Loaʻa pinepine anei i kāu keiki liʻiliʻi ke anu a me ke kuni? Ua ʻike mākou a pau he mau mea maʻamau kēia no nā keiki ʻōpio. Akā i kekahi manawa, ma hope o ia maʻi maʻamau, aia paha kahi maʻi e pono ai mākou e hopohopo iki. ʻO Enterovirus D68 (EV-D68) kekahi o ia mau maʻi. Mai hopohopo, ʻaʻole kēia he mea koʻikoʻi. Akā he mea nui loa ia iā ʻoe a me kou ʻohana e makaʻala i kēia.
I ka ʻōlelo maʻalahi, he aha ka Enterovirus D68 (EV-D68)?
He maʻi kēia. I ka pololei, hoʻopilikia ia i ko kākou ʻōnaehana hanu, ʻo ia hoʻi, ka ʻōnaehana e pili ana i ka hanu ʻana. Hoʻopilikia nui ia i nā keiki a me nā ʻōpio. Eia nō naʻe, hiki iā ia ke hoʻopilikia i nā pākeke.
I ka hapa nui o ka manawa, ke loaʻa kēia maʻi, hoʻoulu ia i nā hōʻailona e like me ke anu maʻamau. ʻO ia hoʻi ke kuni, ka ʻū, a me ka ihu wai. No laila, ʻaʻole paha mākou e lawe koʻikoʻi iā ia.
Eia nō naʻe, no kekahi poʻe, ʻoi aku hoʻi nā kamaliʻi ʻōpio, hiki iā ia ke hoʻoulu i ka pilikia hanu koʻikoʻi. ʻOi aku ka kakaikahi, hiki i ka maʻi ke hoʻoulu i kahi maʻi neurological i kapa ʻia ʻo acute flaccid myelitis (AFM) . He nāwaliwali koke kēia o nā ʻiʻo o ke kino, e alakaʻi ana i ka maʻi lolo. ʻOiai he kakaikahi kēia ʻano koʻikoʻi, he mea nui e makaʻala iā ia.
He aha kēia mau hōʻailona? Pehea mākou e mālama ai iā lākou?
E nānā kākou i nā hōʻailona o kēia maʻi. E maʻalahi ka hoʻomaopopo ʻana inā e hoʻokaʻawale ʻoe iā ia i ʻelua ʻāpana. ʻO kekahi nā hōʻailona maʻamau i ʻike pinepine ʻia, a ʻo kekahi nā hōʻailona koʻikoʻi e pono ai kākou e hopohopo nui.
| ʻAno o ka hōʻailona | Wehewehena |
|---|---|
| Nā hōʻailona maʻamau i ʻike pinepine ʻia | |
| Nā ʻano o ka ʻōnaehana hanu | Ihu paʻa a i ʻole ka ihu wai, ke kuʻi, ka ʻāʻī ʻeha, ka hanu ʻūlū, ka paʻakikī o ka hanu ʻana. |
| Nā hiʻohiʻona maʻamau ʻē aʻe | ʻO ke kuni, ka ʻeha kino a i ʻole ka ʻeha ʻiʻo, a hiki i kekahi poʻe ke loaʻa i ka maʻi pākī. |
| Nā hōʻailona koʻikoʻi e pono ai ka nānā koke ʻana (e pili ana i ke kūlana AFM) | |
| Nāwaliwali o nā ʻiʻo | Ka nāwaliwali koke o nā ʻiʻo ma ka lima, ka wāwae, a i ʻole ka maka. |
| Ka paʻakikī o ka ʻōlelo ʻana a me ka moni ʻana | Ke ʻōlelo ʻana me ka ʻole o ka leo, ka paʻakikī o ka moni ʻana (dysphagia). |
| Nā loli o ka helehelena | Nā lihilihi maka e kulou ana, paʻakikī ke hoʻoneʻe i nā maka, ka maʻi lolo o ka maka. |
| ʻEha | ʻEha ma ke kua, ʻāʻī, lima, a i ʻole nā wāwae. |
ʻO ka mea nui, ʻo ia ka hoʻomaka ʻana o kēia mau hōʻailona koʻikoʻi i kekahi mau lā a ʻelua pule ma hope o ka hoʻomaka ʻana o nā hōʻailona e like me ke anu. No laila, inā loaʻa i kahi keiki ke anu a ʻike koke i ka nāwaliwali i ko lākou mau lālā i loko o kekahi mau lā, mai hoʻowahāwahā iā ia.
