Ke anu pinepine nei kāu pēpē? E kamaʻilio kākou e pili ana i ka RSV (Respiratory Syncytial Virus)!

Loaʻa pinepine anei i kāu keiki liʻiliʻi ke anu a me ke kuni a lōʻihi ka manawa e hoʻōla ai? I kekahi manawa, ʻaʻole ia he anu maʻamau wale nō. I kēia lā, e kamaʻilio mākou e pili ana i kahi maʻi i loaʻa i nā poʻe he nui, ʻoi aku hoʻi nā pēpē ʻōpio, akā ʻaʻole mākou e kamaʻilio nui e pili ana. ʻO ia ka RSV, a i ʻole `(Respiratory Syncytial Virus)`. Mai hopohopo, e kamaʻilio maʻalahi mākou e pili ana i kēia, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.

He aha ka RSV (Respiratory Syncytial Virus)?

I ka ʻōlelo maʻalahi, he maʻi ka RSV e hoʻopilikia i ko kākou ʻōnaehana hanu . Hiki iā ia ke hana i nā hōʻailona e like me ke anu, a i kekahi manawa hiki ke koʻikoʻi loa. E noʻonoʻo wale, he mea maʻamau kēia maʻi a kokoke i kēlā me kēia pēpē e loaʻa iā ia ma ka liʻiliʻi hoʻokahi ma mua o ko lākou mau makahiki ʻelua . Eia naʻe, ʻaʻole mau loa ka palekana a mākou e loaʻa ai mai ka loaʻa ʻana i hoʻokahi manawa. ʻO ia hoʻi, hiki iā mākou ke loaʻa iā RSV i nā manawa he nui i ko mākou ola.

Lohe pinepine mākou he paʻakikī i nā pēpē ke loaʻa i ka RSV. He ʻoiaʻiʻo kēlā. No ka mea, ʻaʻole i hoʻomohala piha ʻia nā ʻōnaehana pale o nā pēpē. Eia kekahi, he liʻiliʻi loa ko lākou mau ala ea , no laila ke komo mai kēia maʻi, hiki ke pehu koke a paʻakikī ke hanu.

Hiki i nā pākeke a me nā keiki o nā makahiki āpau ke loaʻa i ka RSV. Akā no nā pākeke, hele pinepine ia e like me ke anu a nalowale iā ia iho. Eia nō naʻe, pono e akahele iki ka poʻe ma luna o 65 a me ka poʻe me nā ʻōnaehana pale nāwaliwali (ʻo ia hoʻi, ʻaʻole hiki iā lākou ke pale aku i ka maʻi). Aia lākou i ka pilikia o ka maʻi nui mai ia mea. I kekahi manawa, hiki iā ʻoe ke loaʻa i ʻelua manawa i ka makahiki hoʻokahi.

He aha nā hōʻailona o ka RSV?

Hiki ke ʻokoʻa nā hōʻailona o ka RSV mai kēlā kanaka a kēia kanaka. ʻO nā hōʻailona maʻamau:

• Kuke
• Ka paʻakikī o ka hanu ʻana (ʻoi aku hoʻi i nā pēpē ʻōpio, me he mea lā e kū ana ka hanu no kekahi manawa)
• Ihu wai a i ʻole ka ihu paʻa
• Ke kunu ʻana
• ʻeha ka ʻāʻī
• ʻEha poʻo (ʻeha poʻo)
• Luhi, luhi
• kuni
• Makemake nui

ʻOkoʻa iki paha ke ʻano o kēia mau hōʻailona no nā pēpē a me nā keiki ʻuʻuku loa. Hiki iā lākou ke uē, hoʻōho, a oki paha i ka pāʻani . Inā ʻaʻole i piha ka makahiki o kāu pēpē a loaʻa iā ia kekahi o kēia mau hōʻailona, ​​e ʻike pono i ke kauka.

Āhea mākou e hele koke ai i ka haukapila?

I kekahi manawa hiki ke koʻikoʻi kēia. Inā loaʻa iā ʻoe a i ʻole kāu pēpē kekahi o kēia mau hōʻailona, ​​e hele koke i ka lumi pilikia o ka haukapila :

• Inā paʻakikī loa ka hanu ʻana, inā manaʻo ʻoe e like me ʻoe e ʻūlū ana.
• Inā lohe ʻoe i ke kani ʻana o ka hanu ʻana.
• Inā polū a hina paha ka ʻili, nā lehelehe, a me nā kui.
• Ke hanu nā pēpē liʻiliʻi, hele i loko ka ʻili ma waena o nā iwi ʻaoʻao o ka umauma (retractions).
• Inā nui aʻe ka puka ihu i kou hanu ʻana, he "flaring" ia.
• Inā wikiwiki loa kou hanu ʻana, pāpaʻu, a inā paha e oki pinepine ʻoe i ka hanu ʻana.

Inā loaʻa iā ʻoe kēia mau hōʻailona koʻikoʻi, mai hoʻonele i ka manawa a e ʻike koke i ke kauka. ʻO ia ka mea nui loa.

Pehea e laha ai ka RSV?

He maʻi ka RSV i hoʻokumu ʻia e kahi virus, ʻaʻole he bacteria . No laila, ʻaʻole kōkua nā antibiotics. Penei ke ʻano o ka laha ʻana:

• Ma ka launa pū ʻana me kekahi mea i loaʻa i ka RSV.
• Mai nā kulu liʻiliʻi o ka lawai e komo i ka lewa i kou wā e ʻū ai a i ʻole e kihe ana.
• Inā ʻoe e hoʻopā i nā mea e like me nā mea pāʻani, nā papa ʻaina, nā ʻūpā puka, nā kelepona i haumia i ka maʻi a laila e hoʻopā i kou ihu, waha, a i ʻole nā ​​maka me ka lima hoʻokahi.

He maʻi lele loa ka RSV. Hiki iā ʻoe ke hoʻolaha i ka maʻi i nā poʻe ʻē aʻe no ka lōʻihi o kou loaʻa ʻana o nā hōʻailona, ​​ʻo ia hoʻi ʻekolu a ʻewalu lā. I kekahi manawa hiki iā ʻoe ke hoʻolaha i ka maʻi i hoʻokahi a ʻelua paha lā ma hope o ka ʻike ʻia ʻana o nā hōʻailona. Hiki i nā keiki ʻōpio a me nā poʻe me nā ʻōnaehana pale nāwaliwali ke hoʻolaha i ka maʻi a hiki i ʻehā pule ma hope o ka nalowale ʻana o nā hōʻailona. Hiki i ka maʻi ke ola ma nā ʻili paʻakikī e like me nā papa no nā hola.

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

ʻOiai ka hapa nui o ka poʻe e ho'ōla mai ka RSV, hiki i kekahi poʻe ke loaʻa nā pilikia, hiki ke hoʻolilo i ka hanu ʻana i mea paʻakikī.

• ʻO ka bronchitis
• Pneumonia
• ʻO Bronchiolitis (ʻoi aku ka maʻamau o kēia i nā pēpē ʻōpio)
• Ka hoʻonui ʻia ʻana o nā kūlana olakino mua e like me ka hānō, ka hānō puʻuwai congestive, a i ʻole ka maʻi pulmonary obstructive mau loa (COPD).
• Ka hāʻule ʻana o ka hanu
• Ua emi ka nui o ka oxygen i loko o ke koko (Hypoxia)
• Dehydration (nele i ka wai i loko o ke kino)
• Nā maʻi pepeiao

ʻO wai ka mea i pilikia nui loa mai ka RSV?

ʻOiai hiki i kekahi ke loaʻa i ka RSV, ʻoi aku ka nui o ka maʻi o kekahi poʻe mai ia mea:

• Nā pēpē hānau mua a me nā keiki ma lalo o 2 mau makahiki : He liʻiliʻi ko lākou mau ala ea a hiki ke ālai koke ʻia.
• ʻO nā kānaka ma luna o 65 mau makahiki .
• ʻO nā kānaka me nā ʻōnaehana pale maʻi nāwaliwali (e laʻa me nā mea e lawe ana i nā lāʻau lapaʻau maʻi kanesa, nā mea i loaʻa i ka maʻi HIV).
• ʻO nā kānaka me ka maʻi puʻuwai , me ka poʻe me 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 pēpē nā hōʻailona o ka RSV, hiki i ke kauka ke ʻike iā ia. ʻO ka maʻamau, pili kēia i ka lawe ʻana i kahi hāpana o ka mucus mai kou ihu me kahi swab pulupulu . I kekahi manawa, hiki ke hana ʻia kahi X-ray umauma e nānā i nā pilikia e like me ka pneumonia.

He aha nā lāʻau lapaʻau no ka RSV?

ʻAʻohe lāʻau lapaʻau kūikawā no ka RSV. E hoʻomanaʻo, he maʻi ia a ʻaʻole hiki ke ho'ōla ʻia me nā antibiotics. ʻO ka hapa nui o ka manawa, ʻo ka mea wale nō e pono ai, ʻo ia ka mālama ʻana i nā hōʻailona a kōkua i ke kino e hoʻōla.

Inā loaʻa iā ʻoe a i ʻole kāu pēpē kahi hihia koʻikoʻi o ka RSV, pono paha ʻoe e lawe ʻia i ka haukapila no ka mālama ʻana . Ma laila, hiki i nā kauka ke hana i nā mea e like me:

• Hoʻōla oxygen : E hāʻawi i ke kino i ka nui o ka oxygen e pono ai.
• Ka hāʻawi ʻana i nā wai ma o kahi aʻa koko (nā wai IV) : Kāohi i ka maloʻo ʻana o ka wai.
• Inā paʻakikī loa ka hanu ʻana, hiki ke hoʻohana ʻia ka ea hoʻouluulu mechanical (hoʻohui ʻana i kahi ventilator).

Āhea mākou e ʻike ai i ke kauka?

Inā loaʻa i kāu pēpē nā hōʻailona o ka RSV a ma lalo o 12 mau mahina, e ʻike pono i kahi pediatrician. Eia kekahi, e ʻike i ke kauka inā:

• Inā ʻaʻole i piha kāu pēpē i 3 mahina a he kuni ma luna o 38 kekelē Celsius (100.4 Fahrenheit) .
• Ke kuni ma luna o 40 degere Celsius (104 Fahrenheit) i kēlā me kēia makahiki.
• Inā hoʻomau a ʻoi aʻe paha nā hōʻailona ma hope o hoʻokahi pule .
• Inā he kahe e like me ka pus mai ka pepeiao, a inā paha e hoʻopā mau ana ka pēpē i kona pepeiao (he mau hōʻailona paha kēia o ka maʻi pepeiao).
• Inā manaʻo ʻoe e pilikia ana ʻoe i ka hanu ʻana, a inā paha e ʻū ana ʻoe me ka ikaika .
• Inā lohe ʻoe i ke kani ʻana o ka hanu ʻana.

Hiki i nā mākua ke mālama pinepine i nā hōʻailona ma ka home ke loaʻa iā lākou ka RSV. 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 hoʻāʻo ʻia a i ʻole he aha nā hōʻailona koʻikoʻi e hopohopo ai.

He aha nā mea hiki iā mākou ke hana ma ka home?

Inā loaʻa iā ʻoe nā hōʻailona maʻamau, hiki iā ʻoe ke loaʻa ka hōʻoluʻolu ma ka hana ʻana i kēia mau mea ma ka home:

• E hoʻohana i kahi mea hoʻohaʻahaʻa ea me ka noe anuanu : E maʻalahi kēia i ka hanu ʻana.
• E hoʻopili i ka saline nasal spray : E hōʻoluʻolu kēia i ka ʻū ʻana a me ka ihu paʻa.
• E hoʻomaʻemaʻe pono i ka ihu o kāu pēpē (suctioning) : Kōkua kēia i ka wehe ʻana i ka mucus.
• E inu i ka wai a me nā wai he nui : E pale i ka maloʻo ʻana o ka wai.
• E lawe i nā lāʻau lapaʻau ma luna o ke kauka kūʻai (OTC) : Hiki iā ʻoe ke lawe i kahi mea e like me ka acetaminophen a i ʻole ibuprofen no ke kuni a me nā ʻeha kino.

E hoʻomanaʻo mau, ʻoi aku ka maikaʻi o ke kūkākūkā ʻana me ke kauka ma mua o ka hāʻawi ʻana i kekahi lāʻau lapaʻau iā ʻoe a i kāu pēpē paha, ʻoi aku hoʻi i nā keiki ʻōpio.

He aha kā mākou e hana ai e pale aku iā mākou iho mai ka RSV?

ʻOiai ʻaʻole hiki iā mākou ke pale piha iā mākou iho mai ka RSV, aia kekahi mau mea e hiki iā mākou ke hana e hōʻemi i ka pilikia.

• Hiki i nā pēpē a hiki i ka 8 mahina a me kekahi mau keiki ʻōpio i pilikia nui ke loaʻa i kahi lāʻau pale i kapa ʻia ʻo monoclonal antibody immunization. Hāʻawi kēia iā lākou i nā antibodies e kōkua i ke kaua ʻana i ka maʻi RSV.
• Aia nā lāʻau pale RSV no nā wahine hāpai a me nā poʻe 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 ʻē aʻe hiki iā ʻoe ke hana:

• E holoi pinepine i kou mau lima : E holoi pono i kou mau lima me ke kopa 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 nā kau anu a me ka maʻi flu. 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 hope, e hoʻomanaʻo ...

He anu maʻamau ka RSV i hiki ke hele mai a hele aku i kekahi manawa, akā hiki ke ʻoi aku ka koʻikoʻi. ʻO ka mea nui loa, ʻo ia ka makaʻala i nā hōʻailona . Inā ʻoe a i ʻole kāu pēpē e manaʻo nei i kekahi mea ʻē, mai manaʻo he anu wale nō ia a e ʻike i ke kauka a i ʻole e hele i ka lumi pilikia. ʻO kou olakino a me ko kou ʻohana ka mea nui loa.

ʻO RSV, Respiratory Syncytial Virus, nā maʻi hanu, nā maʻi kamaliʻi, ke anu, ke kuni, nā maʻi lele, ka palekana, nā keiki ʻōpio