ʻO nā mea āpau āu e ʻike ai e pili ana iā Babesia
Anter
- Nā ʻōuli a me nā pilikia
- Nā kumu o ka babesiosis?
- Pehea e hoʻoili ai
- Nā kumu weliweli
- ʻO ka pilina ma waena o babesiosis a me ka maʻi Lyme
- Pehea e ʻike ʻia ai ka babesiosis?
- Lapaʻau
- Pehea e hōʻemi ai i kou makaʻi
- Outlook
Hōʻike Overview
Babesia he parasite liʻiliʻi ia e hoʻopili ai i nā hunaola ʻulaʻula. Maʻi kīnā me Babesia ua kapa ʻia ʻo babesiosis. Hoʻouna pinepine ʻia ka maʻi parasitic e ka nahu tick.
Kū pinepine ʻo Babesiosis i ka manawa like me ka maʻi Lyme. ʻO ka tick e hāpai ana i ka bacteria Lyme hiki ke maʻi pū me ka Babesia parasite.
Nā ʻōuli a me nā pilikia
Hiki ke loli ke koʻikoʻi o nā ʻōuli o ka babesiosis. ʻAʻohe ou ʻōuli, a i ʻole loaʻa paha ʻoe i mau ʻōuli flu-like. Hiki i kekahi mau hihia ke hana i nā pilikia koʻikoʻi, hoʻoweliweli i ke ola.
A Babesia Hoʻomaka pinepine ka maʻi me ke kuni kiʻekiʻe, nā haʻalulu, nā mākala a i ʻole nā ʻeha ami, a me ka luhi. ʻO nā ʻōuli liʻiliʻi e pili pū ana me:
- ʻeha poʻo poʻo
- abdominal eha
- nausea
- ʻūpā ʻili
- melemele o kou ʻili a me kou mau maka
- loli ke ʻano
Ke holo nei ka maʻi, hiki iā ʻoe ke hoʻomohala i ka ʻeha o ka umauma a i ʻole ka uha, ka pōkole o ka hanu, a me nā sweaty drenching.
Hiki ke maʻi ʻia me Babesia a ʻaʻohe o nā ʻōuli. ʻO ke kuni kiʻekiʻe e hoʻi i kekahi manawa kahi hōʻailona o ka babesiosis undiagnosed.
Hiki i nā pilikia ke hoʻopili:
- haʻahaʻa haʻahaʻa haʻahaʻa
- nā pilikia ate
- ka haki ʻana o nā hunaola ʻulaʻula, ʻike ʻia ʻo hemolytic anemia
- hakuʻala ʻole
- puʻuwai puʻuwai
Nā kumu o ka babesiosis?
Hoʻokumu ʻia ʻo Babesiosis e ka maʻi me kahi malaria e like me ka parasite o ka genus Babesia. ʻO ka Babesia hiki ke kapa ʻia ka parasite Nuttalia.
Ulu a hana kope ka parasite i loko o nā hunaola ʻulaʻula o ke kanaka maʻi a holoholona paha, e hōʻeha pinepine ana i ka ʻeha ma muli o ka haki ʻana o nā hunaola ʻulaʻula.
Aia ma mua o 100 mau ʻano o ka Babesia parasite. Ma ʻAmelika Hui Pū ʻIa, ʻO Babesia microti ʻo ia ke kanana e maʻi ai i nā kānaka, e like me ka. Hiki i nā ʻano ʻē aʻe ke maʻi.
- pipi
- lio
- hipa
- puaʻa
- kao
- ʻīlio
Pehea e hoʻoili ai
ʻO ke ala maʻamau e ʻaelike ai Babesia he nahu mai kahi kik tick.
ʻO Babesia microti noho nā parasites i ka ʻōpū o ka ʻie ʻeleʻele a i ʻole ka dia (ʻIxodes scapularis). Hoʻopili ka tick i ke kino o nāʻiole wawae keʻokeʻo a me nā mea ʻūmū liʻiliʻi ʻē aʻe, e hoʻoili ana i ka parasite i ke koko o nā rodents.
