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October 10, 2025
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ʻO ka mai Lyme he maʻi bacteria ia e loaʻa ai mai nā nahu o nā ʻīlio pōpilikia, ʻoi aku ka maʻamau mai nā ʻīlio pōpilikia ʻeleʻele (i kapa ʻia hoʻi he deer ticks). ʻO ia ka maʻi maʻamau loa e lawe ʻia mai nā ʻīlio pōpilikia ma ʻAmelika Hui Pū ʻIa a me kekahi mau wahi o ʻEulopa, akā me ka mālama kūpono, e ola piha ka hapa nui o nā kānaka.
ʻO ka bacteria e hoʻokumu ai i ka mai Lyme, ʻo ia ka Borrelia burgdorferi, a noho ia i loko o kekahi mau ʻano ʻīlio pōpilikia. I ka wā e nahu ai kahi ʻīlio pōpilikia maʻi iā ʻoe a hoʻopili ʻia no 36 a 48 mau hola, hiki iā ia ke hoʻoili i ka bacteria i loko o kou koko. ʻO ka mea maikaʻi, ʻaʻole nā nahu ʻīlio pōpilikia a pau e alakaʻi i ka mai Lyme, a he mea maikaʻi loa ka mālama koke.
ʻIke pinepine ʻia nā hōʻailona o ka mai Lyme ma nā ʻanuʻu, a ʻo ka hopu ʻana iā lākou i ka wā mua e hoʻomaikaʻi nui ai ka mālama. Hiki i nā hōʻailona ke ʻokoʻa loa mai ke kanaka a i ke kanaka, kahi i paʻakikī ai kekahi manawa ka ʻike.
I ke kahua mua (3 a 30 mau lā ma hope o ka nahu ʻīlio pōpilikia), hiki iā ʻoe ke ʻike i kēia mau hōʻailona maʻamau:
ʻIke ʻia ka ʻili ʻulaʻula ma kahi o 70 a 80 pakeneka o nā kānaka me ka mai Lyme. Hoʻomaka pinepine ia ma ke ʻano he wahi ʻulaʻula liʻiliʻi e hoʻonui ana i nā lā a i nā hebedoma, i kekahi manawa e hiki aku ana i 12 iniha ka laulā. Hiki ke hoʻomaʻemaʻe ʻia ke kikowaena, e hana ana i kēlā hiʻohiʻona bull's-eye kūikawā.
Inā ʻaʻole i mālama ʻia ka maʻi i ke kahua mua, hiki iā ia ke holomua i nā hōʻailona koʻikoʻi hou aku i nā hebedoma a i nā mahina ma hope mai. Hiki i kēia mau hōʻailona hope loa ke hoʻopilikia i kou ʻōnaehana nerve, naʻau, a me nā hono:
Hoʻomohala kekahi poʻe i ka mea i kapa ʻia ʻo ka maʻi Lyme maʻi a i ʻole ka maʻi Lyme ma hope o ka mālama ʻana, kahi e mau ai nā hōʻailona e like me ka luhi, ka ʻeha, a me ka ʻeha o nā hono no nā mahina ma hope o ka mālama ʻana. Hana kēia ma kahi o 10 a 20 pakeneka o nā poʻe i loaʻa i ka maʻi Lyme.
Hoʻokumu ʻia ka maʻi Lyme e nā bacteria mai ka ʻohana Borrelia, ʻo Borrelia burgdorferi ke kumu nui ma ʻAmelika ʻĀkau. Noho kēia mau bacteria i kekahi ʻano o nā nika, a hoʻolaha ka maʻi ke nahu kekahi nika maʻi iā ʻoe a noho paʻa no ka manawa lōʻihi e hoʻoili ai i nā bacteria.
ʻO nā mea lawe nui nā nika blacklegged, i ʻike ʻia hoʻi ʻo nā nika deer. He liʻiliʻi loa kēia mau mea liʻiliʻi ma mua o nā nika ʻīlio maʻamau. ʻO ka nui o nā nika makua e like me ka hua sesame, ʻoiai nā nymphs (nā nika ʻōpio) he liʻiliʻi e like me ka hua poppy, e hana ai iā lākou he paʻakikī loa ke ʻike.
