Ke hoʻomanaʻo nei ʻoe i nā pehu i puka mai ma kou kino a puni i kou wā kamaliʻi i ka wā i loaʻa ai iā ʻoe ka moa i kou wā kamaliʻi, a me ka maneʻo a me ka ʻoluʻolu ʻole? Manaʻo ka hapa nui o mākou ke hala ʻoe i ka moa, ua pau ka maʻi a ua nalowale loa ka maʻi mai kou kino. Akā, he ʻokoʻa iki ka ʻoiaʻiʻo. ʻAʻole haʻalele loa ka maʻi moa, a i ʻole Varicella-Zoster Virus, i ko mākou kino. Noho ia me ka hiamoe, a i ʻole ka hiamoe, i loko o kā mākou ʻōnaehana nerve no nā makahiki he nui. A laila, i ko mākou ʻelemakule ʻana a i ʻole ka nāwaliwali o kā mākou ʻōnaehana pale, hiki i kēia maʻi huna ke ala hou. ʻO ia ka manawa e kū mai ai ka maʻi ʻeha i kapa ʻia ʻo herpes zoster (shingles).
He aha maoli ka herpes zoster (shingles)?
I ka ʻōlelo maʻalahi, ʻo ka herpes zoster ka lua o ka puka ʻana o ka maʻi chickenpox. I kēia manawa, ʻaʻole ia e like me ka chickenpox, akā ʻoi aku ka ʻino.
ʻO ka maʻamau, hoʻoulu kēia maʻi i ka pehu ʻana o ka ʻili, pinepine ma ke ʻano like me ke kāʻei, ma kekahi ʻaoʻao o ke kino. Hiki i kēia ʻeha ke like me ke kuni ʻana a i ʻole ka haʻalulu uila. Hiki i kekahi poʻe ke loaʻa ka ʻeha o ke aʻalolo ma kahi like no nā mahina a i ʻole nā makahiki ma hope o ka ho'ōla ʻana o ka ʻulaʻula (kahi kūlana i kapa ʻia ʻo "Postherpetic Neuralgia"). ʻO kēia kekahi o nā pilikia weliweli loa o kēia maʻi.
E noʻonoʻo, inā e hamo ana kahi ʻāpana lole i kou kino a ʻike ʻoe i ka ʻeha hiki ʻole ke hoʻomanawanui? ʻO ia ke ʻano o kēia maʻi. I kekahi mau hihia, inā loaʻa kēia pōʻino i nā maka, hiki iā ia ke alakaʻi i ka nalowale o ka ʻike, a inā loaʻa i nā pepeiao, hiki iā ia ke alakaʻi i ka hōʻino ʻana o ka lohe. No laila, ʻaʻole kēia he maʻi e lawe māmā ʻia.
E aʻo kākou e pili ana i ka lāʻau pale (Shingrix) no kēia.
ʻO ka mea pōmaikaʻi, aia i kēia manawa kahi lāʻau pale kūpono loa e pale aku ai i kēia maʻi weliweli. ʻO ka inoa o kēlā lāʻau pale ʻo 'Shingrix'.
- Loaʻa ka pono: ʻOi aku ka maikaʻi o kēia lāʻau pale ma mua o 90% i ka pale ʻana i ka herpes zoster.
- Palekana: Ua hōʻoia ʻia i kēia manawa ua hāʻawi ʻia ka palekana maikaʻi no ka liʻiliʻi he 7 mau makahiki ma hope o ka loaʻa ʻana o ka lāʻau pale.
- ʻElua mahele: I mea e palekana piha ai, pono ʻoe e loaʻa i ʻelua mahele o kēia lāʻau pale. Pono e hāʻawi ʻia ka mahele mua a ʻo ka lua o ka mahele e hāʻawi ʻia ma waena o 2 a me 6 mau mahina ma hope o ka mahele mua.
