Nā Kuleana a me kaʻOiaʻiʻo
ʻO kaʻoiaʻiʻo, ua hoʻolālā ka World Health Organisation (WHO) i ka pāʻani i ka poliomyelitis mai ko mākou honua ma ka makahiki 2000. A ua hiki ke hana i kēia ināʻaʻole no nā'āina o ke kolu o ka honua, i kahi e hoʻopili pinepineʻia ai ka maʻiʻino, i laweʻia e nā lauhuʻu'ahuʻula, e like me ka lāʻau nui, aʻo ka mea nui loa ma o nā huaʻaʻole i hoʻolapalapa-nā huaʻona a me nā lima lepo. Ma nā moku'āinaʻoʻApelika Nui me ka hāʻule o ka Soviet Union,ʻaʻole i hana houʻia nā keiki, a ua lilo hou ka maʻi i hoʻohuliʻia i loko o ka pilikia nui o ka honua. ʻO kēia pūnāwai, ma Tajikistan wale nō, ua kākau nā kauka i 278 mau hihia o ka maʻi polio, a me 15 o lākou (ʻo ka hapanui o nā keiki i lalo o 5 mau makahiki) me ka hopena hopena. I loko o kēia māhele nui o'Aselika, ua hele mai ka maʻi mai India, Pakistan a me Afghanistan. He mea maʻamau loa ia ma'Afelika. Ua nui nā makahiki he nui o nā papahana UN kūikawā no ka hōʻoiaʻana i nā keiki. I ka pauʻole o ka maʻi o ka palena, poliomyelitis ke hele. Eia kekahi,ʻo nā huapalapala a me nā hua maloʻo i laweʻia mai nā'āpana pilikia i hiki ke maʻi. Ma nā huahana a me ka wai, hoʻomau no ia no 2-4 mau mahina,ʻo ia hoʻi, eʻae ana i ka maloo a me ka maloʻo, akā hopohopo wale nō i kaʻaila, ka mea kanu pālolo (potassium solution) a me hydrogen peroxide. Pono e hoʻohanaʻia ka wai no ka inuʻana o nā keiki i ka'ohua a iʻole ka bottled. ʻO nā huaʻai, nā hua, nā hua a me nā greens e hoʻomaʻemaʻe loa i ka wai e holo ana a kāpīpī i ka wai e hoʻolapalapa ma mua o ka hāʻawiʻana i ka pēpē. Mai inu i ka waiū, kūʻaiʻia mai nā lima mai: hiki ke loaʻa i ka maʻi polio i ka maʻi (e like me nā maʻi o nā maʻi'ē aʻe'ē aʻe). ʻOiaʻiʻo, inā ua paniʻia ka waiū,ʻaʻole e loaʻa hou ka pilikia.
He kulu o ke olakino
ʻO ka meaʻoi loa o ka paleʻana i ka poliomyelitis he lāʻau āwīla. Hāʻawiʻiaʻo ia i ka'ōhū i nā mahina he 3 i ka manawa like me ka hōʻai'ēʻana i ka pertussis, diphtheria a me tetanus. ʻO ka mea mua, e hana i kahi kāpili intramuscular o DTP (ma ka hoki), a laila e hoʻokuʻu i ke keiki i loko o ka waha mai ka lāʻau kala pipette e kū'ē i ka polio. Me he mea maʻalahi loa ia:'ānō - a mākaukau hoʻi! Akā, me kēiaʻano hana e lawelawe ai i ka lāʻau lapaʻau, pono e hahai kekahi i nā rula. ʻAʻole hiki iāʻoe, he laʻana, hānai i nā kuhū koke ma mua koke a ma hope koke o ka lāʻau āiwi, no ka mea hiki iā ia ke hoʻololi i ka waiū me ka lāʻau āpau. A laila pono e hāʻawi houʻia! Ma ka moʻolelo o ka hoʻopukaʻana o ka pope i kāna keiki i lāʻau lapaʻau e pili ana i ka maʻi polio aʻaʻole hoʻi i hoʻolohe i kaʻoiaʻiʻo ua hoʻoponopono houʻo ia i ka lāʻau lapaʻau, a no lailaʻaʻole i palekanaʻia mai kahi maʻiʻino, ua kūkuluʻia ka papahana o ka puke hope loa o ka mea kākau hou Alexandra Marinina. ʻO ke keiki, i ka manawa maoli, ua hāʻuleʻo ia i ka maʻi aʻo ka hopena, ua paʻaʻo ia i kahi kaʻa huila, a ua uku ka pope i kāna hana hōʻino no kona nānāʻana.
