E aʻo pono kākou e pili ana i ka maʻi ʻūlū. He mea nui loa kēia mau mea no kāu pēpē!

Aloha! I kēia lā, e kamaʻilio kākou e pili ana i kahi maʻi e hiki ke hoʻopilikia i nā keiki ʻōpio a i kekahi manawa nā pākeke, a pono kākou e makaʻala iki. ʻO ia ka measles, a i ʻole ma ka ʻōlelo Pelekania, ka maʻi `(Measles)`. Ua kapa pū kekahi poʻe iā ia ʻo `(Rubeola)`. No laila, e kamaʻilio kākou e pili ana i ke ʻano o kēia, pehea i hana ʻia ai, he aha nā hōʻailona, ​​a pehea e pale aku ai, ʻae?

He aha ka maʻi ʻūlū? He mea weliweli maoli anei ia?

I ka ʻōlelo maʻalahi, he maʻi viral laha loa ka maʻi ʻūlū. Ke hiki mai ia, hoʻoulu ia i nā kiko ʻulaʻula liʻiliʻi ma ke kino holoʻokoʻa, me nā hōʻailona e like me ke kuni a me ke anu. I ka wā ma mua, he maʻi maʻamau loa ka maʻi ʻūlū. Akā i kēia manawa, mahalo i nā lāʻau pale, ua kāohi nui ʻia, ʻoi aku hoʻi ma nā ʻāina e like me Sri Lanka. Eia nō naʻe, ma kekahi mau ʻāina o ka honua, miliona mau kānaka e loaʻa mau ana i kēlā me kēia makahiki, a hiki ke laha koke.

ʻOiai ua hoʻokumu ʻia ka maʻi ʻūlū e kahi maʻi, ʻaʻohe lāʻau lapaʻau kūikawā no ia mea. ʻO ia hoʻi, ʻo ko kākou ʻōnaehana pale kino ka mea e hakakā ana i ka maʻi a kāohi iā ia. No laila, ʻo ka mea wale nō e pono ai i ke keiki me ka maʻi ʻūlū ke inu i nā wai he nui, e hoʻomaha nui, a pale i ka hele ʻana i ke kula, ka hale mālama keiki, a i ʻole nā ​​wahi ʻē aʻe i piha i ka poʻe e pale aku i ka laha ʻana o ka maʻi i nā poʻe ʻē aʻe.

Ua loaʻa anei i kaʻu pēpē ka maʻi ʻūlū? Pehea e ʻike ai i kēia mau hōʻailona?

I kēia manawa, e nānā kākou i nā hōʻailona e ʻike ʻia ke ulu ka maʻi ʻūlū. Ua like nā hōʻailona mua me nā hōʻailona o ke anu maʻamau. ʻO ia hoʻi , ke kuni, ka ihu wai, ke kuni, a me nā maka ʻulaʻula . I kēia mau lā, hiki i kekahi mau keiki ke ʻike i nā kiko ʻulaʻula liʻiliʻi i loko o ka waha a ma nā papālina, me nā kiko keʻokeʻo-polū ma waena (`(Nā kiko o Koplik)`). ʻIke ʻia kēia mau mea ma mua o ka puka ʻana o ka ʻulaʻula ma ke kino. E noʻonoʻo iā lākou he mau hōkū liʻiliʻi.

A laila, ma kahi o 3 a 5 mau lā ma hope o kēia mau hōʻailona mua, hoʻomaka ka ʻōhū. I kēia manawa, hiki ke kiʻekiʻe loa ke kuni, i kekahi manawa hiki i ka 40 degere Celsius (104°F). Hoʻomaka pinepine ka ʻōhū ma ka lae, ma ke ʻano he mau kiko pālahalaha, ʻulaʻula . I nā keiki me ka ʻili ʻeleʻele, ʻaʻole paha e ʻike nui ʻia nā kiko, no laila e makaʻala i kēlā. A laila pālahalaha ka ʻōhū ma luna o ka maka holoʻokoʻa, i lalo i ka ʻāʻī, a ma luna o ka umauma, ka ʻōpū, nā lima, a me nā wāwae. Ma hope o kekahi mau lā, emi mālie ke kuni a me ka ʻōhū.

