Health Library
October 10, 2025
Question on this topic? Get an instant answer from August.
ʻO ka roseola kahi maʻi maʻamau o nā keiki e hoʻopuka ai i ka wela kiʻekiʻe a ukali ʻia e ka ʻili ʻulaʻula. Hoʻopili nui kēia maʻi viral i nā pēpē a me nā kamaliʻi ma waena o 6 mau mahina a 2 mau makahiki, ʻoiai hiki ke loaʻa i nā keiki nui aku.
ʻO ka hapanui o nā mākua e ʻike i ka roseola i kekahi manawa i nā makahiki mua o kā lākou keiki. He māmā loa kēia kūlana a hoʻōla maoli ia i loko o hoʻokahi pule. ʻOiai ʻo ka wela kiʻekiʻe koke e hōʻoiaʻiʻo ʻia, ʻaʻole pinepine ka roseola e hoʻopuka i nā pilikia koʻikoʻi i nā keiki olakino.
ʻO ka roseola kahi maʻi viral e hahai ana i kahi ʻano maʻamau loa i nā keiki ʻōpio. Hoʻomaka ka maʻi me kekahi mau lā o ka wela kiʻekiʻe, a ukali ʻia e ka ʻike ʻia ʻana o ka ʻili ʻulaʻula i ka manawa e haki ai ka wela.
Ua ʻike ʻia kēia kūlana ʻo ka maʻi ʻeono a i ʻole roseola infantum. Ua hana ʻia e ka human herpesvirus 6 (HHV-6) a i kekahi manawa human herpesvirus 7 (HHV-7). He ʻokoʻa loa kēia mau virus mai nā herpes viruses e hoʻopuka ai i nā ʻōpala anu a i ʻole nā herpes genital.
He maʻamau loa ka maʻi i ka manawa o 2 mau makahiki, ma kahi o 90% o nā keiki ua hōʻike ʻia i ka virus. He nui nā hihia māmā loa a ʻike ʻole ʻia, ʻoiai nā mea ʻē aʻe e hōʻike ana i ke ʻano wela-a-laila-ʻili maʻamau e maʻalahi ai ka ʻike.
ʻIke ʻia nā hōʻailona roseola i ʻelua mau ʻāpana ʻokoʻa, e maʻalahi ai ka ʻike ʻana i ka manawa e ʻike ʻoe i ka mea e ʻimi ai. ʻO ka ʻāpana mua e pili ana i ka wela, ʻoiai ʻo ka ʻāpana ʻelua e lawe mai i ka ʻili ʻulaʻula.
I ka wā o ka wela, kahi e mau ai ma kahi o 3 a 5 mau lā, hiki iā ʻoe ke ʻike:
Hoʻomaka koke ka wela a hiki ke kiʻekiʻe loa, kahi e hopohopo ai i nā mākua he nui. Hiki i kāu keiki ke ʻike ʻia he luhi ma mua o ka maʻamau a emi iki ka makemake e pāʻani a ʻai paha.
I ka manawa e haki ai ka wela, hoʻomaka ka ʻāpana ʻili. Hana ʻia kēia i loko o 12 a 24 mau hola ma hope o ka hoʻi ʻana o ka mahana i ka maʻamau:
Mau ka ʻili ma kahi o 1 a 3 mau lā ma mua o ka nalowale loa. He mea hoihoi, i ka manawa e ʻike ʻia ai ka ʻili, ʻike maikaʻi loa nā keiki a hoʻi i kā lākou mau hana maʻamau.
Ua hana ʻia ka roseola e ʻelua mau ʻano o ka human herpesvirus: HHV-6 a me HHV-7. No ka ʻohana like kēia mau virus me nā virus maʻamau ʻē aʻe akā he ʻokoʻa loa ia mai nā mea e hoʻopuka ai i nā ʻōpala anu a i ʻole nā maʻi genital.
ʻO HHV-6 ka mea kuleana no kahi o 90% o nā hihia roseola. He mea maʻamau loa kēia virus i ka honua a hoʻolaha maʻalahi mai ke kanaka a i ke kanaka ma o nā droplets hanu i ka manawa e ʻōhū ai, ʻūhū ai, a i ʻole e kamaʻilio ai ke kanaka maʻi.
