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October 10, 2025
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He maʻi bacteria koʻikoʻi ka Leprosy i hana ʻia e ka Yersinia pestis, kahi mea kanu e pālahalaha nui ana ma o nā ʻiole a me nā ʻiole i maʻi. ʻOiai ʻo ka huaʻōlelo “Leprosy” paha e hoʻomanaʻo i nā maʻi maʻi kahiko, hiki ke mālama ʻia ka Leprosy o kēia manawa me nā lāʻau antibiotic hou i ka wā e hopu koke ʻia ai.
Ke kū nei kēia maʻi kahiko i nā helu liʻiliʻi ma ka honua holoʻokoʻa, me nā ʻāpana o ke Komohana ʻAmelika Hui Pū ʻIa. Ke kōkua nei ka hoʻomaopopo ʻana i ka Leprosy iā ʻoe e ʻike i nā hōʻailona koke a ʻimi i ka lapaʻau koke, kahi e alakaʻi ai i nā hopena ola maikaʻi loa i ka hapanui o nā hihia.
He maʻi bacteria ka Leprosy e hoʻopilikia i kāu mau lymph nodes, nā māmā, a i ʻole ke kahe koko ma muli o ke ʻano o ke komo ʻana o ka bacteria i loko o kou kino. ʻO ka bacteria hoʻokahi nāna i hana i nā puka ʻana o ka mōʻaukala i kēia manawa ke pane maikaʻi nei i nā lāʻau antibiotic maʻamau e like me ka streptomycin a me ka doxycycline.
He mea kakaʻikahi nā hihia Leprosy hou akā ke kū nei, me kahi 1 a 17 mau hihia i hōʻike ʻia i kēlā me kēia makahiki ma ʻAmelika Hui Pū ʻIa. ʻO ka hapanui o nā maʻi e kū ana ma nā wahi kuaʻāina o ke Komohana Hema, ʻoiai ʻo New Mexico, Arizona, a me Colorado.
Ke noho nei ka bacteria ma nā heluna o nā ʻiole hihiu e like me nā ʻiole pā, nā ʻiole honua, a me nā chipmunks. Ke maʻi nei nā fleas i ka wā e nahu ai lākou i kēia mau holoholona, a laila hiki ke hoʻoili i ka bacteria i nā kānaka ma o nā nahu flea.
Ke kū mai nei ka Leprosy i ʻekolu ʻano nui, ʻo kēlā me kēia e hoʻopilikia ana i nā ʻāpana like ʻole o kou kino. ʻO ke ʻano āu e hoʻomohala ai e pili ana i ke ʻano o ke komo ʻana o ka bacteria i kāu ʻōnaehana a me kahi e noho ai ma mua.
ʻO ka Leprosy Bubonic ka ʻano maʻamau loa, e hana ana i ka 80-95% o nā hihia a pau. Ke ulu mai ia i ka wā e nahu ai nā fleas i maʻi iā ʻoe, e hoʻokumu ana i ka bacteria e noho i loko o kāu mau lymph nodes kokoke loa. Ke pehu nei kēia mau nodes i nā ʻāpana ʻeha i kapa ʻia ʻo
Plague pneumonic e pili ana i kou mau mākū a he ʻano weliweli loa ia. Hiki iā ʻoe ke loaʻa kēia ʻano ma ke hanu ʻana i nā kulu maʻi mai ka ʻōhū ʻana o kekahi, a i ʻole ke pālahalaha ʻana o ka bacteria plague bubonic i kou mau mākū. Hoʻolaha kēia ʻano mai ke kanaka a i ke kanaka a pono e mālama koke ʻia.
Plague septicemic e kū mai ana i ka wā e hoʻonui nui ai ka bacteria ma kou kahe koko. Hiki kēia ke lilo i maʻi mua mai ka nahu ʻana o ka pulu a i ʻole ke pālahalaha ʻana o nā ʻano plague ʻē aʻe i kou kino. Me ka ʻole o ka mālama ʻana, hiki i kēia ʻano ke wikiwiki i ka weliweli o ke ola.
ʻIke pinepine ʻia nā hōʻailona o ka plague ma hope o 1 a 6 mau lā ma hope o ka hōʻike ʻana i nā pulu a i ʻole nā holoholona maʻi. ʻO ka ʻike mua e kōkua i ka hōʻoia ʻana i ka mālama koke ʻana, kahi e hoʻomaikaʻi nui ai i kou manawa ola.
E hele kākou i nā hōʻailona āu e ʻike ai me kēlā me kēia ʻano, e hoʻomanaʻo ana i ka mālama mua e alakaʻi i nā hopena maikaʻi:
ʻO nā hōʻailona o ka plague bubonic:
ʻO nā lymph nodes pehu pinepine ka hōʻailona o ka plague bubonic. ʻIke pinepine ʻia kēia mau buboes i ka wahi kokoke loa i kahi āu i nahu ʻia ai - kou ʻūhā inā nahu ʻia ma ka wāwae, kou ʻūhā inā nahu ʻia ma ka lima.
