ʻO ka maʻi maʻi Syncytial Respiratory (RSV)

ʻO ka maʻi maʻi Syncytial Respiratory (RSV) kahi maʻi maʻamau i alakaʻi ʻia i nā ʻōuli anuanu e like me ke anuanu i nā mākua a me nā keiki olakino makua. Hiki iā ia ke ʻoi aku ke koʻikoʻi i nā pēpē ʻōpio, ʻo ka mea hoʻi i kekahi o nā pūʻulu kūlana kiʻekiʻe.

ʻO RSV ka pōpilikia maʻamau e kumu i nā maʻi o ke akemāmā a me ke ala ea i nā pēpē a me nā keiki ʻōpio. ʻO ka hapa nui o nā pēpē i loaʻa i kēia maʻi i ka makahiki 2. Hoʻomaka pinepine nā maʻi o RSV i ka hāʻule a holo i loko o ka puna.

Hiki ke maʻi i nā maʻi o nā makahiki āpau. Hoʻolahalaha ka maʻi ma nā kulu liʻiliʻi e hele i ka lewa ke puhi ka mea maʻi i ko lākou ihu, ʻūlū, a uhaʻi paha.

Hiki iā ʻoe ke hopu iā RSV inā:

• Kuhi ke kanaka me RSV, ʻūlū, a pā paha i ko lākou ihu kokoke iā ʻoe.
• Hoʻopā ʻoe, honi, a lūlū lima paha me kekahi mea maʻi i loaʻa i ka maʻi.
• Hoʻopā ʻoe i kou ihu, mau maka, a waha paha ma hope o kou hoʻopā ʻana i kahi mea i haumia ʻia e ka maʻi, e like me kahi mea pāʻani a i ʻole kia pani puka.

Hoʻolahalaha pinepine ʻo RSV i nā home lehulehu a me nā keʻena mālama lā. Hiki i ke virus ke noho no ka hapalua hola a ʻoi aʻe ma nā lima. Hiki i ke virus ke noho a hiki i 5 mau hola ma nā countertops a no kekahi mau hola ma nā kino i hoʻohana ʻia.

Hoʻonui ka mea aʻe i ka makaʻu no RSV:

• Hele i ka mālama lā
• Ma kahi kokoke i ka uahi paka
• Loaʻa nā kaikuaʻana a me nā kaikuahine ʻelemakule
• Noho i nā kūlana lehulehu

Hiki i nā ʻōuli ke ʻokoʻa a ʻokoʻa i ka makahiki.

• Kū pinepine lākou i 2 a 8 mau lā ma hope o ka launa ʻana me ka maʻi.
• ʻO nā keiki ʻelemakule pinepine ka loaʻa o nā ʻōuli palupalu, anuanu hoʻi, e like me ka uha hae, ihu ihu, a me ke kuni haʻahaʻa.

Loaʻa i nā pēpē ma lalo o ka makahiki 1 i nā ʻōuli ʻoi aku ka nui a loaʻa pinepine i nā pilikia nui i ka hanu ʻana:

• ʻO kaʻili o kaʻili polū ma muli o ka nele o ka oxygen (cyanosis) i nā hihia koʻikoʻi
• Ka paʻakikī o ka hanu ʻana a i ʻole ka hanu hana ʻana
• Nasal ahi
• Ka hanu wikiwiki ʻana (tachypnea)
• Pokole o ka hanu
• Pākuʻi kani (wheezing)

Hiki i nā haukapila a me nā haukapila ke hōʻoia wikiwiki no ka RSV me ka hoʻohana ʻana i kahi laʻana o ka wai i lawe ʻia mai ka ihu me ka pulupulu.

ʻAʻole hoʻohana ʻia nā antibiotic a me nā bronchodilators e mālama iā RSV.

Hele aku nā maʻi ʻino me ka ʻole o ka lapaʻau.

Hiki ke ʻae ʻia nā kamaliʻi a me nā keiki me kahi maʻi RSV koʻikoʻi i ka haukapila. E hoʻopili pū ka mālama ʻana:

• O oxygen hoʻonui
• ʻŪhū ʻaʻano
• Ka omo ʻana i nā hunaʻi ihu
• Nā Fluids ma o kahi aa (e IV)

Pono paha kahi mīkini hanu (ventilator).

