I ēnei rā, kua rongo tātou i te maha o ngā kōrero mō ngā mate e pā ana ki te kirika, kāore? Haunga ngā āwangawanga noa pēnei i te dengue me te rewharewha, kua puta ake tētahi atu kupu: "Scrub Typhus." He mea mārama te āwangawanga, engari me wehewehe ngātahi tātou. He aha te mea tūturu? He mea morearea? Me pēhea te tiaki i a koe anō? Me kōrero noa tātou mō tēnei mea, me te mea kei te kōrero tātou ki tētahi hoa.
He Kupu Māmā: He aha te Scrub Typhus?
Ahakoa tōna ingoa noa, kāore a Scrub Typhus e horahia e ngā puruhi. Ka puta mai i te ngau a te mite torongū kua pangia, e mōhiotia whānuitia ana ko te `(chigger)`. He tino iti ēnei mite, ā, tata kore e kitea e te kanohi tahanga. Ko te mate tonu i puta mai i te huakita e kiia nei ko `Orientia tsutsugamushi` .
Whakaarohia pēnei: ka kohia e ēnei torongū ririki ngā huakita mai i ngā kiore pēnei i te kiore me te kiore iti. Mēnā ka ngaua koe e tētahi torongū kua pangia, ka uru ngā huakita ki roto i tō tinana. He tino iti ēnei mite, ā, he whero, he kōwhai, he karaka rānei te tae.
Kei hea tēnei mate e kitea ai?
Ko te nuinga o tēnei mate ka kitea i ngā rohe puta noa i Āhia, inā koa i ngā wāhi taiwhenua, i ngā ngahere rānei.
- Ngā whenua o Āhia ki te Tonga-mā-rāwhiti
- Īnia
- Initonīhia
- Haina
- Hapani
- Te Tai Tokerau o Ahitereiria
Ka tupu pai ēnei mite i roto i ngā taiao tarutaru, raupo, makuku, me te atarangi . Ko te tikanga, tera pea ka tūtaki koe ki a rātou i ngā wāhi kāore i tiakina o tō māra, i ngā taha o te ngahere, i ngā puranga rau pirau, i ngā rakau iti makuku rānei. Ko te nuinga o te wā ka piki ake te mahi a ngā mite i te mutunga o te kōanga me te raumati.
He aha ngā tohu o te mate Scrub Typhus?
Kāore pea koe e rongo i te ngau a te kiore; kāore he mamae i te nuinga o te wā. Heoi, i muri i ētahi haora, ka tīmata pea te mākūkū o te wāhi, ā, ka kite pea koe i tētahi puku whero iti.
I muri i te urunga o te huakita ki roto i tō tinana, ka puta he wā whakatipu mō te 6-10 rā pea, ā, ka pai pea tō āhua. I te nuinga o te wā ka puta ohorere mai ngā tohu i te 10-12 rā i muri i te pānga. He mea nui te mōhio ki ēnei tohu.
| Tohu | Whakaahuatanga |
|---|---|
| Kirika | He kirika nui ohorere e haere tahi ana me te makariri me te wiri. |
| Eschar | He tohu tēnei mō te mate. Ka puta he kirinuku iti, mangu, rite tonu ki te hakihaki ki te wāhi i ngaua ai koe e te kiore. |
| Whēwhe | Tērā pea ka puta he whero o te kiri i tō tinana. |
| Ngā mamae o te tinana | Te mamae nui o te upoko, te mamae o te tinana, me te mamae o ngā uaua. |
| Ētahi atu Tohu | Pōhēhē, pupuhi o ngā kōpū waiariki, whero o ngā kanohi, ruaki, korere, me ngā mate pūkahukahu. |
Te Mea Tino Hira: Ki te kore ēnei tohu e rongoatia, ka taea e te mate te whanake hei raruraru nui, tae atu ki te koma, te ngoikore rānei o ngā okana.
Me pēhea te tautuhi a te tākuta i te mate Scrub Typhus?
Mena kei a koe ēnei tohu, inā koa kua noho koe i ngā wāhi ngahere, i ngā wāhi raupo rānei, me toro atu ki tō kaiwhakarato hauora tonu atu .
Ka whakahaerehia e tō tākuta he whakamātautau tinana, kia kitea ai te 'eschar'. Hei tāpiri, ka tonoa pea e rātou he whakamātautau toto hei kimi i ngā paturopi e hangaia ana e tō tinana hei whawhai i ngā huakita.
He uaua pea te tātaritanga i tēnei mate nā te mea he rite ngā tohu ki ngā mate noa pēnei i te dengue, te leptospirosis, te typhoid rānei. Nā tēnei, me whakaaro tō tākuta ki ētahi āhuatanga. I ētahi wā, ki te kore e taea te whakatau i te whakamātautau toto tuatahi, me whai whakamātautau anō pea koe i muri i te 1-3 wiki. I roto i ēnei āhuatanga, ka tīmata pea tō tākuta i te maimoatanga i runga i ngā tohu haumanu, kaua ki te tatari mō ngā hua o te taiwhanga.
Me pēhea te rongoā?
