Aia anei kēlā ʻeha lāʻau pale kahiko ma kou lima? (ʻEha Lāʻau Pale Maʻi Puʻupuʻu) E ʻike kākou i nā kikoʻī!

Ua ʻike anei ʻoe i kahi ʻeha liʻiliʻi a poepoe ma luna o kou lima, a i ʻole ma nā lima o kou mau mākua a kūpuna paha? ʻO ka hapa nui o ka manawa, ua like ia me kahi lua i ʻeli ʻia i loko o ka ʻili ma lalo pono o ka ʻili. Ua kapa kekahi poʻe iā ia he "ʻeha maʻi puʻupuʻu." He aha kēia ʻeha? No ke aha i hana ʻia ai? E kamaʻilio kākou e pili ana i ia mea i kēia lā.

He aha ka ʻeha o ka lāʻau pale maʻi puʻupuʻu?

I ka ʻōlelo maʻalahi, ʻo ka ʻōpala pale maʻi puʻupuʻu he māka liʻiliʻi i waiho ʻia ma kou lima ma hope o kou loaʻa ʻana o kahi pana e pale aku ai iā ʻoe mai ka maʻi puʻupuʻu. He poepoe ke ʻano o kēia ʻōpala, akā i kekahi manawa hiki ke ʻano ʻē iki nā kihi. Me he mea lā ua piʻi iki aʻe ia ma mua o ka ʻili a puni.

I kēia manawa, aia kekahi mau ʻano lāʻau pale kūikawā e hoʻoulu ai i kahi ʻeha e like me kēia:

• `ACAM2000™`: ʻO kēia ka lāʻau pale e hoʻohana ʻia nei e nā limahana olakino e pale aku i nā kānaka mai ka maʻi puʻupuʻu. Eia naʻe, ʻaʻole i hāʻawi ʻia i nā kānaka a pau. Hāʻawi ʻia ia i nā limahana hoʻokolohua e hana ana me kekahi mau ʻano maʻi, a i kekahi poʻe i loko o ka pūʻali koa. Ua ʻike anei ʻoe? Mahalo i nā papahana lāʻau pale ma mua, ua aneane pau loa ka maʻi e hoʻoulu ai i ka maʻi puʻupuʻu mai ka honua aku. No laila, ʻaʻole ia e laha hou ma nā wahi a pau o ka honua.
• ʻO `Dryvax®`: ʻO kēia ka lāʻau pale maʻi liʻiliʻi i hoʻohana ʻia ma mua o `ACAM2000™`, ma mua o ka ʻāpono ʻia ʻana e ka US Food and Drug Administration (`US Food and Drug Administration - FDA`). Ua hāʻawi ʻia kēia lāʻau pale i nā kānaka he nui ma ʻAmelika Hui Pū ʻIa i ka waena o nā makahiki 1900. Eia naʻe, ua hoʻōki ʻia ka hāʻawi mau ʻia ʻana ma hope o 1972. Ma hope o kēlā, ua hāʻawi wale ʻia ʻo `Dryvax®` i nā hui i koho ʻia, e like me nā limahana olakino a me nā limahana koa. ʻAʻole a hiki i ka makahiki 2008 i hoʻōki loa ʻia ai ʻo `Dryvax®` a ua hāʻawi ʻia ʻo `ACAM2000™`.

No laila, hiki ke hana ʻia ka ʻeha ma kou lima e kekahi o kēia mau lāʻau pale ʻelua, ʻoiai inā ʻoi aku kou ʻelemakule.

No ke aha e waiho ai kēia lāʻau pale maʻi liʻiliʻi i kahi ʻeha?

