He aha te Respiratory Syncytial Virus Immune Globulin? Ngā tohumate, ngā take, me te rongoā

Ko te respiratory syncytial virus immune globulin (RSV-IGIV) he rongoā motuhake hei āwhina i te tiaki i ngā pēpi me ngā tamariki nohinohi e tūpono ana ki te mate nui i te RSV. Kei roto i tēnei rongoā ngā paturopi i kohia mai i ngā tāngata hauora i whai ārai tūturu ki te RSV, ā, ka hoatu ki ngā tamariki e tūpono ana mā te IV hei whakanui i ō rātou arai ā-tinana.

He huaketo manawa noa te RSV ka pā mai ngā raruraru manawa nui ki ngā pēpi i whānau wawe, ngā pēpi me ngā mate ngākau, pūkahukahu rānei, me ngā tamariki he ngoikore te pūnaha ārai mate. Ahakoa te nuinga o ngā tamariki hauora ka ora mai i te RSV me ngā tohumate rite ki te makariri, me whai ārai anō ētahi tamariki e tūpono ana kia noho haumaru.

He aha te RSV immune globulin?

Ko te RSV immune globulin he hua toto kei roto ngā paturopi i whakatakotoria hei whawhai i te respiratory syncytial virus. Ko ēnei paturopi i ahu mai i te plasma i tūao mai i ngā pakeke hauora i whakawhanake i te ārai tūturu ki te RSV mā ngā mate o mua.

Ka mahi te rongoā mā te hoatu ki te pūnaha ārai mate o tāu tamaiti he whakanui ā-wātea o ngā paturopi kua oti kē te hanga. Whakaarohia me te mea kei te tuku i ō tamaiti ētahi hoia ārai mate hei āwhina i te whawhai i te RSV mēnā ka pā mai ki a rātou. He mea nui tēnei ārai mō ngā pēpi kāore anō kia tino whakawhanakehia ō rātou pūnaha ārai mate, me ngā tamariki rānei nā ō rātou āhuatanga hauora i tūpono ai rātou.

Ko te tikanga ka tūtohu ngā tākuta i te RSV-IGIV mō ngā pēpi i whānau wawe, ngā pēpi me te mate pūkahukahu mau tonu, me ngā tamariki me ētahi mate ngākau i te wā o te tau RSV, e rere ana i te ngahuru ki te puna.

He pēhea te rongoā RSV immune globulin?

Ka tukuna te rongoā ārai mate RSV mā te rongoā IV, arā, ka rere mā te rongoā i roto i te toto o tō tamaiti mā tētahi ngongo iti ka kuhuna ki roto i te uaua. Ko te tikanga nei e hia hāora te roa, ā, ka mahia i roto i te hōhipera, i te whare haumanu rānei, i reira e mātakitaki ana ngā kaimahi whakangungu i tō tamaiti.

I te wā o te rongoā, tērā pea ka paku raruraru tō tamaiti i te kuhunga o te IV, pērā i te wā e tango toto ana. He pai te āhua o te nuinga o ngā tamariki i te rongoā, engari tērā pea ka paku pānga kino, pērā i te kirika paku, te pōraruraru, te huringa rānei i te pēhanga toto.

Ka tirohia e te rōpū hauora ngā tohu nui o tō tamaiti i te wā o te rongoā kia mōhio ai kei te pai ngā mea katoa. Ka taea e koe te noho ki tō tamaiti i te wā o te rongoā kia whakamarie ai, kia whakahihiri ai.

He aha te take e hiahiatia ai te rongoā ārai mate RSV?

Ka hiahiatia te rongoā ārai mate RSV mō ngā tamariki e whai mate ana e whakanui ana i te tūponotanga ki ngā raruraru RSV nui. Nā ēnei raruraru hauora e kore ai e kaha ō rātou tinana ki te whawhai i te huaketo.

He maha ngā mea ka tūpono ai te tamaiti ki ngā mate RSV nui:

• Te whānautanga tōmua (nui atu i mua i te 32 wiki)
• Te mate pūkahukahu mau tonu, te bronchopulmonary dysplasia rānei
• Ētahi hē o te ngākau i te whānautanga
• Te pūnaha ārai mate ngoikore nā te mate
• Te tamariki rawa (kei raro iho i te 6 marama i te wā o te tau RSV)
• Ngā mate neuromuscular e pā ana ki te hā

Kāore ēnei mate e pā ana ki te RSV, engari ka tūpono ake te tamariki ki te whai tohu nui ki te mau i te huaketo. Ka āwhina te RSV-IGIV ki te whakakī i tēnei wāhi mā te whakarato i te ārai mate atu i ngā marama tino tūpono.

