Tularemia

Anter
- He aha ka tularemia?
- Ka lawe ʻana i nā kānaka
- Nā ʻano o ka tularemia a me kā lākou mau ʻōuli
- Ulceroglandular tularemia
- Tularemia glandular
- Pularonic tularemia
- ʻO ka tularemia Oculoglandular
- ʻO ka tularemia Oropharyngeal
- Thoemia typhoidal
- Nā pilikia kūpono o ka tularemia
- Nā kumu o ka tularemia
- Nā kumu pilikia no ka tularemia
- Nānā i ka tularemia
- Lapaʻau no ka tularemia
- Kāohi ʻana i ka tularemia
- Outlook no ka tularemia
He aha ka tularemia?
ʻO Tularemia kahi maʻi maʻi lele e hoʻopili pinepine i nā holoholona aʻe:
- koʻomaʻo hihiu
- ʻūlū
- manu
- lāpaki
Hoʻokumu ʻia ka maʻi e ka maʻi bacteria Francisella tularensis. Hiki ke hoʻoweliweli i ke ola.
E heluhelu e ʻike pehea e lawe ai i ka tularemia i nā kānaka, nā ʻano like ʻole o ka maʻi a me kā lākou mau ʻōuli, nā koho lapaʻau, a me nā mea hou aʻe.
Ka lawe ʻana i nā kānaka
Hiki i nā kānaka ke ʻaelike i ka tularemia ma o ka launa pololei ʻana me kahi holoholona i loaʻa i ka maʻi a mai ka tick, mosquito, a i ʻole nā nahu lele dia.
Hoʻokaʻawale ʻia nā ʻano like ʻole o ka tularemia e kahi e komo ai nā bacteria i ke kino o ke kanaka.
Hoʻokumu ʻia ka ʻano maʻamau o ka maʻi e ka ʻili me ka bacteria. ʻO ke ʻano koʻikoʻi loa o ka maʻi ke kumu ʻia e ka hanu ʻana i nā bacteria.
Hiki ke mālama pinepine ʻia ʻo Tularemia me nā antibiotic. Hāʻawi ka hoʻomaʻamaʻa mua i kahi nānā maikaʻi no ke ola piha. Eia nō naʻe, he mea make kekahi mau hihia koʻikoʻi a ʻoiai me ka lāʻau.
Kākaʻikahi ka Tularemia. Aia he 100 a 200 mau hihia hou i hōʻike ʻia ma ʻAmelika Hui Pū ʻIa i kēlā me kēia makahiki.
Nā ʻano o ka tularemia a me kā lākou mau ʻōuli
Hiki ke loli nui nā ʻōuli o ka tularemia, mai asymptomat a i ʻole akahai i ke ola hoʻoweliweli. Hōʻike pinepine ʻia nā ʻōuli ma waena o 3 a 5 mau lā o ka maʻi ʻana i ka maʻi koʻohune, akā i kekahi mau hihia hiki ke hala i 2 mau wiki e ʻikea.
Hiki i nā ʻōuli ke ʻano ʻē e pili ana i kahi e komo ai ka bacteria i ke kino o ke kanaka. Eia kekahi o nā ʻano o ka tularemia a me nā ʻōuli e pili pū ana.
Ulceroglandular tularemia
ʻO nā ʻōuli o ka ulceroglandular tularemia, a i ʻole ka maʻi ma o ka ʻili, hiki ke hoʻopili ʻia:
- kahi ulcer ʻili ma ke kiko o ka launa ʻana me ka holoholona i loaʻa i ka maʻi a i ʻole ma ke kahua o ka nahu
- pehu nā lymph node kokoke i ka ʻili ulcer (ʻo ka pinepine i ka armpit a i ʻole ke ʻū)
- ʻeha poʻo poʻo
- he kuni
- haʻalulu
- luhi
Tularemia glandular
ʻO nā ʻōuli o ka tularemia glandular, a i ʻole ka maʻi maʻi ma o ka ʻili, like ia me nā ʻōuli ulceroglandular akā me ka ʻole o ka ulcer o ka ʻili.
