Nā lāʻau āpau mua a kāu keiki
Lawe ʻia nā ʻike āpau ma lalo holoʻokoʻa mai nā Centers for Disease Control and Prevent (CDC) Kākoʻo o ka hōʻike hōʻike ʻike vaccine (VIS) a kāu keiki ma mua: www.cdc.gov/vaccines/hcp/vis/vis-statements/multi.html. ʻAoʻao ʻaoʻao hope loa: ʻApelila 1, 2020.
KA MEA E IKE AI
Hāʻawi ʻia nā lāʻau ākea ma kēia ʻōlelo i ka manawa like i ka wā pēpē a me ke keiki kamaliʻi. Aia kekahi mau ʻōlelo ʻokoʻa no ka lāʻau lapaʻau no nā lāʻau āpau ʻē aʻe e koi pinepine ʻia no nā keiki ʻōpio (measles, mumps, rubella, varicella, rotavirus, influenza, and hepatitis A).
Ke loaʻa nei i kāu keiki kēia mau lāʻau lapaʻau i kēia lā:
[] DTaP
[] Hib
Hepatitis B
[] Polio
[] PCV13
(Mea hāʻawi: Nānā i nā pahu kūpono)
1. No ke aha e vaccine ai?
Hiki i nā maʻi koʻokoʻo ke pale aku i ka maʻi. ʻO ka hapa nui o nā maʻi hiki ke pale ʻia i ka lāʻau lapaʻau ʻoi aku ka liʻiliʻi ma mua o ka wā ma mua, akā ʻo kekahi o kēia mau maʻi e kū nei ma United States. Ke hōʻemi ʻia nā pēpē liʻiliʻi, nui ka maʻi o nā pēpē.
ʻO Diphtheria, tetanus, a me pertussis
Hiki i ka Diphtheria (D) ke alakaʻi i ka hanu paʻakikī, ka maikaʻi ʻole o ka puʻuwai, ka lōlō, a me ka make.
Hoʻokumu ʻo Tetanus (T) i ka ʻehaʻeha o nā mākala. Hiki iā Tetanus ke alakaʻi i nā pilikia olakino koʻikoʻi, me ka hiki ʻole ke hāmama i ka waha, pilikia i ka ale ʻana a me ka hanu ʻana, a i ʻole ka make.
ʻO Pertussis (aP), a i ʻike ʻia ma ke ʻano he "kohā wai," hiki ke hoʻonāukiuki ʻole, ka huehue ikaika a paʻakikī hoʻi e hanu, ʻai, a inu paha. Hiki ke koʻikoʻi loa ʻo Pertussis i nā pēpē a me nā keiki ʻōpio, e hōʻeha ana i ka niumonia, nā haunaele, nā ʻeha o ka lolo, a i ʻole ka make. I nā ʻōpio a me nā mākua, hiki iā ia ke kumu i ka pohō o ke kaupaona, ka nalo ʻana o ke kaohi o ka maʻi ʻaʻa, ka hala ʻana, a me nā haki iwi ʻaoʻao mai ka ʻeha nui.
Hib (Haemophilus influenzae type b) maʻi
Hiki i ka haemophilus influenzae type b ke hana i nā ʻano maʻi like ʻole. Hoʻopili pinepine kēia mau maʻi i nā keiki ma lalo o 5 mau makahiki. Hiki i nā bacteria bacteria ke kumu i nā maʻi ʻoluʻolu, e like me nā maʻi pepeiao a i ʻole bronchitis, a i ʻole hiki iā lākou ke kumu i nā maʻi ʻino, e like me nā maʻi o ke kahe o ke koko. Pono ka maʻi ʻoi loa Hib i ka mālama ʻana i ka haukapila a hiki i kekahi manawa ke make.
