He aha ka Respiratory Syncytial Virus Immune Globulin? Nā Hōʻailona, ​​Nā Kumu, & Lapaʻau

ʻO ka respiratory syncytial virus immune globulin (RSV-IGIV) he lāʻau lapaʻau kūikawā e kōkua ana i ka pale ʻana i nā pēpē pilikia nui a me nā keiki ʻōpio mai nā maʻi RSV koʻikoʻi. Aia kēia lapaʻau i nā antibodies i hōʻiliʻili ʻia mai nā mea hāʻawi olakino i loaʻa ka palekana kūlohelohe e kūʻē i ka RSV, a laila hāʻawi ʻia i nā keiki nāwaliwali ma o ka IV e hoʻoikaika i kā lākou pale ʻana.

ʻO RSV kahi maʻi hanu maʻamau e hiki ke hoʻoulu i nā pilikia hanu koʻikoʻi i nā pēpē hānau mua, nā pēpē me nā maʻi puʻuwai a i ʻole nā ​​maʻi māmā, a me nā keiki me nā ʻōnaehana pale nāwaliwali. ʻOiai e ola hou ana ka hapa nui o nā keiki olakino mai RSV me nā hōʻailona e like me ke anu, pono kekahi poʻe liʻiliʻi pilikia nui i ka pale hou e noho palekana.

He aha ka RSV immune globulin?

ʻO ka RSV immune globulin kahi huahana koko i loaʻa nā antibodies i hoʻopaʻa ʻia i hoʻolālā ʻia e hakakā i ka respiratory syncytial virus. Loaʻa kēia mau antibodies mai ka plasma i hāʻawi ʻia e nā mākua olakino i hoʻomohala i ka palekana kūlohelohe i ka RSV ma o nā maʻi mua.

Hana ka lāʻau lapaʻau ma ka hāʻawi ʻana i ka ʻōnaehana pale o kāu keiki i kahi hoʻoikaika manawa o nā antibodies i hana mua ʻia. E noʻonoʻo e like me ka hāʻawi ʻana i kāu keiki i kekahi mau koa pale hou e kōkua i ka hakakā ʻana i ka RSV inā e hōʻike ʻia lākou iā ia. He mea nui kēia pale ʻana no nā pēpē ʻaʻole i hoʻomohala piha ʻia kā lākou ʻōnaehana pale a i ʻole nā ​​keiki nona nā maʻi lapaʻau e hoʻonāwaliwali iā lākou.

Hoʻomaopopo nā kauka i ka RSV-IGIV no nā pēpē hānau mua, nā pēpē me ka maʻi māmā mau, a me nā keiki me kekahi mau maʻi puʻuwai i ka wā RSV, ka mea e holo maʻamau mai ka hāʻule a hiki i ka pūnāwai.

Pehea ke ʻano o ka lapaʻau ʻana i ka RSV immune globulin?

Hāʻawi ʻia ka RSV immune globulin ma o ka hoʻokomo ʻana i ka IV, ʻo ia hoʻi, e kahe mālie ka lāʻau lapaʻau i loko o ke kahe koko o kāu keiki ma o kahi paipu liʻiliʻi i hoʻokomo ʻia i loko o kahi vein. He mau hola ka lōʻihi o ke kaʻina hana a hana ʻia i loko o kahi haukapila a i ʻole ke keʻena lapaʻau kahi e hiki ai i nā limahana i hoʻomaʻamaʻa ʻia ke nānā pono i kāu keiki.

I ka wā o ka hoʻokomo ʻana, hiki i kāu keiki ke ʻike i kekahi ʻoluʻolu liʻiliʻi mai ka hoʻokomo ʻana i ka IV, e like me ka loaʻa ʻana o ka hoʻāʻo koko. ʻO ka hapa nui o nā keiki e ʻae maikaʻi i ka lāʻau lapaʻau, akā hiki i kekahi ke ʻike i nā hopena ʻaoʻao maʻalahi e like me ke kuni iki, ka huhū, a i ʻole nā ​​hoʻololi i ke koko.

E nānā mau ke kime lapaʻau i nā hōʻailona koʻikoʻi o kāu keiki i ka wā o ka lāʻau lapaʻau e hōʻoia i ka holo mālie o nā mea a pau. Hiki iā ʻoe ke noho me kāu keiki i ka wā o ka hoʻokomo ʻana e hāʻawi i ka hōʻoluʻolu a me ka hōʻoia.

