Pertussis

ʻO Pertussis kahi maʻi lele laha loa e hiki ai ke kaohi ʻole ʻia, ka huehue ikaika. Hiki ke paʻakikī ka hanu i ka hanu ʻana. Lohe pinepine ʻia kahi kani "whooping" hohonu ke hoʻāʻo ke kanaka e hanu.

ʻO Pertussis, a i ʻole ka maʻi heʻe, he maʻi hanu luna. No ka ʻO Bordetella pertussis koʻohune. He maʻi nui ia e hiki ke hoʻopili i ka poʻe o nā makahiki āpau a hoʻokumu i ke kīnā mau o nā pēpē, a me ka make pū kekahi.

Ke honi a ʻū paha kahi mea maʻi, lele nā ​​kulu liʻiliʻi i loko o ka bacteria i loko o ka ea. Pālahalaha maʻalahi ka maʻi mai kekahi kanaka a kanaka.

ʻO nā ʻōuli o ka maʻi he 6 mau pule ka lōʻihi, akā hiki ke lōʻihi ma mua o 10 mau pule.

ʻAno like nā ʻōuli mua me ke anuanu maʻamau. I ka hapanui o nā hihia, ulu lākou ma kahi o hoʻokahi pule ma hope o ka hōʻike ʻana i ka bacteria.

Hoʻomaka nā ʻāpana ʻoi loa o ka huehue ma kahi o 10 a 12 mau lā ma hope. I nā pēpē a me nā keiki ʻōpio, pau ka puʻupuʻu i kekahi manawa me ka leo "whoop". Hana ʻia ke kani ke hoʻāʻo ka mea e hanu. ʻAʻohe laha ka wala kani i nā pēpē ma lalo o 6 mau makahiki o ka makahiki a i nā keiki makua a i ʻole nā ​​mākua.

Hiki ke alakaʻi ʻia nā spells coughing i ka luaʻi a i ʻole ka lilo iki o ka ʻike. Pono e noʻonoʻo mau ʻia ʻo Pertussis ke lūlū ʻia me ka puʻu. I nā pēpē, maʻamau nā ʻokekeke choking a hoʻomaha iki i ka hanu ʻana.

ʻO nā ʻōuli pertussis ʻē aʻe:

• Mū ihu
• Ke kuni liʻiliʻi, 102 ° F (38.9 ° C) a i ʻole lalo
• Pohā

Hoʻokumu pinepine ʻia ka hōʻailona mua ma nā ʻōuli. Eia nō naʻe, ke ʻike ʻole ʻia nā ʻōuli, paʻakikī paha ka pertussis i ke kuhi. I nā pēpē ʻōpio loa, hiki ke loaʻa nā ʻōuli i ka maʻi pneumonia ma kahi.

E ʻike pono, lawe paha ka mea mālama ola i kahi laʻana o ka mucus mai nā huna ihu. Hoʻouna ʻia kahi laʻana i kahi lab a hoʻāʻo ʻia no ka pertussis. ʻOiai hiki i kēia ke hāʻawi i kahi hōʻoia pololei, lawe ka hōʻoia i kahi manawa. ʻO ka hapa nui o ka manawa, hoʻomaka ka lāʻau ma mua o ka mākaukau o nā hopena.

Loaʻa paha i kekahi poʻe kahi helu piha o ke koko e hōʻike ana i nā helu he nui o nā lymphocytes.

Inā hoʻomaka i ka wanaʻao, hiki i nā antibiotic e like me ka erythromycin ke hele wikiwiki aku i nā ʻōuli. Minamina, ʻike ka hapa nui o ka poʻe i ka lohi, ke maikaʻi ʻole nā ​​antibiotic. Eia nō naʻe, hiki i nā lāʻau ke kōkua i ka hōʻemi ʻana i ka hiki i ke kanaka ke hoʻolaha i ka maʻi i nā poʻe ʻē aʻe.

Pono nā pēpē ma mua o 18 mau mahina e nānā mau no ka mea hiki i ko lākou hanu ʻana ke kūloko no ka manawa o ka wā uha. Pono e hōʻola ʻia nā kamaliʻi me nā hihia koʻikoʻi.

Hiki ke hoʻohana ʻia i ka halelewa o oxygen me ka hoʻohuʻu kiʻekiʻe.

Hiki ke hāʻawi ʻia nā wai i loko o ka aa inā loaʻa nā ʻūlū lūlū i mea e pale aku ai i ke kanaka mai ka inu ʻana i ka wai.

Hoʻopaʻa ʻia nā sedatives (nā lāʻau e hoʻomoe ai ʻoe) no nā keiki ʻōpio.

ʻAʻole kōkua pinepine nā hui ʻana i ka Cough, expectorants, a me nā suppressants. ʻAʻole pono e hoʻohana i kēia mau lāʻau.

