Maʻi puʻupuʻu

ʻO ka moa moa kahi maʻi viral i loko o ke kanaka e hoʻomōhala ai i nā palapū huehue a puni ka kino. ʻOi aku ka maʻamau i ka wā ma mua. ʻAʻohe loa ka maʻi i kēia lā ma muli o ka lāʻau lapaʻau o ka moa.

Hoʻokumu ʻia ka moa moa e ka maʻi varicella-zoster. He lālā ia o ka ʻohana herpesvirus. Hoʻokumu pū ka virus like i nā shingles i nā mākua.

Hiki ke pālahalaha maʻalahi ʻia ka moa moa i nā poʻe ʻē aʻe mai 1 a i 2 mau lā ma mua o ka pā ʻana o nā pā. Loaʻa paha ʻoe i ka ʻāpana moa:

• Mai ka hoʻopā ʻana i nā wai mai kahi blister chickenpox
• Inā kū ka wai me ka maʻi a hiʻu paha kokoke iā ʻoe

ʻO ka nui o nā hihia o ka moa moa i nā keiki ʻōpio ma mua o ka makahiki 10. Maʻalahi pinepine ka maʻi, ʻoiai e loaʻa nā pilikia koʻikoʻi. ʻOi aku ka maʻi o nā mākua a me nā keiki makua ma mua o nā keiki liʻiliʻi i ka nui o nā hihia.

ʻO nā keiki i loaʻa i nā makuwahine i ka maʻi puʻupuʻu a i ʻole i loaʻa i ka lāʻau lapaʻau kūpona ʻaʻole paha e hopu ʻia ia ma mua o ka piha ʻana o ka makahiki 1. Inā hopu lākou i ka moa moa, loaʻa pinepine lākou i nā hihia maʻalahi. ʻO kēia no ka mea kōkua nā antibodies mai ke koko o ko lākou makuahine i pale iā lākou. ʻO nā keiki ma lalo o 1 mau makahiki nona ka makuahine i loaʻa ʻole ka maʻi puʻupuʻu a i ʻole hiki i ka lāʻau lapaʻau ke loaʻa i ka moa moa nui.

ʻOi aku ka maʻamau o nā ʻōuli mai ka moa ka nui ma nā keiki nona ka ʻōnaehana pale ʻole.

ʻO ka hapa nui o nā keiki me ka maʻi puʻupuʻu i mau hōʻailona aʻe ma mua o ka ʻike ʻia ʻana o ka ʻino.

• Fiva
• ʻEha poʻo
• Eha ka' ōpū

Hoʻopili ka pīpī moa ma kahi o 10 a 21 mau lā ma hope o ka launa ʻana me kekahi i loaʻa i ka maʻi. I ka hapanui o nā hihia, hoʻomōhala kahi keiki i ka 250 a i ka 500 mau puʻupuʻu liʻiliʻi, aniani, piha i ka wai ma luna o nā ʻulaʻula ma ka ʻili.

• ʻIke pinepine ʻia nā palapū ma ka maka, waena o ke kino, a i ʻole poʻo poʻo.
• Ma hope o hoʻokahi lā a ʻelua paha, lilo ke ʻōpua i ao a laila pehu. I kēia manawa, hoʻokumu i nā palapū hou i nā hui. Hōʻike pinepine lākou i ka waha, i ka lua, a me nā lihilihi.
• ʻO nā keiki me nā pilikia o ka ʻili, e like me ka eczema, loaʻa paha he mau tausani pāhū.

ʻAʻole e waiho ka hapa nui o ka pox i nā scars ke ʻole lākou e maʻi ʻia me nā koʻohune mai ka wili ʻana.

ʻO kekahi mau keiki i loaʻa ka lāʻau lapaʻau e hoʻomohala mau i kahi hihia māmā o ka moa. I ka hapanui o nā hihia, ola wikiwiki lākou a he mau poxes wale nō (ma lalo o 30). ʻOi aku ka paʻakikī o kēia mau hihia e ʻike pono. Eia nō naʻe, hiki i kēia mau keiki ke hoʻolaha mau i ka moa kaʻi i nā poʻe ʻē aʻe.

Hiki i kāu mea mālama ola ke hōʻoia pinepine i ka maʻi moa ma ka nānā ʻana i ka hū a me ka nīnau ʻana i nā nīnau e pili ana i ka moʻaukala o kēlā kanaka. ʻO nā palapū liʻiliʻi ma ka ʻili poʻo e hōʻoia i ka hōʻoia ma ka hapanui o nā hihia.

Hiki i nā hoʻokolohua lab ke kōkua i ka hōʻoia ʻana i ka hōʻailona, ​​inā pono.

Hoʻopili ka mālama ʻana i ka mālama ʻana i ke kanaka e like me ka ʻoluʻolu i hiki. Eia nā mea e hoʻāʻo ai:

• Hōʻalo i ka ʻili ʻana a i ʻole ka ʻānai ʻana i nā wahi ʻeha. E mālama pōkole i nā manamana lima e hōʻole i ka ʻili ʻana i ka ʻili.
• E komo i nā kapa moe anuanu, māmā, a ʻole. Hōʻalo i ka hoʻokomo ʻana i nā lole ʻinoʻino, ʻo ka hulu hipa, ma kahi ʻāpana kikī.
• E ʻauʻau mehana me ka hoʻohana ʻana i ke kopa liʻiliʻi a holoi pono. E hoʻāʻo i kahi oatmeal hoʻoluʻolu ʻili a i ʻole ʻauʻau kulina.
• E noi i kahi mea hoʻoluʻolu ma hope o ka ʻauʻau ʻana e palupalu a hoʻoluʻolu i ka ʻili.
• Hōʻalo i ka hoʻolōʻihi ʻana i ka wela a me ka momona.
• E hoʻāʻo i nā antihistamin oral e like me diphenhydramine (Benadryl), akā e makaʻala i nā hopena ʻē aʻe e like me ka hiamoe.
• E hoʻāʻo i ka holika hydrocortisone over-the-counter ma nā wahi nalu.

