ʻIkepili o ka maʻi Chikungunya (CHIKV)

ʻO ka maʻi Chikungunya (CHIKV) kahi pathogen i lawe ʻia e nā makika e hoʻoulu nui ai i ke kuni Chikungunya. Eia ka hōʻuluʻulu kikoʻī o ka maʻi:

1. Nā ʻano o ka maʻi virus

• Hoʻokaʻawale ʻana: No kaʻO Togaviridaeʻohana, ʻanoʻAlepavirus.
• Genome: Maʻi RNA kaula hoʻokahi maikaʻi.
• ʻAno o ka laha ʻana: Hoʻolaha nui ʻia e Aedes aegypti lāua ʻo Aedes albopictus, nā mea lawe like me nā maʻi dengue a me Zika.

• Nā wahi laha: Nā wahi wela a me nā wahi subtropical ma ʻApelika, ʻAsia, ʻAmelika, a me nā mokupuni o ke Kai ʻInia.

2. Hana lapaʻau

• Ka Wā Hoʻoulu: ʻO ka maʻamau he 3-7 mau lā.
• Nā Hōʻailona Maʻamau:
  • Ke kuni kiʻekiʻe koke (>39°C).
  • ʻEha nui nā hono (ʻo ka hapa nui e pili ana i nā lima, nā pulima lima, nā kuli, a me nā mea ʻē aʻe), hiki ke mau no nā pule a i nā mahina.
  • ʻO ka ʻulaʻula maculopapular (pinepine ma ke kumu a me nā lālā).
  • ʻEha ʻiʻo, ʻeha poʻo, luaʻi tec.
• Nā hōʻailona mau: Ma kahi o 30% -40% o nā maʻi e ʻike i ka ʻeha mau o nā hono, hiki ke mau no nā mahina a i ʻole nā ​​​​makahiki.
• Ka pilikia o ka maʻi nui: Hiki i nā pēpē hānau hou, ka poʻe ʻelemakule a me nā mea maʻi me nā maʻi maʻi mau ke loaʻa i nā pilikia neurological (e like me ka meningitis) a i ʻole ka make, akā haʻahaʻa ka nui o ka make (<1%).

3. Ka ʻike a me ka mālama ʻana

• Nā Hana Hōʻoia:
  • Hoʻāʻo serological: nā antibodies IgM/IgG (hiki ke ʻike ʻia ma kahi o 5 mau lā ma hope o ka hoʻomaka ʻana).
  • Hoʻāʻo molekala: RT-PCR (ʻike ʻana i ka RNA viral i ka wā ʻoi).
  • Pono e hoʻokaʻawale maika maʻi dengue kuni, maʻi Zika, a pēlā aku (nā hōʻailona like)
• Lapaʻau:
  • ʻAʻohe lāʻau antiviral kikoʻī, a ʻo ke kākoʻo hōʻailona ke ʻano nui o ka lāʻau:
    • Hoʻopau i ka ʻeha/kuni (e pale i ka aspirin ma muli o ka pilikia o ke kahe ʻana o ke koko).
    • Ka hoʻomaʻū a me ka hoʻomaha.
    • ʻO ka ʻeha mau loa o nā hono e pono ai nā lāʻau anti-inflammatory a i ʻole physiotherapy.

4. Nā hana pale

• Kaohi ʻana i nā makika:
  • E hoʻohana i nā ʻupena makika a me nā mea pale makika (e komo pū ana me DEET, picaridin, a pēlā aku).
  • E wehe i ka wai paʻa (e hōʻemi i nā wahi hoʻomoe makika).
• ʻŌlelo aʻoaʻo no ka huakaʻi: E mālama pono i ka wā e hele ai i nā wahi maʻi ahulau a e ʻaʻahu i nā lole lima lōʻihi.
• Ka hoʻomohala ʻana i ka lāʻau pale: Ma ka makahiki 2023, ʻaʻohe lāʻau pale kalepa i hoʻokuʻu ʻia, akā aia kekahi mau lāʻau pale moho i nā hoʻokolohua lapaʻau (e like me nā lāʻau pale ʻāpana like me ka maʻi).

5. Ke Koʻikoʻi o ke Ola Kino o ka Lehulehu

• Ka Pōpilikia o ka Maʻi Aʻai: Ma muli o ka laha ākea o nā makika Aedes a me ka hoʻomehana ʻana o ke aniau, hiki ke hoʻonui ʻia ka laulā o ka laha ʻana.
• Maʻi ahulau honua: I nā makahiki i hala iho nei, ua loaʻa nā maʻi ahulau ma nā wahi he nui ma ka Caribbean, ʻAsia Hema (e like me India a me Pakistan) a me ʻApelika.

6. Nā ʻokoʻa koʻikoʻi maiDenguekuni

• Nā ʻAno like: Hoʻolaha ʻia nā mea ʻelua e ka makika ʻAedes a he like nā hōʻailona (kuni, ʻulaʻula).
• Nā ʻokoʻa: Hōʻike ʻia ʻo Chikungunya e ka ʻeha nui o nā hono, ʻoiaika maʻi dengueʻoi aku ka nui o ka hiki ke hoʻoulu i ke kahe koko a i ʻole ka haʻalulu.

Hopena:

ʻO mākou ʻo Baysen Medical e kālele mau ana i ke ʻano hana diagnostic e hoʻomaikaʻi i ke ʻano o ke ola. Ua hoʻomohala mākou i 5 mau kahua ʻenehana - Latex, colloidal gold, Fluorescence Immunochromatographic Assay, Molecular, Chemiluminescence Immunoassay. Ke kālele pū nei mākou i ka hoʻāʻo ʻana no nā maʻi lele, Loaʻa iā mākouHoʻāʻo wikiwiki ʻo Dengue NSI,Hoʻāʻo wikiwiki ʻo Dengue IgG/IgM, Hoʻāʻo wikiwiki hui pū ʻia ʻo Dengue NSI a me IgG/IgM