Maʻi Chagas

ʻO ka maʻi Chagas kahi maʻi i hoʻokumu ʻia e nā parasite liʻiliʻi a pāhola ʻia e nā ʻelala. Maʻamau ka maʻi ma ʻAmelika Hema a me Central America.

Hoʻokumu ʻia ka maʻi Chagas e ka parasite ʻO Trypanosoma cruzi. Hoʻolahalaha ʻia e ka nahu o nā puʻupuʻu reduviid, a i ʻole nā ​​honi hipa, a ʻo ia kekahi o nā pilikia olakino nui ma ʻAmelika Hema. Ma muli o ka neʻe ʻana, pili ka maʻi i ka poʻe ma United States.

ʻO nā kumu pilikia no ka maʻi Chagas e:

• E noho nei i kahi hale kahi e noho ai nā puʻupuʻu reduviid i nā paia
• Noho i ʻAmelika Waena a i ʻole ʻAmelika Hema
• Hune
• Ke loaʻa nei i kahi transfusion o ke koko mai kahi kanaka e hāpai i ka parasite, akā ʻaʻohe ou maʻi Chagas ikaika

ʻElua mau hanana o ka maʻi Chagas: koʻikoʻi a mau. ʻAʻohe o nā ʻōkō a me nā ʻōuli akahai loa, e like me:

• Fiva
• Manaʻo maʻi laulā
• ʻO ka pehu ʻana o ka maka inā kokoke ka nahu ma ka maka
• Kahi ʻulaʻula pehu ma kahi o ka nahu o nā ʻelala

Ma hope o ka ʻāpana koʻikoʻi, hele ka maʻi i ke kala. ʻAʻole ʻike ʻia nā ʻōuli ʻē aʻe no nā makahiki he nui. Ke hoʻomohala hope loa nā ʻōuli, pili pū paha lākou:

• Konipōpō
• Nā pilikia kūpala
• Hewa puʻuwai
• ʻEha ma ka ʻōpū
• Puʻuwai a heihei puʻuwai paha
• Hoʻopau i nā pilikia

Hiki i ka hoʻokolokolo kino ke hōʻoia i nā ʻōuli. Hiki i nā hōʻailona o ka maʻi Chagas ke:

• Ka maʻi o ka puʻuwai puʻuwai
• Hoʻonui i ke ake a me nā ʻāpala
• Nā lymph node hoʻonui ʻia
• Paʻi kuʻi ʻole
• Kuʻi puʻuwai wikiwiki

Loaʻa i nā hoʻāʻo:

• ʻO ka moʻomeheu koko e nānā i nā hōʻailona o ka maʻi
• Pākuʻi x-ray
• Echocardiogram (hoʻohana i nā nalu kani e hana i nā kiʻi o ka puʻuwai)
• Electrocardiogram (ECG, hoʻāʻo i ka hana uila i ka puʻuwai)
• Immunoassay pili iā Enzyme (ELISA) e nānā i nā hōʻailona o ka maʻi
• ʻO ka hamo koko e nānā i nā hōʻailona o ka maʻi

Pono e mālama ʻia ka mahele huʻihuʻi a me ka hoʻoulu hou ʻana i ka maʻi Chagas. Pono e mālama ʻia nā pēpē i hānau ʻia me ka maʻi.

Paipai ʻia ka mālama ʻana i ka pae mau no nā keiki a me ka hapanui o nā mākua. Pono nā mākua me ka maʻa mau Chagas maʻi e kamaʻilio me kā lākou lawelawe mālama ola e hoʻoholo ai inā pono ka lāʻau.

Hoʻohana ʻia nā lāʻau ʻelua e mālama i kēia maʻi: benznidazole a me nifurtimox.

Loaʻa nā hopena ʻelua i nā lāʻau ʻelua. ʻOi aku ka maikaʻi o nā hopena ma ka poʻe ʻelemākule. Pākuʻi ʻia lākou:

• Headache a me ka dizziness
• Ka nele o ka makemake a me ka pohō kaumaha
• Poino nerve
• Pilikia hiamoe
• Huʻi ʻili

Ma kahi o ka hapakolu o ka poʻe maʻi i mālama ʻole ʻia e hoʻomohala i ka maʻi Chagas maʻi a i ʻole symptomat. Hiki ke hala ma mua o 20 mau makahiki mai ka manawa o ka maʻi kumu e hoʻomohala i nā pilikia puʻuwai a digestive paha.

ʻO nā rhythm puʻuwai maʻamau ke kumu o ka make koke. I ka manawa e ulu ai ka puʻuwai puʻuwai, hiki pinepine ka make i loko o kekahi mau makahiki.

Hiki i ka maʻi Chagas ke hana i kēia mau pilikia:

• Kolona hoʻonui
• Hoʻonui ʻia me ka esophagus me ka paʻakikī o ka ale ʻana
• Maʻi maʻi puʻuwai
• Hewa puʻuwai
• Kaʻai pono ʻole

Kāhea i kahi manawa me kāu mea hāʻawi inā manaʻo ʻoe he maʻi Chagas kāu.

ʻO ka kaohi ʻana o ka pepelu me nā insecticides a me nā hale i liʻiliʻi ka nui o ka nui o nā pepelu e kōkua i ka mālama ʻana i ka maʻi.

ʻO nā panakō koko ma ʻAmelika Waena a me ʻAmelika Hema e nānā i nā mea kōkua no ka hōʻike ʻana i ka parasite. Hoʻolei ʻia ke koko inā loaʻa ka parasite i ka mea hāʻawi. ʻO ka hapa nui o nā panakō koko ma ʻAmelika Hui Pū ʻIa i hoʻomaka i ka loiloi no ka maʻi Chagas i ka makahiki 2007.

ʻO ka maʻi Parasite - trypanosomiasis ʻAmelika

• Pepelu honi
• Nā Antibodies

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 ʻano trypanosoma (ʻAmelika trypanosomiasis, maʻi Chagas): biology o trypanosomes. 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 278.