Pularonic tularemia
ʻO ka pneumular tularemia ke ʻano nui loa o kēia maʻi. Hoʻouna ʻia ma o ka inhalation. Hiki i nā ʻōuli ke hoʻopili pū me:
- he puʻu maloo
- hanu paʻakikī
- he wela wela
- ʻeha ka umauma
ʻO ka tularemia Oculoglandular
ʻO nā ʻōuli o ka tularemia oculoglandular, a i ʻole ka maʻi o ka maka, hiki ke hoʻopili ʻia:
- hoʻonāukiuki maka
- ʻeha ka maka
- pehu ka maka
- hoʻokuʻu a ʻulaʻula paha o ka maka
- he ʻeha ma loko o ka maka
- pehu nā lymph glands ma hope o ka pepeiao
ʻO ka tularemia Oropharyngeal
ʻO nā ʻōuli o ka oropharyngeal tularemia, a i ʻole ka maʻi ma o ke komo ʻana i ka bacteria.
- e 'eha puʻu
- ulcer i ka waha
- pehu nā lymph node i ka ʻāʻī
- tonsillitis, a i ʻole nā tonsil pehu
- ka luaʻi
- pāhoehoe
Thoemia typhoidal
ʻO nā ʻōuli o ke ʻano rarest o kēia maʻi, typhoidal tularemia, hiki ke hoʻopili ʻia:
- he kuni kiʻekiʻe loa
- luhi loa
- pāhoehoe
- ka luaʻi
Hiki i ka typhoidal tularemia ke alakaʻi i ka niumonia a me ka ake nui a me ka spleen.
Nā pilikia kūpono o ka tularemia
ʻO nā hihia koʻikoʻi a mālama ʻole ʻia o tularemia e hana i nā pilikia aʻe:
- holo pono ʻole o ka naʻau
- pehu o nā membrane e hoʻopuni ana i kou lolo a me ka iwi kuamoʻo, i kapa ʻia he meningitis
- make
Nā kumu o ka tularemia
ʻO ke koʻohune Francisella tularensis kumu tularemia. Nā hana i hiki ke hāpai i nā bacteria:
- lālani lāpaki a me nā dia
- deerflies
- ʻālepa
- lāpaki
- kiwi
- piʻo hele i waho
ʻO ke ʻano o ka tularemia āu e hoʻomōhala ai i ka pili ʻana o ka bacteria i kou kino.
ʻO ka ʻili ka ʻili ke ʻano maʻamau o ka maʻi. ʻO ka hanu ʻana ma o nā ake māmā ka ʻano nui o ka tularemia.
Inā haʻalele ʻole ʻia ia, hiki i nā ʻano maʻi ʻē aʻe ke kiʻi i nā wahi o ke kino.
- māmā
- kaulaʻi iwi kuamoʻo
- lolo
- Puʻuwai
Hiki i ka maʻi ke hoʻopilikia i nā pilikia a i kekahi manawa ka make.
ʻO ke ala o ke komo ʻana a me nā hopena hopena o ka tularemia e komo pū me kēia:
- Hoʻomaopopo ka ʻili i ka tularemia glandular a i ʻole ulceroglandular tularemia.
- ʻO ka hoʻoulu ʻana i nā bacteria aerosolized ke kumu o ka tonicemia pneumonic.
- ʻO ka hōʻike ma o ka maka ke kumu o ka tularemia oculoglandular.
- Hoʻopilikia kaʻai ʻana i ka tularemia oropharyngeal.
- ʻO ka maʻi ʻōnaehana (kahi e hoʻopili i ke kino holoʻokoʻa) ke kumu o ka typhoidal tularemia.
Nā kumu pilikia no ka tularemia
Hāpai nā holoholona i ka bacteria i kumu i ka tularemia. Hoʻonui ʻoe i ka makaʻu i ka loaʻa ʻana o ka maʻi inā pili pinepine ʻoe me nā holoholona.
ʻO ka poʻe i hoʻonui i ka makaʻu no ka tularemia me kēlā mau:
- hana pū me nā holoholona, e like me nā veterinarians, zookeepers, a me nā poʻe mālama paka
- noho i nā wahi ululāʻau nui
- hana me nā kupapaʻu holoholona, e like me ka poʻe ʻimi holoholona, nā luna ʻauhau ʻauhau, a me nā poʻe ʻoki manu
- hana i ka mahiʻai a me ka mālama ʻāina ʻana
Nānā i ka tularemia
ʻAʻole maʻalahi ka hōʻoia ʻana i ka tularemia no ka mea hiki ke ʻike pinepine e like me nā maʻi ʻē aʻe. ʻO nā ala like ʻole o ke komo ʻana o ka bacteria i pilikia i ka pilikia.
Pono kauka e hilinaʻi nui i kāu mōʻaukala pilikino a pilikino e kōkua i ke kuhi ʻana iā ʻoe.
