Kua haere koe ki ngā rohe maroke, pērā i a Anuradhapura, i a Polonnaruwa rānei? Kua rongo pea koe i ngā kaumātua e tohutohu ana kia tiakina koe i ngā waeroa i a koe e toro ana ki ēnei wāhi. Ko te take matua mō tēnei whakatūpato ko te malaria. Ahakoa i mua he wero nui ki te hauora tūmatanui i tō tātou whenua, kua whakamanahia e te World Hauora Organization a Sri Lanka he kore malaria. He whakatutukitanga whakamiharo tēnei! Heoi, ehara i te mea me wareware rawa tātou ki tēnei. Mena kei te haere koe ki tāwāhi mō te mahi, mō te wā wātea rānei, he mea nui kia noho mōhio tonu koe ki te malaria. Me matapaki tātou he aha te malaria, me pēhea te whanaketanga, me pēhea hoki koe e noho haumaru ai ki Nirogi Lanka.
He aha rawa te malaria?
He māmā noa iho, he mate kino te malaria, ā, i ētahi wā ka mate pea. Ka horapa ki te tangata mā te ngau a te waeroa wahine Anopheles kua pangia.
Kia uru te pirinoa ki roto i tō toto, ka haere ki te ate. I reira, ka whakanuia, ka hoki anō ki roto i te toto, ā, ka tīmata te whakangaro i ō toto whero. Koinei te wā ka tīmata koe ki te kite i ngā tohu.
Ahakoa kāore e kitea whānuitia ana te mate malaria i Sri Lanka, kei te kitea tonu i roto i ngā whenua pārūrū maha, tae atu ki ētahi wāhanga o Āwherika, Āhia ki te Tonga me te Tonga-mā-rāwhiti, me ngā rohe o Amerika ki te Tonga. Ki te whakamahere koe i tētahi haerenga ki ēnei rohe, he mea nui kia mōhio koe ki tēnei mōrearea.
He aha ngā momo pirinoa e hua ai te malaria?
Ko te mate malaria he rōpū pirinoa e kiia nei ko Plasmodium. He maha ngā momo matua e pāngia ana e te tangata, ā, he rerekē te kaha o aua momo.
| Momo Parata | Whakaahuatanga |
|---|---|
| Plasmodium falciparum | Koinei te momo tino morearea. Ka tere te horapa i roto i te tinana, ā, ka arahi pea ki te mate toto nui me te aukati i ngā oko toto iti o te roro. Mena ka pā ki te roro, ka mōhiotia ko te Mate Pāwera o te Roro , he mate ohorere e morearea ana ki te ora. Ko te nuinga o te wā ka kitea i Āwherika. |
| P. vivax | He momo ahurei tēnei nā te mea ka noho puku i roto i te ate mō ngā marama, mō ngā tau rānei i muri i te ngau tuatahi, ā, ka hoki anō ki te āhua o muri mai. He mea noa tēnei i Āhia me Amerika Latina. |
| P. ovale | He tino rite tēnei momo ki te P. vivax, ā, ko te nuinga o te wā ka kitea i Āwherika ki te Hauāuru me ngā moutere o te Moana-nui-a-Kiwa ki te Hauāuru. |
| P. malariae | Ki te kore e rongoatia tika, ka taea e tēnei momo te arahi ki tētahi mate pūmau, roa hoki. Ka kitea puta noa i te ao. |
| P. Knowlesi | Ahakoa he mea noa tēnei hei pangia e ngā makimaki, e mōhiotia ana inaianei ka horapa ki te tangata. Nā te tere o tōna whakaputa uri, i ia 24 hāora, ka tere tonu te horapa o te mate kino. Ka kitea tēnei mate i te Tonga-mā-rāwhiti o Āhia. |
Me pēhea te horapa o te malaria?
Kāore te mate pāwera e horapa mā te pā noa, te tihe, te moepuku rānei pērā i te makariri, te rewharewha rānei.
Heoi, i ētahi wā onge, ka horapa pea mā ētahi atu huarahi:
- Mā te whakawhiti toto mai i tētahi kaituku kua pangia (ahakoa nā te tirotiro toto i tino onge ai tēnei).
- Te tohatoha ngira, te werowero rānei kua poke i te toto pangia.
- Mai i te whaea ki tana pēpi i te wā e hapu ana, e whānau ana rānei.
He aha ngā tohu o te malaria?
Ko te tikanga ka tīmata ngā tohu i te 10 ki te 15 ngā rā i muri i te ngaunga a te waeroa pangia. Heoi, mō ētahi momo (ina koa ko te P. vivax), ka roa ake te wā e pāngia ai.
