ʻO ka ʻimi ʻo Ixodid - nā mea lawe lima i nā microorganisms. A hiki i kēia manawa, ua ʻike ʻia ʻo Rūsia ma nā ʻano maʻi i hoʻoili ʻia e nā huaʻai ʻo ixodid. I ka makahiki 1998, ua ʻike ʻia ka monocytic ehrlichia i nā ʻehā, a ua hōʻoia mua ʻia ke kanaka kanaka ʻo monocytic ehrlichiosis i nā mea maʻi, a i ka makahiki 2002 ua hoʻokumu ʻia ka mālamalama kumu o kekahi maʻi maʻi e pili ana i ka palelasmosis.
ʻO ka hiki ʻana o kahi hoʻokūkū hoʻoiho hoʻokahi o nā maʻi, ka poʻe maʻamau a me nā mea lawe i nā pathogens e hoʻoholo i ka noho ʻana o nā foci hui kūlohelohe kūlohelohe.
ʻO ka biology o nā pathogens o nā maʻi kanaka i pili me nā kāki aia i kēia manawa i ka hoʻomakaʻana o ke aʻo ikaika. Noho kēlā me kēia o nā pathogens ma hope o ke komo ʻana i ke kino o ke kanaka a noho i kona "nological ecological": nā maʻi TBE, e komo nei i ke kahe wai me ka wai lawaiʻa o ka kuhi, e pili ana i ka palena o ka nūnū, nā manawa mua o ka hana hou ʻana o ka borrelia i loko o ka ʻili, ehrlichia a me anaplasma he mau nāhelehele o nā kahe koko - leukocytes. Eia kekahi, hoʻomohala nā ʻōnaehana pathological ma muli o ka hoʻonaninua ʻana o nā ʻano kīnā i loko o ke kino.
ʻO nā maʻi ʻehaʻeha me nā maʻi he mau mea hoʻohālike like, me ka hoʻomaka ʻana o ka maʻi.
ʻO nā maʻi e loaʻa ma hope o kahi huehue pāpaʻa hiki ke lilo i mono - a i ʻole a i hui ʻia ʻia ka maʻi i hoʻoiho ʻia e kekahi, ʻelua a ʻekolu paha nā microorganisms. Mai ʻApelila a ʻOkakopa, ke kamaʻilio ʻana me ke kauka, nā kānaka i pā ʻia e kaomi iki a i ʻole ma hope o ke kipa ʻana aku i ka ululāʻau, pono ia e nānā no ka ʻōpala o ka maʻi āpau, nā mākaʻi kumu kohu i hoʻopili ʻia e nā ʻōpala.
ʻO ka Lyme ka maʻi a i ʻole ka mea lawe i ka hua lāʻau Torr-bear
- He maʻi kūlohelohe kēia e hoʻouna ʻia e nā ʻōpala.
ʻO ka hapa nui o nā panalāʻau me ka limu kūloko o ka borreliosis ma Rusia, he maʻamau ka kelepona o ka encephalitis ma kēia mau ʻāina.
Ke hoʻonui nei ka nui o nā hihia o ka borreliosis aʻo ka hoʻomaikaʻi ʻana i nā diagnostics laboratory a ʻoi aku ka maikaʻi o ka poʻe kauka a me ka lehulehu. Ua hoʻokūpaʻa ʻia ʻo ka helu o nā mea maʻi i hoʻopaʻa ʻia he 5-10 mau manawa ma mua o ka ulu maoli ʻana. ʻO ka wehe ʻoleʻana i nā maʻi i alakaʻi i ka nui o ka helu o nā mea maʻi me ka papa maʻi o kēia maʻi. He wahi ʻāina ʻo Kaluga kahi loaʻa nā kūlana kūpono no ka pālahalaha ʻana i nā ʻili a me ka hoʻouna ʻana i ka maʻi i nā kānaka (ke anuanu o ke ʻano me nā ʻano lāʻau, ka nui o nā holoholona hihiu). ʻO ka poʻe maʻi me ka borreliosis e ʻike ʻia ana i kēlā me kēia makahiki ma ka ʻāina Kaluga ma nā wahi a pau o ka ʻāina a me ke kūlanakauhale o Kaluga.
I ka makahiki 2009, 148 nā hihia o ka borreliosis i hoʻopaʻa ʻia ma ka Moku o Kaluga. Ma 2010, 84 nā hihia, kahi o nā hihia he 54 i kākau inoa ʻia ma Kaluga, 12 - ma Obninsk, 18 mau hihia ma nā wahi (Borovsky, Dzerzhinsky, Zhukovsky, Kirovsky, Kozelsky, Lyudinovsky, Spas-Demensky, Tarussky, Yukhnovsky). I ka makahiki 2011, 87 nā hihia, kahi o 34 - i ke kūlanakauhale o Kaluga, 11 - i ke kūlanakauhale o Obninsk, 23 - ma ka moku Lyudinovsky, 19 - i nā koena o nā ʻāina (Borovsky, Zhizdrinsky, Zhukovsky, Kirovsky, Kozelsky, Maloyaroslavetsky, Spas-Demensky )
Ua nui ka maʻi ʻo ka borrelia ma ka ʻāina ʻo Kaluga; i ka wā e nānā ai i nā ʻili i lawe ʻia mai loko mai o ka poʻe, ua loaʻa ʻo borrelia i ka makahiki 2009 - ma ka 14.9%, ma 2010 - ma 12.2% o nā hihia, a ma 2011 - 14% o nā hihia. Hoʻoulu ka maʻi i ka 40-50% o nā poʻe e nīnū ʻia e nā ʻili kuʻi (i ka malama mua). Loaʻa ka hoʻouna ʻana i nā pathogens i nā hola mua o ka suction aloha i ke kino o ke kanaka. ʻO ka pinepine, ʻo ka maʻi neʻe i waena o ʻApelila a Iulai hoʻi, i ka liʻiliʻi o ka hopena o ʻAukake-Kepakemapa. Hōʻike ʻia ka manawa maʻamau o ka maʻi - mai Mei a Nowemapa me ka hoʻonui ʻana o ka pilikia i loko o Iune-Iulai.
ʻO ka ʻōpū - He maʻi me ka papa lōʻihi, a i nā mea he nui a me nā ʻōnaehana e hoʻopilikia ai: ka ʻili, ke aʻalolo a me nā ʻōnaehana cardiovascular, nā pūlima, nā maka, nā ʻōpū, ka spleen a me nā mea ʻē aʻe. ʻO ka manawa incubation mai 2 a 35 mau lā, i ka awelika - 2 pule.
I ka wā mua o ka maʻi (1-3 mau pule ma hope o kahi kohu mākuhi), inā i hele mai ka maʻi ʻaʻai, ʻulaʻula ʻia ka ʻulaʻula (spot = erythema) i ke kahua o ka kuʻekuʻe, e ulu ana me nā kekelima mau kenimika (mai ka 5 -10 cm a ʻoi aku paha) a maʻamau i lōʻihi (a piʻi i 4-10 pule). I kekahi poʻe, ʻaʻole ka ʻike iki ka ʻulaʻula o ka ʻili, a ma kēia mau hihia ua paʻakikī kēia maʻi maʻi. Hana nā kauka i nā mea maʻi mai nā maʻi ʻē aʻe me nā hōʻailona like. Pēlā nō, no ka lā mua o ka maʻi e hōʻike ʻia e ka piʻi ʻana o ke ana i ka 38-39 ° C, ka ʻeha, ka ʻeha ma nā ʻāʻī a me nā ʻāpana. Hoʻomaopopo kēia mau hōʻailona i nā lā 3-7. I loko o kēia manawa, lawe ʻia ka pathogen ma o ke koko i nā ʻōpū āpau, kahi e ulu ai ka maʻi. ʻO ka manawa pinepine ʻo ia ka naʻau, nā ʻōpū, nā maka, nā pepeiao, ka spleen a me nā lymph node. A no laila, huli nā mea maʻi i nā ʻano loea: nā neuropathologists, rheumatologists, dermatologists, a ke kuhi hewa ʻia lākou me nā poʻe maʻi me ka dermatitis, radiculitis, meningitis, arthritis.
I kekahi manawa ma hope o ka maʻi, ua ʻeha nā ʻāpana o nā kikowaena kūloko a me nā ʻōnaehana: nā kino, nā ʻili, nā pūnaehana ʻōwili, nā maka.
Ma muli o ke ʻano o nā hōʻailona he nui ka mana o ka borreliosis hōʻailona-hele i loko o nā maʻi ʻē aʻe, hiki ke nānā ʻia ka manawa kūpono o kēia maʻi me kahi palapala noi palapala mandatory. Inā ʻike ka keʻena i nā pathogens o borreliosis i nā lāʻau ticks, pono ke kūkā i kahi kauka kauka (mea lapaʻau maʻamau, maʻi hopohopo maʻi maʻi maʻi maʻi manuahi) paha e kuhikuhi i kahi papa o ka mālama pale. Hiki i ka hoʻomaʻamaʻa mua iā ʻoe e hōʻemi i ka lōʻihi o ka maʻi me ka pale ʻana i ka hoʻomohala ʻana i nā lā lōʻihi o ka maʻi. I ka ʻina o ka maʻi o ka maʻi, ʻaʻole e kūleʻa ʻia ka mālama ʻana, ka pilikino, me ka hōʻino o ka ʻōpala.
Hana ʻia nā haʻawina noiʻi e ʻike i nā mea maʻi me ka borreliosis ma ka ʻoihana o ke keʻena ʻoi loa i nā pōpilikia. Lawe ʻia ka serum koko no ka hoʻokolohua no ka borreliosis mai nā ʻoihana olakino a mai nā kamaʻāina. ʻO kahi hōʻike koko no ka borreliosis e hiki ai iā ʻoe ke hoʻoholo inā he maʻi i hōʻea ma hope o kahi mākoki palapala, a hoʻokuʻu ʻia paha ke kino mai ka pathogen ma hope o ka mālama ʻana. I loko o kēia mau hihia, ua hoʻomaʻamaʻa ʻia ka hoʻonaninani koko i nā lā 20 ma hope o ka hoʻomaka ʻana o ka maʻi, a i ʻole 30-40 mau lā ma hope o ke kuhi pōpoki (ka hoʻohālike ʻia ke koko a me nā wahi o ka noho ma ka haukapila)
HUI LĀLES HERALCHIOSIS O KE ANA.
ʻO ka Manory Ehrlichiosis kanaka (MEC) kahi maʻi kūlohelohe maoli e kū mai ana ma ke ʻano o kahi maʻi febrile maʻa e hoʻopiʻi ʻia e nā microorganism intracellular e pili ana i kekahi o nā ʻano o ke keʻena koko keʻokeʻo - monocytes.
Pākuʻi ʻia me kēia maʻi me nā pōpoki kikiki. Hoʻomaopopo nā kiʻi o ka maʻi i ka pūnāwai a me ke kauwela, kahi i pili pū me nā hana i nā kauwela kauwela, ke kipa pinepine ʻana i ka nahele a me nā wahi hōʻoluʻolu o kēia wahi.
Pākuʻi ʻia ka maʻi inā hoʻomaka ke ʻōkuhi. Komo ke komo kumu i loko o ke kahe, ka hana hou ʻana i loko o nā pihi o ka lula o loko o nā kīʻaha koko a me nā puna koko keʻokeʻo. Ke komo nei i loko o nā pūlima kūpono, hoʻonui ʻia nā microorganisms i loko o lākou, a ma hope o ka luku ʻia o nā pūpuna, komo lākou i ke kahe koko a maʻi hou i nā mea hou.
Hoʻokomo ʻia nā meaʻokoʻa āpau: kino, ʻili, kelepona, ʻōnaehana iwi. ʻAʻole kūlike ka hopena o kahi papa maʻi o nā maʻi.
Hoʻomoe ka wā ulu i ka 1 mai 29 mau lā (ka awelika o 13 lā). Hoʻomaka ka maʻi maʻi, me ka piʻi ʻana o ke koina i ka 38-40 ° C, hele pū me nā wīwī, nā hōʻailona like pū me ka nāwaliwali, malaise, hōʻeha ke poʻo. ʻO ka hapa nui o ka poʻe maʻi me ka ʻehaʻeha, ke komo ʻana o ka ihu, ka uaka maloʻo.
ʻO nā poʻo, ka ʻeha, ka ʻōpū, ka luaʻi, ka hōʻeha ʻana o ka naʻau, nā hōʻeha a me ka ʻeha puʻuwai, i kekahi manawa he ʻeha nā puʻupuʻu, palpitations, hoʻololi i ke kahe o ke koko ke ʻike ʻia.
