Ke kuni kika o Colorado

He maʻi maʻi viral ʻo Colorado tick. Hoʻolahalaha ʻia e ka nahu o ka ʻili lāʻau Rocky Mountain (ʻO Dermacentor andersoni).

ʻIke pinepine kēia maʻi ma waena o Malaki a Kepakemapa. ʻO ka hapa nui o nā hihia ma ʻApelila, Mei, a me Iune.

ʻIke pinepine ʻia ke kuni kiki ʻo Colorado ma ke komohana o ʻAmelika Hui Pū ʻIa a me Kanada ma kahi kiʻekiʻe ma mua o 4,000 kapuaʻi (1,219 mika). Hoʻouna ʻia ia e kahi nahu tick a i ʻole, i nā hanana kakaikahi loa, e ke kōpili koko.

Hoʻomaka pinepine nā ʻōuli o ke kahe kika ma 1 i ka 14 mau lā ma hope o ka nahu ʻana o ka tick. Ke hoʻomau nei kahi kuni kolohe no 3 mau lā, hele aku, a laila hoʻi mai 1 a 3 mau lā ma hope no kekahi mau lā ʻē aʻe. ʻO nā ʻōuli ʻē aʻe e like me:

• Manaʻo nāwaliwali i nā mea āpau a ʻeha hoʻi nā mākala
• Headache ma hope o nā maka (maʻamau i ka wā o ke kuni)
• Lethargy (hiamoe) a huikau paha
  
• ʻO Nusea a me ka luaʻi
• Rash (e ʻāpana kala paha)
• ʻIke i ka mālamalama (photophobia)
• ʻEha ʻili
• Hoʻoulu

E nānā ka mea mālama ola iā ʻoe a nīnau e pili ana i kāu mau hōʻailona a me nā hōʻailona. Inā manaʻo ka mea hāʻawi iā ʻoe ka maʻi, e nīnau ʻia ʻoe e pili ana i kāu hana waho.

E kauoha pinepine ʻia nā hoʻokolohua koko. Hiki ke hana ʻia nā hoʻāʻo Antibody e hōʻoia i ka maʻi. Hiki i nā hoʻokolohua koko ʻē aʻe ke:

• Helu piha koko (CBC)
• Nā hoʻāʻo hana ate

ʻAʻohe mālama kūikawā no kēia maʻi viral.

E ʻike pono ka mea nāna i lawe aku i ka ʻili loa mai ka ʻili.

ʻ toldlelo ʻia paha ʻoe e lawe i kahi mea hōʻoluʻolu inā pono ʻoe. MAI hāʻawi i ka aspirin i kahi keiki i loaʻa ka maʻi. Ua hoʻopili ʻia ʻo Aspirin me ka Reye Syndrome i nā keiki. Hiki iā ia ke kumu i nā pilikia ʻē aʻe ma ke kuni kiki ma Colorado.

Inā hoʻomohala nā pilikia, e kuhikuhi ʻia ka mālama ʻana i ka kaohi ʻana i nā ʻōuli.

E hele maʻa wale ka maʻi wela tick ma Colorado a ʻaʻole makaʻu.

Komo pū nā pilikia:

• ʻO ka maʻi o nā membrane e uhi ana i ka lolo a me ka iwi kuamoʻo (meningitis)
• Ka huhū a me ka pehu ʻana o ka lolo (encephalitis)
• Nā paukū kahe hou no ka kumu ʻole

Kāhea i kāu mea hāʻawi inā ʻoe a i ʻole kāu keiki e hoʻomohala i nā ʻōuli o kēia maʻi, inā e ʻoi aku ka maikaʻi ʻole o nā ʻōuli me ka hoʻomaikaʻi ʻole, a inā ulu nā ʻōuli hou.

Ke hele wāwae a hele wāwae paha i nā wahi kiki:

• E komo i nā kāmaʻa paʻa
• E komo i nā pūlima lōʻihi
• Hoʻopili i nā pālule loloa i nā kākini e pale i nā wāwae

E ʻaahu i nā lole ʻoniʻula māmā, e hōʻike maʻalahi ʻia nā kikika ma mua o nā kala ʻeleʻele. Māmā kēia i ka hemo ʻana iā lākou.

E hōʻoia pinepine iā ʻoe iho a me kāu poʻe holoholona. Inā ʻike ʻoe i nā tikika, e hemo koke iā lākou ma ka hoʻohana ʻana i nā tweezers, e huki pono ʻana a mau. Kōkua paha ka mea hoʻopunipuni insect.

Ke kuni kika mauna; Kahuna kuahiwi; Ke kuni mauna ʻAmelika

• Ticks
• Pākuʻi ʻia i ka ʻili
• Nā Antibodies
• ʻSlika Deer

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.

ʻO Dinulos JGH. Nā maʻi lele a me nā nahu. I: Dinulos JGH, hoʻoponopono. ʻO Dermatology Lapaʻau ʻo Habif. ʻEpekema 7 Piladelapia, PA: Elsevier; 2021: chap 15.

Naides SJ. ʻO Arboviruses ka mea e wela ai ka maʻi a me nā syndrome ʻino. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 358.