Ua kamaʻāina kēlā me kēia wahine e hāpai ana i kahi pēpē, a me kā mākou poʻe liʻiliʻi, i ka inoa ʻo 'Rubella'. Ua kapa pū kekahi poʻe iā ia ʻo 'German measles'. He maʻi viral ia. No laila i kēia lā ke kamaʻilio nei mākou e pili ana i ka lāʻau pale a mākou e hāʻawi ai e pale aku i kēia maʻi, ʻo Rubella. He kumuhana koʻikoʻi loa kēia, ʻoiai no kā mākou hanauna olakino e hiki mai ana.
I ka ʻōlelo maʻalahi, he aha kēia lāʻau pale rubella?
He pale pale ka Rubella Virus Vaccine Live e kōkua iā mākou e pale i nā maʻi i hoʻokumu ʻia e ka maʻi rubella. ʻO ka maʻamau, inā loaʻa i ke kanaka olakino ka rubella, ʻaʻole ia he mea koʻikoʻi loa. Hoʻōla ia me kahi kuni iki a me kahi ʻulaʻula.
Eia nō naʻe, inā loaʻa i kahi makuahine hāpai ka rubella i nā mahina mua o ka hāpai ʻana, hiki iā ia ke loaʻa nā hopena koʻikoʻi loa i ke keiki i hānau ʻole ʻia. Ua kapa ʻia kēia maʻi ʻo 'Congenital Rubella Syndrome'.
Hiki i kēia ke alakaʻi i nā pilikia koʻikoʻi e like me ka maʻi puʻuwai hānau, nā pilikia ʻike (e like me ke cataracts), nā pilikia lohe (kuli), a me nā pilikia ulu lolo. No ka pale ʻana i kēia mau kūlana weliweli ke hāʻawi nei mākou i kēia lāʻau pale. Ma lalo o ka papahana lāʻau pale aupuni o ko mākou ʻāina, hāʻawi pinepine ʻia i nā keiki ma ke ʻano he ʻāpana o ka lāʻau pale MMR (measles, mumps, a me rubella).
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka loaʻa ʻana o ka lāʻau pale
Ma mua o ka loaʻa ʻana o kēia lāʻau pale, he mea nui loa ia e hāʻawi i kāu kauka i ka wehewehe piha ʻana i kou kūlana olakino, no ka mea, aia kekahi mau hihia kahi i kūpono ʻole ai kēia lāʻau pale.
| Inā loaʻa iā ʻoe kēia mau kūlana ... | E ʻoluʻolu e hoʻomaopopo i ke kauka. |
|---|---|
| Inā hāpai ʻoe a i ʻole e hoʻāʻo nei e hāpai | He mea nui loa kēia. Pono ʻoe e pale i ka hāpai ʻana no 3 mau mahina ma hope o ka loaʻa ʻana o ka lāʻau pale. |
| Ka wela a i ʻole kekahi maʻi lele | Pono paha e hoʻopanee ʻia ka lāʻau pale a hiki i ka hoʻoponopono ʻana o kahi maʻi olakino. |
| Nā nāwaliwali o ka ʻōnaehana pale | Inā loaʻa iā ʻoe nā maʻi e like me ka HIV/AIDS a i ʻole ke lawe nei ʻoe i nā lāʻau lapaʻau e hoʻopau i ka ʻōnaehana pale. |
| Ua emi ka helu o nā ʻāpana koko | Inā haʻahaʻa ka helu o nā keʻokeʻo koko, nā keʻokeʻo koko ʻulaʻula, a i ʻole nā platelets. |
| ʻO ka maʻi puʻupuʻu | Inā loaʻa iā ʻoe ka maʻi puʻupuʻu a i ʻole e mālama ʻia ana. |
| Nā maʻi ʻaleka | Inā he maʻi ʻoe i nā lāʻau pale ʻē aʻe, neomycin (he antibiotic), gelatin , sorbitol , nā huahana pipi, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai a i ʻole nā mea mālama. |
| Inā he makuahine hānai ʻoe | He mea nui e kamaʻilio pū me kāu kauka e pili ana i kēia. |
Pehea e hāʻawi ai i ka lāʻau lapaʻau a me nā mea nui ʻē aʻe
Hāʻawi ʻia kēia lāʻau pale ma ke ʻano he inikini ma lalo o ka ʻili e kekahi loea mālama ola. ʻAʻole ʻoe e hāʻawi ʻia i kēia e lawe i ka home, e hāʻawi ʻia ma ke keʻena lapaʻau.