Nā kolu o ka poʻe maʻi e loaʻa i kahi ala ʻelua ka maʻi o ka maʻi. Ua loaʻa i ka neʻe ka lua kahi iʻoi aʻe ka paʻakikī. ʻO ka nele o nā hōʻailona ʻano o kēia maʻi (mau ka maʻi maʻamau, maʻamau no nā maʻi he nui) hoʻopiʻi nui i ka ʻike ʻana o ka maʻi ʻole me ka ʻike ʻole ke koko. Ma ka hale kikowaena o ka ʻoihana kūikawā e pili pū ana i nā maʻi pōpilikia, hana ʻia kahi hōʻike koko no ka ehrlichiosis (ELISA), ke kumukūʻai o ka 1 loiloi he 400 rubles. 00 kopecks
KA MANU MUA LOAʻO ANAPLASMOSIS
ʻO ka anaplasmosis kanaka granulocytic (GAC) kahi maʻi maʻi febrile me kahi kiʻi haukapila like ʻole, ke kumu kumu a ka mea i hoʻouna ʻia e nā ʻōpala.
E hele a hānai ʻia kekahi kanaka i ka wā o ke kahe ʻana o ke kīpī, i ka pūnāwai a me ke kauwela ke kipa aku ai i kahi ululāʻau, ʻoiai ʻo ia e hana ana i nā kīhāpai a me nā kauwela kauwela.
Ke komo nei ka pathogen i ke kahe o ke kanaka me ka lawaiʻa māhā a pālahalaha lākou a puni ke kino, e hōʻeha ana i nā maʻi o loko. Ma muli o ke komo ʻana o ka pathogen i loko o nā keʻena koko keʻokeʻo (nā keʻena koko keʻokeʻo) a me ka hana hou ʻana i loko o lākou, ua hoʻemi ʻia ka pale ʻole ʻana i nā maʻi ʻē aʻe.
ʻO ka manawa incubation mai 3 a 23 mau lā (ka awelika o 13 lā). ʻO kahi hoʻomaka nui o ka maʻi me ka piʻi ʻana o ke anuʻu i nā helu kiʻekiʻe he ʻano maʻamau. Kūlū ke maʻi mai ka 2 a hiki i 10 lā. ʻO ka nāwaliwali, malaise, ʻike ʻia ke poʻo.
Loaʻa ka poʻe maʻi i ka palpitations, hoʻohaʻahaʻa i ke koko, puha, me ka ʻōpū. Me ka hoʻomaʻamaʻa manawa, wikiwiki koke nā hala o nā maʻi. ʻO ka nele o nā hōʻailona hoʻohiki i kēia maʻi e paʻakikī iā ia ke ʻike ʻole me ka nānā ʻana o ka ʻina ʻana. Ma ka hale kikowaena o ka ʻoihana o nā maʻi koʻikoʻi loa, e hana ʻia kahi hōʻike koko no ka anaplasmosis (ke ʻano - ELISA), ke kumukūʻai o ka 1 loiloi he 400 rubles. 00 kopecks
ʻO ka encephalitis ka hopu ʻia i kahi maʻi maʻi maʻi maʻi i hōʻike ʻia e ka pōʻino o ka mea hina o ka lolo a me nā kaula spinal, ke alakaʻi i ka hoʻomohala flaccid paresis a paralysis.
ʻO ka mea kumu hoʻopiʻi kumu huakaʻi mai ka ʻohana togavirus. Ka wehe ʻokoʻa ma waena o nā ʻano like ʻole o ka European European a me Far Eastern o ka virus encephalitis tick-bear.
Hōʻike i nā maʻi kumu kūlohelohe me ka wā o ka puna-kauwela. Pāka ʻia ka maʻi ʻana o kahi kanaka me kahi mākoki palapala, hiki i kahi ala lawe ke lawe ʻia i ka meaʻai (ʻo ka hoʻohana ʻana i ka waiū kao o nā kao, iki ʻole pinepine - nā bipi). Hoʻā ʻia ka maʻi ma loko o nā puʻupuʻu tikina, ma nā māiga a me nā wahi ala-ala. I loko o nā kipi salivary o kahi mākaukau maʻi, nui ka maʻi. Ke pōʻai ʻia kahi mākaʻi, komo ke kino i ke kahe a laila komo i loko o nā pūnaena o ka pīhoihoi o ke kikowaena, e hōʻeha ʻia i nā loli nui.
Nā hōʻailona āpau a me ke ʻano o ka maʻi.
Mai ka hoʻoili ʻia o ka maʻi i ke ʻano o nā hōʻailona mua o ka maʻi, e ana mai 8 a 23 mau lā (maʻamau 10-14), i kekahi manawa a 60 lā. Hoʻomaka ka maʻi hoʻomaka ʻana. ʻO ka manawa, ʻike ʻia nā hanana e like me ka nāwaliwali, malaise, hōʻeha, hōʻeha, ka hiamoe a me ka hiamoe. Hōʻike ʻia e ka nāwaliwali transient i loko o nā wāwae, nā mākia o ka ʻāʻī, ke kahu o ka ʻili o ka maka a me ka ʻāʻī. Ma hope mai, hoʻomohala ka pilikia o nā meninges a me nā ʻili. E hōʻea ke ea kino i 39-40 ° C a kū mau mai ka 2 a i 10 mau lā. ʻO ka maʻi palaka flaccid maʻamau a me ka paresis o nā ʻūhā poʻohiwi o ka ʻāʻī (kahi hōʻailona o ka "drooping head"), nā mea hōʻeha i nā nane cranial, me ka ʻeha hoʻi o ka ʻāʻī o ka ʻāʻī o ke ʻāʻī (ʻaʻole hiki ke hoʻomāʻeha i ka ʻā i ka umauma). Hoʻomaʻamaʻa ka ʻike (mai i ke kūpaʻa māmā.
ʻO ka manaʻo maʻi . ^ E Ha yM. Ke ʻike nei, e noʻonoʻo i ka hope o ka maʻi epidemiological (ʻapoʻe kikinikia, ka manawa) a me nā ʻonaʻā o ka ʻōnaehana o ka pūnaehana sentral. ʻO ka hōʻoia paʻa Laboratory o ka maʻi ke ʻano ma ka lā 5-7 o Ig me ka maʻi ʻo M M a me ka hoʻonui i ka titer o Ig G antibodies i ʻike ʻia e ELISA.
Hoʻomaʻamaʻa . ^ E Ha yM. Loaʻa kahi hoʻomaha hoʻomoe i ka wā kūpono o ka maʻi.
ʻO nā mea ʻaʻole i hoʻohālikelike ʻia a pale ʻole ʻia ma lalo o ka 10 mau lā ma mua o kahi hiʻu māka ʻana ma ke ʻano he mālama kūikawā ma loko o nā hola he 96 mua e pono ai ka hoʻomaka ʻana o ka immunoglobulin anti-encephalitis. Ma hope o 4 mau lā no 28 mau lā, ka inkubation o ka encephalitis kūmole - ʻaʻole mālama ʻia ka lāʻau lapaʻau, no ka mea hiki ke hoʻonāukiuki i ka hōʻike o kēia maʻi.
Kahi Waho . ^ E Ha yM. Hoʻomau ka wā e hoʻōla ai i nā makahiki 2. Hoʻomaka hou ʻia ka maʻi palaualelo kūpeʻa. ʻO ka make kino he 5-30%.
Kāohi .ʻAnuʻu e hoʻolālā ana i nā huakaʻi i nā wahi ʻokoʻa (ka Urals, Siberia, ka Far East, nā North-Western region o Russia, me kekahi mea) i hāʻawi ʻia i ka prophylaxis kūʻokoʻa a me ka pale ʻana me ka huina encephalitis hae-bear. ʻO ka hoʻopau ʻia o ka papa e aʻo ʻia ma 1 mahina ma mua o ka haʻalele ʻana i ke kikowaena. I nā huaʻōlelo ʻē aʻe, inā ʻoe e manaʻo nei e hele i nā ululaʻa kāiga me kahi hui kūkulu haumāna i ka wā hoʻomaha o ke kauwela a i ʻole no ka hoʻomaha ʻana i kahi hale ma nā kapa o kahi kahawai i kekahi wahi ʻo Karelia, pono ʻoe e hoʻomaka i ka pale ʻana i Pepeluali - Malaki.
Inā hiki ʻole iā ʻoe ke pale aku iā ʻoe iho mai ka haki ʻana i kahi kiliki, mai kāpae iā ʻoe iho, akā e kamaʻilio e pili ana i ke keʻena olakino kokoke loa kahi e mālama ʻia ai nā limahana e kōkua iā ʻoe i ka ʻalohi ʻana i ka māka a hōʻike iā ʻoe e pili ana i ka pono e ʻimi i ke kōkua olakino e pili ana i nā kolo ʻia i ke kūlana olakino i ka wā 3 mau pule ma hope o ka popo.
Mai lawe i kahi mite i lawe ʻia.
Pono e waiho i ka wai maʻemaʻe me kahi ʻāpana liʻiliʻi o ka hulu hulu i hoʻoheheʻe ʻia ʻia me ka wai, gauze a i ʻole ka pepa kānana a lawe ʻia no ka nānā ʻana i ke kikowaena virology, kahi e nānā ai i ka ʻili āu i lawe ai no ka neʻe ʻana o ka huina encephalitis huapalapala i loko o kou kino a hāʻawi i nā ʻōlelo kūpono.
ʻĀnekau ʻōlima FBUZ "Center no ka hoʻomaʻemaʻe ʻana a me ka Epidemiology ma ka Lā Kaluga" kahi o ka hale noho: Kaluga, st. Chicherin, d.1 a.
Kelepona no nā nīnau noi (4842) 55-01-09.
Nā nīnau nīnau pinepine .
Pehea e pili ʻia ai nā maʻi kikoʻī i nā kānaka?
ʻO nā maʻi ʻehaʻeha lawe ʻia e ka pōpoki puaʻa (taiga a i ʻole ka nahele) i ka wā o ke kahe koko - no laila ka inoa o ka maʻi. Noho ka ʻili taiga ma ka hikina o ko mākou ʻāina - i ka ʻāina kūʻokoʻa taiga o Asia a me ʻEulopa - mai Kamchatka a me Sakhalin ʻĀkau i nā ʻāina hikina o ka Leningrad Region (Primorsky, Khabarovsk Territory, Western and Eastern Siberia, the Urals, North region of the European part of Russia, with the exception of the Far North) . ^ E Ha yM. Noho ke kelekeke ma ka ʻāina ʻo ʻEulopa o Rusia - ma ke komohana o Volga, ma ka Crimea, ʻo Caucasus, ma ka waena waena. I nā kuʻekuʻe, lawe ʻia nā pathogens mai ka wahine i nā keiki, no laila ke hoʻomanū mau ka pathogens i waena o lākou.
Hiki ke hoʻouna i nā pathogens e lawe i ka hua. e ka lono - ma waena o ka hōʻino o ka ʻili (me ka ʻeha o ka pauʻa, me ka maka mua ʻana), pū kekahi e ka ʻai - i ka hoʻohana ʻana i ka waiū waiū o nā hipa a me nā kao, liʻiliʻi i nā bipi keu. Mai ke kanaka a hiki i kēia mau manawa, ʻaʻole e hoʻouna ʻia kēia mau maʻi! ʻO nā ʻōlio a me nā ʻīlio ke kūʻē i ka virus encephalitis e hoʻohuli ʻia, hiki i nā ʻīlio ke loaʻa he borreliosis!
Ahea ke ʻano o ka maʻi maʻamau?
Hoʻohālikelike ka hapa nui o ka poʻe e nānā i ka ʻili i ka pūnāwai a i ka hapa mua o ke kauwela, aia ka hana ʻoi aku ka ʻoi loa. ʻO ka hoʻomaka ʻana o ka manawa e hilinaʻi i nā kūlana o ka wā. I ke kakahiaka nui, ke kau wela, ua hoʻopaʻa ʻia nā bites māka ma ka hopena o Malaki. Eia nō naʻe, me ka mahalo e pili ana i ka encephalitis kiko, ʻo ka hū i ka puna, ʻoi aku ka nui o ka maʻi o ka ʻōpala ma muli o ka hopena o ka maʻi e pili ana i ka encephalitis e ʻae nei i nā loli koʻikoʻi i ke ea, inā hoʻi nā loli ma 0 0 С. No laila, ma ka hapalua o ke kauwela a i ka ʻohi paha. ka manawa, ʻoiai ka hopena o ka pōkole o kahi huina haʻahaʻa i haʻahaʻa, ʻoi aku ka kiʻekiʻe o ka ulu ʻana o kahi ʻano koʻikoʻi ma muli o ka hōʻiliʻili ʻana o nā maʻi hou aʻe.
