Kāohi ʻana i ka maʻi hepa A.

ʻO ka Hepatitis A ka wela (ka huhū a me ka pehu ʻana) o ke akepaʻa i hoʻokumu ʻia e ka maʻi hepitis A. Hiki iā ʻoe ke hana i nā ʻanuʻu he nui e pale aku ai i ka hopu ʻana a hoʻolaha ʻana i ka maʻi.

I mea e hōʻemi ai i kou makaʻi ʻana i ka hoʻolaha ʻana a i ʻole ka hopu ʻana i ka maʻi hepatitis A:

• E holoi holoi mau i kou mau lima ma hope o ka hoʻohana ʻana i ka lumi hoʻomaha a ke pili ʻoe me ke koko o ka mea maʻi, nā noho, a me nā wai ʻē aʻe o ke kino.
• E hōʻalo i ka meaʻai a me ka wai haumia.

E pāhola koke paha ka maʻi ma nā keʻena mālama lā a me nā wahi ʻē aʻe kahi e launa nui ai ka poʻe. I mea e pale aku ai i ka hōʻole, holoi maikaʻi i nā lima ma mua a ma hope o ka loli ʻana o kēlā me kēia diaper, ma mua o ka lawelawe ʻana i ka meaʻai, a ma hope o ka hoʻohana ʻana i ka lumi hoʻomaha.

E hōʻalo i ka meaʻai a me ka wai haumia

E mālama ʻoe i kēia mau ʻano aʻe:

• Hōʻalo i nā pūpū maka.
• E makaʻala i nā hua i kālai ʻia i holoi ʻia i ka wai haumia. Pono nā huakaʻi e ʻili i nā huaʻai a me nā mea kanu a lākou iho.
• Mai kūʻai i ka meaʻai mai nā mea kūʻai aku i ke alanui.
• E hoʻohana i ka wai ʻōmole wale nō no ka palaki ʻana i nā niho a me ka inu ʻana ma nā wahi kahi e palekana ʻole ai ka wai. (E hoʻomanaʻo he hiki i nā pahu hau ke hāpai i ka maʻi.)
• Inā ʻaʻohe wai i loaʻa, ʻo ka wai paila ka hana ʻoi loa no ka hoʻopau ʻana i ka maʻi hepitis A. Ka lawe ʻana i ka wai i kahi paila piha no 1 mau minuke e palekana ai ka inu.
• Pono ka wela i nā meaʻai wela i ka pā a ʻai koke ʻia.

Inā ʻike koke ʻia ʻoe i ka maʻi hepa a ʻaʻole i loaʻa mua iā ʻoe me ka maʻi hepatita A, a i ʻole i loaʻa iā ʻoe ka pūʻulu lāʻau hoʻomaʻemaʻe hepatitis A, e nīnau aku i kāu kauka mālama ola e pili ana i ka loaʻa ʻana o ka maʻi hepitis A immune globulin

ʻO nā kumu maʻamau e pono ai ʻoe e loaʻa i kēia pana pū nā:

• Noho ʻoe me kahi mea maʻi hepitis A.
• ʻAkahi nō ʻoe i moe kolohe me kekahi i loaʻa i ka maʻi hepitis A.
• Ua kaʻana like ʻoe i nā lāʻau kū ʻole i ke kānāwai, a i ʻole injected a i ʻole non injected, me kekahi i loaʻa i ka maʻi hepitis A.
• Ua pili pili pilikino ʻoe ma waena o kekahi manawa me kekahi e loaʻa i ka maʻi hepitis A.
• Ua ʻai ʻoe i loko o ka hale ʻaina kahi i pā ai a hoʻoweliweli ʻia ai nā meaʻai a meaʻai paha me ka hepatitis A.

E loaʻa paha iā ʻoe ka lāʻau hoʻomaʻi hepatitis A i ka manawa like e loaʻa ai iā ʻoe ka pale o globulin immune.

Loaʻa nā bakuna e pale ai i ka maʻi hepatitis A. Paipai ʻia ka Hepatitis A no nā keiki āpau ma mua o ka makahiki 1.

Hoʻomaka ka lāʻau āpau e pale i 4 mau pule ma hope o kou loaʻa ʻana o ka mahele mua. Koi ʻia kahi booster 6 a 12 mau mahina no ka pale lōʻihi.

ʻO ka poʻe iʻoi aku ka nui o ka makaʻu no ka maʻi hepatitis A a pono e loaʻa ka lāʻau lapaʻau me:

• ʻO ka poʻe e hoʻohana i nā lāʻau leʻaleʻa
• ʻO nā limahana olakino a me nā limahana keʻena hoʻokolohua e hui pū me ka maʻi
• ʻO ka poʻe i loaʻa i ka maʻi maʻi mau
• ʻO ka poʻe i loaʻa ka mea hoʻopili i ka hoʻopili ʻana e mālama i ka hemophilia a i ʻole nā ​​maʻi ʻōpala ʻē aʻe
• Nā limahana koa
• ʻO nā kāne i moe kolohe me nā kāne ʻē aʻe
• Mālama i nā kikowaena mālama lā, nā hale hānai wā lōʻihi, a me nā pono hana ʻē aʻe
• ʻO nā mea maʻi Dialysis a me nā limahana ma nā kikowaena dialysis

ʻO ka poʻe e hana a huakaʻi paha i nā wahi e maʻa mau ai ka maʻi hepatita A. Aia kēia mau wahi i:

• ʻApelika
• Asia (koe ʻo Iapana)
• Ke Kaiwaenahonua
• ʻEulopa Hikina
• Ka Hikina Waena
• ʻAmelika Waena a me ʻAmelika Hema
• Mekiko
• Nā ʻāpana o ka Caribbean

Inā ʻoe e hele i kēia mau wahi ma mua o 4 mau pule ma hope o kāu kī mua ʻana, ʻaʻole paha ʻoe e pale ʻia e ka lāʻau āpau. Hiki iā ʻoe ke kiʻi i kahi lāʻau pale o immunoglobulin (IG).

Kroger AT, Pickering LK, Mawle A, Hinman AR, Orenstein WA. Immunization. I: Bennett JE, Dolin R, Blaser MJ, hua pā. ʻO Mandell, Douglas, a me Bennett's Principle a me ka hoʻomaʻamaʻa ʻana i nā maʻi kūpilikiʻi. 9th ed. Piladelapia, PA: Elsevier; 2020: chap 316.

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.

ʻO Pawlotsky JM. ʻO ka hepatitis viral ākea. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier Saunders; 2020: chap 139.

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.

Sjogren MH, Bassett JT. Hepatitis A. 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 78.