Puʻupuʻu
ʻO ka puʻupuʻu he maʻi lele e hiki aku ai i ka pehu ʻeha o nā aʻa salivary. Hoʻopuka nā ʻōpala salivary i ka lawai, kahi wai e hoʻonoe i ka meaʻai a kōkua iā ʻoe e nau a ʻai.
Hoʻokumu ʻia ka puʻupuʻu e kahi virus. Hoʻolahalaha ka maʻi mai kekahi kanaka a i kekahi kanaka e nā kulu o ka wai o ka ihu a me ka waha, e like me ke kahe ʻana. Hoʻolahalaha pū ʻia ia ma o ka pili pololei ʻana me nā huahana i pā mai i ka lihi ma luna o lākou.
Kū pinepine nā mums i nā keiki mai ka makahiki 2 a hiki i ka 12 i hana ʻole i nā lāʻau āpau e kūʻē i kēia maʻi. Eia nō naʻe, hiki ke maʻi i kēlā me kēia makahiki a ʻike ʻia paha i nā haumāna o ke kula nui.
ʻO ka manawa ma waena o ka hōʻike ʻia ʻana i ka maʻi virus a me ka maʻi ʻana (manawa hoʻouluulu) ma kahi o 12 a 25 mau lā.
Hoʻopili pū paha nā puʻupuʻu i ka:
- ʻŌnaehana ʻōnaehana waena
- ʻO Pancreas
- Nā Hōʻikeʻike
Pākuʻi ʻia paha nā ʻōuli o nā mumps:
- ʻEha ʻeha
- Fiva
- ʻEha poʻo
- Eha ka 'ā'ī
- Loaʻa ka ʻai ʻole
- ʻO ka pehu ʻana o nā gland parotid (ka nui nui o nā salivary glands, aia ma waena o ka pepeiao a me ka iwi ā)
- ʻO ka pehu ʻana o nā heiau a i ʻole ka iwi ā (temporomandibular area)
ʻO nā ʻōuli ʻē aʻe i hiki i nā kāne ke:
- Pāpaʻi hōʻike
- ʻEha hōʻike manaʻo
- Huʻi ʻōpala
E hana ka mea mālama ola i kahi hōʻike a nīnau e pili ana i nā ʻōuli, keu hoʻi i ka wā i hoʻomaka ai.
ʻAʻole pono nā hoʻāʻo i ka hapanui o nā hihia. Hiki i ka mea hāʻawi ke ʻike pono i nā mumps ma ka nānā ʻana i nā ʻōuli.
Pono paha nā hōʻoia koko e hōʻoia i ka ʻike.
ʻAʻohe mālama kūikawā no nā mumps. Hiki ke hana i nā mea aʻe e hōʻoluʻolu i nā ʻōuli:
- E noi i ka hau a i ʻole nā ʻeke pumehana i ka ʻāʻī o ka ʻāʻī.
- E lawe i ka acetaminophen (Tylenol) e hoʻomaha i ka ʻeha. Mai hāʻawi i ka aspirin i nā keiki me ka maʻi viral ma muli o ka makaʻu no ka Reye Syndrome.
- Inu wai keu.
- ʻAi i nā meaʻai palupalu.
- Kāhi me ka wai paʻakai mehana.
Hana maikaʻi ka poʻe me kēia maʻi i ka hapa nui o ka manawa, ʻoiai inā pili nā meaola. Ma hope o ka pau ʻana o ka maʻi ma kahi o 7 mau lā, e pale lākou i nā momi no ko lākou koena o ko lākou ola.
Hiki mai ka maʻi o nā mea ʻē aʻe, e like me ka pehu ʻana o ka testicle (orchitis).
Kāhea aku i kāu mea hāʻawi inā he mumps kāu a me kāu keiki me:
- Nā maka ʻulaʻula
- Hiamoe mau
- ʻO ka luaʻi mau a i ʻole ka ʻeha o ka ʻōpū
- ʻEha poʻo poʻo
- ʻO ka ʻeha a i ʻole kahi puʻupuʻu i ka mea hōʻike
Kāhea iā 911 a i ʻole ka helu kūloko kūloko a i ʻole kipa i ka lumi pilikia inā loaʻa ka hopu ʻana.
Pale ka pale ʻana o MMR (vaccine) i ka maʻi ʻula, mumps, a me ka rubella. Hāʻawi ʻia i nā keiki i kēia mau makahiki:
- Ka mahele mua: 12 a 15 mau mahina
- Ka hopena ʻelua: 4 a 6 mau makahiki
Hiki i nā mākua ke loaʻa ka lāʻau lapaʻau. E kamaʻilio i kāu mea hoʻolako e pili ana i kēia.
ʻO nā laha hou o nā ʻāpā i kākoʻo i ke koʻikoʻi o ke kanikau ʻana i nā keiki āpau.
Epidemic parotitis; Virus parotitis; Parotitis
- Pēpē poʻo a me nā ʻāʻī
ʻO Litman N, Baum SG. Virus Mumps. 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 157.
ʻO Mason WH, ʻo Gans HA. Puʻupuʻu. 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 275.
Patel M, Gnann JW. Puʻupuʻu. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 345.