Ko te rongo pai, ka taea te whakaora i te Scrub Typhus mā te whakamahi i ngā paturopi. Ko te mahi nui ko te tīmata i te maimoatanga i te wā e taea ai kia tere ai te ora.
Tērā pea ka tohua e tō tākuta he paturopi e kiia nei ko te 'doxycycline' , mō ngā rā e whitu, neke atu rānei. Mēnā he nui ngā mate, ka taea te wero mā roto i te uaua (IV). Mō ngā tamariki, he maha ngā wā ka tūtohutia kia whakamahia he rongoā poto ake mō ngā rā e rima hei ārai i ngā pānga taha pērā i te rerekētanga o te tae o ngā niho. Mō ngā wāhine hāpu, mō te hunga mate pāwera rānei ki te doxycycline, ka whakamahia ētahi atu paturopi haumaru pērā i te 'azithromycin' .
Ngā raruraru pea o te mate kāore i rongoatia
Ki te kore e rongoatia, ka pā kino pea te mate Scrub Typhus ki ngā pūnaha okana nui:
| Pūnaha Tinana | Ngā raruraru pea |
|---|---|
| Ngākau | Te arrhythmia, te myocarditis (te mumura o te uaua o te ngakau). |
| Nakunaku | Te ruaki, te korere, ngā raruraru ate, te pancreatitis, me te toto o roto. |
| Manawa | I ngā take kino, ka pā te Acute Respiratory Distress Syndrome (ARDS), he mate morearea e puta ai te wai i roto i ngā pukahukahu. |
| Ngā whatukuhu | Te whara whatukuhu whakapeka (AKI) me te ngoikore o te whatukuhu. |
| Pūnaha Io | Ko te meningitis, te meningoencephalitis rānei, ka arahi pea ki ngā haurangi me ngā huringa whanonga. |
Ki te pāngia koe e ētahi tohu kino, rapua tonutia he awhina hauora mai i tō tākuta, haere rānei ki te wāhanga ohorere o te hōhipera e tata ana ki a koe.
He kano ārai mate kei reira? Me pēhea koe e noho haumaru ai?
Kāore he kano ārai mate hei ārai i te Scrub Typhus i tēnei wā.
Nō reira, ko te ārai te rautaki pai rawa atu. Ko te whāinga kia kore ai e ngaua e ngā pīrere.
Mena kei te anga koe ki ngā wāhi ngahere, ki ngā wāhi tarutaru rānei, me whai i ēnei tūpato:
- Mauria he kākahu tiaki. Mauria he tarau roa me he hāte ringaringa roa. Mā te kuhu i ō tarau ki roto i ō tōkena ka tāpiri atu he tiaki.
- Whakamahia he ārai pepeke. Tāpirihia he ārai pepeke kei roto te ` DEET` ki te kiri me ngā kākahu e kitea ana.
- Kaua e noho tika ki runga i te tarutaru, i ngā rakau rānei.
- Mō ngā pēpi me ngā tamariki nohinohi, kia mau te hipoki o ō rātou waewae me ō rātou waewae. Tiakina tō rātou tūru pēpi, tō rātou kaikawe rānei ki te kupenga tiaki.
- Kaua e rehu tika te rongoā ārai pepeke ki te kiri o te tamaiti. Rehuhia ki ō ringaringa i te tuatahi, kātahi ka pania ki te tamaiti. Kōrero ki tō tākuta tamariki i mua i te whakamahi i ngā rongoā ārai pepeke ki ngā tamariki kei raro iho i te 2 tau te pakeke.
- I muri i te haerenga ki waho, horoia ō kākahu ki te wai wera (tērā pea mō te 30 meneti pea te roa) kātahi ka kaukau māhana ki te hopi.
- Mena he maha ngā wā ka haere koe ki ngā wāhi ngahere, whakaarohia te rongoā i mua i ō kākahu me ō taputapu ki te 0.5% permethrin . Ka mate ngā pepeke i te pā atu, ā, ka mau tonu te whai hua ahakoa he maha ngā horoinga. Kaua e pania tika ki te kiri. Mō ngā kākahu me ngā taputapu anake.
Karere Tangohia ki te Kāinga
- He mate huakita te Scrub Typhus. Ka taea te kino, engari ka taea te rongoā mā te whakamahi i ngā paturopi .
- Ka horapa mā roto i ngā ngau a ngā pepeke ririki e kitea ana i roto i te tarutaru me ngā wāhi raupo.
- Ko ngā tohu noa ko te kirika, te mamae o te tinana, me te putanga mai o te paku pango (eschar) i te wāhi i ngaua ai.
- Ki te pā mai ēnei tohu ki a koe, noho marino, ka toro atu ki te tākuta tonu. Ko te mea nui ko te rongoā wawe.
- He pai ake te ārai i te rongoā: taupokina tō kiri, whakamahia hoki he ārai pepeke ina kei waho koe i ngā wāhi morearea.
Horoi Typhus, typhus, chiggers, Orientia tsutsugamushi, eschar, doxycycline, tohutohu hauora, tohumate kirika
