ʻHuspala

ʻO Typhus kahi maʻi bacteria i pāhola ʻia e nā kutu a me nā ʻutu paha.

Hoʻokumu ʻia ka typhus e nā ʻano bacteria ʻelua: ʻO Rickettsia typhi a i ʻole Rickettsia prowazekii.

ʻO Rickettsia typhi kumu o ka hopena a me ka murine typhus.

• ʻAʻohe maʻamau ka maʻi ahulau endemic ma ʻAmelika Hui Pū ʻIa. ʻIke pinepine ʻia ia ma nā wahi e maikaʻi ʻole ai ka hoʻomaʻemaʻe, a anuanu ke anuanu. Kapa ʻia ka maʻi ahulau endemika i kekahi manawa ʻo "fever fever." Hoʻolahalaha pinepine ʻia ka bacteria mai kēia ʻiole a typhus i nā kānaka.
• Loaʻa ʻo Murine typhus ma ka hema o ʻAmelika Hui Pū ʻIa, ʻo Kaleponi a me Texas hoʻi. ʻIke pinepine ʻia i ke kauwela a me ka hāʻule. He mea make ʻole loa ia. E loaʻa paha kēia ʻano typhus iā ʻoe inā puni ʻoe i nā fole a i ʻole nā ​​ʻole, a me nā holoholona ʻē aʻe e like me nā pōpoki, nā posum, nā raccoons, a me nā skunks.

Rickettsia prowazekii kumu o ka maʻi ahulau. Hoʻolahalaha ʻia e nā makika.

ʻO ka maʻi ʻo Brill-Zinsser kahi ʻano akahai o ka maʻi ahulau. Kū ʻia ia i ka wā e lilo hou ai ka bacteria i loko o ke kanaka i loaʻa mua i ka maʻi. ʻOi aku ka maʻamau i nā mākua makua.

Pākuʻi ʻia paha nā ʻōuli o murine a i ʻole endomia typhus:

• Abdominal eha
• ʻAcheiwi
• Hoʻomaʻamaʻa ka ʻulaʻula huluhulu e hoʻomaka i ka waena o ke kino a pālahalaha
• ʻO ke kuni, hiki ke kiʻekiʻe loa, 105 ° F a 106 ° F (40.6 ° C a 41.1 ° C), mau paha i 2 mau pule
• Hacking, uā maloʻo
• ʻEha poʻo
• ʻEha pū me ka ʻeha pū
• ʻO Nusea a me ka luaʻi

Pākuʻi ʻia paha nā ʻōuli o ka maʻi ahulau:

• ʻO ke kuni kiʻekiʻe, haʻalulu
• Huikau, hoʻoliʻiliʻi alertness, delirium
• Cough
• ʻEha nui a ʻeha pū
• ʻO nā kukui i hoʻomālamalama loa; ʻeha paha ka maka i ka mālamalama
• Kaomi haʻahaʻa
• ʻO ka lapalapa e hoʻomaka ma ka umauma a pālahalaha i ke koena o ke kino (koe wale nā ​​poho o nā lima a me nā kapuwaʻi o nā wāwae)
• ʻEha poʻo poʻo

ʻO ka wīwī mua kahi kala rose rose māmā a mae i kou kaomi ʻana iā ia. Ma hope, lūlū a ʻulaʻula hoʻi ka hū ʻole ʻaʻole mae. Hiki i ka poʻe me ka typhus koʻikoʻi ke hoʻomohala i nā wahi liʻiliʻi o ke kahe ʻana i ka ʻili.

Hoʻokumu pinepine ʻia ka diagnostics ma luna o ka hoʻokolohua kino a me ka ʻike kikoʻī e pili ana i nā ʻōuli. E nīnau paha ʻoe iā ʻoe inā ʻoe e hoʻomanaʻo i ka ʻāpana o ka ʻuku. Inā manaʻo ke kahu mālama ola typhus, e hoʻomaka koke ʻoe i nā lāʻau. E kauoha ʻia nā hōʻoia koko e hōʻoia i ka hōʻailona.

Hoʻopili ke ʻano me nā antibiotic e hiki mai ana:

• ʻO Doxycycline
• Kālailai
• Chloramphenicol (emi iki)

Lawe ʻia ka Tetracycline e ka waha i nā niho e hana mau nei. ʻAʻole kau ʻia ia no nā keiki a hiki i ka ulu ʻana o ko lākou mau niho mau.

Pono paha ka poʻe me ka maʻi ahulau e pono ai ka oxygen a me nā wai o loko (IV).

ʻO ka poʻe me ka maʻi ahulau e loaʻa koke i ka lāʻau e pono ke ola hou. Me ka ʻole o ka lāʻau, hiki i ka make ke hana, me nā mea i piha i ka makahiki 60 i ka nui o ka make o ka make.

ʻO ka poʻe liʻiliʻi wale nō o ka poʻe i mālama ʻole ʻia me ka murine typhus e make paha. E hoʻōla koke ka mālama ʻana i nā lāʻau antibiotic i nā poʻe āpau me ka typhus murine.

ʻO ka typhus ke kumu o kēia mau pilikia:

• ʻO ka lawa ʻole o ke kōpaʻa (ʻaʻole hiki i nā puʻupaʻa ke hana maʻamau)
• Pulumonia
• Poino ke kikowaena pūnaewele

Kāhea i kāu mea hāʻawi inā hoʻomōhala ʻoe i nā ʻōuli o ka typhus. Hiki i kēia maʻi koʻikoʻi ke koi i ka mālama ulia pōpilikia.

Hōʻalo i ka noho ʻana ma nā wahi e hālāwai ai ʻoe me nā ʻūlū ʻiole a i ʻole nā ​​makika. ʻO ka hoʻomaʻemaʻe maikaʻi a me nā hana olakino lehulehu e hōʻemi i ka nui o ka iole.

Nā ana e kāpae ai i nā kika ke loaʻa kahi maʻi.

• Auau ʻauʻau
• ʻO ka paila ʻana i nā lole a i ʻole ka hōʻalo ʻana i nā lole komohewa no 5 mau lā (e make nā kika me ka hānai ʻole ʻana i ke koko)
• Ke hoʻohana nei i nā insecticides (10% DDT, 1% malathion, a i ʻole 1% permethrin)

Murine typhus; ʻO ka maʻi ahulau epidemi; Hopena hopena; ʻO Brill-Zinsser maʻi; Ke kuni paʻahao

ʻO Blanton LS, Dumler JS, Walker DH. ʻO Rickettsia typhi (murine typhus). 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 192.

ʻO Blanton LS, ʻo Walker DH. Rickettsia prowazekii (ka maʻi ahulau a i ʻole ka louse). 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 191.

Nā maʻi ʻo Raoult D. Rickettsial. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 327.