ʻEhia mau manawa e pono ai ʻoe e kiʻi i kahi kīʻaha Pneumonia?
Anter
- Pehea ka lōʻihi o ka kī ʻana o ka pulumonia?
- He aha ka ʻokoʻa ma waena o PCV13 a me PPSV23?
- Aia kekahi hopena?
- Pehea ka maikaʻi o ka lāʻau āpau?
- Lawe aku
Pehea ka lōʻihi o ka kī ʻana o ka pulumonia?
ʻO ka pana pulumonia kahi lāʻau lapaʻau e kōkua ai iā ʻoe e pale aku i ka maʻi pneumococcal, a i ʻole nā maʻi i hoʻokumu ʻia e nā bacteria i ʻike ʻia ʻO Streptococcus pneumoniae. Hiki i ka lāʻau lapaʻau ke kōkua iā ʻoe e pale aku iā ʻoe mai ka maʻi pneumococcal no nā makahiki he nui.
ʻO kekahi o nā kumu maʻamau o ka nūmonia ka maʻi ʻana o nā akemāmā me nā koʻohune ʻO Streptococcus pneumoniae.
Hoʻopili nui kēia mau bacteria i kou mau māmā a hiki i kekahi manawa ke hoʻoweliweli i nā maʻi i nā wahi ʻē aʻe o kou kino, e like me ke kahe o ke koko (bacteremia), a i ʻole ka lolo a me ka iwi kuamoo (meningitis).
Paipai ʻia ke kīponia inā ʻoe e hāʻule i hoʻokahi o kēia mau makahiki.
- Ma mua o 2 mau makahiki: ʻehā mau kī (ma 2 mau mahina, 4 mau mahina, 6 mau mahina, a laila kahi booster ma waena o 12 a 15 mau mahina)
- 65 mau makahiki a ʻoi paha: ʻelua mau kī ʻana, kahi e hoʻopau ai iā ʻoe i ke koena o kou ola
- Ma waena o 2 a me 64 mau makahiki: ma waena o hoʻokahi a ʻekolu paha kī inā loaʻa kekahi mau maʻi ʻōnaehana pale maʻi a i ʻole inā he puhipaka ʻoe
ʻO ka maʻi Pocococcal ka mea maʻamau i waena o nā pēpē a me nā kamaliʻi, no laila e nānā pono i ka lāʻau ʻana o kāu keiki ʻōpio. Akā ke loaʻa nei nā ʻelemakule makua i nā pilikia hoʻoweliweli mai kahi maʻi pneumonia, no laila he mea nui e hoʻomaka i ka lāʻau ʻana a puni ka makahiki 65.
He aha ka ʻokoʻa ma waena o PCV13 a me PPSV23?
E loaʻa paha iā ʻoe kekahi o nā lāʻau āpau pneumonia: pneumococcal conjugate vaccine (PCV13 a me Prevnar 13) a i ʻole pneumococcal polysaccharide vaccine (PPSV23 a i ʻole Pneumovax 23).
PCV13 | PPSV23 |
kōkua iā ʻoe e pale iā ʻoe ma mua o 13 mau ʻano ʻokoʻa o nā koʻohune pneumococcal | kōkua iā ʻoe e pale iā ʻoe ma mua o 23 mau ʻano ʻokoʻa o nā koʻohune pneumococcal |
hāʻawi mau ʻia ʻehā mau manawa kaʻawale i nā keiki ma lalo o ʻelua | hāʻawi pinepine ʻia i hoʻokahi manawa i kekahi ma luna o 64 |
hāʻawi ʻekahi wale nō i nā mākua ma mua o 64 a i ʻole nā mākua i ʻoi aku ma mua o 19 inā he maʻi pale ko lākou | hāʻawi ʻia i kekahi ma luna o 19 e puhi mau ana i nā huahana nikotine e like me ka uahi (maʻamau a uila paha) a i ʻole nā cigar |
ʻO kekahi mau mea ʻē aʻe e noʻonoʻo ai:
- Kōkua nā lāʻau āpau i ka pale ʻana i nā pilikia pneumococcal e like me ka bacteremia a me ka meningitis.
- E pono ana ʻoe ma mua o hoʻokahi kīkāpā i kī ʻia i kou wā e ola ana. ʻIke ʻia, inā ʻoi aku ʻoe ma luna o 64, ke loaʻa nei o ka pana PCV13 ʻelua a me ka pana PPSV23 e hāʻawi i ka pale maikaʻi loa e kūʻē i nā ʻano bacteria a pau i kumu i ka maʻi kūmonia.
- Mai hoʻopili pū i nā pana. Pono ʻoe e kali ma kahi o hoʻokahi makahiki ma waena o kēlā me kēia pana.
