E aʻo hou kākou e pili ana i ka maʻi ʻūlū (Rubeola)! He mea nui kēia mau mea iā ʻoe a me kou ʻohana!

Ua ʻike anei ʻoe i kahi keiki liʻiliʻi, a i kekahi manawa he kanaka makua, me nā kiko ʻulaʻula liʻiliʻi ma ko lākou kino a me ke kuni? He maʻi ʻūlū paha ia. ʻAʻole kēia he pāʻani, he maʻi ia e hiki ke lilo i mea weliweli inā ʻaʻole mālama pono ʻia. E kamaʻilio kākou e pili ana i kēia i kēia lā.

He aha maoli ka measles (Rubeola)?

I ka ʻōlelo maʻalahi, he maʻi viral laha loa ka maʻi ʻūlū. Hoʻokumu ʻia ia e kahi maʻi no ka ʻohana Morbillivirus. Hoʻoulu ia i nā kiko ma ke kino holoʻokoʻa, me nā hōʻailona e like me ke kuni a me ke kuni. Akā, ʻaʻole he mau kiko wale nō ka maʻi ʻūlū. Hiki iā ia ke hoʻomaʻi nui iā ʻoe, a i kekahi manawa hiki ke alakaʻi i nā maʻi koʻikoʻi e like me ka encephalitis , hiki ke hoʻoweliweli i ke ola, a i ʻole ka pneumonia . ʻAʻole wale ia, hoʻonāwaliwali pū ka maʻi ʻūlū i kou ʻōnaehana pale, e hoʻolilo iā ʻoe i mea maʻalahi i nā maʻi ʻē aʻe. I ka wā ma mua, ma mua o ka loaʻa ʻana o kahi lāʻau pale, ua make nā miliona o ka poʻe a puni ka honua i ka maʻi ʻūlū. ʻIke ʻia nō ia ma kekahi mau ʻāina. ʻAʻohe lāʻau lapaʻau kūikawā a lāʻau lapaʻau paha no ia.

Ua kapa ʻia hoʻi ʻo ka maʻi ahulau ʻo rubeola, ka maʻi ahulau 10 lā, a me ka maʻi ʻulaʻula. Akā, ʻaʻole kēia he maʻi ahulau Kelemania (Rubella), he maʻi ʻokoʻa ia.

Pehea e laha ai ka maʻi ʻūlū?

He maʻi lele loa ka maʻi ʻūlū e laha ana ma ka lewa . Ke hanu ka mea me ka maʻi ʻūlū, ʻūlū, ʻūhā, a kamaʻilio paha, hoʻokuʻu ʻia nā ʻāpana liʻiliʻi o ka maʻi i ka lewa. Hiki i kēia mau ʻāpana maʻi ke noho i ka lewa a hiki i ʻelua hola ma hope o ka haʻalele ʻana o ka mea me ka maʻi ʻūlū i ka lumi. Hiki nō hoʻi iā lākou ke noho ma luna o nā ʻili e like me nā papa ʻaina, nā noho, a me nā ʻūpā puka. Inā ʻoe e hoʻopā i kēlā mau ʻili a laila hoʻopā i kou waha, ihu, a i ʻole nā ​​maka me ka lima hoʻokahi, hiki iā ʻoe ke loaʻa i ka maʻi.

Eia kekahi o nā ala nui e laha ai ka maʻi ʻūlū:

• ʻO ke noho ʻana a puni kahi mea i loaʻa i ka maʻi ʻūlū. ʻO ia hoʻi ke kamaʻilio ʻana, ka kaʻana like ʻana i ka meaʻai a me nā mea inu, ka honi ʻana, ka lulu lima ʻana, a me ke ʻapo ʻana.
• Ke hoʻopā ʻana i kahi ʻili a mea paha i loaʻa ka maʻi ma luna a laila hoʻopā i kou waha, ihu, a i ʻole nā ​​maka me ka lima hoʻokahi.
• Inā loaʻa ka maʻi ʻūlū i ka makuahine hāpai, hiki iā ia ke hoʻoili iā ia i kāna pēpē i ka wā hāpai, hānau keiki, a hānai waiū paha. Ua kapa ʻia kēia he laha kū pololei.

