Ma ke ʻano he makuahine a makua paha, ʻo kekahi o kāu mau kuleana nui loa, ʻo ia ka pale ʻana i kāu keiki mai nā maʻi. No laila, ʻo kekahi o nā mea kaua maikaʻi loa a mākou no kēia, ʻo ia ka lāʻau pale. I kēia lā, e kamaʻilio mākou e pili ana i kekahi lāʻau pale koʻikoʻi e pono e ʻike nā mea a pau. ʻO ia ka lāʻau pale diphtheria. Ua lohe paha ʻoe i kēia inoa. E nānā kākou i ke ʻano o ia mea a no ke aha he mea nui ia.
He aha ke ʻano o ka maʻi diphtheria?
I ka ʻōlelo maʻalahi, he maʻi bacteria ka diphtheria. Ke komo kēia bacteria i loko o ko kākou kino, hoʻopilikia nui ia i ko kākou ihu a me ka puʻu. ʻO kēia ke kumu o ka maʻi nui o loko o ka puʻu a me ka ihu a hoʻomaka e pehu. E noʻonoʻo, e hana ʻia kahi uhi mānoanoa a hina i loko o ka puʻu. Hiki i kēia ke hoʻolilo iā ia i mea paʻakikī ke hanu.
ʻAʻole like kēia me ka ʻāʻī ʻeha maʻamau. He maʻi koʻikoʻi ka diphtheria, a he mea hoʻoweliweli hoʻi i ke ola inā ʻaʻole mālama koke ʻia.
Ua laha loa kēia maʻi i nā ʻāina holomua. ʻO ke kumu nui o kēia, ʻo ia nā papahana pale ʻana i kūleʻa. Eia nō naʻe, ʻoiai ʻaʻole i hoʻopau ʻia kēia maʻi mai ka honua aku, he mea nui iā kākou a pau ke kiʻi i kēia pale a pale iā kākou iho. Ma Sri Lanka, hāʻawi ʻia kēia pale i nā keiki ma lalo o ka papahana pale aupuni.
No ke aha he mea nui ka lāʻau pale diphtheria no kākou?
Manaʻo paha kekahi, "Inā ʻaʻole i maʻamau kēia maʻi i kēia manawa, no ke aha mākou e pono ai e loaʻa kahi lāʻau pale no ia?" Nui nā kumu.
- Ke pale ʻana i nā pilikia koʻikoʻi: ʻAʻole pau wale ka diphtheria me ka ʻeha ʻāʻī. Hiki i kēia maʻi ke alakaʻi i nā maʻi koʻikoʻi e like me ka pneumonia ( kahi maʻi māmā), ka hāʻule ʻana o ka māmā, a me ka hōʻino ʻana i ka ʻōnaehana nerve a me ka maʻi lolo . Ua hōʻike ʻia ua make ma kahi o hoʻokahi o ka ʻumi poʻe i loaʻa i ka diphtheria. No laila, ʻaʻole kēia he mea e lawe māmā ʻia.
- Ke pale ʻana i ke kaiāulu holoʻokoʻa: E noʻonoʻo i ka mea e hiki mai ana inā loaʻa i ka hapa nui o ka poʻe o ke kaiāulu kēia lāʻau pale. A laila e hoʻopau nui ʻia ka laha ʻana o kēia maʻi mai kekahi kanaka a i kekahi. Kāhea mākou i kēia "herd immunity." ʻOiai nā pēpē liʻiliʻi hiki ʻole ke lāʻau pale ʻia, a i ʻole ka poʻe hiki ʻole ke lāʻau pale ʻia ma muli o nā kūlana olakino ʻē aʻe, e palekana ʻia ma kēia ʻano.
No laila, ʻo ka loaʻa ʻana o ka lāʻau pale diphtheria ke ala maikaʻi loa a hoʻokahi wale nō e pale aku ai iā ʻoe iho.
He aha nā ʻano lāʻau pale diphtheria i loaʻa?
