ʻO ka moe maʻi

ʻO ka moe moe, a me nā trypanosomias Aferika, he maʻi pale o nā kānaka a me nā holoholona i maʻa mauʻia ma'Afelika. I kēlā me kēia makahiki uaʻikeʻia kēiaʻano pilikino he 25,000 mau kānaka.

Kahi, nā puka a me nā mea hana hewa o ka maʻi hiamoe kanaka

ʻO ka maʻi hiamoe ka mea maʻamau i nā'āina o kaʻAmelika, ma kaʻaoʻao hema o Sahara. Ma kēia mau wahi, e ola i nā lele lele o ke koko, nā mea lawe i kēia maʻi. Aiaʻeluaʻano o nā maʻi maʻi o kēia maʻi e hoʻopilikia i nā kānaka. He mau mea olaʻole kēia o nāʻano Trypanosomes:

• ʻO Trupanosoma gambiense ka mea nāna i hoʻokumu i ka maʻi o ka Gambian (West African) o ka maʻi, maʻamau ma ke Komohana a me Central Africa e pili ana i nā wai wai;
• ʻO Trypanosoma rhodesiense - he mauʻelele'elepa o Rhodesian (East African) keʻano o ka maʻi, i maʻa mauʻia ma ka Hikina Hema.

Hoʻopukaʻia nā maʻiʻeleʻele ma o nā maʻi o ka nahu lele. Ke kaua nei lākou i kekahi kanaka i ke ao, akāʻaʻoleʻaʻahu i pale i kēia mauʻupena.

I ka wā o ka nahu, hiki i nā kolo tsetse trypanosomes ke komo i ke koko kanaka. Ke hoʻonui nui nei, ua laweʻia lākou ma loko o ke kino. ʻO nāʻano likeʻole o kēia mau palapili ke hāʻawiʻia kēlā me kēia hanauna hou i kahi pilikino kūikawā, i likeʻole me ka mua. Ma kēiaʻano,ʻaʻole i loaʻa i ke kino kanaka ke manawa e hoʻomohala ai i nā'elepelu pale e kū'ē iā lākou.

Nā hōʻailona o ka maʻi hiamoe

ʻO nā hōʻailona o nāʻanoʻelua o ka maʻi,ʻano like nō ia, akāʻo kaʻoihana hikina o'Amerika eʻoi aku ka nui a me ka hikiʻole o ka hoʻomeheu hiki iā ia ke hopena i kahi hopena hopena i loko o ka manawa pōkole. ʻO keʻano o ka East African e hōʻikeʻia ana i ka holomua iki a hiki ke hoʻopaʻaʻia i kekahi mau makahiki me kaʻole o ka lāʻau.

Aiaʻelua mau lā o kahi maʻi hiamoe, me kekahi mau hōʻailona:

1. Ke kaʻina mua, i ka wā e noho mau ana nā trypanosoma i loko o ke koko (1 i 3 mau wiki ma hope o ka maʻi):

• keʻikeʻia ma ka pūnaewele o kahi maʻi o ka noduleʻeha (e like me ke kānāwai, i nā kānaka maoliʻole);
• wela;
• piʻi nui ka wela;
• hilahila;
• nā maʻiʻeha;
• eha paʻi;
• pupuhi;
• maʻi .

1. ka lua o ka hopena, i ka wā o nā trypanosoma e komo i loko o ke kikowaena (ma hope o nā pule he mau pule a me nā mahina):

• ka maʻi heʻe;
• wela;
• 'opiʻa;
• nāwaliwali nui;
• ka hiamoe mau;
• nā pilikia makani;
• nā hoʻomaha ;
• coma.

Hana i ka maʻi hiamoe

Ma mua o ka hoʻohanaʻana o nā lāʻau lapaʻau no ka maʻi hiamoe, ua alakaʻiʻia kēia maʻi i kahi hopena make. I kēia lā, uaʻoi aku ka maikaʻi o nā manaʻo no ka mālamaʻana i ka maʻi mua iʻikeʻia ai ka maʻi. Hoʻopaʻaʻia ka lāʻau hoʻoholo e keʻano o ka maʻi, ka maʻi o ka leona, ke kū'ēʻana o ka maʻi maʻi i nā lāʻau lapaʻau, ka makahiki a me ke kūlana o ka mea maʻi. No ka hoʻomaʻamaʻaʻana i ka maʻi moe, aia nō i kēia manawaʻehā mau lāʻau lapaʻau nui:

1. Hoʻomaopopoʻiaʻo Pentamidine e mālama i keʻano Gambian o nā trypanosomias Aferika i ka manawa mua.
2. Kelekama - hoʻohanaʻia e mālama i ka maʻi hiamoe o Rhodesian i ka wā mua.
3. Melarsoprol - hoʻohanaʻia i nāʻano likeʻole o keʻano pilikino ma ka papaʻelua.
4. ʻO Eflornitin - hoʻohanaʻia i kaʻaoʻao Gambian o kahi maʻi hiamoe i ka lua o ka manawa.

ʻO kēia mau lāʻau lapaʻau he meaʻawaʻawa, no laila ke kumu o nā hopena a me nā pilikia. Ma kēiaʻano,ʻo ka mālamaʻana i ka maʻi moe e pono ai ke mālamaʻia e nā luna kūikawā kūikawā wale nō i nāʻoihana kūikawā.

Nā Kaupae e pale ai i ka maʻi hiamoe:

1. ʻO ka hōʻoleʻole e kipa aku i nā wahi i nui loa i ka nahuʻana i nā nalo lele.
2. Hoʻohana o nā mea hana palekana.
3. I loko o kēlā me kēia mahinaʻeono ka uluʻana o ka pentamidine.