Ua ʻike anei ʻoe ua hoʻomaka kāu keiki liʻiliʻi me ke anu a laila e ʻoi aku ka ʻino a loaʻa iā ia ka ʻū mau a hiki ʻole ke hoʻōki no nā lā? I kekahi manawa, ke ʻū lākou, ʻulaʻula ko lākou helehelena a paʻakikī iā lākou ke hanu. Ke hanu lākou i waho ma hope o ke ʻū ʻana, hana lākou i kahi leo ʻē 'whooping'. ʻO kēia ka mea a mākou e kapa nei ʻo Pertussis a i ʻole ' Whooping Cough ' ma ka ʻōlelo Pelekania. Hiki ke lilo kēia i mea weliweli loa no nā keiki ʻōpio, ʻoiai nā pēpē he mau mahina. No laila i kēia lā , e kamaʻilio kākou e pili ana i ke ala maikaʻi loa e pale aku ai i kā mākou mau keiki mai kēia maʻi weliweli, ʻo ia ka lāʻau pale ʻū.
I ka ʻōlelo maʻalahi, he aha ka lāʻau pale pertussis?
Hoʻomaʻamaʻa ka lāʻau pale ʻūhū i ko mākou kino, ʻoi aku hoʻi i kā mākou mau keiki, e hakakā i ka maʻi hanu i kapa ʻia ʻo ka ʻūhū. I ka pololei, ua hoʻokumu ʻia kēia maʻi e kahi bacteria i kapa ʻia ʻo Bordetella pertussis . Ke komo kēia bacteria i loko o kā mākou ʻōnaehana hanu, hiki mai kēlā ʻūhū hiki ʻole ke hoʻōki. Hiki i ka hanu ʻana ke hoʻōki a hoʻomaka hou ma waena o nā manawa ʻūhū. I ka lāʻau lapaʻau, kapa mākou i kēia 'apnea' . He mea weliweli loa kēia no nā pēpē liʻiliʻi.
No laila, ʻo ka hana a kēia lāʻau pale, ʻo ia ka hāʻawi ʻana i ke kino i kahi ʻāpana bacteria ʻino ʻole a aʻo i kā mākou ʻōnaehana pale e hana i nā antibodies e hakakā iā ia. A laila, inā komo maoli ka germ cough whooping i loko o ko mākou kino, e ʻike ko mākou kino iā ia a e hakakā koke iā ia.
No ke aha he mea nui kēia lāʻau pale?
He nīnau koʻikoʻi loa kēia. Aia kekahi mau kumu nui e koʻikoʻi ai kēia lāʻau pale.
1. Kāohi i nā pilikia koʻikoʻi i nā pēpē: Inā loaʻa i kahi pēpē ʻōpiopio ka ʻūhū whooping, hiki iā ia ke alakaʻi i nā pilikia koʻikoʻi. No ka laʻana, ka pneumonia , he maʻi māmā, nā neʻe kino hiki ʻole ke kāohi ʻia ( convulsions ), a i kekahi manawa ka hōʻino ʻana o ka lolo . He mau kūlana koʻikoʻi kēia e hiki ke hoʻopilikia i ke ola o kahi keiki. Hoʻemi nui ka lāʻau pale i kēia pilikia.
2. Kāohi i ka laha ʻana o ka maʻi:ʻO kekahi mea weliweli e pili ana i ka ʻūhū ʻo ia ka mea i nā lā mua, hōʻike ia i nā hōʻailona e like me ke anu maʻamau. No laila, ʻaʻole ʻike ka nui o ka poʻe ua loaʻa iā lākou. No laila, inā loaʻa i kahi mea i hoʻopili ʻole ʻia ka maʻi, hiki iā lākou ke hoʻolaha maʻalahi i ka poʻe a puni lākou, ʻoiai nā kamaliʻi ʻōpio ʻaʻole i lawa ka makahiki e hoʻopili ʻia ai. Inā hoʻopili ʻia nā mea a pau, hiki ke kāohi nui ʻia ka laha ʻana o kēia maʻi i loko o ke kaiāulu.
E hoʻomanaʻo, ma ka loaʻa ʻana o ka lāʻau pale, ʻaʻole ʻoe e pale wale iā ʻoe iho, akā, i nā pēpē a me nā poʻe ʻē aʻe a puni ʻoe ka poʻe i loaʻa ka pale kino haʻahaʻa a hiki ʻole ke loaʻa ka lāʻau pale.
He aha nā ʻano lāʻau pale no ka ʻūhū?
ʻElua ʻano lāʻau pale no ka ʻū ʻana. Hāʻawi kēia mau lāʻau pale ʻelua i ka pale ʻana ʻaʻole wale nō i ka ʻū ʻana, akā, i kekahi mau maʻi ʻē aʻe.
