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ʻO ka lapaʻau DTaP-HepB-IPV he pana hui e pale aku i ʻelima mau maʻi koʻikoʻi i hoʻokahi injection. Hoʻohui kēia lapaʻau i ka pale ʻana i ka diphtheria, tetanus, acellular pertussis (whooping cough), hepatitis B, a me ka polio i hoʻokahi mahele i hāʻawi ʻia ma o ka injection muscle, maʻamau i ka ʻūhā a i ʻole ka lima o kāu keiki.
Manaʻo pinepine nā mea mālama ola i kēia lapaʻau hui no nā pēpē a me nā keiki ʻōpio no ka mea e hōʻemi ana i ka nui o nā pana e pono ai i ka wā e hāʻawi ana i ka pale ākea. Kōkua ka lapaʻau i ka ʻōnaehana pale o kāu keiki e aʻo e ʻike a hakakā i kēia mau maʻi ma mua o ko lākou hālāwai ʻana iā lākou i ke ola maoli.
ʻO ka lapaʻau DTaP-HepB-IPV he ʻelima-i-hoʻokahi immunization e pale aku i ka diphtheria, tetanus, acellular pertussis, hepatitis B, a me ka polio. Hoʻopaʻa kēlā me kēia mea i kahi maʻi kikoʻī e hiki ke hoʻoulu i nā pilikia koʻikoʻi a i ʻole ka make, ʻoi loa i nā keiki ʻōpio.
Aia i loko o kēia lapaʻau hui nā ʻāpana nāwaliwali a i ʻole nā ʻāpana hana ʻole o kēia mau mea ola e hoʻoulu ai i ka maʻi, e aʻo palekana ana i kāu ʻōnaehana pale pehea e ʻike ai a hakakā i nā maʻi maoli. Hāʻawi ʻia ka lapaʻau ma ke ʻano he injection intramuscular, ʻo ia hoʻi, hele pololei ia i loko o ka ʻiʻo muscle kahi e hiki ai i nā cell immune ke pane maikaʻi loa iā ia.
Hāʻawi maʻamau nā mea mālama ola i kēia lapaʻau i nā pēpē e hoʻomaka ana i 2 mahina o ka makahiki ma ke ʻano he ʻāpana o ka papa hana immunization kamaliʻi maʻamau. ʻO ke ʻano hui ʻo ia ka liʻiliʻi o nā nila no kāu keiki i ka wā e mālama ana i ka pae pale like me nā lapaʻau pākahi.
ʻO ka hapa nui o nā keiki e ʻike wale i ka hōʻoluʻolu māmā i ka wā o ka injection maoli, e like me ka ʻū a i ʻole ka ʻeha e mau ana no kekahi mau kekona. Hiki i ka pūnaewele injection ke ʻoluʻolu a i ʻole ka ʻeha no hoʻokahi a ʻelua paha lā ma hope, e like me ka manaʻo ma hope o kekahi pana.
Hiki i kekahi mau keiki ke loaʻa kahi puʻupuʻu liʻiliʻi, ʻulaʻula ma kahi i hoʻokomo ʻia ai ka lāʻau a i ʻole e ʻike i ka huhū iki no 24-48 mau hola. He mea maʻamau kēia mau hopena a hōʻike i ka pane pono ʻana o ka ʻōnaehana pale o kāu keiki i ka lāʻau lapaʻau.
I kekahi manawa, hiki i nā keiki ke loaʻa ke kuni haʻahaʻa a i ʻole e ʻike iki i ka luhi ma mua o ka maʻamau no hoʻokahi a ʻelua paha lā. Hoʻoponopono maʻamau kēia mau hōʻailona maʻalahi iā lākou iho me ka ʻole o ka lāʻau lapaʻau a he mau hōʻailona ia e hana ana ka lāʻau lapaʻau e like me ka mea i manaʻo ʻia.
Hiki mai nā hopena maʻalahi i ka lāʻau lapaʻau DTaP-HepB-IPV no ka mea e aʻo ikaika ana ka ʻōnaehana pale o kāu keiki e ʻike a pane i nā mea o ka lāʻau lapaʻau. Hoʻokumu kēia pane immune i nā antibodies e pale aku i nā maʻi e hiki mai ana mai kēia mau maʻi.
