Loaʻa pinepine anei i kāu keiki liʻiliʻi ke anu a me ke kuni? No kekahi mau pēpē, ʻoi aku hoʻi nā pēpē hānau mua ʻole a i ʻole nā pēpē me nā pilikia māmā a puʻuwai paha, hiki i ke anu maʻamau ke lilo i mea weliweli. I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi lāʻau lapaʻau kūikawā e hiki ke pale aku i kēlā mau pēpē palupalu mai nā maʻi hanu koʻikoʻi.
He aha ka RSV-IGIV? E hoʻomaopopo maʻalahi kākou.
ʻO ka inoa piha no kēia ʻo Respiratory Syncytial Virus Immune Globulin . E kapa mākou iā ia ʻo RSV-IGIV no ka pōkole. He lāʻau lapaʻau kēia e hana ana e like me ka lāʻau pale, akā ma ke ʻano ʻokoʻa iki.
E noʻonoʻo e pili ana i ia mea, ke maʻi ko kākou kino, he pūʻali koa ko lākou o nā antibodies e hakakā iā ia. Kāhea mākou iā lākou he 'antibodies'. ʻO RSV-IGIV kahi hōʻiliʻili kūikawā, i hoʻomākaukau mua ʻia o nā antibodies e hiki ke hakakā i ka maʻi RSV. Loaʻa kēia mau mea mai ke koko plasma o ka poʻe olakino.
I ka ʻōlelo maʻalahi, ua like kēia me ka hāʻawi ʻana i ke kino o kāu pēpē i kahi pūʻali koa no ka manawa pōkole e hakakā ai i ka maʻi RSV. Pale kēia i ka pēpē mai ka loaʻa ʻana o kahi maʻi koʻikoʻi inā hoʻopilikia ka maʻi RSV iā lākou. ʻO ke ʻano kēia, kōkua kēia lāʻau lapaʻau i ka pale ʻana i ka pēpē mai ka lilo ʻana i mea koʻikoʻi loa a pono lākou e hoʻokomo ʻia i ka haukapila a i ʻole e komo i ka ICU.
ʻO ka mea nui, ʻaʻole kēia he lāʻau lapaʻau i hāʻawi ʻia ma hope o ka maʻi RSV. Hāʻawi ʻia ma mua o ka hiki ʻana mai o ka maʻi, no ka pale ʻana i nā hopena koʻikoʻi e hiki mai ana mai ia mea.
He aha ke ʻano o nā pēpē i hāʻawi ʻia i kēia lāʻau lapaʻau?
ʻAʻole kēia he lāʻau lapaʻau no kēlā me kēia pēpē. Hāʻawi wale ʻia ia i nā pēpē i loaʻa i ka pilikia nui o ka maʻi nui inā loaʻa iā lākou ka RSV. Na kāu kauka keiki e hoʻoholo i kēia pilikia. ʻO ka maʻamau, hāʻule kēia i loko o kekahi o kēia mau ʻano:
- Nā pēpē hānau mua ʻole: ʻOi aku hoʻi nā pēpē i hānau ʻia ma mua o 32 mau pule.
- Nā pēpē me ka maʻi māmā mau loa: No ka laʻana, nā keiki ʻōpio me nā kūlana e like me ka bronchopulmonary dysplasia.
- Nā pēpē me kekahi mau maʻi puʻuwai hānau: Nā pēpē i loaʻa nā pilikia me ke kahe koko i nā māmā ma muli o kekahi mau maʻi puʻuwai hānau.
Inā pili kāu pēpē i kēia hui pilikia, hiki i kāu kauka ke ʻōlelo i kēia lāʻau lapaʻau.
Nā mea nui e haʻi aku i ke kauka ma mua o ka hāʻawi ʻana iā ʻoe i ka lāʻau lapaʻau
Ma mua o ka hāʻawi ʻana i kēia lāʻau lapaʻau i kāu pēpē, e kamaʻilio pono me kāu kauka e pili ana i kēia mau mea. Mai hūnā i kekahi mea, ʻoiai ka mea liʻiliʻi loa.
