E nā mākuahine a me nā mākua kāne, ua ʻike mākou a pau i ke koʻikoʻi o ka hoʻopili ʻana i kāu keiki liʻiliʻi i ka manawa kūpono. ʻO kēia mau lāʻau pale, i hāʻawi manuahi ʻia i nā keiki ma lalo o ka National Immunization Program ma ko mākou ʻāina, pale iā lākou mai nā maʻi weliweli he nui. No laila, he hopohopo a kānalua paha kāu e pili ana i nā lāʻau pale i hāʻawi ʻia i kāu keiki ma waena o nā makahiki 15-18 mahina? I kēia lā, e kamaʻilio kākou e pili ana i kēia mau lāʻau pale koʻikoʻi.
He aha kēia lāʻau pale DTaP-Hib?
I ka ʻōlelo maʻalahi, he hui pū ʻana kēia o kekahi mau lāʻau pale i hāʻawi ʻia i ke keiki i ka manawa hoʻokahi. Mālama kēia lāʻau pale hoʻokahi i ke keiki mai nā maʻi ʻino ʻehā. No laila, ma kahi o ka hāʻawi ʻana i ke keiki i nā inikini he nui, hiki ke hāʻawi ʻia kēia palekana i hoʻokahi inikini.
1. Diphtheria: He maʻi kēia o ka puʻu a i kekahi manawa ka ihu. Hiki iā ia ke hana i nā kūlana koʻikoʻi e like me ka pilikia o ka hanu ʻana, ka maʻi puʻuwai, a me ka hōʻino ʻana o nā aʻalolo.
2. Tetanus: He maʻi ʻeha loa kēia e hoʻopaʻa ai i nā ʻiʻo o ke kino, me ka ʻāwae. Hoʻokumu pinepine ʻia ia e nā germs e komo ana ma o nā ʻeha.
3. Pertussis: He ʻūhū koʻikoʻi kēia a mau loa. He mea weliweli loa ia no nā keiki ʻōpio, no ka mea, hiki iā lākou ke hanu ʻia.
4. Hib (Haemophilus influenzae ʻano b - Hib): He maʻi kēia i hoʻokumu ʻia e ka bacteria. Hiki iā ia ke hana i nā maʻi koʻikoʻi e like me ka meningitis, ka pneumonia, a me ka lāʻau make koko.
No laila, he mea maikaʻi loa ia e hāʻawi ʻia ka palekana mai kēia mau maʻi ʻehā e kahi lāʻau pale hoʻokahi, ʻeā?
Nā mea e haʻi aku i kāu kauka ma mua o ka loaʻa ʻana o ka lāʻau pale
Ma mua o ka hoʻopili ʻana i kāu keiki, he mea nui e haʻi i kāu kauka inā loaʻa iā ʻoe kekahi o nā kūlana i helu ʻia ma lalo nei. E kōkua kēia i ke kauka e hoʻoholo inā kūpono ke hāʻawi ʻana i ka lāʻau pale a i ʻole inā pono e hoʻopanee ʻia.
| Ke kūlana e hōʻike ʻia | He wehewehe maʻalahi |
|---|---|
| He maʻi ʻaleka koʻikoʻi i kahi lāʻau pale ma mua | Inā ua loaʻa iā ʻoe kahi hopena alerika koʻikoʻi i kahi lāʻau pale ma mua e like me kēia. |
| Nā maʻi o ka ʻōnaehana nerve | Inā he maʻi lolo a aʻalolo paha ko ke keiki, e like me ka ʻūlū ʻana. |
| ʻO ka maʻi Guillain-Barre | Inā ua loaʻa iā ʻoe kēia maʻi ma mua. |
| Nā nāwaliwali o ka ʻōnaehana pale | Inā ua nāwaliwali ka palekana o ke keiki ma muli o kahi maʻi e like me ke kanesa a i ʻole ka lāʻau lapaʻau. |
| Mea hoʻohuihui koko | Inā hāʻawi ʻoe i kāu keiki i nā lāʻau hoʻokahe koko e like me warfarin a i ʻole enoxaparin. |
| He kuni a maʻi paha e kū nei | Inā loaʻa i ke keiki kahi maʻi e like me ke kuni a i ʻole ke anu i ka lā o ka lāʻau pale. |
Nā hopena ʻaoʻao e hiki ke manaʻo ʻia ma hope o ka lāʻau pale
E like me nā lāʻau pale āpau, aia paha he mau hopena ʻaoʻao liʻiliʻi ma hope o kēia. ʻAʻohe mea e hopohopo ai ka hapa nui o kēia. He hōʻailona wale nō ia e pane ana ka ʻōnaehana pale o ke keiki i ka lāʻau pale a ke aʻo nei e hakakā i ka maʻi.