He mea nui loa ka moʻolelo, koe wale nō ka mea hoʻokahi: i nā makahiki i hōʻikeʻia e ka mea kākau (ka hopena o ke kenekulia hope), he loliʻole ka poliomyelitis, ma Moscow pono'ī. Akā i ka waena o ke kenekulia 20,ʻo ka uluʻana o kēia maʻi ma nā'āina he nui o'Europa a meʻAmelika Hema, hāʻawi ia i keʻano o kahi pōʻino'āina: ma kekahi mau kūlanakauhale, he 13-20 mau kānaka i kēlā me kēia makahiki ma ka heluna he 10,000 - he nui kēia! ʻO kekahi hiʻohiʻona o ka PelekikenaʻAmelikaʻo Theodore Roosevelt, ka mea nāna i nohoaliʻi i ka'āina ma ke kaʻa huila, he hōʻailona. Ua pilikiaʻo ia i ka poliomyelitis ma 39, a ma hope iho ua hikiʻole iā ia ke hele hou. ʻOiaʻiʻo,ʻo kēiaʻano o ka maʻi iʻoi aku keʻano maʻamau no nā keiki'ōpiopio, a ma waena o nā mākua,ʻo nā mea wale nō iʻeha i ke olaʻole he mea paʻakikī ke paleʻana i ka maʻi. Eia naʻe, ma hope o ka hanaʻana i nā lāʻau lapaʻau e pili ana i ka poliomyelitis a me ka lāʻau āpau āpau o nā keiki ma nā'āina i hoʻolālāʻia, me ka'āina o Ukrainia i kēia manawa, ua pau loa kēia maʻi. I kēia manawa, i ka wā e pilikia ai keʻano o ka maʻi'ehapili ma muli o ke virus huakaʻi i laweʻia mai,ʻaʻole i loaʻa nā pōʻino o ka maʻi, no ka palekanaʻana o kā mākou mau keiki ma o ka lāʻau lapaʻau. Ka'aha'ōlelo. Ponoʻoe e mālama i ka papa hana āpau no ka pēpē, e kahaka i ko lākou mau lā ma laila. Eʻoluʻolu: e lawelaweʻia ka lāʻau lapaʻau no ka maʻi polio i ka makahiki muaʻekolu manawa i nā manawa o 45 mau lā. E ho'āʻoʻaʻole eʻoi aku ma mua o kēia palena pau! ʻO ka hopena o ke ola āpau āpau he 50%, a ke loaʻa i ke keiki nā 3ʻokoʻa - 95%. Inā komoʻo ia i loko o 5%'ē aʻe, e hoʻololiʻo ia i ka maʻi i kahi palapala holoi aʻaʻole loa ia e lilo i meaʻole. ʻO ka mea nui,ʻo ka hoʻomaopopoʻana i ka hoʻopili hopeʻana o kāu pēpē ma hope o ka papahana: ma 18 a 20 mau mahina, a ma 14 makahiki.
Alive a make paha?
