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October 10, 2025
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ʻO ka DTaP-IPV-Hib vaccine he pana hui e pale aku i ʻelima mau maʻi kamaliʻi koʻikoʻi i hoʻokahi injection. Hoʻohui kēia vaccine i ka pale ʻana i ka diphtheria, tetanus, acellular pertussis (whooping cough), polio, a me Haemophilus influenzae type b (Hib) infections.
Hāʻawi nā mea mālama ola i kēia vaccine ma ke ʻano he intramuscular injection, maʻamau i ka ʻūhā a i ʻole ka lima o luna o kāu keiki. He ʻāpana ia o ka papa hana immunization kamaliʻi maʻamau a kōkua i ke kūkulu ʻana i ka pale ʻana i nā maʻi i hana mua i nā pilikia koʻikoʻi a me ka make i nā keiki.
ʻO ka DTaP-IPV-Hib vaccine he ʻelima-i-hoʻokahi immunization e pale aku i nā keiki mai nā maʻi weliweli he nui. Hōʻike kēlā me kēia leka i ka inoa i kahi maʻi ʻokoʻa: D no ka diphtheria, T no ka tetanus, aP no ka acellular pertussis, IPV no ka inactivated polio vaccine, a me Hib no Haemophilus influenzae type b.
Mālama kēia vaccine hui i kāu keiki mai ka loaʻa ʻana o ʻelima mau pana kaʻawale. Loaʻa iā ia nā ʻāpana nāwaliwali a i ʻole inactivated o nā germs e hana ana i ka maʻi, e kōkua ana i ka ʻōnaehana pale o kāu keiki e aʻo e hakakā i kēia mau maʻi me ka ʻole e hana i nā maʻi maoli.
Hāʻawi ʻia ka vaccine ma ke ʻano he moʻo o nā pana e hoʻomaka ana i ka wā he 2 mahina o kāu pēpē. Loaʻa i ka hapa nui o nā keiki kēia vaccine ma 2, 4, 6, a me 15-18 mau mahina o ka makahiki, me kahi pana booster ma 4-6 mau makahiki.
E ʻike kāu keiki i kahi ʻū a i ʻole ke kuʻi wikiwiki ke komo ka nila i loko o ko lākou ʻiʻo. He mau kekona wale nō ka injection, ʻoiai paha e lōʻihi ka manaʻo no ʻoe a me kāu keiki.
Ma hope o ka pana, e ʻike paha kāu keiki i kekahi ʻoluʻolu maʻalahi ma kahi i hoʻokomo ʻia ai ka lāʻau. Hiki i kēia ke komo i ka ʻeha, ka ʻulaʻula, a i ʻole ka pehu iki ma kahi i komo ai ka nila. He mau hōʻailona maʻamau kēia mau hopena e hōʻike ana e pane ana ka ʻōnaehana pale o kāu keiki i ka lāʻau lapaʻau.
Hiki i kekahi mau keiki ke manaʻo iki i ka huhū a i ʻole ka luhi no hoʻokahi a ʻelua paha lā ma hope o ka lāʻau lapaʻau. Hiki nō hoʻi ke loaʻa ke kuni haʻahaʻa, ʻo ia ka hana ʻana o ke kino o kāu keiki i ka pale ʻana i nā maʻi.
Hiki mai nā hopena ʻaoʻao no ka mea e hana ana ka ʻōnaehana pale o kāu keiki e kūkulu i ka pale ʻana i nā maʻi ʻelima. Ke komo ka lāʻau lapaʻau i ke kino, ʻike nā pūnaewele pale i nā mea o ka lāʻau lapaʻau he mea ʻē a hoʻomaka e hana i nā antibodies e hakakā iā lākou.
ʻO nā hopena maʻamau e hana ʻia ma kahi i hoʻokomo ʻia ai ka lāʻau lapaʻau. Hoʻouna ke kino o kāu keiki i nā pūnaewele pale i kēia wahi, hiki ke hana i ka ʻulaʻula, ka pehu, a i ʻole ke aloha. Hōʻike kēia hopena kūloko i ka hana ʻana o ka ʻōnaehana pale.
