Loaʻa i kāu keiki liʻiliʻi ka herpes? E aʻo kākou e pili ana i ka herpes neonatal!

Ua ʻike anei ʻoe i kekahi mau pehu liʻiliʻi ma ke kino o kāu pēpē hānau hou e hopohopo iki nei iā ʻoe? A i ʻole ke manaʻo nei ʻoe e pilikia ana kāu pēpē i ka hānai ʻana a i ʻole ka hanu ʻana? I kekahi manawa, hiki i kēia ke lilo i mau hōʻailona o kahi maʻi i kapa ʻia ʻo Neonatal Herpes, hiki ke hoʻopilikia i nā pēpē hānau hou. He ʻokoʻa loa kēia mai ka herpes i nā pākeke, a hiki ke lilo i mea weliweli iki no nā pēpē. No laila, me ka ʻole o ka hoʻopaneʻe hou ʻana, e kamaʻilio kākou e pili ana i kēia me nā kikoʻī.

He aha ka herpes hānau hou?

I ka ʻōlelo maʻalahi, ʻo ka herpes neonatal kahi maʻi herpes e kū mai ana i loko o nā pule ʻeono mua o ka hānau ʻana o kahi pēpē. ʻO ka hapa nui o ia mea ke hiki mai ka wā e hoʻoili ʻia ai ka maʻi herpes simplex (HSV) mai ka makuahine a i ka pēpē, ʻoiai i ka wā hānau.

ʻAʻole like kēia me ka herpes (no ka laʻana, nā ʻeha anu ma nā lehelehe) i loaʻa i nā keiki makua a i ʻole nā ​​​​mākua. He mea weliweli loa kēia maʻi no nā pēpē hānau hou, a i kekahi manawa hiki ke hoʻoweliweli i ke ola. ʻO kēia no ka mea hiki i kēia maʻi ke hoʻopilikia i nā ʻōpū nui o ka pēpē, ʻoiai ka lolo . No laila, he mea nui loa ka ʻike ʻana i nā hōʻailona a mālama iā lākou i ka hikiwawe loa. A laila wale nō e loaʻa ai i ka pēpē kahi manawa kūpono e hoʻōla ai.

Ma nā ʻāina e like me ʻAmelika Hui Pū ʻIa, pili kēia maʻi ma waena o 5 a me 33 mau keiki no 100,000 mau hānau ola. ʻO ia hoʻi, ma kahi o 1,500 mau pēpē i hānau ʻia me ka herpes ma kēia ʻano i kēlā me kēia makahiki. Manaʻo kekahi mau noiʻi ua piʻi iki kēia helu i kēia manawa, akā ʻaʻole maopopo ke kumu pololei no kēia.

He aha nā ʻano nui o kēia maʻi?

Hoʻokaʻawale nā ​​kauka i ka herpes neonatal ma muli o nā ʻāpana o ke kino o ka pēpē i hoʻopilikia ʻia e ka maʻi. ʻEkolu mau ʻano nui:

1. Maʻi ʻili, maka a me ka waha (maʻi SEM): Hoʻoulu kēia i nā pehu piha i ka wai e hana ma ka ʻili o ka pēpē, i loko o ka waha, a a puni nā maka .

2. Maʻi o ka ʻōnaehana nerve waena (maʻi CNS - maʻi lolo): Maanei e ulu a hoʻonui ka maʻi i loko o ka ʻōnaehana nerve waena o ka pēpē, ʻo ia hoʻi, ka lolo a me ke kaula iwi kuamoʻo . I kekahi manawa, ʻaʻohe hōʻailona i nā pae mua, a ʻaʻohe pehu ʻili e ʻike ʻia.

3. Maʻi laha: I kēia hihia, hoʻopilikia ka maʻi i nā ʻāpana he nui o ke kino o ka pēpē, me nā ʻōpū nui e like me ke akepaʻa a me nā māmā . I kekahi mau hihia, hiki ke hoʻopilikia ʻia ka lolo.

