Waiʻona ʻāʻī

ʻO ka ʻāʻī ʻōpala he maʻi bacteria ia e hiki ai ke ʻeha a me ka ʻiliʻili kou ʻāʻī. He hapa liʻiliʻi wale nō ka ʻāʻī ʻōpala o nā ʻāʻī ʻeha.

Inā ʻaʻole i mālama ʻia, hiki i ka ʻāʻī ʻōpala ke hoʻoulu i nā pilikia, e like me ka mumū o ka puʻupaʻa a i ʻole ka maʻi rheumatic. Hiki i ka maʻi rheumatic ke alakaʻi i nā hono ʻeha a mumū, kahi ʻano ʻili kikoʻī, a i ʻole ka hōʻino ʻana i ka valve naʻau.

ʻO ka ʻāʻī ʻōpala ka mea maʻamau loa i nā keiki, akā ke hoʻopilikia nei ia i nā kānaka o nā makahiki a pau. Inā ʻoe a i ʻole kāu keiki he mau hōʻailona a i ʻole nā ​​hōʻailona o ka ʻāʻī ʻōpala, e ʻike i kāu kauka no ka hoʻokolohua a me ka mālama koke.

Hōʻailona a me nā hōʻailona o ka ʻāʻī strep e komo pū ai:

• ʻEha ʻāʻī e hele koke mai
• ʻEha ka ʻai
• ʻUlaʻula a pehu nā tonsils, i kekahi manawa me nā ʻāpana keʻokeʻo a i ʻole nā ​​laina o ka pus
• Nā kiko ʻulaʻula liʻiliʻi ma ka wahi ma hope o ke kaupaku o ka waha (palate palupalu a paʻakikī paha)
• Pehu, ʻeha nā lymph nodes i kou ʻāʻī
• Fiva
• Headache
• ʻIliʻili
• Nausea a i ʻole ka luaʻi, ʻoi aku ka nui i nā keiki liʻiliʻi
• ʻEha kino

Kāhea i kāu kauka inā loaʻa iā ʻoe a i ʻole kāu keiki kekahi o kēia mau hōʻailona a me nā hōʻailona:

• ʻAʻai ʻeha me nā ʻōpū palupalu, pehu
• ʻAʻai ʻeha lōʻihi ma mua o 48 mau hola
• Wela
• ʻAʻai ʻeha me ka ʻili
• Nā pilikia i ka hanu a i ʻole ka ʻai
• Inā ua ʻike ʻia ka strep, ʻaʻohe holomua ma hope o ka lawe ʻana i nā lāʻau lapaʻau no 48 mau hola

ʻO ka ʻāʻī ʻōpala ka mea i loaʻa mai ka maʻi bacteria i kapa ʻia ʻo Streptococcus pyogenes, i kapa ʻia hoʻi ʻo ka hui A streptococcus.

He mea hoʻopilikia nā bacteria streptococcal. Hiki iā lākou ke pālahalaha ma o nā kulu wai i ka wā e ʻūhū ai kekahi me ka maʻi, a i ʻole ma o ka ʻai a me nā mea inu i kaʻana like ʻia. Hiki iā ʻoe ke kiʻi pū i nā bacteria mai kahi puka a i ʻole kahi ʻili ʻē aʻe a hoʻoneʻe iā lākou i kou ihu, waha a i ʻole nā ​​maka.

He mau kumu e hiki ai ke hoʻonui i kou pilikia o ka maʻi ʻāʻī strep:

• Ka liʻiliʻi o ka makahiki. ʻO ka maʻi ʻāʻī strep ka mea maʻamau loa i nā keiki.
• Ka manawa o ka makahiki. ʻOiai hiki ke loaʻa ka maʻi ʻāʻī strep i kēlā me kēia manawa, ʻoi aku ka nui o kona hele ʻana i ka hoʻoilo a me ka pūnāwai mua. Ke ulu nui nei nā bacteria strep ma nā wahi a pau e kokoke ana nā hui o nā kānaka.

Hiki i ka puʻu ʻāʻī ke alakaʻi i nā pilikia koʻikoʻi. Hoʻemi ka lāʻau ʻokiʻoki i ka pilikia.

No ka pale ʻana i ka maʻi strep:

• E holoi i kou mau lima. ʻO ka holoi lima pono ka ala maikaʻi loa e pale aku ai i nā ʻano maʻi a pau. ʻO ia ke kumu he mea nui ka holoi mau ʻana i kou mau lima ponoʻī me ka hamo a me ka wai no ka liʻiliʻi o 20 kekona. E aʻo i kāu mau keiki pehea e holoi pono ai i ko lākou mau lima me ka hamo a me ka wai a i ʻole e hoʻohana i ka mea holoi lima waiʻona inā ʻaʻohe hamo a me ka wai i loaʻa.
• E uhi i kou waha. E aʻo i kāu mau keiki e uhi i ko lākou waha me ka kuʻekuʻe a i ʻole ka pūnaewele ke kikī a i ʻole ke kuhū lākou.
• Mai kaʻana like i nā mea pilikino. Mai kaʻana like i nā kīʻaha inu a i ʻole nā ​​mea ʻai. E holoi i nā kīʻaha i ka wai wela, hamo, a i ʻole i loko o ka mīkini holoi kīʻaha.