E noʻonoʻo, inā hele mai kekahi kanaka me ka maʻi ʻūlū i loko o kahi lumi me nā kānaka he ʻumi i ʻole i hoʻopili ʻia no ka maʻi ʻūlū, ʻōlelo nā kauka he ʻeiwa o kēlā mau ʻumi he kiʻekiʻe ka manawa e loaʻa ai ka maʻi ʻūlū. Pēlā ke ʻano o ka laha ʻana! Hiki iā ʻoe ke hoʻopili i kekahi mai ʻehā lā ma mua o kou loaʻa ʻana o ka ʻōhū a hiki i ʻehā lā ma hope o ka puka ʻana o ka ʻōhū.

He aha nā hōʻailona o ka maʻi ʻūlū?

ʻAʻole ʻike ʻia nā hōʻailona o ka maʻi ʻūlū i ka manawa hoʻokahi. Hele mālie mai lākou. E ʻike paha ʻoe i nā mea e like me kēia i ka wā mua:

• Ke loaʻa nei iaʻu ke kuni kiʻekiʻe .
• Ke hele mai nei ka ʻūhā ʻaoa.
• ʻUlaʻula nā maka, a puka mai paha nā waimaka mai loko mai o nā maka (nā maka ʻulaʻula a koko paha).
• Ihu wai.
• Ua luhi loa wau.
• Hiki ke ʻike ʻia nā kiko ʻulaʻula liʻiliʻi me kahi kikowaena keʻokeʻo (i kapa ʻia ʻo nā kiko ʻo Koplik) i loko o ka waha a ma nā papālina. ʻIke pinepine ʻia kēia mau kiko i loko o ʻelua a ʻekolu mau lā a mae wale i ka hoʻomaka ʻana o nā kiko ʻē aʻe ma ke kino e ʻike ʻia.
• A laila hoʻomaka ka ʻulaʻula e ʻike ʻia ma ke kino holoʻokoʻa .
• Hiki i kekahi poʻe ke loaʻa nā hōʻailona o ka ʻōnaehana hoʻoheheʻe e like me ka ʻeha o ka ʻōpū, ka maʻi diarrhea, a me ka luaʻi ʻana.
• ʻEha koʻu puʻu.
• Hiki nō hoʻi ke ʻeha ke kino a me ka ʻeha poʻo.

ʻO ka mea mua, ʻike ʻia nā hōʻailona e like me ke kuni, ke kuni, ka ihu wai, a me nā maka ʻulaʻula. Ma hope o ʻelua a ʻekolu lā wale nō e ʻike ʻia ai nā mea i kapa ʻia ʻo "nā kiko o Koplik" i loko o ka waha. Hoʻomaka nā kiko ma ke kino e ʻike ʻia ma hope aku, ma kahi o ʻekolu a ʻelima mau lā ma hope o ka hoʻomaka ʻana o nā hōʻailona mua. Ke ʻike ʻia nā kiko, hiki ke hoʻi hou ke kuni.

Pehea ke ʻano o nā kiko maʻi ʻūlū?

Hoʻomaka pinepine nā kiko maʻi mimi ma ka maka. ʻIke ʻia lākou he mau kiko pālahalaha. Inā he ʻili māmā kou, e ʻulaʻula lākou. Inā he ʻili ʻeleʻele kou, he poni a ʻeleʻele paha lākou ma mua o ka ʻili a puni. I kekahi manawa hiki ke paʻakikī ke ʻike maopopo.

A laila pālahalaha kēia mau kiko i ka ʻāʻī, ka umauma, ke kua, nā lima, nā wāwae, a me nā kapuwaʻi o nā wāwae. I ko lākou pālahalaha ʻana, hiki i kekahi mau kiko ke hui pū a lilo i mea nui. Ma kekahi mau wahi, hiki ke piʻi aʻe e like me nā puʻupuʻu, a ma kekahi mau wahi, hiki ke pālahalaha. Eia naʻe, ʻaʻole maʻamau kēia mau kiko e ʻānai .

ʻO wai ka mea i pilikia nui i ka loaʻa ʻana o ka maʻi maʻi laula?

