Viral gastroenteritis (ʻōpū flu)

Aia ʻo Viral gastroenteritis ke loaʻa kahi maʻi i kahi maʻi o ka ʻōpū a me ka ʻōpū. Hiki i ka maʻi ke alakaʻi i ka palahī a me ka luaʻi. Kāhea ʻia i kekahi manawa ʻo "flu ʻōpū."

Hiki i ka Gastroenteritis ke hoʻopili i hoʻokahi kanaka a i kahi hui o ka poʻe i ʻai i ka meaʻai like a inu i ka wai like. Hiki i nā ʻōpala ke komo i kāu ʻōnaehana i nā ʻano like ʻole:

• Pololei mai ka meaʻai a wai paha
• Ma ke ala o nā mea e like me nā pā a me nā mea ʻai
• Hoʻoholo ʻia mai kekahi kanaka i kekahi kanaka ma ke ala o ka pili pili ʻana

Hiki i nā ʻano virus ke hana i ka gastroenteritis. ʻO nā maʻi ʻino nui loa:

• Norovirus (Norwalk-like virus) maʻa mau i waena o nā keiki wā kula. Hoʻokumu pū paha ia i nā maʻi i nā haukapila a ma nā moku holo kai.
• ʻO Rotavirus ke kumu nui o gastroenteritis i nā keiki. Hiki iā ia ke hoʻopili i nā mākua i hōʻike ʻia i nā keiki me ka maʻi maʻi a me nā poʻe e noho ana i nā hale hānai.
• Astrovirus.
• Enteric adenovirus.
• Hiki i ka COVID-19 ke kumu i nā ʻōpū o ka maʻi ʻōpū, ʻoiai ke loaʻa ʻole nā ​​pilikia hanu.

ʻO ka poʻe me ka makaʻu kiʻekiʻe loa no kahi maʻi kūpikipiki me nā keiki ʻōpio, nā mākua makua, a me ka poʻe i loaʻa kahi ʻōnaehana pale pale.

Hōʻike pinepine ʻia nā ʻōuli ma waena o 4 a 48 mau hola ma hope o ka pili ʻana me ka maʻi. ʻO nā ʻōuli maʻamau ka:

• Abdominal eha
• Pohā
• ʻO Nusea a me ka luaʻi

Hiki i nā ʻōuli ʻē aʻe ke:

• ʻO Chills, ʻili clammy, a sweating paha
• Fiva
• Pākuʻi hui a ʻeha ʻeha pū kekahi
• ʻAi hānai maikaʻi ʻole
• Kaumaha emi

E nānā ka mea mālama ola i nā hōʻailona o ka make wai, e like me:

• Waha maloʻo a pipili paha
• Lethargy a i ʻole koma (make wai nui)
• Kaomi haʻahaʻa
• Haahaa a ʻaʻohe puka mimi, mimi paʻa e nānā melemele ʻeleʻele
• ʻO nā wahi palupalu Sunken (fontanelles) ma ka piko o ke poʻo o ke pēpē
• ʻAʻohe waimaka
• Makamaka maka

Hiki ke hoʻohana ʻia nā hoʻāʻo ʻana o ka stool e ʻike ai i ka maʻi hoʻomaʻemaʻe e hoʻomaka nei i ka maʻi. ʻO ka hapa nui o ka manawa, ʻaʻole pono kēia hoʻāʻo. Hana ʻia paha kahi moʻomeheu noho e ʻike ai ke kumu ʻia ka pilikia e nā bacteria.

ʻO ka pahuhopu o ka mālama ʻana e hōʻoia i ka lawa o ka wai a me nā wai o ke kino. ʻO nā wai a me nā electrolytes (paʻakai a me nā minelala) i nalowale ma o ka palahī a i ʻole ka luaʻi e pono e hoʻololi ʻia e ka inu ʻana i nā wai keu. ʻOiai hiki iā ʻoe ke ʻai, pono ʻoe e inu i nā wai keu ma waena o nā meaʻai.

• Hiki i nā keiki makua a me nā mākua ke inu i nā mea inu haʻuki e like me Gatorade, akā ʻaʻole pono e hoʻohana ʻia kēia mau mea no nā keiki liʻiliʻi. Ma kahi o, e hoʻohana i nā hopena electrolyte a me ka hoʻoheheʻe wai a i ʻole nā ​​pahu hau hau i loaʻa i nā hale kūʻai meaʻai a me nā lāʻau.
• Mai hoʻohana i ka wai huaʻai (e like me ka wai ʻāpala), sodas a i ʻole cola (pālahalaha a huʻa paha), ʻo Jell-O, a i ʻole ka moa. ʻAʻole kēia mau wai e pani i nā minelala i nalowale a hiki ke hōʻeha i ka maʻi pākī.
• E inu i nā wai liʻiliʻi (2 a 4 oz. A i ʻole 60 a 120 mL) i kēlā me kēia 30 a 60 mau minuke. Mai hoʻāʻo e hoʻoikaika i lalo i ka nui o ka wai i hoʻokahi manawa, kahi e hōʻeha ai i ka luaʻi. E hoʻohana i kahi teaspoon (5 milliliters) a i ʻole syringe no kahi pēpē a keiki liʻiliʻi paha.
• Hiki i nā pēpē ke hoʻomau i ka inu ʻana i ka waiū umauma a i ʻole haʻilula me nā wai keu. ʻAʻole pono ʻoe e hoʻololi i kahi ʻano soy.

