Maʻi maʻi Zika
ʻO Zika kahi maʻi i hāʻawi ʻia i nā kānaka e ka nahu o nā makika maʻi. ʻO nā ʻōuli e like me ke kuni, ka ʻeha pū, ka ʻūhū, a me nā maka ʻulaʻula (conjunctivitis).
Ua kapa ʻia ka maʻi Zika ma hope o ka nahele Zika ma Uganda, kahi i ʻike mua ʻia ai ka maʻi ma 1947.
KA HELE ANA I ZIKA
Hoʻolahalaha nā makika i ka maʻi Zika mai kēlā me kēia kanaka.
- Loaʻa i nā makika ka maʻi virus ke ʻai lākou i nā poʻe maʻi. Hoʻolahalaha lākou i ka maʻi ke nahu lākou i nā kānaka ʻē aʻe.
- ʻO nā makika i pāhola aku iā Zika ka ʻano like i hoʻolaha i ka maʻi dengue a me ka maʻi chikungunya. ʻAi pinepine kēia mau makika i ka lā.
Hiki iā Zika ke hoʻoili ʻia mai kahi makuahine i kāna pēpē.
- Hiki i kēia ke hana i ka kōpū a i ka manawa hānau.
- ʻAʻole i loaʻa ʻo Zika e hoʻolaha ma o ka hānai ʻana i ka waiū.
Hiki ke hoʻolaha ʻia ka maʻi ma o ka moekolohe.
- Hiki i nā poʻe me Zika ke hoʻolaha i ka maʻi i kā lākou mau hoa wahine ma mua o ka hoʻomaka ʻana o nā ʻōuli, ʻoiai he hōʻailona ko lākou, a ma hope paha o ka pau ʻana o nā ʻōuli.
- Hiki ke hala i ka maʻi i ka wā o ka moekolohe e ka poʻe me Zika i hoʻomohala ʻole i nā ʻōuli.
- ʻAʻohe mea i ʻike i ka lōʻihi e noho ai ʻo Zika i ka sperm a me nā wai ʻele, a pehea ka lōʻihi e hiki ai ke hoʻolaha i ka wā o ka moekolohe.
- Noho ka mea hoʻomaʻi i loko o ka semen ʻoi aku ka lōʻihi ma mua o nā wai o ke kino (ke koko, mimi, nā wai aʻa).
Hiki iā Zika ke hoʻolaha ʻia ma o:
- Hoʻohuli koko
- Hōʻike ma kahi keʻena hoʻokolohua
KAHI E LOʻI AI ʻO ZIKA
Ma mua o ka makahiki 2015, ua loaʻa ka maʻi nui ma ʻApelika, Hikina Hema ʻAsia, a me nā Pae ʻĀina Pakipika. I Mei 2015, ua ʻike ʻia ka maʻi virus ma ka manawa mua ma Brazil.
Ua hoʻolaha ʻia i kēia manawa i nā panalāʻau, nā mokuʻāina, a me nā ʻāina he nui i:
- Mokupuni Caribbean
- ʻAmelika Hui Pū ʻIa
- Mekiko
- ʻAmelika Hema
- Pae ʻĀina Pakipika
- ʻApelika
Ua hoʻokūpaʻa ʻia ka maʻi ma Puerto Rico, ʻAmelika ʻAmelika, a me ʻAilana Hui Pū ʻIa ʻAmelika Hui Pū ʻIa.
Ua loaʻa ka maʻi i nā poʻe huakaʻi e hele mai ana i ʻAmelika Hui Pū ʻIa mai nā wahi i hoʻopilikia ʻia. Ua ʻike ʻia ʻo Zika ma kahi ma Florida, kahi e hoʻolaha ʻia nei ka maʻi e nā makika.
Ma kahi o 1 o 5 mau kānaka i pā ʻia me ka maʻi Zika e loaʻa nā ʻōuli. ʻO kēia ka mea hiki iā ʻoe ke Zika a ʻike ʻole.
Hana ʻia nā ʻōuli ma ke ʻano he 2 a 7 mau lā ma hope o ka nahu ʻia ʻana e ka makika maʻi. Pākuʻi ʻia lākou:
- Fiva
- Rash
- ʻEha hui
- Nā maka ʻulaʻula (conjunctivitis)
- ʻEha ʻeha
- ʻEha poʻo
Maʻalahi mau nā ʻōuli, a mau no kekahi mau lā a i hoʻokahi pule ma mua o ka hele pau loa.
Inā loaʻa iā ʻoe nā ʻōuli o Zika a ua hele hou aku nei i kahi ʻē kahi o ka maʻi virus, hiki i kāu kauka olakino ke hana i kahi hōʻoia koko e nānā iā Zika. Hiki paha iā ʻoe ke hoʻāʻo ʻia no nā mea ʻino ʻē aʻe i hoʻolaha ʻia e nā makika, e like me dengue a me chikungunya.