He rite tonu ngā tohu tōmua ki te makariri noa, ki te kirika rānei, ā, i ētahi wā ka hē te tātaritanga tuatahi. Mēnā ka pāngia koe e ēnei tohu i muri i tō hokinga mai i tētahi rohe e horapa ana te malaria, rapua tonutia he awhina hauora i tō hōhipera ā-rohe, i tō pokapū urupare rānei (waea atu ki te 911 mēnā e tika ana).
| Ngā Tohu Noa | |
|---|---|
| – Te kirika nui | – Ngā mamae o te tinana |
| – Ngā makariri | – Te ānini o te upoko |
| – Te werawera nui | – Whakapairuaki, ruaki rānei |
| – Te ngenge nui | – Korere |
| – Te kōwhai o te kiri/kanohi | – Te pōhēhētanga |
| – Ngā mate hopuhopu | – Te ngoikore o te whatukuhu |
| – Ngā tūtae toto | – Te uaua ki te manawa |
Āhea koe me toro atu ki te tākuta?
He mea nui tēnei: Ka taea e te mate malaria te horapa tere.He mea nui te rapu awhina hauora i te wa tonu.
Mena kua hoki mai koe i tētahi rohe e kitea whānuitia ana te malaria, ā, kei te pāngia koe e tētahi o ngā tohu kua whakarārangihia i runga ake nei, rapua tonutia he awhina hauora. Kia mahara ki te whakamōhio atu ki tō tākuta mō ō haerenga tata nei.
Ki te kite koe i tētahi o ngā tohu kino e whai ake nei, kaua e whakaroa—haere tonu ki te Tari Ohotata (ER) tata:
- Te whakarerekētanga o te hinengaro, te ngaronga rānei o te hinengaro
- Ngā mate hopuhopu
- Te uaua ki te manawa
- Ngenge rawa , ngoikore rānei
- Mimi pouri, mimi toto rānei
- Te kōwhai o te kiri, o ngā kanohi rānei (jaundice)
- Te toto rerekē
Me pēhea te tātaritanga o te Malaria?
Ka whakapae tō tākuta kei te pāngia koe e te malaria i runga i ō tohu me tō hītori haerenga. He maha ngā whakamātautau e whakamahia ana hei whakaū i te mate:
- Te Pane Toto: Koinei te paerewa koura. Ka tirohia tētahi pata o tō toto i raro i tētahi karuārai i muri i te paninga motuhake. Mā tēnei ka āwhina ki te whakatau i te aroaro, te momo, me te matotoru o te pirinoa.
- Whakamātautau Tātaritanga Tere (RDT): He rite ki te whakamātautau kāinga COVID-19 paerewa, ka tere ngā hua ka puta mai i tēnei. Heoi, nā te mea kāore e taea te tautuhi i te momo pirinoa motuhake i ngā wā katoa, he maha ngā wā ka hiahiatia he whakamātautau toto whai muri.
- Whakamātautau Irahiko (PCR): Mā tēnei ka kitea te DNA o te pirinoa i roto i tō toto. He tino tika mō 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
He tino takitahi te mahere maimoatanga e pā ana ki te momo pirinoa, te kaha o ō tohu, tō tau, tō āhua hāputanga, me te rohe i pangia ai koe e te mate.
Tērā pea ka tohua e tō tākuta he rongoā pēnei i te Chloroquine, Artemether-lumefantrine, Primaquine rānei. Kaua rawa e tango i ēnei rongoā me te kore he whakahaunga a te tākuta.
Me pēhea te noho haumaru mai i te Malaria
He pai ake te ārai i te rongoā. Ki te haere koe ki tētahi rohe e horapa ana te malaria, whai i ēnei mahi:
- Taupokina tō kiri: Mauria he tarau roa me he hāte ringaringa roa.
- Whakamahia he ārai pepeke: Tāpirihia he ārai pepeke kei roto he DEET ki te kiri e pāngia ana.
- Whakamahia ngā kupenga waeroa: Moe i raro i tētahi kupenga moenga kua rongoāhia ki te patu ngārara (pērā i te permethrin) hei tiaki i a koe.
- Inumia he rongoā ārai mate: Me kōrero ki tō tākuta i mua i tō haerenga kia whiwhi ai koe i te ārai tika mō te mate malaria. Me tango ēnei rongoā kia rite ki te whakahaunga—i mua, i te wā e haere ana, me muri hoki i tō haerenga.
Karere Tangohia ki te Kāinga
- He mate morearea pea te malaria ka horahia mā te ngau a te waeroa kua pangia.
- Ahakoa kāore he mate malaria i Sri Lanka, kei te noho mōrearea tonu ngā tūruhi e toro ana ki ngā whenua morearea.
- Ki te pāngia koe e te kirika, te makariri, te ānini rānei—ina koa i muri i te hokinga mai i te haerenga —me rapu tohutohu hauora tonu.
- I mua i te haerenga ki ngā wāhi morearea, kōrero ki tō tākuta mō te tiaki i ngā namu me ngā rongoā ārai tika.
- Ko te tautuhi wawe me te maimoatanga tere he mea nui hei aukati i ngā raruraru kino.
Malaria, Malaria Reo Pākehā, Ngā mate ka kawea e te waeroa, Ngā tohu o te Malaria, Te rongoā mō te Malaria, Te ārai i te Malaria, Plasmodium