Koi mau ka ʻimi i ka lā, akā i ka lā kuhi ʻia ko lākou lā ulu maikaʻi mai 8 a.m. ka 11 a.m. ka hoʻohaʻahaʻa nui i ke ao a hoʻonui hou i ka manawa mai 17 a 20 h . ^ E Ha yM. I nā lā ua a me ka wā o ka ua aʻina i ka ua mahana, hiki i kā lākou hiki ke hoʻouka i ka pae like. Ma nā lā wela loa a i ka wā nui o ka ua, ua hoʻōki loa kā lākou hana.
Loaʻa ka hapa nui o nā wahi kūlohelohe o nā ʻili i nā ululāʻau, ʻokoʻa pinepine i waena o nā ululā pāpaku a me nā hoʻomālohelohe, i nā ulu lāʻau koniferous a me nā ʻenekia ala-ala. Manaʻo nā ʻili i nā wahi kahawai, no laila ʻo ka nui o ko lākou helu ma ia wahi. Noho nā ʻōpala he nui ma lalo o nā wahi lau nahele, a me nā nuku hoʻi ma nā wao nahele, a me nā wao heʻe nui e piʻi ana ma kapa o nā kahawai mākaʻi, a me nā kaʻe lāʻau a me nā ala lāʻau aloha. Loaʻa ʻia nā kiʻi ma nā kumulāʻau ʻenehana, ma nā kaila o nā waihona kālā, mālama a me nā mea i loko o nā pā o ke kūlanakauhale. Hiki iā lākou ke honi i kahi kanaka a i ʻole holoholona ma ka lōʻihi o kahi o 10 m, a e noʻonoʻo i nā wahi e hele pinepine ai nā holoholona a me nā kānaka (nā wahi e hoʻohālikelike ai i nā wahi, nā ala ala).
Pehea ʻoe e pale ai iā ʻoe iho i kahi ʻōpū hae?
ʻAʻole piʻi ka lāʻau i nā mea kanu i kahi kiʻekiʻe (ʻaʻoleʻoi aku ma mua o 1.5 m), ua hoʻopili lākou i nā lole hou aʻe i nā wāwae a hiki ke kahawai wale wale no . ^ E Ha yM. No laila, i ka hele ʻana i ka ulu lāʻau a i ʻole e hele ana i nā wahi me nā kumu lāʻau a me nā mauʻu he nui, pono ia e hoʻoponopono i nā lole ʻaina hiki ke hoʻonaninani i ke ʻano o ka hoʻopili ʻana e hoʻopili a komo i lalo o ke kapa.
1. makemake ʻia e kūleʻa nā lole a me ka māmā (i ke ʻano he mālamalama, ʻoi aku ka maʻalahi o ke kiʻi.)
2. ʻO ka lūlū a me nā meaʻeke o ke kapa e paʻa pono, e ʻoki ʻia i lalo o kona ʻaoʻao i loko o nā selu (no ka hopena maikaʻi, hiki iā ʻoe ke hoʻohui pū me ia.
3. E kāhea i ka lalo o nā ʻokiʻoki i loko o nā kāmaʻa a i ʻole nā kūpeʻe.
4. e hoʻohana i kahi pālule a i nā kapa paha me ka pāpale me nā hono a i ʻole kahi elast elemakule (e pale aku i ka ʻāʻī), i ka hāʻule ʻana o ka pāpale - kahi pāpale.
Kukuluianā lāʻau lapaʻau acaricidal- ka pepehi ʻehā ("Gardeks aerosol koʻikoʻi" (ʻĀpana), "Gardeks anti-kelek", "Fumitox-anti-tik", etc.). ʻO ka lole wale nō e mālama i ka hoʻomākaukau o ka acaricidal (calousers - i ka ʻaoʻao o ka wāwae, ka lole a me ke kapa paha - ka ʻaoʻao i lalo, ka ʻaoʻao kola, a me nā pūpū lima paha).
Ma ka hihia hūʻike mai nā ʻolima Hiki iā ʻoe ke kelepona i ka keʻena mālama mālama mai ka kelepona: 57-24-80.
Hiki a hala i 1-2 mau hola e ʻimi ai i kahi o kahi e hoʻopili a hoʻopili ʻia ai i nā aniani, akā ʻike ʻia ʻo nā ʻoki kāne, ʻaʻole like me nā wahine, hānai i ke koko no kahi manawa pōkole (mau hola) a laila nalowale hoʻi ke kūʻokoʻa - a laila kūʻokoʻa kahi mākaʻi male ke nānā aku . ^ E Ha yM. No laila, ʻo ka noho ʻana i ka ulu lāʻau, pono e hoʻokō i ka lehelehe nā hiʻohiʻona ponoʻī a me ke ʻano like i kēlā me kēia 15-30 mau minuke .
Ke haʻalele nei i ka ulu lāʻau a i ka hele ʻana i ka pō ma ka ulu lāʻau, pono e hana ʻokoʻa me ke neʻe ʻana. Ke nānā, ʻike pono ʻia nā lauoho lauoho o ke kino, nā ʻili o ka ʻili, nā auricles, ka axillary a me nā wahi inguinal, ka umauma (nā wahi maʻamau loa no nā ʻili e hānai ʻia i loko), a me nā uhi a me nā mea e noho ai i nā lole. Kumuhana i ka nānā nānā akahele nā mea a pau i lawe ʻia i waho o ka ulu lāʻau, nā holoholona . ^ E Ha yM. Inā hiki, no kahi kiʻi paʻi a i ʻole pō i ke ʻano, e koho i nā wahi kūwaho me ka lau nahele a me nā mea kanu lāʻau a i ʻole nā mea āpau o lākou.
• ʻO ka Vaccination ka mea ʻoi loa ka palekana e kū'ē i ka encephalitis kiko-nānā ʻia!Ke holo nei ʻoe i nā wahi i pōʻino ʻole i ka encephalitis pili-pono, pono ʻoe e hoʻokaʻa i kahi keʻena lapaʻau a i ʻole kahi kauka i kahi maʻi pehu.
• I ka hihia o ka maʻi ʻaila me Borrelia, pono ʻoe e kamaʻilio i kahi kauka a i ʻole ʻoi i ka maʻi maʻi maʻi ma ke kahua kaiāulu, a ua kuhikuhi ʻia nā mea mālama maʻi.
Hoʻomaʻamaʻa ixodicwili ʻia e ka lāhiki pono e lawe ʻia i loko o kahi keʻena maʻi maʻi maʻi, kahi, ʻo ka mea mua loa, e hoʻokau ʻia ana ka lāʻau e pili ana i ka luku ʻana i ka borrelia, aʻo ke ola holoʻokoʻa. A i ʻole, e holomua ana ka maʻi, a lilo, a i kekahi mau hopena ke alakaʻi nei i ka maʻi kīnā.
Anaplasmosis a me ehrlichiosis i kēia manawa aole maopopo. Hō’ike ʻia kēia mau maʻi amene no ka lāʻau lapaʻau maʻi .
- Inā ʻaʻole i nānā ʻia ka māka no nā maʻi maka hemo, a laila pono e hoʻopili koke i kahi keʻena olakino.
- Inā i nā lā mua a i ʻole he mau pule ma hope o ka kipa ʻana aku i ka nahele ua loaʻa kahi maʻi maʻi, a ʻoe ke manaʻo i ka maʻemaʻe a me ka nāwaliwali ʻaʻole i hui pū ʻia me ke anuanu - e ʻoluʻolu e nīnau aku i kahi kauka.
Ma ka ʻoihana hana o ka keʻena no ka nui o nā maʻi kino he palapala piha noiʻi o ka ʻimi ma luna o nā maʻi ākea: borreliosis, encephalitis, anaplasmosis a me ehrlichiosis - ke kumukūʻai o 800 rubles. ʻAʻole ʻike ʻia nā kiʻi ʻino mai nā holoholona (inā i loaʻa kahi māka ma luna o kahi holoholona, hoʻokaʻaʻike i kāu veterinarian)! Loaʻa paʻakikī lāʻau koko no nā maʻi māka lohi ka uku o 800 rubles. ^ E Ha yM. Eia pū i ka ʻoihana nā hoʻokolohua koko no nā maʻi pili kelepona: Borreliosis - ke kumukūʻai o 590 rubles., Ehrlichiosis - ke kumukūʻai o 400 rubles., Anaplasmosis - ke kumu kūʻai o 400 mau rubles., Encephalitis 1 - ke kumukūʻai o 450 mau rubles.
- Makana o ka maʻi maʻamau (1 Chicherin St.)
i kēlā me kēia lā mai 8-00 a 15-42, nā pāʻina mai 12-30 a 13-00,
ka hāʻawi ʻana i nā hopena hōʻike mai ka 14-30 a hiki i ka 15-30.
- keʻena mālama mālama (Barrikad St., 181)
(c) Keʻena o ka lawelawe Federal no ka mālama ʻana i ka mālama o nā pono ʻenehana a me ka maikaʻi o ke kanaka ma ka moku o Kaluga, 2006-2020 Inā ʻaʻole ʻoe i ʻike i ka ʻike e pono ai, e ho'āʻo e hele i ka mana kahiko o ka pūnaewele ʻO Etiology a me epidemiologyHoʻokomo ʻia ka Thrombidiasis e nā mites ʻulaʻula ʻulaʻula. Leptus autumnalis (larva Trombicula autumnalis , peia:. Neotrombicula autumnalis ), Trombicula alfreddugesi (ʻāpana. Eutrombicula alfreddugesi, ʻO nā hoʻonāukiuki Thrombicula ), Eutrombicula batatas , E hoʻonani ʻia ʻo Eutrombicula , Leptotrombidium akamushi , Leptotrombidium deliense me nā mea ʻē aʻe Hoʻokomo ʻia nā wahine i hoʻokahi mau haneli hua. ʻO ke ola o nā mites ʻulaʻulaʻulaʻula o 7 mau ʻĀina: hua manu, prelarva, larva, protonymph, deutonymph, tritonimph a me ka imago. ʻO ka lōʻihi o ke kahe o nā ʻulaʻula i 0.12-0.5 mm ka lōʻihi. Hāpai lākou i nā holoholona a me nā kānaka, e ʻai ana i ka kaila puna. Ma hope o 2-10 mau lā a i ʻole nā lā o ka meaʻai, nalowale lākou a huli i kahi protonymph. ʻOhana ʻohana Trombiculidae ka laulā mea. Hoʻopilikia ʻia ka thrombidiasis e nā wili o nā ʻāpana ʻulaʻulaʻula i nā kiʻi. Hele mai ka maʻi i ka tropical, subtropical, emi iki pinepine - i ke anu lāʻau (i ka wā mahana). I ka huli ʻana o ka meaʻai, ke piʻi kaʻe o nā larvae ma luna o nā mauhele a me nā mea kanu lāʻau, mai kahi e hoʻouka ai lākou i nā holoholona a me nā kānaka. ʻOi aku ka maʻi pinepine ma ka Iulai - Kepakemapa, komo ka poʻe i ke kula a me ka ulu lāʻau. HōʻailonaHōʻeu ke koko ʻaʻa i nā lehelehe e ʻeʻe i nā wahi ākea o ka ʻili (ke alo, ka auricles, nā lima, ka axillary fossa, nā ʻōpū hope loa, nā ʻūhā, nā ʻōpū o hope, nā ʻikipiki, nā haki) i ka wā e hana ana a hele paha i ke kauwela. Hoʻohana pinepine ʻia nā wahine a me nā keiki. Hoʻopili ka lole pili kokoke me ka neʻe ʻana o ka palaka, no laila ʻoi aku ka nui o nā ʻūhā e nā bites. Ke hoʻohana nei i kahi mīkini chitin prick, ka mea i hoʻopili i ka huluhulu i ka waha o ka follicles o ka lauoho a hana ikaika i ke kūpaʻa o ka ʻili. I ka manawa like, ʻo kā lākou mea pono i ke koko, ʻaʻole ia he koko, akā he mau selelo o ka ʻili. Ma ka ʻili o ka mea hoʻokalakupua ma lalo o ka mana o ka lawaiʻa o nā larvae, kahi stylostome (kahi hue protein protected pale ʻia i waho e ka hyaline) i hoʻokumu ʻia e ia, kahi i komo ai lākou i ka lymph a me ka wai intercellular. Loaʻa i nā stylostoma nā waiwai antigenic ikaika. Ka puni a puni, e hoʻokumu ʻia kahi papule ʻeha me ke anawaena a hiki i 2 cm, ma nā mea hoʻonaninani i kēia ʻano i loko o kekahi mau hola. Ke hoʻohālikelike nei i ka mea hoʻonā alakaʻi i ka make o ka larva. I kēia hihia, ʻike ʻia kekahi vesicle i ka waenakonu o ka papule, a ua lilo ka waihona i hemorrhagic. Hoʻopau a kuni hoʻi i ka hopena no kekahi mau pule. I ka manawa pinepine, hōʻike ʻia nā rashes e ka infiltration poni a i nā pustules lenticular paha, e nalo ana ma hope o 3-4 mau pule a waiho i ka pigmentation ma hope. Ma ka pūnaewele o ka waiū honu, ʻeha ka wā i loaʻa, nā wahi erythematous, blisters, puka papules. Hiki i ke helu laʻana ke alakaʻi i ka pyoderma. Hoʻomaopopo ʻia ka hopena o ka huluhulu, i ʻole e hoʻopili ʻia me ka hana mua o ka tsutsugamushi, ke kumu kumu a me ka ʻōpala o nā ʻāpana ʻulaʻula. ʻO ka mea e pono ai ʻoe e ʻike e pili ana i nā ʻili a me nā maʻiHoʻopili mākou i nā mea kikoʻī i ka ʻikepili wehewehe e pono ai ʻoe ke ʻike e ʻike i ka ʻili a me nā maʻi a lākou e lawe ai. ʻO ka mea mua, pono ʻoe e hoʻomaopopo i ka lilo ʻana o nā ʻili i nā mea maʻi. ʻO ka neʻe nui ʻana o ke aniani ka nui o nā manawa he nui, e like me nā nui arachnids i pili ai nā kolo. Ma mua o ka hele ʻana o ka parasit i loko o kahi ʻano pākeke, nui kekahi mau manawa i kapa ʻia ka mea i kapa ʻia ʻo ka nymphal.
