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October 10, 2025
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ʻO ka maʻi awāwa he maʻi hanu ia i hoʻokumu ʻia e ka hanu ʻana i nā spore fungal liʻiliʻi e noho ana i ka lepo o ka wao nahele. ʻO ka hapa nui o nā kānaka i loaʻa iā lākou ka maʻi awāwa e loaʻa iā lākou nā hōʻailona like me ka maʻi ʻeha, nā mea ʻoluʻolu e hoʻomaʻemaʻe iā lākou iho i loko o nā pule a i ʻole mau mahina. ʻOiai he mea weliweli ke kani, he maʻalahi loa kēia maʻi e mālama, a nui nā kānaka e ola piha me ka ʻole o ka lāʻau lapaʻau.
ʻO ka maʻi awāwa he maʻi ia i hoʻokumu ʻia e ka fungus i kapa ʻia ʻo Coccidioides e ulu maoli ana i nā lepo o ka wao nahele. Ke hoʻoneʻe ʻia ka lepo e ka makani, ka hana kūkulu, a i ʻole ka mahiʻai, e hoʻokuʻu ka fungus i nā spore microscopic i ka lewa e hiki iā ʻoe ke hanu pono ʻole.
ʻO ka maʻi nui e pili ana i kou mau māmā, e like me ka pneumonia. ʻO kāu ʻōnaehana pale kino e hakakā pinepine i ka maʻi ma kona iho, ʻo ia ke kumu o ka nui o nā hihia he māmā. ʻO ka inoa ʻo
Hoʻomohala kekahi poʻe i ka ʻili kūikawā me nā puʻupuʻu ʻulaʻula a ʻeha hoʻi ma ko lākou mau wāwae a i ʻole ka ʻili ʻulaʻula, lacy ma ko lākou umauma a me ke kua. ʻO kēia ʻili, i kapa ʻia ʻo
ʻOi aku ka ikaika o ka fungus i nā manawa maloʻo ma hope o ka ua, kahi e kōkua ai i ka ulu ʻana a laila hoʻokuʻu i nā spores i ka wā e maloʻo hou ai ka lepo. ʻO ka holo ʻana me nā puka makani i wehe ʻia ma nā wahi lepo, hiki ke hoʻolaha iā ʻoe i nā spores.
ʻOi aku ka maʻamau o ka maʻi Valley fever ma ke komohana hema o ʻAmelika Hui Pū ʻIa, ʻo Arizona a me Central Valley o Kaleponi ke kumu nui. Loaʻa nō hoʻi ia ma kekahi mau wahi o Nevada, New Mexico, Utah, Texas, a me kekahi mau wahi o Mekiko a me Central America.
Pono ʻoe e kelepona i kāu mea mālama ola inā loaʻa iā ʻoe nā hōʻailona like me ka maʻi flu e lōʻihi ana ma mua o hoʻokahi pule, ʻoi aku inā ʻoe e noho ana a i ʻole ua hele aku nei i nā wahi kahi i maʻamau ai ka Valley fever. Hiki i ka ʻike mua ke kōkua i ka pale ʻana i nā pilikia a hōʻoia i ka loaʻa ʻana o ka mālama kūpono.
E ʻimi koke i ka mālama lapaʻau inā ʻike ʻoe i:
Inā nāwaliwali kou ʻōnaehana pale kino ma muli o nā lāʻau lapaʻau, nā kūlana olakino, a i ʻole ka hāpai ʻana, he mea nui loa ia e ʻike i ke kauka i ka wā mua. ʻOi aku ka nui o ka pilikia o nā kānaka me nā ʻōnaehana pale kino i hoʻohaʻahaʻa ʻia e loaʻa i nā pilikia koʻikoʻi mai ka Valley fever.
Hiki i kekahi ke loaʻa i ka Valley fever inā hōʻike ʻia lākou i nā spores fungal, akā hiki i kekahi mau mea ke hoʻonui i kou pilikia o ka maʻi a i ʻole ka loaʻa ʻana o nā hōʻailona ʻoi aku ka nui. Hiki i ka hoʻomaopopo ʻana i kēia mau kumu pilikia ke kōkua iā ʻoe e lawe i nā palekana kūpono.
