Nā ho'āʻo maʻi maʻi Lyme
Anter
- He aha nā hōʻoia maʻi ʻo Lyme?
- No ke aha lākou e hoʻohana ai?
- No ke aha wau e pono ai i kahi hōʻike maʻi Lyme?
- He aha ka hana ma ka hoʻāʻo ʻana o ka maʻi ʻo Lyme?
- Pono wau e hana i kekahi mea e hoʻomākaukau ai no ka hoʻāʻo?
- Aia kekahi mau pōpilikia i nā hoʻāʻo maʻi Lyme?
- He aha ke ʻano o nā hopena?
- Aia kekahi mea ʻē aʻe e pono iaʻu e ʻike e pili ana i nā hōʻike maʻi Lyme?
- Nā kūmole
He aha nā hōʻoia maʻi ʻo Lyme?
ʻO ka maʻi Lyme kahi maʻi i hoʻokumu ʻia e nā bacteria i hāpai ʻia e nā ticks. Nānā nā hōʻike maʻi Lyme i nā hōʻailona o ka maʻi i kou koko a i ʻole ka wai cerebrospinal.
Hiki iā ʻoe ke loaʻa i ka maʻi ʻo Lyme inā nahu ʻia ʻoe i kahi tick maʻi ʻino. Hiki i nā ticks ke nahu iā ʻoe ma nā wahi āpau o kou kino, akā nahu mau lākou i nā ʻāpana paʻakikī o kou kino e like me ke aʻa, ke poʻo, a me nā ʻāpana lima. Liʻiliʻi nā kikiki e loaʻa ai ka maʻi Lyme, liʻiliʻi e like me kahi huna lepo. No laila ʻaʻole paha ʻoe e ʻike ua nahu ʻia ʻoe.
Inā haʻalele ʻole ʻia, hiki i ka maʻi Lyme ke hana i nā pilikia olakino koʻikoʻi e pili ana i kou mau ami, ka puʻuwai, a me nā ʻōnaehana. Akā inā ʻike koke ʻia, hiki ke hoʻōla ʻia ka hapa nui o nā maʻi Lyme ma hope o kekahi mau pule o ka mālama ʻana me nā lāʻau ʻaloʻolika.
Nā inoa ʻē aʻe: Ka ʻike ʻana o nā mea ʻume ʻume Lyme, hoʻāʻo Borrelia burgdorferi antibodies, ʻImi ʻike ʻo Borrelia DNA, IgM / IgG na Western Blot, hoʻāʻo ʻana o ka maʻi Lyme (CSF), nā ʻohina Borrelia, IgM / IgG
No ke aha lākou e hoʻohana ai?
Hoʻohana ʻia nā hoʻokolohua maʻi Lyme e ʻike inā loaʻa ʻoe i ka maʻi maʻi Lyme.
No ke aha wau e pono ai i kahi hōʻike maʻi Lyme?
Pono ʻoe i kahi hōʻoia maʻi Lyme inā loaʻa iā ʻoe nā ʻōuli o ka maʻi. ʻO nā ʻōuli mua o ka maʻi Lyme e hōʻike mau ʻia ma waena o ʻekolu a me 30 mau lā ma hope o ka nahu ʻana o ka tick. Pākuʻi ʻia lākou:
- ʻO kahi wīwī ʻokoʻa e like me ka maka o ka bipi (kahi apo ʻulaʻula me kahi kiko waena)
- Fiva
- ʻO Chills
- ʻEha poʻo
- Ka luhi
- ʻEha ka ʻili
Hiki paha iā ʻoe ke hoʻāʻo i ka maʻi ʻo Lyme inā ʻaʻohe ou ʻōuli, akā makaʻu no ka maʻi. Hiki paha iā ʻoe ke makaʻu kiʻekiʻe inā ʻoe:
- Ua hemo aku nei i kahi kika mai kou kino
- Hele wāwae i loko o kahi ulu lāʻau nui, kahi e noho ai nā tikika, me ka uhi ʻole ʻia o ka ʻili a i ʻole ka uhi ʻana i ka lāʻau
- Ua hana i kekahi o nā hana i luna a noho a i kipa aku nei paha i ka ʻākau hikina a i ʻole ka waena o ʻAmelika Hui Pū ʻIa, kahi e loaʻa ai ka hapa nui o nā maʻi Lyme.
