Kua rongo kē koe i te kirika Q? Kāore pea i te mōhiotia whānuitia, nā te mea kāore i te kitea whānuitia i tō tātou rohe. Heoi, ki te mahi tahi koe me ngā kararehe, ngā kararehe pāmu rānei, ki te noho rānei koe i tētahi taiao pēnei, he mea nui kia noho mōhio tonu koe. I roto i tēnei tuhinga, ka tūhuratia e Nirogi Lanka he aha te kirika Q, me pēhea te horapa, he aha ngā tohu, me te mea nui , me pēhea te tiaki i a koe anō mai i taua kirika.
He aha te Q Fever? Me whakamārama noa iho…
Ko te kirika Q he mate e hua mai ana i te huakita 'Coxiella burnetii' . Ka taea te pangia e tēnei mate mā te hongi i ngā matūriki puehu kua poke i te huakita, mā te pā atu rānei ki ngā hua kararehe kua pangia. Ko te nuinga o ēnei huakita ka kitea i roto i ngā hipi, ngā koati, me ngā kau. Ka taea e ngā huakita te noho tonu ki te oneone e noho ana ēnei kararehe. Ko te tikanga ka pangia te tangata ina hongi rātou i te puehu kua poke, mā te pānga rānei ki ngā wai whānau, te miraka, te mimi, te paru rānei o ēnei kararehe.
He aha i huaina ai ko te Q fever? He aha te kōrero kei muri i te ingoa?
He kōrero tino whakamere tēnei. Ko te 'Q' he tohu mō te 'Query' . I te kitenga tuatahi a ngā tākuta i tēnei kirika ngaro i Ahitereiria i ngā tau 1930, ā, i muri mai i te US i ngā tau 1940, kāore i taea e rātou te tautuhi tonu i te pūtake. Nā te maha o ā rātou 'pātai', ngā pātai rānei kāore anō kia whakautua mō te mate, ka mōhiotia ko te 'Query Fever', ko te Q fever rānei. He māmā noa iho, kāore?
He aha te kirika Q mau tonu? He mea morearea?
Ae, he āhuatanga tēnei e hiahia ana kia aro nui ki te mate. Ko te tikanga o te 'mau tonu' he roa te wā . Ko te kirika Q mau tonu he momo mate kino, pumau hoki ka taea te kino i tō ngākau, i ō toto, i ō wheua, me ētahi atu whekau nui . He iti noa te ōrau o te hunga kua pangia e te 'C. burnetii'—tata ki te 1% ki te 5% —ka whanake tonu tēnei momo mate mau tonu.
Ko tētahi o ngā wero ko te puta mai o te kirika Q mau tonu i ngā marama, i ngā tau rānei i muri i te pangia tuatahi, ahakoa kua ora koe i ngā tohu tuatahi. Tērā pea ētahi tāngata kāore e mahara kei te pāngia koe e te mate tuatahi. Ko tētahi raruraru noa, ā, he mea morearea ki te ora o te kirika Q mau tonu, ko te pangia o te arai o roto o te ngākau, e mōhiotia ana i roto i te rongoā ko te endocarditis .
Ka aha mēnā ka pāngia koe e te kirika Q?
He maha ngā tohu o te kirika Q. I te nuinga o te wā, he rite ki te rewharewha noa, me te kirika me te mamae o te tinana . Nā te mea ka pā te 'C. burnetii' ki ō pukahukahu, ngākau, ate, roro, wheua rānei, ka whakawhirinaki ō tohu ki te okana e pāngia ana. Ka pāngia ētahi tāngata e te ngenge nui, roa hoki , ka roa pea mō ngā marama, mō ngā tau rānei. E ai ki te kōrero, ka taea e te momo mau tonu te whakararuraru i te ora mēnā kāore e whakahaerea.
Ko wai te hunga tino mōrearea ki te pangia e te kirika Q?
Ko te kirika Q te mea nui ka pā ki te hunga e mahi ana i ngā pāmu, e pā pinepine ana rānei ki ngā kararehe . Mena he rata kararehe koe, he kaiawhina whānau kararehe, he kaiwhakatipu kararehe, he mahi rānei i te whare patu kararehe, he nui ake tō mōrearea. Nā te mea kei te pā tonu koe ki ngā huakita o te taiao, mā te pā tika rānei ki ngā kararehe pangia.