E noʻonoʻo i ka paʻakikī o kēia no kahi pēpē liʻiliʻi. ʻO ia ke kumu e pono ai kākou e makaʻala i kēia.

He aha nā hōʻailona e loaʻa ana i kāu pēpē ka herpes?

ʻO ka hōʻailona maopopo loa, ʻo ia nā pehu piha i ka wai e ʻike ʻia ma ka ʻili o ka pēpē, a puni nā maka, a ma ka waha . Eia naʻe, ʻaʻole i loaʻa i nā pēpē āpau kēia mau pehu. Aia ia i ke ʻano o ka herpes i loaʻa i ka pēpē.

Hiki ke ʻike ʻia kēia mau hōʻailona i kēlā me kēia manawa i loko o nā pule ʻeono mua ma hope o ka hānau ʻana o ke pēpē.Hiki ke hana ʻia, akā ʻoi aku ka nui o ka hiki ke hana ʻia i loko o nā pule ʻehā mua. ʻO kekahi mau mea, e like me nā pehu, ka hānai ʻole ʻana o ka pēpē i ka waiū, ka paʻakikī o ka hanu ʻana, a me nā loli i ke ʻano o ka pēpē, hiki iā ʻoe ke ʻike ma ka home. Inā ʻike ʻoe i kekahi mea e like me kēia, pono ʻoe e ʻike koke i ke kauka. Akā aia kekahi mau hōʻailona hiki ke ʻike ʻia i ka wā o kahi hoʻokolokolo lapaʻau.

Inā pilikia ka pēpē i ka hanu ʻana, a inā ʻaʻole hiki iā ʻoe ke hoʻāla i ka pēpē, e kāhea koke aku i ka 1990 a i ʻole e hele i ka lumi pilikia kokoke loa.

Nā hōʻailona o ka maʻi ʻili, maka, a me ka waha (maʻi SEM)

ʻIke pinepine ʻia kēia ma waena o 9 a me 11 mau lā ma hope o ka hānau ʻana o ke pēpē.

• Nā pehu moakaka a piha i ka wai ma ka ʻili o kāu pēpē. Hiki ke loli ke kala o ka ʻili a puni kēia mau pehu. Hiki nō hoʻi i nā pehu ke hana i nā puʻu.
• Nā pehu piha i ka wai ma luna a puni paha o nā lihilihi o kāu pēpē . Hiki i nā maka o kāu pēpē ke ʻulaʻula, waimaka, a pehu.
• Nā ʻeha i loko o ka waha o ke pēpē, ma ke alelo a me ka lehelehe .

Nā hōʻailona o ka maʻi ʻōnaehana waena (maʻi CNS)

ʻIke pinepine ʻia kēia ma waena o 16 a 19 mau lā ma hope o ka hānau ʻana o ke pēpē.

• Ka hiamoe nui.
• Hoʻomaha mau a me ka huhū.
• Ke haʻalulu nei.
• ʻAʻohe a nele paha i ka hoihoi i ka inu waiū.
• ʻO ka mahana o ke kino paʻa ʻole (kiʻekiʻe loa a haʻahaʻa loa paha).
• Ke puʻupuʻu nei nā wahi palupalu ma ke poʻo o ke pēpē.
• Nā ʻōʻili.
• Nā pehu piha i ka wai ma ka ʻili. Ma kahi o 60% - 70% o nā pēpē me kēia ʻano maʻi e loaʻa i kēia mau pehu.

Nā hōʻailona o ka maʻi hoʻolaha

ʻIke pinepine ʻia kēia ma waena o 10 a me 12 mau lā ma hope o ka hānau ʻana o ka pēpē. E ʻike paha ʻoe i kēia mau hōʻailona i kāu pēpē:

• ʻO ka mahana o ke kino paʻa ʻole (kiʻekiʻe loa a haʻahaʻa loa paha).
• Hoʻomaha mau a me ka huhū.
• Ka hiamoe nui.
• ʻAʻohe a nele paha i ka hoihoi i ka inu waiū.
• ʻO ka hanu wikiwiki a me nā loli i ke ʻano hanu (ka pilikia hanu).
• Pehu ʻōpū.
• Nā pehu piha i ka wai ma ka ʻili. Ma kahi o 60% o nā pēpē me kēia ʻano maʻi e loaʻa i kēia mau pehu, akā ma hope wale nō o ka lilo ʻana o ka maʻi i mea ʻino loa.