ʻAʻohe mālama iā Zika. E like me ka maʻi flu, pono e holo i kāna papa. Hiki iā ʻoe ke hana i nā ʻanuʻu e kōkua ai e hōʻoluʻolu i nā ʻōuli:
- Inu i nā wai he nui e noho hydrated.
- E hoʻomaha nui.
- E lawe i ka acetaminophen (Tylenol) e hoʻomaha i ka ʻeha a me ke kuni.
- Mai lawe i ka aspirin, ibuprofen (Motrin, Advil), naproxen (Aleve, Naprosyn), a i ʻole nā lāʻau anti-inflammatory nonsteroidal (NSAIDs) ʻē aʻe a hōʻoia ka mea nāna i hāʻawi ka maʻi ʻaʻohe ou dengue. Hiki i kēia mau lāʻau ke kumu i ke kahe ʻana o ke kanaka me ka dengue.
Hiki i kahi maʻi Zika i ka wā hāpai ke kumu i kahi ʻano maʻamau i kapa ʻia ʻo microcephaly. Hana ʻia ia ke ulu ʻole ka lolo e like me ka mea i loko o ka ʻōpū a ma hope paha o ka hānau ʻana a hānau ʻia nā pēpē me kahi poʻo liʻiliʻi o ka maʻamau.
Ke hana ʻia nei nā noiʻi ikaika e ʻike ai pehea e laha ai ka maʻi maʻi mai nā makuahine a hiki i nā pēpē i hānau ʻole ʻia a pehea ka hopena o ka maʻi ma nā pēpē.
Ua hoʻomohala kekahi poʻe me Zika i ka maʻi ʻo Guillain-Barré ma hope. ʻAʻole maopopo i ke kumu e hiki ai kēia.
Kāhea i kāu mea hāʻawi inā hoʻomōhala ʻoe i nā ʻōuli o Zika. E hoʻomaopopo i kāu mea hāʻawi inā ua huakaʻi ʻoe i kēia manawa ma kahi kahi e hoʻolaha ʻia ai ka maʻi. Hana paha kāu mea hāʻawi i kahi hoʻokolohua koko e nānā iā Zika a me nā maʻi ʻino i hāpai ʻia e ka makika.
Kāhea i kāu mea hāʻawi inā ʻoe a i ʻole kāu ipo i kahi i kahi o Zika e noho ana, a i ʻole noho i kahi wahi me Zika a hāpai ʻoe a noʻonoʻo paha e pili ana i ka hāpai ʻana.
ʻAʻohe lāʻau lapaʻau e pale aku ai iā Zika. ʻO ke ala ʻoi loa e hōʻalo ai i ka loaʻa ʻana o ka maʻi hoʻomaʻemaʻe e hōʻalo i ka nahu ʻia ʻana e nā makika.
Paipai ka CDC i nā poʻe a pau e hele ana i nā wahi kahi e noho ai ʻo Zika e hana i nā hana e pale ai iā lākou iho mai ka nahu makika.
- E uhi me nā pūlima lōʻihi, ka lole wāwae lōʻihi, nā kākini, a me ka pāpale.
- E hoʻohana i nā lole i uhi ʻia me permethrin.
- E hoʻohana i ka mea kolo me DEET, picaridin, IR3535, aila o ka lemon eucalyptus, a i ʻole para-menthane-diol. Ke hoʻohana nei i ka pale lā, hoʻopili i nā mea kolo ma hope o kou hoʻopili ʻana i ka pale lā.
- E hiamoe i loko o kahi lumi me ka ea ʻana a i ʻole me nā puka aniani me nā pale. E nānā i nā pale no nā puka nui.
- Wehe i ka wai kū mai nā ipu waho e like me nā bākeke, nā ipu pua, a me nā ʻau manu.
- Inā hiamoe i waho, hiamoe ma lalo o ka upena namu.
Ke hoʻi mai ʻoe mai ka huakaʻi i kahi me Zika, pono ʻoe e hana i nā hana e pale ai i nā nahu makika no 3 mau pule. E kōkua kēia mea iā ʻoe e hoʻolaha ʻole iā Zika i nā makika i kou wahi.
Hōʻike ka CDC i kēia mau ʻōlelo aʻoaʻo no nā wahine hāpai:
- Mai hele i kekahi wahi kahi e loaʻa ai ka maʻi Zika.
- Inā pono ʻoe e huakaʻi i kekahi o kēia mau wahi, e kamaʻilio mua i kāu mea hāʻawi a hahai pololei i nā kaʻina hana e pale ai i nā nahu makika i kāu huakaʻi.