No ka hala ʻana o nā bacteria mai ka nika iā ʻoe, pono e hoʻopili ʻia ka nika no 36 a 48 mau hola. ʻO ia ke kumu e pono ai ke nānā i nā nika i kēlā me kēia lā a wehe koke iā lākou no ka pale ʻana. ʻOi aku ka lōʻihi o ka hoʻopili ʻana o ka nika, ʻoi aku ka nui o kou pilikia e maʻi.
Lawe nā nika i nā bacteria ke hānai lākou i nā holoholona maʻi e like me nā ʻiole, nā deer, a i ʻole nā mammals liʻiliʻi ʻē aʻe. A laila lawe lākou i nā bacteria a hiki ke hoʻoili iā ia i nā kānaka i ko lākou hānai ʻana. He mea kūpono ke hoʻomaopopo ʻaʻole nā nika a pau e lawe i nā bacteria, a ʻoiai inā nahu ʻia ʻoe e kahi nika maʻi, ʻaʻole ʻoe e maʻi pono.
E pono ʻoe ke hoʻokaʻaʻike aku i kāu kauka inā loaʻa iā ʻoe kekahi mau hōʻailona e pili ana paha i ka maʻi Lyme, ʻoiai inā ua hele ʻoe ma nā wahi kahi i nui ai nā ʻīlio. ʻO ka mālama mua ka mea nui e pale aku ai i ka holomua ʻana o ka maʻi i nā pae koʻikoʻi aʻe.
E ʻike koke i kāu kauka inā ʻike ʻoe i ka ʻili ʻulaʻula e hohola ana, ʻoiai inā ʻaʻole ʻoe i hoʻomanaʻo i ka nahu ʻia e kahi ʻīlio. He nui nā kānaka me ka maʻi Lyme ʻaʻole i ʻike i ka ʻīlio i nahu iā lākou no ka liʻiliʻi loa o nā ʻīlio.
E hoʻokaʻaʻike pū i kāu mea lawelawe ola inā loaʻa iā ʻoe nā hōʻailona e like me ka maʻi flu i ka wā o ka manawa o nā ʻīlio (ma ka maʻamau mai ka hopena o ka pūnāwai a hiki i ka hoʻomaka o ka hāʻule) a hoʻolilo ʻoe i ka manawa ma waho i nā wahi me ka mauʻu kiʻekiʻe, nā lāʻau, a i ʻole nā wahi ululāʻau. He mea nui loa kēia inā noho ʻoe a i ʻole ua kipa aku i nā wahi kahi i maʻamau ai ka maʻi Lyme.
Mai kali e ʻike inā e maikaʻi nā hōʻailona ma o lākou iho. ʻO ka mua loa ka ʻike ʻia ʻana o ka maʻi Lyme a me ka mālama ʻia ʻana, ʻoi aku ka maikaʻi o kou manawa e ola piha ai me ka ʻole o nā pilikia lōʻihi.
Hiki i ka hoʻomaopopo ʻana i kāu mau kumu pilikia ke kōkua iā ʻoe e lawe i nā palekana kūpono ke hoʻolilo ʻoe i ka manawa ma waho.
ʻO kou pilikia ke hilinaʻi nui ma kahi āu e noho ai a me ka nui o ka manawa āu e hoʻolilo ai i nā wahi noho o nā ʻīlio.
He kuleana nui ka wahi honua i kāu pilikia. ʻOi aku ka maʻamau o ka maʻi Lyme ma:
Hoʻopilikia pū kāu mau hana a me ke ʻano ola i kāu pae pilikia:
He mea nui hoʻi ka manawa o kāu mau hana ma waho. ʻOi aku ka ikaika o nā ʻīlio i nā mahina mahana, ma ka maʻamau mai ʻApelila a hiki i Kepakemapa, me ka hana kiʻekiʻe loa i ka hopena o ka pūnāwai a me ka hoʻomaka o ke kauwela. He ikaika loa nā ʻīlio ʻōpio (nymphs) i ka pūnāwai a me ka hoʻomaka o ke kauwela, a he liʻiliʻi loa lākou a ua nānā ʻole ʻia pinepine.
