Kuru
ʻO Kuru kahi maʻi o ka ʻōnaehana ʻōiwi.
He maʻi nui loa ʻo Kuru. Hoʻokumu ʻia ia e kahi protein protectious infectious (prion) i loaʻa i nāʻiʻo lolo o ke kanaka i haumia.
ʻIke ʻia ʻo Kuru i waena o ka poʻe mai Nūkini e hana i kahi ʻano o ka cannibalism kahi i ʻai ai lākou i ka lolo o ka poʻe make ma ke ʻano he ʻāpana o kahi hoʻolewa. Ua kū kēia hana ma 1960, akā ua hōʻike ʻia nā hihia o kuru no nā makahiki he nui ma hope mai no ka mea he lōʻihi ka manawa o ka maʻi i loko o ka maʻi. ʻO ka manawa incubation ka manawa e pono ai e hōʻike i nā ʻōuli ma hope o ka hōʻike ʻia ʻana i ka agena nāna i kumu mai ka maʻi.
Hoʻololi ʻo Kuru i ka lolo a me ka ʻōnaehana ʻōnaehana e like me ka maʻi Creutzfeldt-Jakob. ʻIke ʻia nā maʻi like i loko o nā bipi me bovine spongiform encephalopathy (BSE), i kapa ʻia hoʻi ʻo ka maʻi bipi wahine.
ʻO ka mea nui makaʻu no ka kuru ke ʻai nei i ka ʻili o ka lolo o ke kanaka, kahi e hiki ai ke komo i loko o nā huna ʻie.
ʻO nā ʻōuli o kuru pū me:
- ʻEha ʻeha a me ka wāwae
- Hoʻopilikia i nā pilikia e lilo i mea koʻikoʻi
- Ke hele wāwae paʻakikī
- ʻEha poʻo
- Pahu i ka paʻakikī
- Nā haʻalulu a me nā ʻūlū mākala
ʻO ka paʻakikī ʻana i ka ale ʻana a me ka hiki ʻole ke hānai iā ʻoe iho hiki ke alakaʻi i ka palaka a me ka wī.
ʻO ka manawa hoʻouluulu 10 a 13 mau makahiki, akā ʻo ka manawa hoʻouluulu o 50 mau makahiki a ʻoi aku paha ka lōʻihi i hōʻike ʻia.
Hōʻike paha kahi hōʻike neurologic i nā loli i ka hoʻohui a me ka hiki ke hele.
ʻAʻohe lāʻau lapaʻau i ʻike ʻia no kuru.
Kū ka make ma waena o 1 mau makahiki ma hope o ka hōʻailona mua o nā hōʻailona.
E ʻike i kāu kahu mālama ola inā loaʻa iā ʻoe kekahi pilikia e hele wāwae ana, e ale ana a i ʻole ka hoʻohui ʻana. Kākaʻikahi loa ʻo Kuru. E kāpae kāu mea hāʻawi i nā maʻi ʻōnaehana hopohopo ʻē aʻe.
Maʻi Prion - kuru
- ʻŌnaehana ʻōnaehana waena a me ka ʻōnaehana ʻōnaehana peripheral
ʻO Bosque PJ, ʻo Tyler KL.Nā maʻi Prion a me nā prion o ka ʻōnaehana waena (transmissible neurodegenerative maʻi). 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 181.
ʻO Geschwind MD. Nā maʻi Prion. I: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. ʻO Bradley's Neurology i ka hana lapaʻau. ʻEpekema 7 Piladelapia, PA: Elsevier; 2016: chap 94.