Loaʻa nā lāʻau e hakakā ai i ka maʻi hoʻomaʻi moa, akā ʻaʻole hāʻawi ʻia i nā mea āpau. E hana pono, pono e hoʻomaka ka lāʻau i loko o nā hola he 24 mua o ka hū.

• ʻAʻole kuhikuhi pinepine ʻia nā lāʻau Antiviral i nā keiki olakino ʻole i loaʻa ʻole nā ​​ʻōuli koʻikoʻi. Hiki i nā mākua a me nā ʻōpio, ka makaʻu no nā ʻōuli ʻoi loa, ke loaʻa ke kōkua mai ka lāʻau antiviral inā hāʻawi wawe ʻia.
• He mea nui paha ka lāʻau anttiviral no ka poʻe i loaʻa ka ʻili (e like me ka eczema a i ʻole ka sunburn), nā kūlana māmā (e like me ka hānō), a i ʻole i lawe i nā steroid.
• Hāʻawi kekahi mau mea hāʻawi i nā lāʻau antiviral i ka poʻe i ka hale like e hoʻomohala pū i ka moa, no ka mea e hoʻomohala pinepine lākou i nā hōʻailona ʻoi loa.

MAI hāʻawi i ka aspirin a i ʻole ibuprofen i kekahi i loaʻa i ka paukū. Hoʻohana ʻia ka aspirin me kahi ʻano koʻikoʻi i kapa ʻia ʻo Reye Syndrome. Ua pili ʻo Ibuprofen me nā maʻi ʻē aʻe ʻoi loa. Acetaminophen (Tylenol) hiki ke hoʻohana ʻia.

ʻAʻole pono ke keiki me ka ʻūhū e hoʻi i ke kula a pāʻani paha me nā keiki ʻē aʻe a hiki i ka pau ʻana o ka ʻeha moa a maloʻo paha. Pono nā mākua e hāhai i kēia lula like ʻoiai e noʻonoʻo ana i ka wā e hoʻi ai i ka hana a i ʻole puni ka poʻe ʻē aʻe.

I ka hapanui o nā hihia, ola ke kanaka me ka ʻole o nā pilikia.

I ka manawa āu i loaʻa ai i ka paukū, noho mau ka maʻi ma ka hiamoe a hiamoe paha i kou kino no kou ola. Ma kahi o 1 o 10 mau mākua e loaʻa i nā shingles ke kū hou ka maʻi virus i kahi manawa o ke koʻikoʻi.

ʻAʻohe ka loaʻa ʻana o ka maʻi o ka lolo. Hiki i nā pilikia ʻē aʻe ke:

• Reye maʻi maʻi
• ʻO ka maʻi o ka puʻuwai puʻuwai
• Pulumonia
• ʻEha hui a pehu paha

Hiki ke ʻike ʻia ʻo Cerebellar ataxia i ka wā o ka hoʻōla a i ʻole ma hope. Pili kēia i kahi hele wāwae paʻa ʻole.

ʻO nā wahine i loaʻa i ka paukū i ka wā hāpai hiki ke hoʻoili i ka maʻi i ka pēpē e ulu ana. Kūpono paha nā keiki hānau hou no ka maʻi ʻino loa.

Kāhea i kāu mea hāʻawi inā manaʻo ʻoe he maʻi puʻuwai kāu keiki a i ʻole inā ʻoi aku ma mua o 12 mau makahiki o kāu keiki a ʻaʻole i hāʻawi ʻia i lāʻau lapaʻau e pili ana i ka moa.

Ma muli o ka lele ʻana o ka moa kaʻi moa a pālahalaha maʻalahi ma mua o ka ʻike ʻia ʻana o ka ʻino, paʻakikī e hōʻalo.

ʻO kahi lāʻau āpau e pale aku ai i ka moa moa kahi ʻāpana o ka papa hana hoʻomaʻamaʻa maʻamau a ke keiki.

Pale pinepine ka lāʻau lapaʻau i ka maʻi maʻi moa a i ʻole hoʻomāmā loa i ka maʻi.

E kamaʻilio i kāu mea hāʻawi inā manaʻo ʻoe e makaʻala nui paha kāu keiki i nā pilikia a ua hōʻike ʻia. ʻO ka lawe ʻana i nā ʻanuʻu pale i ka manawa koke he mea nui paha. ʻO ka hāʻawi ʻana i ka lāʻau āpau ma mua o ka hōʻike ʻana e hōʻemi paha i ka nui o ka maʻi.

Varicella; Maʻi puʻupuʻu

• Pipi moa - lesion ma ka wāwae
• Maʻi puʻupuʻu
• Pipi moa - nā lehelehe ma ka umauma
• Pīpī, pahū huakea - ka umauma x-ray
• Pīkini - pani-mai

Nā kikowaena no ka pūnaewele Disease Control a me Prevent. ʻLelo hoʻākāka Vaccine. ʻO ka lāʻau lapaʻau www.cdc.gov/vaccines/hcp/vis/vis-statements/varicella.pdf. Hoʻohou i ʻAukake 15, 2019. Loaʻa iā Kepakemapa 5, 2019.

LaRussa PS, Marin M, Gershon AA. ʻO ka maʻi hoʻomaʻemaʻe Varicella-zoster. 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 280.

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.

Hoʻohana kēia ʻatikala i ka ʻike ma ka ʻae mai iā Alan Greene, M.D., © Greene Ink, Inc.