ʻO ka mea pertussis o ka lāʻau lapaʻau ke kumu pinepine i nā hopena ʻaoʻao maʻalahi e like me ka huhū a i ʻole ke kuni haʻahaʻa. Mālama ka ʻōnaehana pale i nā mea o ka lāʻau lapaʻau e like me nā mea ʻē a hoʻokomo i kahi pane pale, i kekahi manawa hiki ke hōʻoluʻolu iki.
Hiki i nā keiki pākahi ke pane ʻokoʻa ma muli o kā lākou ʻōnaehana immune kūʻokoʻa, ka makahiki, a me ke olakino holoʻokoʻa. ʻAʻohe hopena i ʻike ʻia e kekahi mau keiki, aʻo nā mea ʻē aʻe e ʻike i nā hōʻailona maʻalahi e hoʻoponopono koke.
Hāʻawi kēia lāʻau lapaʻau hui i ka pale ʻana i ʻelima mau maʻi maʻi koʻikoʻi e hiki ke hoʻoulu i nā pilikia koʻikoʻi a i ʻole ka make, ʻoi aku hoʻi i nā keiki ʻōpio. Hoʻopā kēlā me kēia maʻi i nā ʻāpana like ʻole o ke kino a hiki ke alakaʻi i nā pilikia olakino lōʻihi inā loaʻa.
E hele wāwae wau iā ʻoe i ka mea e pale ai kēlā me kēia mea, i hiki iā ʻoe ke hoʻomaopopo i ke kumu e pili ai kēia pale ākea i ke olakino o kāu keiki:
Ua maʻamau kēia mau maʻi i nā maʻi kamaliʻi i hoʻokumu i nā tausani o nā make a me nā kīnā i kēlā me kēia makahiki. I kēia lā, mahalo i nā papahana hoʻopaʻa ʻana, he mea maʻamau lākou i nā ʻāina me nā helu hoʻopaʻa kiʻekiʻe, akā e hoʻomau ka pale ʻana ke mālama mākou i ka uhi immunization kiʻekiʻe.
ʻAe, ʻo ka hapa nui o nā hopena i ka lāʻau lapaʻau DTaP-HepB-IPV e hoʻoponopono loa iā lākou iho i loko o 24-48 mau hola me ka ʻole o ka mālama ʻana. Hoʻoponopono maoli ke kino o kāu keiki i nā mea o ka lāʻau lapaʻau a hoʻomaha koke ka pane mumū māmā.
ʻO nā hopena maʻamau e like me ka ʻeha ma kahi o ka injection, ka huhū māmā, a i ʻole ke kuni haʻahaʻa e piʻi maʻamau i ka lā mua a hoʻomaikaʻi mālie. He manawa pōkole kēia mau hopena a ʻaʻole lākou e hoʻoulu i nā pilikia mau a i ʻole nā pilikia.
ʻO ka pale i hāʻawi ʻia e ka lāʻau lapaʻau, akā naʻe, he lōʻihi a hāʻawi i ka pale no nā makahiki he nui. ʻOiai e mae koke nā hopena ʻaoʻao manawa, e mau ana nā antibodies pale i loko o ke kino o kāu keiki e pale aku i nā maʻi e hiki mai ana.
Hiki iā ʻoe ke kōkua i kāu keiki e ʻoluʻolu ma hope o ka hoʻopaʻa ʻia ʻana me kekahi mau hana maʻalahi a mālie e hōʻoluʻolu i ka ʻeha liʻiliʻi. Hiki i kēia mau hana mālama home ke hōʻemi i ka ʻeha a kōkua i kāu keiki e hoʻomaha maikaʻi aʻe i ka wā e pane ana ko lākou ʻōnaehana pale i ka lāʻau lapaʻau.
Eia kekahi mau ala palekana a maikaʻi e mālama ai i nā hopena maʻamau o ka lāʻau lapaʻau ma ka home:
E hoʻomanaʻo ʻaʻole pono ʻoe e mālama i nā hopena maʻalahi a pau - nui nā keiki e hana maikaʻi me ka hōʻoluʻolu a me ka hoʻomaha hou. E hilinaʻi i kāu mau manaʻo e pili ana i ka mea e pono ai kāu keiki, a mai kānalua e hoʻokaʻaʻike i kāu mea mālama ola inā he hopohopo kāu.