Pehea ka wikiwiki o ka laha ʻana o ka maʻi ʻūlū? Pehea e laha ai?

He maʻi lele loa ka maʻi ʻūlū. E noʻonoʻo wale, ʻeiwa o ka ʻumi o ka poʻe i ʻole i hoʻopili ʻia no ka maʻi ʻūlū e ʻoi aku ka nui o ka loaʻa ʻana inā aia lākou a puni kekahi i loaʻa i ka maʻi. Pēlā ka wikiwiki o ka laha ʻana.

No laila pehea e laha ai? Aia ka maʻi i loko o nā kulu liʻiliʻi e puka mai ana mai ka waha a me ka ihu i ka wā e ʻū ai a ʻūhā paha kekahi me ka maʻi ʻūlū. Hiki ke hoʻokuʻu ʻia kēia mau kulu i ka lewa a laha i kahi kanaka olakino e hanu ana i ka lewa, a i ʻole inā hoʻopā kekahi i kahi ʻili i loaʻa ka maʻi a laila hoʻopā i ko lākou ihu a waha paha. ʻIke pinepine ʻia nā hōʻailona ma waena o 6 a me 21 mau lā ma hope o ka hōʻike ʻana i ka maʻi. ʻO ke ʻano kēia, hiki ke lōʻihi ka manawa e ʻike ai ke kanaka ua loaʻa iā lākou ka maʻi.

ʻO kekahi mea nui e hoʻomaopopo ai, hiki i ke kanaka me ka maʻi ʻūlū ke hoʻolaha i ka maʻi i nā poʻe ʻē aʻe mai 5 mau lā ma mua o ka hoʻomaka ʻana o nā hōʻailona a hiki i 4 mau lā ma hope o ka hoʻomaka ʻana o nā hōʻailona. Eia kekahi, ʻo ka poʻe me nā ʻōnaehana pale nāwaliwali, e like me ka poʻe i loaʻa i ka maʻi HIV, nā maʻi kanesa, a i ʻole ka poʻe e lawe ana i kekahi mau lāʻau lapaʻau (immunosuppressants), hiki ke hoʻolaha i ka maʻi a hiki i ko lākou ola ʻana.

He aha kāu e hana ai inā loaʻa iā ʻoe ka maʻi ʻūlū? Pehea e mālama ai iā ʻoe iho ma ka home?

E like me kaʻu i ʻōlelo ai ma mua, ʻaʻohe lāʻau lapaʻau kūikawā ('lāʻau lapaʻau') no ka maʻi ʻōpala. No laila, ʻo ka mea hiki iā mākou ke hana, ʻo ke kōkua i ka kaohi ʻana i nā hōʻailona.

Eia nā mea hiki iā ʻoe ke hana ma ka home:

• E hōʻoia i kāu keiki e inu nui i nā wai. ʻO ka wai, ka wai huaʻai, ka wai hoʻomoʻa, a me ka porridge nā koho maikaʻi a pau. E kōkua kēia i ka pale ʻana i ka maloʻo ʻana o ka wai.
• E hōʻoia i ka loaʻa ʻana o ka hoʻomaha nui i kāu keiki. ʻO ka hoʻoikaika nui ʻole ʻana iā lākou iho e kōkua iā lākou e hoʻōla wikiwiki. Hiki iā ʻoe ke kaupalena i kāu keiki i nā mea e like me ka nānā ʻana i ke TV a me ka heluhelu ʻana i nā puke.
• Inā kiʻekiʻe ke kuni a pilikia ka pēpē, e hāʻawi i ka lāʻau hoʻopau ʻeha a lāʻau hoʻohaʻahaʻa kuni paha e like me "Paracetamol" a i ʻole "Ibuprofen." E hoʻomanaʻo mau e hāʻawi i ka nui i kuhikuhi ʻia e ke kauka.
• Akā, he mea nui loa kēia: Mai hāʻawi i ka aspirin i kahi keiki me ke kuni viral, ʻoiai he keiki liʻiliʻi a keiki liʻiliʻi paha. ʻO ka hana ʻana pēlā e hiki ai ke hana i kahi maʻi weliweli loa a hoʻoweliweli i ke ola i kapa ʻia ʻo Reye syndrome. No laila e makaʻala loa i kēia.

