Loaʻa i kāu keiki liʻiliʻi kēia mau hōʻailona maʻi palū ʻē? E aʻo kākou e pili ana i ka maʻi Kawasaki!

I kēia lā, e kamaʻilio mākou e pili ana i kahi maʻi kakaʻikahi, akā i kekahi manawa koʻikoʻi loa, hiki ke hoʻopilikia i nā keiki ʻōpio, ʻoiai ka poʻe ma lalo o ʻelima mau makahiki. Ua kapa ʻia ʻo ia he maʻi Kawasaki. Hiki i kekahi mau mākua ke hopohopo iki ke lohe lākou i kēia inoa, akā mai hopohopo. Inā ʻoe e hoʻomaopopo pono ʻia a loaʻa ka lāʻau lapaʻau i ka manawa kūpono, ʻo ka hapa nui o ka manawa hiki ke ho'ōla loa ʻia kāu keiki.

He aha ka maʻi Kawasaki?

I ka ʻōlelo maʻalahi, ʻo ka maʻi Kawasaki kahi mumū o nā kīʻaha koko i loko o ko kākou kino. Kāhea pū nā kauka i kēia "Vasculitis". I kēia manawa e noʻonoʻo e pili ana i ia mea, he aha ka mea e hana ai ke mumū kahi kīʻaha koko? Hiki iā ia ke lilo i nāwaliwali, kīkoʻo, a pehu e like me ka pōpō. Inā hana ʻia kēlā, hiki iā lākou ke pahū. I kekahi manawa, hiki i kēia mumū ke hana i ka ʻeha i loko o nā kīʻaha koko, e hoʻohaiki ana i nā kīʻaha koko. A laila, ʻaʻole lawa ke koko i nā ʻāpana a me nā ʻōkana o ke kino, ʻo ia hoʻi, ka meaʻai. Hoʻopilikia pinepine ka maʻi Kawasaki i nā keiki ʻōpio ma waena o 6 mahina a me 5 mau makahiki . ʻOiai hiki ke hoʻopilikia maoli i kekahi kīʻaha koko i loko o ke kino, pono mākou e hopohopo nui e pili ana i nā kīʻaha koko nui e hoʻolako i ke koko i ka puʻuwai, ʻo ia hoʻi nā "Coronary arteries" . No ka mea, inā hōʻino ʻia kēia mau kīʻaha koko, hiki iā ia ke hoʻopilikia pololei i ka hana o ka puʻuwai o ke keiki. Akā ʻo ka mea maikaʻi loa, inā ʻike ʻia ka maʻi i ka manawa kūpono a hoʻomaka koke ka lāʻau, e hoʻōla piha ka hapa nui o nā keiki i loko o ʻelua mahina .

Pehea ka maʻamau o kēia maʻi?

He maʻi laha ʻole ka maʻi Kawasaki. No ka laʻana, ma nā ʻāina e like me ʻAmelika Hui Pū ʻIa a me Kanada, hoʻopilikia ia ma waena o 10 a me 20 o kēlā me kēia 100,000 mau keiki ma lalo o 5 mau makahiki. Eia nō naʻe, ma nā ʻāina ʻĀsia e like me Iapana, Korea, a me Taiwan, ʻoi aku ka kiʻekiʻe o kēia helu. Ma laila, hoʻopilikia ia ma waena o 50 a me 250 o kēlā me kēia 100,000 mau keiki. Eia naʻe, hoʻokahi mea nui, ma nā ʻāina i hoʻomohala ʻia e like me ʻAmelika Hui Pū ʻIa a me Iapana, ua ʻike ʻia ka maʻi Kawasaki ʻo ia ke kumu nui o ka maʻi puʻuwai i nā keiki ma ke ola ma hope . ʻO ia hoʻi, he mea nui loa ia iā kākou ke makaʻala i kēia.

He aha nā hōʻailona o ka maʻi Kawasaki?