He kakaikahi loa nā hopena koʻikoʻi i ka lāʻau lapaʻau DTaP-HepB-IPV, akā ua mākaukau nā mea mālama ola e mālama iā lākou inā loaʻa. Loaʻa i nā poʻe loea lapaʻau nā protocols a me nā lāʻau lapaʻau kūikawā no nā hopena maʻi koʻikoʻi a i ʻole nā pilikia.
Inā loaʻa kahi hopena maʻi koʻikoʻi (anaphylaxis), e hāʻawi koke nā limahana lapaʻau i ka epinephrine a me nā lāʻau lapaʻau pilikia ʻē aʻe. Hoʻolako ʻia nā keʻena mālama ola e hāʻawi ana i nā lāʻau lapaʻau me nā lako pilikia a me nā limahana i hoʻomaʻamaʻa ʻia e mālama i kēia mau kūlana kakaikahi akā koʻikoʻi.
Nui ka poʻe hāʻawi lāʻau lapaʻau e noi iā ʻoe e kali i 15-20 mau minuke ma hope o ka lāʻau lapaʻau e nānā i nā hopena koke. Hāʻawi kēia manawa kali i nā limahana mālama ola e ʻike koke a mālama i nā pilikia e hiki ke ulu koke ma hope o ka injection.
Pono ʻoe e hoʻokaʻaʻike i kāu mea mālama ola inā e ulu ana kāu keiki i nā hōʻailona i ʻoi aku ka koʻikoʻi ma mua o nā hopena lāʻau lapaʻau maʻalahi maʻamau. ʻOiai he maʻamau a manaʻo ʻia ka hapa nui o nā hopena, pono kekahi mau hōʻailona i ka nānā ʻana i ka lāʻau lapaʻau e hōʻoia i ka palekana a me ka hōʻoluʻolu o kāu keiki.
He mea nui e ʻike i ka wā i neʻe ai nā hopena ma mua o ka pae maʻamau, i hiki iā ʻoe ke loaʻa ke alakaʻi lapaʻau kūpono ke pono:
E kelepona koke iā 911 inā pilikia kāu keiki i ka hanu ʻana, ka pehu nui, a i ʻole ke ʻike ʻia he hopena maʻi koʻikoʻi. Pono kēia mau hōʻailona i ka mālama olakino pilikia, ʻoiai he mea maʻamau loa me kēia lāʻau lapaʻau.
Hiki i ka hapa nui o nā keiki ke loaʻa palekana i ka lāʻau lapaʻau DTaP-HepB-IPV me ka ʻole o ka piʻi ʻana o ka pilikia o nā hopena koʻikoʻi. Eia naʻe, hiki i kekahi mau maʻi olakino a i ʻole nā ʻike i hala ke hana i kekahi mau keiki i ʻoi aku ka maikaʻi o ka loaʻa ʻana o nā hopena a i ʻole hiki ʻole ke loaʻa i ka lāʻau lapaʻau me ka palekana.
E nānā ana kāu mea mālama ola i ka mōʻaukala olakino o kāu keiki ma mua o ka hoʻopaʻa ʻana i ka lāʻau lapaʻau e ʻike ai i nā mea pilikia. Ke hoʻomaopopo nei i kēia mau mea e kōkua ana e hōʻoia i ka loaʻa ʻana o ka lāʻau lapaʻau i kāu keiki me ka palekana a me ke kūpono.
Eia nā mea nui e pono ai e noʻonoʻo e pili ana i ka palekana a i ʻole ka manawa o ka lāʻau lapaʻau:
ʻAʻole ia he manaʻo e hiki ʻole i kāu keiki ke loaʻa ka lāʻau lapaʻau, akā e hana ana kāu mea mālama ola i nā hana mālama hou aʻe a i ʻole e hoʻololi i ka papa hana hoʻopaʻa ʻana i ka lāʻau lapaʻau.
Hiki i nā maʻi i pale ʻia e ka lāʻau lapaʻau DTaP-HepB-IPV ke hana i nā pilikia koʻikoʻi a me ke ola e ʻoi aku ka nui ma mua o nā hopena ʻaoʻao o ka lāʻau lapaʻau. Me ka ʻole o ka hoʻopaʻa ʻana i ka lāʻau lapaʻau, e mau ana nā keiki i kēia mau maʻi hiki ke pale ʻia e hiki ke hana i ke kino kīnā mau a i ʻole ka make.
