Scabies: Nā kumu, ka lawe ʻana, nā ʻōuli, ka hōʻailona, ​​ka hoʻoponopono ʻana a me ka pale ʻana

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ʻO ka Scabies kahi maʻi lele laha i hoʻokumu ʻia e kahi mite liʻiliʻi i kapa ʻia ʻo Sarcoptes scabiei var. ʻo hominis ka mea e hoʻonāukiuki i ka ʻili a ʻulaʻula i ka ʻili. Ua manaʻo ʻia aia 300 miliona mau kānaka e hoʻopili ʻia e nā scabies a puni ka honua i kēlā me kēia makahiki. Hoʻopilikia ka ʻōpala i nā poʻe o nā lāhui āpau a me nā papa kaiaulu, eia nō naʻe ka poʻe ʻōpio, nā ʻelemākule, nāwaliwali nāwaliwali a i ʻole nā ​​poʻe lohi hoʻomohala hoʻomohala ʻia ka mea ʻoi aku ka makaʻu no nā scabies [1] .

He aha ke kumu o ka pehu? [1]

ʻO ka Sarcoptes scabiei var. ʻO ka hominis kahi mite ʻewalu mau wāwae ke kumu i nā scabies i loko o nā kānaka he microscopic. Hāpai ka mite wahine i ka papa luna o ka ʻili kahi e ola ai a waiho i kāna mau hua. Hāpai ka larvae i loko o ʻelua a ʻehā mau lā a lilo i 10 a 14 mau lā e oʻo ai i nā mākeke mākua. Ke oʻo a makua, hiki iā lākou ke hoʻolaha i nā wahi ʻili o ka ʻili.

ʻIke pinepine ʻia nā mites scabies ma waena o nā manamana lima, kuʻekuʻe lima, lima lima, i ka wili o ka pūlima, nā genitalia a me nā umauma. I nā pēpē a me nā poʻe ʻelemākule, hiki ke loaʻa nā mites scabies ma ke poʻo a me ka ʻāʻī.

Hoʻomohala kahi kanaka i nā scabies i kahi hopena maʻi i nā mites, kā lākou mau hua a me kā lākou mau manu i hana pinepine ʻia ʻekolu pule ma hope o ka hōʻike mua.

ʻO nā scabies i hoʻowahāwahā ʻia (Norewab scabies) kahi ʻano laha ʻole i ʻike ʻia ma muli o ka pane ʻōnaehana pale i ka mālama ʻana i nā mites. A ʻo kahi hopena, ua maʻi ʻia ke kanaka me ka nui o nā mites (a i ʻelua miliona), he maʻi lele loa ia e like ʻole me nā scabies maʻamau, kahi e hoʻopiha ʻia ai ke kanaka me 10 a 15 paha mites. [elua] .

Hiki i nā ʻōpala keu ke hoʻopili i ka poʻe ʻelemākule, ka poʻe immunocompromised a i ʻole ka poʻe i loaʻa nā kūlana e like me ka ʻeha o ke kuamoʻo, palalysis, nāwaliwali o ka noʻonoʻo a me ka nalowale ʻana o ka manaʻo e pale aku iā lākou mai ka ʻeha a ʻili paha i ka ʻili. [3] .

Ka lawe ʻana o nā ʻōpala

Hoʻolahalaha pinepine ʻia nā scabies e ka pili pono o ka ʻili i ka ʻili e like me ka paʻa ʻana o nā lima a i ʻole ka launa ʻana me ka mea i loaʻa i nā maʻi ʻeha. 15 a 20 mau minuke o ka launa pū ʻana me ka mea hiki ʻole ke hoʻouna i nā ʻōpala [4] .

Hiki i nā mites ke ola aku mai ke kino o ke kanaka ma kahi o 24 a 36 mau hola, no laila hiki ke ʻaelike i nā scabies ma o nā fomites, e like me nā lole a me nā kapa moe, akā naʻe, ʻaʻole liʻiliʻi kēia lawe [5] .

Nā ʻōuli o ka ʻōpala

ʻAʻole hōʻike kekahi kanaka ma hope o ka hoʻopīpī ʻia ʻana no ka manawa mua i kahi hōʻailona no ʻelua mau mahina (ʻelua a ʻeono pule). Eia nō naʻe, hiki i nā mea maʻi asymptomat ke hoʻolaha mau i nā ʻōpala i kēia manawa.

ʻO ke kanaka i loaʻa i nā maʻi pehu ma mua, ʻike ʻia nā ʻōuli ma loko o hoʻokahi a ʻehā mau lā ma hope o ka hōʻike ʻana.