I kēia manawa, e nānā kākou i nā hōʻailona e hōʻike ana inā loaʻa i kāu keiki liʻiliʻi ka maʻi Kawasaki. Pono ʻoe e hoʻomanaʻo i kēia mau mea pākahi.

• ʻO ke kuni e mau ana no ʻelima mau lā ma ka liʻiliʻi . ʻO kēia ka hōʻailona nui a me ka hōʻailona mua.
• Hoʻomaha mau ke keiki a uē (Irritability) .
• ʻUlaʻula a poni paha nā maka , akā ʻaʻohe kahe mai loko mai o nā maka.
• Nā lehelehe ʻulaʻula, māwae, alelo ʻulaʻula e like me ka ʻōpena ('ʻŌpena ʻŌpena') .
• Ka pehu ʻana a me/a i ʻole ka ʻulaʻula o nā lima a me nā wāwae .
• ʻO ka ʻili ʻana i ka ʻili ma nā manamana lima, ʻoi aku hoʻi a puni nā kui .
• ʻŌhūhū . ʻIke pinepine ʻia kēia ma nā wahi e like me ka umauma a me ka ʻōpū. I kekahi manawa hiki ke ʻike ʻia ma nā wahi ʻē aʻe o ke kino.
• Nā ʻāpana lymph pehu i ka ʻāʻī . Hiki ke pehu kekahi a ʻoi aku paha.
• ʻŌpū ʻeha , ʻeha ʻōpū, luaʻi , kahe koko , a pēlā aku.

Mai makaʻu i ka maʻi Kawasaki no ka mea wale nō he hoʻokahi a ʻelua paha o kēia mau hōʻailona kou. Akā inā he kuni kou no nā lā ʻelima a ʻoi aku a loaʻa iā ʻoe kekahi a ʻoi aku paha o nā hōʻailona ʻē aʻe i ʻōlelo ʻia, pono ʻoe e ʻike koke i ke kauka .

He aha ke kumu o ka maʻi Kawasaki?

ʻAʻole ʻike ʻia ke kumu kikoʻī o ka maʻi Kawasaki . ʻO ia hoʻi, ʻaʻole hiki ke ʻōlelo maopopo i ke kumu o ia mea. Akā ke hoʻomau nei nā mea noiʻi i ka noiʻi ʻana. Manaʻo kekahi he maʻi , he kumu kaiapuni , a he predisposition genetic paha ke kumu. ʻO kekahi mea ʻē aʻe, ʻike pinepine ʻia kēia maʻi i ka hopena o ka hoʻoilo a me ka hoʻomaka ʻana o ka pūnāwai . Akā, ʻaʻole maopopo ke kumu.

He maʻi lele anei kēia?

ʻAʻole. ʻAʻole he maʻi lele ka maʻi Kawasaki . ʻAʻole ia e laha ma o nā wai o ke kino, ka hoʻopā ʻana, a i ʻole ka ʻūhā ʻana. No laila, ʻaʻohe mea e hopohopo ai.

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o ka maʻi Kawasaki?

ʻOi aku ka nui o ka loaʻa ʻana o kēia maʻi i kekahi poʻe. Kāhea mākou iā lākou he 'mau hui pilikia'.

• ʻOi aku ka ulu ʻana o nā keikikāne ma mua o nā kaikamahine.
• ʻO nā keiki ma lalo o 5 mau makahiki ka mea i hoʻopilikia nui ʻia.
• ʻOi aku ka nui o ka hiki ʻana o nā keiki o ka lāhui ʻĀsia a i ʻole nā ​​​​mokuʻāina Pākīpika e loaʻa i kēia maʻi.

Eia nō naʻe, he mea nui e hoʻomanaʻo e hiki i ka maʻi Kawasaki ke ulu aʻe i loko o ka poʻe i nele i kēia mau mea pilikia.

He aha nā pilikia e hiki ke loaʻa mai ka maʻi Kawasaki?

ʻO ka mea weliweli loa e pili ana i ka maʻi Kawasaki ʻo ia nā pilikia e hiki ai ke hana, ʻoiai nā mea e pili ana i ka puʻuwai.

