Inā he kamaʻāina ʻoe ma Siberia, makemake ʻoe e hele i ka ululāʻau no nā halo, loaʻa iā ʻoe kahi manawa liʻiliʻi e loaʻa i ka maʻi me kahi maʻi ʻoluʻolu ʻole, akā ʻaʻole weliweli loa i lawe ʻia e nā ticks.
Ho'ōla koke ka nahu ʻiʻo. A inā e ʻike ʻia kahi sila ma kahi o ka nahu ʻana, ma waenakonu kahi e ʻike ʻia ai kahi ʻeha liʻiliʻi, uhi ʻia me kahi ʻōpala ʻeleʻele ʻeleʻele, a puni kēia sila ʻulaʻula a hiki i 3 cm ke anawaena, a laila e hōʻike ana kēia ua komo ka ma'i iloko o ka eha. A ʻo kēia wale nō ka hōʻike mua (e ho'ōla ma hope o 20 mau lā).
Ma hope o 3-7 mau lā, piʻi ka mahana o ke kino, a hiki i kahi kiʻekiʻe (2-39 ° C) i nā lā 40 mua o ka maʻi, a laila hoʻomau no 7-12 mau lā (inā ʻaʻole mālama ʻia kēia maʻi).
Eia kekahi, ua hoʻonuiʻia nā lymph nodes. A i ka lā 3-5th o ka maʻi, ʻike ʻia nā rashes. ʻO ka mea mua, hiki mai ka ʻōpala ma nā lālā, ma hope e hohola i ka ʻōpala a nalowale mālie i nā lā 12-14 o ka maʻi.
Inā ua ʻike ʻoe i kēia mau hōʻailona a pau iā ʻoe iho, ua loaʻa iā ʻoe ʻo Tick-borne rickettsiosis o Siberia. (ʻO Rickettsiae kekahi mea ma waena o nā maʻi maʻi a me ka bacteria.) A pono ʻoe e ʻike i ke kauka: e kuhikuhi ʻo ia i ka tetracycline antibiotic no 4-5 mau lā - a ola ʻoe. Inā haʻalele ʻole ʻia, nalowale ka maʻi (he liʻiliʻi ka make me ka ʻole o ka mālama ʻana - 0,5%, akā aia kahi pilikia i loko o kēia mau pakeneka).