Hiki i nā ʻōlima mau lepa, e like me nā pākeke, ke ʻalā a ʻai ka ʻai i ke koko, akā ʻike wale nō i kēlā mau holoholona e kokoke ana i ka lepo - nā rodents, nā manu, nā nīkohu e kūlohelohe ana i ka mauʻu, a me nā ʻano ʻano ʻē aʻe. ʻO kēia ma muli o ka loaʻa ʻana o ka nymphs liʻiliʻi a hiki ʻole i ka hoʻoneʻe i ka mauʻu a i ʻole nā lālā lāʻau o ka mea kanu lāʻau, no laila ua liʻiliʻi lākou e hilinaʻi i nā poʻe puʻu e like me ke kanaka a me ka ʻīlio paha, akā he mea hiki kēia.
I ka wā o kahi kiki, ʻo ka nymphs me ko lākou koko lawe i nā pathogens a mālama i loko o ko lākou mau kino, a hiki i ka neʻe ʻana i ka larval, a laila i ka pae pākeke. Ka mea, i ka makahiki e hiki mai ana kahi pākahi pakeke, ua loaʻa ke ʻano o kona pathogen i ka lawena. Eia naʻe, ʻaʻole ʻo nā mea āpau i hiki ke komo i ka pathogen i loko o ko lākou kino, i ka manawa a pau ʻaʻole hiki ke lilo i nā ʻōpio i nā mea hiki aku i ka pilikia. Aia nā palapala holo āpau o nā wahi no ka maʻi maʻamau o kekahi mau maʻi. Hōʻike lākou i nā wahi kūlohelohe he kumu ikaika loa ia e hiki ai ke kūpaʻa hiki i nā maʻi. ʻO ia ke ʻano o nā poʻe koa mua o nā huaʻī, ʻo ia hoʻi kēlā mau koena, i ka nui o nā mea i loaʻa i nā pathogens. ʻAʻole plae a pau nā ʻāpana pau. ʻO kahi laʻana, ma kahi ʻāpana, hiki mai paha kekahi maʻi i kēia makahiki, akā ʻaʻole paha ia i ka aʻe. Ma kona wahi, ʻaʻole paha he mea ʻē aʻe paha. No laila, ʻaʻohe mea e ʻōlelo pololei pehea e kū hou ai ke kūlana me nā maʻi maʻi aniani. I waena o nā mea ʻē aʻe:
He aha nā maʻi e halihali ana i ka puʻuwai?ʻO ka hōʻino ʻia ʻana o ke kanaka iho mai kahi kikoʻī i unuhi ʻia i loko o nā kānaka ka nui o ka kaulana. Ma hope o ka wehe ʻana i ka parasite, ua lawa ia e mālama i ka ʻeha o ke kuʻi me ka iodine e pale aku i ka maʻi maʻi, hiki iā ia ke hōʻeha i ka wahi o ka kuʻamu. Ma keʻano holoʻokoʻa, 2-3 mau lā ma hope o kahi hanana, ʻaʻohe ala i waiho. Eia nō naʻe, loaʻa i kekahi mau hopena maʻi i ka pehuʻokiʻoki. Hiki i ka maʻi ke maʻalahi, me nā hōʻailona hoʻonāukiuki, a me nā maʻi lōlō, he hopena maʻi kūlohelohe (anaphylaxis) a me nā dermatitis kiko-hōʻailona paha e ulu hou aku ka ulu. Hoʻolālā aikōkōwili Microscopic o ka borreliosis ʻOi aku ka paʻakikī o ke kūlana inā hoʻoili ka kilima i nā maʻi maʻamau i nā maʻi ākea pūpū i loko o ke koko. ʻO ka hapanui o lākou ke kumu o ke ʻano o ka maʻi maʻamau i ka hoʻomaka ʻana o ka hoʻomohala ʻana, e like me ke kaho, ke poʻo, ka ʻōpū, ka luaʻi, a me ka ʻeha o ka naʻau. Hiki i nā hōʻailona like like mai ka lā 1 a 3 mau pule ma hope o kahi kiki pākē, e hilinaʻi nei i ka manawa incubation o ka maʻi ponoʻī. I kekahi manawa ke hele mai nā hōʻailona hou - kahi hōʻeha a i ʻole ke kaumaha koʻikoʻi me nā hōʻailona ma luna. Hoʻouna i nā Parasites nā maʻi i hoʻopili ʻia e like me kēia:
ʻO ka maʻi pālapa e loaʻa ai ka maʻi maʻa he maʻi maʻamau i hiki ke hele ma hope o kahi mākaʻoki palapala. Ma kekahi mau wahi o ka honua, hiki i nā huaʻai kelepona ke hōʻeha i nā maʻi ʻē aʻe, e like me ke kuni ʻana o ka Aferika Hema, no ka laʻana. Allergic hopena piliMālama ka pale ʻana i ke kino mai nā maʻi a me nā maʻi. I kekahi manawa ke ʻike ʻia kahi mea ʻino ʻole i ke kino e ʻike i ka hoʻoweliweli a i ʻole ka hoʻomaka ʻana o ka hoʻoulu kaua ʻana. I ke kūlana maʻamau, e hoʻokaʻawale ke kino i nā mea e komo ana i ke kahe a ka lolo i loko o ke koko. Akā ʻo kekahi manawa, a ma kahi o ka iwakālua o ka poʻe, he ʻano ikaika loa hoʻi (i.e. dermatitis-i-kiko ʻia), i haʻi ʻia e kekahi mau ʻōmole, hiki ke mālama ʻia:
ʻO ka ʻano koʻikoʻi nui o ka maʻi maʻi e kapa ʻia ʻo ka anaphylaxis. Hiki ke hōʻeha inā ʻaʻole loaʻa ka mea maʻi i ka kōkua wikiwiki. Hana ʻia ke ʻano e ka emi ʻana o ke koko, ke kūʻiliʻu ʻana o ke alanui, a he hōʻino i ke ʻano o ka naʻau, a me kahi ʻano haʻalulu nui o kahi kanaka. Hoʻopiʻi a LymeʻO nā hōʻailona mua o ka maʻi Lyme (borreliosis) i kahi kanaka hiki ke hoʻokō i kahi ʻōpala, ke poʻo, ka ʻāʻī, ke ʻāʻī, ke kuni, ka ʻeha ma nā ʻāʻī a me nā hui, a i kekahi manawa ke ʻano o ka ʻulaʻula, e kū pinepine ana i ke ʻano o ka edema maʻamau. Loaʻa i nā hopena antibiotics ka hopena therapeutic maikaʻi, eia naʻe, inā ʻaʻole hoʻolako ʻia ka mālama ʻana i ka manawa kūpono, hiki i ka maʻi ke hana i nā pilikia koʻikoʻi me nā kihi, ka pūnaehana a me ka puʻuwai. ʻO kekahi o nā hopena o ka Lyme borreliosis Ka Pōhaku MaʻailaHoʻopili ʻia kēia maʻi maʻi i nā kānaka ma o ka Woody (ixodid) a me nā lāʻau tio, kahi hiki ke alakaʻi i nā hoʻopiʻi olakino, e like me ka pīhoihoi a me ka hāʻule ʻana o ka pēpē, ke ʻole e kūpono a kuhikuhi ʻia ka hana kūpono. Hoʻomaka ka hoʻomaka ʻana o nā hōʻailona kumu mua i kahi kanaka ma kahi o 2-14 mau lā ma hope o kahi hii pā ʻana a komo i ke ʻano o ka maʻi o ka maʻi, ke poʻo hōʻeha, ka ʻeha a me ka ʻāʻī o ke ʻano, kahi hōʻeha ʻokoʻa, ʻeha a me ka lua. ʻO ka ʻōmaʻomaʻo ka ʻona he nui o nā wahi liʻiliʻi, ʻeleʻele, poni a ʻulaʻula paha (petechial rash). Hoʻomoʻa pinepine ma nā pulima a me nā kuʻekuʻe, a laila e pālahalaha i nā lima, nā wāwae a me nā ʻāpana ʻē aʻe o ke kino. Ua kapa ʻia nō hoʻi ka maʻi mai ka maʻi pākēkē, ka maʻi lēʻoki, a i ʻole ke kau ʻana o ka maʻi pā. ʻO ka Rocky Mountain i ʻohi i ke kanaka i kū mai ma ka ʻāpana o ka ʻāina o ʻAmelika ʻAmelika, akā he nui nō hoʻi nā maʻi o ka maʻi ma ka waena o Rūsia.
Nā maʻi TulaʻO Tularemia, ka mea i kapa ʻia ʻo ka deer a i ʻole ke ʻano hemo ka maʻi, he maʻi ia i ʻike ʻia ma nā holoholona. Akā hiki i ka maʻi ke waiho ʻia i nā kānaka ma o nā ʻōpī i loaʻa a i ʻole ka holo ʻana i ka wai i hoʻopiha ʻia a i ʻole ke komo ʻana mai ka lepo. Kanaka pinepine ʻia ka poʻe ma ka:
ʻIke ʻia kēia maʻi ma loko o Lūkia. Hoʻomaʻomaka nā maʻi ma nā kāne i loko o nā lā he 21, ma ka awelika, mai ka 1 a 10 paha mau lā, ma hope o kahi huaʻala a i ʻole ʻike. ʻO nā ʻōuli mua o ka tularemia i loaʻa:
ʻOkiʻī mau encephalitisʻO ka encephalitis ka hopu ʻia he maʻi maʻi infectious e pili ana i ka ʻoihana ma waena o ka hanana. ʻO ka maʻi pinepine loa e hōʻike nei ʻo ia iho me ka meningitis, encephalitis, a i ʻole meningoencephalitis.
