E mōhio ana koe ki tēnei kirika tauhou e puta mai ana i āu kararehe pāmu? (Q Fever) Me kōrero tāua!

Kua rongo kē koe i tēnei mate e kiia nei ko te Q Fever? Kāore pea, tika? Nā te mea ehara tēnei i te mate e kitea pinepine ana i tō tātou whenua. Engari, ina koa he tangata koe e mahi tahi ana me ngā kararehe, ngā kararehe pāmu, e noho ana rānei i tētahi taiao pēnei, he mea nui kia mōhio koe ki tēnei. I roto i tēnei tuhinga o te rā, ka kōrerohia e tātou he aha tēnei Q fever, me pēhea te whanaketanga, he aha ngā tohu, me pēhea hoki tātou e tiaki ai i a tātou anō mai i tēnei.

He aha te Q Fever? He māmā noa iho...

Ko te kirika Q he mate e pā mai ana mā te manawa i ngā matūriki puehu kei roto he huakita e kiia nei ko 'Coxiella burnetii', mā te kai rānei i ngā hua mai i ngā kararehe pangia. Ko te nuinga o tēnei huakita ka kitea i roto i ngā tinana o ngā kararehe pēnei i te hipi, te koati, me te kau. Ka taea e ngā huakita te kohikohi ki te oneone e noho ana ēnei kararehe. Kātahi ka taea te tuku ki te tangata mā roto i ngā matūriki puehu i tukuna mai i taua oneone, mā te miraka, te paru, me ngā wai i tukuna i te wā whānau.

He aha i huaina ai ko te Q fever? He aha te tikanga o te ingoa?

He kōrero rerekē anō hoki tēnei. Ko te reta 'Q' i roto i te Q fever e tohu ana i te 'Query' . Ko te tikanga o te 'Query' he 'pātai', he 'uiui' rānei. I ngā wā o mua, i Ahitereiria i ngā tau 1930, ā, i Amerika i ngā tau 1940, i te tīmatanga o te pāngia o te tangata e tēnei kirika rerekē, i te tīmatanga kāore i taea e ngā tākuta te mōhio he aha te take. Nō reira, he maha ā rātou 'pātai' mō tēnei kirika. Koia i huaina ai ko te 'Query Fever', ko te Q fever rānei. He tino māmā noa iho, tika?

He aha te kirika Q mau tonu? He mea morearea?

Āe, he āwangawanga tēnei. Ko te tikanga o te kupu 'mau tonu' he roa te wā . Nō reira, ko te kirika Q mau tonu he momo kirika Q kino ake, he roa te wā. Ka pā pea ki tō ngākau, ki ō oko toto, ki ō wheua , me ētahi atu okana nui. Ka puta tēnei mate mau tonu i roto i te ōrau iti rawa o te hunga kua pangia e te huakita C. burnetii, i waenga i te 1% me te 5% .

Ko tētahi raruraru o tēnei, ka taea e tēnei mate mau tonu te puta i roto i ngā marama, i ngā tau rānei i muri i te memeha haere o ngā tohumate tuatahi o te kirika Q. Tērā pea ētahi tāngata kāore e whakaatu i tētahi tohumate i te wā o te mate tuatahi engari i muri mai ka pāngia e te kirika Q mau tonu. Ko te raruraru tino noa o te kirika Q mau tonu ko te mate o te arai o te ngākau. Ka kiia e ngā tākuta ko te "endocarditis". He raruraru pea tēnei e morearea ai te ora.

He aha te mea ka tupu ina pāngia koe e te kirika?

Ka puta he maha ngā tohu i te kirika Q. Heoi, ko ngā tohu tino kitea ko ngā tohu o te makariri noa, pērā i te kirika me te mamae o te tinana . Ka taea e te huakita 'C. burnetii' te pangia ō pukahukahu, tō ngākau, tō roro, ō wheua, me ētahi atu wāhanga o tō tinana. Ka rerekē ngā tohu i ia wā. Ka pāngia ētahi tāngata e te ngenge nui.ā, ka roa pea ētahi atu tohu mō ngā marama, tae noa ki ngā tau. E ai ki te kōrero i mua ake nei, ka taea e te kirika Q mau tonu te whakararu i te ora.

