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October 10, 2025
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ʻO ka maʻi ʻulaʻula he maʻi bacteria ia e hoʻoulu ai i kahi ʻili ʻulaʻula kūikawā a me ka wela, ʻoi aku ka maʻamau i nā keiki ma waena o 5 a me 15 mau makahiki. ʻOiai he weliweli paha ka inoa, he maʻalahi loa kēia maʻi e mālama ʻia me nā lāʻau ʻalopelo a maʻamau ʻole ka hopena koʻikoʻi ke hopu ʻia i ka wā mua.
E ulu ana ka maʻi ke hoʻokuʻu nā bacteria Group A Streptococcus (nā germs like e hoʻoulu ai i ka ʻāʻī strep) i nā toxins i loko o kou kino. E hoʻoulu kēia mau toxins i ka ʻili ʻulaʻula e like me ka pepa honua e hāʻawi ai i ka maʻi ʻulaʻula i kona inoa.
E ʻike ʻia nā hōʻailona o ka maʻi ʻulaʻula ma kahi o 1 a 4 mau lā ma hope o ka hōʻike ʻana i nā bacteria. Hoʻomaka pinepine ka maʻi me ka wela a me ka ʻeha ʻāʻī, a laila e ʻike ʻia ka ʻili ʻulaʻula i loko o 12 a 48 mau hola.
Eia nā hōʻailona nui e nānā ai, e hoʻomaka ana me nā hōʻailona maʻamau loa:
E nalowale pinepine ka ʻili ma hope o kahi hebedoma, a hiki iā ʻoe ke ʻike i ka ʻili e ʻili, ʻoi aku ma nā manamana lima a me nā manamana wāwae. He mea maʻamau loa kēia ʻili ʻana a he ʻāpana ia o ke kaʻina hoʻōla.
ʻAʻole pinepine, ʻike kekahi poʻe i ka ʻeha ʻōpū, ka nalowale o ka makemake, a i ʻole nā laina ʻulaʻula i nā ʻili (i kapa ʻia ʻo nā laina Pastia). E hoʻoponopono ʻia kēia mau hōʻailona i ka hoʻomaʻemaʻe ʻana o ka maʻi.
Hoʻoulu ʻia ka maʻi ʻulaʻula e nā bacteria Group A Streptococcus, ʻoi aku nā ʻano e hana ai i kahi toxin i kapa ʻia ʻo erythrogenic toxin. ʻO kēia toxin ka mea e hoʻoulu ai i ka ʻili ʻulaʻula kūikawā a hoʻokaʻawale i ka maʻi ʻulaʻula mai ka ʻāʻī strep maʻamau.
E pālahalaha nā bacteria ma o nā droplets hanu ke ʻōhū, kīkī, a i ʻole kamaʻilio kahi kanaka maʻi. Hiki iā ʻoe ke hopu pū ke pā ʻoe i nā ʻili i hoʻohaumia ʻia e kēia mau droplets a laila pā i kou waha, ihu, a i ʻole nā maka.
E hoʻonui nui ka pilina pili loa me nā poʻe maʻi i kou pilikia. ʻO ia ke kumu e pālahalaha pinepine ai ka maʻi ʻulaʻula i nā kula, nā keʻena mālama lā, a me nā hale kahi e pili kokoke ai nā kānaka kekahi i kekahi.
He mea kūpono ke hoʻomaopopo ʻaʻole e loaʻa i nā kānaka a pau i loaʻa ka ʻāʻī strep ka maʻi ʻulaʻula. Pono ʻoe e maʻi ʻia me kahi ʻano kūikawā o ka streptococcus e hana ai i ka toxin e hoʻoulu ai i ka ʻili, a pono kou kino e kūpono i kēlā toxin kūikawā.
Pono ʻoe e hoʻokaʻaʻike i kāu mea mālama ola inā loaʻa iā ʻoe a i kāu keiki paha nā hōʻailona e hōʻike ana i ka maʻi ʻulaʻula, ʻoi aku ka hui ʻana o ka wela, ka ʻeha ʻāʻī, a me ka ʻili. Hiki i ka mālama mua ʻana me nā lāʻau ʻalopelo ke pale aku i nā pilikia a hoʻemi i ka manawa e hoʻopilikia ai ʻoe.
