Kua haere koe ki tētahi wāhi maroke, hei tauira, ki ngā wāhi pēnei i a Anuradhapura, i a Polonnaruwa rānei? Kua rongo pea koe i ngā kaumātua e kī ana kia tūpato koe ki ngā waeroa ina haere koe. Ko te take matua o tēnā he mate e kiia nei ko te malaria. Ahakoa i mua he raruraru hauora nui i tō tātou whenua, kua whakamanahia a Sri Lanka e te World Health Organization hei whenua kore malaria. He whakatutukitanga nui tēnā! Heoi, ehara i te mea me wareware rawa tātou ki tēnā.
He mea tino nui kia tūpato ki te malaria, inā koa mēnā kei te haere koe ki tāwāhi mō te mahi, mō te haereere rānei. Nō reira, i tēnei rā ka kōrero tātou mō te malaria, me pēhea te horapa, me pēhea te tiaki i a tātou anō.
He aha rawa te malaria?
He kupu ngāwari noa iho, he mate kino te malaria, he mate morearea i ētahi wā, nā te pirinoa. Ka tukuna tēnei mate ki a tātou mā te ngau a te waeroa uwha (momo Anopheles) he malaria tōna. Ina uru tēnei pirinoa ki roto i ō tātou toto, ka haere tuatahi ki te ate. I reira, ka whakanuia, ka hoki anō ki roto i te toto, ā, ka tīmata ki te whakangaro i ngā toto whero. Koinei te wāhi ka tīmata ai tātou ki te whakaatu i ngā tohu. Ahakoa kāore e kitea whānuitia ana te malaria i Sri Lanka, kei te kitea tonutia tēnei mate i ngā whenua he mahana te āhuarangi pērā i ngā whenua o Āwherika, ētahi whenua i te Tonga me te Tonga-mā-rāwhiti o Āhia, me ētahi wāhanga o Amerika ki te Tonga. Nō reira, ki te haere koe ki tētahi whenua pēnei, he mea nui kia mōhio koe ki tēnei.
He aha ngā momo pirinoa e hua ai te malaria?
Ko te Plasmodium te pirinoa e hua mai ai te mate malaria. He maha ngā momo matua o te mate malaria e hua ai te mate malaria i roto i te tangata. Kāore i te rite katoa; ko ētahi he morearea ake i ētahi atu.
| Momo pirinoa | Whakaahuatanga |
|---|
| Plasmodium falciparum | Koinei te momo tino morearea. Ka tere te whakatipu i roto i te tinana. Ka pā mai pea ngā āhuatanga pēnei i te mate toto nui me te aukati i ngā oko toto iti i roto i te roro. Mena ka pā ki te roro, ka kiia ko te mate malaria roro . He mate morearea hoki tēnei. He mea tino kitea i Āwherika. |
| Plasmodium vivax (P. vivax) | He rerekē paku tēnei momo. Ka noho puku pea i roto i te ate mō ngā marama, tae noa ki ngā tau, i muri i te ngau a te waeroa, kātahi ka hoki anō (ka hoki anō). He mea noa tēnei i Āhia me Amerika Latina. |
| Plasmodium ovale (P. ovale) | He tino rite tēnei ki te P. vivax, ā, he mea tino kitea i Āwherika ki te Hauāuru me ngā moutere o te taha hauauru o Te Moana-nui-a-Kiwa. |
| Plasmodium malariae (P. malariae) | Ki te kore e rongoatia tika, ka pā mai he mate pūmau mō te wa katoa o te oranga o tēnei momo. E kitea ana tēnei mate puta noa i te ao. |
| Plasmodium knowlesi (P. knowlesi) | Ahakoa he momo tēnei e pā ana ki ngā makimaki, kua kitea inaianei ka taea hoki e ia te pangia te tangata. Ka piki haere tōna maha i roto i te 24 hāora noa iho, nō reira ka tere te kino haere. Ka kitea i te Tonga-mā-rāwhiti o Āhia. |
He pēhea te horapa o te malaria?
Ko te huarahi matua ko te ngau a te waeroa uwha Anopheles e kawe ana i te pirinoa malaria .
Kāore e horapa mai i te tangata ki te tangata pērā i te makariri, te rewharewha rānei, mā te tihe, te pā, te taatai rānei. Ko te tikanga o tēnei, kāore te malaria e horapa. Heoi, he tino onge, ka horapa atu i ētahi atu huarahi:
- Mā te whiwhi toto whakawhiti mai i tētahi tangata pangia (engari i nāianei, nā te mea ka whakamātauhia te toto i mua i te hoatutanga, he tino iti te tūponotanga ka puta tēnei).
- Mā te whakawhitiwhiti i ngā ngira werohanga kua poke i te toto pangia.
- Mai i te whaea hāpu kua pangia ki tana tamaiti, i te wā e hapū ana, e whānau ana rānei.
He aha ngā tohu o te malaria?
Ko te tikanga ka puta ngā tohu i roto i
ngā rā 10 ki te 15 i muri i te ngau a te waeroa. Heoi, ko ētahi momo (ina koa ko te P. vivax) ka roa ake te wā e pāngia ai. Tērā pea ka rite ngā tohu tuatahi ki te makariri, ki te rewharewha rānei, ā, ka ngāwari te whakapoauau.