Ko wai te mea tino tūpono ka pāngia e te kirika Q?

Ko te rewharewha Q te nuinga o te wā ka pā ki te hunga e noho ana i ngā pāmu , e pā tata ana rānei ki ngā kararehe pāmu . Hei tauira, ki te mea he rata kararehe koe, he tangata e āwhina ana ki te whānautanga o ngā kuao kau, he tangata e mahi ana i te pāmu, i te pāmu kararehe, i te whare patu kararehe rānei, he nui ake te tūponotanga ka pangia koe e te mate. Nā te mea he maha ngā wā ka pā atu ēnei tāngata ki ngā kararehe pangia me te taiao e noho ana rātou.

Q Ko wai kei te nui ake te mōrearea ki te pāngia e te rewharewha kino?

Ko ētahi tāngata ka nui ake te tūponotanga ka pāngia e ngā mate kino mai i te kirika Q, inā koa:

• He nui ake te mōrearea o ngā wāhine hapū ki ngā raruraru i te wā e hapū ana, me te materoto hoki.
• He nui ake tō tūponotanga ki te pāngia koe e te kirika Q mau tonu mēnā kei a koe ēnei āhuatanga e whai ake nei:
• Mena kua pāngia koe e te `(Endocarditis)` (mumura o te arai o roto o te ngākau).
• Mena he raruraru kei roto i ngā takirere o te ngākau.
• Mena he aneurysms tōu (te ngoikore me te pupuhi o ngā pakitara o ngā oko toto) i roto i ō oko toto.
• Mena he ngoikore te mahi a te whatukuhu (Te ngoikore o te whatukuhu).
• Mena he taputapu tūturu tāu (he taputapu ārai toto) hei whakapakari i ngā oko toto me te whakapai ake i te rere o te toto.
• Mena he ngoikore tō pūnaha ārai mate (hei tauira, ko te hunga kua pangia e te HIV, ko te hunga mate pukupuku, ko te hunga e tango ana i ngā rongoā ārai mate).

P He pēhea te noa o te rewharewha?

He mate tino onge te kirika Q. Hei tauira, ahakoa i roto i tētahi whenua pēnei i a Amerika, tata ki te 200 noa iho ngā keehi e pūrongohia ana i ia tau. Kāore hoki i te tino maha ngā pūrongo i Sri Lanka. Heoi, he mea nui kia mōhio te hunga kei roto i ngā rōpū mōrearea.

He aha ngā tohu o te kirika?

He rerekē ngā tohu o te kirika Q i runga i te wāhanga tīmatanga (kōkī) me ētahi atu āhuatanga ka puta i muri mai.

Ngā tohu o te kirika Q whakapeka

Ka tīmata ēnei tohu i waenga i te 3 me te 30 rā i muri i te urunga mai o te huakita ki te tinana. He rite tonu ki ērā o te makariri, o te rewharewha rānei.

• Te kirika nui
• Te ngenge nui me te ngenge
• Ngā makariri
• Te werawera
• Mamae tinana, mamae uaua
• Te aro nui ki te mārama, ki ngā kanohi kikorangi (Photophobia)
• He tino mamae te upoko
• Whakapairuaki me te ruaki
• Korere
• Maremare
• Mamae o te uma
• Mamae puku
• Ngā ira whero i raro i te kiri (Purpura)
• Te uaua ki te manawa (Dyspnea)

I ētahi wā, ka taea e tēnei kirika Q kino te whakaputa i ngā āhuatanga pēnei i te mate pūkahukahu (Pneumonia), te mumura o te roro, o ngā kiriuhi rānei e hipoki ana i te roro (Encephalitis, Meningitis rānei), te mumura rānei o te ate (Hepatitis).