ʻIke kekahi mau keiki i nā hopena systemic, e pili ana i ke kino holoʻokoʻa ma mua o ka wahi i hoʻokomo ʻia ai ka lāʻau. Hiki i kēia ke komo i ke kuni maʻalahi, ka huhū, a i ʻole ka emi ʻana o ka ʻai ʻana i ka wā e hana ana ka ʻōnaehana pale i ke kino a pau e hoʻomohala i ka pale.
ʻO ka hapa nui o nā keiki e ʻike wale i nā hopena ʻaoʻao maʻalahi e hele wale ana i loko o kekahi mau lā. ʻO ka hoʻomaopopo ʻana i ka mea e manaʻo ai hiki ke kōkua iā ʻoe e mākaukau a hopohopo ʻole e pili ana i ka pane ʻana o kāu keiki i ka lāʻau lapaʻau.
ʻO nā hopena ʻaoʻao maʻamau e ʻike ai nā keiki he nui:
Hoʻomaka maʻamau kēia mau hopena i loko o 24 hola o ka lāʻau lapaʻau a hoʻopau i loko o 2-3 mau lā. He mau hōʻailona maikaʻi lākou e hōʻike ana e kūkulu ana ka ʻōnaehana pale o kāu keiki i ka pale ʻana i kēia mau maʻi koʻikoʻi.
ʻO nā hopena ʻaoʻao maʻamau ʻole akā maʻamau nō hoʻi e komo pū ana:
ʻO nā hopena ʻaoʻao laha akā koʻikoʻi e pono ai ka lāʻau lapaʻau koke. ʻOiai e hana pinepine ʻole kēia mau mea, he mea nui e ʻike i ka mea e nānā ai:
He mea laha loa kēia mau hopena koʻikoʻi, e hana ana i ka liʻiliʻi ma mua o 1 i loko o 10,000 mau keiki. Eia naʻe, ʻo ka ʻike ʻana i kēia mau hōʻailona e kōkua iā ʻoe e ʻimi i ka mālama olakino wikiwiki inā pono.
ʻAe, ʻo ka hapa nui o nā hopena ʻaoʻao mai kēia lāʻau lapaʻau e hoʻopau loa iā lākou iho i loko o 2-3 mau lā. Hoʻoponopono maoli ke kino o kāu keiki i nā mea o ka lāʻau lapaʻau a hoʻoponopono ka pane ʻana o ka ʻōnaehana pale i ka wā e hana ʻia ai nā antibodies.
ʻO nā hopena maʻalahi e like me ka ʻeha ma kahi i hoʻokomo ʻia ai ka lāʻau, ka hāʻule wela haʻahaʻa, a me ka huhū e piʻi maʻamau i loko o nā hola 24 mua ma hope o ka lāʻau lapaʻau. Ma hope o kēlā, hoʻomaikaʻi mālie kēia mau hōʻailona a nalowale me ka ʻole o ka lāʻau lapaʻau kūikawā.
ʻOiai ʻo nā hopena maʻamau, e like me ka hāʻule wela iki a i ʻole ka huhū nui, e hoʻoponopono maʻamau i loko o 3-5 mau lā. Hoʻihoʻi ʻia ka ʻai maʻamau o kāu keiki, ka pae ikehu, a me ke ʻano i ka wā e hoʻopau ai kā lākou ʻōnaehana pale i ke kaʻina hana o ke kūkulu ʻana i ka pale.
Hiki iā ʻoe ke kōkua i kāu keiki e ʻoluʻolu aʻe i ka wā e kūkulu ai ko lākou kino i ka pale ʻana i ka maʻi me ka hoʻohana ʻana i nā lāʻau home maʻalahi a palekana. Hiki i kēia mau hana mālie ke hōʻoluʻolu me ka ʻole e keakea i ka pono o ka lāʻau lapaʻau.
