ʻO Fluke Liver

Anter

• Nā ʻōuli a me nā hopena ʻaoʻao
• Pōʻaiapuni ke ola o kahi āla fluke
• Nā koho lapaʻau
• Kāohi
• Ka lāʻau a i ʻole ke ʻoki kino
• Nā hoʻoponopono ʻē aʻe
• Hōʻoluʻolu hōʻailona
• Pehea e haʻi ai inā ua hala ka fluke o ke ake
• Nā kumu weliweli o ka maʻi fluke ate
• Outlook no nā maʻi fluke ate

Hōʻike Overview

ʻO ka fluke ate he worm parasite. Kūpono nā maʻi i ke kanaka ma hope o ka ʻai ʻana i ka iʻa wai maka a i ʻole inu ʻia i loko o ka wai iʻa a i ʻole ka loko kahawai. Ma hope o ka ʻai ʻia ʻana o ka flukes ate, hele lākou mai kou ʻōpū i kāu mau aʻa o ka ate i kou ake a ma laila lākou e noho ai a ulu.

ʻOiai ʻo ka hapa nui o nā poʻe maʻi ʻole e hōʻike i kahi ʻōuli, i kekahi manawa kū nā ʻōuli e pili ana i ka ʻōnaehana biliary. I nā hihia kakaikahi, hiki i nā pilikia lōʻihi ke hoʻomohala pū kekahi.

ʻAʻole maʻamau nā maʻi fluke ate i United States, akā hiki nō lākou. Hoʻonui ka nui o kāu makaʻu o ka maʻi inā hele ʻoe i nā ʻāpana o ka honua kahi e pāhola nui ai nā parasites.

Nā ʻōuli a me nā hopena ʻaoʻao

I ka wā pōkole, hiki i kahi maʻi fluke ate ke lawe mai i nā ʻōuli e like me:

• abdominal eha
• fiva
• nausea
• ka luaʻi
• pāhoehoe
• hives
• malaise
• hoʻemi i ka makemake a me ka pohō kaumaha

Aia kekahi mau pilikia paʻakikī e pili ana i nā maʻi fluke ate kaumaha. Hoʻopili kēia i ka hana pōhaku, nā maʻi hou o ka ʻōnaehana biliary, a me cholangiocarcinoma (maʻi ʻaʻai bile).

Pōʻaiapuni ke ola o kahi āla fluke

Noho nā parasite mākua i nā kaha bile liʻiliʻi a hiki ke noho ma laila no 20 a 30 mau makahiki. Hiki i nā flukes ke ola lōʻihi ke kumu i ka hoʻowahāwahā mau loa ʻana o nā aʻa o ka bile, kahi e alakaʻi pinepine ai i nā pilikia hou.

ʻEhā a i ʻeono mau mahina ma hope o ko lākou noho ʻana i nā kaola o ka bile, hoʻomaka nā ʻōpala makua e hua i nā hua, a laila hāʻawi ʻia i loko o nā ʻōpū.

Nā koho lapaʻau

Kāohi

He mea nui e ʻike he hiki ke pale maʻalahi ʻia ka maʻi fluke ate.

E hōʻoia i ka kuke ʻana o ka iʻa me ka wai piha i mua o ka ʻai ʻana iā lākou ke ala kūpono loa e pale aku ai i ka maʻi fluke o ke ake.

ʻO ka poʻe e hele ana i nā wahi me ka hoʻomaʻemaʻe maikaʻi ʻole pono e hōʻalo i ka meaʻai a me ka wai i hiki ke hoʻoweliweli ʻia me nā parasites. ʻO kēia no ka loaʻa ʻole o kahi lāʻau lapaʻau i kēia manawa e pale aku ai i nā maʻi fluke o ke ake.

Ka lāʻau a i ʻole ke ʻoki kino

Hiki ke hoʻopau loa i nā flukes o ke ake. E mālama pinepine ʻia kahi maʻi me ka lāʻau i kapa ʻia ʻo triclabendazole. Hāʻawi ʻia ma ka waha, maʻamau i hoʻokahi a i ʻole ʻelua mau kaha, a pane maikaʻi ka hapa nui o ka poʻe i kēia lapaʻau.

Kau ʻia kahi papa pōkole o nā corticosteroids i kekahi manawa no nā ʻāpana koʻikoʻi me nā ʻōuli koʻikoʻi.