Hiki nō hoʻi ke hoʻolaha ʻia ka virus ma o ka saliva, ʻo ia ke kumu e alakaʻi ai ka kaʻana like ʻana i nā kīʻaha, nā mea hana, a i ʻole nā mea pāʻani i ka hoʻoili ʻana. Hiki i nā mākua e lawe ana i ka virus ke ʻike ʻole i nā hōʻailona akā hiki nō ke hoʻoili i nā keiki. ʻO kēia pinepine ke ala e loaʻa ai i nā pēpē ka maʻi, maʻamau mai nā lālā ʻohana a i ʻole nā mea mālama ʻole e ʻike ana lākou e lawe ana i ka virus.
I ka manawa e maʻi ai kāu keiki, loaʻa i ka virus kahi manawa incubation o 5 a 15 mau lā ma mua o ka ʻike ʻia ʻana o nā hōʻailona. I kēia manawa, hoʻonui ka virus i loko o ke kino ʻoiai ke ʻike maʻamau kāu keiki.
Pono ʻoe e kelepona i kāu pediatrician inā loaʻa i kāu keiki ka wela kiʻekiʻe, ʻoiai inā he ʻemi ma mua o 6 mau mahina a i ʻole inā ʻo kēia ko lākou wela kiʻekiʻe mua. ʻOiai he palekana ka roseola, pono mau ka nānā ʻana o ke kauka i nā wela kiʻekiʻe i nā keiki ʻōpio.
Kelepona koke i kāu kauka inā ʻike kāu keiki i:
E ʻimi i ka mālama ola kino pilikia inā loaʻa i kāu keiki kahi febrile seizure, kahi hiki ke loaʻa i kahi o 10% a 15% o nā keiki me ka roseola. Hana ʻia kēia mau seizures ma muli o ka piʻi wikiwiki ʻana o ka mahana o ke kino a mau pinepine ma lalo o 5 mau minuke.
ʻO nā hōʻailona o kahi febrile seizure e komo pū ana me ka ʻike ʻole, nā neʻe ʻana o nā lima a me nā wāwae, ka nalowale ʻana o ka mana o ka ʻōpū a i ʻole ka ʻōpū, a me ka huikau manawa ma hope. ʻOiai he mea weliweli ke ʻike, ʻaʻole pinepine nā febrile seizures e hoʻopuka i ka pōʻino mau.
No ka hapanui o nā keiki olakino, ʻaʻole hoʻopuka ka roseola i nā pilikia mau a hoʻōla piha i loko o hoʻokahi pule. Eia naʻe, ʻo ka ʻike ʻana i nā pilikia hiki ke kōkua iā ʻoe e ʻike i ka manawa e ʻimi ai i ka mālama ola kino hou aku.
ʻO ka pilikia maʻamau loa ka febrile seizures, kahi e hoʻopili ai i kahi o 10% a 15% o nā keiki me ka roseola. Hana ʻia kēia mau seizures i ka wā e piʻi wikiwiki ai ka mahana o ke kino:
ʻOiai he mea weliweli ke nānā aku nā febrile seizures, ʻaʻole pinepine lākou e hoʻopuka i ka pōʻino mau. Eia naʻe, pono ka loiloi ola kino koke i kēlā me kēia seizure e kāpae i nā kumu ʻē aʻe.
Hiki i nā pilikia emi iki ke komo pū me:
Hiki i nā keiki me nā ʻōnaehana pale i hoʻohaʻahaʻa ʻia ke loaʻa nā pilikia koʻikoʻi, e komo pū ana me ka pneumonia a i ʻole ka mumū o ka lolo (encephalitis). Pono kēia mau pilikia koʻikoʻi i ka mālama ola kino koke a me ka hoʻokomo ʻia i ka haukapila.
No nā keiki olakino, ʻo ka hopohopo nui loa ka mālama ʻana i ka ʻoluʻolu mai ka wela kiʻekiʻe a me ka hōʻoia ʻana i ka lawa o ka wai i ka wā o ka maʻi.
