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October 10, 2025
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ʻO ka anu maʻamau i nā pēpē he maʻi viral ia e hoʻopilikia ana i ko lākou ihu, ʻāʻī, a me nā ala hanu kiʻekiʻe. ʻO ia kekahi o nā maʻi pinepine loa a nā pēpē e loaʻa ai, ʻoi aku hoʻi i ko lākou makahiki mua o ke ola. ʻOiai ʻo ka ʻike ʻana i kāu keiki liʻiliʻi e ʻeha ana he mea hopohopo, ʻo ka hapa nui o nā anu pēpē he māmā a hoʻōla wale nō ma o ka hoʻomaha nui a me ka mālama.
ʻO ka maʻamau, loaʻa i nā pēpē 6 a 8 mau anu i ko lākou makahiki mua, ʻoiai e ulu ana ko lākou ʻōnaehana pale. Hoʻokumu ʻia kēia mau maʻi e nā mea hoʻomaʻi viral e pālahalaha maʻalahi ma ka lewa a ma nā ʻili, e hana ana iā lākou he mea kokoke hiki ʻole ke pale aku.
Hiki ke ʻokoʻa nā hōʻailona o ka anu maʻamau i nā pēpē, akā e ʻike pinepine ʻoe i nā loli i ko lākou hanu, ʻai, a me ka hōʻoluʻolu holoʻokoʻa. Hoʻomohala pinepine ʻia kēia mau hōʻailona i kahi lā a ʻelua paha.
E nānā kākou i nā hōʻailona maʻamau loa āu e ʻike ai i kāu pēpē:
ʻO ka maʻamau, mau kēia mau hōʻailona mai 7 a 10 mau lā, me ka ʻāʻī nui loa ma kahi o nā lā 3 a 5. Hiki ke emi iki ka makemake o kāu pēpē i ka ʻai, ʻo ia hoʻi he mea maʻamau loa ia i ka wā e hoʻomau ai lākou e inu i kekahi wai.
I nā hihia kakaikahi, hiki i nā pēpē ke loaʻa nā hōʻailona ʻoi aku ka pilikia e like me ka wela kiʻekiʻe mau loa ma luna o 100.4°F (38°C), ka pilikia o ka hanu, a i ʻole nā hōʻailona o ka nele o ka wai. Pono kēia mau kūlana i ka mālama koke o ke kauka.
Hoʻokumu ʻia nā maʻi anu maʻamau i nā pēpē e nā mea hoʻomaʻi, me nā ʻano ʻoi aku ma mua o 200 e hiki ke hoʻoulu i kēia mau maʻi. ʻO ka rhinovirus ke kuleana no kahi 30-40% o nā anu pēpē, ʻoiai nā mea hoʻomaʻi ʻē aʻe e like me ka coronavirus, ka respiratory syncytial virus (RSV), a me ka parainfluenza virus ke kuleana no ke koena.
Loaʻa i nā pēpē kēia mau mea hoʻomaʻi ma o nā ala maʻamau he nui. Ke ʻūlū a i ʻole ke kīkī kekahi me ka anu, lele nā kulu liʻiliʻi e loaʻa ana i ka mea hoʻomaʻi i ka lewa a hiki ke hanu ʻia e kāu pēpē. Hiki nō hoʻi ke pālahalaha ka mea hoʻomaʻi i ka wā e pā aku ai kāu pēpē i nā ʻili haumia a laila hoʻokomo i ko lākou mau lima i ko lākou waha, ihu, a i ʻole nā maka.
He mea nāwaliwali loa nā pēpē ʻōpio no ka mea ke aʻo nei ko lākou ʻōnaehana pale e ʻike a hakakā i kēia mau mea hoʻomaʻi. Eia kekahi, ʻimi maoli nā pēpē i ka honua ma o ka hoʻokomo ʻana i nā mea āpau i ko lākou waha, kahi e hoʻonui ai i ko lākou hōʻike ʻana i nā germs.