Hiki i ka makahiki ke lilo i mea kumu, ʻoiai ʻoi aku paha ka pilikia o nā keiki a me nā ʻelemakule, ma muli paha o ka ʻike ʻole ʻana i nā ʻīlio liʻiliʻi a i ʻole paha ka pilikia nui i nā hana pale ʻīlio.
ʻOiai ke ola hou nei ka hapa nui o nā kānaka me ka mālama kūpono, hiki i ka maʻi Lyme i mālama ʻole ʻia ke alakaʻi i nā pilikia koʻikoʻi e pili ana i nā ʻāpana like ʻole o kou kino. ʻO ka hoʻomaopopo ʻana i kēia mau pilikia hiki ke hōʻike i ke kumu nui o ka ʻike mua ʻana a me ka mālama ʻana.
ʻO nā pilikia hui kekahi o nā hopena lōʻihi loa. Me ka ʻole o ka mālama ʻana, hiki iā ʻoe ke loaʻa i ka maʻi ʻāʻī maʻi, ʻoi aku hoʻi i kou mau kuli. Hiki i kēia ke hoʻoulu i ka ʻeha mau loa, ka pehu, a me ka paʻakikī e hoʻopilikia nui ana i kāu mau hana i kēlā me kēia lā.
Hiki i nā pilikia neurological ke koʻikoʻi loa a hiki ke komo pū me:
ʻO nā pilikia naʻau, ʻoiai ʻaʻole pinepine, hiki ke hoʻoweliweli i ke ola. Hiki i ka maʻi Lyme ke hoʻoulu i nā hahau naʻau kūpono ʻole, nā palpitations naʻau, a i nā hihia kakaikahi, ka pale ʻana o ka naʻau piha kahi i hoʻopilikia ʻia ai nā hōʻailona uila i kou naʻau.
Ua loaʻa i kekahi poʻe ka mea i kapa ʻia ʻo ka maʻi Lyme lōʻihi a i ʻole ka maʻi Lyme ma hope o ka mālama ʻana. Hoʻokomo kēia kūlana i nā hōʻailona e like me ka luhi nui, ka ʻeha o nā ʻiʻo a me nā hui, a me nā pilikia cognitive e hiki ke lōʻihi no nā mahina a i ʻole nā makahiki ma hope o ka mālama ʻana.
Hiki nō hoʻi ke loaʻa nā pilikia maka i nā hihia kakaikahi, me ka mumū o ka maka e hiki ke hoʻopilikia i kou ʻike. Eia kekahi, ʻike kekahi poʻe i nā pilikia ʻili lōʻihi a i ʻole ka mumū o ke ate ma ke ʻano he mau pilikia o ka maʻi Lyme i mālama ʻole ʻia.
ʻO ke ala maikaʻi loa e pale aku ai i ka maʻi Lyme, ʻo ia ka pale ʻana i nā nahu ʻumi, ʻoi aku hoʻi ma nā wahi kahi i maʻamau ai nā ʻumi maʻi. Me nā mālama kūpono, hiki iā ʻoe ke hoʻemi nui i kou pilikia ʻoiai e hauʻoli ana i nā hana ma waho.
Ke hele nei ʻoe i ka ʻāina ʻumi, e kāhiko pono e hana i nā pale:
E hoʻohana i nā mea pale pepeke i ʻāpono ʻia e ka EPA e loaʻa ana iā DEET, picaridin, a i ʻole permethrin. E kau i ka mea pale ma ka ʻili i hōʻike ʻia a me nā lole e like me nā kuhikuhi lepili. Hiki iā ʻoe ke mālama i kou mau lole me ka permethrin a i ʻole ke kūʻai i nā lole i mālama mua ʻia.
