He kutukutu kei roto i te kanohi? Kua ngaro, tika? Me kōrero tātou mō tēnei 'Loiasis'!

Kua whakaaro koe ki te kite i tētahi kutukutu iti e neke haere ana i roto i tō kanohi? Āe, ka wiri koe i te whakaaro noa ki tēnei mea, kāore? Engari, he mea tūturu tēnei. Koinei te mea e kiia ana e ngā tākuta he 'Loiasis'. E kiia ana hoki e ētahi he 'kutukutu kanohi Āwherika.' Nō reira, i tēnei rā, me kōrero tātou mō tēnei mate, mō tēnei mate kutukutu. Nā te mea he mea nui kia mōhio te katoa ki ngā mea pēnei.

He aha te 'Loiasis'? He māmā noa iho...

He whakarāpopototanga noa iho, ko te 'Loiasis' he mate i puta mai i tētahi momo kutukutu motuhake e kiia nei ko te 'Loa loa'. He mate kutukutu pirinoa tēnei. Hei whakamārama, nō te rōpū mate kutukutu e kiia nei ko te 'filariasis'. Ko te 'Filariasis' he mate i puta mai i ngā 'kutukutu filarial', arā, he momo kutukutu angiangi, he rite ki te miro.

Nā, me pēhea te urunga mai o tēnei noke ki roto i ō tātou tinana? Ka puta tēnei ina ngaua tātou e tētahi momo namu e kiia nei ko te deerfly (e kiia ana hoki e ētahi he mangofly, he mangrovefly rānei). Engari kāore ēnei namu i ngā wāhi katoa. Ko te nuinga o te wā ka kitea, ka whānau hoki i roto i ētahi ngahere ua i Āwherika ki te Hauāuru me Āwherika Waenganui. Nō reira, ko te hunga e noho ana i aua rohe, e haereere ana rānei ki aua rohe, kei te mōrearea.

Kia uru mai ēnei kutukutu Loa loa ki roto i ō tātou tinana, ka tīmata rātou ki te ora me te whakaputa uri. Ko te tikanga, ka pai ake rātou ki te noho ki ēnei wāhi o ō tātou tinana:

• I roto i ō toto (Toto)
• I roto i ngā pūkahukahu
• Pūnaha lymphatic - He wāhanga tēnei o te pūnaha ārai mate o tō tātou tinana, ā, ka hangaia ētahi pūtau toto ki konei.
• I roto i ngā kiko i raro i te kiri ('Ngā kiko i raro i te kiri')

Ko wai ka taea te whakawhanake i tēnei mea nui rawa atu?

He raru nui te Loiasis i ētahi wāhi o Āwherika ki te Hauāuru me Āwherika Waenganui. E kiia ana neke atu i te 29 miriona tāngata kei te mōrearea ki te pangia e te mate. He nui rawa tēnā tāngata, tika?

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Ka matapo rānei te noke mēnā ka uru ki roto i tō kanohi? (He mea tēnei e wehingia ana e te tini)

Ina hoki, he tino whakarihariha, he tino whakamataku hoki te kitenga i tētahi kutukutu e nekeneke haere ana i roto i tō kanohi. He uaua ki te whakaaro. Engari ko te mea nui, ko ēnei kutukutu 'Loa loa' (tata ki te 2.5 ki te 7.5 henimita te roa) kāore e matapo i a koe. Ā, kāore hoki e tino kino te kanohi.

Koinei te mea ka tupu: Ka haere te kutukutu mā roto i te kanohi, kātahi ka hoki anō ki te tinana i muri i tētahi wā. Ka taea e te tākuta te tango i tētahi kutukutu e kitea ana i runga ake i te kanohi mā te pokanga iti. Engari kia mahara, ko te tango i tētahi kutukutu pēnei kāore e whakaora i te mate katoa. Me rongoā motuhake.

He aha ngā tohu o te Loiasis?

He mea whakamiharo, ko te nuinga o te hunga e pāngia ana e te loiasis kāore he tohu. Kāore rātou e mōhio kei roto i ō rātou tinana te kutukutu. Heoi, ka pāngia pea ētahi tāngata e ngā tohu pēnei i:

• Te tino ngenge (‘Te ngenge nui’).
• Ka mākūkū puta noa i te tinana.
• Ka puta ngā ira mākūkū, pupuhi, mamae rānei ki te tinana, inā koa ki ngā hononga pērā i ngā turi me ngā tuke. Ka kiia tēnei ko ngā "pupuhi o Calabar." Ka memeha pea tēnei pupuhi i roto i ētahi rā, engari ka puta anō pea i muri i ētahi rā, wiki rānei.
• Te mamae o ngā uaua, o ngā hononga rānei.
• Ka kite koe i tētahi noke e nekeneke haere ana i raro i te kiri. He rite ki tētahi ngaru kiri.
• Ka kitea te noke e ngokingoki ana i roto i te conjunctiva (te kiriuhi angiangi e kapi ana i te ma o te kanohi me te taha o roto o te kamo). Koinei te mea e mataku ai te tini o te tangata.

