Loaʻa iā ʻoe a i ʻole kāu keiki liʻiliʻi kahi ʻū mau i kēia mau lā ʻaʻole e pau? Ua hoʻomaka paha ia ma ke ʻano he anu maʻamau. Akā inā lilo ia i ʻū nui a mau ma hope o hoʻokahi a ʻelua paha pule, hiki ke lilo i ʻū whooping (Pertussis) . He maʻi laha loa kēia o ke ala hanu luna, ʻo ia hoʻi ka puʻu a me ka ihu. Hiki iā ia ke hoʻopilikia i nā pēpē, nā keiki, a me nā pākeke. E kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku, ea?
He aha maoli ka Pertussis?
I ka ʻōlelo maʻalahi, he maʻi hanu lele loa ka ʻūhū whooping. Kapa ʻia ia e nā kauka he "Pertussis." Kapa kekahi poʻe he "ʻūhū 100 lā" no ka mea hiki i nā hōʻailona ke mau no nā pule a i ʻole nā mahina ma mua o kou ho'ōla piha ʻana.
I ka wā mua, ua like ia me ke anu maʻamau. Akā ma hope o kekahi mau lā, hoʻomaka ka ʻū nui. Kāhea nā kauka i kēia mau "paroxysms" a i ʻole "nā ʻōhumu ʻū." Hiki i kēia mau ʻōhumu ʻū ke hoʻolilo i mea paʻakikī loa ka ʻai ʻana, ka hanu ʻana, a me ka hiamoe ʻana. I kekahi manawa, ke hoʻāʻo ʻoe e hanu ma hope o ke ʻū ʻana, hiki iā ʻoe ke hana i kahi leo "whoop" kiʻekiʻe. ʻO ia ke kumu i kapa ʻia ai ʻo "Whooping Cough". Eia naʻe, hiki i nā pēpē liʻiliʻi ke paʻakikī i ka hanu ʻana me ka ʻole o ke ʻū ʻana .
He aha nā hōʻailona o ka ʻūhū ʻana? Pehea e ulu ai?
Hoʻomaka nā hōʻailona o ka ʻūhū ʻana me ke anu, a laila holomua i ka ʻūhū nui. Hana ʻia kēia ma ʻekolu mau pae nui.
Mea nui: Inā loaʻa i kāu pēpē ka ʻū nui, huli i ka polū/hina a puni ka waha, a/a i ʻole pilikia i ka hanu ʻana, e lawe koke iā ia i ka haukapila. He pilikia paha kēia.
ʻAe, e nānā kākou i kēia mau pae ʻekolu:
1. I ka wā o nā hōʻailona anu
2. Ka wā o ka ʻū nui
3. Ka wā ho'ōla mālie
Pae 1: Ka wā o nā hōʻailona o ka maʻi flu
ʻO ka lōʻihi o kēia wā ma kahi o hoʻokahi a ʻelua paha pule. ʻO kēia ka manawa e hoʻolaha nui ai ʻoe a i ʻole kāu keiki i ka maʻi i nā poʻe ʻē aʻe. Akā manaʻo paha ʻoe he anu maʻamau wale nō ia. ʻO nā hōʻailona i loko o kēia wā:
- Paʻa ihu
- Mucus (hoʻokuʻu ʻia ʻana o ka mucous)
- ʻeha ka ʻāʻī
- Nā waimaka e puka mai ana mai nā maka
- ʻO ka ʻūhū i ka wā mua he palupalu a piʻi mālie
- Kuni iki (ʻoi aku ma mua o 38 kekelē Celsius / 100.4 kekelē Fahrenheit) a i ʻole ka mahana kino maʻamau
- He manaʻo o ka maʻi ʻole, ʻaʻole makemake e hana i kekahi mea "(malaise)"
Nā mea e hiki ke hana i kahi pēpē liʻiliʻi i kēia manawa:
- He mea paʻakikī paha ke hanu.
- Hiki ke kū ka hanu ʻana no kekahi manawa pōkole (apnea).
- E ʻike paha ʻoe ua paʻakikī ka pēpē i ka hanu ʻana. Hiki ke kani me he mea lā e komo ana i loko o kou ʻōpū, me he mea lā e hoʻāʻo ana e hanu.
- Hiki i ka ʻili, ʻoiai nā lehelehe a puni ka waha, ke lilo i polū a hina paha (cyanosis) ma muli o ka nele o ka oxygen. He hōʻailona weliweli kēia.
Pae 2: Nā ʻōhū koʻikoʻi
ʻO ka lua o ka pae maʻamau ka lōʻihi ma kahi o hoʻokahi a ʻeono pule. Akā i kekahi manawa hiki ke lōʻihi a hiki i nā pule he ʻumi. I loko o kēia manawa, piha kou mau ala ea me ka mucus mānoanoa, a hoʻomaka ʻoe e loaʻa i nā manawa ʻū nui (paroxysms). Eia ka mea e hana ʻia:
- ʻO ke kunu ʻana ke kunu ʻoe no kekahi mau minuke i ka manawa.
- I ka hoʻāʻo ʻana e hanu i loko i ka wā o ke kaʻi ʻana, hiki iā ʻoe ke hana i kahi kani "whoop" kiʻekiʻe (akā, ʻaʻole nā mea āpau e hana i kēia kani).
- Ma hope o kekahi manawa o ke ʻū ʻana, e luaʻi paha ʻoe a/a i ʻole e luhi loa. E noʻonoʻo i ka paʻakikī o kēia no kahi keiki liʻiliʻi.
- Hiki ke hana ʻia kēia ʻōʻō ʻana i ka wā e uē ana, e ʻai ana, a e ʻakaʻaka ana paha.
- Loaʻa nā ʻano hū i ke ao a me ka pō, akā ʻoi aku ka ʻino o ke hū i ka pō.
I ka wā mua, hiki pinepine mai kēia mau ʻōhū ʻana, a laila kū lākou, a laila hoʻomaka mālie lākou e emi iho.
Pae 3: Ka wā ho'ōla mālie
Hiki i kēia pae ke mau a hiki i ʻeono pule. I loko o kēia manawa, ʻaʻole paha ʻoe e loaʻa i nā wā ʻū nui e like me kāu i loaʻa ai ma mua, akā hiki iā ʻoe ke loaʻa i nā ʻū liʻiliʻi i kekahi manawa. E emi mālie ana kou ʻū.
Akā e hoʻomanaʻo, ʻoiai ke ʻoi aku ka maikaʻi o kou manaʻo, ke ho'ōla mau nei kou kino i kēia manawa. No laila hiki iā ʻoe ke maʻalahi loa i nā maʻi hanu ʻē aʻe. No laila e hoʻāʻo e makaʻala i nā germs. Inā loaʻa iā ʻoe kahi maʻi ʻē aʻe, hiki i kēlā mau ʻōhū ʻino ke hoʻi hou mai.
Pehea lā e hiki mai ai kēlā kani "whoop"?
Loaʻa ka inoa ʻo Whooping cough ma muli o ka hana ʻana o kekahi poʻe i ke kani "whoop" ke ʻū lākou. Ke ʻū mau ʻoe, he mea paʻakikī loa ka hanu ʻana. Ke hoʻāʻo hope ʻoe e hanu, hiki ke kani e like me ka "whoop" kiʻekiʻe a i ʻole ke kani wheezing. Eia naʻe, ʻaʻole nā mea a pau i loaʻa i ka whooping cough e hana i kēia kani "whoop". No laila, mai manaʻo ʻoe ʻaʻole ʻoe e hana i ke kani ʻaʻole ia he manaʻo ʻaʻole ia he whooping cough.
He aha ke kumu o ka ʻū ʻana o ka ʻōpū?
Hoʻokumu ʻia ka ʻū ʻana e kahi bacteria i kapa ʻia ʻo Bordetella pertussis . Hoʻopilikia kēia bacteria i ka ʻili o kou mau alaloa, e hoʻoulu ai iā lākou e pehu. Hoʻoulu kēia pehu i ka hōʻiliʻili ʻana o ka mucus mānoanoa, e hoʻoulu ai i ka ʻū nui.
Hoʻolaha ʻia ka ʻūhū ʻana ma o nā kulu hanu i hana ʻia i ka wā e ʻū ai a i ʻole e kihe ana kekahi. Hoʻomaka pinepine nā hōʻailona i loko o ʻelima a ʻumi mau lā o ka hōʻike ʻia ʻana, akā i kekahi manawa hiki ke hala a hiki i 21 mau lā.
He mea laha anei ka ʻūhū ʻana?
ʻAe, he maʻi lele loa kēia. ʻO ia hoʻi, ua laha maʻalahi ia mai kekahi kanaka a i kekahi kanaka. Nui ka manawa kūpono e loaʻa iā ʻoe mai kahi mea āu e noho pū ai. ʻOi aku ka maʻalahi o nā keiki e loaʻa iā ia mai nā hoaaloha ma ke kula a ma nā papa.
Hiki iā ʻoe ke laha mai ka manawa e hoʻomaka ai kou mau hōʻailona a hiki i ʻekolu pule ma hope o ka hoʻomaka ʻana o kou ʻū. No ka laʻana, inā loaʻa iā ʻoe nā hōʻailona anu no hoʻokahi pule ma mua o ka hoʻomaka ʻana o kou ʻū, e laha ʻoe no kahi o ʻehā pule i ka huina.
He aha nā pilikia e hiki mai ana o ka ʻūhū whooping?
ʻAʻole kēia he ʻū wale nō, hiki iā ia ke hana i nā pilikia koʻikoʻi, ʻoi aku hoʻi i nā pēpē ʻōpio.
Nā pilikia e hiki ke loaʻa i nā pēpē a me nā keiki liʻiliʻi:
- Nā maʻi pepeiao
- Kahe ke koko
- ʻAʻole pono ka ʻai - ma muli o ka hiki ʻole ke ʻai, ka luaʻi ʻana
- Pneumonia (`(Pneumonia)`)
- Nā pilikia me ka hana o ka lolo (encephalopathy), hiki ke hōʻeha mau i ka lolo a i ʻole ka make.
- ʻO ke koko kiʻekiʻe o ka pulmonary (ke koko kiʻekiʻe i loko o nā kīʻaha koko e lawe i ke koko i nā māmā)
- Ka hāʻule ʻana o ka hanu
ʻOi aku ka koʻikoʻi o nā pilikia i nā pēpē ma lalo o 12 mau mahina. ʻO nā pēpē o kēia makahiki ka mea e hoʻopaʻa ʻia i ka haukapila no ka pertussis. Aia lākou i ka pilikia kiʻekiʻe loa o ka loaʻa ʻana o nā pilikia koʻikoʻi a i ʻole ka make:
- No nā pēpē i hoʻopili ʻole ʻia (a inā ʻaʻole i hoʻopili ʻia ka makuahine i ka wā hāpai)
- No nā pēpē me nā ʻōnaehana pale maʻi nāwaliwali
- No nā pēpē me ka hānō koʻikoʻi
Nā pilikia e hiki ke loaʻa i nā poʻe ʻōpio a me nā pākeke:
- Ka haki ʻana o ka iwi ʻaoʻao (ma muli o ke kuʻi nui)
- Nā maʻi pepeiao
- Ka nalowale o ka ʻike (ma muli o ke kunu ʻana)
- Nā migraines
- Ka hoʻōki ʻana o ka mimi (ka hoʻōki ʻana o ka mimi)
- Pneumonia (`(Pneumonia)`)
- Pohō kaumaha i manaʻo ʻole ʻia
Pehea e ʻike ai nā kauka i ka ʻūhū whooping?
Penei ke ʻano o ka ʻike ʻana o nā kauka i ka maʻi ʻūlū:
- Ua hana ʻia kahi hoʻokolokolo kino.
- Ua lohe au e pili ana i kou mau hōʻailona.
- Lawe ʻia kahi hāpana o ka mucus mai loko mai o ka ihu a me ka puʻu (he "nasopharyngeal swab") a hoʻouna ʻia i kahi keʻena hoʻokolohua.
Inā ua noho ʻoe a puni kekahi kanaka i loaʻa i ka ʻūhū whooping a i ʻole kekahi mea i loaʻa i ka ʻūhū mau, e haʻi i kāu kauka. E kōkua kēlā ʻike i ka hōʻoia ʻana.
He aha nā lāʻau lapaʻau no ka ʻū ʻana (Pertussis)?
Hoʻōla nā kauka i ka ʻūhū me nā lāʻau antibiotic, e like me azithromycin, clarithromycin, a i ʻole erythromycin. Pono ʻoe e lawe i ka lāʻau e like me ka ʻōlelo a kāu kauka iā ʻoe. ʻO ka wikiwiki o kou hoʻomaka ʻana e lawe i nā lāʻau antibiotic, ʻo ka nui o kā lākou kōkua iā ʻoe.
He mea nui: ʻAʻole e hoʻōki nā lāʻau antibiotic i kou ʻū a hoʻopau paha. Eia nō naʻe, e pale lākou iā ʻoe mai ka hoʻolaha ʻana i ka maʻi i nā poʻe ʻē aʻe. Inā lawe ʻia i ka wā mua, hiki iā lākou ke hōʻemi iki i kāu mau hōʻailona.
Inā maʻi loa kāu keiki, pono paha lākou e lawe ʻia i ka haukapila no ka nānā ʻana. Ma laila, hiki i kahi hui lapaʻau ke nānā pono i ka hanu ʻana o ke keiki a, inā pono, e hāʻawi i ka oxygen a me ka saline.
Āhea wau e ʻike ai i ke kauka?
No kāu keiki, e ʻike i kahi pediatrician i kēia mau hihia:
- Inā ʻaʻole i hoʻopili pono ʻia ke keiki i ka lāʻau pale "Pertussis".
- Inā ua pili ke keiki i kekahi me ka ʻūhū.
- Inā loaʻa i ke keiki ka ʻūhū nui a ʻoi aku ka ʻino e hoʻoulu ai i ka luaʻi ʻana.
- Inā he kuni me ka ʻū.
- Inā ʻaʻole hiki iā ʻoe ke mālama pono i ka waiū, ka waiū waiū, a i ʻole ka meaʻai (ma muli o ka luaʻi ʻana).
Inā pilikia kāu keiki i ka hanu ʻana a i ʻole e polū/hina ana ko lākou ʻili (e nānā i ko lākou mau lehelehe, nā manamana lima), e kāhea koke i ka 911 a i ʻole e hele i ka keʻena pilikia o ka haukapila kokoke loa.
Inā ʻo ʻoe (he pākeke):
- Inā he mau nīnau kāu e pili ana i ka lāʻau pale.
- Inā ua pili ʻoe i kekahi me ka ʻūhū ʻeha.
- Inā he mau hōʻailona kou o ka ʻūhū ʻana.
- Inā loaʻa nā hōʻailona hou i wehewehe ʻole ʻia.
- Inā ʻeha kou umauma i ka wā e ʻū ai a i ʻole e hanu hohonu ana (he hōʻailona paha kēia o ka maʻi niumonia).
Hiki ke pale ʻia ka ʻūhū ʻana?
ʻAe, i kekahi ʻano. Hiki i nā lāʻau pale Pertussis ke hōʻemi i kou pilikia o ka loaʻa ʻana o ka maʻi a i ʻole ka loaʻa ʻana o nā hōʻailona koʻikoʻi inā loaʻa iā ʻoe. ʻO ka lāʻau pale DTaP no nā keiki a me ka lāʻau pale Tdap no nā ʻōpio, nā wahine hāpai, a me nā pākeke e kōkua i ka pale ʻana i ka pertussis. Eia nō naʻe, ʻo ka lōʻihi o kou kali ʻana mai kāu pana hope loa, ʻoi aku ka liʻiliʻi o ka hopena o ka pana. No laila e nīnau i kāu kauka i ka manawa e pono ai ʻoe a i ʻole kāu keiki e loaʻa i ka pana.
