Ke kumu alakaʻi o nā hānau kīnā āu i lohe ʻole ʻole ai

Anter

• No ke aha ʻo CMV kekahi o nā maʻi hōʻino loa i kūkā ʻia
• He aha ke ʻano o ka CMV i loko o kahi pēpē i hoʻopili ʻia i ka pōkā?
• Pehea e pale ai iā CMV inā hāpai ʻoe
• Nānā no

No ka manaʻo ʻana i nā mākua, ua piha nā hoʻolālā ʻeiwa i ke kali ʻana no ka hiki mai o kahi pēpē me ka hoʻolālā. Ke pena nei paha i ka nursery, ke kanana nei i nā mea nani, a i ʻole ka ʻūlū ʻana i kahi ʻeke haukapila, no ka hapanui, he manawa hoihoi a piha i ka hauʻoli.

ʻOiaʻiʻo, ʻo ka lawe ʻana i kahi keiki i ka honua hiki ke lilo i ʻike koʻikoʻi koʻikoʻi, ʻoiai ke hiki mai i ke olakino pēpē. A ʻoiai e ʻike ʻia nā maʻi he nui ma o ka ultrasound a i ʻole ke kamaʻilio ʻana ma hope koke iho o ka hānau ʻana, hōʻike ʻia nā pilikia koʻikoʻi ʻē aʻe ʻaʻole hōʻailona a hōʻailona hōʻailona paha - a ʻaʻole ʻike maoli ʻia e ka lehulehu (a kamaʻilio pinepine ʻole ʻia e nā kauka).

ʻO kahi hiʻohiʻona mua he cytomegalovirus (CMV), kahi maʻi i loko o hoʻokahi o kēlā me kēia 200 hānau i hiki ke hopena i kahi hōʻino o nā hānau hānau weliweli. (Pili: Nā maʻi hānau hou e pono ai kēlā me kēia wahine hāpai ma kā lākou radar)

"He pilikia koʻikoʻi ko CMV," i wehewehe ai ʻo Kristen Hutchinson Spytek, pelekikena a me ka mea hui pū o ka National CMV Foundation. Hoʻomaopopo ʻo ia ma kahi wale nō 9 pākēneka o nā wahine (ʻae, wale nō ʻeiwa) ua lohe paha e pili ana iā CMV, a eia naʻe, "ʻo ia ke kumu infectious pinepine o nā hānau hānau i United States." (Pili pū nā maʻi genetics e like me down syndrome a me cystic fibrosis, a me nā mea ʻino e like me Zika, listeriosis, a me toxoplasmosis, hoʻohui ʻo ia.)

He virus virus herpes ʻo CMV, ʻoiai e hiki ke hoʻopili i nā poʻe o nā makahiki āpau, ʻaʻole makaʻu ʻole a me nā ʻōuli ʻole no nā mākua a me nā keiki i pale ʻole i ka maʻi, wahi a Spytek. "Ma mua o ka hapalua o nā poʻe mākua i loaʻa i ka maʻi CMV ma mua o ka piha ʻana o nā makahiki 40," i ʻōlelo ai ʻo ia. "Aia ʻo CMV i loko o ke kino o ke kanaka, hiki ke noho ma laila no ke ola." (E pili ana: E like me ka loli ʻana o nā pae o kāu Hormone i ka wā hāpai)

Akā eia kahi pilikia

A hala iā CMV i kahi keiki hānau ʻole hiki ke hōʻeha nui i ko lākou ulu ʻana. Wahi a ka National CMV Foundation, o nā keiki a pau i hānau ʻia me ka maʻi CMV kūlohelohe, 1 i ka 5 e hoʻomohala i nā kino kīnā e like me ka nalo ʻana o ka ʻike, ka nalowale ʻana o ka lohe, a me nā pilikia olakino ʻē aʻe. E hakakā pinepine lākou me kēia mau maʻi no ko lākou ola holoʻokoʻa, no ka mea ʻaʻohe vaccine a i ʻole maʻamau maʻamau no CMV (i kēia manawa).