E ʻimi i ka nānā ʻana o ke kauka koke inā ʻike ʻoe i kekahi o kēia mau hōʻailona hoʻomaopopo:
Mai kali e ʻike inā e hoʻomaikaʻi nā hōʻailona ma o lākou iho. Pono ka maʻi ʻulaʻula i ka mālama ʻana me nā lāʻau ʻalopelo e pale aku i nā pilikia a e hoʻōki i ka pālahalaha ʻana i nā poʻe ʻē aʻe.
Ke mālama koke ʻia me nā lāʻau ʻalopelo, maʻamau ʻole ka hopena koʻikoʻi o ka maʻi ʻulaʻula. Eia naʻe, inā waiho ʻia me ka mālama ʻole ʻia a i ʻole inā hoʻokaʻulua ʻia ka mālama ʻana, hiki i ka maʻi ke pālahalaha i nā ʻāpana ʻē aʻe o ke kino.
Eia nā pilikia e hiki ke loaʻa, ʻoiai he mea maʻamau ʻole lākou me ka mālama kūpono:
ʻAʻole pinepine, hiki i nā hihia koʻikoʻi ke alakaʻi i ka toxic shock syndrome a i ʻole necrotizing fasciitis, akā he mea maʻamau ʻole kēia mau mea ke hopu ʻia a mālama ʻia ka maʻi i ka wā mua.
ʻO ka ʻoiaʻiʻo maikaʻi, ʻo kēia mau pilikia e pale aku ai me ka mālama ʻana i nā lāʻau ʻalopelo i ka manawa kūpono, ʻo ia ke kumu e koʻikoʻi ai ka ʻike mua ʻana a me ka mālama ʻana.
E ʻike pinepine kāu kauka i ka maʻi ʻulaʻula ma muli o kāu mau hōʻailona a me kahi nānā kino. ʻO ka hui ʻana o ka wela, ka ʻeha ʻāʻī, a me ka ʻili ʻulaʻula kūikawā e maʻalahi loa ka ʻike ʻana.
I ka wā o kāu kipa, e nānā kāu mea mālama ola i kou ʻāʻī, e ʻike i nā lymph nodes pehu, a e nānā pono i ka ʻili. E makaʻala nui lākou i kou alelo a me ka ʻili o ka ʻili.
E hōʻoia i ka ʻike ʻana, e hana paha kāu kauka i kahi hoʻokolohua strep wikiwiki a i ʻole ka moʻomeheu ʻāʻī. E komo kēia mau hoʻokolohua i ka swabbing ʻana i ka hope o kou ʻāʻī e nānā i nā bacteria Group A Streptococcus.
E hāʻawi ka hoʻokolohua wikiwiki i nā hopena i loko o nā minuke, ʻoiai he 24 a 48 mau hola ka moʻomeheu ʻāʻī akā ʻoi aku ka pololei. I kekahi manawa e hana ʻia nā hoʻokolohua ʻelua e hōʻoia i ka ʻike pololei.
I kekahi mau hihia, hiki i kāu kauka ke kauoha i nā hoʻokolohua koko e nānā i nā pilikia a i ʻole e kāpae i nā kūlana ʻē aʻe e hiki ke hoʻoulu i nā hōʻailona like.
Mālama ʻia ka maʻi ʻulaʻula me nā lāʻau ʻalopelo, ka mea e pepehi pono ai i nā bacteria e hoʻoulu ai i ka maʻi. ʻO ka penicillin ka lāʻau ʻalopelo mua, i hāʻawi ʻia ma ka waha a i ʻole ka injection.
Inā ʻoe e pilikia i ka penicillin, e kuhikuhi kāu kauka i nā lāʻau ʻalopelo ʻē aʻe e like me ka erythromycin, clindamycin, a i ʻole azithromycin. He like ka maikaʻi o kēia mau lāʻau i ka mālama ʻana i ka maʻi.
He mea nui loa ka lawe ʻana i ka papa holoʻokoʻa o nā lāʻau ʻalopelo e like me ka kuhikuhi ʻana, ʻoiai inā hoʻomaka ʻoe e ʻike maikaʻi ma mua o ka pau ʻana o ka lāʻau. Hiki i ka hoʻōki mua ʻana ke alakaʻi i ka hoʻi ʻana mai o ka maʻi a i ʻole ka hoʻomohala ʻana i ka pale ʻana i nā lāʻau ʻalopelo.
