E aʻo hou kākou e pili ana i ka tetanus. Mai hopohopo, hiki ke pale ʻia!

Ua lohe paha ʻoe i ka 'tetanus' a i ʻole ka 'lockjaw disease'. He mea koʻikoʻi iki ia, akā ʻo ka mea pōmaikaʻi, he maʻi hiki ke pale ʻia. No laila i kēia lā, e kamaʻilio pōkole kākou e pili ana i ka tetanus, pehea e ulu ai, kona mau hōʻailona, ​​​​​​ka lāʻau lapaʻau, a pehea hoʻi e pale aku ai iā ʻoe iho mai ia mea, ʻae?

He aha ka Tetanus?

I ka ʻōlelo maʻalahi, he maʻi koʻikoʻi ka tics, akā hiki ke pale ʻia, e hoʻopilikia ana i nā ʻiʻo a me ka ʻōnaehana nerve o ko mākou kino. Ua kapa pū kekahi poʻe iā ia he 'lockjaw disease', no ka mea, ʻo ka hōʻailona nui ka hiki ʻole ke wehe i ka waha ma muli o ka ʻūlū ʻana o nā ʻiʻo. Ma nā ʻāina i hoʻomohala ʻia e like me ʻAmelika, he mea kakaikahi loa kēia maʻi no ka mea ua hoʻopili ʻia nā pēpē mai ia mea mai 2 mahina o ka makahiki. Eia nō naʻe, ma nā ʻāina e ulu ana e like me kā mākou, he mea hopohopo nō ia.

He aha nā kumu o ka ʻāʻī?

ʻAe, e nānā kākou pehea e ulu ai kēia ʻulaʻula. Hoʻokumu ʻia ia e kekahi ʻano bacteria. I ka pololei, he germ bacteria i kapa ʻia ʻo `(Clostridium tetani)`. Noho pinepine kēia mau mea ma nā wahi e like me ka lepo a me ka lepo.

ʻO ka bacteria Clostridium tetani a me ka mea ʻawahia e hana ai

Ke komo ka bacteria Clostridium tetani i loko o ko kākou kino, hana lākou i kahi toxin, he lāʻau make ia. He mea weliweli loa kēia toxin. Hele ia ma nā aʻalolo ma kahi o ka ʻeha a hele i ka lolo a i ʻole ke kaula kuamoʻo. I ka manawa e hiki ai, hoʻopilikia ka toxin i ka hana maʻamau o kā kākou ʻōnaehana nerve. Ma ke ʻano kūikawā, hoʻopilikia ia i nā aʻalolo motor, ka mea e lawe i nā leka i ko kākou mau ʻiʻo. ʻO ia ke kumu e paʻakikī ai ko kākou mau ʻiʻo a ʻūlū.

Pehea e komo pinepine ai kēia i loko o ke kino?

I ka hapa nui o ka manawa, komo kēia bacteria i ke kino ma o kahi ʻeha lepo. E noʻonoʻo, no ka laʻana, he kui ʻūlū i paʻa i kou ʻili, a i ʻole he ʻeha i lepo i ka lepo a me ka lepo. I kekahi manawa he liʻiliʻi loa ka ʻeha a ʻaʻole paha mākou e ʻike. Akā hiki i kēlā ʻeha liʻiliʻi ke hoʻokomo i kēia bacteria.

Aia kekahi mau ʻano ʻeha i ʻoi aku ka nui o ka hoʻomohala ʻana i kahi abscess:

• Nā ʻeha me ka ʻili make: ʻO nā laʻana e pili ana i nā kuni, ka hauʻi, ka gangrene, a i ʻole nā ​​​​ʻeha ʻeha.
• Nā ʻeha i haumia i ka lepo, ka kuha, a i ʻole ka feces: He mea weliweli loa kēia inā ʻaʻole i hoʻomaʻemaʻe pono ʻia.
• Nā ʻeha i hana ʻia e nā nila lepo a hoʻomaʻemaʻe ʻole ʻia: No ka laʻana, nā nila i hoʻohana ʻia i ka hoʻohana ʻana i nā lāʻau lapaʻau, ke kaha kiʻi ʻana iā ʻoe iho, a i ʻole ke kī ʻana i ke kino.

He aha ka Tetanus Neonatal?

