ʻAuē, he mea maʻamau ka lohe ʻana i kahi ʻōhū e puka mai ana mai kahi hale me kahi keiki liʻiliʻi, ʻeā? I kekahi manawa, puka koke mai kahi ʻōhū ma ke kino, a ʻeha paha nā hono. No laila, ma ke ʻano he makuahine a makua paha, he mea maʻamau iā ʻoe ke makaʻu iki a hopohopo ke ʻike ʻoe i kahi mea e like me kēia. I kēia lā e kamaʻilio mākou e pili ana i kahi maʻi i kapa ʻia ʻo Parvovirus B19, hiki ke hana i nā hōʻailona e like me kēia, ʻoi aku hoʻi i nā keiki ʻōpio, akā hiki ke hoʻopilikia i nā pākeke. E nānā kākou i ke ʻano o ia mea, pehea e ulu ai, he aha nā hōʻailona, a pehea e pale ai iā ʻoe iho.
He aha ka Parvovirus B19? I ka pōkole...
He maʻi liʻiliʻi ʻo Parvovirus B19. Ua like ia me ka maʻi e hoʻoulu ai i ke anu a me ka maʻi palū. Hiki iā ia ke hoʻoulu i ka ʻulaʻula a me ka ʻeha o nā hono. Ua lohe paha ʻoe i kahi maʻi i kapa ʻia ʻo "Fifth disease." Hoʻokumu ʻia ia e kēia parvovirus B19 i nā keiki ʻōpio.
Akā, ʻaʻole kēia he maʻi e hoʻopilikia wale i nā keiki. Hiki i nā pākeke ke loaʻa iā ia. Ke loaʻa i kahi keiki kēia , ʻo ka ʻulaʻula pinepine ka hōʻailona nui . Eia nō naʻe, ke loaʻa i kahi pākeke, ʻaʻole paha e ʻike ʻia ka ʻulaʻula, akā hiki ke ʻike ʻia kahi ʻeha hui e like me ka arthritis. Hiki ke mau kēia ʻeha hui no nā pule, a i ʻole nā mahina.
ʻO ka mea nui, inā ʻoe e hāpai ana, he nāwaliwali kou ʻōnaehana pale maʻi (ʻo ia hoʻi, ua emi ka hiki o kou kino ke pale aku i nā maʻi), a i ʻole he mau maʻi pili koko (e laʻa me ka maʻi sickle cell), ʻoi aku ka nui o kou loaʻa ʻana i nā pilikia koʻikoʻi mai ka maʻi Parvovirus B19.
ʻOiai ʻo B19 ka lālā kaulana loa o ka ʻohana Parvovirus, aia kekahi mau ʻano parvovirus ʻē aʻe e hiki ke hoʻoulu i nā maʻi i loko o kānaka. No ka laʻana, nā tetraparvoviruses kanaka, nā bocaparvoviruses kanaka, a me nā protoparvoviruses kanaka. Hoʻokumu kēia mau mea a pau i nā hōʻailona like.
He aha nā hōʻailona o ka maʻi Parvovirus B19?
ʻO nā hōʻailona o ka maʻi parvovirus:
- He ʻulaʻula: ʻIke pinepine ʻia kēia ma ka maka o nā keiki ʻōpio, akā hiki ke ʻike ʻia ma nā wahi āpau o ke kino.
- ʻEha hui: He mea maʻamau kēia i nā pākeke.
- Kuni: Hiki iā ʻoe ke loaʻa i ke kuni inā wela loa kou kino.
- ʻEha poʻo : Hiki iā ʻoe ke loaʻa i ka ʻeha poʻo.
- Kuke: Ua like paha ia me ka kuke iki.
- ʻEha ka ʻāʻī: E ʻeha paha ka ʻāʻī.
Hiki iā kākou ke kamaʻilio hou aʻe e pili ana i kēia "parvovirus rash"?
