No ke aha e haʻalele ai ka maʻi koʻokoʻo Smallpox?
Anter
- Pehea i holo ai ka lāʻau hoʻomaʻamaʻa?
- No ke aha i kū ai ka scarring?
- Pākuʻi BCG vs. Smallpox
- Nā ʻōlelo aʻoaʻo no ka pau ʻana o kahi ʻili
- ʻO ka lawe lawe ʻana
Hōʻike Overview
ʻO ka Smallpox kahi maʻi, maʻi lele e hiki ai i ka ʻili koʻikoʻi a me ke kuni. I ka wā o nā maʻi puʻupuʻu nui loa i ka 20 kenekulia, ua koho ʻia he 3 o 10 mau kānaka i make i ka maʻi maʻi a ʻo nā mea ʻē aʻe i waiho ʻia i hōʻano ʻia, e like me ka.
ʻO ka mea pōmaikaʻi, ua hiki i nā mea noiʻi ke hana i kahi lāʻau lapaʻau kūʻē i kēia maʻi. ʻO ka virus i hōʻami ʻia he maʻi ola ia, akā ʻaʻole ia ka maʻi variola i ʻike ʻia no ka maʻi puʻupuʻu. Akā, ua injected ka maʻi koʻohune Ma muli o ka like loa o kēia virus me ka maʻi variola, hiki i ke kino ke hana maʻamau i nā mea pale e pale aku ai i ka maʻi puʻupuʻu liʻiliʻi.
Ma o ka hoʻomalu ākea ʻana o ka lāʻau lapaʻau liʻiliʻi, ua hoʻolaha nā kauka he "make" ka maʻi puʻupuʻu puʻupuʻu ma ʻAmelika Hui Pū ʻIa i ka makahiki 1952. I ka makahiki 1972, ua hooki nā lāʻau lapaʻau puʻupuʻu liʻiliʻi i ʻāpana o nā hana maʻamau maʻamau i ʻAmelika Hui Pū ʻIa.
ʻO ka hoʻokumu ʻia ʻana o kahi lāʻau ākea puʻupuʻu ka mea nui i loaʻa i ka lāʻau lapaʻau. Akā ua waiho ka lāʻau lapaʻau ma hope o kahi māka a i ʻole ka ʻeha.
ʻOiai ʻoi aku ka nui o ka poʻe i loaʻa ka maʻi ʻōmaʻomaʻo puʻupuʻu puʻupuʻu, ua lawelawe ka ʻOihana Ola o US a me nā lawelawe kanaka i ka lāʻau lapaʻau ma hope o 1972 i nā limahana olakino a me nā pūʻulu pane mai ka puʻupuʻu puʻupuʻu mai nā keʻena olakino ma muli o ka makaʻu e hiki ke hoʻohana ʻia ka maʻi puʻupuʻu liʻiliʻi me he mea kaua lāola. e ka poʻe hoʻoweliweli.
Pehea i holo ai ka lāʻau hoʻomaʻamaʻa?
Hāʻawi ʻia ka lāʻau laʻau liʻiliʻi ma kahi ʻano ʻokoʻa ke hoʻohālikelike ʻia i nā lāʻau āpau ʻē aʻe i hoʻohana ʻia i kēia lā. ʻO kahi laʻana, hāʻawi ʻia kahi pana flu i loko o kahi lāʻau hoʻokahi manawa e hoʻohana ana i kahi kiko o ke kui kele e hele i waena o nā ʻili o ka ʻili a i loko o ka mākala. Hāʻawi ʻia ka lāʻau ākea liʻiliʻi me ka hoʻohana ʻana i ka nila kuʻikuʻi bifurcated (ʻelua-prong) kūikawā. Ma kahi o ke kuʻi ʻana i ka ʻili i hoʻokahi manawa, hana ka mea nāna ka lāʻau lapaʻau i nā punctures he nui i ka ʻili e hāʻawi i ka maʻi i nā dermis o ka ʻili, ʻo ia ka papa ma lalo pono o ka epidermis i ʻike ʻia e ka honua. ʻAʻole komo ka lāʻau lapaʻau i nā papa o ka ʻili hohonu, e like me ka nāhele subcutane.
Ke hiki ka maʻi i kēia papa dermal, hoʻomaka ia e hoʻonui. ʻO kēia ke kumu o kahi puʻupuʻu liʻiliʻi a puni i ʻike ʻia e like me ka papule e hoʻomohala. A laila hoʻomohala ka papule i kahi vesicle, e like me ka blister piha piha i ka wai. ʻO ka mea hope loa, e ʻōpala kēia wahi pāheʻe. ʻOiai kēia e hōʻailona ana i ka mea a ka kauka e ʻike mau ai ma ke ʻano he lāʻau lapaʻau kūleʻa, hiki iā ia ke waiho i kahi māka no kekahi poʻe.