E pili i ka waenakonu o nā ala ke hele wāwae, a e pale i ka hele ʻana ma nā mauʻu kiʻekiʻe, nā lāʻau, a i ʻole nā wahi ulu lāʻau nui ke hiki. Inā loaʻa iā ʻoe kahi pā hale, e mālama iā ia i ka ʻumi ma ka ʻoki ʻana i nā mauʻu mauʻu, ka wehe ʻana i nā lau lāʻau, a me ka hana ʻana i nā pale ma waena o nā wahi ulu lāʻau a me nā wahi leʻaleʻa.
Ma hope o ka hoʻolilo ʻana i ka manawa ma waho, e nānā pono iā ʻoe iho, i kāu mau keiki, a me kāu mau holoholona. E makaʻala nui i nā wahi hūnā e like me kou poʻo, ma hope o kou mau pepeiao, ma lalo o kou mau lima, a puni kou pūhaka, a ma waena o kou mau wāwae. E ʻauʻau i loko o ʻelua hola mai ka komo ʻana i loko e holoi i nā ʻumi i hoʻopili ʻole ʻia.
Inā ʻike ʻoe i kahi ʻumi i hoʻopili ʻia i kou ʻili, e wehe koke iā ia me nā tweezers lahilahi. E hopu i ka ʻumi kokoke loa i kou ʻili a huki i luna me kaomi paʻa. E hoʻomaʻemaʻe i ka wahi me ka waiʻona a i ʻole ka wai a me ka sabuni ma hope.
ʻO ka ʻike ʻana i ka maʻi Lyme he mea paʻakikī i kekahi manawa, no ka mea, hiki i kona mau hōʻailona ke hoʻohālikelike i nā kūlana ʻē aʻe, a ʻaʻole mau ka ʻike ʻia o ka bacteria ma nā hoʻokolohua maʻamau. E hoʻohana maʻamau kāu kauka i ka hui pū ʻana o kāu mau hōʻailona, mōʻaukala lapaʻau, a me nā hoʻokolohua hale hana e hana i kahi ʻike.
E hoʻomaka kāu kauka ma ka nīnau ʻana e pili ana i kāu mau hōʻailona a inā e hoʻomanaʻo ʻoe i ka ʻoki ʻia e ka tick a i ʻole ka noho ʻana ma nā wahi kahi i maʻamau ai nā ticks. E hana nō hoʻi lākou i kahi nānā kino, e nānā nui ana i ka ʻili maʻamau a i ʻole nā hōʻailona o ka pehu ʻana o nā hui.
Inā loaʻa iā ʻoe ka ʻili bull's-eye kūikawā me nā hōʻailona mua ʻē aʻe, hiki i kāu kauka ke ʻike i ka maʻi Lyme ma muli o kēia mau hōʻailona lapaʻau wale nō, ʻoi aku inā ua hele ʻoe i kahi wahi kahi i maʻamau ai ka maʻi Lyme.
No ka hoʻokolohua hale hana, hiki i kāu kauka ke kauoha i nā hoʻokolohua koko e nānā i nā antibodies i hana ʻia e kāu ʻōnaehana pale i ka pane ʻana i ka bacteria Lyme. Eia naʻe, ʻaʻole mau ka hilinaʻi o kēia mau hoʻokolohua i nā wā mua o ka maʻi, no ka mea, pono ka manawa no kou kino e hana i nā pae hiki ke ʻike ʻia o nā antibodies.
ʻElua mau ʻano nui o nā hoʻokolohua koko i hoʻohana ʻia:
I kekahi mau hihia, ʻoi aku inā loaʻa nā hōʻailona neurological, hiki i kāu kauka ke kuhikuhi i nā hoʻokolohua hou e like me ka lumbar puncture (spinal tap) e nānā i nā bacteria a i ʻole nā antibodies i loko o kāu wai spinal.
He mea nui e ʻike he hiki ke loaʻa nā mea maikaʻi wahaheʻe a me nā mea maikaʻi ʻole wahaheʻe me ka hoʻokolohua maʻi Lyme, ʻo ia ke kumu e noʻonoʻo ai kāu kauka i kāu mau hōʻailona a me nā pilikia pilikia me nā hopena hoʻokolohua i ka hana ʻana i kahi ʻike.