- ʻO ka lāʻau pale DTaP: Hāʻawi ʻia kēia i nā keiki ma lalo o 7 makahiki. ʻO ka leka 'D' ke kū nei no Diphtheria , kahi maʻi bacteria o ka puʻu a me ka ihu, ʻo ka leka 'T' ke kū nei no Tetanus , kahi maʻi bacteria o ka ʻōnaehana nerve, a ʻo ka leka 'aP' ke kū nei no acellular Pertussis .
- Lāʻau pale Tdap: He lāʻau pale 'hoʻonui' kēia. ʻO ia hoʻi, hāʻawi ʻia ia e mālama i ka palekana i hāʻawi mua ʻia. Hāʻawi ʻia ia i nā keiki ʻōpio a me nā mākua . Hāʻawi pū ia i ka palekana mai nā maʻi ʻekolu (diphtheria, tetanus, a me ka ʻūhū whooping).
I ka ʻōlelo maʻalahi, ʻo DTaP kahi moʻo kumu o nā lāʻau pale i hāʻawi ʻia i ka wā kamaliʻi. Ua like ʻo Tdap me kahi 'hoʻomanaʻo' i hāʻawi ʻia i kēlā me kēia manawa ma hope e mālama i ka palekana.
He aha ka papa hana no ka loaʻa ʻana o ka lāʻau pale?
He mea nui loa e hahai pololei i kēia papa hana, ʻoiai no nā keiki ʻōpio, e hoʻopau i ka papa hana pale DTaP.
Pehea e hāʻawi ai i ka lāʻau pale DTaP i nā keiki liʻiliʻi
Hāʻawi ʻia ka lāʻau pale DTaP i nā keiki ʻōpio ma ke ʻano he 5 mau lāʻau. Ua hōʻike ʻia ka papa kuhikuhi no ka hāʻawi ʻana i kēia lāʻau pale e like me ka National Immunization Program ma Sri Lanka ma ka papa ma lalo nei.
| Ka nui o ka lāʻau | Makahiki i hāʻawi ʻia |
|---|---|
| Ka lāʻau mua | I ka 2 mahina o ka makahiki |
| ʻO ka lua o ka lāʻau | I ka 4 mahina o ka makahiki |
| ʻO ke kolu o ka lāʻau lapaʻau | I ka 6 mahina o ka makahiki |
| Ka lāʻau ʻehā | I ka piha ʻana o 18 mahina (1.5 makahiki) |
| ʻO ka lāʻau ʻelima | Makahiki 4-6 |
Nā keiki ʻōpio a me nā mākua
Hāʻawi ʻia nā keiki ʻōpio i ka lāʻau pale Tdap ma waena o nā makahiki 11-12. Ma hope o kēlā, he mea nui no nā pākeke ke loaʻa i kēia lāʻau pale hoʻoikaika Tdap i kēlā me kēia 10 mau makahiki .
He mea nui loa kēia no nā makuahine hāpai!
He mea nui loa ia no nā makuahine hāpai e loaʻa i ka lāʻau pale Tdap. Ke hāʻawi ʻia kēia lāʻau pale i ka wā o ke kolu o ka trimester o ka hāpai ʻana, loaʻa pū i ka pēpē nā antibodies a ke kino o ka makuahine e hana ai. No laila, pale kēia mau antibodies i ka pēpē mai ka ʻūhū a hiki i ka hānau ʻana o ka pēpē a hiki i ka wā e loaʻa ai ka lāʻau pale iā ia iho (a hiki i 2 mahina). He mea nui loa hoʻi no nā pākeke a pau e kipa aku i kahi pēpē hānau hou a i ʻole e hoʻolilo manawa me kahi pēpē e mālama i kā lākou lāʻau pale Tdap i kēia manawa.
He aha kāu e hana ai inā e hala ʻoe i kahi mahele o ka lāʻau pale?
Mai hopohopo. Hiki ke hana ʻia i kekahi manawa. Inā hala kāu keiki i kahi mahele o ka lāʻau pale DTaP, e kamaʻilio me kāu kauka i ka hikiwawe loa. Hiki ke hāʻawi ʻia ka mahele i hala ʻole i ka manawa o ke kauka aʻe. Eia kekahi, inā hala kahi keiki ʻōpio i kahi mea hoʻoikaika Tdap a i ʻole ʻaʻole i loaʻa i kahi pākeke kēia lāʻau pale ma mua, e kamaʻilio me kāu kauka e pili ana i ia mea i ka manawa aʻe e ʻike ai ʻoe iā ia a loaʻa ka lāʻau pale.
ʻO wai ka mea pono ʻole ke kiʻi i kēia lāʻau pale?
Ma keʻano laulā, hiki iā ʻoe ke loaʻa ka lāʻau pale inā loaʻa iā ʻoe kahi maʻi liʻiliʻi, e like me ke anu a i ʻole ka maʻi palū. Eia nō naʻe, inā loaʻa iā ʻoe kahi maʻi ʻoi aku ka koʻikoʻi, ʻoi aku ka maikaʻi o ke kali a hiki i kou olakino ma mua o ka loaʻa ʻana o ka lāʻau pale.
