Hoʻomanaʻo i ko kākou wā kamaliʻi? I ka wā i loaʻa ai i kekahi o ka ʻohana ka maʻi puʻupuʻu, ua laha ia i nā mea a pau o ka ʻohana. E loaʻa iā ʻoe nā pehu ma kou kino a pau, ʻaʻole hiki iā ʻoe ke hoʻōki i ke kahakaha ʻana, a pono ʻoe e noho ma ka home no nā pule me ka paʻakikī nui. ʻOiai he mea maʻamau kēia i ka wā ma mua, i kēia lā aia kekahi ala kūpono loa e pale aku ai i nā keiki a me nā pākeke mai kēia maʻi. ʻO ia ka lāʻau pale maʻi puʻupuʻu. No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia lāʻau pale maʻi puʻupuʻu, a i ʻole ka lāʻau pale ʻo Varicella.
I ka ʻōlelo maʻalahi, he aha kēia lāʻau pale no ka maʻi puʻupuʻu?
He lāʻau pale ʻelua ka lāʻau pale no ka maʻi moa e pale aku iā ʻoe a me kāu keiki mai ka maʻi moa. He maʻi lele loa ka maʻi moa i hoʻokumu ʻia e ka maʻi varicella-zoster. Hoʻoulu ia i kahi ʻili e like me ka ʻulaʻula ma ke kino holoʻokoʻa, a i kekahi manawa hiki ke alakaʻi i nā pilikia koʻikoʻi.
Pale nui kēia lāʻau pale i ka maʻi puʻupuʻu. ʻOiai inā loaʻa iā ʻoe ka maʻi puʻupuʻu ma hope o ka loaʻa ʻana o ka lāʻau pale万が一 (만일) , he palupalu loa ia a ho'ōla koke . ʻAʻole ia e lilo i mea koʻikoʻi.
ʻO ka mea nui loa, ʻo ka hoʻopili ʻana i kāu keiki, ʻaʻole ʻoe e pale wale iā lākou, akā, ʻo kou ʻohana hoʻi, ka poʻe ʻelemakule, nā wahine hāpai, a me nā poʻe ʻē aʻe me nā ʻōnaehana pale nāwaliwali. Ke loaʻa iā kākou āpau ka lāʻau pale ma ke ʻano he kaiāulu, hiki iā kākou ke kāohi i ka laha ʻana o kēia maʻi.
He aha nā ʻano lāʻau pale kēia?
ʻElua ʻano nui o ka lāʻau pale moa i ʻae ʻia no ka hoʻohana ʻana ma ka honua holoʻokoʻa. Na kāu kauka e koho i ka mea kūpono loa no kāu keiki.
| Inoa o ka lāʻau pale | Wehewehena |
|---|---|
| ʻO Varivax® | Mālama wale kēia i ka maʻi puʻupuʻu. Hiki ke hoʻohana ʻia e nā keiki ma luna o 12 mahina a me nā pākeke. |
| ProQuad® (ka lāʻau pale MMRV) | He lāʻau pale hui kēia. ʻO ke ʻano kēia, ma waho aʻe o ka moa, pale pū ia i ʻekolu mau maʻi: ka measles, ka mumps, a me ka rubella. Ua ʻae ʻia no nā keiki mai 12 mahina a 12 mau makahiki. |
No laila ʻo wai o kēia mau mea ʻelua ka mea maikaʻi?
Hāʻawi ka lāʻau pale ProQuad® i ka palekana mai nā maʻi ʻehā i ka manawa hoʻokahi, hiki ke hōʻemi i ka nui o nā pana. Eia nō naʻe, ua hōʻike kekahi mau noiʻi he ʻoi aku ka nui o ka pilikia o nā keiki ma lalo o 4 mau makahiki i loaʻa i ka mahele mua o ProQuad® i ka loaʻa ʻana o ke kuni a i ʻole nā hoʻopaʻa febrile ke hāʻawi ʻokoʻa ʻia. No kēia kumu, paipai pinepine nā kauka pediatric a puni ka honua:
- ʻO ka mahele mua ma waena o 12-15 mau mahina: hāʻawi ʻia ma ke ʻano he ʻelua mau lāʻau pale kaʻawale (ka lāʻau pale moʻo moa a me ka lāʻau pale MMR) i ka lā hoʻokahi.
