ʻO ka uluʻana ma hope o ka hukiʻana o ka pipi kahi maʻiʻeha e hopena ai i nā'ōpili lymph. ʻAʻole ia e laweʻia mai ke kanaka i ke kanaka. ʻO Bartonella - he mea'epona ka mea nāna e hoʻopiʻi i ka maʻi, e hoʻolaha i nā hanaʻoki a me nā pua o ka holoholona i hoʻopiliʻia,ʻo ia hoʻi he pipi. Hiki ke hoʻoiliʻia inā pili ka paona o ka holoholona i ka'iliʻino a me ka maka. Ma hope o ka hōʻehaʻana i ka maʻi maʻi cat, ua hoʻokumuʻia kahi maʻi palekana mau loa.
Nā hōʻailona a me nā hōʻailona o ka maʻi
ʻO ka hapanui me kēia maʻi a me ka launa pūʻana me nā pipi a me nā pōpoki,ʻaʻole lākou e hoʻomanaʻo i keʻonaʻia aʻoi aku ka nui.
ʻO ke kuʻina o ke kuʻina mai 3 a 20 mau lā. Hoʻomaka pinepine ka maʻi. Ma ka pūnaewele o ka'īlio hōʻeuʻeu a iʻole kaʻiliʻia paha, kahi'āpana liʻiliʻi, ulaʻula,ʻaʻohe kikowaena, a ma hope o nā lā he 2-3 i lilo i ka pīpī i piha i nā meaʻeleʻele. ʻO kēia pōpē ka'īpuka komo i ka maʻi, heʻehaʻole loa ia a ke hana pinepine ia ma ke poʻo a ma nā lima paha.
Ma keʻano he kūlana, i loko o kekahi mau pule ma hope iho o ka maʻi me ka maʻi'ōpili maʻi, kahi aʻoi aku paha o nā pūnana lymph i kokoke i ka pūnaewele o kahiʻoi aku o ka nui a nui a lilo i meaʻeha. Inā he laʻanaʻana i ka lima, nā lālani lymph ma ka'ākau a ma lalo o ka piʻiʻana.
ʻO ka hoʻonuiʻana o nā hanana lymph eʻike pinepineʻia ma ka'ā'ī aiʻole ma ka'āpana axillary,ʻoiai inā eʻulupāʻia ka wāwae, e ulu aʻe nā lymph i loko o kaʻeke. Hiki keʻokoʻa keʻano o ko lākou nui mai ka 1.5 a 5 knm ke anawaena. ʻO kaʻili ma luna o kēia mau puka lymph hiki ke lilo iʻulaʻula a mahana, a i kekahi manawa e kīleʻa i waho o lākou.
I loko o ka hapanui o nā kānaka, nā kīngi lymph flush is the symptom of the disease. ʻO nā hōʻailona'ē aʻe o ka maʻi e hiki ke komo i ke kuni (hiki i ka 38.3 ° C), ka make o kaʻai, ka luhi, ka maʻiʻeha, ka puʻu'ākī, ka pīhoihoi.
Hoʻomaopopoʻia nā hihia āpau, akā he meaʻole. I kēia mau hihia, hiki ke hanaʻino i ka'ōpū, ka ate, nā mumū, nā hui, nā iwi, ka lōʻihi lōʻihi me ka loaʻaʻole o nā hōʻike'ē aʻe. ʻO kekahi mau maʻi e hoʻoulu i ka maʻi o nā maka, me kaʻulaʻula o nā maka a me kaʻeha. He mea nui loa kaʻehaʻana o ka lolo me ka paʻa.
ʻO ka hōʻoiaʻana o ka maʻi maʻi pipi
ʻO ka hōʻailona o ka maʻi e lawelaweʻia wale nō e ka maʻi maʻi maʻi, no ka mea,ʻo ka lymph node nui ka hopena i nā maʻi'ē aʻe. Ma ka hōʻailona, kahi hana nui i hoʻokauʻia e kaʻikepili moʻomanaʻo (inā he pilikino me ka holoholona) a me kaʻike o nāʻehaʻeha o nā pōpoki. Hoʻopaʻaʻia ka hōʻailona e kaʻikepili mai ka moʻomeheu, ka mōʻaukala a me ka serology, aiʻole PCR.
Kehea aku i ke kauka
Pono pono e nīnau i ke kauka inā loaʻa nā'āpana līpīʻeha a iʻole ka piko ma kekahi o ke kino. A ponoʻoe ke nīnau pinepine i ke kauka inā hehiʻiaʻoe e kekahi holoholona, keʻole inā:
- ʻO ka'ōpala a iʻole ka maiʻa mai ka pōpō mai,ʻaʻoleʻo ia e ho'ōla i ka manawa lōʻihi;
- ke ulu mau nei ka pūnaewele redden kokoke i kaʻeha no kekahi mau lā;
- ke ulu aʻe ke kuni i loko o kekahi mau lā ma hope iho o ka loaʻaʻana o nā hōkū pīpī a iʻole nā'ōpala.
Hanaʻia o ka maʻi
Ke hoʻohana maikaʻiʻia ka maʻi pīpī mai nā lāʻau antibacterial i ka gentamicin wale nō. ʻO ka maʻi, ma keʻano he kūlana, hopena me ka ho'ōla lapaʻau no 1-2 mau mahina. No ka hoʻohaʻahaʻaʻana i kaʻeha o ka pukapili lymph nui, hoʻonāukiʻia i kekahi manawa me ka weheʻana i ka pus.
Pehea e pale ai i ka maʻi
Pono e mālamaʻia nā wahi o ka pīpī a me ka pīpī me kahi haʻina o 2% hydrogen peroxide, a ma hope o ka waiʻopa a iodine. Ke pilikia kekahi o nā lālā o kaʻohana,ʻaʻohe mālamaʻia ka pipi -ʻaʻohe pono.