No ka ʻoluʻolu ʻole o ka wahi i hoʻokomo ʻia ai ka lāʻau, hiki iā ʻoe ke kau i kahi lole holoi maʻemaʻe a anuanu i ka wahi no 10-15 mau minuke i kekahi mau manawa i ka lā. Kōkua kēia i ka hōʻemi ʻana i ka pehu a hāʻawi i ka hōʻoluʻolu. E pale i ka hoʻopili ʻana i ka hau pololei i ka ʻili, no ka mea, hiki ke anuanu loa kēia no nā keiki ʻōpio.
Inā loaʻa i kāu keiki ke kuni, e ʻaʻahu iā lākou i nā lole māmā a hanu e kōkua i ko lākou kino e hoʻoponopono i ka mahana. E hāʻawi i nā wai hou e like me ka waiū umauma, ka waiūpaka, a i ʻole ka wai e pale ai i ka maloʻo. Hiki i ka ʻauʻau mehana ke kōkua i ka hoʻohaʻahaʻa ʻana i ke kuni ma ke ʻano maoli.
ʻO nā koho hoʻomaha ʻeha e komo pū ana:
Hiki i nā hana hōʻoluʻolu ke hana i kahi ʻokoʻa nui i ke ʻano o ka manaʻo o kāu keiki. ʻO ka ʻapo hou, ka lūlū mālie, a me ka mālama ʻana i nā papa ʻai maʻamau e kōkua i ka hāʻawi ʻana i ke kākoʻo naʻau i kēia manawa.
E mālama i ka hana maʻamau o kāu keiki e like me ka hiki, akā e ʻae i ka hoʻomaha hou inā ʻike lākou e luhi ana. Nui nā keiki e ʻoi aku ka maikaʻi me nā hana maʻamau a me nā mea hōʻoluʻolu e like me nā mea pāʻani punahele a i ʻole nā pākeʻe.
He mea pono ka lāʻau lapaʻau i ka wā e loaʻa ai i nā keiki nā hopena maʻamau akā koʻikoʻi i ka lāʻau lapaʻau. Ua aʻo ʻia nā mea mālama ola e ʻike a mālama i kēia mau kūlana me ka wikiwiki a me ka pono.
No nā hopena maʻi maʻi koʻikoʻi, nā lāʻau lapaʻau pilikia e komo pū ana me nā mea hoʻokomo epinephrine (adrenaline) a me nā antihistamines e kūʻē i ka pane maʻi maʻi. Mālama pū nā mea mālama ola i ka hanu ʻana a hāʻawi i ke kākoʻo oxygen inā pono.
Pono nā kuni kiʻekiʻe ma luna o 104°F i ka loiloi olakino e kāpae i nā kumu ʻē aʻe a hāʻawi i ka hoʻemi kuni kūpono. Hiki i kēia ke komo i nā lāʻau lapaʻau hoʻemi kuni ikaika a me ka nānā pono ʻana i ke kūlana o kāu keiki.
Inā loaʻa nā hopu, hāʻawi nā poʻe loea lapaʻau i ka mālama koke e hoʻōki i ka hopu a pale i ka ʻeha. Hoʻokolokolo pū lākou inā pili ka hopu ʻana i ke kuni a i ʻole nā kumu ʻē aʻe, e hōʻoia ana i ka mālama ʻana i ka wā e hiki mai ana.
Hiki ke ʻōlelo ʻia ka nānā ʻana i ka haukapila no nā keiki e loaʻa ana nā hopena koʻikoʻi. Hāʻawi kēia i nā mea mālama ola e nānā i ka hoʻōla ʻana o kāu keiki a hāʻawi i ka lāʻau lapaʻau hou inā pono.
Pono ʻoe e hoʻokaʻaʻike i kāu pediatrician inā loaʻa i kāu keiki nā hōʻailona e pili ana ma hope o ka hoʻopaʻa ʻana. ʻOiai he maʻalahi a manaʻo ʻia ka hapa nui o nā hopena, pono kekahi mau kūlana i ka loiloi olakino ʻoihana.
