ʻEchinococcosis

ʻO Echinococcosis kahi maʻi i hoʻokumu ʻia e nā Echinococcus granulosus a i ʻole Echinococcus multilocularis ululāʻau Kāhea ʻia ka maʻi he maʻi hidatid.

Ua hele a maʻi ke kanaka ke moni nei lākou i nā hua lau i loko o ka meaʻai hoʻohaumia. Hoʻokumu nā hua i nā cist ma loko o ke kino. ʻO kahi cyst kahi ʻeke paʻa a ʻeke paha. Ke ulu mau nei nā cist, kahi e alakaʻi ai i nā ʻōuli.

E granulosus ʻo ia kahi maʻi i hoʻokumu ʻia e nā ʻāpā i loaʻa i nā ʻīlio a me nā holoholona e like me nā hipa, nā puaʻa, nā kao, a me nā pipi. ʻO kēia mau tapeworms ma kahi o 2 a 7 mm ka lōʻihi. Kapa ʻia ka maʻi he cychic echinococcosis (CE). Alakaʻi ia i ka ulu ʻana o nā cyst ma ka hakahaka a me ke ake ake. Hiki ke loaʻa nā cist i ka puʻuwai, nā iwi, a me ka lolo.

E multilocularis ʻo ia ka maʻi i loaʻa i nā ʻāpā i loaʻa i nā ʻīlio, nā pōpoki, nā meheu, a me nā ʻalopeke. ʻO kēia mau tapeworms ma kahi o 1 a 4 mm ka lōʻihi. Kapa ʻia ka maʻi maʻi he alveolar echinococcosis (AE). He kūlana hoʻoweliweli ia no ka ulu ʻana o nā tum-like i ke ake. Hiki ke hoʻopili ʻia nā mea ʻē aʻe, e like me ka akemāmā a me ka lolo.

ʻOi aku ka maʻalahi o nā keiki a ʻōpio paha i ka maʻi.

ʻO Echinococcosis ka mea maʻamau i:

• ʻApelika
• Asia Waena
• ʻAmelika Hema Hema
• Ke Kaiwaenahonua
• Ka Hikina Waena

I nā hihia kakaikahi, ʻike ʻia ka maʻi maʻi i ʻAmelika Hui Pū ʻIa. Ua hōʻike ʻia ma Kaleponi, ʻAlikona, Nu Mekiko a me ʻUtaha.

Aia nā kumu pilikia me ka hōʻike ʻana i:

• Pipi
• Deer
• ʻO nā ʻīlio o nā ʻīlio, nā ʻalopeke, nā ʻīlio hae, a i ʻole nā ​​coyotes
• Puaʻa
• Hipa
• Kāmelo

ʻAʻole hiki i nā Cist ke hana i nā hōʻailona no 10 mau makahiki a ʻoi.

Ke piʻi nei ka maʻi a hoʻonui i nā cista, hiki i nā ʻōuli ke komo pū.

• ʻEha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū (cyst ate)
• Hoʻonui i ka nui o ka ʻōpū ma muli o ka pehu ʻana (ka cyst ate)
• Kaha koko (lung cyst)
• Paʻi umauma (cyst lung)
• Cough (lung cyst)
• ʻO ka hopena ʻino loa (anaphylaxis) ke hāmama nā cista

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

Inā kānalua ka mea hāʻawi iā CE a i ʻole AE, e hana ʻia paha nā mea e ʻike ai i nā cist me:

• X-ray, echocardiogram, CT scan, PET scan, a i ʻole ultrasound e ʻike i nā cist
• Nā ho'āʻo koko, e like me ka immunoassay (ELISA) pili i ka enzyme, nā hoʻāʻo ʻana o ka ate
• ʻO ka biopsy makemake o ka nila

ʻO ka pinepine, e loaʻa nā cch echinococcosis ke hana ʻia kahi hoʻokolohua kiʻi no kekahi kumu ʻē aʻe.

Hiki ke mālama ʻia nā kānaka he nui me nā lāʻau anti-worm.

ʻO kahi kaʻina e pili ana i ka hoʻokomo ʻana i kahi nila ma o ka ʻili i loko o ka cyst e hoʻāʻo ʻia. Lawe ʻia nā mea o ka cyst (aspirated) ma o ka nila. A laila hoʻouna ʻia ka lāʻau i loko o ke kui kele e pepehi i ka lepe. ʻAʻole kēia lapaʻau no nā cist i loko o nā māmā.

ʻO ke kaha keʻoki ʻana o ke koho ʻana no nā cist i nui, maʻi, a i ʻole i loko o nā mea kino e like me ka puʻuwai a me ka lolo.

Inā pane ka cist i nā lāʻau lapaʻau waha, maikaʻi paha ka hopena.

Kāhea i kāu mea hāʻawi inā hoʻomohala ʻoe i nā ʻōuli o kēia maʻi.

Nā ana e pale ai iā CE a me AE nā:

• Ke haʻalele nei i nā holoholona hihiu e like me nā ʻalopeke, nā ʻīlio hae, a me nā coyotes
• Ke pale nei i ka launa ʻana me nā ʻīlio hele hewa
• Holoi maikaʻi i nā lima ma hope o ka hoʻopā ʻana i nā ʻīlio pet a i ʻole nā ​​pōpoki, a ma mua o ka mālama ʻana i ka meaʻai

Hydatidosis; ʻO ka maʻi Hydatid, Hydatid cyst disease; Maʻi maʻi Alveolar; Echinococcosis Polycystic

• ʻO ka echinococcus Liver - CT scan
• Nā Antibodies

Nā kikowaena no ka pūnaewele Disease Control a me Prevent. Parasites - echinococcosis. www.cdc.gov/parasites/echinococcosis/treatment.html. Hoʻohou ʻia Kekemapa 12, 2012. Loaʻa iā Nowemapa 5, 2020.

ʻO Gottstein B, Beldi G. Echinococcosis. I: Cohen J, Powderly WG, Opal SM, hua pā. Nā maʻi laha. ʻEhā ed. Piladelapia, PA: Elsevier; 2017: chap 120.