ʻOi aku ka nui o ka hiki i kekahi poʻe ke loaʻa i nā pilikia koʻikoʻi mai ka maʻi ʻōpala. ʻO kēia mau mea:

• ʻO nā kānaka ma luna o 20 mau makahiki a me nā keiki ma lalo o 5 mau makahiki.
• Nā makuahine hāpai.
• ʻO ka poʻe me ka ʻōnaehana pale maʻi nāwaliwali he "immunocompromised." ʻO ia hoʻi, ʻo ka poʻe e lawe nei i ka lāʻau lapaʻau no nā maʻi e like me ke kanesa, ua loaʻa i ka maʻi HIV, a i ʻole ua emi iho ko lākou hiki ke pale aku i nā maʻi no nā kumu ʻē aʻe.

He aha nā pilikia weliweli e hiki ke kū mai ma muli o ka maʻi ʻōpū?

ʻOiai he liʻiliʻi kekahi mau pilikia mai ka maʻi ʻōpala, hiki i kekahi ke koʻikoʻi a hoʻoweliweli i ke ola. E nānā i kēia mau mea:

• Nā maʻi pepeiao.
• Ka maloʻo ʻana o ka wai ma muli o ka maʻi pākī nui.
• Ka maʻi bronchitis.
• ʻO ka maʻi ʻōpū.
• Pneumonia : ʻO kēia ke kumu nui o ka make ʻana o nā keiki liʻiliʻi mai ka maʻi ʻōpū.
• Ka nalowale ʻana o ka ʻike (makapō).
• Ka pehu ʻana a i ʻole ka mumū o ka lolo (encephalitis) . Hiki i kēia ke hōʻeha mau loa i ka lolo a, i kekahi manawa, hiki i ka make.
• He maʻi laha ʻole akā make ka subacute sclerosing panencephalitis (SSPE) o ka ʻōnaehana nerve. Hiki ke hana i nā makahiki ma hope o ka maʻi ʻōpala.
• ʻO ka measles inclusion body encephalitis (MIBE) he mumū o ka lolo. Hiki ke hana ʻia kēia i nā lā a i ʻole nā ​​​​makahiki ma hope o ka measles. ʻO ka poʻe me nā ʻōnaehana pale nāwaliwali ka poʻe i ka pilikia nui.
• I ka hopena, hiki nō hoʻi ke make.

ʻO ka mea nui loa, inā loaʻa iā ʻoe ka maʻi ʻūlū i ka wā hāpai, hiki ke hānau mua ʻia kāu pēpē a i ʻole he kaumaha haʻahaʻa i ka wā hānau .

Pehea e ʻike ai nā kauka i ka maʻi ʻūlū?

Hiki i ke kauka ke kānalua i ka maʻi ʻūlū ma muli o kou mōʻaukala olakino, ka hoʻokolokolo kino, a me ke ʻano o ka ʻōhū. Eia nō naʻe, hiki iā lākou ke hana i nā hoʻokolohua e like me kēia e hōʻoia ai:

• Nā hoʻāʻo koko .
• Ke hoʻāʻo ʻana i nā hāpana o ka wai i lawe ʻia mai kou ihu a i ʻole kou puʻu (nā swabs mai ka ihu a i ʻole ka puʻu).
• Nā hoʻāʻo mimi .

Aia kekahi lāʻau lapaʻau no ka maʻi ʻūlū?

ʻO ka mea pōʻino, ʻaʻohe lāʻau lapaʻau a i ʻole kahi lāʻau lapaʻau kikoʻī e hiki ke ho'ōla loa i ka maʻi ahulau.

Akā inā ʻoe i loko o ka haukapila, hiki i kāu kauka ke hāʻawi iā ʻoe i ka huaora A e hōʻemi i ka pilikia o nā pilikia koʻikoʻi. Eia nō naʻe, ʻaʻole pono ʻoe e lawe i ka huaora A ma kāu iho me ka ʻole o ka nānā ʻana a ke kauka. ʻO ka lawe ʻana i ka nui o ka huaora A hiki ke hana i kahi maʻi koʻikoʻi i kapa ʻia ʻo ka vitamin A toxicity, hiki ke hōʻino i kou mau kino o loko. ʻAʻole hoʻōla ka Vitamin A i ka maʻi ʻōpala a pale paha iā ia mai ka ulu ʻana.

Pehea ka lōʻihi o ke ola ʻana o ka maʻi ʻūlū?

