ʻO Herpetic stomatitis

ʻO ka herpetic stomatitis kahi maʻi viral o ka waha e hōʻeha i nā ʻeha a me nā maʻi maʻi. ʻAʻole like kēia mau ulcer waha me nā maʻi ʻeha, ʻaʻole kumu ʻia e ka maʻi.

ʻO ka herpetic stomatitis kahi maʻi i hoʻokumu ʻia e ka maʻi herpes simplex (HSV), a i ʻole herpes waha. Loaʻa i nā kamaliʻi liʻiliʻi ke hōʻike ʻia iā HSV. ʻO ka laha mua ka mea ʻoi loa. Hiki ke hoʻolaha maʻalahi ʻia ʻo HSV mai kahi keiki a i kekahi.

Inā he ʻeha anuanu ʻoe a i ʻole kahi ʻelemakule ʻē aʻe o ka ʻohana, ua hiki ke pālahalaha ʻia i kāu keiki a ua hoʻokumu i ka herpetic stomatitis. ʻOi aku paha, ʻaʻole ʻoe e ʻike pehea i maʻi ai kāu keiki.

Pākuʻi ʻia paha nā ʻōuli:

• Pāhū i ka waha, pinepine ma ke alelo, papalina, kaupaku o ka waha, gums, a ma ka palena ma waena o ka lehelehe a me ka ʻili e pili ana.
• Ma hope o ka pā ʻana o ka pāhū, hana lākou i ka ulcer i ka waha, pinepine ma ke alelo a i ʻole nā ​​papalina
• Pilikia i ka ale ʻana
• Drooling
• ʻO ke kuni, ke kiʻekiʻe he 104 ° F (40 ° C), a he 1 a 2 mau lā paha ma mua o ka ʻike ʻia ʻana o nā palapū a me nā ulcer.
• Huhū
• ʻEha o ka waha
• Gums pehu

ʻAʻole hōʻoluʻolu loa nā ʻōuli ʻaʻole makemake kāu keiki e ʻai a inu paha.

Hiki i ka mea mālama ola olakino ke hōʻoia pinepine i kēia ʻano ma ka nānā ʻana i nā ʻeha o ka waha o kāu keiki.

I kekahi manawa, hiki i nā hoʻokolohua hoʻokolohua kūikawā ke kōkua i ka hōʻoia ʻana i ka hōʻailona.

E kauoha paha ka mea hāʻawi i kāu keiki:

• ʻO Acyclovir, kahi lāʻau a kāu keiki e lawe ai e hakakā i ka maʻi maʻi e hiki ai i ka maʻi
• ʻO ka lāʻau numbing (viscous lidocaine), hiki iā ʻoe ke hoʻopili i ka waha o kāu keiki e hōʻoluʻolu ai i ka ʻehaʻeha loa

E hoʻohana i ka lidocaine me ka mālama, no ka mea hiki ke hoʻopau i nā manaʻo āpau i ka waha o kāu keiki. Hiki i kēia ke hana paʻakikī i kāu keiki e ale, a alakaʻi i ka ʻā ʻana i ka waha a i ʻole ka ʻāʻī mai ka ʻai ʻana i nā meaʻai wela, a i ʻole ke ʻānai ʻana.

Nui nā mea hiki iā ʻoe ke hana ma ka home e kōkua ai i kāu keiki e hōʻoluʻolu.

• E hāʻawi i kāu keiki i nā mea inu ʻoluʻolu ʻole, nonbonbonated, nonacidic, e like me ka wai, nā lūlū waiū, a i ʻole ka wai ʻoma meli i hoʻokahe ʻia. Hiki koke ke make wai i nā keiki, no laila e ʻike pono i ka loaʻa ʻana o ka wai i kāu keiki.
• Hāʻawi i nā meaʻai anuanu, lapuwale, a maʻalahi hoʻi e ale e like me nā pops paʻū, ka ʻaikalima, nā uala i kāwili ʻia, gelatin, a i ʻole ka ʻoma.
• E hāʻawi i kāu keiki i ka acetaminophen a i ʻole ka ibuprofen no ka ʻeha. (Mai hāʻawi i ka aspirin i kahi keiki ma lalo o ka makahiki 2. Hiki iā ia ke kumu i ka maʻi Reye, kahi maʻi laha ʻole, akā koʻikoʻi.)
• ʻO ka hanu maikaʻi ʻole a me kahi alelo i uhi ʻia he hopena maʻamau. E palu mālie i nā niho o kāu keiki i kēlā me kēia lā.
• E ʻike pono i ka hiamoe nui o kāu keiki a maha ʻo ia e like me ka hiki.

E ola pono kāu keiki i loko o 10 mau lā me ka mālama ʻole ʻia. E wikiwiki paha ʻo Acyclovir i ka hoʻōla o kāu keiki.

E loaʻa i kāu keiki ka maʻi herpes no ke ola. I ka hapa nui o ka poʻe, noho ʻole ka virus i loko o ko lākou kino. Inā ala hou ka virus, hana pinepine ia i ka ʻeha anu ma ka waha. I kekahi manawa, hiki ke hoʻopili i ka loko o ka waha, akā ʻaʻole ia e kaumaha e like me ka mahele mua.

Kāhea i kāu mea hāʻawi inā loaʻa kahi maʻi fiva i kāu keiki a ukali ʻia e ka waha ʻeha, a hoʻōki kāu keiki i ka ʻai ʻana a me ka inu ʻana. Hiki koke i kāu keiki ke make wai.

Inā pālahalaha ʻia ka maʻi herpes i ka maka, he pilikia ia a hiki i ke makapō. Kāhea koke i kāu kauka.

Ma kahi o 90% o ka heluna kanaka e halihali nei iā HSV. Aia kahi liʻiliʻi hiki iā ʻoe ke hana e pale aku i kāu keiki mai ka ʻohi ʻana i ka maʻi i kekahi manawa i ka wā kamaliʻi.

Pono kāu keiki e hōʻole i ka pili kokoke me nā poʻe i loaʻa i nā maʻi maʻi anu. No laila inā loaʻa ʻoe i kahi ʻeha anu, wehewehe i ke kumu hiki ʻole iā ʻoe ke honi i kāu keiki a hala ka ʻeha. Pono nō hoʻi kāu keiki e hōʻalo i nā keiki ʻē aʻe me ka herpetic stomatitis.

Inā loaʻa i kāu keiki ka herpetic stomatitis, e hōʻalo i ka hoʻolaha ʻana i ka maʻi i nā keiki ʻē aʻe. ʻOiai he ʻōuli ko kāu keiki:

• E holoi pinepine kāu keiki i ko lākou mau lima.
• E hoʻomaʻemaʻe i nā mea pāʻani a mai hoʻokaʻawale aku iā lākou me nā keiki ʻē aʻe.
• Mai ʻae i nā keiki e kaʻana like i nā pā, nā kīʻaha, a i ʻole nā ​​mea ʻai.
• Mai hoʻokuʻu i kāu keiki e honi i nā keiki ʻē aʻe.

Stomatitis - herpetic; Gingivostomatitis herpetic kumu

• Gums pehu

Dhar V. Nā liona maʻamau o nā nāʻa palupalu waha. 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 341.

ʻO Kimberlin DW, Prober CG. ʻO ka maʻi herpes simplex. I: Long SS, Prober CG, Fischer M, hua pā. Nā Kumuhana a me nā Hana o nā maʻi maʻi Pediatric. 5th lā. Piladelapia, PA: Elsevier; 2018: chap 204.

Martin B, Baumhardt H, DʻAlesio A, Woods K. Nā maʻi waha. 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 21.