Ngā tohu ka puta pea ina tino kino te mate
| Ngā tohu noa |
|---|
| - Te kirika nui | - Mamae tinana |
| - Ngā makariri | - Te ānini o te upoko |
| - Te werawera nui | - Whakapairuaki, ruaki rānei |
| - Ngenge rawa | - Korere |
| - Te kōwhai o te kiri me ngā kanohi (te jaundice) | - Pōhēhētanga |
| - Te hopu/te wiri | - Te ngoikore o te whatukuhu |
| - Te toto i roto i te tūtae | - Te uaua ki te manawa |
Āhea koe me toro atu ki te tākuta?
Koinei te mea tino nui. He mate te malaria ka tere te kino haere. Nō reira,
he mea nui kia rapua he maimoatanga hauora i te wā tonu. Mena kua haere koe i ēnei rā tata nei ki tētahi whenua e mōrearea ana te mate malaria, ā, kei a koe tētahi o ngā tohu kua whakarārangihia i runga ake nei, me toro atu ki te tākuta tonu. Kia mahara ki te kōrero ki tō tākuta mō ō hītori haerenga.
Me pēhea te tautuhi i te mate malaria?
I runga i ō tohu me tō hītori haerenga, tera pea ka whakapae tō tākuta kei a koe te malaria. Ka whakahaerehia e ia ētahi whakamātautau hei whakaū i te mate.
- Te Pania Toto: Koinei te whakamātautau tino nui, tino tika hoki. Ka whakatakotoria he pata toto mai i tō maihao ki runga i tētahi kiriata, ka pania ki tētahi tae motuhake, ā, ka tirohia i raro i tētahi karuārai. Mā tēnei ka taea te whakaatu mēnā kei reira te pirinoa, he aha te momo, me te maha kei reira.
- Whakamātautau Tātaritanga Tere (RDT): He whakamātautau tēnei ka taea te whakaputa hua tere. He rite ki te whakamātautau COVID-19 i te kāinga, ka whakatakotoria he pata toto ki runga i te rīpene whakamātautau. Heoi, kāore i te kitea tonutia te momo pirinoa, nō reira me mahi hoki he paninga toto.
- Whakamātautau Irahiko (PCR): Ka whakamātauhia te aroaro o te DNA o te pirinoa i roto i te toto. Mā tēnei whakamātautau ka āwhina i te tautuhi i te momo pirinoa motuhake.
- Whakamātautau Paturopi: Mā tēnei ka tirohia mēnā kua pāngia koe e te malaria i mua.
Te maimoatanga me te ārai
Ka whakawhirinaki te maimoatanga ka whiwhi koe ki ētahi āhuatanga. Hei tauira, te momo pirinoa e pangia ana koe, te kaha o ō tohu, tō tau, kei te hapu koe, me te wāhi e pangia ana koe. Ko ngā rongoā ka tohua pea e tō tākuta ko te Chloroquine, Artemether-lumefantrine, me te Primaquine.
Kaua rawa e whakamahi i ēnei rongoā me te kore he tohutohu a te tākuta. Me pēhea te tiaki i a koe mai i te malaria?
"He pai ake te ārai i te rongoā," te kī a rātou. Ki te haere koe ki tētahi whenua e mōrearea ana te malaria, kia mahara ki te mahi i ēnei mea.
- Me mau ngā kākahu e hipoki ana i te kiri: ngā tarau roa, ngā hāte ringaringa roa.
- Whakamahia te ārai pepeke: Tāpirihia te ārai pepeke kei roto he matū pēnei i te DEET ki ngā wāhi kiri e kitea ana.
- Whakamahia he kupenga waeroa: I te wā e moe ana, he pai te tiaki i te whakamahi i te kupenga waeroa, inā koa ko tētahi kua rongoāhia ki te patu ngarara (pērā i te permethrin).
- Tikina he rongoā ārai mate: Tirohia he tākuta i mua i tō haerenga, ā, tikina he rongoā ārai mate malaria e tika ana mō te rohe e haere ana koe. Me tango tēnei rongoā mō tētahi wā kua whakaritea i mua, i te wā e haere ana, me muri i tō haerenga.
Karere Tangohia ki te Kāinga
- He mate whakamate pea te malaria ka horahia mā te ngau a te waeroa kua pangia.
- Ahakoa kua whakakorea te mate malaria i Sri Lanka, kei te mōrearea tonu ngā tāngata o Sri Lanka e haere ana ki ngā whenua he mōrearea te mate malaria.
- Ki te puta mai ngā tohu pēnei i te kirika, te makariri, me te ānini, inā koa i muri i te haerenga ki tāwāhi, rapua tonutia he tohutohu hauora .
- I mua i te haerenga ki tētahi rohe mōrearea o te malaria, kōrero ki tō tākuta mō te tiaki i a koe mai i ngā waeroa me te tango i ngā rongoā ārai mate.
- Mā te tautuhi me te maimoatanga wawe ka ārai i ngā raruraru nui e puta mai ana i te malaria.
Malaria, Malaria Sinhala, Ngā mate ka kawea e te waeroa, Ngā tohu o te Malaria, Te maimoatanga o te Malaria, Te tiaki i te malaria, Plasmodium
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