ʻO ka maʻamau, hāʻawi ʻia kēia lāʻau pale i nā keiki ma luna o 12 mau mahina. Eia nō naʻe, i kekahi mau hihia kūikawā, hiki i ke kauka ke hoʻoholo e hāʻawi iā ia i nā keiki ʻōpiopio. Aia ia i ke kūlana olakino o ke keiki.
He aha inā e hala iaʻu kahi mahele o ka lāʻau pale?
Mai poina i kāu mau lā hoʻopili i hoʻonohonoho ʻia. Inā no kekahi kumu ʻaʻole hiki iā ʻoe ke hele i kāu lā i hoʻonohonoho ʻia, e kamaʻilio me kāu kauka i ka wā hikiwawe loa a loaʻa ka ʻōlelo aʻoaʻo no ka lā maikaʻi e hiki mai ana.
Nā lāʻau lapaʻau ʻē aʻe e launa pū me ka lāʻau pale
Inā ʻoe e lawe nei i ka lāʻau lapaʻau no nā maʻi ʻē aʻe, pono ʻoe e haʻi i kāu kauka e pili ana i ia mea, no ka mea, hiki i kekahi mau lāʻau lapaʻau ke hoʻopilikia i ka pono o kēia lāʻau pale.
- Nā lāʻau lapaʻau immunosuppressant (e.g. adalimumab, infliximab)
- ʻO Chemotherapy (nā lāʻau lapaʻau i hoʻohana ʻia no ka maʻi kanesa)
- Nā lāʻau lapaʻau ʻano steroid (e like me ka prednisone a i ʻole cortisone)
- Nā Immunoglobulins
- Nā ʻano lāʻau pale ʻē aʻe
He mea nui loa e hoʻomaopopo i kāu kauka e pili ana i nā huaora a me nā lāʻau lapaʻau kuʻuna (nā mea kanu) āu e lawe nei.
Nā mea e makaʻala nui ai ma hope o ka loaʻa ʻana o ka lāʻau pale
E hoʻolohe pono i kēia mau mea.
1. E pale i ka hāpai ʻana: ʻO kēia ka mea nui loa. E pale i ka hāpai ʻana no kekahi kumu no 3 mau mahina ma hope o ka loaʻa ʻana o ka lāʻau pale. Loaʻa i kēia lāʻau pale kahi maʻi ola, akā nāwaliwali. No laila, inā hāpai ʻoe i loko o kēia manawa, he kakaikahi loa ka manawa e hoʻopilikia ai i ka pēpē i loko o ka ʻōpū. Hāʻawi ʻia kēia ʻōlelo aʻoaʻo e pale loa i kēlā pilikia.
2. Palekana piha: E like me nā lāʻau pale āpau, ʻaʻole paha e hāʻawi kēia lāʻau pale i ka palekana 100% no nā mea āpau. Eia nō naʻe, hiki i ka loaʻa ʻana o ka lāʻau pale ke hōʻemi nui i ka pilikia o ka loaʻa ʻana o ka maʻi a me kona mau pilikia.
