ʻO Meningococcal ACWY Vaccines (MenACWY)
ʻO ka maʻi ʻo Meningococcal kahi maʻi nui i hoʻokumu ʻia e kekahi ʻano bacteria i kapa ʻia Neisseria meningitidis. Hiki iā ia ke alakaʻi i ka meningitis (maʻi o ka uhi o ka lolo a me ka iwi kuamoʻo) a me nā maʻi o ke koko. Kū pinepine ka maʻi ʻo Meningococcal me ka ʻole o ka ʻōlelo aʻoaʻo, ʻoiai i waena o ka poʻe olakino ʻole.
Hiki ke hoʻolaha ʻia ka maʻi ʻo Meningococcal mai kēlā me kēia kanaka ma o ka pili pili loa ʻana (e laʻa me ke kahe ʻana, ka honi ʻana) a i ʻole ka lōʻihi loa, keu hoʻi i waena o ka poʻe e noho ana ma ka hale like. Aia ma ka liʻiliʻi he 12 mau ʻano o N. meningitidis, i kapa ʻia ʻo "serogroups." ʻO Serogroups A, B, C, W, a me Y ke kumu o ka nui o ka maʻi meningococcal.
Hiki i kēlā me kēia mea ke loaʻa i ka maʻi meningococcal akā aia kekahi poʻe i ka nui o ka makaʻu, e like me:
- ʻO nā pēpē i ʻōpio ma mua o hoʻokahi makahiki
- Nā ʻōpio a me nā ʻōpio makua 16 a 23 mau makahiki
- ʻO ka poʻe me kekahi ʻano olakino e hoʻopili i ka ʻōnaehana pale
- Hana nā microbiologists i ka hana maʻamau me nā kaʻawale o N. meningitidis
- Pilikia ka poʻe ma muli o ka maʻi meningococcal i kā lākou kaiāulu
ʻOiai ke mālama ʻia, make ka maʻi meningococcal i 10 a 15 paha mau kānaka i loaʻa i ka maʻi mai 100. A ʻo ka poʻe e ola ana, ma kahi o 10 a 20 o kēlā me kēia 100 e loaʻa nā kīnā e like me ka hoʻolohe ʻana o ka pepeiao, ka hōʻino ʻana o ka lolo, ka hōʻino ʻana o nā puʻupaʻa, ka ʻoki ʻana nā pilikia, a i ʻole nā kaha ʻino mai nā ʻōpala ʻili.
Hiki i nā lāʻau Meningococcal ACWY ke kōkua i ka pale ʻana i ka maʻi meningococcal i hoʻokumu ʻia e serogroups A, C, W, a me Y. Aia kekahi lāʻau lapaʻau meningococcal ʻokoʻa e kōkua ai i ka pale ʻana mai ka serogroup B.
Ua laikini ʻia ka lāʻau lapaʻau ʻo Meningococcal conjugate (MenACWY) e ka Food and Drug Administration (FDA) no ka pale ʻana i nā serogroups A, C, W, a me Y.
Hoʻomaʻamaʻa maʻamau:
Hoʻomaʻamaʻa mau ʻia nā ʻelua mau menACWY no nā ʻōpio 11 a 18 mau makahiki: ʻo ka mahele mua ma 11 a 12 mau makahiki o ka makahiki, me kahi mahele hoʻonui i ka makahiki 16.
ʻO kekahi mau ʻōpio, me nā poʻe me ka maʻi HIV, pono e loaʻa nā kaomi hou aʻe. E noi i kāu kauka no ka ʻike hou aku.
