ʻO nā mea e pono ai ʻoe e ʻike e pili ana i ka lāʻau pale ʻū Whooping

Ua ʻike paha ʻoe i ka makaʻu a me ka hopohopo āu e manaʻo ai ke loaʻa i kāu keiki liʻiliʻi ka ʻū nui a mau. I kekahi manawa ua koʻikoʻi loa kēia ʻū a paʻakikī ke pēpē e hanu. ʻO kekahi maʻi hanu koʻikoʻi i kapa ʻia ʻo "whooping cough". Ma ke ʻano lapaʻau, kapa mākou iā ia he `(Pertussis)`. He mea laha loa ia, ʻoiai inā loaʻa i kekahi kanaka i loko o ka hale, hiki ke laha koke i nā poʻe ʻē aʻe. Akā ʻo ka nūhou maikaʻi, aia kekahi ala kūpono loa e pale aku ai i kā mākou mau keiki a me mākou iho mai kēia maʻi weliweli. A ʻo ia ka loaʻa ʻana o ka lāʻau pale ʻū.

No ke aha he mea nui ka lāʻau pale kuni whooping no nā kānaka a pau?

I ka ʻōlelo maʻalahi, ʻo ka ʻūhū he maʻi bacteria e laha ana ma o nā kulu liʻiliʻi e hoʻokuʻu ʻia i ka lewa ke ʻūhū a ʻūhā paha ka mea maʻi. ʻOiai ʻo ka holoi lima a me ka uhi ʻana i kou waha i ka wā e ʻūhū ai hiki ke kōkua i ka kaohi ʻana i ka laha ʻana o ka maʻi i kekahi ʻano, ʻo ke ala maikaʻi loa e hōʻoia ai i ka palekana piha, ʻo ia ka loaʻa ʻana o ka lāʻau pale .

Paipai ʻia kēia lāʻau pale no nā kānaka o nā makahiki āpau.

• No nā pēpē
• No nā kamaliʻi ʻōpio
• No nā kamaliʻi ʻōpio
• No nā mākua
• No nā makuahine hāpai

Ma waena o kēia mau mea , ʻo ka hui palupalu loa a hiki ke pale ʻia i ka lāʻau lapaʻau, ʻo ia nā pēpē ʻōpio . ʻOiai inā loaʻa i nā keiki ma lalo o hoʻokahi makahiki ka maʻi ʻū, hiki ke koʻikoʻi a hoʻoweliweli i ke ola. No laila he mea nui loa ka hāʻawi ʻana i kēia lāʻau lapaʻau i ka wā e hānau ai kahi pēpē, e like me ka papa kuhikuhi i kuhikuhi ʻia.

He aha nā ʻano lāʻau pale no ka ʻūhū?

ʻElua ʻano nui o nā lāʻau pale koko whooping. ʻO ke ʻano āu e loaʻa ai ma muli o kou mau makahiki.

1. Ka lāʻau pale DTaP (no nā keiki ʻōpio)

Hāʻawi ʻia kēia lāʻau pale i nā keiki ma lalo o 7 makahiki. He lāʻau pale kēia i hui pū ʻia e pale aku ai i ʻekolu mau maʻi.

• D - Diphtheria
• T - Tetanus
• aP - ʻUha ʻū (acellular Pertussis)

I kēia lā, loaʻa nā lāʻau pale hui pū ʻia e pale aku i kekahi mau maʻi ʻē aʻe me ka lāʻau pale DTaP. No ka laʻana, hiki i kahi lāʻau pale hoʻokahi ke pale aku i nā maʻi e like me ka polio, hepatitis B, a me Haemophilus influenzae type B (Hib). Ke hāʻawi ʻia nā lāʻau pale he nui i ka manawa like, he mea kūpono ka hāʻawi ʻana i kahi lāʻau pale hui no ke keiki a me nā mākua.

Papa kuhikuhi no ka lāʻau pale ʻana iā DTaP

Wahi a ka Polokalamu Hoʻopili Lahui o Sri Lanka, eia ka papa hana no ka hāʻawi ʻana i kēia lāʻau pale i kāu keiki.

2. Ka lāʻau pale Tdap (no nā mākua a me nā keiki ʻōpio)

ʻO kēia ka pana hoʻoikaika i hāʻawi ʻia i nā ʻōpio a me nā mākua. Ma hope o ka hoʻopau ʻana i ka moʻo lāʻau pale DTaP, emi iho ka palekana o ke kino i ka hala ʻana o ka manawa. No laila, hāʻawi ʻia kēia mea hoʻoikaika e hoʻoikaika hou i ka palekana.

