ʻO ka rabies kanaka (hydrophobia): he aha ia, nā ʻōuli a me nā lāʻau

Anter

• Nā hōʻailona nui
• Pehea e ʻike ai i kahi holoholona huhū
• Pehea e hoʻoili ai
• Pehea e pale ai i ka maʻi
• He aha e hana ai inā e nahu ʻia ʻoe e kahi holoholona huhū
• Pehea e hana ai i ka lāʻau

He maʻi maʻi ʻo Rabies kahi i pilikia ai ka ʻōnaehana waena (CNS) a hiki i ka make ke make i 5 a 7 mau lā, inā ʻaʻole mālama maikaʻi ʻia ka maʻi. Hiki ke hoʻōla ʻia kēia maʻi ke ʻimi kekahi kanaka i ke kōkua olakino ke nahu ʻia ia e kahi holoholona i hoʻopili ʻia a i ʻole ke ʻike ʻia nā ʻōuli.

ʻO ka causative agents o ka rabies ka maʻi virus i pili i ke kauoha Mononegavirales, ohana Rhabdoviridae a me ke kāne Lyssavirus. ʻO nā holoholona i hiki ke hoʻoili i nā rabies i nā kānaka he ʻīlio rabid a me nā pōpoki nui, akā hiki i nā holoholona mehana koko āpau ke maʻi pū kekahi a hoʻouna i nā kānaka. ʻO kekahi mau laʻana he ʻōpeʻapeʻa e hoʻopau i ke koko, nā holoholona mahiʻai, ʻalopeke, raccoon a me nā mōʻī.

Nā hōʻailona nui

Hoʻomaka nā ʻōuli o ka rabies i loko o nā kānaka ma kahi o 45 mau lā ma hope o ka nahu ʻana o ka holoholona i loaʻa i ka maʻi, ʻoiai e hele ka maʻi i ka lolo ma mua o ke ʻano o nā ʻōuli. No laila, he mea maʻamau ka nahu ʻia o ke kanaka no kekahi manawa ma mua o ka hōʻike ʻana i nā hōʻailona a i ʻole nā ​​hōʻailona.

Eia nō naʻe, i ka wā i puka mua ai, ʻano like nā ʻōuli mua me nā maʻi o ka maʻi flu a hoʻopili pū ʻia:

• Malaise lehulehu;
• Manaʻo o ka nāwaliwali;
• ʻEha poʻo poʻo;
• Kaha wela;
• Huhū.

Hoʻohui ʻia, ʻike ʻia paha kahi hōʻoluʻolu ma ke kahua o ka nahu, e like me ke kani ʻana a i ʻole ka ʻū ʻana.

Ke ulu nei ka maʻi, hoʻomaka e ʻike ʻia nā ʻōuli ʻē aʻe e pili ana i ka hana o ka lolo, e like me ka hopohopo, huikau, hoʻonāukiuki, ʻano maʻamau, hallucination a me ka hiamoe ʻole.

Ke ʻike ʻia nā ʻōuli e pili ana i ka hana o ka lolo, make pinepine ka maʻi a, no laila, hiki i ke kanaka ke komo i ka haukapila e lawe pololei i nā lāʻau i loko o ke aa a hoʻāʻo e hoʻomaha i ka pilikia.

Pehea e ʻike ai i kahi holoholona huhū

I ka pae mua o ka maʻi, hiki i nā holoholona i loaʻa i ka maʻi rabies me ka ʻole o ka ikaika, me ka luaʻi mau a me ka pohō kaumaha, akā naʻe, ʻo kēia mau ʻōuli ke hele nei i mua i ka salivation nui, ka hana maʻamau a me ka hōʻoki ʻana iā ʻoe iho.

Pehea e hoʻoili ai

ʻO ka lawe ʻia ʻana o ka maʻi rabies ma o ka hoʻopili pololei ʻana, ʻo ia hoʻi, pono ka lawehala o ka holoholona a i ʻole ka mea maʻi i hoʻopili ʻia me ka ʻeha ma ka ʻili a i ʻole me nā membrane o nā maka, ka ihu a me ka waha. No kēia kumu, ʻo ke kumu maʻamau o ka lawe ʻia ʻana o ka rabies ma o ka nahu ʻana o kahi holoholona, ​​a ʻoi aku ka liʻiliʻi o ka lawe ʻia ʻana ma o nā scratches.

