Ke anu pinepine nei kāu pēpē? Hiki paha iā ia ke RSV (Respiratory Syncytial Virus)! E kamaʻilio kākou e pili ana i kēia.

I kēia mau lā, loaʻa pinepine i nā pēpē a me nā keiki ke anu a me ke kuni, ʻeā? I kekahi manawa ua like ia me ke anu maʻamau, akā hiki i kekahi mau keiki ke paʻakikī iki. ʻAe, he maʻi ka RSV e hoʻopilikia i ka ʻōnaehana hanu, ʻoi aku hoʻi i nā keiki. E aʻo hou kākou e pili ana i ka RSV (Respiratory Syncytial Virus) i kēia lā.

He aha ka RSV i nā pēpē?

I ka ʻōlelo maʻalahi, ʻo RSV (Respiratory Syncytial Virus) kahi maʻi e hoʻopilikia i ka ʻōnaehana hanu, ʻo ia hoʻi, ka ʻōnaehana a mākou e hanu ai. He maʻi ia e laha nui aku i kekahi mau manawa, ʻoiai i ke anuanu, a laha koke i waena o nā pēpē ʻōpio a me nā keiki.

No ka hapa nui o nā keiki, ua like kēia me ke anu maʻamau a e hoʻomaikaʻi i loko o kekahi mau lā. Akā i kekahi manawa, ʻoi aku hoʻi i nā pēpē ʻōpiopio loa, hiki ke koʻikoʻi a hoʻoulu i nā pilikia hanu a me nā maʻi māmā.

ʻO nā keiki hānau mua, nā pēpē ma lalo o 6 mau mahina, a me nā keiki me nā pilikia olakino ʻē aʻe, e like me ka maʻi puʻuwai hānau a me ka maʻi māmā , ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o nā pilikia mai ka RSV. ʻOiai ma kahi ʻāina e like me ʻAmelika Hui Pū ʻIa, ua manaʻo ʻia ma waena o 58,000 a me 80,000 mau keiki ma lalo o 5 mau makahiki e hoʻokomo ʻia ana i ka haukapila me ka RSV i kēlā me kēia makahiki. ʻO ia hoʻi, hiki iā ʻoe ke noʻonoʻo i ke koʻikoʻi o kēia i kekahi manawa.

Pehea e loaʻa ai i nā pēpē ka RSV?

Hiki i nā pēpē ma lalo o hoʻokahi makahiki ke hoʻopilikia nui ʻia e ka RSV. ʻO ka ʻoiaʻiʻo, ʻo RSV ke kumu nui o ka hoʻokipa ʻia ʻana o nā pēpē. Ma nā ʻāina e like me ʻAmelika Hui Pū ʻIa, ma kahi o 3% o nā pēpē me ka RSV e pono ai ka hoʻokipa ʻia ʻana.

ʻOiai inā he mau lā wale nō ma ka haukapila, he mea hopohopo ia no nā mākua, ʻeā? Pono paha kekahi mau pēpē i ka mālama koʻikoʻi. No laila he mea nui loa ka makaʻala i kēia.

I ka manawa hea e loaʻa ai i nā keiki liʻiliʻi ka RSV?

Ua ʻōlelo ʻia ma kahi o 90% o nā keiki e loaʻa ana ka RSV ma mua o ko lākou mau makahiki ʻelua. E noʻonoʻo, he mea maʻamau ia! ʻO ka hapa nui o ka manawa ua like ia me ke anu maʻamau, akā no kekahi mau kamaliʻi liʻiliʻi (nā keiki ma waena o nā makahiki 1-3), hiki ke ʻoi aku ka koʻikoʻi o nā hōʻailona.

Ma kahi o 40% o nā pēpē a me nā keiki liʻiliʻi ma lalo o 2 mau makahiki i loaʻa i ka RSV no ka manawa mua e loaʻa paha nā pilikia e like me ka bronchiolitis a i ʻole ka pneumonia .

• ʻO ka Bronchiolitis kahi mumū o nā ala ea liʻiliʻi loa (nā ʻōmole liʻiliʻi a mākou e hanu ai) i loko o nā māmā. ʻO kēia ka mea e paʻakikī ai i ka pēpē ke hanu.
• He maʻi ʻeha ka niumonia i loko o nā māmā.

I nā kūlana e like me kēia, pono ʻoe e ʻimi koke i ke kōkua lapaʻau.

