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ʻO ka varicella virus vaccine live he pana e pale aku iā ʻoe mai ka maʻi moa, he maʻi maʻi maʻi i hana ʻia e ka varicella-zoster virus. Aia i loko o kēia kano kahi ʻano nāwaliwali o ka maʻi e kōkua ai i kāu ʻōnaehana pale e aʻo e hakakā i ka maʻi maoli me ka hana ʻole iā ʻoe.
Loaʻa ka hapa nui o nā kānaka i kēia kano i nā keiki, akā hiki nō hoʻi i nā mākua i loaʻa ʻole ka maʻi moa ke loaʻa. Hāʻawi ʻia ka kano ma ke ʻano he injection i loko o kou ʻiʻo a i ʻole ma lalo o kou ʻili, ma muli o kou makahiki a me ka ʻōlelo aʻoaʻo a kāu kauka.
ʻO ka varicella virus vaccine live he lāʻau lapaʻau pale e aʻo ai i kāu ʻōnaehana pale e ʻike a hakakā i ka maʻi moa. Hana ʻia ia mai kahi ʻano ola akā nāwaliwali o ka varicella-zoster virus ʻaʻole hiki ke hana i ka maʻi piha i nā kānaka olakino.
Ua ʻae mua ʻia kēia kano ma ʻAmelika Hui Pū ʻIa i ka makahiki 1995 a ua hoʻemi nui i nā hihia maʻi moa ma mua o 90%. Hāʻawi ʻia ia i nā keiki ma waena o 12 a me 15 mau mahina, me ka lua o ka mahele ma waena o 4 a me 6 mau makahiki.
Pono nā mākua i loaʻa ʻole ka maʻi moa a i ʻole ka kano i ʻelua mau mahele i hāʻawi ʻia i 4 a 8 mau pule. Hāʻawi ka kano i ka pale lōʻihi, ʻoiai e emi iki paha ka pale ʻana i ka manawa.
ʻO ka loaʻa ʻana o ka varicella vaccine e like me nā pana ʻē aʻe - he ʻūlū wikiwiki a i ʻole ke kuʻi ʻana i ka wā e komo ai ka nila. He mau kekona wale nō ka injection, a wehewehe ka hapa nui o nā kānaka he ʻeha ʻole ma mua o kā lākou i manaʻo ai.
Hiki ke ʻeha kou lima ma kahi i hoʻokomo ʻia ai no hoʻokahi a ʻelua paha lā ma hope. ʻIke kekahi poʻe i ka ʻulaʻula a i ʻole ka pehu ʻana ma kahi i loaʻa ai iā lākou ka pana, he mea maʻamau loa ia a hōʻike i ka pane ʻana o kāu ʻōnaehana pale.
He mau kānaka liʻiliʻi e loaʻa ana i ka ʻili liʻiliʻi e like me nā kiko moa i loko o kekahi mau pule ma hope o ka lāʻau lapaʻau. E hana ana kēia i loko o kahi 1 i 25 mau kānaka a ʻo ia hoʻi ke hana pono nei ka lāʻau lapaʻau.
Aia ka lāʻau lapaʻau varicella no ka mea hiki i ka moa ke hana i nā pilikia nui, ʻoiai i kekahi mau pūʻulu o nā kānaka. ʻOiai he nui ka poʻe e manaʻo nei i ka moa he maʻi kamaliʻi maʻalahi, hiki iā ia ke alakaʻi i nā pilikia nui e like me ka pneumonia, ka mumū o ka lolo, a me nā maʻi bacteria e hoʻoweliweli ana i ke ola.
Ma mua o ka lāʻau lapaʻau, ua pili ka moa i ka aneane o nā mea a pau i ka wā kamaliʻi, e hana ana ma kahi o 4 miliona mau hihia i kēlā me kēia makahiki ma ʻAmelika Hui Pū ʻIa. He mea weliweli loa ka maʻi no nā pēpē hānau hou, nā wahine hāpai, a me nā kānaka me nā ʻōnaehana pale nāwaliwali.
