Maʻi wawae-lima
ʻO ka maʻi lima-wāwae-waha kahi maʻi viral maʻamau e hoʻomaka pinepine i ka ʻāʻī.
ʻO ka maʻi maʻi wāwae-wawae (HFMD) ka mea pinepine ʻia e ka maʻi maʻi i kapa ʻia ʻo coxsackievirus A16.
Hoʻopili pinepine ʻia nā keiki ma lalo o 10 mau makahiki. Hiki i nā ʻōpio a me nā mākua ke loaʻa i ka maʻi i kekahi manawa. Kū pinepine ʻo HFMD i ke kauwela a me ka hāʻule mua.
Hiki ke pālahalaha ʻia ka maʻi mai ke kanaka a ke kanaka ma o nā wahi liʻiliʻi liʻiliʻi e hoʻokuʻu ʻia i ka wā e uha ai ka mea maʻi, ʻūlū, a pā paha i ko lākou ihu. Hiki iā ʻoe ke hopu i ka maʻi lima-wāwae-waha inā:
- ʻO ke kanaka me ka maʻi ʻino e hū, ʻū, a pū paha i ko lākou ihu kokoke iā ʻoe.
- Hoʻopā ʻoe i kou ihu, mau maka, a waha paha ma hope o kou hoʻopā ʻana i kahi mea i haumia ʻia e ka maʻi, e like me kahi mea pāʻani a i ʻole kia pani puka.
- Hoʻopā ʻoe i nā pahu a me nā wai mai nā pupu o kahi kanaka maʻi.
Hoʻolahalaha maʻalahi ka maʻi i ka pule mua i loaʻa ka maʻi i kekahi kanaka.
ʻO ka manawa ma waena o ka hoʻopili ʻana me ka maʻi maʻi a me ka hoʻomaka ʻana o nā ʻōuli ma kahi o 3 a 7 mau lā. ʻO nā hōʻailona me:
- Fiva
- ʻEha poʻo
- Loaʻa ka ʻai ʻole
- Rash me nā pā liʻiliʻi loa ma nā lima, nā wāwae, a me nā wahi diaper e palupalu a ʻeha paha ke kaomi ʻia
- Eha ka 'ā'ī
- Ulcer i ka ʻāʻī (me nā tonsil), waha, a me ke alelo
E hana ka mea mālama ola i kahi hoʻokolohua kino. ʻO ka maʻamau, hiki ke hana i kahi hōʻailona mai ka nīnau ʻana e pili ana i nā ʻōuli a me ka ʻāwīwī ma nā lima a me nā wāwae.
ʻAʻohe lāʻau lapaʻau kūikawā no ka maʻi ʻē aʻe ma mua o ka hoʻomaha o nā ʻōuli.
ʻAʻole holo nā lāʻau antibiotic no ka mea ʻo ka maʻi ke kumu o ka maʻi. (Nā Antibiotics e mālama i nā maʻi i hoʻokumu ʻia e nā bacteria, ʻaʻole nā virus.) I mea e hoʻomaha ai i nā ʻōuli, hiki ke hoʻohana ʻia ka mālama home ʻana:
- Hiki ke hoʻohana ʻia nā lāʻau ʻoi loa, e like me ka acetaminophen (Tylenol) a i ʻole ibuprofen e mālama ai i ke kuni. ʻAʻole pono e hāʻawi ʻia ʻo Aspirin no nā maʻi viral i nā keiki ma lalo o 18 mau makahiki.
- Holoi ka waha wai paʻakai (1/2 teaspoon, a i ʻole 6 gram, o ka paʻakai i 1 mau aniani wai mahana) e ʻoluʻolu.
- E inu nui i nā wai. ʻO nā wai maikaʻi loa nā huahana waiū anuanu. Mai inu i ka wai a i ʻole ka soda no ka mea o ka ʻikepili a lākou ke kumu o ka ʻeha ʻana i nā maʻi maʻi.
Kūpono ke ola hou i 5 a 7 mau lā.
Nā pilikia i hiki ke hopena ʻia mai HFMD me:
- Loaʻa ka wai o ke kino (make wai)
- Ka hopu ʻana ma muli o ke kuni kiʻekiʻe (febrile seizures)
Kāhea i kāu mea hāʻawi inā loaʻa nā hōʻailona o nā pilikia, e like me ka ʻeha o ka ʻāʻī a i ʻole nā lima a me nā wāwae. Pākuʻi ʻia nā ʻōuli hōʻino.
E kāhea pū ʻoe inā:
- ʻAʻole hoʻohaʻahaʻa ka lāʻau i kahi kuni kiʻekiʻe
- Hana ʻia nā ʻōuli o ka make wai, e like me ka ʻili maloʻo a me nā membrane mucus, ka pohō o ke kaupaona, ka huhū, ka hōʻemi ʻana o ka makaʻala, ka hoʻemi a me ka mimi ʻeleʻele
Hōʻalo i ka launa me nā poʻe me HFMD. E holoi maikaʻi i kou mau lima a pinepine, keu hoʻi inā pili ʻoe me ka poʻe maʻi. A aʻo pū nō hoʻi i nā keiki e holoi maikaʻi i nā lima.
Maʻi Coxsackievirus; Maʻi HFM
- Maʻi wawae-lima
- ʻO ka maʻi lima, ka wāwae, a me ka waha ma nā kapuaʻi
- Maʻi ka lima, ka wāwae, a me ka waha ma ka lima
- ʻO ka maʻi lima, ka wāwae, a me ka waha ma ka wāwae
- ʻO ka maʻi lima, ka wāwae, a me ka waha - waha
- ʻO ka maʻi lima, ka wāwae, a me ka waha ma ka wāwae
ʻO Dinulos JGH. Nā ʻāpala a me nā ʻōhū lāʻau. I: Dinulos JGH, hoʻoponopono. ʻO Dermatology Lapaʻau ʻo Habif. ʻEpekema 7 Piladelapia, PA: Elsevier; 2021: chap 14.
ʻO Messacar K, ʻo Abzug MJ. Nonpolio enteroviruses. 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 277.
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.