Aia kekahi ʻano kūikawā o ka tetanus, ʻo ia hoʻi ka tetanus e loaʻa ana i nā pēpē hānau hou. Kāhea pū mākou i kēia ʻo `(Neonatal Tetanus)`. Hana ʻia kēia inā hānau ʻia ka pēpē ma lalo o nā kūlana haumia, ʻoiai inā ʻaʻole i mālama ʻia ke kaula umbilical ma hope o ka ʻoki ʻana, kahi e komo ai nā germs. Eia nō naʻe, ma nā ʻāina i hoʻomohala ʻia, ma muli o ka lāʻau pale tetanus i hāʻawi ʻia i nā makuahine a me ka ʻōlelo aʻo i hāʻawi ʻia e mālama i ke kaula umbilical ma hope o ka hānau ʻana o ka pēpē, ua kakaikahi loa kēia kūlana `(Neonatal Tetanus)` i kēia manawa. Hopohopo nui mākou no kēia ma ko mākou ʻāina.

He aha nā hōʻailona o ka hāʻule ʻana o ka pēpē?

ʻAe, e nānā kākou i nā hōʻailona e ʻike ʻia ke ulu ka ʻulaʻula. Hiki ke ʻike ʻia nā hōʻailona ma nā wahi a pau mai kekahi mau lā a i hoʻokahi mahina ma hope o ke komo ʻana o kēia bacteria i ke kino.

Hoʻomaka pinepine ia me ka ʻūmiʻi ʻana o nā ʻiʻo o ka ʻauwae . Ua kapa ʻia hoʻi kēia he "trismus". Manaʻo ia ua paʻa ka ʻauwae, a he paʻakikī ke wehe i ka waha. Eia kekahi:

• He paʻakikī ke ale.
• Hiki ke ʻeha a ʻoʻoleʻa paha nā ʻiʻo ma ka ʻāʻī, nā poʻohiwi, a me ke kua .
• Hiki i kēia ʻeha o nā ʻiʻo ke laha mālie i nā wahi e like me ka ʻōpū, nā lima o luna (nā lima), a me nā ʻūhā .
• I kekahi manawa hiki i nā ʻiʻo ke paʻa loa a kūlou ke kino holoʻokoʻa i hope e like me ke kakaka. Hiki ke ʻeha loa kēia.
• Hiki paha iā ʻoe ke ʻike i nā hōʻailona e like me ka hou nui a me ka wikiwiki o ka puʻuwai.

Pehea e mālama ai i ka eczema?

Inā loaʻa i kekahi ka hahau ʻana, pono lākou e lawe ʻia i ka haukapila a mālama ʻia. ʻO ka hapa nui, hāʻawi ʻia ka mālama ʻana ma ka Intensive Care Unit (ICU) .

Ma laila, ʻo nā lāʻau lapaʻau nui i hāʻawi ʻia:

• Hoʻohana ʻia nā antibiotics e pepehi i ka bacteria.
• Hāʻawi ʻia kahi lāʻau pale i kapa ʻia ʻo Tetanus Immune Globulin (TIG) e hoʻopau i ka mea ʻawahia i hana mua ʻia i loko o ke kino.
• Hāʻawi ʻia ka lāʻau lapaʻau e kāohi i ka ʻoʻoleʻa a me nā spasms o nā ʻiʻo.
• Eia kekahi, inā pono, hāʻawi ʻia ka lāʻau lapaʻau e hōʻoia i ka hoʻomau pono ʻana o nā hana koʻikoʻi o ke kino, e like me ka hanu ʻana. Pono paha e hoʻopili i ka mea maʻi i nā mīkini e kōkua i ka hanu ʻana.

ʻO ka mea nui loa, he maʻi koʻikoʻi loa ka eclampsia. No laila, inā loaʻa iā ʻoe nā hōʻailona, ​​​​he mea nui e ʻimi koke i ka haukapila.

Hiki iā ʻoe ke pale aku i ka hāʻule ʻana o ka hāpai keiki?

ʻAe! ʻO kēia ka mea nui loa. He maʻi ka maʻi kahe hiki iā mākou ke pale loa . ʻElua ala nui e hana ai:

1. E kiʻi i ka lāʻau pale no ka maʻi puʻupuʻu. ʻO kēia ka pale maikaʻi loa a koʻikoʻi loa.

2. Inā aia kahi pilikia o ka tetanus ma hope o kahi ʻeha, e kiʻi i kahi lāʻau pale (prophylaxis tetanus ma hope o ka hōʻike ʻana).

E kamaʻilio kākou e pili ana i kēia mau mea ʻelua me nā kikoʻī hou aku.

Ka palekana mai ka lāʻau pale

Ua hoʻokomo pū ʻia ka lāʻau pale e pale aku i ka diphtheria i loko o ka papahana pale ʻana o ko kākou ʻāina. Hāʻawi pinepine ʻia kēia lāʻau pale i ka wā kamaliʻi ma ke ʻano he ʻāpana o ka lāʻau pale i hui pū ʻia i kapa ʻia ʻo `DTaP`. ʻO `DTaP` kahi lāʻau pale e pale aku i nā maʻi ʻekolu: diphtheria (diphtheria), tetanus (tetanus), a me ka ʻūhū (acellular pertussis).