Inā ʻaʻohe ou pilikia ʻē aʻe, ʻo ka maʻamau, ʻo ka maʻi ʻūlū ka lōʻihi ma kahi o 10 a 14 mau lā.

Āhea ʻoe e ʻike ai i ke kauka?

E kamaʻilio me ke kauka i nā hihia e like me kēia:

• Inā he mau nīnau kāu e pili ana i ka lāʻau pale.
• Inā manaʻo ʻoe ua pili paha ʻoe i kahi mea i loaʻa i ka maʻi ʻōpala (hiki i kāu kauka ke hāʻawi iā ʻoe i ka lāʻau immunoglobulin (antibody) e hōʻemi i kou pilikia o ka loaʻa ʻana o ka maʻi).
• Inā makemake ʻoe e nānā i kāu mau pae antibody measles (antibody `titers`) e ʻike ai inā he palekana kou i ka measles.

Pono ʻoe e hele i ka lumi pilikia inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona:

• Inā pilikia ʻoe i ka hanu ʻana.
• Inā loaʻa iā ʻoe ka ʻeha o ka umauma.
• Inā ʻike nui ʻia kou mau maka i ka mālamalama (Sensitivity to light).
• Inā ʻoe e manaʻo ana i ka ʻāʻī ʻoʻoleʻa.
• Inā he ʻeha poʻo nui kou.
• Inā he huikau.
• Inā ʻoe e luaʻi nui ana a i ʻole he maʻi kahe.

He aha ka mea e hana ai inā loaʻa iā ʻoe ka maʻi ʻūlū?

Hiki i ka maʻi ahulau ke hoʻomaʻi nui iā ʻoe. Ua manaʻo ʻia ma kahi o ʻelua o kēlā me kēia ʻelima mau kānaka i loaʻa i ka maʻi ahulau e pono e lawe ʻia i ka haukapila .

ʻOiai ma hope o kou ho'ōla ʻana, ʻoi aku paha ka nui o ka loaʻa ʻana o nā maʻi ʻē aʻe. ʻO kēia no ka mea hiki i ka maʻi ʻūlū ke luku i nā pūnaewele i loko o kāu ʻōnaehana pale e hoʻomanaʻo ana i kou pale ʻana i nā maʻi ma mua. Ua kapa ʻia kēia ʻo 'immune amnesia' .

Eia kekahi, hiki i nā pilikia e hoʻoweliweli i ke ola ke loaʻa i nā mahina a i ʻole nā ​​​​makahiki ma hope o ka maʻi ahulau, ʻoiai inā he nāwaliwali kou ʻōnaehana pale.

Pono anei au e noho kaʻawale mai nā poʻe ʻē aʻe inā loaʻa iaʻu ka maʻi ahulau?

ʻAe, ʻoiaʻiʻo nō. Pono ʻoe e noho kaʻawale mai nā poʻe ʻē aʻe no ʻehā mau lā ma hope o kou loaʻa ʻana i ka maʻi ʻūlū a ʻike ʻia ka ʻulaʻula. Pono ʻoe e ʻaʻahu i ka pale maka N95. Eia kekahi, pono nā kauka, nā kahu maʻi, a me nā poʻe ʻē aʻe e mālama iā ʻoe e ʻaʻahu i ka pale maka N95. E nīnau i kāu kauka i ka wā hiki iā ʻoe ke hele i ka hana a i ke kula paha a i ka wā hiki iā ʻoe ke launa pū me nā poʻe ʻē aʻe.

Pehea e hōʻoluʻolu ai i nā hōʻailona o ka maʻi ʻōpala ma ka home?

Inā loaʻa iā ʻoe a i ʻole kāu keiki ka maʻi ʻūlū, e nīnau i kāu kauka e pili ana i nā ala palekana e mālama ai i kāu mau hōʻailona ma ka home. Hiki iā ia ke kuhikuhi i nā mea e like me:

• E lawe i ka acetaminophen (e like me ka paracetamol) a i ʻole nā ​​​​lāʻau anti-inflammatory non-steroidal (NSAIDs) (e like me ka ibuprofen) no ka ʻeha kino a me ke kuni.
• E hoʻomaha maikaʻi.
• E inu i nā wai he nui e like me ka wai a me nā huaʻai.
• E holoi i kou ʻāʻī me ka wai paʻakai e hōʻoluʻolu ai i kou puʻu.