Āhea e loaʻa ai i nā keiki makua (nā keiki) ka RSV?

I nā keiki makua (ʻoi aku ma mua o 5 mau makahiki), hoʻopau pinepine ʻia ka RSV me ka mālama home, e like me ke anu maʻamau. Eia nō naʻe, i nā keiki ʻōpio, hiki ke ʻoi aku ka koʻikoʻi o nā hōʻailona. Hoʻolaha maʻalahi ʻia ka RSV ma nā wahi e ʻākoakoa ai nā keiki, e like me nā kula a me nā hale mālama keiki. ʻOiai ma ka home, inā loaʻa i kekahi kaikaina, hiki ke laha i nā poʻe ʻē aʻe.

He aha nā hōʻailona o ka RSV i nā keiki?

Hiki ke ʻokoʻa nā hōʻailona RSV ma muli o ka makahiki o kāu keiki a inā paha ua hoʻoulu ka maʻi i nā pilikia ʻē aʻe.

Nā hōʻailona i nā pēpē (ma lalo o 1 makahiki)

ʻO ka maʻamau, hōʻike nā pēpē ma lalo o hoʻokahi makahiki i nā hōʻailona o ke anu:

• Kuni (100.4°F a ʻoi aku paha)
• ʻŪhū (hiki ke lilo i ʻūhū maloʻo a ʻūhū paha)
• Ka liki ʻana o ka wai Soto
• Paʻa ihu
• Ke kunu ʻana

Hiki i kāu pēpē ke uē pinepine a hiki paha ke hōʻemi i ka hānai waiū .

I kekahi manawa hiki i ka RSV ke hana i ka bronchiolitis (ka mumū o nā ala ea liʻiliʻi i loko o nā māmā), hiki ke paʻakikī ke hanu. Hiki i kahi pēpē me ka bronchiolitis ke loaʻa nā hōʻailona anu, e like me:

• Hanu wikiwiki
• ʻO ka puka ʻana o nā ihu i ka wā e hanu ana
• Nā leo ʻūhū i ka wā e hanu ana
• Ke emi ʻana o ka umauma i loko/ke huki ʻana i ka wā e hanu ana
• ʻŌhūhū, a i ʻole ke kani ʻana o ka ʻūhā mai ka umauma mai

ʻAʻole paha e loaʻa i nā pēpē hānau hou a me nā pēpē ma lalo o 6 mahina nā hōʻailona o ke anu maʻamau, akā e hōʻike wale paha i kēia mau mea:

• Ka paʻakikī o ka hanu ʻana (nā hōʻailona i ʻōlelo ʻia ma luna)
• Ka hoʻohaunaele pinepine a huhū paha
• Ua emi ka makemake
• Ka liʻiliʻi o ka hoihoi i ka pāʻani a me nā hana

E nānā! Inā ʻike ʻoe ua pilikia kāu pēpē i ka hanu ʻana a i ʻole ke hanu ʻokoʻa nei ma mua o ka maʻamau, e lawe koke iā ia i ka keʻena pilikia o ka haukapila kokoke loa. A i ʻole e kelepona iā 1990.

Nā Hōʻailona i nā Kamaliʻi ʻŌpiopio (1-3 makahiki)

Hiki i nā keiki ʻōpiopio ma waena o nā makahiki 1 a me 3 ke loaʻa i kēia mau hōʻailona:

• Ka liki ʻana o ka wai Soto
• ʻUmi a me ke kunu ʻana
• Ua hoʻemi ʻia ka ʻai ʻana i ka meaʻai a me ka mea inu
• Ka nalowale o ka hoihoi i ka pāʻani
• Paʻakikī ke ale ʻana
• Ka hanu ʻana me ka wikiwiki ma mua o ka maʻamau

Nā Hōʻailona i nā Keiki ʻElemakule (ma luna o 5 mau makahiki)

ʻO ka maʻamau, hōʻike nā keiki ma luna o 5 mau makahiki i nā hōʻailona o ke anu:

• Ka liki ʻana o ka wai Soto
• Paʻa ihu
• ʻeha ka ʻāʻī
• ʻEha iki ka ʻeha
• Kino make ʻole
• kuni
• Kuke

ʻO nā pilikia e komo pū ana me ka wheezing, ka ʻū ʻana ( croup)), a hiki ke loaʻa nā pilikia hanu. ʻOi aku ka nui o ka pilikia o nā keiki me kekahi mau maʻi ʻē aʻe i ka loaʻa ʻana o nā hōʻailona koʻikoʻi. Eia kekahi laʻana:

• Nā kūlana e hoʻonāwaliwali ai i ka ʻōnaehana pale o ke keiki
• Nā kūlana e pilikia ai ka ale ʻana
• Nā kūlana e paʻakikī ai ke wehe i ka mucus

E kamaʻilio me kāu pediatrician e ʻike i nā hōʻailona e makaʻala ai a me ka manawa e ʻimi ai i ke kōkua lapaʻau.