Pehea e pale ai i ka maʻi

ʻO ke ala maikaʻi loa e pale aku ai iā ʻoe iho mai ka rabies ka hoʻomaʻamaʻa ʻana i nā ʻīlio a me nā pōpoki āpau me ka lāʻau koʻokoʻo rabies, no ka mea ʻo ia ala, ʻoiai ʻoe e nahu ʻia e kekahi o kēia mau holoholona, ​​no ka mea ʻaʻole lākou e hoʻohaumia ʻia, ʻo ka mea, inā nahu ʻia, ʻaʻole e e maʻi.

ʻO nā hana pale ʻē aʻe e pale i ka launa ʻana me nā mea hele hewa, nā holoholona i haʻalele ʻia a launa pū me nā holoholona hihiu, ʻoiai inā ʻaʻole lākou e hōʻike i nā hōʻailona o ka rabies, no ka mea, he mau pule a mau mahina paha e hōʻike ai.

Hoʻohui ʻia, hiki i ka poʻe e hana pū ana me nā holoholona ke hana i ka lāʻau lapaʻau rabies ma ke ʻano he mea pale, no ka mea, ʻoi aku ka makaʻu o ka maʻi e loaʻa i ka maʻi. E ʻike i ka wā hea e pono ai ka lāʻau lapaʻau a ʻo wai ka mea nāna e lawe.

He aha e hana ai inā e nahu ʻia ʻoe e kahi holoholona huhū

Ke nahu ʻia kekahi kanaka e kahi holoholona, ​​ʻoiai inā ʻaʻole ia e hōʻike i nā ʻōuli o ka rabies, a ʻoiai he holoholona alanui ia, pono ʻo ia e holoi i kahi me ke kopa a me ka wai a laila hele i ke keʻena olakino a i ʻole ke keʻena pilikia e nānā. ka pilikia o ka loaʻa ʻana o nā rabies a hoʻomaka i ka ʻōnaehana hōʻike virus, i hana mau ʻia me nā koina he nui o ka lāʻau koʻokoʻo rabies.

E ʻike i ka mea e hana ai ma hope o ka nahu ʻana o kahi ʻīlio a pōpoki paha.

Pehea e hana ai i ka lāʻau

Ke hele ʻole ke kanaka i ka haukapila ma hope o ka nahu ʻana o ka holoholona, ​​a ua ʻike ʻia nā ʻōuli o ka maʻi i loko o ka lolo, manaʻo nui ʻia e noho ka mea maʻi i ka haukapila, ma loko o ka ICU. Kaukaʻi ʻia i ka paʻakikī, mālama ʻia ke kanaka i kahi kaʻawale, i ka hoʻomaha hohonu a me ka hanu ʻana ma o nā hāmeʻa. I ka wā o ka haukapila, pono e hānai ʻia ke kanaka me ka paipu nasoenteral, pono e noho me kahi pūpū bladder a ke lawe nei i ka serum ma o ka aa.

Ke hōʻoia ʻia ka rabies, hōʻike ʻia nā lāʻau e like me Amantadine a me Biopterine, akā ʻo nā lāʻau ʻē aʻe i hiki ke hoʻohana ʻia ʻo Midazolan, Fentanyl, Nimodipine, Heparin a me Ranitidine e pale i nā pilikia.

E nānā inā ke hoʻomaikaʻi nei ke kanaka, hana ʻia nā hoʻokolohua he nui e kaohi i nā pae o ka sodium, ke koko aʻa arterial, magnesium, zinc, T4 a me TSH, me ka nānā ʻia o ka wai cerebrospinal, Doppler cranial, resonance ʻumeʻume a me ka tomography i helu ʻia.

Ma hope o ka hōʻoia ʻana o ka hoʻopau loa ʻana o ka maʻi mai ke kino ma o nā loiloi ʻana, hiki i ke kanaka ke ola, akā naʻe, he hanana kakaikahi kēia, a ʻo ka hapa nui o ka poʻe me kahi maʻi i hoʻomohala maikaʻi ʻia e pau paha i ko lākou ola.