He aha kāu e ʻike ai e pili ana iā HIV i nā keiki?
Anter
- He aha ke kumu o ka maʻi HIV i nā keiki?
- Lawe kū kiʻekiʻe
- Hoʻoili papamoe
- Nā hōʻailona HIV i nā keiki a me nā ʻōpio
- Pehea ia ʻike?
- Pehea e mālama ʻia ai?
- Nā maʻi āpau a me ka maʻi HIV
- Lawe aku
Ua hele lōʻihi mai ka mālama ʻana no ka maʻi HIV i nā makahiki i hala iho nei. I kēia lā, ulu nui nā keiki e noho nei me ka maʻi HIV i ka wā makua.
ʻO ka maʻi HIV ka mea nāna e hoʻouka i ka ʻōnaehana pale. ʻO ia ka mea e maʻalahi ai nā keiki me ka maʻi HIV i ka maʻi a me nā maʻi. Hiki i ke kōkua kūpono ke pale aku i nā maʻi a mālama i ka maʻi HIV mai ka holomua i ka maʻi SIDA.
E heluhelu ma ke kūkākūkā ʻana i nā kumu o ka maʻi HIV i nā keiki a me nā pilikia nui o ka mālama ʻana i nā keiki a me nā ʻōpio e noho ana me ka maʻi HIV.
He aha ke kumu o ka maʻi HIV i nā keiki?
Lawe kū kiʻekiʻe
Hiki ke hānau ʻia kahi keiki me HIV a ʻaelike paha ma hope koke o ka hānau ʻana. Kāhea ʻia ʻo HIV i utero ua kapa ʻia ka lawe ʻana i ka perinatal a i ʻole ke kaʻina kaulike.
Hiki i ka maʻi HIV ke hele i nā keiki:
- i ka wā hāpai (e hele ana mai ka makuahine a ke pēpē ma o ka placenta)
- i ka wā o ka lawe ʻana (ma o ka hoʻololi ʻana o ke koko a i ʻole nā wai ʻē aʻe)
- ʻoiai hānai waiū
ʻOiaʻiʻo, ʻaʻole kēlā me kēia mea i loaʻa i ka maʻi HIV e hoʻoili iā ia i kā lākou pēpē, keu hoʻi i ka hopena o ka antiretroviral therapy.
Ma ka honua holoʻokoʻa, ʻo ka helu o ka lawe ʻia ʻana o ka maʻi HIV i ka wā hāpai hāpai e iho i lalo o 5 pākēneka me ke kōkua, e like me ka. Me ka ʻole o ke kōkua, ʻo ka helu o ka lawe ʻia ʻana o ka maʻi HIV i ka wā hāpai hāpai ma kahi o 15 a 45 pakeneka.
Ma ʻAmelika Hui Pū ʻIa, ʻo ke kaʻe kū i ke ala maʻamau nā keiki ma lalo o 13 mau makahiki e ʻaelike nei me ka maʻi HIV.
Hoʻoili papamoe
ʻO ka lawe lua ʻana, a i ʻole ke lawe ākea, ke hoʻohuli ʻia ʻo HIV e ka hoʻopili ʻana me ka semen i loaʻa i ka maʻi, ka wai aʻa, a i ʻole ke koko.
ʻO ka lawe ʻana i ka moekolohe ka ala maʻamau e ʻaelike ai nā ʻōpio i ka maʻi HIV. Hiki ke hoʻoili i ka wā o ka sex vaginal, oral, a anal ʻole i pale ʻole ʻia.
ʻAʻole hiki i nā ʻōpio ke hoʻohana mau i kahi ala pale o ka kaohi hānau ʻana, a hoʻohana pololei paha ia. ʻAʻole paha lākou i ʻike he maʻi HIV kā lākou a hāʻawi iā haʻi.
ʻO ka hoʻohana ʻole ʻana i kahi ʻano pale e like me ka condom, a i ʻole hoʻohana hewa ʻana i kekahi, hiki ke hāpai i ka makaʻu o ka loaʻa ʻana o ka maʻi lele (STI), kahi e hoʻonui ai i ka makaʻu o ka ʻaelike a i ʻole ka hoʻouna ʻana i ka maʻi HIV.
ʻO nā kamaliʻi a me nā ʻōpio e kaʻana like i nā nila, nā syringes, a me nā mea like like me ka pilikia no ka loaʻa ʻana i ka maʻi HIV.
Hiki ke hoʻoiho ʻia ka maʻi HIV ma o ke koko maʻi i loko o nā hoʻonohonoho mālama ola. ʻOi aku paha kēia ma nā wahi o ka honua ma mua o nā mea ʻē aʻe. Wahi a nā Centres for Disease Control and Prevent, aia ia maʻAmelika Hui Pū ʻIa.
