Ehrlichiosis A Me Anaplasmosis

ʻO ka Ehrlichiosis a me ka anaplasmosis he mau maʻi like ʻia e ka pipi e lawe mai ai i nā hōʻailona e like me ka maʻi flu, me ka wela, ka ʻeha o nā ʻiʻo a me ke poʻo. E ʻike ʻia nā hōʻailona a me nā hōʻailona o ka ehrlichiosis a me ka anaplasmosis ma loko o 14 mau lā ma hope o ka nahu ʻana o ka pipi.

Inā mālama koke ʻia me nā lāʻau antibiotic kūpono, e ola koke ʻoe i loko o kekahi mau lā. Hiki i ka ehrlichiosis a me ka anaplasmosis i mālama ʻole ʻia ke hopena i nā pilikia koʻikoʻi a pilikia i ke ola.

ʻO ke ala maikaʻi loa e pale aku ai i kēia mau maʻi, ʻo ia ka pale ʻana i ka nahu ʻana o ka pipi. ʻO nā mea pale pipi, ka nānā pono ʻana i ke kino ma hope o ka hele ʻana i waho, a me ka wehe pono ʻana i nā pipi, ʻo ia nā pale maikaʻi loa i kēia mau maʻi e lawe ʻia e ka pipi.

ʻO nā hōʻailona a me nā hōʻailona o ka ehrlichiosis a me ka anaplasmosis he like ia ma ke ʻano, ʻoiai ʻoi aku ka nui o ka ʻino ma ka ehrlichiosis. ʻO nā hōʻailona o ka ehrlichiosis a me ka anaplasmosis, kahi e ʻokoʻa nui ai mai ke kanaka a i ke kanaka, e komo pū ana me:

- Fever iki - ʻO ka chills - Headace - ʻEha a i ʻole nā ​​ʻeha o nā mākala - Manaʻo maʻamau o ka maʻi - ʻEha o nā hono - Nausea - Vomiting - Diarrhea - Nalowale o ka makemake

ʻO nā hōʻailona a me nā hōʻailona hou aku e pili ana i ka ehrlichiosis akā maʻamau ʻole me ka anaplasmosis e komo pū ana me:

- Confusion a i ʻole nā ​​hoʻololi i ke kūlana noʻonoʻo - Rash

Hiki i kekahi poʻe ke maʻi ʻia a ʻaʻole e loaʻa nā hōʻailona.

ʻO ka manawa mai ka nahu ʻana a hiki i ka hōʻike ʻana i nā hōʻailona a me nā ʻōuli he ʻelima a ʻehā mau lā maʻamau. Inā loaʻa iā ʻoe kekahi o nā hōʻailona a i ʻole nā ​​ʻōuli ma hope o ka nahu ʻana o ka ʻumiʻumi a i ʻole ma hope o ka hiki ke hōʻike ʻia i nā ʻumiʻumi, e ʻike i kāu kauka.

ʻO ka haneʻa Lone Star wahine makua ka hōʻike ʻana i kahi kiko keʻokeʻo hiʻohiʻona ma kona kua, a hiki ke ulu a nui e like me 1/3 o ka ʻīniha ma mua o ka ʻai ʻana.

Ke hele nei ka haneʻa deer (Ixodes scapularis) ma nā pae ola ʻekolu. Hōʻike ʻia mai ka hema a i ka ʻākau ka wahine makua, kāne makua, nymph a me ka larva ma kahi unahi kenimika.

Hoʻokumu ʻia nā maʻi Ehrlichiosis a me ka anaplasmosis e nā bacteria like ʻole.

Hoʻokumu ʻia ka Ehrlichiosis e nā ʻano like ʻole o nā bacteria ehrlichia. ʻO ka haneʻa Lone Star - i loaʻa ma nā mokuʻāina hema-waena, hema-hikina a me nā mokuʻāina kahakai hikina - ʻo ia ka mea lawe nui o nā bacteria e hoʻokumu ana i ka ehrlichiosis. ʻOi aku ka liʻiliʻi o nā haneʻa wāwae ʻeleʻele, i kapa pinepine ʻia ʻo nā haneʻa deer, ma ka ʻĀkau Midwest.

Hoʻokumu ʻia ka Anaplasmosis e ka bacterium Anaplasma phagocytophilum. ʻO ia ke lawe nui ʻia e nā haneʻa deer ma ka ʻĀkau Midwest, nā mokuʻāina hikina ʻākau a me nā panalāʻau waena o Kanada. Lawe ʻia pū kekahi e ka haneʻa wāwae ʻeleʻele Komohana ma nā mokuʻāina kahakai Komohana a me nā ʻano haneʻa ʻē aʻe ma ʻEulopa a me ʻAsia.