Ngā tohu o te mate ngenge Q fever (QFS)

Tata ki te 20% o te hunga e pāngia ana e te kirika Q ka pāngia e te ngenge me ētahi atu tohu e mau ana mō ngā marama, i ētahi wā he tau, i muri i te pangia tuatahi. Ka kiia tēnei ko te mate ngenge kirika Q.

• Tino ngenge
• Ānini
• Te werawera
• Mamae hononga
• Mamae uaua

Ngā Tohu o te Kirika Q Mau tonu

Ka tīmata te kirika Q mau tonu i roto i ngā marama, i ngā tau rānei, i muri i te pangia tuatahi e te huakita C. burnetii. Ka taea te puta ahakoa kāore he tohu i te wā o te pangia tuatahi. Ko te nuinga o te wā ka pā ki te ngākau, ki ngā takirere ngākau, me ngā oko toto, engari ka rerekē ngā tohu i runga i te wāhanga o te tinana e pāngia ana.

• Kirika iti
• Te werawera o te pō
• Te whakahekenga taumaha
• Ngenge
• Te uaua ki te manawa
• Te pupuhi o ngā waewae, o ngā waewae rānei

He aha te take o te kirika?

Ko te tino take o te kirika Q ko te huakita Coxiella burnetii . Ka taea e tēnei huakita te noho i roto i ngā kararehe, inā koa ngā kau, ngā hipi, me ngā koati, me te kore e whakaatu i ngā tohu. Ka taea e ngā wai tinana o ngā kararehe pangia (pēnei i te mimi, te paru, te miraka, me te wai amniotic) te whakapoke i te oneone e noho ana rātou. Ka pangia te tangata e tēnei huakita mā te manawa i ngā matūriki puehu, i te mamaoa wai rānei mai i te oneone kua poke.

P Me pēhea te horapa o te rewharewha?

Ko te huarahi matua e horapa ai te kirika Q ko te manawa i te puehu, i te mamaoa wai rānei kua poke i te huakita 'C. burnetii' . Ka pā tēnei ki te mea kei te noho koe, kei te mahi rānei i tētahi rohe e noho ana ngā kararehe, inā koa ngā kararehe pāmu. Nā te mea ka taea e ngā huakita 'C. burnetii' te haere tawhiti i te rangi, kāore koe e hiahia ki te whakapā tika atu ki ngā kararehe kia pangia ai.

Ko ētahi atu huarahi, engari kāore i te tino kitea, e taea ai te horapa o te kirika Q ko:

• Te kai, te inu rānei i ngā hua miraka kāore anō kia whakamataotia (hei tauira, te miraka, te tiihi, te aihikirīmi).
• Ngau a te makimaki kua pangia .
• Mai i te whaea hapū ki tana tamaiti i te wā e hapū ana, e whānau ana rānei .
• Mā te whakawhiti toto (he tino onge tēnei).

He mea nui: Kāore te kirika Q e horapa i waenga i te tangata ki te tangata . He onge noa iho ngā pūrongo mō te horapa mai i te whaea hāpu ki tana pēpi.

P Me pēhea te tātaritanga o te kirika?

Ka tātaritatia e tō tākuta te kirika Q mā te pātai mō ō tohumate , te arotake i tō hītori hauora , me te whakamātautau i tētahi tauira toto . Tērā pea ka pātai atu rātou mēnā kei te noho koe, kei te mahi rānei me ngā kararehe.

E hia wiki pea te roa o ngā hua whakamātautau mō te C. burnetii, nō reira, ki te whakapae tō tākuta kei te pāngia koe e te kirika Q, ka tīmata pea rātou i te maimoatanga me te kore e tatari mō ngā hua whakamātautau.

He aha ngā whakamātautau e mahia ana mō te kirika?

Hei whakamātautau i te kirika Q, ka tangohia e tō tākuta tētahi tauira o tō toto mā te whakamahi i tētahi ngira iti. Ka tukuna tēnei tauira ki tētahi taiwhanga hei rapu i ngā tohu (paturopi) o te mate C. burnetii. Tērā pea ka ngana rātou ki te whakatipu i ngā huakita C. burnetii mai i tō tauira.