E hoʻomaka ka hapa nui o nā kānaka e ʻike maikaʻi i loko o 24 a 48 mau hola ma hope o ka hoʻomaka ʻana o nā lāʻau ʻalopelo. Maʻamau ʻoe ʻaʻole e hoʻopilikia hou ma hope o 24 mau hola o ka mālama ʻana me nā lāʻau ʻalopelo.
Ma kahi o nā lāʻau ʻalopelo, hiki i kāu kauka ke kuhikuhi i ka mālama kākoʻo e kōkua i ka hoʻokele ʻana i nā hōʻailona a me ka hoʻoulu ʻana i ka hoʻōla.
ʻOiai ʻo nā lāʻau ʻalopelo ka mālama mua, hiki i kekahi mau hana mālama home ke kōkua iā ʻoe e ʻoluʻolu hou aʻe i ka wā hoʻōla. E hana kēia mau mālama kākoʻo me kāu lāʻau i kuhikuhi ʻia e hoʻoluʻolu i nā hōʻailona.
Eia nā ala maikaʻi e hoʻokele ai i nā hōʻailona ma ka home:
E mālama iā ʻoe iho mai nā poʻe ʻē aʻe a hiki i kou lawe ʻana i nā lāʻau ʻalopelo no ka liʻiliʻi o 24 mau hola e pale aku i ka pālahalaha ʻana o ka maʻi. E holoi pinepine i kou mau lima a pale aku i ka kaʻana like ʻana i nā mea pilikino.
Hiki ke ʻili ka ʻili, akā e ho'āʻo mai e kāwili. Hiki i nā compresses anuanu a i ʻole ka wai kalamina ke kōkua i ka hoʻemi ʻana i ka ʻili inā pono.
ʻOiai ʻaʻohe lāʻau pale no ka maʻi ʻulaʻula, hiki iā ʻoe ke lawe i kekahi mau hana e hoʻemi i kou pilikia o ka maʻi. ʻO nā hana maʻemaʻe maikaʻi kou pale maikaʻi loa i nā bacteria e hoʻoulu ai i kēia maʻi.
Eia nā hana pale maikaʻi loa:
Inā loaʻa i kekahi i kou hale ka maʻi ʻulaʻula, e holoi i kā lākou mau kīʻaha, nā lole, a me nā moe i ka wai wela. E noʻonoʻo e hoʻohana i nā pālahalaha a me nā kīʻaha hoʻolei a hiki i ka wā ʻaʻole lākou e hoʻopilikia hou.
ʻO ka mālama ʻana i ka olakino maikaʻi ma ka lawe ʻana i nā meaʻai kūpono, ka hiamoe lawa, a me ka hoʻoikaika maʻamau hiki ke kōkua i ka hoʻoikaika ʻana i ka mana o kou ʻōnaehana pale e hakakā i nā maʻi.
ʻO ka hoʻomākaukau ʻana no kāu kūkā hiki ke kōkua i ka hōʻoia ʻana e loaʻa iā ʻoe ka ʻike pololei loa a me ka mālama kūpono. ʻO ka loaʻa ʻana o ka ʻike nui e kōkua i kāu kauka e hana i nā hoʻoholo mālama maikaʻi loa.
Ma mua o kāu kipa, e kākau i ka wā i hoʻomaka ai nā hōʻailona a pehea lākou i holomua ai. E hoʻomaopopo i ke kauoha i ʻike ʻia nā hōʻailona, no ka mea hiki kēia ke kōkua i ka ʻike ʻana.
E lawe mai i kahi papa inoa o nā lāʻau āu e lawe nei i kēia manawa, me nā lāʻau over-the-counter a me nā mea hoʻohui. E haʻi pū i nā allergies i ʻike ʻia, ʻoi aku hoʻi i nā lāʻau ʻalopelo.
E mākaukau e kūkākūkā i ka hōʻike hou i kekahi me ka ʻāʻī strep a i ʻole nā hōʻailona like. E komo pū kēia i nā lālā ʻohana, nā hoa papa, a i ʻole nā hoa hana i maʻi paha.
E hoʻomākaukau i nā nīnau āu e makemake ai e nīnau, e like me ka lōʻihi o kou hoʻopilikia ʻana, i ka wā hea e hiki ai iā ʻoe ke hoʻi i ka hana a i ʻole ke kula, a me nā hōʻailona hoʻomaopopo e nānā ai i ka wā hoʻōla.
