Herpangina

ʻO Herpangina kahi maʻi maʻi e pili ana i ka ulcer a me nā ʻeha (loko) i loko o ka waha, kahi ʻehaʻeha, a me ke kuni.

ʻO ka maʻi lima, ka wāwae, a me ka waha kekahi kumuhana pili.

He maʻi maʻamau ʻo Herpangina. ʻIke pinepine ʻia ia i nā keiki o nā makahiki 3 a 10, akā hiki ke hana i kēlā me kēia hui makahiki.

Hoʻokumu pinepine ʻia ia e nā hui Coxsackie A he mau virus. He maʻi lele kēia mau mea hoʻomaʻi. Kūpono kāu keiki i ka herpangina inā loaʻa ka maʻi i kekahi ma ke kula a home paha.

Pākuʻi ʻia paha nā ʻōuli:

• Fiva
• ʻEha poʻo
• Loaʻa ka ʻai ʻole
• Ua ʻeha ka ʻeha, a i ʻole ke ale ʻeha
• Ulcer i ka waha a me ka ʻāʻī, a me nā ʻeha like ma nā wāwae, nā lima, a me nā puʻupuʻu

ʻO nā maʻi he nui keʻokeʻo e keʻokeʻo-hina kumu a me ka palena ʻulaʻula. ʻEha loa paha lākou. I ka hapanui o nā hihia, aia wale kekahi mau maʻi ʻeha.

ʻAʻole pono nā hoʻokolohua maʻamau. Hiki i kāu mea mālama ola ke hōʻoia pinepine i kēia ʻano ma ka hana ʻana i kahi hoʻokolohua kino a me ka nīnau ʻana i nā nīnau e pili ana i nā ʻōuli o ke keiki a me ka mōʻaukala olakino.

Mālama ʻia nā ʻōuli e like me ka mea e pono ai:

• E lawe i ka acetaminophen (Tylenol) a i ʻole ibuprofen (Motrin) e ka waha no ka fiva a me ka hōʻoluʻolu ʻole e like me ka ʻōlelo a ke kauka.
• Hoʻonui i ka lawe ʻana i ka wai, keu hoʻi nā huahana waiū anuanu. Palu me ka wai anuanu a hoʻāʻo paha e ʻai i nā popsicle. Hōʻalo i nā mea inu wela a me nā hua ʻalani.
• ʻAi i kahi papaʻai hoʻonāukiuki ʻole. (ʻO nā huahana waiū anuanu, e like me ka ʻaikalima, ʻo ia ke koho maikaʻi loa i ka wā o herpangina maʻi. ʻAiwī nui nā wai huaʻai a hoʻonāukiuki i nā ʻeha o ka waha.
• E hoʻohana i nā anesthetics kumuhana no ka waha (loaʻa paha kēia i ka benzocaine a i ʻole xylocaine a koi pinepine ʻole ʻia).

Holoi ka maʻi i loko o hoʻokahi pule.

ʻO ka make wai ka pilikia pinepine, akā hiki ke mālama ʻia e kāu mea hāʻawi.

Kāhea i kāu mea hāʻawi inā:

• ʻO ke kuni, ka ʻāʻī ʻeha, a me nā ʻeha o ka waha ke hala ma mua o 5 mau lā
• Ke pilikia nei kāu keiki i ka inu wai ʻana a i ʻole ke nānā make wai
• Piʻi a kiʻekiʻe loa ke kuni a hele ʻole paha

Hiki i ka holoi lima maikaʻi ke pale aku i ka hoʻolaha ʻana o nā mea ʻino e hiki ai i kēia maʻi.

• Anatomia kuʻi
• Anatomy waha

James WD, Elston DM, Hana iā JR, Rosenbach MA, Neuhaus IM. Nā maʻi viral. I: James WD, Elston DM, mālama iā JR, Rosenbach MA, Neuhaus IM, eds. Nā maʻi o Andrews 'o ka ʻili: Dermatology Haumāna. 13th ed. Piladelapia, PA: Elsevier; 2020: chap 19.

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.