• No nā keiki ʻōpio: Pono e hāʻawi ʻia kahi mahele hoʻonui Tdap i ka makahiki 11-12.
• No nā pākeke: ʻO ka loaʻa ʻana o kahi mahele hoʻonui Tdap i kēlā me kēia 10 mau makahiki e hiki ke kōkua iā ʻoe e pale aku i nā maʻi ʻekolu: ka ʻūhū whooping, ka tetanus, a me ka measles. Inā he pākeke ʻoe a ʻaʻole i loaʻa kahi pana Tdap ma mua, ʻōlelo nā kauka e loaʻa i hoʻokahi mahele.

No ke aha he mea nui loa kēia lāʻau pale no nā makuahine hāpai?

He mea nui loa kēia i ʻike ʻole ʻia e ka poʻe he nui. ʻO ka loaʻa ʻana o ka lāʻau pale Tdap i ka wā hāpai e hāʻawi i ka palekana nui no ka pēpē i hānau ʻole ʻia.

E noʻonoʻo i kēia: Hāʻawi ʻia ka lāʻau pale DTaP mua i kahi pēpē i 2 mahina. ʻO ke ʻano kēia, ʻaʻohe palekana o ka pēpē mai ka ʻūhū ʻana no nā mahina ʻelua mua o ke ola. ʻO kēia ka manawa e pilikia nui ai ka pēpē i ka loaʻa ʻana o ka maʻi.

Ke loaʻa iā ʻoe ka lāʻau pale Tdap i ka wā hāpai, hana kou kino i nā antibodies e kūʻē i ka ʻūhū. Hoʻouna ʻia kēlā mau antibodies i kāu pēpē ma o ka placenta. No laila, hānau ʻia kāu pēpē me kekahi pale e kūʻē i ka ʻūhū. Ua like kēia me kahi makana kupaianaha i kāu pēpē.

• Ka manawa kūpono loa: ʻO ka manawa kūpono loa e loaʻa ai kēia lāʻau pale ʻo ia i ke kolu o ka trimester o ka hāpai ʻana, ma waena o nā pule 27 a me 36.
• Palekana: ʻO ka loaʻa ʻana o ka lāʻau pale i kēia manawa hiki ke hōʻemi i ka pilikia o kahi keiki i ka loaʻa ʻana o ka ʻūhū whooping ma kahi o 78% i nā mahina ʻelua mua o ke ola.
• I kēlā me kēia hāpai ʻana: ʻO ka mea nui loa, pono ʻoe e loaʻa i kēia lāʻau pale i kēlā me kēia manawa āu e hāpai ai , no ka mea, ʻo ka nui o nā antibodies i hoʻomohala ʻia i ka wā hāpai mua e emi ana i ka hala ʻana o ka manawa.

He aha nā hopena ʻaoʻao a me nā pilikia o ka lāʻau pale?

E like me nā lāʻau pale āpau, hiki i ka lāʻau pale ʻū ke hana i nā hopena ʻaoʻao liʻiliʻi. ʻAʻole koʻikoʻi kēia mau mea a nalowale i loko o hoʻokahi a ʻelua paha lā. Eia nō naʻe, he mea nui e makaʻala i nā hopena alerika koʻikoʻi kakaʻikahi loa.

He mea kākaʻikahi loa, hiki ke loaʻa kahi maʻi i kapa ʻia ʻo "Encephalopathy" e hoʻopilikia ana i ka lolo i loko o hoʻokahi pule o ka loaʻa ʻana o ka lāʻau pale. ʻO nā hōʻailona e komo pū me nā hopu a me ka huikau. Akā e hoʻomanaʻo, he haʻahaʻa loa ka pilikia o ia ʻano hopena koʻikoʻi . ʻOi aku ka kiʻekiʻe o ka pilikia o ka loaʻa ʻana o ka ʻūhū whooping mai ka loaʻa ʻole o ka lāʻau pale.

Inā ua loaʻa iā ʻoe a i ʻole kāu keiki kahi maʻi alerika koʻikoʻi i kahi lāʻau pale ma mua, e hoʻomaopopo pono i kāu kauka ma mua o ka loaʻa ʻana o ka lāʻau pale.