Ehrlichiosis Me Te Anaplasmosis

Ko te ehrlichiosis me te anaplasmosis he mate rite te tikanga e kawehia ana e te kutu, e puta ai nga tohu rite ki te mate huka, tae atu ki te kirika, te mamae o te uaua me te mamae o te mahunga. Ka puta ngā tohu me ngā tohu o te ehrlichiosis me te anaplasmosis i roto i ngā rā 14 i muri i te ngau a te kutu. Ki te āwhina wawetia ki ngā rongoa mate huaketo e tika ana, ka ora pea koe i roto i ngā rā torutoru. Ki te kore e āwhina te ehrlichiosis me te anaplasmosis, ka taea te puta mai o ngā raruraru nui, ā, ka mate pea. Ko te huarahi pai ki te aukati i ēnei mate ko te karo i te ngau a te kutu. Ko ngā mea whakakore kutu, te tirotiro tika i te tinana i muri i te noho i waho, me te tango tika i ngā kutu ko ō parekura pai ki ēnei mate e kawehia ana e te kutu.

Ko ngā tohu me ngā pūāhua o te ehrlichiosis me te anaplasmosis te nuinga o te wā he rite, ahakoa he tino kino ake te tikanga i te ehrlichiosis. Ko ngā tohu o te ehrlichiosis me te anaplasmosis, e rereke ana te āhua mai i te tangata ki te tangata, e whai ake nei:

• Kirika o te pāmahana
• Te wiri
• Te mamae o te mahunga
• Ngā mamae o ngā uaua, o ngā uaua rānei
• Te āhua whānui o te kore pai
• Te mamae o ngā hononga
• Te ruaki
• Te ruaki
• Te korere
• Te ngaro o te hiahia kai

Ko ētahi atu tohu me ngā pūāhua e hono ana ki te ehrlichiosis engari he iti noa iho te anaplasmosis e whai ake nei:

• Te whakapohehe, te rerekētanga rānei o te hinengaro
• Te pupuhi

Ka taea e ētahi tangata te pangia, kaua hoki e whanake i ngā tohu.

Ko te wā mai i te ngau kia puta mai ngā tohu me ngā pūāhua ko te rima ki te whā tekau mā whā rā pea. Ki te puta tētahi o ngā tohu, o ngā pūāhua rānei i muri i te ngau a te nakahi, i muri rānei i te tūponotanga pea ki ngā nakahi, tirohia tō tākuta.

Ko te titi Lone Star wahine pakeke e whakaatu ana i te tohu tohu ma i runga i tona tuara, a ka taea te nui ki te 1/3 o te inihi i mua i te whāngai.

Ko te titi hāere (Ixodes scapularis) e haere ana i ngā kaupae ora e toru. Kei te whakaaturia mai i te maui ki te matau ko te wahine pakeke, te tane pakeke, te nymph me te larva i runga i te pākahiko henimita.

Ko te Ehrlichiosis me te anaplasmosis i puta mai i ngā pūngao rerekē.

Ko te Ehrlichiosis i puta mai i ngā momo pūngao ehrlichia rerekē. Ko te titi Lone Star—kei te tonga-waenganui, te tonga-māuru me ngā kawanatanga takutai māuru—te kaipupuri matua o ngā pūngao e pā ana ki te ehrlichiosis. Ko ngā titi waewae pango, e kiia ana ko ngā titi hāere, i te Waenganui-Raki he iti ake te kawe.

Anaplasmosis i puta mai i te pūngao Anaplasma phagocytophilum. Kei te kawehia nui atu e ngā titi hāere i te Waenganui-Raki, ngā kawanatanga māuru me ngā porowini o te pokapū o Kānata. Kei te kawehia hoki e te titi waewae pango o te Hauauru i ngā kawanatanga takutai o te Hauauru me ētahi atu momo titi i Ūropi me Āhia.

Ko ngā momo ehrlichia me anaplasma e noho ana ki te whānau kotahi o ngā pūngao. Ahakoa ka kitea te pūngao ia i tetahi whaainga motuhake i roto i ngā pūtau pūnaha ārai i te kaitau, ko ēnei kaiwhakapokepoke katoa te tikanga ka puta mai i ngā tohu rite.

Ka whāngai ngā titi i te toto mā te pupuri ki tetahi kaitau me te whāngai tae noa ki te pupuhi ki te maha o te rahi noa. Ka taea e ngā titi te tiki i ngā pūngao mai i te kaitau, pēnei i te hāere, katahi ka horahia te pūngao ki tētahi atu kaitau, pēnei i te tangata. Ko te hora o te pūngao mai i te titi ki te kaitau pea ka puta i muri i te 24 haora i te tīmatanga o te whāngai a te titi.

Ko te hora o te pūngao e pā ana ki te ehrlichiosis, anaplasmosis rānei e taea ana mā ngā whakawhitinga toto, mai i te whaea ki te peepi, mā te hono tika rānei ki te kararehe kua pangia, kua patua.

