Maʻi maʻi Ebola
ʻO ka maʻi Ebola kahi maʻi nui a make pinepine ʻia e ka maʻi. ʻO nā ʻōuli pū kekahi me ke kuni, ka maʻi diarrhea, ka luaʻi, ke kahe ʻana o ke koko, a me ka make pinepine.
Hiki i ka Ebola ke hana i loko o nā kānaka a me nā primates ʻē aʻe (gorillas, nā mōʻī, a me nā chimpanzees).
ʻO ka maʻi Ebola i West Africa i hoʻomaka i Malaki 2014 ʻo ia ka maʻi maʻi hemorrhagic nui loa i ka mōʻaukala. ʻAneʻane 40% o ka poʻe i hoʻomohala i ka maʻi Ebola i kēia kahe i make.
He haʻahaʻa haʻahaʻa ka maʻi ma luna o ka poʻe ma ʻAmelika Hui Pū ʻIa.
No ka ʻike hou loa, e ʻoluʻolu e kipa aku i ka Pūnaewele no ka Control Disease and Prevention's (CDC) pūnaewele: www.cdc.gov/vhf/ebola.
KAHI EBOLA ANA
Ua ʻike ʻia ʻo Ebola ma 1976 kokoke i ka muliwai Ebola ma ka Lepupalika Kemokalaka o Kongo. Mai ia manawa, ua nui nā maʻi liʻiliʻi i hōʻea ma ʻApelika. ʻO ka outbreak 2014 ka mea nui loa. ʻO nā ʻāina i hoʻopilikia ʻia i kēia kahe ʻana:
- Kini
- Lipelia
- Sielaleone
Ua hōʻike mua ʻia ʻo Ebola ma:
- Naigeria
- Senekala
- Kepania
- Amelika Hui Pū' Ia
- Māli
- Aupuni Mō'ī Hui Pū 'ia
- Ikalia
ʻEhā mau kānaka i ʻike ʻia me ka maʻi Ebola ma ʻAmelika Hui Pū ʻIa. ʻElua mau hihia i lawe ʻia mai, a ua loaʻa ʻelua i ka maʻi ma hope o ka mālama ʻana i kahi mea maʻi Ebola i ʻAmelika Hui Pū ʻIa. Ua make kekahi kanaka i ka maʻi. Ua ola hou nā mea ʻekolu ʻē aʻe a ʻaʻohe o lākou ʻōuli o ka maʻi.
I ʻAukake 2018, ua kū hou kahi ʻōpala hou o ka maʻi Ebola ma ka Lepupalika Kemokalaka o Kongo. Ke hoʻomau nei ka ʻōhū.
No ka ʻike hou loa e pili ana i kēia ahulau a me Ebola ma ka laulā, e kipa aku i ka pūnaewele World Health Organization ma www.who.int/health-topics/ebola.
KA HELE ANA I KA EBOLA
ʻAʻole pālahalaha maʻalahi ʻo Ebola e like me nā maʻi maʻamau e like me ke anuanu, ka maʻi palū, a me ka maʻi ʻula. Aia AʻOLE nā hōʻike e hoʻolaha ʻia ka maʻi hoʻomaʻamaʻa i loaʻa i ka maʻi Ebola ma o ka ea a wai paha. ʻAʻole hiki i kekahi kanaka i loaʻa i ka maʻi Ebola ke hoʻolaha i ka maʻi a hiki i ka puka ʻana o nā hōʻailona.
Hiki ke hoʻolaha wale ʻia ʻo Ebola ma waena o nā kānaka e pili pololei me nā wai o ka maʻi i loaʻa a pili pū me ka palena ʻole i ka mimi, saliva, ka hou, nā feces, ka luaʻi, ka waiū umauma, a me ka semen. Hiki i ka virus ke komo i ke kino ma o ka haki ʻana o ka ʻili a i ʻole ma o nā membrane mucous, me nā maka, ka ihu, a me ka waha.