Whakaarohia, i a koe e ngaro ana i te māramatanga, ka rongo koe i tētahi mea e neke ana i mua i tō kanohi. Ina titiro koe ki te whakaata, ka rongo koe i tētahi mea e rite ana ki tētahi miro iti e neke ana i mua i tō kanohi! Kātahi te whakamataku o tēnā!

He aha te take o te Loiasis? Me pēhea te horapa?

E ai ki tā mātou i kōrero ai i mua ake nei, ka horapa te Loiasis ina ngau te namu pangia i tō kiri. Ko ngā namu e kawe ana i te mate kutukutu Loa loa ko ngā namu tia me ngā namu mangrove. Ka kitea anake ēnei namu i Āwherika. Ina ngau ēnei namu i te tangata pangia, ka ngotea e rātou te toto ka werohia ngā kutukutu (e kiia nei ko ngā microfilariae, he kutukutu iti rawa, he moroiti) ki roto i te namu. Kātahi, ina ngau te namu i tētahi atu, ka uru ngā kutukutu ki te tinana o taua tangata.

Kia uru atu ēnei kutukutu ririki, e kiia nei ko ngā "microfilariae", ki roto i tō tinana, ka roa pea ētahi marama ka tipu hei kutukutu pakeke. I a rātou e tipu ana, ka taea e rātou te haere ki roto i ngā kiko me ngā whekau o tō tinana, pērā i ō pukahukahu. I te wā anake e noho ana ngā kutukutu pakeke i roto i tō tinana ka kite koe i a rātou e neke ana i raro i tō kiri, i roto rānei i ō kanohi.

Engari he mea nui kia mōhio koe he tino iti te tūponotanga ka pāngia koe e te loiasis mā te haerenga poto noa ki Āwherika. Ko te nuinga o te hunga e pāngia ana e te mate me ngau e ngā namu pangia i ngā wā maha i roto i ngā marama. Ko te tikanga o tēnei, kāore koe e pāngia e te mate e te namu kotahi anake.

He mate pāwera te Loiasis mai i te tangata ki te tangata?

He raruraru tēnei mō te tini o te tangata. Kāo, kāore te Loiasis e horapa tika mai i tētahi tangata ki tētahi atu. Ko te tikanga tēnei kāore e taea te pangia e te mate mā te pā atu ki tētahi tangata kua pangia e te mate, te kai tahi, te inu tahi rānei, te whakamahi rānei i tētahi tauera i whakamahia e rātou. Hei pangia, me ngau koe e taua namu.

Me pēhea te tautuhi tika i te Loiasis? (Tautuhinga)

Mena kua tae atu koe ki tētahi o ngā wāhi mōrearea o Āwherika, e noho ana rānei koe, ā, kei te pāngia koe e ngā tohu o te loiasis, ka tonoa pea e tō tākuta he whakamātautau toto.Ka taea e tēnei whakamātautau toto te tirotiro i te aroaro o ngā microfilariae Loa loa i roto i ō toto.

Waihoki, ka tirohia koe e te tākuta ('whakamātautau tinana') kia kite ai mēnā kei a koe ētahi tohu o te 'loiasis', arā, ngā mea pēnei i te 'pupuhi o Calabar'.

He aha ngā maimoatanga mō te Loiasis?

Kei reira ngā rongoā ārai-parasitic e whakamahia ana hei rongoā i te Loiasis. Ko ngā rongoā matua e whakamahia ana ko te Ivermectin me te Diethylcarbamazine (DEC) .

Ngā mea nui hei whakaaroaro i te wā e hoatu ana te rongoā

Engari, anei tētahi mea tino nui. Mēnā ka hoatu ēnei rongoā (ina koa ko te DEC) ki te hunga he nui rawa ngā taumata o te Loa loa microfilariae i roto i ō rātou toto, ka pāngia rātou e ngā tauhohenga kino, e morearea ai te ora. Nō reira, i mua i te hoatutanga o te Ivermectin, te DEC rānei ki a koe, me whakamātautau rātou hei ine i te maha o ngā microfilariae i roto i ō toto.

Whakaarohia te kino o te āhua mēnā ko te rongoā tonu i tohua hei whakaora i te mate ka puta he raruraru nui? Koia te hiranga o ēnei whakamātautau.