E noho ana ngā tikitiki i te whenua i ngā wāhi ngahere rākau, i ngā wāhi kākāriki. Kāore rātou e rere, kāore hoki e pūkae, koia rā, e kore rātou e tae atu ki tetahi kaiwhakahaere e pā ana ki a rātou. Ko ngā take e piki ake ai tō tūponotanga ki te ngau a te tikitiki, ko ēnei:

• Te noho i waho i ngā marama o te puna me te raumati
• Te whakauru atu ki ngā mahi i ngā wāhi ngahere, pēnei i te puni, te hikoi, te hopu kēmu
• Te kakahu i ngā kakahu e whakatāria ana tō kiri i ngā wāhi e noho ana ngā tikitiki

Mēnā kaore e āwhina wawetia te mate, ka pāngia pea te tangata pakeke hauora rānei, te tamaiti rānei e te ehrlichiosis me te anaplasmosis. Ko te hunga kua ngoikore o rātou pūnaha ārai mate kei te nui ake te tūponotanga o te mate kino atu, ā, mate pea.

Ko ētahi o ngā raruraru o te mate kaore i te rongoāhia:

• Te kore mahi o te whatukuhu
• Te kore mahi o te pūnaha manawa
• Te kore mahi o te ngākau
• Te pakaru o te pūnaha io
• Ngā hopu
• Te komo
• Ngā mate pāngia kino

Ko te huarahi pai rawa atu hei karo i te ehrlichiosis, te anaplasmosis ranei, ko te karo i ngā ngau pūngāwerewere ina kei waho koe. Ko te nuinga o ngā pūngāwerewere ka piri ki ō waewae o raro me ō waewae ina haere koe, ina mahi rānei koe i ngā wāhi tarutaru, ngā wāhi ngahere, ngā mara kua tupu nui rānei. I muri i te piri o te pūngāwerewere ki tō tinana, ka ngākau nui te neke ki runga ki te kimi i tētahi wāhi hei keri ki roto ki tō kiri.

Ki te mahi koe, ki te takaro rānei koe i tētahi wāhi he nohoanga pea mō ngā pūngāwerewere, whai i ēnei tohutohu hei tiaki i a koe.

Jeff Olsen: I a koe e pai ana i te hikoi, kei te rapu ngā pūngāwerewere i te kaieke.

Dr. Bobbi Pritt: Ka whakatūria e rātou a rātou. Ka piki ake rātou ki te mea tata, pēnei i tēnei rau tarutaru konei.

Jeff Olsen: Ko te ingoa o tēnei ko te rapu.

Dr. Bobbi Pritt: Ka totoro atu ona waewae, ā, ka taea e ia te hopu i ngā kaihautu i a rātou e haere atu ana.

Jeff Olsen: Ka taea e koe te whakaiti i ngā tūponotanga ka waiho koe hei kaihautu.

Dr. Bobbi Pritt: He whakaaro pai te whakamahi i ngā mea whakamate pepeke.

Dr. Bobbi Pritt: Ka taea e koe te whakakī i ō taputapu. Waiho kia maroke, ā, muri iho, kakahuria i te rā e whai ake nei.

Jeff Olsen: Whakamahia te permethrin ki ngā rauemi me te DEET ki te kiri. Pūha te repellent DEET ki te kiri i te taha o waho, tae atu ki ō waewae me ō ringa. Kaua e whakamahi ki tō mata, engari kia tino tiaki i tō kaki. Katahi, whakauruhia ō tarau ki roto i ō tohitohi. Ā, i tō hikoi, mahara ki te karo i ngā wāhi kei reira pea ngā pūngāwerewere e rapu ana.

Dr. Bobbi Pritt: Koia te take e hiahia ana koe ki te noho atu i ngā tarutaru teitei. Noho i waenganui.

• Pūhahia ō kakahu waho, ō hu, ō teneti, ō taputapu whakāmahi atu rānei me te repellent he 0.5% permethrin. Ka taea te whakamahi i mua i ētahi taputapu me ngā kakahu me te permethrin.
• Whakamahia he repellent pepeke kua rēhita ki te Environmental Protection Agency ki tetahi kiri i te taha o waho, ā, kāore i tō mata. Kei roto i ēnei ngā repellent kei roto i te DEET, picaridin, IR3535, hinu o te rakau rēmana (OLE), para-menthane-diol (PMD) te 2-undecanone rānei.
• Kaua e whakamahi i ngā hua kei roto i te OLE, te PMD rānei ki ngā tamariki kei raro i te 3 tau.
• Kakahuria ngā kakahu tae mārama e ngāwari ai te kite i ngā pūngāwerewere i runga i ō kakahu i mua i te ngau.
• Kaua e whakamahi i ngā hu tuwhera, i ngā tapatapa rānei.
• Kakahuria ngā koti ringa roa e whakauruhia ana ki roto i ō tarau me ngā tarau roa e whakauruhia ana ki roto i ō tohitohi.
• Horomia i te wa e taea ai te horoi i ngā pūngāwerewere ngaro me te tirotiro i ngā pūngāwerewere kua keri pea.
• Whakamahia he whakaata hei tirotiro pai i tō tinana. Aro atu ki ō pokohiwi, ō makawe me tō raina makawe, ō taringa, ō hope, i waenganui i ō waewae, i muri i ō turi, me roto i tō puku.
• Tirohia ō taputapu. Whakamaroke ō kakahu me ō taputapu i te wera mō te 10 meneti hei whakamate i ngā pūngāwerewere i mua i te horoi.
• Whakahaerehia te tirotiro i ia rā mō ngā pūngāwerewere i runga i tetahi kararehe e noho ana i waho.
• Noho ki ngā huarahi mārama i te wa e taea ai i ngā wāhi ngahere me ngā wāhi tarutaru.