• Lilo nā aʻa coronary o ka puʻuwai i pehu, nāwaliwali, a like me ka pōpō (Aneurysms) . ʻO kēia ka pilikia weliweli loa. I kekahi mau hihia koʻikoʻi, pono paha ke ʻoki ʻana e like me ke ʻoki bypass artery coronary.
• Hoʻokumu ʻia nā ʻūpā koko i loko o nā aʻa coronary a me ka haiki ʻana o nā aʻa .
• Ka haki ʻana o ke aʻa coronary . He mea kākaʻikahi loa kēia, akā he mea weliweli loa.
• Nā pilikia o ka valve puʻuwaiHoʻomalu kēia mau valves i ke kahe o ke koko ma o ka puʻuwai.
• ʻO ka mumū o nā ʻiʻo puʻuwai ('Myocarditis' a i ʻole ' Pericarditis ') .
• Hepatitis .
• Ka mumū ʻana o nā māmā (Pneumonitis) .
• Nā maʻi puʻuwai .
• ʻO ka mumū o ka pancreas (' Pancreatitis ') .
• Ka hāʻule ʻana o ka puʻuwai .
• Hoʻouka puʻuwai . ʻOiai he mea kakaikahi i nā keiki ʻōpio, hiki ke hana ʻia kēia e ka maʻi Kawasaki.

Hiki ke hopohopo kēia mau pilikia ke lohe ʻia. Akā e hoʻomanaʻo, hiki ke pale ʻia ka nui o kēia mau pilikia inā hoʻomaka ka lāʻau i ka manawa kūpono .

Pehea e ʻike ʻia ai ka maʻi Kawasaki?

Hoʻoholo nā kauka inā loaʻa i kahi keiki ka maʻi Kawasaki ma muli o kā lākou mau hōʻailona a me kahi hoʻokolokolo kino . Ke nānā nei lākou i nā hōʻailona a mākou i kūkākūkā ai ma mua. I kekahi manawa, ʻaʻole paha e hōʻike ke keiki i nā hōʻailona piha o ka maʻi Kawasaki. Loaʻa paha iā lākou kekahi o nā hōʻailona. I kēlā hihia, ua kapa ʻia ʻo ia he "Maʻi Kawasaki Atypical a Incomplete paha." Ma mua o ka hana ʻana i kahi hōʻailona, ​​​​​​ke nānā nei nā kauka i nā kumu ʻē aʻe o ke kuni, ʻo ia hoʻi, nā maʻi ʻē aʻe. Hoʻopau lākou i kēia mau mea āpau ma mua o ka hōʻoia ʻana i ka maʻi Kawasaki.

He aha nā pae ʻekolu o ka maʻi Kawasaki?

ʻO ka maʻamau, ʻekolu mau pae ka hele ʻana o ka maʻi Kawasaki.

Kahua mua (Kahua ʻĀkiu)

• Hoʻomaka ia me ke kuni e mau ana no ʻelima mau lā a ʻoi aku paha .
• Hoʻopilikia lākou i ke kino, ʻoiai ka umauma, ka ʻōpū, a me ka ʻūhā.
• ʻUlaʻula nā maka (maka ʻākala).
• Lilo ke alelo i ʻulaʻula, a ua like ke ʻano o ke alelo me kahi ʻōpena.
• ʻUlaʻula a pehu nā poho lima a me nā kapuwaʻi.
• Ua pehu nā puʻupuʻu ma ka ʻāʻī.

Kahua ʻElua (Kahua Subacute)

• Hoʻomaka kēia kahua ma hope o ka emi ʻana o ke kuni .
• Hiki ke ʻeha ka ʻōpū, ka luaʻi, a me ka maʻi pākī.
• Hiki ke loaʻa ka ʻeha o nā hono a me ka ʻeha o ka ʻōpū.
• Hoʻomaka ka ʻili ma nā lima a me nā wāwae e ʻili , ʻoiai ma nā manamana lima.

