Fiva melemele

ʻO ka fiva melemele kahi maʻi viral i hoʻolaha ʻia e nā makika.

Hoʻokumu ʻia ka fiva melemele e kahi virus i lawe ʻia e nā makika. Hiki iā ʻoe ke hoʻomohala i kēia maʻi inā nahu ʻia ʻoe e ka makika i loaʻa i kēia maʻi.

Kūleʻa kēia maʻi ma ʻAmelika Hema a ma ʻApelika sub-Saharan.

Hiki i kekahi ke loaʻa i ka fiva melemele, akā ʻoi aku ka nui o ka pilikia o ka poʻe kūpuna i ka maʻi maʻi nui.

Inā nahu ʻia kekahi kanaka e ka makika maʻi, hoʻomohala mau nā ʻōuli 3 a 6 mau lā ma hope.

ʻEkolu a pae o ka fever fever

• ʻOihana 1 (maʻi): He ʻeha ke poʻo, nā mākala a me nā ʻeha pū, ke kuni, ka pīpī, ka nele i ka makemake, ka luaʻi, a me ka jaundice. Hele pinepine nā ʻōuli ma hope o 3 a 4 mau lā.
• Kahua 2 (kala ʻia): Hele ka maʻi fiva a me nā ʻōuli ʻē aʻe. E ola ka hapa nui o ka poʻe i kēia manawa, akā e ʻoi aku paha ka hewa o kekahi i loko o 24 mau hola.
• Kahua 3 (ʻona): Loaʻa paha nā pilikia me nā ʻōnaehana he nui, me ka puʻuwai, ka ate, a me ka puʻupaʻa. ʻO nā maʻi hōʻeha, hopu, coma, a me delirium paha e kū pū kekahi.

Pākuʻi ʻia paha nā ʻōuli:

• Fever, headache, muscle aches
• Nausea a me ka luaʻi, hiki paha ke luaʻi i ke koko
• Maka ʻulaʻula, alo, alelo
• ʻIli melemele a me nā maka (jaundice)
• Hoemi i ka urination
• Delirium
• Nā puʻuwai puʻuwai maʻamau (arrhythmia)
• Kahe ʻana (hiki ke holomua i ka hemorrhage)
• Ka hopu ʻana i nā maʻi
• Koma

E hana ka mea mālama ola i kahi hoʻokolokolo kino a kauoha i nā hoʻokolohua koko. Hōʻike paha kēia mau ho'āʻo koko i ka holo ʻole o ke ake a me ka hakuʻala a me nā hōʻike o ka haʻalulu.

He mea nui e haʻi aku i kāu mea hāʻawi inā ua huakaʻi ʻoe i nā wahi i ʻike ʻia e ulu pono ai ka maʻi. Hiki i nā hōʻoia koko ke hōʻoia i ka ʻike.

ʻAʻohe mālama kūikawā no ka wela melemele. Kākoʻo ka mālama ʻana a kālele ʻia ma:

• Nā huahana koko no ka hoʻokahe koko nui ʻana
• Dialysis no ke kōpaʻa maikaʻi ʻole
• Nā Fluids ma o kahi aa (nā wai hoʻoheheʻe)

Hiki i ke kuni melemele ke kumu i nā pilikia koʻikoʻi, me ke kahe ʻana o loko. Hiki ke make.

Nā pilikia e hopena paha me:

• Koma
• Make
• Hoʻomaʻamaʻa intravascular coagulation (DIC)
• Hewa ʻole nā ​​hakuʻala
• Hoka kōpaʻa
• ʻO ka maʻi gland salivary (parotitis)
• Nā maʻi koʻohune lua
• Pāhaʻi

E ʻike i kahi mea hoʻolako ma kahi o 10 a 14 mau lā ma mua o ka huakaʻi ʻana i kahi kahi e ʻike pinepine ʻia ai ka wela melemele e ʻike inā pono e huakaʻi ʻia ʻoe i kēia maʻi.

E haʻi koke aku i kāu mea hāʻawi inā loaʻa ʻoe a i ʻole paha i kāu keiki i ke kuni, ka maʻi poʻo, nā ʻeha o ka ʻū, ka luaʻi, a i ʻole ka jaundice.

Aia kekahi lāʻau lapaʻau maikaʻi e kūʻē i ka fiva melemele. E noi i kāu mea lawelawe ma ka liʻiliʻi he 10 a 14 mau lā ma mua o ka huakaʻi inā pono e pale aku i nā maʻi kō. Koi ʻia kekahi mau ʻāina i ka hōʻoia o ka hoʻōla ʻana e komo ai.

Inā ʻoe e hele ana i kahi e maʻa mau ai ke kuni melemele:

• E hiamoe i nā hale i hoʻopaʻa ʻia
• E hoʻohana i nā repellents makika
• E ʻaʻahu i nā kapa e uhi piha i kou kino

ʻO ke kuni hemorrhagic Tropical i hoʻokumu ʻia e ka maʻi fiva melemele

Nā kikowaena no ka pūnaewele Disease Control a me Prevent. Fiva melemele. www.cdc.gov/yellowfever. Hoʻohou i Ianuali 15, 2019. Loaʻa iā Kēkēmapa 30, 2019.

ʻO Endy TP. Nā maʻi fiva Viral. I: Ryan ET, Hill DR, Solomon T, Aronson NE, Endy TP, eds. ʻO ka lāʻau lapaʻau Hunter a Tropical Disease. 10 o ka lā. Piladelapia, PA: Elsevier; 2020: chap 37.

ʻO Thomas SJ, Endy TP, Rothman AL, Barrett AD. Flaviviruses (dengue, fever fever, Japanese encephalitis, West Nile encephalitis, Usutu encephalitis, St. Louis encephalitis, tick-bear encephalitis, Kyasanur Forest maʻi, Alkhurma hemorrhagic fever, Zika). I: Bennett JE, Dolin R, Blaser MJ, hua pā. ʻO Mandell, Douglas, a me Bennett's Principle a me ka hoʻomaʻamaʻa ʻana i nā maʻi kūpilikiʻi. 9th ed. Piladelapia, PA: Elsevier; 2020: chap 153.