He aha ke kumu o ka pono no ka RSV immune globulin?

Puka mai ka pono no ka RSV immune globulin i ka wā e loaʻa ai i nā keiki nā maʻi olakino e hoʻopilikia iā lākou i ka pilikia nui no nā pilikia RSV koʻikoʻi. ʻO kēia mau pilikia olakino e hoʻemi i ko lākou kino i ka hiki ke pale aku i ka maʻi maʻi.

Hiki i kekahi mau mea ke hoʻonui i ke keiki i nā maʻi RSV koʻikoʻi:

• Hānau mua (ʻoi aku ma mua o 32 mau pule)
• Maʻi māmā maʻi a i ʻole bronchopulmonary dysplasia
• ʻO kekahi mau kīnā o ka naʻau congenital
• ʻO ka ʻōnaehana pale i nāwaliwali ma muli o nā maʻi olakino
• Makahiki ʻōpio loa (ma lalo o 6 mahina i ka wā RSV)
• Nā maʻi neuromuscular e pili ana i ka hanu

ʻAʻole kēia mau kūlana e hoʻoulu i ka RSV iā ia iho, akā e hoʻonui lākou i nā keiki e hoʻomohala i nā hōʻailona koʻikoʻi inā loaʻa iā lākou ka maʻi. Kōkua ʻo RSV-IGIV i ka hoʻopili ʻana i kēia āpau ma ka hāʻawi ʻana i ka pale ʻana i ka palekana hou i nā mahina nāwaliwali loa.

He aha ka RSV immune globulin he lāʻau lapaʻau no?

Hoʻohana ʻia ka RSV immune globulin no ka pale ʻana i nā maʻi RSV koʻikoʻi i nā keiki i pilikia. ʻAʻole ia he lāʻau lapaʻau no RSV, akā he lapaʻau pale e kōkua ana i ka pale ʻana i nā keiki nāwaliwali mai ka maʻi nui inā lākou e hōʻike ʻia i ka maʻi.

Hoʻohana pinepine ʻia ka lapaʻau no nā pēpē hānau mua a me nā keiki me ka maʻi māmā mau o ka hānau mua. Loaʻa i kēia mau keiki liʻiliʻi nā māmā i hoʻomohala ʻole ʻia e paʻakikī e mālama i nā maʻi hanu, e hana ana i ka RSV i mea weliweli loa iā lākou.

Pono nō hoʻi nā keiki me kekahi mau maʻi puʻuwai mai RSV-IGIV, ʻoiai ʻo ka poʻe me nā kīnā puʻuwai congenital e pili ana i ke kahe koko i nā māmā. Hiki i ka pilikia hou aʻe e kau ai ka RSV ma ka puʻuwai a me nā māmā ke hoʻoweliweli i ke ola no kēia mau keiki.

Hiki i kekahi mau keiki me nā maʻi immunodeficiency koʻikoʻi ke loaʻa iā RSV-IGIV e kōkua i kā lākou ʻōnaehana pale nāwaliwali e kū i ka hōʻike RSV i ka wā kiʻekiʻe.

Hiki i nā hopena o ka RSV immune globulin ke hele wale?

He manawa pōkole nā hopena pale o RSV immune globulin a e mae maoli ana i ka manawa e hana ai ke kino o kāu keiki i nā antibodies i hōʻaiʻē ʻia. ʻO ka pale ʻana e mau ana ma kahi o 3-4 mau pule ma hope o kēlā me kēia infusion, ʻo ia ke kumu e pono ai nā keiki i nā lapaʻau mahina i ka wā o ka RSV.

ʻO nā hopena ʻaoʻao maʻalahi mai ka lapaʻau, e like me ke kuni iki a i ʻole ka huhū, e hoʻoponopono maʻamau i loko o hoʻokahi a ʻelua paha lā me ka ʻole o ka lapaʻau kūikawā. E hoʻi ke kino o kāu keiki i kona kūlana maʻamau ke pau nā hopena koke o ka infusion.