Hepatitis B
He maʻi ate ka Hepatitis B. ʻO ka maʻi hepatitis B koʻikoʻi he maʻi maʻi pōkole e hiki ai i ke kuni, ka luhi, ka nele i ka makemake, kahoʻi, ka luaʻi, ka maʻi ʻōmaʻomaʻo (ka ʻili melemele a i ʻole nā maka, ka mimi ʻeleʻele, nā ʻōpala o ka ʻōpala i hana ʻia me ka pālolo), a me ka ʻeha o nā mākala, nā hono. , a me ka ʻōpū. ʻO ka maʻi hepatitis B maʻi mau loa ka maʻi lōʻihi loa a hiki ke hōʻeha i ka ate (cirrhosis), maʻi ʻaʻai ate, a me ka make.
Polio
Hoʻokumu ʻia ka polio e ka poliovirus. ʻO ka hapa nui o ka poʻe i loaʻa i ka poliovirus ʻaʻohe o lākou hōʻailona, akā ʻike kekahi poʻe i ka ʻāʻī, ke kuni, ka luhi, ka ʻeha, ka maʻi poʻo, a me ka ʻeha o ka ʻōpū. E hoʻomohala kahi hui liʻiliʻi o nā poʻe i nā hōʻailona koʻikoʻi e pili ana i ka lolo a me ka iwi kuamoo. I nā hihia koʻikoʻi loa, hiki i ka polio ke hoʻonā i ka nāwaliwali a me ka palalysis (ke hiki ʻole i kahi kanaka ke neʻe i nā ʻāpana o ke kino) i hiki ke alakaʻi i ke kīnā mau a, i nā manawa maʻamau, ka make.
Maʻi maʻi pneumococcal
ʻO ka maʻi pneumococcal kekahi maʻi i hoʻokumu ʻia e nā koʻohune pneumococcal. Hiki i kēia mau koʻohune ke hana i ka pulumonia (maʻi o nā akemāmā), nā maʻi pepeiao, nā maʻi sinus, meningitis (maʻi o ke kino e uhi ana i ka lolo a me ka iwi kuamoʻo), a me ka maʻi bacteria (kahe o ke koko). Akahai ka hapa nui o nā maʻi pneumococcal, akā hiki i kekahi ke hopena i nā pilikia lōʻihi, e like me ka lolo a me ka nalo ʻana o ka pepeiao. ʻO ka meningitis, bacteremia, a me ka pulumonia i hoʻokumu ʻia e ka maʻi pneumococcal hiki ke make.
2. ʻO DTaP, Hib, hepatitis B, polio, a me nā lāʻau kūpale pneumococcal conjugate
Nā pēpē a me nā keiki maʻamau pono:
- 5 mau mahele o diphtheria, tetanus, a me acellular pertussis vaccine (DTaP)
- 3 a i ʻole 4 mau lāʻau o ka lāʻau koʻokoʻo Hib
- 3 mau mahele o ka lāʻau hoʻomaʻi hepatitis B
- 4 mau kiʻina o ka lāʻau lapaʻau polio
- 4 mau kiʻina o ka lāʻau lapaʻau conjugate pneumococcal (PCV13)
Pono paha kekahi mau keiki i ka ʻoi aku a ʻoi aku paha ma mua o ka helu maʻamau o nā ʻāpana o kekahi mau lāʻau āpau e pale pono ʻia no ko lākou mau makahiki i ka wīwī a i ʻole nā hanana ʻē aʻe.
ʻO nā keiki, nā ʻōpio, a me nā mākua me nā kūlana olakino a i ʻole nā mea ʻē aʻe e koi ʻia e loaʻa iā 1 a ʻoi paha nā kaha o kekahi o kēia mau lāʻau āpau.
Hāʻawi ʻia kēia mau lāʻau lapaʻau i lāʻau lapaʻau kū hoʻokahi, a i ʻole mahele o ka lāʻau hoʻohui hoʻohui (kahi ʻano o nā lāʻau āpau e hui pū i nā lāʻau āpau ma mua o hoʻokahi pana).
3. E kamaʻilio me kāu mea mālama ola
E haʻi i kāu mea hāʻawi lāʻau inā loaʻa ke keiki i ka lāʻau lapaʻau.