ʻO ka maʻi Lyme ka mea hiki ke mālama ʻia i kona wā mua, akā e pōmaikaʻi paha ʻoe mai ka hoʻāʻo ʻana ma hope. Nā ʻōuli e hōʻike paha he mau pule a mau mahina paha ma hope o ka nahu ʻana o ka tick. Pākuʻi ʻia lākou:
- ʻEha poʻo poʻo
- ʻĀʻī ʻoʻole
- ʻEha puʻupuʻu ʻeha a me ka ʻōhū
- Ke kī ʻana i nā ʻeha, ka helu, a me ke kani ʻana i nā lima a me nā wāwae
- Nā maʻi hoʻomanaʻo a me ka hiamoe
He aha ka hana ma ka hoʻāʻo ʻana o ka maʻi ʻo Lyme?
Hana pinepine ʻia ka hoʻāʻo ʻana me ka maʻi Lyme me kou koko a i ʻole ka wai cerebrospinal.
No kahi hōʻike koko maʻi Lyme:
- E lawe kahi ʻoihana mālama ola i kahi laʻana koko mai kahi aa i kou lima, e hoʻohana ana i kahi nila kuʻikuʻi. Ma hope o ka hoʻokomo ʻia ʻana o ka nila, e hōʻiliʻili ʻia kahi koko liʻiliʻi i loko o kahi pahu hoʻāʻo a ipu paha. Hiki paha iā ʻoe ke ʻoni iki i ka wā e hele ai a kuʻi paha ka nila. Lōʻihi kēia ma mua o ʻelima mau minuke.
Inā loaʻa iā ʻoe nā ʻōuli o ka maʻi Lyme e pili ana i kou ʻōnaehana, e like me ka ʻāʻī o ka ʻāʻī a me ka helu ʻana i nā lima a me nā wāwae, pono paha ʻoe e hoʻāʻo i ka wai cerebrospinal (CSF). He wai maopopo ka CSF i loaʻa i kou lolo a me ka iwi kuamoo. I ka wā o kēia hoʻokolohua, e hōʻiliʻili ʻia kāu CSF ma o ke kaʻina hana i kapa ʻia he lumbar puncture, i ʻike ʻia hoʻi me ke kāʻei ʻōiwi. Ma ke kaʻina hana:
- E moe ʻoe ma kou ʻaoʻao a noho paha ma ka papa ʻaina hōʻike.
- E hoʻomaʻemaʻe kahi mea mālama ola i kou kua a hoʻokomo i kahi anesthetic i kou ʻili, no laila ʻaʻole ʻoe e ʻeha i ka wā o ke kaʻina hana. Hiki i kāu mea hāʻawi ke kau i ka kirima numbing ma kou kua ma mua o kēia kuʻi.
- I ka manawa e ʻōlohelohe loa ka ʻāpana o kou kua, e hoʻokomo kāu mea lawelawe i kahi nīni lahilahi a hakahaka ma waena o ʻelua vertebrae i kou iwi ʻaoʻao lalo. ʻO Vertebrae nā iwi hope liʻiliʻi e hana i kou kuamoʻo.
- E huki hou kāu mea hāʻawi i kahi wai o ka cerebrospinal no ka hoʻāʻo ʻana. E ʻelima paha minuke kēia.
- Pono ʻoe e noho mālie ʻoiai ke huki ʻia nei ka wai.
- E noi paha kāu mea lawelawe iā ʻoe e moe i kou kua no hoʻokahi hola a ʻelua paha ma hope o ke kaʻina hana. Pale paha kēia iā ʻoe mai ka loaʻa ʻana o ka ʻeha ma hope.
Pono wau e hana i kekahi mea e hoʻomākaukau ai no ka hoʻāʻo?
ʻAʻole pono ʻoe i kahi hoʻomākaukau kūikawā no ka hoʻāʻo ʻana o ka maʻi maʻi Lyme.
No ka puncture lumbar, noi paha ʻoe e ninini i kāu ʻōpū a me kou ʻōpū ma mua o ka hoʻāʻo.
Aia kekahi mau pōpilikia i nā hoʻāʻo maʻi Lyme?
