Ke hoʻopili nei ʻoe i kāu keiki liʻiliʻi? E aʻo kākou e pili ana i ka Papa Hana Hoʻopili no nā Kamaliʻi!

Nāu Ua ʻike au i kou mālama nui ʻana i ke olakino o kāu pēpē . E like me nā makuahine a me nā makuakāne a pau, makemake ʻoe e pale iā ia mai nā maʻi. ʻO ia ke kumu e kamaʻilio ai mākou e pili ana i kēia kumuhana koʻikoʻi i kēia lā, ʻo ia hoʻi ka papa hana pale no nā keiki ʻōpio. Ma ka hahai pono ʻana i kēia, e palekana loa kāu keiki mai nā maʻi weliweli he nui.

No ke aha e pono ai e hāʻawi ʻia kēia mau lāʻau pale i ka manawa kūpono?

I kēia manawa, ke noʻonoʻo nei paha ʻoe, "No ke aha mākou e pono ai e hāʻawi i kēia mau lāʻau pale i kēia makahiki kikoʻī?" He nīnau koʻikoʻi loa kēlā. I ka ʻōlelo maʻalahi, ua hoʻomohala ʻia kēia papa hana pale ma muli o ka noiʻi nui a me nā ʻōlelo aʻoaʻo mai nā loea lapaʻau. Hoʻokumu ʻia kēia papa hana ma luna o ʻelua mau kumu:

1. Ka manawa e pane maikaʻi ai ka ʻōnaehana pale o ke keiki i ka lāʻau pale: ʻO ia hoʻi, hāʻawi ʻia ka lāʻau pale i ka manawa kūpono loa i ka wā e hoʻokumu pono ʻia ai nā antibodies o ke kino a ua mākaukau ke kino e hakakā i ka maʻi i nīnau ʻia.

2. ʻO ka makahiki e pilikia nui ai ke keiki i ka loaʻa ʻana o ka maʻi: Aia kekahi mau maʻi e loaʻa pinepine ai i nā keiki i kekahi mau makahiki. No laila, he mea nui e hoʻāʻo ʻia ma mua o kēlā wā pilikia. ʻO kekahi o nā pahuhopu nui o kēia papa hana ka hōʻoia ʻana i ka palekana .

Hāʻawi ʻia kēia mau lāʻau pale ke lawe ʻoe i kāu keiki no kā lākou mau kipa nānā pono maʻamau. No laila, ma ka hoʻokuʻu ʻole ʻana i kēlā mau kipa, hiki iā ʻoe ke hōʻoia i ka hāʻawi ʻia ʻana o nā lāʻau pale i ka manawa kūpono. Eia nō naʻe, he mea nui loa iā ʻoe ke ʻike i nā lāʻau pale i hāʻawi ʻia a me ka makahiki hea. E kamaʻilio kākou e pili ana i kēlā me ka hohonu iki i kēia manawa.

I ka makahiki hea e hoʻopili ʻia ai nā keiki?

Hāʻawi ʻia ka hapa nui o nā lāʻau pale o kāu keiki ma mua o ko lākou piha ʻana i ʻelua makahiki. ʻOi aku ka nui o nā lāʻau pale i hāʻawi ʻia i loko o ka makahiki mua o ke ola. ʻO kēia no ka mea he palupalu loa nā pēpē hānau hou a me nā keiki liʻiliʻi. No ka mea, ʻaʻole i hoʻomohala piha ʻia ko lākou ʻōnaehana pale, ua maʻalahi lākou i nā maʻi he nui. Hiki i kekahi mau maʻi ke hoʻoulu i nā kūlana koʻikoʻi a i ʻole ka make. No laila, he mea nui loa ka hāʻawi ʻana i kāu keiki i ka papa hana lāʻau pale kūpono, ʻoi aku hoʻi mai ka hānau ʻana a hiki i 12 mahina.