ʻO nā ʻōuli maʻamau o ka ʻōpala e:

• Rashes ma ka ʻili

• Ka ʻili loa e ʻoi aku ka maikaʻi i ka pō

• ʻulaʻula a hina paha i ka ʻili i ʻili a ʻulaʻula [6] .

Nā Pāpilikia Pilikia o nā ʻōpala

• Nā ʻōpio ʻōpio

• Nā poʻe kūpuna

• Ka poʻe me ka palekana o ka pale

• nā kānaka lohi hoʻomohala

• ʻO nā hoʻonohonoho mālama keiki, nā wahi mālama wā lōʻihi a me nā hale paʻahao he mau kahua maʻamau ia o ka scabies infestation [7] .

Nā pilikia o nā ʻōpala

• Hiki i ka makaʻu koʻikoʻi ke ʻōwili i kumu i nā maʻi bacteria e like me impetigo, pyoderma i hoʻokumu ʻia e Staphylococcus aureus a me ka bacteria A streptococcus bacteria. Hiki i kēia mau maʻi maʻi koʻohune ke alakaʻi i kekahi manawa i ka glomerulonephritis post-streptococcal a me ka maʻi cardiac [8] , [9] .

• ʻO Insomnia

• Kaumaha

I ka manawa e ʻike ai i kāu kauka

E nīnau i kāu kauka inā ʻike ʻoe i ka ʻulaʻula, ʻili a me nā puʻupuʻu liʻiliʻi ma ka ʻili e hele ʻole.

kōkua kekahi i kekahi puʻupuʻu

Kānāwai o nā ʻōpala

ʻAneʻane like ka Scabies me nā ʻano ʻili ʻē aʻe e like me eczema, impetigo, ringworm a me psoriasis e paʻakikī i ke kuhi ʻana i nā scabies. E like me ke aʻo ʻana ma Brazil, he 18 keneta a hiki i ka 43 pākēneka o nā keiki i ʻike ʻia me ka eczema he scabies.

Hoʻokumu ʻia ka ʻike o nā scabies ma ka helehelena, kūkū i kekahi mau wahi, nā ʻōuli a me ke kū ʻana o nā lua i ka ʻili.

Hana ʻia ka diagnostical i kēia mau ʻano:

• ʻIngmiʻi ʻili - Ke ʻānai ʻana i ka ʻili ma o ka lua e nānā ai ma lalo o kahi microscope, hiki ke kōkua i ka hoʻoholo ʻana i ke alo o nā mites a i ʻole kā lākou mau hua.

• Hōʻoiaʻiʻo ink Burrow - E ʻoluʻolu e ʻānai i ka lua me ka lalo o kahi peni punawai, e uhi ana iā ia me ka ʻīnika. Hoʻopau ʻia ka ʻīnika ʻoi loa me ka waiʻona. Inā loaʻa kahi lua, e kaha ka inika iā ia a hōʻike i ka palena o ka lua.

• ʻO Dermoscopy - He hana diagnostic ia e pili ana i ka nānā ʻana i ka ʻili [10] .

Hoʻomaʻamaʻa i nā Scabies

• Permethrin - He kalima topical ia e hoʻohana ʻia no ka mālama ʻana i ka scabies. Pono e hoʻopili ʻia ʻelima pākēneka o ka kirima permethrin ma ka ʻili mai ka ʻāʻī a i ka manamana wāwae a waiho iā ia i ka pō a laila holoi iā ia. No nā keiki pēpē, hoʻopili ʻia ka kirimaila i ke kino holoʻokoʻa me ke alo a me ke poʻo. Pono e hānai hou ʻia ʻo Permethrin holika i hoʻokahi pule ma hope iho e pepehi i nā hua manu a ka mite i kū iho nei. Palekana ʻo Permethrin no ka hoʻohana ʻana i ka hāpai ʻana a me ka lactation.

• ʻO Ivermectin -ʻO ka ivermectin oral i hoʻohana ʻia no ka mālama ʻana i nā ʻōpala, ʻoi aku hoʻi no nā ʻōpala crust a hoʻohana ʻia i ka mālama ʻana i nā ʻōnaehana o nā hui a i ʻole nā ​​kaiāulu, ʻoiai ʻaʻole i ʻae ka ʻAmelika Hui Pū ʻIa ʻAmelika Hui Pū ʻIa i kāna hoʻohana no ka lāʻau scabies.

Ua ʻōlelo ʻia kekahi mau noiʻi ua lawelawe waha ʻia ʻo ivermectin ma ke ʻano he hoʻokahi mahele lāʻau no ka poʻe he 10 a ʻoi paha makahiki ko lākou nui. Hāʻawi ʻia nā lāʻau hou i ʻelua mau pule ma hope inā hoʻomau mau nā ʻōuli. ʻElua mau mahele o ka ivermectin i scabistatic, ʻo ka lua o ka hopena make nā mite i kū mai.