No nā lāʻau āpau:
- Ua loaʻa he hopena hopena ma hope o ka mahele lāʻau o ka lāʻau āpau, a i ʻole loaʻa kekahi ʻino nui, hoʻoweliweli ola.
No DTaP:
- Ua loaʻa he hopena hopena ma hope o ka mahele lāʻau mua o nā lāʻau āpau e pale aku ai i ka tetanus, diphtheria, a i ʻole pertussis.
- Ua loaʻa kahi coma, hoʻemi i ka pae o ka ʻike, a i ʻole ka hopu ʻana i hoʻolōʻihi ʻia ma loko o 7 mau lā ma hope o kahi mahele lāʻau mua o nā lāʻau āpau pertussis (DTP a i ʻole DTaP).
- Ua ka hopu ʻana a i ʻole pilikia pilikia ʻōnaehana.
- Ua loaʻa ʻO Guillain-Barré Syndrome (i kapa ʻia ʻo GBS).
- Ua loaʻa ʻeha nui a ʻōhū paha ma hope o kahi mahele lāʻau o nā lāʻau āpau e pale aku ai i ka tetanus a i ʻole diphtheria.
No PCV13:
- Ua loaʻa he aka hopena llergic ma hope o ka mahele lāʻau mua o PCV13, i kahi lāʻau hoʻomaʻi conjugate pneumococcal ma mua i ʻike ʻia ʻo PCV7, a i ʻole i kekahi lāʻau i loaʻa i ka diphtheria toxoid (ʻo kahi laʻana, DTaP).
I kekahi mau hihia, hoʻoholo paha ka mea mālama ola o kāu keiki e hoʻopanee i ka lāʻau lapaʻau i kahi kipa e hiki mai ana.
ʻO nā keiki me nā maʻi liʻiliʻi, e like me ke anuanu, e kūpuna ʻia. ʻO nā kamaliʻi kūpono ʻole a maʻi nui paha e kali a hiki i ke ola ʻana ma mua o ka lāʻau ʻana.
Hiki i ke kahu mālama ola o kāu keiki ke hāʻawi iā ʻoe i ka ʻike hou aku.
4. Nā Pilikia o kahi Laʻau Lāʻau
No ka lāʻau koʻokoʻo DTaP:
- ʻO ke ʻeha a me ka pehu kahi i hāʻawi ʻia ai ke kī, fever, fussiness, luhi, nalowale o ka makemake, a me ka luaʻi i kekahi manawa ma hope o DTaP vaccination.
- ʻO nā hopena koʻikoʻi hou aʻe, e like me ka hopu ʻana, uē kū ʻole no 3 mau hola a ʻoi paha, a i ʻole ke kuni kiʻekiʻe (ma kahi o 105 ° F a 40.5 ° C) ma hope o ka hana pinepine ʻana o ka lāʻau DTaP. Kākaʻikahi ka ukali o ka lāʻau lapaʻau ma muli o ka pehu ʻana o ka lima a me ka wāwae āpau, keu hoʻi i nā keiki makua ke loaʻa ka hapa ʻehā a ʻelima paha o ka lāʻau.
- Kākaʻikahi loa ka hopu ʻana o ka wā lōʻihi, ke koma, ka hoʻohaʻahaʻa hoʻohaʻahaʻa ʻia ʻana, a i ʻole ka poino o ka lolo paʻa mau paha ma hope o ka wī ʻana iā DTaP.
No ka lāʻau koʻokoʻo Hib:
- ʻUlaʻula, mehana, a me ka pehu ma kahi i hāʻawi ʻia ai ke kī ʻana, a hiki ke kuni ma hope o ka lāʻau koʻokoʻo Hib.
No ka lāʻau hoʻomaʻi hepatitis B:
- ʻO ke ʻeha kahi e hāʻawi ʻia ai ke kī ʻana a i ʻole ke kuni paha ma hope o ka lāʻau hoʻomaʻi hepatitis B.