Ke Kahua ʻEkolu (Ke Kahua Hoʻōla)

• I loko o kēia manawa , ke emi mālie nei nā hōʻailona .
• Eia nō naʻe, hiki ke hoʻomau ʻia nā pilikia ma mua (ʻoiai nā mea e pili ana i ka puʻuwai), no laila e hoʻomau nā kauka i ka nānā pono ʻana i ka pēpē i kēia manawa.

He paʻakikī ke hoʻokaʻawale pono i kēia mau pae, a i kekahi manawa hiki iā lākou ke neʻe kekahi i kekahi.

He aha nā hoʻokolohua e kōkua ai i ka hōʻoia ʻana?

ʻO ka maʻi Kawasaki kahi hōʻike pololei o kēia,ʻAʻohe "hoʻāʻo kikoʻī ". ʻO ia hoʻi, ʻaʻole hiki iā ʻoe ke lawe i kahi kulu koko a ʻōlelo, 'ʻAuē, ʻo Kawasaki kēia.'' Eia nō naʻe, ke kānalua nā kauka i ka maʻi Kawasaki, hana lākou i kekahi mau hoʻāʻo e hōʻoia iā ia a kāpae i nā kūlana ʻē aʻe.

• Nā hoʻāʻo koko : Nānā kēia i nā māka mumū, anemia, a me ka hana ate.
• Ka nānā ʻana i ka mimi .
• Echocardiogram : He hoʻāʻo koʻikoʻi loa kēia. E like me ke scan ultrasound o kahi pēpē i loko o ka ʻōpū, hiki iā ia ke ʻike maopopo i ke kūlana o ka puʻuwai o ke pēpē a me nā aʻa coronary, a inā he mau aneurysms. He hoʻāʻo ʻeha ʻole kēia.
• Electrocardiogram (ECG/EKG) : Nānā kēia i ka hana uila o ka puʻuwai o ke pēpē, ʻo ia hoʻi, ke ʻano o ka puʻuwai. He hoʻāʻo ʻeha ʻole kēia.
• I kekahi manawa, inā pono, hiki ke hana ʻia kahi CT angiogram ( kahi hoʻāʻo e hoʻohana ana i nā kukuna X a me ke kamepiula) a i ʻole kahi MRA (Magnetic Resonance Angiogram) (kahi hoʻāʻo e hoʻohana ana i kahi mīkini MRI).

Ua hoʻoholo nā kauka he maʻi Kawasaki ko ke keiki ma ka hoʻohālikelike ʻana i ka ʻike i loaʻa mai kēia mau hoʻokolohua me nā hōʻailona o ke keiki.

Pehea e mālama ʻia ai ka maʻi Kawasaki?

I ka wā e ʻike ʻia ai ka maʻi Kawasaki, hoʻomaka ka lāʻau lapaʻau ma ka lawe ʻana i ke keiki i ka haukapila . He mea nui loa ka hoʻomaka ʻana i ka lāʻau lapaʻau i ka wā hikiwawe loa, no ka mea, hiki i kēia ke hōʻemi i ka pōʻino i hiki ke hana ʻia i ka puʻuwai. ʻO nā lāʻau lapaʻau nui i hāʻawi ʻia:

