Ua loaʻa koke anei i kāu keiki liʻiliʻi ke kuni nui me ke kumu ʻole? Ua mau anei ke kuni no ʻekolu a ʻehā paha lā, a laila, i ka emi ʻana, ua loaʻa iā lākou nā kiko poni liʻiliʻi ma ko lākou kino holoʻokoʻa? Hopohopo ka nui o nā mākua no kēia. Akā i ka hapa nui o ka manawa, ʻaʻohe mea e hopohopo ai. I kēia lā, ke kamaʻilio nei mākou e pili ana i ka 'roseola', a i ʻole roseola, kahi maʻi maʻamau i waena o nā kamaliʻi ʻōpio i ʻike ʻole ʻia e ka poʻe he nui.
I ka ʻōlelo maʻalahi, he aha ʻo Roseola?
He maʻi viral ʻo Roseola. Hoʻopilikia pinepine ia i nā pēpē a me nā keiki liʻiliʻi ma lalo o ʻelua makahiki. ʻO ka hōʻailona nui he kuni kiʻekiʻe koke. Hiki i kēia kuni ke mau no ʻekolu a ʻehā lā. Ma hope o kēlā, emi pinepine ke kuni. Eia naʻe, ma hope o ka emi ʻana o ke kuni, loaʻa i kekahi mau keiki nā kiko poni a i ʻole nā pehu ma ko lākou kino. Hoʻōla pinepine kēia mau kiko iā lākou iho i loko o ʻelua a ʻekolu lā.
I ka hapanui o nā hihia, ʻaʻole kēia he mea koʻikoʻi, a hiki i ke keiki ke hoʻōla ma ka home i loko o hoʻokahi pule. Eia nō naʻe, he mea nui e makaʻala i hoʻokahi pilikia e hiki mai me kēia. ʻO ia ka hoʻokuʻu ʻana o ka febrile . ʻOiai he mea weliweli loa kēia e ʻike ai, e hoʻomaikaʻi koke ia me ka ʻole o ka pōʻino. Eia nō naʻe, i loko o kahi keiki me ka ʻōnaehana pale nāwaliwali, hiki i ka roseola ke hana i nā pilikia koʻikoʻi.
ʻOiai hiki ke loaʻa kēia maʻi i kēlā me kēia manawa o ka makahiki, ʻoi aku ka maʻamau i ka pūnāwai a me ka hāʻule. He maʻi lele kēia. Hoʻolaha ʻia ma o ka lawai a me nā kulu hanu. ʻO ka mea kūikawā, hiki ke hoʻolaha ʻia mai kahi kanaka i hōʻike ʻole i nā hōʻailona. Ma hope o 24 mau hola ma hope o ka emi ʻana o ke kuni o ke keiki, ʻaʻole ia e laha i nā poʻe ʻē aʻe.
Ua ʻike ʻia kēia maʻi e kekahi mau inoa ʻē aʻe:
- ʻO Roseola infantum
- ʻO ka maʻi ʻeono
- Pēpē maʻi ʻūlū
- ʻEkolu lā o ke kuni
Pehea ka maʻamau o kēia ʻano?
He mea maʻamau loa ka Roseola. I ka wā e piha ai ke keiki i ʻelua makahiki, ua loaʻa paha iā lākou ma ka liʻiliʻi hoʻokahi hanana o ka maʻi. Ua hōʻike kekahi mau noiʻi he 45% o nā kuni āpau i nā pēpē ka roseola. A he 12% wale nō o nā pēpē i lawe ʻia i ka lumi pilikia (ETU) me ke kuni i loaʻa i ka roseola.
ʻOiai hiki ke ulu aʻe i kēlā me kēia makahiki, ʻoi aku ka maʻamau i nā pēpē a me nā kamaliʻi liʻiliʻi. He mea kākaʻikahi loa ia i nā keiki makua a i ʻole nā mākua.
He aha nā hōʻailona o Roseola?
ʻO ka hōʻailona nui, he kuni kiʻekiʻe koke, e hiki pinepine ana i 39.5 a i 40.5 degere Celsius (103-105 degere Fahrenheit) . Ma hope o ka emi ʻana o ke kuni, laha ka ʻulaʻula ma ke kino holoʻokoʻa.