Eia nā kumu nui i pono ai ka lāʻau lapaʻau:
Pale ka lāʻau lapaʻau i kēia mau pilikia ma ka hana ʻana i ka pale ma mua o ka hōʻike ʻana i ka maʻi virus hihiu. ʻOi aku ka palekana ma mua o ka loaʻa ʻana o ka maʻi maoli.
Pale mua ka lāʻau lapaʻau varicella i ka moa, akā hoʻemi pū nō hoʻi i kou pilikia o ka hoʻomohala ʻana i nā shingles ma hope o ke ola. E hana ana nā shingles i ka wā e hoʻāla hou ai ka maʻi virus moa, e noho ana i ka hiamoe i loko o kāu mau cell nerve ma hope o ka maʻi, i nā makahiki ma hope.
ʻO ka loaʻa ʻana o ka lāʻau lapaʻau ma mua o ka loaʻa ʻana o ka maʻi moa maoli e hoʻemi ana i kou manawa e loaʻa ai ka shingles. ʻO kēia no ka mea ʻaʻole paha e hoʻokumu ka maʻi virus i kahi maʻi hiamoe ikaika i loko o kou mau aʻalolo.
Pale pū ka lāʻau lapaʻau i kekahi mau pilikia koʻikoʻi e hiki ke hana me ka maʻi moa:
No nā wahine hāpai, pale ka lāʻau lapaʻau i ka maʻi varicella congenital, kahi maʻi e hiki ke hoʻoulu i nā kīnā hānau inā loaʻa ka maʻi moa i ka wā hāpai.
ʻAe, ʻo ka hapa nui o nā hopena ʻaoʻao mai ka lāʻau varicella he maʻalahi a nalowale wale nō i loko o kekahi mau lā. Hoʻokumu ka ʻōnaehana pale o kou kino i kēia mau hopena i ka wā e aʻo ai e ʻike i ka maʻi virus.
ʻO nā hopena ʻaoʻao maʻamau e pili ana i ka ʻeha, ka ʻulaʻula, a i ʻole ka pehu ʻana ma kahi o ka injection. Hoʻomaka maʻamau kēia mau hōʻailona i loko o nā hola o ka lāʻau lapaʻau a hoʻoponopono i loko o 2 a 3 mau lā me ka ʻole o ka mālama ʻana.
Loaʻa i kekahi poʻe ke kuni maʻalahi a i ʻole kekahi mau kiko e like me ka maʻi moa i loko o 2 a 3 mau pule ma hope o ka lāʻau lapaʻau. ʻO kēia hopena lohi he hōʻailona maikaʻi ia e kūkulu nei kāu ʻōnaehana pale i ka pale, a nalowale maʻamau kēia mau hōʻailona i loko o hoʻokahi pule.
He mea maʻamau loa nā hopena ʻaoʻao koʻikoʻi, e hana ana i ka liʻiliʻi ma mua o 1 i 1 miliona mau maʻi. Inā loaʻa iā ʻoe nā hopena maʻi maʻi koʻikoʻi, ke kuni kiʻekiʻe, a i ʻole nā hōʻailona maʻamau, e kelepona koke i kāu mea mālama ola.
Hiki iā ʻoe ke mālama i ka hapa nui o nā hopena ʻaoʻao o ka lāʻau lapaʻau varicella ma ka home me nā hana hōʻoluʻolu maʻalahi. Kōkua kēia mau hana mālie i kou kino e ola ana me ka mālama ʻana i nā pono pale o ka lāʻau lapaʻau.
No ka ʻeha o ka wahi injection, e hoʻopili i kahi lole anuanu a pulu i ka wahi no 10 a 15 mau minuke i kekahi mau manawa i ka lā. E pale i ka hamo ʻana a i ʻole ka lomilomi ʻana i ka wahi injection, no ka mea, hiki i kēia ke hoʻonui i ka huhū.