ʻO ka papa hana maʻamau no ka hāʻawi ʻana i kēia mau lāʻau pale i nā keiki liʻiliʻi penei:

• Hāʻawi ʻia kahi moʻo o ʻehā mau lāʻau o ka lāʻau pale DTaP ma mua o ka piha ʻana o 2 mau makahiki (i ka 2, 4, 6, a me 18 mahina).
• A laila, hāʻawi ʻia kekahi mahele ʻē aʻe o 'DTaP' ma waena o nā makahiki 4-6 .
• ʻO ka mea aʻe, hāʻawi ʻia kahi pana hoʻoikaika i kapa ʻia ʻo `Tdap` ma kahi o 11-12 mau makahiki . Inā hala ʻole kēia, hiki ke hāʻawi ʻia ma hope. He lāʻau pale nō hoʻi ʻo `Tdap` no ka diphtheria, tetanus, a me ka whooping cough, akā ua hoʻolālā ʻia no nā pākeke a me nā keiki ʻōpio.

Ma hope o kēlā, ua ʻōlelo ʻia e kiʻi i ka lāʻau pale Tdap a i ʻole ka lāʻau pale Td booster, ka mea e pale wale ana i ka tetanus a me ka pertussis , i kēlā me kēia 10 mau makahiki . He mea kēia e pono ai ʻoe e hoʻomau i ka hana i kou ola a pau. Inā ʻaʻole ʻoe e hoʻomanaʻo i ka wā hope loa i loaʻa ai iā ʻoe kāu booster, he manaʻo maikaʻi e nīnau i kāu kauka ʻohana.

He mea nui loa kēia lāʻau pale no nā makuahine hāpai!

ʻO kekahi mea nui loa , ʻo ia ka ʻōlelo ʻia ʻana o kēlā me kēia wahine hāpai e loaʻa i ka lāʻau pale `Tdap` i ka hapa lua o ka hāpai ʻana, i kēlā me kēia hāpai ʻana. He mea nui e loaʻa i kēia lāʻau pale i kēlā me kēia hāpai ʻana, me ka nānā ʻole inā ua lāʻau ʻia ʻoe ma mua a i ʻole ka wā hope loa i loaʻa ai iā ʻoe. E pale kēia i ka makuahine a me ke pēpē hānau hou mai ka tetanus. E kōkua kēia i ka pale ʻana i ka pēpē mai ke kūlana `(Neonatal Tetanus)` a mākou i kamaʻilio ai ma mua.

Ka pale ʻana i ka Tetanus ma hope o ka hōʻike ʻana

Inā loaʻa iā ʻoe kahi ʻeha koke, ʻoiai inā he ʻeha hohonu a i ʻole he ʻeha lepo i haumia ʻia me ka lepo, ka lepo, a i ʻole nā ​​​​​​mea ʻino, aia kahi pilikia o ka loaʻa ʻana o ka tetanus. I kēlā mau hihia, he mea nui e ʻike i ke kauka a nīnau inā pono ʻoe e lawe i kahi lāʻau i kapa ʻia ʻo "post-exposure tetanus prophylaxis".

ʻO nā lāʻau pale i hāʻawi ʻia i kēia manawa e pili ana i kekahi mau kumu:

• ʻEhia ka lōʻihi i hala aku nei mai kou loaʻa hope ʻana i kāu lāʻau hoʻoikaika measles?
• ʻEhia mau lāʻau pale ʻana i ka maʻi ʻūlū i loaʻa iā ʻoe i kou wā e ola ana?
• Ke ʻano o ka ʻeha (nā mea e like me kona hohonu, kona lepo).

No laila, inā loaʻa iā ʻoe kahi ʻeha, he mea naʻauao ke hoʻomaʻemaʻe pono iā ia a ʻimi i ke kōkua lapaʻau.

Nā mea mua e hana ai i ka wā e ʻeha ai

ʻO kēlā me kēia ʻeha ʻili, ʻoiai he ʻeha hohonu a i ʻole kekahi mea e haumia paha i ka lepo, ka lawai, a i ʻole ka feces, he mea nui loa ia e hoʻomaʻemaʻe pono iā ia, e kau i ka lāʻau lapaʻau, a uhi koke iā ia .

