Ua loaʻa i kāu keiki liʻiliʻi kahi ʻulaʻula a ʻeha hoʻi nā pehu ma ko lākou mau poho lima, nā kapuwaʻi wāwae, a ma loko o ko lākou waha, me ke kuni? A i ʻole ua ʻeha ko lākou puʻu a paʻakikī ke ale? Ua lohe paha ʻoe i ka maʻi lima, wāwae, a me ka waha (HFMD), ka mea e laha nei i waena o nā keiki ʻōpio a i kekahi manawa nā pākeke ma ko mākou ʻāina i kēia mau lā. ʻO ka maʻi nui e hoʻokumu ai i kēia ʻo ia ka Coxsackievirus. Mai hopohopo, e kamaʻilio mākou e pili ana i nā mea āpau ma nā ʻōlelo maʻalahi i kēia lā.
He aha maoli ka Coxsackievirus?
I ka ʻōlelo maʻalahi, he lālā ka maʻi Coxsackie o ka ʻohana Enterovirus o nā maʻi. E noʻonoʻo i nā maʻi e like me kahi ʻohana nui. ʻO Enterovirus kekahi hui o kēlā ʻohana. He lālā nō hoʻi ʻo Coxsackie o kēlā hui. Hana ʻia ka ʻike genetic o kēia maʻi i kahi mea i kapa ʻia ʻo ribonucleic acid (RNA). Loaʻa kona inoa mai ke kūlanakauhale ʻo Coxsackie, New York, kahi i ʻike mua ʻia ai kēia maʻi.
ʻO kēia maʻi ke kumu o nā maʻi a mākou a pau i ʻike ai he maʻi lima, wāwae, a me ka waha (HFMD), ʻeha puʻu (Herpangina), nā maʻi ʻiʻo, nā maʻi puʻuwai, a i kekahi manawa meningitis.
ʻO wai ka mea i loaʻa pinepine i kēia maʻi?
ʻO ka maʻi Coxsackie ka mea maʻamau i nā keiki ʻōpio a me nā pēpē . Akā, ʻaʻole ia manaʻo ʻaʻole hiki i nā pākeke ke loaʻa iā lākou. Hiki i kekahi o nā makahiki āpau ke loaʻa i kēia maʻi.
He aha inā hiki i nā mākua?
Ke loaʻa i nā pākeke kēia maʻi, hiki iā lākou ke loaʻa i kekahi manawa nā maʻi lima, wāwae, a me ka waha, e like me nā keiki. Eia nō naʻe, ʻoi aku ka nui o ka pilikia o nā pākeke i ka loaʻa ʻana o nā maʻi puʻuwai ma mua o nā keiki.
No nā pākeke olakino, haʻahaʻa ka pilikia o nā pilikia. Eia nō naʻe, no ka poʻe me nā ʻōnaehana pale nāwaliwali , e like me ka poʻe ʻelemakule, ka poʻe me nā maʻi e like me ke kanesa, a me ka poʻe i hiki ʻole i ko lākou kino ke kāohi i ko lākou mau maʻi ma muli o nā maʻi ʻē aʻe, hiki i kēia maʻi ke ʻoi aku ka koʻikoʻi. Inā loaʻa i kahi makuahine hāpai kēia maʻi, ʻoiai he kakaikahi loa, aia kahi pilikia o ka hānau ʻana. Eia kekahi, hiki i ka pēpē ke loaʻa i ka maʻi ʻoiai inā ʻaʻohe hōʻailona o ka makuahine i ka hapa hope o ka hāpai ʻana.
Nā hopena i nā pēpē a me nā keiki ʻōpio
ʻO nā keiki hānau hou a me nā kamaliʻi ka mea i maʻalahi loa i kēia maʻi. I ka manawa pinepine, loaʻa i nā pēpē ke kuni wale nō ke loaʻa iā lākou. He mea maʻamau ia i ke kauwela a i ka hoʻomaka ʻana o ka hāʻule.
I kekahi manawa, hiki i ka maʻi ke laha i ka puʻuwai, e hōʻeha ai i ka puʻuwai a i ʻole ka make koke. Akā, he mea kākaʻikahi loa kēia.He mea nui e hoʻomanaʻo inā loaʻa i kahi pēpē kēia maʻi i loko o nā pule ʻelua mua o ka hānau ʻana, hiki iā ia ke lilo i mea koʻikoʻi a alakaʻi i nā maʻi make e like me ka hāʻule ʻana o ke akepaʻa a me ke kahe ʻana o ke koko i loko.