Me tango pea e koe he tauira toto i ngā wā maha i roto i tētahi wā kia whiwhi ai koe i te tautuhi tuturu.

P Me pēhea te rongoā mō te kirika?

Ka rongoatia te kirika Q whakapeka ki ngā paturopi . He maha ngā wā ka rongoatia te kirika Q mau tonu ki te huinga o ngā paturopi me ngā rongoā ārai-mumura, engari ka uaua ake te rongoa. Ka whakawhanakehia e tō tākuta he mahere maimoatanga motuhake i runga i tō āhua.

Mena kua tāpaetia koe kei te pāngia koe e te kirika Q, ā, kei a koe ētahi mate o te takirere ngākau, o ngā oko toto rānei, kōrero ki tō tākuta mō te maimoatanga wawe hei whakaiti i tō tūponotanga ki te pāngia koe e te kirika Q mau tonu.

He aha ngā rongoā/maimoatanga e whakamahia ana?

Ka tohua pea e te tākuta ngā rongoā e whai ake nei:

• `( Doxycycline ( Doxycycline) ) `
• `(Hairokirokuina)`
• `(Trimethoprim-sulfamethoxazole (TMP-SMX))`
• `(Rifampin)`
• `(Ngā Fluoroquinolones)` (hei tauira `(Ciprofloxacin)`, `(Ofloxacin)`)
• `(Clarithromycin)`

P Ka taea te whakaora katoa i te kirika?

Ae, ka taea e te nuinga o te tangata te ora katoa mai i te kirika Q whakapeka mā te whakamahi i ngā paturopi. Heoi, ahakoa he tokoiti te hunga e pāngia ana e te kirika Q whakapeka, ka mau tonu ngā tohu mō ngā marama, mō ngā tau rānei, ahakoa kua rongoatia. He uaua ake te rongoā i te kirika Q mau tonu.

Me pēhea taku whakaiti i te mōrearea o te kirika Q?

He maha ngā mea ka taea e koe te mahi hei whakaiti i tō tupono ki te pāngia e te kirika Q:

• Me mau he kopare me he karapu i te wā e pā ana ki ngā wai o te tinana o ngā kararehe, inā koa ko ērā e tukuna ana i te wā e whānau ana .
• Āta karohia te kai, te inu rānei i ngā hua miraka kāore anō kia whakamātaotia .
• E ai ki ētahi rangahau mā te tirotiro me te rongoā i ngā raruraru takirere ngākau i roto i te hunga kua tāpaetia he kirika Q ka taea te ārai i te kirika Q mau tonu.
• Mena kei te mahi koe i tētahi mahi mōrearea nui, ā, e noho ana koe i tētahi rohe kei reira te kano ārai mate mō te kirika Q e wātea ana (i Ahitereiria anake e wātea ana i tēnei wā), pātai atu ki tō tākuta mō te werohanga.

Mena kei te noho koe, kei te mahi rānei i te taha o ngā kararehe pāmu, ā, he nui ake tō tūponotanga ki te pāngia e ngā raruraru mai i te kirika Q (hei tauira, te hunga he raruraru tō rātou ki te takirere ngākau, ngā uaua toto rānei, ngā wāhine hāpu, te hunga he ngoikore te pūnaha ārai mate), kōrero ki tō tākuta mō te ārai i te kirika Q.

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 . Heoi, ka ora katoa te nuinga o te tangata . Mena ka tohua he rongoā paturopi ki a koe, me tango e koe mō te rua wiki pea. Tata ki te 1 i roto i te 5 tāngata (20%) ka pāngia e te ngenge (`(Q fever fatigue syndrome)`) ka roa mō ngā marama, mō ngā tau rānei.