Noho nā ʻano ehrlichia a me anaplasma i ka ʻohana bacteria hoʻokahi. ʻOiai ke ʻano nei kēlā me kēia bacterium i kahi pahuhopu kūikawā ma waena o nā sela ʻōnaehana pale i loko o ka mea hoʻokipa, hana like nā mea hoʻomaʻi a pau i nā hōʻailona like.

ʻAi nā haneʻa i ke koko ma ka hoʻopili ʻana i kahi mea hoʻokipa a ʻai a hiki i ka pehu ʻana i nā manawa he nui ma mua o ko lākou nui maʻamau. Hiki i nā haneʻa ke kiʻi i nā bacteria mai kahi mea hoʻokipa, e like me ka deer, a laila hoʻolaha i nā bacteria i kahi mea hoʻokipa ʻē aʻe, e like me ke kanaka. ʻO ka hoʻolaha ʻana o nā bacteria mai ka haneʻa i ka mea hoʻokipa paha e hana ma kahi o 24 mau hola ma hope o ka hoʻomaka ʻana o ka haneʻa e ʻai.

Hiki ke hoʻolaha ʻia nā bacteria e hoʻokumu ana i ka ehrlichiosis a i ʻole ka anaplasmosis ma o nā transfusion koko, mai ka makuahine i ka pēpē, a i ʻole ma o ka hoʻopili pololei ʻana me kahi holoholona i maʻi, i pepehi ʻia.

Noho nā nīnī koko ma kahi kokoke i ka honua ma nā wahi ulu lāʻau a i ʻole nā wahi ulu lāʻau. ʻAʻole lākou e lele a lele paha, no laila hiki iā lākou ke hōʻea wale i ka mea hoʻokipa e pā aku iā lākou. ʻO nā mea e hoʻonui ai i kou pilikia o ka nahu ʻana o ka nīnī koko:

• Ke noho ʻana ma waho i nā mahina kauwela o ka pūnāwai a me ke kauwela
• Ke komo ʻana i nā hana ma nā wahi ulu lāʻau, e like me ka hoʻomoana, ka hele wāwae a i ʻole ka hahai holoholona
• Ke komo nei i nā lole e waiho ana i kou ʻili i hōʻike ʻia ma kahi noho o nā nīnī koko

Inā ʻaʻohe lāʻau koke, hiki i ka ehrlichiosis a me ka anaplasmosis ke loaʻa nā hopena koʻikoʻi i kahi pākeke a keiki olakino. ʻOi aku ka nui o ka pilikia o nā poʻe me nā ʻōnaehana pale kino nāwaliwali i nā pilikia koʻikoʻi a me nā pilikia e hoʻoweliweli ana i ke ola.

Hiki i nā pilikia o ka maʻi ʻaʻohe lāʻau ke komo pū me:

• Pale ʻole o ka puʻupaʻa
• Pale ʻole o ka hanu
• Pale ʻole o ka naʻau
• Hōʻino i ka ʻōnaehana hoʻomalu kikowaena
• Nā hoʻoulu
• Koma
• Nā maʻi lua koʻikoʻi

