Rubella i ka hāpai keiki: he aha ia, hiki i nā pilikia a me ka lāʻau

Anter

• Nā hōʻailona nui
• Pehea e hōʻoia ai i ke kuhi
• Nā hopena kūpono o ka rubella
• Pehea e haʻi ai inā ua hoʻopilikia ʻia kāu pēpē
• Pehea e hana ai i ka lāʻau

ʻO Rubella kahi maʻi maʻamau i ka wā kamaliʻi, ke hiki i ka hāpai ʻana, hiki ke hana i nā malformations i loko o ka pēpē e like me microcephaly, kuli a i ʻole nā ​​loli i nā maka. No laila, ʻo ka mea kūpono no ka wahine e loaʻa ka lāʻau lapaʻau kūʻē i ka maʻi ma mua o ka hāpai ʻana.

Lawe pinepine ʻia ka lāʻau koʻokoʻo rubella i ka wā kamaliʻi, akā ʻo nā wahine i loaʻa ʻole ka lāʻau āpau a i ʻole ka hopena booster e pono e wailana ʻia ma mua o ka hāpai ʻana. Ma hope o ka lawe ʻana i ka lāʻau lapaʻau, pono ka wahine e kali ma ka liʻiliʻi he 1 mahina e hoʻomaka e hoʻāʻo e hāpai. E aʻo hou aʻe e pili ana i ka lāʻau koʻokoʻo rubella.

ʻO Rubella kahi maʻi maʻi lele i hoʻokumu ʻia e ka maʻi o ke ʻano Rubivirus, e hoʻoili mau ʻia ma o nā mea huna e like me ka lawai, i nā pili pili a me nā honi. ʻO ka maʻa mau nā keiki a me nā ʻōpio ʻōpio ka maʻi nui loa, kahi e hoʻonui ai i ka loaʻa o ka maʻi i ka wā hāpai.

Nā hōʻailona nui

ʻO nā ʻōuli ʻo Rubella i ka hāpai ʻana ua like ia me nā mea i hōʻike ʻia e nā mea hoʻomohala i ka maʻi.

• ʻEha poʻo poʻo;
• ʻEha ʻeha;
• Kaha wela a hiki i 38ºC;
• Cough with phlegm;
• ʻEha hui;
• Pāhū lymph a i ʻole ganglia, keu hoʻi ma ka ʻāʻī;
• ʻO nā kiko ʻulaʻula liʻiliʻi ma ka maka a laila hohola i loko o ke kino a hala ma kahi o 3 mau lā.

Hiki i nā ʻōuli ke piʻi i 21 mau lā e puka ai, akā hiki ke lawe i ka maʻi i 7 mau lā ma mua o ka hoʻomaka ʻana o nā hōʻailona a i 7 mau lā ma hope o ka ʻike ʻia o nā ʻulaʻula ma ka ʻili.

Pehea e hōʻoia ai i ke kuhi

I kekahi mau hihia, ʻaʻohe hōʻailona o ka rubella a, no laila, hiki ke hōʻoia ʻia kāna ʻike ʻana ma o ke kū ʻana o nā immunoglobulins. IgM a i ʻole IgG ma ka hoʻāʻo koko.

Nā hopena kūpono o ka rubella

Pili nā hopena o ka rubella i ka hāpai hāpai ʻana i ka rubella hānau, i hiki ai ke alakaʻi i ka hāpai keiki a i ʻole nā ​​malformations fetal koʻikoʻi e like me:

• Kuli;
• Hoʻololi nā maka e like me ka makapō, cataract, microphthalmia, glaucoma a me retinopathy;
• Nā pilikia Cardiac e like me stenosis pulmonary artery, kīnā o ka septtr ventricular, myocarditis
• ʻO nā hōʻeha ʻōnaehana hopohopo e like me ka meningitis mau, vasculitis me ka helu ʻana
• Hoʻoiho noʻonoʻo;
• Microcephaly;
• Poni;
• Hemolytic anemia;
• Meningoencephalitis;
• Nā pilikia o ke ake e like me ka fibrosis a me ka hoʻololi ʻana o ke ake ate.