ʻO ka pahuhopu ka mālama ʻana i nā pae antibody pale i ka wā o ka manawa RSV holoʻokoʻa, no laila e hoʻonohonoho nā kauka i nā infusions maʻamau e mālama i ka pale ʻana o kāu keiki. Ke pau ka manawa RSV, e pau maʻamau nā lapaʻau, a e mae mālie nā hopena i ka wā e lawe ai ka ʻōnaehana pale maoli o kāu keiki.

Pehea e hāʻawi ʻia ai ka RSV immune globulin?

Hāʻawi mau ʻia ka RSV immune globulin ma kahi hoʻonohonoho olakino e nā poʻe loea mālama ola i aʻo ʻia. ʻAʻole hiki ke hāʻawi ʻia ka lāʻau lapaʻau ma ka home a pono e nānā pono ʻia i ka wā o ke kaʻina hana hoʻokomo.

Hāʻawi ʻia ka lāʻau lapaʻau ma o ka laina IV, maʻamau i loko o kahi vein ma ka lima a i ʻole ka lima o kāu keiki. Holo mālie ka hoʻokomo ʻana i nā hola he nui e hiki ai i ke kino o kāu keiki ke hoʻoponopono mālie i ka lāʻau lapaʻau.

Ma mua o ka hoʻomaka ʻana i ka hoʻokomo ʻana, e nānā ke kime lapaʻau i nā hōʻailona koʻikoʻi o kāu keiki a nānā i kā lākou mōʻaukala olakino. E hoʻomau lākou i ka nānā ʻana i ke koko, ka puʻuwai, a me ka mahana i ka wā o ka lāʻau lapaʻau e nānā i nā hopena maikaʻi ʻole.

Loaʻa ka hapa nui o nā keiki i nā hoʻokomo ʻana i kēlā me kēia mahina i ka wā o ka manawa RSV, e holo maʻamau ana mai ʻOkakopa a Malaki. Aia ke ʻano kikoʻī i nā kumu pilikia kikoʻī o kāu keiki a me nā ʻōlelo aʻoaʻo a kāu kauka.

He aha ke ʻano o ka lāʻau lapaʻau no ka RSV immune globulin?

Hahai ka protocol lapaʻau no ka RSV immune globulin i nā alakaʻi koʻikoʻi e hōʻoia i ka loaʻa ʻana o kāu keiki i ka lāʻau lapaʻau palekana a maikaʻi loa. Hoʻohālikelike pono nā kauka i ka mahele ma muli o ke kaumaha o kāu keiki a me ke kūlana olakino.

Hoʻomaka maʻamau ka lāʻau lapaʻau ma mua o ka hoʻomaka ʻana o ka manawa RSV, maʻamau i ʻOkakopa a i ʻole Nowemapa. Hāʻawi ʻia ka hoʻokomo ʻana i kēlā me kēia mahina i ka wā o ke kau, me ka mahele hope loa i hāʻawi ʻia ma Malaki a i ʻole ʻApelila, ma muli o ka hana RSV kūloko.

Aia i loko o kēlā me kēia kau hoʻokomo i nā loiloi ma mua o ka lāʻau lapaʻau, ka hoʻokele lohi ʻana o ka lāʻau lapaʻau, a me ka nānā ʻana ma hope o ka lāʻau lapaʻau. E nānā ke kime lapaʻau i nā hopena maʻi a i ʻole nā ​​pilikia ʻē aʻe i ka wā a ma hope o ka lāʻau lapaʻau.

E launa pū kāu kauka o kāu keiki me nā loea ʻē aʻe i komo i ka mālama ʻana i kāu keiki, e like me nā cardiologists a i ʻole pulmonologists, e hōʻoia i ka kūpono o ka lāʻau lapaʻau me nā pono olakino e hana nei.

I ka manawa hea wau e hoʻokaʻaʻike aku ai i kaʻu kauka e pili ana i ka RSV immune globulin?

Pono ʻoe e kelepona koke i kāu kauka inā loaʻa i kāu keiki kekahi mau hōʻailona e hopohopo ai ma hope o ka loaʻa ʻana o ka RSV immune globulin. ʻOiai he kakaikahi nā hopena koʻikoʻi, he mea nui e nānā i nā hōʻailona e hōʻike ana i kahi pilikia.