He aha te rongoā ārai mate RSV mō?

Ka whakamahia te rongoā ārai mate RSV hei ārai i ngā mate RSV kino ki ngā tamariki e tūpono ana. Ehara i te rongoā mō te RSV, engari he rongoā ārai e āwhina ana ki te tiaki i ngā tamariki e tūpono ana kia kore e tino tūmate ana ki te pā mai te huaketo ki a rātou.

Ko te rongoā nei te mea e tohua ana mō ngā pēpi i whānau wawe me ngā tamariki e mate ana i te mate pūkahukahu mau tonu o te whānautanga wawe. He maha ngā wā he pūkahukahu kāore i te tino whanake o ēnei tamariki, ā, he uaua ki a rātou te aro atu ki ngā mate manawa, ā, he tino mōrearea te RSV ki a rātou.

Ka whai hua hoki ngā tamariki e mate ana i ētahi mate ngākau mai i te RSV-IGIV, ina koa ko te hunga e mate ana i ngā hē o te ngākau i whānau mai e pā ana ki te rere o te toto ki ngā pūkahukahu. Ko te pēhanga anō e tukuna ana e te RSV ki te ngākau me ngā pūkahukahu ka mōrearea te ora mō ēnei tamariki.

Ka whiwhi pea ētahi tamariki e mate ana i ngā mate ārai mate kino i te RSV-IGIV hei āwhina i ō rātou pūnaha ārai mate ngoikore ki te aro atu ki te tūponotanga o te RSV i te wā o te pōkai.

Ka ngaro noa iho ngā pānga o te rongoā ārai mate RSV?

He wā poto noa ngā pānga tiaki o te rongoā ārai mate RSV, ā, ka memeha noa i te wā e tukatuka ana te tinana o tāu tamaiti i ngā paturopi i tārewa mai. Ko te tikanga ka roa te tiaki mō te 3-4 wiki i muri i ia whakaurunga, koinei te take e hiahia ana ngā tamariki ki ngā rongoā ia marama i te wā o te RSV.

Ko ngā pānga iti mai i te rongoā, pēnei i te kirika iti, te pōuri rānei, ka ngaro i roto i te rā, e rua rānei, kāore he rongoā motuhake. Ka hoki anō te tinana o tāu tamaiti ki tōna āhua noa i te wa e memeha ana ngā pānga tonu o te whakaurunga.

Ko te whāinga kia mau tonu ngā taumata paturopi tiaki puta noa i te wā o te RSV, nō reira ka whakarite ngā tākuta i ngā whakaurunga auau kia piki tonu ai te ārai mate o tāu tamaiti. Ka mutu te wā o te RSV, ka mutu te rongoā, ā, ka memeha haere ngā pānga i te wā e whakahaere ana te pūnaha ārai mate tūturu o tāu tamaiti.

Me pēhea te hoatu i te rongoā ārai mate RSV?

Ka tukuna tonu te rongoā ārai mate RSV i roto i te taiao hauora e ngā tākuta whai mātauranga. E kore e taea te rongoā i te kāinga, me te aro turuki i te wā o te tukunga.

Ka tukuna te rongoā mā te raina IV, te nuinga ka whakatakotoria ki roto i te uaua i te ringa, i te ringa rānei o tō tamaiti. Ka rere mārie te tukunga i roto i ngā hāora maha kia taea e te tinana o tō tamaiti te whakatika haere ki te rongoā.

I mua i te tīmatanga o te tukunga, ka tirohia e te rōpū hauora ngā tohu nui o tō tamaiti me te arotake i tō rātou hītori hauora. Ka haere tonu rātou ki te aro turuki i te pēhanga toto, te tere o te ngākau, me te pāmahana i te wā o te rongoā kia mātakitaki i ngā pānga kino.

