Lāʻau makeʻai
Kū ka lāʻau make ke ale ʻoe i ka meaʻai a i ʻole ka wai i loaʻa ka maʻi koʻohune, nā parasites, nā virus, a i nā toxins i hana ʻia e kēia mau mikrob. Hoʻokumu ʻia ka hapa nui o nā maʻi e like me staphylococcus a i ʻole E coli.
Hiki i ka lāʻau makeʻai ke hoʻopili i ke kanaka a i ʻole ka hui o ka poʻe i ʻai i ka meaʻai like. ʻOi aku ka maʻamau ma hope o ka ʻai ʻana ma nā pikinike, nā hale ʻai kula, nā hana kaiāulu nui, a i ʻole nā hale ʻaina.
Ke komo nā mikena i loko o ka meaʻai, kapa ʻia ia haumia. Hiki i kēia ke hana i nā ʻano ʻokoʻa:
- Hiki i ka ʻiʻo a i ʻole ka moa moa ke hoʻopili aku me nā bacteria mai nā ʻōpū o kahi holoholona e hoʻoponopono ʻia ana.
- Hoʻohana ʻia ka wai i ka wā e ulu ana a i ʻole ka hoʻouna ʻana i nā holoholona a i ʻole nā ʻōpala kanaka.
- E mālama ʻia paha ka meaʻai i kahi ala palekana ʻole i ka wā e hoʻomākaukau ai i nā hale kūʻai, nā hale ʻaina, a me nā hale paha.
Hiki ke hana i ka lāʻau makeʻai ma hope o ka ʻai ʻana a inu paha
- ʻO nā mea ʻai i hoʻomākaukau ʻia e ka mea holoi ʻole i ko lākou mau lima
- ʻO nā meaʻai i hoʻomākaukau ʻia me ka hoʻohana ʻana i nā ipu kuke, nā papa ʻoki, a me nā pono hana ʻē aʻe i hoʻomaʻemaʻe ʻole ʻia
- Nā huahana hana waiū a i ʻole nā meaʻai i loaʻa ka mayonnaise (e like me coleslaw a i ʻole saleta ʻuala) i lōʻihi loa i waho o ka pahu hau.
- ʻO nā meaʻai paʻahau a i ʻole nā pahu hau i mālama ʻole ʻia i ka mahana kūpono a i ʻole hoʻomaʻamaʻa hou ʻia i ka mahana kūpono
- Iʻa maka a i ʻole nā ʻōhiʻa
- ʻO nā hua maka a mea ʻai paha i holoi ʻole ʻia
- Nā huaʻai maka a i ʻole nā wai momona a me nā huahana waiū (e nānā i ka huaʻōlelo "pasteurized," ʻo ia hoʻi ka mālama ʻia ʻana o ka meaʻai e pale aku ai i nā mea haumia)
- Nā ʻiʻo undercooked a i ʻole nā hua manu
- Ka wai mai ka luawai a kahawai paha, a i ʻole ka wai kaona a kūlanakauhale paha i mālama ʻole ʻia
Hiki i nā ʻano ʻino a me nā toxins ke kumu i ka lāʻau make, e like me:
- ʻO Campylobacter enteritis
- Kolera
- E coli komo komo
- Nā Toxin i loko o ka iʻa i hōʻino ʻia a i poke ʻia a i ʻole pūpū
- Staphylococcus aureus
- Salmonella
- ʻO Shigella
ʻO nā pēpē a me nā poʻe ʻelemakule ka makaʻu nui loa i ka lāʻau make. ʻOi aku paha ʻoe i kahi makaʻu kiʻekiʻe inā:
- He maʻi olakino koʻikoʻi kou, e like me ka maʻi puʻuwai, diabetes, maʻi ʻaʻai, a i ʻole HIV a me / a i ʻole AIDS.
- Loaʻa iā ʻoe kahi ʻōnaehana pale nāwaliwali.
- Hele ʻoe ma waho o ʻAmelika Hui Pū ʻIa i nā wahi kahi e ʻike ʻia ai nā mikena e hōʻino ai i ka meaʻai.
Pono nā wahine hāpai a hānai e hoʻohana i ka mālama keu e hōʻalo i ka lāʻau make.
E hoʻomaka pinepine nā ʻōuli mai nā ʻano laha pinepine o ka ʻai ma waena o 2 a 6 mau hola o ka ʻai ʻana i ka meaʻai. Lōʻihi a pōkole paha kēlā manawa, kaukaʻi ʻia i ke kumu o ka lāʻau make.
Nā hōʻailona kūpono e pili pū me:
- Pākuʻi ʻōpū
- Diarrhea (koko paha)
- Fiva a me nā anuanu
- ʻEha poʻo
- ʻO Nusea a me ka luaʻi
- Nawaliwali (e koʻikoʻi paha)
E nānā kāu mea mālama ola no nā hōʻailona o ka lāʻau make. Hoʻopili paha kēia i ka ʻeha i loko o ka ʻōpū a hōʻailona i kou kino i ka liʻiliʻi o ka wai (dehydration).
E hana ʻia paha nā hoʻāʻo ma kāu pahu noho a i ʻole nā meaʻai āu i ʻai ai e ʻike i ke ʻano o ka mole e hoʻopiʻi nei i kāu hōʻailona. Eia nō naʻe, ʻaʻole ʻike mau ʻia nā hōʻike i ke kumu o ka maʻi pākī.
I nā hihia koʻikoʻi hou aʻe, kauoha paha kāu mea hāʻawi i kahi sigmoidoscopy. Hoʻohana kēia hoʻokolohua i kahi puʻupuʻu lahilahi, hollow me kahi kukui ma ka hopena i hoʻonoho ʻia i loko o ke anus a neʻe lohi i ke koleke kiko a me ka sigmoid e nānā no ke kumu o ke kahe a me ka maʻi.