Pehea e laha ai kēia maʻi mai ke kanaka a i ke kanaka?
ʻAe, he maʻi lele kēia. ʻO ia hoʻi, hiki ke laha maʻalahi mai kekahi kanaka a i kekahi kanaka. Aia kekahi mau ala nui e hiki ai ke laha:
- Ma ke kunu ʻana a i ʻole ke ʻūhā ʻana: Ma o nā kulu liʻiliʻi o ka lawai e komo i ka lewa i ka wā e ʻūhā ai a kihe paha ka mea maʻi.
- Ma ka hoʻopā ʻana i nā ʻili i loaʻa i ka maʻi: Ka hoʻopā ʻana i nā mea e like me nā mea pāʻani, nā ʻūpā puka, nā papa ʻaina, a me nā mea ʻē aʻe i haumia i ka maʻi a laila hoʻopā i kou ihu, waha, a i ʻole nā maka me ka lima hoʻokahi.
- Ma ka kaʻana like ʻana i nā lako hana: Ma ka hoʻohana ʻana i nā kīʻaha like, nā pā, nā puna, a pēlā aku.
- Ma ka hoʻopā ʻana i nā ʻōpala i loaʻa i ka maʻi: He mea ʻoluʻolu ʻole paha kēia, akā he ʻoiaʻiʻo nō. Eia kekahi laʻana, ʻo ka holoi ʻole ʻana i kou mau lima me ke kopa ma hope o ka hoʻololi ʻana i ka diaper o ke keiki a i ʻole ka hoʻohana ʻana i ka lua e hiki ke hoʻolaha i ka maʻi.
He aha nā pilikia ʻē aʻe e hiki ai i kēia ke hana?
Ma waho aʻe o ke kūlana AFM a mākou i kūkākūkā ai ma mua, hiki i ka maʻi EV-D68 ke hana i kekahi mau pilikia ʻē aʻe.
- Pneumonia: ʻO ke ʻano kēia ua loaʻa ka maʻi i nā māmā a ua piha i ka wai.
- ʻEncephalitis: He maʻi a me ka pehu ʻana o ka lolo.
- Meningitis: He maʻi a me ka pehu ʻana o nā membrane e uhi ana i ka lolo a me ke kaula spinal.
ʻOi aku ka nui o ka pilikia o ka poʻe me ka hānō a i ʻole nā ʻōnaehana pale nāwaliwali o ka loaʻa ʻana o nā pilikia hanu koʻikoʻi inā loaʻa iā lākou ka maʻi. Eia kekahi, ʻoi aku ka nui o ka pilikia o nā keiki ma lalo o 7 mau makahiki i ka loaʻa ʻana o ka maʻi ʻōnaehana nerve i kapa ʻia ʻo AFM.
Pehea e mālama ʻia ai? He aha kaʻu e hana ai ma ka home?
ʻAʻohe lāʻau lapaʻau kūikawā e hoʻopau ai i ka maʻi EV-D68. Hoʻokumu ʻia ka lāʻau lapaʻau ma nā hōʻailona.
Nā mea hiki iā ʻoe ke hana ma ka home
Inā loaʻa iā ʻoe nā hōʻailona maʻamau a ʻoluʻolu hoʻi, e hoʻōla pinepine lākou iā lākou iho i loko o hoʻokahi a ʻelua paha pule. I loko o ia manawa, hiki iā ʻoe ke hana i kēia mau mea:
- E inu i ka nui o ka wai a me nā wai. E hoʻomaha nui.
- Inā paʻa kou ihu, ʻo ka ʻauʻau ʻana i ka wela a i ʻole ka noho ʻana i loko o ka lua mahu no kekahi manawa hiki ke hoʻokuʻu i ka huʻa a hāʻawi i ka hōʻoluʻolu.
- Hiki iā ʻoe ke lawe i nā lāʻau ʻeha no ke kuni a me nā ʻeha kino. Eia nō naʻe, ma mua o ka hāʻawi ʻana i kekahi lāʻau lapaʻau i kāu keiki, pono ʻoe e nīnau i kāu kauka a hāʻawi wale i ka nui āna i kuhikuhi ai.
Ka mālama ʻana ma ka haukapila
Inā koʻikoʻi nā hōʻailona, pono paha ka mālama ʻana i ka haukapila a me ka mālama ʻana. Hiki i ke kauka ke loiloi i ke kūlana o ka mea maʻi a hāʻawi i kēia mau lāʻau lapaʻau:
- E hōʻemi i ka pehu me nā lāʻau lapaʻau e like me 'Corticosteroids' .