I kekahi manawa koi ʻia ke kaha ʻana no nā pilikia pili e pili ana i ka wā lōʻihi e like me cholangitis (maʻi o ke aʻa aʻa).

Nā hoʻoponopono ʻē aʻe

Paipai kekahi o nā mea lapaʻau hoʻomaʻamaʻa e lawe i ka sila gula no nā maʻi parasite, a me ka hoʻomaʻemaʻe parasite a me ka wai i hoʻoulu ʻia.

Hōʻoluʻolu hōʻailona

Hiki ke mālama ʻia nā ʻōuli o kahi maʻi fluke ate me ka hoʻohana ʻana i nā kuʻuna kuʻuna. ʻO kahi laʻana, hiki iā ʻoe ke lawe i ka acetaminophen (Tylenol) e hōʻoluʻolu i ka ʻeha o ka ʻōpū a hoʻemi i ka fiva. Hiki i nā lāʻau anti-nausea ke hōʻemi i ka nausea a me ka luaʻi.

Eia naʻe, ʻaʻole mālama kēia mau hana i ke kumu o ka pilikia. No laila he papa ʻoi aku ka maikaʻi o ka hana i loaʻa i kou maʻi fluke ate a mālama ʻia i ka wā hiki loa.

Pehea e haʻi ai inā ua hala ka fluke o ke ake

Inā he hōʻailona ʻoe, ʻike paha ʻoe ua hala kāu mau ʻōuli. E waiho paha kēia iā ʻoe e haʻohaʻo inā ua holoi kāu maʻi fluke ate. ʻO ke ala wale nō e haʻi aku ai ke kipa hou aku i kāu kauka, nāna e hiki ke hoʻāʻo i kāu pahu e ʻike ai inā aia nā hua fluke ate.

Nā kumu weliweli o ka maʻi fluke ate

Kūleʻa nā flukes ate i kekahi mau wahi o ka honua. ʻO ka poʻe mai kēia mau wahi, ʻoiaʻiʻo, i ka nui o ka makaʻu o ka maʻi. ʻO ka poʻe e huakaʻi i kēia mau wahi ke makaʻu pū kekahi. ʻO kēlā me kēia mea i loaʻa ka moʻaukala hou o ka ʻai ʻana i ka iʻa maka a moa ʻole a i ʻole ka wai wai paha ʻoiai ʻo kēia mau wahi e hoʻāʻo ʻia ma ke ʻano he maʻa mau.

ʻOiai ʻaʻole hiki i nā maʻi fluke ke ake ke hoʻoili ʻia mai ke kanaka a i ke kanaka, hiki i nā lālā o ka ʻohana ke makaʻu i ka maʻi ma muli o ka ʻai ʻana i ka meaʻai like.

Outlook no nā maʻi fluke ate

ʻO ka nānā no kēlā me kēia mea nāna i ʻaʻa i ka maʻi fluke ate he maikaʻi loa. Hiki i nā kānaka he nui ke ola me nā maʻi fluke o ke ake i ko lākou ola āpau a ʻaʻole ʻike i kahi ʻōuli a hoʻomōhala paha i kahi pilikia. Ke hiki mai nā ʻōuli, hiki ke mālama ʻia mau a mālama pinepine ʻia.

ʻAʻole hiki ke make i ka maʻi fluke ate i loko ona iho. Eia nō naʻe, i nā manawa kakaikahi hiki ke hiki i ka maʻi ke alakaʻi i nā pilikia hou aʻe e like me nā maʻi o ka ʻōnaehana biliary, ke kūkulu ʻana i nā pōhaku, a me ka maʻi ʻaʻai bile duct.

ʻO Cholangiocarcinoma ka pilikia nui i hiki ke hoʻomohala ma muli o kahi maʻi fluke ate. I nā hanana hanana e pono ai kēia, ʻo ka helu ola 5 mau makahiki no kēia ʻano maʻi ʻaʻai mai 20 a 50 paha pākēneka inā hopu koke ʻia ka maʻi ʻaʻai.

ʻO ka ʻike mua ʻana i nā maʻi fluke o ke ake he mea nui e pale aku ai i nā pilikia. Inā ʻoe e ʻike i nā ʻōuli, pono ʻoe e ʻike i kāu kauka i ka wā hiki loa no kahi hōʻike stool. I nā wahi endemik, pono kahi hōʻike kānana.