Hiki i nā kānaka ke kiʻi i nā puʻuwai puʻuwai mai nā ʻīlio?
Anter
- He aha ke kumu o nā heartworms?
- He aha nā hōʻailona o ka puʻuwai?
- Pehea e ʻike ʻia ai kēia maʻi?
- Pehea e mālama ʻia ai kēia ʻano?
- ʻO ka lawe lawe ʻana
- Palapala kūikawā no nā mea kuleana holoholona
He aha kaʻu e ʻike ai e pili ana i nā heartworms?
ʻO Dirofilaria immitis ʻo ia kekahi ʻano o nā worm parasite i ʻike maikaʻi ʻia e nā poʻe ʻohana pipi e like me nā puʻuwai.
Hiki i nā larva heartworm ke ulu a lilo i ilo i loko o ke koko o kāu ʻīlio a ālai i nā kīʻaha koko nui. Inā mālama ʻole ʻia, nā kūlana o kāu ʻōlio e hiki ai ke hōʻeha nui a make paha.
Lawe ʻia nā heartworms mai nā ʻīlio a kanaka. ʻO ka ʻoiaʻiʻo, he 81 wale nō hihia o ka puʻuwai naʻau i loko o kānaka i hōʻike ʻia mai 1941 a 2005. Akā ʻoi aku ka maikaʻi e ʻimi i ka lāʻau no ka puʻuwai inā ʻike ʻoe i kekahi hōʻailona ma kāu pipi a iā ʻoe iho paha.
He aha ke kumu o nā heartworms?
Hiki i nā ʻīlio a me nā kānaka ke loaʻa nā maʻi maʻi naʻau. Akā ʻaʻole hiki i kāu ʻīlio ke hāʻawi iā ʻoe ma o kā lākou wai kūpili. Komo nā puʻuwai i loko o ke kahe o ke kanaka a me nā ʻīlio ma o ka nahu namu.
ʻO nā puʻuwai naʻau i loko o ke koko o kahi holoholona i hoʻopili ʻia e kope i ka ʻōpū o ka makika ma hope o ka ʻai ʻana i ke koko. A laila, lawe ʻia lākou i kahi kahu ʻē aʻe e ka makika a hala i ka wā o ka hānai ʻana.
Hoʻokomo mua nā puʻuwai i ke kahe o ke koko ma ke ʻano he heartworm undeveloped i ʻike ʻia ma ke ʻano microfilariae, a i ʻole nā larva puʻuwai.
He aha ka mea e hiki mai ana ma waena o nā laha.
- I nā holoholona, oʻo a oʻo ka larva i nā puʻuwai mākua. Hiki iā lākou ke kumu i ke dirofilariasis, kahi maʻi puhi piha i hiki ke hana i ka paʻa ʻana o nā aʻa nui a i ʻole nā maʻi maʻi o ke kino.
- I ke kanaka, ulana puʻuwai heartlight loa ʻole. I ka wā e make ai nā puʻuwai puʻuwai ʻōpio, hana ke kino i kou kino me ka lū i ka hoʻāʻo ʻana e luku i nā heartworms. ʻIke ʻia kēia ʻano he dirofilariasis pulmonary.
He aha nā hōʻailona o ka puʻuwai?
ʻOkoʻa nā ʻōuli o nā maʻi maʻi puʻuwai i nā holoholona a me nā kānaka ma muli o ka ulu ʻana i ke kahe o ke koko. ʻAʻole paha ʻoe e ʻike i kekahi mau hōʻailona no ka mea e make nā puʻuwai ma mua o ke oʻo ʻana i kahi hoʻokipa kanaka.
Hiki i nā ʻōuli a me nā hōʻailona o nā maʻi maʻi puʻuwai ke komo pū i loko o nā kānaka:
- ʻūhā kūpono ʻole
- e kahe ana ke koko
- ʻeha ma kou umauma
- ʻūhā
- haʻalulu
- fiva
- ke kūkulu ʻana i ka wai a puni kou mau māmā (pleural effusion)
- liona pōʻai e hōʻike ʻia ma nā ʻāpana X-ray ("lesion" lesions)
E ʻimi koke i ka lāʻau lapaʻau inā ʻike ʻoe i kēia mau hōʻailona, inā ua nahu ʻia ʻoe e kahi makika ʻaʻole paha. (ʻIke ka nahu o ka makika ma ke ʻano ʻulaʻula, ʻāʻī a me nā kiko i waenakonu.) He mea nui loa kēia no ka mea hiki i kēia mau ʻōuli ke hōʻike pū i nā kūlana ʻē aʻe i ʻoi aku ka koʻikoʻi.
Pehea e ʻike ʻia ai kēia maʻi?
ʻAʻole paha ʻoe e ʻike ua loaʻa ʻoe i kahi maʻi a ʻike ke kauka i kahi leona kālā ma kahi X-ray.
Hōʻike ʻia kēia mau leona ma nā kukuna X a i ʻole nā computers tomography i helu ʻia (CT) e like me nā kiko ʻeleʻele. Aia lākou i ka hapanui o ka māmā. Kāhea ʻia kahi leona he granuloma. ʻO kēia mau hopena mai ka mumū a me nā buildup o nā hunaola pale i ʻike ʻia ʻo histiocytes e hakakā i ka maʻi puʻuwai.