I ka manawa hea e lawe ʻia ai kahi pēpē me ka RSV i ka haukapila?

Pono paha nā pēpē a me nā keiki liʻiliʻi e lawe ʻia i ka haukapila inā e koʻikoʻi ko lākou mau hōʻailona RSV. Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ​​e hele koke i ka lumi pilikia a i ʻole e kelepona i 911:

• Inā he walaʻau kou hanu ʻana
• Inā e nui aʻe ko lākou mau puka ihu me kēlā me kēia hanu (ka ʻō ʻana o ko lākou mau puka ihu)
• Inā polū a hina paha nā lehelehe, ka waha, a me nā kui (he hōʻailona kēia o ka nele o ka oxygen - he hōʻailona o ka cyanosis)
• Inā ʻike ʻia lākou e hanu ana i ka ʻōpū a i ʻole e ana ana i loko o ko lākou umauma
• Inā pāpaʻu a wikiwiki paha ka hanu ʻana
• Inā ʻike ʻoe i nā hoʻomaha i ka wā e hanu ana
• Inā hōʻike ka pēpē i nā hōʻailona o ka make wai (e.g. uē me ka ʻole o ka waimaka, maloʻo ka waha a me ke alelo, ʻaʻole mimi no 6-8 hola, nā maka piholo).

He aha ke kumu o ka RSV i nā pēpē a me nā keiki?

He maʻi viral ka RSV. ʻO ia hoʻi, ua hoʻokumu ʻia e kahi virus. ʻO ka virus kikoʻī nona kēia ʻo ia ka Respiratory Syncytial Virus (RSV) . ʻO kēia virus RSV kekahi o nā virus laha loa i nā kau hanu.

He maʻi lele anei ka RSV?

ʻAe, he maʻi lele loa ka RSV. Hoʻolaha ʻia ia ma o nā kulu hanu liʻiliʻi e hoʻokuʻu ʻia i ka wā e ʻū ai ke keiki me ka RSV, e kihe ana, a e puhi paha i ko lākou ihu. Hiki i kēia mau kulu ke hele i kekahi mau kapuaʻi - a ʻaʻole pinepine nā keiki ʻōpio e ʻū a kihe paha me ko lākou waha i pani ʻia!

Inā pae kēia mau kulu ma nā maka, ihu, a i ʻole ka waha o kekahi, hiki iā lākou ke hoʻolaha i ka maʻi. He mea maʻamau loa kēia i waena o nā pēpē a me nā kamaliʻi liʻiliʻi e pāʻani pū ana. Hiki i ka maʻi RSV ke noho ma luna o nā ʻili e like me nā papa ʻaina, nā noho, nā ʻūpā puka, a me nā mea pāʻani no kekahi mau hola. ʻOi aku ka maʻi o kāu keiki inā hoʻopā lākou i kahi mea i haumia ʻia me ka maʻi a laila hoʻopā i ko lākou maka me ka lima hoʻokahi a i ʻole e kau i kahi mea pāʻani i haumia ʻia i loko o ko lākou waha.

He mea weliweli anei ka RSV no nā pēpē a me nā kamaliʻi?

ʻAe, i kekahi manawa hiki ke koʻikoʻi kēia. E like me ka mea i ʻōlelo ʻia ma mua, hiki ke loaʻa nā pilikia e like me ka bronchiolitis a me ka pneumonia . ʻO kēia nā maʻi ʻōpū hanu haʻahaʻa e pono ai ke komo i ka haukapila.

