Ke hoʻomanaʻo nei ʻoe i ka maʻi puʻupuʻu i kou wā kamaliʻi? Ua ʻike anei ʻoe hiki i ka maʻi puʻupuʻu ke hoʻi mai i nā makahiki ma hope a hana i kahi maʻi ʻeha loa i kapa ʻia ʻo herpes zoster, a i ʻole shingles? ʻOi aku ka maʻamau o kēia ma mua o kou manaʻo. Akā, mai hopohopo, aia i kēia manawa kahi lāʻau pale maikaʻi loa e pale aku ai i kēia maʻi a me kona ʻeha nui. I kēia lā, e kamaʻilio kākou e pili ana i kēia lāʻau pale shingles ma nā ʻōlelo maʻalahi.
I ka ʻōlelo maʻalahi, he aha kēia lāʻau pale shingles?
ʻO ka lāʻau pale shingles he lāʻau pale i hāʻawi ʻia i ko mākou kino. ʻO kāna kumu nui ka hōʻemi ʻana i ka pilikia o ka loaʻa ʻana o ka shingles .
E noʻonoʻo, ma hope o ko mākou loaʻa ʻana i ka moa i ko mākou wā kamaliʻi, ʻaʻole nalo loa ka maʻi e hoʻoulu ai i ka moa, ʻo ia hoʻi ka maʻi Varicella-Zoster, mai ko mākou kino. Aia ia e hiamoe ana a hūnā ʻia i loko o ko mākou mau hunaola nerve. I nā makahiki ma hope mai, malia paha i ko mākou ʻelemakule ʻana a i ʻole i ka wā e nāwaliwali ai ko mākou ʻōnaehana pale ma muli o kekahi maʻi ʻē aʻe, e hana hou ana ka maʻi huna a hoʻoulu i ka shingles. ʻO ia ka manawa e ʻike ʻia ai kahi ʻulaʻula ʻeha e like me ka pehu ma ka ʻili, ma kekahi ʻaoʻao o ke kino.
ʻO kekahi pōmaikaʻi nui o kēia lāʻau pale, ʻo ia ka pale ʻana i kahi pilikia koʻikoʻi o ka shingles i kapa ʻia ʻo post-herpetic neuralgia (PHN) . I ka ʻōlelo maʻalahi, ʻo ka PHN kahi ʻeha aʻalolo koʻikoʻi e hiki ke mau no nā mahina, a hiki i nā makahiki, ʻoiai ma hope o ka ho'ōla ʻana o nā pehu shingles. No laila, hoʻemi nui ka lāʻau pale i kēia pilikia.
I kēia manawa, ʻo Shingrix™ ka lāʻau pale i hoʻohana nui ʻia ma ka honua a ma Sri Lanka. Aia ma mua kahi lāʻau pale i kapa ʻia ʻo `Zostavax®`, akā ua hoʻopau ʻia mai ka hoʻohana ʻana no ka mea ʻoi aku ka maikaʻi o ka lāʻau pale Shingrix.
ʻO wai ka mea e pono ke loaʻa i kēia lāʻau pale? ʻO wai ka mea pono ʻole ke loaʻa?
He nīnau koʻikoʻi loa kēia. ʻAʻole pono nā kānaka a pau i kēia lāʻau pale. E hoʻokaʻawale pono kākou ma waena o ka poʻe i ʻōlelo pinepine ʻia e nā kauka a me ka poʻe ʻaʻole.