E kelepona koke i kāu mea mālama ola inā pilikia kāu keiki i ka hanu ʻana, ʻoluʻolu nui, ke kuni kiʻekiʻe mau, a i ʻole nā ​​hōʻailona o ka hopena maʻi e like me ka ʻulaʻula a i ʻole ka pehu ʻana. Hiki i kēia mau hōʻailona ke hōʻike i kahi hopena i ka lāʻau lapaʻau e pono ai ka nānā koke.

Pono nō hoʻi ʻoe e hoʻopili inā ʻike ʻia kāu keiki ʻaʻole maikaʻi i nā lā ma hope o ka hoʻokomo ʻana, ʻoiai inā he maʻalahi nā hōʻailona. I kekahi manawa hiki ke hana ʻia nā hopena lohi, a ʻoi aku ka maikaʻi o ka nānā ʻana me kāu hui lapaʻau ma mua o ke kali a me ka hopohopo.

Mai kānalua e hoʻopili i kāu kauka me nā nīnau e pili ana i ka papa hana lapaʻau, nā hopena ʻaoʻao, a i ʻole nā ​​hopohopo e pili ana i ka pane ʻana o kāu keiki i nā infusions. Makemake kāu hui mālama ola e hōʻoia e manaʻo ʻoe he hilinaʻi a ʻike e pili ana i ka mālama ʻana i kāu keiki.

He aha nā mea pilikia no ka pono o ka RSV immune globulin?

Nui nā maʻi lapaʻau e hoʻonui i ka pilikia o ke keiki i ka maʻi RSV koʻikoʻi, e lilo ana lākou i mau moho no ka lāʻau lapaʻau RSV immune globulin. ʻO ka hoʻomaopopo ʻana i kēia mau mea pilikia e kōkua i nā kauka e ʻike i nā keiki e pōmaikaʻi nui mai ka lāʻau lapaʻau pale.

ʻO ka hānau mua ʻana kekahi o nā mea pilikia ikaika loa, ʻoiai no nā pēpē i hānau ʻia ma mua o 32 mau pule o ka hāpai ʻana. ʻO kēia mau pēpē he māmā i hoʻomohala ʻole ʻia a me nā ʻōnaehana pale e paʻakikī e mālama pono i nā maʻi hanu.

ʻO nā keiki me ka maʻi māmā mau, ʻo ia hoʻi ka bronchopulmonary dysplasia, e kū ana i ka pilikia nui no ka mea ʻo ko lākou ʻiʻo māmā i hōʻino ʻia e paʻakikī ai ka hanu ʻana i ka wā o nā maʻi. ʻO kekahi mau maʻi puʻuwai e kūpono hoʻi i nā keiki no ka lāʻau lapaʻau, ʻo ia hoʻi nā hemahema e pili ana i ke kahe koko ma waena o ka puʻuwai a me nā māmā.

ʻO nā mea pilikia ʻē aʻe e komo pū ana me nā maʻi immunodeficiency koʻikoʻi, kekahi mau maʻi neuromuscular e pili ana i ka hanu ʻana, a me ka wā ʻōpio loa i ka wā o ka manawa RSV. Pono paha nā keiki me nā mea pilikia he nui i ka nānā ʻana a me ka lōʻihi o ka mālama ʻana.

He aha nā pilikia hiki ke loaʻa mai ka RSV immune globulin?

Ua ʻae maikaʻi ka hapa nui o nā keiki i ka RSV immune globulin, akā e like me nā lāʻau lapaʻau, hiki i kekahi manawa ke hana i nā hopena ʻaoʻao a i ʻole nā pilikia. ʻO ka mea maikaʻi, he kakaikahi nā pilikia koʻikoʻi, a nānā pono ka hui lapaʻau i nā keiki e hopu i nā pilikia i ka wā mua.

ʻO nā hopena ʻaoʻao maʻamau e komo pū ana me ke kuni iki, ka huhū, a i ʻole nā loli i ke koko i ka wā o ka infusion. He manawa pōkole kēia mau hopena a hoʻoponopono koke me ka ʻole e hana i nā pilikia mau.

ʻO nā pilikia koʻikoʻi akā kakaikahi e komo pū ana me nā hopena maʻi, ka nui o ka wai, a i ʻole ka hoʻouna ʻana i nā maʻi mai nā huahana koko i hāʻawi ʻia. Eia naʻe, ua hana nā ʻenehana screening a me ka hana hou i kēia mau pilikia i ka haʻahaʻa loa.