ʻOiai he lāʻau pale ʻē aʻe i kapa ʻia ʻo 'Zostavax' ma mua, ʻo ka lāʻau pale ʻo 'Shingrix' i kēia manawa ka lāʻau pale i ʻōlelo nui ʻia ma ka honua. No ka mea, he lāʻau pale ʻo 'Shingrix' i hana ʻia me ka hoʻohana ʻana i kahi ʻāpana i hoʻopau ʻia o ka maʻi, ʻoi aku ka palekana a me ka maikaʻi. Paipai nā kauka iā ʻoe e kiʻi i ka lāʻau pale ʻo 'Shingrix' ʻoiai inā ua loaʻa iā ʻoe ka lāʻau pale ʻo 'Zostavax' ma mua.
ʻO wai ka mea nui loa e loaʻa i kēia lāʻau pale?
E nānā pono kākou i ka mea kūpono no kēia lāʻau pale. Hiki iā ʻoe ke hoʻomaopopo maʻalahi iā ia mai ka papa ma lalo nei.
| Hui o nā kānaka | ʻŌlelo Aʻo Lapaʻau |
|---|---|
| Nā kānaka olakino ma luna o 50 mau makahiki | Paipai nui ʻia. Piʻi ka pilikia i ka wā e emi maoli ai ka palekana me ka ʻelemakule. |
| Nā kānaka ma luna o 19 mau makahiki, nā maʻi pale kino | Paipai nui ʻia. ʻOi aku ka nui o ka pilikia no ka poʻe me nā maʻi e like me ke kanesa, ka maʻi HIV, a i ʻole ka poʻe e lawe ana i nā immunosuppressants. |
| ʻO nā kānaka i loaʻa mua i ka herpes zoster (shingles) | ʻAe, ua ʻōlelo ʻia. Hiki i kēia maʻi ke hoʻi hou mai. Hoʻemi nui ka lāʻau pale i kēlā pilikia. |
| ʻO ka poʻe i hoʻomanaʻo ʻole i ka loaʻa ʻana o ka moa i ko lākou wā kamaliʻi | ʻAe, ua ʻōlelo ʻia. Ma kahi o 99% o ka poʻe i loaʻa i ka maʻi puʻupuʻu i ko lākou wā kamaliʻi (ʻoiai inā ʻaʻole lākou e hōʻike i nā hōʻailona). No laila hiki i ka maʻi ke noho i loko o ke kino. |
ʻO wai ka mea pono ʻole ke kiʻi i ka lāʻau pale?
ʻAʻole kūpono kēia lāʻau pale no nā kānaka a pau. Pono ʻoe e pale i ka loaʻa ʻana o kēia lāʻau pale ma nā kūlana aʻe:
- Nā Maʻi ʻAleka Koʻikoʻi: Inā ua loaʻa iā ʻoe kahi hopena maʻi ʻaleka koʻikoʻi (anaphylaxis) i kahi lāʻau pale ma mua, e like me ka paʻakikī o ka hanu ʻana a i ʻole ka pehu ʻana o ka waha a i ʻole ka puʻu, mai kiʻi i kēia lāʻau pale. Eia kekahi, e haʻi i kāu kauka inā he maʻi ʻoe i kekahi o nā mea hoʻohui i loko o ka lāʻau pale Shingrix.
- Ke kūlana olakino o kēia manawa: Inā loaʻa iā ʻoe ka herpes zoster, a i ʻole ke ʻeha nei ʻoe i kahi maʻi ʻē aʻe e like me ka maʻi palū, e kali a hoʻopau loa ʻia kēlā maʻi ma mua o ka loaʻa ʻana o ka lāʻau pale.
- Nā makuahine hāpai a me nā makuahine hānai:Inā hāpai ʻoe a hānai waiū paha, mai kiʻi i ka lāʻau pale i kēia manawa. E kamaʻilio me kāu kauka e pili ana i ka kiʻi ʻana i ka lāʻau pale ma hope o kou hoʻōki ʻana i ka hānai waiū.
