dengue feverhe maʻi maʻi maʻi i hoʻoili ʻia e ka maʻi dengue (DENV) i lawe ʻia e nā makika o nā ʻano Aedes. ʻO kēia mau makika ke kumu o ka maʻi chikungunya a me ka maʻi Zika.
Ma kahi o 400 tausani kānaka ma ka honua i kēlā me kēia makahiki dengue feverua hopuia. Ua ʻōlelo ka World Health Organization, ʻoi aku ma mua o 2,5 biliona poʻe ma ka honua holoʻokoʻa i ka pilikia o kēia maʻi, ʻoi aku ka nui o nā keiki ma nā ʻāina ʻāʻī a me nā ʻāina subtropical.
Ua hoʻoholo ʻia kahi noiʻi i paʻi ʻia he hopena ka dengue ma mua o 140 mau ʻāina ma ʻAmelika Hui Pū ʻIa, Asia, ʻApelika a me ke Kaiwaenahonua hikina.
He aha nā ʻano o ka maʻi dengue?
No ka ʻohana Flaviviridae kēia maʻi. ʻEhā mau serotype ʻokoʻa o ka maʻi maʻi i kumu nui i ka dengue: DENV-1, DENV-2, DENV-3 a me DENV-4.
A hiki i ʻehā manawa i ke ola o ke kanaka dengue feverhiki ke hopu.
Pehea ka lawe ʻia ʻana o ka maʻi dengue?
Piʻi ka lele o ka maʻi dengue i ka wā ua, ma nā wahi haʻahaʻa a me ka haʻahaʻa haʻahaʻa. ʻO nā ala e lawe ʻia ai ka maʻi virus i ke kanaka penei:
ʻO nā makika Aedes wahine he mau makika e pono ai ke koko e hoʻohua ai i nā hua. dengue fever lilo i mea lawe i ka ma'i ma'i ma ka nahu 'ana i ka ma'i. I loko o ko lākou kino, hoʻonui ka maʻi i loko o 8-12 mau lā a laha i nā ʻiʻo o ke kino e like me ka salivary glands.
I ka nahu ʻana o kēia mau makika i kekahi kanaka olakino, hoʻoili ʻia ka maʻi maʻi i loko o ke kahe koko. Hoʻopilikia ia i ka maʻi dengue.
I ka wā i ola ai ke kanaka mai ka maʻi dengue, ua pale ʻia ʻo ia i ka dengue serotype i kumu i ka maʻi no ke ola.
Akā mau ke kanaka dengue feverhiki ke hoʻopili ʻia e nā serotypes i koe o
Eia kekahi, inā loaʻa ka coinfection e kekahi o nā serotypes ʻekolu i koe ma hope koke o ka hoʻihoʻi ʻana mai hoʻokahi serotype, hiki i ke kanaka ke loaʻa i ke koʻikoʻi. dengue fever i ka pilikia o ka ulu ana.
ʻO nā ala ʻē aʻe o ka lawe ʻana i ka dengue penei:
Nā nila i hoʻopili ʻia.
Ka wehe ʻana i ke koko i maʻi ʻia.
ʻO ka maʻi transplacental mai ka makuahine hāpai i ka hānau hou.
Ka hoʻololi ʻana i ke kino a i ʻole ka ʻiʻo.
He aha nā hōʻailona o ka maʻi dengue?
ʻO ka manawa incubation o kēia maʻi he 4-8 mau lā. Loaʻa paha nā maʻi asymptomatic, akā hiki ke ʻike ʻia ma nā ʻano koʻikoʻi e like me ke kuni ʻoluʻolu a me ke kuni hemorrhage dengue.
Hoʻōla maʻamau ka poʻe me nā hōʻailona maʻalahi i loko o 10 mau lā. dengue feverʻO nā hōʻailona haʻahaʻa e like me ka maʻi maʻi a me:
ʻO ke kuni kiʻekiʻe koke ma kahi o 40 degere.