Ke nānā nei a hoʻomau mau paha nā hopena neuropsychiatric i 10-20% o nā maʻi maʻi. EhrlichiosisʻO Ehrlichiosis kahi maʻi maʻi maʻi e hiki ke hoʻokuʻu ʻia i nā kānaka e nā ʻōpio. E hōʻeha ia i ka maʻi, ka hakakahi, ka ʻeha, me ka hōʻeha nui), ka maʻi maʻamau (malaise), nausea, hoʻopuka, poni a ʻulaʻula paha. Hoʻomaka pinepine nā hōʻailona ma waena o 1 a me 21 mau lā, ma ka awelika, 7 mau lā ma hope o kahi mākaʻi. Hoʻomaʻamaʻa ʻia ʻo Ehrlichiosis me nā mea hoʻoponopono therapeutic paʻakikī. Hoʻohālikelike i ke kuniʻO ka hoʻomaha ʻana i ke kuni he maʻi maʻi maʻi i hiki ke hoʻokuʻu ʻia i nā kānaka e ka ʻōpoki. ʻO ka maʻi maʻamau ka maʻi maʻamau ma ke Komohana Komohana, akā ke piʻi nei nā makahiki i hala ma ka ʻEleka Eurasian. Hoʻomaka pinepine nā hōʻailona ma nā lā 3-11, ma ka awelika, ma ka lā 6 ma hope o kahi mākaʻikaʻi kiki. Hiki iā lākou i nā lā he nui, ka hohonu, a laila hoʻi (hoʻi i ka hoʻomaha) ma hope o kekahi mau lā me ka ikaika hou. ʻO ka hōʻailona ʻana o ka maʻi typhoid:
ʻO BabesiosisʻO ka Babesiosis kahi maʻi parasitic laka e hiki ke hoʻouna ʻia i ke kanaka ma o ke kuʻi ʻana o ka puʻu ʻōwili. ʻAʻole hōʻike mau ka babesiosis i nā hōʻailona maʻamau. Ke hele nei nā hōʻailona o ka maʻi, maʻa pinepine lākou i nā wiki he 1-4 ma hope o kahi mānoʻi. Nā hōʻailona o ka babesiosis ka:
Hoʻohana pinepine ʻia ka Babesiosis me nā antibiotika. ʻO ka wehewehe ʻana i nā pepekeʻO nā ʻili o Red-mite, a i ʻole Trombidium holosericeum, lilo i ka superfamily o nā ʻāpana acariform. ʻO 1.5 ka 2 mau makahiki ka nui o ke ola o kēia mau lāʻau. ʻO nā hui nā Parasitizing o kēia mau ʻano he pepeke i loko o ka pae larval. He mea koʻikoʻi lākou i ka epizootological a me ka hōʻailona epidemiological. Loaʻa ka holoʻokoʻa holoʻokoʻa i 50 - 75 lā. ʻAe i ka hua manu, ka hana prelarval, nā larva ponoʻī, ʻekolu mau manawa o nā nymphs a me ka imago. LarvaʻO ka lōʻihi o ke kino a me nā wāwae hele wāwae a i ka 0.41 mm. ʻO ka mua o ke kino e halihali i kahi ʻāpana o ka chelicera a me ka hypostasis, a me nā ʻāpana pālapa. Nui loa ia a kūkulu i ka 1/5 o ka lōʻihi o ke kino holoʻokoʻa. I ka pau ʻana o kēlā me kēia chelicera, aia kahi pua a me nā pā laka me ka denticles. ʻO ka gnatosome pono ʻole kahi palaka ʻo ia i uku ʻole ʻia ma kahi ʻelua i kūlohelohe nā hypostomal bristles. ʻO lāua a ʻelua ma ka gnatokoks. He ʻelima mau pāheʻe elima, conical-ʻano. ʻO ka idiosome he ouval a ʻoliki paha a ʻōmaʻomaʻo a ʻulaʻula paha. Hōʻailona ka honu puaʻa e ka flattening i ka dorsal-abdominal. Hoʻonui ʻia ka nui o ka ʻai i ka nui ma aneane ʻelima mau manawa. Mai ka kua, ʻo ka idiosome he pale pale poʻo liʻiliʻi he trapezoidal a i ʻole nā ʻano ʻē aʻe. Pahu ʻia kēlā pale pale ʻia a hoʻopili ʻia me nā bristles paʻi a me nā ʻāpana o ka trichobotria sensory. Ma nā ʻaoʻao o ke poʻo pale ka maka he mau maka aniani. Aia kekahi mau hiʻohiʻona ʻaʻohe maka. Hāʻawi ʻia ka ʻaoʻao dorsal o ka idiosome i nā ʻano ʻano bristles like ʻole. Lawe ʻia ʻo ka waiwai kikowaena nui i ka nui o nā brisles ventral. I waena o nā coxae o nā wāwae mua he ʻano kūikawā o nā kino larval o kahi ʻano kīʻaha. ʻEkolu mau wāwae a he pānaehana like a hoʻokahi nō o nā bristles pilikino. Ua hoʻolako ʻia nā wāwae me ʻelua mau lehelehe. ʻO ke kokoke i ke kihi o hope. He ectoparasites pōkole ke pili ʻana. ʻO ke koko o nā mammals, nā mea reptile, nā manu a me nā amphibians e lilo i lākou ʻai. Lawe pinepine ʻo Rodents i nā pūʻulu o kēia mau mites i nā auricles, a me ka ʻāʻī, nā wāwae a me ke kumu o ka huelo. ʻO ke kaʻina hana o ke kahe koko ka ʻelua a ʻelua paha mau lā. Hoʻopili i nā ʻōleʻa laʻa i ka hina o ka honua. No kekahi manawa, noho mau ka larile. A laila hele ʻole lākou a hele i loko o ke ʻano o ka nymphachrysalis, a hoʻopau i ka hoʻokumu ʻana o kahi nymph. He ʻokoʻa nā Nymphs a me nā pākeke i ka ʻōnaehana mai ke ala pae. MakuaNā poʻe pākeke a me nā nymphs. Ke alakaʻi wale nei lākou kiʻi ʻole o ke ola. ^ E Ha yM. ʻO nā mea liʻiliʻi arthropod a me nā mea oliva i lilo i mea ʻai. ʻO ka hale noho makemake nui ka ʻāpana o ka ʻili a me ka ʻōpala lāʻau. Hoʻokū pinepine ka poʻe pākeke i nā awāwa kahawai, nā nahele, nā alahele a me nā ʻōpala. He ʻulaʻulaʻula a ʻulaʻula paha ke kino o nā mites ʻulaʻula a uhi ʻia i nā lauoho. ʻO ka nui o kahi pākeke e pili ana i 4 mm. ʻO ka hiʻohiʻona ka hele ʻana o kahi paʻa o nā tracheas i wehe me nā stigmas kokoke i ka chelicera. ʻO ka hoʻopiʻi ʻana o nā ʻōnika ʻulaʻulaKuhi ʻia nā hua ʻulaʻula i hana ʻia me ka dimorphism i hōʻike ʻia. He ʻano paʻakikī a paʻakikī ka ʻano kuʻina o kēia ʻano. ʻO ia kahi hopena o ke kaʻina o kekahi hoʻomohala e hoʻokō i ka hana o ka meaʻai, ʻoiai ua pau ʻē kekahi i ka ʻai. Ua hoʻohuli lākou i nā mana o ka hana dormancy me ka hoʻomanaʻo ʻana i kahi pupa pepeke. ʻAʻole like nā pepeke, ʻo ka pupa ka mea hoʻokahi wale nō, ʻo ka ʻūhā ʻulaʻula e hōʻike ʻia e ka hoʻololi ʻana o ka morphogenesis a me nā ʻai o ka meaʻai. Mai nā hua i kau ʻia i ka papaki lepo, kahi pāpale ʻano prelarval paʻa. A laila, hoʻopau i ka mālama yolk mai ka ʻōpū, lilo ia i pili i ka larva. No nā mites ʻulaʻula, ʻo ke ʻano like o nā mea hana o ka hoʻopalike o waho i nā hiʻohiʻona ʻelua. Ua noho mau ʻo Spermatophore me ka hakakā ʻole. Ua hoʻolako ʻia nā puʻupuʻu genital me ka uhi, kahi cone protruding, ʻekolu mau pālua o ka hale maʻa ʻōhua. Hoʻohui i nā kānaka a me nā holoholonaNo nā kānaka a me nā holoholona, ʻo ke kiko kiʻekiʻe o nā kāla ʻulaʻula wale ka nui i ka pathogenicity. ʻO nā'ōmaʻomaʻo Trombea superfamily, kakaikahi ka hopena i ke kanaka. ʻO ka nānā kūikawā ua uku ʻia i ka hoʻouka kaua ʻōlohelohe, kahi hopena o nā maʻi like ʻole. ʻO ka mea maʻamau ka mea maʻamau o ka dermatitis, i kapa ʻia ʻo thrombidiosis a i ʻole eʻīlī. ʻO ka hopena mua ma ka pūnaewele o ka huʻu o ke ʻano he wahi ʻulaʻula. Nui ka gatelino, ʻoi aku ka pō. ʻO ka hiʻohiʻona ka hele ʻana o kahi papule me ka diameter a hiki i 3 mm me ka conilite peripheral infiltrate. A hiki i ka lā ʻelima, aia nō ka manaʻo e hoʻonui ka papule, ka vesicular degeneration, a laila ulceration. Ma hope o ʻewalu mau lā, ua hala ka vesicle, a ua hoʻoholo ʻia ka infiltrate - ua kū mai kahi ulu hou o ka papule. ʻO kahi wahiʻeleʻele ma ke kahua o ka lawaiʻa hiki ke hoʻomau i ʻelua mau pule. Ke alakaʻi nei ka ʻalo ʻana i kahi maʻi kūloko a me ke kūkulu ʻana o nā pustules a me nā uluna. ʻO ka kumu rubella Hū ʻia ke ʻano maʻi o ke ʻōpala a tsutsugamushi. ^ E Ha yM. ʻO ka manawa mua loa, ke hoʻopaʻa inoa nei ʻo Rickettsia tsutsugamushi i Iapana. ʻO nā mea lawe i ka foci kūlohelohe nā ʻula ʻulaʻula i ka wā o ka larvae, a me nā ʻano lāʻau liʻiliʻi liʻiliʻi, insectivorous a me nā marsupials he mau hale waiwai mua. He maʻi maʻi ʻo ka maʻi a me ka wā incubation o 4-10 lā. Kau ʻia ka hiehina kiʻekiʻe e ke ʻano o kahi papula hāpau a me kahi pua hoʻonui. ʻO ka hui kōpī o nā maka he wīwī nui. ʻO ka papa maʻi paʻakikī ka paʻakikī o nā maʻi cardiovascular, nā pilikia o ka lolo, nā maʻi hōʻeha e like me ka pneumonia. Loaʻa ka make ma 30%. Ka palapala kākau i ka ʻikepili ma ka maʻa o ka mālamalama kumu o Q fever a me ka kumu kumu o ka rat typhus mai nā mites ʻulaʻula. Pehea e mālama ai i nā kakakaʻO ka makahiki, he nui ka poʻe i paʻi ʻia e ka ʻili. ʻO ka manawa pinepine, ʻaʻole wale ke olakino, akā hiki ke ola kekahi kanaka i nā hana kūpono a pono hoʻi. Inā hoʻokomo