E nānā ke kauka iā ʻoe ma ke kino, e ʻimi i nā hōʻailona a me nā hōʻailona o ka ʻāʻī strep, a he nui paha ia e kauoha i hoʻokahi a ʻoi aku paha o kēia mau hoʻokolohua:

• Hoʻokolohua antigen wikiwiki. Hiki i ke kauka ke hana i kahi hoʻokolohua antigen wikiwiki ma kahi laʻana swab mai kou ʻāʻī. Hiki i kēia hoʻokolohua ke ʻike i nā bacteria strep i loko o nā minuke ma ka ʻimi ʻana i nā mea (antigens) i loko o ka ʻāʻī. Inā he maikaʻi ʻole ka hoʻokolohua akā manaʻo mau ke kauka i ka strep, hiki iā ia ke hana i kahi moʻomeheu ʻāʻī.
• Hoʻokolohua Molecular (polymerase chain reaction, a PCR paha). Hana ʻia kēia hoʻokolohua me ka hoʻohana ʻana i kahi laʻana swab mai kou ʻāʻī.
• Moʻomeheu ʻāʻī. Hoʻopā ʻia kahi swab sterile ma hope o ka ʻāʻī a me nā tonsils e kiʻi i kahi laʻana o nā mea huna. ʻAʻole ia he ʻeha, akā hiki ke hana i ka gagging. A laila, hoʻoulu ʻia ka laʻana i loko o kahi hale hana no ka loaʻa ʻana o nā bacteria, akā hiki i nā hopena ke lōʻihi a hiki i ʻelua lā.

Loaʻa nā lāʻau lapaʻau e ho'ōla ai i ka ʻāʻī strep, e hōʻoluʻolu i kona mau hōʻailona, a e pale aku i kona mau pilikia a me ka pālahalaha ʻana.

Inā kuhikuhi ke kauka iā ʻoe a i kāu keiki paha me ka ʻāʻī strep, e kuhikuhi paha ke kauka i ka lāʻau antibiotic waha. Inā lawe ʻia i loko o 48 mau hola mai ka hoʻomaka ʻana o ka maʻi, e hōʻemi nā antibiotics i ka lōʻihi a me ka nui o nā hōʻailona, a me ka pilikia o nā pilikia a me ka hiki ke pālahalaha ka maʻi i nā poʻe ʻē aʻe.

Me ka mālama ʻana, pono ʻoe a i kāu keiki paha e hoʻomaka e ʻoi aku ka maikaʻi i loko o hoʻokahi lā a ʻelua paha. Kāhea i kāu kauka inā ʻaʻohe hoʻomaikaʻi ma hope o ka lawe ʻana i nā antibiotics no 48 mau hola.

Hiki i nā keiki e lawe ana i ka antibiotic a manaʻo maikaʻi a ʻaʻohe kuni ke hoʻi i ke kula a i ka mālama keiki ke ʻaʻohe lākou o ka maʻi - maʻamau he 24 mau hola ma hope o ka hoʻomaka ʻana o ka mālama ʻana. Akā e hoʻopau pono i nā lāʻau a pau. Hiki i ka hoʻōki koke ʻana ke alakaʻi i ka hoʻi hou ʻana a me nā pilikia nui, e like me ka maʻi rheumatic a i ʻole ka mumū o ka puʻupaʻa.

No ka hōʻoluʻolu ʻana i ka ʻeha o ka ʻāʻī a me ka hōʻemi ʻana i ka kuni, e ho'āʻo i nā mea hōʻoluʻolu ʻeha ma luna o ka kūʻai aku, e like me ka ibuprofen (Advil, Motrin IB, nā mea ʻē aʻe) a i ʻole acetaminophen (Tylenol, nā mea ʻē aʻe).

E makaʻala i ka hāʻawi ʻana i ka aspirin i nā keiki a i nā ʻōpio paha. ʻOiai ua ʻāpono ʻia ka aspirin no ka hoʻohana ʻana i nā keiki ma mua o 3 mau makahiki, ʻaʻole loa e lawe nā keiki a me nā ʻōpio e ola ana mai ka chickenpox a i ʻole nā ​​hōʻailona like me ka flu i ka aspirin. ʻO kēia no ka mea ua pili ka aspirin i ka maʻi Reye, kahi maʻi maʻamau akā hiki ke hoʻoweliweli i ke ola, i kēlā mau keiki.