Nā hōʻailona ʻē aʻe e hiki ke hele pū me ke kuni
I ka wā o ke kuni, ma mua o ka puka ʻana o ka ʻulaʻula, hiki i kekahi mau keiki ke hōʻike i kēia mau hōʻailona:
- Ka luaʻi ʻana
- Ka pehu ʻana (ka maʻi kahe)
- Makemake nui
- Kuke
- ʻeha ka ʻāʻī
- Anu (anu)
- Maka ʻulaʻula
- Ka pehu ʻana o nā lihilihi a puni paha o nā maka
- ʻO ka pehu ʻana o ka ʻāʻī a i ʻole ke kua o ke poʻo (lumps)
- Nā kiko poni liʻiliʻi a ʻulaʻula paha i loko o ka ʻāʻī
Nā kikoʻī e pili ana i ka ʻōhū e kū mai ana ma hope o ka emi ʻana o ke kuni
Hiki ke hoʻomaka kahi ʻōhūhū e ʻike ʻia i loko o 24 mau hola o ke kuni o kāu keiki. I nā keiki ʻili keʻokeʻo, ʻike ʻia kēia mau mea he poni-ʻulaʻula, akā i nā keiki ʻili ʻeleʻele, ʻoi aku ka paʻakikī o ka ʻike ʻana i kēia mau ʻōhūhū. Hiki i kekahi o kēia mau ʻōhūhū ke kūlike me ka ʻili, aʻo kekahi e piʻi iki aʻe. Inā ʻoe e kaomi i kekahi o kēia mau ʻōhūhū me kou manamana lima, e mae wale ia.
Hoʻomaka pinepine ka ʻōhū ma ka umauma, ke kua, a me ka ʻōpū o ka pēpē. A laila pālahalaha ia i ka maka, ka ʻāʻī, nā lima, a me nā wāwae. He mea maʻamau no nā makuahine ke makaʻu i ka wā e loaʻa koke ai i kā lākou pēpē nā ʻōhū ma ko lākou kino holoʻokoʻa, akā mai hopohopo. ʻAʻole ʻānai a ʻeha paha nā ʻōhū e kū mai ana ma ka rosacea. Nalo wale lākou i loko o ʻelua a ʻehā lā.
E hoʻomanaʻo! I ka rosacea, ʻike ʻia kēia mau hōʻailona ma hope o ka emi loa ʻana o ke kuni. ʻO kēia kekahi o nā hōʻailona koʻikoʻi e ʻike ai i kēia maʻi.
Pehea ka ʻokoʻa o kēia mai ka maʻi ʻūlū?
Hiki i ka maʻi ahulau ke hōʻeha i ke kino. Akā, aia nā ʻokoʻa maopopo ma waena o nā maʻi ʻelua. He mea nui loa iā ʻoe e hoʻomaopopo i kēia.
| ʻAno | ʻO Roseola | Ka maʻi ahulau |
|---|---|---|
| Ke kala o nā lau | ʻUlaʻula-ʻākala. | ʻUlaʻula a ʻulaʻula paha ke kala. Aia paha he mau pehu keʻokeʻo liʻiliʻi ma luna o nā kiko ʻulaʻula. |
| ʻO ka hui ʻana o nā kiko | Aia nā lau ma kahi kaʻawale kekahi i kekahi, ma ke ʻano pākahi. | Hiki i nā ʻeha ke hui pū a hana i nā ʻōuli nui. |
| Kahi e hoʻomaka ai ka ʻeha | Hoʻomaka ia ma ka umauma, ke kua, a me ka ʻōpū a laha i nā wahi ʻē aʻe. | Hoʻomaka ia mai ka maka a laha i lalo i ke kino. |
| E nalowale ana ka ʻili ke ho'ōla ʻia ka ʻeha? | ʻAʻole e hemo ka ʻili. | I ka ho'ōla ʻana o ka ʻeha, hemo ka ʻili. |
Inā he kānalua kou ua loaʻa i kāu keiki ka maʻi ʻūlū, e ʻike koke i kāu kauka . He maʻi ʻūlū ka maʻi hiki ke hoʻoulu i nā pilikia koʻikoʻi a weliweli hoʻi ma mua o ka rubella. He mea laha loa hoʻi ka maʻi ʻūlū ma ka lewa. Inā ua hoʻopili ʻia kāu keiki i ka maʻi ʻūlū, hiki ke pale ʻia mai ka maʻi ʻūlū.
