He ʻeha liʻiliʻi, poepoe, a he ʻeha iki paha kou ma kou lima, ma lalo pono o ka poʻohiwi? Ua ʻike paha ʻoe i kēia ʻeha ma nā lima o kou makuahine, kou makuakāne, a i ʻole kou mau kūpuna. Manaʻo ka poʻe he ʻeha kahiko wale nō ia. Akā, aia kekahi moʻolelo nui ma hope ona. I kēia lā, e kamaʻilio kākou e pili ana i kēia ʻeha o ka lāʻau pale maʻi puʻupuʻu.
He aha maoli ke ʻano o ka lāʻau pale maʻi smallpox?
I ka ʻōlelo maʻalahi, he hōʻike kēia ua hoʻopili ʻia ʻoe no ka maʻi ʻōpala. He poepoe kēia ʻōpala, akā i kekahi manawa hiki ke hāpai iki ʻia nā kihi. Hiki nō hoʻi ke piholo iki a haʻahaʻa ma mua o ka ʻili a puni.
ʻElua ʻano nui o nā lāʻau pale e hoʻoulu ai i kēia ʻeha:
- ACAM2000™: ʻO kēia ka lāʻau pale e hoʻohana ʻia nei e pale aku i ka maʻi puʻupuʻu. Eia naʻe, ʻaʻole i hāʻawi ʻia i nā kānaka a pau. No ka mea, ua hoʻopau ʻia ka maʻi puʻupuʻu mai ka honua ma muli o nā papahana lāʻau pale i hoʻomaka ʻia ma lalo o ke alakaʻi ʻana o ka World Health Organization, i kēia manawa ua hāʻawi wale ʻia i nā hui kūikawā, e like me nā limahana hana hoʻokolohua e hana pū ana me kekahi mau ʻano maʻi a me nā limahana koa ma kekahi mau ʻāina.
- ʻO Dryvax®: ʻO kēia ka lāʻau pale i hoʻohana ʻia ma mua o ka lāʻau pale ACAM2000. Ua hāʻawi ʻia kēia lāʻau pale i nā miliona o ka poʻe ma nā ʻāina he nui a puni ka honua, me Sri Lanka, i waena o nā makahiki 1900. Ua hoʻopau ʻia ka lāʻau pale no ka lehulehu i ka makahiki 1972. Ma hope o kēlā, ua hāʻawi wale ʻia i nā poʻe koʻikoʻi, e like me nā limahana olakino.
ʻO ke ʻano kēia, inā loaʻa iā ʻoe kēia māka ma kou lima, ua loaʻa paha iā ʻoe ka lāʻau pale Dryvax® i nā makahiki he ʻumi i hala.
No ke aha e hoʻoulu ai kēia lāʻau pale i kēlā ʻano ʻeha?
He mea hoihoi ke kumu o kēia. Waiho ka lāʻau pale maʻi liʻiliʻi i kahi ʻeha no ka mea hana ka lāʻau pale i kahi maʻi liʻiliʻi i kāohi ʻia i loko o kou ʻili. Ke kaua nei ka ʻōnaehana pale o kou kino i kēia maʻi a lanakila iā ia. Ma laila i hana ʻia ai kēlā "hakakā", a ma laila i waiho ʻia ai kēia ʻeha liʻiliʻi.
Eia ke ʻano o kēia:
Ke hāʻawi ke kauka i ka inikini, hoʻohana ʻo ia i kahi nila kūikawā me kahi wēlau bifurcated. Hoʻoluʻu ʻia kēia nila i loko o ka wai inikini a hou ʻia i kekahi mau manawa ma ka ʻili o kou lima luna.
Hoʻoulu kēia ʻano hana i kahi maʻi liʻiliʻi e ulu ma ia wahi. ʻAʻohe mea e hopohopo ai, ʻo kēia ka mea e pono ai ke hana. "Hoʻomaʻamaʻa" kēia maʻi i kāu ʻōnaehana pale, e hoʻomākaukau ana iā ia e hakakā i ka maʻi maʻi liʻiliʻi maoli inā hiki mai ia.