Aia kekahi mau ʻano lāʻau pale i hāʻawi ʻia e pale aku i ka diphtheria. ʻAʻohe o kēia mau lāʻau pale i hāʻawi wale ʻia no ka diphtheria. He mau lāʻau pale i hui pū ʻia e pale aku iā mākou mai nā maʻi ʻē aʻe. Inā ʻoe e nānā i ke kāleka lāʻau pale a kāu keiki, hiki iā ʻoe ke ʻike i kēia mau inoa.
| ʻAno o ka lāʻau pale | Nā maʻi i pale ʻia | Iā wai lā i hāʻawi ʻia ai? |
|---|---|---|
| DTaP | ʻO ka Diphtheria, Tetanus, a me Pertussis | No nā keiki ma lalo o 7 mau makahiki |
| DT | ʻO Diphtheria a me Tetanus wale nō. | Nā keiki i nā kūlana kūikawā kahi hiki ʻole ke hāʻawi ʻia ka lāʻau pale ʻūhū |
| ʻO Tdap | ʻO ka Diphtheria, Tetanus, a me Pertussis | No nā keiki ma luna o 7 mau makahiki, nā ʻōpio a me nā mākua |
| Td | ʻO Diphtheria a me Tetanus wale nō. | Ma ke ʻano he lāʻau "booster" no nā pākeke |
He aha ka papa hana no ka loaʻa ʻana o ka lāʻau pale?
Pono e hāʻawi ʻia kēia mau lāʻau pale i nā makahiki like ʻole. Aia paha he mau ʻokoʻa iki i kēia papa hana e like me ka Polokalamu Hoʻōla Lahui ma Sri Lanka, no laila he mea nui e hahai i ke kāleka lāʻau pale a kāu keiki a me nā kuhikuhi a kāu limahana olakino ʻohana. ʻO ka papa hana i ʻōlelo nui ʻia ma ka honua holoʻokoʻa penei.
No nā keiki ʻōpio (ka lāʻau pale DTaP)
Pono e loaʻa i kahi keiki ʻōpiopio 5 mau lāʻau o ka lāʻau pale DTaP.
- I ka 2 mahina o ka makahiki
- I ka 4 mahina o ka makahiki
- I ka 6 mahina o ka makahiki
- Ma waena o 15 a me 18 mau mahina o ka makahiki
- Ma waena o 4 a me 6 mau makahiki
No nā keiki makua a me nā makuahine hāpai
Hāʻawi ʻia nā keiki ma waena o nā makahiki 11-12 i kahi mahele hoʻonui o ka lāʻau pale Tdap.
He mea nui i nā wahine hāpai ke loaʻa i ka lāʻau pale Tdap i ke kolu o ka trimester o kēlā me kēia hāpai ʻana. Hōʻoia kēia e hele aku nā antibodies i hana ʻia i loko o ke kino o ka makuahine i ka pēpē, e pale ana i ka pēpē mai nā maʻi e like me ka ʻūhū ʻana i nā mahina mua ma hope o ka hānau ʻana.
No nā mākua
Ma ke ʻano he poʻe mākua, pono kākou a pau e loaʻa i ka pana Td a i ʻole Tdap booster i kēlā me kēia 10 makahiki . He mea nui loa kēia no ka pale ʻana i ka maʻi ʻōpala.
He aha kāu e hana ai inā e hala ʻoe i kahi mahele o ka lāʻau pale?
Mai hopohopo, "ʻAuē, ʻaʻole hiki i kaʻu pēpē ke loaʻa ka lāʻau pale i ka lā i hoʻonohonoho ʻia." Inā hana ʻia kēlā, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke ʻike koke i kāu kauka ʻohana a limahana olakino ʻohana paha no ka ʻōlelo aʻo. E hāʻawi lākou iā ʻoe i kahi lā no ka lāʻau pale aʻe.
Inā ʻaʻole ʻoe i hāʻawi i kāu pana hoʻoikaika 10 makahiki ma ke ʻano he kanaka makua, hiki iā ʻoe ke kamaʻilio me kāu kauka e pili ana i ka loaʻa ʻana iā ia i kāu hālāwai aʻe. I kekahi manawa, inā loaʻa iā ʻoe kahi ulia a haki ka ʻili (e like me kahi ʻōpala pala), e nīnau kāu kauka iā ʻoe i ka manawa hope loa i loaʻa ai iā ʻoe kāu pana tetanus hope loa. Inā ʻaʻole ʻoe e hoʻomanaʻo, e hāʻawi pinepine lākou iā ʻoe i kahi pana Td i ka manawa like e palekana ai.