Nā hōʻailona i hiki ke ʻike ʻia ma o nā hoʻokolohua lapaʻau:

• Nā pilikia o ke kāpili ʻana o ke koko (coagulation intravascular disseminated).
• Ka hemahema o ke akepaʻa.
• Pehu ʻana o ka lolo (encephalitis).
• Ka mumū ʻana o nā ʻiʻo puʻuwai (myocarditis).

He aha nā kumu o ka herpes i nā keiki hou?

ʻO ka herpes hānau hou ka mea i hoʻoulu ʻia e ka maʻi herpes simplex (HSV) .No ka mea, ʻaʻole i hoʻomohala piha ʻia ko lākou ʻōnaehana pale kino, hiki iā lākou ke maʻi loa mai kēia maʻi HSV.

Pehea e hoʻouna ʻia ai ka herpes i nā keiki hānau hou?

ʻO ka hapa pinepine (85%) ua laha ka maʻi mai ka makuahine a i ka pēpē i ka wā hānau . Hiki ke hana ʻia kēia inā hana ka maʻi ma ka ʻāpana genital o ka makuahine i ka wā e puka mai ai ke pēpē ma ke kahawai hānau.

ʻOiai ʻaʻole i maʻamau (ma kahi o 10%), hiki i kahi pēpē ke loaʻa i ka maʻi ma hope o ka hōʻike ʻia ʻana i ka maʻi ma hope o ka hānau ʻana. Eia kekahi laʻana, inā honi kahi kanaka me nā ʻeha anu ma nā lehelehe i ka pēpē . A i ʻole inā hoʻopā kahi kanaka me ka maʻi herpes ma ka ʻili (herpetic whitlow) i ka pēpē.

He wahi liʻiliʻi loa ka manawa e hele ai ka maʻi i ka ʻōpū i ka wā hāpai . Ua kapa ʻia kēia e nā kauka he maʻi intrauterine . ʻO ke ʻano kēia, hele ka maʻi HSV ma o ka placenta i ka ʻōpū. Inā hana ʻia kēia, hiki ke ʻike ʻia nā hōʻailona maʻamau o ka herpes i nā pēpē hānau hou i loko o 48 mau hola o ka hānau ʻana o ka pēpē. I kekahi manawa, hiki i kēia maʻi intrauterine ke hoʻoulu i nā hāʻule keiki.

Nā kumu pilikia no ka laha ʻana i ka wā hānau

Hiki ke laha wale ka HSV i ka wā hānau keiki inā loaʻa iā ʻoe kahi maʻi herpes genital ikaika i ka manawa. ʻO ka mea nui, hiki iā ʻoe ke loaʻa kahi maʻi ikaika ʻoiai inā ʻaʻohe ou hōʻailona . Hiki i ka maʻi ke noho i loko o kou ʻāpana genital (e like me ka vagina a me ka cervix) ʻoiai inā ʻaʻohe ou hōʻailona.

Ua hōʻike ʻia nā noiʻi e hiki ke ʻokoʻa loa kou pilikia ma muli o ka wā e loaʻa mua ai iā ʻoe kahi maʻi herpes:

• I ka wā hāpai (inā ʻaʻole ʻoe i ʻike mua ʻia i ka herpes): Inā loaʻa iā ʻoe ka herpes genital no ka manawa mua i ka wā hāpai, ʻoiai i ka lua o ka trimester, kokoke i ka hānau ʻana, aia ʻoe i ka pilikia kiʻekiʻe loa o ka hoʻoili ʻana i ka herpes i kāu pēpē. Ua kapa nā kauka i kēia he hanana mua mua . ʻO kēia ka wā e loaʻa ai iā ʻoe ka herpes genital me kekahi o nā ʻano HSV ʻelua (HSV-1 a i ʻole HSV-2), a ʻaʻohe ou ʻike mua i ka ʻano ʻē aʻe. ʻO ke ʻano kēia ua komo ka maʻi HSV i kou kino no ka manawa mua, a ʻaʻohe ou antibodies e kūʻē i kēlā me kēia ʻano. Inā loaʻa iā ʻoe kēia maʻi mua i ka hopena o ka hāpai ʻana, ʻoi aku ka nui o ka maʻi i loko o nā ʻāpana o kāu pēpē i ka wā hānau.

• I ka wā hāpai (inā ua pili mua ʻoe i kahi ʻano HSV ʻē aʻe): ʻO ke ʻano kēia e loaʻa iā ʻoe kahi maʻi herpes genital me kekahi ʻano HSV no ka manawa mua i ka wā hāpai, akā he mau antibodies kou e kūʻē iā ia ma muli o ka pili mua ʻana i kahi ʻano ʻē aʻe. Hōʻike ka noiʻi aia nō kahi pilikia nui o ka hoʻoili ʻana i ka maʻi i kāu pēpē, akā ʻoi aku ka haʻahaʻa o ka pilikia ma mua o kahi mea i pili ʻole i ka HSV. ʻO kēia no ka mea e hele ana kāu mau antibodies ma mua ma o ka placenta i kāu pēpē, e hāʻawi ana i kahi palekana.

• Ma mua o ka hāpai ʻana: Inā loaʻa iā ʻoe ka herpes genital ma mua o kou hāpai ʻana, haʻahaʻa ka pilikia o ka hoʻoili ʻana i ka maʻi i kāu pēpē. Pono ka maʻi e hoʻāla hou i ka wā hānau (ka maʻi hou) e hoʻoili ʻia i kāu pēpē. ʻOiai hiki i ka HSV ke hoʻāla hou, hōʻike ka noiʻi ʻana he emi iki ka maʻi hou i ka wā hāpai e hoʻoulu ai i ka herpes neonatal ma mua o ka maʻi mua. ʻO kēia no ka mea e hoʻoili nā antibodies mai kāu maʻi i hala i kāu pēpē a pale iā ia.

No ke aha he mea weliweli ka herpes i nā keiki hou?

He maʻi weliweli ka herpes neonatal no ka mea hiki ke hōʻino i nā ʻōpū o ka pēpē, ʻoiai ka lolo . No ka laʻana, hiki iā ia ke hoʻoulu i ka pehu ʻana o ka lolo o ka pēpē (herpetic encephalitis) . ʻOiai me ka mālama ʻana, hiki i ka herpes neonatal ke make i kekahi manawa.

ʻAʻole hoʻopilikia mua ka maʻi ʻili, maka, a me ka waha (SEM) i ka lolo a i ʻole nā ​​​​​​ʻōpū o loko o ka pēpē. Akā he mea weliweli nō naʻe ia no ka mea hiki iā ia ke hōʻino mau i ka maka a me ka makapō . Inā ʻaʻole mālama ʻia, hiki i ka SEM ke holomua i kahi maʻi lolo (maʻi CNS) a i ʻole ka maʻi laha.

Pehea e hoʻoholo ai i ka herpes i loko o nā keiki hou?

Hoʻoponopono nā kauka i ka herpes neonatal ma ka nānā ʻana i nā hōʻailona o ka pēpē a me ka hana ʻana i nā hoʻokolohua. Makemake lākou e kāpae i nā kūlana ʻē aʻe e hiki ke hana i nā hōʻailona like. No ka laʻana, aia kahi kūlana maʻamau (a ʻino ʻole) i kapa ʻia ʻo erythema toxicum neonatorum , kahi e hoʻoulu ai i ka ʻili a me nā pehu piha i ka wai.