ʻAʻole hoʻolaha ʻia ka maʻi ma o:
- nahu ʻāpala
- ʻūhā
- ka hou
- waimaka
- apoapo
ʻAʻole hiki iā ʻoe ke loaʻa mai ke kaʻana like ʻana:
- kāwele a moe paha
- nā aniani inu a i ʻole nā mea ʻai
- noho ʻauʻau a ʻauʻau paha
Nā hōʻailona HIV i nā keiki a me nā ʻōpio
ʻAʻole paha i loaʻa i kahi pēpē kekahi mau ʻōuli maopopo i ka mua. Ke hoʻonāwaliwali nei ka ʻōnaehana pale, hoʻomaka paha ʻoe e ʻike:
- nele i ka ikaika
- lohi ka ulu ʻana a me ka hoʻomohala ʻana
- wela kūmau, hou ʻana i ka hou
- pākī pinepine
- hoʻonui ʻia nā lymph node
- hana hou a hoʻolōʻihi ʻia i nā maʻi e pane maikaʻi ʻole i ka lāʻau
- Kaumaha emi
- holomua ʻole
Kūlike nā ʻōuli mai ke keiki a ke keiki a me ka makahiki. Loaʻa i nā keiki a me nā ʻōpio:
- ʻāwīwī o ka ʻili
- ʻōniu waha
- maʻi maʻi hū ʻoi pinepine
- hoʻonui ākea a i ʻole ʻūhā
- maʻi kīnā
- nā pilikia ʻōpū
- nā pilikia hoʻomanaʻo a me ka noʻonoʻo
- maʻi puʻupuʻu benign a malignant paha
ʻOi aku ka maʻalahi o nā keiki me ka maʻi HIV ʻole i nā hanana e like me:
- maʻi puʻupuʻu
- ʻalalā
- herpes
- maʻi hepa
- maʻi maʻi pelvic
- pulumonia
- meningitis
Pehea ia ʻike?
ʻIke ʻia ka maʻi HIV ma o ka hoʻāʻo ʻana i ke koko, akā ʻoi aku paha ma mua o hoʻokahi hōʻike.
Hiki ke hōʻoia ʻia ke kuhi inā loaʻa ke koko i nā maʻi hepela. Akā i ka wā mua i ka papa o ka maʻi, ʻaʻole lawa paha nā pae antibody no ka ʻike.
Inā maikaʻi ʻole ka hoʻāʻo akā manaʻo ʻia ʻo HIV, hiki ke hana hou i ka hoʻokolohua i loko o 3 mau mahina a hou i 6 mau mahina.
Ke hōʻoia maikaʻi ka ʻōpio no ka maʻi HIV, pono e hoʻomaopopo ʻia nā hoa kolohe āpau a me nā poʻe a lākou i loaʻa ai nā nila a i ʻole nā nīkini i hiki iā lākou ke hoʻāʻo a hoʻomaka i ka lāʻau, inā pono.
I ka 2018, ka CDC mau hihia hou i ka United States ma ka makahiki e like me:
Makahiki | Ka helu o nā hihia |
0–13 | 99 |
13–14 | 25 |
15–19 | 1,711 |
Pehea e mālama ʻia ai?
ʻAʻole hiki i ka maʻi HIV ke hoola i kēia manawa, akā hiki ke mālama maikaʻi ʻia a mālama ʻia. I kēia lā, nui nā keiki a me nā mākua me HIV e ola nei, ola ola.
ʻO ka lapaʻau nui no nā keiki e like me nā mākua: antiretroviral therapy. ʻO Antiretroviral therapy a me nā lāʻau lapaʻau e kōkua i ka pale ʻana i ka holomua a me ka lawe ʻana o ka maʻi.
Pono ka mālama ʻana no nā keiki i kekahi mau manaʻo kūikawā. Ka makahiki, ka ulu ʻana, a me ke kahua o ka hoʻomohala ʻana i nā mea āpau a pono e nānā hou ʻia i ka wā e holomua ai ke keiki ma o ka wā ʻōpio a i ka wā makua.
ʻO nā kumu ʻē aʻe e noʻonoʻo ai ʻo:
- ke koʻikoʻi o ka maʻi HIV
- ka makaʻu o ka holomua
- nā maʻi ma mua e pili ana i ka maʻi HIV
- pōkole wā pōkole a me ka wā lōʻihi
- nā hopena ʻaoʻao
- launa lāʻau
Ua ʻike ʻia kahi loiloi ʻōnaehana 2014 i ka hoʻomaka ʻana o ka lāʻau antiretroviral ma hope koke iho o ka hānau ʻana e hoʻonui ai i ke ola o ke pēpē, hoʻemi i nā maʻi nui, a hoʻemi i nā manawa o ka holomua o ka maʻi HIV i ka maʻi SIDA.
