Ke anu nei hoʻi kāu keiki liʻiliʻi? E aʻo kākou e pili ana i ka RSV (Respiratory Syncytial Virus)!

I kekahi manawa, manaʻo paha ʻoe ua like ke anu o kēia mau keiki liʻiliʻi a pau, ʻeā? ʻĀ, he maʻi hanu ka RSV e hoʻomaka ana e like me ke anu a hiki i kekahi manawa ke ʻoi aku ka koʻikoʻi. ʻO RSV ka inoa pōkole no ka maʻi i kapa ʻia ʻo 'Respiratory Syncytial Virus'. ʻO kēia ka germ e hoʻoulu ai i ka RSV. ʻO ka mea kupaianaha, ua loaʻa iā mākou a pau ma ka liʻiliʻi hoʻokahi ma mua o ka piha ʻana o ʻelua makahiki. Eia naʻe, ʻo ka pale ʻana mai ka loaʻa ʻana i hoʻokahi manawa, ʻo ia hoʻi, ka palekana, ʻaʻole ia e mau loa. No laila, hiki ke loaʻa hou a hou.

He mea maʻamau anei ka RSV ma mua o ko mākou manaʻo?

ʻAe, ʻoi aku ka maʻi maʻamau o ka RSV ma mua o ko mākou manaʻo. Lohe pinepine mākou e pili ana i nā pēpē e loaʻa ana i ka RSV a lilo i mea koʻikoʻi. Akā, hiki ke hana maoli i nā pākeke, a me nā keiki o kēlā me kēia makahiki. ʻO nā pēpē ʻōpiopio loa, ʻo ia hoʻi nā pēpē he mau mahina, hiki ke paʻakikī iki ke loaʻa. ʻO ia no ka mea ʻaʻole i hoʻomohala piha ʻia kā lākou ʻōnaehana pale. A he liʻiliʻi loa ko lākou mau ala ea. No laila, ʻoi aku ka nui o ka loaʻa ʻana o ka mumū.

E noʻonoʻo wale, hiki iā ʻoe ke loaʻa i ka RSV i nā manawa he nui i kou ola. I kekahi manawa hiki iā ʻoe ke loaʻa i ʻelua manawa i ka makahiki hoʻokahi! No nā pākeke, hele pinepine ia e like me ke anu maʻamau. Eia nō naʻe, ʻo ka poʻe ma luna o 65 mau makahiki, ka poʻe me nā ʻōnaehana pale nāwaliwali, a i ʻole ka poʻe hiki ʻole ke pale aku i ka maʻi, ʻoi aku ka nui o ka pilikia o ka maʻi nui.

He aha nā hōʻailona o ka RSV?

ʻAe, i kēia manawa e nānā kākou i nā hōʻailona āu e ʻike ai ke loaʻa iā ʻoe ka RSV. Hiki i kekahi o kēia mau mea ke kamaʻāina iā ʻoe.

• Kuke
• Paʻakikī ka hanu ʻana
• ʻO ke ʻano o nā pēpē ʻōpiopio loa e pau ana ka hanu ʻana
• Ihu wai a i ʻole ka ihu paʻa (he ihu wai a i ʻole ka ihu paʻa)
• Ke kunu ʻana
• ʻeha ka ʻāʻī
• ʻEha poʻo
• Luhi
• kuni
• Makemake nui

I nā pēpē a me nā keiki liʻiliʻi, ʻokoʻa iki paha ke ʻano o kēia mau hōʻailona. Hiki iā lākou ke hoʻopiʻi a huhū paha, e uē nui ana , a ʻaʻole paha makemake e pāʻani e like me ka wā ma mua. Inā ʻaʻole i piha kāu keiki i hoʻokahi makahiki a loaʻa iā ia kēia mau hōʻailona RSV, e ʻike pono i ke kauka.

ʻO ka mea nui loa, inā loaʻa iā ʻoe a i ʻole kāu keiki nā hōʻailona koʻikoʻi, pono ʻoe e hele koke i ka keʻena ulia pōpilikia o ka haukapila.

He aha kēia mau hōʻailona koʻikoʻi?