Ko wai kei te nui ake te mōrearea ki ngā raruraru kino?
Ko ētahi rōpū he tino pāngia e te mate kino:
- He nui ake te mōrearea o ngā wahine hapu ki ngā raruraru me te ngaronga o te haputanga.
- He nui ake tō tūponotanga ki te pāngia koe e te kirika Q mau tonu mēnā kei a koe:
- He hītori o te endocarditis (mumura o te arai o roto o te ngākau).
- Ngā raruraru o te takirere ngākau o mua.
- Ngā aneurysm (ngoikore, pupuhi o ngā oko toto).
- Te ngoikore o te whatukuhu (te ngoikore o te mahi whatukuhu).
- He pūrua toto (he taputapu pokanga, he taputapu rānei kua whakanohoia ki roto i ō uaua toto).
- He ngoikore o te pūnaha ārai mate (hei tauira, te hunga e ora ana me te HIV, ngā tūroro mate pukupuku, te hunga rānei e tango ana i ngā rongoā ārai mate).
He pēhea te noa o te kirika Q?
E kiia ana te kirika Q he mate onge puta noa i te ao. Ahakoa i ngā whenua pēnei i te US, he rau noa iho ngā keehi e pūrongohia ana i ia tau. Ahakoa kāore i te horapa whānuitia i Sri Lanka, he mea nui kia mōhio tonu te hunga kei roto i ngā mahi mōrearea ki ngā tohu.
He aha ngā tohu o te kirika Q?
Ka rerekē ngā tohu i runga i te mea he mate urutā (tīmatanga) tere, he mate mau tonu rānei.
Ngā tohu o te kirika Q whakapeka
Ko te tikanga ka puta ngā tohu i roto i ngā rā e 3 ki te 30 i muri i te pānga. He rite tonu ki ngā tohu rewharewha noa:
- Te kirika nui
- Te ngenge nui me te ngenge
- Ngā makariri
- Te werawera
- Ngā mamae tinana me ngā uaua
- Te aro nui ki te mārama (te aro ki te mārama)
- Te ānini nui
- Whakapairuaki me te ruaki
- Korere
- Maremare
- Mamae o te uma
- Mamae puku
- Purpura (ngā ira whero, papura rānei iti i raro i te kiri)
- Te poto o te manawa (dyspnea)
I ētahi wā, ka taea e te kirika Q whakapeka te horapa ki ngā āhuatanga kino pērā i te niumōnia, te mumura o te roro, o ōna arai rānei (encephalitis, meningitis rānei), te mumura rānei o te ate (hepatitis). Mēnā ka pāngia koe e ngā tohu kino, whakapā atu ki tō hōhipera tata, ki ngā ratonga ohorere rānei i taua wā tonu.
Ngā tohu o te mate ngenge Q fever (QFS)
Tata ki te 20% o te hunga e pangia ana e te kirika Q ka pāngia pea e te ngenge tonu me ētahi atu tohu mō ngā marama, tae atu ki ngā tau i muri i te pangia tuatahi. E mōhiotia ana tēnei āhuatanga ko te Post-Q Fever Fatigue Syndrome.
- Ngenge nui
- Ngā mamae o te upoko
- Te werawera nui
- Mamae hononga
- Ngā mamae uaua
Ngā Tohu o te Q Fever Mau tonu
He maha ngā marama, ngā tau rānei e puta ai te kirika Q mau tonu i muri i te mate tuatahi o C. burnetii . Tērā pea ka pāngia koe e tēnei mate ahakoa kāore he tohu i kitea i te wā tuatahi o te mate. Ahakoa e pā ana ki te ngākau, ki ngā takirere ngākau, me ngā oko toto, ka rerekē pea ngā tohu i runga i te wāhanga o tō tinana e pāngia ana:
- Kirika iti
- Te werawera o te pō
- Te whakahekenga taumaha kāore i te whakamāramahia
- Ngenge
- Te poto o te manawa
- Te pupuhi i ngā waewae, i ngā waewae rānei
He aha te take o te kirika Q?