E kelepona koke i kāu kauka inā loaʻa i kāu keiki:
E ʻimi i ka mālama pilikia koke inā hōʻike kāu keiki i nā hōʻailona o ka hopena maʻi koʻikoʻi, loaʻa kahi hopu, a i ʻole e ulu ke kuni ma luna o 104°F. Pono kēia mau kūlana i ka nānā olakino wikiwiki e hōʻoia i ka palekana o kāu keiki.
E hilinaʻi i kou manaʻo makua. Inā he mea ʻokoʻa loa ke ʻano o kāu keiki a i ʻole ke kūlana ma hope o ka lāʻau lapaʻau, he mea kūpono mau ke kūkākūkā me kāu mea mālama ola kino no ke alakaʻi a me ka hōʻoia.
Hiki i kekahi mau mea ke hoʻonui i ka hiki i kāu keiki ke loaʻa nā hopena ʻaoʻao mai ka lāʻau lapaʻau. ʻO ka hoʻomaopopo ʻana i kēia mau mea pilikia e kōkua iā ʻoe a me kāu mea mālama ola kino e hana i nā hoʻoholo i ka manawa a me ka hoʻomākaukau ʻana.
Hiki i nā hopena mua i nā lāʻau lapaʻau ke hōʻike i ka nui o nā hopena i ka wā e hiki mai ana. Inā loaʻa i kāu keiki nā hopena ʻaoʻao nui mai nā lāʻau lapaʻau mua, hiki i kāu kauka ke ʻōlelo aku i ka nānā ʻana a i ʻole ka lāʻau lapaʻau ma mua e hōʻemi i nā hopena.
He kuleana nō hoʻi nā mea e pili ana i ka makahiki i ke ʻano o ka pane ʻana o nā keiki i nā lāʻau lapaʻau. Hiki i nā pēpē ʻōpio ke hōʻike i nā hopena i ʻoi aku ka nui no ka mea e hoʻomohala ana kā lākou ʻōnaehana pale aʻo e pane i nā lāʻau lapaʻau.
ʻO nā mea pilikia maʻamau e komo pū ana:
Eia naʻe, ʻo ka loaʻa ʻana o nā mea pilikia ʻaʻole ia he manaʻo e loaʻa ana i kāu keiki nā hopena ʻaoʻao. Nui nā keiki me kēia mau mea e loaʻa ana i nā lāʻau lapaʻau me ka ʻole o nā pilikia, a ʻoi aku ka maikaʻi o nā pono o ka lāʻau lapaʻau ma mua o nā pilikia no ka hapa nui o nā keiki.
Hiki i nā maʻi i pale ʻia e kēia lāʻau lapaʻau ke kumu i nā pilikia nui a me ka make i nā keiki i hoʻopaʻa ʻole ʻia. ʻO ka hoʻomaopopo ʻana i kēia mau pilikia e kōkua i ka hoʻokomo ʻana i nā hopena ʻaoʻao o ka lāʻau lapaʻau i ka manaʻo a me ka hōʻike ʻana i ke kumu o ka mea nui o ka lāʻau lapaʻau.
Hiki i ka diphtheria ke hana i nā pilikia nui o ka naʻau, ka lolo, a me ka pilikia o ka hanu ma muli o nā uhi mānoanoa i ka ʻāʻī. Ma mua o ka lāʻau lapaʻau, ua pepehi kēia maʻi i kahi 1 i 10 mau keiki i loaʻa iā ia.
Hiki i ka tetanus ke alakaʻi i nā spasms ʻiʻo koʻikoʻi i hiki ke ikaika e haki i nā iwi. He mea weliweli loa kēia maʻi no ka mea aia i loko o ka lepo a hiki ke komo ma o nā ʻeha, e paʻakikī loa ai ka pale ʻana i ka ʻike.
He mea weliweli loa nā pilikia o ka pertussis no nā pēpē a me nā mea i komo:
Hiki i ka polio ke hana i ka lolo mau loa, ʻoi aku ka nui o nā wāwae, nā lima, a me nā ʻiʻo hanu. ʻOiai he mea maʻamau i kēia lā ma muli o ka lāʻau lapaʻau, ua lolo kēia maʻi i nā tausani keiki i kēlā me kēia makahiki.
