Lawe i nā lāʻau e mālama ai i ka maʻi kō

Tuberculosis (TB) he maʻi lele ia mai nā mea hoʻomaʻi e pili ana i nā akemāmā, akā pāhola ʻia paha i nā meaola ʻē aʻe. ʻO ka pahuhopu o ka mālama ʻana e hoʻōla i ka maʻi me nā lāʻau e hakakā i ka bacteria TB.

Loaʻa paha ʻoe i ka maʻi TB akā ʻaʻole maʻi maʻi a i ʻole nā ​​ʻōuli. ʻO kēia ke kumu o ka hana ʻole o ka bacteria TB (hiamoe) i kahi wahi liʻiliʻi o kou mau māmā. Aia paha kēia ʻano maʻi i mau makahiki a kapa ʻia ʻo latent TB. Me ka latent TB:

• ʻAʻole hiki iā ʻoe ke hoʻolaha i ka TB i nā poʻe ʻē aʻe.
• I kekahi poʻe, hiki i ka maʻi bacteria ke lilo i mea hana. Inā kū kēia, hiki iā ʻoe ke lilo i maʻi, a hiki iā ʻoe ke hoʻoili i nā mikamina TB i kekahi poʻe ʻē aʻe.
• ʻOiai ʻaʻole ʻoe e ʻike i ka maʻi, pono ʻoe e lawe i nā lāʻau e mālama ai i ka TB latent no 6 a 9 mau mahina. ʻO kēia wale nō ke ala e hōʻoia ai i ka make ʻana o nā koʻohune TB a pau i kou kino a ʻaʻole ʻoe e hoʻomōhala i ka maʻi ʻino i ka wā e hiki mai ana.

Ke loaʻa ʻoe i ka TB ʻeleu, ʻike paha ʻoe i ka maʻi a i ʻole ka pākē, lilo i ka paona, luhi, a i loaʻa i ke kuni a me nā sweats o ka pō. Me ka hana TB:

• Hiki iā ʻoe ke hāʻawi iā TB i ka poʻe a puni ʻoe. Pākuʻi ʻia kēia i ka poʻe āu e noho nei, hana, a i ʻole ke launa pū ʻana me ʻoe.
• Pono ʻoe e inu i nā lāʻau he nui no ka TB ma kahi o 6 mau mahina e kāpae ai i kou kino o ka bacteria TB. E hoʻomaka ʻoe e ʻoi aku ka maikaʻi i loko o hoʻokahi mahina o ka hoʻomaka ʻana i nā lāʻau.
• No nā 2 a ʻehā mau pule ma hope o ka hoʻomaka ʻana o nā lāʻau, pono ʻoe e noho i ka hale e pale i ka hoʻolaha ʻana i ka TB i kekahi poʻe ʻē aʻe. E noi i kāu kauka lawelawe inā maikaʻi ke kokoke i nā poʻe ʻē aʻe.
• Koi ʻia kāu mea hoʻolako e ke kānāwai e hōʻike i kāu TB i ka ʻoihana olakino kūloko.

E nīnau i kāu mea hāʻawi inā e hoʻāʻo ʻia ka poʻe āu e noho a hana pū ai paha no ka TB.

Make lohi ka make ʻana o nā mikena TB. Pono ʻoe e inu i nā pila like ʻole i nā manawa like ʻole o ka lā no 6 mau mahina a ʻoi paha. ʻO ke ala wale nō e hemo ai i nā g germ e lawe i kāu lāʻau TB e like me ke kauoha a kāu mea lawelawe. ʻO kēia ka lawe ʻana i kāu lāʻau āpau i kēlā me kēia lā.

Inā ʻaʻole ʻoe e lawe i kāu lāʻau TB i ke ala kūpono, a i ʻole e hoʻōki mua i ka lawe ʻana i nā lāʻau.

• E hele a māhuahua paha kou maʻi TB.
• E lilo paha kāu maʻi i mea paʻakikī e mālama. ʻAʻole hiki ke hana i nā lāʻau āu e lawe nei. Kapa ʻia kēia ʻo TB kūpaʻa lāʻau.
• Pono paha ʻoe e lawe i nā lāʻau ʻē aʻe i kumu i nā hopena ʻē aʻe a ʻaʻole hiki ke hemo i ka maʻi.
• Hoʻolahalaha paha ʻoe i ka maʻi i nā poʻe ʻē aʻe.

Inā hopohopo kāu mea lawelawe ʻaʻole paha ʻoe e lawe i nā lāʻau āpau e like me ke kuhikuhi, hiki iā lākou ke hoʻonohonoho e hui pū kekahi me ʻoe i kēlā me kēia lā a i kekahi mau manawa o ka pule e nānā iā ʻoe e lawe i kāu lāʻau TB. Kāhea ʻia kēia ʻo ka lāʻau i mālama pono ʻia.

ʻO nā wahine hāpai paha, nā mea hāpai, a i ʻole nā ​​mea hānai hānai e pono e kamaʻilio me kā lākou mea hāʻawi ma mua o ka lawe ʻana i kēia mau lāʻau. Inā ʻoe e hoʻohana nei i nā lāʻau hoʻomalu hānau, e nīnau i kāu mea hāʻawi inā hiki i kāu lāʻau TB ke hana i nā lāʻau kaohi hānau ma muli o ka maikaʻi.

ʻAʻohe o nā hopena maikaʻi ʻole ka hapanui o ka poʻe mai nā lāʻau TB. Nā pilikia e nānā a haʻi i kāu mea hoʻolako e pili ana i:

• Nā hui Achy
• ʻEha a palu paha i ke kahe
• Fiva
• Makemake maikaʻi ʻole, a i ʻole ʻai makemake
• Ke ʻūlū a ʻeha paha i kou manamana wāwae, mau manamana lima, a puni paha kou waha
• ʻO ka ʻōpū kūpilikiʻi, kahoʻi a i ʻole ka luaʻi, a me ka ʻōpū o ka ʻōpū a ʻeha paha
• ʻO ka ʻili melemele a i ʻole nā ​​maka
• ʻO ka mimi ke kala o ke kī a i ʻole ʻalani (ʻalani ka mimi ʻalani me kekahi o nā lāʻau)

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe:

• ʻO nā hopena ʻē aʻe i helu ʻia ma luna
• ʻO nā ʻōuli hou o ka TB hana, e like me ka mū, ka fiva a i ʻole ka hou pō, ka hanu ʻole, a me ka ʻeha o ka umauma

Tuberculosis - nā lāʻau; DOT; Nānā pololei i ka lāʻau; TB - nā lāʻau

ʻO Ellner JJ, ʻo Jacobson KR. Maʻi puʻu. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 308.

Hopewell PC, Kato-Maeda M, Ernst JD. Maʻi puʻu. I: Broaddus VC, Mason RJ, Ernst JD, et al, eds. ʻO Murray a me Nadel's Textbook of Respiratory Medicine. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2016: chap 35.

• Maʻi puʻu