ʻO nā hōʻailona o ka plague pneumonic:
Hiki ke ulu koke ka maʻi ahulau pneumonia, a i kekahi manawa e holomua ana i loko o nā hola. ʻO ka ʻōhū a me ka pilikia o ka hanu ka mea e hoʻokaʻawale ai mai ka maʻi ahulau bubonic, ʻoiai kekahi poʻe e loaʻa ana nā ʻano ʻelua i ka manawa hoʻokahi.
ʻO nā hōʻailona o ka maʻi ahulau septicemic e komo pū ana:
Hiki ke paʻakikī ke ʻike mua i ka maʻi ahulau septicemic no ka mea ʻaʻole ia e hana mau i nā lymph nodes pehu. ʻO ke kahe koko ma lalo o kou ʻili e hana ana no ka mea e hoʻopilikia ana ka bacteria i ka hiki o ke koko ke hoʻopaʻa pono.
E ulu ana ka maʻi ahulau ke komo ka bacteria Yersinia pestis i loko o kou kino, ma o nā nahu ʻiole maʻi maʻamau. Ke holo nei kēia bacteria ma waena o nā holoholona hihiu ma nā wahi he nui o ka honua, e hana ana i ka mea a nā ʻepekema i kapa ai ʻo “enzootic cycles.”
Ke hoʻomaopopo ʻana i ke ʻano o ka hoʻolaha ʻana o ka maʻi ahulau e kōkua iā ʻoe e lawe i nā palekana kūpono, ʻoiai inā ʻoe e noho ana a i ʻole e kipa aku i nā wahi kahi e loaʻa ai ka maʻi ahulau:
Nā nahu ʻiole ka mea e hoʻoulu ai i ka nui o nā maʻi ahulau kanaka. E maʻi nā ʻiole ke hānai lākou i nā holoholona hihiu maʻi e like me nā ʻīlio prairie, nā ʻiole honua, nā ʻiole, a i ʻole nā chipmunks. Ke nahu hou aku kēia mau ʻiole maʻi i nā kānaka, hiki iā lākou ke hoʻolaha i ka bacteria ma o kā lākou saliva.
Ke hoʻopili pololei ʻana me nā holoholona maʻi hiki nō hoʻi ke hoʻolaha i ka maʻi ahulau. Hiki i nā mea hahai holoholona, nā kauka holoholona, a i ʻole nā mea nona nā holoholona ke maʻi ma o nā ʻoki a i ʻole nā kūhā ke lawelawe lākou i nā holoholona maʻi. ʻO nā holoholona make pū kekahi hiki ke noho maʻi no kekahi manawa.
Nā kulu hanu ke hohola aku nei i ka maʻi ahulau pneumonic mai ke kanaka aku i ke kanaka. I ka wā e ʻāʻī ai a i ʻūhā ai kekahi me ka maʻi ahulau pneumonic, hoʻokuʻu lākou i nā kulu wai me nā bacteria i hiki i nā poʻe ʻē aʻe ke hanu. ʻO kēia wale nō ke ʻano o ka maʻi ahulau e pālahalaha pololei ma waena o nā kānaka.
Nā ala hoʻoili maʻamau ʻole e komo pū ana ka ʻai ʻana i ka ʻiʻo ʻaʻole i kuke pono mai nā holoholona maʻi a i ʻole ka loaʻa ʻana o nā bacteria i nā ʻeha ākea. He mea maʻamau ʻole kēia mau ʻano akā hiki ke hana ma nā wahi kahi i endemic ai ka maʻi ahulau.
Ke ulu nui nei ka bacteria i nā kūlana anuanu a me ka pulu, ʻo ia ke kumu e hoʻonui pinepine ai nā hihia maʻi ahulau i nā mahina anuanu a i ʻole ma nā wahi kuahiwi. Ua hōʻemi nui ka hoʻomaʻemaʻe hou a me ka mālama ʻino i ka hoʻolaha ʻana o ka maʻi ahulau i hoʻohālikelike ʻia me nā maʻi ma mua.
Pono ʻoe e ʻimi koke i ka mālama ola inā loaʻa iā ʻoe ka maʻi wela koke, ka ʻeha poʻo nui, a me nā lymph nodes pehu, ʻoi aku hoʻi ma hope o ka hiki ke hōʻike ʻia i nā fleas a i ʻole nā iole ma nā wahi endemic plague. ʻO ka mālama mua i loko o 24 mau hola ma hope o ka hoʻomaka ʻana o nā hōʻailona e alakaʻi i nā hopena maikaʻi loa.
