Ke kuni hou

ʻO ke kuni kope he maʻi maʻi ia i hoʻoili ʻia e ka louse a i ʻole ka tick. Hoʻohālikelike ʻia ia e nā hanana hou o ke kuni.

ʻO ke kuni kope he maʻi ia i hoʻokumu ʻia e kekahi mau ʻano bacteria i ka ʻohana borrelia.

Aia he ʻano nui ʻelua o ka hoʻi hou ʻana o ke kuni.

• Lawe ʻia ke kuni hoʻi i hāpai ʻia (Tick-bear relapsing fever) (TBRF) e ka tick ornithodoros. Aia ia ma ʻApelika, Sepania, Saudi Arabia, ʻAsia, a me kekahi mau wahi ma ke komohana o ʻAmelika Hui Pū ʻIa a me Kanada. ʻO nā laha bacteria e pili pū ana me TBRF ʻO Borrelia duttoni, Borrelia hermsii, a Borrelia parkerii.
• Lawe ʻia ka louse relapsing fever (LBRF) e nā kihi o ke kino. ʻO ka mea maʻamau ia ma ʻAsia, ʻApelika, a ma Central a me ʻAmelika Hema. ʻO nā ʻano bacteria e pili pū ana me LBRF ʻO Borrelia recurrentis.

Kū ka wela o ke kuni i loko o 2 mau pule o ka maʻi.

• I TRBF, ʻike ʻia nā hanana he nui o ke kuni, a he 3 mau lā paha ka lōʻihi o kēlā me kēia. ʻAʻohe paha he kuni o nā kānaka a hiki i 2 mau pule, a laila hoʻi ia.
• I LBRF, mau ke kuni i 3 a 6 mau lā. Ukali pinepine ʻia e hoʻokahi a me ka ʻāpana māmā o ke kuni.

Ma nā ʻano ʻelua, pau paha ka hana kuni i ka "pilikia." Hoʻopili kēia i nā haʻalulu haʻalulu, a ukali ʻia e ka sweating ikaika, hāʻule ʻana o ka mahana o ke kino, a me ke kaomi haʻahaʻa. ʻO kēia pae ke hopena i ka make.

Ma ʻAmelika Hui Pū ʻIa, hana pinepine ʻo TBRF ma ke komohana o ka muliwai ʻo Misisipi, ʻo ia hoʻi ma nā mauna o ke Komohana a me nā wao akua kiʻekiʻe a me nā pāpū o ke Komohana Hema. Ma nā kuahiwi o Kaleponi, Utah, ʻAlikona, Nu Mekiko, Kolorag, Oregon, a me Wakinekona, nā kumu o nā maʻi e hoʻomaka pinepine ʻia Borrelia hermsii a ʻohiʻohi pinepine ʻia i loko o nā keʻena i loko o nā ululāʻau. E hoʻonui paha ka pilikia i ka hema hikina o ʻAmelika Hui Pū ʻIa.

ʻO LBRF ka maʻi nui o ka honua e ulu ana. ʻIke ʻia i kēia manawa ma ʻAitiopia a me Sudan. ʻO ka wī, ke kaua, a me ka neʻe ʻana o nā hui mahuka i nā hopena pinepine i ka maʻi LBRF.

Nā ʻōuli o ke kuni hou e pili ana:

• Kahena
• Koma
• ʻEha poʻo
• ʻEha hui, ʻili ʻili
• ʻO Nusea a me ka luaʻi
• Sagging ma kekahi ʻaoʻao o ka helehelena (helehelena helehelena)
• ʻĀʻī ʻoʻoleʻa
• ʻO ke kuni kiʻekiʻe kiʻekiʻe, haʻalulu nā haʻalulu, ka hopu ʻana
• ʻO ka luaʻi
• Nāwaliwali, kūpaʻa ʻole i ka wā e hele wāwae ana

Pono e kānalua ʻia ke kuni hou inā hele mai kekahi mai kahi ʻāpana kiʻekiʻe loa i nā ʻāpana o ke kuni. He ʻoiaʻiʻo loa kēia inā ukali ʻia ke kuni e kahi pae "kūpilikiʻi", a inā paha i hōʻike ʻia ke kanaka i nā makika a i ʻole nā ​​ʻiʻo palupalu.

ʻO nā hoʻāʻo e hana ʻia ana paha:

• Hoʻopili ke koko e hoʻoholo i ke kumu o ka maʻi
• Nā ho'āʻo antibody koko (hoʻohana ʻia i kekahi manawa, akā kaupalena ʻia ko lākou pono)

Hoʻohana ʻia nā lāʻau antibiotic me penicillin a me tetracycline e mālama ai i kēia ʻano.

ʻO ka poʻe me kēia ʻano i hoʻomohala i ka coma, ka pehu ʻana o ka naʻau, nā pilikia o ke ake, a i ʻole ka niumonia e make paha lākou. Me ka mālama mua ʻana, hoʻemi ʻia ka helu make.

Hiki ke hana i kēia mau pilikia:

• Kaʻu ʻana o ka maka
• Koma
• Nā pilikia ate
• ʻO ka hoʻowahāwahā o nā mea lahilahi e hoʻopuni ana i ka lolo a me ka iwi kuamoʻo
• ʻO ka hoʻohaunaele o ka puʻuwai puʻuwai, kahi e alakaʻi ai i ka helu o ka puʻuwai ʻole
• Pulumonia
• Ka hopu ʻana i nā maʻi
• Kāhāhā
• Hoʻopili ʻia ka pīhoihoi i ka lawe ʻana i nā lāʻau ʻalopika (Jarisch-Herxheimer reaction, kahi o ka make wikiwiki ʻana o nā helu he nui o nā bacteria Borrelia e hoʻohikilele ai)
• Nawaliwali
• Kahe nui kahe ʻana

E kāhea koke aku i kāu lawelawe mālama ola inā loaʻa ʻoe i ke kuni ma hope o ka hoʻi ʻana mai kahi huakaʻi. Pono e nānā pono i nā maʻi hiki ke hiki i ka manawa kūpono.

ʻO ke kapa komo ʻana e uhi pono i nā lima a me nā wāwae ke hele ʻoe ma waho e hiki ke kōkua i ka pale ʻana i ka maʻi TBRF. Hoʻomaʻemaʻe ka mea kolo e like me DEET ma ka ʻili a hana pū kekahi ka lole. ʻO ke kāohi a me ka makika ma nā wahi pilikia nui kahi hana olakino lehulehu ākea.

Hila hou i huki hou ʻia; ʻO ke kuni hou i lawe ʻia e Louse

ʻO Horton JM. ʻO ke kuni kulu i hoʻokumu ʻia e nā ʻano borrelia. 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 242.

Petri WA. ʻO ke kuni hou a me nā maʻi borrelia ʻē aʻe. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 322.