Hāʻawi ʻia ka hapa nui o nā lāʻau pale no nā kamaliʻi i kahi makahiki kikoʻī a i ʻole i kahi helu o nā makahiki i hoʻonohonoho ʻia. Eia nō naʻe, aia ʻelua mau ʻokoʻa liʻiliʻi i kēia. ʻO ka lāʻau pale maʻi influenza (flu) a me Manaʻo nā loea e hāʻawi ʻia ka lāʻau pale COVID-19 i nā keiki e hoʻomaka ana i ka makahiki 6 mahina, i nā manawa maʻamau, a hoʻomau ʻia i ka wā kamaliʻi a hiki i ka wā ʻōpio.

ʻO ka maʻamau, hāʻawi ʻia ka lāʻau pale maʻi palū i hoʻokahi manawa i ka makahiki. E haʻi aku kāu kauka keiki iā ʻoe i ka pinepine o kou loaʻa ʻana i ka lāʻau pale COVID-19, ma muli o ka makahiki o kāu keiki a me nā ʻike ʻepekema hou loa.

I kēia manawa, e nānā kākou i nā lāʻau pale i hāʻawi ʻia i nā keiki e like me ko lākou mau makahiki. Paipai ʻia kēia papa hana no ka hapa nui o nā keiki. Eia nō naʻe, inā he maʻi olakino kāu keiki a i ʻole nā ​​​​kumu pilikia ʻē aʻe, pono paha nā lāʻau pale hou a i ʻole nā ​​​​lāʻau. E aʻo aku kāu kauka pediatric iā ʻoe e pili ana i kēia.

Nā lāʻau pale no nā keiki hānau hou

ʻO ka hānai mua ʻana a kāu pēpē e hāʻawi ai i loko o 24 mau hola o ka hānau ʻana. ʻO ke kano pale :

• ʻO ka lāʻau pale Hepatitis B (HepB) (ka mahele mua): Mālama kēia i kāu pēpē mai kahi maʻi viral weliweli e hōʻino ana i ke ake. ʻO kēia ka mua o kahi moʻo o ʻekolu mau mahele.

ʻO ka mea aʻe, aia kekahi immunization i hāʻawi ʻia i loko o hoʻokahi pule o ka hānau ʻana o ka pēpē :

• ʻAntibody RSV (Respiratory Syncytial Virus): Hāʻawi wale ʻia kēia inā ua hānau ʻia ke pēpē i ka wā o ka maʻi ahulau RSV (maʻamau mai ʻOkakopa a Malaki ma ko mākou ʻāina) a ʻaʻole ʻoe i loaʻa i ka lāʻau pale RSV i ka wā hāpai. He huakino ka RSV e hoʻopilikia ana i nā māmā o nā keiki liʻiliʻi a hiki ke koʻikoʻi i kekahi manawa. ʻAʻole kēia he lāʻau pale, ma ka ʻōlelo pololei, no ka mea, ke aʻo nei kahi lāʻau pale i ke kino e hana i nā antibodies. ʻO ka mea e hana ʻia ma kēia, ʻo ia ka hāʻawi ʻia ʻana o nā antibodies i hoʻolālā kūikawā ʻia e hakakā i ka maʻi i ke kino. ʻO ia ke kumu e kapa ai nā kauka i kēia immunization . Akā i ka wā e kamaʻilio ai mākou e pili ana i ia mea, kapa wale mākou ia he lāʻau pale.

Nā lāʻau pale i hāʻawi ʻia i 2 mau mahina

Ke piha ka pēpē i ʻelua mahina, e hāʻawi ʻia iā lākou kēia mau lāʻau pale ma ke keʻena lapaʻau:

• Hepatitis B (HepB) - Lāʻau lapaʻau ʻelua.
• Rotavirus - Ka mahele mua: He wai kēia i hāʻawi ʻia ma ka waha. Hiki i ka Rotavirus ke hoʻoulu i ka maʻi pākī nui a me ka make wai i nā keiki.
• DTaP - Ka mahele mua: Mālama kēia i nā maʻi ʻino ʻekolu: Diphtheria, Tetanus, a me acellular Pertussis.
• Hib (Haemophilus influenzae ʻano B) - Ka mahele mua: Hiki i kēia bacteria ke hana i nā maʻi koʻikoʻi e like me ka meningitis.
• PCV (Pneumococcal conjugate) - Ka mahele mua: Hoʻoulu pū nā bacteria pneumococcal i nā maʻi e like me ka pneumonia a me ka meningitis. Hāʻawi kēia lāʻau pale i ka palekana mai iā lākou.
• IPV (Inactivated poliovirus) - Ka mahele mua: He maʻi koʻikoʻi ka Polio e hiki ai ke hoʻoulu i ka maʻi lolo. Pale kēia lāʻau pale iā ia.

