Hepatitis C - nā keiki

ʻO ka Hepatitis C i nā keiki ka mumū o ke ake o ke ake. Kū ʻia ia ma muli o ka maʻi me ka maʻi hepatitis C (HCV).

ʻO nā maʻi maʻi hepatitis maʻi ʻē aʻe e laʻa me ka hepatitis A a me ka hepatitis B.

Loaʻa paha i kahi keiki ka maʻi maʻi maʻi mai ka maʻi maʻi maʻi HCV, i ka manawa o ka hānau ʻana.

ʻAneʻane 6 o kēlā me kēia 100 pēpē i hānau ʻia i nā makuahine me ka maʻi HCV i loaʻa i ka maʻi hepatitis C. ʻAʻohe lāʻau e pale aku ai i ka maʻi hepitis C i ka wā hānau.

Hiki i nā ʻōpio a me nā ʻōpio ke loaʻa i ka maʻi HCV. Nui nā kumu o ka hepatitis C i nā ʻōpio, me:

• Hoʻopili ʻia me ke kui kele ma hope o ka hoʻohana ʻia e kekahi kanaka maʻi ʻo HCV
• Ke hui nei me ke koko o ke kanaka maʻi
• Ke hoʻohana nei i nā lāʻau lapaʻau o ke alanui
• Loaʻa ka pilina kolohe ʻole me kahi kanaka me HCV
• Ke kiʻi nei i nā peʻa a i ʻole acupuncture therapy me nā nila kolohe

ʻAʻole pālahalaha ka Hepatitis C mai ka hānai ʻana i ka waiū, hugging, honi ʻana, ʻūlū ʻana, a i ʻole ka ʻū ʻana.

Hoʻokumu nā ʻōuli i nā keiki ma kahi o 4 a 12 mau pule ma hope o ka maʻi. Inā hiki i ke kino ke hakakā me HCV, pau nā ʻōuli i loko o kekahi mau pule i 6 mau mahina. Kapa ʻia kēia ʻano he maʻi hepatitis C koʻikoʻi.

Eia nō naʻe, ʻaʻole pau kekahi mau keiki i ka HCV. Kapa ʻia kēia ʻano he maʻi hepatitis C mau.

ʻO ka hapa nui o nā keiki me ka hepatitis C (koʻikoʻi a i ʻole mau) ʻaʻole e hōʻike i kekahi ʻōuli a hiki i ka loaʻa ʻana o ka hōʻino o ke ake kiʻekiʻe. Inā kū nā ʻōuli, pili pū paha lākou:

• ʻEha ma ka ʻōpū luna pono
• Nā noho pālolo pālolo a i ʻole ʻulaʻula
• Mimi ʻeleʻele
• Ka luhi
• Fiva
• ʻIli melemele a me nā maka (jaundice)
• Loaʻa ka ʻai ʻole
• ʻO Nusea a me ka luaʻi

E hana ke kahu mālama ola o kāu keiki i nā hoʻokolohua koko e ʻike i ka HCV i ke koko. ʻElua mau ho'āʻo koko maʻamau ka:

• Enzyme immunoassay (EIA) e ʻike i ka maʻi hepitis C
• ʻIke ʻo Hepatitis C RNA e ana i nā pae o ka maʻi (viral load)

Pono nā pēpē i hānau ʻia i nā māku he hepatitis C-maikaʻi i ka hoʻāʻo ʻana ma 18 mau makahiki. ʻO kēia ka manawa e emi iho ai nā mea ʻino mai ka makuahine. I kēlā manawa, hōʻike maoli ka hōʻike i ke kūlana antibody o ka pēpē.

ʻO nā hōʻike aʻe e ʻike ai i ka hōʻino o ke ake mai ka hepatitis C:

• Pae Albumin
• Nā hoʻāʻo hana ate
• Prothrombin manawa
• ʻO ka biopsy ate
• ʻO ke ultrasound ʻōpū

Hōʻike kēia mau hoʻokolohua i ka maikaʻi o ka hana a kāu keiki.