Laumapa
Ka luaʻi a me ka nausea
ʻEha ʻeha
ʻO ka ʻiʻo, ka iwi a me ka ʻeha hui
ʻākea pehu
pehu
ʻeha ma hope o nā maka
ʻO nā hōʻailona koʻikoʻi o ka maʻi penei:
Leak plasma (dengue hemorrhage fever)
Ke koko ma ka ʻāʻī a me ka ihu
luaʻi mau
dengue shock syndrome
pilikia ka hanu
ʻeha ʻōpū nui
koko i ka mimi
Ka luhi
Ka huhū
He aha nā kumu pilikia no ka maʻi dengue?
Palapala ʻāina: Noho a huakaʻi paha i nā wahi wela e like me Asia Hikina Hema, nā mokupuni ʻo Caribbean, ʻApelika, ka ʻĀpana ʻĀina.
Makahiki: ʻOi aku ka pilikia o nā keiki ma lalo o 3-4 mau makahiki a me nā ʻelemakule.
ʻO ka maʻi mua: ʻO ka maʻi mua me hoʻokahi serotype o ka maʻi dengue e hoʻonui i ka pilikia o ka hui pū me kekahi serotype.
Paʻakikī ka ʻike ʻana i ka maʻi. No ka mea, ʻo ka maʻi malaria nā hōʻailona a me nā hōʻailona.Tifo veleptospirosis like me nā maʻi ʻē aʻe. Hoʻohana ʻia nā ʻano hana no ka hōʻoia ʻana:
ʻO ka hoʻāʻo Virological: Hana ʻia nā hoʻokolohua e like me ka reverse transcriptase-polymerase chain reaction (RT-PCR) e ʻike i nā mea o ka maʻi.
ʻO ka hoʻāʻo serological: Hana ʻia nā hoʻokolohua e like me ka enzyme-linked immunosorbent tests (ELISA) no ka ʻike ʻana i nā antibodies i hana ʻia ma ka pane ʻana i ka maʻi dengue.
'Ōlelo Aʻo: Hāʻawi kēia mau hoʻokolohua i nā hopena kūpono inā hana ʻia i ka pule mua o ka maʻi.
Lapaʻau Dengue
ʻAʻohe lāʻau lapaʻau kūikawā no ka maʻi. Hoʻoponoponoʻia ke kūlana me ka mālama kākoʻo e ukaliʻia e ka nānā mauʻana i ke kūlana, e pili ana i ka paʻakikī o ka hōʻailona mau. ʻO kekahi o nā ʻano lapaʻau no ka maʻi e like me:
Infusion wai: Lawe ʻia ia i loko o ka waha a i ʻole ma ka waha no ka pale ʻana i ka dehydration a hoʻomaʻemaʻe i ka maʻi dengue mai ka ʻōnaehana.
Hoʻololi i nā huahana koko: Hāʻawi ʻia ka plasma hau hau hou e hoʻonui i ka helu platelet i loko o ke kino.
CPAP ihu: No ka hoʻomaikaʻi ʻana i nā hōʻailona o ka hāʻule ʻole o ka hanu.
Nā Lapaʻau: E like me Corticosteroids a me Carbazochrome sodium sulfonate.
Nā lāʻau lapaʻau no ka maʻi dengue
Wahi a kahi noiʻi i paʻi ʻia ma ka puke pai ʻo Vaccines ma Pepeluali 2, 2020, i kēia manawa dengue feverʻElima ʻano o nā lāʻau lapaʻau i loaʻa. ʻO kēia ka lāʻau lapaʻau ola ola (LAV), ka lāʻau DNA, ka lāʻau lapaʻau i hoʻohana ʻole ʻia (IV), ka lāʻau lapaʻau viral vectored (VVV), a me ka maʻi maʻi subunit recombinant (RSV).
Aia kēlā me kēia i loko o nā hoʻokolohua lapaʻau a loaʻa iā ia kekahi mau hemahema. Ke hoʻomau nei nā haʻawina e pili ana i kēia kumuhana.