Ke ʻike ʻia ka ʻulaʻula i hoʻokumu ʻia e ka parvovirus B19 ma ka maka o nā keiki ʻōpio, i kekahi manawa ua kapa ʻia ʻo ia he "ʻulaʻula papālina." E noʻonoʻo i ka ʻulaʻula loa o nā papālina o kahi keiki ʻōpio, me he mea lā ua paʻi ikaika kekahi iā lākou. He ʻulaʻula ʻālohilohi a i kekahi manawa he ʻano lei . Ua kapa ʻia hoʻi ʻo ia he "maʻi ʻelima" e like me ka mea i ʻōlelo ʻia ma mua. Eia naʻe, ʻaʻole pinepine ka poʻe mākua i kēia ʻano ʻulaʻula.
ʻAʻole wale kēia ʻōhū ma kou helehelena, akā hiki ke ʻike ʻia ma nā wahi ʻē aʻe o kou kino, no ka laʻana, kou mau lima, nā wāwae, ka umauma, ke kua, a me nā puʻupuʻu. I kekahi manawa hiki ke ʻānai ʻia . Hiki ke mau kēia ʻōhū no hoʻokahi a ʻelua paha pule a laila nalo, a i ʻole e hoʻomau i ka ʻino no kekahi mau pule.
Pehea e hoʻopili ai kēia parvovirus iā mākou?
Hoʻolaha ʻia ʻo Parvovirus B19 ma ke ʻano like me nā maʻi hanu ʻē aʻe. ʻO ia hoʻi:
- ʻUmi a me ke kunu ʻana: Ke kunu a kunu paha ka mea maʻi, hoʻokuʻu ʻia ka maʻi i ke kaiapuni ma o nā kulu liʻiliʻi. Inā hanu ke kanaka olakino i nā kulu, hiki ke laha ka maʻi.
- Ka hoʻopā ʻana i nā mea i haumia i ka maʻi: Inā hoʻopā kākou i nā mea a kekahi i loaʻa i ka maʻi i hoʻopā ai, e like me nā ʻūpā puka, nā papa hana, nā mea pāʻani, a i ʻole nā kelepona, a laila hoʻopā i ko kākou ihu, waha, a i ʻole nā maka me ka lima hoʻokahi, hiki i ka maʻi ke komo i loko o ko kākou kino.
ʻAʻole wale ia, hiki ke laha pū kekahi ma o ke koko . No ka laʻana, i ka wā o ka hoʻoili koko a i ʻole ma o ka hoʻopili ʻana me ke koko a i ʻole nā wai kino ʻē aʻe o kahi kanaka i loaʻa i ka maʻi. Hiki nō hoʻi ke laha mai kahi makuahine hāpai i kāna keiki i hānau ʻole ʻia .
ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o ka maʻi parvovirus?
Hiki i kekahi ke loaʻa i ka parvovirus B19. Eia nō naʻe, inā ʻoe no kekahi o kēia mau hui, ʻoi aku ka nui o kou pilikia e loaʻa ai:
- Inā ʻoe e hāpai ana: Inā hana kēia i ka wā hāpai, hiki iā ia ke hoʻopilikia i ka pēpē.
- Inā nāwaliwali kou ʻōnaehana pale: ʻO ia hoʻi ka poʻe me nā maʻi e like me ka maʻi HIV, ka poʻe e lawe ana i ka lāʻau lapaʻau maʻi kanesa, a i ʻole ka poʻe i loaʻa i kahi hoʻoili kino a ke lawe nei i nā lāʻau lapaʻau e hoʻopau ana i kā lākou ʻōnaehana pale.
- Inā loaʻa iā ʻoe nā maʻi e pili ana i ke koko e hiki ai ke hoʻemi i nā hunaola koko ʻulaʻula, e like me ka maʻi sickle cell a i ʻole ka anemia hemolytic autoimmune.
He aha nā pilikia e hiki ke loaʻa mai ka Parvovirus?
