He kirika e ahu mai ana i te kutu! Me ako tātou mō te Rocky Mountain Spotted Fever

Kua hikoi koe i roto i te ngahere, i roto i te tarutaru teitei, i te tākaro rānei me tāu mōkai, ā, ka tūtaki koe ki tētahi mea iti rite ki te tīti? I ētahi wā, ka tino whakararuraru ēnei mea ririki. I tēnei rā ka kōrero tātou mō tētahi mate ka taea te tuku mā roto i ngā tīti, ā, he ahua morearea pea. Ko tōna ingoa ko te Rocky Mountain Spotted Fever. Ahakoa te āhua kāore te ingoa e pā ana ki Sri Lanka, he mea nui kia mōhio koe ki ngā mate pēnei i te tīti.

He aha te kirika o Rocky Mountain Spotted?

Ki te whakarāpopototanga, ko te Rocky Mountain Spotted Fever (RMSF) he mate e puta mai ana i tētahi huakita e kiia nei ko Rickettsia rickettsii. Ka horapa mā roto i ngā ngau o ngā tītī. Ko ngā tohu tuatahi – pērā i te kirika, te ānini, me te ponana kiri – ka rite ki ētahi atu mate noa. Engari ki te kore e rongoatia wawetia, ka taea e te RMSF te whakararu i te ora.

Nō roto tēnei mate, RMSF, i tētahi rōpū mate nui ake e kiia nei ko te 'Spotted Fever Rickettsiosis (SFR)'.

He rite tonu te Rocky Mountain Spotted Fever (RMSF) me te mate Lyme?

Ae, ahakoa he mate pāwera e rua ngā mate, he rerekē ngā mate e rua o te Rocky Mountain Spotted Fever me te mate Lyme. He rerekē ngā huakita i te RMSF i puta mai i te mate Lyme, ā, he rerekē ngā tohu. Ko te tangata kua pāngia e te RMSF, e kore e pāngia e te mate Lyme.

Ko wai ka pāngia e te Rocky Mountain Spotted Fever (RMSF)?

Ka taea e te hunga katoa e noho ana i roto i te taiao kei reira ngā kutu – pēnei i te tarutaru roa, ngā ngaherehere, ngā mōkai o waho rānei – te pangia e te mate. Kua pūrongohia ngā kēhi RMSF i te Hononga o Amerika, Kanata, Mehiko, me Amerika ki te Tonga me Amerika Waenganui. Ahakoa ka puta ngā kēhi i ngā wā katoa o te tau, ko te nuinga o ngā kēhi ka kitea i ngā marama mahana.

Ko wai te mea tino mōrearea?

Ka taea e te tangata te pāngia e te RMSF ahakoa te pakeke. Heoi, e ai ki ngā pūrongo he nui ake te kitea i roto i ngā tāne me te hunga neke atu i te 40 tau te pakeke . He nui ake tō tūponotanga ki te pāngia e te RMSF kino mēnā :

• Mena kei raro iho koe i te 10 tau te pakeke, neke atu rānei i te 70 tau te pakeke.
• Mena kei a koe te 'ngoikoretanga o te Glucose-6-phosphate dehydrogenase (G6PD)'.
• Mena he ngoikore tō pūnaha ārai mate.

He pēhea te noa o te Rocky Mountain Spotted Fever (RMSF)?

I te Hononga o Amerika, e 6,000 ngā kēhi o te RMSF e pūrongohia ana i ia tau. Ahakoa te ingoa "Rocky Mountain," ko te mea tino noa i ngā whenua pēnei i a North Carolina, Tennessee, Missouri, Arkansas, me Oklahoma. He nui ake te tūponotanga ka puta te RMSF i te raumati, i te wā e nui ake ai ngā kutu, ā, e noho ana te tangata ki waho.

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He aha te pānga o te Rocky Mountain Spotted Fever (RMSF) ki tōku tinana?

RMSF R. rickettsii , . , . , , , .

He aha ngā tohu o te Rocky Mountain Spotted Fever (RMSF)?

Ki te ngaua koe e te tītī pangia, ka tīmata pea koe ki te whakawhanake i ngā tohu o te RMSF i roto i ngā rā e rua ki te rua wiki. I te nuinga o te wā ka puta haere ngā tohu i roto i ētahi rā. Tērā pea i te tīmatanga ko te kirika, te ānini, te whakapairuaki, te ruaki, me te mamae o ngā uaua .