He mea nui loa ka mālama ʻana i kahi keiki me ka maʻi ahulau ma lalo o ka mākaʻikaʻi pono ʻana a ke kauka , no ka mea, i kekahi manawa hiki i ka maʻi ahulau ke hana i nā pilikia ʻē aʻe, e pono ai ka mālama ʻokoʻa.

Hiki i ka maʻi ʻūlū ke hana i nā pilikia ʻē aʻe?

ʻAe, ʻo ka mea pōʻino, hiki i kekahi mau keiki ke loaʻa i nā pilikia olakino ʻē aʻe ma muli o ka maʻi ʻūlū. ʻO kekahi o kēia mau mea:

• Nā maʻi pepeiao : He mea maʻamau kēia i nā keiki ʻōpio.
• ʻO Croup, kahi maʻi hanu e like me ka ʻū whooping, hiki ke pilikia i ka hanu ʻana.
• Ka maʻi kahe : Hiki i kēia ke hoʻoulu i ka maloʻo.
• Pneumonia : He maʻi koʻikoʻi kēia o nā māmā. Hiki ke koi ʻia ka mālama ʻia ʻana i ka haukapila.
• ʻEncephalitis : He maʻi a pehu paha kēia o ka lolo. He kūlana weliweli loa kēia e hiki ke loaʻa nā hopena lōʻihi.

ʻAʻole he maʻi ka maʻi ʻūlū e hoʻohenehene ʻia. Hiki iā ia ke hoʻoulu i nā maʻi koʻikoʻi a me ka make i nā keiki. No laila, inā loaʻa iā ʻoe nā hōʻailona, ​​e ʻimi koke i ke kōkua lapaʻau.

Pono e mālama ʻia kahi keiki me ka maʻi ʻūlū mai nā poʻe ʻē aʻe no ka liʻiliʻi he 4 mau lā ma hope o ka puka ʻana o ka ʻōhū. Inā ua palupalu ke keiki i ka pale ʻana i ke kino, pono e hana ʻia kēia a hiki i ka wā e hoʻōla loa ʻia ai a nalowale nā ​​​​hōʻailona āpau.

ʻEhia ka lōʻihi e ola ai mai ka maʻi ʻūlū?

Ke noʻonoʻo ʻia nei ka maʻi ʻūlū a me nā hopena ʻaoʻao a pau e hiki mai ana, hiki ke hala i kekahi mau pule e ho'ōla piha ai . No laila, he mea nui e hoʻomanawanui a mālama i kāu keiki e like me ka ʻōlelo a ke kauka iā ʻoe.

Aia kekahi ala e pale aku ai iā ʻoe iho mai ka maʻi ʻūlū? E aʻo kākou e pili ana i ka lāʻau pale!

ʻAe! ʻO ke ala maikaʻi loa a me ka pono e pale aku ai i kāu mau keiki mai ka maʻi ʻōpala, ʻo ia ke hoʻopili ʻia iā lākou i ka manawa kūpono .

Loaʻa i ka hapa nui o nā keiki kēia pale ʻana i ka maʻi ʻūlū mai ka lāʻau pale `MMR` . He lāʻau pale kēia e pale aku ai i nā maʻi ʻekolu: ʻŪlū`, `Mumps`, a me `Rubella`. I kekahi manawa ua hui pū ʻia kēia me ka lāʻau pale `Varicella` e hana i ka lāʻau pale `MMRV`. Hāʻawi pinepine ʻia kēia lāʻau pale i nā keiki ma waena o 12 a me 15 mau mahina o ka makahiki, me ka mahele mua, a laila ka lua o ka mahele, ma waena o 4 a me 6 mau makahiki . Ma Sri Lanka, hāʻawi manuahi ʻia kēia lāʻau pale e ke aupuni.