Hiki i ka maʻi Parvovirus B19 ke hana i nā pilikia e like me:
- Anemia koʻikoʻi: Hoʻopilikia kēia maʻi i ka hana ʻana o nā hunaola koko ʻulaʻula i loko o ko mākou kino, hiki ke alakaʻi i ka anemia, kahi ʻano i ʻike ʻia he anemia.
- Nā hāʻule ʻana o ka hāpai keiki a i ʻole ka hānau make ʻana (Pohō hāpai keiki/hānau make):Inā loaʻa kēia maʻi i ka wā hāpai, piʻi aʻe ka pilikia o ka hāʻule ʻana o ka naʻau a i ʻole ka hānau make ʻana.
- ʻO Hydrops fetalis: He kūlana koʻikoʻi kēia e hiki ke hana inā loaʻa ka maʻi parvovirus i kahi wahine hāpai. Hoʻoulu ia i ka hōʻiliʻili ʻana o ka wai i loko o ke kino o ke pēpē.
- ʻO ka ʻāʻī idiopathic ʻōpio: He mea laha ʻole kēia, akā hiki i kekahi mau keiki ʻōpio ke loaʻa i kahi kūlana o ka pehu ʻana o nā hono a me ka ʻeha no ka manawa lōʻihi ma hope o ka loaʻa ʻana o ka parvovirus.
Pehea e ʻike ai nā kauka i ka Parvovirus B19?
He nui nā hoʻokolohua a nā kauka e ʻike ai i ka parvovirus B19. Eia kēia mau mea:
- Nā hoʻāʻo koko: Lawe ʻia kahi hāpana o kou koko a nānā ʻia no nā antibodies i hana ʻia e kou kino e kūʻē i ka parvovirus B19. Hiki i kēia ke haʻi inā loaʻa iā ʻoe ka maʻi i kēia manawa a i ʻole ua loaʻa iā ʻoe ma mua.
- Hoʻāʻo waikawa nucleic (NAT): Hoʻohana kēia i ka hoʻāʻo PCR a i ʻole kekahi ʻano NAT ʻē aʻe e ʻike pololei i ka parvovirus B19 i loko o kahi hāpana koko a i ʻole ka hāpana iwi. Hoʻohana kūikawā ʻia kēia ʻano hana no ka ʻike ʻana i nā maʻi hana i nā poʻe me nā ʻōnaehana pale nāwaliwali .
He aha nā mea e hiki ke hana ʻia e pale aku ai i ka Parvovirus?
ʻAʻohe lāʻau lapaʻau kūikawā no ka parvovirus, akā i ka hapanui o nā hihia e hoʻopau koke ia me ka ʻole o nā pilikia .
Eia nō naʻe, inā loaʻa iā ʻoe kahi maʻi e like me ka anemia, a inā hāpai ʻoe a loaʻa i kāu pēpē ka hydrops fetalis, pono paha ʻoe i kahi hoʻoili koko . Eia kekahi, i kekahi manawa hoʻohana nā kauka i ka intravenous immunoglobulin (IVIG) e kōkua i ka hakakā ʻana i ka maʻi inā loaʻa iā ʻoe nā pilikia.
Hiki ke pale ʻia ka parvovirus?
ʻOiaʻiʻo hiki iā ʻoe! Eia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i ka pilikia o ka loaʻa ʻana a i ʻole ka hoʻolaha ʻana o ka maʻi parvovirus:
- E holoi pono i kou mau lima me ke kopa a me ka wai i nā manawa a pau. No ka liʻiliʻi he 20 kekona.
- E pale i ka pili kokoke ʻana me nā poʻe āu e manaʻo nei ua loaʻa paha i ka maʻi.
- E uhi i kou waha a me kou ihu i ka wā e ʻū ai a i ʻole e ʻūhā ana. ʻOi aku ka maikaʻi o ka hoʻohana ʻana i kahi pepa ʻili, a i ʻole ka ʻaoʻao o loko o kou kuʻekuʻe lima.