No ke aha i kū ai ka scarring?
ʻO nā scars e like me ka scar scar vaccine liʻiliʻi ma muli o ka hana hoʻōla maoli a ke kino. Ke hōʻeha ka ʻili (e like me ka lāʻau lapaʻau liʻiliʻi), pane koke ke kino e hoʻoponopono i kaʻiʻo. ʻO ka hopena he mālamala ia, ʻo ia ka ʻili o ka ʻili, akā hoʻonohonoho ʻia nā ʻili o ka ʻili i hoʻokahi ala ma kahi o nā ʻaoʻao ʻē aʻe e like me ke koena o ka ʻili. Lawe ʻia nā hunaola ʻili maʻamau i ka manawa e ulu ana ʻoiai hiki ke ulu wikiwiki nā mea maʻi. ʻOiai pale ka hopena, hiki i nā kānaka ke waiho me kahi hoʻomanaʻo e ʻike ʻia no ka ʻeha o ka ʻili.
No ka hapanui o ka poʻe, heʻuʻuku ka ʻili o ka puʻupuʻu liʻiliʻi, a ʻōwili poepoe i lalo o ka ʻili a puni. ʻAʻole i ʻoi aku ka nui o nā kaha o ka poʻe ma mua o ka nui o kahi peni holoi penikala, ʻoiai ʻoi aku ka nui o nā scars o kekahi. I kekahi manawa hiki iā lākou ke makaʻu a ʻili ka ʻili a puni lākou. He hopena kūlohelohe kēia o ka hoʻomohala ʻana i nā ʻaʻa.
Loaʻa i kekahi poʻe ka pane ʻokoʻa i ka ʻeha o ka ʻili. Hiki paha iā lākou ke hana i nā kikoʻī ma ke ʻano he keloid. ʻO kēia kahi ʻili i hānai ʻia e ulu ana i ka pane ʻana i ka ʻeha o ka ʻili. ʻIke ʻia lākou e hana ma ka poʻohiwi a hiki ke hoʻoulu i kahi pālahalaha i pālahalaha ʻia e like me ka mea i ninini ʻia ma ka ʻili a paʻakikī. ʻAʻole maopopo nā kauka no ke aha e loaʻa ai i kekahi poʻe nā keloids a ʻike ʻole kekahi. ʻIke lākou i ka poʻe me ka moʻolelo ʻohana o keloids (10 a 30 mau makahiki), a ʻo ka poʻe o ʻApelika, ʻAsia, a i ʻole ka Hispanic he mau keloids, e like me ka American Academy of Dermatology.
I ke kiʻekiʻe o nā hopohopo puʻupuʻu liʻiliʻi, he hōʻailona maikaʻi ka loaʻa ʻana o kahi scar vaccine maʻi puʻupuʻu puʻupuʻu no ka mea hiki i nā luna olakino ke kuhi i kekahi kanaka ua pale ʻia i ka maʻi. ʻO kahi laʻana, ua ʻike ʻia nā luna hoʻokipa ma Ellis Island ma Nu Ioka e nānā i nā lima o ka poʻe malihini no ke kū ʻana o ka lāʻau lapaʻau liʻiliʻi ma mua o ko lākou lawe ʻia ʻana i ʻAmelika Hui Pū ʻIa.
ʻOiai ke kūkulu ʻia ʻana o ka ʻili, ʻike ʻia ka lāʻau lapaʻau no ka hōʻemi ʻana i nā hopena maikaʻi ʻole ke hāʻawi ʻia ma ka lima, ke hoʻohālikelike ʻia i nā puʻupuʻu a i nā wahi ʻē aʻe paha.
Pākuʻi BCG vs. Smallpox
Ma waho aʻe o ka ʻike ʻia ʻana o ka scarring mai ka lāʻau liʻiliʻi o ka maʻi puʻupuʻu, aia kekahi lāʻau āpau e loaʻa ai kahi ʻili like. ʻIke ʻia kēia ʻo Bacillus Calmette-Guérin a i ʻole BCG vaccine. Hoʻohana ʻia kēia lāʻau hoʻomalu e pale aku i ka poʻe i ka maʻi kō kanaka. Hiki i nā ʻano lāʻau vaccine ʻelua ke waiho i nā scars lima luna.
I ka manawa pinepine, hiki i ke kanaka ke haʻi i ka ʻokoʻa ma waena o ka lāʻau lapaʻau vaccine liʻiliʻi a me nā scars BCG ma o ka noʻonoʻo ʻana i nā manaʻo aʻe:
- ʻAʻole hoʻolaha nui ʻia ka lāʻau lapaʻau liʻiliʻi ma ʻAmelika Hui Pū ʻIa ma hope o 1972. Inā hānau ʻia kekahi kanaka ma hope o kēia manawa, hiki i kā lākou scar vaccine scar BCG paha.