Hāʻawi ʻia nā lāʻau pale i 4 mau mahina

ʻO ka mea aʻe, ke piha ka pēpē i ʻehā mahina, hāʻawi ʻia iā lākou kēia mau lāʻau pale:

• Rotavirus - ʻO ka lua o ka lāʻau.
• DTaP - Ka lua o ka mahele lāʻau.
• Hib - ʻO ka lua o ka mahele lāʻau.
• PCV - Ka lua o ka lāʻau.
• IPV - ka lua o ka mahele lāʻau.

Nā lāʻau pale i hāʻawi ʻia i 6 mahina

Ke piha ke pēpē i ʻeono mahina, loaʻa iā ia kēia mau lāʻau pale:

• Hepatitis B (HepB) - ʻO ke kolu o ka mahele lāʻau.
• Rotavirus - ʻO ke kolu o ka mahele lāʻau: (Hāʻawi wale ʻia kēia inā hāʻawi ʻia ka moʻo lāʻau pale ʻekolu mahele lāʻau. Hoʻopau ʻia kekahi mau lāʻau pale rotavirus i ʻelua mahele lāʻau).
• DTaP - Ke kolu o ka mahele lāʻau.
• Hib - ʻO ke kolu o ka mahele lāʻau: (Hāʻawi ʻia kēia inā hāʻawi ʻia ka papa lāʻau pale ʻehā mahele lāʻau).
• PCV - Ke kolu o ka mahele lāʻau.
• IPV - ʻO ke kolu o ka mahele lāʻau.
• Lāʻau pale maʻi palū: Hāʻawi ʻia i kēlā me kēia makahiki ma hope o 6 mahina.
• Pale lāʻau pale Covid-19 (COVID-19): E like me ka ʻōlelo a ke kauka.

Nā lāʻau pale i hāʻawi ʻia i ka 12 mahina (makahiki)

He mea nui kēia mau lāʻau pale i ka wā e piha ai ka pēpē i hoʻokahi makahiki:

• ʻO ka maʻi ʻūlū, ka ʻūlū, a me ka Rubella (MMR) - Ka mahele mua: Hiki i kēia mau maʻi ʻekolu ke hana i nā pilikia weliweli i nā keiki.
• Hepatitis A (HepA) - Ka mahele mua: He maʻi hoʻi kēia e hoʻopilikia ai i ke akepaʻa.
• PCV - Ka hā o ka mahele lāʻau.

Hāʻawi ʻia nā lāʻau pale i 15 mau mahina

• ʻŌpū moa (Varicella - VAR) - Ka mahele mua: No ka pale ʻana i ka ʻōpū moa.
• DTaP - Ka lāʻau ʻehā.
• Hib - Ka mahele hope loa: (ʻO kēia paha ke kolu a i ʻole ka hā o ka mahele ma muli o ke kaʻina hana pale).

Nā lāʻau pale i hāʻawi ʻia i ka 18 mahina

• Hepatitis A (HepA) - Lāʻau lapaʻau ʻelua.

Nā lāʻau pale i hāʻawi ʻia i ka makahiki 4

Hāʻawi ʻia kēia mau lāʻau pale ke piha ke keiki i ʻehā makahiki. Hiki ke hāʻawi ʻia kēia mau mea ma waena o 4 a me 6 mau makahiki.

• DTaP - Ka lāʻau ʻelima.
• IPV - Ka lāʻau ʻehā.
• MMR - Ka lua o ka mahele lāʻau.
• VAR (maʻi moa) - ka lua o ka mahele lāʻau.