3. Hoʻāʻo ʻIli Tuberculin: Inā ua hoʻonohonoho ʻia ʻoe e hana i kahi hoʻāʻo ʻili no ka maʻi puʻupuʻu, mai hana ʻia i ka manawa like me kēia lāʻau pale. Hiki i kēia lāʻau pale ke hoʻopilikia i nā hopena o ka hoʻāʻo ʻili. E kūkākūkā me kāu kauka e pili ana i kēia.
4. Hoʻoili koko: Inā ua loaʻa iā ʻoe ke koko a i ʻole ka plasma, a i ʻole ua loaʻa iā ʻoe kahi inikini immunoglobulin, e haʻi i kāu kauka ma mua o ka loaʻa ʻana o ka lāʻau pale, no ka mea, hiki i kēia ke hōʻemi i ka pono o ka lāʻau pale.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki i kēia lāʻau pale ke hana i nā hopena ʻaoʻao liʻiliʻi. Eia nō naʻe, he kakaikahi loa nā hopena ʻaoʻao koʻikoʻi. He mea nui e ʻike i ka ʻokoʻa ma waena o nā mea ʻelua.
| Nā hopena ʻaoʻao koʻikoʻi e pono ai ke kōkua koke ʻana o ke kauka | |
|---|---|
| Ka hopena maʻi ʻaleka koʻikoʻi (pehu ʻana o ka maka, lehelehe, alelo, ʻulaʻula ʻili koʻikoʻi, maneʻo) | Paʻakikī ka hanu ʻana |
| Nā loli o ka lohe a i ʻole ka ʻike | Ke kuni ma luna o 102 kekelē F (38.9 C) |
| Nā loli koʻikoʻi i ke ʻano, ka nāwaliwali, a me ka hāʻule ʻana | ʻO ka ʻeha a i ʻole ke kahe koko maʻamau ʻole |
| ʻEha, mae, a me ke kani ʻana ma nā lālā | ʻEha hui (ʻeha Arthritis) |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike i ke kauka inā hoʻomau lākou: | |
| ʻEha, pehu, ʻulaʻula ma kahi i inikini ʻia | He kuni haʻahaʻa ma lalo o 102 kekelē F |
| ʻEha kino, manaʻo nāwaliwali | ʻEha ka ʻāʻī, ka ʻū , ka leo honi |
| Ka luaʻi ʻana, ka nausea, ka ʻai ʻana | Ka pehu ʻana o ke kuʻekuʻe wāwae |
Inā loaʻa iā ʻoe kekahi mau hōʻailona maʻi ʻaleka koʻikoʻi, e hele koke i ka ʻOihana Pōpilikia (ETU) o ka haukapila kokoke loa. Inā manaʻo ʻoe he overdose ka lāʻau pale, e kāhea koke i ke Kikowaena ʻIke Lahui no nā Poisons ma ka Halemai Lahui ʻo Colombo .
Leka Lawe-Home
- Pale aku ka lāʻau pale rubella i ka maʻi ʻūlū Kelemania, a he mea nui ia e pale i ke keiki i hānau ʻole ʻia mai nā kīnā hānau koʻikoʻi, ʻoiai i ka wā hāpai.
- Ma mua o ka loaʻa ʻana o ka lāʻau pale, e haʻi piha i kāu kauka e pili ana i kou mau kūlana olakino a pau, nā maʻi allergies, a me nā lāʻau lapaʻau a pau āu e lawe nei.
- He mea nui loa: E pale loa i ka hāpai ʻana no 3 mau mahina ma hope o ka lāʻau pale.
- ʻOiai he mea maʻamau nā hopena ʻaoʻao liʻiliʻi (ke kuni haʻahaʻa, ʻeha kino), e ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe nā hōʻailona maʻi ʻaleka koʻikoʻi (paʻakikī ka hanu ʻana, pehu ʻana o ka maka).
- E hahai mau i nā ʻōlelo aʻo a kāu kauka. Inā he mau hopohopo kāu, e kamaʻilio me kāu kauka ma kahi o ka hilinaʻi wale ʻana i ka ʻike ma ka pūnaewele.
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