I kekahi manawa, kuhikuhi nā kauka i nā lāʻau antibiotic prophylactic . ʻO kēia nā lāʻau lapaʻau i hāʻawi ʻia i ka poʻe i loaʻa i ka maʻi ʻūlū akā ʻaʻole i loaʻa nā hōʻailona. Hiki iā lākou ke kōkua i ka pale ʻana i ka ulu ʻana o ka maʻi ʻūlū.
Hiki i kāu kauka ke kuhikuhi i nā lāʻau antibiotic e like me kēia:
- Inā ʻoe i ka pilikia kiʻekiʻe o ka maʻi nui ʻana me ka ʻūhū whooping.
- Inā ʻoe e hoʻolilo i ka manawa me nā poʻe e maʻi nui paha me ka ʻūhū whooping (e like me nā kamaliʻi liʻiliʻi).
E hoʻomanaʻo, ʻo nā hana olakino maʻalahi e like me ka holoi pono ʻana i kou mau lima hiki ke kōkua i ka pale ʻana i ka laha ʻana o nā maʻi hanu.
He aha kaʻu e manaʻo ai inā loaʻa iaʻu ka ʻōpū ʻeha (Pertussis)?
Hiki i ka ʻū ʻana ke hoʻoluhi loa iā ʻoe no nā pule a i ʻole nā mahina. Hiki iā ia ke alakaʻi i nā pilikia koʻikoʻi.
ʻO ka nūhou maikaʻi, kūkulu kou kino i kahi palekana kū'ē i ka bacteria `(Bordetella pertussis)`. No laila, no kekahi manawa - wahi a kekahi poʻe loea mai ʻehā a iwakālua mau makahiki - ʻaʻole ʻoe e loaʻa hou i ka maʻi ʻū. Eia nō naʻe, i ka wā e emi ana kēlā palekana i ka hala ʻana o ka manawa, hiki iā ʻoe ke loaʻa hou i ka wā e hiki mai ana.
Pono paha kāu keiki, ʻoiai inā he ʻōpiopio loa ia, e lawe ʻia i ka haukapila.
Āhea ka manawa palekana e hoʻi ai i ke kula kamaliʻi, ke kula, a i ʻole ka hana?
Aia nō ia i ke kūlana. Inā ʻoe a i ʻole kāu keiki e lawe ana i nā lāʻau antibiotic, ma hope o ʻelima mau lā o ka mālama ʻanaUa palekana ke hele hou. A i ʻole, hiki nō iā ʻoe ke hoʻolaha i ka maʻi a hiki i ʻekolu pule ma hope o ka hoʻomaka ʻana o ke kuni. No laila ʻoi aku ka maikaʻi o ka hahai ʻana i ka ʻōlelo aʻo a kāu kauka.
He aha kaʻu e hana ai e loaʻa ai kahi hōʻoluʻolu?
E kōkua paha kēia mau mea iā ʻoe e ʻoluʻolu iki - a hiki paha ke hōʻemi i kou ʻū ʻana i ka pō:
- E lawe i ka meli. Hiki paha i kēia ke kōkua i ka hōʻoluʻolu i kou ʻū. Akā, palekana wale nō ia no nā pākeke a me nā keiki ma luna o 1 makahiki. Mai hāʻawi i ka meli i kahi pēpē ma lalo o 1 makahiki (ma muli o ka pilikia o kahi maʻi weliweli i kapa ʻia ʻo botulism).
- Hoʻomaha. ʻO ka lawa ʻana o ka hoʻomaha e kōkua i kou kino e ho'ōla.
- E inu i ka nui o nā wai. Hiki i ka inu ʻana i nā wai ke kōkua i ka hoʻomāmā ʻana i ka mucus e hoʻoulu ai i kou ʻū.
- E hoʻohana i kahi mea hoʻohaʻahaʻa i ka noe anuanu. Hiki i kēia ke kōkua i ka hoʻokuʻu ʻana i ka mucus.
- E ʻai i nā meaʻai liʻiliʻi a pinepine. ʻO ka ʻai ʻana i nā meaʻai liʻiliʻi ma mua o nā meaʻai nui i ka manawa hoʻokahi e kōkua i ka hōʻemi ʻana i ka luaʻi ʻana.
