Enterovirus D68
ʻO Enterovirus D68 (EV-D68) kahi maʻi e hōʻeha i nā ʻōuli e like me ke flu mai ke akahai a i ʻole koʻikoʻi.
Ua ʻike mua ʻia ʻo EV-D68 i ka makahiki 1962. A hiki i ka makahiki 2014, ʻaʻole maʻamau kēia maʻi ma ʻAmelika Hui Pū ʻIa. I ka 2014, ua ulu ka maʻi ahulau ma ka ʻāina a kokoke i kēlā me kēia mokuʻāina. Ua nui nā hihia i hana ʻia ma mua o nā makahiki i hala. Ma kahi kokoke i nā keiki āpau.
No ke aʻo hou aʻe e pili ana i ka laha 2014, kipa i ka pūnaewele pūnaewele CDC - www.cdc.gov/non-polio-enterovirus/about/EV-D68.html.
Hoʻoweliweli nui ʻia nā pēpē a me nā keiki no EV-D68. ʻO kēia no ka mea ua pale ʻole ka hapanui o nā mākua i ka maʻi hoʻomaʻamaʻa ma muli o ka hōʻike i hala. Loaʻa paha i nā mākua nā ʻōuli mālie a ʻaole paha. Loaʻa i nā keiki nā ʻōuli koʻikoʻi. ʻOi aku ka nui o ka makaʻu o nā keiki me ka hānō no ka maʻi nui. Pono pinepine lākou e hele i ka haukapila.
Hiki ke hōʻoluʻolu a koʻikoʻi paha nā ʻōuli.
Pākuʻi ʻia nā ʻōuli ʻoluʻolu:
- Fiva
- Mū ihu
- Kaheʻe
- Cough
- ʻEha ke kino a me ka ʻū
ʻO nā ʻōuli koʻikoʻi e pili pū me:
- ʻUhihi
- Hanu paʻakikī
Hoʻolahalaha ʻia ʻo EV-D68 ma o nā wai i loko o ka hanu e like me:
- Kuha
- Nā wai nasal
- Phlegm
Hiki ke pālahalaha ʻia ka virus ke:
- ʻUha a pehu paha kekahi.
- Hoʻopā kekahi i kekahi mea a ka mea maʻi i hoʻopā ai a laila pā i kona mau maka ponoʻī, ihu, a waha paha.
- He pilina pili loa kekahi e like me ka honi ʻana, pūliki ʻana, a lululima ʻana paha me kekahi mea loaʻa i ka maʻi virus.
Hiki ke ʻike ʻia ʻo EV-D68 e ka hoʻāʻo ʻana i nā laʻana wai i lawe ʻia mai ka ʻāʻī a i ʻole ka ihu. Pono e hoʻouna i nā laʻana i kahi keʻena kūikawā no ka hoʻāʻo ʻana. ʻAʻole hana pinepine ʻia nā hoʻāʻo ʻana inā ʻaʻole loaʻa i kekahi ka maʻi nui me ke kumu ʻike ʻole ʻia.
ʻAʻohe mālama kūikawā no EV-D68. I ka hapanui o nā hihia, e hele ka maʻi ma kāna iho. Hiki iā ʻoe ke mālama i nā hōʻailona me nā lāʻau i kūʻai ʻia no ka ʻeha a me ke kuni. Mai hāʻawi i ka aspirin i nā keiki ma lalo o ka makahiki 18.
ʻO ka poʻe me nā pilikia hanu koʻikoʻi e hele i ka haukapila. E loaʻa iā lākou ka lāʻau lapaʻau e kōkua ai e hōʻoluʻolu i nā ʻōuli.
ʻAʻohe lāʻau āpau e pale aku i ka maʻi EV-D68. Akā hiki iā ʻoe ke hana i nā hana e pale ai i ka hoʻolaha ʻana i ka maʻi.
- E holoi pinepine i kou mau lima me ke kopa. E aʻo i kāu poʻe keiki e hana like.
- Mai kau i nā lima holoi ʻole ʻia a puni kou mau maka, waha, a ihu paha.
- Mai kaʻana like i nā kīʻaha a i ʻole nā mea ʻai me kekahi mea maʻi.
- Hōʻalo i ka pili kokoke e like me ka lululima ʻana, ka honi ʻana, a me ka ʻapo ʻana i ka poʻe maʻi.
- Uhi ka ʻūhū a ʻūlū me kou pūlima a i ʻole kahiʻiʻo.
- Hoʻomaʻemaʻe pinepine ʻia nā papa i hoʻomaʻemaʻe ʻia e like me nā mea pāʻani a i ʻole nā pani puka.
- Noho i ka home ke maʻi ʻoe, a mālama i kāu mau keiki i ka home inā maʻi lākou.
Hoʻonui ka pilikia o nā keiki me ka hānō no nā maʻi nui mai EV-D68. Hana ka CDC i kēia mau ʻōlelo aʻoaʻo e kōkua ai e mālama pono i kāu keiki:
- E mālama pono i kēia papa hana hana hānō a kāu keiki a maopopo iā ʻoe a me kāu keiki.
- E hōʻoia i ka hoʻomau ʻana o kāu keiki i ka lāʻau asthma.
- E hoʻomaopopo pono i nā manawa he loaʻa i kāu keiki nā lāʻau lapaʻau.
- E ʻike pono i ka pā ʻana o kāu keiki i ka maʻi flu.
- Inā hōʻino nā hōʻailona hānō, e hāhai i nā kaupae i ka hoʻolālā hana hānō.
- Kāhea koke i kāu mea mālama ola inā ʻaʻole e hele nā ʻōuli.
- E ʻike pono nā kumu a me nā kahu o kāu keiki e pili ana i ka hānō o kāu keiki a me ka mea e hana ai e kōkua.
Inā paʻakikī paha ʻoe a me kāu keiki me ke anuanu i ka hanu ʻana, e hoʻokaʻaʻike koke aku i kāu mea lawelawe a i ʻole mālama mālama pilikia.
Eia kekahi, e hoʻopili aku i kāu mea hāʻawi inā ʻoi aku ka maikaʻi o kāu mau hōʻailona a i ʻole nā hōʻailona o kāu keiki.
Enterovirus non-polio
Nā kikowaena no ka pūnaewele Disease Control a me Prevent. Enterovirus D68. www.cdc.gov/non-polio-enterovirus/about/ev-d68.html#us. Hoʻohou Nowemapa 14, 2018. Loaʻa iā ʻOkakopa 22, 2019.
Romero JR. ʻO Coxsackieviruses, echoviruses, a me nā enteroviruses i helu ʻia (EV-A71, EVD-68, EVD-70). 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 172.
Seethala R, Takhar SS. Nā mea hoʻomaʻi. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 122.
- Nā maʻi maʻi Viral