Hāpai a me herpes

Hiki i nā pēpē hānau hou ke maʻi i ka maʻi herpes i ka wā hāpai, i ka wā hana a hānau paha, a ma hope paha o ka hānau ʻana.

Hiki i nā pēpē hānau hou ke maʻi i ka maʻi herpes:

• I ka kōpū (ʻokoʻa kēia)
• Ke hele nei i loko o ke kahawai hānau (herpes-loaʻa herpes, ke ʻano maʻamau o ka maʻi)
• Ma hope pono o ka hānau ʻana (postpartum) mai ka honi ʻana a i ʻole ke launa ʻana me kahi mea ʻeha herpes waha

Inā loaʻa ka makuahine i kahi maʻi nui o ka herpes genital i ka manawa o ka hānau ʻana, ʻoi aku ka maʻi o ka pēpē i ka wā hānau. ʻAʻole maopopo paha i kekahi mau makuahine he ʻeha herpes lākou i loko o ka moku.

Ua loaʻa kekahi mau wahine i nā maʻi herpes i ka wā i hala, akā ʻaʻole lākou i ʻike, a hāʻawi paha i ka maʻi i kā lākou pēpē.

ʻO ka herpes type 2 (herpes genital) ke kumu maʻamau o ka maʻi herpes i nā pēpē hou. Akā ʻo ka herpes type 1 (oral herpes) hiki pū kekahi.

Hiki ke ʻike ʻia ʻo Herpes ma ke ʻano he maʻi ʻili. Hiki ke ʻike ʻia nā pulu liʻiliʻi (piha) i ka wai. Wāwahi kēia mau ʻōpala, haki, a hoʻōla hoʻi. E mau nō kahi ʻili palupalu.

E pāhola pū ʻia paha ka maʻi herpes ma ke kino holoʻokoʻa. Kapa ʻia kēia ʻo herpes dissemined. I kēia ʻano, hiki i ka maʻi herpes ke hoʻopili i nā ʻāpana o ke kino.

• Kapa ʻia ka maʻi herpes i ka lolo ʻo herpes encephalitis
• Pili pū paha ke akepaʻa, akemāmā, a me nā puʻupaʻa
• Hiki paha a ʻaʻole paha nā palapū i ka ʻili

ʻO nā keiki pēpē hou me nā herpes i pālahalaha aʻe i ka lolo a i ʻole nā ​​ʻāpana ʻē aʻe o ke kino e maʻi pinepine nei. ʻO nā hōʻailona me:

• ʻEha ʻili, pāhaʻi piha i ka wai
• Māmā kahe
• Nā pilikia hanu e like me ka hanu wikiwiki a me nā wā pōkole me ka ʻole o ka hanu ʻana, kahi e hiki ai i ka lele ʻana o ka puka ihu, ke kaniʻuhū, a me ka helehelena polū
• ʻIli melemele a keʻokeʻo o nā maka
• Nawaliwali
• Low kino mahana (hypothermia)
• ʻAi hānai maikaʻi ʻole
• Ka hopu ʻana, haʻalulu, a i ʻole koma

ʻO ka herpes i hopu ʻia ma hope koke iho o ka hānau ʻana he ʻano like me nā herpes i hānau ʻia.

Hiki i ka herpes ke pēpē i loko o ka kōpū ke kumu:

• ʻO ka maʻi maka, e like me ka mumū o ka retina (chorioretinitis)
• Poino lolo nui
• ʻEha ʻili (lesions)

ʻO nā hoʻāʻo no ka herpes loaʻa hānau hānau pū:

• Ke nānā nei no ka maʻi ma ka ʻānai ʻana mai ka vesicle a i ka moʻomeheu vesicle
• ʻEELE
• MRI o ke poʻo
• ʻO ka moʻomeheu wai Spinal

ʻO nā hoʻokolohua hou aʻe e hana ʻia inā maʻi nui ka pēpē me:

• ʻImi kinoea kōkō
• Nā noiʻi Coagulation (PT, PTT)
• Helu piha koko
• Nā ana uila uila
• Nā ho'āʻo o ka hana ate

He mea nui e haʻi aku i kāu mea mālama ola i kāu kipa prenatal mua inā he moʻolelo kou o ka genital herpes.