ʻO ka ʻoiaʻiʻo maikaʻi, pane maikaʻi loa ka maʻi Lyme i ka lāʻau lapaʻau antibiotic, ʻoi aku hoʻi i ka wā i hopu ʻia ai i ka wā mua. Hoʻōla piha ka hapa nui o nā kānaka me ka lāʻau lapaʻau antibiotic kūpono.
No ka maʻi Lyme i ka wā mua, e kuhikuhi pinepine kāu kauka i nā lāʻau antibiotic waha. ʻO nā lāʻau antibiotic i hoʻohana pinepine ʻia, ʻo ia:
ʻO ka lōʻihi o ka mālama ʻana, ma kahi o 14 a 21 mau lā, akā hiki i kāu kauka ke hoʻoponopono i ka lōʻihi ma muli o kou kūlana kūikawā. He mea nui loa ka lawe ʻana i ka papa holoʻokoʻa o nā lāʻau antibiotic, ʻoiai inā ʻoe e hoʻomaka e ʻoluʻolu ma mua o ka pau ʻana.
Inā loaʻa iā ʻoe ka maʻi Lyme i ka wā hope loa e pili ana i kou ʻōnaehana nerve a i ʻole kou naʻau, pono paha ʻoe i nā lāʻau antibiotic intravenous (IV). Hāʻawi pinepine ʻia kēia mau mea ma ka haukapila a i ʻole ke kikowaena infusion ma waho no 14 a 28 mau lā.
No ka maʻi ʻāʻī Lyme, hoʻāʻo pinepine ʻia nā lāʻau antibiotic waha ma mua, akā pono paha kekahi poʻe i ka mālama ʻana IV inā ʻaʻole e hoʻomaʻemaʻe nā lāʻau antibiotic waha i ka maʻi mai nā hono āpau.
E hoʻomaka ka hapa nui o nā kānaka e ʻoluʻolu i loko o kekahi mau lā a mau pule ma hope o ka hoʻomaka ʻana o ka mālama ʻana. Eia naʻe, hiki i kekahi mau hōʻailona e like me ka luhi a me nā ʻeha hono ke lawe i kekahi mau mahina e hoʻonā loa, ʻoiai me ka mālama kūleʻa.
Inā loaʻa iā ʻoe ka maʻi Lyme ma hope o ka mālama ʻana, e nānā kāu kauka i ka mālama ʻana i kou mau hōʻailona ʻoiai e hoʻomau ana kou kino e ola hou. Hiki paha kēia ke komo i ka mālama ʻeha, ka hoʻoponopono kino, a i ʻole nā mālama no nā hōʻailona kūikawā āu e ʻike nei.
ʻOiai e hana ana nā lāʻau antibiotic e hoʻomaʻemaʻe i ka maʻi, aia kekahi mau mea hiki iā ʻoe ke hana ma ka home e kōkua i ka mālama ʻana i kou mau hōʻailona a kākoʻo i kou ola hou ʻana. Hiki i kēia mau hana mālama home ke hoʻoluʻolu iā ʻoe i ka wā e ho'ōla ai kou kino.
He mea nui loa ka hoʻomaha i ka wā o kou ola hou ʻana. Ke hana nui nei kou kino e hakakā i ka maʻi, no laila mai hoʻoikaika iā ʻoe iho e mālama i kou pae hana maʻamau. E hiamoe nui a e hoʻomaha i ka wā e pono ai.
No ka ʻeha a me ka wela, hiki i nā lāʻau lapaʻau kūʻai ʻole ʻia ke hāʻawi aku i ka hōʻoluʻolu:
E noho mau i ka wai nui, ʻoi aku inā loaʻa iā ʻoe ka wela. Ke kōkua nei ka wai kūpono i kou kino e hana maikaʻi loa i ka wā e hakakā ai i ka maʻi.
Hiki i ka neʻe mālie ke kōkua i ka paʻakikī o nā hono, akā e pale i ka hoʻoikaika nui a hiki i kou ʻike ʻana i ka maikaʻi. Hiki paha ke ʻoluʻolu ka hoʻonui māmā a i ʻole nā hele mālie, akā e hoʻolohe i kou kino a hoʻomaha i ka wā e pono ai.
