He mea weliweli ke loaʻa i kāu keiki liʻiliʻi ke anu a i ʻole ke kuni, ʻeā? ʻOi loa aku inā ua hānau mua ʻia ka pēpē, a inā he pilikia puʻuwai a māmā paha kona, hiki i kahi maʻi liʻiliʻi e like me kēia ke lilo i mea nui. I kēia lā, e kamaʻilio mākou e pili ana i kahi lāʻau pale kūikawā e kōkua i ka pale ʻana i nā pēpē i ka pilikia mai kahi maʻi hanu koʻikoʻi i kapa ʻia ʻo 'Respiratory Syncytial Virus' (RSV). Ua kapa ʻia kēia lāʻau pale ʻo 'Palivizumab' .
He aha ka Palivizumab?
I ka ʻōlelo maʻalahi, he antibody ʻo 'Palivizumab'. E noʻonoʻo e like me nā koa liʻiliʻi i loko o ko mākou kino e hakakā ana i nā germs hiki ke hoʻomaʻi iā mākou. ʻO ia ka mea a mākou e kapa nei he antibodies. ʻO ka hana a kēia lāʻau pale ʻo 'Palivizumab', ʻo ia ka hāʻawi ʻana i ka pēpē i kekahi mau antibodies artificial i hoʻolālā kūikawā ʻia e hakakā i ka maʻi 'RSV'. Ua ʻike ʻia hoʻi ia e ka inoa inoa ʻo 'Synagis' .
ʻO ka mea nui loa, ʻo ia ka hāʻawi ʻia ʻana o kēia lāʻau pale e pale aku i ka pēpē mai nā maʻi koʻikoʻi i hoʻokumu ʻia e ka maʻi `RSV`. Inā paha e loaʻa i ka pēpē kēia lāʻau pale, hiki nō paha ke ulu aʻe ka `RSV`, akā inā paha e ulu, ʻaʻole ia e like me ka koʻikoʻi me he mea lā ʻaʻole i lāʻau pale ʻia. ʻO ke ʻano kēia, hiki ke hoʻēmi nui ʻia nā kūlana koʻikoʻi e like me ka hoʻokipa ʻia ʻana i ka haukapila a me ka paʻakikī o ka hanu ʻana.
Akā e hoʻomanaʻo, hana wale kēia lāʻau pale i ka RSV. ʻAʻole ia e pale aku i kekahi maʻi anu, maʻi palū, a i ʻole ka maʻi viral.
He aha ka `RSV` (Respiratory Syncytial Virus)? No ke aha he mea weliweli ia?
He maʻi ʻo RSV e hoʻopilikia ana i ka ʻōnaehana hanu a he mea maʻamau ia i nā keiki ʻōpio, ʻoiai ka poʻe ma lalo o ʻelua makahiki . ʻO ka hapa pinepine, hoʻomaka ia e like me ke anu maʻamau a hoʻomaikaʻi i loko o kekahi mau lā. Akā i kekahi mau pēpē, ʻoi aku hoʻi:
- No nā pēpē hānau mua ʻole
- No nā pēpē i hānau ʻia me ka maʻi puʻuwai hānau
- ʻO nā pēpē me ka maʻi māmā mau loa, no ka laʻana, nā kūlana e like me Bronchopulmonary Dysplasia (BPD).
- No nā pēpē me nā ʻōnaehana pale maʻi nāwaliwali
Hiki i kēia maʻi `RSV` ke hoʻoulu i ka maʻi pneumonia koʻikoʻi , bronchiolitis , ka paʻakikī o ka hanu ʻana, a hiki i ka hoʻokipa ʻia ʻana i ka haukapila. I kekahi manawa hiki ke hoʻoweliweli i ke ola. ʻO ia ke kumu e ʻōlelo ai nā kauka e hāʻawi iā `Palivizumab` i nā pēpē i loko o kēia mau hui pilikia.
Pehea e hāʻawi ʻia ai kēia lāʻau pale?