ʻO ka lāʻau lapaʻau no ke kalapiho polio a me nāʻanoʻelua: e loaʻa ana i ka maʻi virus i hoʻonohonohoʻia (OPV) a me nā mea i makeʻole (IPV). ʻO wai o kaʻelua iʻoi aku ka maikai? ʻO kaʻoiaʻiʻo,ʻo ka mea mua - hāʻawi ia i kaʻoluʻolu palekana. Akā, he mea nui loa ia (hoʻokahi hihia no 2-3 miliona), akā,ʻo kēlāʻano maʻi palupalu e like me ia e hiki ke hana i kahi maʻi pilikino pili. No ka hōʻoleʻana i kēia hana, pono ke nānāʻia ke keiki e ke kauka i mua o ka hoʻomaʻamaʻaʻana. Na ke kauka e hoʻoholo inā he mau hōʻai'ē i ka paleʻana. ʻO ka hopena o kēiaʻano heʻano kūlohelohe a me nā kūlana kūikawā me ka maʻi kuni a me nā maʻi pūnaewele, a me nā maʻi hōʻino (e like me ke kanikoki) a me nā maʻi neurological e hele pū ana me ka hoʻolauna mua o ka maʻi polio. Akā ma ka US, ua hoʻohanaʻoleʻia ka OPV no nā makahiki he 10. Mai ka makahiki 1979, ua hōʻikeʻia he 144 mau hihia o ka poliomyelitis e pili ana i nā maʻi i ka'āina (ʻo ka mea maʻamau i nā maʻi me ke kēpia i ka makahiki 18), no laila ua hoʻoholo nā kaukaʻaʻole e lawe hou i nā mea pōpilikia, a loli i ka pilikino o ka IPV. ʻOiai uaʻoi aku ka nāwaliwali,ʻaʻole hiki ke hoʻonāukiuki i ka maʻi polio. Ma nā kūlanaʻAmelika, hiki ke hōʻoia kēia hana: hikiʻole i kekahi pēpē i hānauʻia maʻAmelika Huipūʻia ke paʻiʻana i kahi maʻi polio o ka "'āhiu", aʻo kā mākou mau keiki, e like me nā hanana o nā mahina i hala iho nei, pono e paleʻia mai ia mea - akā naʻe, he lāʻau lapaʻau palupalu nāwaliwali ʻO kekahi laʻana, mālamaʻia nā pēpē me nā lāʻau'alopelo (streptomycin a me neomycin) i ka hopena anaphylactic o nāʻano likeʻole o ka paʻakikī ma ka paneʻana i ka IPV - mai ka inoama o ka'āina e hōʻeha. ʻAʻohe mea ola e like me ka lāʻau lapaʻau - e like me nā lāʻau lapaʻau - akā, he mea nui ka hoʻomaopopo i kahi mea: inā he hōʻoleʻole i ka laʻauʻana, hiki i ke keiki ke hōʻeha nui aʻe .10 i ka 20% o ka poʻe i polio a me ka maʻi make o kēia maʻi a hiki i 4%. He manaʻo ikaika loa no ka'ōwiliʻana! Pono eʻikeʻia kekahi mea nui loa: uaʻike nā kānakaʻepekema i nāʻanoʻekolu (ʻo nā kumuhana e hoʻohana pinepine nei i ka hua'ōlelo "nāwaliwali") o ka maʻi poliomyelitis. ʻO nā mea i hōʻikeʻia ma kēiaʻano, hiki ke hāpaiʻia kēia maʻi aʻeha hoʻokahi, akāʻekolu manawa o ke ola: ma keʻano o ka hoʻi houʻana mai ka maʻi, ua hoʻokumuʻia ka palekana i hoʻokahi wale nō o nā maʻi viral, a ke pale nei ka pālolo i nā mea a pau.