E kau i nā kāwele mahana ma nā hono a i ʻole nā ʻiʻo ʻeha no 15-20 mau minuke i ka manawa. Hiki i ka wela ke kōkua i ka hoʻemi ʻana i ka paʻakikī a hāʻawi i ka hōʻoluʻolu.
E ʻai i nā meaʻai momona e kākoʻo i kou ʻōnaehana pale. E kau i ka manaʻo ma nā hua, nā huaʻai, nā protein liʻiliʻi, a me nā huaola holoʻokoʻa. Inā ʻaʻohe nui o kou makemake, e ho'āʻo i nā meaʻai liʻiliʻi a pinepine aku.
E mālama i ka moʻolelo o kāu mau hōʻailona a me ke ʻano o kou pane ʻana i ka lāʻau lapaʻau. E kōkua kēia ʻike i ka wā e hahai ai ʻoe me kāu kauka.
ʻO ka hoʻomākaukau maikaʻi ʻana no kāu kipa kauka e hiki ke kōkua i ka hōʻoia ʻana e loaʻa iā ʻoe ka ʻike pololei loa a me ka mālama kūpono. ʻO ka hoʻolilo ʻana i ka manawa e hoʻonohonoho ai i kou mau manaʻo a me nā ʻike ma mua e hana i ka hālāwai ʻoi aku ka hua.
E kākau i kāu mau hōʻailona a pau, me ka manawa i hoʻomaka ai lākou a pehea lākou i loli ai i ka manawa. E kūikawā e pili ana i nā kikoʻī e like me ka nui a me ke ʻano o nā ʻili ʻili, ka nui o kou luhi, a i ʻole kahi o ka ʻeha hono.
E noʻonoʻo e pili ana i kāu mau hana hou a me ka moʻolelo huakaʻi, ʻoi aku hoʻi i loko o ka mahina i hala. E hoʻomaopopo i kekahi manawa āu i hoʻolilo ai i waho i nā wahi me ka mauʻu kiʻekiʻe, nā ululāʻau, a i ʻole nā lāʻau. ʻOiai inā ʻaʻole ʻoe e hoʻomanaʻo i ka nahu ʻia e ka tick, he waiwai kēia ʻike.
E lawe mai i ka papa inoa o nā lāʻau lapaʻau a me nā mea hoʻohui āu e lawe nei i kēia manawa, me nā nui. E haʻi pū aku i kekahi mau maʻi ʻili āu i loaʻa ai, ʻoiai nā lāʻau antibiotic.
Inā hiki, e kiʻi i nā kiʻi maopopo o kekahi mau ʻili ma mua o kou hālāwai. Hiki i nā ʻili ke loli a nalowale paha, a hiki i nā kiʻi ke kōkua i kāu kauka e ʻike i ke ʻano o ka ʻili i kona manawa nui loa.
E hoʻomākaukau i nā nīnau āu e makemake ai e nīnau i kāu kauka:
E noʻonoʻo e lawe mai i kahi hoa ʻohana a hoaaloha paha e kōkua iā ʻoe e hoʻomanaʻo i nā ʻike koʻikoʻi, ʻoiai inā ʻoe e ʻike ana i nā pilikia hoʻomanaʻo a i ʻole ke ʻano maʻi loa.
ʻO ka maʻi Lyme kahi maʻi bacteria hiki ke mālama ʻia e pane maikaʻi loa i nā lāʻau antibiotic i ka wā e hopu koke ʻia ai. ʻOiai hiki ke hopohopo, ʻo ka hapa nui o nā kānaka i loaʻa ka mālama koke e hoʻōla piha me ka ʻole o nā pilikia lōʻihi.
ʻO ka mea nui loa e hoʻomanaʻo ai, ʻo ka pale ʻana a me ka ʻike koke ʻana nā mea palekana maikaʻi loa. Ma ka lawe ʻana i nā palekana maʻalahi i ka wā e hoʻolilo ai i ka manawa ma waho a me ka nānā mau ʻana i nā nīnūnū, hiki iā ʻoe ke hoʻemi nui i kou pilikia o ka loaʻa ʻana o ka maʻi Lyme.