Eia nā ala palekana e hōʻoluʻolu i nā hopena ʻaoʻao maʻamau:
Inā loaʻa iā ʻoe kahi ʻōpala māmā, e pale i ka ʻōpala ʻana i nā kiko a e mālama iā lākou i ka maʻemaʻe a me ka maloʻo. Hoʻoponopono maʻamau ka ʻōpala iā ia iho a ʻaʻole pono i ka mālama kūikawā.
Mai hoʻopili i ka wela i ka wahi injection a i ʻole e lawe i ka aspirin, ʻoiai i nā keiki, no ka mea, hiki i kēia ke hoʻonui i ka pilikia o nā pilikia.
Aia ka lāʻau lapaʻau no nā hopena o ka lāʻau lapaʻau varicella i ke ʻano a me ke koʻikoʻi o nā hōʻailona āu e ʻike ai. ʻO ka hapa nui o nā hopena he māmā a ʻaʻole pono i ka lāʻau lapaʻau ma mua o ka mālama home.
Inā loaʻa iā ʻoe ke kuni ma luna o 102°F (39°C) a i ʻole e lilo ana ka wahi injection i ʻulaʻula a pehu, hiki i kāu kauka ke ʻōlelo aku i nā mea hoʻomaha ʻeha ikaika a i ʻole nā lāʻau anti-inflammatory. Makemake lākou e kāpae i nā maʻi bacteria lua.
No nā hihia kakaʻikahi o nā hopena maʻi maʻi koʻikoʻi, ʻo ka lāʻau lapaʻau e pili ana:
Pono paha ka poʻe me nā ʻōnaehana pale i nā maʻi i loaʻa i ka ʻōpala ākea ma hope o ka hoʻopaʻa ʻana i nā lāʻau antiviral e like me ka acyclovir. Kōkua kēia lapaʻau i ka pale ʻana i ka maʻi virus mai ka hoʻokumu ʻana i ka maʻi koʻikoʻi.
E hana kāu mea mālama ola i kahi hoʻolālā lapaʻau e pili ana i kāu mau hōʻailona kikoʻī a me ka mōʻaukala olakino. E hōʻike pū lākou i nā hopena koʻikoʻi i nā ʻōnaehana nānā palekana o ka lāʻau lapaʻau.
Pono ʻoe e hoʻokaʻaʻike i kāu mea mālama ola inā ʻoe e ʻike i nā hōʻailona i ʻoi aku ka koʻikoʻi ma mua o ka mea i manaʻo ʻia a i ʻole e mau ana ma mua o kekahi mau lā. ʻOiai he kakaikahi nā hopena koʻikoʻi, he mea nui e ʻimi i ka lāʻau lapaʻau ke pono.
E kelepona koke i kāu kauka inā loaʻa iā ʻoe nā hōʻailona o ka hopena maʻi koʻikoʻi i loko o nā hola o ka hoʻopaʻa ʻana. Aia kēia mau mea i ka pilikia o ka hanu ʻana, ka pehu ʻana o kou maka a i ʻole ka ʻāʻī, ka ʻōpala ākea, a i ʻole ka manaʻo nāwaliwali.
Eia nā kūlana ʻē aʻe e koi ai i ka loiloi olakino:
Inā hāpai ʻoe a loaʻa wale ka lāʻau lapaʻau, e hoʻokaʻaʻike koke i kāu obstetrician. ʻOiai ʻaʻole ʻōlelo ʻia ka lāʻau lapaʻau i ka wā hāpai, hōʻike nā haʻawina he haʻahaʻa loa ka pilikia i ka pēpē.
No nā hopena ʻaoʻao maʻamau e like me ka ʻeha iki a i ʻole ke kuni haʻahaʻa, hiki iā ʻoe ke mālama iā lākou ma ka home a ʻaʻole pono ʻoe i ka lāʻau lapaʻau koke.