He nīnau maikaʻi! ʻO ke kumu nui o ka waiho ʻana o ka lāʻau pale maʻi liʻiliʻi i kahi ʻeha no ka mea e hoʻoulu ia i kahi maʻi liʻiliʻi i kou ʻili ke loaʻa iā ʻoe ka lāʻau pale. Mai hopohopo, he maʻi i kāohi ʻia a manaʻo ʻia kēia. E hakakā kou kino i ka maʻi a lanakila iā ia. Eia naʻe, ma kahi i hana ʻia ai kēia hakakā, ʻo ia hoʻi, kahi i loaʻa ai ka maʻi a me ka mumū e pili ana, e waiho ʻia kahi ʻeha liʻiliʻi.

Hāʻawi ʻia ka lāʻau pale `ACAM2000™` (a me ka lāʻau pale `Dryvax®` ma mua) me kahi nila kūikawā me kahi wēlau bifurcated. Hoʻoluʻu ka mea mālama ola i kēia nila i loko o ka wai inikini a hou i ka ʻili ma kou lima luna i nā manawa he nui. Hoʻoulu kēia, e like me ka mea i ʻōlelo ʻia, i kahi `maʻi kūloko` liʻiliʻi i kaupalena ʻia i kahi inikini. He hopena maʻamau kēia a i manaʻo ʻia o ka lāʻau pale. Hoʻoulu kēia maʻi liʻiliʻi i kāu `ʻōnaehana pale` e kūkulu i kahi pale kūʻē i ka maʻi.

ʻO ka mea nui loa, ʻaʻole e hāʻawi kēia lāʻau pale iā ʻoe i ka maʻi puʻupuʻu. ʻO kēia no ka mea, ʻaʻole i hana ʻia kēia lāʻau pale me ka hoʻohana ʻana i ka maʻi e hoʻoulu ai i ka maʻi puʻupuʻu (ka `variola virus`). Akā, hoʻohana ia i kahi maʻi i kapa ʻia ʻo `vaccinia virus`. ʻO kēia maʻi puʻupuʻu he maʻi pili i ka maʻi puʻupuʻu. No laila, ke kūkulu kou kino i ka pale ʻana i ka maʻi puʻupuʻu, ua mākaukau hoʻi ia e hakakā i ka maʻi puʻupuʻu. ʻAʻole anei he mea kupaianaha?

I loko o ʻekolu a ʻehā lā ma hope o ke komo ʻana, e lilo ka wahi i komo ʻia i ʻulaʻula, pehu, a maneʻo. Ua kapa ʻia kēia he "take." He hōʻailona ia e hana ana ka komo ʻana. Ma hope o kekahi mau lā, e lilo kēia wahi i pehu piha i ka pus, a e nui aʻe ma hope o 10 mau lā. A laila e hoʻomaka ia e maloʻo. I ka wā e ho'ōla ai ka pehu, e hana ʻia kahi ʻōpala ma luna. He ʻāpana kēia o ke kaʻina hana ho'ōla maoli o kou ʻili. E hāʻule kēia ʻōpala ma waena o 14 a me 21 mau lā ma hope o ke komo ʻana. Ma laila e waiho ʻia ai ka ʻōpala liʻiliʻi.

He hōʻailona maikaʻi kēia ʻeha ua holomua ka lāʻau pale, ua hāʻawi iā ʻoe i ka palekana mai ka maʻi ʻaʻai liʻiliʻi. Akā e hoʻomanaʻo, ʻaʻole e mau kēia palekana piha no ke ola holoʻokoʻa. Ua hōʻike ʻia e ka noiʻi e hoʻomaka ana ka emi ʻana o ka palekana ma hope o ʻekolu a ʻelima mau makahiki o ka lāʻau pale. ʻO ia ke kumu e pono ai kekahi poʻe (e like me nā limahana hana hoʻokolohua) e loaʻa hou i ka lāʻau pale no nā makahiki he nui e mālama i ka palekana piha.

No ke aha i loaʻa ʻole ai iaʻu kahi ʻōpala o ka lāʻau pale maʻi smallpox?