Mai kali inā loaʻa iā ʻoe kekahi hui o ka maʻi wela kiʻekiʻe, ka ʻeha poʻo nui, a me nā gland pehu ʻeha ma hope o ka hoʻolilo ʻana i ka manawa ma waho i nā wahi i ʻike ʻia no ka maʻi ahulau. Pono kēia mau hōʻailona i ka loiloi koke, ʻoiai inā ʻaʻole ʻoe i maopopo e pili ana i ka hōʻike ʻana.
E ʻimi koke i ka mālama pilikia inā loaʻa iā ʻoe nā hōʻailona o ka maʻi ahulau pneumonic e like me ka ʻāʻī nui me ka sputum koko, ka pilikia o ka hanu, a i ʻole ka ʻeha umauma. Ke holomua koke nei ka maʻi ahulau pneumonic a pono e mālama koke ʻia me nā lāʻau antibiotic e pale aku i nā pilikia nui.
E kelepona i kāu kauka inā ua hōʻike ʻia ʻoe i nā holoholona maʻi a make paha ma nā wahi maʻi ahulau, ʻoiai me nā hōʻailona ʻole. Hiki i kāu mea lawelawe olakino ke ʻōlelo aku i nā lāʻau antibiotic palekana ma muli o kāu pilikia hōʻike a me ka hana maʻi ahulau kūloko.
He mau kumu e hiki ai ke hoʻonui i kou manawa e hālāwai ai me nā bacteria plague. ʻO ka hoʻomaopopo ʻana i kēia mau pilikia e kōkua iā ʻoe e lawe i nā palekana kūpono me ka ʻole o ka hopohopo nui.
E hoʻonui ʻia kou pilikia ma muli o kahi āu e noho ai, hana ai, a hoʻoliʻoli ai:
Kahi honua ka mea nui loa i ka pilikia plague. Ma ʻAmelika Hui Pū ʻIa, ʻoi aku ka nui o nā hihia ma nā wahi kuaʻāina o New Mexico, Arizona, Colorado, Kaleponi, ʻOregana, a me Nevada. Ma ka honua holoʻokoʻa, loaʻa ka plague ma kekahi mau wahi o ʻApelika, ʻAsia, a me ʻAmelika Hema.
Nā hana ma waho ma nā wahi endemic e hoʻonui i ka pilikia o ka hōʻike ʻana. ʻO ka hoʻomoana, ka hele wāwae, ka hahai holoholona, a me nā hana leʻaleʻa ʻē aʻe ma waho ma nā wahi me nā holoholona liʻiliʻi ikaika e hiki ai iā ʻoe ke launa pū me nā pulu maʻi.
Ka hōʻike ʻana i ka hana e pilikia i kekahi mau ʻoihana ma mua o nā mea ʻē aʻe. ʻOi aku ka nui o nā pilikia o nā kauka holoholona, nā biologists holoholona hihiu, nā limahana kāohi pest, a me nā limahana labo e hana ana me nā holoholona a i ʻole nā laʻana bacteria.
Ka mālama ʻana i nā holoholona hiki ke hoʻonui i ka pilikia i kekahi manawa, ʻoiai inā ʻo kāu mau pōpoki e hahai i nā holoholona liʻiliʻi ma nā wahi plague. He nui ka pilikia o nā pōpoki i ka plague a hiki ke hoʻoili iā ia i nā kānaka ma o nā nahu, nā ʻūhā, a i ʻole nā kulu hanu.
Ka mālama ʻole ʻana i nā pulu a puni kou home e hana i nā manawa no ka hoʻoili ʻana. ʻOi aku ka nui o nā hihia plague ma nā wahi me nā holoholona liʻiliʻi nui a me ka mālama pest kūpono ʻole.
Nā kumu makahiki e hōʻike ana he nui iki ka pilikia o nā kānaka ma luna o 50 a me nā keiki ma lalo o 15, ʻoiai hiki i ka plague ke hoʻopilikia i kekahi ma kekahi makahiki. Hiki paha kēia ke pili i nā ʻano hana ma waho a me nā kumu ʻōnaehana pale.
ʻAʻole ʻo ia hoʻi e loaʻa iā ʻoe ka plague inā loaʻa iā ʻoe kēia mau pilikia. Miliona o nā kānaka e noho ana a hoʻoliʻoli ana ma nā wahi plague-endemic me ka ʻole o ka maʻi, ʻoi aku ka nui inā lawe lākou i nā palekana maʻamau.
ʻOiai he kūpono nā lāʻau ʻalopelo hou i ka mālama ʻana i ka maʻi ahulau ke hoʻomaka koke ʻia, hiki i ka hoʻōki ʻana o ka mālama ʻana ke alakaʻi i nā pilikia nui. ʻO ka hoʻomaopopo ʻana i kēia mau pilikia hiki ke hōʻike i ke kumu nui o ka mālama ola koke.
