Kaiāulu Hanahana Hanu (Rsv)

ʻO ka maʻi hanu syncytial (RSV) ka mea e hoʻopilikia ai i nā māmā a me nā ala hanu. He maʻi maʻamau loa ia, no laila ua maʻi ka hapanui o nā keiki i kēia maʻi ma mua o ko lākou 2 makahiki. Hiki i ka maʻi hanu syncytial (sin-SISH-ul) ke hoʻopilikia i nā mākua.

Ma nā mākua a me nā keiki olakino nui, he māmā nā hōʻailona o ka maʻi hanu syncytial (RSV) a maʻamau e like me ka maʻi anu maʻamau. ʻO nā hana mālama ponoʻī ka mea wale nō e pono ai e hoʻomaha i kekahi ʻeha.

Hiki i ka RSV ke hoʻokumu i ka maʻi nui i kekahi poʻe, me nā pēpē 12 mahina a i lalo paha (pēpē), ʻoi loa nā pēpē hānau mua, nā mākua kahiko, nā kānaka me nā maʻi naʻau a me nā māmā, a i ʻole kekahi me ka ʻōnaehana pale maʻi nāwaliwali (immunocompromised).

ʻO ka hōʻailona a me nā hōʻailona o ka maʻi ʻana o ka maʻi hanu syncytial virus (RSV) ka mea maʻamau e ʻike ʻia ma kahi o ʻehā a ʻeono mau lā ma hope o ka hōʻike ʻia ʻana i ka maʻi. I nā mākua a me nā keiki nui, hoʻokumu pinepine ka RSV i nā hōʻailona a me nā hōʻailona like me ke anu māmā. ʻO kēia mau mea kekahi o kēia mau mea:

• Ihu ʻāʻī a i ʻole kahe
• Ke ʻōhū maloʻo
• Wela haʻahaʻa
• ʻAʻī ʻeha
• Kuʻi
• Poʻo ʻeha

Hoʻokomo ka maʻi hanu syncytial i ke kino ma o nā maka, ihu a i ʻole waha. Hoʻolaha maʻalahi ʻia ma ka lewa ma nā kulu hanu i maʻi. Hiki iā ʻoe a i kāu keiki ke maʻi inā kuʻi a ʻūhā kekahi me ka RSV kokoke iā ʻoe. Hoʻololi pū ka maʻi i nā poʻe ʻē aʻe ma o ka hoʻopā pololei, e like me ka lūlū lima.

Hiki i ka maʻi ke noho no nā hola ma nā mea paʻakikī e like me nā papa hana, nā pā crib a me nā pāʻani. E hoʻopā i kou waha, ihu a i ʻole nā ​​maka ma hope o ka hoʻopā ʻana i kahi mea i haumia a ua nui ka loaʻa ʻana o ka maʻi.

ʻO ka mea maʻi ka mea hoʻolaha nui loa i ka hebedoma mua ma hope o ka maʻi. Akā i nā pēpē a me nā poʻe i nāwaliwali ko lākou pale ʻana, hiki ke hoʻomau ka maʻi ke hoʻolaha ʻia ʻoiai ke pau nā hōʻailona, ​​no nā pule ʻehā paha.

I ka makahiki 2, ua maʻi ka hapa nui o nā keiki i ka maʻi hanu syncytial hanu, akā hiki iā lākou ke maʻi hou aku ma mua o hoʻokahi manawa. ʻOi aku ka nui o ka pilikia o nā keiki e hele ana i nā keʻena mālama keiki a i ʻole nā ​​hoahānau e hele ana i ke kula i ka maʻi a me ka maʻi hou. ʻO ka wā RSV - ka wā e ulu ai nā maʻi - ʻo ia ka hāʻule a hiki i ka hopena o ka pūnāwai.

ʻO nā kānaka i pilikia nui i ka maʻi RSV koʻikoʻi a i ʻole ka make ʻana, e komo pū ana:

• Nā pēpē, ʻoi aku hoʻi nā pēpē ma mua o ka manawa a i ʻole nā ​​pēpē he 6 mahina a i ʻole emi iho
• Nā keiki me ka maʻi naʻau i loaʻa mai ka hānau ʻana (maʻi naʻau congenital) a i ʻole ka maʻi māmā lōʻihi
• Nā keiki a i ʻole nā ​​poʻe mākua me nā ʻōnaehana pale kino nāwaliwali mai nā maʻi e like me ka maʻi kanesa a i ʻole ka mālama ʻana e like me ke chemotherapy
• Nā keiki me nā maʻi neuromuscular, e like me ka muscular dystrophy
• Nā mākua me ka maʻi naʻau a i ʻole ka maʻi māmā
• Nā ʻelemakule, ʻoi aku hoʻi nā poʻe 65 a ʻoi aku paha