- Nā kūlana olakino ʻē aʻe o ka pēpē: E haʻi mai iā mākou e pili ana i nā kūlana olakino ʻē aʻe, e like me ka maʻi diabetes, ka maʻi puʻupaʻa, a i ʻole ka maʻi puʻuwai.
- Ka hemahema o ka Immunoglobulin A: He ʻano koko kūikawā kēia. Inā ua ʻike mua ʻia kāu pēpē me kēia ʻano, e haʻi pono i kāu kauka e pili ana i ia mea.
- Nā Allergies Ma mua: E haʻi mai iā mākou inā ua loaʻa iā ʻoe kekahi mau hopena allergies ma mua i kēia lāʻau lapaʻau, nā immunoglobulins ʻē aʻe, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā wai hoʻoluʻu.
- Ka hānai waiū a i ʻole ka hāpai ʻana: ʻOiai ʻo kēia lāʻau lapaʻau e hāʻawi pinepine ʻia i nā keiki ʻōpio, i kekahi mau hihia kūikawā, he mea nui e hoʻomaopopo i ka mea maʻi e pili ana i ka hāpai ʻana a i ʻole ka hānai waiū inā hāʻawi ʻia iā haʻi.
Pehea ʻoe e hāʻawi ai i kēia lāʻau lapaʻau i kahi pēpē?
He hoʻokomo ʻia ʻana o ka lāʻau lapaʻau (IV) ma ke kino o ka pēpē ma o ka RSV-IGIV. E like me ka hāʻawi ʻana i ka saline, hoʻokomo ke kauka i kēia lāʻau lapaʻau i loko o ke kino o ka pēpē. ʻAʻole hiki iā ʻoe ke hana ma ka home.
Hāʻawi ʻia kēia lāʻau lapaʻau ma kahi haukapila a i ʻole ke keʻena lapaʻau e nā limahana lapaʻau i aʻo ʻia . ʻOiai e hāʻawi ʻia ana ka lāʻau lapaʻau, nānā pono lākou i ka pēpē e ʻike inā loaʻa kekahi mea ʻē.
He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?
ʻO ka maʻamau, hāʻawi ʻia kēia lāʻau lapaʻau i kēlā me kēia mahina i nā wā i laha nui ai ka maʻi RSV (no ka laʻana, i ka wā ua ma ko mākou ʻāina). He mea nui loa ka lawe ʻana i ka lāʻau lapaʻau i ka lā i hoʻonohonoho ʻia. No ka mea, he manawa pōkole wale nō ka palekana e hāʻawi ai. Inā ʻaʻole hiki iā ʻoe ke hele mai i kou lā i hoʻonohonoho ʻia, e kelepona koke i kāu kauka a nīnau i ka mea e hana ai ma hope.
He aha inā hāʻawi wau i ka nui o ka lāʻau lapaʻau?
ʻOiai ua hāʻawi ʻia kēia ma kahi haukapila, ua haʻahaʻa loa ka manawa e hiki ai kēia. Eia nō naʻe, inā manaʻo ʻoe ua hāʻawi nui ʻia ʻoe i ka lāʻau lapaʻau, e hele koke i ke Kikowaena ʻIke ʻAihue Lahui ma ka Halemai Lahui ma Colombo a i ʻole ka Emergency Treatment Unit (ETU) kokoke loa.
Nā mea e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau
- Ka launa pū ʻana me nā lāʻau pale ʻē aʻe: He mea nui loa kēia. Hiki i ka RSV-IGIV ke hōʻemi i ka pono o kekahi mau lāʻau pale maʻamau (no ka laʻana, ka measles, mumps, rubella - ka lāʻau pale MMR). No laila, e kamaʻilio me kāu kauka e pili ana i ka pono e hoʻololi i ka papa hana lāʻau pale o kāu keiki i ka wā e lawe ana i kēia lāʻau. Pono paha ʻoe e hāʻawi i kahi mahele hou o ka lāʻau pale (dose booster).