Inā ua loaʻa iā ʻoe kahi lāʻau pale maʻi puʻupuʻu i hala koke nei a ʻaʻole i loaʻa kahi ʻulaʻula, hiki paha ʻaʻole i "lawe" maikaʻi ka lāʻau pale. ʻO ia hoʻi, ʻaʻole i hana ka lāʻau pale e like me ka mea i manaʻo ʻia. Eia nō naʻe, ʻike mua nā limahana olakino i kēia (ma mua o kou ʻike ʻana ʻaʻohe ou ʻulaʻula).

E nānā nā kauka i nā hōʻailona "reaksi" i loko o ka pule mua ma hope o ka pana. ʻO ia hoʻi, inā e ulu ana kahi ʻulaʻula a inā paha e pane pono ana kou kino. Inā ʻaʻole ʻike ʻia kēia mau hōʻailona, ​​​​pono paha ʻoe e kiʻi hou i ka pana. E aʻo aku kāu kauka iā ʻoe i ka mea maikaʻi loa iā ʻoe i kēlā manawa.

Hiki ke loaʻa nā ʻōpala i nā poʻe i loaʻa i ka lāʻau pale maʻi liʻiliʻi i nā makahiki i hala. I kekahi manawa hiki iā lākou ke mae iki i ka hala ʻana o ka manawa. Hana kekahi poʻe i nā lāʻau lapaʻau `scar revision` e hōʻemi i ke ʻano o nā ʻōpala, inā makemake lākou.

Ke kumu nei anei ka lāʻau pale ʻo Mpox i ka ʻeha?

Aia nō ia i ka lāʻau pale āu e loaʻa ai. E noʻonoʻo e pili ana i ia mea, ua like loa nā maʻi e hoʻoulu ai i ka maʻi ʻaʻai liʻiliʻi (`maʻi ʻaʻai liʻiliʻi`) a me ka mumps (`mpox`), e like me nā hoahānau. ʻO ia ke kumu i hiki ai i nā limahana olakino ke hoʻohana i ka lāʻau pale maʻi ʻaʻai liʻiliʻi e pale aku i nā kānaka mai ka mumps.

No laila, ʻo ka poʻe i loaʻa i ka lāʻau pale `ACAM2000™` e loaʻa iā lākou kahi ʻeha e like me ka mea i ʻōlelo ʻia. Eia nō naʻe, makemake nā limahana olakino ma nā ʻāina e like me ʻAmelika Hui Pū ʻIa e hoʻohana i ka lāʻau pale `JYNNEOS®` e pale aku i ka maʻi ʻōpū liʻiliʻi no ka mea he haʻahaʻa kona pilikia o nā hopena ʻino koʻikoʻi.

Inā paha e loaʻa i ka poʻe i loaʻa i ka lāʻau pale `JYNNEOS®` kahi ʻulaʻula, aia ia ma ke ʻano o ka lawelawe ʻana. ʻElua mau ʻano nui no ka lawelawe ʻana i ka lāʻau pale `JYNNEOS®`:

• ʻO ka lāʻau pale ʻili: Hāʻawi pinepine ʻia kēia ma loko o kou lae. Hoʻohana ke kauka i kahi nila liʻiliʻi e hoʻokomo i ka lāʻau pale ma waena o nā papa ʻelua o luna o kou ʻili (ka epidermis a me ka dermis). No ka mea he nui nā hunaola pale o kou ʻili, hiki i kahi liʻiliʻi o ka lāʻau pale ke hoʻoulu maʻalahi i kēlā mau hunaola a kōkua i kou kino e kūkulu i kona mau pale. Ke loaʻa koke kahi maʻi e like me ka maʻi ʻōpū liʻiliʻi, hiki i ka hoʻohana ʻana i nā liʻiliʻi ke kōkua i ka lāʻau pale ʻana i nā poʻe he nui.
• ʻO ka lāʻau pale ma lalo o ka ʻili: Hāʻawi pinepine ʻia kēia ma ka lima o luna. Hoʻohana ke kauka i kahi nila e hoʻokomo i ka lāʻau pale i loko o ka papa hohonu loa o kou ʻili (ka hypodermis).