ʻO ka hapanui o ka manawa, e maikaʻi ʻoe i nā lā ʻelua. ʻO ka pahuhopu ka hoʻomāmā i nā hōʻailona a hōʻoia i ka loaʻa o ka nui o nā wai i kou kino.
ʻO ka loaʻa ʻana o ka wai a lawa a me ke aʻo ʻana i ka mea e ʻai ai e kōkua iā ʻoe e ʻoluʻolu. Pono ʻoe e:
- Hoʻoponopono i ka palahī
- Kaohi i ka nausea a me ka luaʻi
- E hoʻomaha nui
Hiki iā ʻoe ke inu i nā hui puʻuwai waha e pani ai i nā wai a me nā minelala i nalowale ma o ka luaʻi ʻana a me ka diarrhea.
Hiki ke kūʻai ʻia i ka pauka rehydration oral mai kahi kauka lāʻau. E hoʻopili pono i ka pauka i loko o ka wai palekana.
Hiki iā ʻoe ke hana i kāu hui ponoʻī ma ka hoʻoheheʻe ʻana i ka teaspoon (tsp) a i ʻole 3 gram (g) ka paʻakai a me ka ½ tsp (2.3 gram) soda a me 4 punetēpō (tbsp) a i ʻole 50 mau kolamu o ke kō i 4¼ kīʻaha (1 lita) wai.
Inā loaʻa ʻoe i ka palahī a ʻaʻole hiki ke inu a mālama i nā wai, pono paha ʻoe i nā wai i hāʻawi ʻia ma o kahi aa (e IV). ʻOi aku paha kēia ma nā kamaliʻi liʻiliʻi.
Inā ʻoe e lawe i ka diuretics, e nīnau i kāu mea hāʻawi inā pono ʻoe e haʻalele i ka lawe ʻana i ka diuretic ʻoiai ʻoe e pākī ana. Mai hōʻoki a hoʻololi paha i nā lāʻau ma mua o ke kamaʻilio ʻana i kāu mea hāʻawi.
No nā kumu maʻamau o ka lāʻau makeʻai, ʻaʻole e hāʻawi nā mea hāʻawi i nā lāʻau ʻaloʻalo.
Hiki iā ʻoe ke kūʻai i nā lāʻau i ka lāʻau kūʻai e kōkua i ka hoʻolōʻihi i ka maʻi pākī.
- Mai hoʻohana i kēia mau lāʻau me ka ʻole o ke kamaʻilio ʻana i kāu mea hāʻawi inā loaʻa ʻoe i ka maʻi diarrhea, ke kuni, a i ʻole ka maʻi pākī.
- Mai hāʻawi i kēia mau lāʻau i nā keiki.
ʻO ka hapa nui o ka poʻe e hoʻōla piha i nā ʻano lāʻau ʻona maʻamau i waena o 12 a 48 mau hola. Hiki i kekahi ʻano lāʻau ʻona ke hana i nā pilikia koʻikoʻi.
ʻO ka make ʻana mai ka lāʻau make i nā poʻe i olakino ʻole ʻē aʻe i ʻAmelika Hui Pū ʻIa.
ʻO ka make wai ka pilikia pinepine. Hiki i kēia ke hana mai kekahi kumu o ka lāʻau make.
ʻOi aku ka liʻiliʻi, akā ʻoi aku ka nui o nā pilikia koʻikoʻi i ka bacteria. Pākuʻi ʻia kēia mau mea:
- Pākuʻi
- Nā pilikia koko
- Poino i ka ʻōnaehana ʻōiwi
- Nā pilikia ʻiʻo
- ʻO ka pehu a i ʻole ka ukiuki i loko o nā mea a puni ka puʻuwai
Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe:
- Koko a i ʻole pā i loko o kāu mau noho
- Diarrhea a hiki ʻole ke inu i nā wai ma muli o ka nausea a me ka luaʻi
- ʻO ke kuni ma luna o 101 ° F (38.3 ° C), a i ʻole he kuni kāu keiki ma luna o 100.4 ° F (38 ° C) me ka maʻi pākī.
- Nā ʻōuli o ka make wai ʻana (make wai, ʻūpā, ʻālohilohi)
- Ua hele hou aku nei i kahi ʻāina ʻē a ulu i ka maʻi pākī
- ʻO ka maʻi diarrhea ʻaʻole i ʻoi aku ka maikaʻi i loko o 5 mau lā (2 mau lā no kahi pēpē a keiki paha), a i ʻole ua ʻoi aku ka maikaʻi
- ʻO kahi keiki e luaʻi ana ma mua o 12 mau hola (i kahi keiki hānau hou ma lalo o 3 mau mahina pono ʻoe e kāhea ke hoʻomaka koke ka luaʻi a i ʻole ka palahī)
- ʻO ka lāʻau makeʻai mai nā mushroom (mea make paha), iʻa a i ʻole nā iʻa iʻa ʻē aʻe, a i ʻole botulism (hiki nō hoʻi ke make)
Nui a hewahewa nā ala e hiki ai ke pale aku i ka lāʻau make.
- Meaʻai wai maopopo
- ʻAiʻai wai piha
- Ke loaʻa ka nausea a me ka luaʻi
- Lāʻau makeʻai
- Nā Antibodies
Nguyen T, Akhtar S. Gastroenteritis. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 84.
ʻO Schiller LR, Sellin JH. Pohā. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi Liver: Pathophysiology / Diagnosis / Management. 10 o ka lā. Piladelapia, PA: Elsevier Saunders; 2016: chap 16.
Wong KK, Griffin PM. Maʻi maʻi ʻaʻai. 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 101.