Hiki i nā maʻi Hib ke alakaʻi i ka meningitis e hoʻoweliweli ana i ke ola, e hana ana i ka pehu o ka lolo a hiki ke hopena i ka lohe ʻole, nā kīnā o ka noʻonoʻo, a i ʻole ka make. Hiki i kēia bacteria ke hana i ka pneumonia koʻikoʻi a me nā maʻi kahe koko.
Hiki pinepine kēia mau pilikia i nā keiki i hoʻopaʻa ʻole ʻia ma mua o nā hopena koʻikoʻi o ka lāʻau lapaʻau i nā keiki i hoʻopaʻa ʻia, e hana ana i ka lāʻau lapaʻau i ke koho palekana e ka palena nui.
He mea maikaʻi loa ka lāʻau lapaʻau DTaP-IPV-Hib no ke olakino o kāu keiki a hāʻawi i ka pale koʻikoʻi i nā maʻi koʻikoʻi ʻelima. Ua hoʻāʻo nui ʻia ka lāʻau lapaʻau a ua hōʻoia ʻia he palekana a maikaʻi hoʻi i ka pale ʻana i nā maʻi i hana i ka maʻi a me ka make.
Hāʻawi kēia lāʻau lapaʻau i nā helu pale maikaʻi loa, e pale ana ma kahi o 95% o nā hihia o nā maʻi i manaʻo ʻia ke hāʻawi ʻia e like me ka papa hana i ʻōlelo ʻia. He mau makahiki ka lōʻihi o ka pale ʻana e hāʻawi ai, e hāʻawi ana i kāu keiki i ka pale lōʻihi i nā makahiki palupalu loa.
ʻOi aku ka maikaʻi o nā pōmaikaʻi ma mua o nā pilikia no ka aneane o nā keiki a pau. ʻOiai hiki ke loaʻa nā hopena ʻaoʻao, he maʻalahi a he manawa pōkole, ʻoiai hiki i nā maʻi i pale ʻia ke kumu i ke kino kīnā mau a i ʻole ka make. Hāʻawi pū ka lāʻau lapaʻau i ka pale ʻana o ke kaiāulu ma ka hōʻemi ʻana i ka laha ʻana o kēia mau maʻi.
Hiki i nā kūlana kūikawā ke hoʻopilikia i nā hoʻoholo ʻana i ka lāʻau lapaʻau, e like me nā pilikia o ka ʻōnaehana pale kino a i ʻole nā hopena maʻi maʻi i hoʻoweliweli i ke ola. Eia naʻe, he mea maʻamau kēia mau kūlana, a ʻo ka hapa nui o nā keiki me nā maʻi olakino e pōmaikaʻi mai ka lāʻau lapaʻau ʻoi aku ka nui ma mua o nā keiki olakino.
I kekahi manawa hopohopo nā mākua e pili ana i nā hōʻailona o kā lākou keiki ma hope o ka lāʻau lapaʻau he mau hōʻailona paha o kahi mea koʻikoʻi. ʻO ka hoʻomaopopo ʻana i ke ʻano o nā hopena maʻamau o ka lāʻau lapaʻau e kōkua iā ʻoe e hoʻokaʻawale ma waena o nā pane i manaʻo ʻia a me nā maʻi pili ʻole.
He maʻamau a manaʻo ʻia ka wela haʻahaʻa ma hope o ka lāʻau lapaʻau, akā hiki ke kuhi hewa ʻia no ka hoʻomaka ʻana o ke anu a i ʻole nā maʻi ʻē aʻe. ʻO ka wela e pili ana i ka lāʻau lapaʻau e ʻike pinepine ʻia i loko o 24 mau hola o ka lāʻau lapaʻau a hoʻoponopono i loko o 2-3 mau lā me ka ʻole o nā hōʻailona anu ʻē aʻe.
ʻO ka huhū a me ka emi ʻana o ka ʻai ma hope o ka lāʻau lapaʻau he mau hopena maʻamau e like me ka hoʻomaka ʻana o kahi maʻi. Eia naʻe, hoʻomaikaʻi maʻamau ka huhū e pili ana i ka lāʻau lapaʻau a ʻaʻole i hui pū ʻia me nā hōʻailona ʻē aʻe o ka maʻi e like me ka ihu kahe a i ʻole ka ʻū.
