ʻO ka hoʻoneʻe kikoʻī
ʻO nā kikiki he mau mea liʻiliʻi, e like me nā ʻano ʻeneto e noho ana i ka ulu lāʻau a me nā māla. Hoʻopili lākou iā ʻoe ke kāhili i nā pua, nā mea kanu, a me ka mauʻu. Once ma luna ou, neʻe pinepine nā tikika i kahi mehana, a maʻū. ʻIke pinepine ʻia lākou i ka lima, ʻūlū, a me ka lauoho. Hoʻopili paʻa nā kikiki i kou ʻili a hoʻomaka e huki i ke koko no kā lākou pāʻina. ʻAʻole ʻeha kēia hana. ʻAʻole ʻike ka hapa nui o ka poʻe i ka nahu kik.
Hiki ke nui ka nui o nā kikiki, e pili ana i ka nui o ka peni peni. Hiki iā lākou ke liʻiliʻi loa a paʻa loa iā lākou keʻike. Hiki i nā tikika ke hoʻoili i nā bacteria e hiki ai ke hōʻeha i nā maʻi. Hiki i kekahi o kēia mau mea ke koʻikoʻi.
ʻOiai ka hapanui o nā tick ʻaʻole e hāpai i nā bacteria i kumu i nā maʻi kanaka, lawe kekahi mau ticks i kēia bacteria. Hiki i kēia mau bacteria ke kumu:
- Ke kuni kika o Colorado
- Maʻi Lyme
- ʻIke ʻo Rocky Mountain i ke kuni
- Tularemia
Inā pili ʻia kahi tick iā ʻoe, e hāhai i kēia mau kaʻina hana e wehe iā ia:
- E hoʻohana i nā tweezers e lālau i ke kikiki kokoke i kona poʻo a waha paha. Mai hoʻohana i kou manamana lima. Inā ʻaʻohe ou tweezers a pono e hoʻohana i kou manamana lima, e hoʻohana i kahi kiko a i ʻole kāwele pepa.
- Huki pololei i ka tick me kahi neʻe lohi a paʻa. Hōʻalo i ka ʻomi ʻana a i ʻole ka ʻūlū ʻana i ka tikika. E makaʻala ʻaʻole e waiho i ke poʻo i paʻa i ka ʻili.
- E hoʻomaʻemaʻe maikaʻi i ka wahi me ke kopa a me ka wai. E holoi pono i kou mau lima.
- Mālama i ka tick i loko o kahi hue. E nānā i ke kanaka i nahu pono ʻia i ka pule aʻe a ʻelua paha no nā ʻōuli o ka maʻi Lyme (e like me ka hū a me ke kuni).
- Inā ʻaʻole hiki ke hemo i nā ʻāpana āpau, e kiʻi i ke kōkua lapaʻau. Lawe i ka tick i loko o ka hue i kāu kau kauka.
- Mai hoʻāʻo e puhi i ke kikiki me kahi match a i ʻole mea wela ʻē aʻe.
- Mai wili i ka kikiki i ka huki ʻana iā ia.
- Mai hoʻāʻo e pepehi, ʻāpala, a i ʻole ka lubricate i ka tick me ka aila, ʻalekohola, Vaseline, a i ʻole nā mea like i ka wā e paʻa mau ana ka ʻeke i ka ʻili.
Kāhea i kāu kauka inā ʻaʻole hiki iā ʻoe ke hemo i ka tick holoʻokoʻa. Kāhea pū kekahi i nā lā ma hope o ka nahu kikiki inā e hoʻomohala ʻoe:
- ʻO kahi wīwī
- ʻO nā ʻōuli e like me ka flu, e like me ke kuni a me ka maʻi poʻo
- ʻEha hui a ʻulaʻula paha
- Nā pehu lymph pehu
Kāhea iā 911 inā he mau hōʻailona kāu o:
- ʻEha ʻeha
- Palpitations puʻuwai
- Pālolo
- ʻEha poʻo poʻo
- Hī pilikia
E pale aku i nā nika kik:
- E komo i nā pālule loloa a me nā pūlima lōʻihi ke hele ʻoe ma waena o ka palaki kaumaha, ka mauʻu kiʻekiʻe, a me nā wahi ulu lāʻau mānoanoa.
- Huki i kou mau kākini ma waho o kou mau lole wāwae e pale i nā kikika mai ke kolo ʻana i kou wāwae.
- E hoʻopaʻa i kou pālule i kou lole wāwae.
- E ʻaahu i nā lole ʻoniʻoni māmā i mea e ʻike maʻalahi ai nā kikiki.
- E pīpī i kou kapa me ka repellant insect.
- E hōʻoia pinepine i kou lole a me kou ʻili i ka ulu lāʻau.
Ma hope o ka hoʻi ʻana i ka home:
- Wehe i kou kapa. E nānā pono i nā ʻili o kou ʻili a pau, me kou poʻo. Hiki i nā ticks ke piʻi wikiwiki i ka lōʻihi o kou kino.
- Nui a maʻalahi hoʻi kahi e loaʻa ai kekahi mau ticks. Hiki ke liʻiliʻi iki nā kikiki ʻē aʻe, no laila e nānā pono i nā kiko ʻeleʻele a ʻeleʻele paha ma ka ʻili.
- Inā hiki, e noi i kekahi e kōkua iā ʻoe e nānā i kou kino no nā tick.
- Pono ke kanaka makua e nānā pono i nā keiki.
- Maʻi Lyme
- ʻO ka dia a me ka ʻīlio ʻīlio
- Pākuʻi ʻia i ka ʻili
Bolgiano EB, Sexton J. Nā maʻi Tickborne. 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 126.
ʻO Cummins GA, Traub SJ. Nā maʻi kūpilikiʻi. I: Auerbach PS, Cushing TA, Harris NS, hua. Ka Laau Lāʻau ʻo Auerbach. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 42.
Diaz JH. Nā tikika, e like me ka maʻi lolo. 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 298.