He inikini intramuscular ʻo Palivizumab. Hāʻawi pinepine ʻia ia ma kahi haukapila a i ʻole ke keʻena lapaʻau e kahi loea lapaʻau i aʻo ʻia. ʻAʻole ia he inikini hiki ke hāʻawi ʻia ma ka home.
ʻO ka maʻamau, i ka wā kiʻekiʻe no ka maʻi RSV (hiki ke loli ma muli o ke aniau ma Sri Lanka, no laila e kūkākūkā me kāu kauka), pono ʻoe e loaʻa i kēia lāʻau pale i hoʻokahi manawa i ka mahina . Hiki i nā pēpē i hānau mua ʻia ke loaʻa i kēia lāʻau pale. Inā he mau nīnau kāu e pili ana i kēia, mai kānalua e kamaʻilio me ke kauka o kāu pēpē.
He aha kaʻu e haʻi aku ai i ke kauka ma mua o ka hāʻawi ʻana i kēia lāʻau i kaʻu pēpē?
ʻAe, he mea nui loa kēia. Ma mua o ka hāʻawi ʻia ʻana o kāu pēpē i ka lāʻau pale ʻo `Palivizumab`, pono ʻoe e haʻi i ke kauka i kēia ʻike:
- Inā he maʻi koko a maʻi kahe koko paha kāu pēpē, a inā he pilikia kahi i paʻa ʻole ai ke koko me ka maʻalahi.
- Inā he nāwaliwali o ka ʻōnaehana pale o ke pēpē .
- Inā ua loaʻa i ka pēpē kahi hopena maʻi i ka Palivizumab, nā lāʻau pale ʻē aʻe, nā antibodies, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, nā kala a i ʻole nā mea mālama.
Ma ka hōʻike pololei ʻana i kēia ʻike i ke kauka, hiki ke pale ʻia ka pēpē i ka lāʻau pale.
He aha kāu e hana ai inā e poina ʻoe i kahi lāʻau pale?
He mea nui loa ka loaʻa ʻana o kēia lāʻau pale e like me ka manawa i hoʻonohonoho ʻia. No ka mea, he manawa palena wale nō ka palekana o ka lāʻau pale. No laila, inā ʻaʻole hiki iā ʻoe ke loaʻa ka lāʻau pale i ka lā i hoʻonohonoho ʻia, a inā ʻaʻole ʻoe e haʻalele i kāu manawa i koho ʻia, e kelepona koke i kāu kauka a i ʻole ke kauka olakino no ka ʻōlelo aʻoaʻo . E haʻi lākou iā ʻoe i ka mea e hana ai ma hope.
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai kēia lāʻau pale?
E like me nā lāʻau lapaʻau āpau, hiki i ka lāʻau pale Palivizumab ke hana i kekahi mau hopena ʻaoʻao, ʻoiai ʻaʻole loaʻa i nā pēpē āpau.
Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i ke kauka:
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e ʻike koke i ke kauka.
- Nā hopena maʻi: ka ʻili ʻulaʻula, ka maneʻo a i ʻole ka hives, ka pehu ʻana o ka maka, nā lehelehe a i ʻole ke alelo.
- Nā lehelehe polū a me ka ʻili.
- Nā pilikia hanu.
- ʻAʻohe ʻono o ka meaʻai.
- ʻEha pepeiao.
- Ka puʻuwai wikiwiki a kūpono ʻole paha.
- Kuni.
- ʻAʻole ʻeleu ka pēpē e like me ka maʻamau.
- Manaʻo e like me ka emi ʻana o ka ala o ke pēpē.
- Hoʻomaha loa ke keiki a uē pinepine.
Nā hopena ʻaoʻao ʻaʻole pono ka mālama lapaʻau (akā pono e hōʻike i ke kauka inā hoʻomau a hoʻopilikia paha):
Hoʻopau pinepine kēia i loko o kekahi mau lā.
- Kuke.
- ʻEha kahi i hāʻawi ʻia ai ka inikini.
- Ihu wai.
