motuhake mō te kutukutu rīpene i tēnei wā. Ka taea e te rongoā te patu i te nuinga o ngā kutukutu, ā, ka ārai i a koe kei horahia te mate ki ētahi atu. Ka taea hoki e te maimoatanga te whakaiti i ō tohumate.

Ka aha mēnā ka pāngia koe e te mate? He aha ngā pānga pāpori?

I ētahi wā ka pāngia te hunga whai mate rumatiki e ngā pānga kino ki te hapori . Ina koa mēnā he nui ngā tohu e kitea ana, pērā i te pupuhi nui o ngā peka, ka noho mokemoke pea rātou, ka whakama hoki. Hei tāpiri, ka pā te pupuhi, te mamae roa rānei ki te kaha o te tangata ki te mahi i ngā mahi o ia rā, me te pupuri i tētahi mahi.

Engari kia maumahara, ahakoa kāore he rongoā katoa mō te mate Bara, ka taea e koe te whakahaere i te mate, te whakaiti i ngā tohu, me te noho i te oranga noa. Ko tāu noa iho he whai i ngā tohutohu hauora tika me te tiaki i tō hauora.

Me pēhea te ārai i tēnei mate?

He aha ngā mea ka taea te mahi hei ārai i te mate Barawa?Ko te huarahi pai hei tiaki i a koe mai i ngā ngau a te namu ko te karo i aua ngau. He mea nui rawa tēnei i ngā rohe pārūrū. Mena kei te noho koe i tētahi rohe e tūpono ana koe ki te ngau a te namu, ki te haere rānei koe ki tētahi, whai i ēnei mahi hei karo i ngā ngau a te namu:

• Moe i raro i te kupenga namu.
• Tāpirihia he ārai pepeke ki te kiri e kitea ana, inā koa i te pō.
• Mauria he tarau roa me ngā kākahu ringaringa roa.
• Kia ma tō māra me te rohe e karapoti ana. Tangohia ngā wāhi whakatupu namu (ngā potae, ngā anga kokonati, ngā kēne, me ētahi atu).

E taunaki ana te Whakahaere Hauora o te Ao (WHO) kia hoatu he rongoā ārai mate ki te hapori katoa i ngā wāhi e kitea whānuitia ana te malaria. I roto i tēnei tikanga, ka hoatu he horopeta rongoā pumau ki te hunga e mōrearea ana ki te pangia kotahi i te tau. Ahakoa kāore e nui te pānga o ēnei rongoā ki ngā kutukutu pakeke, ka ārai i te tini o ngā kutukutu taitamariki. Ka ārai hoki i te tukunga o ngā pirinoa ki ngā waeroa.

Āhea koe me toro atu ki te tākuta?

Ki te puta he pupuhi, he matotoru rānei o te kiri kāore i te whakamāramatia – inā koa i roto i ō ringaringa, i ō waewae, i ō ū, i tō kiri tara, i tō tara rānei – me whakamōhio atu ki te tākuta. Kātahi ka taea e te tākuta te whakahaere i ngā whakamātautau e tika ana hei whakaū i te mate, hei whakakore rānei i te mate.

He aha ngā pātai nui hei pātai atu ki te tākuta?

Ina haere koe ki te tākuta, ka taea hoki e koe te pātai i ēnei pātai:

• Tērā pea ko tōku taumaha te take nui o tēnei āhuatanga kei roto ahau?
• Me pēhea te whakahaere i ngā tohu e pā ana ki te taumaha?
• He aha ngā maimoatanga e taunaki ana koe māku?
• He aha ngā pānga taha o te maimoatanga?
• He aha ngā tūponotanga ka hoki anō te mate i muri i te maimoatanga?
• Me pēhea taku tiaki i ahau i te mate o Barawa?

Me pēhea te whakahaere i ngā tohu o te lymphedema?

Ahakoa ka patua e te rongoā ngā kutukutu filarial, tera pea ka puta he mate pupuhi e kiia nei ko te lymphedema. Ka taea e koe te mahi i ēnei mea hei whakahaere i ēnei tohu pupuhi:

• Horoia ngā patunga kia pai, ā, taupokina kia marietia.
• Whakaarahia ngā ringa, ngā waewae rānei e pupuhi ana.
• Whakanuia ake tō taumata mahi (ka akiaki tēnei i te rere o te wai lymph).
• Horoia, whakamarokehia hoki ngā wāhi pupuhi o tō tinana i ia rā, i ia rā.
• Whakaitihia te mōrearea o te hinga me te whara mā te mau i ngā hu e tika ana te tau.

Karere Whakamutunga mō te Tango ki te Kāinga

He mate noa te malaria i ngā āhuarangi haurua-mā-rangi me ngā āhuarangi pārūrū, kei reira ngā kutukutu filarial. I te nuinga o te wā, me ngaua te tangata e ngā waeroa pangia kia pāngia ai e tēnei mate. Nō reira, ko te nuinga o te wā ka pāngia te tangata e te mate e te hunga e noho ana i ngā rohe morearea.He tino onge te mahuetanga o te hunga haereere poto noa.

Heoi, ki te puta mai ngā tohu, he mea tino nui kia kōrero koe ki te tākuta. Mā te whakamātautau toto noa ka taea te whakaū mēnā he mate pirinoa tōu. Kaua e mataku, ko te mea nui ko te mōhio me te mahi i ngā mahi e tika ana.

` Barawa, Te mate arewhana, Te mate hopuhopu lymphatic, Te mate arewhana, Te mate waeroa, Te pūnaha lymphatic, Te mate hopuhopu