Monocytic ehrlichiosis kanaka:ʻike, a me ka lapaʻau

Monocytic ehrlichiosis kanaka - keia mea he pohihihi keia infectious maʻi kena ae la ia e koʻohune o ka ohana Ehrlich. Pathology ke hoike mai i ka oi mahuahua ma ke kino wela, headache, Muscleʻeha (myalgia), ole, unexplained luhi, nawaliwali. Symptomatology ua mālama i loko o kekahi mau pule ma hope o ka loiloi mua maʻiʻaʻai. Eia kekahi, ma na hihia a pau, e like me ka hopena o ke keʻena hoʻokolohua ho'āʻo ma hoikeia mai ka ho'ēmiʻana i loko o ka helu ana o platelets i hoʻolahaʻia ke koko (thrombocytopenia) a me ka emi ana ma keʻokeʻo koko aeea helu (leucopenia), a me ka'āno'ē ulu i loko o ka 'ilikai ai o kekahi akepaʻa nā'ūhū (hepatic transaminase). Ma kekahi mau hihia, symptoms holomua a me ka hoʻohikiʻia ma ka nausea, ka luaʻi, diarrhea, ke kaupaonaʻana lilo, lilo o ke kohoʻia i loko o ka lewa. Inā ka hoʻomanawanui ua 'akomi i kanaka monocytic ehrlichiosis, lapaʻau e hahai koke ma hopeʻike, no ka mea, i ka wa e kaawale aku o ka pono Inc maʻi hiki aku ai i ka pilikia complications e like meʻaʻa puʻuwai a naehana hanu ole. Nā moku halihali mokulele o nā mea palahēhē i na lepeta.

Na hoailona a me symptoms

Monocytic ehrlichiosis kanaka, symptoms o i ia mea oluolu ia e pioloke me symptoms o infectious maʻi 'ē aʻe, a i loaʻa comparatively nei hoʻokolokolo. Ehrlich lawe ohana koʻohune - nō kāu, ka pathology ma hope o ka tick nahu hoike aku ka hola ekolu pule. Initially, nā mea maʻi pilikia mai typical na hoailona o ka maʻiʻaʻai, a me ka nihinihi mahuahua ma ke kino a me ka mahana mau nawaliwali. Ma kekahi mau hihia, ili poʻe noʻonoʻoʻole i ua hou i ka ia symptoms. I loa nā mea palahēhē ke ahonui haalele i ikaika loa ka makemake, mi kino hookeai a me ka mea ma pilikia o ka maʻi anorexia. I kekahi manawa, he mea no hoi na hoailona o ka ehrlichiosis rarer - e like me cough, diarrhea, eha loa puʻu, (pharyngitis), a me ka abdominal kaʻeha.

Ma ka hapanui o na hihia, i ka wa a na kanaka monocytic ehrlichiosis ua kēia,ʻike, komo ai ke koko e ho'āʻo ai. Nā hopena o kēia mau examinations (hoʻohui pū leuko- a me ka thrombocytopenia concurrently me ka'āno'ē elevation o ke akepaʻa nā'ūhū) ae i ka hoʻomanawanui, e kau i ka pololeiʻike. Ma kekahi mau hihia, i ka hoʻomanawanui i poino mai ka ake li nui (hepatitis).

I ka wa e kaawale aku o ka pono lapaʻau hoʻomōhala loa monocytic ehrlichiosis kanaka. mai maʻamau hoikeana o ka maʻiʻaʻai Symptoms o ka maʻi ma keia kahua oko a hiki e hoikeia ma ka hahaiʻanaʻike manaʻo a me ka hākālia nō:

• pokole o ka hanu (dyspnea, dyspnea);
• pilikia a me ke koko clotting (coagulopathy) i hiki alakai i kahe ana ke koko i loko o ka gastrointestinal'āpana;
• neurological kāna hana ma muli o ke cerebral a spinal maʻiʻaʻai (Central ko mākou hopohopo nenoaiu).

