Kua rongo kē koe i tētahi mate e kīia nei ko 'Melioidosis'? Tērā pea he ahua rerekē te ingoa. Engari he mate tēnei me whai whakaaro ki ngā whenua pēnei i a tātou e nui ana te wera me te haumākū, inā koa mō te hunga e pāngia ana e te oneone me te wai. Nō reira, kāore he mea e wehi ai, me kōrero noa iho tēnei, i roto i tētahi huarahi e mārama ai koe.

He aha te Melioidosis?

He kupu ngāwari, ko te melioidosis he mate i puta mai i tētahi huakita . Nā tētahi momo huakita e kiia nei ko Burkholderia pseudomallei (B. pseudomallei) i puta mai. Ka horapa mai ki a tātou mā te pā atu ki te oneone, ki te wai rānei kua poke kei roto i ēnei huakita. Ka rerekē pea ngā tohu e puta mai ana i ia tangata, i ia tangata. Kei te āhua o tō pangia me te mea kei a koe ētahi atu mate.

Ka pā tēnei mate ki te tangata me te kararehe. Heoi, kāore e horapa mai i te kararehe ki te tangata . He mea nui anō hoki kia mahara ko tēnei mate ka kiia i ētahi wā ko te "mate a Whitmore".

Kei hea te nuinga o te wā e pāngia ai te Melioidosis?

Ko te huakita `B. pseudomallei` te mea tino kitea i roto i te oneone me ngā puna wai o te raki o Ahitereiria me te Tonga-mā-rāwhiti o Āhia - inā koa ko ō tātou whenua tata pēnei i a Thailand, Singapore, me Malaysia. Heoi anō, kua pūrongohia mai anō ēnei tūroro i ētahi atu wāhi o te ao.

Whakaarohia, i kitea tēnei huakita i te takutai moana o Mississippi, USA, i te tau 2022. I te tau 2021 anō hoki, i kitea tēnei huakita i roto i tētahi matū i roto i tētahi rehu kakara, ā, he tokomaha ngā tāngata kua pāngia e te mate. Ko te tikanga tēnei ka kitea pea ēnei huakita i ngā wāhi kāore i te tūmanakohia.

Ko wai te hunga e tino pāngia ana e te Melioidosis?

I ngā wāhi e kitea whānuitia ana tēnei huakita, ko te nuinga o te wā ka pāngia ngā pakeke he mate kei raro i a rātou, i waenga i te 40 me te 60 tau te pakeke. He mea whakamiharo, he onge noa iho te pāngia o ngā tamariki kei raro iho i te 15 tau te pakeke e tēnei mate.

Ko wai kei te nui ake te mōrearea ki te whakawhanake i te melioidosis?

He nui ake tō tūponotanga ki te pāngia e tēnei mate mēnā kei te noho koe, kei te mahi rānei i tētahi rohe e kitea whānuitia ana ngā huakita B. pseudomallei, ā, mēnā kei a koe tētahi o ēnei āhuatanga hauora e whai ake nei:

• Mate huka : He raruraru tēnei e pāngia ana e te tini tāngata.
• Te mate whakamahi waipiro
• Mate tākihi mau tonu
• Ngā mate pūkahukahu mau tonu : Hei tauira, `(Cystic fibrosis)` `(COPD)` rānei.
• Te mate pukupuku, ngā mate rānei e ngoikore ai te pūnaha ārai mate : Heoi, te āhua nei kāore te mate HIV e whakanui ake i te mōrearea o te melioidosis.
• Te mate tākihi

Waihoki, i ngā wāhi e horapa ana te huakita `B. pseudomallei`Ko te hunga e mahi ana i ngā mahi, i ngā hākinakina rānei e pā pinepine ana ki te oneone me te wai o runga, pērā i te māra, te whakapaipai whenua, me te mahi ahuwhenua, he nui ake te mōrearea. Whakaarohia, ko Matua Kamal, he mate huka tōna i tō mātou kāinga, e mahi ana i ngā mara, ā, he maha ana wā e takahi ana ia ki te wai paru. Me tūpato ia ki tēnei momo mate.

He aha ngā tohu o te Melioidosis?

Ka rerekē ngā tohu e pā ana ki a koe i runga i te wāhi o tō tinana e pāngia ana te mate. Tērā pea ka pāngia koe e ngā tohu i roto i ō pukahukahu, i tō kiri, i tō toto, i ētahi wāhi rānei i te wā kotahi.