E nānā kākou i nā hōʻailona koʻikoʻi e pono ai ke kipa ʻana i ka haukapila ulia pōpilikia:

• Ka pōkole o ka hanu, me he mea lā e ʻūlū ana ʻoe
• Ka hanu ʻana a i ʻole nā ​​​​leo ʻē aʻe i ka wā e hanu ana .
• He polū a hina paha ke kala i ka ʻili, nā lehelehe, a i ʻole nā ​​​​​​manamana lima. ʻO ke ʻano kēia, ʻaʻole lawa ka oxygen i ke kino.
• Ke hanu ka pēpē, me he mea lā e huki ʻia ana ka ʻili ma waena o nā iwi ʻaoʻao o ka umauma. Kāhea mākou i kēia he '(retractions)'.
• ʻO ka lapalapa ʻana ke ʻano o ka nui ʻana o nā puka ihu ke hanu ʻoe.
• He pōkole loa ka hanu ʻana, pāpaʻu, wikiwiki, a i ʻole he mau hoʻomaha lōʻihi ma waena o nā hanu.

He aha ke kumu o ka RSV? Pehea e laha ai?

Hoʻokumu ʻia ka RSV e kahi virus. ʻO kona inoa ʻo 'Respiratory Syncytial Virus'. ʻAʻole ia he maʻi i hoʻokumu ʻia e ka bacteria. No laila, ʻaʻole hiki ke ho'ōla ʻia me nā 'Antibiotics'.

I kēia manawa, e nānā kākou pehea e laha ai kēia mai ke kanaka a i ke kanaka:

• Ma ka launa pū ʻana me kekahi mea i loaʻa i ka maʻi (e laʻa me ka hoʻopā ʻana a i ʻole ka honi ʻana i kahi mea maʻi).
• Hoʻopuka ʻia nā kulu hanu ke kunu a ʻūhā paha ka mea maʻi. Hiki i kēia mau kulu ke lele i ka lewa a hoʻolaha i ka maʻi inā hanu ʻia e kekahi ma kahi kokoke.
• Ma ka hoʻopā ʻana i nā mea i loaʻa ka maʻi ma luna o lākou a laila hoʻopā i kou ihu, waha, a i ʻole nā ​​maka me ka lima hoʻokahi. E noʻonoʻo e pili ana i ia mea, hiki i nā mea pāʻani, nā papa ʻaina, nā ʻūpā puka, nā kelepona, a me nā mea ʻē aʻe ke haumia me kēia maʻi.

He laha anei ka RSV? Pehea ka lōʻihi e hiki ai ke laha?

ʻAe, he maʻi lele loa ka RSV. Hiki iā ʻoe ke hoʻolaha iā ia i nā poʻe ʻē aʻe inā loaʻa iā ʻoe nā hōʻailona - ʻo ia hoʻi ʻekolu a ʻewalu mau lā . Hoʻolaha koke ka maʻi RSV mai ke kanaka a i ke kanaka. Hiki i ka maʻi ke ola ma nā ʻili paʻakikī e like me nā papaʻaina no kekahi mau hola.

E noʻonoʻo wale, hiki iā ʻoe ke hoʻolaha i ka RSV i kekahi kanaka ʻē aʻe i hoʻokahi a ʻelua paha lā ma hope o kou hoʻomaka ʻana e loaʻa nā hōʻailona. ʻO ia ma mua o kou maʻi ʻana! Hiki i nā pēpē ʻōpio a me nā poʻe me nā ʻōnaehana pale nāwaliwali ke hoʻolaha iā ia i nā poʻe ʻē aʻe a hiki i ʻehā pule ma hope o ka nalowale ʻana o nā hōʻailona .

He aha nā pilikia e hiki ke hana ma muli o ka RSV?