Manaʻo paha kāu kauka i ka tularemia inā he huakaʻi hou kāu, nā nahu o nā kolo, a i ʻole pili pū me nā holoholona. Hiki paha iā lākou ke kānalua aia iā ʻoe kēia maʻi inā he maʻi olakino koʻikoʻi kāu e hoʻopiʻi ai i kāu ʻōnaehana pale, e like me ka maʻi ʻaʻai a i ʻole HIV.
Hiki i kāu kauka ke hoʻohana i kahi hoʻokolohua serology e ʻike ai i ka tularemia. Nānā kēia hoʻāʻo no nā mea ʻino kikoʻī a kou kino i hana ai e hakakā i ka maʻi.
Ma muli o ka ʻike pinepine ʻole o ka hoʻāʻo mua ʻana i nā mea ʻino, makemake paha kāu kauka e ʻohiʻohi i kahi laʻana i ka moʻomeheu i kahi lab. Hiki ke lawe ʻia i nā laʻana mai:
- ʻili
- lymph aka wahi
- pleura loli (ka loli mai ka pleurae i ka umauma umauma)
- wai ʻalalā
Lapaʻau no ka tularemia
Mālama ʻia kēlā me kēia hihia o ka tularemia e like me kona ʻano a me ke koʻikoʻi. ʻAe ka hōʻoia mua no ka mālama koke ʻana me nā lāʻau ʻaloʻalo.
Nā Antibiotics i hoʻohana ʻia e mālama i ka tularemia e komo pū ana:
- ciprofloxacin (Cipro)
- doxycycline (Doryx)
- gentamicin
- streptomycin
Hiki ke koi ʻia kahi hana ʻoki ʻana e hoʻokahe i nā pūnana lymph pehu a i ʻole ʻoki ʻana i nā mea maʻi mai kahi maʻi maʻi ʻili. Hāʻawi ʻia ʻoe i nā lāʻau no ke kuni a me nā ʻōuli o ke poʻo.
Kāohi ʻana i ka tularemia
Hoʻopili ka mālama ʻana i ka mālama pono ʻana i ka palekana. Kūleʻa ka bacteria i nā kūlana haumia.Ua hiki mai nā maʻi o kēia maʻi i nā ʻāpana ʻimi holoholona i ka wā i hoʻomaʻemaʻe ʻole ai nā poʻe huli holoholona i nā ʻano hoʻomaʻemaʻe palekana a hoʻohaumia i kā lākou waiwai.
I ka hoʻomaʻemaʻe maluhia ʻana o nā holoholona i ka wā e ʻimi holoholona ana, pono ʻoe e mālama i kēia mau ʻano aʻe:
- Mai hana i ka ʻili a i ʻole ka lole (hemo i nā ʻoka o) nā holoholona e ʻike ʻia he maʻi.
- E komo i nā mikina a me nā aniani i ka wā e mālama ana i nā holoholona.
- E holoi pono i kou mau lima ma hope o ka lawelawe ʻana i kahi holoholona.
- Hoʻomoʻa pono i kaʻiʻo.
Eia kekahi mau ʻōlelo aʻoaʻo no ka hoʻēmi ʻana i kou makaʻu ākea o ka ʻaelike ʻana i ka tularemia.
- E komo i ka pālule loloa a me ka lima i ka nahele e pale aku ai i nā nahu kik.
- E mālama i nā holoholona i koe mai ka meaʻai a wai paha.
- Pale i ka wai inu mai nā loko a i ʻole nā loko iʻa.
- Pale i kāu mau holoholona i waho me ka lāle a me nā lāʻau tick.
- E hoʻohana i nā repellents insect.
Mālama maʻalahi ʻia ʻo Tularemia e aerosolized. Ma muli o kēia, hiki ke lilo i agena bioterrorism make e like me ka. Eia naʻe, ʻoi aku paha kou maʻi ʻana i ka launa ʻana me kahi holoholona.
E kamaʻilio koke ʻoe me kāu kauka inā manaʻo ʻoe he tularemia kāu.
Outlook no ka tularemia
Aia kāu kuanaʻike no ka tularemia i ka nui o ke ʻano a pehea kou wikiwiki e hoʻomaka ai i ka lāʻau. Kūleʻa ka haukapila i nā manawa he nui.
Inā manaʻo ʻoe he tularemia kou, e ʻike koke i kāu kauka. ʻO ka lohi i ka hōʻoia ʻana e hoʻomāhuahua i nā ʻōuli.