ʻO ka hōʻoia RSV (Virus Syncytial Respiratory)

Anter

• I ka manawa hea e hoʻohana ʻia ai ka hōʻike RSV?
• Pehea ʻoe e hoʻomākaukau ai no ka hōʻoia?
• Pehea e hana ai i ka hōʻike?
• He aha nā makaʻina o ka hoʻāʻo ʻana?
• He aha ke ʻano o nā hopena?
• He aha e pili ana i kahi hoʻokolohua antibody RSV?
• He aha ka hana inā he ʻokoʻa nā hopena?

He aha ka hōʻike RSV?

ʻO ka maʻi maʻi Syncytial Respiratory (RSV) kahi maʻi i loko o kāu ʻōnaehana hanu (kāu mau alaloa). ʻAʻole maʻamau ia koʻikoʻi, akā hiki i nā ʻōuli ke ʻoi aku ka nui ma nā keiki ʻōpio, nā mākua makua, a me nā mea me nā ʻōnaehana pale nawaliwali.

ʻO RSV kahi kumu nui o nā maʻi hanu kanaka, keu hoʻi i waena o nā keiki ʻōpio. ʻOi loa ka maʻi a hele pinepine i nā keiki ʻōpio. I nā pēpē, hiki i ka RSV ke hana i ka bronchiolitis (ka hoʻā o nā alaloa liʻiliʻi i loko o kā lākou mau māmā), pneumonia (pume a me ka wai i hoʻokahi aʻoi aku paha ma mua o hoʻokahi ʻāpana o ko lākou māmā ). I nā keiki makua, ʻōpio, a me nā mākua, maʻi ʻoi loa ka maʻi ʻo RSV.

He maʻi kau ka maʻi ʻo RSV. Hana ia i ka hopena o ka hāʻule i ka puna (peaking i nā mahina hoʻoilo anuanu). Kū pinepine ʻo RSV ma ke ʻano he ahulau. Kuhi kēia mea pili i ka nui o nā poʻe i loko o kahi kaiāulu i ka manawa like. ʻO ka hōʻike kokoke i nā keiki āpau e hoʻopili ʻia me RSV i ko lākou manawa i piha iā 2 mau makahiki, akā ʻo kahi hapa liʻiliʻi o lākou e loaʻa i nā ʻōuli koʻikoʻi.

Kuhi ʻia ʻo RSV me ka hoʻohana ʻana i kahi pā ihu i hiki ke hoʻāʻo ʻia no nā hōʻailona o ka maʻi ma ka lawā a i ʻole nā ​​huna ʻē aʻe.

E heluhelu e ʻike hou aʻe e pili ana i ke kumu e hoʻohana ʻia ai ka hōʻike RSV, he aha nā hōʻike e loaʻa, a he aha kāu e pono ai e hana ma muli o kāu mau hopena hōʻike.

I ka manawa hea e hoʻohana ʻia ai ka hōʻike RSV?

ʻO nā ʻōuli o kahi maʻi RSV e like me nā ʻano maʻi maʻi hanu ʻē aʻe. ʻO nā hōʻailona me:

• ʻūhā
• ʻūlū
• ihu ihope
• eha ka 'ā'ī
• ʻūhā
• fiva
• hoʻēmi ʻai

Hana pinepine ʻia ka hōʻike ma nā pēpē a i ʻole nā ​​keiki ma lalo o ka makahiki 2 me ka maʻi puʻuwai congenital, maʻi maʻi maʻi mau, a i ʻole kahi ʻōnaehana nāwaliwali. Wahi a ka, nā pēpē a me nā keiki me kēia mau kūlana i ka makaʻu nui loa i nā maʻi ʻino, e like me ka pulumonia a me ka bronchiolitis.

Pehea ʻoe e hoʻomākaukau ai no ka hōʻoia?

ʻAʻole pono kahi hoʻomākaukau kūikawā no kēia hōʻike. He holoi wikiwiki wale nō ia, omo, a holoi paha i kāu mau ihu ihu e hōʻiliʻili ai i nā mea huna nui, a i ʻole nā ​​wai i kou ihu a me kou puʻu, e hoʻāʻo ai i ka maʻi.

E pono e haʻi aku i kāu kauka e pili ana i nā lāʻau, kauka a me nā mea ʻē aʻe, lawe ʻoe i kēia manawa. Hoʻopili paha lākou i nā hopena o kēia hōʻike.