Ko te huakita Coxiella burnetii te pūtake o te kirika Q. Ka noho ēnei huakita i roto i ngā kararehe, pērā i te kau, te hipi, me te koati, ā, he maha ngā wā kāore e puta he tohu kitea. Ka taea e ngā huakita te whakapoke i te oneone mā roto i ngā wai kararehe kua pangia (pērā i te mimi, te paru, te miraka, me te wai amniotic). Ka pangia koe i te nuinga o te wā ina hongi koe i ngā matūriki puehu, i ngā pata wai rānei kua pangia e ēnei huakita mai i te oneone.
Me pēhea te horapa o te kirika Q?
Ko te huarahi tino noa e horapa ai te kirika Q ko te hongi i te puehu, i ngā hau rānei kua poke i te C. burnetii . Mena kei te noho koe, kei te mahi rānei i ngā wāhi kei reira ngā kararehe—ina koa ko ngā kararehe pāmu—tērā pea ka tūpono koe. Nā te mea ka taea e ngā huakita te haere mā te hau, kāore koe e hiahia ki te whakapā tika ki ngā kararehe kia pangia ai koe.
Ko ngā huarahi kāore i te tino kitea ka pangia koe e te kirika Q ko:
- Te kai i ngā hua miraka kāore anō kia whakamātauria (hei tauira, te miraka mata, te tiihi, te aihikirīmi rānei).
- Te ngau a te tikiti kua pangia.
- I te wā e hapu ana, e whānau ana rānei (mai i te whaea ki te tamaiti).
- Ngā whakawhiti toto (tino onge).
He mea nui: Kāore te kirika Q e horapa mai i te tangata ki te tangata . He onge noa iho te horapa mai i te whaea hāpu ki tana tamaiti kāore anō kia whānau.
Me pēhea te tātaritanga o te kirika Q?
Ka tātaritatia e tō tākuta o Nirogi Lanka te kirika Q mā te aromatawai i ō tohumate , te arotake i tō hītori hauora , me te whakamātautau i ngā tauira toto . Tērā pea ka pātai atu rātou mō ō āhuatanga noho, mō tō mahi rānei, e pā ana ki te pānga ki ngā kararehe.
Ka roa pea ngā hua o ngā whakamātautau mō te C. burnetii . Mēnā kei te whakapae tō tākuta kei a koe te kirika Q, ka tīmata tonu pea ia i te maimoatanga me te kore e tatari mō ngā hua o te whakamātautau.
He aha ngā whakamātautau e whakamahia ana?
Ka tangohia e tō tākuta he tauira toto mā te whakamahi i tētahi ngira iti hei tirotiro mō te C. burnetii (ngā paturopi). I ētahi wā, ka ngana pea te taiwhanga ki te whakatipu i ngā huakita mai i tō tauira.
Me tuku pea e koe he tauira toto maha i roto i tētahi wā kia tae atu ai ki tētahi tātaritanga tuturu.
Me pēhea te rongoā mō te kirika Q?
Ka rongoāhia te kirika Q whakapeka ki ngā paturopi . He maha ngā wā ka hiahiatia he huinga o ngā paturopi me ngā rongoā ārai-mumura mō te kirika Q mau tonu, ahakoa he uaua ake te rongoā. Ka waihangahia e tō tākuta he mahere tiaki motuhake i runga i tō āhua.
Mena kua tāpaetia koe he mate Q fever, ā, kei a koe ngā raruraru o te takirere ngākau, o ngā oko toto rānei, kōrerohia ngā kōwhiringa maimoatanga wawe ki tō tākuta hei whakaiti i te tūponotanga o te whakawhanake i te Q fever mau tonu.
Ngā rongoā me ngā maimoatanga noa:
- Doxycycline
- Hydroxychloroquine
- Trimethoprim-sulfamethoxazole (TMP-SMX)
- Rifampin
- Ngā rongoā Fluoroquinolones (hei tauira, Ciprofloxacin, Ofloxacin)
- Clarithromycin
Ka taea te whakaora katoa i te kirika Q?