Ngā tohu o te melioidosis o ngā pukahukahu (Pulmonary melioidosis)

Mena he mate kei roto i ōu pūkahukahu, ka pāngia pea koe e ngā tohu penei:

• Maremare
• Te uaua ki te manawa (dyspnea)
• Mamae o te uma
• Kirika
• Hiahia kai
• Ānini

Ngā tohu o te melioidosis i roto i tō kiri (ā-rohe)

Mena he mate kiri, ka kitea pea e koe ēnei mea:

• Ngā patunga, ngā mate pukupuku, ngā whewhe rānei
• Ngā kōpū lymph pupuhi
• Kirika

Ngā tohu o te Melioidosis i roto i tō toto

I ētahi wā, me ngā tohu o te mate i roto i te kiri, i ngā pukahukahu rānei, tera pea ka kitea anō hoki ngā tohu o te mate i roto i te toto (septicemia). Ka kiia hoki tēnei he paihana toto. Ko ngā tohu ko:

• Te kirika nui
• Ngenge rawa/ngoikore rawa
• Ānini
• Te uaua ki te manawa/te poto o te manawa
• Mamae puku
• Mamae hononga
• Ngā huringa hinengaro pēnei i te pōhēhē me te ngaronga o te mahara

Ngā Tohu o te Melioidosis Mau tonu (horapa)

I ētahi wā ka roa pea ngā tohu mō te rua marama, neke atu rānei . I tēnei wā, ka horapa te huakita B. pseudomallei ki ngā wāhanga rerekē o te tinana. Ko ētahi o ngā tohu ko:

• Maremare mau tonu
• Kirika
• Te whakahekenga taumaha
• Te werawera o te pō
• Te maremare toto
• Mamae puku, mamae uma rānei
• Mamae uaua, mamae hononga rānei
• Ānini
• Ngā āhua haurangi (ngā hopukanga)

Kia pēhea te roa o te wā ka puta mai ai ngā tohu i muri i te pānga ki ngā huakita?

Mō te nuinga o te tangata, ka puta ngā tohu i roto i te kotahi ki te whā wiki i muri i te pānga ki ngā huakita. Ka kiia tēnei ko te wā whakatipu. Engari he mea miharo, ka puta pea ngā tohu i roto i ētahi marama, tae atu ki ngā tau, i muri i te pānga ki ngā huakita. Nō reira he ahua uaua.

He aha te take o te melioidosis?

Ko te take o tēnei, e ai ki taku kōrero i mua ake nei, he huakita e kiia nei ko 'B. pseudomallei'. E noho ana i roto i te wai mata (ngā roto, ngā awa, ngā roto) me te oneone. He mea tino kitea tēnei huakita i ngā rohe pārūrū, pārūrū rānei.

Me pēhea te pāngia o te tangata e te melioidosis?

Ka pāngia koe e tēnei mate mā te whakapā tika atu ki te oneone, ki te wai rānei kua poke i te huakita `B. pseudomallei`. He maha ngā huarahi ka uru atu ai ēnei huakita ki roto i tō tinana:

• Mā roto i tētahi patunga i tō kiri, pērā i te motu, i te karawarawa rānei.
• Te manawa : Ko te tikanga ka taea e ēnei huakita te uru ki roto i tō pūnaha manawa me ngā matūriki puehu i roto i te oneone.
• Te mimiti o te wai poke ki roto i ngā pukahukahu : Ka puta pea tēnei i te wā e mahi ana i roto i te wai, e kaukau ana rānei.
• Mā te inu, te horomitanga rānei i te wai poke.

He nui ake te kitea o ngā mate B. pseudomallei i te wā ua, inā koa i muri i te ua nui, nā te mea i taua wā ka puta ake ngā huakita i roto i te oneone ki te mata ka tomo ki ngā puna wai.

Ka taea te hora i te melioidosis mai i te tangata ki te tangata?

He raruraru tēnei e pā ana ki te tini tāngata. He tino onge te horapa o te melioidosis mai i tētahi tangata ki tētahi atu. Ko te huarahi matua ki te pangia ko te pā atu ki te oneone, ki te wai rānei kua poke. Nō reira kaua e mataku noa.

Me pēhea te tautuhi i te Melioidosis?

Ka pātai tuatahi tō tākuta ki a koe mō ō tohumate, ka tirotirohia koe, kātahi ka tangohia he tauira o ō toto, o ētahi atu wai tinana rānei hei whakamātautau. Tērā pea ka pātai anō hoki rātou mō tō mahi, ō hiahia, ō hītori haerenga tata rānei.