: (rash) (50% ). , ‍ .

Ko ngā tohu matua o te RMSF ko:

• Te kirika nui
• Ānini
• Hiahia kai
• Mamae uaua, mamae rānei
• He ponana kiri – ka tīmata i ngā ringaringa me ngā pona, ka horapa ki ētahi atu wāhanga o te tinana.
• Whakapairuaki me te ruaki
• Mamae puku
• Te aro nui ki te mārama (photophobia)

Ngā tohu kino ka puta i muri mai:

• Pōhēhētanga
• Te uaua ki te manawa (dyspnea)
• Te manukanuka, te koretake, te ohorere rānei
• Ngā mate hopuhopu
• Te ngoikore, te ngoikore rānei o ngā peka

Me pēhea te horapa o te Rocky Mountain Spotted Fever (RMSF)?

Ka haria, ka horahia hoki e ngā kutu te RMSF. I te Hononga o Amerika, ko te kutu kuri o Amerika me te kutu rakau o Rocky Mountain ngā kaikawe matua. I ētahi wāhi, ka taea hoki e ētahi atu momo kutu, pērā i te kutu kuri parauri, te hora i te RMSF.

Ka taea te horapa te RMSF mai i te tangata ki te tangata?

Kāo, ehara te Rocky Mountain Spotted Fever i te mate hopuhopu (arā, ehara i te mate hopuhopu).

Me pēhea te mōhio kua ngaua he tīkā?

Ki te kore koe e kite i tētahi tītī i tō tinana, he uaua pea ki te mōhio kua ngaua koe e tētahi tītī. Tērā pea ka waiho e te tītī he tohu ki te wāhi i ngaua ai, ka waiho pea he ponana, ka ngaro atu rānei, kāore he tohu.

Me pēhea te tātaritanga o te Rocky Mountain Spotted Fever (RMSF)?

Ka tātaritatia e tō tākuta te RMSF i runga i te whakamātautau tinana, ō tohumate, me te mea kua ngaua koe e te kutu. Ahakoa ka taea e ngā whakamātautau toto me ngā whakamātautau kiri te āwhina i te tātarita i te RMSF, kāore ngā hua o ēnei whakamātautau e wātea wawe ana hei tīmata maimoatanga.

Mena kua haere koe ki tētahi rohe e kitea ana ngā tītī i ngā wiki e rua kua pahure ake nei, ahakoa kāore koe i mahara kua ngaua koe e te tītī, kua pāngia rānei koe e te tītī, me kōrero ki tō tākuta. He mea tino nui tēnei mā rātou hei whakatau mēnā ka rongoāhia te RMSF.

He aha ngā whakamātautau e whakamahia ana hei tautuhi i te RMSF?

Ka taea e tō tākuta te tātaritanga i te RMSF mā roto i ngā whakamātautau toto me ngā whakamātautau kiri, engari ka roa pea te putanga mai o ngā hua. Tērā pea me whakatau tō tākuta mēnā ka rongoāhia te RMSF i mua i te putanga mai o ngā hua o tō whakamātautau.

• Ngā whakamātautau toto: Ka tangohia he tauira o tō toto hei tirotiro mō ngā huakita e puta ai te RMSF. Kāore tō toto e kitea pai mō te RMSF tae noa ki ngā rā e 7-10 i muri i tō mate. Me whakamātautau toto anō pea koe mēnā ka kino haere tō mate, i muri rānei i tō oranga.
• Ngā whakamātautau kiri: Ka whakamahia he taputapu motuhake e kiia nei ko te punch hei tango i tētahi wāhanga kiri iti mai i tētahi mate kiri (tērā pea ka rite ki te wero, ki te ngau rānei). Kātahi ka whakamatautauria te tauira kiri mō ngā tohu o te huakita R. rickettsii.

Me pēhea te rongoā i te Rocky Mountain Spotted Fever (RMSF)?

Ka rongoatia te RMSF ki ngā paturopi , e tangohia ana mō ngā rā e 7 ki te 10.

Ka tino whai hua te maimoatanga mēnā ka tīmata koe i te maimoatanga i roto i ngā rā e rima i muri i te tīmatanga o ō tohu. Mēnā ka tōmuri rawa koe ki te tīmata i ngā paturopi, ka taea e te RMSF te kino i tō tinana, ā, ka puta he raruraru morearea ki te ora.