He aha nā ʻano maʻi i hoʻokumu ʻia e ka maʻi Coxsackie?
ʻO ke ʻano o ka maʻi Coxsackie āu i loaʻa ai e hoʻopilikia i ke koʻikoʻi o kāu mau hōʻailona. Ua māhele nui ʻia ka maʻi i ʻelua ʻano: A a me B.
| ʻAno maʻi | Nā maʻi e kū mai ana | He wehewehe maʻalahi |
|---|---|---|
| ʻAno A | ʻO Herpangina Maʻi lima, wāwae a me ka waha (HFMD) | Nā ʻeha ʻeha ma ka puʻu a me ka waha. Nā pehu ma nā poho lima, nā kapuwaʻi, a me ka waha. |
| ʻAno B | Nā maʻi ʻiʻo kuni | Ka ʻūmiʻi koke ʻana o nā ʻiʻo o ka ʻōpū a me ka umauma (spasms). ʻO ke kuni wale nō me ka ʻole o nā hōʻailona ʻē aʻe. |
| ʻO A a me B | ʻO ka maʻi meningitis ʻO ka myopericarditis ʻEnsefalitis | Ka maʻi o nā membrane e uhi ana i ka lolo a me ke kaula spinal. Ka pehu ʻana o ka ʻiʻo puʻuwai a me ka uhi a puni ka puʻuwai. Pehu/mū o ka lolo. |
He aha nā hōʻailona? Pehea e laha ai?
ʻO ka mea kupanaha, ʻo 90% o nā maʻi Coxsackie ʻaʻole hōʻike i nā hōʻailona, a i ʻole he kuni wale nō. Inā loaʻa nā hōʻailona, ʻokoʻa lākou ma muli o ka maʻi kumu.
- Maʻi lima, wāwae a me ka waha (HFMD):ʻIke ʻia nā pehu ʻeha i loko o ka waha, ma nā poho lima, a ma nā kapuwaʻi o nā wāwae. Hoʻōla wale kēia maʻi i loko o kekahi mau lā. Eia nō naʻe, hiki ke loaʻa nā pilikia inā ʻaʻole hiki i ke keiki ke ʻai a inu paha ma muli o nā ʻeha waha.
- Herpangina: Hoʻoulu i ka ʻāʻī ʻeha, ke kuni nui, a me ke poʻo.
- ʻEhaʻeha o nā ʻiʻo: ʻOi a ʻeha hoʻi nā ʻūmiʻi ʻiʻo e mau ana no 15-30 mau minuke ma waena o nā iwi ʻaoʻao a ma ka ʻōpū o luna.
- Meningitis: ʻO nā hōʻailona e pili ana i ka ʻoʻoleʻa o ka ʻāʻī, ka ʻeha poʻo, ka luaʻi ʻana, a me ka paʻakikī i ka nānā ʻana i nā kukui ʻālohilohi.
- Nā maʻi puʻuwai: Hiki ke loaʻa ka ʻeha o ka umauma, ka pōkole o ka hanu, a me nā ʻano ʻē o ka puʻuwai.
He maʻi laha kēia?
ʻAe, ʻoiaʻiʻo nō. He maʻi laha loa ka maʻi Coxsackie.
Hiki ke laha ma o nā kulu liʻiliʻi o ka lawai e komo i ka lewa ke ʻū a ʻūhā paha kekahi me ka maʻi, ma ka hoʻopā ʻana i nā mea e like me nā mea pāʻani a i ʻole nā ʻūpā puka i haumia i ka maʻi a laila hoʻopā i ko lākou ihu a waha paha, a i ʻole ma o nā ʻōpala i loaʻa ka maʻi (no ka laʻana, ʻaʻole holoi pono i ko lākou mau lima ma hope o ka hoʻololi ʻana i ka diaper o kahi pēpē).
ʻO ka mea maikaʻi loa hiki iā ʻoe ke hana e pale aku i ka laha ʻana o kēia, ʻo ia ka holoi pinepine ʻana i kou mau lima me ke kopa a me ka wai . Pono ʻoe e holoi i kou mau lima ma hope o ka hoʻololi ʻana i ka diaper o kahi pēpē, ma mua o ka ʻai ʻana, a ma hope o ka hoʻohana ʻana i ka lua. He mea nui loa ia no nā keiki a me nā pākeke me nā hōʻailona e noho ma ka home mai ke kula a i ʻole ka hana no kekahi mau lā a pau ko lākou mau hōʻailona.