Ka tukuna ngā tauira ki tētahi taiwhanga, ka tirohia e ngā tohunga hangarau ō tauira mō te aroaro o ngā huakita B. pseudomallei me ngā paturopi hei ārai i a ia. Ko ngā tauira e whakamahia ana hei whakaū i te melioidosis ko:

• Toto
• Mimi
• Huware
• Puhi mai i te patunga

Me pēhea te rongoā i te Melioidosis?

E rua ngā momo paturopi e rongoātia ana e ngā tākuta mō tēnei mate, ā, e rua ngā wāhanga e rongoatia ana. He maimoatanga roa tēnei.

• I te wāhanga tuatahi (kaha) : Ka hoatu he paturopi ā-uaua (IV) ki a koe mō te rua wiki pea. He maimoatanga tēnei e hiahia ana kia noho ki te hōhipera.
• I te tuarua (wāhanga whakakore) : Me tango e koe ngā paturopi ā-waha mō te iti rawa i te toru marama.

I runga i te kaha o tō āhua, me whai maimoatanga tāpiri pea koe, pēnei i te tango i ngā whewhe mēnā kei te kitea.

He aha ngā paturopi e whakamahia ana mō te melioidosis?

I roto i ngā paturopi werohanga ā-uaua (werohia), ka tohua pea e tō tākuta:

• `Ceftazidime` `(Ceftazidime)`
• `Meropenem` `(Meropenem)`
• `Imipenem` `(Imipenem)`

Ka taea te hoatu i ēnei hei rongoā paturopi ā-waha:

• `Trimethoprim/sulfamethoxazole` `(Trimethoprim/sulfamethoxazole - TMP/SMX)`
• `Amoxicillin/waikawa clavulanic` `(Amoxicillin/waikawa clavulanic - co-amoxiclav)`

Ko te mea nui ko te tango i te rongoā kia rite ki te roanga o te maimoatanga kua tohua e te tākuta. Kaua e mutu i waenganui noa iho nā te mea kua pai ake tō āhua.

Me pēhea tātou e tiaki ai i a tātou anō mai i te Melioidosis?

I ngā wāhi e kitea whānuitia ana ngā huakita B. pseudomallei, ka taea e koe te mahi i ēnei mahi hei tiaki i a koe mai i tēnei mate:

• Mena he mate huka tōu, he mate whatukuhu mau tonu rānei , kia kaua e pā ki te oneone me te wai tū i ngā wā katoa e taea ana.
• Mauria he pūtu ārai-wai ina hikoi ana i te oneone mākū, i te wai tū, i te paru rānei.
• Me mau karapu ina mahi ana i te māra, i te oneone rānei.
• Mena he motu, he karawarawa rānei tō tinana, taupokina ki te uhi ārai-wai . Kaua e tukua te oneone, te wai rānei kia uru ki roto i ngā patunga, kei poke pea.
• Āta horoia rawatia i muri i te mahi ki te oneone, ki te wai paru, ki te mahi rānei i waho.
• Me mau he kopare hei hipoki i tō ihu me tō waha i a koe e tapahi ana i te tarutaru, e tapahi ana i ngā taru, e whakamahi ana rānei i ngā pūwero wai pēhanga teitei ki te whenua.
• Ki te whakaaro koe kua pāngia koe e te huakita `B. pseudomallei`, ka tūtohu pea tō tākuta kia tango koe i ngā paturopi (whakaora i muri i te pānga) hei ārai i te melioidosis.

He aha ngā mea ka taea e au te tumanako atu mēnā ka pāngia ahau e te melioidosis?

Ko te nuinga o te hunga kāore he mate kino kē atu, ā, ka whiwhi maimoatanga wawe , ka taea te ora katoa i tēnei mate. Heoi, me haere tonu pea te maimoatanga mō ngā marama kia ngaro katoa ai ngā huakita. I ētahi wā ka hoki anō ngā tohu ahakoa kua oti te maimoatanga (ka hoki anō). Nō reira, he mea tino nui kia whai i ngā tohutohu a tō tākuta.

Heoi, mō te hunga he mate pāwera tō rātou, mō te hunga rānei kāore i taea te whiwhi tātaritanga me te maimoatanga wawe, tera pea ka kino rawa atu te āhuatanga.

Ka taea te rongoā i te Melioidosis?

Ae, ka taea te rongoā i te melioidosis mā te whakamahi i tētahi tikanga rongoā paturopi e rua ngā wāhanga. Heoi anō, ka tere te kino haere o ētahi mate, ā, kāore pea e angitu tonu te maimoatanga. Nō reira, he mea tino nui te tautuhi wawe me te maimoatanga.