Inā kānalua nā kauka i ka herpes, hoʻāʻo koke lākou i ka pēpē e ʻike inā aia ka maʻi herpes simplex i loko o ke kino o ka pēpē.

He aha nā hoʻokolohua ʻē aʻe e pono e hana ʻia no kaʻu pēpē?

E hōʻiliʻili ke kauka i nā hāpana wai mai ke kino o kāu pēpē. E pili ana kēia i ka hoʻohana ʻana i kahi swab e lawe pono i nā hāpana mai kēia mau wahi o ke kino o kāu pēpē:

• Ma ka waha.
• Me nā maka.
• Mai ka puʻu mai (ʻo ka ʻaoʻao luna i kapa ʻia ʻo ka nasopharynx).
• Ma o ka anus.
• Inā he mau pehu, mai kēlā mau pehu.

Hiki i ke kauka o kāu pēpē ke hōʻiliʻili i kēia mau laʻana:

• Koko.
• ʻO ka wai Cerebrospinal (CSF) . He wai kēia i lawe ʻia mai ka iwi kuamoʻo o ka pēpē. Pono kēia i kahi puncture lumbar .

Hoʻāʻo ʻana ma ka hale hana

E hoʻouna ke kauka o ke pēpē i kēia mau laʻana i kahi keʻena hoʻokolohua no ka hoʻāʻo ʻana. ʻO nā hoʻokolohua e hiki ke hana ʻia:

• Hoʻāʻo moʻomeheu viral: Hoʻohana kēia i nā ʻano hana kūikawā e hoʻoulu ai i ka maʻi HSV i loko o kahi hāpana wai. Inā ʻaʻohe hōʻailona o ka ulu ʻana ma hope o ʻelima mau lā, manaʻo pinepine nā kauka he maikaʻi ʻole ka hoʻāʻo (ʻaʻole i loaʻa ka HSV).
• Hoʻāʻo PCR (Polymerase Chain Reaction):Ke nānā nei kēia hoʻāʻo i ka DNA o ka maʻi herpes simplex i loko o nā wai o ke kino. Hoʻohana pinepine nā kauka i nā hāpana wai cerebrospinal no kēia hoʻāʻo e ʻike ai inā ua hoʻopilikia ka maʻi i ka ʻōnaehana nerve waena o ka pēpē.

Nā ʻano hoʻokolohua ʻē aʻe

Inā hōʻoia nā hoʻokolohua lab ua loaʻa i kāu pēpē ka herpes, e hana paha ke kime lapaʻau o kāu pēpē i kēia mau hoʻokolohua:

• Ka hoʻokolokolo ʻana o ka umauma me ke kiʻi X-ray.
• Hoʻokolokolo X-ray ʻōpū.
• Ke kiʻi ʻana o ka lolo, e like me ka MRI scan (magnetic resonance imaging scan).
• Hoʻokolokolo maka kikoʻī.

Kōkua kēia mau mea a pau i nā kauka e aʻo hou aʻe e pili ana i ke ʻano o ka hopena o ka maʻi i nā ʻāpana like ʻole o ke kino o ka pēpē. Hoʻohana lākou i kēia ʻike e hoʻomohala i kahi hoʻolālā lapaʻau no ka pēpē.

He aha nā lāʻau lapaʻau no ka herpes i nā keiki hou?

Inā manaʻo nā kauka he herpes neonatal kāu pēpē, e hoʻokipa paha lākou i ke pēpē i ka haukapila no ka mālama ʻana .