E nānā kākou i nā mea hiki ke hana inā ʻaʻole i mālama ʻia ka maʻi ahulau a i ʻole ke hoʻomaka koke ʻia ka mālama ʻana:
Ka haʻalulu septic hiki ke ulu i ka wā e hoʻopilikia ai nā bacteria i kou kahe koko. Hōʻemi kēia i kou kahe koko i kahi haʻahaʻa weliweli, e hōʻemi ana i ke kahe koko i nā ʻāpana koʻikoʻi o ke kino. Me ka mālama kūpono, hiki ke pale ʻia kēia pilikia i ka hapanui o nā hihia.
Ka nele o ka hanu hiki ke loaʻa me ka maʻi ahulau pneumonic, ʻoi aku hoʻi i ka wā e hoʻōki ʻia ai ka mālama ʻana. Hiki i ka maʻi ke hōʻino nui i ka ʻiʻo o nā māmā, e paʻakikī ai i kou mau māmā ke hoʻololi pono i ka oxygen a me ka carbon dioxide.
Meningitis he mea maʻamau ʻole ke hiki aku nā bacteria ahulau i nā membrane pale a puni kou lolo a me kou kīhāpai. Hana kēia i ka ʻeha poʻo nui, ka ʻāʻī paʻakikī, a me ka loli o ke kūlana noʻonoʻo e pono ai ka mālama wikiwiki a nui.
Ka hōʻino ʻana o nā ʻāpana o ke kino hiki ke hoʻopili i kou mau puʻupaʻa, ate, a i ʻole naʻau ke holo nui nā bacteria ma o kou kahe koko. ʻO ka mālama ʻana i nā lāʻau ʻalopelo koke ka mea maʻamau e pale aku ai i kēia holomua.
Make ke noho mau nei ka hiki ke make me ka maʻi ahulau i mālama ʻole ʻia, ʻoi aku hoʻi nā ʻano pneumonic a me septicemic. Eia naʻe, emi nui ka nui o ka make me ka mālama koke ʻana i nā lāʻau ʻalopelo - mai kahi ma mua o 50% me ka ʻole o ka mālama ʻana a hiki i ka emi ma mua o 5% me ka mālama kūpono koke.
Nā pilikia maʻamau ʻole e komo pū ana nā maʻi clotting koko, kahi e hiki ai ke hana i nā pilikia koko a i ʻole nā koko weliweli. Hoʻomohala kekahi poʻe i nā maʻi bacteria lua i ka wā e hakakā ai ko lākou ʻōnaehana pale i ka maʻi ahulau.
ʻO ka ʻōlelo nui ma ʻaneʻi, hiki ke pale ʻia kēia mau pilikia ma o ka ʻike mua ʻana a me ka mālama ʻana. Ua hoʻololi ka lāʻau lapaʻau hou i ka maʻi ahulau mai kahi maʻi luku nui i kahi maʻi hiki ke mālama ʻia i ka wā e hopu koke ʻia ai.
Hiki iā ʻoe ke hoʻemi nui i kou pilikia maʻi ahulau ma o nā hana palekana kūpono. Ke nānā nei kēia mau hana i ka pale ʻana i ka hoʻopili ʻana me nā pulu a me nā ʻiole maʻi, ʻaʻole i ka kaupalena ʻana i kāu mau hana ma waho.
Eia nā ala maikaʻi loa e pale aku ai iā ʻoe iho a me kou ʻohana:
E kaohi i nā pulu a puni kou home ma ka mālama ʻana i kāu mau holoholona me nā huahana pale pulu i ʻāpono ʻia e ke kauka holoholona. E mālama i kou pā hale mai nā ʻōpala kahi e hiki ai i nā ʻiole ke noho, a e noʻonoʻo i ka mālama ʻino ʻoihana inā ʻike ʻoe i ka hoʻonui ʻana o ka hana ʻiole.
E pale i ka hoʻopili pololei ʻana me nā ʻiole, ʻoi aku hoʻi nā mea maʻi a make paha. Inā pono ʻoe e lawelawe i nā holoholona make, e komo i nā mīkina lima a holoi pono i kou mau lima ma hope. Mai pā i nā ʻiole me nā lima ʻōlohelohe, ʻoiai inā ua maikaʻi lākou.
E hoʻohana i ka mea pale pepeke e komo ana i ka DEET i ka wā e noho ana ma waho i nā wahi i loaʻa ai ka maʻi ahulau. E hoʻopili i ka mea pale i ka ʻili a me nā lole i hōʻike ʻia, e hahai ana i nā kuhikuhi lepili no ka hoʻohana palekana.
E komo i nā lole pale i ka wā e hana ana ma waho i nā wahi i ʻike ʻia ka hana maʻi ahulau. ʻO nā lole lōʻihi i hoʻokomo ʻia i loko o nā calcetines a me nā kāmaʻa pani wāwae e hoʻemi i ka hōʻike ʻana o ka ʻili i nā nahu pulu.