ʻO nā kumu pilikia o ka honua a me ke kaiapuni e komo pū ana:
ʻO kekahi mau hui o nā kānaka e kū i nā pilikia kiʻekiʻe no ka maʻi ʻāina hohonu:
ʻAʻole maopopo loa ka hoʻonui ʻana o ka pilikia i kekahi mau lāhui, akā ua like ia me nā kumu genetic e hoʻopilikia ai i ke ʻano o ka ʻōnaehana pale kino i ka fungus. ʻAʻole kēia manaʻo e maʻi maoli ʻoe, akā ʻo ia hoʻi e pono ʻoe e makaʻala nui e pili ana i ka hōʻike ʻana a ʻimi i ka mālama lapaʻau koke inā ulu nā hōʻailona.
ʻOiai ke ola hou ka hapa nui o nā kānaka mai ka maʻi ʻāina hohonu me ka ʻole o nā pilikia mau loa, hiki ke loaʻa nā pilikia ma kahi o 5-10% o nā hihia. ʻOi aku ka nui o kēia mau pilikia inā loaʻa iā ʻoe nā kumu pilikia a i ʻole inā ʻaʻole i ʻike ʻia ka maʻi a mālama ʻia me ka kūpono.
ʻO nā pilikia maʻamau loa e pili ana i ka hoʻolaha ʻana o ka maʻi ma mua o kou māmā:
ʻO ka maʻi awāwa i hoʻolaha ʻia ka pilikia koʻikoʻi loa, e loaʻa ana ma lalo o ka 1% o nā hihia. Eia kēia ke pālahalaha ka fungus ma o kou kahe koko i nā ʻōnaehana ʻē aʻe. ʻOi aku ka nui o ka pilikia o kēia pilikia i nā kānaka me nā ʻōnaehana pale kino nāwaliwali, nā wahine hāpai, a me kekahi mau hui lāhui.
ʻO ka ʻoiaʻiʻo maikaʻi, ʻoiai kēia mau pilikia koʻikoʻi, hiki ke mālama ʻia me nā lāʻau antifungal. Hōʻemi nui ka ʻike mua ʻana a me ka mālama ʻana i ka pilikia o nā pilikia a hoʻomaikaʻi i nā hopena.
He mea paʻakikī ka pale piha ʻana i ka maʻi awāwa no ka mea aia nā spore fungal ma ke ʻano maoli i nā wahi wao nahele. Eia naʻe, hiki iā ʻoe ke hōʻemi nui i kou pilikia ma ka lawe ʻana i nā palekana kūpono, ʻoiai inā ʻoe e noho ana a i ʻole e kipa aku i nā wahi kahi i maʻamau ai ka maʻi awāwa.
Eia nā ala maikaʻi loa e pale aku ai iā ʻoe iho:
Inā hana ʻoe ma ke kūkulu hale, mahiʻai, a i ʻole ka ʻepekema kahiko ma nā wahi i pilikia, e kamaʻilio me kāu haku hana e pili ana i nā hana palekana hou aku. Hiki paha kēia ke hoʻolako i ka palekana hanu kūpono, hoʻonohonoho i ka hana e pale aku i nā kūlana lepo, a i ʻole ka hoʻohana ʻana i ka wai e kaohi i ka lepo.
Pono nā kānaka i ka pilikia nui no ka maʻi ʻāina hohonu e makaʻala loa e pili ana i ka hōʻike ʻia. Inā loaʻa iā ʻoe kahi ʻōnaehana pale ʻole a i ʻole nā kumu pilikia ʻē aʻe, e kūkākūkā i nā hoʻolālā pale me kāu mea lawelawe ola.
Hiki ke paʻakikī ka ʻike ʻana i ka maʻi ʻāina hohonu no ka mea ua like loa kona mau hōʻailona me nā maʻi hanu ʻē aʻe e like me ka pneumonia a i ʻole ka maʻi flu. E noʻonoʻo kāu kauka i kāu mau hōʻailona, kahi āu e noho ai a i ʻole i hele ai, a me kāu mau kumu pilikia e hoʻoholo ai inā pono ka hoʻokolohua maʻi ʻāina hohonu.