Hiki i ka Ebola ke pāhola ma o ka launa pū ʻana me nā ʻĀINA, nā mea, a me nā mea i hoʻopili ʻia me nā wai o ke kino mai kahi mea maʻi, e like me:
- Nā lole moe a me nā kapa moe
- Nā lole
- Bandages
- Nā nila a me nā ʻaila
- Lako lapaʻau
Ma ʻApelika, hoʻolaha paha ʻo Ebola e:
- ʻO ka lawelawe ʻana i nā holoholona hihiu i ʻimi ʻia no ka meaʻai (bushmeat)
- Kāhea aku me ke koko a i ʻole ke kino o nā holoholona i loaʻa i ka maʻi
- Kāhea aku me nā ʻōpeʻapeʻa maʻi
ʻAʻole hoʻolaha ʻia ʻo Ebola ma:
- ʻElepa
- Wai
- Mea ʻai
- Pepelu (makika)
ʻO nā limahana mālama olakino a me ka poʻe e mālama nei i nā ʻohana maʻi e makaʻala nui nei no ka hoʻomohala ʻana i ka maʻi Ebola no ka mea hiki ke komo i loko e kuhikuhi pololei me nā wai o ke kino ʻO ka hoʻohana kūpono o nā pono hana pale pilikino PPE e hoʻoliʻiliʻi nui i kēia makaʻu.
ʻO ka manawa ma waena o ka hōʻike ʻana a ke hiki mai nā ʻōuli (ka manawa incubation) ʻo 2 a 21 mau lā. Ma ka awelika, ulu nā ʻōuli ma 8 a 10 mau lā.
ʻO nā hōʻailona mua o ka maʻi Ebola:
- ʻOi aku ka wela ma mua o 101.5 ° F (38.6 ° C)
- ʻO Chills
- ʻEha poʻo poʻo
- Eha ka 'ā'ī
- ʻEha ʻeha
- Nawaliwali
- Ka luhi
- Rash
- ʻEha ʻōpū (ʻōpū)
- Pohā
- ʻO ka luaʻi
ʻO nā hōʻailona hope loa e pili ana:
- Kahe mai ka waha a me ka pololei
- Kahe mai ka maka, ka pepeiao, a me ka ihu
- Hewa ʻōpū
ʻO ke kanaka i loaʻa ʻole nā ʻōuli 21 mau lā ma hope o ka hōʻike ʻia ʻana i ka maʻi Ebola, ʻaʻole ia e ulu i ka maʻi.
ʻAʻohe lāʻau i ʻike ʻia no ka maʻi Ebola. Ua hoʻohana ʻia nā kuʻina hoʻokolohua, akā ʻaʻohe mea i hoʻāʻo piha e ʻike inā holo pono lākou a palekana.
Pono e mālama ʻia ka poʻe me ka maʻi Ebola i ka haukapila. Ma laila, hiki ke kaʻawale lākou i hiki ʻole ai ka maʻi ke hoʻolaha. E mālama nā mea mālama ola i nā hōʻailona o ka maʻi.
Kākoʻo ʻia ka lāʻau no Ebola a me nā:
- Nā Fluids i hāʻawi ʻia ma o kahi aa (IV)
- Oxygen
- Hoʻoponopono kaomi koko
- Lapaʻau no nā maʻi ʻē aʻe
- Hoʻokahe koko
Aia ke ola i ka hopena o ka pale o ke kanaka i ka maʻi. E ola paha kekahi kanaka ke loaʻa iā lākou kahi mālama olakino maikaʻi.
ʻO nā kānaka e ola ana i ka maʻi Ebola, pale lākou i ka maʻi mai nā maʻi he 10 a ʻoi paha. ʻAʻole hiki iā lākou ke hoʻolaha hou aku i ka maʻi Ebola. ʻAʻole maopopo inā hiki iā lākou ke maʻi i nā ʻano ʻē aʻe o ka maʻi Ebola. Eia nō naʻe, hiki i nā kāne e ola ke hāpai i ka maʻi Ebola i kā lākou sperm no ka lōʻihi o 3 a 9 mau mahina. Pono lākou e hōʻole i ka moekolohe a hoʻohana i ka condom no 12 mau mahina a i ʻole a ʻelua mau manawa i hōʻoia ʻia ai ka maikaʻi ʻole o kā lākou mani.
Hiki i nā pilikia lōʻihi ke hoʻopili i nā pilikia hui a me ka ʻike.