Hiki i kekahi pēpē a keiki paha ke loaʻa i kēia ʻano maʻi māmā mai ka RSV. ʻO ka ʻoiaʻiʻo, hiki i nā pēpē olakino a piha ke hoʻokomo ʻia i ka haukapila me ka RSV. Eia nō naʻe, he mea weliweli loa ka RSV no kēia poʻe:

• No nā pēpē i hānau ʻia ma mua o ka manawa.
• No nā pēpē, ʻoi aku hoʻi nā pēpē 6 mahina a ʻoi aʻe paha.
• Nā keiki ma lalo o 2 mau makahiki me ka maʻi puʻuwai hānau a i ʻole ka maʻi māmā mau loa.
• Nā keiki me ka ʻōnaehana pale kino i hoʻopilikia ʻia a i ʻole nā ​​​​keiki me nā maʻi neuromuscular (e.g. Cerebral Palsy).

ʻOi aku ka nui o ka pilikia o kēia mau pēpē a me nā keiki i ka maʻi nui a make paha mai ka RSV.

Pehea e hōʻike ai i ka RSV i nā pēpē a me nā keiki?

Hoʻomaopopo nā kauka pediatric i ka RSV ma ka nīnau ʻana iā ʻoe e pili ana i nā hōʻailona o kāu keiki a me ka hana ʻana i kahi hoʻokolokolo kino. ʻAʻole pono paha nā hoʻokolohua. Eia nō naʻe, inā makemake ke kauka, hiki iā lākou ke lawe i kahi hāpana o ka mucus mai ka ihu o kāu keiki (hoʻāʻo swab ihu) a hoʻāʻo iā ia no ka maʻi RSV.

Pono paha nā pēpē a me nā keiki i hoʻopaʻa ʻia i ka haukapila e loaʻa nā hoʻokolohua e nānā i nā pilikia a i ʻole nā ​​​​pilikia ʻē aʻe. Eia kekahi laʻana:

• He hoʻokolohua ka X-ray o ka umauma a i ʻole CT scan (computed tomography scan).
• Nā hoʻāʻo koko.
• Nā hoʻāʻo mimi.

He aha nā lāʻau lapaʻau no ka RSV i nā pēpē a me nā keiki?

Hiki i kahi lāʻau antiviral i kapa ʻia ʻo ribavirin ke kōkua i ka mālama ʻana i ka RSV i nā keiki maʻi loa a i ʻole he mau pilikia olakino ʻē aʻe. Eia nō naʻe, e like me ka hapa nui o nā maʻi viral, ʻaʻole pono ka hapa nui o nā keiki i ka lāʻau kūikawā no ka RSV.

Akā, ke paipai nei nā kauka pediatric i ka mālama ʻana ma ka home e kōkua i ka hōʻemi ʻana i nā hōʻailona a hoʻoluʻolu i kāu keiki. Eia kekahi mau ʻōlelo aʻoaʻo:

• E hāʻawi i ka nui o nā wai: ʻAʻole hiki i nā pēpē ke inu i ka waiū e like me ka mea maʻamau no ka mea ua paʻa ko lākou ihu. Hiki i nā keiki liʻiliʻi ke nalowale i ka hoihoi i ka meaʻai a me ka mea inu. He mea nui loa ia e hoʻomau i ka hoʻomaʻū ʻia o kāu keiki. Hiki iā ʻoe ke noi i kāu kauka no ka ʻōlelo aʻo no ka mea e hana ai ma muli o ka makahiki o kāu keiki. He mea maikaʻi nō hoʻi nā sopa mehana a me ka porridge no ka puʻu.
• E hoʻomaʻemaʻe i ka ihu paʻa o kāu pēpē me ka omo: Hiki i nā mea hana e like me nā mea ʻume ihu ke kōkua i ka hoʻomaha ʻana i nā ihu paʻa i nā pēpē a me nā keiki ʻōpio. ʻO ka wehe ʻana i kekahi o ka mucus hiki ke maʻalahi i kāu pēpē ke ʻai a inu. Inā ʻoi aku ka nui o kāu pēpē, hiki iā ʻoe ke aʻo iā lākou pehea e puhi pono ai i ko lākou ihu.
• E hoʻohana i ka saline spray a me nā humidifiers:Hiki ke hoʻohana ʻia ka saline nasal spray i nā keiki o nā makahiki āpau. He mea kōkua nui ia i ka wehe ʻana i ka mucus mānoanoa. ʻO ka loaʻa ʻana o kahi humidifier noe anuanu i loko o ka lumi o kāu keiki hiki ke kōkua iā lākou e hanu maʻalahi.
• E hahai pono i nā ʻōlelo a kāu kauka i ka wā e hāʻawi ai i nā lāʻau lapaʻau: ʻAʻole kūpono kekahi mau lāʻau lapaʻau no nā pēpē a me nā keiki. ʻO nā lāʻau lapaʻau ʻaʻole pono e hāʻawi ʻia me ka ʻole o ke aʻo ʻana a ke kauka, ʻo ia ka lāʻau lapaʻau no ke kuni a me ke anu a me ka aspirin. He palekana ka hāʻawi ʻana i ka paracetamol/acetaminophen a i ʻole ibuprofen a nā keiki e hoʻēmi i ke kuni i nā pēpē ma luna o 6 mahina. Eia nō naʻe, e nānā mau me kāu pediatrician ma mua e hōʻoia i kou ʻike i ka nui kūpono.