• ʻO ka Intravenous Immunoglobulin (IVIG) : He lāʻau lapaʻau kūikawā kēia i hana ʻia mai nā protein i loaʻa i ke koko kanaka. Hāʻawi ʻia ia i loko o kahi aa e like me ka saline. Hoʻemi ia i ka pehu ʻana i ke kino. Hoʻomaikaʻi ka hapa nui o nā keiki me kēia. Eia nō naʻe, ma kahi o 10 o 100 mau keiki ʻaʻole paha e pane maikaʻi i ka mahele mua o IVIG. Inā hana ʻia kēia, pono paha kahi mahele ʻelua a i ʻole nā ​​​​lāʻau lapaʻau ʻē aʻe.
• ʻAspirin : Hāʻawi ʻia nā dosis kiʻekiʻe o ka aspirin e hoʻēmi i ke kuni, hoʻēmi i ka ʻeha, a pale i nā ʻūpā koko. Ma hope o ka emi ʻana o ke kuni, inā he hōʻino i nā kīʻaha koko i loko o ka puʻuwai, hoʻomau ʻia ka aspirin ma kahi dosis haʻahaʻa e pale aku i nā ʻūpā koko.
• Nā wai IV : E mālama i ke keiki mai ka maloʻo ʻana.
• Nā lāʻau lapaʻau ʻē aʻe e hōʻemi ana i ka ʻeha a me ka pehu .
• Nā anticoagulants no nā keiki i pilikia i ke koko .
• I kekahi mau hihia koʻikoʻi, hiki ke hāʻawi ʻia nā steroids a i ʻole nā ​​​​lāʻau anti-inflammatory ʻē aʻe .
• ʻO ke kau ʻana i nā ʻūpā anu i ke kino me nā lole i hoʻomohu ʻia i ka wai anuanu hiki ke kōkua i ka hoʻēmi ʻana i ke kuni.

ʻO nā pahuhopu nui o ka mālama ʻana:

• Hoʻemi i ka mumū i loko o ke kino.
• Ke kāohi ʻana a i ʻole ka hōʻemi ʻana i ka hōʻino ʻana i nā kīʻaha koko, ʻoiai hoʻi nā aʻa coronary o ka puʻuwai.
• Ke pale ʻana i nā ʻōpū koko i nā keiki me nā pilikia o ke aʻa coronary.
• Ke pale ʻana i nā pilikia e pili ana i ka puʻuwai.

Aia kekahi mau hopena ʻaoʻao o ka lāʻau lapaʻau?

E like me nā lāʻau lapaʻau āpau, hiki i kēia mau lāʻau lapaʻau ke hana i kekahi mau hopena ʻaoʻao. Hoʻomanawanui maikaʻi ʻia ka IVIG. Eia naʻe, i kekahi manawa:

• ʻO ka anemia hemolytic ( make koke nā ʻula koko ʻulaʻula ma mua o ka maʻamau)
• Nā hopena hoʻokomo - e like me ke kuni a me ke anu.
• ʻEha ka umauma.
• Paʻakikī ka hanu ʻana.
• ʻeha ka ʻōpū.
• ʻEha i nā ʻiʻo a i ʻole nā ​​hono.

Ke hāʻawi ʻia ʻoe i nā lāʻau hoʻokahe koko (anticoagulants), ʻoi aku ka kiʻekiʻe o ka pilikia o ke kahe ʻana o ke koko. No laila, ʻoiai he ʻeha liʻiliʻi paha e lōʻihi ka manawa e hoʻōki ai ke kahe ʻana o ke koko.

Hiki ke pale ʻia ka maʻi Kawasaki?

ʻO ka mea pōʻino, ʻaʻole . ʻOiai ʻaʻole ʻike ʻia ke kumu kikoʻī o ka maʻi Kawasaki, ʻaʻohe ala e pale aku ai.

He aha kaʻu e manaʻo ai inā loaʻa i kaʻu keiki ka maʻi Kawasaki?

Ke kānalua ʻia kāu keiki he maʻi Kawasaki, e hoʻokomo nā kauka iā ia i ka haukapila. Ma ka haukapila e hana ʻia ai nā hoʻokolohua e pono ai a hoʻomaka ka mālama ʻana. E hiki i ke keiki ke hoʻi i ka home:

• I ka wā e hiki ai iā ʻoe ke inu maikaʻi i nā wai.
• I ka wā e hiki ai iā ʻoe ke lawe i ka lāʻau lapaʻau ma ka waha.
• Ke emi loa ke kuni a nalowale nā ​​hōʻailona o ka pehu ʻana i ke kino.