| Māhele | Wehewehena |
|---|---|
| 🟢 Nā poʻe e paipai nui nei i ka loaʻa ʻana o ka lāʻau pale | |
| Nā kānaka i piha i 50 makahiki a ʻoi aku paha | Ma muli o ka emi ʻana o ka palekana me ka ʻelemakule, piʻi ka pilikia o ka loaʻa ʻana o ka shingles. No laila, ua ʻōlelo ʻia ka lāʻau pale no nā mea āpau o kēia hui makahiki. |
| Nā kānaka me nā ʻōnaehana pale kino nāwaliwali | Hiki ke hāʻawi ʻia kēia lāʻau pale i ka poʻe ma luna o 19 mau makahiki nona ka ʻōnaehana pale i nāwaliwali ma muli o nā maʻi e like me ke kanesa, HIV, a i ʻole kekahi mau lāʻau lapaʻau. |
| ʻO nā kānaka i loaʻa i ka shingles ma mua | ʻAʻole hōʻoia ka loaʻa ʻana o ka shingles i hoʻokahi manawa ʻaʻole ʻoe e loaʻa hou. I mea e pale ai i ka hoʻi hou ʻana, he mea nui e loaʻa ka lāʻau pale ma hope o ka pau ʻana o ka maʻi. |
| ʻO ka poʻe i loaʻa i ka lāʻau lapaʻau kahiko (Zostavax) | ʻOiai inā ua loaʻa iā ʻoe ka lāʻau pale kahiko, ua ʻōlelo ʻia e loaʻa iā ʻoe ka lāʻau pale Shingrix hou, ka mea e hāʻawi ana i ka palekana nui aʻe. |
| 🔴 ʻO ka poʻe pono ʻole e hoʻopili ʻia a hoʻopanee paha | |
| ʻAleʻaleʻa koʻikoʻi | Inā ua loaʻa iā ʻoe kahi hopena alerika koʻikoʻi i ka mahele mua o ka lāʻau pale shingles, ʻaʻole pono e hāʻawi ʻia ka lua o ka mahele. |
| ʻO ka poʻe i loaʻa ʻole i ka maʻi puʻupuʻu | Inā hōʻoia kahi hoʻokolohua koko (hoʻāʻo titer) ʻaʻole ʻoe i palekana i ka moa, pono ʻoe i ka lāʻau pale moa, ʻaʻole ka lāʻau pale shingles. |
| ʻO nā kānaka e ʻeha nei i ka maʻi shingles | Pono e loaʻa ka lāʻau pale ma hope wale nō o ka ho'ōla piha ʻana o ka maʻi. |
| Nā makuahine hāpai a hānai waiū paha | ʻAʻole ʻōlelo ʻia ka lāʻau pale i kēia mau manawa. E kamaʻilio me kāu kauka e pili ana i kēia. |
ʻAʻole maopopo inā loaʻa iā ʻoe ka maʻi puʻupuʻu?
He nīnau kēia a ka poʻe he nui. Inā ʻaʻole ʻoe e hoʻomanaʻo a ʻaʻole paha ʻoe maopopo, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke kamaʻilio me kāu kauka . Inā pono, hiki iā ʻoe ke hana i kahi hoʻāʻo koko i kapa ʻia ʻo 'titer testing' e ʻike ai inā he palekana kou i ka maʻi puʻupuʻu.
Ke kaʻina hana pale a me nā hopena ʻaoʻao
He hana maʻalahi loa kēia.
- Pehea e hāʻawi ʻia ai: Hoʻokomo ʻia ka lāʻau pale i loko o kahi ʻiʻo ma kou lima luna.
- Helu o nā mahele lāʻau: Pono ʻelua mau mahele lāʻau no ka palekana piha. Pono e hāʻawi ʻia ka lua o ka mahele lāʻau ma waena o 2 a me 6 mau mahina ma hope o ka mahele lāʻau mua.
- Ka lōʻihi o ka palekana: Hōʻike nā haʻawina o kēia manawa ua hoʻokō ʻia kahi pae kiʻekiʻe o ka palekana no ka liʻiliʻi he 7 mau makahiki ma hope o ka loaʻa ʻana o ʻelua mau mahele o ka lāʻau pale Shingrix. ʻAʻole ʻōlelo ʻia ke kolu o ka mahele (booster) i kēia manawa.
He aha nā hopena ʻaoʻao o ka lāʻau pale?