E mālama i kou wahi hoʻomoana maʻemaʻe i ka wā e hoʻomoana ana i nā wahi maʻi ahulau. E mālama pono i ka meaʻai, e hoʻolei koke i nā ʻōpala, a e pale i ka hoʻomoana ʻana kokoke i nā lua ʻiole a i ʻole nā wahi noho.
E pale i kāu mau holoholona me ka pale pulu maʻamau a me ka nānā. Mai ʻae i nā pōpoki e hahai i nā ʻiole i nā wahi maʻi ahulau, a e ʻimi i ka mālama holoholona inā maʻi nā holoholona ma hope o ka hōʻike ʻana i ka pilikia.
E hōʻike i ka make ʻana o nā holoholona maʻamau ʻole i nā luna olakino kūloko. Hiki i ka make koke ʻana o nā ʻiole pā kula a i ʻole nā ʻiole ʻē aʻe ke hōʻike i ka maʻi ahulau ma ka wahi.
He pololei kēia mau hana palekana a ʻaʻole pono e kaupalena i kou leʻaleʻa i nā hana ma waho. ʻO ka pahuhopu, ʻo ka hoʻemi ʻana i ka pilikia ʻoiai e mālama ana i kou ola maʻamau ma nā wahi kahi i loaʻa maoli ai ka maʻi ahulau.
Hoʻomaopopo nā kauka i ka maʻi ahulau ma o nā hoʻokolohua lapaʻau i hui pū ʻia me kou mau hōʻailona a me ka mōʻaukala hōʻike. He mea nui ka hōʻoia wikiwiki no ka mea, hoʻomaikaʻi nui ka mālama ʻana i ka wā mua i nā hopena.
E hoʻomaka kāu mea lawelawe olakino ma ka nīnau ʻana e pili ana i kāu mau hana hou, huakaʻi, a me kekahi pilina me nā holoholona a i ʻole nā nīnūnū. Kōkua kēia ʻike e hoʻoholo inā pono ka hoʻokolohua maʻi ahulau a me ke ʻano o nā laʻana e hōʻiliʻili.
Hiki i nā hoʻokolohua koko ke ʻike i nā bacteria maʻi ahulau a i ʻole nā antibody i hana ʻia e kou kino ma ke ʻano he pane i ka maʻi. Hiki i kāu kauka ke kauoha i nā moʻomeheu koko e ulu i nā bacteria i loko o ka lapaʻau, kahi e lawe ai i 24-48 mau hola no nā hopena.
ʻO nā laʻana o nā lymph node ka ala pololei loa e hōʻoia ai i ka maʻi ahulau bubonic. Ma ka hoʻohana ʻana i ka nila lahilahi, hiki i nā kauka ke lawe i ka wai mai nā lymph nodes pehu e nānā ma lalo o ka microscope a hoʻokolohua no nā bacteria.
Kōkua nā hoʻokolohua sputum e hōʻoia i ka maʻi ahulau pneumonic ma ka nānā ʻana i ka mucus āu i ʻūhū ai. E ʻimi nā loea lapaʻau i nā bacteria maʻi ahulau me ka hoʻohana ʻana i nā kala kūikawā a me nā ʻano ulu.
Hiki i nā hoʻokolohua hōʻoia wikiwiki ke hāʻawi i nā hopena mua i loko o nā hola. Hoʻomaopopo kēia mau hoʻokolohua i nā antigen maʻi ahulau a i ʻole nā mea genetic, ʻoiai ke koi nei ka hōʻoia ʻana i nā ʻano ulu bacteria maʻamau.
ʻO nā hoʻokolohua holomua e komo pū ana me nā hoʻokolohua PCR (polymerase chain reaction) e hiki ke ʻike koke a pololei i ka DNA maʻi ahulau. Hiki i kekahi mau lapaʻau ke hana i kēia mau hoʻokolohua i loko o kekahi mau hola.
Hiki i kāu kauka ke hoʻomaka i ka lāʻau antibiotic ma mua o ka hoʻi ʻana mai o nā hopena o ka hoʻokolohua inā hōʻike maopoto kāu mau hōʻailona a me ka mōʻaukala hōʻike i ka maʻi ahulau. Mālama kēia ala i ka manawa waiwai a ʻaʻole ia e pilikia i ka hapa nui o nā hoʻokolohua diagnostic.
E hoʻomanaʻo ʻia he kūikawā ka hoʻokolohua maʻi ahulau a pono paha ke hoʻouna aku i nā laʻana i nā laboratories mokuʻāina a i ʻole nā laboratories federal. Hoʻonohonoho kāu haukapila kūloko i kēia kaʻina hana e hōʻoia i ka mālama pono ʻana a me nā hopena wikiwiki.