Te nuinga o ngā tamariki ka whiwhi i ngā tukunga ia marama i te wā o te tau RSV, e rere ana i te Oketopa ki te Poutū-te-rangi. Kei runga i ngā āhuatanga tūpono motuhake o tō tamaiti me ngā tohutohu a tō tākuta te hōtaka tika.

He aha te tikanga rongoā hauora mō te rongoā ārai mate RSV?

E whai ana te tikanga hauora mō te rongoā ārai mate RSV i ngā aratohu kaha kia mōhio ai tō tamaiti ka whiwhi i te rongoā haumaru me te whai hua. Ka tatau mārie ngā tākuta i te horopeta i runga i te taumaha me te āhua hauora o tō tamaiti.

Te tikanga ka tīmata te rongoā i mua i te tīmatanga o te tau RSV, te nuinga i te Oketopa, i te Noema rānei. Ka tukuna te tukunga ia marama i te wā o te tau, ko te horopeta whakamutunga te nuinga ka tukuna i te Poutū-te-rangi, i te Āperira rānei, i runga i te mahi RSV o te rohe.

Kei roto i ia wā tukunga ngā aromatawai i mua i te rongoā, te tukunga mārie o te rongoā, me te aro turuki i muri i te rongoā. Ka tirohia e te rōpū hauora mō ngā pānga pāwera, ētahi atu raruraru rānei i te wā me muri i te rongoā.

Ka mahi tahi anō tō tākuta tamaiti me ētahi atu tohunga e whai wāhi ana ki te manaaki i tō tamaiti, pērā i ngā kaiwhakahaere ngākau, i ngā tohunga pūkahukahu rānei, kia mōhio ai te rongoā e hāngai ana ki ētahi atu hiahia hauora e haere tonu ana.

Āhea au e whakapā atu ai ki tō tākuta mō te rongoā ārai mate RSV?

Me whakapā atu koe ki tō tākuta i te wā tonu mena ka puta he tohu e pā ana ki tō tamaiti i muri i te whiwhinga i te RSV immune globulin. Ahakoa he uaua te puta o ngā urupare nui, he mea nui kia mātakitaki mō ngā tohu e tohu ana i tētahi raruraru.

Waea atu ki tō kaiwhakarato hauora i te wā tonu mēnā ka pā te uaua ki te manawa, te pukuriri nui, te kirika nui tonu, ētahi tohu rānei o te urupare pāwera pēnei i te pāwera kiri, te pūhi rānei. Ko ēnei tohu e tohu ana i tētahi urupare ki te rongoā e hiahia ana kia aro tonu.

Me whakapā atu anō koe mēnā he ahua kāore i te pai tō tamaiti i ngā rā i muri i te whakaurunga, ahakoa he ngawari ngā tohu. I ētahi wā ka puta ngā urupare kua roa, ā, he pai ake te tirotiro ki tō rōpū hauora i te tatari me te māharahara.

Kaua e whakaroa ki te whakapā atu ki tō tākuta mō ngā pātai mō te hōtaka rongoā, ngā pānga taha, ētahi āwangawanga rānei mō te urupare a tō tamaiti ki ngā whakaurunga. E hiahia ana tō rōpū hauora kia mōhio koe, kia whai mōhiohio hoki mō te manaakitanga o tō tamaiti.

He aha ngā āhuatanga tūpono mō te hiahia ki te RSV immune globulin?

He maha ngā āhuatanga hauora e whakanui ana i te tūponotanga o te tamaiti ki te mate RSV nui, e waiho ana rātou hei kaitono mō te rongoā RSV immune globulin. Mā te māramatanga ki ēnei āhuatanga tūpono ka āwhina ngā tākuta ki te tautuhi i ngā tamariki ka whai hua nui mai i te rongoā ārai.

Ko te whānautanga tōmua tētahi o ngā āhuatanga tūpono nui, ina koa mō ngā pēpi i whānau i mua i te 32 wiki o te hapū. He maha ngā wā he pūkahukahu kāore i te tino whanake, me ngā pūnaha ārai mate e uaua ana ki te whakahaere i ngā mate manawa.