ʻAʻohe liʻiliʻi loa i ka hoʻāʻo ʻana i ke koko a i ʻole ka lumbar puncture. Inā loaʻa iā ʻoe kahi hoʻokolohua koko, loaʻa paha iā ʻoe ka ʻeha a ʻeha paha ma kahi i hoʻokomo ʻia ai ka nila, akā ʻo ka hapa nui o nā ʻōuli hele koke aku.Inā loaʻa ʻoe i kahi lumbar puncture, loaʻa paha iā ʻoe ka ʻeha a palupalu paha i kou kua i kahi i hoʻokomo ʻia ai ka nila. Hiki paha iā ʻoe ke ʻehaʻeha ma hope o ke kaʻina hana.
He aha ke ʻano o nā hopena?
Paipai nā Centres for Disease Control and Prevention (CDC) i kahi kaʻina hōʻike ʻelua o kāu hāpana:
- Inā maikaʻi ʻole kāu hopena hōʻike mua no ka maʻi Lyme, ʻaʻole pono ʻoe i nā hoʻokolohua hou aʻe.
- Inā maikaʻi kāu hopena mua no ka maʻi Lyme, e loaʻa i kou koko kahi hōʻike ʻelua.
- Inā maikaʻi nā hopena ʻelua no ka maʻi Lyme a he ʻōuli hoʻi kāu o ka maʻi, loaʻa paha iā ʻoe ka maʻi Lyme.
ʻAʻole nā manaʻo maikaʻi nā hopena maikaʻi i kahi hōʻoia o ka maʻi Lyme. I kekahi mau hihia, hiki iā ʻoe ke loaʻa kahi hopena maikaʻi akā ʻaʻole i loaʻa kahi maʻi. Hiki paha i nā hopena maikaʻi ke loaʻa iā ʻoe kahi maʻi autoimmune, e like me lupus a i ʻole rheumatoid arthritis.
Inā maikaʻi kāu mau hopena lumbar puncture, manaʻo paha ia he maʻi Lyme kou, akā pono paha ʻoe i nā hoʻokolohua hou aku e hōʻoia i kahi hōʻailona.
Inā manaʻo kāu kauka olakino loaʻa iā ʻoe ka maʻi Lyme, e kauoha ʻo ia i ka lāʻau antibiotic. ʻO ka hapanui o ka poʻe i mālama ʻia me nā lāʻau ʻalopika i ka wā mua o ka maʻi e ola loa.
E aʻo hou aʻe e pili ana i nā hoʻokolohua hoʻokolohua, nā pae kuhikuhi, a me ka hoʻomaopopo ʻana i nā hopena.
Aia kekahi mea ʻē aʻe e pono iaʻu e ʻike e pili ana i nā hōʻike maʻi Lyme?
Hiki iā ʻoe ke hōʻemi i kou manawa e loaʻa ai ka maʻi Lyme ma o ka hana ʻana i kēia mau hana:
- Hōʻalo i ka hele wāwae ʻana i nā wahi ulu lāʻau me ka mauʻu kiʻekiʻe.
- Hele wāwae i waenakonu o nā ala hele.
- E komo i ka pālule loloa a hoʻopaʻa iā lākou i loko o kou mau kāmaʻa a i ʻole nā kākini.
- E noi i kahi mea hoʻopunipuni i loaʻa i ka DEET i kou ʻili a me kou kapa.
