Amebiasis

ʻO Amebiasis kahi maʻi o nā ʻōpū. Hoʻokumu ʻia ia e ka microscopic parasite Entamoeba histolytica.

E histolytica hiki ke noho i loko o ka ʻōpū nui (kolona) me ka ʻole o ka hōʻino ʻana i ka ʻōpū. I kekahi mau hihia, hoʻouka ia i ka paia kolona, ​​e hoʻoulu ana i ka colitis, ka maʻi nui o ka disentery, a i ʻole ka diarrhea wā lōʻihi (mau). Hiki i ka maʻi ke pāhola ma o ke kahe o ke koko i ke ake. I nā hihia kakaikahi, hiki ke pālahalaha i nā ake māmā, lolo, a i ʻole nā ​​mea ʻē aʻe.

Kū kēia kūlana i ka honua holoʻokoʻa. ʻO ka mea maʻamau i nā wahi tropical e noho ana nā wahi nohona a me ka hoʻomaʻemaʻe maikaʻi ʻole. ʻApelika, Mekiko, nā ʻāpana o ʻAmelika Hema, a me India he mau pilikia olakino koʻikoʻi ma muli o kēia ʻano.

Pāhola paha ka parasite:

• Ma o ka meaʻai a wai paha i hoʻohaumia ʻia i nā noho
• Ma o ka mea hoʻomomona i hana ʻia i ka ʻōpala kanaka
• Mai kekahi kanaka a i kekahi kanaka, ʻo ke kaulike ʻana me ka waha a i ʻole ka pāhaʻina o ka mea i loaʻa i ka maʻi

ʻO nā kumu pilikia no ka amebiasis koʻikoʻi me:

• Hoʻohana rama
• Kanesa
• Kaʻai pono ʻole
• Kahiki a ʻōpio paha
• Hapai keiki
• ʻO ka huakaʻi hou i kahi ʻāina tropical
• Hoʻohana o ka lāʻau corticosteroid e kāohi i ka ʻōnaehana pale

Ma ʻAmelika Hui Pū ʻIa, ʻo ka amebiasis ka mea maʻamau i waena o ka poʻe e noho ana i nā ʻoihana a i ʻole nā ​​poʻe i huakaʻi i kahi i maʻa mau ka amebiasis.

ʻO ka hapa nui o ka poʻe me kēia maʻi ʻaʻohe o lākou hōʻailona. Inā kū nā ʻōuli, ʻike ʻia lākou 7 a 28 mau lā ma hope o ka hōʻike ʻia i ka parasite.

Pākuʻi ʻia paha nā ʻōuli akahai:

• Pākuʻi ʻōpū
• Diarrhea: ke kaʻa ʻana o 3 a 8 mau noho noho like ʻole i kēlā me kēia lā, a i ʻole ka hele ʻana o nā noho palupalu me ka mucus a me nā manawa koko.
• Ka luhi
• Kinoea nui loa
• ʻEha Rectal ʻoiai ke neʻe nei o ka ʻōpū (tenesmus)
• Ka hoʻohaʻahaʻa kaumaha ʻole

Pākuʻi ʻia paha nā ʻōuli koʻikoʻi:

• Palupalu ʻōpū
• Nā noho koko, me ka hele ʻana o nā noho wai me nā kaha o ke koko, e hele ana i 10 a 20 mau noho i kēlā me kēia lā
• Fiva
• ʻO ka luaʻi

E hana ka mea mālama ola i kahi hoʻokolohua kino. E nīnau ʻia ʻoe e pili ana i kāu mōʻaukala olakino, keu hoʻi inā ʻoe i hala mua i huakaʻi i nā ʻāina ʻē.

ʻO ka hoʻokolokolo ʻana o ka ʻōpū e hōʻike i ka hoʻonui ʻana o ke ake a palupalu paha i loko o ka ʻōpū (ʻo ka maʻamau ma ka quadrant luna pono).

ʻO nā hoʻokolohua i kauoha ʻia e komo pū:

• Hōʻike koko no ka amebiasis
• Ka hoʻokolokolo ʻana o loko o ka ʻōpū nui o lalo (sigmoidoscopy)
• Hōʻike moʻo noho
• Ninaninau ʻia ʻo microscope o nā laulau, me ka maʻamau me nā laʻana he nui i mau lā

Pili ka mālama ʻana i ka nui o ka maʻi. ʻO ka maʻamau, kauoha ʻia nā lāʻau ʻalopika.

Inā ʻoe e luaʻi, hāʻawi ʻia ʻoe i nā lāʻau i loko o kahi aa (intravenously) a hiki i kou hiki ʻana ke lawe iā lākou ma ka waha. ʻAʻole kuhikuhi ʻia nā lāʻau e hoʻōki i ka palahī no ka mea hiki iā lākou ke hōʻino i ke ʻano.

Ma hope o ka mālama ʻana i nā lāʻau antibiotic, e nānā hou ʻia kāu pahu e ʻike pono ai ua holoi ʻia ka maʻi.

Maikaʻi ka hopena me ka lāʻau. ʻO ka maʻamau, mau ka maʻi ma kahi o 2 mau pule, akā hiki ke hoʻi inā ʻaʻole ʻoe e mālama ʻia.

Komo pū nā pilikia o amebiasis:

• Holo abscess (hōʻiliʻili o ka pus i ke ake)
• Nā hopena ʻaoʻao lāʻau, e laʻa me ka nausea
• Ka hohola ʻana o ka parasite ma o ke koko i ke ake, nā māmā, ka lolo, a i ʻole nā ​​mea ʻē aʻe

Kāhea i kāu mea mālama ola inā loaʻa ʻoe i ka maʻi palahī ʻole e hele a hele a ʻino ʻole paha.

Ke hele nei i nā ʻāina kahi maikaʻi ʻole ka hoʻomaʻemaʻe, inu i ka wai hoʻomaʻemaʻe a i hoʻolapalapa ʻia paha. Mai ʻai i nā mea kanu kuke ʻole a i ʻole nā ​​hua hua ʻole. E holoi i kou mau lima ma hope o ka hoʻohana ʻana i ka lua a ma mua o ka ʻai ʻana.

ʻO ka maʻi maʻi amebic; Amebiasis ʻōpū; Amebic colitis; Diarrhea - amebiasis

• Holo ka lolo Amebic
• ʻŌnaehana Digestive
• Nā ʻōnaehana ʻōnaehana Digestive
• Hewa ʻo Pyogenic

ʻO Bogitsh BJ, Carter CE, Oeltmann TN. ʻO ka Visista protista I: rhizopods (amoebae) a me nā ciliophorans. I: Bogitsh BJ, Carter CE, Oeltmann TN, eds. Parasitology kanaka. 5th lā. Ladana, UK: Elsevier Academic Press; 2019: chap 4.

Petri WA, Haque R, Moonah SN. ʻO nā ʻano Entamoeba, e like me amebic colitis a me ke akepaʻa o ke ake. I: Bennett JE, Dolin R, Blaser MJ, hua pā. ʻO Mandell, Douglas, a me Bennett's Principle a me ka hoʻomaʻamaʻa ʻana i nā maʻi kūpilikiʻi. 9th ed. Piladelapia, PA: Elsevier; 2020: chap 272.