Inā hiki, e holoi pono i ka ʻeha me ke kopa a me ka wai. Inā he lepo a ʻōpala paha i loko o ka ʻeha, e wehe iā ia. A laila, e hoʻomaʻemaʻe iā ia me kahi hopena antiseptic a uhi iā ia me kahi ʻāpana gauze maʻemaʻe a i ʻole kahi plaster. Eia nō naʻe, inā hohonu ka ʻeha, nui, a lepo loa paha, pono ʻoe e ʻike i ke kauka ma waho aʻe o kēia kōkua mua ma ka home.

Āhea ʻoe e ʻike ai i ke kauka?

Inā ʻaʻole ʻoe maopopo inā ua loaʻa iā ʻoe a i ʻole kāu mau keiki ka lāʻau pale kūpono no ka maʻi ʻūlū, a inā ʻike ʻoe ʻaʻole lākou i loaʻa i nā lāʻau pale piha, e ʻike pono i kāu kauka ʻohana a kamaʻilio e pili ana.

• Inā ua ʻoi aku ma mua o 10 mau makahiki mai ka manawa i loaʻa ai i kekahi o kou ʻohana kahi lāʻau pale hoʻoikaika i ka measles, e ʻike pono i ke kauka a e hoʻohou i kāu mau lāʻau pale.
• Inā loaʻa iā ʻoe kahi ʻeha hohonu a ʻoki paha, e hoʻomaʻemaʻe koke i ka ʻeha a kāhea aku i ke kauka e nīnau e pili ana i ka prophylaxis tetanus ma hope o ka hōʻike ʻana.
• Inā loaʻa i kāu keiki a i ʻole kekahi poʻe ʻē aʻe nā hōʻailona o ka laka ʻana o ka ʻauwae, a i ʻole ka ʻūlū ʻana a i ʻole ka ʻūmiʻi ʻana o nā ʻiʻo , ʻoiai ma hope o kahi ʻeha, e ʻimi koke i ke kōkua lapaʻau. He pilikia paha kēia.

E hoʻomanaʻo, ʻoiai he maʻi koʻikoʻi ka maʻi ʻūlū, hiki iā kākou ke pale iā kākou iho mai ia mea ma ka loaʻa ʻana o ka lāʻau pale a me ka loaʻa koke ʻana o ka lāʻau lapaʻau ke loaʻa iā kākou ka ʻeha.

Nā mea e hoʻomanaʻo ai i ka pōkole

ʻAe, e nānā kākou i kekahi o nā mea nui e hoʻomanaʻo mai nā mea a mākou i kamaʻilio ai:

• He maʻi koʻikoʻi ka Tetanus, akā hiki ke pale ʻia e ka lāʻau pale.
• Hoʻokumu ʻia kēia e kahi mea ʻawahia i hana ʻia e kahi bacteria i kapa ʻia ʻo Clostridium tetani, e noho ana i ka lepo.
• Hiki ke laha ma o nā ʻeha lepo, ʻoiai hoʻi nā ʻeha hohonu, a me nā mea e like me nā kui ʻōpala.
• ʻO ka ʻauwae paʻa, ka ʻūmiʻi ʻana o nā ʻiʻo, a me ka paʻakikī i ke ale ʻana nā hōʻailona nui.
• Hāʻawi ʻia ka lāʻau lapaʻau ma kahi haukapila, ma ka Intensive Care Unit (ICU).
• ʻO ke ala maikaʻi loa e pale aku ai, ʻo ia ka loaʻa ʻana o nā lāʻau pale diphtheria (DTaP, Tdap, Td) i ka manawa kūpono. Mai poina e loaʻa kahi pana hoʻoikaika i kēlā me kēia 10 mau makahiki.
• He mea koi ʻia no nā makuahine hāpai ke loaʻa i ka lāʻau pale `Tdap` i kēlā me kēia hāpai ʻana.
• Inā loaʻa iā ʻoe kahi ʻeha, e hoʻomaʻemaʻe pono iā ia, a inā pono, e kiʻi i ka prophylaxis tetanus ma hope o ka hōʻike ʻana e like me ke kauoha a kāu kauka.
• Inā ʻike ʻia nā hōʻailona, ​​e ʻimi koke i ke kōkua lapaʻau.

Ma ka ʻike ʻana i kēia mau mea a me ka loaʻa ʻana o ka lāʻau pale kūpono, hiki iā ʻoe ke pale iā ʻoe iho a me kou ʻohana mai ka maʻi i kapa ʻia ʻo ka measles. ʻAʻohe mea e makaʻu ai, ʻo ka ʻike ka pale maikaʻi loa!

ʻO ka maʻi maʻi, Lockjaw, Clostridium tetani, Vaccine, DTaP, Tdap, ʻEha, Neonatal Tetanus