Ae, ka ora katoa te nuinga o te tangata i te kirika Q whakapeka mā te tango i ngā paturopi tika. Heoi, he iti noa iho te ōrau ka roa pea ngā tohu mō ngā marama, mō ngā tau rānei. He uaua ake te whakatau i te kirika Q mau tonu.
Me pēhea te whakaiti i te mōrearea o te kirika Q?
Ka taea e koe te whakaiti i tō mōrearea mā te tango i ēnei mahi whakatūpato:
- Mauria he kopare kanohi me he karapu ina pā ana ki ngā hua, ki ngā wai rānei e whānau ana mai i ngā kararehe.
- Āta karohia te kai i ngā hua miraka kāore anō kia whakamātaotia .
- E ai ki ngā rangahau, ka taea e te hunga kua tāpaetia he mate Q fever te whakaiti i te tūponotanga kia mau tonu mā te tirotiro me te rongoā mō ngā mate takirere ngākau.
- Mena he nui te mōrearea o tō mahi, ā, kei te noho koe i tētahi rohe e wātea ana he kano ārai mate, me kōrero ki tō tākuta mō te kano ārai mate.
Mena kei te mahi tahi koe me ngā kararehe, ā, he nui te tūponotanga ki ngā raruraru (hei tauira, kei a koe te mate takirere ngākau, kei te hapu koe, kei te ngoikore rānei tō pūnaha ārai mate), tēnā kōrero ki tō tākuta i Nirogi Lanka hei whakawhanake i tētahi rautaki ārai. Mēnā he āhuatanga ohorere nui, whakapā atu ki te 911, ki ō ratonga ohorere ā-rohe rānei i taua wā tonu.
He aha taku e tumanako ai mēnā he Q fever tōku?
Ka roa pea ngā tohu o te kirika Q, mai i te 10 ki te 90 rā te roa. Heoi, ka ora katoa te nuinga o te tangata . Mena ka tohua he rongoā paturopi ki a koe, me tango pea e koe mō te rua wiki pea. He mea nui kia mōhio ko te 1 i roto i te 5 tāngata (20%) ka pāngia e te ngenge tonu e mōhiotia ana ko te Q fever fatigue syndrome, ka roa pea mō ngā marama, tae noa ki ngā tau.
I roto i te iti rawa o ngā take (1% ki te 5%), inā koa i roto i ngā tāngata whai mate hauora o mua, ka taea e te mate te whanake hei kirika Q mau tonu. Mena ka kitea he kirika Q mau tonu tō mate, me rongoā pea koe mō te 18 marama, neke atu rānei .
He aha ngā raruraru o te kirika Q?
Ka puta pea ngā raruraru mai i te kirika Q whakapeka me te kirika mau tonu; heoi, he nui ake te kitea, ā, he kino ake i ngā wā roa. Ko ngā raruraru pea ko:
- Ngā uaua ngoikore, pupuhi (Aneurysm)
- Te fistula arterial (he hononga rerekē i waenga i ngā uaua)
- Te mumura o te arai o te ngākau (Endocarditis)
- Te whara o ngā pukahukahu (Fibrosis)
- Te mate manawa whakapeka (ARDS)
- Te ngoikore o te ngākau
- Mate wheua (Osteomyelitis)
- Te whakatahe
- Taumaha iti i te whānautanga
He aha te tirohanga mō te kirika Q?
Ina rongoatia ki ngā paturopi tika, he pai te tirohanga whānui mō te kirika Q whakapeka, me te reiti mate i waenga i te 0.5% me te 1.5% . Ko te hunga e pāngia ana e te kirika Q mau tonu ka nui ake te mōrearea o ngā raruraru me te mate, me te reiti mate mai i te 12% ki te 25% .
Me pēhea taku tiaki i ahau anō?
Mena kua tāpaetia koe he mate Q fever, he mea nui kia tangohia e koe ngā rongoā katoa kua tohua kia rite ki ngā tohutohu . Kōrero ki tō kaiwhakarato hauora mō te whakahaere i ō tohumate, me te pātai atu mēnā he tikanga motuhake ka taea e koe te mahi hei whakaiti i te mōrearea o ngā tohumate roa, te whanaketanga rānei o te Q fever mau tonu.
Āhea ahau me toro atu ki te tākuta?