ʻO ka pahuhopu nui o ka mālama ʻana i nā keiki e hōʻoluʻolu i nā ʻōuli a hōʻoki i ka maʻi mai ka laha ʻana. Inā loaʻa nā ʻōuli o kāu keiki, e ʻike pono i kāu keiki:

• Hoʻomaha nui
• Inu i nā wai he nui
• ʻAi i ka meaʻai olakino

ʻAʻole pono ka hepatitis C koʻikoʻi i kahi lapaʻau kūikawā. Eia nō naʻe, hiki i kāu keiki ke hoʻoili i ka maʻi i nā poʻe ʻē aʻe. Pono ʻoe e hana i nā hana e pale ai i ka maʻi ʻana mai ka laha ʻana.

Pono ka maʻi hepatitis C i ka lāʻau. ʻO ka pahuhopu o ka mālama ʻana e pale i nā pilikia.

Inā ʻaʻohe hōʻailona o ka maʻi HCV ma hope o 6 mau mahina, a laila ua ola pono kāu keiki. Eia nō naʻe, inā ulu kāu keiki i ka maʻi hepa hepatitis C mau, hiki ke kumu i ka maʻi akepau ma hope o ke ola.

Koi aku ka mea hāʻawi i kāu keiki i nā lāʻau antiviral no ka HCV mau. ʻO kēia mau lāʻau:

• Loaʻa nā hopena ʻē aʻe
• Maʻalahi e lawe
• Lawe ʻia e ka waha

ʻAʻole maopopo ke koho ʻana inā e hoʻohana i nā lāʻau i nā keiki no ka maʻi hepitis C. Nā lāʻau i hoʻohana ʻia, interferon a me ribavirin, halihali i nā hopena he nui a me kekahi mau pilikia. Ua ʻae ʻia nā lāʻau hou a ʻoi aku ka palekana no nā mākua, akā ʻaʻole naʻe no nā keiki. Paipai nā loea he nui e kali i ka mālama ʻana i ka HCV i nā keiki a ʻae ʻia kēia mau lāʻau hou no ka hoʻohana ʻana i nā keiki.

ʻAʻole pono i nā keiki ma mua o 3 mau makahiki i ka lāʻau. Hoʻoholo pinepine ka maʻi maʻi i kēia pae makahiki me ka ʻole o nā pilikia.

ʻO nā pilikia kūpono o ka hepatitis C:

• Kaʻu cirrhosis
• Kanesa maʻi ʻaʻai

Kū pinepine kēia mau pilikia i ka wā makua.

Kāhea i kāu mea hāʻawi inā loaʻa kāu keiki i nā ʻōuli o ka maʻi hepatitis C. Pono pū ʻoe e launa me kāu mea hāʻawi inā loaʻa ʻoe i ka maʻi hepitis C a hāpai.

ʻAʻohe lāʻau lapaʻau no ka maʻi hepatitis C. No laila, he mea nui ka pale ʻana i ka mālama ʻana i ka maʻi.

I loko o kahi home kahi e noho ai kekahi me ka maʻi hepitis C, e hana i kēia mau hana e pale ai i ka hoʻolaha ʻana o ka maʻi.

• Hōʻalo i ka pili me ke koko. E hoʻomaʻemaʻe i nā kahe o ke koko e hoʻohana ana i ka pāʻina a me ka wai.
• ʻAʻole pono nā makuahine me ka HCV e hānai i ka hānai inā haki nā nipples a me ke kahe ʻana o ke kahe.
• E ʻokiʻoki i nā ʻoki a me nā ʻeha e pale aku i ka pili ʻana i nā wai o ke kino.
• Mai kaʻana like i nā palaki niho, nā pahi kaua, a i ʻole nā ​​mea ʻē aʻe i hiki ke maʻi.

Maʻi lele - HCV keiki; Nā Antivirals - nā keiki hepitis C; HCV keiki; Hāpai - hepatitis C - keiki; Ka lawe ʻana o nā makuahine - hepatitis C - nā keiki

ʻO Jensen MK, Balistreri WF. Hepatema Viral. 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 385.

Jhaveri R, El-Kamary SS. ʻO ka maʻi maʻi Hepatitis C. 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 177.

Ward JW, Holtzman D. Epidemiology, ka mōʻaukala kūlohelohe, a me ka ʻike o ka maʻi hepitis C. In: Sanyal AJ, Boyer TD, Lindor KD, Terrault NA, eds. ʻO Zakim lāua ʻo Boyer's Hepatology. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 29.