Kāhea i kāu mea hāʻawi inā ua huakaʻi ʻoe i West Africa a:
- ʻIke ua ʻike ʻia ʻoe i ka maʻi Ebola
- Hoʻolālā ʻoe i nā ʻōuli o ka maʻi, me ke kuni
ʻO ka loaʻa ʻana o ka lāʻau i kēia manawa e hoʻomaikaʻi paha i ka manawa e ola ai.
Loaʻa kahi lāʻau lapaʻau (Ervebo) i mea e pale aku ai i ka maʻi maʻi Ebola i ka poʻe e noho ana i nā ʻāina makaʻu loa. Inā makemake ʻoe e huakaʻi i kekahi o nā ʻāina kahi e noho ai ʻo Ebola, ua paipai ka CDC i kēia mau hana e pale aku ai i ka maʻi.
- Hoʻomaʻamaʻa i ka maʻemaʻe akahele. E holoi i kou mau lima me ke kopa a me ka wai a i ʻole kahi hoʻomaʻemaʻe lima lima wai paʻa. Hōʻalo i ka pili me ke koko a me nā wai o ke kino.
- Hōʻalo i ka launa ʻana me nā poʻe i loaʻa i ke kuni, ke luaʻi nei, a i ʻole ʻike maʻi.
- Mai lawelawe i nā mea i pili paha i ke koko o ke kanaka a maʻi a i ʻole nā wai o ke kino. Pākuʻi ʻia kēia i nā lole, kahi moe, nā nila, a me nā pono lapaʻau.
- Hōʻalo i nā hana hoʻolewa a kanu kupapaʻu paha e koi ana i ka lawelawe ʻana i ke kino o kekahi i make i ka maʻi Ebola.
- Hōʻalo i ka launa ʻana me nā ʻōpeʻapeʻa a me nā primates nonhuman a i ʻole ke koko, nā wai, a me nā ʻiʻo maka i hoʻomākaukau ʻia mai kēia mau holoholona.
- E hōʻalo i nā haukapila ma ʻApelika Komohana kahi e mālama ʻia ai nā mea maʻi Ebola. Inā makemake ʻoe i ka mālama olakino, hiki pinepine i ka ʻelele o ʻAmelika Hui Pū ʻIa a i ʻole consulate ke hāʻawi i nā ʻōlelo aʻo e pili ana i nā pono hana.
- Ma hope o kou hoʻi ʻana, e nānā i kou olakino no 21 mau lā. E ʻimi koke i ka lāʻau lapaʻau inā hoʻomōhala ʻoe i nā ʻōuli o ka maʻi Ebola, e like me ke kuni. E haʻi i ka mea hoʻolako ua hele aku ʻoe i kahi ʻāina kahi e noho ai ʻo Ebola.
Pono nā limahana olakino e hōʻike ʻia i ka poʻe me ka maʻi Ebola i kēia mau kaʻina:
- Lawe iā PPE, me nā lole pale, e laʻa me nā masks, nā mīkina lima, nā ʻaʻahu, a me ka pale ʻana o ka maka.
- E hoʻomaʻamaʻa i ka kaohi maʻi pono a me nā ana sterilization.
- Hoʻokaʻawale i nā mea maʻi me ka maʻi Ebola mai nā mea maʻi ʻē aʻe.
- Hōʻalo i ka pili pololei ʻana me nā kino o ka poʻe i make i ka maʻi Ebola.
- E hoʻomaopopo i nā luna olakino inā ua pili pololei ʻoe me ke koko a i ʻole nā wai o ke kanaka o ka mea maʻi me ka maʻi Ebola.
Ebola hemorrhagic wela; Maʻi maʻi Ebola; Virus hemorrhagic wela; ʻO Ebola
- Virus Ebola
- Nā Antibodies
Nā kikowaena no ka pūnaewele Disease Control a me Prevent. ʻO Ebola (maʻi maʻi maʻi Ebola). www.cdc.gov/vhf/ebola. Hoʻohou Nowemapa 5, 2019. Loaʻa iā Nowemapa 15, 2019.
ʻO Geisbert TW. Nā maʻi fiva hemorrhagic ʻo Marburg a me Ebola. 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 164.
Pūnaewele World Health Organization. Maʻi maʻi Ebola. www.who.int/health-topics/ebola. Hoʻohou Nowemapa 2019. Loaʻa iā Nowemapa 15, 2019.