- E pale i nā mea e hoʻoulu ai iā ʻoe i ka ʻūlū (`(nā mea hoʻonāukiuki)`). ʻO nā mea e like me ka lepo, ka uahi, a me nā uahi kemika mai kekahi mau huahana hoʻomaʻemaʻe e hiki ke hoʻonui i kou ʻūlū.
ʻO ka mea hope loa, leka lawe i ka home:
ʻO ka ʻū ʻana, ʻo ia hoʻi ka ʻū ʻana o ka ʻōpū, ʻo ia hoʻi ka ʻū ʻana o ka ʻōpū (Pertussis) a i ʻole ka ʻū ʻana o ka lā 100), ʻoiai ke kapa ʻia ʻana, hiki i kēia maʻi hanu ke lilo i mea paʻakikī loa iā ʻoe a i kāu keiki paha. No laila, e hoʻomanaʻo i kēia mau mea:
- ʻAʻole kēia he ʻū maʻalahi: hiki ke lilo i mea weliweli, ʻoi aku hoʻi no nā pēpē ʻōpio.
- He mea nui ka loaʻa ʻana o ka lāʻau pale: Hāʻawi nā lāʻau pale DTaP a me Tdap i ka palekana maikaʻi loa. E hōʻoia i ka loaʻa ʻana o nā lāʻau pale āu a me kāu keiki i kēia manawa.
- E ʻimi i ke kōkua lapaʻau i ka wā hikiwawe loa: Inā loaʻa iā ʻoe nā hōʻailona, e ʻike koke i ke kauka. ʻO nā lāʻau antibiotic, inā hoʻomaka koke ʻia, hiki ke hoʻōki i ka laha ʻana o ka maʻi.
- Ka nānā kūikawā no nā pēpē: Inā loaʻa i ka pēpē ka ʻū mau, paʻakikī ka hanu ʻana, a i ʻole e polū/hina ka ʻili, e hele koke i ka haukapila.
- E makaʻala i kou wā e hoʻōla ana: E pale iā ʻoe iho mai nā maʻi ʻē aʻe a hiki i kou ho'ōla loa ʻia ʻana.
Inā loaʻa i kāu keiki kahi ʻū mau a koʻikoʻi, he manaʻo maikaʻi mau ia e kamaʻilio me ke kauka keiki. A laila hiki i ke kauka ke ʻike inā he ʻū ʻū a he maʻi ʻē aʻe paha. E hiki iā ia ke hāʻawi i ka lāʻau lapaʻau e pono ai a aʻo iā ʻoe pehea e mālama ai i kāu keiki a hiki i kona hoʻōla ʻana. E noho olakino!
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He aha ka maʻi ʻo Pertussis?
He maʻi koʻikoʻi loa kēia o nā māmā a me ke ala hanu i hoʻokumu ʻia e ka bacteria. Hōʻike ʻia ia e ka ʻū mau ʻana, hiki ʻole ke hoʻomanawanui, a me ke kani 'whoop' ke hanu hope ʻoe.
💬 He mea weliweli anei kēia maʻi no nā kamaliʻi liʻiliʻi?
ʻAe, he mea make loa kēia, ʻoiai no nā pēpē ma lalo o 6 mahina. Inā kū mau ka pēpē, hiki iā ia ke paʻakikī i ka hanu ʻana, lilo i polū, a hiki i ka hiolo ʻana.
💬 Pehea e pale ai i nā keiki mai ka ʻūhū ʻana?
ʻO ka hopena wale nō a ʻoi loa ka maikaʻi loa no kēia, ʻo ia ka hāʻawi ʻana i ka lāʻau pale DTP, i hāʻawi ʻia ma nā keʻena lapaʻau aupuni i ka wā kamaliʻi, i ke keiki i ka manawa kūpono.
ʻUlu ʻeha, Pertussis, Nā maʻi lele, ʻUlu, Nā maʻi hanu, Ola kino o ke keiki, Nā lāʻau pale











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