"Hoʻopau kēia mau diagnoses no nā ʻohana, e loli ana ma mua o 6,000 pēpē [i United States] i kēlā me kēia makahiki," wahi a Spytek.

Eia nā mea āpau e pono ai ʻoe e ʻike e pili ana i ka CMV, me ke ʻano o ka lawe ʻia ʻana a me nā mea hiki iā ʻoe ke hana e mālama iā ʻoe iho (a me kahi pēpē hou paha) palekana.

No ke aha ʻo CMV kekahi o nā maʻi hōʻino loa i kūkā ʻia

ʻOiai ke hana nei ka National CMV Foundation a me nā hui ʻē aʻe i ka manawa no ke aʻo ʻana i ka lehulehu ma ke ʻano o ko CMV manawaleʻa (a weliweli), hiki i ke ala e lawe ʻia ai ka maʻi ke lilo i kumu kapu no nā kauka e kūkākūkā me nā mākua a me nā poʻe o ka wā hānau keiki. , i ʻōlelo ʻo Pablo J. Sanchez, MD, he loea i nā maʻi maʻi maʻi pediatric a me ka mea noiʻi nui ma ka Center for Perinatal Research ma The Research Institute.

"Hoʻouna ʻia ʻo CMV ma o nā wai a pau o ke kino, e like me ka waiū o ka umauma, mimi, a me ka luha, akā ʻo ia ka mea nui loa ma o ka lawai ʻana," wehewehe a Kauka Sanchez. I ka ʻoiaʻiʻo, ua kāhea ʻia ʻo CMV i mea hoʻomaʻi gland salivary, a he mea maʻamau ia i nā keiki mai ka makahiki 1 a hiki i ka 5 - a keu hoʻi i nā keʻena mālama lā. (Pili: ʻO ka nui o nā make e pili ana i ka hāpai ʻana ma US he kiʻekiʻe loa)

He aha ke ʻano o kēia: Inā he hāpai ʻoe a he keiki ʻē aʻe kāu, a i ʻole mālama i nā keiki liʻiliʻi, makaʻu paha ʻoe i ka hoʻoili ʻana i kāu pēpē.

"E like me kā mākou e ʻike nei, makemake nā keiki ʻōpio e waiho wale i nā mea āpau i kā lākou waha," wahi a Kauka Sanchez. "No laila inā e mālama ana kahi [hāpai keiki] i kahi keiki ʻōpio i hoʻopili ʻia me ka maʻi, e kaʻana like ana i nā kīʻaha a me nā puna a i ʻole nā ​​hoʻololi diapers, hiki paha iā lākou ke maʻi."

He mea nui e hoʻomaopopo ʻaʻole kēia kumu hoʻoili i kumu e hōʻeha ai i ke kanaka makua (inā ʻaʻole lākou e pale i ka palekana). Eia hou, kau ka makaʻu i ka waiho ʻana i ke keiki hānau hou.

ʻOiaʻiʻo, e like me ka ʻike o ka mea mālama i kahi keiki liʻiliʻi, aia kekahi hailona o kuha a kiki pū kekahi. A ʻoiai ka holoi mau ʻana i ka lima a me ka holoi ʻana ʻaʻole ia ka papa hana pale kūpono loa no ka poʻe mālama i koʻikoʻi, e like me Spytek, ʻoi aku ka maikaʻi o nā pōmaikaʻi ma mua o nā mea kūpono ʻole - kahi mea ʻaʻole wikiwiki ke kaiaulu olakino e kuhikuhi.