Ma kahi o 95% o nā kānaka e lilo i palekana ma hope o ka mahele mua o ka lāʻau pale. ʻO ke koena e lilo i palekana ma hope o ka lua o ka mahele. ʻO ka maʻamau, ʻo kēia palekana no ke ola holoʻokoʻa.

ʻO kekahi mea ʻē aʻe, inā he mau hoʻolālā kāu e lawe i kāu pēpē i nā ʻāina ʻē i kona wā he 6 mahina (ʻoi aku hoʻi i kahi ʻāina kahi i loaʻa pinepine ai ka maʻi ʻūlū), hiki nō iā ʻoe ke hāʻawi iā ia i ka mahele mua o ka lāʻau pale i ka 6 mahina. E kamaʻilio me kāu kauka ʻohana e pili ana i kēia a hoʻoholo.

No ke aha he mea nui ka loaʻa ʻana o ka lāʻau pale?

Ua emi nui ka maʻi ʻūlū ma nā ʻāina he nui a puni ka honua, me Sri Lanka, ma muli o kēia mau papahana pale ʻana. Eia nō naʻe, ke hōʻike mau ʻia nei nā maʻi ahulau o ka maʻi. Ma kekahi mau ʻāina, ʻoi aku hoʻi ma ka honua, ua ʻike ʻia hoʻi ua piʻi ka laha ʻana o ka maʻi ʻūlū ma kēia ʻano i waena o ka poʻe i pale ʻole ʻia.

No laila, he mea nui loa ka hāʻawi ʻana i ka lāʻau pale i kēlā me kēia keiki hiki ke loaʻa iā ia i ka manawa kūpono . E noʻonoʻo e pili ana i ia mea, ʻo kekahi poʻe, no ka laʻana, ka poʻe me nā ʻōnaehana pale nāwaliwali loa, kekahi mau maʻi kanesa, ʻaʻole hiki ke loaʻa i kēia lāʻau pale. Akā, i ka wā e loaʻa ai ka nui o ka poʻe o ke kaiāulu i ka lāʻau pale, hāʻawi pū ia i ka palekana i ka poʻe hiki ʻole ke loaʻa i ka lāʻau pale. No ka mea, ua emi ka manawa e laha ai ka maʻi. Kāhea pū mākou i kēia he 'herd immunity' . Ua like ia me kahi ʻohana, pale mākou kekahi i kekahi.

ʻO kēia ka poʻe i loaʻa i ka pilikia nui i ka wā o ka maʻi ahulau:

• Nā pēpē (pēpē) ʻaʻole i lawa ka makahiki e loaʻa ai ka lāʻau pale maʻi ʻūlū.
• No nā keiki ʻōpio a me nā ʻōpio i hoʻopau ʻole i nā mahele ʻelua o ka lāʻau pale maʻi ʻūlū.
• No nā makuahine hāpai.
• No ka poʻe e ʻeha nei i ka ʻai ʻole a me ka poʻe me nā ʻōnaehana pale kino nāwaliwali.

Hiki i nā kauka ke hāʻawi i nā poʻe i loko o nā hui pilikia i ʻōlelo ʻia ma luna nei i launa pū me kekahi me ka maʻi ʻōpala i kahi lāʻau pale i kapa ʻia ʻo "immune globulin" nona nā antibodies maʻi ʻōpala . ʻOi aku ka maikaʻi o kēia inā hāʻawi ʻia i loko o 6 mau lā o ka launa pū ʻana me ka mea maʻi. Hiki i kēia mau antibodies ke pale i ka ulu ʻana o ka maʻi ʻōpala a hōʻemi paha i nā hōʻailona.

Eia kekahi, inā loaʻa i kahi kanaka i hoʻopili ʻole ʻia kahi lāʻau lapaʻau no ka maʻi ʻūlū i loko o 3 mau lā ma hope o ka launa pū ʻana me kahi mea maʻi ʻūlū, hiki i kēlā ke hāʻawi i kekahi pale mai ka loaʻa ʻana o ka maʻi.