Hiki i kēia mau loli ke hana i ka wā he rubella ko ka wahine i ka wā hāpai a i ʻole ke loaʻa ʻo ia i ka lāʻau koʻokoʻo rubella i ka wā hāpai. ʻOi aku ka nui o ka pilikia o ka lawe ʻia ʻana o ka rubella i ka pēpē i ka trimester mua o ka hāpai ʻana a inā kū kēia e hānau ʻia ka pēpē me ka rubella hānau. E aʻo a pau e pili ana i ka rubella hānau.

ʻIke ʻia nā pilikia nui ke hoʻopili ʻia ka pēpē i ka trimester mua o ka hāpai ʻana. ʻO ka maʻamau, ʻike ʻia nā loli fetal i nā hōʻike i hana ʻia i ka wā hāpai a ma hope koke iho o ka hānau ʻana, akā hiki ke ʻike ʻia kekahi mau hoʻololi i nā makahiki 4 mua o ke ola o ke keiki. ʻO kekahi o kēia mau hōʻike i hiki ke ʻike ʻia ma hope ʻo Diabetes, panencephalitis a me autism.

E ʻike ma kahi ala maʻalahi he aha ka microcephaly a pehea e mālama ai i kahi pēpē me kēia pilikia ma ka nānā ʻana i kēia wikiō aʻe:

Pehea e haʻi ai inā ua hoʻopilikia ʻia kāu pēpē

E ʻike inā ua hoʻopilikia ʻia ka pēpē e ka maʻi virus rubella i ka wā i maʻi ai kona makuahine i ka wā hāpai a i ʻole ua loaʻa i ka makuahine ka lāʻau koʻokoʻo rubella i ka wā hāpai, mālama prenatal a me nā hoʻokolohua kūpono āpau e loiloi ai i ka ulu ʻana o nā pēpē. a me nāʻaʻaʻa.

ʻO ka ultrasound morphological, hana mau ʻia ma waena o 18 a 22 mau pule o ka hāpai ʻana, hiki ke hōʻike inā aia he maʻi kīnā ʻole ka puʻuwai a i ʻole he pōʻino o ka lolo, akā naʻe, ʻike wale ʻia kekahi mau hoʻololi ma hope o ka hānau ʻana, e like me ke kuli, no ka laʻana.

Hiki ke hana ʻia ke kuhi o ka rubella kūpuna ma o kahi hoʻokolohua koko e hōʻike ana i nā mea ʻiʻo IgM maikaʻi rubivirus a i 1 makahiki ma hope o ka hānau ʻana. Hiki ke ʻike ʻia kēia hoʻololi ʻana ma hope o ka hānau ʻana o 1 mahina a no laila, inā he kānalua, pono e hana hou i ka hōʻike ma hope o kēia lā.

Pehea e hana ai i ka lāʻau

ʻO ka mālama ʻana ʻo Rubella i ka hāpai ʻana o ka kaohi ʻana i nā ʻōuli a ka wahine i manaʻo ai no ka mea ʻaʻohe lapaʻau kikoʻī e hiki ke hoʻōla iā rubella. ʻO ka maʻamau, hana ʻia ka lapaʻau me nā lāʻau e kāohi ai i ka fiva a me nā mea ʻehaʻeha, e like me ka paracetamol, e pili pū me ka hoʻomaha a me ka lawe wai i ka wahine hāpai.

ʻO ke ʻano ʻoi aku ka maikaʻi loa o ka pale ʻana ka loaʻa ʻana o kahi lāʻau triple-viral vaccine e pili ana i ka maʻi ʻula, nā puʻupuʻu a me ka rubella ma kahi o 1 mau mahina ma mua o ka hāpai ʻana. E hōʻalo nō hoʻi ʻoe i ka puni ʻana i ka poʻe e lawe nei i ka maʻi a i ʻole nā ​​keiki i loaʻa i ka rubella.