Hoʻomaka maʻamau ke kaʻina hana ʻike ʻana me kāu moʻolelo lapaʻau a me ka nānā kino. E nīnau kāu kauka e pili ana i ka huakaʻi hou i nā wahi kahi i maʻamau ai ka maʻi ʻāina hohonu, nā hana ma waho, a me kekahi hōʻike ʻia i ka lepo a i nā wahi kūkulu hale.
Hiki i kekahi mau hoʻokolohua ke kōkua i ka hōʻoia ʻana i ka maʻi ʻāina hohonu:
ʻO nā hoʻokolohua koko ka ala maʻamau e ʻike ai i ka maʻi ʻāina hohonu. E ʻimi kēia mau hoʻokolohua i nā antibodies kūikawā āu e hana ai ke kaua nei i ka maʻi. Hiki ke hala kekahi mau pule ma hope o ka hōʻike ʻia ʻana no nā antibodies e hōʻike mai, no laila hiki i kāu kauka ke hana hou i ka hoʻokolohua inā he maikaʻi ʻole ka mea mua akā ke hoʻomau nei nā hōʻailona.
He mea nui ka loaʻa ʻana o kahi ʻike kūpono no ka mea, ʻokoʻa ke ʻano o ka mālama ʻana i ka maʻi kokolo ʻāina mai ka mālama ʻana i ka maʻi pneumonia bacteria. ʻAʻole kōkua nā lāʻau antibiotic i ka maʻi kokolo ʻāina no ka mea, he fungus ka mea e hoʻoulu ai, ʻaʻole bacteria.
ʻO ka mea maikaʻi e pili ana i ka maʻi kokolo ʻāina, ʻoi aku ka nui o nā kānaka e ola hou me ka ʻole o ka mālama ʻana. Maʻamau ka hoʻopau ʻana o kou ʻōnaehana pale i ka maʻi ma kona iho, a hoʻomaikaʻi mālie nā hōʻailona i nā hebedoma a i nā mahina.
No nā hihia māmā, kaukaʻi ka mālama ʻana i ka hoʻokele ʻana i nā hōʻailona i ka wā e ho'ōla ai kou kino:
Kuhikuhi ʻia nā lāʻau antifungal no nā kānaka me nā hōʻailona koʻikoʻi, nā pilikia kiʻekiʻe, a i ʻole nā pilikia. ʻO nā lāʻau antifungal i hoʻohana pinepine ʻia, ʻo ia nā fluconazole, itraconazole, a me amphotericin B no nā hihia koʻikoʻi loa.
Hiki i kāu kauka ke ʻōlelo aku i ka mālama ʻana i ka antifungal inā ʻoe:
ʻO ka mālama ʻana i ka antifungal maʻamau he 3 a 6 mau mahina no nā hihia maʻalahi ʻole, akā hiki ke hoʻomau no nā makahiki inā ua pālahalaha ka maʻi. E nānā kāu kauka i kou holomua me nā nānā maʻamau a me nā hoʻokolohua koko e hōʻoia i ka hana maikaʻi ʻana o ka lāʻau.
ʻO ka mālama pono ʻana iā ʻoe iho ma ka home he mea nui loa ia i kou ola hou ʻana mai ka maʻi kokolo. ʻOiai ke paio nei kou kino i ka maʻi, aia kekahi mau mea hiki iā ʻoe ke hana e ʻoluʻolu ai a kākoʻo i kāu kaʻina hoʻōla.
E hoʻomaʻamaʻa i ka loaʻa ʻana o ka hoʻomaha nui a me ka wai nui. Pono kāu kino i ka ikehu hou e paio ai i ka maʻi, no laila mai hoʻoikaika iā ʻoe iho e mālama i kāu pae hana maʻamau. E inu wai, kī wai ʻala, a i ʻole nā wai ʻala mahana e noho wai a kōkua i ka hoʻohilahila ʻana i ka mucus i loko o kou māmā.
