Maʻi maʻi popoki

ʻO ka maʻi popoki he maʻi ia me nā koʻohune bartonella i manaʻo ʻia e lawe ʻia e nā kaha popoki, nā nahu popoki, a nā nahu lele paha.

Hoʻokumu ʻia ka maʻi pōpoki e ka bacteriaʻO Bartonella henselae. Hoʻolahalaha ka maʻi ma o ka launa pū ʻana me ka pōpoki i loaʻa i ka maʻi (kahi nahu a i ʻole nā ​​ʻōpala) a i ʻole kū i nā ʻūlū popoki. Hiki iā ia ke pālahalaha ʻia ma o ka launa ʻana me ka lūlū o ka pōpoki ma ka ʻeha haki a i ʻole nā ​​ʻaoʻao mucosal e like me kēlā i ka ihu, waha, a me nā maka.

Hiki i kekahi kanaka i launa pū me ka pōpoki maʻi ke hōʻike i nā ʻōuli maʻamau, e like me:

• Bump (papule) a i ʻole blister (pustule) ma ke kahua o ka ʻeha (ʻo ka maʻa mau ka hōʻailona mua)
• Ka luhi
• Fever (i kekahi poʻe)
• ʻEha poʻo
• ʻO ka pehu lymph (lymphadenopathy) kokoke i ka pūnaewele o ka ʻili a nahu paha
• ʻO ka hōʻoluʻolu holoʻokoʻa (malaise)

Hiki paha i nā ʻōuli maʻamau ke hoʻopili ʻia:

• Loaʻa ka ʻai ʻole
• Eha ka 'ā'ī
• Kaumaha emi

Inā ʻoe i pehu i nā lymph node a me kahi ʻōpala a nahu paha mai kahi pōpoki, manaʻo paha kāu mea mālama ola e maʻi i ka maʻi cat-scratch.

Hōʻike kahi loiloi kino i kahi lūlū hoʻonui.

I kekahi manawa, hiki i kahi lymph node i hoʻopili ʻia ke hana i kahi tunnel (fistula) ma o ka ʻili a hoʻokahe (kahe wai).

ʻAʻole ʻike pinepine ʻia kēia maʻi no ka mea paʻakikī ke kuhi. ʻO ka ʻO Bartonella henselaeʻO ka hoʻāʻo ʻana o ke koko (IFA) hōʻike koko he ala pololei ia e ʻike ai i ka maʻi i hoʻokumu ʻia e kēia bacteria. Pono e noʻonoʻo ʻia nā hopena o kēia hōʻike me nā ʻike ʻē aʻe mai kāu mōʻaukala, nā hoʻokolohua hoʻokolohua, a me ka biopsy.

Hiki ke hana ʻia kahi biopsy lymph node e nānā ai i nā kumu ʻē aʻe o nā kelena i pehu.

ʻO ka maʻamau, ʻaʻole koʻikoʻi ka maʻi popoki. ʻAʻole pono ka lapaʻau ʻana. I kekahi mau hihia, hiki ke kōkua i ka mālama ʻana me nā lāʻau ʻalopika e like me azithromycin. Hiki ke hoʻohana ʻia nā antibiotic ʻē aʻe, e like me clarithromycin, rifampin, trimethoprim-sulfamethoxazole, a i ʻole ciprofloxacin.

I ka poʻe me ka maʻi HIV / AIDS a me nā mea ʻē aʻe, ka poʻe i loaʻa ka ʻōnaehana nāwaliwali, ʻoi aku ka koʻikoʻi o ka maʻi popoki. Paipai ʻia ka mālama ʻana me nā lāʻau antibiotic.

ʻO ka poʻe i loaʻa kahi ʻōnaehana olakino olakino e hoʻōla piha me ka ʻole o ka lāʻau. I ka poʻe me ka ʻōnaehana pale nawaliwali, ʻo ka mālama ʻana me nā lāʻau ʻaloʻalo e alakaʻi mau i ka hoʻōla.

ʻO ka poʻe nāwaliwali nā ʻōnaehana pale pale e hoʻomohala i nā pilikia e like me:

• Encephalopathy (nalo o ka hana lolo)
• Neuroretinitis (pehu o ka retina a me optic nerve o ka maka)
• Osteomyelitis (iwi maʻiʻaʻai)
• Parinaud Syndrome (ʻulaʻula, hoʻonāukiuki, a me nā maka ʻeha)

Kāhea i kāu mea hāʻawi inā ua hoʻonui ʻoe i nā lymph node a ua ʻike ʻia ʻoe i kahi pōpoki.

E pale aku ai i ka maʻi popoki:

• E holoi pono i kou mau lima me ke kopa a me ka wai ma hope o ka pāʻani ʻana me kāu pōpoki. ʻO ka holoi ʻana i nā nahu a i nā ʻino hoʻi.
• Pāʻani mālie me nā pōpoki iʻole e wili a nahu.
• Mai ʻae i ka pōpoki e palu i kou ʻili, nā maka, waha, a i ʻole nā ​​ʻeha hāmama a i nā ʻami.
• E hoʻohana i nā kaʻina hana kūleʻa e hoʻohaʻahaʻa i ka makaʻu o kāu pōpoki i hoʻomohala i ka maʻi.
• Mai lawelawe i nā pōpoki feral.

CSD; Ke kuni ʻaʻā popoki; Bartonellosis

• Maʻi maʻi popoki
• Nā Antibodies

ʻO Rolain JM, ʻo Raoult D. ʻO Bartonella nā maʻi maʻi. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 299.

Rose SR, Koehler JE. ʻO Bartonella, me ka maʻi ʻōpala-pōpoki. 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 234.