Pehea ka lōʻihi o kēia maʻi?
Hoʻomaka ka ʻike ʻia ʻana o nā hōʻailona ma waena o 3 a me 6 mau lā ma hope o ke komo ʻana o ka maʻi i ke kino.
- Kuni: ʻO ka maʻamau, aia ma kahi o 2-3 mau lā.
- ʻEha waha: hiki ke mau iki aʻe, ma kahi o 7 mau lā.
- Nā pehu ma nā lima a me nā wāwae: ʻO kēia ka mea lōʻihi loa. Maʻamau lākou e mae ma hope o 10 mau lā. I kekahi manawa e ʻike paha ʻoe i ka ʻili e hemo ana ma kēlā mau wahi ma mua o ko lākou mae ʻana.
Ke pau loa ke kuni o kāu keiki, hiki iā lākou ke hoʻi i ke kula. Eia nō naʻe, inā he nui nā pehu, pono lākou e kali i kekahi manawa a maloʻo lākou.
Pehea e mālama ʻia ai? Āhea wau e ʻike ai i ke kauka?
ʻAʻohe lāʻau lapaʻau kūikawā a lāʻau pale paha no Coxsackievirus ponoʻī. He hōʻailona wale nō ka lāʻau lapaʻau. E kuhikuhi kāu kauka i nā lāʻau hōʻeha a me nā lāʻau hoʻohaʻahaʻa kuni (e like me ka paracetamol) e hōʻemi i ka ʻeha a me ke kuni.
Ke noiʻi ʻia nei nā lāʻau lapaʻau e like me ka intravenous immune globulin (IVIG) no ka poʻe i hoʻopilikia nui ʻia ka pale ʻana o ka maʻi, ʻoiai inā ua pālahalaha ka maʻi i ka lolo a i ʻole ka puʻuwai, akā ʻaʻole i hoʻohana nui ʻia.
I ka manawa e ʻike koke ai i ke kauka
ʻOiai ʻaʻole koʻikoʻi kēia maʻi, he mea nui loa ia e ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe a i ʻole kāu keiki nā hōʻailona penei:
- ʻO ka ʻoʻoleʻa o ka ʻāʻī a i ʻole ka ʻeha ʻāʻī (he hōʻailona paha ia o ka maningitis).
- ʻEha ka umauma a i ʻole ka paʻakikī o ka hanu ʻana (he hōʻailona paha ia o ka maʻi puʻuwai).
- ʻOi aku ka lōʻihi o ke kuni o ke keiki ma mua o 24 mau hola.
- ʻAʻole hiki ke inu i kekahi wai ma muli o ka ʻeha mai nā ʻeha waha a me ka hōʻike ʻana i nā hōʻailona o ka make wai (e like me ka emi ʻana o ka mimi, ka waha maloʻo).
- Ua hiamoe nui ke keiki a ua make paha.
- Nā ʻōʻili (nā ʻūlū).
Inā loaʻa iā ʻoe nā hōʻailona koʻikoʻi e like me kēia, ʻoi aku ka maikaʻi o ka lawe ʻana iā ʻoe i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
Leka Lawe-Home
- ʻO ka maʻi lima, wāwae, a me ka waha (HFMD), i hoʻokumu ʻia e ka Coxsackievirus, he mea maʻamau loa ia i waena o nā keiki ʻōpio.
- Ma muli o ka maʻi lele loa kēia, he mea nui loa ka hahai ʻana i nā hana hoʻomaʻemaʻe, e like me ka holoi lima pinepine ʻana.
- I ka hapanui o nā hihia, ʻaʻole kēia he maʻi koʻikoʻi a e hoʻōla wale ia i loko o 7-10 mau lā.
- ʻOiai ʻaʻohe lāʻau lapaʻau kūikawā no ka maʻi, ke kuhikuhi nei ka lāʻau lapaʻau i ka kaohi ʻana i ke kuni a me ka ʻeha.
- Inā pilikia kāu keiki i ka ʻai ʻana a i ka inu ʻana paha, e paipai iā lākou e hāʻawi iā ʻoe i nā wai hou aku.
- Inā loaʻa nā hōʻailona koʻikoʻi (ʻeha poʻo nui, ʻāʻī ʻoʻoleʻa, paʻakikī i ka hanu), e ʻike koke i ke kauka.
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