Nā pilikia o ka maʻi hanu syncytial virus (RSV) e komo pū ana me:

• Ke komo ʻana i ka haukapila. Hiki i ka maʻi RSV koʻikoʻi ke koi aku i kahi noho haukapila i hiki ai i nā kauka ke nānā a mālama i nā pilikia hanu a hāʻawi i nā wai intravenous (IV).
• Pneumonia. ʻO ka RSV ka mea maʻamau loa e hoʻoulu ai i ka mumū o nā māmā (pneumonia) a i ʻole nā ​​alawa o nā māmā (bronchiolitis) i nā pēpē. Hiki i kēia mau pilikia ke kū mai i ka wā e pālahalaha ai ka maʻi i ka ʻāpana hanu haʻahaʻa. Hiki i ka mumū o nā māmā ke koʻikoʻi loa i nā pēpē, nā keiki ʻōpio, nā ʻelemakule, nā kānaka pale ʻole, a i ʻole nā ​​​​kānaka me ka maʻi naʻau a i ʻole ka maʻi māmā mau loa.
• Ka maʻi pepeiao waena. Inā komo nā germs i kahi ma hope o ka eardrum, hiki iā ʻoe ke loaʻa ka maʻi pepeiao waena (otitis media). Hana pinepine kēia i nā pēpē a me nā keiki ʻōpio.
• Asthma. Loaʻa paha kahi pilina ma waena o ka RSV koʻikoʻi i nā keiki a me ka manawa e loaʻa ai ka asthma ma hope i ke ola.
• Nā maʻi hou. I ka manawa āu i loaʻa ai ka RSV, hiki iā ʻoe ke loaʻa hou. Hiki ke hana pēlā i loko o ka manawa RSV like. Eia naʻe, ʻaʻole nui ka nui o nā hōʻailona - maʻamau ia ma ke ʻano he anu maʻamau. Akā hiki iā lākou ke koʻikoʻi i nā ʻelemakule a i ʻole i nā kānaka me ka maʻi naʻau a i ʻole ka maʻi māmā mau loa.

Hiki i ka maʻi ʻāneʻane hanu syncytial ke hoʻopilikia i kekahi. Akā, ʻoi aku ka nui o ka pilikia o ka maʻi nui i nā pēpē hānau mua a me nā pēpē ʻōpio, a me nā poʻe ʻelemakule, me ka maʻi naʻau a i ʻole ka maʻi māmā a i ʻole ka pale ʻana o ke kino i nā maʻi.

Hiki i ke kauka ke kānalua i ka maʻi hanu syncytial ma muli o ka ʻike ʻana mai ka nānā kino a me ka manawa o ka makahiki i loaʻa ai nā hōʻailona. I ka wā o ka nānā ʻana, e hoʻolohe ke kauka i nā māmā me kahi stethoscope e nānā i ka wheezing a i ʻole nā ​​leo ʻē aʻe ʻaʻole kūpono.

ʻAʻole pinepine ʻia nā hoʻokolohua lapaʻau a me nā kiʻi. Eia naʻe, hiki iā lākou ke kōkua i ka ʻike ʻana i nā pilikia o ka maʻi hanu syncytial (RSV) a i ʻole ke kāpae ʻana i nā kūlana ʻē aʻe e hiki ke hoʻokumu i nā hōʻailona like. Hiki i nā hoʻokolohua ke komo pū me:

• Nā hoʻokolohua koko e nānā i ka nui o nā keʻena keʻokeʻo a i ʻole e ʻimi i nā mea hoʻomaʻi, nā bacteria a me nā germs ʻē aʻe
• Nā X-ray umauma e nānā i ka mumū o nā māmā
• Kahi swab o nā mea huna mai loko o ka waha a i ʻole ka ihu e nānā i nā hōʻailona o ka mea hoʻomaʻi
• Pulse oximetry, kahi mea nānā ʻili ʻole ʻeha, e ʻike i nā pae haʻahaʻa ma mua o ka maʻamau o ka oxygen i loko o ke koko

ʻO ka mālama maʻamau no ka maʻi hanu syncytial maʻamau, ʻo ia ka mālama ponoʻī e hoʻoluʻolu ai i kāu keiki (mālama kōkua). Akā, pono paha ke komo i ka haukapila inā loaʻa nā hōʻailona koʻikoʻi.