Hoʻomaopopo pinepine nā kauka i ka roseola ma muli o ke ʻano o nā hōʻailona ma mua o nā hoʻokolohua kūikawā. ʻO ke kaʻina maʻamau o ka wela kiʻekiʻe a ukali ʻia e ka ʻili ʻulaʻula e maʻalahi ai ka ʻike ʻana i ka hapanui o nā hihia.
I ka wā o ka wela, e hana ke kauka pediatrician i kahi nānā kino piha e kāpae i nā kumu ʻē aʻe o ka wela kiʻekiʻe. E nānā lākou i nā pepeiao, ka ʻāʻī, a me ka umauma o kāu keiki e hōʻoiaʻiʻo ʻaʻole he hōʻailona o nā maʻi bacterial e pono ai ka lapaʻau antibiotic.
ʻAʻole pinepine ka pono o nā hoʻokolohua koko no ka ʻike ʻana o ka roseola. Eia naʻe, hiki i kāu kauka ke kauoha inā:
E ʻike maopopo loa ka ʻike i ka manawa e ʻike ʻia ai ka ʻili ʻulaʻula. ʻO ka manawa o ka ʻili - ʻike ʻia i ka manawa e haki ai ka wela - hui pū me kona ʻano maʻamau ma ke kumu e kōkua i ka hōʻoia ʻana i ka roseola.
I kekahi mau hihia, hiki i nā kauka ke hoʻohana i kahi kaʻina hana o ka kāpae ʻana, e kāpae ana i nā kūlana ʻē aʻe e hoʻopuka ai i ka wela a me ka ʻili i nā keiki ʻōpio. Hiki ke komo pū me ka nānā ʻana i ka strep throat, nā maʻi pepeiao, a i ʻole nā maʻi viral ʻē aʻe.
ʻAʻohe lapaʻau antiviral kūikawā no ka roseola ʻoiai ua hana ʻia e kahi virus e hoʻōla maoli ia iho. Hoʻokomo ka lapaʻau i ka mālama ʻana i kāu keiki i ka ʻoluʻolu a me ka mālama ʻana i nā hōʻailona ʻoiai e hakakā ana kā lākou ʻōnaehana pale i ka maʻi.
ʻO ka mālama ʻana i ka wela ka mea nui i ka wā mua o ka maʻi:
He mea nui nō hoʻi ka mālama ʻana i kāu keiki i ka wai. E hāʻawi pinepine i nā sips liʻiliʻi o ka wai, ka waiū umauma, a i ʻole ka fomula. Hiki i nā popsicles a i ʻole nā wai hua i hoʻoheheʻe ʻia ke kōkua i ka mālama ʻana i ka wai inā ʻaʻole makemake kāu keiki e inu i ka wai maʻemaʻe.
Hiki i nā hana ʻoluʻolu ke hana i kahi ʻokoʻa nui i ka manaʻo o kāu keiki:
I ka manawa e ʻike ʻia ai ka ʻili, ʻaʻohe lapaʻau kūikawā e pono ai ʻoiai ʻaʻole ia e ʻūhū a hoʻopuka i ka ʻoluʻolu ʻole. E nalowale ka ʻili iā ia iho i loko o kekahi mau lā.
ʻO ka mālama ʻana i kahi keiki me ka roseola ma ka home e pili ana i ka ʻoluʻolu, ka wai, a me ka nānā ʻana i nā loli hopohopo. Hiki ke mālama ʻia ka hapanui o nā keiki me ka palekana ma ka home me ka mālama kākoʻo kūpono.
I ka wā o ka wela, e nānā mau i ka mahana o kāu keiki a e nānā i nā hōʻailona o ka dehydration. E paipai i ka hoʻomaha a me nā hana mālie, ʻoiai e luhi a emi iki ka ikaika o kāu keiki ma mua o ka maʻamau.
Liʻiliʻi ka wai i ka wā o ka wela kiʻekiʻe:
ʻO ka hana ʻana i kahi wahi ʻoluʻolu e kōkua i kāu keiki e hoʻomaha a hoʻōla maʻalahi. E mālama i ka hale i kahi mahana kūpono a e noʻonoʻo e hoʻohana i kahi humidifier e hoʻomaha i nā hōʻailona hanu.
