Ke hāʻawi nei ʻoe i kāu keiki liʻiliʻi i nā lāʻau pale āpau i ka manawa kūpono? Ke manaʻolana nei mākou e pale aku kēlā mau lāʻau pale i kāu keiki mai kekahi mau maʻi weliweli e like me ka ʻūhū whooping , ka measles, a me nā mea hou aku. Akā i kēia lā ke kamaʻilio nei mākou e pili ana i kahi maʻi ʻē aʻe a mākou i lohe ʻole ai, akā hiki ke koʻikoʻi a make hoʻi. ʻO ia ka diphtheria , a i ʻole diphtheria ma Sinhala . Mahalo i ka papahana lāʻau pale o ko mākou ʻāina, ua kakaikahi loa kēia maʻi i kēia manawa. Akā he mea nui loa ia iā kākou āpau e makaʻala i kona koʻikoʻi.
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He aha maoli ka diphtheria?
I ka ʻōlelo maʻalahi, he maʻi koʻikoʻi ka diphtheria i hoʻokumu ʻia e kahi maʻi bacteria . Hoʻokumu ʻia ia e kahi ʻano bacteria i kapa ʻia ʻo 'Corynebacterium diphtheriae' . ʻO ka mea kūikawā o kēia bacteria, ke komo ia i loko o ko mākou kino, hoʻopuka ia i kahi toxin ikaika e luku ai i nā cell o ke kino. ʻO kēia toxin ka mea e hoʻolilo ai i ka diphtheria i mea weliweli ma mua o kekahi mau maʻi bacteria ʻē aʻe.
Hoʻopilikia nui kēia maʻi i nā membrane palupalu a pulu i loko o ko kākou ihu a me ka puʻu. I kekahi manawa hiki ke ʻike ʻia he mau ʻeha ʻili .
No laila pehea e laha ai kēia maʻi mai ke kanaka a i ke kanaka?
He maʻi lele loa ka diphtheria. He mea hiki loa ke laha mai ke kanaka a i ke kanaka.
- I ka wā e ʻū ai a me ke kihe ʻana: Ke ʻū a kihe paha ka mea maʻi, hiki i ke kanaka olakino ke hanu i nā germs e komo i ka lewa ma o nā kulu liʻiliʻi mai ko lākou ihu a me ka waha.
- Ma ka hoʻopā ʻana i nā mea i loaʻa i ka maʻi: Hiki ke loaʻa kēia bacteria ma nā mea e like me nā kāwele, nā hainaka, a me nā mea pāʻani a ka mea maʻi i hoʻohana ai. Inā ʻoe e hoʻopā iā lākou a laila hoʻopā i kou ihu a waha paha me ka lima hoʻokahi, hiki iā ʻoe ke loaʻa i ka maʻi.
- Mai nā ʻeha ʻili: Inā he ʻeha diphtheria ko ka ʻili o ka mea i loaʻa i ka maʻi, hiki ke laha ka maʻi ma o ka hoʻopili pololei ʻana me kēlā ʻeha.
ʻO ka mea nui, hiki ke laha ka diphtheria mai kahi kanaka i loaʻa ʻole nā hōʻailona akā ke lawe nei i ka germ i loko o ko lākou kino (he mea lawe). ʻOiai inā ʻaʻole hōʻike kēlā poʻe i nā hōʻailona, hiki iā lākou ke hoʻolaha i ka maʻi i nā poʻe ʻē aʻe a hiki i 4 mau pule.
He aha nā hōʻailona nui o ka diphtheria?
Ke hoʻomaka ka ulu ʻana o ka bacteria diphtheria i loko o nā ʻiʻo o ka puʻu a me ka ihu, hana lākou i ka nui o ka toxin i ʻōlelo ʻia ma luna. Hoʻoulu kēia toxin i nā ʻōpū make, nā bacteria, a me nā ʻōpala e hōʻiliʻili a hana i kahi uhi mānoanoa a hina ma luna o ka puʻu a me nā tonsils . Ma nā ʻōlelo lapaʻau, ua kapa ʻia kēia he 'pseudomembrane' .
