Rubella hānau
ʻO ka rubella Congenital kahi kumu i kū i loko o kahi pēpē nona ka maʻi i loaʻa i ka maʻi maʻi i loaʻa i ka maʻi ʻānai Kelemania. ʻO ke kumu o ka hānau aia aia ke ʻano i ka wā hānau.
Hana ʻia ka rubella congenital ke hoʻopili ka maʻi virus rubella i ka makuahine i ka pēpē ulu i nā mahina 3 mua o ka hāpai ʻana. Ma hope o ka hā o ka mahina, inā loaʻa ka māku o ka makuahine i ka maʻi kōpala, e liʻiliʻi ia e hōʻeha i ka pēpē e ulu ana.
ʻOi aku ka liʻiliʻi o ka nui o nā pēpē i hānau ʻia me kēia ʻano mai ka hoʻomohala ʻia ʻana o ka lāʻau koʻokoʻo rubella.
Kūpono nā wahine hāpai a me kā lākou mau pēpē i hānau ʻole inā:
- ʻAʻole lākou i lāʻau lapaʻau no ka rubella
- ʻAʻohe o lākou maʻi i ka wā ma mua
Pākuʻi ʻia paha nā ʻōuli o ke pēpē:
- ʻO nā kole ao a keʻokeʻo paha o ka haumāna
- Kuli ke kuli
- Hoʻolālā hoʻomohala
- Ka hiamoe nui loa
- Huhū
- Kaumaha hānau haʻahaʻa
- Ma lalo o ka awelika o ka noʻonoʻo ʻana (ke kīnā o ka ʻike)
- Ka hopu ʻana i nā maʻi
- Nui poʻo poʻo
- ʻEleʻele kaʻili i ka wā hānau
E holo ka mea mālama ola o ke pēpē i nā hoʻokolohua koko a me ka mimi e nānā i ka maʻi.
ʻAʻohe mālama pilikino no ka rubella hānau. Hoʻomanaʻo ʻia ka lapaʻau ʻana.
ʻO ka hopena no ke keiki me ka rubella hānau e pili ana i ka nui o nā pilikia. Hiki ke hoʻoponopono pinepine ʻia nā kīnā o ka puʻuwai. Paʻa ka hōʻino i ka ʻōnaehana hopohopo.
Pili paha nā pilikia i nā ʻāpana o ke kino.
MATA:
- Ke aniani o nā aniani o ka maka (cataract)
- Poino i ke aʻalolo optic (glaucoma)
- Ka hōʻino o ka retina (retinopathy)
PUʻUWAI:
- ʻO kahi kīʻaha koko e pani pinepine ma hope koke o ka hānau ʻana e hāmama (patent ductus arteriosus)
- Hoʻopili ʻia o ke aʻa nui e hāʻawi i ke koko momona o ka oxygen i ka puʻuwai (stenosis pulmonary artery)
- Nā kīnā naʻau ʻē aʻe
ʻSTLĀ Pūnaewele NUIUWA:
- Kīnā ʻole o ka noʻonoʻo
- Ka paʻakikī me ka neʻe ʻana o ke kino (ke kīnā o ke kaʻa)
- ʻO ke poʻo liʻiliʻi mai ka ulu ʻana o ka lolo maikaʻi ʻole
- Maʻi maʻiʻaʻai (encephalitis)
- ʻO ka maʻi o ke kolamu spinal a me nā mea a puni ka lolo (meningitis)
ʻ aʻe:
- Kuli ke kuli
- Helu platelet haʻahaʻa
- Hoʻonui i ke ake a me nā ʻāpala
- Kahi leo mākala maʻamau
- Maʻi maʻi iwi
Kāhea i kāu mea hāʻawi inā:
- He hopohopo kāu e pili ana i ka rubella hānau.
- ʻAʻole ʻoe kānalua inā ua loaʻa iā ʻoe ka lāʻau koʻokoʻo rubella.
- Pono ʻoe a i ʻole nā keiki i kahi lāʻau koʻokoʻo rubella.
Hiki i ka pale ʻana ma mua o ka hāpai ʻana ke pale i kēia ʻano. ʻO nā wahine hāpai ʻole i loaʻa ka lāʻau lapaʻau, pono lākou e hōʻalo i ka launa pū ʻana me ka poʻe i loaʻa ka maʻi maʻi rubella.
- ʻO Rubella ma ke kua o kahi pēpē
- Rubella maʻi
ʻO Gershon AA. ʻO ka maʻi virus Rubella (ʻāpana German). 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 152.
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.
Papa Moana SE. ʻO Rubella (ʻ Germanlepa German). I Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 344.