I nā keiki nui, maikaʻi loa ka nānā i nā manawa āpau. Loaʻa i nā pēpē ka makaʻu kiʻekiʻe loa no ka make, a pono e nānā pono.

Komo pū nā pilikia:

• Pulumonia
• Nā manaʻo hoʻohoka
• Hoʻopilikia maʻi (paʻa)
• Nā Nosebleeds
• Nā maʻi maʻi pepeiao
• Poino ka lolo mai ka nele o ka oxygen
• Kahe i ka lolo (cerebral hemorrhage)
• Kīnā ʻole o ka noʻonoʻo
• Lohi a kū hoʻi i ka hanu ʻana (apnea)
• Make

Kāhea i kāu mea hāʻawi inā ʻoe a i ʻole kāu keiki e hoʻomohala i nā ʻōuli o ka pertussis.

Kāhea iā 911 a i ʻole e kiʻi i kahi keʻena pilikia inā loaʻa kekahi i kekahi o nā ʻōuli i lalo:

• ʻO kaʻili o kaʻili Bluish, kahi e hōʻike ai i ka nele o ka oxygen
• Nā wā o ka hanu ʻana (apnea)
• ʻO ka hopu ʻana a i ʻole nā ​​kūpikipiki
• Wela wela
• ʻO ka luaʻi kūmau
• Make wai

Hoʻomaʻamaʻa ʻo DTaP vaccination, kekahi o nā pale ʻana o ke kamaliʻi, pale i nā keiki mai ka maʻi pertussis. Hiki ke hāʻawi palekana ʻia ʻo DTaP vaccine i nā pēpē. Paipai ʻia ʻelima mau lāʻau DTaP. Hāʻawi pinepine ʻia lākou i nā keiki i nā makahiki 2, 4 mahina, 6 mahina, 15 a 18 mau mahina, a me 4 a 6 mau makahiki.

Pono e hāʻawi ʻia ka lāʻau lapaʻau TdaP i ka makahiki 11 a i ʻole 12.

I ka wā o ka maʻi pertussis, ʻaʻole pono nā keiki unimmunized ma lalo o 7 mau makahiki e hele i ke kula a i nā ʻaha lehulehu. Hoʻokaʻawale pū ʻia lākou mai kekahi mea i ʻike ʻia a manaʻo ʻia paha he maʻi. Pono kēia e hala a 14 mau lā ma hope o ka hihia i hōʻike hope ʻia.

Paipai ʻia hoʻi e loaʻa i nā mākua nā makahiki 19 a ʻoi aku ka nui o ka mahele lāʻau o ka lāʻau lapaʻau TdaP e kūʻē i ka pertussis.

He mea nui ka TdaP no nā ʻoihana mālama ola a me nā mea e pili kokoke ana me kahi pēpē ma mua o 12 mau makahiki.

Pono nā wahine hāpai e loaʻa i ka mahele lāʻau o TdaP i kēlā me kēia hāpai keiki ma waena o 27 a 36 mau pule o ka hāpai ʻana, e pale aku i ka hānau hou mai nā pertussis.

Mānā kohō

• Nānā ʻōnaehana Respiratory

ʻO Kim DK, ʻo Hunter P. Kōmike Aʻoaʻo no nā hana Immunization i paipai ʻia no ka wā o ka pale ʻana no nā mākua nona nā makahiki 19 a ʻoi paha - United States, 2019. MMWR Morb Mortal Wkly Rep. 2019; 68 (5): 115-118. PMID: 30730868 www.ncbi.nlm.nih.gov/pubmed/30730868.

Robinson CL, Bernstein H, Romero JR, Szilagyi P; Kōmike Aʻoaʻo e pili ana i nā hana pale maʻi (ACIP) Pūʻulu Hana Hoʻoikaika Pipi Keiki / ʻōpio. Ua paipai ke Kōmike Aʻoaʻo e pili ana i nā hana hoʻopulapula i ka papa hana hoʻōla kino no nā keiki a me nā ʻōpio he 18 a ʻoi paha mau makahiki - United States, 2019. MMWR Morb Mortal Wkly Rep. 2019; 68 (5): 112-114. PMID: 30730870 www.ncbi.nlm.nih.gov/pubmed/30730870.

ʻO Souder E, SS lōʻihi. Pertussis (ʻO Bordetella pertussis lāua ʻo Bordetella parapertussis). 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 224.

Nā Pūnaewele ʻo ʻAmelika Hui Pū ʻIa no ka mālama ʻana i ka maʻi a me ka pūnaewele Kāohi. ʻ statementlelo hoʻākāka vaccine: Tdap vaccine (tetanus, diphtheria and pertussis). www.cdc.gov/vaccines/hcp/vis/vis-statements/tdap.pdf. Hoʻohou ʻia Pepeluali 24, 2015. Loaʻa iā Kepakemapa 5, 2019.