Mena ka pāngia koe e ngā raruraru, me hiahia pea koe ki ētahi atu maimoatanga. Kei roto pea i tēnei ko te whakawhiti toto, te whakaea manawa, ētahi atu maimoatanga rānei.

He aha ngā rongoā e whakamahia ana mō te RMSF?

Ko te doxycycline anake te paturopi e taunakitia ana mō te rongoā i te RMSF. Mena he mate pāwera koe ki te doxycycline , ka hoatu pea e tō tākuta he chloramphenicol hei rongoā kē atu. Heoi, he uaua te kimi i te chloramphenicol i ētahi whenua, ā, kāore i te tino whai hua mō te RMSF pērā i te doxycycline .

Me pēhea te whakahaere i ngā tohumate RMSF?

Mena kāore ō tohumate i te tino kino, tera pea ka taea e koe te whakahaere i aua tohumate i te kāinga mā te whakamahi i ngā rongoā ka taea te hoko kore utu. Heoi, he mea nui kia pātai atu koe ki tō tākuta ko ēhea ngā rongoā e haumaru ana te whakamahi.

Kia pēhea te tere o taku ora ake i muri i te maimoatanga mō te RMSF?

Ki te tīmata koe i te rongoā paturopi i te tīmatanga tonu o ō tohu RMSF, me pai ake tō āhua i roto i ngā haora 48. Heoi anō, me tango e koe ngā rongoā paturopi mō ētahi atu rā. Ahakoa kua pai ake tō āhua, me haere tonu te tango i ngā rongoā katoa e ai ki te whakahaunga. Ki te kore ō tohu e pai ake, me toro atu ki tō tākuta tonu.

Me pēhea te whakaiti i te mōrearea o te Rocky Mountain Spotted Fever (RMSF)?

Ko te karo i ngā ngau a ngā tītī te huarahi pai rawa atu hei whakaiti i te mōrearea o te RMSF.

• Tapahia tō māra i ia wā, i ia wā. Ka kukume mai ngā kutu i te tarutaru e teitei ake ana i te 5 inihi.
• Mēnā kei roto koe i ngā ngahere, me whakamahi noa i ngā ara kua whakawāteatia.
• Whakamahia ngā rehu pepeke kei roto ngā matū ārai-kutu (hei tauira, ko ērā kei roto te DEET).
• Ina haere koe ki te ngahere, ki ngā wāhi tarutaru teitei rānei, mauria he kākahu e kapi ana i te nuinga o tō tinana. Ko ētahi kākahu kua rongoatia i mua hei ārai i ngā kutu.
• Tirohia tō tinana mō ngā kutu i muri i tō hokinga mai i waho. Ki te taea, me tirotiro e tētahi atu ngā wāhi kāore e kitea e koe (pērā i tō tuara, i tō tumuaki rānei).
• Tiakina āu mōkai mai i ngā kutu mā te whakamahi i ngā maimoatanga kua tohua e tō tākuta kararehe. Tirohia tonutia mēnā kei te pāngia koe e ngā kutu i muri i tō rātou haerenga ki waho.

He aha ngā mea ka pā mai ki a koe mēnā ka pāngia koe e te Rocky Mountain Spotted Fever (RMSF)?

Ka ora ake te nuinga o te tangata i te RMSF me te kore he raruraru roa mēnā ka whiwhi maimoatanga wawe rātou i muri i te tīmatanga o ngā tohu. Tērā pea ka pāngia ētahi e ngā raruraru kino rawa atu e hiahiatia ana kia haria ki te hōhipera mō te maimoatanga.

Ahakoa kei te hauora koe, i ētahi wā ka pā mai ngā raruraru hauora mō te wā roa.

Ngā raruraru o te Rocky Mountain Spotted Fever (RMSF)

Ahakoa te rongoā paturopi, ka taea e ētahi tāngata whai RMSF te whakawhanake i ngā raruraru kino, e morearea ana rānei ki te ora, tae atu ki:

• Te mate manawa whakapeka (ARDS)
• Te whara whatukuhu whakapeka
• Te pupuhi o te pūkahukahu
• Te mate toto iti
• Mate ngakau
• Te toto o roto
• Sepsis (he āhua rite ki te paihana toto)
• Pararutiki wāhanga
• Te kore e taea te whakahaere i te rere o te tūtae ('fecal incontinence') te mimi rānei ('urinary incontinence')
• Te gangrene e hiahia ana kia tapahia
• Mate/mumura o te roro (encephalitis)
• Te ngoikore o te okana

Te tirohanga mō ngā RMSF

He pai te tūponotanga o te ora mai i te RMSF mēnā ka rongoatia wawe. I te Hononga o Amerika, ko te reiti mate mai i te RMSF, ahakoa kua rongoatia, kei waenga i te 5% me te 10%. I ētahi whenua, pērā i a Mexico me Brazil, he nui ake tēnei ōrau.