- E hōʻoia me kāu kauka e hōʻoia inā ʻaʻole ʻoe i maʻi i kekahi o nā mea i hoʻohana ʻia e hana ai i kēia mau lāʻau āpau ma mua o ke kī ʻia ʻana.
ʻAʻole pono i nā kānaka āpau ke loaʻa i kēia mau lāʻau āpau. Hōʻalo iā PCV13 inā ua loaʻa iā ʻoe nā maʻi ʻino i ka wā ma mua i:
- kahi lāʻau āpau i hana ʻia me ka diphtheria toxoid (e like me DTaP)
- kekahi mana o ka pana i kapa ʻia ʻo PCV7 (Prevnar)
- nā kuʻina mua o ka pūhuma
A pale iā PPSV23 inā ʻoe:
- he maʻi āpau i nā mea hoʻohui i ka pana
- ua loaʻa i nā maʻi āpau loa i kahi PPSV23 kī i ka wā i hala
- maʻi loa
Aia kekahi hopena?
ʻO ka hopena o ka ʻōnaehana pale maʻi e pili ana i ka pahu ʻana o ka lāʻau āpau i ka manawa o nā hopena ʻaoʻao. Akā e hoʻomanaʻo i nā lāʻau e hana ana i nā lāʻau āpau ka maʻa mau o ke kō (polysaccharide) ʻino ʻole o ka bacteria.
ʻAʻohe pono e hopohopo e lilo kahi lāʻau lapaʻau i maʻi maʻi.
ʻO kekahi mau hopena ʻē aʻe e pili pū me:
- haʻahaʻa fiva ma waena o 98.6 ° F (37 ° C) a me 100.4 ° F (38 ° C)
- ka huhū, ka ʻulaʻula, a i ʻole ka pehu ʻana ma hea ʻoe i injected ai
Hiki ke loli paha nā hopena ʻaoʻao ma muli o kou mau makahiki i ka wā e injected ai ʻoe. ʻO nā hopena ʻē aʻe i maʻa mau i nā pēpē e komo pū me:
- hiki ʻole ke hiamoe
- hiamoe
- hana huhū
- lawe ʻole i ka meaʻai a i ʻole ka makemake ʻole
Hiki i nā ʻōuli maʻamau o nā pēpē ke hoʻopili pū:
- ke kuni kiʻekiʻe o 101 ° F (38.3 ° C) a ʻoi aku paha
- ka hopu ʻana i ka hopena mai kahi kuni (febrile seizures)
- itchiness mai kahi ʻino a ʻulaʻula paha
ʻO nā hopena ʻē aʻe i ʻike pinepine ʻia i nā mākua:
- ʻeha ʻeha ma kahi āu i injected ai
- ʻoʻoleʻa a ʻōhū paha ma kahi āu i injected ai
ʻO ka poʻe o nā makahiki āpau me nā maʻi āpau i kekahi mau mea i loko o ka lāʻau āpau pneumonia e loaʻa paha i kekahi mau hopena maʻi maʻi i ka pana.
ʻO ka hopena kūpono loa ka haʻalulu anaphylactic. Hana ʻia kēia i ka pehu ʻana o kou ʻāʻī a ālai i kāu puka makani, e paʻakikī a hiki ʻole paha ke hanu. E ʻimi i ka lāʻau olakino pōpilikia inā kū kēia.
Pehea ka maikaʻi o ka lāʻau āpau?
Hiki nō ke loaʻa ka maʻi ʻaʻai inā loaʻa iā ʻoe kekahi o kēia mau kī ʻana. ʻO kēlā me kēia lāʻau lapaʻau ʻelua ma kahi o 50 a 70 pakeneka ka hopena.
Hoʻololi pū kekahi ka hopena ma muli o kāu mau makahiki a me ka ikaika o kāu ʻōnaehana pale. Hiki i ka PPSV23 ke 60 a 80 pākēneka keu inā ʻoi aku ʻoe i ka 64 a loaʻa kahi ʻōnaehana pale olakino olakino, akā ʻoi aku ka haʻahaʻa inā ʻoi aku ʻoe i ka 64 a loaʻa kahi maʻi pale.
Lawe aku
ʻO ke kīkaha pūmonia kahi ala maikaʻi e pale aku ai i nā pilikia i hoʻokumu ʻia e ka maʻi bacteria.
E loaʻa iā ia ma ka liʻiliʻi i hoʻokahi manawa i kou ola, keu hoʻi inā ʻoi aku ʻoe i ka 64. ʻOi aku ka maikaʻi o ka lāʻau ʻana i ka wā he pēpē a i ʻole inā he maʻi kāu e hoʻopili ai i kāu ʻōnaehana pale, e like me nā ʻōlelo a kāu kauka