Pehea e ulu ai ka rosacea? He mea laha anei ia?
Hoʻokumu ʻia ʻo Roseola e kahi maʻi. Kapa ʻia ʻo Human Herpesvirus 6 (HHV-6) . I kekahi manawa hoʻi, hoʻokumu ʻia ia e kahi maʻi i kapa ʻia ʻo Human Herpesvirus 7 (HHV-7). ʻOiai he 'Herpesvirus' kona inoa, ʻaʻole ia e pili i ka maʻi herpes e hoʻoulu ai i ka herpes genital a i ʻole nā ʻeha anu. No laila, mai hopohopo no ia mea.
ʻAe, he maʻi lele ka roseola. Hoʻolaha ʻia ia ma o nā kulu o ka lawai a i ʻole nā kulu hanu mai ka ʻū ʻana a i ʻole ka ʻūhā ʻana mai kahi kanaka i loaʻa i ka maʻi (ʻoiai ma mua o ka ʻike ʻia ʻana o nā hōʻailona). Hiki ke ʻike ʻia nā hōʻailona ma waena o 5 a me 15 mau lā ma hope o ke komo ʻana o ka maʻi i loko o ke kino.
Hiki i ke keiki ke hoʻolaha i ka maʻi i nā poʻe ʻē aʻe i ko lākou wā e loaʻa ana i ke kuni a hiki i 24 mau hola ma hope o ka emi ʻana o ke kuni. No laila, inā e pāʻani maikaʻi ana kāu keiki, e pale i ka hoʻouna ʻana iā lākou i nā kikowaena mālama keiki a i ʻole ma waho e pāʻani a hiki i ka emi loa ʻana o ke kuni no 24 mau hola. Inā he mau ʻeha wale nō ko lākou ma ko lākou kino, ʻaʻole lākou e laha.
Aia kekahi mau pilikia e makaʻu ai?
ʻAʻole loaʻa i ka hapa nui o nā keiki kekahi pilikia. Eia nō naʻe, ʻo ka pilikia maʻamau e hiki ke loaʻa, ʻo ia ka hopu ʻana i ka febrile . Loaʻa kēia ʻano ma kahi o 10%-15% o nā keiki i piha i nā mahina 6-18 me ka roseola. Loaʻa pinepine ia i ka lā mua o ke kuni.
ʻO nā hōʻailona o ka hoʻouka ʻana o ka febrile:
- Ke ʻūlū nei ke kino o ke keiki, ke ʻoʻoleʻa nei, a ke ʻūlū nei paha.
- Ua nalowale ke keiki i ka ʻike a ʻōwili aʻela kona mau maka i luna.
- Hiki i kēia ke komo pū me ka luaʻi ʻana, ka drooling, a me ka urination a i ʻole ka defecation me ka manaʻo ʻole.
Inā ʻaʻole i loaʻa i kāu keiki kahi hopu kuni ma mua a ke hōʻike nei i kēia mau hōʻailona,E lawe koke i ke kanaka i ka haukapila kokoke loa ʻo Emergency Department (ETU). Mai ho'āʻo e mālama i ka maʻi hopu mua ma ka home.
Mai hāʻawi i kāu keiki i ka paracetamol a i ʻole ibuprofen ma mua o ka mea i kauoha ʻia e ke kauka e pale aku i ka hopu ʻana i ka febrile. ʻO ka hana ʻana pēlā e hōʻino paha i ke akepaʻa a i ʻole nā puʻupaʻa o ke keiki.
He mea kākaʻikahi loa, hiki ke loaʻa nā pilikia koʻikoʻi, ʻoi aku hoʻi i nā keiki me nā ʻōnaehana pale nāwaliwali ma muli o nā kūlana e like me ke kanesa a i ʻole nā maʻi autoimmune. Eia kekahi laʻana:
- Nā maʻi a me ka mumū o ka māmā (Pneumonia)
- ʻO ka meningitis aseptic (ka pehu ʻana o nā membrane e uhi ana i ka lolo a me ke kaula spinal)
- Ka pehu ʻana o ka lolo (Encephalitis)
Pehea e ʻike ai ke kauka i ka maʻi? He aha ka lāʻau lapaʻau?
