ʻO Brucellosis
ʻO Brucellosis kahi maʻi bacteria i loaʻa mai ka pilina me nā holoholona e hāpai ana i nā bacteria bacteria.
Hiki iā Brucella ke hoʻopili i nā bipi, kao, kāmelo, ʻīlio, a me nā puaʻa. Hiki ke pālahalaha ka bacteria i nā kānaka inā pili ʻoe i ka ʻiʻo i loaʻa i ka maʻi a i ʻole ka placenta o nā holoholona i pāhola ʻia, a inā ʻoe e ʻai a inu paha i ka waiū a me ka tīhi ʻole i paina ʻole ʻia.
ʻAno ʻole ʻo Brucellosis i ʻAmelika Hui Pū ʻIa. Ma kahi o 100 a 200 paha mau hihia i kēlā me kēia makahiki. Hoʻokumu ʻia ka hapa nui o nā hihia e ka Brucellosis melitensis koʻohune.
ʻO ka poʻe e hana ana i nā hana kahi e launa pinepine ai me nā holoholona a i ʻole kaʻiʻo - e like me nā mea hana luku, nā mahiʻai, a me nā veterinarians - ʻoi aku ka makaʻu.
E hoʻomaka paha ka brucellosis huehue me nā ʻōuli like ʻole o ka flu, a i ʻole nā ʻōuli e like me:
- Abdominal eha
- ʻEha kua
- Fiva a me nā anuanu
- Nui ka hou ʻana i ka hou
- Ka luhi
- ʻEha poʻo
- ʻEha pū me ka ʻeha pū
- Loaʻa ka ʻai ʻole
- Nūhū pehu
- Nawaliwali
- Kaumaha emi
Kū pinepine nā kui kuni kiʻekiʻe i kēlā me kēia awakea. Hoʻohana pinepine ʻia ka inoa undulant fever e wehewehe i kēia maʻi no ka mea piʻi aʻe ke kuni a hāʻule i nā nalu.
Lōʻihi paha ka maʻi a hala mau makahiki.
E nānā ka mea mālama ola iā ʻoe a nīnau e pili ana i kāu mau hōʻailona. E nīnau ʻia ʻoe inā ua launa pū ʻoe me nā holoholona a i ʻole ʻai ʻia nā mea hana waiū ʻaʻole pasteurized.
ʻO nā hoʻāʻo e hana ʻia ana paha:
- Hōʻike koko no brucellosis
- Moʻomeheu Koko
- Moʻomeheu iwi iwi
- Moʻomeheu mimi
- ʻO ka moʻomeheu CSF (spinal fluid)
- ʻO Biopsy a me ka moʻomeheu o nā hiʻohiʻona mai nā meaola i hoʻopili ʻia
Antibiotics, e like me doxycycline, streptomycin, gentamicin, a me rifampin, hoʻohana ʻia e mālama i ka maʻi a pale iā ia mai ka hoʻi mai. ʻO ka pinepine, pono ʻoe e ʻai i nā lāʻau no 6 mau pule. Inā loaʻa nā pilikia mai brucellosis, pono paha ʻoe e lawe i nā lāʻau no kahi wā lōʻihi.
Hele mai nā ʻōuli a hele paha i mau makahiki. Eia kekahi, hiki i ka maʻi ke hoʻi mai ma hope o ka lōʻihi o ka loaʻa ʻole o nā hōʻailona.
ʻO nā pilikia olakino i hopena ʻia mai brucellosis me:
- Iwi a me nā ʻeha pū (lesions)
- Encephalitis (ʻōhū, a i ʻole ka mumū, o ka lolo)
- Infocarditis infective (hoʻohaunaele o ka pale o loko o nā keʻena o ka puʻuwai a me nā kiʻo puʻuwai)
- Meningitis (maʻi o nā membrane e uhi ana i ka lolo a me ka iwi kuamoʻo)
Kāhea i kahi manawa me kāu mea hāʻawi inā:
- Hoʻolālā ʻoe i nā ʻōuli o brucellosis
- E hele a maikaʻi ʻole kāu mau ʻōuli a hoʻomaikaʻi ʻole paha me ka lāʻau
- Hoʻokumu ʻoe i nā ʻōuli hou
ʻO ka inu a me ka ʻai wale ʻana i nā huahana waiū pasteurized, e like me ka waiū a me nā paʻi, ʻo ia ke ala nui e hōʻemi ai i ka makaʻu no ka brucellosis. ʻO ka poʻe e lawelawe i ka ʻiʻo pono e komo i nā maka aniani pale a me nā lole, a pale i ka haʻihaʻi ʻili mai ka maʻi.
Ke ʻimi nei i nā holoholona i hoʻopilikia ʻia e kaohi i ka maʻi i kāna kumu. Loaʻa i ka bakuna no nā pipi, akā ʻaʻole na kānaka.
Kupapa Kupero; Ke kuni hala ʻole; ʻO ke kuni Gibraltar; Wela Malta; Fever fever
- ʻO Brucellosis
- Nā Antibodies
ʻO Gotuzzo E, ʻo Ryan ET. ʻO Brucellosis. I: Ryan ET, Hill DR, Solomon T, Aronson NE, Endy TP, eds. ʻO ka lāʻau lapaʻau Hunter a Tropical Diseases. 10 o ka lā. Piladelapia, PA: Elsevier; 2020: chap 75.
Gul HC, Erdem H. Brucellosis (Brucella ʻanoʻano). 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 226.