No ka hoʻokele pono ʻana i kāu mau hōʻailona:
E nānā pono i kāu mau hōʻailona a mālama i nā loli. ʻIke ka hapa nui o nā kānaka i ka hoʻomaikaʻi mālie ma luna o kekahi mau pule, ʻoiai hiki ke lōʻihi ka luhi a me ka ʻōhū no nā mahina. Inā ʻino kāu mau hōʻailona a i ʻole e loaʻa iā ʻoe nā hōʻailona hou e hopohopo ai, e hoʻokaʻaʻike koke i kāu mea lawelawe olakino.
E hoʻomanaʻo he lohi ka hoʻōla ʻana mai ka maʻi kokolo, a he mea maʻamau ke luhi no nā pule a i ʻole nā mahina ma hope o ka hoʻomaikaʻi ʻana o nā hōʻailona ʻē aʻe. E hoʻomanawanui iā ʻoe iho a mai wikiwiki i nā hana ikaika a hiki i kou ʻike ʻana i ka ikaika.
Hiki i ka hoʻomākaukau ʻana no kāu ʻaha kūkā kauka ke kōkua i ka hōʻoia ʻana e loaʻa iā ʻoe ka hōʻailona pololei loa a me ka mālama kūpono no kāu mau hōʻailona. ʻO ka loaʻa ʻana o ka ʻike kūpono e mākaukau ana e kōkua i kāu kauka e hoʻoholo inā pono ka hoʻokolohua maʻi kokolo.
Ma mua o kou hale hālāwai, e kākau i kāu mau hōʻailona a me ka manawa i hoʻomaka ai. E hoʻokomo i nā kikoʻī e pili ana i ka nui, ka mea e hoʻomaikaʻi ai a ʻoi aku ka maikaʻi, a me nā ʻano āu i ʻike ai. Kūleʻa kēia ʻike i kāu kauka e hoʻomaopopo maikaʻi i kou kūlana.
E hōʻiliʻili i nā ʻike koʻikoʻi e kaʻana like me kāu kauka:
E kākau i nā nīnau āu e makemake ai e nīnau, e like me ka pono o ka ho'āʻo ʻana no ka maʻi ʻāina, nā koho mālama i loaʻa, a me ka manawa āu e manaʻo ai e ʻoi aku ka maikaʻi. Mai kānalua e nīnau e pili ana i kekahi mea e hopohopo ai ʻoe.
E lawe mai i ka papa inoa o nā lāʻau āpau āu e lawe nei, me nā lāʻau lapaʻau ma luna o ka pākaukau a me nā mea hoʻohui. Inā loaʻa iā ʻoe kekahi mau X-ray umauma ma mua a i ʻole nā moʻolelo lapaʻau e pili ana i kāu mau hōʻailona i kēia manawa, e lawe mai i kēlā mau mea pū kekahi.
ʻO ka maʻi ʻāina kahi maʻi maʻamau akā hiki ke mālama ʻia i ka mākala e pili ana i nā poʻe e noho ana a i ʻole e kipa aku ana i nā wahi wao nahele o ka ʻākau komohana o ʻAmelika Hui Pū ʻIa. ʻOiai ke kani nui paha ka inoa, nui nā poʻe i loaʻa i ka maʻi ʻāina e ola piha me ka ʻole o ka mālama kūikawā.
ʻO ka mea nui loa e hoʻomanaʻo ai, ʻo nā hōʻailona o ka maʻi ʻāina he like loa me ka maʻi flu a i ʻole ka pneumonia, no laila he maʻalahi ke nalo i ka ʻike. Inā loaʻa iā ʻoe nā hōʻailona hanu mau a noho a i ʻole hele i nā wahi kahi i maʻamau ai ka maʻi ʻāina, e haʻi aku i kāu mea lawelawe ola.
