Contents
Hōʻike ākea o ka maʻi
He maʻi kūpona kūlohelohe ia o kahi ʻano infectious koʻikoʻi e hoʻopili i ka ʻili, nā lymph node, nā maka, nā akemāmā a me nā pharynx. I ka manawa like, ʻona nui nā mea maʻi i ke kino.
Ke kumu causative a me ke kumu o tularemia
Hoʻokumu ʻia ʻo Tularemia e kahi bacterium maikaʻi ʻole o ka genus Francisella. Ua kapa ʻia ka inoa ma hope o E. Francis, he ʻepekema nāna i aʻo kikoʻī i ka hana nui o kēia koʻohune. Kūʻē loa ʻo Francisella i nā kumu o waho. ʻO kahi laʻana, ma kahi mahana o ka wai o 4 kekelē Celsius, hoʻomau ia i kona mau hiki ma kahi o 30 mau lā, i ka mauʻu a i ʻole palaoa, hoʻomau ʻia ka hana no ʻeono mahina (ma nā mahana ma a ma lalo o 0), a ma kahi o 20 mau lā (ma t = + 25), i loko o kahi ʻili make nā holoholona mai ka tularemia e hoʻomau ma ka awelika no hoʻokahi mahina. Hiki ke make i nā koʻohune e ka disinfection a me ke kū ʻana i nā mahana wela.
ʻO nā kumuwaiwai o nā koʻohune nā ʻano aʻa like ʻole (nā iole wai, muskrats, nāʻiole vole), nā bea, nā manu, nā pōpoki hihiu a me nā ʻīlio, a me nā holoholona ʻāpana koloka.
Nā hana o ka lawe ʻana o tularemia
Lawe ʻia ka maʻi e nā mea kolo e pili ana i ka mahele o nā mea kolo ʻiʻo koko. Hiki ke lele i ka maʻi mai ka ʻū ʻana i ka lepo mai ka mauʻu, ka hemp, ka palaoa, ka ʻai ʻana i nā meaʻai i hoʻohaumia ʻia, a me ka inu ʻana i ka wai haumia. Nui nā hihia i ʻike ʻia o ka maʻi o ka poʻe i pili pololei me nā holoholona maʻi ke ʻili, ʻohiʻohi ʻana i nā koʻokoʻo maʻi. Eia kekahi, ua hoʻopaʻa inoa ʻia nā hihia no ka maʻi o nā limahana i ka wai ʻona, kō, kōkō, treacle, nā hale hana hemp, nā mea hoʻokiʻekiʻe ʻAʻole hiki i kahi mea maʻi ke hoʻoweliweli i kekahi poʻe ʻē aʻe.
Nā ʻōuli a me nā ʻano tularemia
ʻO ka manawa incubation no tularemia mai 1 a 30 mau lā. ʻO ka manawa incubation mau mau ia mai 3 a 7 mau lā.
Hoʻomaka ka Tularemia i kāna hōʻike. Piʻi nui ka mahana o ka mea maʻi i ka pae o 39-40 kekelē, loaʻa ʻo ia i ka haʻalulu, kū nā poʻo nui, kūpilikiʻi a me nā reflexes luaʻi. I kēia hihia, huli a ʻulaʻula ka maka a me ka ʻāʻī, huli ʻulaʻula ka conjunctiva mai nā moku i ninini ʻia. ʻIke ʻia nā rashes ma ka ʻili, kahi e 8-10 mau lā e hoʻomaka ai e hoʻomaloʻo a maloʻo ikaika loa. Ma hope o ka hoʻōla ʻana o ka ʻehu, hiki ke hoʻomau i ka pigmentation ma ka ʻili.
ʻO ka hiʻohiʻona hou aʻe o nā ʻōuli e pili i ke ʻano o ka tularemia. Hoʻohanohano ʻia kēia mau ʻano e pili ana i nā ala o ke komo ʻana o nā koʻohune i loko o ke kino o ke kanaka.
Ke komo ka pathogen ma o ka ʻili. tonicemia bubonic… I kēia hihia, ʻaʻole e pōʻino ka ʻili. Hoʻolālā ka mea maʻi i nā bubo (ʻo nā lymph node ma kahi kokoke e hoʻonui i ka nui). Me ka hoʻomohala hou aʻe o ka maʻi, hiki i nā lymph node mamao ke hui pū i kēia kaʻina. Hiki i nā aka ke ulu i ka nui o ka hua moa a i ʻole ka wōnati. I ka hala ʻana o ka manawa, hoʻoheheʻe ʻia kēia mau bubo, fester, a laila hana nā fistulas me ka hoʻokuʻu ʻana o ka pus e like me ka momona momona.
Ke komo ka bacteria ma loko o kahi nahu o nā kolo, i ka hapanui o nā hihia, ulu ia ulcerative bubonic tularemia… Ma kahi o ka nahu, ua puka mai kahi bubo a wehe ʻia kahi ulcer me nā kihi i hāpai ʻia a me kahi kaumaha liʻiliʻi. I ka lalo, lilo ia i mea uhi ʻia me kahi pā eleele.
