ʻLeskala

ʻO ka maʻi maʻi he maʻi lele loa (palahalaha maʻalahi) i hoʻokumu ʻia e ka maʻi.

Hoʻolahalaha ʻia nā anahi e ka launa ʻana me nā droplets mai ka ihu, waha, a ʻāʻī paha o kahi mea maʻi. Hiki i ka sneezing a me ke kahe ke hoʻokomo i nā droplets i haumia i ka lewa.

Inā loaʻa ka maʻi ʻula i kekahi kanaka, 90% o ka poʻe i launa pū me kēlā kanaka e loaʻa i ka maʻi ʻula, ke ʻole lākou i lāʻau lapaʻau.

ʻO ka poʻe i loaʻa i ka maʻi ʻōpala a i ʻole nā ​​lāʻau āpau i pale ʻia i ka maʻi ʻōpala e pale ʻia i ka maʻi. E like me ka 2000, ua kāpae ʻia ka maʻi ʻino ma ʻAmelika Hui Pū ʻIa. Eia nō naʻe, ʻo ka poʻe i māka ʻole ʻole ka poʻe e huakaʻi i nā ʻāina ʻē aʻe kahi e maʻa mau ai ka maʻi ʻula ka poʻe i lawe i kēia maʻi i ʻAmelika Hui Pū ʻIa. Ua alakaʻi ʻia kēia i nā maʻi ahulau hou i nā hui o ka poʻe i hoʻoponopono ʻole ʻia.

ʻAʻole ʻae kekahi mau mākua i kā lākou keiki i ka lāʻau āpau. ʻO kēia no ka makaʻu ʻole i ka lāʻau lapaʻau MMR, ka mea e pale aku ai i ka maʻi ʻula, nā puʻupuʻu, a me ka rubella, hiki ke kumu i ka autism. E ʻike nā mākua a me nā mea mālama i:

• ʻAʻole loaʻa i nā noiʻi nui o nā keiki he mau kaukani ka pilina ma waena o kēia a i ʻole kekahi lāʻau āpau a me autism.
• ʻO nā loiloi e nā hui olakino nui āpau ma ʻAmelika Hui Pū ʻIa, Pelekane Nui, a me nā wahi ʻē aʻe i loaʻa AOHE LOA i waena o ka lāʻau MMR a me ka autism.
• ʻO ka noiʻi i hōʻike mua ʻia i ka makaʻu o ka autism mai kēia lāʻau lapaʻau ua hōʻoia ʻia he hoʻopunipuni.

Hoʻomaka mau nā ʻōuli o ka maʻi ʻula he 10 a 14 mau lā ma hope o ka hōʻike ʻana i ka maʻi. Kapa ʻia kēia ka wā hoʻouluulu.

ʻO Rash ka hōʻailona nui. ʻO ka huhū:

• ʻIke ʻia 3 a 5 mau lā ma hope o nā hōʻailona mua o ka maʻi
• Mei i hala 4 a 7 mau lā
• Hoʻomaka ka hoʻomaka ma ke poʻo a hohola i nā wahi ʻē aʻe, neʻe i lalo i ke kino
• ʻIke ʻia paha e like me nā pālahalaha, nā wahi i kala ʻia (macule) a paʻa, ʻulaʻula, wahi i hāpai ʻia (papules) a hui pū
• Pākuʻi

Hiki i nā ʻōuli ʻē aʻe ke:

• Maka maka koko
• Cough
• Fiva
• ʻIke māmā (photophobia)
• ʻEha ʻeha
• ʻO nā maka ʻulaʻula a me ka wela (conjunctivitis)
• Mū ihu
• Eha ka 'ā'ī
• Nā kiko keʻokeʻo liʻiliʻi i loko o ka waha (Nā kiko Koplik)

E hana ka mea mālama ola i kahi hoʻokolohua kino a nīnau e pili ana i nā ʻōuli. Hiki ke hana i ke kuhi ma ka nānā ʻana i ka hū a me ka ʻike ʻana i nā kiko Koplik i ka waha. I kekahi manawa paʻakikī ka wīwī e hōʻike pono kahi pono e hana i nā hoʻokolohua koko.

ʻAʻohe mālama pilikino no ka maʻi ʻula.

Hiki i ka mea aʻe ke hōʻoluʻolu i nā ʻōuli:

• Acetaminophen (Tylenol)
• Hoʻomaha moe
• ʻEa Humidified

Pono paha i kekahi mau keiki i nā huaora A, kahi e hōʻemi ai i ka make a me nā pilikia ma nā keiki ʻaʻole lawa ka lāʻau A.

ʻO ka poʻe i loaʻa ʻole nā ​​pilikia e like me ka pulumonia e hana maikaʻi loa.

Komo pū kekahi nā pilikia o ka maʻi ʻeha:

• Ka huhū a me ka pehu ʻana o nā ala nui e lawe i ka ea i nā akemāmā (bronchitis)
• Pohā
• Ka huhū a me ka pehu ʻana o ka lolo (encephalitis)
• Pākuʻi pepeiao (otitis media)
• Pulumonia

Kāhea i kāu mea hāʻawi inā loaʻa a loaʻa paha kāu keiki i nā ʻōuli o ka maʻi ʻula.

ʻO ka loaʻa ʻana o ka lāʻau lapaʻau he ala maikaʻi loa ia e pale aku ai i ka maʻi ʻula. ʻO ka poʻe i pale ʻole i ka pale, a i ʻole i loaʻa ka piha o ka pale ʻana, hiki i ka maʻi nui ke hopu i ka maʻi inā hōʻike lākou.

Lawe ka serum immune globulin ma loko o 6 mau lā ma hope o ka hōʻike ʻia ʻana i ka maʻi virus hiki ke hoʻēmi i ka makaʻu o ka hoʻomohala ʻana i ka maʻi ʻula a hōʻemi i ka maʻi.

Rubeola

• Nā anahi, nā kiko Koplik - kokoke
• Ana ma ke kua
• Nā Antibodies

Nā kikowaena no ka pūnaewele Disease Control a me Prevent. Pākuʻi (rubeola). www.cdc.gov/measles/index.html. Hoʻohou Nowemapa 5, 2020. Loaʻa iā Nowemapa 6, 2020.

Cherry JD, Lugo D. ʻO ka maʻi virus. 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 180.

ʻO Maldonado YA, ʻo Shetty AK. ʻO ka virus Rubeola: measles a me subacute sclerosing panencephalitis. 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 227.