Palekana a pono nā ʻano hana ʻelua. Eia nō naʻe, ke hāʻawi ʻia ka lāʻau pale ma o ke ʻano `intradermal`, hiki i kekahi manawa ke hoʻonāukiuki i ka ʻili a me ka hoʻololi ʻana o ke kala. He manawa pōkole wale nō kēia. Eia nō naʻe, hiki i kekahi poʻe ke loaʻa i kahi ʻeha lōʻihi mai kēia lāʻau pale. ʻO kēia poʻe ka poʻe i loaʻa i ka pilikia nui:

• ʻO nā kānaka i loaʻa ka moʻolelo o nā ʻeha koʻikoʻi mai ka wā i hala.
• ʻO ka poʻe me ka mōʻaukala o ka ulu ʻana o nā ʻōpala i kapa ʻia ʻo 'Keloid scars'. He mau ʻōpala i hāpai ʻia a mānoanoa kēia e ʻike ʻia ma luna o ka ʻili o ka ʻili. Hiki iā lākou ke ʻike ʻia he ʻulaʻula a poni paha. Hiki iā lākou ke like ke kala me kou ʻili a i ʻole he kala ʻeleʻele.

ʻO ka poʻe ʻeleʻele, Latino, a i ʻole ka lāhui ʻĀsia, ʻo ia hoʻi ka poʻe me ka ʻili ʻeleʻele, ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o nā ʻeha keloid.

No laila, ʻo kēlā me kēia mea i pilikia i ka ʻeha ʻana, ʻaʻole lākou e hoʻopili ʻia me ke ʻano `intradermal`. Akā, e hāʻawi ʻia lākou i ke ʻano `subcutaneous`. E kamaʻilio kāu kauka me ʻoe e pili ana i kou mōʻaukala olakino (me kekahi mōʻaukala o ka ʻeha ʻana) ma mua o ka hāʻawi ʻana iā ʻoe i ka lāʻau lapaʻau. E koho maoli lākou i ke ʻano kūpono loa iā ʻoe.

ʻO ka loaʻa ʻana o kahi ʻeha o ka lāʻau pale smallpox ke ʻano he pale ʻia ʻoe mai Mpox?

ʻO kāu kauka ke kanaka kūpono loa e haʻi iā ʻoe inā ua palekana ʻoe mai ka maʻi ʻōpala a i ʻole kekahi maʻi lele ʻē aʻe. Ua ʻike anei ʻoe? Nui nā kumu e hiki ke hoʻopilikia i kou pae palekana. Eia kekahi laʻana:

• He aha ka lāʻau pale i loaʻa iā ʻoe (e like me `ACAM2000™` a i ʻole `JYNNEOS®`).
• I ka manawa hea ʻoe i kūʻai ai?
• Pehea ka lōʻihi e hāʻawi ai kēlā lāʻau pale i ka palekana?

Hiki i kāu kauka ke loiloi i kou palekana ma muli o kāu mōʻaukala o ka lāʻau pale a me ka noiʻi hou loa e pili ana i ka lōʻihi o nā lāʻau pale.

ʻO kekahi mea e hoʻomanaʻo ai, ʻoiai he ʻeha maʻi liʻiliʻi kou ma kou lima, ʻaʻole ia he manaʻo ua hoʻopili ʻia ʻoe no ka maʻi liʻiliʻi. He hiki paha i kekahi poʻe, ʻoiai ka poʻe i hānau ʻia ma waho o Sri Lanka, ke hāʻawi ʻia i ka lāʻau pale Bacille Calmette-Guérin (BCG), i hāʻawi ʻia no ka maʻi puʻupuʻu. Waiho pū ka lāʻau pale BCG i kahi ʻeha ma kou lima, he ʻano like loa ia me ka ʻeha o ka lāʻau pale maʻi liʻiliʻi.

