Ascariasis

ʻO ka Ascariasis kahi maʻi me ka maʻi huehue parasite Ascaris lumbricoides.

Loaʻa ka poʻe i ka ascariasis e ka ʻai ʻana i ka meaʻai a mea inu paha i hoʻohaumia ʻia me nā hua manu roundworm. ʻO Ascariasis ka maʻi maʻi ʻōpū maʻa mau. Pili ia i ka hoʻomaʻemaʻe maikaʻi ʻole. ʻO ka poʻe e noho ana i nā wahi kahi e hoʻohana ʻia ai nā feces (stool) kanaka ma ke ʻano he mea hoʻomomona no ka maʻi o kēia maʻi.

Ke hoʻopau ʻia, hatch nā hua a hoʻokuʻu i nā roundworm makua ʻole i kapa ʻia nā ʻelala i loko o ka ʻōpū liʻiliʻi. I loko o kekahi mau lā, neʻe ka larva ma ke kahe o ke koko i nā akemāmā. Hele lākou i luna ma nā ala nui o nā māmā a ale ʻia i loko o ka ʻōpū a me ka ʻōpū liʻiliʻi.

Ke neʻe nei nā larvae ma waena o nā akemāe hiki iā lākou ke kumu i kahi ʻano pneumonia maʻamau i kapa ʻia ʻo eosinophilic pneumonia. ʻO Eosinophils kahi ʻano o ke keʻena koko keʻokeʻo. I ka manawa e hoʻi ai nā larvae i loko o ka ʻōpū liʻiliʻi, oʻo lākou i loko o nā roundworms mākua. Noho nā ilo nā mākua i loko o ka ʻōpū liʻiliʻi, kahi e hoʻomoe ai lākou i nā hua manu i loaʻa i nā feces. Hiki iā lākou ke noho 10 a 24 mau mahina.

Kuhi ʻia he 1 biliona mau kānaka i loaʻa i ka maʻi a puni ka honua. Hana ʻia ʻo Ascariasis i ka poʻe o nā makahiki āpau, ʻoiai ʻoi aku ka hopena o nā keiki ma mua o ka poʻe mākua.

ʻO ka hapanui o ka manawa, ʻaʻohe ʻōuli. Inā loaʻa nā ʻōuli, pili pū paha lākou:

• Kaha koko (mucus coughed up by the lower airways)
• Cough, ʻūhū
• Kaha wela
• E hele ana i nā ilo ma kahi noho
• Pokole o ka hanu
• ʻ Skinhū ʻili
• ʻEha ʻeha
• ʻO ka luaʻi a i ʻole ka ʻū ʻana i nā ilo
• Nā ilo e waiho ana i ke kino ma o ka ihu a waha paha

Hōʻike paha ka mea maʻi i nā hōʻailona o ka hōʻino kino. ʻO nā hoʻāʻo e kuhikuhi ai i kēia ʻano maʻi:

• ʻO x-ray ʻōpū a i ʻole nā ​​hōʻike kiʻi ʻē aʻe
• Nā ho'āʻo koko, me ka helu piha o ke koko a me ka helu eosinophil
• Nānā Stool e nānā i nā ilo a me nā hua ilo

Hoʻopili ka mālama ʻana i nā lāʻau e like me ka albendazole e hōʻoki a pepehi paha i nā ilo parasitic ʻōpū.

Inā loaʻa kahi paʻa o ka ʻōpū i hoʻokumu ʻia e kahi helu nui o nā ilo, hiki ke hoʻohana ʻia kahi hana i kapa ʻia endoscopy e hemo ai i nā ilo. I nā hihia kakaʻikahi, pono ke ʻoki.

ʻO nā kānaka e mālama ʻia no nā anuʻu pōʻai e pono e nānā hou i 3 mau mahina. Hoʻopili kēia i ka nīnaninau e nānā i nā hua o ka ilo. Inā loaʻa nā hua, pono e hāʻawi hou i ka lāʻau.

Ola ka hapanui o nā kānaka i nā ʻōuli o ka maʻi, ʻoiai me ka mālama ʻole ʻia. Akā hoʻomau paha lākou i ka halihali ʻana i nā ilo i ko lākou kino.

Hiki ke kumu ʻia nā pilikia e nā ʻenuhe makua e neʻe i kekahi mau lālā, e like me ka:

• Pākuʻi
• Kīwī kīwī
• ʻO Pancreas

Inā hoʻonui nā ilo, hiki iā lākou ke pale i ka ʻōpū.

Hiki ke hana i kēia mau pilikia:

• ʻO ka paʻa i nā aʻa o ke ake
• Ka poloka i loko o ka ʻōpū
• Hole i ka ʻōpū

Kāhea i kāu mea mālama ola inā loaʻa nā ʻōuli o ka ascariasis, keu hoʻi inā ʻoe i huakaʻi i kahi kahi e maʻa mau ai ka maʻi. Kāhea pū kekahi inā loaʻa iā ʻoe kekahi o kēia mau mea:

• ʻOi aku ka maikaʻi o nā ʻōuli
• ʻAʻole hoʻomaikaʻi nā ʻōuli me ka lāʻau
• Kū nā hōʻailona hou

ʻO ka hoʻomaʻemaʻe hoʻomaʻemaʻe a me ka hoʻomaʻemaʻe i nā ʻāina kūkulu e hōʻemi i ka makaʻi ma kēlā mau wahi. I nā wahi e maʻa mau ai ka ascariasis, hāʻawi ʻia i ka poʻe i nā lāʻau deworming ma ke ʻano he mea pale.

Intestinal parasite - ascariasis; Roundworm - ascariasis

• ʻO nā hua manu Roundworm - ascariasis
• Nā ʻōnaehana ʻōnaehana Digestive

ʻO Bogitsh BJ, Carter CE, Oeltmann TN. ʻO nā nematode ʻōpū. I: Bogitsh BJ, Carter CE, Oeltmann TN, eds. Parasitology kanaka. 5th lā. Waltham, MA: Elsevier Academic Press; 2019: chap 16.

Nā kikowaena no ka pūnaewele Disease Control a me Prevent. Parasites-ascariasis. www.cdc.gov/parasites/ascariasis/index.html. Hoʻohou Nowemapa 23, 2020. Loaʻa iā Pepeluali 17, 2021.

Mejia R, Weatherhead J, Hotez PJ. ʻO nematodes ʻōpū (roundworms). 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 286.