ʻO Trichinosis

He maʻi ʻo Trichinosis me ka roundworm Trichinella spiralis.

ʻO Trichinosis kahi maʻi parasite i hoʻokumu ʻia e ka ʻai ʻana i ka ʻiʻo i hoʻomoʻa ʻole ʻole ʻia a loaʻa nā cist (larvae, a i ʻole nā ​​ilo anu ʻole) o Trichinella spiralis. Hiki ke loaʻa kēia parasite i ka puaʻa, bea, walrus, ʻalopeke, ʻiole, lio, a me ka liona.

ʻO nā holoholona hihiu, ʻoi aku nā karnivora (nā mea ʻai) a i ʻole nā ​​omnivores (nā holoholona e ʻai i ka ʻiʻo a me nā mea kanu), pono e noʻonoʻo ʻia he mau kumuwaiwai o ka maʻi puni puni. ʻO nā holoholona ʻai kūloko i hānai pono ʻia no ka ʻai ʻana ma lalo o ke alakaʻi a ke Keʻena ʻAmelika Hui Pū ʻIa (aupuni) a hiki ke noʻonoʻo ʻia he palekana. No kēia kumu, kākaʻikahi ka trichinosis ma United States, akā he maʻi maʻamau ia ma ka honua holoʻokoʻa.

Ke ʻai ke kanaka i ka ʻiʻo mai kahi holoholona i loaʻa i ka maʻi, haki nā kīpuna trichinella i loko o ka ʻōpū a ulu aʻe i mau roundworm mākua. Hoʻopuka nā worworm i nā ilo ʻē aʻe e neʻe i loko o ka paia o ka ʻōpū a i loko o ke kahe o ke koko. Hoʻopilikia nā ilo i nā mākala, me ka puʻuwai a me ka diaphragm (ka hā hanu ma lalo o nā akemāmā). Hiki iā lākou ke hoʻopili i nā māmā a me ka lolo. Noho mau nā cist i mau makahiki.

Nā ʻōuli o trichinosis me:

• Hōʻoluʻolu o ka ʻōpū, cramping
• Pohā
• ʻO ka pehu helehelena a puni nā maka
• Fiva
• ʻEha ʻeha (ʻoʻeha hoʻi me ka ʻeha puʻupuʻu me ka hanu ʻana, ka nau ʻana, a i ʻole ka hoʻohana ʻana i nā mākala nui)
• Nāwaliwali ka ʻiʻo

ʻO nā hoʻāʻo e kuhikuhi ai i kēia ʻano maʻi:

• Nā hoʻokolohua koko e like me ka helu piha o ke koko (CBC), ka helu eosinophil (kahi ʻano o ke koko keʻokeʻo), ka hoʻāʻo ʻana o ka antibody, a me ka pae hanaine kinase (kahi enzyme i loaʻa i nā hunaola pūnana)
• ʻO ka biopsy Muscle e nānā ai i nā ilo ma ka mākala

ʻO nā lāʻau, e like me ka albendazole, hiki ke hoʻohana ʻia e mālama ai i nā maʻi ma nā ʻōpū. ʻAʻole pono ka maʻi maʻamau i kahi lāʻau. Hiki i ka lāʻau ʻeha ke kōkua i ka hōʻeha ʻana i ka ʻeha ma hope o ka hoʻouka ʻana o ka larva i nā mākala.

ʻO ka hapa nui o ka poʻe me ka trichinosis ʻaʻohe hōʻailona a hele wale ka maʻi. He paʻakikī paha ka mālama ʻana i nā maʻi ʻoi aku ka nui, keu hoʻi inā pili ka mumū, ka puʻuwai, a me ka lolo.

ʻO nā pilikia i hiki ke hoʻopili ʻia:

• ʻO Encephalitis (maʻi maʻi a me ka mumū)
• Hewa puʻuwai
• Nā pilikia o ka puʻuwai puʻuwai mai ka puʻuwai o ka naʻau
• Pulumonia

Kāhea i kāu kahu mālama ola inā loaʻa nā ʻōuli o trichinosis a ʻai koke ʻoe i ka ʻai liko ʻole a i ʻole kaʻiʻo maka i haumia paha.

Pono e kuke i ka puaʻa a me ka ʻiʻo mai nā holoholona hihiu a hiki i ka hana maikaʻi ʻana (ʻaʻohe meheu o ka ʻalani). ʻO ka hoʻomoʻa ʻana i ka puaʻa i kahi mahana haʻahaʻa (5 ° F a i ʻole -15 ° C a i ʻole anuanu) no 3 a 4 mau pule e pepehi i nā ilo. ʻAʻole make ka iʻa i nā holoholona hihiu i ka ilo. ʻO ka puhi paka ʻana, ka paʻakai ʻana, a me ka hoʻomaloʻo ʻana i ka ʻiʻo, ʻaʻole ia he ʻano loea i ka make ʻana i nā ilo.

Pākuʻi Parasite - trichinosis; Trichiniasis; Trichinellosis; Roundworm - trichinosis

• Trichinella spiralis i ka mākala kanaka
• 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.

ʻO DJ Diemert. Nā maʻi Nematode. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 335.

ʻO Kazura JW. ʻO nā nematodes kele e pili ana i ka trichinellosis, dracunculiasis, filariasis, loiasis, a me onchocerciasis. 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 287.