- Kumu o ka lāʻau lapaʻau:E like me kā mākou i ʻōlelo ai ma mua, ua hana ʻia kēia lāʻau lapaʻau mai ke koko kanaka. Hana ʻia kēia lāʻau lapaʻau ma ke kau ʻana i nā hoʻokolohua koʻikoʻi loa i nā mea a pau e hāʻawi ana i ke koko a me ke koko i loaʻa. No laila, ua haʻahaʻa loa ka pilikia o ka maʻi. Eia nō naʻe, inā he mau nīnau kāu e pili ana i kēia, e kamaʻilio ākea me kāu kauka a wehewehe.
Nā hopena ʻaoʻao e hiki mai ana ma muli o ka lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki i kēia lāʻau lapaʻau ke hana i kekahi mau hopena ʻaoʻao. Eia naʻe, ʻaʻole loaʻa i nā kānaka a pau. E kōkua ka papa ma lalo nei iā ʻoe e hoʻomaopopo pono i kēia.
| Ka hoʻokaʻawale ʻana o nā hopena ʻaoʻao | |
|---|---|
Inā ʻike ʻoe i kēia mau hōʻailona, pono ʻoe e haʻi koke i kāu kauka. | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe a i ʻole ke alelo. |
| Paʻakikī ka hanu ʻana | Paʻakikī ka hanu ʻana, ka hanu wikiwiki. |
| Nā pilikia kahe koko | ʻIli anu, hou, puʻuwai wikiwiki, lehelehe polū a i ʻole nā kui lima. |
| Nā hōʻailona koʻikoʻi ʻē aʻe | Ke kuni nui, ka hoʻomaha loa, ka luaʻi ʻana, ka ʻike i ka mālamalama, ka ʻoʻoleʻa o nā ʻiʻo, ka nāwaliwali kūikawā, a me nā ʻano waihoʻoluʻu ʻē ma ka ʻili. |
| Nā pilikia puʻupaʻa | Ka emi ʻana a paʻakikī paha o ka mimi ʻana, ka piʻi koke ʻana o ke kaumaha, ka pehu ʻana o ka maka, nā lima, a i ʻole nā wāwae. |
Nā mea i maʻa mau ʻole i ka nui, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Nā pilikia o ka ʻōnaehana hoʻoheheʻe | Ka maʻi kahe, ka luaʻi, ka nalowale o ka makemake. |
| Nā hiʻohiʻona liʻiliʻi ʻē aʻe | ʻEha ke poʻo, ka ihu wai, ka ʻeha ma kahi i hoʻokomo ʻia ai ka lāʻau lapaʻau. |
ʻAʻole i loko o kēia papa inoa nā hopena ʻaoʻao āpau. Inā ʻike ʻoe i kekahi mea ʻē aʻe i kāu pēpē, e haʻi pū i kāu kauka e pili ana i ia mea.
Leka Lawe-Home
- ʻO ka RSV-IGIV kahi hui kūikawā o nā antibodies i hāʻawi ʻia i nā keiki pilikia kiʻekiʻe e pale iā lākou mai nā maʻi koʻikoʻi i hoʻokumu ʻia e ka maʻi RSV.
- ʻAʻole kēia he lāʻau lapaʻau i hāʻawi ʻia i kēlā me kēia pēpē. Na kāu kauka lapaʻau e hoʻoholo inā pono kāu pēpē i kēia.
- Hāʻawi ʻia kēia lāʻau lapaʻau ma o kahi aa koko ma ka haukapila a i ʻole ke keʻena lapaʻau.
- Ma mua o ka hāʻawi ʻana i ka lāʻau lapaʻau, e haʻi i ke kauka e pili ana i nā maʻi olakino a pau o kāu pēpē a me nā maʻi allergies.
- E kamaʻilio pono me kāu kauka e pili ana i ka papa hana pale ʻana o kāu pēpē i ka wā e lawe ana i kēia lāʻau lapaʻau a hana i nā hoʻololi e pono ai.
- Inā loaʻa iā ʻoe kekahi mau hopena ʻaoʻao koʻikoʻi (ʻoi aku ka paʻakikī o ka hanu ʻana, nā maʻi allergies koʻikoʻi), e ʻimi koke i ke kōkua lapaʻau.
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