E like me nā lāʻau pale āpau, hiki i ka lāʻau pale shingles ke loaʻa kekahi mau hopena ʻaoʻao liʻiliʻi. Akā he manawa pōkole kēia a nalowale pinepine i loko o hoʻokahi a ʻelua paha lā. He hōʻailona lākou e pane ana kāu ʻōnaehana pale i ka lāʻau pale a ke kūkulu nei i ka pale.
| ʻAno o ka hopena ʻaoʻao | Nā ʻano |
|---|---|
| 🟡 Nā hopena ʻaoʻao manawa maʻamau | |
| Ka wahi inikini | ʻEha, ʻulaʻula, pehu. |
| Nā ʻano laulā o ke kino | Luhi, ʻeha poʻo, kuni, ʻehaʻeha ʻiʻo, ʻehaʻeha ʻōpū, luaʻi. |
| 🚨 Nā hopena alerika koʻikoʻi kakaikahi loa (e ʻimi koke i ke kōkua lapaʻau!) | |
| Nā hōʻailona pilikia | ʻŌhūhū ʻili (hives), pehu o ka maka a me ka ʻāʻī, paʻakikī ka hanu ʻana, ka wikiwiki o ka puʻuwai, ka poniuniu, a me ka manaʻo nāwaliwali. |
Mea nui: Inā loaʻa iā ʻoe kekahi o nā hōʻailona maʻi ʻaleka koʻikoʻi i helu ʻia ma luna, e hele koke i ka haukapila Emergency Department (ETU) kokoke loa. ʻOiai he mau maʻi kakaikahi loa kēia, he mea nui e makaʻala iā lākou.
Kekahi mau nīnau i nīnau pinepine ʻia
Hiki iaʻu ke hoʻolaha i ka maʻi i nā poʻe ʻē aʻe ma hope o ka loaʻa ʻana o ka lāʻau pale?
ʻAʻole loa. ʻAʻole ʻo Shingrix kahi lāʻau pale i loaʻa kahi maʻi ola. Loaʻa iā ia kahi ʻāpana protein o ka maʻi. No laila, ʻaʻole ʻoe a me kekahi mea ʻē aʻe e loaʻa i ka shingles mai kēia lāʻau pale.
Hiki iaʻu ke loaʻa i ka shingles ʻoiai inā loaʻa iaʻu ka lāʻau pale?
ʻOiai ʻoi aku ka maikaʻi o ka lāʻau pale Shingrix ma mua o 90%, he mea kākaʻikahi loa ia, hiki i kekahi poʻe ke loaʻa i ka shingles ʻoiai ua loaʻa iā lākou ka lāʻau pale. Akā inā loaʻa iā lākou, ʻoi aku ka mālie o nā hōʻailona, ʻaʻole ʻeha, a ʻoi aku ka pōkole o ka lōʻihi o ka maʻi. A haʻahaʻa loa ka pilikia o nā pilikia koʻikoʻi e like me PHN.
ʻAʻole makemake nā kānaka a pau i ka lāʻau lapaʻau, akā, no ka ʻeha nui o ka shingles a me nā pilikia e hiki mai ana, he mea kūpono ia ke lāʻau lapaʻau.
Leka Lawe-Home
- He maʻi ʻeha ʻo Shingles e kū mai ana i ka wā makua, i hoʻokumu ʻia e ka maʻi chickenpox, i loaʻa i ka wā kamaliʻi.
- Ua paipai nui ʻia kēia lāʻau pale no ka poʻe ma luna o 50 mau makahiki a me ka poʻe me nā ʻōnaehana pale kino nāwaliwali.
- He lāʻau pale ʻelua kēia, a pono e loaʻa ka lua o ka lāʻau pale i loko o 2-6 mau mahina o ka lāʻau pale mua.
- ʻO nā hopena ʻaoʻao ma hope o ka lāʻau pale ʻana he mea liʻiliʻi pinepine a nalo i loko o hoʻokahi a ʻelua paha lā.
- ʻOiai inā loaʻa iā ʻoe ka lāʻau pale, inā loaʻa iā ʻoe ka maʻi, e akahai loa ia.
- E kamaʻilio me kāu kauka e pili ana i ka kūpono o kēia lāʻau pale iā ʻoe a me ka wā e loaʻa ai iā ia e hana ai i ka hoʻoholo maikaʻi loa.
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