Mena kei te tino pāngia koe e te RMSF, tera pea ka pāngia koe e ngā pānga roa ahakoa kua ora koe. Hei tauira:

• Te pakaru o te io, te pararutiki rānei
• Te ngaronga o te rongo
• Te uaua ki te kōrero
• Te ngaronga o te tirohanga
• Ngā raruraru o te pūnaha io, pērā i te raruraru taurite, te whanoke rānei (vertigo)

Ka taea te rongoā katoa i te Rocky Mountain Spotted Fever (RMSF)?

I te nuinga o te wā ka memeha te RMSF mā te rongoā. Heoi, ka mau tonu pea ngā tohumate o ētahi tāngata ahakoa kua kore te mate, nā te kino o ngā io me ngā kiko.

Ki te kore e rongoatia, ko te tūponotanga o te mate mai i te RMSF kei waenga i te 20% me te 30%.

Ka taea te puta te RMSF neke atu i te kotahi?

Kāore pea koe e pāngia e te RMSF neke atu i te kotahi. E whakaaro ana ngā tohunga, ina pāngia koe e te RMSF, ka puta he 'ārai mate' ki a koe. Ko te tikanga tēnei e mōhio ana tō tinana ki te whawhai ki a ia, nō reira e kore e pā anō.

Me pēhea taku tiaki i ahau anō mēnā kei a au te RMSF?

Mena kei te rongoatia koe e tō tākuta mō te RMSF, kia tino tangohia e koe ō rongoā katoa e ai ki te whakahaunga. Ki te mutu wawe koe i te tango i ngā paturopi, tera pea ka pāngia anō koe e te mate.

Mā tō tākuta koe e tohutohu ki te whakahaere pai i ō tohumate i te kāinga. Ka tere te kino haere o te RMSF. Mēnā ka puta he tohumate hou, ka kino haere rānei ō tohumate, waea atu ki tō tākuta tonu.

Āhea koe me toro atu ki te tākuta mō te Rocky Mountain Spotted Fever (RMSF)?

Mena kua ngaua koe e te tīti, mēnā rānei kei roto koe i tētahi wāhi kei reira ngā tīti, ā, kei te pāngia koe e ngā tohu o te RMSF, me toro atu ki te tākuta tonu.

Ahakoa kua ngaua koe e te tikiti engari kāore he tohu, kāore koe e hiahia ki te toro atu ki te tākuta - mā te tango i ngā paturopi me te kore e māuiui e āwhina ki te aukati i te RMSF.

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

Mena kei a koe ētahi o ēnei tohu, haere ki te rūma whawhati tata:

• Mena he nui ake te kirika i te 39.4 Celsius (103 Fahrenheit)
• Ki te maremare koe i te toto
• Mena kua pupuhi ō ringaringa, ō waewae rānei
• Mena he mamae nui tō puku
• Mena he pōhēhētanga tōu, he rerekētanga hinengaro rānei
• Mena ka puta he hopuhopu
• Mena he ngoikore, he ngoikore rānei ō waewae
• Ki te ruaki nui koe

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

• Me pēhea taku tango i taku rongoā?
• He aha ngā tohu hou, ngā tohu kino rānei me tirotiro e au?
• Kia pēhea te tere o taku oranga ake?
• Āhea ahau me haere mai anō kia kite i a koe?

Ngā Mea hei Mahara (Karere hei Tango ki te Kāinga)

Ehara i te mea he whakarihariha noa ngā tītoi - ka taea e te ngau iti nei te whakararu i a koe. Ko te huarahi pai ki te ārai i te Rocky Mountain Spotted Fever (RMSF) ko te karo i te ngaua e ngā tītoi. Heoi, ki te ngaua koe e te tītoi, ā, kei a koe ngā tohu, me toro atu ki tō tākuta tonu. Ko te maimoatanga wawe te huarahi pai ki te ora wawe. Kia tiakina tō hauora, kia noho haumaru hoki!