E haʻi aku kāu pediatrician iā ʻoe i ka manawa kūpono loa e hāʻawi ai i kēia mau mea.

Nā lāʻau pale no nā keiki ma waena o 11-12 mau makahiki

Ke ʻoi iki aʻe ke keiki, ʻo ia hoʻi, ma kahi o 11-12 mau makahiki, he mea nui kēia mau lāʻau pale:

• Tdap (Tetanus, diphtheria, a me ka acellular pertussis) - Ka mahele mua: Ua like kēia me ka mahele makua o DTaP. Pono e hāʻawi ʻia i kēlā me kēia 10 mau makahiki no ke ola.
• HPV (Human Papillomavirus) - ʻElua mau lāʻau lapaʻau: Hāʻawi ʻia ka lāʻau mua ma hope o 5 mau mahina, hāʻawi ʻia ka lua o ka lāʻau lapaʻau ma hope o 5 mau mahina. Hiki i kēia maʻi ke hoʻoulu i nā maʻi ʻaʻai e like me ke kanesa o ka ʻāʻī. Hiki ke hoʻomaka kēia moʻo o nā lāʻau pale i ka wā ʻeiwa makahiki.
• Meningococcal (MenACWY) - Ka mahele mua: Hiki i ka bacteria Meningococcal ke hana i nā maʻi koʻikoʻi e like me ka meningitis a me ka lāʻau make koko.

Nā lāʻau pale i hāʻawi ʻia i ka makahiki 16

• Meningococcal (MenACWY) - Ka lua o ka mahele lāʻau (ka mahele hoʻonui).

ʻEhia mau lāʻau pale i hāʻawi ʻia i nā keiki liʻiliʻi?

Inā ʻoe e nānā i ka papa hana piha o ka lāʻau pale no nā kamaliʻi, aia ma kahi o 15 mau ʻano lāʻau pale. Mālama kekahi mau lāʻau pale i nā maʻi he nui. Pono kekahi i nā lāʻau he nui.

I kēia manawa, ke ʻike ʻoe i kēia papa inoa, e noʻonoʻo paha ʻoe, "Auē, pono kēia mea liʻiliʻi i nā lāʻau pale he nui?" ʻAe, me he mea lā he nui, akā mai hopohopo. Hāʻawi ʻia ka hapa nui o kēia mau lāʻau pale i nā makahiki mua o ke ola, i ka wā e pilikia nui ai nā mea liʻiliʻi i ka maʻi.

E noʻonoʻo wale, i ka wā ma mua, no ka mea, ʻaʻohe lāʻau pale e like me kēia, ehia mau keiki i loaʻa i kēia mau maʻi, a ua make kekahi. Akā i kēia manawa, mahalo i ka holomua o ka ʻepekema lapaʻau, hiki ke pale ʻia kāu keiki mai ia mau kūlana weliweli. ʻO kēlā me kēia lāʻau pale i hāʻawi ʻia i ke keiki ua like ia me ka pale e pale aku iā ia.

Eia kekahi, hiki i nā kauka ke hoʻohana i nā lāʻau pale i hui pū ʻia . ʻO ia hoʻi, nā lāʻau pale e pale aku i kekahi mau maʻi i hoʻokahi inikini. No ka laʻana, hiki i ka lāʻau pale Vaxelis® ke pale aku i nā lāʻau pale ʻehā: DTaP, HepB, Hib, a me IPV. E hōʻemi ana kēlā i ka helu o nā inikini, ʻeā?

He aha inā ua lohi loa e hāʻawi i kahi lāʻau pale ulia pōpilikia?

He manawa ke ola kahi e hele ʻole ai nā mea e like me ka hoʻolālā. Malia paha e hala ʻoe i ke keʻena lapaʻau o kāu pēpē, a i ʻole e lohi paha ʻoe no ka lāʻau pale no kekahi kumu ʻē aʻe. Inā hana ʻia kēlā, mai hopohopo. He mea maʻamau ia.