E hoʻāʻo e ʻai pinepine i nā meaʻai. Nā meaʻai e hoʻāʻo pū:

• ʻO ka palaoa, ka palaoa, kaʻuala, nāʻiʻo wiwi
• Pākuʻi yogurt, maiʻa, ʻāpala hou
• Nā mea kanu

Inā loaʻa ʻoe i ka maʻi palahī a ʻaʻole hiki ke inu a mālama i nā wai ma muli o ka pualu a i ʻole ka luaʻi, pono paha ʻoe i nā wai ma o kahi aa koko (IV). Pono paha nā pēpē a me nā keiki liʻiliʻi i nā wai IV.

E nānā pono nā mākua i ka helu o nā pale diʻu i loaʻa i kahi pēpē a keiki ʻōpio paha. ʻO ka liʻiliʻi o nā diapers pulu he hōʻailona ia e pono ai ka pēpē i nā wai hou aʻe.

ʻO ka poʻe e lawe ana i nā wai wai (diuretics) nāna e hoʻomohala i ka maʻi diarrhea e haʻi ʻia e kā lākou mea lawelawe e hoʻōki i ka lawe ʻana iā lākou a hiki i ka hoʻomaikaʻi ʻana o nā ʻōuli. Eia nō naʻe, Mai HUA e hōʻoki i ka lawe ʻana i kekahi lāʻau lapaʻau me ka ʻole e kamaʻilio mua me kāu mea hāʻawi.

ʻAʻole holo nā Antibiotics no nā mea ʻino.

Hiki iā ʻoe ke kūʻai i nā lāʻau i ka hale kūʻai lāʻau e hiki ke kōkua i ka hōʻoki a i ʻole ka lohi o ka diarrhea.

• Mai hoʻohana i kēia mau lāʻau me ka ʻole o ke kamaʻilio ʻana i kāu mea hāʻawi inā loaʻa ʻoe i ka maʻi diarrhea, ke kuni, a inā he ʻeha ka maʻi diarrhea.
• Mai hāʻawi i kēia mau lāʻau i nā keiki.

No ka hapanui o ka poʻe, hele ka maʻi i loko o kekahi mau lā me ka mālama ʻole ʻia.

Hiki ke hana i ka make nui loa i nā pēpē a me nā keiki liʻiliʻi.

Kāhea i kāu mea nāna e mālama inā lōʻihi ka lōʻihi o ka maʻi kōkō ma mua o kekahi mau lā a i ʻole inā kū i ka make wai. Pono ʻoe e launa pū i kāu mea hāʻawi inā loaʻa iā ʻoe a kāu keiki paha kēia mau ʻōuli.

• Koko i loko o ka pahu
• Huikau
• Puʻupuʻu
• Waha maloo
• Maule ka manaʻo
• Nusea
• ʻAʻohe waimaka ke uē
• ʻAʻohe mimi no 8 mau hola a ʻoi
• ʻIke ʻia e nā maka
• Kahi wahi palupalu ma ke poʻo o ke pēpē (fontanelle)

Kāhea koke aku i kāu mea hāʻawi inā loaʻa iā ʻoe a ʻo kāu keiki paha nā ʻōuli hanu, ke kuni a i ʻole hiki ke ʻike ʻia i COVID-19.

ʻO ka hapa nui o nā maʻi ʻino a me nā bacteria i hoʻoili ʻia i kēlā me kēia kanaka e nā lima holoi ʻole ʻia. ʻO ke ala ʻoi loa e pale aku ai i ka maʻi ʻōpū ʻo ka lawelawe pono ʻana i ka meaʻai a holoi pono i kou mau lima ma hope o ka hoʻohana ʻana i ka lua.

E nānā pono i ka noho kaʻawale ʻana o ka home a i ka quarantine ponoʻī inā kuhi ʻia ʻo COVID-19.

Paipai ʻia kahi lāʻau lapaʻau e pale aku ai i ka maʻi rotavirus no nā pēpē e hoʻomaka ana i ka makahiki 2.

Maʻi Rotavirus - gastroenteritis; Virus Norwalk; Gastroenteritis - viral; ʻO ka maʻi maʻi ʻōpū; Mākā - viral; Loose stools - viral; Opu huhū - viral

• Ke loaʻa ka nausea a me ka luaʻi

• ʻŌnaehana Digestive
• Nā ʻōnaehana ʻōnaehana Digestive

ʻO Bass DM. ʻO Rotaviruses, caliciviruses, a me astroviruses. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 292.

ʻO DuPont HL, 'Okhuysen PC. E hoʻokokoke i ka mea maʻi me ka maʻi ʻino i komo ʻia. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 267.

ʻO Kotloff KL. ʻIke gastroenteritis i nā keiki. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 366.

Melia JMP, Sears CL. ʻO ka enteritis infectious a me ka proctocolitis. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi ate. 11th hua. Piladelapia, PA: Elsevier; 2021: chap 110.