Ma hope o kou hoʻi ʻana i ka home, pono ʻoe e hoʻomau i ka ʻike ʻana i kāu kauka ʻohana (mea lawelawe mālama ola kino mua), he kauka maʻi lele (kauka maʻi lele), a me kahi kauka puʻuwai (cardiologist) . E nānā pono lākou i kāu keiki, e hana hou i nā hoʻāʻo koko, a e hana hou i ka lāʻau a hiki i ka wā e ʻōlelo ai lākou ʻaʻole pono ka lāʻau hou. E kipa aku ke kauka puʻuwai i ka home o kāu keiki a hana i kahi echocardiogram i loko o ʻelua pule, a ma hope o ʻehā a ʻeono pule . Inā loaʻa i kāu keiki kekahi mau pilikia me nā aʻa coronary, pono paha ʻoe e loaʻa pinepine i kahi echocardiogram.

Hiki ke ho'ōla loa ʻia ka maʻi Kawasaki?

Hiki i nā hōʻailona o ka maʻi Kawasaki ke mau no ʻehā a ʻeono pule . Hiki i ke keiki ke luhi a hoʻomaha ʻole a hiki i ʻewalu pule. Hiki i kekahi mau keiki, ma kahi o 2 a 3 paha mai 100, ke loaʻa hou i ka maʻi Kawasaki . Eia kekahi, hiki i ka maʻi Kawasaki ke hōʻeha lōʻihi i nā aʻa coronary a hiki ke alakaʻi i ka maʻi puʻuwai i ka wā makua.ʻO kahi laʻana, ʻo ia ka atherosclerosis. Pono ka poʻe i loaʻa i nā aneurysms ma muli o ka maʻi e ʻike i kahi cardiologist no nā nānā ʻana i ko lākou ola a pau, i hoʻokahi manawa i ka makahiki a i ʻole i kēlā me kēia mau makahiki. I kekahi manawa pono paha kahi hana e hoʻomaikaʻi ai i ke kahe koko. E hōʻoia kāu kauka ʻaʻole e loaʻa i kāu keiki nā clots koko a ua lawa ka oxygen i ka ʻiʻo o ka puʻuwai.

He mea weliweli anei ka maʻi Kawasaki?

ʻAe, he maʻi koʻikoʻi ka maʻi Kawasaki . Eia nō naʻe, inā ʻike mua ʻia ka maʻi a hoʻomaka ʻia ka lāʻau i ka manawa kūpono, hiki i ka hapa nui o nā keiki ke ho'ōla piha . Hiki ke loaʻa nā pilikia o ka puʻuwai, a i kekahi manawa make paha, ma waena o 15 a me 45 mau lā ma hope o ka hoʻomaka ʻana o ke kuni. ʻO ka mea pōmaikaʻi, hiki i ka lāʻau ke pale aku i ka hapa nui o nā maʻi puʻuwai. Inā ʻaʻole mālama ʻia, ma kahi o 25 o 100 mau keiki e loaʻa i nā aneurysms artery coronary. Eia naʻe, inā mālama ʻia i ka manawa kūpono, hāʻule kēia helu i lalo o 6 o 100. Me ka lāʻau, ma kahi o 50% o nā keiki me nā aneurysms artery coronary e hoʻōla i loko o hoʻokahi a ʻelua paha makahiki.

Pehea lā wau e mālama ai i kaʻu keiki?

ʻOiai e ho'ōla ana kāu keiki mai ka maʻi Kawasaki, aia kekahi mau mea hiki iā ʻoe ke hana:

• E hōʻoia i kāu keiki ua loaʻa iā ia nā lāʻau pale āpau . E makaʻala loa e pili ana i nā lāʻau pale COVID-19, influenza, a me varicella ʻoiai e lawe ana kāu keiki i ka aspirin. Aia kahi pilikia liʻiliʻi o kahi maʻi kakaikahi akā weliweli i kapa ʻia ʻo Reye's syndrome i nā keiki ʻōpio ke lawe ʻia ka aspirin me kahi maʻi viral.
• Mai hāʻawi i kāu keiki i nā lāʻau pale ola no 11 mau mahina ma hope o ka mālama ʻana me ka IVIG . No ka laʻana, nā lāʻau pale maʻi measles-mumps-rubella (MMR), chickenpox (varicella), a me nā lāʻau pale maʻi ihu ola. Hiki i ka IVIG ke hoʻopilikia i ka hiki o ke kino ke hana i nā antibodies e kūʻē i kēia mau virus.
• Inā he mau mea ʻē aʻe i ka echocardiogram o kāu keiki, e kaupalena i kekahi mau hana e like me ka ʻōlelo a ke kauka .