E hoʻomanaʻo, ʻaʻole i loko o kēia papa inoa nā hopena ʻaoʻao āpau. Inā ʻike ʻoe i kekahi mea ʻē i ke kino o kāu pēpē, e kamaʻilio pū me kāu kauka e pili ana i ia mea.
Ke launa pū nei kēia lāʻau pale me nā lāʻau lapaʻau ʻē aʻe?
Ma ke ʻano laulā, manaʻo ʻia ʻaʻole e hoʻopili koʻikoʻi ka lāʻau pale ʻo Palivizumab me nā lāʻau lapaʻau ʻē aʻe.
Eia nō naʻe, inā e lawe ana kāu pēpē i nā lāʻau lapaʻau ʻē aʻe (i kauoha ʻia e ke kauka, i kūʻai ʻia mai kahi hale kūʻai lāʻau lapaʻau), nā lāʻau lapaʻau kuʻuna, nā huaora, a i ʻole nā mea hoʻohui meaʻai, ʻoi aku ka maikaʻi o ka haʻi ʻana i ke kauka e pili ana iā lākou āpau.
He aha nā mea e makaʻala ai i ka wā e loaʻa ai ka lāʻau pale?
ʻO ke kī, ʻo ia ka loaʻa ʻana o ka lāʻau pale ma ka papa hana o kēlā me kēia mahina e like me ka ʻōlelo a kāu kauka. He mea nui e mālama i kēia palekana i ka wā holoʻokoʻa o ka RSV.
Ma hea ʻoe e mālama ai i kēia lāʻau lapaʻau?
ʻAʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke lawe i ka home. Hāʻawi ʻia ka lāʻau pale ʻo `Palivizumab` ma kahi haukapila a i ʻole ke keʻena lapaʻau. No laila e mālama ʻia ana ma laila. ʻAʻole pono ʻoe e hopohopo no ia mea.
## Nā mea nui e hoʻomanaʻo (Leka Lawe-Home)
ʻAe, e hōʻuluʻulu kākou i nā mea nui e pono ai ʻoe e hoʻomanaʻo mai nā mea a mākou i kamaʻilio ai:
- He lāʻau pale antibody kūikawā ʻo Palivizumab i hāʻawi ʻia e pale i nā pēpē pilikia mai nā maʻi koʻikoʻi i hoʻokumu ʻia e ka maʻi RSV .
- Hāʻawi nui ʻia kēia i nā pēpē i hānau mua ʻole ʻia, nā pēpē me ka maʻi puʻuwai, a me nā pēpē me ka maʻi māmā .
- Hoʻokomo ʻia ka lāʻau pale i loko o kahi ʻiʻo a pono e hāʻawi ʻia i kēlā me kēia mahina i ka wā RSV.
- E hōʻoia e haʻi i ke kauka e pili ana i nā kūlana olakino ʻē aʻe a i ʻole nā maʻi allergies i loaʻa i kāu pēpē ma mua o ka hāʻawi ʻana i ka lāʻau pale .
- Inā loaʻa iā ʻoe nā hopena ʻino (paʻakikī ka hanu ʻana, nā maʻi allergies koʻikoʻi, ke kuni) , e ʻimi koke i ke kōkua lapaʻau .
- Mai hōʻalo i nā lāʻau pale. Inā ʻaʻole ʻoe e hana i kekahi, e hoʻomaopopo koke i kāu kauka.
- Mālama wale kēia lāʻau pale i ka RSV a ʻaʻole ia e pale i nā maʻi ʻē aʻe .
Na ke kauka o kāu pēpē e hoʻoholo inā pono kāu pēpē i ka lāʻau pale ʻo `Palivizumab`. No laila, inā he mau nīnau a kānalua paha kāu e pili ana i kēia, mai kānalua e kamaʻilio me kāu kauka a e wehewehe i nā mea āpau. ʻO ke olakino o kā mākou poʻe liʻiliʻi ka mea nui loa iā mākou!
Palivizumab , RSV, Synagis, Palivizumab, pēpē, lāʻau pale, maʻi hanu, antibodies, olakino keiki











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