ʻO ke ala maikaʻi loa e pale aku ai i ka ehrlichiosis a i ʻole ka anaplasmosis, ʻo ia ka pale ʻana i nā nahu ʻumiʻumi i kou wā e hele ana ma waho. Hoʻopili ka hapa nui o nā ʻumiʻumi i kou mau wāwae haʻahaʻa a me kou mau wāwae i kou hele ʻana a i ʻole hana ʻana ma nā wahi mauʻu, nā wahi lāʻau a i ʻole nā māla ulu nui. Ma hope o ka hoʻopili ʻana o kahi ʻumiʻumi i kou kino, hele pinepine ia i luna e ʻimi i kahi e ʻeli ai i kou ʻili. Inā e hana ana ʻoe a pāʻani paha ma kahi e noho pinepine ai nā ʻumiʻumi, e hahai i kēia mau ʻōlelo aʻo e pale aku ai iā ʻoe iho. Jeff Olsen: I kou leʻaleʻa ʻana i ka hele wāwae, e ʻimi ana nā ʻumiʻumi i ka holo. Kauka Bobbi Pritt: Hoʻonoho lākou iā lākou iho i kahi kūlana. A e piʻi lākou i luna o ka mea kokoke loa, e like me kēia lau nahele ma aneʻi. Jeff Olsen: Ke kapa ʻia nei ʻo ia he questing. Kauka Bobbi Pritt: Hoʻopili ia i kona mau wāwae, a ʻae kēlā iā ia e hopu i nā mea hoʻokipa i ko lākou hele ʻana. Jeff Olsen: Hiki iā ʻoe ke hoʻemi i nā manawa e lilo ai ʻoe i mea hoʻokipa. Kauka Bobbi Pritt: He manaʻo maikaʻi ka hoʻohana ʻana i nā mea pale pepeke. Kauka Bobbi Pritt: Hiki iā ʻoe ke hoʻomāʻona maoli i kāu mau lako. E waiho iā lākou e maloʻo, a laila, i ka lā aʻe, e komo iā lākou. Jeff Olsen: E hoʻohana i ka permethrin ma nā mea a me ka DEET ma ka ʻili. E pīpī i ka mea pale DEET ma ka ʻili i hōʻike ʻia, me kou mau wāwae a me kou mau lima. E pale i kou maka, akā e hoʻomanaʻo e pale i kou ʻāʻī. A laila, e hoʻokomo i kou mau lole i loko o kou mau socks. A, ma kāu hele wāwae, e hoʻomanaʻo e pale aku i nā wahi kahi e noho ai kēlā mau ʻumiʻumi questing. Kauka Bobbi Pritt: ʻO ia ke kumu āu e makemake ai e noho mamao aku i nā mauʻu kiʻekiʻe. E noho i waenakonu.

• E pīpī i kou mau lole waho, nā kāmaʻa, nā hale lole a i ʻole nā lako hoʻomoana ʻē aʻe me ka mea pale i loaʻa iā 0.5% permethrin. Loaʻa paha kekahi mau lako a me nā lole i hoʻoponopono mua ʻia me ka permethrin.
• E hoʻohana i ka mea pale pepeke i hoʻopaʻa inoa ʻia me ka Environmental Protection Agency ma kekahi ʻili i hōʻike ʻia, koe wale nō kou maka. ʻO kēia mau mea pale e komo pū ana i nā mea pale e loaʻa ana i ka DEET, picaridin, IR3535, aila o ka lemon eucalyptus (OLE), para-menthane-diol (PMD) a i ʻole 2-undecanone.
• Mai hoʻohana i nā huahana me OLE a i ʻole PMD ma nā keiki ma lalo o 3 mau makahiki.
• E komo i nā lole māmā e maʻalahi ai iā ʻoe a i ʻole nā ​​mea ʻē aʻe ke ʻike i nā ʻumiʻumi ma kou mau lole ma mua o ko lākou nahu ʻana.
• E pale aku i nā kāmaʻa wehe a i ʻole nā ​​sandals.
• E komo i nā pālule lima lōʻihi i hoʻokomo ʻia i loko o kou mau lole a me nā lole lōʻihi i hoʻokomo ʻia i loko o kou mau socks.
• E ʻauʻau i ka hiki koke ʻana e holoi i nā ʻumiʻumi palalulu a nānā i nā ʻumiʻumi i komo paha.
• E hoʻohana i ke aniani e nānā pono i kou kino. E makaʻala i kou mau underarms, lauoho a me ka hairline, nā pepeiao, ka pūhaka, ma waena o kou mau wāwae, ma hope o kou mau kuli, a i loko o kou pūpū.
• E nānā i kāu mau lako. E hoʻomaloʻo i kou mau lole a me nā lako ma ka wela no ka liʻiliʻi o 10 mau minuke e pepehi i nā ʻumiʻumi ma mua o ka hoʻomaʻemaʻe ʻana iā lākou.
• E nānā i kēlā me kēia lā no nā ʻumiʻumi ma kekahi holoholona hale e hoʻolilo manawa ma waho.
• E noho ma nā ala maopopo i ka hiki iā ʻoe i nā wahi lāʻau a me nā wahi mauʻu.

He paʻakikī ka ʻike ʻana i nā maʻi i lawe ʻia e nā nīnūnū ma muli wale nō o nā hōʻailona a me nā ʻōuli, no ka mea, ua like lākou me nā kūlana maʻamau ʻē aʻe he nui. No laila, he ʻāpana nui o ka ʻike ka mōʻaukala o ka nahu ʻia e ka nīnūnū i ʻike ʻia aiʻole ka hiki ke hōʻike ʻia i nā nīnūnū i ka hana ʻana i ka ʻike. E hana pū kāu kauka i kahi hoʻokolokolo kino a kauoha i nā hoʻokolohua.