Hiki i kekahi mau mea ke hoʻonui i kou hiki ke loaʻa nā hopena i ka lāʻau lapaʻau varicella, ʻoiai e mau ana nā hopena koʻikoʻi i ka laha loa me ka nānā ʻole i nā mea pilikia. ʻO ka hoʻomaopopo ʻana i kēia mau mea e kōkua iā ʻoe a me kāu kauka e hana i nā hoʻoholo kūpono e pili ana i ka lāʻau lapaʻau.
ʻO ka poʻe me nā ʻōnaehana pale i nāwaliwali e kū ana i ka pilikia nui o nā hopena o ka lāʻau lapaʻau. Aia kēia i nā poʻe e loaʻa ana i ka chemotherapy, e lawe ana i nā lāʻau immunosuppressive, a i ʻole e noho ana me nā maʻi e like me ka HIV a i ʻole ka maʻi immunodeficiency hui pū.
Hiki i ka makahiki ke hoʻopili i nā hopena o ka lāʻau lapaʻau, ʻoiai ma nā ʻano like ʻole:
ʻO nā hopena maʻi ma mua i nā mea o ka lāʻau lapaʻau, ʻo ia hoʻi ka gelatin a i ʻole ka antibiotic neomycin, e hoʻonui i ka pilikia o nā hopena koʻikoʻi. ʻAʻole e kū ka poʻe me nā maʻi maʻi hua i nā pilikia i hoʻonui ʻia no ka mea ʻaʻole i ulu kēia lāʻau lapaʻau i nā hua.
He contraindication ka hāpai ʻana no ka lāʻau lapaʻau ma muli o nā pilikia theoretical i ka pēpē e ulu nei. Hiki i nā wahine e hānai ana i ka waiū ke loaʻa palekana i ka lāʻau lapaʻau me ka ʻole o ka pilikia o nā hopena.
He laha loa nā pilikia mai ka lāʻau lapaʻau varicella, e hana ana i ka liʻiliʻi ma mua o 1 i 1 miliona mau maʻi i lawelawe ʻia. Ke hana ʻia nā pilikia, ʻoi aku ka liʻiliʻi o lākou ma mua o nā mea e pili ana i ka maʻi chickenpox maoli.
ʻO ka pilikia nui loa he hopena maʻi koʻikoʻi i kapa ʻia ʻo anaphylaxis, hiki ke hoʻoweliweli i ke ola inā ʻaʻole e mālama koke ʻia. ʻO ka maʻamau, hiki kēia hopena i loko o kekahi mau minuke o ka hoʻopaʻa ʻana a pili i ka liʻiliʻi ma mua o 1 i loko o 1 miliona mau kānaka.
ʻO nā pilikia ʻē aʻe i loaʻa pinepine ʻia, ʻo ia:
He mea nui e hoʻomaopopo i kēia mau pilikia he mea maʻamau a ʻoi aku ka liʻiliʻi ma mua o nā mea e pili ana i ka chickenpox maoli. Kāohi ka vaccine i nā tausani o nā pilikia koʻikoʻi i loaʻa mai i nā maʻi chickenpox hihiu.
ʻAʻole i ʻike nā haʻawina lōʻihi ma luna o 25 mau makahiki i nā pilikia olakino maʻi i hana ʻia e ka varicella vaccine. ʻOi aku ka nui o nā pōmaikaʻi o ka hoʻopaʻa ʻana ma mua o nā pilikia liʻiliʻi no ka poʻe kokoke i nā mea a pau.
He maikaʻi loa ka varicella vaccine no ke olakino o kāu ʻōnaehana pale no ka mea e hāʻawi ana i ka pale ʻana i ka chickenpox me ka ʻole o nā pilikia o ka maʻi maoli. Hoʻomaʻamaʻa ia i kāu ʻōnaehana pale e ʻike a hakakā i ka maʻi varicella-zoster me ka maikaʻi a me ka palekana.