Ko ngā mate ka kawea e ngā nakahi he uaua te whakatau i runga i ngā tohu me ngā tohu anake, nā te mea he rite rātou ki ētahi atu āhuatanga noa. No reira, he kōrero nui te hītori o te ngau nakahi e mohiotia ana, te whakawhāiti rānei ki ngā nakahi, hei whakatutuki i te whakatau. Ka whakahaere hoki tō tākuta te whakamātau tinana me te tono whakamātau.

Ki te pēhea koe e te ehrlichiosis, te anaplasmosis rānei, ko ngā hua e whai ake nei ka kitea pea mai i ngā whakamātau toto:

• Te iti o te maha o ngā pūtau toto ma, ā, koinei ngā pūtau whawhai mate o te pūnaha ārai
• Te iti o te maha o ngā pūtau papata toto, ā, he mea nui ki te toto-whakakapi
• Ngā pūtau ate kua piki ake ka taea te tohu i te mahi ate koretake

Ka taea hoki e ngā whakamātau o tō toto te tohu i te mate ka kawea e te nakahi mā te kimi i tētahi o ēnei:

• Ngā ira motuhake ki te huakita
• Ngā antibodies ki te huakita i hangaia e tō pūnaha ārai

Mēnā ka whakatau to tākuta he ehrlichiosis tōu, he anaplasmosis rānei—arā, ka whakaaro ia he pēnei te mate e pā ana ki ngā tohu me ngā kitenga hauora—ka tīmata koe ki te whakamahi i te rongoā antibiotic ko te doxycycline (Doryx, Vibramycin, me ētahi atu).

Ka inu koe i te rongoā kia toru rā i muri mai i te korenga o te kirika, ā, kua kitea e tō tākuta te whakapainga o ētahi atu tohu o te mate. Ko te iti rawa o te wā rongoā he rima ki te whitu rā. Ki te nui ake te kino o te mate, ka hiahiatia pea kia rua ki te toru wiki te whakamahinga o te rongoā antibiotic.

Ki te mea kei te hapu koe, kei te mate pāwera rānei ki te doxycycline, ka tukuna pea e tō tākuta te rongoā antibiotic ko te rifampin (Rifadin, Rimactane, me ētahi atu).

Ki te kite koe i te kutu i runga i tō tinana, kaua e awangawanga. Ko te tango wawe i te kutu he tiaki pai ki te aukati i te hora o te huakita. Whakamahia ēnei kaupae:

• Waeine. Kakahuhia ngā waeine hauora, ki te taea rānei, hei tiaki i ō ringa.
• Nga taputapu hopu kutu. Whakamahia he taputapu hopu kutu pito pai hei hopu pumau i te kutu tata ki tōna ūtū, ki tōna waha rānei, ā, kia tata rawa ki te kiri.
• Tango. Tūpato te huki i te tinana o te kutu atu i tō kiri, ā, kaua e wiri, kaua hoki e hurihuri. Ki te toe ētahi wāhanga o te waha, tangohia atu ki te taputapu hopu kutu ma.
• Tūmau. Ka taea te whakamātautau i te kutu i tetahi wā atu, ki te whakapae koe kua pangia koe e te mate. Whakanohoia te kutu ki roto i te ipu, tohua ki te rā, ā, whakanohoia ki te pouaka tio.
• Horoi. Whakamahia te hauwai me te wai hei horoi i ō ringa i muri i te ārai i te kutu, me te taha o te ngau kutu. Horohorohia te wāhi me ō ringa ki te wai horoi.

Kaua e tāpiri hinu mīti, peita kuihi, wai horoi, kātua wera rānei ki te kutu.

He pūpū whero iti, rite tonu ki te pūpū o te ngau namu, ka puta ake i te wāhi o te ngau kutu, o te tango kutu rānei, ā, ka ngaro i roto i ngā rā torutoru. He mea noa tēnei, ā, kaua e awangawanga.

Ki te whai koe i te mamae tonu i te wāhi, ki te whai rānei koe i ētahi tohu e āhei ana te tohu i te mate e kawehia ana e te kutu, kōrero atu ki tō tākuta.