wehewehe kikoʻī
Loaʻa ka Leptospirosis ma ka honua holoʻokoʻa a he pilikia maʻamau ka maʻi olakino maʻamau no ke kanaka a me nā holoholona, ʻoi aku hoʻi ma nā wahi me kahi ea wela a me ka ea.ʻO nā waihona wai kūlohelohe no ka maʻi leptospirosis he ʻiole a me nā ʻano ʻano nui o nā mea momona.ʻO ka maʻi kanaka ke kumu e L. interrogans, ka lālā pathogenic o ka genus o Leptospira.Hoʻolaha ʻia ka maʻi ma o ka mimi mai ka holoholona hoʻokipa.Ma hope o ka maʻi, aia nā leptospires i loko o ke koko a hoʻomaʻemaʻe ʻia ma hope o 4 a 7 mau lā ma hope o ka hana ʻana o ka anti-L.interrogans antibodies, ka mea mua o ka papa IgM.ʻO ka moʻomeheu o ke koko, mimi a me ka wai cerebrospinal kahi ala kūpono e hōʻoia ai i ka maʻi ma ka 1st a 2nd pule ma hope o ka hoʻolaha ʻana.ʻO ka ʻike serological o nā antibodies anti L. interrogans kekahi ʻano hana diagnostic maʻamau.Loaʻa nā hoʻokolohua ma lalo o kēia māhele: 1) ʻO ka microscopic agglutination test (MAT);2) ELISA;3) Nā ho'āʻo antibody fluorescent indirect (IFATs).Eia nō naʻe, ʻo nā ʻano hana āpau i ʻōlelo ʻia ma luna nei e koi i kahi hale paʻakikī a me nā ʻenehana hoʻomaʻamaʻa maikaʻi.ʻO ka Leptospira IgG/IgM kahi hōʻike serological maʻalahi e hoʻohana ana i nā antigens mai L. interrogans a ʻike i nā antibodies IgG a me IgM i kēia mau microorganism i ka manawa like.Hiki ke hana ʻia ka hoʻāʻo e nā limahana i hoʻomaʻamaʻa ʻole ʻia a liʻiliʻi paha, me ka ʻole o nā mea hana hoʻokolohua paʻakikī a loaʻa ka hopena i loko o 15 mau minuke.
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