ʻOiai naʻe e nalowale ana ka RSV iā ia iho i kekahi manawa, hiki i kekahi poʻe ke loaʻa nā pilikia e pilikia ai ka hanu ʻana. Eia kekahi o lākou:

• Bronchitis: ʻO kēia ka mumū o nā alaloa nui e hiki aku ai i nā māmā.
• Pneumonia: Ua lohe paha ʻoe i kēia. He maʻi ia e hoʻopilikia ai i nā māmā.
• Bronchiolitis: ʻO kēia ka mumū o nā ala ea liʻiliʻi loa i loko o nā māmā o nā pēpē ʻōpio. ʻO kēia ka pilikia maʻamau o ka RSV i nā pēpē.
• Ka hoʻonui ʻia ʻana o nā kūlana olakino e kū nei.Eia kekahi laʻana, inā loaʻa i kekahi ka hānō, ka hānō puʻuwai paʻa, a i ʻole ka maʻi māmā mau e like me COPD (maʻi pulmonary obstructive mau), hiki ke ʻoi aku ka ʻino o ko lākou kūlana inā loaʻa iā lākou ka RSV.
• Ka holo ʻole ʻana o ka hanu: ʻO ia hoʻi, ʻaʻole hiki i nā māmā ke hana pono.
• Hypoxia, a i ʻole ka emi ʻana o ka oxygen i loko o ke kino.
• Ka maloʻo ʻana o ka wai: ʻO kēia ka wā e nalowale ai ke kino i ka wai nui. Hiki ke hana ʻia kēia e nā mea e like me ke kuni a me ka nalowale o ka makemake.
• Nā maʻi pepeiao

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka maʻi nui ʻana me ka RSV?

E like me ka mea i ʻōlelo ʻia ma mua, ʻoiai hiki i nā kānaka āpau ke loaʻa i ka RSV, ʻoi aku ka nui o ka maʻi o kekahi poʻe mai ia mea.

• ʻOi aku ka nui o ka pilikia o nā pēpē hānau mua a me nā keiki ma lalo o 2 mau makahiki no ka mea he liʻiliʻi loa ko lākou mau ala ea a hiki ke maʻalahi ke ālai ʻia.
• ʻO nā kānaka ma luna o 65 mau makahiki.
• ʻO ka poʻe me nā ʻōnaehana pale i nāwaliwali (e laʻa me ka poʻe e mālama ʻia ana i ka maʻi kanesa, ka poʻe me ka maʻi HIV, a i ʻole ka poʻe me nā ʻōnaehana pale ʻē aʻe i nāwaliwali).
• Nā kānaka me ka maʻi puʻuwai. Hoʻokomo pū kēia i ka maʻi puʻuwai hānau.
• ʻO nā kānaka me nā maʻi māmā mau loa e like me ka hānō.

Pehea e ʻike ai nā kauka i ka RSV?

Inā loaʻa iā ʻoe a i ʻole kāu keiki nā hōʻailona o ka RSV, e lawe pinepine ke kauka i kahi hāpana mai kou ihu. E hoʻohana lākou i kahi swab palupalu me ka pulupulu e hana i kēia. Hoʻouna ʻia ka hāpana i kahi keʻena hoʻokolohua e hoʻāʻo ʻia no ka maʻi RSV.

I kekahi manawa, hiki ke hana ʻia kahi X-ray o ka umauma e nānā i nā pilikia e like me ka maʻi pneumonia.

Pehea e mālama ʻia ai ka RSV?

ʻO ka ʻoiaʻiʻo, ʻaʻohe lāʻau lapaʻau kūikawā no ka maʻi RSV ponoʻī. ʻO ia hoʻi, ʻaʻohe lāʻau lapaʻau kūikawā e pepehi i kēia maʻi. ʻO ke kumu nui o ka lāʻau lapaʻau ʻana, ʻo ia ke kāohi ʻana i nā hōʻailona a me ka pale ʻana i nā pilikia.

Inā loaʻa iā ʻoe a i ʻole kāu keiki kahi maʻi koʻikoʻi o ka RSV, pono paha ʻoe e noho i ka haukapila no ka mālama ʻana. Ma ka haukapila, e kōkua nā kauka a me nā kahu maʻi iā ʻoe e ho'ōla. Hiki iā lākou ke hana i nā mea e like me:

• Lapaʻau oxygen: Hāʻawi i ke kino i ka oxygen hou aʻe.
• Ke hāʻawi ʻana i nā wai ma o ka IV: Kāohi i ka maloʻo ʻana.
• Inā paʻakikī loa ka hanu ʻana, e hoʻopili i kahi mīkini hanu hana (Mechanical ventilation / ventilator).