- E pale i ka hoʻopā pinepine ʻana i kou ihu, waha, a me nā maka.
- Inā loaʻa ʻoe i ka maʻi, e noho ma ka home mai ka hana a i ʻole ke kula. Hiki i kēia ke kōkua i ka pale ʻana i ka laha ʻana o ka maʻi i nā poʻe ʻē aʻe.
E ola maikaʻi anei ka parvovirus ma kāna iho?
ʻAe, ʻo ka hapa nui o nā maʻi parvovirus e nalowale iā lākou iho i loko o hoʻokahi a ʻelua paha pule. Eia nō naʻe, hiki i kekahi manawa ke mae ka ʻulaʻula a laila e ʻike hou ʻia. Hiki ke mau no nā pule. I kekahi manawa hiki i ka ʻeha hui ke mau no nā mahina.
I mea e kōkua ai iā ʻoe e ʻoluʻolu, e aʻo aku paha kāu kauka iā ʻoe e lawe i nā lāʻau ʻeha (nā lāʻau hoʻomaha ʻeha OTC - loaʻa ma ka hale kūʻai lāʻau lapaʻau), inu i nā wai he nui, e like me ka wai, a hoʻomaha nui.
Āhea wau e ʻike ai i ke kauka?
Inā loaʻa iā ʻoe nā hōʻailona o ka parvovirus, ʻoiai inā hāpai ʻoe, nāwaliwali kou ʻōnaehana pale, a i ʻole he maʻi pili koko, e kamaʻilio pono me ke kauka . Mai hopohopo, akā he mea nui e loaʻa ka ʻōlelo aʻoaʻo lapaʻau kūpono.
Āhea wau e hele ai i kahi Emergency Treatment Unit (ETU) ?
Inā loaʻa iā ʻoe nā hōʻailona koʻikoʻi e like me kēia, e hele koke i ka lumi pilikia:
- Ka nāwaliwali a i ʻole ka nawaliwali
- ʻEha umauma
- Paʻakikī ka hanu ʻana
- ʻO ke kala ʻana o ka ʻili, nā lehelehe, a i ʻole nā kui i polū/hina (Cyanosis)
- Nā palpitations o ka puʻuwai
- He manaʻo o ka makaʻu nui, wehewehe ʻole ʻia a i ʻole ka pōʻino e hiki mai ana
Hiki i nā kānaka ke loaʻa i ka parvovirus mai nā ʻīlio?
He nīnau kēia a ka poʻe he nui e nīnau ai. ʻAʻole, ʻaʻole hiki iā ʻoe ke loaʻa ka parvovirus mai nā ʻīlio a i ʻole nā holoholona ʻē aʻe . ʻElua ʻano o ka parvovirus: hoʻokahi e hoʻopilikia i nā kānaka a hoʻokahi e hoʻopilikia i nā ʻīlio. No laila, ʻaʻohe mea e hopohopo ai.
ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)
Inā he keiki ʻuʻuku kāu ma kou home, he mea maʻamau paha iā lākou ke maʻi, akā he mea maikaʻi ke makaʻala i kekahi mau maʻi. ʻO Parvovirus kekahi o ia mau maʻi. ʻOiai he mea maʻamau ia, ʻaʻole ia he mea koʻikoʻi i ka hapa nui o nā hihia.
Eia nō naʻe, inā hāpai ʻoe, he maʻi pili koko, a he nāwaliwali paha kou ʻōnaehana pale, pono ʻoe e hana i nā hana e pale aku iā ʻoe iho mai ia mau maʻi . Inā he kānalua a makaʻu paha kāu e pili ana i kēia, mai hilahila a kamaʻilio me kāu kauka ʻohana. E noho olakino!
ʻO Parvovirus B19, Maʻi ʻElima, Nā Papālina ʻUlaʻula, ʻEha Hui, Pediatrics, Nā Maʻi Viral, Ola Hāpai
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