- Inā hāpai ʻoe a ua huakaʻi i kahi kahi e noho ai ʻo Zika, e haʻi i kāu mea hāʻawi.
- Inā hele ʻoe i kahi me Zika, pono ʻoe e hoʻāʻo ʻia no Zika ma waena o 2 mau pule o ka hoʻi ʻana i ka home, inā paha he mau hōʻailona paha kāu.
- Inā noho ʻoe i kahi me Zika, pono ʻoe e kamaʻilio me kāu mea lawelawe i kou wā hāpai. E hoʻāʻo ʻia ʻoe no Zika i kou hāpai ʻana.
- Inā noho ʻoe ma kahi me Zika a loaʻa nā hōʻailona o Zika i kēlā me kēia manawa ke hāpai ʻoe, pono ʻoe e hoʻāʻo ʻia no Zika.
- Inā ua huakaʻi kāu hoa i kahi kahi o Zika e noho ai, e hōʻole i ka moekolohe a hoʻohana pololei paha i nā condom i kēlā me kēia manawa ke moe kolohe ʻoe no ka manawa holoʻokoʻa o kou hāpai ʻana. Hoʻopili kēia i ka moekolohe, anal, a me nā waha (waha-i-penis a i ʻole fellatio).
Hōʻike ka CDC i kēia mau ʻōlelo aʻoaʻo no nā wahine e hoʻāʻo nei e hāpai.
- Mai hele i nā wahi me Zika.
- Inā pono ʻoe e huakaʻi i kekahi o kēia mau wahi, e kamaʻilio mua i kāu mea hāʻawi a hahai pololei i nā kaʻina hana e pale ai i nā nahu makika i kāu huakaʻi.
- Inā ʻoe e noho i kahi me Zika, e kamaʻilio me kāu mea hoʻolako e pili ana i kāu hoʻolālā e lilo i hāpai, ka pilikia o ka maʻi Zika virus i kou wā hāpai, a me ka hiki i kāu pakanā ke hōʻike iā Zika.
- Inā loaʻa iā ʻoe nā ʻōuli o ka maʻi Zika, pono ʻoe e kali ma kahi o 2 mau mahina ma hope o kou maʻi mua a ʻike ʻia me Zika ma mua o ka hoʻāʻo ʻana e hāpai.
- Inā ʻoe i huakaʻi i kahi e noho ai ʻo Zika, akā ʻaʻohe ou ʻōuli o Zika, pono ʻoe e kali ma kahi o 2 mau mahina ma hope o ka lā hope loa o kou hōʻike ʻana e hoʻāʻo e hāpai.
- Inā ua huakaʻi kāu hoa kāne i kahi ʻona me ka makaʻu ʻole iā Zika a ʻaʻohe ona ʻōuli o Zika, pono ʻoe e kali ma kahi o 3 mau mahina ma hope o kona hoʻi ʻana e hoʻāʻo e hāpai.
- Inā hele kāu kāne kāne i kahi wahi me ka makaʻu iā Zika a ua hoʻomohala i nā ʻōuli o Zika, pono ʻoe e kali ma kahi o 3 mau mahina ma hope o ka lā i hoʻomaka ai kāna mau ʻōuli a i ʻole ka lā i loaʻa ai iā ia e hoʻāʻo e hāpai.
Hana ka CDC i kēia mau ʻōlelo aʻoaʻo no nā wahine a me kā lākou mau hoa e hoʻāʻo ʻole nei e hāpai.
- ʻAʻole pono nā kāne me nā hōʻailona Zika e moekolohe a i ʻole pono e hoʻohana i nā condom ma kahi o 3 mau mahina ma hope o ka hoʻomaka ʻana o nā ʻōuli a i ʻole ka lā o ka ʻike.
- ʻAʻole pono ka wahine me nā hōʻailona Zika i ka moekolohe a i ʻole pono e hoʻohana i ka condom no 2 mau mahina ma hope o ka hoʻomaka ʻana o nā ʻōuli a i ʻole ka lā o ka ʻike.
- ʻAʻole pono nā kāne i loaʻa ʻole nā hōʻailona Zika i ka moekolohe a i ʻole pono e hoʻohana i nā condom ma kahi o 3 mau mahina ma hope o ka hoʻi ʻana mai i ka home mai ka huakaʻi ʻana i kahi wahi me Zika.
- ʻAʻole pono ka wahine i loaʻa ʻole nā hōʻailona Zika i ka moekolohe a i ʻole pono e hoʻohana i nā condom no 2 mau mahina ma hope o ka hoʻi ʻana mai i ka home mai ka huakaʻi ʻana i kahi wahi me Zika.