ka wahi o ka aniani i he mau lā, a i kekahi mau hebedoma, a laila e hiki paha i kahi kelula ʻulaʻulaʻula. ʻO nā liʻiliʻi liʻiliʻi e hana i kēia ʻano o nā kiko i ʻike ʻia ma ke kino o ke kanaka. Hiki i kahi ʻuʻuku ke hopena ma ka noho ma ka ʻāina a i ʻole ka hele ʻana ma nā wahi i makemake nui ai ka uhi nui ʻana. Hūnā ka ʻōkuhi pili i kahi o nā kapa i paʻa loa i ke kino o ke kanaka. Hiki iā ia kahi wahi ma lalo o ke koloka a i ke kāʻei paha. Mahalo i ka hoʻopuka ʻana o kahi mea kūikawā i loko o ka manuʻa, ʻaʻole ka mea hopohopo i ka manawa o ka u. Hoʻololi kēia mea i ka hōʻailona hōʻeha. Kahi koke ʻia kahi ʻōlū papular ma hope o ka ʻōlelo ʻana. I ka hakakā ʻana, ua puka ala ka maʻi lua me ka ʻole o ke komo ʻana i ka larva, ka mea e make ai. ʻO ka pahuhopu nui o ka lapaʻau ka pono e hoʻoneʻe i ka itching. Pono e mālama i ka wahi ʻeha ma ka maʻemaʻe ke hiki. I ke kakahiaka a me ke ahiahi, holoi ʻia nā hōʻeha. Inā haʻi ʻia ka ʻaila, hiki iā ʻoe ke hoʻohana i nā antihistamines. ʻO ka hapa pinepine, ka mea i hana ʻia i ka mālama ʻana o ka home wale nō, ka mea ua kau ʻia ma ka hoʻohana ʻana i nā lotion a me nā ʻauʻau me ka chamomile a me nā celandine No ka hanaʻana i kēia, pono e lawe i kahi ipu aniani o ka wai a hoʻolapalapa ʻia i umi mau pā o ka lau i kanu ʻia i loko. E hoʻomoʻa i ka hoʻolaʻa no nā hola ʻelua, a laila kānana. ʻO ka hopena maikaʻi ke hoʻohanaʻana i nāʻaila homemade. Hiki iā ʻoe ke hoʻohui i kahi pēpē pēpē maʻamau me kahi infusion ikaika o nā lāʻau lapaʻau. Loaʻa nā hopena maikaʻi i nā infusions o ka chamomile, ke kaula a me ka celandine. Hoʻokomo ʻia kēlā aila ia i ka palapu ʻehā ʻehā mau lā i ka ʻano o ka ʻeha ʻeha. Hoʻomaʻamaʻa ka noʻonoʻo ʻana no nā kakili gamazid. ʻO nā mea e maʻi ai kēia mau lāʻau, heluhelu, e heluhelu i ka ʻatikala. ʻO ka ʻōpiopio o ka wax mea i waiwai nui no ka mākaukau ʻana no ka ho'ōla ʻana no nā maʻi he nui (tuberkulosis, ka wā kahiko). Pehea e hana ai i kēia ʻano tincture iā ʻoe iho, heluhelu i ka loulama https://stopvreditel.ru/doma/voskovaya-mol.html. Nā ʻōnaehana palekanaʻO ka hopena maikaʻi loa e hoʻokō ʻia e ka hakakā ʻana me nā rodents, a me ka luku ʻana i nā ʻulaʻulaʻula e hoʻohana ana i ka hoʻomākaukau ʻana i nā lāʻau a me nā ala kūikawā. Loaʻa nā hopena maikaʻi hōʻike i ka mālamaʻana o ka hale me ka lepo, emulsion DDT a me ka hexachloran ma ka helu o ka 0.5 - 1 gram mauʻeke ikaika o kēlā me kēia mika mika o ka hana i mālama ʻia. No ka pale ʻana i ka hoʻouka kaua, pono ia e hoʻomoʻa i ka lole me nā mea repellents. Hoʻohana pinepine ka Diethyltoluamide, hexamide, dimethyl phthalate, dibutyl phthalate. Ma kahi o 40 mauʻu o ka lāʻau lapaʻau e pono e hoʻopili i kēlā me kēia mika mita pālule. ʻAe ʻia ka Immunoprophylaxis. Loaʻa nā pono o kaʻulaʻulaI kā mākou ʻāina, ʻaʻole i pili nā ʻili velvet i nā pūpū e pono ke hana ʻia ma kēlā me kēia. ʻAʻole lākou e lele i nā mea kanu, ʻaʻole lākou e hao i ka mea kanu. Ke noho nei i ka lepo, luku i nā redshoots ka nui o nā mea mahiai, nā mea kanu paka. I ʻike ʻole ʻia e ʻaihue, pono ʻoe e makaʻala i ka makaʻala maʻamau - mai hele wāwae ʻole i ka ʻāina, e kau i nā lole paʻa i ka nahele. ʻO kahi inikini ulaula, e like me ka māka me nā pūʻulu ʻeono o nā wāwae - ʻaʻole he pua, akā he larva, kahi nymph o kahi ʻula ʻulaʻula. Aia kekahi wāwae wāwae i kahi hope loa o ke kūkulu ʻana. A laila e hoʻokumu ʻia nā ʻōpū. HoʻaihoʻO ka Velvet mite kahi elele mart, no ka mea e noho nei i nā papa o luna o ka lepo. Makemake nā manu aloha i kahi līpī kahi e waiho ana i ka lau maloʻo, nā lālā. Ua ʻike ʻia kekahi pūʻulu nui o lākou me nā ʻōpala lāʻau maloʻo a me nā mea kanu lāʻau. Lāʻau lāʻau make - ka punahele punahele o nā iniseti. Noho ʻia nā ʻeke mākeke nui o nā ʻāpana ʻulaʻula. E hele mai kēia mau manu mai ka nahele ulu o ʻĀina. Ma ko lākou ʻāina, he mea nui loa ka ʻili o ka velvet. Hoʻokaʻa ʻia kahi aila kūikawā mai nā nāhe mai, kahi ikaika ka hoʻoikaika. ʻO ia ka mea nui i ka aphrodisiacs. ʻLelo hoʻomaʻamaʻaHoʻopau ʻia ka waha o nā hua i ka ʻili. Hoʻokomo ka wahine hānai i nā hua ma ka ʻāina. Aia ma muli o ke ea kiʻekiʻe, hiki i ka hiʻohiʻona o kahi ʻano hou o ka hua manu ma hope o 7 a 20 mau lā paha. ʻO ka hana mua e kū mai i nā hua - he kahu ʻole, ʻaʻohe neʻe no ka prelarva. Akā ʻaʻole kēia manaʻo ʻo ka mo kēia ʻāina ka mea hānai ʻole i nā pepeke o hope. Pau ka prelarva i nā mea pono e pono ai ke ola mai ka huina yolk aia i loko o ka ʻōpū. Eia kekahi, hoʻomake ka larva ikaika mai ka larva, a laila hoʻomohala ʻia ka makua imago. Loaʻa i nā poʻeʻelemakule nā hoʻololi iki ʻole i ka apana genitalus. ʻO ka Insemination he spermatrophic, ʻo ia hoʻi, ua hoʻopili ʻia ka sperm i kahi capsule, e hoʻopili ʻia ke kāne i ke kino o ka wahine a i ʻole e hoʻopuka i loko o ka ʻaha o ka ʻaoʻao. ʻO nā mea mālama palekanaI ka hoʻoilo ʻana o ke kauwela i ka wā mahana, he paʻakikī ke hōʻole ʻole i ka hele ʻana o kahi ʻāina, ʻoliʻoli a waho a hele hoʻi ma ka mauʻu. Aia aia ma kēia mauʻu a kahi i ka pōʻino make - ʻ ticks. Hiki iā lākou ke hoʻopili i nā kāmaʻa, nā kapa a a laila e piʻi kiʻekiʻe. I mea e pale ai iā ʻoe iho mai kahi ʻuʻī, pono ʻoe e hoʻopuni piha i ke kino. Hoʻopili ʻia nā kūloko i nā socks, a me nā pālule a me nā mea hana lole i loko o nā pālule. ʻO nā ʻahuʻula lole hooded pono e kūpono me ka wili ma luna o ka pale lima. Hoʻohana nā kahe i nā ea wela ma luna o 5 ° C, ke kiʻekiʻe wela loa no lākou no + 20 ° C. No laila, ʻoi aku ka maikaʻi o ka kali ʻana no ka hoʻomaka ʻana o nā lā wela a hele wale i waho i ke ʻāina.
Hoʻohui i nā kānaka a me nā holoholonaHoʻokomo ka mite ʻulaʻula no nā kānaka a me nā holoholona wale nō i ka mokuʻāina o kahi larva. I ka hoʻoilo, hoʻoikaika ʻino ke ulaula, a no laila aia ka nui o ka hoʻouka ʻana o nā pepeke i kānaka. Ke alakaʻi nei kēia i nā maʻi koʻikoʻi. ʻO ka mea maʻamau ka dermatitis o ka ʻili. Hiki ke hoʻomaopopo ʻia kēia maʻi e nā hōʻailona aʻe:
Hoʻopili i nā dermatitis, lawe mite ʻulaʻula mai i nā maʻi ʻē aʻe i kekahi kanaka: ke ʻūhā, typhoid fever, ʻāpana kahawai Iapana. Hoʻopilikia kēia mau maʻi i ka 30% o nā hihia he momona lākou. Ua ʻōlelo ʻo kekahi poʻe loea ʻaʻole maikaʻi loa nā ʻili ʻula i nā kānaka, a e hōʻeha ka poʻe i ka hōʻeha mai ka a me nā mea inikua. Hoʻopau i nā pōpoki ʻulaʻula a me nā pōpoki, a me nā holoholona ʻē aʻe. I nā holoholona o ke aniani e loaʻa ʻoe:
He aha nā lōlio ʻeleʻele e like ai?Nui nā makuahine, e ʻimi ana i ke kala o nā feces o kahi ʻano, i ʻole loiloi iā lākou, e hele mai i waena o nā ʻāpana o nā ʻeleʻele. He kūlohelohe, manaʻo ka manaʻo mua: "inā he pōpōpō." Akā ʻaʻole. Mahalo i nā hoʻokolohua he nui a me ka noiʻi i kēia wahi e nā ʻepekema, ua hoʻokumu mua ʻia ʻo ka ʻeleʻele ʻeleʻele he moʻolelo. Ma mua e pili ana i nā kaula liʻiliʻi o kahi pale uliuli, he mau ʻāpana kēia o kahi maiʻa. Nā kumu kūlohelohe o ka hōʻike ʻana o nā moʻo ʻeleʻele i nā pākekeʻO ke alo o kahi kala ʻokoʻa i loko o nā hana o kahi pākeke hiki ke ma muli o nā kumu he nui - ʻelua a weliweli a ʻona ʻole. ʻO ka koho aʻe paha e kau ʻia ka loaʻa ʻana o nā kumu aʻe:
ʻO kēia mau huahana ka mea maʻamau maʻamau a paʻa loa i ka stool ma kahi pale pale maʻamau. Me lākou, aia kahi ʻanoʻokoʻa o nā lau, nā hua, nā hua ʻai a me nā hua. ʻO ia ke kumu, ma mua o ka panakū, e ʻōlelo ʻia e noiʻi ʻoe i kāu papa ʻaina no ka lā i hala a ʻelua paha.