Inā ka maʻiʻaʻai kahili ae i ka Central ko mākou hopohopo'ōnaehana, he hoomanawanui me kaʻike, o "kanaka monocytic ehrlichiosis" ia akulla'āno'ē'aʻaʻa (ʻeho) i loko o ka lolo. Eia hou, i kekahi manawa? Ac? Meningitis - li nui o ka aiiayʻili lahilahi membranes o ka lolo a me ka spinal kaula. Cerebrospinal loli hiki ke loli no hoi ma o ka maʻiʻaʻai.

neurological hoike ana

Neurological symptoms o ka maʻi nā:

• disorientation;
• 'āno'ē pā lonoaʻili i ka malamalama (photophobia);
• oolea i loko o ka'ā'ī;
• Episode o kipi uila haʻawina i loko o ka lolo (ke kāʻili 'ana);
• coma.
• Ma pohihihi keia hihia, ma laila nō:
• excessively, pili reflex reactions (hyperreflexia);
• incoordination o ka naau mai ka neʻe 'ana (ataxia);
• hapa lilo ana o Hawaii nā mea hiki o lehalehu t nāʻiʻo aie i ka poino ana o kekahi (a oi) o ka poe umikumamalua hui o nā aʻalolo pili me ka lolo (cranial nā aʻalolo poe lolo).

Monocytic ehrlichiosis a kanaka granulocytic anaplasmosis i loko o ka wa e kaawale aku o ka 'oihana lapaʻau o ka maʻi i ola-na olelo hooweliweli au.

kumu

Kela ano keia ano o ka ua kālailai pathology, kena ae la ia e koʻohune pili ana i ka ohana o Ehrlich. Pathogen monocytic ehrlichiosis kanaka ua noʻonoʻo Gram-io.

Ua Ua manaoio aku i ka papa kuhikuhiE kumu o ka maʻiʻaʻai - he tick nahu. Kekahi o kēia mau nā mea kolo e nā moku halihali mokulele o pathogens.

Once i loko o ke kino ma ke koko, Ehrlichia hoʻopulapula ma ke koko a me ka lymphatic moku. Lymph - he kino loli lawe ana keena hoʻololi i ke kaua infectious maʻi. Nā koʻohune lawe i noho i loko o kekahi keena (monocytes a me macrophages), a hula kūlana he invaluable i loko o ka malama ana i ka hale lio functioning o ka'ōnaehana paleʻea nenoaiu. Mau keena ale iho koʻohune a hoʻokō '(kaʻina kapa phagocytosis), me koʻohune a me nā haole' ē hehee wale. Eia naʻe, Ehrlichia komo hohonu i loko o ka maoli'ōnaehana paleʻea iho hoʻomaka e ulu ana ma na vacuoles - cavities, hoopuniia ma kaʻili lahilahi. Ka maʻi e loli ai,ʻaʻole wale na monocytes a me macrophages i loko o ke koko, akā, i kekahi mauʻano o ke kino nā'aʻaʻa (me ka iwi ka lolo, lymph aka wahi, akepaa, spleen, puupaa, maʻiʻaʻai a me spinal loli).

Differentsiatsialnayaʻike,: granulocytic anaplasmosis

Nā symptoms o keia maʻiʻaʻai hiki ke hoopuni pioloke me symptoms o nā pathologies. Ka loa pinepine palena pauʻike, e e monocytic ehrlichiosis a me kanaka granulocytic anaplasmosis.

Haʻalele Mach, granulocytic anaplasmosis kena ae la ia e koʻohune me ka inoa kūpono Anaplasma. Microorganism lawe ma ticks, e loli ai kekahi granular keʻokeʻo koko keena - neutrophilic granulocytes. Mau keena e hoʻomau ana i loko o ke kaʻina hana o ka phagocytosis a me ka mea i hookuu kuleana no ka luku ana i nā palapala microbes. I ka iho mailoko me Anaplasma typical symptoms pele hoikeia ma ka hebedoma hope o ka tick nahu - transporter koʻohune. Kokoke mau, ke hoʻomanawanui poino mai kuni, ole, Muscleʻeha (myalgia), mau nawaliwali, luhi, headache. I kekahi manawa, he mea no hoi he cough, ka luaʻi, a / a disorientation. Eia kekahi, granulocytic anaplasmosis like i ka maʻiʻaʻai e like me kanaka monocytic ehrlichiosis, ma ka mea ana i ka hopena o nā ho'āʻo ma koko hoike mai i ka mea ulu o kekahi akepaʻa nā'ūhū (hepatic transaminase). Pinepine undiagnosed a me ka anaemia, kena ae la ia e ka'āno'ē emi i loko o ka nui o kaʻulaʻula koko keena ma o ka hoʻolahaʻia ke koko. I ka wa e kaawale aku o ka pono lapaʻau ia lŘlŘ ma ka pilikia o ka uluʻaʻa puʻuwai ole. Ma ka US, na hihia o kanaka granulocytic anaplasmosis loa pinepine kākau i loko o ka northeastern a komohana o Hawaii.