He tokoiti noa iho ngā tāngata (i waenga i te 1% me te 5%), inā koa ko te hunga he mate hauora kē atu ō rātou, ka pāngia e te kirika Q mau tonu. Mena he kirika Q mau tonu tōu, me rongoatia pea koe mō te 18 marama, neke atu rānei .

He aha ngā raruraru o te kirika?

Ka puta pea ngā raruraru me te kirika Q whakapeka me te kirika Q mau tonu. Heoi, he nui ake te kitea o ēnei, ā, he nui ake te kino i roto i te kirika Q mau tonu. Ko ngā raruraru ko:

• He uaua ngoikore, pupuhi (Aneurysm)
• Te fistula arterial, he āhuatanga e rere hē ai te toto
• Te mate puku o te ngākau
• Te whara o ngā pukahukahu (Fibrosis)
• Te mate manawa whakapeka (ARDS)
• Te ngoikore o te ngākau
• Mate Wheua (Osteomyelitis)
• Te whakatahe
• Taumaha whānau iti

He aha te tirohanga mō te rewharewha?

He pai te matapae mō te kirika Q whakapeka mēnā ka rongoatia ki ngā paturopi. Ko te reiti mate mō te kirika Q whakapeka kei waenga i te 0.5% me te 1.5% . Ko te hunga e pāngia ana e te kirika Q mau tonu he nui ake te mōrearea ki ngā raruraru me te mate. Ko te reiti mate mō te kirika Q mau tonu kei waenga i te 12% me te 25% .

Me pēhea taku tiaki i ahau anō?

Mena kua tāpaetia koe he kirika Q, he mea tino nui kia tangohia e koe ngā rongoā katoa kua tohua i te wā tika . Pātai atu ki tō tākuta me pēhea te whakahaere i ō tohumate, me te mea he huarahi hei whakaiti i te mōrearea o ngā tohumate roa, te kirika Q mau tonu rānei.

Āhea ahau me toro atu ki te tākuta?

Ki te mahi koe, ki te noho rānei me ngā kau, ngā koati, ngā hipi rānei, ā, ka puta ngā tohu o te kirika Q ki a koe, me toro atu ki te tākuta tonu . Ki te puta ngā tohu o te kirika Q mau tonu ki a koe, ā, ki tō whakaaro kua pāngia koe e te huakita 'C. burnetii' i mua (ahakoa kua roa kē), me kōrero ki tō tākuta.

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

• Me tango rongoā ahau i mua i te wā hei whakaiti i te mōrearea o te kirika Q mau tonu?
• Me whakamātauria ahau mō ngā raruraru o te ngākau me ngā oko toto?
• Me pēhea taku tango i tēnei rongoā?
• Āhea ahau me haere mai anō kia kite i a koe?
• He aha taku e taea ai te whakahaere i aku tohumate?

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

Ahakoa he mate onge te kirika Q, he mea nui kia mōhio koe ki tēnei mate, kia mahi hoki i ngā mahi tiaki mēnā kei te mahi koe, kei te noho rānei koe i tētahi taiao mōrearea. Ka taea e ngā mea ngāwari pēnei i te mau i te kopare kanohi, i ngā karapu, me te karo i ngā hua miraka kāore anō kia whakamataotia te pāreti te hanga i tētahi rerekētanga nui, inā koa ka mahi tahi me ngā kararehe pāmu .

Ahakoa he tokoiti noa iho ngā tāngata e pāngia ana e te kirika Q mau tonu, ka taea e ia te whakararu i te ora. Nō reira, ki te whakaaro koe kei te pāngia koe e te kirika Q, ki te mea rānei he āwangawanga āu mōna, kaua e mangere ki te rapu tohutohu hauora . Mā te kōrero ki tō tākuta mō tō hītori hauora me tō hītori mahi ka āwhina i a ia ki te mārama ki ō āhuatanga mōrearea me te whakarato i te maimoatanga pai rawa atu.

` Kirika Q, Coxiella burnetii, ngā mate e pā ana ki ngā kararehe, ngā tohu kirika, kirika Q mau tonu, hauora pāmu, ngā mate kitakita