Hiki i kāu kauka ke kuhikuhi i ka lāʻau lapaʻau ma luna o ka papa inoa e like me ka acetaminophen (Tylenol, a me nā mea ʻē aʻe) e hoʻemi ai i ka wela. (Mai hāʻawi i ka aspirin i kahi keiki.) Hiki i ka hoʻohana ʻana i nā kulu wai paʻakai i ka ihu a me ka suction ke kōkua i ka hoʻomaʻemaʻe ʻana i ka ihu ʻāʻī. Hiki i kāu kauka ke kuhikuhi i nā lāʻau antibiotic inā loaʻa kahi pilikia bacterial, e like me ka pneumonia bacterial.

E mālama i kāu keiki i ka hōʻoluʻolu e like me ka hiki. E hāʻawi i ka wai nui a e nānā i nā hōʻailona o ka nalowale o nā wai o ke kino (dehydration), e like me ka waha maloʻo, ka liʻiliʻi a ʻole ka mimi, nā maka hohonu, a me ka huhū nui a i ʻole ka hiamoe.

Inā koʻikoʻi ka maʻi RSV, pono paha ka noho ma ka haukapila. ʻO nā mālama ma ka haukapila e komo pū ai:

ʻAʻole i hōʻoia ʻia ka inhaler (bronchodilator) a i ʻole nā ​​steroids he kōkua i ka mālama ʻana i ka maʻi RSV.

• Nā wai intravenous (IV)
• Oxygen humidified
• Ka mīkini hanu (mechanical ventilation), i nā hihia kakaikahi

ʻAʻole paha ʻoe e hiki ke hoʻopōkole i ka lōʻihi o ka maʻi hanu syncytial virus, akā hiki iā ʻoe ke ho'āʻo e hoʻomaha i kekahi mau hōʻailona a me nā hōʻailona.

Inā loaʻa i kāu keiki ka RSV, e ho'āʻo i kou hiki e hōʻoluʻolu a hoʻopio paha iā ia — e hāpai, e heluhelu i kahi puke a pāʻani paha i kahi pāʻani mālie. ʻO nā ʻōlelo aʻoaʻo ʻē aʻe no ka hoʻomaha ʻana i nā hōʻailona:

• E hana i ka ea pulu e hanu ai. E mālama i ka lumi mehana akā ʻaʻole wela loa. Inā maloʻo ka ea, hiki i ka mea hoʻomehana ea anuanu a i ʻole ka mea hoʻomehana ea ke hoʻomehana i ka ea a kōkua i ka hoʻomaha ʻana i ka congestion a me ka ʻōhū. E hōʻoia e mālama i ka mea hoʻomehana ea i maʻemaʻe e pale aku i ka ulu ʻana o nā bacteria a me nā molds.
• E inu i nā wai. E hoʻomau i ka hānai ʻana i ka umauma a i ʻole ka hānai ʻana i kāu pēpē e like me kāu hana maʻamau. No nā keiki nui a me nā mākua, e mālama i ka wai anuanu ma kahi moe. E hāʻawi i nā wai mahana, e like me ka soup, kahi e hiki ai ke kōkua i ka hoʻoluhi ʻana i nā mea ʻōpala. Hiki i nā ice pops ke hōʻoluʻolu pū kekahi.
• E ho'āʻo i nā kulu ihu saline. ʻO nā kulu over-the-counter (OTC) he ala palekana a maikaʻi hoʻi e hoʻomaha ai i ka congestion, ʻoiai no nā keiki liʻiliʻi. E hahai i nā ʻōlelo a kāu kauka a me nā ʻōlelo aʻo ma ka huahana.
• E hoʻohana i nā mea hoʻomaha ʻeha over-the-counter. Hiki i nā mea hoʻomaha ʻeha over-the-counter (OTC) e like me ka acetaminophen (Tylenol, nā mea ʻē aʻe) ke kōkua i ka hoʻemi ʻana i ka wela a hoʻomaha i ka ʻeha ʻāʻī. E noi i ke kauka no ka nui kūpono no ka makahiki o kāu keiki.
• E noho mamao aku i ka ua puhipaka. Hiki i ka ua puhipaka lua ke hoʻonāukiuki i nā hōʻailona.