Inā maʻi loa kāu keiki, pono paha lākou i ka mālama ʻia ma ka haukapila. Ma laila, hiki ke hāʻawi ʻia iā lākou ka oxygen, nā lāʻau antiviral, a me/a i ʻole nā ​​​​wai IV, ma muli o nā pono o ke keiki. E nānā nā limahana olakino i ka hanu ʻana o ke keiki a me nā pae oxygen. Hiki i ka hapa nui o nā pēpē a me nā keiki ke hoʻi i ka home ma hope o kekahi mau lā, akā pono paha kekahi e mālama ʻia i loko o kahi keʻena mālama koʻikoʻi.

ʻEhia ka lōʻihi o ka noho ʻana o ka RSV i nā pēpē a me nā keiki?

ʻO ka maʻamau, mau nā hōʻailona RSV ma kahi o hoʻokahi a ʻelua paha pule i nā pēpē a me nā keiki. ʻOi aku ka ʻino o nā hōʻailona ma waena o ke kolu a me ka lima o ka lā.

Āhea e hiki ai iaʻu ke hoʻihoʻi i kaʻu keiki i ka mālama keiki a i ke kula paha?

E haʻi aku kāu kauka keiki iā ʻoe i ka wā e palekana ai ke hoʻihoʻi i kāu keiki i ka mālama keiki, ke kula, a i ʻole nā ​​wahi ʻē aʻe e ʻākoakoa ai nā keiki ʻē aʻe. Ma ke ʻano laulā, pono e emi ke kuni o kāu keiki no 24 mau hola me ka ʻole o ka lāʻau hoʻohaʻahaʻa kuni, a pono e kaohi ʻia ka ihu wai.

Aia kekahi mau hopena lōʻihi mai ka RSV?

ʻO nā pēpē e loaʻa ana i ka bronchiolitis koʻikoʻi mai ka RSV e piʻi aʻe paha ka pilikia o ka loaʻa ʻana o ka hānō ma hope o ke ola. Ua ʻike nā kānaka noiʻi aia kahi pilina - ʻo ia hoʻi, ʻo nā keiki i hoʻopaʻa ʻia i ka haukapila no ka RSV i ko lākou wā kamaliʻi e loaʻa pinepine iā lākou ka hānō koʻikoʻi ma mua o nā keiki i loaʻa ʻole. Eia nō naʻe, ʻaʻole like ka pilina a i ʻole ka pilina me ka pilina kumu-a-hopena. Ke noiʻi nei nā kānaka noiʻi inā paha ua hoʻokumu ʻia kēia mau pilikia lōʻihi e nā pilikia RSV a inā he mea kūlike wale nō.

Hiki i ka RSV ke make no nā pēpē?

Hoʻōla ka hapa nui o nā pēpē a me nā keiki liʻiliʻi mai ka RSV. Eia nō naʻe, i kekahi mau hihia, hiki i ka RSV ke make. Ma ka honua holoʻokoʻa, ʻoi aku ma mua o 3 miliona mau keiki ma lalo o 5 mau makahiki i ka haukapila me ka RSV i kēlā me kēia makahiki. Make ma mua o 100,000 o kēlā mau keiki.

ʻOi aku ka kiʻekiʻe o ka make ma nā ʻāina me ka ʻilihune kiʻekiʻe a me ka mālama olakino maikaʻi ʻole. ʻOi aku ka nui o ka pilikia o nā pēpē a me nā keiki liʻiliʻi me nā maʻi puʻuwai, māmā, a i ʻole ka ʻōnaehana pale ma ka maʻi koʻikoʻi. Eia nō naʻe, hiki i nā pēpē olakino a me nā keiki me nā maʻi ʻole ke maʻi nui, hoʻokomo ʻia i ka haukapila, a make paha mai ka RSV. No laila he mea nui e makaʻala i kēia.