wela sennetsu

Monocytic ehrlichiosis kanaka (Mach) e e hookoaia hoi mai kuni sennetsu - loa poorly ike a me ka loa pohihihi keia infectious maʻi no a hiki i ka subtype o kanaka ehrlichiosis, kena ae la ia e koʻohune a me ke kūponoʻia ka inoa - Ehrlichia sennetsu. A mau pule ma hope o ka loiloi mua maʻiʻaʻai hoʻomōhala symptoms like me ka mea e like me ka hoailona o Mach: he oi mahuahua ma ke kino wela, headache, Muscleʻeha (myalgia). Kekahi nā mea maʻi i nausea, ka luaʻi paha poho o ka ikaika loa ka makemake a anorexia. Eia kekahi, hiki ke ike i ka hopena o ke koko e ho'āʻo ai, e emi i ke kiʻekiʻe o ke keʻokeʻo koko aeea helu (leucopenia) a me ka pathological mahuahua ma ka buke o ke akepaʻa nā'ūhū. Ke lawe (a lawe) sennetsu kuni ua nō i kaʻoi loa hookupaaia; kekahi kānakaʻepekema paipai i ka mea i e ticks, mea 'ē noiʻi e olelo aku nei i keia maʻi hiki lilo iho mailoko o ma hope o kaʻaiʻana maka iʻa. Ma ka manawa, i mālama nā mea palahēhē wale ma ka hikina o Iapana a me Malaysia.

Lyme borreliosis

Lyme borreliosis - he infectious maʻi, kena ae la ia e koʻohune, spirochetes o ka Borreliaʻohana. Nā moku halihali mokulele vredosnosnyh microbes i Ixodes scapularis. Ma ka hapanui o na hihia, ka maʻi i kuhikuhi hoike mai ai ia helehelena o ka ulaula nani ma luna o kaʻili, a ma mua helehelena e like me ka hoala hoʻopoepoe kahi o ka poe liilii, nui (papules). Papule hoʻomaka e ulu koke, a ma ka liʻiliʻi elima kenimika ma ka anawaena e ho'ōla ihoiho. Ma hope iho o ia he mea symptomatology, characterizing a monocytic ehrlichiosis kanaka. Ka pahiki o ka maʻiʻaʻai o Lyme borreliosis mea nui ma lalo o ka pilikia o ka lālau Mach, akā, palena pauʻike, e waiho ana no he ponoʻanuʻu i ka hoomaopopo ana i ka maʻiʻaʻai. Hoʻomanawanui iki mai me Lyme borreliosis kekahi pinepine ohumu o ke kuni (ʻaʻole i pahi a me ka weliweli, e like me ia ma Mach), ole, myalgia, headache, nawaliwali, luhi, a me ka eha, a me ka oolea o na ami nui (infectious arthritis), i hookuu i ka kuli. Ke symptomatology e lawe i ka palapala o recurrent pōʻaiapuni. I loa hoopii, ina haʻalele untreated ae nānā mau neurological kāna hana a me nā maʻi o ka naau Muscle. Wahi a ka 'ikepili helu, ka hapanui o Lyme borreliosis ua loaʻa i loko o ka northeastern United States. Eia naʻe, eia nā hihia o ka maʻiʻaʻai, a me nā'āina, a me Kina, Japan, Australia a me Europa aina kekahi.