- ʻAʻole hoʻohana pinepine ʻia ka lāʻau lapaʻau BCG ma United States, ʻoiai ka tuberculosis e hana ʻia ma nā helu haʻahaʻa. Eia nō naʻe, hoʻohana pinepine ʻia ka lāʻau lapaʻau i nā ʻāina kahi e nui ai nā helu TB, e like me Mexico.
- ʻOiai hiki ke loli nā ʻano scarring, e hoʻāla ʻia kahi scar BCG a poepoe iki ʻia. Hoʻomaʻamaʻa ʻia kahi wana puʻupuʻu puʻupuʻu, a i ʻole ma lalo o ka ʻili. Ua poepoe iki ʻia, me nā lihi jagged.
Hāʻawi pū ʻia ka injection BCG intradermally, e like me ka lāʻau lapaʻau maʻi puʻupuʻu.
Nā ʻōlelo aʻoaʻo no ka pau ʻana o kahi ʻili
ʻO nā mālama ʻana no kahi ʻāpana puʻupuʻu liʻiliʻi e like ia me ka scarring ma ka laulā. ʻO kekahi mau ʻōlelo aʻoaʻo e hōʻemi i ka helehelena o ka ʻili me:
- Ke komo ʻana i ka pale umauma i nā manawa āpau ma luna o ka ʻili. Hiki i ka lā ke hōʻike i nā kiko o nā maka ke ʻeleʻele a mānoanoa. Hiki i kēia ke hana i kahi lāʻau lapaʻau puʻupuʻu puʻupuʻu e hōʻike hou ʻia aʻe.
- Ke noi ʻana i nā hamo hoʻoluʻolu ʻili i hiki ke kōkua i ka hōʻemi ʻana i ka helehelena o ka ʻeha. ʻO nā laʻana e laʻa me ka waiū koko, nā aila kūlohelohe, ka ʻaloe, a i ʻole nā hamo i piha me ka allium cepa (ʻakaʻaka onion) i kāʻili. Eia naʻe, ʻaʻole i hōʻike ʻepekema kēia mau lapaʻau ʻana e hoʻoliʻiliʻi piha i nā hiʻohiʻona o nā scars.
- Ke kamaʻilio nei i ke kauka e pili ana i dermabrasion, kahi hana e hana e wehe i nā papa waho o ka ʻili e hāpai i ka hoʻōla. ʻAʻole hiki ke ʻike ʻia nā hopena o kēia hana e mālama i nā scars.
- Ke kamaʻilio ʻana i ke kauka e pili ana i ka hoʻoponopono hou ʻana i ka welu, kahi hana e hoʻopili ai i ka ʻili i hoʻopili ʻia a hoʻopaʻa pū i ka ʻili ma hope. ʻOiai e hana kēia i kahi ʻili ʻē aʻe, ke kūpono, ʻaʻole ʻike iki ʻia ka ʻili hou.
- Kamaʻilio me ke kauka e pili ana i ka hoʻopili ʻana o ka ʻili, kahi e kūapo i ka wahi wili me ka ʻili hou, maikaʻi. Eia naʻe, ʻo nā kihi o ka ʻili a puni kahi i hoʻokomo ʻia ai ke kihi e ʻike ʻia paha he ʻokoʻa.
Inā hoʻomohala ʻia kāu maʻi puʻupuʻu liʻiliʻi a lilo i keloid, hiki iā ʻoe ke hoʻopili i nā pepa silikona (e like me ka mea hoʻopaʻa) a i ʻole gel i ka keloid. Hiki i kēia ke kōkua i ka hoʻēmi ʻana i ka nui o ka keloid.
ʻO ka lawe lawe ʻana
Ma mua o ka 37,500 mau limahana kīwila i loaʻa i ka lāʻau koʻokoʻo puʻupuʻu liʻiliʻi i ka makahiki 2003, ua kuhi ʻia he 21 scars post-vaccination, e like me ka puke pai Nā maʻi maʻi maʻi. ʻO nā mea e ʻike nei i ka scarring, ʻo ka manawa maʻamau i ka ʻike ʻana i ka ʻili he 64 mau lā.
ʻOiai e mau ana nā scars puʻupuʻu, pono i ke kanaka ke loiloi inā koi ʻia ko lākou ʻili e hoʻoliʻiliʻi i kona helehelena. Lawe ʻia a hōʻano hou ʻia ka hapa nui o nā scars no ka helehelena cosmetic, ʻaʻole pili i ke olakino.