Hoʻohana nā kauka i kahi lāʻau antiviral i kapa ʻia ʻo acyclovir e mālama i ka herpes i nā pēpē hānau hou. E hāʻawi ʻia kāu pēpē i kēia lāʻau lapaʻau ma o kahi vein (IV) a laila ma ke ʻano he wai (waha) e lawe ai . Eia ka mea hiki iā ʻoe ke manaʻo:

• Inā loaʻa i kāu pēpē ka maʻi ʻili, maka, a me ka waha (SEM) , pono lākou i 14 mau lā o ka mālama ʻana iā IV. Ma hope o kēlā, pono lākou e hoʻopau i kahi papa hana lāʻau waha no ʻeono mahina. E hōʻemi kēia i ka pilikia o ka hoʻi hou ʻana mai o nā pehu ʻili.
• Inā loaʻa i kāu pēpē kahi maʻi ʻōnaehana nerve waena (CNS) a i ʻole ka maʻi laha , pono lākou i ka lāʻau IV no 21 mau lā. Ma hope o ka pau ʻana o ka lāʻau IV, pono kāu pēpē e lawe i ka lāʻau lapaʻau waha no ʻeono mahina. Kōkua kēia i ke kākoʻo ʻana i ka ulu ʻana o ke aʻalolo o kāu pēpē a hōʻemi i ka pilikia o nā hopena lōʻihi ma ka lolo.

He mea nui e ʻike he pono paha kekahi mau pēpē me nā maʻi e pili ana i ka CNS i ka mālama ʻana iā IV no nā lā he 21 a ʻoi. ʻO kahi maʻi e pili ana i ka CNS ʻo ia ka wā e hōʻike ai kahi hoʻāʻo wai cerebrospinal (CSF) i ke alo o ka maʻi HSV i loko o ka wai cerebrospinal o ka pēpē. Hiki ke hana ʻia kēia ma muli o ka maʻi CNS a i ʻole ka maʻi hoʻolaha.

Inā pēlā, pono ka pēpē e hana i kahi spinal tap ma hope e hōʻoia i ka hoʻomaʻemaʻe loa ʻia ʻana o ka maʻi mai ka lolo. Pono ka hoʻāʻo maikaʻi ʻole ma mua o ka hiki ke hoʻōki ʻia ka lāʻau IV. Hiki i kekahi mau pēpē ke hala i hoʻokahi pule a ʻoi aku paha e hoʻomaʻemaʻe i ka maʻi mai ka lolo. A laila wale nō hiki iā lākou ke hoʻomaka i ka lāʻau waha.

He aha ke kūlana no kahi keiki me ka herpes?

ʻO ke ʻano o kāu pēpē e pili ana i nā kumu he nui. No ka laʻana, ke ʻano o ka herpes i loaʻa i kāu pēpē a me ke ʻano o ka mālama ʻana i ka maʻi. Hiki i ka hui lapaʻau o kāu pēpē ke haʻi pololei iā ʻoe i ka mea e manaʻo ai i ka wā kokoke a me ka wā lōʻihi. Hoʻōla ka hapa nui o nā pēpē me ka herpes neonatal . Eia nō naʻe, i kekahi mau hihia, hiki i ke kūlana ke make.

Mahalo i nā lāʻau antiviral, ʻoi aku ka nui o nā pēpē e ola nei i kēia lā ma mua o ka wā ma mua. I kēia lā, 71% o nā pēpē me ka maʻi laha a me 96% o nā pēpē me ka maʻi CNS e ola ana a hiki i ko lākou lā hānau mua.

Hiki i nā herpes i nā keiki hānau hou ke hana i nā hopena lōʻihi, e like me:

• Ka lohi o ka hoʻomohala ʻana ( ka lohi ʻana i ka hiki ʻana i nā pae hoʻomohala i ka manawa i manaʻo ʻia).
• Ke kīnā noʻonoʻo.
• ʻO ka lolo lolo (nāwaliwali i nā neʻe ʻana).
• ʻEpilepsy.

ʻO ka nūhou maikaʻi, ʻo ke komo mua ʻana (nā hana a me nā lawelawe i hoʻopilikino ʻia i nā pono o kēlā me kēia keiki) a me ke kākoʻo mau e hiki ke kōkua i kāu keiki. No ka laʻana, hiki i kāu keiki ke pōmaikaʻi mai ka hoʻōla kino, ka hoʻōla ʻōlelo, a me nā ʻenehana kōkua (e like me nā mea heluhelu pale).

