Hiki keʻikeʻia ka'ōpū o ke keiki inā paha e noho anaʻo ia ma kahiʻohana kahi e nānā pono ai i ke olakino a mālama i nā mālama. Loaʻa kēia ma keʻano he kiʻekiʻe loa ka likika o ka maʻi me helminthiosis, e hanaʻia e ka meaʻai (ma ka wai, nā lima lepo lepo, a me nā mea'ē aʻe) a iʻole ke kelepona (mai nā meaʻai a me nā maʻi). I Rusia, e pili ana i ka 80% o ka heluna kānaka.
Ma kēiaʻatikala e hoʻomaopopo mākou pehea e hoʻomaʻamaʻa ai a mālama i nā ilo i nā keiki.
Nāʻano o nā helminthias a me nāʻano o kaʻike
ʻO ka pane i ka nīnau no ka hanaʻana i nā ilo i loko o nā keiki e pili ana i kahi paramu i loko. ʻO ka kumu maʻamau o helminthiosis i nā keiki (hiki i 90%) ka hoʻohanaʻana i nā paleworms (Nematoda class).
Enterobiosis - ka hopena o nā helminths heluna o Enterobius vermicularis (pinworm). ʻO ka nui o ka pinworm kahi i hiki i ka 1 knm. Lele ka wahine wahine i waho o ka'ōpū i ka anus a kau i nā hua, i hele pū me ka momi nui. Hāpai ke keiki i ka anus, a laila e kau i kona mau lima i loko o kona waha. Pēlā, kū ka maʻi pilikino.
Ascaridosis - ka hoʻouka kauaʻana me ka helminth hello Ascaris lumbricoides (ascaris). Hiki i ke kanaka makua ke piʻi i kahi lōʻihi he 50 knm. Mai ka hua i loko o ka duodenum e hoʻoneʻeʻia ka larva. Komoʻo ia i loko o ka paia o ka'ōpū a hoʻokuʻu i loko o ka umauma me ke kahe o ke koko. ʻO ia ke kumu o kekahi o nā hōʻailona o ascaridosis. Ua hoʻouluʻia me nā'ōmole o ka'ōmole. No laila,ʻikeʻia ka'ōpala i loko o ka'ōpū, kahi i 8 lā i lilo ai i mea makua a hoʻomaka e hūnā i nā hua me nā feces.
ʻO ka mea pōʻino,ʻo nā helminthiases he meaʻuʻukuʻole ia ma mua o lākou. ʻO ke kumu kūpono kēia o ke kūlana haʻahaʻa o nāʻano diagnostical maʻamau (ka hoʻopiliʻana ma luna o ka helu-helu ame ka scraping). Hiki iā lākou keʻike wale i 20% o nā helminthias.
ʻO nā mea hou aku iʻike i nā ilo i loko o ke keiki he pololei loa:ʻo ke immunoassay enzyme (ELISA), ke kiʻi hoʻomanipuni magnetic (MRI), etc. Aʻo ka hapa nui o ia mau lako e loaʻa ana i nā keʻena o nā keʻena.
ʻO ka hapanui o nā mākua e hoʻomaʻamaʻa pono i ka hopena helminthic, a laila huli i ke keʻena no ka hōʻoia o ka hopena. Eia nā hōʻailona e hiki ai ke kuhikuhi i nā ilo o ke keiki:
- nā pilikia o ke kuhū (constipation a iʻole ka diarrhea);
- kaʻeha pūpū, colic;
- maʻi pāʻokoʻa, haʻalulu ili, dermatitis;
- aiʻole ka manaʻo nui o ka pōloli;
- nausea, drooling;
- nā hōʻeha o ka maʻi kīhāi, ka nui o ka'onaʻona;
- ka uwi ana o na niho, ke kui o ke keiki i na kui, a pela aku;
- hiamoe moe, moe hiamoe.
Ināʻoe eʻike i kekahi o kēia mau hōʻailona, aia ke kiʻekiʻe o ka helminthic i ka hopena.
Pehea e mālama ai i nā ilo i loko o nā keiki?
No laila, e nānā i ka pehea e kāpae ai i nā ilo ma nā keiki. ʻO nā hana lapaʻau e hāʻawi i keʻano o nā lāʻau lapaʻau, akāʻo nā mea lapaʻau no nā ilo no nā keiki he koʻikoʻi. No laila,ʻaʻohe pono e komo i ka lāʻau pono'ī. Na ke kauka e kōkua iāʻoe e koho i kahi maʻi a kau i kekahi kaulike no ka laweʻana i nā lāʻau. Hoʻomaʻaʻia nā helminthias, ma keʻano he kaulike, ke mālamaʻia e nā papa. Hiki iāʻoe ke hōʻoki i nā ilo ma kēlā me kēia kauʻana a pale i ka hanana hou. I kēia manawa, aia nā papahana holoʻokoʻa mai nā ilo ākea ma nā keiki (Pirantel, Nemozol). ʻO nā'īlio kaulana loa no nā keiki
Hoʻomohalaʻia kekahi mau lāʻau lapaʻau no nā ilo i loko o nā keiki. He mau mea hana lākou eʻae ai iāʻoe e hoʻomākaukau i ke kino no ka hoʻomaluʻana a hoʻopiliʻana i nā pāʻani wale nō, akā, hoʻomāhuahua i ka'ālia. ʻO nā lāʻau lapaʻauʻaʻole ia he meaʻino a maikaʻi. ʻOiaʻiʻo, e lawe iā lākou no ka wā lōʻihi.
ʻO kekahi lāʻau lapaʻau'ē aʻe ke hāʻawi aku i kahi pane i ka pilikia o keʻano o ka weheʻana i nā ilo mai kahi keiki. Mai ka wā kahiko mai, ua hoʻohanaʻia nā huakenaʻala mai nā'īlio o nā keiki. Makemake nā keiki eʻai i 50-100 grams o nā hua i kēlā lā i kēia lā.
Eia kekahi, pono eʻikeʻoeʻaʻole lawa ka mālama waleʻana i kahi keiki. Pono pono nā lālā o kaʻohana e mālama. Ināʻole, hiki ke hoʻoneʻe nā hana a pau a hiki i ka maʻi ke loli hou.