Pehea e hana ai i ka hōʻike?

Hana ʻia kahi hōʻike RSV ma nā ʻano like ʻole. Wikiwiki lākou a pau, ʻaʻohe ʻeha, a noʻonoʻo ʻia i ke kuhi ʻana i ke alo o ka maʻi.

• Nasal aspirate. Hoʻohana kāu kauka i kahi mea pono e huki e lawe i kahi laʻana o kāu huna nasal e hoʻāʻo no ke kū ʻana o ka maʻi.
• Holoi ihu. Hoʻopiha kāu kauka i kahi mea hana kīnā ʻole i hoʻohālikelike ʻia me kahi wai paʻakai, hoʻokomo i ka piko o ka ʻuma i loko o kou puka ihu, kaomi mālie i ka hopena i loko o kou ihu, a laila hoʻōki i ka ʻomi ʻana e omo i kahi laʻana o kāu mau huna i loko o ka ʻāpana no ka hoʻāʻo ʻana.
• Swab Nasopharyngeal (NP). Hoʻokomo mālie kāu kauka i kahi swab liʻiliʻi i loko o kou puka ihu a hiki i ka hope o kou ihu. E hoʻoneʻe lākou iā ia me ka mālie e hōʻiliʻili i kahi laʻana o kāu huna ihu, a laila lawe mālie iā ia mai kou puka ihu.

He aha nā makaʻina o ka hoʻāʻo ʻana?

ʻAneʻane ʻaʻohe pilikia e pili ana i kēia hōʻike.Hiki paha iā ʻoe ke hōʻoluʻolu iki a hōʻoluʻolu paha ke hoʻokomo ʻia kahi pā ihu i loko o kou ihu. Hele kahe paha kou ihu a i ʻole hoʻonāukiuki paha nā mea.

He aha ke ʻano o nā hopena?

ʻO kahi hopena maʻamau, a maikaʻi ʻole paha, i hopena ʻia mai kahi hoʻokolohua ihu ʻo ia hoʻi ʻaʻohe paha he maʻi ʻo RSV.

I ka hapanui o nā hihia, ʻo ka hopena maikaʻi ke ʻano he maʻi RSV ʻoe. E hōʻike kāu kauka iā ʻoe i ke ʻano o kāu mau kaupaʻi aʻe.

He aha e pili ana i kahi hoʻokolohua antibody RSV?

Loaʻa kahi ho'āʻo koko i kapa ʻia ʻo ka hōʻike anti antibody RSV, akā ʻaʻole hoʻohana iki ʻia e hōʻike i kahi maʻi RSV. ʻAʻole maikaʻi ia no ka hōʻoia ʻana i ke ola o ka maʻi ma muli o ka pololei pinepine ʻole o nā hopena ke hoʻohana ʻia me nā keiki ʻōpio. Lōʻihi nā hopena i loaʻa a ʻaʻole pololei mau ma muli o kāna. ʻOi aku ka ʻoluʻolu o kahi nasal swab ma mua o ka hoʻāʻo ʻana i ke koko, no nā pēpē a me nā keiki liʻiliʻi, a ʻoi aku ka liʻiliʻi o nā pilikia.

Inā paipai kāu kauka i ka hoʻokolohua antibody RSV, hana mau ʻia ia e kahi kahu ma ke keʻena o kāu kauka a i ʻole ka haukapila. Kuhi ʻia ke koko mai kahi aa, ma ka maʻamau ma loko o kou kuʻe lima. Hoʻopili pinepine kahi kahakaha koko i kēia mau hana:

1. Hoʻomaʻemaʻe ʻia ka pūnaewele puncture me kahi antiseptic.
2. Hoʻopuni kāu kauka a kahu hānai paha i kahi kāʻei paʻa i kou lima o luna e pehu i kou aa me ke koko.
3. Hoʻokomo mālie ʻia kahi nila i loko o kou aa e hōʻiliʻili i ke koko i loko o ka ipu i hoʻopaʻa ʻia a i ʻole ka paipu.
4. Wehe ʻia ke kāʻei elastik mai kou lima aku.
5. Hoʻouna ʻia ka laʻana koko i kahi keʻena hoʻokolohua no ka loiloi.