ʻO wai ka mea pono ʻole ke loaʻa i ka lāʻau pale diphtheria?
ʻOiai he palekana kēia lāʻau pale no nā kānaka āpau, hoʻoholo nā kauka e hoʻopanee a hāʻawi ʻole paha i ka lāʻau pale i kekahi mau hihia kūikawā.
Inā loaʻa iā ʻoe a i ʻole kāu keiki kekahi o kēia mau maʻi, e ʻōlelo pono i kāu kauka ma mua o ka loaʻa ʻana o ka lāʻau pale.
- Inā ua loaʻa iā ʻoe kahi hopena alerika koʻikoʻi i kahi lāʻau pale diphtheria ma mua.
- Inā he maʻi alerika koʻikoʻi kou i kekahi o nā mea hoʻohui i loko o ka lāʻau pale.
- Inā ua loaʻa iā ʻoe ka ʻeha nui, ka pehu ʻana, ke kuni ma luna o 105°F (40.5°C), a i ʻole ka uē mau ʻana no nā hola ma hope o ka lāʻau pale diphtheria ma mua.
- Inā loaʻa iā ʻoe kahi maʻi ʻōnaehana nerve (e like me ke kuʻi ʻana) a i ʻole Guillain-Barré syndrome (kahi kūlana kakaikahi kahi e hoʻouka ai ka ʻōnaehana pale i nā aʻalolo).
- Inā ʻoe e ʻeha nei i kahi maʻi maʻamau e like me ke kuni a i ʻole ke anu i ka lā o ka lāʻau pale (i kēlā mau hihia, e hāʻawi ʻia ka lāʻau pale ma hope o ka hoʻōla ʻana).
Aia kekahi mau hopena ʻaoʻao o ka lāʻau pale?
ʻAʻole ʻike ka hapa nui o ka poʻe i nā hopena ʻaoʻao koʻikoʻi. Eia nō naʻe, hiki ke loaʻa kekahi ʻoluʻolu iki a pōkole. Nalo loa kēia mau mea i loko o kekahi mau hola a i ʻole hoʻokahi a ʻelua paha lā.
- ʻUlaʻula, pehu, a ʻeha paha ma kahi i inikini ʻia
- ʻEha kino
- Manaʻo luhi ( Fatigue )
- ʻEha poʻo
- Makemake nui
- He kuni iki
- Ka luaʻi a i ʻole ka luaʻi
He mau kūlana maʻamau kēia. Eia nō naʻe, inā loaʻa i ke keiki ke kuni kiʻekiʻe, nā hōʻailona maʻi ʻaleka koʻikoʻi (paʻakikī ka hanu ʻana, pehu ʻana o ka maka), a i ʻole ke ʻano maʻamau ʻole ma hope o ka lāʻau pale, e nīnau koke aku i ke kauka a i ʻole ka Emergency Department (ETU) o ka haukapila kokoke loa.
Leka Lawe-Home
- He maʻi koʻikoʻi ka diphtheria a hiki ke make, akā hiki ke pale ʻia loa ma o ka hoʻopili ʻana.
- He lāʻau pale palekana a maikaʻi loa ka lāʻau pale diphtheria (DTaP, Tdap). Hāʻawi ia i ka palekana ma mua o 95%.
- E hōʻoia i loaʻa i kāu keiki kā lākou mau lāʻau pale āpau i ka manawa kūpono. E hahai i nā ʻōlelo a kāu limahana olakino ʻohana a me ke kauka.
- Ma ke ʻano he kanaka makua, pono ʻoe e loaʻa i kahi pana hoʻoikaika no ka pertussis a me ka diphtheria (Td/Tdap) i kēlā me kēia 10 makahiki.
- Inā he mau nīnau a hopohopo paha kāu e pili ana i ka lāʻau pale, e ʻoluʻolu e kamaʻilio me kāu kauka e pili ana i ia mea.
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