Pane maikaʻi loa ka maʻi ahulau i kekahi mau antibiotics maʻamau ke hoʻomaka koke ʻia ka lāʻau lapaʻau. ʻO ka mea nui, ʻo ka hoʻomaka ʻana o nā antibiotics i loko o 24 mau hola mai ka hoʻomaka ʻana o nā hōʻailona no nā hopena maikaʻi loa.
E hilinaʻi kāu papahana lāʻau lapaʻau i ke ʻano o ka maʻi ahulau āu i loaʻa ai a me ka hoʻomaka koke ʻana o ka lāʻau lapaʻau:
Streptomycin ke kūlana gula antibiotic no ka lāʻau lapaʻau maʻi ahulau. Hāʻawi ʻia ma ke ʻano he inikini i loko o kou ʻiʻo, pepehi maikaʻi ia i nā bacteria maʻi ahulau a he mau makahiki o ka holomua i hōʻoia ʻia. Loaʻa i ka hapa nui o nā kānaka kēia antibiotic no 7-10 mau lā.
Gentamicin he koho ʻē aʻe ke ʻole ka streptomycin. Hāʻawi ʻia kēia antibiotic ma ke ʻano intravenous a hana like ia me ka streptomycin me nā helu kūpono like.
Hiki ke lawe ʻia ʻo Doxycycline ma ka waha, e hoʻolilo ia i mea pono no nā hihia emi iki a i ʻole ke ʻole nā antibiotics inikini. Hiki i kāu kauka ke kuhikuhi i kēia no 10-14 mau lā, a hoʻohana pinepine ʻia no ka pale ʻana i ka maʻi ahulau ma hope o ka hōʻike ʻana.
Ciprofloxacin kekahi koho waha ʻē aʻe e hana maikaʻi ana i nā bacteria maʻi ahulau. He mea pono loa ia no nā kānaka ʻaʻole hiki ke lawe i ka doxycycline ma muli o nā allergies a i ʻole nā lāʻau ʻē aʻe.
Hiki ke koho ʻia ʻo Chloramphenicol no ka maʻi ahulau meningitis no ka mea komo maikaʻi ia i loko o ka pūnaewele lolo. Eia naʻe, mālama nā kauka i kēia antibiotic no nā kūlana kūikawā ma muli o nā hopena ʻaoʻao.
Lapaʻau hui i hoʻohana ʻia i kekahi manawa no nā hihia koʻikoʻi, ʻoiai ka maʻi ahulau pneumonic a i ʻole septicemic. Hiki i kāu kauka ke kuhikuhi i ʻelua antibiotics i hui pū ʻia e hōʻoia i ka mālama ʻana i ka hopena maikaʻi loa.
ʻOi aku ka maikaʻi o ka manaʻo o ka hapanui o nā kānaka i loko o 2-3 mau lā ma hope o ka hoʻomaka ʻana o nā antibiotics. Hoʻomaha maʻamau ka mahana i loko o 48 mau hola, a emi mālie nā lymph nodes i ʻūlū ʻia i loko o kekahi mau lā a mau pule.
Inā loaʻa iā ʻoe ka maʻi ahulau pneumonic, pono paha ʻoe e hoʻokaʻawale ʻia no nā hola 48 mua o ka mālama ʻana e pale aku i ka hoʻolaha ʻana i ka maʻi i nā poʻe ʻē aʻe. Ma hope o kēia manawa, ʻaʻole ʻoe e hoʻolaha hou.
ʻO ka mālama home no ka maʻi ahulau ke kākoʻo i kou ola hou ʻana i ka lawe ʻana i nā antibiotics i kuhikuhi ʻia. Mai ho'āʻo e mālama i ka maʻi ahulau me nā lāʻau home wale nō - pono nā antibiotics no ke ola.
Eia pehea ʻoe e kākoʻo ai i kou ola hou ʻana me ka mālama lapaʻau:
E hoʻomaha loa i ka wā o ka maʻi ʻino. Pono kou kino i ka ikehu e hakakā i ka maʻi, no laila e pale aku i ka hana, ka hoʻoikaika kino, a me nā hana pono ʻole a hiki i kāu kauka ke hoʻomaʻemaʻe iā ʻoe.
E inu wai nui ma ka inu ʻana i ka wai maopopo e like me ka wai, ka wai ʻai, a i ʻole nā wai electrolyte. Hiki i ka mahana a me ka hou ʻana ke alakaʻi i ka nele o ka wai, ka mea e hoʻolohi ai i kou ola hou ʻana.
E mālama i ka mahana me ka acetaminophen a i ʻole ibuprofen e like me ke kuhikuhi a kāu mea mālama ola. Mai ho'āʻo e kāohi loa i ka mahana, ʻoiai ke kōkua nei ia i kou ʻōnaehana pale e hakakā i ka maʻi.
