ʻIke ʻo Rocky Mountain i ke kuni

ʻO Rocky Mountain spotted fever (RMSF) kahi maʻi i hoʻokumu ʻia e kekahi ʻano bacteria i lawe ʻia e nā ticks.

Hoʻokumu ʻia ʻo RMSF e ka maʻi bacteriaʻO Rickettsia rickettsii (R Rickettsii), i hāpai ʻia e nā ticks. Hoʻolahalaha ke koʻohuna i nā kānaka ma o ka nahuʻu ʻana.

I ke komohana o ʻAmelika Hui Pū ʻIa, halihali ʻia nā koʻohune e ka lāʻau tick. I ka US hikina, lawe ʻia lākou e ka ʻīlio ʻīlio. Hoʻolahalaha nā ticks ʻē aʻe i ka maʻi i ka hema o US a ma Central a me ʻAmelika Hema.

Kūlike ʻole i ka inoa "Rocky Mountain," ʻo nā hihia hou loa i hōʻike ʻia ma ka hikina o US. Aia nā mokuʻāina ʻo North and South Carolina, Virginia, Georgia, Tennessee, a me Oklahoma. Kū ka hapa nui o nā hihia i ka puna a me ke kauwela a loaʻa i nā keiki.

ʻO nā kumumea ʻino e pili ana i ka hele wāwae hou ʻana a i ʻole ke waiho ʻana i nā kikika i kahi kahi e ʻike ʻia ai ka maʻi. ʻAʻole hiki ke lawe ʻia nā bacteria i kekahi kanaka e kahi kikiki i hoʻopili ʻia ma lalo o 20 mau hola. Ma kahi o 1 wale nō i ka 1,000 mau lāʻau a me nā ʻīlio ʻīlio e hāpai i ka bacteria. Hiki i nā koʻohune ke hoʻopili i ka poʻe nāna e haki i nā kikika a lākou i hemo ai mai nā holoholona me ko lākou mau manamana lima ʻole.

Hoʻoulu mau nā ʻōuli ma kahi o 2 a 14 mau lā ma hope o ka nahu ʻana o ka tick. Pākuʻi ʻia lākou:

• ʻO Chills a me ke kuni
• Huikau
• ʻEha poʻo
• ʻEha ʻeha
• Rash - hoʻomaka mau i kekahi mau lā ma hope o ke kuni; ʻike mua ʻia ma nā pulima a me nā kuʻekuʻe wāwae e like me nā kiko i 1 a 5 mm ke anawaena, a laila pālahalaha i ka hapa nui o ke kino. ʻAʻole loaʻa i kekahi poʻe maʻi ka pehu.

Nā ʻōuli ʻē aʻe i hiki ke loaʻa me kēia maʻi.

• Pohā
• ʻIke māmā
• Nā Haleluʻa
• Loaʻa ka ʻai ʻole
• ʻO Nusea a me ka luaʻi
• Abdominal eha
• Ka makewai

E hana ka mea mālama ola i kahi hoʻokolokolo kino a nīnau e pili ana i nā hōʻailona.

ʻO nā hoʻāʻo e hana ʻia ana paha:

• Antibody titer e ka hoʻopiha hoʻopono a i ʻole immunofluorescence
• Helu piha koko (CBC)
• Nā hoʻāʻo hana hakuʻala
• Wā thromboplastin manawa (PTT)
• Ka manawa Prothrombin (PT)
• Lawe ʻia ka biopsy ʻili mai ka ʻehu e nānā Rickettsii
• ʻO Urinalysis e nānā i ke koko a i ʻole ka protein i ka mimi

Hoʻomaʻamaʻa ka mālama ʻana i ka tick mai ka ʻili. No ka hoʻopau ʻana i ka maʻi, pono e lawe i nā antibiotic e like me doxycycline a i ʻole tetracycline. Hoʻomaʻamaʻa pinepine ʻia nā wahine hāpai i ka chloramphenicol.

Hoʻōla ka lapaʻau ʻana i ka maʻi. Ma kahi o 3% o ka poʻe i loaʻa i kēia maʻi e make.

ʻAʻole mālama ʻia, hiki i ka maʻi ke alakaʻi i nā pilikia olakino e like me:

• Poino lolo
• Nā pilikia paʻa lole
• Hewa puʻuwai
• Hewa ʻole nā ​​hakuʻala
• Hoka maikaʻi ʻole
• Meningitis
• Pneumonitis (māmā mumū)
• Pāhaʻi

Kāhea i kāu mea hāʻawi inā hoʻomohala ʻoe i nā hōʻailona ma hope o ka hōʻike ʻana i nā ticks a i ʻole kahi nahu tick. ʻO nā pilikia o RMSF i mālama ʻole ʻia he mea hoʻoweliweli pinepine i ke ola.

Ke hele a hele wāwae paha i nā wahi i pili i ka tikika, e hoʻokomo i ka lole wāwae lōʻihi i nā kākini e pale ai i nā wāwae. E komo i nā kāmaʻa a me nā pālule lima lōʻihi. E hōʻike ʻia nā kikiki i nā kala keʻokeʻo a i ʻole nā ​​kukui i ʻoi aku ka maikaʻi ma mua o nā kala ʻeleʻele, e maʻalahi ai ke ʻike a hemo.

Wehe koke i nā ticks ma ka hoʻohana ʻana i nā tweezers, e huki pono ʻana a mau. Kōkua paha ka mea hoʻopunipuni insect. Ma muli o ka liʻiliʻi ma mua o 1% o nā tikika e hāpai i kēia maʻi, ʻaʻole hāʻawi pinepine ʻia nā antibiotic ma hope o ka nahu ʻia ʻana.

Wela kuni

• ʻIke ka mauna pōhaku - nā liona ma ka lima
• Ticks
• ʻIke ka mauna pōhaku i ke kuni ma ka lima
• Pākuʻi ʻia i ka ʻili
• ʻIke ka mauna pōhaku i ke kuni ma ka wāwae
• ʻIke ʻo Rocky Mountain i ke kuni - petechial rash
• Nā Antibodies
• ʻO ka dia a me ka ʻīlio ʻīlio

ʻO Blanton LS, ʻo Walker DH. Rickettsia rickettsii a me nā hui kuni kuni ʻē aʻe i ʻike ʻia (Rocky Mountain ʻike ʻia ke kuni a me nā fiva ʻike kiko ʻē aʻe). 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 186.

Bolgiano EB, Sexton J. Nā maʻi Tickborne. 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.