Hana ka hui lapaʻau i nā hana mālama he nui e hōʻemi i nā pilikia, e komo pū ana me ka nānā pono ʻana i nā mea hāʻawi, ka hoʻāʻo ʻana i nā huahana koko, a me ka nānā pono ʻana i ka wā o ka mālama ʻana. ʻOi aku ka maikaʻi o ka pale ʻana i ka maʻi RSV koʻikoʻi ma mua o ka pilikia liʻiliʻi o nā pilikia no nā keiki pilikia nui.

He maikaʻi a he ʻino paha ka RSV immune globulin no nā keiki pilikia nui?

Manaʻo ʻia ka RSV immune globulin he mea maikaʻi loa no nā keiki pilikia nui e kū ana i nā pae hoʻohālike no ka mālama ʻana. No kēia mau mea liʻiliʻi nāwaliwali, hiki i ka pale i hāʻawi ʻia e nā antibodies ke pale i ka maʻi koʻikoʻi a me nā pilikia e hoʻoweliweli ana i ke ola.

Ua hōʻike ʻia ka mālama ʻana e hōʻemi i ka hospitalization a me nā hōʻailona hanu koʻikoʻi i nā keiki pilikia nui i ka wā o ka manawa RSV. ʻO ia hoʻi, ʻoi aku ka liʻiliʻi o nā huakaʻi weliweli i ka lumi pilikia a me ka liʻiliʻi o ka manawa i hoʻolilo ʻia i ka haukapila e hakakā ana i nā maʻi koʻikoʻi.

Akā, ʻaʻole kūpono ka lapaʻau no nā keiki a pau. Hoʻohālikelike nā kauka i nā pōmaikaʻi me nā pilikia a me ka pilikia o nā kipa haukapila i kēlā me kēia mahina no nā infusions IV. No nā keiki me ka haʻahaʻa haʻahaʻa, ʻoi aku ka maikaʻi o ke ala maoli o ka kūkulu ʻana i ka pale ʻana ma o nā maʻi maʻalahi.

E kōkua kāu hui lapaʻau o ke keiki iā ʻoe e hoʻomaopopo inā he koho kūpono ka RSV immune globulin e pili ana i kāu kūlana kikoʻī, e noʻonoʻo ana i nā mea e like me ka makahiki o kāu keiki, nā maʻi olakino, a me ke kūlana olakino holoʻokoʻa.

He aha ka mea hiki ke kuhi hewa ʻia ka RSV immune globulin?

Hoʻohui pinepine ʻia ka RSV immune globulin me nā lapaʻau pale RSV ʻē aʻe, ʻo ia hoʻi ʻo palivizumab (Synagis), he lāʻau pale RSV i hoʻohana pinepine ʻia. Kōkua nā lapaʻau ʻelua i ka pale ʻana i nā keiki pilikia mai ka RSV koʻikoʻi, akā hana lākou i nā ʻano like ʻole a hāʻawi ʻia i nā ʻano like ʻole.

ʻAʻole like me ka RSV-IGIV, he antibody i hana ʻia i ka hale hana ʻo palivizumab i hāʻawi ʻia ma ke ʻano he injection maʻalahi i loko o ka ʻiʻo ma mua o ka infusion IV. Ua pani nui ʻo Palivizumab i ka RSV-IGIV i ka hapa nui o nā kūlana no ka mea maʻalahi ke hāʻawi a he liʻiliʻi nā hopena ʻaoʻao.

Hiki i kekahi mau mākua ke huikau i ka RSV immune globulin me nā lapaʻau immunoglobulin maʻamau i hoʻohana ʻia no nā kūlana ʻē aʻe. ʻOiai ua like kēia mau lapaʻau i ka manaʻo, aia i loko o ka RSV-IGIV nā antibodies kikoʻī i manaʻo ʻia e kūʻē i ka RSV ma mua o ke kākoʻo immune maʻamau.

He mea nui e hoʻomaopopo pono i ka lapaʻau e loaʻa nei i kāu keiki a no ke aha i koho ʻia ai ma luna o nā koho ʻē aʻe. Hiki i kāu hui mālama ola ke wehewehe i nā ʻokoʻa a kōkua iā ʻoe e hoʻomaopopo i ka mea e manaʻo ai mai ka hoʻolālā lapaʻau kikoʻī o kāu keiki.