Ma waho aʻe o ka hoʻomaʻamaʻa maʻamau no nā ʻōpio, paipai ʻia ka lāʻau lapaʻau MenACWY no kekahi mau hui o ka poʻe:
- Kūpono ka poʻe ma muli o ka maʻi serogroup A, C, W, a i ʻole Y ka maʻi maʻi meningococcal
- ʻO ka poʻe me HIV
- ʻO kēlā me kēia mea i hōʻino ʻia a lawe ʻia aku paha kāna ʻōpala, e komo pū ana me nā poʻe me nā maʻi maʻi maʻi maʻi
- ʻO kēlā me kēia me ke ʻano ʻōnaehana pale ʻole i kapa ʻia ʻo "ka hoʻomau ʻana i ka pono o ke kikowaena"
- ʻO ka mea e lawe i ka lāʻau i kapa ʻia eculizumab (Soliris)
- Hana nā microbiologists i ka hana maʻamau me nā kaʻawale o N. meningitidis
- ʻO kēlā me kēia mea e huakaʻi ana i, a i ʻole e noho ana i, kahi ʻāpana o ka honua kahi e maʻa mau ai ka maʻi meningococcal, e like me nā ʻāpana o ʻApelika
- ʻO nā haumāna hou o ke koleke e noho nei i nā lumi moe
- Nā pūʻali koa U.S.
Pono kekahi poʻe i nā kau he nui no ka pale kūpono. E noi i kāu kauka e pili ana i ka helu a me ka manawa o nā kō, a me ka pono no nā kōkō booster.
E haʻi i ka mea e hāʻawi ana iā ʻoe i ka lāʻau āpau:
- Inā loaʻa iā ʻoe nā maʻi ʻino a weliweli hoʻi i ke ola.
- Inā ua loaʻa iā ʻoe kahi hopena maʻi weliweli i ke olama hope o ka lāʻau ma mua o ka lāʻau vaccine ACWY meningococcal, a i ʻole inā he maʻi āpau loa ʻoe i kekahi ʻāpana o kēia lāʻau lapaʻau, ʻaʻole pono ʻoe e loaʻa i kēia lāʻau lapaʻau. Hiki i kāu mea hoʻolako ke haʻi iā ʻoe e pili ana i nā mea o ka lāʻau āpau.
- ʻAʻole ʻike nui ʻia e pili ana i nā pilikia o kēia lāʻau lapaʻau no ka wahine hāpai a i ʻole ka makuahine hānai. Eia nō naʻe, ʻaʻole hāpai nā hāpai ʻana a hānai waiu paha i nā kumu e pale aku ai i ka wailele kāne MenACWY. Pono e kanikau ʻia kahi wahine hāpai a hānai paha inā piʻi nui ʻo ia i ka maʻi meningococcal.
- Inā loaʻa ʻoe i ka maʻi palupalu, e like me ke anu, hiki paha iā ʻoe ke loaʻa ka lāʻau lapaʻau i kēia lā. Inā ʻoluʻolu a maʻi nui paha ʻoe, e kali paha ʻoe a hiki i kou wā e ola ai. Hiki i kāu kauka ke aʻoaʻo iā ʻoe.
Me nā lāʻau āpau, me nā lāʻau āpau, aia kahi manawa o nā hopena ʻaoʻao. Maʻamau kēia mau mea a hele aku ma o lākou iho i loko o kekahi mau lā, akā hiki nō hoʻi nā hopena koʻikoʻi.
Nā pilikia liʻiliʻi ma hope o ka lāʻau ʻana i ka meningococcal:
- Loaʻa i ka hapalua o ka poʻe i loaʻa ka lāʻau lapaʻau ACWY meningococcal i nā pilikia liʻiliʻi ma hope o ka hoʻōla ʻana, e like me ka ʻulaʻula a me ke ʻeha kahi i hāʻawi ʻia ai ke kī. Inā kū kēia mau pilikia, mau lākou i nā lā he 1 a ʻelua paha.
- ʻO kahi pākēneka liʻiliʻi o ka poʻe i loaʻa ka lāʻau lapaʻau ʻike i nā mākala a i ʻole nā ʻeha pū.
Nā pilikia e hiki ke hana ma hope o nā lāʻau āpau injected:
- Maule ka poʻe ma hope o ke kaʻina hana olakino, me ka lāʻau lapaʻau ʻana. Hiki i ka noho ʻana a i ʻole ke moe ʻana ma kahi o 15 mau minuke ke pale aku i ka maʻule ʻana a me nā ʻeha i hopena ʻia e ka hāʻule. E haʻi i kāu kauka inā ʻeha ʻoe a i ʻole ʻulaʻula a i ʻole he loli ʻike.
