Hiki i nā mākua i mua o ke kula ke kānalua i nā'ōpiopio āpau i ka makahiki 6. Wahi a ka papa helu i hoʻonohonohoʻia ma muli o ke kauoha No. 673 oʻOkakopa 30, 2007, ua hāʻawiʻia ka Mānā Ola o ka Haukala a me ka Pānaʻi Kāpena o Rusia,ʻo nā keiki i piha i 6 mau makahiki i ka lua o ka paleʻana i ka'opaʻu, ka maile a me ka mumuku.
Eia naʻe,ʻaʻole ka helu kūpono o ka manawa hana hoʻopaʻaʻana. Pono e mālama i ke kuʻiʻana ma ka heluʻana i keʻano o ke olakino i nā 2-4 mau 2-4 ma mua o ka hoʻopauʻiaʻana. Pono e noʻonoʻo i ka maʻi maʻi, neuropie, maʻi mau loa. Inā loaʻa nā hōʻailona'ē aʻe, ma mua o ka'ōʻana, e hoʻonohonoho muaʻia ke keiki ma mua a ma hope o ka pāpale antihistamines (fenkarol, kūlana).
Rubella
ʻO Rubella kahi maʻi maʻi. Hiki ke lawe 'ia e nā'alele kahe i uka a me nā ea lehu. ʻO ke kumu o ka maʻi ka maʻi i loko oʻelima mau lā mai ka hoʻomakaʻana o ka'ōpala. ʻO ka pinepine pinepine a nā keiki i nā keiki he 2-9 makahiki. ʻO ka mea pōmaikaʻi, ma hope o ka maʻiʻana i kekahi manawa, loaʻa i kekahi kanaka ke ola āpau loa i kēia maʻi. Hiki i nā keiki keʻoluʻolu i ka maʻi a me ka maʻi. Paʻa nā mākua i ke kaumaha. No laila,ʻaʻole e haʻalele i kēia maʻi.
ʻO ka maʻemaʻau muaʻana i ka rubella e mālamaʻia i nā mahina he 12. I ke 6 mau makahiki, hanaʻia ka hanaʻana i ka lāʻau hou. A mai ke kōpiʻopiʻi, he 13 makahiki a me nā wāhine i hoʻolālā i ka'ōpū no 3 mau mahina ma mua o ka manaʻo i hoʻopiʻiʻia (ināʻaʻole i maʻi muaʻia). I Russia, ua kākau inoaʻia nā lāʻau lapaʻau:
Monocarcinas e kū'ē i ka rubella : he āpau i huaʻia e Croatia; he āpau i huaʻia ma India; Rudivax (Palani).
ʻO nā lāʻau lapaʻau i hui pūʻia : Prioriks (rubella, mumps, mele) (Belgium); MMP-II (rubella, mumps, pūpū) (USA).
E ana
ʻO kaʻeleʻele he maʻi maʻiʻeha. ʻO keʻano e hele pū me kahi mea palahalaha, ka wela o ka conjunctiva o nā maka a me ka mucosa o kaʻeha hanu kiʻekiʻe. Hoʻonuiʻiaʻo ia e nāʻahu'awapelu. Hoʻomaka ka meli ma ke anuanu me ka lola, ka nāwaliwali, hoʻemi i ka makemake, hoʻonui i ka 38-39 o ke kiʻekiʻe, ka mahana.
ʻO ke kau muaʻana i ka maʻi hōkeo ke mālamaʻia i ka 12-15 mahina,ʻo ka lua o ka hoʻopiʻi ma mua o ka hanaʻana o ke kula i nā keiki i loko o 6 mau makahiki. Ua hoʻopaʻaʻiaʻo Russia:
ʻO nā pāpaʻi lāʻauʻo Monovirus i ka maʻi kala : Ruvax (France); ka lāʻau lapaʻau (Russia).
ʻO nā lāʻau lapaʻau i hui pūʻia : Prioriks (rubella, mumps, mele) (Belgium); MMP-II (rubella, mumps, pūpū) (USA).
ʻO nā mumipi maʻi
Hoʻomaopopoʻia nō hoʻi ka pārotitic pīpī i ka mumps. Hoʻokuʻuʻia ka huapoki mumps e nā lauhuʻu ākea. I ka manawa ma ka membrane mucous, e komo ka huaʻokoʻa i nā'aleʻa salivary, ke koko a ma laila e pili ai i ka pūnaewele pūpū. ʻO ka pilikia o kēia maʻi ma kahi lōʻihi lōʻihi (latent). Hiki keʻike i nā hōʻailona mua ma hope o 2-2,5 mau lā ma hope o ka maʻi.
ʻO ka maʻi muaʻana i ka malama he 12, a i ka 6 o nā makahiki, e pāpā houʻia nā keiki. ʻO ke kūpono o nā lāʻau lapaʻau he kiʻekiʻe loa. ʻO nā kānaka i pālahalahaʻia,ʻehaʻeha lākou i ka mumke a me ka liʻiliʻi loa o nā pilikia. Ua hoʻopaʻa inoaʻia ma Rusia:
ʻO nā kanulau āpau e pili ana i ka mumps : mumps vaccine (Russia).
ʻO nā lāʻau lapaʻau i hui pūʻia : Prioriks (rubella, mumps, mele) (Belgium); MMP-II (rubella, mumps, pūpū) (USA).
Pono e hoʻomanaʻoʻia ka hōʻoleʻana i nā lapaʻau, i nā mākua i ka wā e hiki mai ana i kā lākou keiki punahele e hiki ke palekana i nā maʻi maʻi. Paʻa nui loa kēia mau maʻi i ka wā o ke kanaka makua. ʻAʻole hiki ke hōʻoleʻia nā keiki i hikiʻole i ka'ōpiopio i ke komoʻana i ke kula keiki. He mea weliweli ia no ka nohoʻana i loko o nā'ōpiopio o nā keiki, nā māhele, nā huila, e hele i nā hanana pālahalaha no ka kiʻekiʻe o ka maʻi. Wahi a nāʻikepili,ʻo ka hapanui o nā keiki i heleʻole i ka lāʻau i ka manawa, e kiʻi i ka maʻi ma ke kula.