Influenza Avian
ʻO ka maʻi flu Avian ke kumu o ka maʻi flu i nā manu. Hiki i nā virus ke kumu o ka maʻi i nā manu ke loli (mutate) no laila hiki ke laha i nā kānaka.
Ua hōʻike ʻia ka maʻi maʻi pēpē mua ma Hong Kong ma 1997. Ua kapa ʻia ʻo avian influenza (H5N1). Pili ka ʻōpili i nā moa.
Mai ia manawa aia nā hihia kanaka o ka maʻi lele A ma ʻAsia, ʻApelika, ʻEulopa, Indonesia, Vietnam, ka Pākīpika, a me ka Hikina kokoke. Ua maʻi nā haneli o ka poʻe i kēia maʻi. A i ka hapalua o ka poʻe i loaʻa i kēia maʻi maʻi i make i ka maʻi.
Piʻi ka manawa kūpono o ka honua ākea i loko o nā kānaka ke piʻi ka maʻi lele maʻi lele.
Hōʻike nā Centres for Disease Control and Prevent i nā mokuʻāina 21 me ka maʻi maʻi manu ma nā manu a ʻaʻohe maʻi i loko o ke kanaka e like me ʻAukake 2015.
- ʻO ka hapa nui o kēia mau maʻi i loaʻa i nā pā o nā kua a me nā ʻohana manu hānai.
- ʻAʻole i loaʻa i kēia mau virus nā HPAI H5 i kekahi poʻe ma ʻAmelika Hui Pū ʻIa, Kanada, a me ka honua. He haʻahaʻa ka makaʻu no ka maʻi i nā kānaka.
ʻOi aku kou makaʻu i ka loaʻa ʻana o ka maʻi virus flu manu inā:
- Hana ʻoe me nā moa (e like me nā mahiʻai).
- Hele ʻoe i nā ʻāina kahi e loaʻa ai ka maʻi.
- Hoʻopā ʻoe i kahi manu maʻi.
- Hele ʻoe i loko o kahi hale me nā manu maʻi a make paha, nā feces, a i ʻole nā ʻōpala mai nā manu maʻi.
- ʻAi ʻoe i ka ʻai manu moa ʻole a moa ʻole paha, nā hua manu, a i ʻole ke koko mai nā manu i pāhola ʻia.
ʻAʻohe mea i loaʻa i ka maʻi flu flu avian mai ka ʻai ʻana i nā moa moa a i ʻole nā moa moa pono.
ʻO nā limahana mālama olakino a me nā poʻe e noho ana i ka hale like me ka poʻe me ka maʻi palū manu e ʻoi aku paha ka makaʻu no ka maʻi.
Hiki i nā virus virus Avian flu ke noho i ke kaiapuni no nā wā lōʻihi. Hoʻolahalaha ʻia ka maʻi maʻi ma ka hoʻopā wale ʻana i nā ʻili i loaʻa ka maʻi iā lākou. Hiki i nā manu i loaʻa i ka maʻi flu ke hāʻawi i ka maʻi i loko o kā lākou feces a me ko lākou lawai no 10 mau lā.
ʻO nā ʻōuli o ka maʻi flu flu avian i loko o ke kanaka e kaukaʻi ʻia i ka maʻi o ka maʻi.
ʻO ka maʻi maʻi lele avian i nā kānaka ke kumu o nā maʻi like flu, e like me:
- Cough
- Pohā
- Hī pilikia
- ʻOi aku ka wela ma mua o 100.4 ° F (38 ° C)
- ʻEha poʻo
- ʻO ka manaʻo maʻi maʻamau (malaise)
- ʻEha ka ʻili
- Mū ihu
- Eha ka 'ā'ī
Inā manaʻo ʻoe ua hōʻike ʻia ʻoe i ka maʻi, e kāhea i kāu kauka olakino ma mua o ka kipa ʻana o kāu keʻena. Hāʻawi kēia i nā limahana i kahi manawa e hana i nā hana e pale ai iā lākou iho a me nā poʻe ʻē aʻe i kāu kipa keʻena.
Aia kekahi mau hoʻāʻo no ka maʻi lele, akā ʻaʻole loaʻa ākea. Hiki i kekahi ʻano o ka hoʻāʻo ke hāʻawi i nā hopena ma kahi o 4 mau hola.
Hana paha kāu mea hāʻawi i nā hōʻike aʻe:
- Ke hoʻolohe nei i nā mumū (e ʻike ai i nā kani o ka hanu maʻamau)
- Pākuʻi x-ray
- ʻO ka moʻomeheu mai ka ihu a i ʻole ka ʻāʻī
- ʻO kahi hana a i ʻole ʻenehana e ʻike ai i ka maʻi, i kapa ʻia ʻo RT-PCR
- Helu keʻokeʻo koko keʻokeʻo
Hana ʻia nā hoʻokolohua ʻē aʻe e nānā i ka maikaʻi o ka hana o kou puʻuwai, nā puʻupaʻa, a me ke ake.
Hoʻololi ka lāʻau lapaʻau, a hoʻokumu ʻia i kāu mau ʻōuli.