Hiki ke mālama ʻia ka herpes i nā keiki hou?

Ke hana nei nā kauka i nā mea āpau e hiki ai iā lākou ke pale aku i ka herpes i nā pēpē hānau hou. Eia nā mea e pono ai ʻoe e ʻike:

• Hiki i nā lāʻau lapaʻau antiviral ke kōkua: Inā ua loaʻa iā ʻoe ka herpes genital ma mua, hiki i kāu kauka ke kuhikuhi i nā lāʻau antiviral e lawe i nā pule hope loa o kou hāpai ʻana. Hiki i kēia ke hōʻemi i ka pilikia o ka hoʻi hou ʻana mai o ka maʻi i ka wā hānau a hiki nō hoʻi ke ʻae i kahi hānau vaginal haʻahaʻa.
• ʻOi aku ka palekana o ka ʻoki ʻana i ka ʻōpū (C-section): I kekahi manawa, ʻōlelo nā kauka i ka ʻoki ʻana i ka ʻōpū inā ʻoi aku ka maikaʻi o nā pono ma mua o nā pilikia. No ka laʻana, e hana paha lākou i ka ʻoki ʻana i ka ʻōpū inā loaʻa iā ʻoe kahi maʻi ikaika i ka wā hānau. I kēlā hihia, ʻoi aku ka nui o ka pilikia o ka pēpē i ka maʻi ma mua o ka hānau ʻana ma ke ʻano vaginal. No laila, ʻoi aku ka palekana o ka ʻoki ʻana i ka ʻōpū.
• Hoʻololi nā kauka i ka wā hānau: Inā hānau ʻoe ma ke ʻano he wahine, hiki i kāu kauka ke hoʻololi i nā lako a lākou e hoʻohana ai no kāu pēpē. No ka laʻana, ʻaʻole paha lākou e hoʻohana i kahi mea nānā poʻo fetal no ka mea hiki ke hana i nā haki liʻiliʻi i ka ʻili o kāu pēpē. Ke haki ka ʻili o kāu pēpē, ʻoi aku ka maʻalahi o ke komo ʻana o ka maʻi HSV a hoʻoulu i kahi maʻi. E hoʻoholo nā kauka i nā lako e hoʻohana ai a me nā mea ʻaʻole e hoʻohana ma muli o ka pilikia o kāu pēpē i ka maʻi.
• Aia ʻoe a me kāu kauka ma ka hui hoʻokahi: ʻAʻole maʻalahi mau ke kamaʻilio ʻana me kāu kauka e pili ana i ka moekolohe. Hiki ke lilo i mea ʻoluʻolu ʻole, a hiki ke manaʻo ʻia he mea āu e makemake ʻole ai e hana. Akā ʻo ke kamaʻilio ʻana me kāu kauka e pili ana i nā ala e pale aku ai i ka herpes genital hiki ke kōkua i ka pale ʻana iā ʻoe a me kāu pēpē. No ka laʻana, inā pilikia ʻoe i kahi maʻi herpes hou, hiki i kāu kauka ke aʻo iā ʻoe e kaupalena a hoʻōki paha i ka hana moekolohe i nā mahina ʻekolu hope o ka hāpai ʻana. ʻO ka ʻike mua ʻana iā HSV-1 a i ʻole HSV-2 i ka wā hāpai hope ke kumu nui o ka pilikia no ka herpes hānau hou.

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa i kāu pēpē kekahi o nā hōʻailona o ka herpes neonatal, e ʻike koke i ke kauka . Pono ka herpes neonatal i ka mālama koke ʻana. ʻO ka wikiwiki o ka loaʻa ʻana o ka lāʻau lapaʻau i kāu pēpē, ʻoi aku ka maikaʻi o ka manawa e ola ai a hoʻōla me ka hopena liʻiliʻi a ʻaʻohe hopena lōʻihi. Mai kali a hiki i ka nānā hou ʻana o kāu pēpē.