ʻAʻole koi ʻia ʻo Ivermectin no nā keiki ke kaupaona ma lalo o 15 kg a me nā wahine hāpai a hānai hānai. Aia ka hoʻohana ʻana o Ivermectin i ka maʻalahi, ka maʻalahi o ka hoʻokele, nā hopena a me ka palekana.

• ʻO Benzyl benzoate - He lāʻau lapaʻau maikaʻi aʻe ia a me ka lāʻau lapaʻau i hoʻohana nui ʻia i nā ʻāina kūkulu. ʻO ka hoʻohana ʻia o benzyl benzoate i ʻōlelo ʻia he 28 kenetene no nā mākua a me 10 a 12.5 keneta no nā keiki. E noi i ka krima benzyl benzoate ma ka ʻili a waiho iā ia no 24 mau hola. ʻAʻole pono nā wahine hāpai e hoʻohana i kēia lāʻau [umikumākahi] , [12] , [13] .

Hiki ke hoʻohana ʻia nā lāʻau Antihistamine e hōʻoluʻolu i ka aniani. A hiki ke hoʻohana ʻia nā antibiotic huikau a waha paha no ka mālama ʻana i nā maʻi bacteria.

Kāohi ʻana i nā ʻōpala

I mea e pale ai i ka hoʻouka hou ʻana a me ka hoʻolaha ʻana o nā scabies, pono ʻoe e hana i kēia mau hana:

• E holoi i nā lole moe a pau e like me nā pale moe, nā kapa moe a me nā uluna a me nā lole i ka wai wela. A hoʻomaloʻo iā lākou me ka wela maloʻo.

• Inā ʻaʻole loaʻa ka wai wela, e hoʻokomo i nā lole moe a pau a me nā lole i loko o kahi ʻeke ea i hoʻopaʻa ʻia a waiho aku iā ia no ʻelima a ʻehiku mau lā no ka mea ʻaʻole hiki i nā mites ke ola me ka pili ʻole o ka ʻili kanaka ma mua o ʻehā mau lā.

• Hōʻalo i ka hoʻopili pololei ʻana o ka ʻili i kekahi ʻili me kekahi kanaka maʻi.

• E hoʻomaʻemaʻe i nā wahi ʻē aʻe me ka wai wela i piha i nā mites.

• Pono e mālama ʻia nā lālā āpau o ka ʻohana i pili pololei me ka lālā o ka ʻohana i loaʻa i ka maʻi me nā lālā i loaʻa i ka maʻi i pale ʻia i ka hōʻike hou ʻana a me ka hana hou ʻana.

Nā FAQ maʻamau

P. Pehea wau i loaʻa ai i ka scabies?

TO . Hoʻolahalaha mau nā scabies mai ka hoʻopili pololei ʻana o ka ʻili i ka ʻili. Inā ʻoe i launa pū me kahi kanaka maʻi, nui nā manawa kiʻekiʻe e loaʻa ai ʻoe i nā maʻi pehu.

P. He aha ka mea e make ai i ka scabies i kēia manawa?

TO. ʻO ka waiū Permethrin ka lapaʻau laina mua no ka maʻi ʻōpala.

P. Hiki i nā ʻōpala ke hele aku ma kāna iho?

TO. ʻAʻole hiki i nā lāʻau lapaʻau ke kuhikuhi a me kekahi mau lāʻau lapaʻau i ka home ke kōkua i ke kāpaeʻana i nā huna.

P. Pehea ka lōʻihi o ke ola ʻana o nā ʻie?

TO. Hiki i nā mites scabies ke noho i kahi kanaka no ka lōʻihi o hoʻokahi a ʻelua mau mahina paha.

P. Pepehi paha ka wai wela i nā ʻehu?

TO. E make nā mites scabies inā ʻike ʻia lākou i kahi mahana o 50 ° C (122 ° F) no 10 mau minuke.

pehea e hoʻohana ai i ka aloe vera gel

P. Pili anei ka maʻi palaʻai i ka hoʻomaʻemaʻe maikaʻi ʻole?

TO. ʻO ka ʻilihune, ʻoi aku ka lehulehu, kaʻana like ʻana i kahi moe a me nā ʻohana me nā keiki he nui e hoʻonui ai i ka makaʻu o ka ʻōpala.

P. He aha ka hana inā haʻalele ʻole ʻia nā ʻōpala?

TO. Inā haʻalele ʻole ʻia nā ʻōpala, hiki i nā mites ke noho i kou ʻili no nā mahina.

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