Ka pale ʻana i ka maʻi hepitis B a i ʻole C
ʻO ka maʻi Hepatitis B a me ka maʻi hepatitis C ke kumu o ka huhū (mumū) a me ka pehu ʻana o ke ake. Pono ʻoe e hana i nā hana e pale ai i ka hopu ʻana a hoʻolaha ʻana paha i kēia mau mea maʻi ʻoiai hiki i kēia mau maʻi ke hōʻeha i nā maʻi maʻi ake.
Pono nā keiki āpau e loaʻa i ka lāʻau hoʻomaʻi hepatitis B.
- Pono e loaʻa i nā pēpē kahi lāʻau mua o ka lāʻau hoʻomaʻi hepatitis B i ka wā hānau. E loaʻa iā lākou i nā pana ʻekolu i ka moʻo o ka makahiki 6 a 18 mau mahina.
- ʻO nā pēpē i hānau ʻia i nā makuahine i loaʻa i ka maʻi hepitis B a i loaʻa paha i ka maʻi i ka wā i hala e pono e loaʻa i kahi lāʻau lapaʻau hepatitis B kūikawā ma waena o 12 mau lā o ka hānau ʻana.
- ʻO nā kamaliʻi ma mua o 19 mau makahiki i loaʻa ʻole ka lāʻau āpau e loaʻa i nā ʻāpana "catch-up".
ʻO nā mākua i ka nui o ka makaʻu no ka maʻi hepatitis B e pono e pale ʻia, me:
- ʻO nā limahana mālama ola a me nā mea e noho pū ana me kekahi e loaʻa ana i ka maʻi hepitis B
- ʻO ka poʻe me nā maʻi puʻupaʻa hopena, nā maʻi ate mau, a me ka maʻi HIV
- ʻO ka poʻe me nā hoa kolohe a me nā kāne i moe kolohe me nā kāne ʻē aʻe
- ʻO ka poʻe e hoʻohana i nā lāʻau leʻaleʻa
ʻAʻohe lāʻau lapaʻau no ka maʻi hepitis C.
Hoʻolahalaha ʻia nā maʻi hepitis B a me C ma o ka pili ʻana i ke koko a i ʻole nā wai o ke kino o ke kanaka me ka maʻi virus. ʻAʻole hoʻolaha ʻia nā mea ʻino ma o ka launa maʻamau, e like me ka paʻa ʻana o nā lima, kaʻana like ʻana i nā mea ʻai a i ʻole nā aniani inu, ka hānai ʻana i ka waiū, ka honi ʻana, ka pūliki ʻana, ka uha ʻana, a me ke kahe ʻana.
I hōʻalo ʻole ai i ka pili ʻana me ke koko a i ʻole nā wai o ke kino o nā mea ʻē aʻe:
- Hōʻalo i ka kaʻana like ʻana i nā mea pilikino, e like me ka pahi a i ʻole nā palaki niho
- Mai kaʻanalike i nā nila kui kolohe a i ʻole nā lāʻau lapaʻau ʻē aʻe (e like me nā straws no nā lāʻau snorting)
- Holo ke koko maʻemaʻe me kahi hopena i loaʻa i kahi ʻāpana keʻokeʻo o ka ʻohana i 9 mau wai
- E akahele i ka loaʻa ʻana o nā peʻa a me nā ʻōkuʻu o ke kino
- Hoʻomaʻamaʻa i ka moekolohe palekana (ʻoi loa no ka pale ʻana i ka hepatitis B)
ʻO ka moekolohe palekana ʻo ia hoʻi ka hana ʻana i nā ʻanuʻu ma mua a i ka wā o ka moekolohe e hiki ke pale iā ʻoe mai ka loaʻa ʻana o ka maʻi, a i ʻole ka hāʻawi ʻana i kahi maʻi i kāu hoa.
ʻO ka nānā ʻana i nā koko i hāʻawi ʻia i hoʻoliʻiliʻi i ka manawa o ka loaʻa ʻana i ka maʻi hepitis B a me C mai ke kaʻi koko. Pono e hōʻike ʻia ka poʻe i ʻike hou ʻia me ka maʻi hepitis B i nā limahana mālama ola o ka mokuʻāina e nānā i ka loaʻa ʻana o ka lehulehu i ka maʻi.
ʻO ka lāʻau hoʻomaʻi hepatitis B, a i ʻole ke kī ʻia ʻana o ka hepatitis immune globulin (HBIG), hiki ke pale aku i ka maʻi inā loaʻa ia i loko o 24 mau hola o ka launa ʻana me ka maʻi.
ʻO Kim DK, ʻo Hunter P. Kōmike Aʻoaʻo no ka hoʻomaʻamaʻa ʻana i nā pono hana i manaʻo ʻia no ka poʻe maʻi nona nā makahiki 19 a ʻoi paha - United States, 2019. MMWR Morb Mortal Wkly Rep. 2019; 68 (5): 115-118. PMID: 30730868 www.ncbi.nlm.nih.gov/pubmed/30730868.
LeFevre ML; ʻO ka Pūʻali Hana lawelawe lawelawe US. ʻO ka loiloi no ka maʻi maʻi hepatitis B i nā ʻōpio hāpai ʻole a me nā mākua: Nā ʻōlelo aʻoaʻo ʻōlelo aʻoaʻo a ka Preventive Services a U.S. ʻO Ann Intern Med. 2014; 161 (1): 58-66. PMID 24863637 www.ncbi.nlm.nih.gov/pubmed/24863637.
ʻO Pawlotsky J-M. ʻO ka maʻi maʻi maʻi maʻi a me ka maʻi hepitis. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier Saunders; 2020: chap 140.
Robinson CL, Bernstein H, Romero JR, Szilagyi P. Kōmike Aʻoaʻo e pili ana i ka hoʻomaʻamaʻa ʻana i nā maʻi no ke keiki Immunisation MMWR Morb Mortal Wkly Rep. 2019; 68 (5): 112-114. PMID: 30730870 www.ncbi.nlm.nih.gov/pubmed/30730870.
ʻO Wedemeyer H.Hepatitis C. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi ate. 10 o ka lā. Piladelapia, PA: Elsevier Saunders; 2016: chap 80.
Wells JT, Perrillo R. Hepatitis B. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi ate. 10 o ka lā. Piladelapia, PA: Elsevier Saunders; 2016: chap 79.
- Hepatitis B
- Hepatitis C