Inā loaʻa iā ʻoe nā hōʻailona e pili ana i ka maʻi Lyme, mai kānalua e hoʻokaʻaʻike i kāu mea lawelawe olakino. He mea maikaʻi loa ka mālama koke a hiki ke pale i ka maʻi mai ka holomua ʻana i nā pae koʻikoʻi.
E hoʻomanaʻo ʻaʻole ʻoe e palekana i ka loaʻa hou ʻana o ka maʻi Lyme ma hope o kou hoʻōla ʻana, no laila e hoʻomau i ka hana ʻana i nā hana pale ʻana i nā nīnūnū ma hope o kou hoʻōla ʻana. Me ka ʻike kūpono a me nā palekana, hiki iā ʻoe ke hoʻomau i ka leʻaleʻa i nā hana ma waho a pale aku iā ʻoe iho mai nā maʻi i lawe ʻia e nā nīnūnū.
ʻAʻole hiki ke loaʻa ka maʻi Lyme pololei mai kāu mau holoholona hale, akā hiki i nā holoholona hale ke lawe mai i nā nīnūnū maʻi i loko o kou home. Inā hele kāu ʻīlio a i ʻole pōpoki i waho, e nānā mau iā lākou no nā nīnūnū a hoʻohana i nā huahana pale nīnūnū i ʻōlelo ʻia e kāu kauka holoholona. E wehe koke i nā nīnūnū āu e ʻike ai e pale aku i ka ʻānai ʻana i nā lālā o ka ʻohana.
Pono ka nīnūnū maʻi e hoʻopili ʻia no 36 a 48 mau hola e hoʻoili ai i ka bacteria maʻi Lyme. ʻO ia ke kumu e kūpono ai ka nānā ʻana i nā nīnūnū i kēlā me kēia lā a me ka wehe koke ʻana i ka pale ʻana i ka maʻi. Inā ʻike a wehe ʻoe i ka nīnūnū i loko o 24 mau hola, he haʻahaʻa loa kou pilikia o ka loaʻa ʻana o ka maʻi Lyme, ʻoiai inā ua maʻi ka nīnūnū.
ʻAʻole, ʻaʻole hoʻolaha ʻia ka maʻi Lyme mai ke kanaka a i ke kanaka. ʻAʻole hiki iā ʻoe ke hopu mai kekahi kanaka i loaʻa ka maʻi Lyme ma o ka pilina maʻamau, ka ʻai like ʻana, a i ʻole ka pilina pili loa e like me ka honi a i ʻole ka hāpai ʻana. ʻO ke ala wale nō e loaʻa ai ka maʻi Lyme ma o ka ʻānai ʻana o ka nīnūnū maʻi.
ʻAe, hiki ke hoʻōla piha ʻia ka maʻi Lyme me ka lāʻau antibiotic kūpono, ʻoi aku hoʻi i ka wā i mālama ʻia ai i ka wā mua. Hoʻōla piha ka hapa nui o nā kānaka a ʻaʻohe hopena mau. ʻOiai nā kānaka me ka maʻi Lyme i ka wā hope loa e pane maikaʻi pinepine i ka mālama ʻana, ʻoiai paha e lōʻihi ka hoʻōla ʻana a loaʻa paha i kekahi mau hōʻailona lōʻihi no nā mahina.
E wehe koke i ka nīnūnū me ka tweezers maikaʻi. E hopu iā ia kokoke loa i kou ʻili a huki pololei i luna me kaomi paʻa. Mai wili a ʻūlū i ka nīnūnū. E hoʻomaʻemaʻe i ka wahi ʻānai me ka waiʻona a i ʻole ka wai a me ka sapona. E mālama i ka nīnūnū i loko o kahi pahu pani inā hiki, a e kelepona i kāu kauka inā loaʻa iā ʻoe kekahi mau hōʻailona i nā hebedoma e hiki mai ana.
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