"He palena palena loa ka ʻike loea e pili ana i ka CMV, a hoʻoliʻiliʻi pinepine lākou i kāna mau pilikia. ʻAʻohe kūlana o ka mālama ʻana ma waena o nā hui olakino no ke aʻo ʻana i ka poʻe hāpai," wehewehe ʻo ia, me ka hoʻomaopopo ʻana e hōʻike ana ke Kulanui ʻAmelika o nā Obstetricians a me nā Gynecologists i ka ʻōlelo aʻoaʻo a me e hōʻike nei i nā hoʻolālā no nā poʻe hāpai me nā kamaliʻi ma ka home "kūpono ʻole a kaumaha hoʻi." Ua ʻike ʻia kahi ana ʻana ma lalo o 50 pākēneka o nā ob-gyn e haʻi i ka poʻe hāpai pehea e pale ai iā CMV.

"ʻAʻole paʻa nā mea e hoʻāpono ʻia," i ʻōlelo hou ʻia ʻo Spytek. "A ʻo ka ʻoiaʻiʻo, aia ka hewa hewahewa, ka makaʻu a me ke kaumaha e pili ana i kēlā me kēia hopena e pili ana i ka CMV a i ʻole ka hopena hopena no nā mākua. keia ʻo ka ʻoiaʻiʻo ka mea kaumaha. "

Hoʻohui, e like me kā Dr. Sanchez i kuhikuhi ai, ʻaʻole pili ʻo CMV i kekahi ʻano hana kūpilikiʻi a i ʻole nā ​​kumuhana kūpilikiʻi - he mea wale nō ia a nā kānaka e hāpai ai. "ʻO ia ka mea e haʻi mau ai nā makuahine iaʻu - ua haʻi ka poʻe āpau iā lākou e noho kaʻawale mai nā pōpoki [hiki ke hāpai i nā maʻi weliweli no ka manaʻo ʻana i nā mākua], ʻaʻole mai kā lākou keiki ponoʻī," i kākau ai ʻo ia.

ʻO kekahi pilikia nui hou me CMV, e like me kā Kauka Sanchez? ʻAʻohe mālama a lāʻau paha. "Pono mākou i kahi lāʻau lapaʻau," i ʻōlelo ʻo ia. "ʻO ia ka makakoho helu ʻekahi e hoʻomōhala i hoʻokahi. Aia nō ka hana mau, akā ʻaʻole naʻe mākou ma laila."

He aha ke ʻano o ka CMV i loko o kahi pēpē i hoʻopili ʻia i ka pōkā?

Hiki i ka CMV ke hōʻike iā ia iho i nā ʻano ʻokoʻa (a no kekahi, ʻaʻohe hōʻailona ma nā mea āpau). Akā no kēlā mau pēpē e hōʻike nei i nā hōʻailona, ​​koʻikoʻi lākou, wahi a Dr. Sanchez.

"ʻO kēlā mau [pēpē] e hōʻike nei i nā hōʻailona o ka maʻi, hiki i kekahi ke koʻikoʻi," wehewehe ʻo ia. "ʻO ia no ka mea ke keʻa ke keʻa i ka placenta a hoʻopili i ka ʻōpū i ka wanaʻao, hiki iā ia ke neʻe i ke kikowaena pūnaewele a ʻae i nā neʻe o ka lolo e neʻe i nā wahi maʻamau. Loaʻa kēia i nā pilikia neurological no ka mea ʻaʻole maikaʻi ka hana o ka lolo. "

Wahi a ka National CMV Foundation, inā loaʻa iā ʻoe ka CMV i ka wā hāpai, aia kahi 33 pākēneka loaʻa iā ʻoe e hāʻawi i kāu pēpē. A ʻo kēlā mau pēpē i loaʻa i ka maʻi, 90 pakeneka o nā pēpē i hānau ʻia me CMV ʻaʻole hōʻike i nā ʻōuli i ka wā hānau, ʻoiai ke koena 10 pākēneka e hōʻike ana i kekahi ʻano o nā kino kino. (No laila inā hāpai ʻoe, hou, mea nui e kaupalena i kāu hōʻike ʻana i nā keiki liʻiliʻi i hiki ke hāpai i ka maʻi maʻi.)