ʻO kēia ka hōʻailona maopopo loa a weliweli hoʻi o ka diphtheria. ʻO kēia uhi e paʻakikī ai ka hanu a me ke ale ʻana. I kekahi mau hihia, hiki iā ia ke ālai loa i ke ala ea a hiki i ka make.
| Hōʻailona | Wehewehena |
|---|---|
| ʻEha ka ʻāʻī a me ka uhi hina | ʻO ka ʻaʻahu mānoanoa a hina ma ka ʻāʻī a me nā tonsils ka hōʻailona nui o ka maʻi. |
| Nā ʻōpū lymph pehu i ka ʻāʻī | Hiki iā ʻoe ke ʻike i kahi pehu e like me ka puʻupuʻu ma nā ʻaoʻao ʻelua o ka ʻāʻī. |
| Paʻakikī ka hanu ʻana | Ma muli o ke ālai ʻia ʻana o ke ala ea e kahi uhi ma ka puʻu. Hiki ke ʻike ʻia ka hanu wikiwiki. |
| Kuni a me ka malaise | ʻO ka pane a ke kino i ka maʻi e komo pū me ke kuni, nā ʻeha kino, a me ka luhi nui. |
| Ihu wai | I kekahi manawa e kahe ana kahi wai i hui pū ʻia me ke koko mai ka ihu mai. |
| Nā ʻeha ʻili | Loaʻa i kekahi poʻe nā ʻeha ʻulaʻula, ʻeha, a pehu. Hiki i kēia mau ʻeha ke loaʻa kahi uhi hina. |
Nā pilikia weliweli o ka diphtheria
Inā ʻaʻole mālama pono ʻia kēia maʻi, hiki i ka mea ʻawahia ke hōʻiliʻili i loko o ke koko a laha a puni ke kino, e hoʻoulu ai i nā pilikia koʻikoʻi.
- Ke ālai ʻia ʻana o ke ala ea: ʻO kēia ke kūlana koʻikoʻi loa e hiki ke hoʻoweliweli koke i ke ola.
- Ka pōʻino o ka puʻuwai (Myocarditis): Hiki i nā mea ʻawahia ke hōʻino i ka ʻiʻo o ka puʻuwai a hoʻopilikia i ka hana o ka puʻuwai.
- Ka hōʻino ʻana i ka ʻōnaehana nerve (Polyneuropathy): Hiki i ka hōʻino ʻana i nā aʻalolo ke hana i nā pilikia e like me ka paʻakikī o ka ʻōlelo, ka paʻakikī i ka moni ʻana, a me ka maʻi lolo.
- Ka hāʻule ʻana o nā puʻupaʻa: Hiki i nā mea ʻawahia ke hōʻino i nā puʻupaʻa a lilo iā lākou i ka hana.
Inā loaʻa iā ʻoe kekahi kānalua iki ua loaʻa iā ʻoe a i ʻole kekahi o kou ʻohana kekahi o kēia mau hōʻailona, mai hoʻokaʻulua no hoʻokahi minute a e ʻike koke i ke kauka. Inā pono, e hele i ka Emergency Department (ETU) o kahi haukapila. ʻAʻole kēia he maʻi hiki ke mālama ʻia ma ka home.
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Check Availability →Nā ʻano hōʻailona a me ka mālama ʻana
ʻO ka maʻamau, hiki i ke kauka akamai ke kānalua i ka diphtheria ma muli o nā hōʻailona o ka mea maʻi, ʻoiai ke poʻi hina i loko o ka puʻu. Eia nō naʻe, no ka hōʻoia ʻana i ka maʻi, hoʻouna ʻia kahi hāpana o ka mucus i lawe ʻia mai ka puʻu a i ʻole ka ihu no ka hoʻāʻo ʻana i ka hale hana.