ʻO ka mea nui loa, ʻo ia ke ʻike koke i kāu kauka ʻohana a kauka keiki paha. E haʻi lākou iā ʻoe i ke ala maikaʻi loa e hāʻawi ai i nā lāʻau pale i hala. E hōʻoia lākou e loaʻa i kāu keiki nā lāʻau pale e pono ai lākou, i loko o ka pae makahiki i ʻōlelo ʻia, i ka hikiwawe loa.

ʻŌlelo Aʻo: Mai hahai i kekahi papa hana lāʻau pale ʻē aʻe āu e ʻike ai ma ka pūnaewele a i ʻole e nīnau i kahi hoaaloha. ʻO kēia papa hana lāʻau pale maʻamau, i hoʻohana ʻia e nā kauka ma Sri Lanka a puni ka honua, ua hoʻokumu ʻia ma ka noiʻi ʻepekema koʻikoʻi a me nā hōʻike. Ua hoʻopakele ia i ke ola o nā miliona o nā keiki.

E hoʻomaka koke ana kāu keiki e hana i nā mea ma o lākou iho. Akā i kēia manawa, hilinaʻi lākou iā ʻoe no nā mea āpau. Hoʻonohonoho ʻoe i nā mea āpau mai ka ʻai ʻana a hiki i ka wā hiamoe a hiki i nā manawa kauka. He kuleana nui ka hoʻokele ʻana i kēia mau mea āpau. Akā ma ka hele ʻana i nā nānā pono maʻamau a me ka hahai ʻana i kēia papa hana hoʻopili ʻana i ka wā kamaliʻi, e loaʻa i kāu keiki ka hoʻomaka maikaʻi loa i kahi ola olakino. ʻAʻole pono ʻoe e hana wale ia mea. Hiki i kāu kauka ke kōkua iā ʻoe e mālama i kēia papa hana ma ke ala.

No laila, he aha nā mea e pono ai kākou e hoʻomanaʻo mai kēia mau mea a pau?

No laila, ua kamaʻilio nui mākou e pili ana i ka papa hana hoʻopili no nā keiki. I ka hōʻuluʻulu manaʻo:

• E hahai i ka papa hana: He mea waiwai nui nā makahiki mua o ke ola o kāu keiki. He maʻalahi loa lākou i nā maʻi. No laila, ua ʻōlelo ʻia kēia papa hana pale i ʻōlelo ʻia e nā kauka.Ma ka hahai pono ʻana i nā kuhikuhi, e palekana kāu keiki mai kekahi mau maʻi weliweli (e like me ka measles, polio, whooping cough, hepatitis).
• Mai poina i hoʻokahi lāʻau pale: He mea nui kēlā me kēia lāʻau pale. Inā poina ʻoe i hoʻokahi, e emi paha ka pale ʻana mai kēlā maʻi.
• E hahai i ka ʻōlelo aʻo a kāu kauka: ʻO kāu kauka ʻohana a kauka keiki paha ke kanaka maikaʻi loa e aʻo iā ʻoe ma kēia. Hiki iā lākou ke kōkua iā ʻoe e hoʻonohonoho i kahi papa hana lāʻau pale kūpono no kāu keiki a kōkua iā ʻoe e hoʻoponopono i nā mea āpau.
• Mai makaʻu: Mai makaʻu pono ʻole i nā lāʻau pale. Ua hōʻoia ʻia e ka ʻepekema nā lāʻau pale e pale i nā keiki mai nā maʻi koʻikoʻi.

No laila, mai makaʻu a hāʻawi i kēia mau lāʻau pale i kāu keiki liʻiliʻi me ka hilinaʻi. ʻO ia ka makana makamae loa hiki iā ʻoe ke hāʻawi iā ia!

ʻO ka lāʻau pale ʻana i ke keiki, ka papa hana lāʻau pale ʻana, ka lāʻau pale ʻana i ka pēpē, ka lāʻau pale ʻana, ka pale ʻana mai nā maʻi, ka papa hana lāʻau pale ʻana, ka lāʻau pale ʻana, ke olakino o nā keiki