Mū wela-ʻāʻī
ʻO ka maʻi kuni ʻāʻī ka maʻi bacteria i laha ʻole ʻia e ka nahu o kahi koʻokoʻo maʻi.
Hiki ke kumu ʻia ka fiva nahu-i e kekahi o nā bacteria ʻelua. ʻO Streptobacillus moniliformis a i ʻole ʻO ka minus Spirillum. ʻIke ʻia kēia mau mea ʻelua i ka waha o nā koʻokoʻo.
ʻIke pinepine ʻia ka maʻi i:
- ʻAsia
- ʻEulopa
- ʻAmelike ʻĀkau
Loaʻa ka hapanui o ka poʻe i ke kuni nahu iole ma o ka pili ʻana me ka mimi a i ʻole nā wai mai ka waha, ka maka, a i ʻole ka ihu o kahi holoholona i loaʻa i ka maʻi. Hana ʻia kēia ma o ka nahu ʻana a i ʻole nā ʻōpala. Kūleʻa paha kekahi mau hihia ma o ka pili ʻana i kēia wai.
ʻO kaʻiole ke kumu o ka maʻi. ʻO nā holoholona ʻē aʻe i hoʻokumu i kēia maʻi me:
- ʻO Gerbils
- Nākiʻi
- Weasels
Pili nā ʻōuli i ka maʻi bacteria i hoʻokumu i ka maʻi.
Nā ʻōuli ma muli o ʻO Streptobacillus moniliformis komo pū paha:
- ʻO Chills
- Fiva
- ʻEha hui, ʻulaʻula, a pehu paha
- Rash
Nā ʻōuli ma muli o ʻO ka minus Spirillum komo pū paha:
- ʻO Chills
- Fiva
- E wehe ʻeha ma ke kahua o ka nahu
- Rash me nā ʻulaʻula a poni paha a me nā puʻupuʻu
- Pehu nā lymph node kokoke i ka nahu
Hoʻoholo pinepine nā ʻōuli mai nā meaola i loko o 2 mau pule. ʻAʻole mālama ʻia, nā hōʻailona, e like me ke kuni a i ʻole ka ʻeha hui, hiki ke hoʻi mau no nā pule he nui a ʻoi paha.
E hana ka mea mālama ola i kahi hoʻokolokolo kino a nīnau e pili ana i kāu mau hōʻailona. Inā manaʻo ka mea hāʻawi i ka wela o ka ʻiole, e hana ʻia nā hoʻokolohua e ʻike ai i ka maʻi bacteria i:
- ʻIli
- Koko
- Pulu hui
- Lymph aka wahi
Hoʻohana ʻia nō hoʻi nā hoʻokolohua antibody koko.
Mālama ʻia ke kuni ʻāʻī me nā antibiotic no 7 a 14 mau lā.
ʻOi aku ka maikaʻi o ka nānā aku me ka mālama mua. Inā mālama ʻole ʻia ia, hiki i ka nui o ka make ke kiʻekiʻe ma 25%.
Hiki i ke kuni hōʻino Rat-bite ke hana i kēia mau pilikia:
- Nā abscesses o ka lolo a i ʻole nā mea palupalu
- ʻO ka maʻi maʻi o nā puʻupuʻu puʻuwai
- ʻO ka hoʻowahāwahā o nā gland parotid (salivary)
- Ka hoʻohaunaele o nā uaua
- Ka hoʻohaunaele o ka naʻau i uhi ʻia
Kāhea i kāu mea hāʻawi inā:
- ʻO ʻoe a ʻo kāu keiki paha i pili hou me kahi ʻiole a i ʻole ke koʻokoʻo ʻē aʻe
- ʻO ke kanaka i nahu ʻia he mau ʻōuli o ke kuni rat-bite
ʻO ke pale ʻana i ka launa pū ʻana me nā ʻiole a i ʻole nā hale i hōʻino ʻia e ka ʻiole e kōkua paha i ka pale ʻana i ka fiva nahu o ka ʻiole. ʻO ka lawe ʻana i nā lāʻau ʻalopika ma ka waha ma hope koke o ka nahu ʻana o kaʻiole hiki ke kōkua i ka pale ʻana i kēia maʻi.
Streptobacillary wela; Streptobacillosis; ʻO Haverhill fever; Erythema ka maʻi ʻōpio; Spirillary fever; Sodoku
Shandro JR, Jauregui JM. Nā zoonose i loaʻa i ka wao nahele. I: Auerbach PS, Cushing TA, Harris NS, hua. Ka Laau Lāʻau ʻo Auerbach. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 34.
Holoi RG. Ke kuni wela: ʻO Streptobacillus moniliformis a ʻO ka minus Spirillum. 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 233.