- ʻAʻole pono nā kāne a me nā wahine e noho ana i nā wahi me Zika i ka moekolohe a i ʻole pono e hoʻohana i nā condom no ka manawa holoʻokoʻa ʻo Zika ma ia wahi.
ʻAʻole hiki ke hoʻolaha ʻia ʻo Zika ma hope o ka hala ʻana o ka maʻi mai ke kino. Eia naʻe, maopopo ʻole i ka lōʻihi o ka noho ʻana o Zika i loko o nā wai ahe a i ʻole ka semen.
E loli paha nā wahi kahi e loaʻa ai ka maʻi Zika, no laila e nānā pono i ka pūnaewele CDC no ka papa inoa o nā ʻāina i pili loa a no nā ʻōlelo aʻoaʻo huakaʻi hou loa.
Pono nā poʻe huakaʻi āpau e pilikia i nā wahi no Zika mai ka loaʻa ʻana o ka nahu namu no 3 mau pule ma hope o ka hoʻi ʻana, i mea e pale aku ai i ka hoʻolaha ʻana o Zika i nā makika i hiki ke hoʻolaha ʻia ka maʻi i nā kānaka ʻē aʻe.
Maʻi maʻi Zika; Virus Zika; Zika
Nā kikowaena no ka pūnaewele Disease Control a me Prevent. ʻO Zika ma ka US. www.cdc.gov/zika/geo/index.html Hoʻohou Nowemapa 7, 2019. Loaʻa iā ʻApelila 1, 2020.
Nā kikowaena no ka pūnaewele Disease Control a me Prevent. Nā wahine hāpai a me Zika. www.cdc.gov/zika/pregnancy/protect-yourelf.html. Hoʻohou i Pepeluali 26, 2019. Loaʻa iā ʻApelila 1, 2020.
Nā kikowaena no ka pūnaewele Disease Control a me Prevent. Palekana iā ʻoe iho a me nā poʻe ʻē aʻe. www.cdc.gov/zika/prevention/protect-yourelf-and-others.html. Hoʻohou i Ianuali 21, 2020. Loaʻa iā ʻApelila 1, 2020.
Nā kikowaena no ka pūnaewele Disease Control a me Prevent. Ke hoʻāʻo nei nā wahine a me kā lākou mau hoa e hāpai. www.cdc.gov/pregnancy/zika/women-and-their-partners.html. Hoʻohou i Pepeluali 26, 2019. Loaʻa iā ʻApelila 1, 2020.
Nā kikowaena no ka pūnaewele Disease Control a me Prevent. ʻO Zika virus no nā mea lawelawe olakino: ka loiloi kino & maʻi. www.cdc.gov/zika/hc-providers/preparing-for-zika/clinicalevaluationdisease.html. Hoʻohou Ianuali 28, 2019. Loaʻa iā ʻApelila 1, 2020.
Nā kikowaena no ka pūnaewele Disease Control a me Prevent. ʻO ka maʻi Zika: nā ʻōuli, nā hoʻāʻo, a me ka mālama ʻana. www.cdc.gov/zika/symptoms/index.html. Hoʻohou i Ianuali 3, 2019. Loaʻa iā ʻApelila 1, 2020.
Nā kikowaena no ka pūnaewele Disease Control a me Prevent. Virus Zika: nā ʻano hoʻoili. www.cdc.gov/zika/prevention/transmission-methods.html.Hoʻohou i Iulai 24, 2019. Loaʻa iā ʻApelila 1, 2020.
Johansson MA, Mier-Y-Teran-Romero L, Reefhuis J, Gilboa SM, Hills SL. Zika a me ka makaʻu o ka microcephaly. N Engl J Med. 2016; 375 (1): 1-4. PMID: 27222919 pubmed.ncbi.nlm.nih.gov/27222919/.
Oduyebo T, Polen KD, Walke HT, et al. Hoʻohou: alakaʻi kūloko no nā mea lawelawe olakino e mālama nei i nā wahine hāpai me ka hōʻike ʻia ʻana o ka maʻi Zika - United States (Me nā Teritori o U.S.), Iulai 2017. MMWR Morb Mortal Wkly Rep. 2017; 66 (29): 781-73. PMID: 28749921 pubmed.ncbi.nlm.nih.gov/28749921/.
Polen KD, Gilboa SM, Hills S, et al. Hoʻohou: alakaʻi kūloko no ka ʻōlelo aʻoaʻo preconception a me ka pale ʻana i ka lawe ʻana i ka moekolohe o Zika virus no nā kāne me ka hiki ʻole ke hōʻike ʻia ʻo virus zika - United States, ʻAukake 2018. MMWR Morb Mortal Wkly Rep. 2018; 67: 868-871. PMID: 30091965 pubmed.ncbi.nlm.nih.gov/30091965/.