Ko ngā tamariki e mate ana i te mate pūkahukahu tawhito, ina koa te bronchopulmonary dysplasia, ka tūpono ake te tūponotanga nā te mea ko ō rātou kiko pūkahukahu kua pakaru e uaua ana ki te manawa i ngā wā o te mate. Ko ētahi āhuatanga o te ngākau ka whai mana anō ngā tamariki mō te rongoā, ina koa ngā hē e pā ana ki te rere o te toto i waenga i te ngākau me ngā pūkahukahu.

Ko ētahi atu āhuatanga tūpono ko ngā mate ōkawa nui, ētahi āhuatanga neuromuscular e pā ana ki te hā, me te tamariki rawa i te wā o te tau RSV. Ko ngā tamariki he maha ngā āhuatanga tūpono ka hiahia kia nui ake te aroturuki me te roa ake o te wā rongoā.

He aha ngā raruraru ka puta mai i te RSV immune globulin?

Te nuinga o ngā tamariki e pai ana ki te RSV immune globulin, engari pērā i ētahi atu rongoā, i ētahi wā ka puta ngā pānga taha, ngā raruraru rānei. Ko te rongo pai he onge ngā raruraru nui, ā, e āta aroturukihia ana ngā tamariki e te rōpū hauora kia kitea wawe ngā raruraru.

Ngā pānga taha ngawari noa ko te kirika iti, te pōuri, te huringa rānei o te pēhanga toto i te wā o te whakauru. Ko ēnei urupare he wā poto noa iho, ā, ka ngaro wawe me te kore e puta ngā raruraru e mau tonu ana.

Ngā raruraru nui ake engari he onge, ka uru pea ko ngā urupare pāwera, te nui rawa o te wai, te tuku rānei o ngā mate mai i ngā hua toto i tūao. Heoi anō, nā ngā tikanga tātari me te tukatuka hou i iti rawa ai ēnei tūponotanga.

He maha ngā whakatūpato e mahia ana e te rōpū hauora hei whakaiti i ngā raruraru, tae atu ki te āta tātari i ngā tūao, te whakamātau i ngā hua toto, me te āta aroturuki i te wā o te rongoā. Ko ngā painga o te aukati i te mate RSV nui ka nui ake i te tūponotanga iti o ngā raruraru mō ngā tamariki e tūpono ana.

He pai, he kino rānei te RSV immune globulin mō ngā tamariki e tūpono ana?

Ko te RSV immune globulin e whakaarohia ana he tino whai hua mō ngā tamariki e tūpono ana e tutuki ana i ngā paearu mō te rongoā. Mō ēnei tamariki whakaraerae, ko te whakamarumaru e whakaratohia ana e ngā paturopi ka aukati i te mate nui me ngā raruraru pea e mōrearea ana ki te ora.

Kua whakaaturia te rongoā nei hei whakaiti i ngā hōhipera me ngā tohumate manawa nui i ngā tamariki e tūpono ana i te wā o te tau RSV. Ko te tikanga he iti ake ngā haerenga whakamataku ki te rūma ohorere me te iti ake o te wā e noho ana i te hōhipera e whawhai ana i ngā mate nui.

Heoi, kāore te rongoā e tika ana mō ngā tamariki katoa. Ka āta whakatau ngā tākuta i ngā painga ki ngā tūponotanga me te raruraru o ngā haerenga hōhipera ia marama mō ngā whakaurunga IV. Mō ngā tamariki e iti ana te tūponotanga, he pai ake pea te huarahi māori o te hanga ārai mate mā ngā mate ngawari.

Mā te rōpū hauora o tō tamaiti e āwhina i a koe ki te mārama mēnā ko te RSV immune globulin te kōwhiringa tika i runga i tō āhuatanga motuhake, me te whakaaro ki ngā mea pēnei i te tau o tō tamaiti, ngā āhuatanga hauora, me te tūnga hauora whānui.

He aha te mea ka pōhēhēhia te RSV immune globulin?

I ētahi wā ka pōhēhēhia te RSV immune globulin ki ētahi atu rongoā ārai RSV, ina koa ko te palivizumab (Synagis), he rongoā ārai RSV e whakamahia ana. E āwhina ana ngā rongoā e rua ki te tiaki i ngā tamariki e nui ana te tūponotanga mai i te RSV kaha, engari he rerekē te mahi me te rerekē te hoatu.