piroplasmosis kanaka

Monocytic ehrlichiosis kanaka, i ka manawa o ka maʻiʻaʻai i mea kŘpa a ma luna ma mua o ka pilikia o ka maʻiʻaʻai me nā koʻohune, mea ole ka mea wale palena papaha pilikia infectious maʻi lawe ma ticks. Piroplasmosis kanaka (i loko o nā hua'ōlelo - babesiosis) - he maʻiʻaʻai, kena ae la ia e hookahi-aa? Anakahi iki-meaola mai o kaʻohana o Babesia. Loa pinepine keia maʻi e loli ai holoholona, akā, kēlā wā i kēia wā, ua hihia o kanaka mailoko o ia mea. Ma kekahi, ka mea, ua manaoio ia ticks i nā moku halihali mokulele o Babesia i hiki parasitize i ke kanaka kino. Piroplasmosis e like me ka monocytic ehrlichiosis kanaka mua symptoms: hoʻomanawanui iki mai ohumu o ke kuni, ole, headache a me ka Muscle eha, nausea, ka luaʻi. Eia kekahi, ma laila nō ka hananaʻano'ē, e like me premature loa ia'na o kaʻulaʻula aeee i loko o ke koko holo (hemolytic anaemia),'āno'ē emi i loko o lākou ka helu (thrombocytopenia), ke emi ka huina keʻokeʻo koko aeea helu (leucopenia), a me ka hoʻonui o ka spleen (splenomegaly). People me ka pono ole, kupono ola symptoms e oko palupalu a me kahi e loa. Loa na hihia o ka piroplasmosis kanaka malama i loko o nā mea maʻi i mua akaaka maluʻoki kino, e wehe i ka spleen (splenectomy) ole i ka nawaliwali'ōnaehana paleʻea kahua. Loa pinepine diagnosed kanaka babesiosis ma ka akau o kaʻAmelika Hui Pūʻia, akā, he mau hihia o ka ka loaʻaʻana i loko oʻEulopa'āina.

'Amelika tick typhus

Monocytic ehrlichiosis kanaka pono e ike okoa mai ka American tick ricketsiosis - pohihihi keia infectious maʻi kena ae la ia e koʻohune o ka Rickettsiaʻohana. Maʻi leleʻana mai o ka mea hookahi no nā mea kolo e hiki iho mailoko o ka kanaka monocytic ehrlichiosis. I ka typhus malama loa headaches a me Muscle aches, kuni, ole, lilo o ke kohoʻia i loko o ka lewa. Ma ka hapanui o na hihia, ma hope o elua - eono lā ma hope o ka tick akiaki oukou he mea he ili poʻe noʻonoʻoʻole, kuhikuhi e uhi ana i ka poho, na pulima oʻu, kapuwaʻi o nā kapuwaʻi, a me nā puʻupuʻu wāwae forearms. Hope, i ka poʻe noʻonoʻoʻole i hohola i ka maka, torso a malalo wawae. I kekahi manawa, loaʻa nō nausea, ka luaʻi, a abdominal eha. Ma kekahi mau hihia, i ka wa a ka maʻi ua ole diagnosed ma ka manawa, a ma ka wa e kaawale aku o ka pono lapaʻau, ka symptoms o tick-hānau US ricketsiosis ke e ola mau olelo hooweliweli. Outbreaks o ka maʻi i palapala ia ma kekahi wahi o ka 'Amelika.

lapaʻau '

Diagnose kanaka monocytic ehrlichiosis, maʻiʻaʻai i mea hiki ke i palena papaha pilikia symptoms, e pono e hoʻohana i ka hoʻokolokolo pono 'inikua ninaninau, Ka Ikepili o ka maʻi-noa, a hana kūikawā keʻena hoʻokolohua ho'āʻo ma. Koko ho'āʻo ma pinepine hoike typical hoike ana mai o kanaka monocytic ehrlichiosis: emi ma kaʻulaʻula koko aeea helu (thrombocytopenia), ka ho'ēmiʻana o kekahi keʻokeʻo aeea helu (leucopenia), a me kekahi i ka wā hoʻokahi mea ulu i loko o ka nui o ke akepaʻa manaʻo nā'ūhū (e laʻa me, lāʻau lapaʻau aspartate aminotransferase a alanine aminotransferase). Ma kekahi mau hihia, e like me ka hopena o ke keʻena hoʻokolohua ho'āʻo ma loaʻa pathological cerebrospinal loli. Eia hou kekahi, umauma X-Ray e huai ae'āno'ē loli ma na maʻiʻaʻai (e laʻa me pulmonary infiltrates a me ka liki ole loli hoʻomāhuahua).

