Maʻi maʻi hiamoe

ʻO ka maʻi hiamoe kahi maʻi i hoʻokumu ʻia e nā parasite liʻiliʻi i hāpai ʻia e kekahi mau nalo. ʻO ka hopena i ka pehu ʻana o ka lolo.

Hoʻokumu ʻia ka maʻi hiamoe e nā ʻano ʻelua o nā parasites ʻO Trypanosoma brucei rhodesiense a ʻO Trypanosomoa brucei gambiense. T b rhodesiense ke kumu o ka maʻi ʻoi loa aku ka hewa.

Lawe ʻo Tsetse lele i ka maʻi. Ke nahu mai kahi lele maʻi iā ʻoe, hohola ka maʻi i kou koko.

ʻO nā mea pilikia e pili ana i ka noho ʻana i nā ʻāpana o ʻApelika kahi i loaʻa ai ka maʻi a nahu ʻia e nā lele tsetse. ʻAʻole kū kēia maʻi i ʻAmelika Hui Pū ʻIa, akā ʻo nā mea huakaʻi i kipa a noho paha i ʻApelika hiki ke maʻi ʻia.

ʻO nā ʻōuli laulā ka:

• Hoʻololi ka manaʻo, hopohopo
• Fever, sweating
• ʻEha poʻo
• Nawaliwali
• ʻO ka hiamoe ʻole i ka pō
• ʻO ka hiamoe i ke ao (hiki ʻole ke kaohi ʻia)
• Pehu nā lymph node ma ke kino holoʻokoʻa
• Pehu, ʻulaʻula, nodule ʻeha ma ke kahua o ka nahu lele

Hoʻokumu pinepine ʻia ka diagnostics ma luna o ka hoʻokolohua kino a me ka ʻike kikoʻī e pili ana i nā ʻōuli. Inā manaʻo ka mea mālama ola e hiamoe ana i ka maʻi, e nīnau ʻia ʻoe e pili ana i ka huakaʻi hou. E kauoha ʻia nā hōʻoia koko e hōʻoia i ka hōʻailona.

Hoʻopili nā hōʻike i kēia mau mea:

• Hoʻopili ke koko e nānā no nā parasite
• Nā hoʻāʻo wai Cerebrospinal (wai mai kāu iwi kuamoʻo)
• Helu piha koko (CBC)
• ʻO ka moemoeā lymph

ʻO nā lāʻau i hoʻohana ʻia e mālama i kēia maʻi pū me:

• Eflornithine (no T b piliwaiwai wale)
• Melarsoprol
• Pentamidine (no ka T b piliwaiwai wale)
• Suramin (Antrypol)

Loaʻa paha i kekahi poʻe ka hui pū ʻana o kēia mau lāʻau.

Me ka ʻole o ka lāʻau, hiki i ka make ke hana ma waena o 6 mau mahina mai ka holo pono ʻole ʻana o ka naʻau a i ʻole mai T b rhodesiense maʻi ʻo ia iho.

T b piliwaiwai ʻo ka maʻi ka maʻi e hiamoe ai maʻi a lilo i mea ʻoi aku ka hewa, pinepine i kekahi mau pule. Pono e mālama koke ʻia ka maʻi.

Komo pū nā pilikia:

• ʻO ka ʻeha e pili ana i ka hiamoe ʻana ʻoiai e hoʻokele ana a i ʻole nā ​​hana ʻē aʻe
• Poino lohi i ka ʻōnaehana hopohopo
• ʻAʻole hiamoe ka hiamoe ke hele a nui ka maʻi
• Koma

E ʻike koke i kāu mea hāʻawi inā loaʻa kāu mau ʻōuli, keu hoʻi inā ʻoe i huakaʻi i nā wahi e maʻa mau ai ka maʻi. He mea nui e hoʻomaka i ka mālama ʻana i ka wā hiki loa.

Pale aku nā kūpuna Pentamidine iā T b piliwaiwai, akā ʻaʻole kūʻē T b rhodesiense. Ma muli o ka lāʻau ʻona kēia lāʻau, hoʻohana ʻole ʻia ia no ka pale ʻana. T b rhodesiense mālama ʻia me ka suranim.

Hiki i nā kaohi hoʻomalu kolo ke pale aku i ka hoʻolaha ʻana o ka maʻi hiamoe ma nā wahi makaʻu nui.

ʻO ka maʻi Parasite - trypanosomiasis ʻApelika kanaka

ʻO Bogitsh BJ, Carter CE, Oeltmann TN. ʻO nā protistans koko a me nā meaola I: hemoflagellates. I: Bogitsh BJ, Carter CE, Oeltmann TN, eds. Parasitology kanaka. 5th lā. San Diego, CA: Elsevier Academic Press; 2019: chap 6.

ʻO Kirchhoff LV. Nā Agena o ka trypanosomiasis ʻApelika (maʻi hiamoe). 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 279.