Me ke komo ʻana o Francisella ma o ka conjunctiva o ka maka e hoʻomaka ai ocular bubonic tularemia… I kēia hihia, lilo ka conjunctiva i mea hoʻā, e ʻike ʻia ka ulcer a me ka erosion ma luna ona, kahi e hoʻokuʻu ʻia ai ka nū melemele, ʻike ʻia nā buboes, nā lymph node kokoke. I kēia ʻano o ka maʻi, ʻaʻohe loli iki ʻia ke kole. Hoʻohui ʻia i nā ʻōuli i luna, ʻikea ka pehu ʻana o nā lihilihi, a kū ʻia ka lymphadenitis.
Inā lawe ʻia ke kumu o ka maʻi ma o ka ʻai ʻana i ka wai haumia a i ʻole nā meaʻai, ʻano angina-bubonic… ʻO ka mea mua, he ʻeha ʻeha, paʻakikī ka mea hoʻomanawanui e ale i ka meaʻai. ʻO kahi nānā ʻike ʻana o ka lua o ka waha e hōʻike ana i ka edematous, hoʻonui ʻia, nā ʻulaʻula ʻulaʻula, ʻo ia hoʻi, me he mea lā, "wili ʻia" me ke olonā i puni. ʻO nā Tonsil ma kahi ʻaoʻao wale nō i uhi ʻia me ka uhi nekrotic o kahi hue keʻokeʻo keʻokeʻo, kahi paʻakikī e hemo. A laila ʻike ʻia nā ulcer hohonu ma luna o lākou, e hoʻōla nei no kahi manawa lōʻihi, a, ma hope o ka hoʻōla ʻana, waiho i nā scars. Hoʻohui ʻia, ʻike ʻia ka ʻōhū ma ka piʻo palatine a me ka uvula. ʻIke ʻia nā bubo i ka ʻāʻī, pepeiao a ma lalo o ka iwi ā (a ʻike ʻia ma ka ʻaoʻao kahi e loli ai nā tonsil).
Me ka eo ʻana o nā lymph node, ulu ka mesentery ʻōpū o tularemia, i hōʻike ʻia e ka ʻeha, ʻoki ʻana i ka ʻeha o ka ʻōpū, nausea, diarrhea, luaʻi. I kekahi manawa kū ka anorexia kūʻē i kēia kumu. Ma ka palpation, loaʻa ka ʻeha ma ka piko, ʻaʻole hiki ke ʻike ʻia ka hoʻonui ʻana i nā lymph node mesenteric e ka paʻi (hiki ke hana ʻia me kēia me ultrasound).
Hoʻopau ʻia ka hanu ʻana o ka lepo mai nā mea kanu lepo, mauʻu, mauʻu palapala pulmonary… Hoʻomaka ia i nā ʻano ʻelua: bronchitic (bronchial, paratracheal, mediastinal lymph nodes e hoʻopili ʻia, ʻike ʻia ka ʻona nui o ke kino, kū ka ʻūhū maloʻo, hoʻowalewale ʻia ma hope o ka umauma) a me ka pneumonic (hoʻomaka a hoʻomaka, a holo mālie ka papa o ka maʻi , hōʻike iā ia iho ma ke ʻano he pulumonia nui, ʻike pinepine ʻia nā pilikia ma ke ʻano abscesses, gangrene o nā akemāmā, pleurisy, bronchiectasis).
Manaʻo ʻia ka hope loa a me ka paʻakikī o ka holo i lalo ʻano laulā… Wahi a kāna mau hōʻailona hoʻokolohua, like ia me ka maʻi typhoid: ke kuni mau a me nā mokuʻāina hoʻopunipuni, nā haʻalulu, nāwaliwali, nā ʻeha ʻeha, ʻike ʻia nā ao a me nā ʻehaʻeha. ʻO ka pinepine, ʻike ʻia nā huhū hoʻomau i nā integuments o ka ʻili, nā huʻa o nā nui like ʻole a me nā wahi. Eia kekahi, hiki i nā pilikia i ke ʻano o ka pulumonia, maʻi kūpilikiʻi infectious, polyarthritis, meningitis a me myocarditis.
Nā meaʻai olakino no tularemia
ʻO nā kumumanaʻo o ka meaʻai no ka tularemia e hilinaʻi pololei i kona ʻano a me nā hiʻohiʻona o ka maʻi. ʻO kahi laʻana, me kahi ʻano angina-bubonic, pono ʻoe e ʻai, e like me ka angina, a me kahi ʻano pulmonary, e kia i ka meaʻai no ka maʻi puluma.
