Lāʻau Pale Kuke ʻUʻuku: He mea nui no ka palekana o kāu pēpē!

Inā hoʻomaka kāu keiki liʻiliʻi me ke anu a laila hoʻomaka e ʻū nui a hiki ʻole iā lākou ke hanu, makaʻu nui paha ʻoe ma ke ʻano he makuahine, ʻeā? ʻAʻole paha he ʻū maʻamau wale nō. Hiki paha i ka maʻi a mākou i lohe ai, i kapa ʻia ʻo 'whooping cough', he mea weliweli loa ia no nā keiki ʻōpio. Akā, mai hopohopo, ʻo ka mea pōmaikaʻi, aia kahi lāʻau pale maikaʻi loa a palekana hoʻi e pale aku i kā mākou mau keiki mai kēia maʻi weliweli. I kēia lā, e kamaʻilio mākou e pili ana i kēlā lāʻau pale koʻikoʻi loa.

He aha ka ʻūhū ʻana o ka ʻōpū?

I ka ʻōlelo maʻalahi, he maʻi koʻikoʻi ka ʻūhū ʻana e hoʻopilikia ana i ko kākou ʻōnaehana hanu, ʻo ia hoʻi, nā māmā a me nā ʻāpana pili. Hoʻokumu ʻia ia e kahi ʻano bacteria i kapa ʻia ʻo 'Bordetella pertussis'.

ʻO ka hiʻohiʻona ʻano nui o kēia maʻi, ʻo ia ka ʻū mau a hiki ʻole ke kāohi. Ke kū mai kēia ʻū, ʻaʻole paha e hiki i ke keiki ke hanu a lilo paha i polū. Ke pau ka ʻū a lawe ʻia ka hanu hohonu, kani nui ka leo "whooping" mai ka puʻu. ʻO ia ke kumu i kapa ʻia ai ʻo 'Whooping Cough' ma ka ʻōlelo Pelekania. Hiki ke hele pū kēia ʻū me ke kuni a hiki ke oki ka hanu ʻana no kekahi manawa a laila hoʻomaka hou (apnea).

No ke aha he mea nui kēia lāʻau pale?

ʻOiai he mea nui kēia lāʻau pale no nā kānaka a pau, he mea ia e hoʻōla ai i ke ola o nā pēpē hānau hou a me nā pēpē ma lalo o kekahi mau mahina, no ka mea, hiki i ka ʻūhū ke hoʻoulu i nā pilikia koʻikoʻi loa i nā keiki o kēia makahiki.

• Ka maʻi ʻaʻai māmā (pneumonia): Hiki i nā germs ke komo i loko o nā māmā o ke keiki a hoʻoulu i nā maʻi koʻikoʻi.
• Nā haʻalulu a me ka maʻi ʻepilepsy: Hiki ke loaʻa nā haʻalulu a me nā hopu ʻana i hiki ʻole ke kaohi ʻia.
• Ka pōʻino o ka lolo: I kekahi mau hihia koʻikoʻi, hiki i ka ʻū ke hana i ka pōʻino mau loa o ka lolo ma muli o ka emi ʻana o ka lako o ka oxygen i ka lolo.

He aha nā ʻano lāʻau pale no ka ʻūhū?

Hoʻohana nui mākou i ʻelua ʻano lāʻau pale e pale aku i ka ʻūhū. Mālama kēia mau lāʻau pale ʻelua i ʻelua mau maʻi ʻē aʻe ma waho aʻe o ka ʻūhū. ʻO kēia ka Diphtheria a me ka Tetanus.

Pehea ke ʻano o ka papa hana hoʻopili?

He mea nui loa ia e loaʻa i nā kānaka a pau kēia lāʻau pale. Wahi a ka Polokalamu Hoʻopili Lahui ma Sri Lanka, ua hāʻawi ʻia kāu keiki i ka lāʻau pale DTaP, nona nā mahele he 5, me ka uku ʻole i nā makahiki kūpono.

• I ka 2 mahina o ka makahiki
• I ka 4 mahina o ka makahiki
• I ka 6 mahina o ka makahiki
• I ka piha ʻana o 18 mahina (1 1/2 makahiki)
• Ma waena o nā makahiki 4-6 (ma mua o ka hele ʻana i ke kula)

Ma hope o kēlā, ua ʻōlelo ʻia e loaʻa i kahi lāʻau pale Tdap booster ma kahi o 11-12 mau makahiki. Ma ke ʻano he poʻe mākua, he mea nui loa iā mākou ke loaʻa i kahi lāʻau pale Tdap booster i kēlā me kēia 10 mau makahiki no ko mākou palekana ponoʻī a me ka palekana o nā keiki liʻiliʻi a puni mākou.