ʻO nā keʻena mālama lā, nā hālāwai ʻohana, a me nā wahi lehulehu nā wahi maʻamau kahi e kiʻi ai nā pēpē i nā mea hoʻomaʻi anu. ʻO nā hoahānau aloha e kipa mai ana i ka wā e hakakā ana i ka anu māmā hiki ke hoʻoili ʻole i ka mea hoʻomaʻi i kāu keiki liʻiliʻi.
Pono ʻoe e kelepona i kāu kauka pediatrics inā ʻoi aku ka liʻiliʻi o kāu pēpē ma mua o 3 mau mahina a hōʻike i kekahi mau hōʻailona anu, ʻoiai he māmā paha. Loaʻa i nā pēpē ʻōpio loa nā ʻōnaehana pale ʻole a hiki ke hoʻomohala i nā pilikia ʻoi aku ka wikiwiki ma mua o nā keiki nui.
No nā pēpē i ʻoi aku ma mua o 3 mau mahina, eia nā kūlana kūikawā e pono ai ke nānā ʻana o ke kauka:
E hilinaʻi i kou mau manaʻo makua. Inā manaʻo ʻoe he ʻokoʻa kekahi mea e pili ana i ka ʻano o kāu pēpē a i ʻole ke hopohopo nei ʻoe e pili ana i kā lākou mau hōʻailona, ʻoi aku ka maikaʻi e nīnau aku i kāu mea mālama ola.
I nā hihia kakaikahi, ʻo ka mea e like me ka anu maʻalahi paha, ʻo ia paha ka hoʻomaka ʻana o kahi kūlana ʻoi aku ka nui e like me ka pneumonia a i ʻole bronchiolitis, ʻoi aku hoʻi i nā pēpē ʻōpio loa.
He mau mea e hiki ke hoʻonui i ka hiki ke loaʻa i kāu pēpē nā anu pinepine. Hiki i ka hoʻomaopopo ʻana i kēia mau mea pilikia ke kōkua iā ʻoe e lawe i nā palekana kūpono ʻoiai e mālama ana i nā manaʻo kūpono.
ʻO nā mea pilikia nui loa e komo pū ana:
Hiki i ka hānai ʻana ke hāʻawi i kekahi palekana mai nā anu ma ka hoʻoili ʻana i nā antibodies mai ka makuahine i ka pēpē. Eia naʻe, e loaʻa nō i nā pēpē hānai ʻia nā anu ʻoiai e hōʻike ʻia lākou i nā mea hoʻomaʻi hou aʻe ʻaʻole i ʻike ʻia e ko lākou mau makuahine.
He mea nui e hoʻomanaʻo ʻia ʻo ka loaʻa ʻana o nā anu he ʻāpana maʻamau ia o ka hoʻomohala ʻana o ka ʻōnaehana pale kino o kāu pēpē. Kūkulu kēlā me kēia anu i ko lākou kino e ʻike a hakakā i nā mea hoʻomaʻi me ka maikaʻi hou aku i ka wā e hiki mai ana.
Hoʻonā ka hapa nui o nā anu pēpē me ka ʻole o nā pilikia, akā he mea kōkua ke ʻike i nā hōʻailona e hōʻike ana i kahi pilikia koʻikoʻi. ʻOi aku ka maʻalahi o nā pēpē ʻōpio i nā pilikia no ka mea ʻoi aku ka liʻiliʻi o ko lākou mau ala hanu a ke ulu nei ko lākou mau ʻōnaehana pale kino.
ʻO nā pilikia maʻamau loa e hiki ke ulu pū me:
He mea maʻamau ʻole kēia mau pilikia, ʻoi aku hoʻi me ka mālama pono a me ka nānā ʻana. Eia naʻe, ʻoi aku ka nui o ka loaʻa ʻana i nā pēpē ʻōpio loa, nā pēpē ma mua o ka manawa, a i ʻole nā mea me nā kūlana olakino ma lalo.