Nā kūmole
- ALDF: American Lyme Disease Foundation [Pūnaewele]. Lyme (CT): American Lyme Disease Foundation, Inc.; c2015. Maʻi ʻo Lyme; [hoʻohou 2017 Dec 27; i helu ʻia 2017 Dec 28]; [ma kahi o 2 pale]. Loaʻa mai: http://www.aldf.com/lyme-disease
- Nā kikowaena no ka mālama ʻana i ka maʻi a me ka pale ʻana [Pūnaewele]. Atlanta: Ke Keʻena ʻOihana Ola a me nā Lawelawe Pono ʻAmelika; Maʻi ʻo Lyme; [hoʻohou 2017 Nov 16; i helu ʻia 2017 Dec 28]; [ma kahi o 1 pale]. Loaʻa mai: https://www.cdc.gov/lyme/index.html
- Nā kikowaena no ka mālama ʻana i ka maʻi a me ka pale ʻana [Pūnaewele]. Atlanta: Ke Keʻena ʻOihana Ola a me nā Lawelawe Pono ʻAmelika; ʻO ka maʻi Lyme: Kāohi i nā nahu kikiki ma ka poʻe; [hoʻohou 2017 Apr 17; i helu ʻia 2017 Dec 28]; [ma kahi o 2 pale]. Loaʻa mai: https://www.cdc.gov/lyme/prev/on_people.html
- Nā kikowaena no ka mālama ʻana i ka maʻi a me ka pale ʻana [Pūnaewele]. Atlanta: Ke Keʻena ʻOihana Ola a me nā Lawelawe Pono ʻAmelika; ʻO ka maʻi Lyme: nā hōʻailona a me nā hōʻailona o ka maʻi Lyme i hana ʻole ʻia; [hoʻohou i ka 2016 ʻOkakopa 26; i helu ʻia 2017 Dec 28]; [ma kahi o 2 pale]. Loaʻa mai: https://www.cdc.gov/lyme/signs_symptoms/index.html
- Nā kikowaena no ka mālama ʻana i ka maʻi a me ka pale ʻana [Pūnaewele]. Atlanta: Ke Keʻena ʻOihana Ola a me nā Lawelawe Pono ʻAmelika; Maʻi Lyme: Ka lawe ʻana; [hōʻano 2015 Mar 4; i helu ʻia 2017 Dec 28]; [ma kahi o 2 pale]. Loaʻa mai: https://www.cdc.gov/lyme/transmission/index.html
- Nā kikowaena no ka mālama ʻana i ka maʻi a me ka pale ʻana [Pūnaewele]. Atlanta: Ke Keʻena ʻOihana Ola a me nā Lawelawe Pono ʻAmelika; ʻO ka maʻi Lyme: lapaʻau; [hoʻohou 2017 Dec 1; i helu ʻia 2017 Dec 28]; [ma kahi o 2 pale]. Loaʻa mai: https://www.cdc.gov/lyme/treatment/index.html
- Nā kikowaena no ka mālama ʻana i ka maʻi a me ka pale ʻana [Pūnaewele]. Atlanta: Ke Keʻena ʻOihana Ola a me nā Lawelawe Pono ʻAmelika; ʻO ka maʻi Lyme: Ke kaʻina hana hōʻike Laboratory ʻelua ʻanuʻu; [hoʻohou 2015 Malaki 26; i helu ʻia 2017 Dec 28]; [ma kahi o 2 pale]. Loaʻa mai: https://www.cdc.gov/lyme/diagnosistesting/labtest/twostep/index.html
- ʻO Hinkle J, Cheever K. Brunner & Suddarth's Handbook of Laboratory and Diagnostic Tests. ʻO Ed Ed, Kindle. Piladelapia: Wolters Kluwer Health, Lippincott Williams & Wilkins; c2014. ʻO Lyme Disease Serology; p. 369.