Hiki ke loaʻa ka maʻi ʻoi loa ʻo RSV i nā pēpē aʻe:

• Nā pēpē mua
• Nā pēpē me ka maʻi maʻi mau
• ʻO nā pēpē nona ka ʻōnaehana pale ʻole i holo pono
• Nā pēpē me kekahi ʻano o ka maʻi puʻuwai

Kākaʻikahi, hiki i ka maʻi RSV ke make i nā pēpē. Eia nō naʻe, ʻaʻole paha kēia inā ʻike ʻia ke keiki e kahi mea mālama ola i nā wā mua o ka maʻi.

ʻO nā keiki i loaʻa iā RSV bronchiolitis e ʻoi aku paha ka hoʻomohala i ka hānō.

I nā keiki ʻōpio, hiki i ka RSV ke kumu:

• ʻO Bronchiolitis
• Hoka maikaʻi ʻole
• Pulumonia

Kāhea koke i kāu mea hāʻawi inā loaʻa iā ʻoe:

• Hanu paʻakikī
• Wela wela
• Pokole o ka hanu
• Waihoʻoluʻu ʻōniʻoniʻo

ʻO nā pilikia hanu i loko o kahi pēpē kahi pilikia. E ʻimi koke i ke kōkua lapaʻau.

I mea e pale aku ai i ka maʻi ʻo RSV, holoi pinepine i kou mau lima, keu hoʻi ma mua o ka pā ʻana i kāu pēpē. E hōʻoia i nā poʻe ʻē aʻe, i nā mea mālama, e hana i nā ʻanuʻu e hōʻole ʻole ai i ka hāʻawi ʻana i ka RSV i kāu pēpē.

Hiki i nā ala maʻalahi ke pale aku i kāu pēpē mai ka maʻi ʻana:

• E koi i nā poʻe ʻē aʻe e holoi i ko lākou mau lima me ka wai mehana a me ke kopa ma mua o ka pā ʻana i kāu pēpē.
• E hōʻalo i nā poʻe ʻē aʻe i ka launa pū ʻana me ka pēpē inā loaʻa iā lākou ke anu a fiva paha. Inā pono, e ʻaʻapo lākou.
• E makaʻala i ka honi ʻana i ka pēpē hiki ke hoʻolaha i ka maʻi ʻo RSV.
• E hoʻāʻo e pale aku i nā keiki ʻōpio mai kāu pēpē. Kūleʻa ʻo RSV i waena o nā keiki ʻōpio a hoʻolaha maʻalahi mai ke keiki a ke keiki.
• Mai puhi i loko o kou hale, kaʻa, a i ʻole ma kahi kokoke i kāu pēpē. Hoʻonui ka hōʻike i ka uahi paka i ka makaʻu no ka maʻi RSV.

Pono nā mākua o nā pēpē ʻōpio kiʻekiʻe e hōʻalo i ka lehulehu i ka wā o RSV. Hōʻike pinepine ʻia nā pālahalaha nui e nā kumu nūhou kūloko e hāʻawi i nā mākua i kahi manawa kūpono e hōʻalo ai i ka hōʻike.

Ua ʻae ʻia ka lāʻau Synagis (palivizumab) no ka pale ʻana i ka maʻi RSV i nā keiki ma mua o 24 mau mahina i makaʻu nui no ka maʻi RSV koʻikoʻi. E noi i kāu mea hāʻawi inā loaʻa i kāu keiki kēia lāʻau.

RSV; Palivizumab; Pākuʻi syncytial virus immune globulin; Bronchiolitis - RSV; URI - RSV; Maʻi maʻi hanu o luna - RSV; Bronchiolitis - RSV

• Bronchiolitis - hoʻokuʻu

• ʻO Bronchiolitis

Simµes EAF, Bont L, Manzoni P, et al. ʻO ka hala, kēia manawa a me ka wā e hiki mai ana i ka pale a me ka mālama ʻana i ka maʻi maʻi maʻi maʻi syncytial respiratory i nā keiki. Pākuʻi Dis Ther. 2018; 7 (1): 87-120. PMID: 29470837 pubmed.ncbi.nlm.nih.gov/29470837/.

Smith DK, Seales S, Budzik C. Nā maʻi maʻi syncytial virus bronchiolitis i nā keiki. He Kauka Lapaʻau. 2017; 95 (2): 94-99. PMID: 28084708 pubmed.ncbi.nlm.nih.gov/28084708/.

Talbot HK, Walsh EE. ʻO ka maʻi maʻi Syncytial Respiratory. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 338.

Walsh EE, Englund JA. ʻO ka maʻi maʻi Syncytial Respiratory (RSV). 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 158.