I nā hihia kakaikahi, ʻo ka mea i ʻike mua ʻia he anu maʻalahi paha i hana ʻia e ka respiratory syncytial virus (RSV), kahi e alakaʻi ai i nā pilikia hanu ʻoi aku ka nui i nā pēpē ʻōpio. ʻO ia ke kumu e nui ai ka nānā pono ʻana i nā hōʻailona o kāu pēpē.
ʻOiai ʻaʻole hiki iā ʻoe ke pale loa i kāu pēpē mai ka hopu ʻana i nā anu, hiki iā ʻoe ke hoʻemi nui i ko lākou pilikia ma ka hahai ʻana i kekahi mau hana palekana. ʻAʻole ka pahuhopu e hana i kahi wahi maʻemaʻe, akā e hoʻemi i ka hōʻike ʻana i nā mahina nāwaliwali loa o kāu pēpē.
Eia nā ʻano palekana maikaʻi loa:
E hoʻomanaʻo he pono kekahi hōʻike ʻana i nā germs no ka hoʻomohala ʻana o ka ʻōnaehana pale o kāu pēpē. ʻO ka mea nui, ʻo ka loaʻa ʻana o ka kaulike ma waena o nā palekana kūpono a me ka ʻae ʻana i ka launa pū maʻamau.
I ka ulu ʻana o kāu pēpē a me ka ikaika o kā lākou ʻōnaehana pale, e kūʻē maoli lākou i kēia mau maʻi maʻamau. ʻOi aku ka liʻiliʻi o nā anu i loaʻa i ka hapa nui o nā pēpē ma hope o ko lākou lā hānau mua.
ʻO ka ʻike ʻana i ka anu maʻamau i nā pēpē he pololei maʻamau a ma muli o ka nānā ʻana i kā lākou hōʻailona. E hiki i kāu kauka ke ʻike i ka anu ma ka hoʻolohe wale ʻana i kāu wehewehe a me ka nānā ʻana i kāu pēpē.
I ka wā o ka nānā ʻana, e nānā kāu kauka i ka ihu, ka ʻāʻī, a me nā pepeiao o kāu pēpē no nā hōʻailona o ka maʻi. E hoʻolohe lākou i nā māmā a me ka naʻau o kāu pēpē e hōʻoia ʻaʻohe kani pilikia e hōʻike ana i nā pilikia.
E nīnau aku kāu kauka kamaliʻi e pili ana i ka laulā o nā hōʻailona, nā ʻano hānai a kāu pēpē, a inā ua maʻi kekahi ʻē aʻe ma ka hale i ka manawa koke. Kōkua kēia ʻike e hōʻoiaʻiʻo e pili ana ʻoe i ka maʻi anu maʻamau ma mua o kahi mea ʻoi aku ka nui.
I ka hapanui o nā hihia, ʻaʻohe pono o nā hoʻokolohua kūikawā e ʻike i ka maʻi anu maʻamau. Eia naʻe, hiki i kāu kauka ke ʻōlelo aku i ka hoʻokolohua hou aku inā manaʻo lākou i nā pilikia a i ʻole inā nui loa nā hōʻailona o kāu pēpē.
ʻAʻole pinepine, inā loaʻa i kāu pēpē nā hōʻailona mau a i ʻole nā hōʻailona o ka maʻi ʻoi aku ka nui, hiki i kāu kauka ke kauoha i kahi X-ray umauma a hoʻokolohua i nā mea huna ihu e ʻike i ka maʻi virus e hoʻoulu ana i ka maʻi.
ʻO ka lāʻau lapaʻau no nā anu pēpē e kau i ka mālama ʻana i kou pēpē liʻiliʻi i ka wā e hakakā ai kā lākou ʻōnaehana pale i ka virus. ʻAʻohe lāʻau lapaʻau no ka maʻi anu maʻamau, akā hiki iā ʻoe ke hana nui e kōkua i kāu pēpē e ʻoluʻolu i ka wā o ke kaʻina hoʻōla.