Ma ka laulā, mālama ʻia me ka lāʻau antiviral oseltamivir (Tamiflu) a i ʻole zanamivir (Relenza) i mea e hōʻemi loa ai i ka maʻi. No ka hana ʻana o ka lāʻau, pono ʻoe e hoʻomaka i ka lawe ʻana i loko o 48 mau hola ma hope o ka hoʻomaka ʻana o kāu mau ʻōuli.
Hiki ke kuhikuhi ʻia ʻo Oseltamivir no ka poʻe e noho ana i ka hale like me ka poʻe me ka maʻi palū. Pale paha kēia iā lākou mai ka loaʻa ʻana o ka maʻi.
ʻO ka virus e hoʻopōpō ai i ka maʻi hēhī kanaka e kūpaʻa i nā lāʻau antiviral, amantadine a me rimantadine. ʻAʻole pono e hoʻohana i kēia mau lāʻau i ka hihia o kahi ahulau H5N1.
Pono e kau ʻia ka poʻe me ka maʻi ʻino ma luna o ka mīkini hanu. Pono e mālama kaʻawale nā poʻe i loaʻa i ka maʻi mai nā poʻe maʻi ʻole.
Paipai nā mea hoʻolako i nā kānaka e loaʻa i ka maʻi palū (flu). Hiki paha i kēia ke ʻoki i ka manawa e hui pū ʻia ai ka maʻi flu me ka maʻi flu. Hoʻokumu paha kēia i kahi virus hou e hoʻolaha maʻalahi paha.
Aia ka nānā i ke ʻano o ka maʻi lele a me ka maikaʻi ʻole o ka maʻi. Hiki i ka maʻi ke make.
Komo pū nā pilikia:
- Holo hanu koʻikoʻi
- Hewa ʻōpū
- Pulumonia
- Sepsis
Kāhea i kāu mea hāʻawi inā hoʻomohala ʻoe i nā hōʻailona like flu i loko o 10 mau lā o ka mālama ʻana i nā manu i loaʻa i ka maʻi a i ʻole ma kahi e ʻike ʻia ka maʻi maʻi maʻi pēpē.
Aia kahi lāʻau āpau i ʻae ʻia e pale aku i nā kānaka mai ka maʻi H5N1avian flu. Hiki ke hoʻohana ʻia kēia lāʻau lapaʻau inā hoʻomaka ka maʻi H5N1 o kēia manawa e hoʻolaha i waena o nā kānaka. Mālama ke aupuni US i ka waihona vaccine.
I kēia manawa, ʻaʻole koi nā Centers US for Disease Control and Prevention (CDC) e kūʻē i ka huakaʻi ʻana i nā ʻāina i pā ʻia e ka maʻi flu.
Hana ka CDC i kēia mau ʻōlelo aʻoaʻo aʻe.
Ma ke ʻano he hoʻomalu ākea:
- Hōʻalo i nā manu ʻāhiu a nānā wale iā lākou mai kahi mamao aku.
- Hōʻalo i ka hoʻopili ʻana i nā manu maʻi a me nā papa i uhi ʻia i loko o kā lākou feces.
- E hoʻohana i nā lole pale a me nā pale hanu kūikawā inā ʻoe e hana me nā manu a i ʻole inā ʻoe e hele i nā hale me nā manu maʻi a make paha, nā feces, a i ʻole nā ʻōpala mai nā manu maʻi.
- Inā ʻoe i launa pū me nā manu maʻi, e nānā no nā hōʻailona o ka maʻi. Inā hele a maʻi ʻoe, e haʻi i kāu mea hāʻawi.
- Hōʻalo i ka ʻiʻo ʻai ʻole a moa ʻole paha. Hoʻoemi kēia i ka makaʻu no ka hōʻike ʻana i ka maʻi lele a me nā maʻi ʻē aʻe i lawe ʻia mai nā meaʻai.
Inā hele i nā ʻāina ʻē:
- Hōʻalo i nā kipa ʻana i nā mākeke manu-ola a me nā māla manu.
- Hōʻalo i ka hoʻomākaukau ʻana a i ʻole ʻai ʻana i nā huahana moa moa ʻole.
- E ʻike i kāu mea hāʻawi inā maʻi ʻoe ma hope o kou hoʻi ʻana mai kāu huakaʻi.
Loaʻa nā ʻike e pili ana i ka maʻi avian ma: www.cdc.gov/flu/avianflu/avian-in-humans.htm.
Flu manu; H5N1; H5N2; H5N8; H7N9; Avian influenza A (HPAI) H5
- ʻO ke anuanu a me ka maʻi palū - he aha e nīnau aku ai i kāu kauka - makua
- ʻO ke anuanu a me ka maʻi palū - he aha kāu e noi aku ai i kāu kauka - keiki
Nā kikowaena no ka pūnaewele Disease Control a me Prevent. ʻO ka maʻi maʻi maʻi maʻi maʻi maʻi i nā kānaka. www.cdc.gov/flu/avianflu/avian-in-humans.htm. Hoʻohou ʻia ʻApelila 18, 2017. Loaʻa iā Ianuali 3, 2020.
ʻO Dumler JS, Reller ME. Zoonoses. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 312.
ʻO Ison MG, Hayden FG. Influenza. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 340.
ʻO Treanor JJ. Nā maʻi virus influenza, e like me ka maʻi lele avian a me ka maʻi puaʻa. 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 165.