Ke hoʻomaopopo nei i nā pilikia hiki ke kōkua i ka waiho ʻana i nā pōmaikaʻi a me nā pilikia o ka lāʻau lapaʻau i kahi manaʻo kūpono. Ua hana mua nā maʻi i pale ʻia e kēia lāʻau lapaʻau i ka ʻeha nui a ke hoʻomau nei e hana pēlā ma nā wahi me ka haʻahaʻa o ka hoʻopaʻa ʻana i ka lāʻau lapaʻau.
Loaʻa i kēlā me kēia maʻi kona mau pilikia nui a me nā hopena lōʻihi:
ʻO kēia mau pilikia e hana pinepine ʻia i nā kānaka i hoʻopaʻa ʻole ʻia i loaʻa i kēia mau maʻi i hoʻohālikelike ʻia me nā hopena koʻikoʻi mai ka lāʻau lapaʻau. Hāʻawi ka lāʻau lapaʻau i kahi ala palekana loa e hoʻomohala i ka pale ʻana ma mua o ka pilikia ʻana i ka maʻi maoli.
He maikaʻi loa ka lāʻau lapaʻau DTaP-HepB-IPV no ka ʻōnaehana pale o kāu keiki no ka mea e aʻo palekana ana ia i nā pūnaewele pale e ʻike a hakakā i nā maʻi weliweli. Ma mua o ka hoʻonāwaliwali ʻana i ka ʻōnaehana pale, hoʻoikaika maoli nā lāʻau lapaʻau iā ia ma ka hāʻawi ʻana i ka hōʻike i mālama ʻia i nā mea maʻi me ka ʻole o ka maʻi.
Hiki i ka ʻōnaehana pale o kāu keiki ke mālama i nā antigens he nui i ka manawa hoʻokahi - ʻo ka ʻoiaʻiʻo, hālāwai nā keiki i nā tausani o nā antigens i kēlā me kēia lā ma o nā hana maʻamau e like me ka ʻai ʻana, ka hanu ʻana, a me ka pāʻani ʻana. Aia i loko o ka lāʻau lapaʻau kahi hapa liʻiliʻi wale nō o nā antigens e mālama mau ai ka ʻōnaehana pale o kāu keiki.
Kōkua ka lāʻau lapaʻau i ka ʻōnaehana pale o kāu keiki e hoʻomohala i ka hoʻomanaʻo immunological, e hana ana i nā pūnaewele kūikawā e hoʻomanaʻo pehea e hakakā ai i kēia mau maʻi no nā makahiki e hiki mai ana. Hāʻawi kēia pale i kāu keiki e pale i nā pilikia koʻikoʻi e hiki ai i kēia mau maʻi ke hana i ka wā e kūkulu ana i ka pale ikaika.
Hiki ke huikau ʻia nā hopena maʻalahi o ka lāʻau lapaʻau me nā pilikia maʻamau o nā keiki, ʻoiai pinepine nā keiki ʻōpio i nā maʻi liʻiliʻi a me nā pilikia. ʻO ka manawa o nā hōʻailona ma hope o ka lāʻau lapaʻau e kōkua maʻamau i ka hoʻokaʻawale ʻana i nā hopena o ka lāʻau lapaʻau mai nā kūlana ʻē aʻe.
Hoʻomaka maʻamau nā hopena maʻamau o ka lāʻau lapaʻau i loko o 24-48 mau hola o ka lāʻau lapaʻau a hoʻoponopono i loko o kekahi mau lā. Inā ʻike ʻia nā hōʻailona ma hope loa a i ʻole ka lōʻihi ma mua o ka mea i manaʻo ʻia, ʻoi aku ka pili ʻana i kekahi mea ʻē aʻe i loaʻa i kāu keiki.
ʻO nā kūlana maʻamau e like me nā hopena o ka lāʻau lapaʻau e komo pū ana:
Inā ʻaʻole ʻoe maopopo inā pili nā hōʻailona i ka lāʻau lapaʻau a i ʻole kekahi mea ʻē aʻe, e kelepona i kāu mea mālama ola no ke alakaʻi. Hiki iā lākou ke kōkua i ka hoʻoholo ʻana i ke kumu a me ka ʻōlelo ʻana i ka mālama kūpono.