ʻO ka loaʻa ʻana o ka hoʻopaʻa ʻana e hoʻoikaika maoli i kāu ʻōnaehana pale ma ke aʻo ʻana iā ia e hana i nā antibodies a hoʻāla i nā cell immune i pili i ka maʻi chickenpox. ʻO ka maʻamau, mau kēia pale ʻana no nā makahiki he nui, ʻoiai paha e pono kekahi poʻe i nā pana booster ma hope o ke ola.
Kākoʻo ka vaccine i ke olakino o ka ʻōnaehana pale i nā ala nui:
Ke hopohopo nei kekahi poʻe i ka pale ʻana i ka maʻi moa maoli e nāwaliwali paha i ka pale ʻana, akā hōʻike ka noiʻi ʻaʻole ʻoiaʻiʻo kēia. Hāʻawi ka lāʻau lapaʻau i ka pale ikaika a lōʻihi me ka ʻole o nā pōʻino o ka maʻi maoli.
No ka poʻe me nā ʻōnaehana pale olakino, ʻo ka lāʻau varicella kekahi o nā ala palekana a maikaʻi loa e pale ai i kahi maʻi koʻikoʻi.
Hiki ke huikau ʻia nā hopena o ka lāʻau varicella me nā kūlana ʻē aʻe, ʻoiai ke ʻike ʻia nā hōʻailona i nā lā a i ʻole nā wiki ma hope o ka lāʻau lapaʻau. ʻO ka hoʻomaopopo ʻana i kēia mau mea like e kōkua iā ʻoe a me kāu mea mālama ola e hana i nā loiloi pololei.
ʻO ka ʻōpala maʻalahi i kekahi manawa e ulu ana ma hope o ka lāʻau lapaʻau i kuhi hewa ʻia no ka maʻi moa maoli. Eia naʻe, ʻoi aku ka liʻiliʻi o nā kiko o nā ʻōpala e pili ana i ka lāʻau lapaʻau, ʻike ʻia ma hope, a ʻaʻole ʻoi aku ka ʻūlū ma mua o ka maʻi moa hihiu.
Eia nā kūlana maʻamau e like ai nā hopena o ka lāʻau lapaʻau:
He kōkua pinepine ka manawa o nā hōʻailona i ka hoʻokaʻawale ʻana i nā hopena o ka lāʻau lapaʻau mai nā maʻi ʻē aʻe. ʻO ka maʻi ʻōpū e pili ana i ka lāʻau lapaʻau e ʻike pinepine ʻia ma waena o 1 a 3 mau pule ma hope o ka lāʻau lapaʻau, ʻoiai e ulu pinepine nā maʻi bacteria i loko o nā lā.
Inā ʻaʻole ʻoe i maopopo inā pili kāu mau hōʻailona i ka lāʻau lapaʻau a i ʻole kekahi maʻi ʻē aʻe, mai kānalua e hoʻokaʻaʻike i kāu mea mālama ola. Hiki iā lākou ke nānā iā ʻoe a hoʻoholo i ke kumu kūpono loa o kāu mau hōʻailona.
ʻAʻole hiki iā ʻoe ke loaʻa ka moa mai ka lāʻau lapaʻau varicella ma ke ʻano kuʻuna. Aia i loko o ka lāʻau lapaʻau kahi ʻano nāwaliwali o ka maʻi ʻaʻole hiki ke hoʻoulu i ka maʻi piha i nā kānaka olakino. Eia naʻe, ma kahi o 1 i 25 mau kānaka e hoʻomohala i kahi maʻi ʻōpū maʻalahi me kekahi mau kiko e like me ka moa maʻalahi.