Eia nō naʻe, e makaʻala kākou i kēia mau ʻano hopena ʻelua.
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i ke kauka | |
|---|---|
| Nā hōʻailona allergies koʻikoʻi | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, lehelehe a i ʻole ke alelo, paʻakikī ke hanu. |
| Kuni kiʻekiʻe loa | Inā he 39.4 degere Celsius (103 Fahrenheit) a ʻoi aku paha ke kuni. |
| E uē ana ʻaʻole e pau | Inā uē ke keiki no nā hola he nui, me ka hiki ʻole ke hōʻoluʻolu ʻia. |
| Nā hopu ʻana | ʻO nā hōʻailona e komo pū me ka ʻoniʻoni ʻana o ke kino o ke keiki a me ka nalowale ʻana o ka ʻike. |
| Pehu nui | Inā pehu loa ka lima a i ʻole ka wāwae kahi i hāʻawi ʻia ai ka inikini. |
| Ka nāwaliwali maʻamau ʻole | Inā ʻike ʻia ke keiki ua make loa, ʻaʻole hiki ke neʻe. |
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona koʻikoʻi, mai hoʻokaʻulua. E hele koke i ka ʻOihana Pilikia (ETU) o ka haukapila kokoke loa a kāhea aku i kāu kauka.
I kēia manawa, e nānā kākou i kekahi o nā hopena ʻaoʻao ʻaʻole koʻikoʻi loa i ʻike pinepine ʻia.
| Nā hōʻailona maʻamau e pono ai ʻoe e haʻi i kāu kauka inā hoʻomau lākou | |
|---|---|
| ʻEha ma kahi i hoʻokomo ʻia | Hiki ke ʻulaʻula kahi i hoʻokomo ʻia ai, pehu iki, a manaʻo paha he puʻupuʻu liʻiliʻi. E emi ana kēia i loko o ʻelua a ʻekolu mau lā. |
| Kuni iki | Inā emi ke kuni ma lalo o 39 kekelē Celsius (102 Fahrenheit). |
| Ka huhū/hopohopo | Malia paha ke hana nei ke keiki i kahi ʻano ʻē iki, me he mea hoʻonāukiuki lā. |
| Makemake nui | Hiki i ke keiki ke kānalua iki e ʻai/inu i ka waiū e like me ka mea maʻamau. |
| Ka luaʻi ʻana a i ʻole ka maʻi pākī | Ka luaʻi iki a i ʻole ka maʻi pākī. |
| Luhi | Hiki i ke keiki ke manaʻo i ka luhi iki a me ka hiamoe. |
Pono e emi iho kēia mau hopena ʻaoʻao maʻamau i loko o hoʻokahi a ʻelua paha lā. Inā hoʻomau lākou, a inā he mau hopohopo kāu, e kāhea i kāu kauka no ka ʻōlelo aʻo.
Nā lāʻau lapaʻau ʻē aʻe e launa pū me ka lāʻau pale
Hiki i kekahi mau lāʻau lapaʻau ke hoʻopilikia i ke ʻano o ka hana ʻana o kēia lāʻau pale. No laila e haʻi i kāu kauka inā ke lawe nei kāu keiki i kekahi mau lāʻau lapaʻau ʻē aʻe, ʻoiai hoʻi:
- Nā lāʻau lapaʻau immunosuppressant (e.g. adalimumab, infliximab)
- Nā lāʻau lapaʻau maʻi kanesa
- Nā steroid (e.g. prednisone, cortisone)
Leka Lawe-Home
- Mālama kēia lāʻau pale DTaP-Hib i kāu keiki mai nā maʻi ʻino ʻehā: diphtheria, tetanus, whooping cough, a me Hib.
- Ma mua o ka hāʻawi ʻana i ka lāʻau pale, e haʻi i kāu kauka e pili ana i ka mōʻaukala olakino o kāu keiki, nā lāʻau lapaʻau a lākou e lawe nei, a me nā maʻi allergies.
- He mea maʻamau nā hopena ʻaoʻao liʻiliʻi, e like me ka ʻeha ma kahi i hoʻokomo ʻia a me ke kuni iki. Akā e makaʻala i nā mea e like me nā maʻi alerika koʻikoʻi, ke kuni nui, a me nā hopu ʻana.
- He mea nui loa ka loaʻa ʻana o kāu mau lāʻau pale i ka manawa kūpono. Mai hoʻokuʻu i kahi lāʻau pale.
- Inā he kānalua a nīnau paha kāu, mai makaʻu e kamaʻilio me kāu kauka e pili ana iā lākou.
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