Eia nō naʻe, he ʻelua mau lāʻau pale ʻokoʻa loa kēia, i hāʻawi ʻia e kūʻē i ʻelua mau maʻi like ʻole. E palekana wale ʻia ʻoe mai ka maʻi puʻupuʻu inā loaʻa iā ʻoe kahi lāʻau pale i hoʻolālā kūikawā ʻia a ʻae ʻia no ia.

He nui ka poʻe, ke nānā lākou i ko lākou ʻeha pale maʻi liʻiliʻi, hoʻomanaʻo lākou i ka lā kikoʻī i loaʻa ai iā lākou. No kekahi poʻe, he mau makahiki paha i hala aku nei, ma ke ʻano he ʻāpana o kahi papahana pale nui e hoʻopau i ka maʻi liʻiliʻi mai ka honua. No kekahi poʻe, he mea paha ia i loaʻa iā lākou i kēia manawa koke nei, ma muli o ke ʻano o kā lākou hana.

ʻAʻohe mea i ka manawa, kahi, a i ʻole ke kumu, he hōʻailona maikaʻi ka ʻōhū ʻana ua kūkulu kou kino i nā pale palekana e pale aku iā ʻoe a me nā poʻe ʻē aʻe. Inā he mau nīnau kāu e pili ana i kou ʻōhū ʻana a i ʻole nā ​​lāʻau pale āu e pono ai ke kiʻi, mai kānalua e nīnau i kahi mea mālama ola.

Nā mea nui e hoʻomanaʻo (Leka Lawe-Home)

• ʻO kahi māka i waiho ʻia no ka lāʻau pale maʻi liʻiliʻi he māka ia i waiho ʻia ma ka lima ma hope o ka loaʻa ʻana o ka lāʻau pale maʻi liʻiliʻi (ACAM2000™ a i ʻole ka Dryvax® kahiko).
• Hiki mai kēia ʻōhūhū ma muli o ka pane ʻana o ke kino i kahi maʻi liʻiliʻi i kāohi ʻia e ka lāʻau pale i loko o ka ʻili. He hōʻailona kēia ua holomua ka lāʻau pale.
• ʻAʻole i loko o ka lāʻau pale maʻi puʻupuʻu ka maʻi puʻupuʻu, akā, ʻo ka 'virus vaccinia' like nō ia.
• Inā ʻaʻohe ʻeha, ʻaʻole paha i "lawe ʻia" ka lāʻau pale. E ʻimi i ke kōkua lapaʻau e pili ana i kēia.
• ʻO ka ʻili mai nā lāʻau pale mpox (e like me JYNNEOS®) e pili ana i ke ʻano o ka hoʻokomo ʻana (intradermal a subcutaneous paha) a me nā mea pilikino.
• ʻOiai ua like ka ʻōpala BCG me ka ʻōpala maʻi liʻiliʻi, he ʻelua mau mea like ʻole lāua. ʻO ka loaʻa ʻana o kahi ʻōpala maʻi liʻiliʻi ʻaʻole ia he manaʻo ua palekana ʻoe mai ka maʻi liʻiliʻi.
• ʻO kāu kauka ke kanaka maikaʻi loa e ʻike nui e pili ana i kou palekana a me nā lāʻau pale.

No laila, ke lana nei koʻu manaʻo ua ʻike maikaʻi ʻoe i kēlā ʻeha liʻiliʻi ma kou lima. ʻAʻole ia he ʻeha wale nō, he laʻana maikaʻi nō hoʻi ia o ke ʻano o ka holomua ʻana o ka ʻepekema i ka pale ʻana iā mākou mai nā maʻi!

ʻO ka maʻi puʻupuʻu, ka ʻeha o ka lāʻau pale, ka ʻeha o ka lāʻau pale maʻi puʻupuʻu, ACAM2000, Dryvax, Mpox, JYNNEOS, ka palekana