- Nā Hoʻokolohua Lab ma ka Pūnaewele [Pūnaewele]. ʻAhahui ʻAmelika no ka Chemical Clinical; c2001–2017. Cerebrospinal Fluid (CSF) Nānā; [hoʻohou 2017 Dec 28; i helu ʻia 2017 Dec 28]; [ma kahi o 2 pale]. Loaʻa mai: https://labtestsonline.org/tests/cerebrospinal-fluid-csf-analysis
- Nā Hoʻokolohua Lab ma ka Pūnaewele [Pūnaewele]. ʻAhahui ʻAmelika no ka Chemical Clinical; c2001–2017. Maʻi ʻo Lyme; [hoʻohou 2017 Dec 3; i helu ʻia 2017 Dec 28]; [ma kahi o 2 pale]. Loaʻa mai: https://labtestsonline.org/conditions/lyme-disease
- Nā Hoʻokolohua Lab ma ka Pūnaewele [Pūnaewele]. ʻAhahui ʻAmelika no ka Chemical Clinical; c2001–2017. Nā ho'āʻo maʻi maʻi Lyme; [hoʻohou 2017 Dec 28; i helu ʻia 2017 Dec 28]; [ma kahi o 2 pale]. Loaʻa mai: https://labtestsonline.org/tests/lyme-disease-tests
- Mayo Clinic [Pūnaewele]. Mayo Foundation no ka Hoʻomaʻamaʻa Lapaʻau a me ka noiʻi; c1998–2017. ʻO ka maʻi Lyme: Kuhi a me ka mālama ʻana; 2016 Apr 3 [helu ʻia 2017 Dec 28]; [ma kahi o 5 pale]. Loaʻa mai: https://www.mayoclinic.org/diseases-conditions/lyme-disease/diagnosis-treatment/drc-20374655
- Merck Manual Mea Kūʻai Manuahi [Pūnaewele]. Kenilworth (NJ): Merck & Co. Inc.; c2017. Maʻi ʻo Lyme; [i helu ʻia 2017 Dec 28]; [ma kahi o 3 pale]. Loaʻa mai: https://www.merckmanuals.com/home/infections/bacterial-infections-spirochetes/lyme-disease
- Merck Manual Mea Kūʻai Manuahi [Pūnaewele]. Kenilworth (NJ): Merck & Co. Inc.; c2017. Nā hoʻāʻo ʻana no ka Brain, Spinal Cord, a me nā maʻi nerve. [i helu ʻia 2017 Dec 28]; [ma kahi o 3 pale]. Loaʻa mai: http://www.merckmanuals.com/home/brain,-spinal-cord,-and-nerve-disorder/diagnosis-of-brain,-spinal-cord,-and-nerve-disorder/tests-for -brain, -spinal-cord, -and-nerve-disorders
- National Heart, Lung, and Blood Institute [Pūnaewele]. Bethesda (MD): Ke Keʻena ʻOihana Ola a me nā lawelawe kanaka; Nā ho'āʻo koko; [i helu ʻia 2017 Dec 28]; [ma kahi o 3 pale]. Loaʻa mai: https://www.nhlbi.nih.gov/health-topics/blood-tests
- Kulanui o Rochester Medical Center [Pūnaewele]. Rochester (NY): Kulanui o Rochester Medical Center; c2017. ʻO Encyclopedia Health: Borrelia Antibody (Koko); [i helu ʻia 2017 Dec 28]; [ma kahi o 2 pale]. Loaʻa mai: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid;=borrelia_antibody_lyme
- Kulanui o Rochester Medical Center [Pūnaewele]. Rochester (NY): Kulanui o Rochester Medical Center; c2017. ʻO Encyclopedia Health: Borrelia Antibody (CSF); [i helu ʻia 2017 Dec 28]; [ma kahi o 2 pale]. Loaʻa mai: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid;=borrelia_antibody_lyme_csf
- Kulanui o Rochester Medical Center [Pūnaewele]. Rochester (NY): Kulanui o Rochester Medical Center; c2017. ʻO Encyclopedia Health: Nā ho'āʻo Diagnostic no nā maʻi Neurological; [i helu ʻia 2017 Dec 28]; [ma kahi o 2 pale]. Loaʻa mai: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=85&contentid;=P00811
- UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2017. ʻIkepili olakino: Hōʻike ʻo Lyme Disease: Nā hopena; [hōʻano 2017 2017 Mar 3; i helu ʻia 2017 Dec 28]; [ma kahi o 8 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/medicaltest/lyme-disease-test/hw5113.html#hw5149
- UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2017. ʻIkepili olakino: ʻImi maʻi Lyme: Hōʻike Manaʻo hōʻike; [hōʻano 2017 2017 Mar 3; i helu ʻia 2017 Dec 28]; [ma kahi o 2 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/medicaltest/lyme-disease-test/hw5113.html
- UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2017. ʻIkepili olakino: ʻImi ʻia ka maʻi ʻo Lyme: No ke aha e hana ai; [hōʻano 2017 2017 Mar 3; i helu ʻia 2017 Dec 28]; [ma kahi o 4 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/medicaltest/lyme-disease-test/hw5113.html#hw5131
ʻAʻole pono e hoʻohana i ka ʻike ma kēia pūnaewele i pani no ka mālama olakino ʻoihana a ʻōlelo aʻoaʻo paha. Kāhea aku i ka mea mālama ola inā he nīnau kāu e pili ana i kou olakino.