Ka taea te whakamate i te Melioidosis?

Ki te tere te maimoatanga, ā, ki te tika, kei waenganui i te 10% me te 20% te ōrau mate. Heoi, ka piki ake te mōrearea o te mate kino me te mate mai i te melioidosis me:

• Ahakoa he mate kē atu tōu, kāore rānei.
• Te kaha ki te whiwhi i te tiaki hauora kounga teitei.
• Ko ēhea ngā whekau kua pangia?

Me pēhea taku tiaki i ahau anō hei tangata e pāngia ana e te Melioidosis?

Ki te kitea he melioidosis tōu, me tango e koe ngā rongoā katoa kia rite ki te whakahau a tō tākuta . Ki te mutu wawe rawa tō tango i ngā paturopi, tera pea ka pāngia anō koe e te mate.

Kia mahara ki te haere ki te tākuta i ngā rā kua whakaritea kia kite koe i a ia. Ki te kore ō tohumate, kātahi ka hoki mai, ki te puta mai rānei he tohumate hou, ki te kino haere rānei ō tohumate, me whakamōhio atu ki tō tākuta.

Ngā raruraru o te Melioidosis

Ka horapa te melioidosis ki ngā wāhanga maha o tō tinana, ā, ka pā mai ngā raruraru pēnei i:

• Mate wheua `(Osteomyelitis)`
• Mate hononga `(Septic arthritis)`
• He kohinga o te pus (ngā whēkau) i roto i te kiri, i ngā pukahukahu, i te ate, i te whēkau, i te roro, i ētahi atu whekau rānei
• Te Mate Pōuri Manawa Whakapeka (ARDS)
• Sepsis - Ka mōrearea pea tēnei ki te ora, he urupare kino a te tinana ki te mate ka kino ki ngā okana.

Āhea ahau me toro atu ki te tākuta?

Mena kei a koe ngā tohu o te melioidosis, ina koa kei te noho koe i tētahi rohe e kitea whānuitia ana te B. pseudomallei, i haereere rānei koe i ēnei wā tata nei, me toro atu ki te tākuta tonu. Mā te maimoatanga tere ka pai ake te tūponotanga o te ora katoa.

Ki te whakaaro koe kua pāngia koe e te huakita B. pseudomallei i ēnei rā tata nei, me toro atu ki te tākuta. Tērā pea ka taea e ia te hoatu he ārai i muri i te pānga hei ārai i a koe kei pāngia e te mate.

Āhea ahau me haere ki te Wāhanga Maimoatanga Ohotata (ETU) ?

Mena kei a koe ēnei tohu kino, haere tonu ki te rūma whawhati tata:

• Te kirika nui (neke atu i te 39.4 Celsius)
• Te uaua ohorere, te uaua nui rānei ki te manawa
• Mamae nui o te puku
• Te pōhēhē, ētahi atu huringa hinengaro rānei
• Mamae o te uma
• Ngā āhua haurangi (ngā hopukanga)

He aha ngā pātai me pātai atu e au ki taku tākuta?

He pai pea te pātai atu ki tō tākuta i ēnei pātai:

• Me pēhea taku tango i taku rongoā?
• Āhea ahau me haere mai anō kia kite i a koe?
• Āhea ahau ka pai ake?
• He aha ngā tohu me haere ahau ki te rūma whawhati tata?
• He aha taku e taea ai te whakahaere i aku tohumate i te kāinga?
• He mate hopuhopu tēnei? (E mōhio ana ahau he onge tēnei, engari he mea pai kia tino mōhio)

Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)

He mate e hiahia ana kia aro nui ki te mate melioidosis, ā, he uaua ki te tautuhi i tōna mate . Nā te mea he rite tonu ōna tohu ki ērā o ētahi atu mate noa, kāore i te tino kino. Ki te kore e rongoatia, ka mate pea.Nō reira, ki te whakaaro koe kua pāngia koe e te huakita 'B. pseudomallei', ki te mea rānei kei a koe ngā tohu o te melioidosis, ki te mea rānei kei roto koe i tētahi rōpū mōrearea ka kino ake, kaua e mangere ki te toro atu ki tō tākuta me te kōrero i ō āwangawanga . Ko te mahi tere te huarahi pai ki te noho hauora!

` Melioidosis, Burkholderia pseudomallei, mate oneone, mate wai, mate kitakita, ārai