Q wela

ʻO Q fiva kahi maʻi laha i hoʻokumu ʻia e nā bacteria i hohola ʻia e nā holoholona lūlū a me nā holoholona hihiu a me nā tikika.

Hoʻokumu ʻia ke kuni Q e ka bacteria Coxiella burnetii, e noho nei i loko o nā holoholona e like me ka pipi, hipa, kao, manu, a me nā pōpoki. Hāpai kekahi o nā holoholona hihiu a me nā tikika i kēia bacteria.

Hiki iā ʻoe ke loaʻa i ke kuni Q ma ka inu ʻana i ka waiū maka (ʻaʻole i hoʻopili ʻia), a ma hope paha o ka hanu ʻana i ka lepo a i ʻole nā ​​kulu wai i ka lewa i haumia me nā feces holoholona i loaʻa i ka maʻi, ke koko, a me nā huahana hānau.

ʻO nā kānaka e makaʻu nei i ka maʻi e loaʻa nā limahana o ka hale luku, nā veterinarians, nā kānaka noiʻi, nā mea hana meaʻai, a me nā poʻe hana hipa a me nā bipi. Hoʻopili pinepine nā kāne ma mua o nā wahine. ʻO ka hapa nui o ka poʻe i loaʻa ka maʻi Q ma waena o 30 a 70 mau makahiki.

I nā hihia kakaikahi, pili ka maʻi i nā keiki, ʻo ka mea hoʻi e noho ana ma kahi mahiʻai. I nā keiki i loaʻa i ka maʻi ma mua o 3 mau makahiki, ʻike pinepine ʻia ke kuni Q ʻoiai ke ʻimi nei i ke kumu o ka maʻi ponia.

Hoʻolālā maʻamau nā ʻōuli i ka 2 a i ka 3 mau pule ma hope o ka pili ʻana me ka bacteria. Kapa ʻia kēia manawa ka wā hoʻouluulu. ʻAʻohe o ka hapanui o ka poʻe. Loaʻa i nā poʻe ʻē aʻe nā hōʻailona kaulike e like me ka flu. Inā kū nā ʻōuli, mau paha lākou i mau pule.

Pili pū nā ʻōuli maʻamau:

• Maloo ʻūhā (nonproductive)
• Fiva
• ʻEha poʻo
• ʻEha hui (arthralgia)
• Nā maʻi ʻeha

ʻO nā ʻōuli ʻē aʻe e hoʻomohala pū me:

• Abdominal eha
• ʻEha ʻeha
• Jaundice (melemele o ka ʻili a keʻokeʻo o nā maka)
• Rash

Hiki i kahi hoʻokolohua kino ke hōʻike i nā kani maikaʻi ʻole (crackles) i loko o nā ake māmā a i ʻole he ake ākea a me nā ʻāpala. I nā pae hope o ka maʻi, lohe ʻia ka ʻōhumu o ka naʻau.

ʻO nā hoʻāʻo e hana ʻia ana paha:

• ʻO kahi hihi x e ʻike ai i ka niumonia a i ʻole nā ​​hoʻololi ʻē aʻe
• Nā hoʻāʻo ʻana i ke koko e nānā no nā lāʻau ʻino i ʻO Coxiella burnetti
• Hoʻoikaika hana ate
• Helu piha ke koko (CBC) me ka ʻokoʻa
• ʻO ka pale ʻana i ka miki i nāʻaʻaʻa i ʻike ʻia i nā bacteria
• Electrocardiogram (ECG) a i ʻole echocardiogram (echo) e nānā i ka puʻuwai no nā loli

Hiki i ka mālama ʻana me nā lāʻau antibiotic ke hoʻopōkole i ka lōʻihi o ka maʻi. ʻO nā Antibiotics e hoʻohana mau ʻia me tetracycline a me doxycycline. ʻO nā wahine hāpai a keiki paha i loaʻa nā niho pēpē ʻaʻole pono e lawe i ka tetracycline e ka waha no ka mea hiki ke hoʻopau mau i nā niho ulu.

ʻOi aku ka maikaʻi o ka hapa nui o ka poʻe me ka lāʻau. Eia nō naʻe, hiki i nā pilikia ke koʻikoʻi nui a i kekahi manawa a me ka hoʻoweliweli o ke ola. Q f fever pono e mālama mau inā ua hoʻokumu ʻia nā ʻōuli.

I nā hihia maʻamau, hoʻokumu ʻo Q fever i kahi maʻi puʻuwai e hiki ai ke alakaʻi i nā hōʻailona koʻikoʻi a i ʻole ka make ke mālama ʻole ʻia. Hiki i nā pilikia ʻē aʻe ke komo pū me:

• Iwi maʻiʻaʻai (osteomyelitis)
• Maʻi maʻiʻaʻai (encephalitis)
• ʻO ka maʻi hānai (hepatitis maʻi mau)
• Maʻi maʻi maʻi (pneumonia)

Kāhea i kāu mea mālama ola inā e hoʻomohala ʻoe i nā ʻōuli o Q fever. Kāhea pū kekahi inā ua mālama ʻia ʻoe no ka Q fever a hoʻi mai nā ʻōuli a ulu paha nā ʻōuli hou.

Hoʻopau ka pasturization o ka waiū i nā bacteria i kumu i ke kuni Q mua. Pono e nānā i nā holoholona lōkahi no nā ʻōuli o ke kuni Q inā ua hoʻomohala ʻia ka poʻe i hōʻike ʻia i nā maʻi o ka maʻi.

• Ana ana wela

Bolgiano EB, Sexton J. Nā maʻi i hāpai ʻia. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 126.

Hartzell JD, Marrie TJ, Raoult D. Coxiella burnetti (Q fever). 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 188.