Ka hōʻailona kūpono
ʻO ka manawa hoʻopilikia o poliomyelitis (ʻo ka manawa o ka maʻi me ka maʻi i ka pukaʻana o nā hōʻailona maʻi mua) e mau ana mai 3 a 14 mau lā. A mālamaʻia ka hopena nui ma ka hopena o ke kauwela a me ke kauwela. Hoʻomaka maikaʻi ka maʻi a ma mua e like me ka maʻi. ʻO ke kiʻi kūikawā o ka'ōpū e like me kēia: hānai ka pēpē i ka wela a 38-39 ° C, lilo ia i mea palaualelo, nalowale ka manaʻo, hoʻomaka i ka hōʻeha a me ke kaumaha, e uē ana a me ka maikaʻiʻole, no ka mea, uaʻeha kona'ā'ī. A inā ma kēia mau hōʻailona kaʻeha i ka maʻi a me ka maʻi paʻi e hui pū (ʻaʻole,ʻaʻole e hele mau i ke ala, e hoʻomaka ana ka mummy e noʻonoʻo, i loko o ka pīpī ke maʻi maʻi maʻamau. Ma keʻano, heʻoiaʻiʻo. ʻAʻole kūpono nā kauka i ka poliomyelitis i nā maʻi o nā lima lepo. ʻO ka mālamaʻana i nā mākau hoʻomaʻemaʻe ka emi nui loa o kona hoʻoweliweli. Laweʻo ia i 4-5 mau lā, a no ka maikaʻi o ke keiki. Ma ke kino o ka mea naʻaupō ua loaʻa ka manaʻo ua ola ka pēpē, akā i kaʻoiaʻiʻo, e hiki ke kapaʻia kēlā kiʻi i kahi mālie ma mua o kaʻino. Hoʻopau hou ka mālamalama i ka hebedoma, a laila e ala hou ka mahana, me ka maʻi lolo o nāʻokoʻa'ē aʻe e ulu ana, pinepine i nā wāwae a me nā lima, akā, e hiki ke hoʻopaʻiʻia keʻano o ke kino, e like me nāʻokoʻa intercostal a me ka diaphragm - ma nāʻano likeʻole e paʻakikī ka pēpē. He mea weliweli loa inā pili ka huakino i nā pokapū hauhā a me nā vasomotor: ma iaʻano,ʻo ke ola o kahi kuhumu i keʻano. I kekahi mau hihia, hiki i ka poliomyelitis ke loaʻa me ka maʻi palapilikia - ma lalo o keʻano o ka maleingitis, a me nāʻano māmā e masked for colds or intestinal diseases: ua aneane hikiʻole ke hoʻomaopopoʻia ia mau hōʻailona o ka maʻi. He pilikia loa ia no nā poʻe'ē aʻe, no ka mea, ke kākoʻo nei lākou i ka palahalaha liʻiliʻiʻole. No ka mālamaʻana i kahi keiki i loʻohia i ka maʻi polio i ka mea e pono ai i ka haukapila - pono iā ia kahi moe e hoʻomaha, hoʻomaha piha a me ke kiaʻiʻana o nā kauka. Ponoʻo Māmā e manaolana no ka mea maikaʻi loa: i ka hapalua o nā hihia, i ka wā e hoʻihoʻi mai ai ke keiki, hanaʻia ka maʻiʻeha.
Ma keʻano o nā hana hoʻomaha, nā kānaka lapaʻau e nānā nui i ka pākiko a me ka physiotherapy, a me ka sanatorium a me ka lawelaweʻana i ka lepo a me ka lepo lepo ma nā kūlanakauhaleʻo Berdyansk a me Yevpatoria, a me ka radon a me ke hydrogen sulfide (e like paha me Sochi). No ka mālamaʻana i ka pēpē i ke ola a pau, akā,ʻo ka hopohopo,ʻaʻole hiki iāʻoe ke hoʻokuʻu i kou lima ma kekahi hihia. Pono eʻikeʻia kekahi pono e like me ka lanakila ma luna o ka maʻi,ʻo kahi meaʻuʻuku loa. He hiki ke hiki i ka manawa - aʻo kēiaʻoihanaʻaʻole ia heʻano lōʻihi e hiki mai ana! - e aʻo ana nā kauka i ka hoʻoponoponoʻana i ka "hoʻopunipuni" i hoʻopiliʻia e ka polio polio i loko o nā neurons, e hoʻopakele ai i nā maʻi mai nā hopena o kēia maʻi. No laila, e manaʻo mau kekahi i ka mea maikaʻi a ho'āʻo e hoʻoikaika i kēia manaʻo i ke keiki. Pono,ʻo ka mea mua loa, mai ka Mamana!