- ʻO ka poʻe i loaʻa ʻole i ka maʻi moa: He mea kākaʻikahi loa, inā hōʻoia kahi hoʻāʻo koko ʻaʻole ʻoe i loaʻa i ka maʻi moa (`VZV`), ʻaʻole pono ʻoe e kiʻi i kēia lāʻau pale, akā ʻo ka lāʻau pale e pale aku ai i ka maʻi moa (`Chickenpox vaccine`).
He aha nā hopena ʻaoʻao o ka lāʻau pale? Pono anei au e makaʻu?
E like me nā lāʻau pale āpau, hiki ke loaʻa nā hopena ʻaoʻao liʻiliʻi ma hope o ka loaʻa ʻana o ka lāʻau pale Shingrix. Eia naʻe, ʻaʻohe mea e hopohopo ai. Nalo loa kēia mau mea i loko o 2-3 mau lā.
- ʻUlaʻula, pehu, a me ka ʻeha ma kahi i inikini ʻia.
- ʻEha poʻo
- ʻEha ʻiʻo
- Haʻalulu a me ke kuni
- ʻEha ʻōpū a nausea paha
E hoʻomanaʻo, ʻo kēia mau hopena ʻaoʻao he hōʻailona maikaʻi ia e ala ana ka ʻōnaehana pale o kou kino a ke hoʻomaʻamaʻa nei i ke kaua ʻana i nā maʻi e hiki mai ana. He mea liʻiliʻi loa kēia ʻeha no ka manawa pōkole ke hoʻohālikelike ʻia me ka pale lōʻihi i hāʻawi ʻia e ka lāʻau pale.
Akā, e makaʻala i kēia!
Inā ʻike ʻoe i nā hōʻailona e like me ka paʻakikī o ka hanu ʻana, ka pehu ʻana o ka maka a i ʻole ka ʻāʻī, ka nāwaliwali loa, a i ʻole ka poniuniu ma hope o ka loaʻa ʻana o ka lāʻau pale, he hōʻailona paha ia o kahi hopena alerika koʻikoʻi. I kēlā hihia, e hele koke i ka Emergency Department (ETU) o ka haukapila kokoke loa.
Hiki iaʻu ke loaʻa i ka shingles ma hope o ka loaʻa ʻana o ka lāʻau pale?
He lāʻau pale maikaʻi loa ʻo 'Shingrix'. Akā, ʻaʻole ia he 100% maikaʻi. No laila, he mea kakaikahi loa, ʻoiai kekahi i lāʻau pale ʻia, he liʻiliʻi ka manawa e loaʻa ai ka shingles. Akā inā hana lākou, he ʻoluʻolu loa nā hōʻailona. He haʻahaʻa loa ka pilikia o ka ʻeha nui a me nā pilikia lōʻihi. ʻO ia hoʻi, ua palekana ʻoe e ka lāʻau pale.
Leka Lawe-Home
- He maʻi ʻeha nui ka Shingles i hoʻoulu ʻia e ka hoʻāla hou ʻana o ka maʻi chickenpox mai ka wā kamaliʻi.
- Hiki i ka lāʻau pale Shingrix ke pale aku ma mua o 90% o nā hihia o kēia maʻi.
- Inā ʻoe ma luna o 50 mau makahiki, a i ʻole ma luna o 19 mau makahiki me kahi ʻōnaehana pale nawaliwali, he mea nui loa ia e noʻonoʻo e loaʻa i kēia lāʻau pale.
- He lāʻau pale ʻelua kēia. He mea nui e loaʻa nā lāʻau ʻelua no ka palekana piha.
- ʻO nā hopena ʻaoʻao ma hope o ka lāʻau pale ʻana he manawa pōkole a he akahai hoʻi, akā e makaʻala i nā maʻi alerika koʻikoʻi.
- He kūpono anei kēia lāʻau pale nou a pehea e loaʻa ai?E kamaʻilio me kāu kauka a hoʻoholo i kahi hoʻoholo hope loa.
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