ʻO ka mea nui loa, ʻaʻole e hāʻawi kēia lāʻau pale iā ʻoe i ka maʻi puʻupuʻu. ʻO kēia no ka mea, ʻaʻole i loko o ka lāʻau pale ka maʻi e hoʻoulu ai i ka maʻi puʻupuʻu (variola virus). Akā, aia i loko kahi maʻi pili akā ʻino ʻole i kapa ʻia ʻo ka maʻi vaccinia. Ke hoʻomohala ko mākou kino i ka pale ʻana i kēia maʻi vaccinia, pale pū kēlā pale ʻana iā mākou mai ka maʻi puʻupuʻu maoli.
I loko o 3-4 mau lā o ka loaʻa ʻana o ka lāʻau pale, e lilo ka ʻāpana i ʻulaʻula, pehu iki, a maneʻo. Ua kapa ʻia kēia he "take." ʻO ia hoʻi ke hana pono nei ka lāʻau pale.
- Ma hope o kekahi mau lā, lilo kēia wahi ʻulaʻula i pehu piha i ka nahu.
- Ma hope o kahi o 10 mau lā, e hoʻomaka ana kēia e maloʻo iki.
- Ma hope o kēlā, hana ʻia kahi ʻōpala ma kēlā wahi.
- E hāʻule ana kēia ʻōpala i loko o 14-21 mau lā, e waiho ana i kahi ʻōpala liʻiliʻi a piholo.
He hōʻailona maikaʻi kēia ʻeha ua kūkulu pono kou kino i kahi palekana kūʻē i ka maʻi liʻiliʻi.
No ke aha ʻaʻohe oʻu ʻeha? ʻAʻole anei i holo pono ka lāʻau pale?
Inā ua hāʻawi ʻia iā ʻoe kahi lāʻau pale maʻi liʻiliʻi (no ka laʻana, no kahi hana kūikawā) a ʻaʻole i loaʻa kahi ʻulaʻula, hiki paha ʻaʻole i "lawe" ka lāʻau pale. ʻO ia hoʻi, ʻaʻole i pane mai kou kino. Akā e ʻike ke kauka i kēia ma mua ou.
E nānā pinepine ke kauka i ka wahi no kahi pehu i loko o ka pule mua ma hope o ka lāʻau pale. Inā ʻaʻole ʻike ʻia kēlā mau hōʻailona, e ʻōlelo ʻia paha e hana hou i ka lāʻau pale.
No ka poʻe i loaʻa i ka lāʻau pale i ka wā ma mua, e mae iki paha nā ʻōpala i ka hala ʻana o ka manawa. He mea maʻamau kēia.
Aia kekahi pilina ma waena o kēia ʻeha a me ka lāʻau pale mpox i kamaʻilio hou ʻia?
ʻAe, aia kahi pilina. ʻO ka maʻi ʻōpala a me ka mpox (i kapa ʻia ʻo monkeypox ma mua) ua hoʻokumu ʻia e kahi ʻohana like o nā virus. No laila, hiki i ka lāʻau pale maʻi ʻōpala ke hāʻawi i kekahi pale kūʻē i ka mpox.
I kēia manawa, ʻelua ʻano nui o nā lāʻau pale i hoʻohana ʻia e pale aku i ka maʻi ʻōpala. ʻO kekahi ka lāʻau pale ACAM2000™ a mākou i kamaʻilio ai ma mua. Hoʻoulu maoli ia i kahi ʻeha.
ʻO JYNNEOS® ka inoa o kekahi lāʻau pale. He emi iki kona mau hopena ʻaoʻao, no laila hoʻohana nā ʻāina he nui no ka mpox. Inā paha e hoʻoulu ka lāʻau pale JYNNEOS® i kahi ʻulaʻula, pili ia i ke ʻano o ka lawelawe ʻana. E nānā kākou i nā ʻano ʻelua ma kēia ʻano.
| Ke ʻano o ka lawelawe ʻana i ka lāʻau pale | Ka wehewehe a me ka loaʻa ʻana o nā ʻōpala |
|---|---|
| ʻAno hana intradermal | Hana ʻia kēia ma ke komo ʻana i ka lāʻau pale i loko o ka ʻaoʻao o loko o kou lae. Hoʻokomo ʻia ka lāʻau pale ma waena o nā papa ʻelua o luna o kou ʻili (ka epidermis a me ka dermis). Loaʻa i ka ʻili nā hunaola pale he nui, no laila hiki i kahi liʻiliʻi ke hana i kahi pane nui.Hiki i kēia ʻano hana ke hana i nā ʻeha i kekahi poʻe. |
| ʻAno hana subcutaneous | He inikini kēia i loko o ka lima o luna. Hoʻokomo ʻia ka lāʻau lapaʻau i loko o ka papa hohonu loa o ka ʻili (ka "hypodermis"). ʻAʻole waiho pinepine kēia ʻano hana i kahi ʻeha. |
E aʻo pū kākou e pili ana i nā ʻōpala keloid.