ʻO nā ala lāʻau nui e komo pū ana:
He mea nui loa ia e pale aku i ka hāʻawi ʻana i nā lāʻau lapaʻau anu ma luna o ka counter i nā pēpē ma lalo o 2 mau makahiki. ʻAʻole i hōʻoia ʻia kēia mau lāʻau lapaʻau palekana a maikaʻi paha no nā keiki ʻōpio a hiki ke hoʻoulu i nā hopena ʻaoʻao pōʻino.
No ka mālama ʻana i ka wela, hiki iā ʻoe ke hāʻawi i ka acetaminophen no nā pēpē ma mua o 3 mau mahina, a i ʻole ka ibuprofen no nā pēpē ma mua o 6 mau mahina, ma muli o nā kuhikuhi o kāu kauka. Mai hāʻawi i ka aspirin i nā pēpē a i ʻole nā keiki ma muli o ka pilikia o kahi maʻi koʻikoʻi i kapa ʻia ʻo ka maʻi Reye.
ʻO ka mālama ʻana i kahi pēpē me ka anu ma ka home e pono ai ke ahonui a me ka nānā pono i kā lākou mau pono hōʻoluʻolu. He kuleana nui kāu mālama aloha i ka kōkua ʻana iā lākou e ola hou a pale aku i nā pilikia.
Eia pehea ʻoe e hāʻawi ai i ka mālama home maikaʻi loa:
ʻO ka hana ʻana i kahi wahi mālie a hōʻoluʻolu hoʻi he mea nui ia no ka ola hou ʻana o kāu pēpē. E mālama i ko lākou lumi i kahi mahana hōʻoluʻolu a e hōʻoia i ka ea maikaʻi me ka ʻole o nā kahawai.
E hoʻomanaʻo he mea maʻamau ia no nā pēpē ke ʻoi aku ka pili a pono i ka nānā hou aku i ka wā ʻaʻole lākou e ʻoluʻolu. ʻO kēia pono nui no ka hōʻoluʻolu he ʻāpana ia o kā lākou kaʻina hoʻōla maoli a kōkua i ka hoʻoikaika ʻana i kou pilina.
ʻO ka hoʻomākaukau ʻana no kāu kipa i ke kauka kamaliʻi e kōkua iā ʻoe e hoʻohana pono i kou manawa a e hōʻoia i loaʻa i kāu kauka nā ʻike āpau e pono ai e hāʻawi i ka mālama maikaʻi loa i kāu pēpē.
Ma mua o kāu kūkā, e hōʻiliʻili i kēia mau ʻike koʻikoʻi:
E lawe mai i nā mea hōʻoluʻolu punahele o kāu pēpē e kōkua i ka mālie iā lākou i ka wā o ka nānā ʻana. Hiki i kahi kapa moe maʻamau a i ʻole kahi pāʻani liʻiliʻi ke hoʻemi i ka pilikia no nā mea āpau.
E kākau i kekahi mau nīnau a i ʻole nā hopohopo kikoʻī āu i loaʻa ai ma mua o ke kūkā. He maʻalahi ke poina i nā kikoʻī koʻikoʻi i ka wā e nānā ana ʻoe i ka nānā ʻana o kāu pēpē, no laila, ʻo ka loaʻa ʻana o ka papa inoa i kākau ʻia e hōʻoia iā ʻoe e pane i nā mea āpau.
He mea maʻamau loa nā anu maʻamau i nā pēpē a ʻaʻohe mea e hopohopo ai, ʻoiai hiki iā lākou ke hoʻohaʻahaʻa iā ʻoe a me kāu keiki liʻiliʻi no hoʻokahi pule a ʻoi aku paha. Ke aʻo nei a ke ulu nei ka ʻōnaehana pale o kāu pēpē a ke ikaika nei me kēlā me kēia anu āna e hālāwai ai.
ʻO ka mea nui loa e hoʻomanaʻo ai, ʻo kou aloha a me kou mālama ʻana ka lāʻau maikaʻi loa i kēia manawa. ʻOiai ʻaʻole hiki iā ʻoe ke ho'ōla i ke anu, hiki iā ʻoe ke hāʻawi i ka hōʻoluʻolu, e hōʻoia i ka wai kūpono, a e nānā i nā loli hopohopo i nā hōʻailona.
