Maʻi ʻelima
Hoʻokumu ʻia ka maʻi ʻelima e kahi maʻi hoʻomaʻemaʻe e alakaʻi ai i kahi ʻūlū ma nā papalina, nā lima, a me nā wāwae.
Hoʻokumu ʻia ka maʻi ʻelima e ka parvovirus B19 kanaka. Hoʻopili pinepine ia i nā kamaliʻi a i ʻole nā keiki o ke kula i ka wā o ka puna. Hoʻolahalaha ka maʻi ma o nā wai i ka ihu a me ka waha ke ʻeha a ʻū paha kekahi.
Hoʻokumu ka maʻi i kahi kukuna ʻulaʻula ʻulaʻula ma nā papalina. Hoʻolahalaha ka ʻōpala i ke kino a hiki ke kumu i nā ʻōuli ʻē aʻe.
Hiki iā ʻoe ke loaʻa i ka maʻi ʻelima a loaʻa ʻole nā ʻōuli. Ma kahi o 20% o ka poʻe i loaʻa ka maʻi maʻi i loaʻa ʻole nā ʻōuli.
ʻO nā ʻōuli mua o ka maʻi ʻelima pū kekahi:
- Fiva
- ʻEha poʻo
- Mū ihu
Hāhai ʻia kēia e ka ʻehu ma ka maka a me ke kino.
- ʻO nā ʻōiwi ʻulaʻula ʻulaʻula ke hōʻailona hōʻailona o kēia maʻi. Kāhea pinepine ʻia kēia he ʻalalā "papalina".
- ʻIke ka hū ma nā lima a me nā wāwae a ma waena o ke kino, a ʻeha paha.
- Hele mai ka ʻūlū a hele a nalo pinepine i kahi o 2 mau pule. E mae wale ia mai waenakonu i waho, no laila ke nānā aku nei ia i ka lacy.
Loaʻa i kekahi poʻe ka ʻeha pū a me ka ʻōhū. Kū pinepine kēia i nā wahine makua.
E nānā kāu kauka olakino i ka hū. ʻO ka hapanui pinepine kēia lawa kēia e hōʻoia i ka maʻi.
Hiki i kāu mea hāʻawi ke hana i nā hoʻokolohua koko e nānā i nā hōʻailona o ka maʻi, ʻoiai ʻaʻole pono ia i ka hapanui o nā hihia.
Koho ka mea hāʻawi e hana i kahi hoʻokolohua koko i kekahi mau hanana, e like me nā wahine hāpai a i ʻole nā poʻe me ka anemia.
ʻAʻohe lāʻau lapaʻau no ka maʻi ʻelima. E hoʻomaʻemaʻe ka maʻi ma kāna iho i loko o ʻelua mau pule. Inā loaʻa i kāu keiki ka ʻeha puʻupuʻu a i ʻole ka huehue makaʻā, e kamaʻilio me kāu mea hāʻawi i kāu keiki e pili ana i nā ala e hōʻoluʻolu ai i nā ʻōuli. Acetaminophen (e like me Tylenol) no nā keiki hiki ke kōkua i ke kōkua i ka ʻeha ami.
ʻO ka hapa nui o nā keiki a me nā mākua he mau ʻōuli mālie wale nō a ola loa.
ʻAʻole pinepine ka maʻi ʻelima i nā pilikia i ka hapa nui o ka poʻe.
Inā hāpai ʻoe a manaʻo ʻoe ua hōʻike ʻia ʻoe i kekahi me ka maʻi virus, e haʻi i kāu mea hāʻawi. ʻO ka maʻamau ʻaʻohe pilikia. ʻO ka hapa nui o nā wahine hāpai e pale i ka maʻi. Hiki i kāu mea hāʻawi ke hoʻāʻo iā ʻoe e ʻike inā pale aku ʻoe.
ʻO nā wahine pale ʻole pinepine pinepine i nā ʻōuli mālie. Eia nō naʻe, hiki i ka maʻi hoʻomaʻemaʻe ke hana i ka anemia i loko o kahi pēpē i hānau ʻole ʻia a hiki i ka hāpai ʻana i ka hānau ʻole. He mea maʻamau kēia a aia wale nō i kahi pākēneka liʻiliʻi o nā wahine. ʻOi aku paha ia i ka hapa mua o ka hāpai ʻana.
Aia kekahi mea ʻoi aku ka kiʻekiʻe no nā pilikia i ka poʻe me:
- ʻO kahi ʻōnaehana pale nāwaliwali, e like me ka maʻi ʻaʻai, leukemia, a i ʻole ka maʻi HIV
- ʻO kekahi mau pilikia o ke koko e like me ka anemia maʻi maʻi
Hiki i ka maʻi ʻelima ke kumu i ka maʻi anemia koʻikoʻi, kahi e pono ai ka mālama ʻana.
E kāhea ʻoe i kāu mea hāʻawi inā:
- He ʻōuli ko kāu keiki i ka maʻi ʻelima.
- Hāpai ʻoe a manaʻo ʻoe ua ʻike ʻia ʻoe i ka maʻi virus a i ʻole he ʻeha kou.
Parvovirus B19; Erythema infectiosum; Pāleʻi ka pāpālina papā
- Maʻi ʻelima
Brown KE. Nā parvoviruses kanaka, me ka parvovirus B19V a me nā bocaparvoviruses kanaka. 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 147.
Koch WC. Parvoviruses. 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 278.
Michaels MG, Williams JV. Nā maʻi maʻi maʻi. I: Zitelli BJ, McIntire SC, Nowalk AJ, eds. ʻO Zitelli lāua ʻo Davis 'Atlas o ka Pediatric Physical Diagnosis. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 13.