Hiki i nā hopena o ka pūnaewele injection ke huikau i kekahi manawa me:
Inā ʻaʻole ʻoe maopopo inā pili nā hōʻailona o kāu keiki i ka lāʻau lapaʻau a i ʻole kekahi mea ʻē aʻe, e kelepona i kāu kauka. Hiki iā lākou ke kōkua i ka hoʻokaʻawale ʻana ma waena o nā hopena maʻamau o ka lāʻau lapaʻau a me nā kūlana ʻē aʻe e pono ai ka mālama ʻokoʻa.
ʻO ka hapa nui o nā hopena ʻaoʻao mai kēia lāʻau lapaʻau e mau ana no 2-3 mau lā. ʻO ka ʻeha a me ka ʻulaʻula ma kahi i hoʻokomo ʻia ai e hoʻoponopono maʻamau i loko o 24-48 mau hola, ʻoiai e hoʻomaikaʻi maʻamau ka wela haʻahaʻa a me ka huhū i loko o 2-3 mau lā. Inā mau nā hōʻailona ma mua o hoʻokahi pule a i ʻole ke ʻano e ʻino nei ma mua o ka maikaʻi, e kelepona i kāu kauka no ke alakaʻi.
ʻOiai he mea maikaʻi loa ka lāʻau lapaʻau, ʻaʻole hāʻawi ka lāʻau lapaʻau i ka 100% palekana. Eia naʻe, ʻo nā keiki i hoʻopaʻa ʻia i loaʻa i kēia mau maʻi e ʻike maʻamau i nā hōʻailona maʻalahi a me nā pilikia liʻiliʻi ma mua o nā keiki i hoʻopaʻa ʻole ʻia. Hāʻawi ka lāʻau lapaʻau i ka 95% palekana mai kēia mau maʻi ke hāʻawi ʻia e like me ka papa manawa i ʻōlelo ʻia.
ʻAʻole ia i ʻōlelo ʻia e hāʻawi i nā mea hoʻemi wela ma mua o ka hoʻopaʻa ʻana no ka mea e hoʻopilikia paha kēia i ka pane ʻana o ka ʻōnaehana pale o kāu keiki i ka lāʻau lapaʻau. Eia naʻe, hiki iā ʻoe ke hāʻawi i nā mea hoʻemi wela kūpono ma hope o ka hoʻopaʻa ʻana inā loaʻa i kāu keiki ka hōʻoluʻolu a i ʻole ke kuni. E kūkākūkā mau me kāu kauka e pili ana i ke ala maikaʻi loa no kāu keiki.
Inā hala kāu keiki i kahi mahele i hoʻonohonoho ʻia, e launa me kāu kauka keiki e hoʻonohonoho hou i ka hiki wawe. Hiki iā lākou ke hoʻoholo i ka manawa maikaʻi loa no nā lāʻau lapaʻau e hopu ai e pili ana i ka makahiki o kāu keiki a me ka mōʻaukala lāʻau lapaʻau. ʻAʻole ia he manaʻo e hoʻomaka hou ana ka hala ʻana i kahi mahele - hiki i kāu keiki ke hoʻomau i ka moʻo mai kahi i haʻalele ai lākou.
He kakaikahi wale nō nā keiki ʻaʻole hiki ke loaʻa kēia lāʻau lapaʻau. ʻO ka poʻe ʻaʻole pono e komo i nā keiki me nā pilikia ʻōnaehana pale koʻikoʻi, ka poʻe i loaʻa i kahi hopena maʻi maʻi e hoʻoweliweli ana i ke ola i kahi mahele mua, a i ʻole ka poʻe me kekahi mau maʻi neurological. E nānā kāu kauka keiki i ka mōʻaukala olakino o kāu keiki e hōʻoia i ka kūpono a me ka palekana o ka lāʻau lapaʻau no lākou.
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