Fiva samasama

Fiva samasama o se siama faʻamaʻi pipisi e namu.

Fiva samasama e mafua mai i se siama ave e namu. E mafai ona e maua i lenei faʻamaʻi pe a e u oe e se namu ua pisia i lenei siama.

O lenei faamaʻi e taatele i Amerika i Saute ma i lalo o Sahara o Aferika.

Soʻo se tasi e mafai ona maua ile samasama fiva, ae o tagata matutua e maualuga atu le ono aʻafia i faʻamaʻi tuga.

Afai e utia se tagata e se namu ua pisia, o faʻailoga e masani ona tupu i le 3 i le 6 aso mulimuli ane.

Fiva samasama e 3 laʻasaga:

• Vaega 1 (faʻamaʻi): O le tiga o le ulu, maso ma soʻoga soʻoga, fiva, paluina o le tino, leai o se manaʻoga, puaʻi, ma jaundice e masani ai. Faʻailoga masani ona alu ese puʻupuʻu pe a ma le 3 i le 4 aso.
• Vaega 2 (faʻamagaloga): O le fiva ma isi faʻailoga e aluese. Tele o tagata o le a toe faʻaleleia i lenei tulaga, ae o isi ono atili ai ona leaga i totonu o le 24 itula.
• Vaega 3 (onā): Faʻafitauli ma le tele o totoga ono tupu, aofia ai le fatu, ate, ma fatugaʻo. O faʻamaʻi toto, faʻafilemu, koma, ma le le fiafia e mafai foi ona tupu.

Faʻailoga e ono aofia ai:

• Fiva, tiga o le ulu, tiga o le maso
• Faanoi ma puaʻi, atonu puaʻi toto
• Mūmū mata, foliga, laulaufaiva
• Paʻu samasama ma mata (jaundice)
• Faʻaitiitia urination
• Delirio
• Lē masani fatu fatu (arrhythmia)
• Toto (ono alualu i luma i le palapala toto)
• Faoa faamalosi
• Koma

O le tausi soifua maloloina o le a faia se faʻataʻitaʻiga tino ma faʻasologa suʻega toto. O nei suʻega toto e ono faʻaalia ai le paʻu ole ate ma fatugaʻo ma faʻamaoniga o le teʻi.

E taua le taʻu atu i lau tautua pe a fai na e malaga i nofoaga o loʻo iloa ai le ola lelei. O suʻega ile toto e mafai ona faʻamaonia ai le faʻamaoniga.

E leai se faʻapitoa togafitiga mo samasama fiva. Togafitiga e lagolago ma taulaʻi ile:

• Toto oloa mo toto paʻu
• Dialysis mo fatugaʻo toilalo
• Fluids e ala i se alatoto (vailaau oona)

Fiva samasama e mafai ona mafua ai matuia faʻafitauli, e aofia ai le toto i totonu. E mafaia le oti.

Faʻafitauli e ono iʻuga aofia ai:

• Koma
• Oti
• Faʻalauteleina faʻamaʻi pipisi (DIC)
• Le manuia fatugaʻo
• Le lelei le ate
• Siama o le salivary gland (parotitis)
• Siama lona lua siama
• Teʻi

Vaʻai se tautua pe tusa o le 10 i le 14 aso ae e te leʻi alu i se nofoaga e masani ona maua ai le fiva samasama e iloa ai pe tatau ona tui oe faasaga i lenei faʻamaʻi.

Taʻu vave i lau tautua pe a fai o oe poʻo lau tama ua maua i le fiva, tiga o le ulu, tiga o le maso, puaʻi, poʻo jaundice, aemaise pe a fai na e malaga i se eria e masani ona maua ai le fiva samasama.

E i ai se tui lelei e faʻasaga i le samasama fiva. Fesili i lau tautua a itiiti mai 10 i le 14 aso ae e te leʻi malaga pe a fai e tatau ona tui oe faasaga ile fiva samasama. Nisi atunuʻu manaʻomia faʻamaoniga o tui e ulufale ai.

Afai o le a e malaga i se eria e masani ona maua ai le fiva samasama:

• Moe i totonu o fale puipui
• Faʻaaoga vailaau e namu ai
• Fai ofu e ufiufi atoa ai lou tino

Fiva vevela malulu mafua mai i siama fiva samasama

Nofoaga autu mo le faʻamaʻiina o faʻamaʻi ma le 'upega tafaʻilagi itulau. Fiva samasama www.cdc.gov/yellowfever. Faʻafou Ianuari 15, 2019. Avanoa ia Tesema 30, 2019.

Endy TP. Fiva feʻavea. I totonu: Ryan ET, Hill DR, Solomon T, Aronson NE, Endy TP, eds. Hunter's Tropical Medicine ma Faamaʻi pipisi. 10 ed. Filatelefia, PA: Elsevier; 2020: chap 37.

Thomas SJ, Endy TP, Rothman AL, Barrett AD. Flaviviruses (dengue, samasama fiva, Japanese encephalitis, West Nile encephalitis, Usutu encephalitis, St. Louis encephalitis, tick-whanau encephalitis, Kyasanur Forest faamaʻi, Alkhurma hemorrhagic fever, Zika). I totonu: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, ma Bennett's Mataupu Faavae ma Faʻataʻitaʻiga o Faamaʻi pipisi. 9th ed. Filatelefia, PA: Elsevier; 2020: chap 153.