E hilinaʻi i kou manaʻo makuakāne. ʻOi aku kou ʻike i kāu pēpē ma mua o kekahi, a inā he mea kūpono ʻole a ʻokoʻa paha, mai hoʻokaʻulua e kelepona aku i kāu mea mālama ola. Hoʻōla ka nui o nā anu i loko o 7-10 mau lā me ka ʻole o nā hopena lōʻihi.
E hoʻomanaʻo e hoʻomaikaʻi nui kēia wā o nā anu pinepine ma hope o ka lā hānau mua o kāu pēpē ke ulu aʻe kona ʻōnaehana pale a loaʻa iā ia ka palekana i nā mea hoʻomaʻi maʻamau i kou wahi.
ʻAe, e hoʻomau i ka hānai waiū umauma i kāu pēpē ke loaʻa iā ia ka anu. Loaʻa i ka waiū umauma nā antibody e kōkua i ka paio ʻana i ka maʻi a hāʻawi i ka wai pono. Pono paha ʻoe e hānai pinepine aku no ka mea hiki i kāu pēpē ke lawe i nā mea liʻiliʻi ma muli o ka ʻāʻī, akā ʻo ka hānai waiū umauma kekahi o nā mea maikaʻi loa āu e hiki ai ke hana i ka wā o kona maʻi.
ʻOi aku ka hoʻopilikia ʻana o nā pēpē i nā lā mua 2-3 o ko lākou anu ke ulu nei nā hōʻailona, akā hiki iā lākou ke hoʻolaha i ka mea hoʻomaʻi a hiki i 10 mau lā. Hoʻemi nui ʻia ka manawa hoʻopilikia ma hope o ka haki ʻana o ka mahana a hoʻomaka ka hoʻomaikaʻi ʻana o nā hōʻailona. Eia naʻe, hiki ke hoʻomau kekahi hoʻolaha viral ma hope o ka maikaʻi ʻana o kāu pēpē.
Koi aku ka nui o nā hale kahu i nā keiki e noho ma ka home inā loaʻa iā lākou ka mahana, ʻoluʻolu ʻole e komo maʻamau, a pono i ka mālama ʻoi aku ma mua o ka hiki i nā limahana ke hāʻawi i ka mālama ʻana i nā keiki ʻē aʻe. E nānā i ke kulekele maʻi kikoʻī o kāu hale kahu, akā ma ke ʻano laulā hiki i nā pēpē ke hoʻi hou ke ʻole ka mahana no 24 mau hola a ʻai maʻamau, ʻoiai inā loaʻa nō iā lākou kekahi ʻāʻī.
ʻOiai ʻoi aku ka nui o nā anu maʻamau a hoʻōla iā lākou iho, hiki i nā pēpē ke loaʻa i nā pilikia e like me nā maʻi pepeiao, ka bronchiolitis, a i ʻole ka pneumonia. E nānā i nā hōʻailona hoʻomaopopo e like me ka pilikia o ka hanu, ka wela kiʻekiʻe mau, ke hōʻole ʻana e ʻai no kekahi mau hānai, a i ʻole kekahi ʻano hana i ʻokoʻa loa mai nā ʻano maʻamau o kāu pēpē. E kelepona i kāu kauka pediatrics inā ʻike ʻoe i kēia mau loli hopohopo.
ʻAe, he mea maʻamau loa ia no nā pēpē ke loaʻa i nā anu 6-8 i ko lākou makahiki mua o ke ola. Ke ulu nei ko lākou ʻōnaehana pale, a ke hōʻike ʻia nei lākou i nā mea hoʻomaʻi he nui no ka manawa mua. ʻO kēlā me kēia anu ke kōkua maoli i ka kūkulu ʻana i ko lākou palekana no ka wā e hiki mai ana. E ʻike paha ʻoe i nā anu liʻiliʻi ke ulu aʻe kāu pēpē a lilo ko lākou ʻōnaehana pale i mea akamai i ka hakakā ʻana i kēia mau mea hoʻomaʻi.
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