Inā kānalua ke kauka i kēia maʻi, e hoʻomaka koke lākou i ka lāʻau me ka ʻole o ke kali ʻana i nā hōʻike lab. ʻO ke kumu o kēia, ʻo ka hoʻomaka ʻana i ka lāʻau ma mua o ka hiki ʻana mai o nā pilikia he mea nui ia no ka hoʻopakele ʻana i nā ola.
ʻO nā lāʻau lapaʻau nui i hāʻawi ʻia i kahi maʻi diphtheria ma kahi haukapila:
1. Antitoxin: Hāʻawi ʻia kēia ma ke ʻano he lāʻau pale e hoʻopau i ka toxin i hana ʻia e ka bacteria.
2. Nā lāʻau ʻaʻai: Hāʻawi ʻia nā lāʻau ʻaʻai e like me ka (Penicillin) e pepehi i nā bacteria i loko o ke kino.
3. Lapaʻau no nā pilikia hanu: Inā koʻikoʻi nā pilikia hanu, pono paha ʻoe e hoʻopili ʻia i kahi ventilator.
4. Hoʻokaʻawale ʻana: I mea e pale ai i ka laha ʻana o ka maʻi, hoʻokaʻawale ʻia ka mea maʻi mai nā poʻe ʻē aʻe a mālama ʻia ma kahi keʻena kūikawā.
5. Lapaʻau no nā pilina pili kokoke: Hāʻawi ʻia ka ʻohana o ka mea maʻi a me nā pilina pili kokoke i nā lāʻau antibiotic a, inā pono, kahi mahele hou (booster) o ka lāʻau pale diphtheria e pale aku i ka laha ʻana o ka maʻi.
Pehea ʻoe e pale ai iā ʻoe iho mai kēia maʻi weliweli?
ʻO ka hopena maikaʻi loa a hoʻokahi wale nō no kēia, ʻo ia ka lāʻau pale. He ʻāpana koi ʻia ka lāʻau pale diphtheria o ka papahana lāʻau pale aupuni o ko mākou ʻāina.
ʻO ka lāʻau pale pentavalent, i hāʻawi ʻia i ka wā hānau ma 2, 4, a me 6 mahina, aia pū kekahi ʻāpana e pale aku ai i ka diphtheria. A laila, hāʻawi ʻia nā pana hoʻoikaika i 1 1/2 makahiki a me 5 makahiki. Hāʻawi ʻia nō hoʻi ka lāʻau pale Td i nā keiki ʻōpio ma nā kula.
ʻOiai ma hope o ka lilo ʻana i kanaka makua, i kēlā me kēia 10 makahikiʻO ka loaʻa ʻana o kahi mahele keu o ka lāʻau lapaʻau Td hiki ke pale aku i ka diphtheria a me ka pertussis. He mea nui loa ka loaʻa ʻana o kēia lāʻau lapaʻau inā ʻoe e hele ana i kahi ʻāina kahi i loaʻa mau ai ka diphtheria.
Inā kānalua ʻoe e pili ana i kāu mau lāʻau pale, e kamaʻilio me kāu kauka ʻohana (kauka) a loaʻa i ka ʻōlelo aʻoaʻo e pono ai.
Leka Lawe-Home
- He maʻi bacteria ka diphtheria (pertussis) i hiki ke pale ʻia me ka lāʻau pale, akā hiki ke make inā waiho ʻole ʻia.
- ʻO ka uhi mānoanoa a hina i ka ʻāʻī a me ka paʻakikī o ka hanu ʻo ia kāna mau hōʻailona nui a weliweli loa.
- E hāʻawi i kāu keiki i kāna mau lāʻau pale āpau e like me ka papa kuhikuhi. Mai hōʻole i kekahi lāʻau pale.
- Ma ke ʻano he kanaka makua, he mea naʻauao ke loaʻa i ka lāʻau pale Td no ka pertussis a me ka diphtheria ma ka liʻiliʻi i hoʻokahi manawa i kēlā me kēia 10 mau makahiki.
- Inā he kānalua kāu e pili ana i nā hōʻailona diphtheria, e ʻimi koke i ke kōkua lapaʻau. ʻAʻole kēia he maʻi hiki ke mālama ʻia ma ka home.
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