Parainfluenza

ʻO Parainfluenza e pili ana i kahi hui o nā virus e alakaʻi i nā maʻi hanu luna a me lalo.

ʻEhā ʻano o ka virus parainfluenza. Hiki iā lākou ke kumu i nā maʻi hanu haʻahaʻa a kiʻekiʻe paha i nā mākua a me nā keiki. Hiki i ka maʻi hoʻomaʻamaʻa ke hana i ka croup, bronchiolitis, bronchitis a me kekahi mau ʻano pneumonia.

ʻAʻole ʻike ʻia ka helu kikoʻī o nā hihia parainfluenza. Manaʻo ʻia he kiʻekiʻe loa ka helu. Kūleʻa pinepine nā maʻi maʻi i ka hāʻule a me ka hoʻoilo. ʻO nā maʻi Parainfluenza ka mea ʻoi loa i nā pēpē a lilo i mea ʻemi loa me nā makahiki. Ma ka makahiki kula, ua hōʻike ʻia ka hapanui o nā keiki i ka maʻi parainfluenza. ʻO ka hapanui o nā mākua he mau antibodies kūʻē i ka parainfluenza, ʻoiai hiki iā lākou ke loaʻa i nā maʻi hou.

Hoʻololi nā ʻōuli i ke ʻano o ka maʻi. ʻO nā ʻōuli anuanu e like me ka ihu ihu a me ka puʻu akahai e maʻa mau. Hiki ke ʻike ʻia nā ʻōuli hanu hoʻoweliweli i ke ola i nā pēpē ʻōpio me ka bronchiolitis a me nā mea me nā ʻōnaehana pale nawaliwali.

Ma ke ʻano laulā, pili pū nā hōʻailona:

• Eha ka 'ā'ī
• Fiva
• Holo a ihu paha
• ʻEha o ka umauma, ka pōkole o ka hanu, ka hū ʻana
• Cough a croup paha

Hiki i kahi hoʻokolohua kino ke hōʻike i ka palupalu sinus, nā ʻōpū pehu, a me ka ʻāʻī ʻulaʻula. E hoʻolohe ka mea mālama ola i nā māmā a me ka umauma me kahi stethoscope. Lohe ʻia paha nā leo maʻamau, e like me ka ʻūlū ʻana a i ʻole ke kani ʻana.

ʻO nā hoʻāʻo e hana ʻia ana paha:

• Nā ʻenekini koko arterial
• ʻO nā moʻomeheu koko (e kāpae i nā kumu ʻē aʻe o ka pneumonia)
• Pākuʻi x-ray
• CT scan o ka umauma
• Helu piha koko (CBC)
• Swab o ka ihu no ka hoʻāʻo wikiwiki viral

ʻAʻohe mālama kūikawā no ka maʻi maʻi virus. Loaʻa kekahi mau lapaʻau no nā ʻōuli o ka croup a me ka bronchiolitis e maʻalahi ai ka hanu ʻana.

ʻO ka hapa nui o nā maʻi i nā mākua a me nā keiki ʻelemakule he palupalu a hoʻōla ʻia me ka mālama ʻole ʻia, ke ʻole ʻelemakule loa ke kanaka a i ʻole he ʻōnaehana pale ʻino. Pono paha ka lāʻau lapaʻau inā ulu nā pilikia hanu.

ʻO nā maʻi bacterial lua ka maʻi maʻamau. Hiki ke hōʻeha ʻia ke ala ākea ma croup a me bronchiolitis a hoʻoweliweli hoʻi i ke ola, keu hoʻi i nā keiki liʻiliʻi.

Kāhea i kāu mea hāʻawi inā:

• Hoʻokumu ʻoe a ʻo kāu keiki paha i kahi croup, wheezing, a i ʻole kekahi ʻano ʻānō o ka hanu paʻakikī.
• Ke hoʻomōhala nei kahi keiki ma lalo o 18 mau makahiki i kekahi ʻano o nā hōʻailona hanu kiʻekiʻe.

ʻAʻole loaʻa nā lāʻau āpau no parainfluenza. ʻO kekahi mau hana pale i hiki ke kōkua i ke komo pū ʻana:

• Hōʻalo i ka lehulehu e kaupalena i ka hōʻike i ka wā o nā laha kiʻekiʻe.
• E holoi pinepine i kou mau lima.
• Ka palena o ka hōʻike ʻana i nā kikowaena mālama lā a me nā kahu hānai, inā hiki.

Virus parainfluenza kanaka; Nā HPIV

ʻO Ison MG. Nā maʻi maʻi Parainfluenza. 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 156.

Weinberg GA, Edwards KM. Maʻi maʻi Parainfluenza. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 339.

ʻO Welliver Sr RC. Nā maʻi maʻi Parainfluenza. I: Cherry JD, Harrison GJ, Kaplan SL, Steinbach WJ, Hotez PJ, eds. ʻO Feigin lāua ʻo Cherry's Textbook of Pediatric Infectious Diseases. 8th ed. Piladelapia, PA: Elsevier; 2019: chap 179.