I ka manawa hea e pono ai iaʻu ke ʻike i ke kauka?

Inā hōʻike kāu keiki i kekahi o kēia mau hōʻailona ma hope o ka hoʻi ʻana mai i ka home, e ʻike pono i ke kauka:

• Inā hoʻi mai ke kuni .
• Inā loaʻa iā ʻoe ka ʻeha nui i kou mau hono .
• Inā ua ʻike hou ʻia nā hōʻailona ma mua a me he mea lā e lilo ana i mea ʻino .

He aha nā nīnau e pono iaʻu e nīnau aku i ke kauka?

Eia kekahi mau nīnau hiki iā ʻoe ke nīnau aku i ke kauka inā ʻike ʻoe ua loaʻa i kāu keiki ka maʻi Kawasaki:

• ʻPehea ke koʻikoʻi o ke kūlana o kaʻu keiki?
• 'Pehea ka lōʻihi o kou manaʻo e noho ai ke pēpē ma ka haukapila?'
• Aia kekahi mau hui kākoʻo no nā mākua o nā keiki me ka maʻi Kawasaki?
• 'ʻEhia ka nui o kaʻu e kaupalena ai i nā hana a kaʻu keiki?'

ʻAʻole maʻalahi ka nānā ʻana i kāu keiki liʻiliʻi e ʻeha ana i ke kuni a me nā hōʻailona ʻē aʻe. Akā e hoʻomanaʻo, ua loaʻa i nā kānaka noiʻi nā lāʻau lapaʻau maikaʻi no kēia maʻi, a ua ho'ōla ʻia nā keiki he nui mai ia mea. No ka hōʻoluʻolu ʻana i kāu keiki, e nīnau i ke kauka inā hiki iā ʻoe ke lawe mai i kahi mea pāʻani punahele a i ʻole kahi kapa moe i ka haukapila. ʻO kou aloha a me kou leo ​​mālie e lilo i ikaika nui i kāu keiki i kēia manawa paʻakikī.

Leka Hoʻihoʻi Hope Loa

He maʻi laha ʻole ka maʻi Kawasaki akā he maʻi koʻikoʻi e hoʻopilikia ana i nā keiki ʻōpio a hiki ke hoʻopilikia i ka puʻuwai.

• E makaʻala i nā hōʻailona e like me ke kuni e mau ana ma mua o 5 mau lā a me nā maka ʻulaʻula, nā lehelehe/alelo ʻulaʻula, nā ʻeha o ke kino, ka pehu ʻana o nā lālā, a me ka ʻoʻoleʻa o ka ʻāʻī.
• Inā ʻike ʻoe i kēia mau hōʻailona, ​​e ʻike koke i ke kauka. ʻO ka mea nui loa, ʻo ia ka hoʻomaka ʻana i ka lāʻau i ka manawa kūpono.
• Hoʻōla piha nā keiki he nui me ka lāʻau lapaʻau.
• ʻOiai ma hope o ka ho'ōla ʻana, pono e hoʻomau ʻia ke nānā ʻia ʻana o ke keiki e like me nā kuhikuhi a ke kauka , ʻoiai hoʻi e ke kauka naʻau.

Mai makaʻu, e makaʻala. Aia nā kauka e hiki ke hāʻawi i ka lāʻau maikaʻi loa no kāu keiki. ʻO kou nānā ʻana a me ka hana wikiwiki ke kōkua nui loa i ka hoʻōla ʻana o kāu keiki.