- Loaʻa i kekahi poʻe ka ʻehaʻeha ma ka poʻohiwi a paʻakikī i ka neʻe ʻana i ka lima kahi i hāʻawi ʻia ai kahi kī. ʻAʻohe hana iki kēia.
- Hiki i kekahi lāʻau ke kumu i kahi hopena maʻi ʻaʻai. Kūleʻa loa kēlā ʻano hopena mai kahi lāʻau lapaʻau, i koho ʻia ma kahi o 1 i loko o kahi miliona miliona, a e hana ʻia i loko o kekahi mau minuke i kekahi mau hola ma hope o ka lāʻau lapaʻau ʻana. E like me nā lāʻau lapaʻau, aia kahi manawa mamao loa o kahi lāʻau āpau e hana ana i kahi koʻikoʻi. ʻeha a make paha. Mālama mau ʻia ka palekana o nā lāʻau āpau. No ka ʻike hou aku, makaikai: http://www.cdc.gov/vaccinesafety/.
He aha kaʻu e nānā ai?
E nānā i nā mea āpau e pili ana iā ʻoe, e like me nā hōʻailona o ka hopena maʻi ʻino nui, ke kuni kiʻekiʻe loa, a me nā ʻano hana maʻamau ʻole. Hiki i nā hōʻailona o ka hopena maʻi maʻi ke hoʻopili i ka hives, ka pehu ʻana o ka maka a me ka ʻāʻī, paʻakikī i ka hanu ʻana, ka puʻuwai puʻuwai wikiwiki, ka palaho, a me ka nāwaliwali - maʻamau i loko o kekahi mau minuke i kekahi mau hola ma hope o ka hoʻōla ʻana.
He aha kaʻu e hana ai?
Inā manaʻo ʻoe he hopena maʻi ʻino ia a i ʻole nā pilikia ʻē aʻe i hiki ʻole ke kali, kāhea iā 9-1-1 a i ʻole hiki i kahi haukapila kokoke. Inā ʻole, e kāhea i kāu kauka.
Ma hope, pono e hōʻike i ka hopena i ka Pūnaehana Hōʻike Hōʻike Hōʻaliʻaliʻi Vaccine (VAERS). Pono kāu kauka e faila i kēia hōʻike, a i ʻole hiki iā ʻoe ke hana iā ʻoe iho ma o ka pūnaewele ʻo VAERS ma http://www.vaers.hhs.gov, a i ʻole ke kelepona ʻana iā 1-800-822-7967.
ʻAʻole hāʻawi ʻo VAERS i ka ʻōlelo aʻoaʻo olakino.
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. ʻO nā kānaka i manaʻoʻiʻo ua hōʻeha ʻia lākou e kahi lāʻau lapaʻau hiki ke aʻo e pili ana i ka papahana a e pili ana i ka waiho ʻana i kahi hoʻopiʻi ma ke kāhea ʻana iā 1-800-338-2382 a i ʻole ke kipa ʻana i ka pūnaewele VICP ma http://www.hrsa.gov/vaccinecompensation. Aia kahi manawa palena e faila i kahi hoʻopiʻi no ka uku.
- E noi i kāu kauka. Hiki iā ia ke hāʻawi iā ʻoe i ka pūʻulu lāʻau hoʻōla a hoʻokomo paha i nā kumu ʻikepili ʻē aʻe.
- Kāhea i kāu keʻena olakino kūloko a i ʻole mokuʻāina.
- Kāhea aku i nā Centers for Disease Control and Prevention (CDC): Kāhea iā 1-800-232-4636 (1-800-CDC-INFO) a i ʻole kipa aku i ka pūnaewele a CDC ma http://www.cdc.gov/vaccines
ʻO ka ʻōlelo ʻike Meningococcal Vaccine. ʻO ka US Department of Health and Human Services / Centers for Disease Control and Prevent National Immunization Program. 8/24/2018.
- ʻO Menactra®
- Menomune®
- Meningovax®
- Menveo®
- MenHibrix® (i loaʻa iā Haemophilus influenzae type b, Meningococcal Vaccine)
- MenACWY