Hiki ke pale aku i nā pilikia a me ka wikiwiki ʻana o ka maikaʻi ʻana ma o ka ʻike mua ʻana a me ka mālama kūpono. ʻO ka hapa nui o nā kānaka me ka maʻi kokolo ʻāina e ola mau ana i ke ola maʻamau a olakino. Me nā palekana kūpono, hiki iā ʻoe ke hoʻemi nui i kou pilikia o ka hoʻopili ʻia ʻana ʻoiai e hauʻoli ana i nā hana ma waho i nā wahi wao nahele nani.
Inā ʻoi aku kou pilikia no ka maʻi kokolo ʻāina koʻikoʻi ma muli o kou makahiki, nā kūlana olakino, a i ʻole ka lāhui, e hana pū me kāu mea lawelawe olakino e hoʻomohala i kahi hoʻolālā no ka pale ʻana a me ka mālama mua inā loaʻa ka hoʻopili ʻana.
ʻAe, akā he mea maʻamau ʻole ia. ʻO ka hapa nui o nā kānaka e loaʻa ka palekana ma hope o kā lākou maʻi mua, ka mea e pale aku ai iā lākou mai ka loaʻa hou ʻana o ka maʻi kokolo ʻāina. Eia naʻe, hiki i nā kānaka me nā ʻōnaehana pale ʻole i nāwaliwali loa ke pilikia i ka maʻi hou. ʻO ka palekana āu e loaʻa ai he lōʻihi mau ia a hāʻawi i ka palekana ikaika e kūʻē i ka hoʻopili ʻana i ka fungus i ka wā e hiki mai ana.
ʻO ka maʻi kokolo ʻāina māmā e mau ana ma kahi o 2 a 6 mau pule, ʻoiai hiki ke hoʻomau ka luhi a me ka ʻōhū no kekahi mau mahina. ʻO ka hapa nui o nā kānaka e hoʻomaka e maikaʻi i loko o nā pule mua, akā hiki i ka hoʻōla piha ke lawe i 3 a 6 mau mahina. Hiki i nā kānaka me nā hihia koʻikoʻi a i ʻole nā pilikia ke pono i ka mālama no nā mahina a i ʻole nā makahiki, akā he mea maʻamau ʻole kēia.
ʻAʻole, ʻaʻole hiki i ka maʻi kokolo ʻāina ke pālahalaha mai ke kanaka a i ke kanaka ma o ka ʻōhū, ka ʻūhū, a i ʻole ka pilina pili kokoke. Hiki iā ʻoe ke loaʻa wale i ka maʻi kokolo ʻāina ma o ka hanu ʻana i nā spores fungal mai ka lepo haumia. ʻO ia hoʻi, ʻaʻole pono ʻoe e hopohopo e pili ana i ka hopu ʻana mai nā lālā ʻohana a i ʻole nā hoa hana i loaʻa ka maʻi.
ʻAe, hiki i nā ʻīlio a me nā pōpoki ke loaʻa ka maʻi ʻāina o ke awāwa e like me ke ʻano o nā kānaka - ma o ka hanu ʻana i nā spore fungal mai ka lepo. He mea maʻalahi loa nā ʻīlio a hiki iā lākou ke loaʻa nā hōʻailona like me nā kānaka, me ka ʻōhū, ka maʻi wela, a me ka luhi. Inā ʻoe e noho ana ma kahi i maʻamau ai ka maʻi ʻāina o ke awāwa a loaʻa i kāu holoholona nā hōʻailona hanu, e kamaʻilio me kāu kauka holoholona e pili ana i ka hoʻokolohua.
ʻAʻole pono ka hapa nui o nā kānaka ke pale aku i ka hele ʻana i nā wahi kahi i loaʻa ai ka maʻi ʻāina o ke awāwa. Miliona o nā kānaka e noho ana a kipa aku i kēia mau wahi me ka ʻole o ka maʻi. Eia naʻe, inā he ʻōnaehana pale kino i hoʻohaʻahaʻa nui ʻia kāu a i ʻole nā kumu pilikia kiʻekiʻe ʻē aʻe, e kūkākūkā i nā palekana huakaʻi me kāu mea lawelawe ola kino. Hiki i nā palekana maʻalahi e like me ka noho ʻana i loko o ka hale i ka wā o nā makani lepo ke hōʻemi nui i kou pilikia.
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