Hiki i nā pēpē ke loaʻa nā ʻeha anu ma ko lākou mau lehelehe?

ʻAe. Hiki i nā pēpē ke loaʻa nā ʻeha anu ma ko lākou mau lehelehe inā pili lākou i ka maʻi herpes simplex (HSV). Hiki i kēia maʻi ke hoʻomaʻi nui i nā pēpē hānau hou. Inā manaʻo ʻoe ua pili kāu pēpē a inā paha e hōʻike ana lākou i nā hōʻailona, ​​e ʻike i ke kauka.

Hiki i kekahi kanaka me ka herpes ke hānau keiki?

ʻOiaʻiʻo nō. Hānau nā kānaka me ka mōʻaukala o ka herpes genital i nā pēpē olakino. ʻOiaʻiʻo, inā loaʻa iā ʻoe kahi hōʻailona o ka herpes genital, ʻoi aku ka nui o kou loaʻa ʻana o kahi pēpē me ka ʻole o ka maʻi e hoʻopilikia nei. ʻO kēia no ka mea ʻoi aku ka liʻiliʻi o ka hiki ke hoʻoulu i ka herpes neonatal ma mua o ka maʻi mua.

Eia nō naʻe, he mea nui e kamaʻilio me kāu kauka e pili ana i kou mōʻaukala olakino i hiki iā lākou ke lawe i nā hana palekana e pono ai i ka wā hāpai a me ka hānau ʻana.

Ua mākaukau paha ʻoe no nā mea he nui, akā ʻaʻole paha ʻoe i manaʻo i kahi mea e like me kēia. ʻO ka ʻike ʻana i ka herpes i kahi keiki hānau hou hiki ke lilo i mea hoʻohoka, ʻoiai inā ʻaʻole ʻoe i manaʻo he hiki. E hana me kēia kūlana i kēlā me kēia lā, malia paha i kēlā me kēia hola.

Hoʻolohe maikaʻi ka hapa nui o nā pēpē i ka lāʻau lapaʻau. Ua holomua nui ka ʻepekema lapaʻau i ka hala ʻana o ka manawa, no laila he nui nā kumu e manaʻolana ai.

Inā ʻoe e makaʻu a kaumaha paha, e kiʻi i ke kākoʻo mai ka hui lapaʻau o kāu pēpē. Hiki iā lākou ke kōkua iā ʻoe e hoʻomaopopo i nā ʻanuʻu aʻe i ka mālama ʻana a me nā mea e manaʻo ai i kēlā me kēia lā.

E hoʻomanaʻo kākou i nā mea nui loa (Leka Lawe-Home)

• ʻO ka herpes neonatal he maʻi weliweli loa ia no nā pēpē.
• Hoʻolaha pinepine ʻia mai ka makuahine a i ke keiki i ka wā hānau keiki .
• ʻO ka pehu ʻili o ka pēpē, ka hiamoe nui, ka hānai ʻole ʻana i ka waiū, nā pilikia hanuInā ʻike ʻoe i nā hōʻailona e like me kēia, e ʻimi koke i ke kōkua lapaʻau .
• Hiki i ka mālama koke ʻana ke hoʻopakele i ke ola o ke pēpē a hōʻemi i nā pilikia lōʻihi.
• Inā loaʻa iā ʻoe ka herpes, he mea nui loa e kamaʻilio me kāu kauka e pili ana i ia mea i ka wā hāpai i hiki iā ʻoe ke hana i nā hana e pale aku ai i ka hoʻoili ʻana i ka maʻi i kāu pēpē.
• Mai hopohopo , me ka mālama lapaʻau kūpono a me kou aloha a me ka mālama, e ho'ōla hou ana nā pēpē he nui.

E hoʻomanaʻo, ʻaʻole ʻoe hoʻokahi. Aia nā kauka ma laila e kōkua iā ʻoe a me kāu pēpē. No laila e kamaʻilio me lākou e pili ana i nā mea āpau.

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