ʻO ka mea nui loa , no ka mea he huakino ka RSV, ʻaʻole ia e mālama ʻia me nā lāʻau antibiotic.Hāʻawi wale ʻia nā antibiotics no nā maʻi bacteria.

Āhea wau e ʻike ai i ke kauka?

ʻAʻole pono mau ke ʻike i ke kauka ʻoiai inā loaʻa iā ʻoe nā hōʻailona o ka RSV. Eia nō naʻe, i kekahi mau hihia, he mea kūpono ke ʻimi i ka ʻōlelo aʻoaʻo lapaʻau.

No kahi keiki, e ʻike i kahi pediatrician i kēia mau manawa:

• Inā aia kāu keiki ma lalo o 12 mahina (hoʻokahi makahiki) a loaʻa iā ia nā hōʻailona o ka RSV.
• Inā loaʻa i ke keiki kekahi o nā hōʻailona penei:
• Inā ʻoi aku ke kuni ma mua o 38 kekelē Celsius (100.4 Fahrenheit) (he ʻoiaʻiʻo loa kēia no nā pēpē ma lalo o 3 mahina).
• Inā loaʻa i kahi keiki o kekahi makahiki ke kuni ma luna o 40 degere Celsius (104 Fahrenheit).
• Inā ʻaʻole hoʻomaikaʻi nā hōʻailona ma hope o hoʻokahi pule, a inā e ʻoi aku ka ʻino.
• Inā he kahe e puka mai ana mai ka pepeiao, a inā paha e hoʻopā mau ana ke keiki i ko lākou pepeiao (he mau hōʻailona paha kēia o ka maʻi pepeiao).
• Inā pilikia ʻoe i ka hanu ʻana a i ʻole ka ʻū nui.
• Inā ʻoe e hana ana i kahi leo hū (wheezing) a i ʻole nā ​​​​leo ʻē aʻe i ka wā e hanu ana.

Inā he kanaka makua ʻoe, e ʻike i ke kauka inā:

Hiki i nā mākua ke mālama pinepine i nā hōʻailona RSV ma ka home. Eia nō naʻe, inā loaʻa iā ʻoe nā hōʻailona a pili kekahi o kēia mau mea iā ʻoe, e ʻike i ke kauka:

• Inā ʻoe ma luna o 65 mau makahiki.
• Inā nāwaliwali kou ʻōnaehana pale maʻi.
• Inā loaʻa iā ʻoe ka maʻi puʻuwai a i ʻole ka maʻi māmā.

E haʻi aku kāu kauka iā ʻoe inā pono ʻoe e hele mai no ka nānā ʻana i kou kino, a i ʻole he aha nā hōʻailona koʻikoʻi e makaʻala ai.

Āhea ʻoe e hele ai i kahi keʻena pilikia (ETU) ?

He mea nui loa kēia. Inā loaʻa iā ʻoe a i ʻole kāu keiki kekahi o nā hōʻailona RSV koʻikoʻi i ʻōlelo ʻia ma luna, e hele koke i ka lumi pilikia o ka haukapila. E hoʻomanaʻo i kēlā mau hōʻailona? Paʻakikī nui ka hanu ʻana - e like me ka wheezing, ka puka ʻana o nā ihu, ka huki ʻana o ka umauma, a i ʻole ke kala polū/hina i ka ʻili.

Pehea ka lōʻihi e hiki ai i ka RSV ke mau?

ʻO ka maʻamau, hoʻokahi a ʻelua paha pule ka lōʻihi o ka RSV. Eia nō naʻe, i kekahi manawa hiki i ka ʻū ke mau no kekahi mau lā hou aku. Inā koʻikoʻi ka RSV, hiki ke lōʻihi.

He aha kāu e hana ai ma ka home e loaʻa ai ka hōʻoluʻolu?