Hiki iaʻu ke pale aku i kaʻu keiki mai ka loaʻa ʻana o ka RSV?

ʻAʻole hiki ke pale ʻia ka RSV i nā manawa a pau, no ka mea, he maʻi maʻamau ia e laha maʻalahi ana i waena o nā pēpē a me nā kamaliʻi liʻiliʻi. Eia nō naʻe, aia kekahi mau mea hiki iā ʻoe ke hana e pale aku i kāu keiki. ʻO kēia mau mea:

• E kiʻi i ka lāʻau pale RSV i kou wā hāpai: Hiki iā ʻoe ke kiʻi i ka lāʻau pale RSV ma waena o 32 a me 36 mau pule o ka hāpai ʻana. Mālama kēia lāʻau pale i kāu pēpē no nā mahina 6 mua o kona ola. E nīnau i kāu kauka no ka ʻike hou aku.
• E hāʻawi i kāu pēpē i kahi pale ʻana: A hiki i ka 8 mahina o ka makahiki, hiki i nā pēpē ke loaʻa i kahi lāʻau pale antibody monoclonal i kapa ʻia ʻo nirsevimab e kūʻē i ka RSV. Hiki i kāu pediatrician ke hāʻawi iā ʻoe i hoʻokahi mahele o kēia i ka wā mua o ka RSV o kāu pēpē. Inā pilikia kāu pēpē no ka RSV koʻikoʻi, hiki iā lākou ke ʻōlelo aku i kahi mahele ʻelua i ka makahiki aʻe. ʻO kekahi lāʻau pale antibody monoclonal i kapa ʻia ʻo palivizumab he kūpono ia no kekahi mau keiki ma lalo o 2 mau makahiki i pilikia no ka RSV koʻikoʻi. Makemake paha kāu pediatrician e hāʻawi iā ʻoe i kēia lāʻau pale i nā manawa he nui i ka wā RSV. Inā loaʻa iā ʻoe ka lāʻau pale i ka wā hāpai, ʻaʻole pono paha kāu pēpē i kēia lāʻau pale i ko lākou makahiki mua.
• Hānai Waiū: Mālama nā antibodies i loko o ka waiū umauma i kāu pēpē mai nā maʻi. Paipai nā loea i ka hānai waiū kū hoʻokahi no nā mahina 6 mua o ke ola. I loko o kēia manawa, pale nā ​​antibodies i loko o ka waiū umauma i kāu pēpē mai ka RSV (a me nā maʻi ʻē aʻe he nui) i ka wā palupalu loa.
• E hōʻemi i ka pili ʻana o kāu pēpē i nā germs: I ka wā o nā maʻi ahulau RSV, e pale i ka lawe ʻana i kāu pēpē i nā wahi i piha i ka poʻe inā hiki. E mālama iā ia mai ka poʻe maʻi (ke kunu ʻana, ke kihe ʻana). E hōʻoia i ka holoi ʻana o ka mea nāna e hoʻopā i kāu pēpē i ko lākou mau lima me ke kopa a me ka wai ma mua. He mea nui loa kēia i nā mahina 6 mua o ke ola o kāu pēpē. ʻO kēia no ka mea ke ulu nei ka ʻōnaehana pale o kāu pēpē, no laila ʻoi aku ka nui o kona pilikia o ka loaʻa ʻana o ka RSV koʻikoʻi.
• E hoʻomaʻemaʻe i nā ʻili i hoʻopā pinepine ʻia: E hoʻomaʻemaʻe pinepine i nā mea e like me nā mea pāʻani a me nā ʻūpā puka.
• E aʻo aku i kāu keiki: Inā ua ʻoi iki aʻe kāu keiki, e aʻo aku iā lākou e uhi i ko lākou waha me kahi ʻiʻo pepa i ka wā e ʻū ana a i ʻole e ʻūhā ana, a e holoi pinepine i ko lākou mau lima.

I ka manawa hea e kāhea aku ai i kahi pediatrician?