Mena kei te mahi koe, kei te noho rānei i te taha tata o ngā kau, ngā koati, ngā hipi rānei, ā, ka puta ngā tohu o te kirika Q, rapua tonutia he awhina hauora . Mena kei a koe ngā tohu e tohu ana i te kirika Q mau tonu, ā, e whakaaro ana koe kua pāngia koe e te huakita *C. burnetii* i mua, tena koa whakamōhio atu ki tō tākuta.
Ngā pātai hei pātai atu ki tō tākuta:
- Me tīmata wawe taku maimoatanga hei whakaiti i te mōrearea o te kirika Q mau tonu?
- Me tirotirohia ahau mō ngā raruraru e pā ana ki te ngākau, ki ngā oko toto rānei?
- He aha te huarahi pai hei tango i tēnei rongoā?
- Āhea ahau me whakarite i tētahi wā tirotiro whai muri?
- He aha ngā mahi ka taea e au te mahi hei whakahaere tika i aku tohumate?
Karere Tangohia ki te Kāinga
Ahakoa he onge te mate Q fever, ki te mea kei te noho koe, kei te mahi rānei i roto i tētahi taiao mōrearea nui, he mea nui kia noho mōhio koe, kia mahi hoki i ngā mahi ārai. Mā ngā mahi māmā—pērā i te mau i ngā kopare tiaki me ngā karapu i te wā e mahi ana me ngā kararehe, me te karo i ngā hua miraka kāore anō kia whakamataotia —ka nui te pānga ki tō haumaru.
Ahakoa he iti noa te ōrau o te tangata e pāngia ana e te kirika Q mau tonu, ka taea e ia te arahi ki ngā raruraru morearea. Mena kei te whakapae koe he kirika Q tōu, he āwangawanga rānei, kaua e mangere ki te rapu tohutohu hauora . Mā te whakarato i tētahi hītori mārama mō tō hauora me tō mahi ki tō tākuta ka āwhina i a rātou ki te aromatawai i ō mōrearea me te whakarato i te tiaki pai rawa atu mai i Nirogi Lanka.
👩🏽⚕️ Ngā Pātai Auau (FAQs)
💬 Mā ngā kau anake ka horahia te Q Fever?
Ehara i te mea ko ngā kau anake! Ko te kirika Q te take o tētahi huakita pakari e kiia nei ko Coxiella burnetii . He maha ngā wā ka kitea tēnei huakita i roto i ngā kau, i ngā hipi, me ngā koati. Ka tukuna i roto i ngā kukū tiketike i roto i te whenua whānau me ngā wai whānau o ēnei kararehe. Ina maroke ēnei wai, ka taea e ngā huakita te rere ki te rangi hei puehu; ka taea e koe te pangia mā te manawa noa i ēnei matūriki ki roto i ō pukahukahu.
💬 Ka waiho tonu koe e te kirika kia takoto kau ana i te moenga?
He mea whakamiharo, tae atu ki te 50% o te hunga e pangia ana e tēnei huakita kāore he tohu e pāngia ana e te mate. Heoi, ka pāngia pea ētahi atu e ngā tohu i muri i ētahi rā, tae atu ki te kirika nui, te ānini nui, te ngenge nui, te mamae o ngā uaua, me te mate pūkahukahu kino pea (pneumonia).
💬 He mate mō te wā katoa tēnei?
Ka ora katoa te nuinga o te tangata i roto i ētahi wiki me ngā paturopi tika pērā i te Doxycycline. Heoi, ko te āwangawanga nui ko te 5% pea o ngā take, ka noho tonu ngā huakita i roto i te tinana, ka huna i roto i ngā takirere o te ngākau. I muri i ngā tau, ka puta ake tēnei hei kirika Q mau tonu (ina koa, he mate ngākau e mōhiotia ana ko te endocarditis), ka taea te whakararu i te ora. Mena ka pāngia koe e ngā tohumate pumau, tena koa toro atu ki tētahi tohunga hauora tonu.
Kupumatua: Q fever, Coxiella burnetii, Ngā mate zoonotic, ngā tohumate kirika, Q fever mau tonu, hauora pāmu, ngā mate kitakita, Nirogi Lanka