Inā he mau ʻōuli iki kou, hiki iā ʻoe ke loaʻa ka hōʻoluʻolu ma ka hana ʻana i kēia mau mea ma ka home:

• Ke hoʻohana nei i kahi humidifier noe anuanu: Hiki i kēia ke maʻalahi i ka hanu ʻana.
• Ke hoʻohana ʻana i ka ʻaila saline ihu: Hiki i kēia ke kōkua i ka hōʻemi ʻana i ka ʻūlū a me ka ihu paʻa.
• Kōkua ka omo ʻana i ka wehe ʻana i ka huʻa mai ka ihu o ka pēpē. He mea paʻakikī loa i kahi pēpē liʻiliʻi ke loaʻa ka ihu paʻa. Aia nā mea hana e like me nā ʻōmole liʻiliʻi no kēlā.
• E inu i ka nui o nā wai e pale aku ai i ka maloʻo ʻana o ka wai. He mea maikaʻi nā mea e like me ka wai, ka sopa, a me ka wai huaʻai.
• Hiki ke kūʻai ʻia nā lāʻau ʻeha ma luna o ke kūʻai aku (OTC) ma ka hale kūʻai lāʻau me ke kauoha ʻole a ke kauka. Eia kekahi laʻana, paracetamol (acetaminophen) a i ʻole ibuprofen (ibuprofen).

Akā, e hoʻomanaʻo, ma mua o ka hoʻohana ʻana i kekahi lāʻau lapaʻau, ʻoiai i ka hāʻawi ʻana i nā keiki, pono ʻoe e nīnau i kāu kauka a pediatrician paha.

Aia kekahi mau ala e pale ai iā ʻoe iho mai ka RSV?

ʻAe, ʻoiai ʻaʻole hiki ke pale loa ʻia ka RSV, aia kekahi mau mea hiki iā mākou ke hana e pale aku iā mākou iho mai ia mea.

Hiki i nā pēpē a hiki i ka 8 mahina a me kekahi mau keiki liʻiliʻi i pilikia nui ke loaʻa ka palekana me kahi lāʻau pale i kapa ʻia ʻo monoclonal antibody immunization. Hāʻawi kēia i ko lākou kino i nā antibodies e kōkua i ke kaua ʻana i kahi maʻi RSV. ʻAʻole kēia he lāʻau pale maoli, akā hāʻawi ia i ka palekana.

Loaʻa nā lāʻau pale RSV i kēia manawa no nā wahine hāpai a me nā pākeke ma luna o 75 (a i ʻole ma luna o 60 me kekahi mau maʻi olakino). E kamaʻilio me kāu kauka e pili ana i ka mea maikaʻi loa iā ʻoe a me kou ʻohana.

Ma waho aʻe o kēia mau mea, aia kekahi mau mea maʻalahi hiki iā mākou ke hana i kēlā me kēia lā e palekana ai mai ka RSV:

• E holoi pono i kou mau lima. ʻOi loa aku ma hope o ka hoʻohana ʻana i ka lua, ma mua o ka ʻai ʻana, a ma mua o ka hoʻomākaukau ʻana i ka meaʻai.
• E hōʻemi i ka pili ʻana i nā germs. E pale i ka lawe ʻana i nā keiki liʻiliʻi i nā wahi i piha i nā kānaka, ʻoiai i ke kau anu a me ka maʻi palū. E pale i ka ʻae ʻana iā lākou e pāʻani me nā keiki maʻi a i ʻole e pili kokoke i nā keiki maʻi.
• E hoʻomaʻemaʻe i nā ʻili i hoʻopā pinepine ʻia. E holoi i nā ʻili i hoʻopā pinepine ʻia e like me nā mea pāʻani, nā papa ʻaina, a me nā ʻūpā puka me ka lāʻau disinfectant.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

He maʻi ka RSV e hele mai a hele aku e like me ke anu maʻamau, akā i nā manawa ʻē aʻe hiki ke ʻoi aku ka koʻikoʻi. ʻO ka mea nui loa, ʻo ia ka makaʻala mau i nā hōʻailona koʻikoʻi. Inā manaʻo ʻoe a i ʻole kāu keiki i kekahi mea ʻē - ʻoiai inā manaʻo ʻoe he anu wale nō - mai kānalua e kāhea i ke kauka a hele paha i ka lumi pilikia. Hiki i kēia ke kōkua i ka pale ʻana i nā pilikia he nui. E palekana kākou a pau!

ʻO RSV, Respiratory Syncytial Virus, nā maʻi hanu, ke anu, ke kuni, nā pilikia hanu, nā maʻi kamaliʻi, nā virus, nā maʻi lele