• Inā loaʻa pinepine ʻoe i nā maʻi herpes, hāʻawi ʻia ʻoe i lāʻau e lawe ai i ka mahina hope o ka hāpai ʻana e mālama ai i ka maʻi. Kōkua kēia i ka pale ʻana i ka maʻi ahulau i ka manawa o ka lawe ʻana.
• Paipai ʻia ʻo C-section no nā wahine hāpai i loaʻa ka maʻi herpes hou a e hana nei.

Hoʻomaʻamaʻa pinepine ʻia ka maʻi herpes virus i nā pēpē me ka lāʻau antiviral i hāʻawi ʻia ma o ke aa (intravenous). Pono paha ka pēpē e hana i ka lāʻau no kekahi mau pule.

Pono ʻia kahi lāʻau no nā hopena o ka maʻi herpes, e like me ka haʻalulu a me ka hopu ʻana. Ma muli o ka maʻi nui o kēia mau pēpē, hana pinepine ʻia ka lapaʻau ʻana i ka hale mālama maʻi nui.

Hana maikaʻi ʻole nā ​​pēpē me ka herpes ʻōnaehana a i ʻole encephalitis. Aia kēia me nā lāʻau antiviral a me ka mālama mua ʻana.

I nā pēpē me nā maʻi o ka ʻili, hiki ke hoʻi i nā vesicle, ʻoiai ma hope o ka pau ʻana o ka mālama ʻana.

Hiki paha i nā keiki i hoʻopilikia ʻia ke lohi hoʻomohala a me ke kīnā aʻo.

Inā loaʻa i kāu pēpē nā ʻōuli o ka herpes i loaʻa i ka hānau, me nā palapū o ka ʻili me ka ʻole o nā ʻōuli ʻē aʻe, e ʻike koke ka pēpē e ka mea hāʻawi.

ʻO ka hoʻomaʻamaʻa ʻana i ka moekolohe hiki ke pale i ka makuahine mai ka loaʻa ʻana o ka herpes genital.

ʻAʻole pono ka poʻe me nā ʻeha anu (oral herpes) e launa me nā keiki hānau hou. I mea e pale aku ai i ka lawe ʻana i ka maʻi, pono nā mea mālama i loaʻa kahi ʻeha anuanu e uhi i kahi pale maka a holoi pono i ko lākou mau lima ma mua o ka pili ʻana me kahi pēpē.

E kamaʻilio nā makuahine i kā lākou mea hāʻawi e pili ana i ke ala ʻoi loa e hōʻemi i ka makaʻu o ka lawe ʻana i ka herpes i kā lākou pēpē.

HSV; Herpes hānau; Herpes - hānau hānau; Herpes loaʻa-hānau; Herpes i ka wā hāpai

• Herpes hānau

ʻO Dinulos JGH. Nā maʻi viral i hoʻouna ʻia i ka moekolohe. I: Dinulos JGH, hoʻoponopono. ʻO Dermatology Lapaʻau ʻo Habif. ʻEpekema 7 Piladelapia, PA: Elsevier; 2021: chap 11.

Kimberlin DW, Baley J; Komite no na mai lele; Komite no ka fetus a me ka hānau hou. ʻO ke alakaʻi ʻana i ka mālama ʻana i nā neonates asymptomat i hānau ʻia i nā wahine me nā lepe herpes genital ʻeleu. Pediatrics. 2013; 131 (2): e635-e646. PMID: 23359576 pubmed.ncbi.nlm.nih.gov/23359576/.

Kimberlin DW, Gutierrez KM. Nā maʻi maʻi herpes simplex. I: Wilson CB, Nizet V, Maldonado YA, Remington JS, Klein JO, hua. ʻO nā maʻi maʻi Remington a me Klein o ka Fetus a me ke keiki hānau. 8th ed. Piladelapia, PA: Elsevier Saunders; 2016: chap 27.

ʻO Schiffer JT, ʻo Corey L. Herpes simplex virus. 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 135.