- Inā pilikia nui kou hanu ʻana, e hoʻohana i nā bronchodilators (e like me nā nebulizers) e maʻalahi ai ka hanu ʻana.
- ʻO nā lāʻau lapaʻau antibody e like me ka immunoglobulin intravenous e kōkua i ke kino e hakakā i nā maʻi.
Āhea wau e hele koke ai i ka haukapila (ETU)?
Inā loaʻa iā ʻoe a i ʻole kāu keiki kekahi o kēia mau hōʻailona, e hele koke i ka ʻOihana Pilikia (ETU) o ka haukapila kokoke loa.
- Paʻakikī nui ka hanu ʻana.
- ʻO ke kala polū o ka ʻili, nā lehelehe, a i ʻole nā kui lima (cyanosis). ʻO ke ʻano kēia ʻaʻole lawa ka oxygen i ke kino.
- ʻO nā hōʻailona o AFM, e like me ka paʻakikī o ka ʻōlelo ʻana, nāwaliwali o ka ʻiʻo, a i ʻole ka maʻi lolo.
- Ka huikau a i ʻole ka nalowale o ka ʻike.
Pehea e hiki ai iaʻu ke pale iaʻu iho mai kēia maʻi?
E like me nā maʻi lele a pau, ʻo ke ala maikaʻi loa e pale aku ai iā ʻoe iho mai kēia, ʻo ia ka hoʻomaʻemaʻe a me ke olakino kūpono.
- E holoi pono i kou mau lima me ke kopa a me ka wai i nā manawa a pau. He mea nui e holoi i kou mau lima no ka liʻiliʻi he 20 kekona. He mea nui loa kēia ma hope o ka hoʻohana ʻana i ka lua, ka hoʻololi ʻana i nā diaper o nā keiki, a ma mua o ka ʻai ʻana a i ʻole ka hoʻomākaukau ʻana i ka meaʻai.
- I ke ʻū ʻana a i ʻole ke kihe ʻana, e ʻū i loko o kou kuʻekuʻe lima a i ʻole i loko o kahi ʻiʻo palupalu.
- E hoʻomaʻemaʻe i nā ʻili i hoʻopā pinepine ʻia (nā mea pāʻani, nā ʻūpā puka, nā kelepona) me ka disinfectant.
- Mai kaʻana like i nā kīʻaha ʻai, nā puna, nā kāwele, a i ʻole nā lole me nā poʻe ʻē aʻe.
- Inā maʻi kāu keiki, e hoʻokuʻu iā lākou mai ke kula mai ka home. A e pale i ka lawe ʻana iā lākou i nā wahi i piha i nā kānaka.
ʻO ka mea hope loa, ke lohe ʻoe i ka huaʻōlelo Enterovirus D68, makaʻu paha ʻoe ke lohe ʻoe i nā mea e like me ka maʻi lolo. He mea maʻamau kēlā. Akā e hoʻomanaʻo, he mea kakaikahi loa kēia mau pilikia koʻikoʻi. Loaʻa i ka hapa nui o ka poʻe a nalowale ia e like me ke anu maʻamau. ʻO ka mea nui loa, ʻo ia ka makaʻala i nā hōʻailona a ʻimi koke i ke kōkua lapaʻau inā ʻike ʻoe i kekahi mau hōʻailona weliweli.
Leka Lawe-Home
- ʻO ka Enterovirus D68 (EV-D68) kahi maʻi e hōʻike pinepine i nā hōʻailona ʻoluʻolu e like me ke anu.
- Akā, he mea kākaʻikahi loa, hiki i kēia ke alakaʻi i nā pilikia hanu koʻikoʻi a i ʻole nā kūlana e like me ka amyloidosis (AFM).
- Inā pilikia nui ʻoe i ka hanu ʻana, ka ʻili polū, a i ʻole ka nāwaliwali koke o nā ʻiʻo, e hele koke i ka ʻOihana Pilikia (ETU) o ka haukapila.
- ʻO ke ala maikaʻi loa e pale aku ai iā ʻoe iho mai kēia, ʻo ia ke hahai i nā hana hoʻomaʻemaʻe maikaʻi, me ka holoi pono ʻana i kou mau lima.
- Inā he mau nīnau a kānalua paha kāu e pili ana i kēia, mai makaʻu e kamaʻilio me kāu kauka.
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