- ʻO ka lua o ka mahele lāʻau ma waena o 4-6 mau makahiki: Hāʻawi ʻia ʻo ProQuad® (MMRV) ma ke ʻano he inikini hoʻokahi.
Eia nō naʻe, ʻo ka ʻōlelo aʻo maikaʻi loa no kēia, mai ke kauka o kāu keiki mai . Na ia e loiloi i ke olakino o ke keiki a hoʻoholo i ka mea kūpono loa.
ʻO wai ka mea e pono ke kiʻi i kēia lāʻau pale?
Ma keʻano laulā, he mea nui loa ia no nā keiki a me nā pākeke a pau i loaʻa ʻole i ka maʻi moa ma mua a ʻaʻole i loaʻa piha i ka lāʻau pale maʻi moa e loaʻa i kēia lāʻau pale.
No nā keiki
He ʻāpana koʻikoʻi ka lāʻau pale maʻi moa i ka papa hana lāʻau pale no nā kamaliʻi. ʻOiai ʻaʻole paha ia e hoʻokomo ʻia i loko o ka papahana lāʻau pale aupuni ma Sri Lanka, ke ʻōlelo nei nā kauka pediatric e loaʻa i kāu keiki ma kahi pilikino.
- Ka mahele mua (Mahele 1): Ma waena o 12 a me 15 mau mahina o ka makahiki.
- ʻO ka lua o ka mahele lāʻau (Mahele lāʻau 2): Ma waena o 4 a me 6 mau makahiki.
Hiki ke hāʻawi ʻia ka lua o ka mahele lāʻau ma ka liʻiliʻi he 3 mau mahina ma hope o ka mahele lāʻau mua. Na kāu kauka e haʻi iā ʻoe i ka manawa kūpono loa e hāʻawi ai.
No nā mākua
Hiki i ka maʻi puʻupuʻu ke lilo i mea koʻikoʻi loa inā loaʻa ia i nā pākeke i loaʻa ʻole i ka maʻi puʻupuʻu i ka wā kamaliʻi a ʻaʻole hoʻi i hoʻopili ʻia. Kiʻekiʻe ka pilikia o nā pilikia. No laila, inā ʻaʻole ʻoe maopopo inā ua loaʻa iā ʻoe ka maʻi puʻupuʻu i kou wā kamaliʻi, ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me ke kauka. Hiki paha iā ʻoe ke loaʻa i kahi hoʻāʻo koko e ʻike ai inā he palekana kou. Inā ʻaʻole ʻoe he palekana, he mea nui e loaʻa i nā ʻāpana ʻelua o ka lāʻau pale. He mea nui loa kēia inā ʻoe:
- Inā he limahana mālama ola kino ʻoe (e like me ke kauka a kahu maʻi paha).
- Inā he kumu/limahana ʻoe ma ke kula a kula kamaliʻi paha.
- Inā ʻoe e hana a noho paha i loko o kahi hale noho, e like me kahi home hānai.
- Inā ʻoe e noho ana me kekahi me ka ʻōnaehana pale haʻahaʻa.
- Inā ʻoe e manaʻolana nei e hāpai.
- Inā he haumāna kulanui ʻoe.
- Inā ʻoe ma ka lawelawe koa.
- Inā ʻoe e hele pinepine i nā ʻāina ʻē.
No ka poʻe ma luna o 13 mau makahiki, hāʻawi ʻia nā mahele ʻelua ma ka liʻiliʻi he 28 mau lā ke kaʻawale.
ʻO wai ka poʻe pono ʻole e loaʻa i ka lāʻau pale? (ʻO ka poʻe e makaʻala)
ʻAʻole paha e kūpono kekahi poʻe no kēia lāʻau pale no nā kumu olakino. Inā loaʻa iā ʻoe a i ʻole kāu keiki kekahi o kēia mau kūlana, e kamaʻilio e pili ana i kēia me kāu kauka ma mua o ka loaʻa ʻana o ka lāʻau pale .