ʻO ka maʻamau, ʻike ke kauka i kēia maʻi ma ka nīnau ʻana iā ʻoe e pili ana i kāu mau hōʻailona a me ka nānā ʻana i kāu keiki. Ke lohe ʻoe i ka moʻolelo "ua iho ke kuni a laila maʻi ke keiki," kānalua ke kauka. I ka hapa nui o nā hihia, ʻaʻole pono nā hoʻāʻo koko.
E pili ana i ka lāʻau lapaʻau:
- ʻAʻohe lāʻau lapaʻau kūikawā no ka rosacea.
- Ma muli o ke ʻano o ka maʻi viral , ʻaʻole kōkua nā antibiotics.
- ʻOiai ʻaʻole maneʻo a ʻeha paha nā ʻeha ma ke kino, ʻaʻole pono lākou e mālama ʻia.
- Hiki i ke kauka ke ʻōlelo aku i kahi lāʻau lapaʻau e like me ka paracetamol a i ʻole ibuprofen e kāohi i ke kuni o kāu keiki. Mai hāʻawi i ka aspirin i kahi keiki ma lalo o 17 mau makahiki. Hiki iā ia ke hana i kahi maʻi weliweli i kapa ʻia ʻo Reye's syndrome.
Hiki iā ʻoe ke ʻike i ke kauka i kēlā me kēia manawa!
He mea maʻamau ke makaʻu iki i ka wā e loaʻa ai i kāu keiki ke kuni. I kēia mau hihia, he mea nui e ʻike inā pono ʻoe e kāhea i ke kauka a i ʻole e hele koke i ka haukapila.
| Kūlana | He aha e hana ai |
|---|---|
| E kamaʻilio me kāu kauka... | |
| ʻOi aku ke kuni o ke keiki ma luna o 39 kekelē Celsius (102 F) no 24 mau hola. | E ʻimi i ke kōkua lapaʻau inā ʻaʻohe ou hōʻailona ʻē aʻe. |
| ʻAʻole olakino a pāʻani ke keiki e like me ka mea maʻamau ma hope o ka emi ʻana o ke kuni. | E haʻi i ke kauka e pili ana i ke kūlana o ke keiki. |
| Ka ʻāʻī a ʻeha paha i ke kino. | E ʻike i ke kauka e hōʻoia ʻaʻole ia he maʻi ʻē aʻe. |
| Nā hōʻailona o ka make wai (waha maloʻo a me nā lehelehe, ʻaʻohe waimaka i ka wā e uē ana, ʻaʻohe mimi no 6-8 mau hola). | E ʻimi koke i ke kōkua lapaʻau. |
| E hele koke i ka Emergency Treatment Unit (ETU)... | |
| Loaʻa i ke keiki kā lākou maʻi kuni mua. | Mai hoʻonele i ka manawa a lawe iā ia i ka haukapila kokoke loa. |
| Nā haʻalulu febrile e mau ana ma mua o 5 mau minuke. | He pilikia kēia. E lawe koke i ka haukapila. |
| Paʻakikī ka hanu ʻana. | He hōʻailona paha kēia o kahi maʻi e like me ka pneumonia. |
| ʻEha a ʻoʻoleʻa paha ka ʻāʻī, luaʻi pinepine, hiamoe nui. | He mau hōʻailona paha kēia o ka maʻi lolo. E hele koke i ka haukapila. |
Leka Lawe-Home
- He maʻi viral ʻo Roseola i maʻamau i waena o nā kamaliʻi ʻōpio. Hoʻomaka ia me ke kuni nui a laila laha i ke kino ma hope o ka emi ʻana o ke kuni.
- He ʻulaʻula nā ʻeha ma ke kino, ʻaʻole maneʻo a ʻeha paha, a hoʻōla wale ia i loko o kekahi mau lā.
- ʻO ka hapa nui o ka manawa, ʻaʻole kēia he maʻi koʻikoʻi. Akā e makaʻala i nā hopu ʻana o ka febrile. Inā loaʻa iā ʻoe kahi hopu no ka manawa mua, e hele koke i ka haukapila.
- ʻO ka lāʻau lapaʻau, ʻo ia ke kāohi i ke kuni a hoʻomaha i ke keiki. ʻAʻole hoʻōla nā lāʻau antibiotic i kēia maʻi.
- Inā he kānalua a hopohopo paha kāu e pili ana i ke kūlana o kāu keiki, e nīnau mau i kāu kauka.











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