ʻO ka wehewehe ʻana i nā ʻulaʻulaLoaʻa ka larva i ka 0.41 milimetro i ka lōʻihi. Ma ke alo o ke kino he mau palps, hypostomes a me ka chelicerae. Ma ka kihi o kēlā me kēia chelicera he lāʻau laka i like me ka denticles. ʻO ka palaka helehelena ʻalani a ʻulaʻula paha. ʻO ka pololi red-mite lapuwale he helehelena ʻano, a ʻo nā mea momona maikaʻi hoʻi e hoʻonui i ka nui ma o 5 mau manawa. ʻUlaʻula-mite māka (Trombidiidae). Nui ka pale o ke larva i nā laina a me nā bristles, kahi i hoʻohana ʻia no ka paʻi ʻana, a i ʻike ʻia nā trichobotria sensory ma ka pale kaua. Ma ka ʻaoʻao o ke poʻo pale e loaʻa ai nā maka pig pig. ʻAʻohe maka o nā ʻano o nā ʻano ʻulaʻula ulaula. Loaʻa ka larva i 3 mau wāwae, nā wāwae i hoʻolako ʻia me nā puʻupuʻu. ʻO ke koko o nā manu, nā mammals, amphibians, a me nā reptile i lilo i ka meaʻai a ka ʻulaʻala ʻulaʻula. ʻO nā pinepine ma nā rodents he pūʻulu āpau o nā ʻulaʻula miki. Hoʻopili nā lolo i ke koko no nā lā ʻelua a i ʻole paha, a ma hope o ka saturation e hāʻule ai lākou i ka lepo. ʻO ka mua, pili ana nā palu me ka paʻa ʻana i ka neʻe ʻana a hele i ke ʻano o ka nymph. ʻO nā Nymphs i ka helehelena he ʻokoʻa ia me nā koʻi. ʻO nā ʻai nui o nā mites ʻulaʻula, e like me nā pākeke, e hānai i ke koko. ʻO nā huaila nāmela. Ke alakaʻi nei ʻo Nymphs i kahi ola manuahi ʻole, e ʻai ana lākou i ke aʻa a me nā mea ʻona liʻiliʻi. Noho nā kaila ʻelemaka i nā nahele a me nā ʻāpana o luna. Loaʻa nā poʻe pākeke i nā wāwae, ka nahele a me ka nāhelehele. Mālamalama ʻulaʻula a ʻulaʻula paha ke kino o nā ʻulaʻula. Hoʻopili ʻia ke kino holoʻokoʻa me kahi ʻāpana o ka lauoho. Hiki i nā wahine makua ʻelemakule ke ana he 4 aine ka lōʻihi. Ma muli o kona kalaʻulaʻula ʻulaʻula, e kū pololei ka mite ʻulaʻula. ʻO ke aʻo ʻana i nā moemoe ʻeleʻele i loko o kahi keikiE like me ka pākeke, ʻo ka mālama ʻana i nā feces ma kahi paleʻeleʻele o kahi keiki e hiki ke hoʻopilikia ʻia e nā maʻi ʻeha ʻole a me nā pōkole, a me nā hōʻailona lōʻihi a me ka pōʻino. Eia naʻe, ʻaʻole i kahi kanaka makua, ʻoi aku ka liʻiliʻi o nā keiki no ke kaumaha. Hoʻopili pinepine ʻia ke kala o nā mea hana o kahi keiki penei:
I nā keiki ʻōpio e hānai ʻia i ka umauma, hiki i nā kumu aʻe ke kumu o kēia kala huki:
ʻO ka hana hou ʻana o nā mites ʻulaʻulaʻulaLoaʻa nā pupu ʻulaʻula. Kēia ʻano o kēia ʻano hana i kahi ʻano paʻakikī o ka metamorphosis. ʻO kēia ma muli o ka hana i kekahi mau hana o ka hoʻomohala e lawe ʻia ka hana kūloko, ʻoiai ke hoʻokaʻina loa nā mea ʻē aʻe. No kēlā mau kanaka, he ʻano maʻamau nā dormancy, e like me ka pupae i nā iniseti ʻano. Hoʻohui ʻia nā hua ʻōpiopio mai nā hua i waiho ʻia ma ka lepo. Pau kēia hana i ka mālama o ka yolk mai ka pūpū a hoʻololi i loko o kahi larva. ʻO nā kāne ʻelua o nā ʻulaʻula like i ke kaulike me ka ʻōpū o waho. ʻO ka Fertilization kahi spermatophore, me ka hakakā ʻole. ʻO nā hua manu mite ʻulaʻula. ʻO ka hiki ke hoʻohālikelike i nā pupu ʻeleʻele i nā wahine hāpaiMa ke alo o kahi pale uliuli o nā feces i nā wahine hāpai a ʻaʻohe kumu maoli no ka hopohopo. ʻO ka kala Stool ma muli o ka hoʻokomo o ka hoʻomākaukau ʻana i ka huaora. Eia kekahi, ua lilo nā kumu aʻe i kumu kumu hou aʻe no kēia uhi:
No laila, i ka loaʻa o ke olakino maikaʻi e hiki mai ana, ʻaʻohe kumu no ka hopohopo. Eia nō naʻe, inā he moʻolelo o kahi ulia gastric me ka mālama ʻana i nā feces i nā kalaʻeleʻele, pono koke e hoʻopili aku i kāu kauka ma ka hōʻailona mua o kahi hoʻololi o nā kala stool no ka hōʻano hou. ʻVentionlelo PelekikenaPehea e loaʻa ai i kahi kaʻulaʻula? Pono e nīnau kēia nīnau i nā māla, me nā mea aloha o nā mea kanu o loko, ʻo ka mea o ke kua o nā lau he wahi punahele no ko lākou wahi. E like me nā mea pale, hiki ke hoʻohana ʻia nā mea aʻe:
ʻO ke aha nā palu e hoʻokau ai i ka uō?ʻO ka Parasite, a i ʻole, ko lākou maʻi maʻi, ke pālahalaha nei i kēia lā i hiki ʻole ke hoʻomaopopo ke ʻano o kēia pōpilikia no ka poʻe ʻike ʻole. Akā he mea nui loa ia e ʻike i kēia ʻikepili: aia nā lālani ʻino i nā wahi āpau - i ka meaʻai, ka wai kai, noho ma nā holoholona, nā manu, kahi ʻāpala o kahi mea maʻi a i ʻole lā he ʻelele o ka honua holoholona. No ke aha i hana ʻole ʻia ai ma mua? Aia kahi wehewehe maʻamau no kēia:
ʻO nā hiʻohiʻona o nā ʻōlionaKe ala e komo ai i loko o nā kānaka ma aneane āpau o nā ʻōpū ma loko o ka waha. Akā aia kahi mea ʻē loa - ke komo ka mīkini helminth i ke koko i ka wā o kahi o kahi mea maʻi maʻi maʻi. Hiki i nā ʻōhumu ke komo i ke koko ma nā wahi āpau o ke kino - e hilinaʻi āpau ia ma kahi e halihali ai kēia manawa. ʻO ka mea e komo i loko o ka waha, a laila e komo i loko o nā ʻōpū o kānaka. Noho kekahi mau mea i loko o ia, ua komo kekahi i loko o nā ʻāpana ʻē aʻe - ke ate, bile ducts, nā māmā. Inā like ʻole nā ʻano helminths e lele ana i loko o ke kino, komo i ka lolo, nā maka, ka puʻuwai. Helminths, ka mea i noho i kekahi kino, e hoʻonāukiuki i ka ʻike ʻana mai o nā maʻi like ʻole, a pinepine loa nā maʻi. ʻO nā hōʻailona aʻe o ka infestation parasitation ke ʻano o kahi kanaka i nā maʻi maʻi i ka manawa ma mua. A laila aia ka luku nui i nā kihi o nā kino i noho ai nā helminths. Akā pono nā parasit i nā mea kanu hou no ka ola maʻamau. E neʻe hou lākou, ma muli o nā mea e ʻike ʻia ai nā microcracks a me nā ʻeha kūloko, ma o nā mea huʻomela mai ke ola o nā huelo e komo ai i ke koko. Hōʻoia ʻia kēia ma kahi ʻano maʻi e like me ke olakino maikaʻi. ʻO ka mea ʻino ʻole, hiki i nā ʻōpio makua ke loaʻa i ka ihu, i nā pepeiao a me nā waha. Pehea nā hōʻailona o kēia? Pehea e hoʻohilahila ai i nā wēlani i ʻike ʻia i loko o ka nasopharynx me nā maʻi, nā hōʻike hōʻike o nā maʻi pākē, ka ʻono ʻana? Nā hōʻailona o nā āpauʻO ka mea mua, ma hope o ka kānalua o ka neʻe ʻana o nā kōlio, pono ia e makaʻala i nā hōʻailona maʻamau:
I ka hoʻomaka ʻana o nā ilo i loko o ke kino o ke kanaka, nā hōʻailona o nā maʻi o kēlā mau kino a lākou i hōʻeha ai e hōʻike iā lākou iho. No ka hoʻohālikelike, nā maʻi i hoʻonoho i loko o ke ake, nā bile dile: Inā komo ke koʻe i ka māmā o kahi kanaka, a laila e hōʻike i nā hōʻailona i loaʻa i ka maʻi o kēia ʻāpana.
Akā aia paha kēia mau ʻōloli me ka hōʻino i nā pōʻino o nā maka.
He aha ka mea e hōʻike ai i ka lanakila a nā kolo o ka nasopharynxMa hope o ka noho ʻana o nā parasitous i ka nasopharynx, e hoʻomaka ana nā hōʻailona o ka hoʻouka. ʻOiaʻiʻo, ʻaʻole mau o nā wili i loko o ka waha, a inā ʻike lākou, a laila ʻo nā ʻōpala ākea e pālahalaha hou aku e huli i ka wahi kūpono loa. Hiki i nā pūpū ke noho i ka ihu, i nā sinuses maxillary. Hiki iā lākou ke komo i loko o ka ihu, kahi e hoʻoiho ʻole ai i ka ʻoluʻolu wale nō, akā e hoʻolōʻihi i ka rhinitis mau, nā hōʻailona kūlohelohe a me nā maʻi ʻē aʻe. I kekahi manawa, i ka nui o ka nui o nā palaʻai a hiki iā lākou ke komo i ka lua o ka ihu a laila hiki ke ola i nā helminths maikaʻi a loaʻa i nā maʻi āpau. ʻAʻole maikaʻi loa kēia hanana.
Aia kekahi ʻōpū maloʻo i ka wā e neʻe ai nā wēlau mai loko mai o nā ʻōpū i loko o nā puʻu - e pihili mau ʻo ia no nā kino haole i loko o ka ʻāʻī. Ke hoʻōki i ka piliki like me hiki ʻole. ʻAʻole kōkua kekahi lāʻau lapaʻau. Eia kekahi, ʻaʻole wale kēlā mau mea palaka e hele ai i ka ʻōpū e hiki i ke kau ʻana i ka maloo, akā nā mea hoʻi e holo i loko o ka nasopharynx ma lalo o ka ʻili. A inā he mau mea ma luna o ka ʻili i ʻike ʻia e ka nānā ʻana i nā lemus i lawe ʻia mai ka ʻōpū i loko o ka ʻoihana, a laila hiki nā poʻe loea wale nō ke hoʻomaopopo i nā parasites ma lalo o ka ʻili. Hiki i nā ʻōpio ke noho i nā pepeiao. ʻAʻole lākou e komo mai ka ʻaoʻao i waho, akā mai loko mai, no laila pili pinepine ka pepeiao i loko. ʻAʻole loa e ʻike i ke kauka mai ka ENT, akā aia ka hele ʻana o nā anufe i loko o kēia wahi i manaʻo ai iā tinnitus. Eia kekahi, hiki i kahi ʻāpala ke hoʻopilikia ʻia e nā hōʻeha a me nā eha o ka pepeiao, nā mumū. Aʻo kahi hele like e hoʻohālikelike ai i kahi mahana kiʻekiʻe. He aha ka mea inā i kū aku kahi kilokilo ma kahi housepula?I ke hakakā ʻana i nā mea hihiu, hoʻohana ʻia nā hana pono 3. ʻO ke kumu mua o ka hoʻohana ʻana i nā lāʻau lapaʻau improvised. Akā pono ʻoe e ʻoki i nā mea kanu mai nā lau kahi i ʻeha ʻia ai nā ululāʻau.
ʻO ke ala ʻelua ʻo ka hoʻohana ʻana i nā meaʻala. Hoʻohana ʻia lākou inā ʻaʻole maikaʻi ʻole nā ʻano kumu ʻē aʻe. ʻO ke kolu ʻoi ka hana palekana i nā kānaka no nā kānaka. ʻO kaʻaeʻana, ʻo Agravertin, Akarin, Bitoxibacillin, etc. He aha ka hana inā e pōmole ʻia e kahi ʻulaʻula?ʻAʻole paʻa koke kekahi kanaka i ka palahu, ʻo ka mea ke hoʻopuka ka inika i kahi ʻano anesthetic kūikawā i loko o ke kino o ke kanaka. Ma hope o kekahi manawa, e uhi ʻia nā wahi o nā pua me nā wahi ʻulaʻula e hoʻomaka i ka ʻeha. Hoʻopau nui loa ka itching i ka pō. ʻO ke kikeke o kahi kikoʻī, e like me ka mea i ʻōlelo ʻia ma mua, ua nalo ʻia e kekahi kanaka, no laila ke paʻakikī ke ʻike ʻia iā lākou ma ke kino. He liʻiliʻi lākou a hūnā ʻia i nā lole o nā lole. No laila he aha ka hana inā pōpoki ke kiki? ʻO ka mea mua, pono e holoi ʻia ka wahi i hoʻopuni ʻia a hoʻomoʻa ʻia me ka disinfectant. ʻO nā lāʻau lapaʻau, hana lākou i kahi hana maikaʻi loa.
I ka wā kokoke, ma hope o kahi mānehau pipi, ʻike ʻoe i ke kauka. ʻAuhea e hele mai ai ka maʻi maʻa.I mea e ʻike ai i ka hoʻoili ʻana o nā iniseti i nā maʻi, pono ʻoe e ʻike i kahi kaila o ka hana nui a mite a me kāna mau hiʻohiʻona. Ke ulu nei ka hoʻomohala ʻana o ka palaai i kekahi mau kapuai, e like me ka hapa nui o nā ʻano arachnids. No ka ʻohana kēia ʻohana. Ma mua o ka hiki ʻana i ka pāʻelemakule, pono lākou e lanakila i nā mahele o kahi ʻano kīnā ʻole mana. Kāhea ʻia lākou nā nymphal. E huki i nā huaʻōlelo nymphs a maʻi wai i ke koko e like me ka poʻe i hiki i ka pae pākeke. Eia naʻe, pili pinepine kēia i nā holoholona i pili i kahi kokoke i ka lepo (rodents, bird, carrion). Hiki iā ʻoe ke ʻike i nā nymphs ma ke kino kanaka a me nā holoholona paha i nā hihia koʻikoʻi loa. Hōʻike ʻia kēia ma ko lākou hiki ʻole e neʻe i nā mea kanu ma muli o kā lākou mikroscopic nui. ʻO nā ʻōpiopio a me nā mea ʻōwili ka mea i ʻike i ke kumu nui o nā maʻi; ʻO ka hānai ʻana i ke koko o nā holoholona i hele ʻia, e hoʻihoʻi ka pepeke i nā pathogens. Eia kekahi, kūʻai aku ia iā lākou a hiki i ka neʻe ʻana i nā pae hou e hoʻomohala ai. I ka makahiki aʻe, i ka wā e ʻike ʻia ai kahi mākeke ʻelemakule, ʻike ʻia kāna mau wai ʻaihue. No ka mea, ʻaʻole ʻo nā holoholona āpau kahi e hānai ai i ke koko ka wai. ʻO ka hopena, ʻaʻole nā kāʻea a pau nā mea lawe i nā pathogens o nā holoholona a me nā maʻi kanaka. ʻO waho, hiki ʻole ke hoʻoholo. Nā ʻano manuʻu manuahiHe paʻakikī e manaʻoʻiʻo, akā i kēia lā ua ʻoi aku ka nui o nā mea he 48 mano o ka iʻa. Hiki iā lākou ke ola a hiki i nā kūlana Antarctic paʻakikī loa. ʻO ka pōʻino nui loa ka mea nānā i hānai ai i ke koko, a, ʻo ia hoʻi, e pālahalaha aku i nā maʻi a me nā maʻi.Hoʻopili kēia me nā māpē-kalepa o nā maʻi maʻi maʻi.