Kāore i rite ki te RSV-IGIV, he paturopi i hangaia i te taiwhanga te palivizumab e hoatu ana hei werohanga noa i roto i te uaua, kaua mā te whakaurunga IV. Kua whakakapi te palivizumab i te RSV-IGIV i te nuinga o ngā wāhi na te mea he māmā ake te hoatu, he iti ake ngā pānga taha.

Ka pōhēhē pea ētahi mātua i te RSV immune globulin ki ngā rongoā immunoglobulin auau e whakamahia ana mō ētahi atu āhuatanga. Ahakoa he rite ngā rongoā nei i roto i te ariā, kei roto i te RSV-IGIV ngā paturopi motuhake e whāia ana ki te RSV, kaua ki te tautoko ārai mate whānui.

He mea nui kia mārama ki te rongoā e whiwhi ana tō tamaiti, me te aha i kōwhiria ai i runga i ētahi atu kōwhiringa. Ka taea e tō rōpū hauora te whakamārama i ngā rerekētanga me te āwhina i a koe ki te mārama ki ngā mea e tūmanakohia ana mai i te mahere rongoā motuhake a tō tamaiti.

Ngā pātai e pātai pinepine ana mō te RSV immune globulin

Kia pēhea te roa o te ārai mai i te RSV immune globulin?

Ko ngā pānga whakamarumaru o te RSV immune globulin e pā ana ki te 3-4 wiki i muri i ia whakaurunga. Koinei te take e hiahia ana ngā tamariki ki ngā rongoā ia marama puta noa i te wā RSV kia mau tonu te whakamarumaru. Ka pakaru haere ngā paturopi i tō tamaiti, nō reira he mea tika ngā whakaurunga auau kia piki tonu ngā taumata paturopi kia kaha ki te whawhai ki te RSV.

Ka taea tonu e taku tamaiti te hopu i te RSV i muri i te whiwhinga immune globulin?

Āe, ka taea e tō tamaiti te hopu i te RSV ahakoa i muri i te whiwhinga immune globulin, engari he māmā ake te mate i te mea kaore he rongoā. Ko te whāinga o te RSV-IGIV ko te ārai i te mate kino me ngā raruraru, kaua ki te ārai katoa i ngā mate RSV. Ko te nuinga o ngā tamariki e hopu ana i te RSV i te wā e whakamarumaru ana i te immune globulin ka pā ngā tohumate māmā ake, ka ora wawe ake.

He kai, he mahi rānei hei karo mā taku tamaiti i te wā e rongoā ana?

Kāore he rāhui kai motuhake mō ngā tamariki e whiwhi ana i te RSV immune globulin, ā, ka taea e tō tamaiti te haere tonu i te nuinga o ngā mahi noa i waenga i ngā whakaurunga. Heoi anō, me whai tonu koe i ngā whakatūpato tika kia kore ai e pā ki ngā tāngata e mārama ana e tūroru ana, ina koa i te wā o te RSV. Ko te akuaku ringa pai me te karo i ngā wāhi kikī i te wā o te pakarutanga ka āwhina i te whakanui i te whakamarumaru e whakaratohia ana e te rongoā.

Me pēhea e mōhio ai au kei te mahi te rongoā?

Ko te angitu o te RSV immune globulin e inea ana i ngā wā katoa e kore e pā – arā, ka noho hauora tō tamaiti i te wā o te RSV me te kore e whanake i ngā tohumate manawa kino. E kore koe e kite i ngā tohu mārama kei te mahi te rongoā, engari ko te karo i te hōhipera, i te mate kino rānei i ngā marama RSV teitei he tohu pai kei te whai hua te whakamarumaru.

He aha te mea ka pā ki te kore tō tamaiti e tae ki te whakaurunga kua whakaritea?

Mēnā ka ngaro tō tamaiti i tētahi werohanga ārai mate RSV kua whakaritea, whakapā atu ki tō kaiwhakarato hauora i te wā e taea ai ki te whakarite anō. Ko te ngaro i tētahi rongoā ka waiho tō tamaiti kia tūpono i te wā e kore ai e tiakina, nō reira he mea nui kia hoki wawe ki te hōtaka. Ka tūtohu pea tō tākuta i ētahi atu whakatūpato, ka whakarerekē rānei i te mahere rongoā i runga i te nui o te wā kua pahure me te mahi RSV o nāianei i tō rohe.