ʻOi aku ka maʻalahi o kēia maʻi ʻōpū e pili ana i ka lāʻau lapaʻau ma mua o ka moa maoli, me nā kiko liʻiliʻi, ka liʻiliʻi o ka ʻūlū, a me ka ʻole o ke kuni. Hōʻike ia e pane pono ana kāu ʻōnaehana pale i ka lāʻau lapaʻau a ke kūkulu nei i ka pale.
Me he mea lā e mau ana ka pale ʻana mai ka lāʻau lapaʻau varicella no nā makahiki he nui, a hiki paha i nā makahiki he nui. Hōʻike nā haʻawina e pili ana i nā kānaka i hoʻopaʻa ʻia no nā makahiki he 20 ma mua e mālama ka hapa nui o nā kānaka i nā pae antibody pale i loko o kēia manawa.
Hiki i kekahi poʻe ke ʻike i ka emi ʻana o ka pale ʻana i ka manawa, ʻo ia ke kumu e ʻōlelo ʻia ai kahi papa hana ʻelua. Hāʻawi ka lua o ka mahele i ka hoʻoikaika e hoʻonui i ka pale lōʻihi a hoʻemi i ka manawa liʻiliʻi o nā maʻi breakthrough.
ʻAe, hiki i nā wahine hāpai ke noho palekana kokoke i ka poʻe i loaʻa i ka lāʻau lapaʻau varicella. He mea maʻamau loa ka hoʻouna ʻana i ka maʻi lāʻau lapaʻau i nā poʻe ʻē aʻe, me ka liʻiliʻi o 10 mau hihia i hōʻike ʻia ma ka honua holoʻokoʻa mai ka hoʻolauna ʻana o ka lāʻau lapaʻau.
Hiki ke hoʻoili ʻia ka maʻi maʻi lāʻau lapaʻau inā loaʻa i ke kanaka i hoʻopaʻa ʻia ka ʻōpala, a ʻoiai, he mea liʻiliʻi ka pilikia. Hāʻawi ka lāʻau lapaʻau i ka pale kaiāulu nui e pōmaikaʻi ai i nā wahine hāpai ma ka hoʻemi ʻana i ko lākou ʻike ʻana i ka maʻi moa hihiu.
ʻAʻole pono nā mākua i loaʻa ka maʻi moa i nā keiki i ka lāʻau lapaʻau varicella no ka mea ua loaʻa iā lākou ka pale kūlohelohe. Eia naʻe, inā ʻaʻole ʻoe maopopo inā loaʻa iā ʻoe ka maʻi moa, hiki i kāu kauka ke hoʻāʻo i kou koko e nānā i nā antibodies.
Ma kahi o 85% o nā mākua i hoʻomanaʻo ʻole i ka loaʻa ʻana o ka maʻi moa, loaʻa maoli ka hōʻike o ka maʻi i hala i ka wā i hoʻāʻo ʻia. Inā hōʻike nā hoʻokolohua koko ʻaʻole ʻoe i pale, ua ʻōlelo ʻia ka lāʻau lapaʻau, ʻoiai inā aia ʻoe i ka pilikia nui no nā pilikia.
ʻAe, hiki ke hāʻawi ʻia ka lāʻau lapaʻau varicella i ka manawa like me nā lāʻau lapaʻau ʻē aʻe, me ka lāʻau lapaʻau MMR. Ke hāʻawi pū ʻia nā lāʻau lapaʻau he nui, hāʻawi ʻia lākou ma nā wahi like ʻole o ke kino e hōʻemi i nā hopena kūloko.
ʻAʻole hoʻonui ka loaʻa ʻana o nā lāʻau lapaʻau i ka pilikia o nā hopena ʻaoʻao koʻikoʻi a kōkua i ka hōʻoia ʻana e noho ʻoe i kēia manawa me nā immunizations a pau i ʻōlelo ʻia. E hoʻoholo kāu mea mālama ola i ka papa hana lāʻau lapaʻau maikaʻi loa e pili ana i kou makahiki a me ke olakino.