E hoʻopili i nā compresses mahana i nā lymph nodes i ʻūlū ʻia e hoʻoluʻolu i ka ʻoluʻolu ʻole. E hoʻohana i ka lole holoi maʻemaʻe a mehana no 10-15 mau minuke i nā manawa he nui i kēlā me kēia lā. Mai ho'āʻo e hoʻokahe a i ʻole e hoʻopili i nā nodes i ʻūlū ʻia.
E ʻai i nā meaʻai māmā a me ka meaʻai ke manaʻo ʻoe e hiki. E nānā i nā koho maʻalahi e ʻai ʻia e like me ka soup, nā crackers, a i ʻole ka berena palaoa. Mai hopohopo inā he emi kou makemake i ka meaʻai i ka hoʻomaka - e hoʻi mai ia i kou ola hou ʻana.
E lawe pono i nā lāʻau antibiotic e like me ke kauoha ʻia ʻoiai inā hoʻomaka ʻoe e ʻoluʻolu. Hiki i ka hoʻōki ʻana i nā lāʻau antibiotic ma mua ke ʻae i ka hoʻi ʻana mai o nā bacteria a me ka hoʻomohala ʻana paha i ka pale ʻana.
E nānā i kou mau hōʻailona a kelepona aku i kāu kauka inā loaʻa iā ʻoe nā pilikia hou e like me ka pilikia o ka hanu ʻana, ka ʻeha poʻo nui, a i ʻole ka ʻeha o nā lymph node e ʻoi aku ka ʻino.
E hoʻokaʻawale pono inā loaʻa iā ʻoe ka maʻi ahulau pneumonic. E noho ma ka home a kau i ka pale maka i ka wā e pili ana i nā lālā o kou ʻohana a hiki i kāu kauka ke hōʻoia ʻaʻole ʻoe e hoʻolaha hou.
E hoʻomanaʻo ʻo ka mālama home ke kākoʻo akā ʻaʻole loa e pani i ka mālama lapaʻau kūpono. ʻO kāu mau lāʻau antibiotic i kauoha ʻia e hana ana i ka hana nui i ka hakakā ʻana i ka maʻi.
ʻO ka hoʻomākaukau ʻana no kāu ʻaha kūkā e kōkua i kāu kauka e loiloi koke inā loaʻa paha iā ʻoe ka maʻi ahulau a hoʻomaka i ka mālama kūpono. E hele mai me ka ʻike kikoʻī e pili ana i kou mau hōʻailona a me nā hana hou.
Ma mua o kāu ʻaha kūkā, e kākau i nā kikoʻī nui e kōkua i kāu mea lawelawe ola kino:
E palapala i kou mau hōʻailona me ka hoʻokomo ʻana i ka manawa i hoʻomaka ai lākou, pehea ka nui o ko lākou ʻino, a inā e ʻoi aku ka ʻino. E hoʻomaopopo i kou mahana inā ua nānā ʻoe, a wehewehe i nā wahi pehu ma kou kino.
E papa inoa i nā hana hou mai nā pule ʻelua i hala, ʻoiai nā hana ma waho, ka huakaʻi ʻana i nā wahi kuahiwi, ka hoʻopili ʻana me nā holoholona, a i ʻole nā ʻoki ʻoki. E komo pū me ka hoʻomoana, ka hele wāwae, ka hahai holoholona, a i ʻole ka hana ʻana a puni nā holoholona.
E hoʻomaopopo i ka hoʻopili ʻana me nā holoholona me nā holoholona hale, nā holoholona hihiu, nā holoholona mahiʻai, a i ʻole nā holoholona make āu i hālāwai ai. E haʻi inā maʻi kāu mau holoholona a i ʻole inā ua ʻike ʻoe i ka hoʻonui ʻana o ka hana o nā rodents a puni kou home.
E lawe mai i ka ʻike lāʻau lapaʻau me nā lāʻau lapaʻau āpau, nā lāʻau lapaʻau ma luna o ka counter, a me nā mea hoʻohui āu e lawe nei i kēia manawa. Hiki i kekahi mau lāʻau lapaʻau ke hoʻopilikia i nā koho antibiotic.
E papa inoa i nā mea ʻona i nā lāʻau lapaʻau, ʻoi aku hoʻi nā lāʻau antibiotika, no ka mea, e hoʻopilikia kēia i nā koho mālama. E hoʻokomo i nā pane ma mua i nā lāʻau lapaʻau, ʻoiai nā mea māmā.
E hoʻomākaukau i nā nīnau e pili ana i kou kūlana, nā koho mālama, ka manawa hoʻōla, a me nā palekana no nā lālā o ka ʻohana. E kākau i kēia i ʻole ʻoe e poina i ka wā o ka hālāwai.