Ke ho'ōla ʻia kahi ʻeha ʻili, loaʻa i kekahi poʻe kahi ʻeha nui, pehu, a mānoanoa ma mua o kahi ʻeha maʻamau. Ua kapa ʻia kēia he ʻeha keloid . ʻOi aku ka nui o ka poʻe i loaʻa nā ʻeha keloid ma mua o ka loaʻa ʻana o kahi ʻeha like inā hāʻawi ʻia iā lākou ka inikini Intradermal. No laila, inā loaʻa iā ʻoe kēlā moʻolelo, pono ʻoe e haʻi i kāu kauka. A laila e koho ʻo ia i ke ʻano inikini kūpono loa nāu.
ʻO ke ʻano o ka loaʻa ʻana o kahi ʻeha maʻi liʻiliʻi ua palekana ʻoe mai ka maʻi ʻōpala?
ʻO kēia ka nīnau a ka poʻe he nui. ʻO ka pane, "ʻAʻole hiki iaʻu ke ʻōlelo maopopo, pono ʻoe e nīnau i kāu kauka e hōʻoia."
Hiki i ka loaʻa ʻana o kahi ʻeha ke hāʻawi i kekahi pae palekana, akā ʻo ka ikaika o kēlā palekana e pili ana i kekahi mau kumu:
- ʻEhia ka lōʻihi mai kou hoʻopili ʻia ʻana? (Hoʻomaka ka emi ʻana o ka palekana ma hope o 3-5 mau makahiki).
- He aha ka lāʻau pale i loaʻa iā ʻoe?
- Pehea kou olakino holoʻokoʻa?
Akā eia kekahi mea nui. ʻAʻole nā ʻeha poepoe a pau ma kou lima he ʻeha lāʻau pale maʻi puʻupuʻu. Ma Sri Lanka, ʻo ka lāʻau pale Bacille Calmette-Guérin (BCG), ka mea maʻamau no mākou e kūʻē i ka maʻi puʻupuʻu, hana pū kekahi i kahi ʻeha like. ʻO ka maʻamau, aia nā ʻeha BCG ma ka lima hema o luna. No laila, pono ʻoe e ʻike pono inā he ʻeha maʻi puʻupuʻu a he ʻeha BCG paha ma kou lima.
No laila, mai nānā wale i ka ʻeha a manaʻo ua pale ʻia ʻoe mai Mpox. ʻO kāu kauka ʻohana ka mea maikaʻi loa e ʻike i kāu mōʻaukala pale ʻana a me ka palekana pololei āu e pono ai.
Leka Lawe-Home
- ʻO ka ʻōhū ʻana o ka lāʻau pale maʻi liʻiliʻi he hōʻailona ia ua kūkulu pono kou kino i kahi palekana kūʻē i ka maʻi liʻiliʻi.
- Hoʻokumu ʻia kēia ʻōpala ma ke ʻano he pane a ke kino i kahi maʻi i kāohi ʻia i hoʻokumu ʻia e ka lāʻau pale ma ka ʻili.
- He mea nui e hoʻokaʻawale inā he kalaka ma kou lima mai ka lāʻau pale maʻi liʻiliʻi a i ʻole mai ka lāʻau pale BCG, he mea maʻamau loa ia ma Sri Lanka.
- ʻOiai ʻo ke alo ʻana o kahi kīnā i loko o ka lāʻau pale maʻi liʻiliʻi kahiko e hāʻawi paha i kahi palekana mai ka mpox, mai hilinaʻi piha ma luna o ia mea.
- Inā he mau nīnau kāu e pili ana i kou mōʻaukala paʻi ʻana, ka mōʻaukala paʻi ʻana, a i ʻole ka palekana mai nā maʻi e like me ka maʻi ʻōpala, ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka.
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