No ka lāʻau lapaʻau polio:
- ʻO kahi ʻeha me ka ʻulaʻula, pehu, a i ʻole ʻeha kahi e hāʻawi ʻia ai ke kī ʻana hiki ke hana ma hope o ka lāʻau polio.
No PCV13:
- ʻO ka ʻulaʻula, ka pehu ʻana, ʻeha, a palupalu paha kahi e hāʻawi ʻia ai ke kī, a me ke kuni, ka nele o ka makemake, ka pīhoihoi, ka luhi, ka maʻi poʻo, a me nā haʻalulu ma hope o PCV13.
- Hiki paha i nā keiki ʻōpio ke hoʻonui i ka makaʻu no ka hopu ʻana i ka mai fiva ma hope o PCV13 inā lawelawe ʻia ia i ka manawa like me ka lāʻau lapaʻau influenza inactivated. E noi i kāu mea mālama ola no ka ʻike hou aku.
E like me nā lāʻau lapaʻau, aia kahi manawa mamao loa o kahi lāʻau āpau e hoʻoulu ai i kahi hopena maʻi ʻeha, ʻeha ʻeha ʻē aʻe, a i ʻole make.
5. He aha inā inā loaʻa kahi pilikia koʻikoʻi?
Hiki ke hana i kahi hopena āpau ma hope o ka haʻalele ʻana o ka mea lāʻau vaccine i ke keʻena lāʻau. Inā ʻike ʻoe i nā hōʻailona o ka hopena maʻi ʻino nui (hives, pehu o ka maka a me ka ʻāʻī, paʻakikī i ka hanu ʻana, ka puʻuwai wikiwiki, ʻōpō, a nāwaliwali paha), kāhea iā 9-1-1 a kiʻi i ke kanaka i kahi haukapila kokoke.
No nā hōʻailona ʻē aʻe e pili ana iā ʻoe, e kāhea i kāu mea mālama ola.
Pono e hōʻike i nā hopena maikaʻi ʻole i ka ʻōnaehana hōʻike hōʻike hewa ʻo Vaccine (VAERS). E faila maʻamau kāu mea mālama ola i kēia hōʻike, a i ʻole hiki iā ʻoe ke hana iā ʻoe iho. E kipa i ka pūnaewele ʻo VAERS ma vaers.hhs.gov a kāhea paha 1-800-822-7967. ʻO VAERS wale nō no ka hōʻike ʻana i nā hopena, a ʻaʻole hāʻawi nā limahana ʻo VAERS i nā ʻōlelo aʻoaʻo olakino.
6. ʻO ka Polokalamu Hoʻolaha ʻĀina Manuahi
He papahana pekelala ka National Vaccine Injury Comprehensive Program (VICP) i hana ʻia e uku i ka poʻe i hōʻeha ʻia e kekahi mau lāʻau lapaʻau. E kipa i ka pūnaewele VICP ma www.hrsa.gov/vaccine-compensation/index.html a kāhea paha 1-800-338-2382 e aʻo e pili ana i ka papahana a me ka faila ʻana i kahi hoʻopiʻi. Aia kahi manawa palena e faila i kahi hoʻopiʻi no ka uku.
7. Pehea e hiki ai iaʻu ke aʻo hou?
- E noi i kāu mea mālama ola.
- Kāhea aku i kāu ʻoihana olakino kūloko a i ʻole mokuʻāina.
Kāhea aku i nā kikowaena no ka mālama ʻana i ka maʻi a me ka Kāohi (CDC):
- Kāhea 1-800-232-4636 (1-800-CDC-INFO)
- E kipa aku i kā CDC pūnaewele ma www.cdc.gov/vaccines/index.html
Nā kikowaena no ka pūnaewele Disease Control a me Prevent.Nā ʻōlelo ʻike Vaccine (VIS): Nā lāʻau āpau mua a kāu keiki. www.cdc.gov/vaccines/hcp/vis/vis-statements/multi.html. Hoʻohou ʻia ʻApelila 1, 2020. Loaʻa iā ʻApelila 2, 2020.