Pehea e holo ai ka maʻi?Ke kali nei i kahi mana e neʻe ai i hala, kahi ʻāpana kipi o nā maʻi lēpaʻa (ua hōʻike ʻia kahi kiʻi pōkole i loko o ka ʻatikala) e kolo ana i kahi lāʻau a i lalo paha nā lālā o kahi lāʻau. Ke manaʻo nei i ka ʻala o kahi mea ola, ke neʻe nei ka parasit i ia a koho i nā wahi me ka ʻili maikaʻi. ʻO kaʻoiaʻiʻo, hiki i ka pīpī ke hāʻule i nā wahi ʻē aʻe o ke kino. I ka wā o kahi hoʻouka ʻana i kahi holoholona i loaʻa i ka maʻi, ua komo ka maʻi i ka māka. Me kahi ʻakaʻaka i hoʻolaʻa hou ʻia o kekahi mea ola, e komo pū me nā kānaka, e mālama ana ka parasit me ia i ka lawaiʻa. Hoʻonui nui ka Bacteria i ke kino o ka mea nāna a hānai i nā kaʻina pili. I kekahi mau manawa, ʻaʻohe manawa a ka mea ʻai e hele ai i ke kikowaena maʻi. Nā mea ʻeha-lawe mai i nā maʻi hopohopo, no laila pono ʻoe e hoʻāʻo i ka manawa e hoʻoholo ai i ko lākou noho ʻana i ke kino. E ʻike pinepine ʻia ka parasitita i ka lā mua, akā ma hope o kēia manawa e hoʻonui pinepine ai ka wahine i nā manawa a he maʻalahi ke ʻike. I ka manawa o kēia manawa, loaʻa ka manawa i ka pā i ka palu ma ke kino. ʻO ka māka kāne kāne, ke hala ka hala, ua nalo. I kekahi mau manawa, ʻaʻole maopopo i ke kanaka no ke aha e hoʻopili ai kona olakino. He aha nā maʻi e hoʻoili ai i nā kānaka, e noʻonoʻo hou mākou. ʻO ka ʻili a me ka EncephalitisHe maʻi weliweli loa ʻo Borrelez i loaʻa i 1975 i ʻAmelika. I kēia manawa, ua lawe ʻia ka nalu o ka ona i loko o ka ʻāina a puni ka hopena o ka pio ʻana o ka parasito ixodic, e lawe ana i ke kumu kumu o kēia maʻi. Ma hope o kāna hāʻoki, ʻike ʻia nā hōʻailona like ʻole:
Inā ʻike ʻole ʻoe i ke kauka i ka manawa, hiki i ka meningitis a me ka lolo. E noʻonoʻo hou i nā maʻi mai nā kiki i loaʻa i kekahi kanaka. ʻO ka Encephalitis kekahi ʻano puʻupuʻu koʻikoʻi e hiki ai ke hoʻopilikia i ka lolo a me ka spinal cord, a me ka papa holoʻokoʻa holoʻokoʻa. A laila hiki ke nānā ʻia nā ala noʻonoʻo a me nā naʻau. I hoʻokahi pule ma hope o ka pīhoihoi, ʻike ʻia nā hōʻailona ma lalo nei
Inā hele mai kēia mau hōʻike, ʻo ka mea nui e pale i ka pōʻino o ke ʻano, ʻoihana hoʻokipa hoʻomaha wale nō e kōkua. I ka manawa e kali ai i nā hōʻailona mua?No kahi hopena e kū pono ai, pono ʻoe e ʻike ʻaʻole nā maʻi wale nō e hele mai i nā lāʻau. He mea nui e hoʻomaopopo iā lākou i ka manawa. Hōʻike ʻia nā hōʻailona mua loa o nā maʻi me ke kala a lele i nā lā ʻelua a i ʻole i loko o nā hebedoma ʻekolu e hala ma hope o ka maʻi. Aia wale nō i ka neʻe ʻana o nā pathogens i loko o ka lawaiʻa o ka parasit, nā pale a ke kino a me ke ʻano o ka heʻe ʻana. I waena o nā maʻi maʻamau i hopena ʻia mai kahi ʻno o nā ʻano ʻī aʻe, ʻike:
I ka nui o nā hihia, ʻaʻole kahi pōmole pili i kahi maʻi koʻikoʻi. Akā no nā poʻe e nānā i kahi hopena alaka, hiki ke paʻakikī ke kūlana e kahi hōʻeha, ka ʻeha a me ka hoʻōla, a ma nā hihia paʻakikī loa e ka anaphylactic shock. ʻO ke kōkua mua no kahi kihiʻOiai inā ʻo ka maʻa huakaʻi, ma hope o kahi koka, ʻoi ʻia ia e noi i ke kōkua ma kahi kikowaena seroprophylaxis a lawe i ka "Iodantipirin". Hoʻokuʻu ʻia ka mākeke penei:
Naʻi hoʻolikaI mea e pale ai iā ʻoe iho i nā hopena hopena, ʻoi aku ka maikaʻi o ka hāʻawi ʻana i nā māka ma ke kikowaena inā hiki. Hiki ke hana wale kēia inā ʻaʻole ʻino ka iniseti i ka wā lawe. Inā no kekahi kumu hiki ʻole ke hana i kahi noiʻi, ʻōlelo ke kauka i nā hoʻokolohua hoʻoliʻoli i kēia kanaka e hōʻike ai i nā pathogens hiki i ke kino. ʻO ke ala e ʻoi loa e hoʻoholo ai i nā pathogens he diagnostic serological no ka ʻike ʻana i nā antibodies i nā pathogens pathogen a me kahi ʻano kaulike polymer. I waena o nā mea ʻē aʻe, e hoʻomanawanui ka mea maʻi i ka maʻi paʻeka a me ke nānā i ke koko, ke kipa aku i ka neurologist, ʻoihana maʻi maʻi maʻi dermatologist a me kahi dermatologist. HoʻomaʻamaʻaI nā hola mua ma hope o ka ʻaihue ʻia ʻana e ka māka nui o kahi maʻi maʻi maʻi, ua pū ʻia ka mea pepehi me ka immunoglobulins e poloka ai i nā maʻi a kāpae iā lākou mai ke kino. E like me ka hoʻomaʻamaʻa ʻana o ia ʻano hoʻomaʻamaʻa, i ka hana o nā lā ʻehā, ma hope o kēia manawa, ʻaʻole pono nā lāʻau e hoʻohana. I nā hōʻekele mua ʻana o nā maʻi, ua hoʻokomo ʻia kahi kanaka i ka haukapila a lawe i nā ala kūpono. ʻO ka hapa nui e nā maʻi maʻi ʻoi aku ka mālama ʻia me nā antibiotika mai ka hui tetracycline. ʻO ka hoʻohana ʻana i nā lāʻau lapaʻau hou e hilinaʻi ʻia ma ka papa o ka maʻi a me nā hopena kūpono. I waena o lākou he mau testosterone steroid, painkillers a me nā lāʻau anti-inflammatory, immunostimulants a me nā huaora. Nā hana kūponoKe hele nei i ke kūlohelohe, pono ʻoe e nānā i nā ʻōpilikia aʻe:
I ka hoʻi ʻana i ka home ma hope o ka hele ʻana i ke ʻano ma ke ʻano a i ʻole kahi pikiki i ka manawa mahana, pono ʻoe e ʻoki a lūlū i nā lole i waho o ka puka. A laila pono ʻoe e nānā pono iā ia a me ke kino no ka hiki ke hiki o nā parasit. He aha nā maʻi e lawe ai ka ʻili i nā holoholona?ʻAʻole ʻoi ka pōʻino o nā holoholona i Ixodid. Ke ulu nui nei ka nui o nā lāʻau i kēlā me kēia makahiki. Maʻalahi loa ke hoʻokaʻawale ʻana iā lākou: he 6-8 mau wāwae, he 5 mm ka lōʻihi o ke kino ʻo 5 mm, ʻike ʻia nā hiʻohiʻona ma hope o ke kua. I ka wā o kahi kue, ua hoʻouna ʻia nā maʻi e like me ka holoholona:
He aha e pono ai ʻoe e ʻike e pili ana i nā ʻili?ʻO nā mea aʻe e noʻonoʻo pono ʻia:
Hoʻomaopopo ka ʻatikala i ke ʻano o nā ʻano lāʻau ʻehā, nā mea lawe i nā maʻi. Ke hele nei ʻoe i kahi hele ma kahi ululāʻau a i ʻole ka paka, he mea nui ia e pale iā ʻoe iho a me kāu poʻe keiki mai nā hopena hiki loa. ʻO ka makaʻā o ka lāʻau koloheNo nā kānaka a me nā holoholona, ʻo nā hua wale o nā ʻōpala ʻulaʻulaʻula i hoʻokau ʻia ka pōpilikia nui. ʻO ka ʻohana Trombea he nui loa ia, a ʻo ia wale nō kekahi mau mākaʻikaʻi kū i ka poʻe. ʻO nā ʻano maʻi āpau ke hopena o ka hoʻopiʻi nui ʻana e nā kolohe ʻo nā pulu manu. ʻO ka maʻi maʻamau loa he ʻano dermatitis kūikawā i kapa ʻia ʻo ka erythema a i ʻole ka thrombidiosis. Ma hope koke o ka hoʻopu ʻana, ua ʻike ʻia kahi wahi ʻulaʻula ma ka wahi i hoʻopili ʻia, e ʻeha nui ana, ʻoiai ʻo ka ʻalā e māhuahua i ka pō. Aia kahi lemona me ka lapalapa o 3cm, ulu kēia papule a hiki i ka lā 5, ma hope o 8 mau lā e hoʻoheheʻe ʻia nei, a waiho wale kahi wahi pōuli ma kona wahi, kahi e hiki ke ʻike ʻia no 2 hebedoma. ʻO kēia mau wahi i ka ʻeha, a me ka hoʻoulu ʻana e alakaʻi i ka hoʻopuka ʻana i kahi maʻi lua a me ke ʻano o nā uluna. ʻO nā ʻāpana ʻulaʻula halihali i nā maʻi make. Eia kekahi, ʻo nā ʻāpana ʻulaʻula mami ka mea halihali o ke kao o ka muliwai o Iapana a i ʻole nā typhoid fever. ʻO nā mea lawe i kēia maʻi ka poʻokela o nā ʻiʻo ulaula, e noho ana ma luna o nā rodents liʻiliʻi, marsupials a me nā holoholona insectivorous. ʻO ka maʻi o Iapana kahi maʻi maʻi maʻi huelo e hele pū ana me ke kuni, hoʻonui ʻia ka spleen, a me nā papula nui. Hiki ke hoʻopiʻi ka hoʻopiʻi i ka hoʻomohala ʻana o ka maʻi pneumonia, ka ʻino i ka lolo a me ka ʻōnaehana cardiovascular. ʻO ka make kino o kēia maʻi he 30%. He aha ka hana inā e pōpoki ʻia e kahi ʻāpana ʻulaʻula?Nui ka hapa o ka poʻe e ʻeha i kaomi kiki i kēlā me kēia makahiki. Inā lālau kahi pākuhi i nā lā he nui, a laila, ʻo ka pulu paha he mite ʻulaʻula ʻulaʻula. No ka mea liʻiliʻi kēia mau mites, paʻakikī lākou ke ʻike ma ke kino. Hūnā nā pale ma nā wahi i pili pono ai nā kapa i ke kino, no ka laʻana, ma lalo o ke kāʻei a kola paha paha. ʻO ka ʻeha ʻana o ka māka i kahi anesthetic i loko o ka ʻeha, ʻaʻole ʻo ka naʻaupō iho. ʻO nā hōʻeha ma ke kino he 24 mau hola ma hope o kahi pīhoihoi. Pono e mālama ʻia ka wahi i hoʻopau ʻia. I ke kakahiaka a me ke ahiahi, holoi ʻia ka nahu lā. Me ka minamina koʻikoʻi, hoʻohanaʻia nā lāʻau antiseptic. E kāpae i ka lotion a me nā wai ʻauʻau me ka celandine. Hiki iā ʻoe ke mālama i ka hōʻeha me ka hui ʻana o ka pēpē pēpē me ka infusion o ka holomua, chamomile a me ka celandine. Inā loaʻa ʻoe i kahi hala, e koho i kahi ʻāpana a me ka paʻi Ctrl + Kākau. Share
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