Inā loaʻa iā ʻoe ka ehrlichiosis a i ʻole ka anaplasmosis, ʻo kēia nā hopena e loaʻa paha mai nā hoʻokolohua koko:

• Ka emi ʻana o ka nui o nā keʻena koko keʻokeʻo, ʻo ia nā keʻena hakakā maʻi o ka ʻōnaehana pale kino
• Ka emi ʻana o ka nui o nā keʻena platelet koko, he mea nui ia no ka hoʻopaʻa koko
• Nā enzyme ate kiʻekiʻe e hōʻike paha i ka hana ate kūpono ʻole

Hiki i nā hoʻokolohua o kou koko ke hōʻike pū i kahi maʻi i lawe ʻia e nā nīnūnū ma o ka ʻike ʻana i kekahi o kēia mau mea:

• Nā gene kūikawā i kūikawā i nā bacteria
• Nā antibodies i nā bacteria i hana ʻia e kou ʻōnaehana pale kino

Inā hōʻike ke kauka iā ʻoe i ka maʻi ehrlichiosis a i ʻole anaplasmosis—a i ʻole ke kānalua nei i ka hōʻike ma muli o nā hōʻailona a me nā ʻike lapaʻau—e hoʻomaka ʻoe i ka lāʻau lapaʻau me ka lāʻau antibiotic doxycycline (Doryx, Vibramycin, a me nā mea ʻē aʻe).

E lawe ʻoe i nā lāʻau ma hope o ʻekolu mau lā ma hope o ka pau ʻana o ka wela a ua ʻike ke kauka i ka holomua ma nā hōʻailona ʻē aʻe o ka maʻi. ʻO ka lāʻau lapaʻau liʻiliʻi loa he ʻelima a ʻehiku mau lā. Hiki i ka maʻi koʻikoʻi ke koi aku i ʻelua a ʻekolu mau pule o ka lāʻau lapaʻau antibiotic.

Inā hāpai ʻoe a i ʻole he maʻi ʻiliʻili i ka doxycycline, hiki i ke kauka ke kuhikuhi i ka lāʻau antibiotic rifampin (Rifadin, Rimactane, a me nā mea ʻē aʻe).

Inā ʻike ʻoe i kahi nīnī ma kou kino, mai hopohopo. ʻO ka wehe koke ʻana i ka nīnī he pale maikaʻi ia e kūʻē i ka hoʻolaha ʻana o nā bacteria. E hoʻohana i kēia mau ʻanuʻu:

• Nā mīkina lima. E komo i nā mīkina lima lapaʻau a i ʻole nā mīkina lima like inā hiki ke pale aku i kou mau lima.
• Tweezers. E hoʻohana i nā tweezers kihi lahilahi e hopu i ka nīnī me ka paʻa kokoke i kona poʻo a i ʻole waha, a kokoke loa i ka ʻili.
• Wehe ʻana. E huki mālie a lohi i ke kino o ka nīnī mai kou ʻili me ka ʻole o ka haʻalulu a i ʻole ka wili ʻana. Inā koe nā ʻāpana o ka waha, e wehe iā lākou me nā tweezers maʻemaʻe.
• Mālama ʻana. Hiki ke hoʻokolohua ʻia ka nīnī ma hope inā kānalua ʻoe i ka maʻi. E kau i ka nīnī i loko o kahi pahu, e kākau inoa iā ia me ka lā, a e kau i loko o ka pahu hau.
• Hoʻomaʻemaʻe ʻana. E hoʻohana i ka kopa a me ka wai e holoi i kou mau lima ma hope o ka lawelawe ʻana i ka nīnī a puni ka nahu nīnī. E hoʻomaʻemaʻe i ka wahi a me kou mau lima me ka waiʻona hamo.

Mai hoʻopili i ka jelly petroleum, ka pena kui, ka waiʻona hamo a i ʻole ka lāʻau wela i ka nīnī.

He puʻupuʻu ʻulaʻula liʻiliʻi, e like me ka puʻupuʻu o ka nahu komo, pinepine e ʻike ʻia ma ka wahi o ka nahu nīnī a i ʻole ka wehe ʻana i ka nīnī a hoʻonā ma hope o kekahi mau lā. He mea maʻamau kēia a ʻaʻole pono e hopohopo.

Inā ʻike ʻoe i ka huhū mau ʻana ma ka wahi a i ʻike paha i kekahi mau hōʻailona a i ʻole nā ​​hōʻailona e hōʻike ana i ka maʻi i lawe ʻia e ka nīnī, e kelepona i kāu kauka.