Research koko haukaʻe i lalo huina'ine-ulana lole microscope ke huai ae hoʻomāhuahua o koʻohune i loko o nā vacuoles o kekahi keena (pakahi aku la ia monocytes), akā, ma nā kahua o ka hoʻonaʻauao kakahiaka o ka maʻiʻaʻai manawa ua mau huhui waina a lākou, he ole hiki. Ma kekahi mau hihia, hou hana kūikawā keʻena hoʻokolohua e ho'āʻo ai i ka hoʻoholo 'ana i ka hana i ho'ākāka' ano o ka maʻiʻaʻai, a hoopaa i kaʻike,.

Oia hana kūikawā ho'āʻo ma nā, no kekahi laʻana,ʻauhau'ēʻaʻe immunofluorescence hana no kaʻimiʻana pathologies, i komo ai i ke ao o ka lāʻau lapaʻau hua mai la i ka kumu o ka hoʻomanawanui ka koko. Nā mea'aʻaʻa - nā polokina hua mai la ia e kekahi keʻokeʻo koko keena - kōkua i ke kino kaua toxins a me nā palapala microorganisms. I ka hoʻohana 'ana iʻauhau'ēʻaʻe immunofluorescence i hookohu aku i ka kanaka i ho'ākāka' nā mea'aʻaʻa i hiki i kukui hāweo make, Ua waiho lāʻau lapaʻau ma lalo o ultraviolet pāhawewe, a huli aku ia ma lalo o ka microscope e kuhikuhi i ka reciprocal lāʻau lapaʻau kino naoh i kekahi microorganisms.

lapaʻau

Inā hoopaaʻike, o "kanaka monocytic ehrlichiosis," ma mua o ka hana i kēia maʻi? Loa pinepine, kauka i hoakaka ia ma ka maʻamau laʻau heluna o tetracycline antibiotics. Like i kekahi koho Inc ua i kekahi manawa hoʻohana 'ia ma luna o ke kulanui i o doxycycline. I loa hoopii, i ka hoʻomanawanui i Pono 'oihana hooponopono i loko o ka haukapila. Ma waho aʻeo ia antibiotics, he mea hiki, e lawe i kekahi lapaau kauka ka ae i mea e kōkua ai i ka typical symptoms o ka maʻiʻaʻai.

Kāohi

Inā 'oe e noho i loko o ka Geographic māhele'āina, a ua noho ma ka ticks palena papaha hoʻopōʻino, e like me nā moku halihali mokulele o ka koʻohune ohana Ehrlich, ia mea kupono, e lawe i ke kūpono kaiapuni. Inā 'oe e haalele ana i ka aina, e hoomanao ia oe e hiki e hoala i ka pilikia o ka aoao hana i kekahi maʻi nui e like me monocytic ehrlichiosis kanaka. Photo lepeta i hoopaa nā moku halihali mokulele o ka koʻohune, e noho kiai, nae, e ike i ka Loaʻaʻiaʻenemi i loko o ka maka mea,ʻaʻole lawa. Lei lōʻihi lole wāwae, pālule, a me T-pālule, me ka lōʻihi lole a. He nui ke komo pālule, i ka mea maikai - ākea-brimmed pālule, e like me na lepeta noho i loko o ka laau. Koho malamalama-nā pōpō lole, no ka mea, o easiest e ike i ka insect. E hoʻohana i ka mea kūikawā hana-repellent, a e hōʻoia i nāʻili a me ka aahu pinepine hiki nānā. Hapanui tickʻaki ana ma ka ili poo a me ka ai.