Ma waho aʻe o nā maʻi lolo, ua hoʻomaopopo ʻo Kauka Sanchez ʻo ka nalowale o ka hoʻolohe ʻana he hōʻailona maʻamau ia e pili ana me CMV, pinepine e ʻike ʻia ma hope i ka wā kamaliʻi. "Me kaʻu poʻe ʻōpio ʻōpio, inā ʻaʻole wehewehe ʻia ka nalowale o ka lohe, ʻike pinepine wau [ua maʻi lākou] me CMV ʻoiai i ka ʻōpū."

A ʻoiai ʻaʻohe lāʻau lapaʻau a lāʻau lapaʻau paha no CMV, loaʻa nā kānana no nā keiki hānau hou, a ke hana nei ka National CMV Foundation i nā ʻōlelo paipai. "Manaʻo mākou he mea nui ka loiloi hou ʻana o ka hānau hānau ma ke kalaiwa ʻana i ka ʻike a me ka loli o ka lawena.

Ua hoʻomaopopo ʻo Kauka Sanchez he pōkole ka puka aniani, no laila he mea nui e hoʻonoho mua i ka hoʻāʻo ma hope koke o ka hānau ʻana. "ʻEkolu mākou mau pule kahi e hiki ai iā mākou ke kuhi i ka CMV hānau a ʻike inā hiki ke ʻike ʻia nā pilikia lōʻihi."

Inā ʻike ʻia ʻo CMV i loko o kēlā mau pule he ʻekolu pule, ʻōlelo ʻo Spytek hiki i kekahi mau lāʻau antiviral ke hōʻemi pinepine i ka nui o ka nalo ʻana o ka pepeiao a hoʻomaikaʻi paha i nā hopena hoʻomohala. "ʻAʻole hiki ke hoʻohuli ʻia nā ʻino i hana ʻia e CMV kūmua, akā naʻe," wehewehe ʻo ia. (Pili: Nā 4 Nutrients i hiki ke hoʻomaikaʻi i ke olakino moekolohe wahine)

ʻOiai aia nā kānana no nā mākua, ʻaʻole koi ʻo Kauka Sanchez iā lākou i kāna poʻe maʻi. "Manaʻo nui nā poʻe o ka [CMV kaiāulu] e hoʻāʻo ʻia ka poʻe [hāpai], akā ʻaʻole naʻu. He CMV-maikaʻi paha lākou, ʻaʻole pono lākou e mālama."

Pehea e pale ai iā CMV inā hāpai ʻoe

ʻOiai ʻaʻohe lapaʻau a i ʻole ka lāʻau lapaʻau i kēia manawa no CMV, aia kekahi mau lima o nā hana pale e hiki i nā poʻe hāpai ke pale aku i ka ʻaelike a me ka lawe ʻana i ka maʻi i kahi keiki hānau ʻole.

Eia nā ʻōlelo aʻoaʻo kiʻekiʻe a Spytek mai ka National CMV Foundation:

1. Mai kaʻana like i ka meaʻai, nā pono, nā mea inu, mauʻu mauʻu, a me nā palaki niho. Hele kēia no kekahi, akā ʻoi aku me nā keiki ma waena o nā makahiki o hoʻokahi a ʻelima.
2. Mai hoʻokomo i kahi pacifier mai kahi keiki ʻē aʻe i kou waha. Serious, mai hana wale.
3. Honi i kahi keiki ma ka papalina a i ʻole ke poʻo, ma mua o ko lākou waha. Bonus: Honi nā poʻo o nā pēpē ah-hoihoi. He ʻoiaʻiʻo ʻepekema ia. A ʻoluʻolu e hāʻawi i nā ʻapo āpau!
4. E holoi i kou mau lima me ke kopa a me ka wai no 15 a 20 kekona ma hope o ka hoʻololi ʻana i nā diapē, hānai ʻana i kahi keiki ʻōpio, lawelawe lima ʻana i nā mea pāʻani, a me ka holoi ʻana i ka drool, ihu, a waimaka paha o kahi keiki.

Nānā no