ʻAʻole pono loa ka hoʻokaʻawale ʻana i ka manawa e haki ai ka wela a ʻike ʻia ka ʻili, ʻoiai ʻoi aku ka maʻi o nā keiki i ka wā wela. Eia naʻe, ʻo ka mālama ʻana i kāu keiki ma ka home a hiki i ka manawa e ʻoluʻolu ai lākou e pale aku i ka hoʻolaha ʻana i ka maʻi i nā keiki ʻē aʻe.
E nānā i nā hōʻailona hoʻomaopopo e pono ai ka mālama ola kino, e like me ka wela kiʻekiʻe mau, nā hōʻailona o ka dehydration, ka paʻakikī o ka hanu, a i ʻole ka luhi loa. E hilinaʻi i kāu mau manaʻo - inā he mea hewa, mai kānalua e kelepona i kāu pediatrician.
ʻAʻole hiki ke pale aku i ka roseola loa ʻoiai he mea maʻamau loa nā virus e hoʻopuka ai iā ia i ka honua. Eia naʻe, hiki iā ʻoe ke lawe i nā hana e hoʻemi ai i ka pilikia o kāu keiki i ka hōʻike ʻana a kākoʻo i kā lākou ʻōnaehana pale.
Kōkua nā hana maʻemaʻe maikaʻi i ka hoʻemi ʻana i ka hoʻolaha ʻana o nā virus he nui, e komo pū ana me nā mea e hoʻopuka ai i ka roseola:
ʻO ka kākoʻo ʻana i ke olakino holoʻokoʻa o kāu keiki e kōkua i kā lākou ʻōnaehana pale e mālama i nā maʻi me ka maikaʻi. ʻO kēia e komo pū ana me ka hōʻoia ʻana i ka hiamoe lawa, ka ʻai kūpono, a me ka mālama ʻana i nā lāʻau ʻoki kūpono.
ʻOiai hiki i nā mākua ke lawe a hoʻoili i ka virus me ka ʻole o nā hōʻailona, pono nā lālā ʻohana e hana i nā hana maʻemaʻe maikaʻi ʻoiai ke ʻoluʻolu. He mea nui loa kēia a puni nā pēpē a me nā keiki ʻōpio.
E hoʻomanaʻo he mea pono kekahi hōʻike i nā virus maʻamau e like me nā mea e hoʻopuka ai i ka roseola no ka hoʻomohala ʻana i kahi ʻōnaehana pale ikaika. ʻAʻole ka pahuhopu ke hana i kahi wahi maʻemaʻe loa akā e hoʻemi i ka hōʻike pono ʻole ʻoiai e ʻae ana i ka hoʻomohala ʻana o ke kamaliʻi maʻamau.
ʻO ka hoʻomākaukau ʻana no kāu kipa pediatrician e kōkua i ka hōʻoia ʻana e loaʻa iā ʻoe ka ʻike a me ke alakaʻi kōkua loa no ka mālama ʻana i kāu keiki. ʻO ka loaʻa ʻana o nā kikoʻī nui e hiki ai ke hana i ka hālāwai ʻoi aku ka maikaʻi a me ka ʻike.
Ma mua o ka kipa, e kākau i nā ʻike nui e pili ana i nā hōʻailona o kāu keiki:
E lawe mai i kahi papa inoa o nā lāʻau āu e lawe mau ai i kāu keiki, e komo pū ana me nā huaora a i ʻole nā mea hoʻohui. Eia kekahi, e hoʻomaopopo i nā hōʻike hou i ka maʻi a i ʻole nā loli i ka hana maʻamau e pili ana paha.
E hoʻomākaukau i nā nīnau āu e makemake ai e nīnau:
E noʻonoʻo e lawe mai i kahi lālā ʻohana a i ʻole hoaaloha hilinaʻi no ke kākoʻo, ʻoiai inā ke hopohopo nei ʻoe e pili ana i ka maʻi o kāu keiki. ʻO ka loaʻa ʻana o kahi kanaka makua ʻē aʻe e kōkua iā ʻoe e hoʻomanaʻo i nā ʻike a me nā ʻōlelo aʻo nui.
ʻO ka roseola kahi maʻi kamaliʻi maʻamau, māmā loa e hoʻopili ai i ka hapanui o nā keiki ma ka makahiki 2. ʻOiai hiki i ka wela kiʻekiʻe ke hopohopo, hoʻōla maoli ka kūlana i loko o hoʻokahi pule me ka ʻole o ka hoʻopuka ʻana i nā pilikia mau.