ʻOiai ke ʻano o ka tularemia, pono e hoʻoikaika ʻia ke kino. E kōkua nā wikamina e lanakila i ka maʻi, e hoʻonui ana i nā hana pale o ke kino a me ka hemo ʻana i nā hiʻohiʻona o ka ʻona. Pono pono e ʻai i ke ala e loaʻa ai i ke kino nā wikamina o nā hui C, B (ma kahi o B1, 6 a me 12), K. No ke kōkua ʻana i ka mea hoʻomanawanui i ka hoʻōla ʻana, pono ia e ʻai i nā ʻano ʻanoʻano like ʻole, nā legume , cereals (palaoa, millet, oatmeal, barley, buckwheat), pasta i hana ʻia mai ka palaoa palaoa āpau, ka palaoa i kupu ʻia, ka akepaʻa pipi, kālika, horseradish, kinamona, iʻa iʻa, moa, pomeraite, buckthorn kai, Bulgarian a me nā peppers wela, tī paʻakikī, ʻiʻo lāpaki, nā hua manu, kaʻaila kawa momona ʻole, nā kāpiki, nā ʻaka, nā kukama, nā maiʻa, nā pea, nā ʻāpala, nā kāloti, nā milo, nā lihi (ʻoi aku ka maikaʻi e lawe i ka ʻano "ʻulaʻula-piko"), nā hua viburnum, nā huaʻalani. , strawberries, hips hips, currants, cherry, honeysuckle, ʻalani, kiwi, nā aila mea kanu.
Eia hou, pono ʻoe e ʻai i ka hapa liʻiliʻi a me nā ʻāpana liʻiliʻi. ʻAʻole momona nā meaʻai āpau, ʻoi aku ka maikaʻi o ka kuke ʻana iā ia i kahi ala i hoʻolapalapa ʻia a i ʻole i kahi kuke lohi.
ʻO ka lāʻau kuʻuna no ka tularemia
Pono e mālama wale ʻia ʻo Tularemia i kahi hoʻonohonoho maʻi a ma ka ʻāpana maʻi maʻi wale nō wale nō. ʻO ka ʻāpana nui o ka mālama ʻana ka lawe ʻana i nā lāʻau ʻaloʻalo. Hoʻohui, pono e disinfect kahi o ka noho o ka mea maʻi (ʻo ia mau mea āna i hoʻohana ai). Inā kū ʻia nā hua nui me nā abscesses, wehe ʻia nā pūnana lymph a hoʻokomo ʻia kahi auwai.
He wahi ka lāʻau kuʻuna, akā ma ke ʻano he kōkua kōkua a pili wale i ka noi kūloko. Hiki ke hana i nā compressing a me nā lole hamo. Paipai ʻia e hoʻopili i nā kāloti ʻokiʻoki, nā beets a me ka wai kāpī i nā buboes a me nā ulcer (hiki iā ʻoe keʻokiʻoki i nā lau a hoʻopili i kahi ʻano mushy). Huki lākou i ka pā a hōʻoluʻolu i ka ʻeha.
ʻAe ʻia e lubricate i nā huʻa a me nā ʻeha me ka tincture o nā aʻa gentian. ʻO ia me ia ka King Gentius o Illyria i hoʻopau ai i ka maʻi ahulau i ka 167 BC. ʻAe ʻia kēia ala no ka tularemia me kona ʻano like o nā ʻōuli o kekahi o nā ʻano ahulau - bubonic (ʻo ka mea maʻi ka ʻona o ke kino, ka hoʻā ʻana o nā lymph node a me ke ʻano o nā ulcer).
ʻAi i ka 100 mau lemi o ka lemona i kēlā me kēia lā (inā ʻaʻohe maʻi āpau a me nā contraindications ʻē aʻe, e laʻa me ke alo o ka acidity kiʻekiʻe).
Ma ke ʻano he antiseptic, maikaʻi ke hoʻohana i ka decoction o ka chamomile pharmacy (hiki iā ʻoe ke inu a ʻeha i nā ʻeha).
He mea nui ia e ʻike! ʻAʻole hoʻopilikia loa ka bubo i ka hoʻokuʻu ʻana mai ka haukapila, a ulu ka mea maʻi i ka pale o ke ola a pau.
Nā meaʻai weliweli a hoʻopōʻino hoʻi no ka tularemia
- momona, puhi, nā paʻakai paʻakai;
- ʻulā;
- ka bale momi a me ka palaoa kulina;
- ka meaʻai kēpau, nā sausages, nā sauces hale kūʻai, ketchup, mayonnaises;
- ʻalekohola, soda momona;
- nā meaʻai mai nā hale ʻai wikiwiki, nā ʻāpala, nā ʻāpana, nā popcorn;
- ka helu nui o nā mea ʻono a me ka palaoa, i hana ʻia a loaʻa i nā momona trans, margarine, pālahalaha, pastry cream, rippers.
ʻO kēia mau huahana e paʻakikī i ka hana o ka ʻōpū a pale i ka ʻai ʻana i nā huaora e pono ai, hoʻonui i ka ʻona o ke kino, a paʻa i ke kino.
E nānā!
ʻAʻole kuleana ke alakaʻi no nā hoʻāʻo e hoʻohana i ka ʻike i hāʻawi ʻia, a ʻaʻole ia e hoʻohiki ʻaʻole e hōʻeha iā ʻoe iho. ʻAʻole hiki ke hoʻohana i nā mea e kuhikuhi ai i ka lāʻau lapaʻau a hana i kahi kuhi. E nīnau mau i kāu kauka loea.