Hoʻopili ka Antiretroviral therapy i kahi hui o ka liʻiliʻi o ʻekolu mau lāʻau antiretroviral.
Ke koho ʻana i nā lāʻau e hoʻohana ai, noʻonoʻo nā mea mālama ola i ka hiki ke kūpaʻa lāʻau, kahi e hoʻopili ai i nā koho lapaʻau e hiki mai ana. Pono e hoʻoponopono i nā lāʻau i kēlā me kēia manawa.
ʻO kahi mea hana nui no ka hoʻomaʻamaʻa antiretroviral therapy ka mālama i ka regimen lapaʻau. Wahi a ka WHO, mālama ʻia ka mea i ʻoi aku ma mua o ka kaohi paʻa ʻana o ka maʻi.
ʻO ka mālama ʻana i ke ʻano o ka lawe ʻana i nā lāʻau e like me ke kuhikuhi. He paʻakikī paha kēia no nā keiki, keu hoʻi inā pilikia lākou i ka ale ʻana i nā pila a makemake paha e hōʻalo i nā hopena ʻoluʻolu ʻole. I mea e hoʻoponopono ai i kēia, loaʻa kekahi mau lāʻau i nā wai a i ʻole nā syrup e hana maʻalahi ai i nā keiki ʻōpio e lawe.
Pono nā mākua a me nā mea mālama e hana pū me nā mea lawelawe olakino. I kekahi mau hihia, pono ke ʻōlelo aʻoaʻo ʻohana no nā mea āpau e pili ana.
Pono paha nā ʻōpio e noho nei me ka maʻi HIV.
- ʻōlelo aʻoaʻo olakino a me nā hui kākoʻo
- ʻōlelo aʻoaʻo olakino reproductive, me ka hānau ʻana, ka nohona moekolohe olakino, a me ka hāpai keiki
- ka hoʻāʻo ʻana no STI
- kānana hoʻohana kānana
- Kākoʻo no kahi hoʻololi maikaʻi i ke olakino makua
Ke hoʻomau nei ka noiʻi ʻana i ka maʻi pediatric HIV. Hoʻohou pinepine ʻia nā kulekele lapaʻau.
E mālama pono i ka mālama ʻana o kāu keiki i ka ʻike e pili ana i nā ʻōuli hou a i ʻole ka hoʻololi ʻana, a me nā hopena ʻaoʻao lāʻau. Mai kānalua i ka nīnau ʻana i nā nīnau e pili ana i ke olakino a me ka lāʻau o kāu keiki.
Nā maʻi āpau a me ka maʻi HIV
ʻOiai ke hoʻomau ʻia nei nā hoʻokolohua hoʻokolohua, ʻaʻole i ʻae ʻia nā lāʻau āpau i kēia manawa e pale a mālama iā HIV.
Akā no ka mea hiki i ka HIV ke hoʻoikaika i kou kino e hakakā i nā maʻi, nā keiki a me nā ʻōpio me ka maʻi HIV e kūlia i nā maʻi ʻē aʻe.
Hiki i nā lāʻau āpau ke hoʻoulu i kahi pane pale, no laila ke loaʻa, pono i nā kānaka me ka HIV e loaʻa i nā lāʻau i hoʻopau ʻole ʻia.
Hiki i kāu kauka lawelawe ke aʻoaʻo iā ʻoe ma ka manawa a me nā kikoʻī ʻē aʻe o nā lāʻau āpau. Pākuʻi ʻia kēia mau mea:
- varicella (paukū, shingles)
- hepatitis B
- kanaka papillomavirus (HPV)
- maʻi palū
- measles, mumps, and rubella (MMR)
- meningococcal meningitis
- pulumonia
- polio
- tetanus, diphtheria, a me pertussis (Tdap)
- hepatitis A
Ke hele nei i waho o ka ʻāina, aʻoaʻo paha nā lāʻau āpau ʻē aʻe, e like me nā mea e pale aku ai i ka cholera a i ʻole ke kuni melemele. E kamaʻilio maikaʻi me ke kauka o kāu keiki ma mua o ka huakaʻi honua.
Lawe aku
ʻO ka ulu ʻana me ka HIV hiki ke hōʻike i nā pilikia he nui no nā keiki a me nā mākua, akā pili i ka antiretroviral therapy - a me ka loaʻa ʻana o kahi ʻōnaehana kākoʻo ikaika - hiki ke kōkua i nā keiki a me nā ʻōpio e ola olakino, e hoʻokō i nā ola.
Nui a hewahewa nā lawelawe kākoʻo i loaʻa no nā keiki, ko lākou mau ʻohana, a me nā mea mālama. No ka ʻike hou aku, e noi i nā mea mālama ola o kāu keiki e kuhikuhi iā ʻoe i nā hui i kou wahi, a i ʻole hiki ke kāhea i kāu mokuʻāina ʻo HIV / AIDS Hotline.