ʻO ka mea nui ka ʻike ʻana i ke ʻano maʻamau: kekahi mau lā o ka wela kiʻekiʻe a ukali ʻia e ka ʻili ʻulaʻula e ʻike ʻia ana i ka manawa e haki ai ka wela. Kōkua kēia kaʻina e hoʻokaʻawale i ka roseola mai nā maʻi kamaliʻi ʻē aʻe a hāʻawi i ka hōʻoia e hele mai ana ka hoʻōla.
E kālele i ka mālama ʻana i kāu keiki i ka ʻoluʻolu me ka mālama wela kūpono, e hōʻoia i ka wai lawa, a e nānā i nā loli hopohopo. Hoʻi koke ka hapanui o nā keiki i ka manawa e emi ai ka wela a ʻike maikaʻi loa i ka manawa e ʻike ʻia ai ka ʻili ʻulaʻula.
E hilinaʻi i kāu mau manaʻo makua a mai kānalua e kelepona i kāu pediatrician inā loaʻa iā ʻoe nā hopohopo. ʻOiai he palekana ka roseola, hāʻawi ka alakaʻi ola kino ʻoihana i ka maluhia o ka manaʻo a hōʻoia i ka loaʻa ʻana o kāu keiki i ka mālama kūpono i ka wā o kā lākou maʻi.
ʻAʻole pinepine nā mākua e loaʻa i ka roseola no ka mea ua hōʻike ʻia ka hapanui o nā kānaka i ka virus i ka wā kamaliʻi a hoʻomohala i ka palekana. Eia naʻe, hiki i nā mākua me nā ʻōnaehana pale i hoʻohaʻahaʻa ʻia ke loaʻa i ka maʻi i kekahi manawa. I ka wā e loaʻa ai i nā mākua, he māmā loa nā hōʻailona ma mua o nā keiki.
ʻAe, he mea hoʻolaha ʻia ka roseola, akā ʻoi aku ka maʻi o nā keiki i ka wā wela ma mua o ka ʻike ʻia ʻana o ka ʻili. I ka manawa e hoʻomohala ai ka ʻili ʻulaʻula, ʻaʻole pinepine lākou e hoʻolaha hou. Hoʻolaha ʻia ka virus ma o nā droplets hanu a me ka saliva, no laila hoʻonui ka pilina kokoke i ka pilikia o ka hoʻoili ʻana.
He mea hiki akā ʻaʻole maʻamau no nā keiki ke loaʻa i ka roseola ʻelua. ʻOiai hiki ke hana ʻia ka kūlana e ʻelua mau virus ʻokoʻa (HHV-6 a me HHV-7), hiki i ke keiki ke loaʻa ka roseola mai kēlā me kēia virus. Eia naʻe, hoʻomohala ka hapanui o nā keiki i ka palekana ma hope o kā lākou maʻi mua.
ʻO ka manawa o ka ʻili ka ʻōlelo aʻoaʻo nui loa - ʻike ʻia ia i loko o 24 mau hola ma hope o ka haki ʻana o ka wela a hoʻomaka pinepine ma ka umauma a me ke kua. He liʻiliʻi, ʻulaʻula nā kiko, a ʻaʻole ʻūhū. Eia naʻe, ʻo kekahi mea mālama ola kino wale nō ka mea hiki ke ʻike maopopo i ka roseola, no laila e kelepona i kāu pediatrician inā ʻaʻole ʻoe maopopo.
ʻOiai hiki i nā febrile seizures ke loaʻa me nā wela kiʻekiʻe o ka roseola, he pōkole pinepine lākou a ʻaʻole hoʻopuka i ka pōʻino mau. Eia naʻe, pono ka loiloi ola kino koke i kēlā me kēia seizure. Hiki iā ʻoe ke kōkua i ka pale ʻana i nā febrile seizures ma ka mālama koke ʻana i ka wela me nā lāʻau kūpono a me ka mālama ʻana i kāu keiki i ka ʻoluʻolu.
6Mpeople
Get clear medical guidance
on symptoms, medications, and lab reports.