Pehea e hiki ai iā ʻoe ke pale iā ʻoe iho mai ka maʻi ahulau?

ʻO ke ala maikaʻi loa a me ka pono loa e pale aku ai iā ʻoe iho mai ka maʻi ʻūlū, ʻo ia ke kiʻi ʻana i ka lāʻau pale ʻūlū . I mea e palekana piha ai, pono ʻoe i loaʻa nā lāʻau ʻelua o kekahi o kēia mau ʻano lāʻau pale ʻelua:

• ʻO ka lāʻau pale ʻōpala, mumps, a me ka rubella (ka lāʻau pale MMR).
• ʻO ka lāʻau pale no ka measles, mumps, rubella, a me ka chickenpox (MMRV vaccine).

Loaʻa i nā kānaka he nui ka lāʻau pale MMR a i ʻole MMRV i ko lākou wā ʻōpiopio. Akā hiki nō hoʻi iā ʻoe ke loaʻa ka lāʻau pale i kou wā ʻelemakule.

Hiki iā ʻoe ke loaʻa i ka maʻi ʻūlū ma hope o ka loaʻa ʻana o ka lāʻau pale?

Inā ua loaʻa iā ʻoe nā mahele ʻelua o ka lāʻau pale i ka pololei, ua haʻahaʻa loa kou manawa e loaʻa ai ka maʻi ʻūlū . Akā inā hoʻokahi wale nō mahele āu i loaʻa ai, ʻoi aku ka haʻahaʻa o ka manawa e pale aku ai i ka maʻi.

I ka wā ma mua, ʻoiai ma kekahi mau ʻāina i hoʻomohala ʻia, he maʻi maʻamau ka maʻi ʻūlū i nā kamaliʻi. Mahalo i nā papahana olakino lehulehu, ua hoʻopau nui ʻia ka maʻi mai kēlā mau ʻāina (ʻo ia hoʻi, ʻaʻole ia e laha hou ana). Eia nō naʻe, aia nō nā hihia a ke make nei ka poʻe i ka maʻi ʻūlū. Inā hoʻōki ka poʻe i ka loaʻa ʻana o ka lāʻau pale ʻūlū, hiki i ka maʻi ke hoʻomaka koke e laha hou a puni ka honua. Inā manaʻo ʻoe ua pili paha ʻoe i kahi mea i loaʻa i ka maʻi ʻūlū, e ʻike koke i ke kauka. Hiki iā ia ke haʻi iā ʻoe pehea e hoʻokele ai i kāu mau hōʻailona a me nā mea hiki iā ʻoe ke hana e hōʻemi i kou pilikia o ka maʻi koʻikoʻi, inā he.

He aha ka mea nui a kākou e makemake ai e lawe i ka home mai kēia moʻolelo?

ʻAʻole he maʻi ka maʻi ʻūlū e hoʻohenehene ʻia, e nā hoaaloha. He maʻi viral lele loa ia e hiki ai ke hoʻoulu i nā pilikia koʻikoʻi. ʻO ka mea pōmaikaʻi, aia kahi lāʻau pale ikaika loa (ʻo ka `MMR vaccine` a i ʻole `MMRV vaccine`) e pale aku ai. Inā ʻaʻole ʻoe a i ʻole kāu mau keiki i loaʻa i kēia lāʻau pale, e ʻimi pono i ka ʻōlelo aʻo lapaʻau a loaʻa iā ia.

Inā loaʻa iā ʻoe nā hōʻailona o ka maʻi ʻūlū, a i ʻole ua launa pū me kekahi mea i loaʻa i ka maʻi ʻūlū, e ʻike koke i ke kauka . Me ka mālama koke ʻana a me ka ʻōlelo aʻoaʻo kūpono, hiki iā ʻoe a me ka poʻe a puni iā ​​​​ʻoe ke pale iā ʻoe iho a me nā poʻe ʻē aʻe mai kēia maʻi. E hoʻomanaʻo, ʻo ke olakino ka waiwai nui loa!

ʻO ka maʻi ʻūlū, Rubeola, Nā hōʻailona o ka maʻi ʻūlū, Ka laha ʻana o ka maʻi ʻūlū, ka lāʻau pale maʻi ʻūlū, ka lāʻau pale maʻi ʻūlū MMR, Pediatrics