E kāhea i kāu pediatrician inā loaʻa i kāu keiki kekahi a ʻoi aku paha o kēia mau hōʻailona:

• Inā aia ka pēpē ma lalo o 3 mahina a he kuni ma luna o 100.4°F (38°C).
• Inā loaʻa iā ʻoe ke kuni ma mua o 102°F (39°C) i kēlā me kēia makahiki.
• Inā ʻoi aʻe ka ʻino ma hope o hoʻokahi pule, a inā hoʻomau nā hōʻailona no nā lā he 10-14 a ʻoi.
• Inā he wai e kahe ana mai ka pepeiao (he hōʻailona paha kēia o kahi maʻi pepeiao).

Āhea e pono ai i kaʻu keiki ka lāʻau lapaʻau ulia pōpilikia?

ʻO nā hōʻailona e pili ana i ka hanu ʻana a me ka oxygenation he mea ia e hopohopo ai. ʻO kāu keiki:

• Inā ʻoe e hakakā nei e hanu.
• Inā ʻoe e hoʻomaha i ka wā e hanu ana.
• Inā pōkole ka hanu ʻana, pāpaʻu a/a i ʻole wikiwiki.
• Inā ʻoe e hana ana i kahi walaʻau i ka wā e hanu ana (hanu walaʻau).
• Inā lilo ka ʻili i polū a hina paha (he kala polū a hina paha i ko lākou ʻili).

... Ma ia kūlana , e kelepona koke i ka 1990, a i ʻole e lawe i ke keiki i ka lumi pilikia kokoke loa.

He aha nā nīnau e pono ai ʻoe e nīnau i ka pediatrician?

Hiki iā ʻoe ke aʻo nui e pili ana i ka RSV a pehea e pale ai i kāu keiki ma ke kamaʻilio ʻana me ke kauka pediatric o kāu keiki. Hiki iā ʻoe ke kamaʻilio e pili ana i kēia ma mua o ka maʻi ʻana o kāu keiki. Eia kekahi mau nīnau e kōkua i ka hoʻomaka ʻana i ke kamaʻilio ʻana:

• He aha nā hōʻailona maʻamau o ka RSV i ka makahiki o kaʻu keiki?
• Pehea e hiki ai iaʻu ke mālama i kaʻu keiki ma ka home inā loaʻa iā ia ka RSV? He aha nā mea maikaʻi loa e hāʻawi iā ia?
• He aha nā hōʻailona e pono ai iaʻu e lawe i kaʻu keiki i ka haukapila?
• ʻEhia ka lōʻihi o ka laha ʻana o kaʻu keiki me ka RSV?
• Pehea e hiki ai iaʻu ke pale aku i kēia mai ka laha ʻana i nā poʻe ʻē aʻe o koʻu ʻohana?
• Pehea e hiki ai iaʻu ke pale aku i kaʻu keiki mai ka RSV a me nā maʻi maʻamau ʻē aʻe? Hiki iaʻu ke aʻo hou aʻe e pili ana i nā lāʻau pale?

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

ʻO kekahi o nā mea paʻakikī loa no ka makua e hana ai, ʻo ia ka nānā ʻana i kā lākou keiki e maʻi ana. ʻOiai inā he ihu wai iki a he ʻū paha, ʻo ia ka mea maʻamau a RSV e hana ai. Akā i kekahi manawa, hiki i ka RSV ke hana i nā hōʻailona koʻikoʻi a pono e mālama ʻia i ka haukapila.

Akā e hoʻomanaʻo, ʻoiai inā ʻoe e noho i ka haukapila no kekahi mau lā, hoʻōla maikaʻi ka hapa nui o nā pēpē a me nā keiki. Mai hopohopo, e kiʻi i ka ʻōlelo aʻoaʻo lapaʻau e pono ai, a mālama pono i kāu keiki. Hiki i kāu kauka keiki ke haʻi hou aku iā ʻoe e pili ana i ka mea e manaʻo ai a pehea e mālama ai i kāu keiki i ke olakino e like me ka hiki i kēia maʻi hanu. ʻOi aku ka maikaʻi o ke kamaʻilio ʻana me ke kauka no ka ʻōlelo aʻoaʻo.

ʻO RSV, Respiratory Syncytial Virus, nā pēpē, nā keiki, anu, ke kuni, paʻakikī i ka hanu ʻana, ka maʻi pneumonia, bronchiolitis, RSV, maʻi hanu, nā maʻi kamaliʻi, nā kamaliʻi liʻiliʻi, anu, nā pilikia hanu, nā maʻi māmā