ʻO ka maʻi ʻulaʻula he maʻi bacteria mālama ʻia e pane maikaʻi i nā lāʻau ʻalopelo ke hopu ʻia i ka wā mua. ʻOiai he weliweli paha ka inoa, he mea maʻalahi loa ia e hoʻokele me ka mālama lapaʻau kūpono.
ʻO ka mea nui loa e hoʻomanaʻo ai, ʻo ka mālama mua ʻana e pale aku i nā pilikia a hoʻemi i ka manawa e hoʻopilikia ai ʻoe i nā poʻe ʻē aʻe. Mai kānalua e hoʻokaʻaʻike i kāu mea mālama ola inā ʻike ʻoe i ka hui ʻana o ka wela, ka ʻeha ʻāʻī, a me ka ʻili.
Me ka mālama ʻana i nā lāʻau ʻalopelo kūpono, e hoʻōla piha ka hapa nui o nā kānaka i loko o hoʻokahi a ʻelua pule paha. ʻO ke kī, ʻo ia ka loaʻa ʻana o ka nānā lapaʻau koke a me ka hahai pono ʻana i kāu papahana mālama e like me ka kuhikuhi ʻana.
E hoʻomanaʻo he mea pale ʻia ka maʻi ʻulaʻula ma o nā hana maʻemaʻe maikaʻi, a ʻo ka noho ʻana ma ka home ke maʻi ʻoe e kōkua i ka pale ʻana i kou kaiāulu mai ka pālahalaha ʻana o ka maʻi.
ʻAe, he mea hoʻopilikia loa ka maʻi ʻulaʻula a e pālahalaha ana ma o nā droplets hanu ke ʻōhū, kīkī, a i ʻole kamaʻilio nā kānaka maʻi. ʻOi aku ka hoʻopilikia ʻana iā ʻoe ke loaʻa iā ʻoe ka wela a i nā lā mua o ka maʻi. Ke hoʻomaka ʻoe e lawe i nā lāʻau ʻalopelo, maʻamau ʻoe e lilo i mea hoʻopilikia ʻole i loko o 24 mau hola, ʻoiai pono ʻoe e hoʻopau i ka papa holoʻokoʻa o ka lāʻau.
Hiki i nā mākua ke loaʻa i ka maʻi ʻulaʻula, ʻoiai ʻoi aku ka maʻamau i nā keiki mai 5 a 15 mau makahiki. ʻO nā mākua i loaʻa ka maʻi ʻulaʻula pinepine nā hōʻailona like me nā keiki, akā hiki ke palupalu ke maʻi. ʻOi aku ka pilikia o nā mākua e mālama ana i nā keiki maʻi ma muli o ka pilina pili kokoke i ka wā e mālama ana.
Hoʻoulu ʻia ka maʻi ʻulaʻula a me ka ʻāʻī strep e nā bacteria Group A Streptococcus, akā e loaʻa ka maʻi ʻulaʻula ke hana nā bacteria i kahi toxin kūikawā e hoʻoulu ai i ka ʻili ʻulaʻula kūikawā. ʻO ka ʻoiaʻiʻo, ʻo ka maʻi ʻulaʻula ka ʻāʻī strep me kahi ʻili. Pono nā kūlana ʻelua i ka mālama ʻana me nā lāʻau ʻalopelo a loaʻa nā hōʻailona like e like me ka wela a me ka ʻeha ʻāʻī.
ʻAʻole pinepine ka ʻili ʻulaʻula o ka maʻi ʻulaʻula e waiho i nā māka a i ʻole nā ʻeha mau loa. Ma hope o ka nalowale ʻana o ka ʻili (maʻamau i loko o hoʻokahi hebedoma), hiki iā ʻoe ke ʻike i kekahi ʻili ʻili, ʻoi aku ma nā manamana lima a me nā manamana wāwae. He mea maʻamau loa kēia ʻili ʻana a he ʻāpana ia o ke kaʻina hoʻōla. E olakino a maʻamau ka ʻili ma lalo.
ʻAe, hiki ke loaʻa i ka maʻi ʻulaʻula ma mua o hoʻokahi manawa, ʻoiai he mea maʻamau ʻole ia. Hiki kēia no ka mea aia nā ʻano like ʻole o nā bacteria Group A Streptococcus e hana ai i nā toxins like ʻole. ʻAʻole hāʻawi ka loaʻa ʻana o ka maʻi ʻulaʻula i ka pale piha i nā ʻano a pau, akā maʻamau nā maʻi hou aku ma mua o ka mea mua.
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