Virus ECHO
ʻO Enteric cytopathic kanaka makua makua (ECHO) he hui pū kekahi o nā mea hoʻomaʻi i hiki ke alakaʻi i nā maʻi i nā ʻāpana like ʻole o ke kino, a me nā huehue o ka ʻili.
ʻO Echovirus kekahi o nā ʻohana o nā virus e hoʻopili i ka maʻi kōpū. Hoʻohui ʻia, ua kapa ʻia kēia mau mea enteroviruses. Kūleʻa kēia mau maʻi. Ma ʻAmelika Hui Pū ʻIa, ʻike maʻamau lākou i ke kauwela a me ke kauwela. Hiki iā ʻoe ke hopu i ka maʻi inā pili ʻoe i ka pahu i hoʻohaumia ʻia e ka maʻi, a me ka hanu ʻana paha i nā huna ʻea mai kahi mea maʻi.
ʻOi aku ka liʻiliʻi o nā maʻi ʻino me nā virus ECHO akā hiki ke lilo i mea nui. ʻO kahi laʻana, ʻo kekahi mau hihia o ka maʻi meningitis viral (ka hoʻohaunaele o nā mea āpau e hoʻopuni ana i ka lolo a me ka iwi kuamoʻo) ua hoʻokumu ʻia e kahi maʻi ECHO.
Pili nā ʻōuli i ka pūnaewele o ka maʻi a hiki ke hoʻopili ʻia:
- Croup (hanu pilikia a me ka ʻūhā koʻikoʻi)
- ʻEha nā waha
- Huʻi ʻili
- Eha ka 'ā'ī
- ʻO ka ʻeha o ka umauma inā pili ka maʻi i ka puʻuwai puʻuwai a i ʻole sac-like e uhi ana a puni ka puʻuwai (pericarditis)
- ʻEha ʻeha ke poʻo, hoʻololi i ke kūlana noʻonoʻo, ka fiva a me ka haʻalulu, ka nausea a me ka luaʻi, ka ʻike i ka mālamalama, inā pili ka maʻi i nā membrane e uhi ana i ka lolo a me ka iwi maha (meningitis)
No ka mea ʻoluʻolu pinepine ka maʻi a ʻaʻohe mālama kūikawā, ʻaʻole hana pinepine ʻia ka hoʻāʻo ʻana no ka echovirus.
Inā pono, hiki ke ʻike ʻia nā maʻi ECHO mai:
- Moʻomeheu Rectal
- ʻO ka moʻomeheu wai Spinal
- Moʻomeheu Stool
- Moʻomeheu Kaha
Maʻemaʻe mau nā maʻi ECHO e hoʻomaʻemaʻe iā lākou iho. ʻAʻole loaʻa nā lāʻau lapaʻau kūikawā e kaua aku i ka maʻi. ʻO ka mālama ʻana i ka ʻōnaehana pale maʻi i kapa ʻia ʻo IVIG hiki ke kōkua i ka poʻe me nā maʻi maʻi ECHO koʻikoʻi i loaʻa i kahi ʻōnaehana nāwaliwali. ʻAʻole maikaʻi nā Antibiotics e kūʻē i kēia maʻi, a i ʻole nā mea hoʻomaʻi ʻē aʻe.
ʻO ka poʻe i loaʻa nā ʻano maʻi ʻeha ʻoi loa e hoʻōla piha me ka ʻole o ka lapaʻau. ʻO nā maʻi o nā ʻāpana e like me ka puʻuwai ke kumu i nā maʻi nui a hiki ke make.
Kūlike nā pilikia me ka pūnaewele a me ke ʻano o ka maʻi. Make paha nā maʻi puʻuwai, ʻoiai ʻo ka hapa nui o nā ʻano maʻi ʻē aʻe e hoʻomaikaʻi iā lākou iho.
Kāhea i kāu mea mālama ola inā loaʻa iā ʻoe kekahi o nā ʻōuli i helu ʻia ma luna.
ʻAʻole hiki ke loaʻa nā hana pale kikoʻī no nā maʻi ECHO ma mua o ka holoi lima ʻana, keu hoʻi ke pili ʻoe me nā poʻe maʻi. I kēia manawa, ʻaʻole loaʻa nā lāʻau āpau.
Nonpolio enterovirus maʻiʻaʻai; Maʻi maʻi Echovirus
- ʻO ka maʻi ECHO type 9 - exanthem
- Nā Antibodies
Romero JR. ʻO Enteroviruses. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 379.
Romero JR, Modlin JF. Hoʻolauna i nā mea komo kanaka a me nā parechoviruses. I: Bennett JE, Dolin R, Blaser MJ, hua pā. ʻO Mandell, Douglas, a me Bennett's Principal a me ka hoʻomaʻamaʻa ʻana i nā maʻi kūpikipiki, Hoʻopuka Hou. 8th ed. Piladelapia, PA: Elsevier Saunders; 2015: chap 172.