He aha nā manawa kūpono loa e ʻike ai i ke kauka?

Inā manaʻo ʻoe ua loaʻa i kāu keiki ka maʻi ʻūlū, e ʻike koke i ke kauka . Mai hopohopo, akā e kiʻi koke i ka ʻōlelo aʻoaʻo lapaʻau. Eia kekahi, e hōʻoia e haʻi aku i ke kauka inā ua pili kāu keiki me kahi mea i loaʻa i ka maʻi ʻūlū, ʻoiai inā hāʻule kāu keiki i kekahi o kēia mau ʻano:

• Inā he pēpē ʻōpiopio nō ke keiki (pēpē), no ka laʻana, ma lalo o 6 mahina, ʻoi aku ke kiʻekiʻe o ka pilikia no ka mea ʻaʻole i loaʻa iā lākou ka mahele mua o ka lāʻau pale.
• Inā ʻoe e lawe ana i nā lāʻau lapaʻau e kāohi (kāohi) i ka ʻōnaehana pale.
• Inā loaʻa iā ʻoe ka maʻi puʻupuʻu, ke kanesa, a i ʻole kekahi maʻi ʻē aʻe e hoʻopilikia ai i ka ʻōnaehana pale (e like me ka HIV).
• Inā ʻaʻole ʻoe i loaʻa piha i nā mahele ʻelua o ka lāʻau pale maʻi ʻūlū.

ʻO kēia nā mea nui loa e pono ai ʻoe e hoʻomanaʻo mai nā mea a mākou i kamaʻilio ai!

ʻAe, ua kamaʻilio nui kākou e pili ana i ka maʻi ʻūlū i kēia lā, ʻeā? Eia nā mea nui e pono ai ʻoe e hoʻomanaʻo:

• He maʻi viral ka maʻi ʻūlū e laha koke ana a hiki ke lilo i mea weliweli i kekahi manawa. Mai noʻonoʻo he maʻi liʻiliʻi wale nō ia e waiho ana i kekahi mau ʻeha ma kou kino.
• ʻO ke ala maikaʻi loa e pale aku ai iā ʻoe iho mai ka maʻi ʻūlū, ʻo ia ke kiʻi ʻana i ka lāʻau pale MMR i ka manawa kūpono. He pale maikaʻi kēia no kāu keiki, a no nā poʻe ʻē aʻe o ke kaiāulu.
• Inā he ʻulaʻula kou ma kou kino me nā hōʻailona e like me ke kuni, ka ihu wai, ke kuni, a me nā maka ʻulaʻula, he maʻi puʻupuʻu paha ia. E nānā pū i nā kiko o Koplik i loko o kou waha.
• Inā kānalua ʻoe ua loaʻa kāu keiki i ka maʻi ʻūlū a i ʻole ua pili ʻo ia me kekahi me ka maʻi ʻūlū, e ʻike koke i ke kauka. ʻOi loa aku inā he ʻōpiopio kāu keiki, ʻaʻole i hoʻopili piha ʻia, a i ʻole he mau maʻi ʻē aʻe kona.
• Ma ka home, e hāʻawi i ka nui o nā wai a hoʻomaha. E hāʻawi iā Paracetamol no ke kuni. Mai hāʻawi iā Aspirin! E hoʻomanaʻo pono i kēia.
• Inā loaʻa kāu keiki i ka maʻi ahulau, e hoʻopaʻa iā ia ma ka hale no kekahi manawa e pale aku ai iā ia mai ka laha ʻana i nā poʻe ʻē aʻe.

Inā mālama kākou i kēia mau mea, hiki iā kākou ke pale i kā kākou mau keiki mai ka maʻi ʻūlū a me kona mau pilikia weliweli. Inā he mau nīnau ʻē aʻe kāu, mai poina e kamaʻilio me kāu kauka ʻohana a kauka keiki paha. Aloha nui i nā kānaka a pau!

`ʻUlu, ʻUlu, Rubeola, Lāʻau pale ʻulu, lāʻau pale ʻulu MMR, Nā hōʻailona ʻulu, Nā maʻi pediatric