Mena he nui atu i te 8,000 ngā microfilariae kei roto i te miririta toto, kāore a Ivermectin me DEC e haumaru mōu. Mena koinei te āhua, ka tūtohu pea tō tākuta kia whakamahia tuatahitia e koe he rongoā e kiia nei ko Albendazole , he tikanga tātari toto rānei. Mā te Albendazole me te tātari toto ka whakaiti i te maha o ngā microfilariae i roto i ō toto. Ko reira anake ka haumaru ai te whakamahi i a Ivermectin, i a DEC rānei.

He mate tino onge te Loiasis i ngā whenua pēnei i a Sri Lanka, nō reira ka toro atu pea tō tākuta ki tētahi tohunga rongoā toropika i te wā e rongoatia ana. Mena he mate kino tōu, me toro atu koe ki tētahi tohunga mātau.

Me pēhea te karo i te mate Loiasis? (Ārai)

Engari, kāore anō kia kitea he kano ārai mate hei ārai i te Loiasis.

Engari ki te mea kei te haere koe ki te Hauāuru, ki te Waenganui rānei o Āwherika, ina koa kei te whakaaro koe ki te noho ki reira mō te wā roa, he maha ngā mea ka taea e koe te mahi hei whakaiti i tō tupono ki te pangia e tēnei mate:

• Te tango i te 300 mirikaramu o te diethylcarbamazine (DEC) kotahi i te wiki. (Me mahi tēnei i runga i te tohutohu a te tākuta anake.)
• Te whakamahi i ngā ārai pepeke kei roto ko te DEET (N,N-Diethyl-meta-toluamide). He wai ēnei e pania ana ki te tinana.
• Mā te mau tarau roa me ngā hāte ringaringa roa ka whakaiti i te tūponotanga o te ngau a ngā namu i tō kiri.
• Te paninga i tētahi patu ngarara e kīia ana ko te 'permethrin' ki ō kākahu. Ka peia e tēnei ngārara pērā i ngā namu.

He aha ngā mea ka pā mai mēnā ka pāngia koe e te Loiasis? Me āwangawanga koe?

Ina hoki, he tokomaha te hunga e pāngia ana e te loiasis kāore i te mōhio, ā, kāore pea e pāngia e ngā raruraru hauora nui. Ko te tikanga, ehara i te katoa ka pāngia e ngā tohu kino.

Heoi, ki te mea kei a koe ngā tohu, ki te whakapae rānei koe kei a koe te loiasis, me kōrero koe ki te tākuta. He rongoā kei te wātea hei rongoā, hei āwhina i te whakakore i te mate me te ārai i ngā raruraru.

He aha ngā wā pai rawa atu hei toro atu ki te tākuta?

I roto i ēnei āhuatanga, me toro atu koe ki te tākuta:

• Mena kua tae koe ki Āwherika ki te Hauāuru, ki Āwherika Waenga rānei, ā, kei te whakaatu koe i ngā tohu o te Loiasis (hei tauira, te mākūkū, te pupuhi o Calabar, te mea rānei e titiro mai ana i roto i tō kanohi).
• Mena kei te whakamahere koe ki te haere ki Āwherika ki te Hauāuru, ki Āwherika Waenga rānei, ā, ki te whakaaro koe me rongoā DEC hei ārai i te mate, he pai ake te toro atu ki te tākuta i mua tonu i tō haerenga, nā te mea ka roa pea ētahi wiki ka whiwhi koe i te rongoā DEC.

Karere Tangohia ki te Kāinga

Āe, mai i ngā mea kua kōrerohia e tātou, ko tāku tumanako kei a koe he whakaaro pai mō te 'Loiasis', te 'African eyeworm' rānei.

Kia maumahara, he mate kutukutu pirinoa te Loiasis. Ka puta he maha ngā tohu, kāore rānei he tohu e kitea ana.

He mea whakamataku te kite i te kutukutu i roto i tō kanohi. Engari i te nuinga o te wā ka puta te kutukutu mā roto i te kanohi ka ngaro i roto i ētahi haora. Mēnā rānei, ka taea e te tākuta te tango mā te pokanga iti.

Ko te mea nui , mēnā kei te haere koe ki ngā wāhi mōrearea o Āwherika, ka taea e koe te mahi i ngā mahi hei ārai i te loiasis. Waihoki, mēnā ka pāngia koe e te mate, ka taea e te tākuta te rongoā mā te whakamahi i ngā rongoā ārai-parasitic.

Nō reira, kaua e mataku rawa ki tēnei, engari kaua hoki e whakahawea. Ko te mea nui ko te mōhio. Mena he pātai, he ruarua rānei āu, kāore i te roa rawa te wā ki te kōrero ki te tākuta.