- Inā loaʻa iā ʻoe kahi maʻi (e like me ka HIV) a i ʻole ke lawe nei ʻoe i nā lāʻau lapaʻau (e like me nā steroids) e hoʻopilikia ai i ka ʻōnaehana pale.
- Inā he nāwaliwali ko kekahi o kou ʻohana (makuahine, makuakāne, kaikaina) me ka ʻōnaehana pale kino kūlohelohe.
- Inā loaʻa iā ʻoe ka maʻi puʻupuʻu.
- Inā hāpai ʻoe a i ʻole ke manaʻolana nei e hāpai.
- Inā ʻoe e lawe ana i nā salicylates e like me ka aspirin.
- Inā loaʻa iā ʻoe ka maʻi kanesa.
- Inā ua loaʻa iā ʻoe ke koko a i ʻole nā mea koko (`immune globulin`).
- Inā ua loaʻa iā ʻoe kekahi lāʻau pale ola ʻē aʻe i loko o nā lā 28 i hala.
- Inā ua loaʻa mua iā ʻoe kahi maʻi alerika koʻikoʻi i ka lāʻau pale moʻo moa a i ʻole kekahi mea i loko.
Aia kekahi mau hopena ʻaoʻao o ka lāʻau pale?
He lāʻau pale palekana loa ka lāʻau pale moa. Eia nō naʻe, e like me nā lāʻau lapaʻau ʻē aʻe a pau, hiki iā ia ke hana i nā hopena ʻaoʻao liʻiliʻi. ʻAʻohe mea e hopohopo ai, nalo pinepine kēia mau mea i loko o hoʻokahi a ʻelua paha lā.
| ʻAno o ka hopena ʻaoʻao | Nā Laʻana |
|---|---|
| Nā hopena ʻaoʻao liʻiliʻi maʻamau |
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| Nā hopena ʻaoʻao kakaikahi loa (akā koʻikoʻi) | |
| Ua hiki i ka manawa e ʻimi koke ai i ke aʻo lapaʻau! | |
He mea kākaʻikahi loa, hiki ke loaʻa kahi hopena alerika koʻikoʻi. Inā loaʻa nā hōʻailona aʻe, e hele koke i ka haukapila kokoke loa i ka Emergency Department (ETU) :
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Hiki iā ʻoe ke loaʻa i ka maʻi puʻupuʻu ʻoiai inā loaʻa iā ʻoe ka lāʻau pale?
ʻAe, he wahi liʻiliʻi ka manawa kūpono. Ua kapa ʻia ʻo ia he 'breakthrough varicella.' Akā inā paha e hana ʻia, ʻo ka mea nāna i hoʻopau i nā lāʻau ʻelua e loaʻa iā ia kahi pilikia haʻahaʻa loa o ka loaʻa ʻana o ka maʻi . Hiki iā lākou ke loaʻa i kekahi mau pehu a hoʻōla i loko o ʻelua a ʻekolu mau lā me ka ʻole o ke kuni. ʻO ka mea nāna i loaʻa hoʻokahi wale nō lāʻau, hiki ke loaʻa i kahi papa lōʻihi iki o nā hōʻailona. ʻO ia ke kumu he mea nui e hoʻopau i nā lāʻau ʻelua .
Leka Lawe-Home
- He maʻi koʻikoʻi ka maʻi puʻupuʻu i kekahi manawa, ʻoiai hoʻi i nā pākeke. Mai lawe māmā iā ia.
- He lāʻau pale palekana a pono hoʻi ka lāʻau pale no ka maʻi puʻupuʻu i hoʻohana ʻia ma ka honua holoʻokoʻa no nā makahiki he ʻumi.
- He mea nui e loaʻa nā mahele ʻelua o ka lāʻau pale no ka palekana piha.
- Ma mua o kou hoʻopili ʻia ʻana a i ʻole kāu keiki i ka lāʻau pale, e kamaʻilio ākea me kāu kauka e pili ana i nā hopohopo olakino a hopohopo paha āu e loaʻa ai.
- Ma ka hoʻopili ʻana i kāu keiki me ka lāʻau pale, ʻaʻole ʻoe e kōkua wale ana i ka pale ʻana i kāu keiki, akā, i ke kaiāulu holoʻokoʻa hoʻi mai nā maʻi.
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