Eia kekahi, ʻaʻole paha e kūpono kekahi poʻe no kēia lāʻau pale. Inā loaʻa iā ʻoe a i ʻole kāu keiki kekahi o kēia mau kūlana, e kamaʻilio me kāu kauka ma mua o ka loaʻa ʻana o ka lāʻau pale.
- Loaʻa i kahi maʻi neurological kakaʻikahi e like me ka Guillain-Barré syndrome .
- Inā ua loaʻa iā ʻoe kahi hopena alerika koʻikoʻi i kahi lāʻau pale koko whooping ma mua.
- Inā ua loaʻa iā ʻoe ka ʻeha nui, ke kuni ma luna o 40.5 degere Celsius (105 Fahrenheit), a i ʻole ka pehu nui ma hope o ka loaʻa ʻana o ka lāʻau lapaʻau mua.
- Loaʻa i nā maʻi hopu a i ʻole nā maʻi ʻē aʻe o ka ʻōnaehana nerve .
- Loaʻa iā ʻoe kahi maʻi alerika koʻikoʻi i kekahi o nā mea hoʻohui i loko o kekahi lāʻau pale.
I kēia hihia, e aʻo aku kāu kauka iā ʻoe i ka mea kūpono loa iā ʻoe.
He aha nā hopena ʻaoʻao e hiki mai ana o ka lāʻau pale?
ʻAʻole ʻike ka hapa nui o ka poʻe i nā hopena ʻino koʻikoʻi mai kēia lāʻau pale. ʻO nā hopena ʻino liʻiliʻi e nalowale pinepine iā lākou iho i loko o hoʻokahi a ʻelua paha lā. He ala maʻamau kēia e pane ai ke kino i ka lāʻau pale.
| Ka hopena ʻaoʻao | Wehewehena |
|---|---|
| Nā hopena ma ka wahi inikini | ʻUlaʻula, pehu, a ʻeha paha ma kahi i inikini ʻia. |
| Nā loli i ke kino | ʻEha kino, luhi, ʻeha poʻo, a me ke kuni iki. |
| Nā hopena liʻiliʻi ʻē aʻe | Ka nalowale ʻana o ka makemake e ʻai, ka nausea, a i ʻole ka luaʻi ʻana. |
ʻO ka maʻamau, e emi ana kēia mau hōʻailona i loko o hoʻokahi a ʻelua paha lā. Eia nō naʻe, inā koʻikoʻi kēia mau hōʻailona a mau paha no kekahi mau lā, ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka.
Pehea ka maikaʻi o ka lāʻau pale koko whooping?
He ikaika loa kēia lāʻau pale ke lawe ʻia nā mahele āpau i ʻōlelo ʻia e like me ke kuhikuhi ʻana.
- No nā keiki (DTaP): Ma hope o ka mahele ʻelima, ua palekana ʻia he 98 o 100 mau keiki mai ka maʻi no hoʻokahi makahiki. Ma hope o 5 mau makahiki, ua palekana ʻia he 7 o 10.
- No nā mākua (Tdap): Mālama i 7 mai loko mai o 10 mau kānaka i loko o ka makahiki mua o ka lāʻau pale.
- ʻO ka palekana e loaʻa i nā pēpē ke loaʻa ka lāʻau pale i nā makuahine hāpai:ʻO kēia ka mea nui loa. Ke hoʻopili ʻia i ka wā hāpai, pale ia i 3 o 4 mau pēpē mai ka loaʻa ʻana o ka maʻi ʻūlū i nā mahina 2 mua o ke ola. Kōkua pū ia i ka pale ʻana i 9 o 10 mau pēpē mai ka loaʻa ʻana o nā maʻi ʻūlū koʻikoʻi e pono ai ka mālama ʻia ma ka haukapila.
ʻO kēia mau helu wale nō ke hōʻike nei i ke koʻikoʻi o kēia lāʻau pale i ka pale ʻana i ke ola o kā mākou mau keiki.
Leka Lawe-Home
- He maʻi ʻeha koʻikoʻi ka pertussis i nā keiki ʻōpio e hiki ke make.
- Hāʻawi ʻia ka lāʻau pale DTaP i nā keiki ma lalo o 7 mau makahiki, a hāʻawi ʻia ka lāʻau pale Tdap i nā keiki ʻōpio a me nā mākua.
- E hahai pono i ka papa hana pale ʻana o kāu keiki. Inā ʻoe e poina i kahi lāʻau lapaʻau, e kāhea koke aku i kāu kauka.
- Ma ka loaʻa ʻana o ka lāʻau lapaʻau Tdap i ke kolu o ka trimester, hiki i nā makuahine hāpai ke hāʻawi i ka palekana waiwai nui no kā lākou pēpē i hānau ʻole ʻia no nā mahina mua o ke ola.
- ʻO ka maʻamau, he ʻoluʻolu nā hopena ʻaoʻao mai ka lāʻau pale a nalowale i hoʻokahi a ʻelua paha lā. E kamaʻilio me kāu kauka inā he mau hopohopo kāu.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo