Rubella (German Measles): Nā mea e pono ai i nā makuahine hāpai a me nā keiki ke ʻike

Makaʻu nā mākuahine a me nā makuakāne a pau ke ʻike koke lākou i kahi ʻulaʻula ma ke kino o kā lākou keiki liʻiliʻi, ʻeā? Hopohopo lākou e pili ana i ka maʻi ʻūlū, ka moa moa, a i ʻole kekahi maʻi ʻē aʻe. I kēia lā, e kamaʻilio mākou e pili ana i kahi maʻi e hoʻoulu ai i ka ʻūlū, akā ʻaʻole nui ka poʻe e kamaʻilio e pili ana, a he mea weliweli loa ia, ʻoiai no nā makuahine hāpai. ʻO ia ʻo Rubella. Ua kapa pū kekahi poʻe iā ia he "German measles."

I ka ʻōlelo maʻalahi, he aha ʻo Rubella?

He maʻi lele ʻo Rubella i hoʻokumu ʻia e kahi maʻi i kapa ʻia ʻo RuV . ʻO kona hōʻailona nui he ʻulaʻula ʻulaʻula e kū mai ana ma ke kino. Hoʻomaka pinepine kēia ʻulaʻula ma ka maka a laha i ke kino holoʻokoʻa i loko o ʻekolu lā. ʻO ia ke kumu i kapa ʻia ai e kekahi poʻe he "measles ʻekolu lā."

Akā, ʻo ka mea nui ma ʻaneʻi, ʻoiai ua kapa ʻia ʻo "German measles", ʻaʻole ia ka measles a mākou i ʻike pinepine ai. Hoʻokumu ʻia nā maʻi ʻelua e nā ʻano virus ʻelua like ʻole. ʻAʻole maʻamau ka maʻi koʻikoʻi ʻo Rubella inā loaʻa ia i kahi keiki ʻōpio. Eia nō naʻe, inā loaʻa i kahi makuahine hāpai kēia maʻi, hiki iā ia ke loaʻa nā hopena koʻikoʻi loa i ka pēpē i loko o ka ʻōpū. E nānā kākou iā ia me nā kikoʻī hou aku.

ʻO ka ʻaoʻao weliweli loa o ka rubella: Congenital Rubella Syndrome (CRS)

ʻO kēia ke ʻano koʻikoʻi a weliweli loa o ka rubella. I ka ʻōlelo maʻalahi, inā loaʻa ka rubella i ka makuahine i ka wā hāpai, hiki ke hoʻoili ʻia ka maʻi mai ka makuahine i kāna pēpē i loko o ka ʻōpū. ʻO kēia ka mea a mākou e kapa nei he Congenital Rubella Syndrome (CRS) .

Inā loaʻa i ka makuahine ka rubella i ka trimester mua o ka hāpai ʻana, ua pilikia nui ka pēpē i ka loaʻa ʻana o CRS, hiki ke hoʻopilikia i ke olakino koʻikoʻi i ka wā hānau.

He aha nā pilikia e hiki ke loaʻa i kahi pēpē i hānau ʻia me CRS?

Hiki i kahi keiki i hānau ʻia me kēia maʻi ke loaʻa i hoʻokahi a ʻoi aku paha nā pilikia i ka wā hānau.

He aha nā hōʻailona maʻamau o ka rubella?

I ka hapanui o nā hihia, ʻo ka hōʻailona mua o ka rubella i nā keiki ʻōpio he ʻulaʻula. Eia nō naʻe, i nā pākeke a me nā keiki ʻōpio, hiki ke ʻike ʻia nā hōʻailona ʻē aʻe i kekahi mau lā ma mua o ka ʻike ʻia ʻana o ka ʻulaʻula. ʻO ka mea kupanaha, ma kahi o 50% o ka poʻe i loaʻa i ka maʻi ʻaʻole lākou e loaʻa i kekahi mau hōʻailona. Eia nō naʻe, inā ʻaʻohe o lākou mau hōʻailona, ​​​​hiki nō iā lākou ke hoʻolaha i ka maʻi i nā poʻe ʻē aʻe.

Eia nā hōʻailona i ʻike pinepine ʻia:

• ʻUlaʻula: Hoʻomaka ma ka maka a pālahalaha i lalo.
• Mahana kino: ʻAʻole kiʻekiʻe loa, he kuni iki wale nō.
• ʻEha poʻo
• Maka ʻulaʻula
• Ihu wai , e like me ke anu
• ʻEha ka ʻāʻī a me ke kuni
• Nā puka lymph pehu: Nā puka lymph pehu, ʻoi aku hoʻi ma hope o nā pepeiao a ma ka ʻāʻī.
• ʻEha hui: He mea maʻamau kēia i waena o nā wahine ʻōpio.
• Malaise

Pehea e laha ai kēia maʻi? Pehea ka lōʻihi o kona laha ʻana?

He maʻi laha maʻalahi ʻo Rubella mai ke kanaka a i ke kanaka. Hoʻolaha ʻia ka maʻi ma o nā kulu liʻiliʻi i hoʻokuʻu ʻia i ka wā e ʻū ai a ʻūhā paha ka mea maʻi, a hiki i ke kanaka olakino ke loaʻa i ka maʻi ma ka hanu ʻana i ka ea. Hiki nō hoʻi ke laha ma ka hoʻopā ʻana i kahi ʻili i loaʻa ka maʻi ma luna a laila hoʻopā i ko lākou ihu, waha, a i ʻole nā ​​maka.

He aha ka mea e hōʻike ai ka hoʻāʻo rubella i ka wā hāpai?

Inā ʻoe e hoʻolālā ana e hāpai, a i ʻole ua hāpai mua ʻoe, e noi paha kāu kauka iā ʻoe e hana i kahi hoʻāʻo koko no ka rubella. Nānā kēia e ʻike inā he mau antibodies i loko o kou kino e hiki ke hakakā i ka maʻi rubella.

• Inā "Positive" ka hopena o ka hoʻāʻo: ʻO ia hoʻi, he mau antibodies kou i loko o kou kino. ʻO ia hoʻi, ua loaʻa iā ʻoe ka rubella ma mua, a i ʻole ua loaʻa iā ʻoe ka lāʻau pale rubella (MMR). He mea maikaʻi kēia! ʻO ia hoʻi, ua palekana ʻoe mai ka rubella, no laila ua haʻahaʻa loa ka pilikia o ka loaʻa ʻana o ka maʻi i ka wā hāpai.
• Inā "Negative" ka hopena o ka hoʻāʻo: ʻO ia hoʻi, ʻaʻohe ou antibodies e kūʻē i ka rubella. ʻO ia hoʻi, aia ʻoe i ka pilikia o ka loaʻa ʻana o ka maʻi. Inā ʻaʻole ʻoe hāpai, e aʻo aku kāu kauka iā ʻoe e kiʻi i ka lāʻau pale MMR. Pono ʻoe e pale i ka hāpai ʻana no hoʻokahi mahina ma hope o ka loaʻa ʻana o ka lāʻau pale. Inā ua hāpai mua ʻoe, pono ʻoe e noho mamao loa mai nā wahi i loaʻa ai nā maʻi rubella.

ʻIke a me ka mālama ʻana i ka rubella

Inā loaʻa iā ʻoe a i ʻole kāu keiki nā hōʻailona o ka rubella, e ʻike pono i ke kauka. E nānā ke kauka iā ʻoe, e nānā i ka ʻulaʻula, a e nīnau e pili ana i kāu mau hōʻailona e hoʻāʻo ai e ʻike i ka maʻi. Hiki iā lākou ke hana i nā hoʻokolohua e like me kēia e hōʻoia i ka hōʻailona:

• Nā hoʻāʻo koko: E nānā i nā pae antibody.
• He hoʻāʻo swab i lawe ʻia mai ka ihu a i ʻole ka puʻu
• He hoʻāʻo mimi

Pehea e mālama ʻia ai?

ʻAʻohe lāʻau lapaʻau kūikawā e pepehi i ka maʻi rubella. He maʻi kēia e hoʻopau pinepine ʻia i loko o kekahi mau lā. ʻO ka mea hiki iā mākou ke hana, ʻo ia ke kāohi i nā hōʻailona.

• Hiki iā ʻoe ke lawe i kahi lāʻau ʻeha e like me Paracetamol no ke kuni a me ka ʻeha. Akā e nīnau mau i ke kauka ma mua o ka hāʻawi ʻana i kekahi lāʻau lapaʻau i kahi keiki.
• E inu i ka nui o ka wai a me nā wai.
• E hoʻomaha maikaʻi.
• I mea e pale ai i ka laha ʻana o ka maʻi i nā poʻe ʻē aʻe, e hoʻokaʻawale iā ʻoe iho mai nā poʻe ʻē aʻe no hoʻokahi pule ma hope o ka ʻike ʻia ʻana o ka ʻulaʻula.

ʻO ke ala maikaʻi loa e pale aku ai i ka rubella: ka lāʻau pale MMR

ʻO ka lāʻau pale ka ala maikaʻi loa, palekana, a me ka hopena maikaʻi loa e pale aku ai i ka rubella. Hāʻawi ʻia nā keiki i ka lāʻau pale MMR ma lalo o ka Polokalamu Hoʻopili Lahui ma Sri Lanka.

• Palekana MMR: Mālama kēia i nā maʻi ʻekolu: ka maʻi ʻūlū, ka ʻūlū ʻōpū, a me ka rubella.
• Palekana MMRV: Hoʻohana ʻia kēia palekana ma kekahi mau ʻāina. Ma waho aʻe o ka MMR, pale pū ia i ka maʻi moa (Varicella/Chickenpox).

Wahi a ka papa hana hoʻopili aupuni ma Sri Lanka, hāʻawi pinepine ʻia ke keiki i ka mahele mua o MMR i ka 9 mahina o ka makahiki a me ka lua o ka mahele i ka 3 makahiki. ʻO ka hoʻopau ʻana i nā mahele ʻelua o kēia mau lāʻau pale e hāʻawi i ka palekana kokoke i ke ola holoʻokoʻa mai ka rubella.

ʻO wai ka mea pono ʻole ke loaʻa i ka lāʻau pale MMR?

ʻAʻole ʻōlelo ʻia nā kānaka ma lalo nei e kiʻi i ka lāʻau pale MMR. E kamaʻilio me kāu kauka e pili ana i kēia.

• ʻO nā kānaka i loaʻa ka maʻi allergies koʻikoʻi i nā mea a pau i loko o ka lāʻau pale.
• Nā wahine hāpai.
• ʻO ka poʻe i hoʻonāwaliwali ʻia ko lākou ʻōnaehana pale ma muli o nā maʻi e like me ka HIV/AIDS, ke kanesa, a i ʻole nā ​​​​lāʻau lapaʻau a lākou e lawe nei.
• Nā kānaka me ka maʻi puʻupuʻu.
• ʻO ka poʻe i loaʻa koke i ke koko.

Āhea ʻoe e ʻike ai i ke kauka?

Inā kānalua ʻoe he mau hōʻailona o ka rubella kāu a i ʻole kāu keiki, e ʻike koke i ke kauka. ʻOi loa aku inā hāpai ʻoe a ua pili ʻoe i kekahi me ka rubella a inā paha ua ulu kahi ʻulaʻula, mai hoʻokaʻulua.

Āhea ʻoe e hele ai i ka Emergency Treatment Unit (ETU)?

Inā he wahine hāpai ʻoe a loaʻa iā ʻoe kekahi a ʻoi aku paha o nā hōʻailona ma lalo nei, e hele koke i ka haukapila kokoke loa i ka Emergency Department (ETU):

• Ke kahe koko nui
• ʻEha nui o ka ʻōpū
• Kuni a me nā anu

He mau hōʻailona paha kēia o ka hāʻule ʻana o ka pēpē. Hiki iā Rubella ke hoʻoulu i ka hāʻule ʻana o ka pēpē.