Ma hope o ka ʻai ʻana o ka tikika i kāna ʻai i ke koko o ka holoholona, hāʻule ʻo ia a kali a ʻohi ʻia e kekahi holoholona ʻē aʻe.
ʻO ka dia keʻokeʻo keʻokeʻo kahi lawe maʻamau o ka tikiki dia. ʻAʻole maʻi ka dia ponoʻī.
Ma hope o ka hāʻule ʻana i ka dia, e kau mau ka tikika ma kahi lau o ka mauʻu, kahi lālā haʻahaʻa, a me nā ʻōpala lau. Inā palaki ʻoe iā ia, hiki iā ia ke hoʻopili i kou kāmaʻa, sock, a i ʻole ʻāpana lole ʻē aʻe. Piʻi ka tick i luna, e ʻimi ana i kahi ʻili o ka ʻili hāmama.
ʻAʻole paha ʻoe e haha i ka nahu kik, a ʻaʻole paha ʻoe e ʻike. ʻO ia no ka mea hoʻolaha ka hapa nui o nā maʻi kanaka i ka wā puna a me ke kauwela e nā ticks i ka pae nymph. I kēia wā, pili nā kikiki i ka nui a me ke kala o kahi hua poppy.
Ma waho aʻe o kahi nahu tick, hiki i kēia maʻi ke hele aʻe ma o ke transfusions o ke koko haumia a i ʻole ma o ka lawe ʻia ʻana mai kahi wahine hāpai maʻi maʻi i kāna pēpē. ʻOi aku ka liʻiliʻi, hiki ke lawe ʻia ma o kahi transplant organ.
Nā kumu weliweli
ʻOi aku ka makaʻu o ka poʻe me ka ʻāpala ʻole a i ʻole ka nāwaliwali nāwaliwali. Hiki i Babesiosis ke lilo i mea hoʻoweliweli i ke ola no kēia poʻe. ʻO nā mākua makua, ʻo ka poʻe hoʻi me nā pilikia olakino ʻē aʻe, ʻoi aku ka nui o ka makaʻu.
ʻO ka pilina ma waena o babesiosis a me ka maʻi Lyme
Ka kikiki like e hali ana i ka Babesia Hiki i ka parasite ke hāpai i nā koʻohune corkscrew-like ke kuleana no ka maʻi Lyme.
Ua ʻike ʻia kahi noiʻi 2016 ʻo nā poʻe i ʻike ʻia me Lyme ua maʻi pū kekahi me Babesia. Ua ʻike pū kekahi nā kānaka noiʻi ʻaʻole i hōʻike pinepine ʻia ka babesiosis.
Wahi a ka, ka hapa nui o nā hihia babesiosis ma New England, New York, New Jersey, Wisconsin, a me Minnesota. ʻO kēia nā mokuʻāina kahi e laha pū ai ka maʻi Lyme, ʻoiai ʻo Lyme kekahi e hoʻolaha ʻia ma nā wahi ʻē aʻe.
ʻO nā ʻōuli o ka babesiosis e like me ka maʻi o Lyme. Coinfection me Lyme a me Babesia hiki ke hoʻonāukiuki i nā ʻōuli o nā mea ʻelua.
Pehea e ʻike ʻia ai ka babesiosis?
Hiki i ka Babesiosis ke paʻakikī i ke kuhi.
I nā wā mua, Babesia parasites hiki ke ʻike ʻia e ka ninaninau ʻana i kahi hāpana koko ma lalo o kahi microscope. ʻIke ʻia e ka microscopy kolo koko e pono ai i ka manawa nui a me ka mākaukau. Hiki ke maikaʻi ʻole nā Smear inā aia kahi pae haʻahaʻa o ka parasitemia i ke koko, keu hoʻi i ka maʻi, a pono paha e hana hou i kekahi mau lā.
Inā kānalua ʻoe a i ʻole kauka paha i ka babesiosis, hiki i kāu kauka ke hana hou i ka hoʻāʻo. Hiki iā lākou ke kauoha i kahi hoʻokolohua antibody fluorescent (IFA) pili ʻole i ka hāpana koko. ʻO nā diagnostics Molecular, e like me ka polymerase chain reaction (PCR), hiki ke hoʻohana ʻia paha ma ka hāpana koko.
Lapaʻau
Babesia he parasite a ʻaʻole e pane wale i nā antibiotic. Pono ka lapaʻau i nā lāʻau antiparasitic, e like me nā mea i hoʻohana ʻia no ka malaria. Hoʻohana ʻia ʻo Atovaquone a me azithromycin e mālama i nā hihia akahai a waena a lawe pinepine ʻia ia no 7 a 10 mau lā. ʻO kahi regimen ʻē aʻe he clindamycin plus quinine.
ʻO ka mālama ʻana i nā maʻi ʻino maʻamau ka azithromycin i hāʻawi pinepine ʻia me ka atovaquone waha a i ʻole ke clindamycin i hāʻawi ʻia me ka quinine waha. Me nā maʻi nui, lawe ʻia nā hana kākoʻo ʻē aʻe, e like me ke kaʻi ʻana o ke koko.
Hiki ke hana i nā hoʻi hou ma hope o ka lāʻau. Inā loaʻa iā ʻoe kahi hōʻailona hou, pono lākou e mālama hou ʻia. ʻO kekahi poʻe, e like me nā mea me nā ʻōnaehana pale nawaliwali, pono e mālama ʻia no ka lōʻihi e hoʻomaʻemaʻe i ka maʻi.
Pehea e hōʻemi ai i kou makaʻi
ʻO ka pale ʻana i ka launa ʻana me nā kikiki ka pale maikaʻi loa e kūʻē i nā babesiosis a me nā maʻi Lyme. Inā ʻoe e hele i loko o nā wahi ulu lāʻau a me nā kula e noho ai nā dia.
- E komo i nā lole i mālama ʻia me permethrin.
- Pāpīpī i ka mea hoʻopihapiha DEET ma kou mau kāmaʻa, kākini, a me nā wahi i hōʻike ʻia.
- E komo i ka pālule loloa a me nā pālule lima lōʻihi. E hoʻopaʻa i kou mau wāwae wāwae i loko o kāu mau kākini e mālama i nā tick.
- E nānā i kou kino holoʻokoʻa ma hope o ka hoʻolilo ʻana i ka manawa ma waho. E nānā i kahi hoa i kou kua a me nā kua o kou mau wāwae, keu hoʻi ma hope o kou mau kuli.
- E hele i kahi ʻauʻau a hoʻohana i kahi palaki lima lōʻihi ma nā wahi ʻaʻole hiki iā ʻoe ke ʻike.
Pono e hoʻopili i kahi tick i kou ʻili ma mua o ka hiki ke lawe i ka maʻi. ʻO ka hoʻopili mau ʻana i kekahi mau hola ma hope o ka pili ʻana o ka tick i kou ʻili a me kou kapa. ʻOiai pili ka kikiki, aia kekahi manawa ma mua o ka hiki ke hoʻoili i ka parasite iā ʻoe. Loaʻa iā ʻoe ma kahi o 36 a 48 mau hola. Hāʻawi kēia iā ʻoe i ka manawa e nānā no ka tick a hemo iā ia.
Eia nō naʻe, ʻoi aku ka maikaʻi e akahele a nānā pono i nā tick ma hope koke o ka komo ʻana i loko. E aʻo i nā ʻōlelo aʻoaʻo no ka hemo kikiki ʻana.
Outlook
Hoʻololi ka manawa hoʻōla mai babesiosis e kēlā me kēia. ʻAʻohe lāʻau lapaʻau e kūʻē i ka babesiosis. Paipai ka mea i kahi lapaʻau 7 a 10 mau lā me atovaquone a me azithromycin no nā hihia nonsevere.
ʻO kekahi mau hui e pili ana i ka mālama ʻana i ka maʻi Lyme he loea pū kekahi i ka babesiosis. Kāhea aku i ka International Lyme and Associated Diseases Society (ILADS) no ka ʻike e pili ana i nā kauka i loea i ka babesiosis.