Inā ʻoe e hoʻāʻo i ka hoʻāʻo antibody RSV, aia ka liʻiliʻi o ke kahe ʻana o ke kahe ʻana, ka palapū ʻana, a i ʻole ka maʻi ʻana ma ka pūnaewele puncture, e like me nā hōʻike koko. Hiki paha iā ʻoe ke ʻoluʻolu i ka ʻeha kaulike a i ʻole ke kuʻi ʻoi loa ke hoʻokomo ʻia ka nila. Pīhoihoi paha ʻoe a i ʻūlū ʻia paha ma hope o ke kaha ʻana o ke koko.

ʻO ka hopena maʻamau, a maikaʻi ʻole paha, hopena hopena hoʻāʻo ke kumu paha ʻaʻohe mea ʻino no RSV i kou koko. Hiki i kēia ke manaʻo ʻaʻole ʻoe i maʻi i ka RSV. ʻAʻole pololei pinepine kēia mau hopena, keu hoʻi i nā pēpē, ʻoiai me nā maʻi ʻino loa. ʻO kēia ma muli o ka ʻike ʻole ʻia o nā pepelu o ka pēpē no ka mea ua uhi ʻia lākou e nā mea ʻino a ka makuahine (i kapa ʻia hoʻi) i koe i loko o kā lākou koko ma hope o ka hānau ʻana.

ʻO kahi hopena hōʻike maikaʻi mai ka hoʻāʻo ʻana o ke koko o kahi pēpē e hōʻike paha ua loaʻa ka maʻi RSV i ka pēpē (i hala aku nei a i ʻole ma mua), a i ʻole ua hāʻawi ʻia ko lākou makuahine iā lākou i nā antibodies RSV i utero (ma mua o ka hānau ʻana). Eia hou, ʻaʻole pololei nā hualoaʻa hōʻoia RSV. I ka poʻe mākua, hiki i kahi hopena maikaʻi ke manaʻo ua loaʻa lākou i kahi maʻi RSV i hala koke aku nei a i ʻole ma mua, akā ʻo kēia mau hopena ʻaʻole e hōʻike pololei i ka maoli.

He aha ka hana inā he ʻokoʻa nā hopena?

I nā pēpē me nā ʻōuli o ka maʻi maʻi RSV a me nā hopena hōʻike maikaʻi, ʻaʻole koi ʻia ka haukapila no ka mea hoʻonā pinepine nā ʻōuli ma ka home i hoʻokahi a ʻelua mau pule paha. Eia nō naʻe, hana pinepine ʻia ka hoʻāʻo ʻana o RSV i nā pēpē maʻi a i ʻoi aku ka nui o ka pilikia e pono ai i ka haukapila no ka mālama kōkua ʻana a hiki i ka hoʻomaikaʻi ʻana o kā lākou maʻi. Koi paha kāu kauka i ka hāʻawi ʻana i kāu keiki acetaminophen (Tylenol) e mālama i nā kuni e waiho ana i lalo a i ʻole nā ​​ihu ihu e hoʻomaʻemaʻe i kahi ihu ihu.

ʻAʻole loaʻa kahi lapaʻau kūikawā no ka maʻi maʻi RSV a, i kēia manawa, ʻaʻole hoʻomohala ʻia kahi lāʻau RSV. Inā loaʻa ʻoe i ka maʻi RSV koʻikoʻi, pono ʻoe e noho i ka haukapila a hiki i ka wā e mālama pono ʻia ai ka maʻi. Inā loaʻa ʻoe i ka hānō, kahi inhaler e hoʻonui i nā ʻeke lewa i loko o kou mau māmā (ʻike ʻia he bronchodilator) hiki ke kōkua iā ʻoe e hanu maʻalahi. Koi paha kāu kauka i ka hoʻohana ʻana i ka ribavirin (Virazole), kahi lāʻau antiviral hiki iā ʻoe ke hanu, inā nāwaliwali kou ʻōnaehana pale. Hāʻawi ʻia kahi lāʻau i kapa ʻia ʻo palivizimab (Synagis) i kekahi mau keiki kūpilikiʻi kiʻekiʻe ma lalo o 2 mau makahiki e pale ai i nā maʻi RSV koʻikoʻi.

Kākaʻikahi ka maʻi RSV a hiki ke mālama kūleʻa ʻia i nā ʻano like ʻole.