Makemake paha ʻoe e kauka e lawe i kahi laʻana kikoʻī (biopsy) mai ka akemāmā e hoʻāʻo ai no ka maʻi maʻi puʻuwai inā ʻike lākou i kekahi o kēia mau maʻi ma ka X-ray. Hiki paha i kāu kauka ke hoʻāʻo i nā kiko o ka māmā e hōʻole i nā kumu kūpono ʻē aʻe. I nā hihia kakaikahi, hiki i kahi leona kālā ke hōʻike i kahi maʻi bacteria, tuberculosis, a i ʻole maʻi ʻaʻai māmā.
Pehea e mālama ʻia ai kēia ʻano?
ʻAʻole noho lōʻihi nā puʻuwai i ke koko o ke kanaka, no laila ʻaʻole pono ʻoe e lawe i nā puʻuwai puʻuwai ma o ka lāʻau a i ʻole ke ʻoki. Hoʻomaopopo ka lāʻau no ka heartworms i kekahi granulomas i hōʻike ʻia ma kahi hōʻike kiʻi i hopena ʻia mai ka make ʻana o ka puʻuwai puʻuwai make i loko o kāu mau aʻa.
Inā ʻaʻohe kumu o ka granuloma i nā ʻōuli a i ʻole ka pale ʻana i kāu aʻa, ʻaʻole paha ʻoe e pono i kahi lāʻau hou aʻe.
Inā kuhi kāu kauka he maʻi ʻaʻai ka granuloma a i ʻole ka hopena o kekahi, ʻoi aku ke koʻikoʻi, lawe paha lākou i kahi mea kiko (biopsy).
E lawe i kahi laʻana kikoʻī, hiki i kāu kauka ke hoʻohana i kekahi o kēia mau kiʻina hana:
- ʻO ka biopsy nila kele. Hoʻokomo kāu kauka i kahi kui kele ma o kou mau kiko umauma i kou mau ake māmā.
- ʻO Bronchoscopy. Hoʻokomo kāu kauka i kahi ākea mālamalama ma o kou waha i kou mau māmā.
- Mediastinoscopy. Hoʻokomo kāu kauka i kahi ākea mālamalama ma o kahi ʻoki liʻiliʻi i kou ʻili i loko o ka mediastinum, kahi ma waena o nā akemāmā.
Inā ʻike kāu kauka ʻaʻole graneroma i maʻi ʻaʻai a i ʻole hopena o kahi kūlana ʻē aʻe, ʻaʻole pono ʻoe i kahi lāʻau hou aʻe.
Inā manaʻo kāu kauka he pono e hemo i nā granulomas, pono paha ʻoe i kahi ʻoki e wehe i ka granuloma. E pale ana kēia i nā hōʻailona hou aʻe.
Inā loaʻa ka granuloma i ka maʻi ʻaʻai, e kuhikuhi paha kāu kauka iā ʻoe i kahi oncologist e nānā hou i kāu kino o ke kino no ka loaʻa ʻana o ka maʻi ʻaʻai.
ʻO ka lawe lawe ʻana
ʻAʻole hiki iā ʻoe ke kiʻi i nā puʻuwai puʻuwai mai kāu ʻīlio, pōpoki, a i ʻole nā holoholona ʻē aʻe - mai nā mosquitos wale nō e hāpai i ka maʻi.
ʻO ka hapa nui o ka microfilariae heartworm make i ko lākou ala ma waena o ka ʻili. ʻOiai inā hele lākou i loko o kou koko i kekahi ʻano, ʻaʻole hiki i nā puʻuwai puʻuwai ke oʻo a make loa.
I ka hapanui o nā hihia, ʻaʻole pilikia nui nā heartworms i loko o ke kanaka ke ʻole lākou e hōʻeha i ka ʻeha, hōʻoluʻolu, a me nā hōʻailona ʻē aʻe i ʻike ʻia.
Palapala kūikawā no nā mea kuleana holoholona
He ʻoihana koʻikoʻi nā puʻuwai na nā ʻīlio; me ka ʻole o ka lapaʻau ʻana, hiki i kāu ʻīlio ke ʻike i nā ʻōuli koʻikoʻi a make i ka maʻi.
E noi i kāu kauka holoholona no nā lāʻau pale pale naʻau no kāu ʻīlio. He mea nui kēia inā ʻoe e noho ma kahi e nui ai nā mosquitos a i ʻole hoʻolālā e huakaʻi i kekahi wahi me nā mosquitos. (E noʻonoʻo i nā hele wāwae, nā huakaʻi hoʻomoana, a i ʻole nā wā hoʻomaha ma nā wahi ʻūlū.)
Inā ʻoe e ʻike i nā ʻōuli maʻi puʻuwai puʻuwai, e lawe koke i kāu ʻīlio i ka vet no ka hoʻāʻo ʻana. Inā pono, e mālama iā lākou no nā heartworms i ka wā hiki loa.