No ke aha he mea nui loa kēia no nā makuahine hāpai?

Inā he makuahine hāpai ʻoe, e hoʻomanaʻo pono i kēia ʻāpana. He mea nui loa ka loaʻa ʻana o ka lāʻau pale Tdap i ke kolu o ka trimester o ka hāpai ʻana. ʻO kēia no ka mea ʻo nā protein pale (antibodies) āu e hana ai i loko o kou kino e hele i kāu pēpē ma o ka placenta. ʻO ke ʻano kēia ua pale ʻia kāu pēpē mai ka ʻū ʻana no nā mahina mua ma hope o ka hānau ʻana, a hiki i ka wā e ulu ai ko lākou palekana ponoʻī.

Eia kekahi, inā ʻoe e kipa aku ana i kahi pēpē hānau hou, a inā he pēpē hānau hou kāu ma ka home, he mea nui loa ia no ka palekana o ka pēpē i nā mea a pau, me ka makuakāne, ke kupuna wahine, a me ke kupuna kāne, e mālama i kā lākou mau lāʻau pale Tdap i kēia manawa.

He aha kāu e hana ai inā e poina ʻoe i kahi lāʻau pale?

Mai hopohopo. Hiki ke hana ʻia i kekahi manawa. Inā hala kāu keiki i kahi lāʻau pale i kona lā palena, hiki iā ʻoe ke kamaʻilio me kāu kauka ʻohana e pili ana i ia mea i kāu kipa aʻe a loaʻa iā ʻoe ka lāʻau i hala ʻole e like me ke kuhikuhi ʻana. Pēlā nō hoʻi no nā pākeke i hala ʻole i kahi booster.

ʻO wai ka mea pono ʻole ke kiʻi i kēia lāʻau pale?

Hiki ke aʻo ʻia kekahi poʻe e hoʻopaneʻe a ʻaʻole paha e loaʻa ka lāʻau pale. No ka laʻana, inā he anu iki kou a i ʻole kāu keiki, hiki nō iā ʻoe ke loaʻa ka lāʻau pale. Eia nō naʻe, inā he kuni kiʻekiʻe kou a i ʻole manaʻo ʻoe ʻaʻole maikaʻi, ʻoi aku ka maikaʻi o ke kali a hiki i kou olakino ma mua o ka loaʻa ʻana o ka lāʻau pale.

Inā loaʻa iā ʻoe kekahi o kēia mau kūlana, e kamaʻilio me kāu kauka ma mua o ka loaʻa ʻana o ka lāʻau pale:

• Inā ua loaʻa iā ʻoe kahi hopena alerika koʻikoʻi i kēia lāʻau pale ma mua.
• Inā ua loaʻa iā ʻoe ka ʻeha hiki ʻole ke hoʻomanawanui, ke kuni nui (ma luna o 105°F/40.5°C), a i ʻole ka pehu nui ma hope o ka loaʻa ʻana o kahi lāʻau pale ma mua.
• Inā loaʻa iā ʻoe nā maʻi ʻeha a i ʻole kekahi maʻi ʻē aʻe o ka ʻōnaehana nerve.
• Inā loaʻa iā ʻoe kahi maʻi neurological kakaʻikahi e like me ka 'Guillain-Barré syndrome'.
• Inā he maʻi alerika koʻikoʻi kou i kekahi o nā mea hoʻohui i loko o ka lāʻau pale.

He aha nā hopena ʻaoʻao liʻiliʻi o ka lāʻau pale?

ʻAʻole ʻike ka hapa nui o ka poʻe i kekahi mea koʻikoʻi. ʻOiai inā he mau hopena ʻaoʻao liʻiliʻi, nalo wale lākou i loko o hoʻokahi a ʻelua paha lā. ʻAʻohe pono e hopohopo no kēia.

• ʻUlaʻula, pehu iki, a ʻeha paha ma kahi i hoʻokomo ʻia
• ʻEha kino
• Kuni iki
• ʻEha poʻo
• Luhi
• Makemake nui
• Ka luaʻi a i ʻole ka luaʻi

He mea maʻamau kēia mau hōʻailona. Eia nō naʻe, inā loaʻa i kāu keiki ke kuni kiʻekiʻe, e uē mau ana, a inā he mau hopohopo kāu, ʻoi aku ka maikaʻi e kāhea aku i ke kauka.