ʻO Rubella

ʻO Rubella, ka mea i ʻike ʻia ma nā ʻāpana Kelemānia, he maʻi ia e ʻeha ai ka ʻili.

ʻO ka rubella hānau ke hāʻawi ka wahine hāpai me ka rubella iā ia i ka pēpē i loko o kāna ʻōpū.

Hoʻokumu ʻia ʻo Rubella e kahi maʻi i pālahalaha ʻia ma o ka ea a i ʻole ka pili kokoke.

Hiki i kekahi kanaka me ka rubella ke hoʻolaha i ka maʻi i nā poʻe ʻē aʻe mai 1 pule ma mua o ka hoʻomaka ʻana o ka ʻōpala, a 1 a 2 mau pule ma hope o ka nalo ʻana o ka ʻino.

Ma muli o ka hāʻawi ʻia ʻana o ka lāʻau vaccine measles-mumps-rubella (MMR) i ka hapa nui o nā keiki, ʻoi aku ka liʻiliʻi o ka rubella i kēia manawa. ʻAneʻane i kēlā me kēia mea i loaʻa ka lāʻau lapaʻau i ka pale o rubella. ʻO ka palekana ka mea i kūkulu ai kou kino i pale no ka maʻi rubella.

I kekahi mau mākua, pau paha ka lāʻau lapaʻau. ʻO kēia ka mea ʻaʻole lākou i pale piha. Hiki i nā wahine i hāpai a me nā mākua ʻē aʻe ke kiʻi ʻia i ka pana booster.

ʻO nā keiki a me nā mākua i hana ʻole ʻole i ka lāʻau ʻaila rubella e loaʻa paha i kēia maʻi.

ʻO nā kamaliʻi he mau ʻōuli. Loaʻa paha i nā mākua ke kuni, ka maʻi poʻo, ka hōʻoluʻolu maʻamau (malaise), a me ka ihu ihu ma mua o ka puka ʻana o ka ʻino. ʻAʻole paha lākou e ʻike i nā ʻōuli.

Hiki i nā ʻōuli ʻē aʻe ke:

• Bruising (laha ʻole)
• Hoʻonāukiuki o nā maka (maka maka koko)
• Ka ʻeha a ʻeha pū paha

Hiki ke hoʻouna ʻia i kahi ihu a i ʻole ka ʻaʻā poʻo no ka moʻomeheu.

Hiki ke hana i kahi hōʻoia koko e ʻike inā pale ʻia kahi kanaka i ka rubella. Pono nā wahine āpau e hāpai i kēia hōʻoia. Inā maikaʻi ʻole ka hoʻāʻo, e loaʻa iā lākou ka lāʻau āpau.

ʻAʻohe lāʻau lapaʻau no kēia maʻi.

Hiki ke kōkua i ka lawe ʻana i ka acetaminophen e hōʻemi i ke kuni.

Hiki ke mālama ʻia nā kīnā e kū ʻia me ka maʻi rubella congenital.

ʻO Rubella ka maʻi pinepine.

Ma hope o kahi maʻi, loaʻa ka palekana o nā kānaka i ka maʻi no ko lākou koena o ko lākou ola.

Hiki i nā pilikia ke hana i loko o ka pēpē i hānau ʻole inā maʻi ʻia ka makuahine i ka wā hāpai. Hiki i kahi hānau hānau a hānau hānau paha paha. Hānau ʻia paha ke keiki me nā kīnā o ka hānau ʻana.

Kāhea i kāu kahu mālama ola inā:

• He wahine ʻoe o ka wā hānau keiki a kānalua ʻole inā ua loaʻa nā lāʻau iā ʻoe i ka rubella
• Hoʻokumu ʻoe a i ʻole paha i kāu keiki i kahi maʻi ʻeha nui, ʻāʻī ʻoʻoleʻa, ʻeha pepeiao, a i ʻole nā ​​pilikia ʻike i ka wā ma hope o kahi hihia o rubella
• Pono ʻoe a i ʻole paha e loaʻa i kāu keiki ka lāʻau MMR (vaccine)

Aia kahi lāʻau palekana palekana a maikaʻi e pale aku ai i ka rubella. Paipai ʻia ka lāʻau lapaʻau rubella no nā keiki āpau. Hāʻawi pinepine ʻia ia inā he 12 a 15 mau makahiki nā keiki, akā hāʻawi ʻia i kekahi manawa ma mua i ka wā o nā maʻi maʻi. Hāʻawi pinepine ʻia kahi lāʻau hoʻomaʻamaʻa ʻelua (booster) i nā keiki mai ka makahiki 4 a hiki i ka 6. MMR kahi lāʻau i hoʻohui ʻia e pale aku ai i ka maʻi ʻula, nā puʻupuʻu, a me ka rubella.

ʻO nā wahine o nā makahiki hānau keiki i nā manawa pinepine i kahi hoʻokolohua koko e ʻike ai inā he palekana ko lākou i ka rubella. Inā pale ʻole lākou, pono nā wahine e hōʻalo i ka hāpai ʻana no 28 mau lā ma hope o ka loaʻa ʻana o ka lāʻau lapaʻau.

ʻO nā mea pono ʻole e huikau pū me:

• Nā wahine hāpai.
• ʻO ka mea nona ka ʻōnaehana pale maʻi e ka maʻi ʻaʻai, nā lāʻau corticosteroid, a i ʻole ka mālama radiation.

Mālama nui ʻia ʻaʻole e hāʻawi i ka lāʻau lapaʻau i ka wahine i hāpai mua. Eia nō naʻe, i nā hanana kakaʻī ke hana ʻia nā wahine hāpai i nā lāʻau lapaʻau, ʻaʻohe pilikia i ʻike ʻia i loko o nā pēpē.

ʻEkolu lā lapela; ʻ Germanlepa German

• ʻO Rubella ma ke kua o kahi pēpē
• ʻO Rubella
• Nā Antibodies

ʻO Mason WH, ʻo Gans HA. ʻO Rubella 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 274.

Michaels MG, Williams JV. Nā maʻi maʻi maʻi. 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 13.

Robinson CL, Bernstein H, Romero JR, Szilagyi P. Kōmike Aʻoaʻo e pili ana i nā hana Immunisation MMWR Morb Mortal Wkly Rep. 2019; 68 (5): 112-114. PMID: 30730870 www.ncbi.nlm.nih.gov/pubmed/30730870.