Nā nīnau i nīnau pinepine ʻia e pili ana i ka RSV immune globulin

Pehea ka lōʻihi o ka pale ʻana o ka RSV immune globulin?

ʻO nā hopena pale o ka RSV immune globulin e mau ana ma kahi o 3-4 pule ma hope o kēlā me kēia infusion. ʻO ia ke kumu e pono ai nā keiki i nā lāʻau lapaʻau i kēlā me kēia mahina i ka wā RSV e mālama i ka pale mau. E wāwahi mālie nā antibodies i hōʻaiʻē ʻia i loko o ke kino o kāu keiki, no laila pono nā infusions maʻamau e mālama i nā pae antibody kiʻekiʻe e hakakā ai i ka RSV.

Hiki nō i kaʻu keiki ke loaʻa i ka RSV ma hope o ka loaʻa ʻana o ka immune globulin?

ʻAe, hiki i kāu keiki ke loaʻa i ka RSV ma hope o ka loaʻa ʻana o ka immune globulin, akā ʻoi aku ka maʻalahi o ka maʻi ma mua o ka mea i loaʻa me ka ʻole o ka lāʻau lapaʻau. ʻO ka pahuhopu o RSV-IGIV ka pale ʻana i nā maʻi koʻikoʻi a me nā pilikia ma mua o ka pale ʻana i nā maʻi RSV a pau. ʻO ka hapa nui o nā keiki e loaʻa ana i ka RSV i ka wā e pale ʻia e ka immune globulin e ʻike i nā hōʻailona maʻalahi a ola wikiwiki.

Aia kekahi mau meaʻai a i ʻole nā hana e pono ai kaʻu keiki e pale aku i ka wā e mālama ʻia ai?

ʻAʻohe palena meaʻai kūikawā no nā keiki e loaʻa ana i ka RSV immune globulin, a hiki i kāu keiki ke hoʻomau i ka hapa nui o nā hana maʻamau ma waena o nā infusions. Eia naʻe, pono ʻoe e mālama i nā hana kūpono e pale aku i ka hōʻike ʻana i nā poʻe maʻi maʻi, ʻoiai i ka wā kiʻekiʻe o ka RSV. Hiki i ka maʻemaʻe lima maikaʻi a me ka pale ʻana i nā wahi lehulehu i ka wā o nā maʻi e kōkua i ka hoʻonui ʻana i ka pale i hāʻawi ʻia e ka lāʻau lapaʻau.

Pehea wau e ʻike ai inā e hana ana ka lāʻau lapaʻau?

ʻO ka holomua o ka RSV immune globulin e ana pinepine ʻia e ka mea ʻaʻole i hana ʻia – ʻo ia hoʻi, e noho olakino ana kāu keiki i ka wā RSV me ka ʻole o ka hoʻomohala ʻana i nā hōʻailona hanu koʻikoʻi. ʻAʻole ʻoe e ʻike i nā hōʻailona maopopo e hana ana ka lāʻau lapaʻau, akā ʻo ka pale ʻana i ka haukapila a i ʻole ka maʻi koʻikoʻi i nā mahina kiʻekiʻe o ka RSV he hōʻailona maikaʻi ia e hana ana ka pale.

He aha ka mea e hana ai inā e hala kāu keiki i kahi infusion i hoʻonohonoho ʻia?

Inā hala kāu keiki i ka hoʻokomo ʻana i ka immune globulin RSV i hoʻonohonoho ʻia, e kelepona i kāu mea mālama ola i ka hiki wawe e hoʻonohonoho hou. ʻO ka hala ʻana i hoʻokahi lapaʻau hiki ke waiho i kāu keiki i ka pilikia i ka wā o ka hakahaka i ka pale ʻana, no laila he mea nui e hoʻi koke i ka papa hana. Hiki i kāu kauka ke ʻōlelo aku i nā hana mālama hou aʻe a i ʻole e hoʻololi i ka hoʻolālā lapaʻau e pili ana i ka nui o ka manawa i hala a me ka hana RSV i kēia manawa ma kou wahi.