E lawe mai i ka ʻike inikua a me ka hōʻoia ʻana, no ka mea, hiki i ka mālama ʻana i ka maʻi ahulau ke koi i ka hoʻokomo halemai a i ʻole nā hoʻokolohua hale hana kūikawā.
Inā maʻi loa ʻoe, e loaʻa i kekahi ke hoʻokele iā ʻoe i ka hālāwai a i ʻole e noʻonoʻo e hele i kahi lumi pilikia ma kahi. Hiki i ka maʻi ahulau ke holomua koke, a ʻo nā hōʻailona koʻikoʻi e pono ai ka loiloi koke.
I ka wā o ka hālāwai, e ʻoiaʻiʻo loa e pili ana i kāu mau hana a me nā hōʻailona. Pono kāu kauka i ka ʻike pololei e hana i ka ʻike pololei a me nā hoʻoholo mālama.
He maʻi bacteria koʻikoʻi akā hiki ke mālama ʻia ka maʻi ahulau ke hopu ʻia i ka wā mua. ʻOiai paha ke kani ʻino ka inoa ma muli o nā pilina mōʻaukala, hoʻōla maikaʻi nā lāʻau antibiotika hou i ka maʻi ahulau i ka hapa nui o nā hihia.
ʻO ka mea nui loa e hoʻomanaʻo ai, ʻo ka mālama mua ka mea nui loa. Inā loaʻa iā ʻoe ka mahana koke, ka ʻeha poʻo nui, a me nā lymph nodes pehu ma hope o ka hōʻike ʻana i nā ʻumiʻumi a i ʻole nā iole ma nā wahi maʻi ahulau, e ʻimi koke i ka mālama lapaʻau.
Mai hoʻokuʻu i ka makaʻu i ka maʻi ahulau e pale aku iā ʻoe mai ka leʻaleʻa ʻana i nā hana ma waho i nā wahi i hoʻopilikia ʻia. Hoʻemi nui nā palekana maʻalahi e like me ka hoʻohana ʻana i ka mea pale ʻumiʻumi, ka kaohi ʻana i nā ʻumiʻumi ma nā holoholona hale, a me ka pale ʻana i ka hoʻopili ʻana me nā rodents hihiu i kou pilikia.
Ua hoʻololi ka lāʻau lapaʻau hou i ka maʻi ahulau mai kahi maʻi luku nui i ka mōʻaukala i kahi maʻi hiki ke mālama ʻia. Me ka ʻike koke a me ka mālama kūpono ʻana i nā lāʻau antibiotika, e ola piha nā kānaka a hoʻi i ko lākou ola maʻamau.
E mālama pono ʻoe i ka ʻike e pili ana i ka maʻi ahulau ma kou wahi ma o nā keʻena olakino kūloko, akā e hoʻomanaʻo he mau hihia wale nō kēia. E kau i ka manaʻo ma nā hana palekana maʻamau a e ʻimi koke i ka mālama lapaʻau inā ulu nā hōʻailona pilikia.
ʻO ka maʻi ahulau pneumonic wale nō ka mea e pālahalaha aku ai mai ke kanaka a i ke kanaka ma o nā kulu hanu ke kikī a i ʻole ke ʻūhū kekahi. ʻAʻole pālahalaha pololei nā maʻi ahulau bubonic a me septicemic ma waena o nā kānaka. Inā loaʻa i kekahi i loko o kou hale ka maʻi ahulau pneumonic, pono lākou e hoʻokaʻawale ʻia no nā hola 48 mua o ka lāʻau antibiotic.
ʻAe, ke loaʻa nei ka maʻi ahulau ma ka honua holoʻokoʻa me kahi 1,000 a 3,000 mau hihia i hōʻike ʻia ma ka honua holoʻokoʻa i kēlā me kēia makahiki. Ma ʻAmelika Hui Pū ʻIa, he 1 a 17 mau hihia maʻamau i kēlā me kēia makahiki, ʻoi aku ka nui ma nā wahi kuaʻāina o ke Komohana Hema. Ke noho mau nei ka bacteria i loko o nā holoholona hihiu a ʻaʻole i hoʻopau ʻia.
Hiki i ka maʻi ahulau bubonic i mālama ʻole ʻia ke holomua i ka make i loko o 2-6 mau lā, ʻoiai hiki i ka maʻi ahulau pneumonic ke make i loko o 18-24 mau hola me ka ʻole o nā antibiotics. Eia naʻe, me ka mālama antibiotic koke, hāʻule nā helu make i lalo o 5%. Ke hōʻike nui nei kēia ʻokoʻa nui i ke kumu nui o ka mālama ʻana i ka wā mua.
ʻAe, ʻoi aku ka maʻalahi o nā pōpoki i ka maʻi ahulau a hiki ke hoʻoili aku i nā kānaka ma o nā ʻoki, nā ʻūhā, a i ʻole nā kulu hanu inā loaʻa iā lākou ka maʻi ahulau pneumonic…
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