Pono maʻamau kāu keiki i ʻekolu ʻāpana o ka lāʻau lapaʻau DTaP-HepB-IPV ma ke ʻano he ʻāpana o kā lākou pūʻulu immunization mua. Hāʻawi maʻamau nā mea mālama ola i kēia mau ʻāpana ma 2, 4, a me 6 mau mahina o ka makahiki, e hahai ana i ka papa hana lāʻau lapaʻau kamaliʻi i ʻōlelo ʻia.
Ma hope o ka moʻo mua, pono kāu keiki i nā pahu hoʻoikaika hou me nā hui ʻana o nā lāʻau lapaʻau like ʻole e mālama i ka pale ʻana i ko lākou ulu ʻana. E alakaʻi kāu mea mālama ola iā ʻoe ma o ka papa hana hoʻopaʻa ʻana i ka lāʻau lapaʻau e hōʻoia i ka palekana o kāu keiki i ka wā kamaliʻi.
ʻAe, hiki i kāu keiki ke loaʻa palekana i nā lāʻau lapaʻau kamaliʻi maʻamau ʻē aʻe i ka manawa like me ka lāʻau lapaʻau DTaP-HepB-IPV. Hāʻawi pinepine nā mea mālama ola i nā lāʻau lapaʻau he nui i ka manawa like e mālama ai i nā keiki ma ka papa a e hōʻemi i ka nui o nā kipa ʻana i ka hale lapaʻau.
Hāʻawi ʻia nā lāʻau lapaʻau i nā wahi injection like ʻole, ma nā lima a i ʻole nā wāwae like ʻole, e hōʻemi i ka pilikia ma kekahi wahi hoʻokahi. ʻAʻole hoʻonui ka loaʻa ʻana o nā lāʻau lapaʻau he nui i ka manawa hoʻokahi i ka pilikia o nā hopena ʻaoʻao koʻikoʻi a i ʻole e hōʻemi i ka pono o kekahi lāʻau lapaʻau.
Inā hala kāu keiki i kahi mahele i hoʻonohonoho ʻia, e hoʻokaʻaʻike i kāu mea mālama ola e hoʻonohonoho hou i ka hiki wawe. ʻAʻole pono ʻoe e hoʻomaka hou i ka moʻo lāʻau lapaʻau holoʻokoʻa - hiki i kāu keiki ke hoʻomau mai kahi i haʻalele ai lākou i ka papa.
ʻAʻohe palena kiʻekiʻe ma waena o nā mahele, no laila inā ua hala ka manawa nui, helu mau nā mahele mua i ka pale piha. E hoʻoholo kāu mea mālama ola i ka manawa maikaʻi loa no ka hopu ʻana i nā lāʻau lapaʻau i hala ma muli o ka makahiki a me ke olakino o kāu keiki.
ʻAe, pono nā pēpē hānau mua e loaʻa i ka lāʻau lapaʻau DTaP-HepB-IPV e like me ko lākou makahiki chronological, ʻaʻole ko lākou makahiki i hoʻoponopono ʻia. Aia maoli nā pēpē hānau mua i ka pilikia kiʻekiʻe no nā pilikia mai nā maʻi e pale ai kēia lāʻau lapaʻau, e hana ana i ka hoʻopaʻa ʻana i ka lāʻau lapaʻau i ka manawa kūpono.
Hiki i nā mea mālama ola ke hana i nā hana hou aʻe i ka wā e hōʻailona ai i nā pēpē i hānau mua loa, e like me ka nānā pono ʻana iā lākou ma hope o ka hōʻailona. Akā naʻe, palekana a maikaʻi ka lāʻau lapaʻau no nā pēpē i hānau mua a hāʻawi i ka pale nui i nā mahina mua o ko lākou ola.
Hoʻolālā ʻia ka lāʻau lapaʻau hui DTaP-HepB-IPV no nā pēpē a me nā keiki ʻōpio. Loaʻa i nā mākua e pono ai ka pale ʻana i kēia mau maʻi nā ʻano lāʻau lapaʻau like ʻole i kūpono i ko lākou makahiki a me ka ulu ʻana o ka ʻōnaehana pale.
Loaʻa i nā mākua nā mea hoʻoikaika Tdap (tetanus, diphtheria, a me ka pertussis) i kēlā me kēia 10 makahiki, a me nā lāʻau lapaʻau hepatitis B a me ka polio inā pono. Hiki i kāu mea mālama ola ke hoʻoholo i nā lāʻau lapaʻau āu e pono ai e pili ana i kāu mōʻaukala hōʻailona, makahiki, a me nā mea pilikia.