Ua loaʻa anei i kāu keiki liʻiliʻi ke kuni no kekahi mau lā? E kamaʻilio kākou e pili ana i ka maʻi Kawasaki

ʻAʻole anei i emi ke kuni o kāu keiki no nā lā ʻelima a ʻoi? Aia nā kiko ʻulaʻula ma ko lākou kino a puni? Ua ʻulaʻula anei ko lākou mau maka a ua māwae ko lākou mau lehelehe? Pehea ka makaʻu o mākou ma ke ʻano he mau mākua i nā manawa e like me kēia? Inā paha ʻoe e manaʻo he kuni maʻamau a he anu paha, i kekahi manawa hiki ke lilo i mea ʻoi aku ka koʻikoʻi. I kēia lā, e kamaʻilio mākou e pili ana i kahi maʻi laha ʻole e hoʻopilikia ana i nā keiki liʻiliʻi e pono e ʻike koke ʻia a mālama ʻia. ʻO ia ka maʻi Kawasaki.

He aha ka maʻi Kawasaki?

I ka ʻōlelo maʻalahi, ʻo ka maʻi Kawasaki kahi maʻi e pehu ai nā kīʻaha koko (nā kīʻaha koko) i loko o ko mākou kino, ʻo ia hoʻi, pehu a ʻulaʻula lākou. I ka lāʻau lapaʻau, kapa mākou i kēia vasculitis . E noʻonoʻo i nā kīʻaha koko ma loko o ko mākou kino e like me nā paipu e lawe ana i ka wai. He aha ka mea e hana ai inā pehu kēia mau paipu mai loko mai? Ua ālai ʻia ke kahe ʻana o ke koko, a hiki i nā paia o kēlā mau paipu ke lilo i nāwaliwali.

ʻOiai hiki i kēia maʻi ke hoʻopilikia i kekahi mau kīʻaha koko i loko o ke kino, ma ke ʻano he mau kauka, ke hopohopo nui nei mākou no nā aʻa coronary, ka mea e hoʻolako koko i ka puʻuwai. No ka mea, ʻo ka puʻuwai ka mīkini o ko mākou kino. ʻO nā kīʻaha nui e hoʻolako koko i kēlā mīkini ua kapa ʻia ʻo nā aʻa coronary. Inā pehu a nāwaliwali paha kēia mau mea, hiki ke hōʻino nui ʻia ka hana o ka puʻuwai.

ʻOi aku ka maʻamau o kēia maʻi i nā keiki ma waena o 6 mahina a me 5 mau makahiki . Eia nō naʻe, ʻo ka mea maikaʻi loa , inā ʻike ʻia ka maʻi i ka manawa kūpono a hoʻomaka ʻia ka lāʻau kūpono, e hoʻōla loa ka hapa nui o nā keiki i loko o ʻelua mahina. No laila, he mea nui e makaʻala ʻole a e makaʻala i nā hōʻailona.

Pehea ka maʻamau o kēia maʻi?

He maʻi laha ʻole ka maʻi Kawasaki. Ma nā ʻāina e like me ʻAmelika Hui Pū ʻIa a me Kanada, hoʻopilikia ia ma waena o 10 a me 20 o 100,000 mau keiki ma lalo o 5 mau makahiki. Eia nō naʻe, ma nā ʻāina ʻĀsia e like me Iapana a me Korea, ʻoi aku ka kiʻekiʻe o kēia helu. ʻO ka mea nui loa, ua lilo ka maʻi Kawasaki i kumu nui o ka maʻi puʻuwai i loaʻa i nā keiki ma nā ʻāina i hoʻomohala ʻia.

He aha nā hōʻailona o kēia maʻi? Pehea mākou e ʻike ai?

Ma ke ʻano he makua, pono ʻoe e makaʻala loa i kēia. No ka mea, hiki i kēia mau hōʻailona ke like iki me nā hōʻailona o ka maʻi flu maʻamau. Akā, i ka wā e hui pū ai kēia mau hōʻailona, ​​pono ʻoe e makaʻala nui.

E nānā kākou i nā hiʻohiʻona nui ʻē aʻe ma kēia ʻano e maʻalahi ai ka hoʻomanaʻo.

ʻAʻole hōʻike kekahi mau keiki i kēia mau hōʻailona āpau i ka manawa hoʻokahi. Inā he kakaikahi wale nō nā hōʻailona i hōʻike ʻia, kapa mākou ia he maʻi Kawasaki piha ʻole . Eia nō naʻe, he mea nui loa e lawe koke i kāu keiki i ke kauka, ʻoiai inā loaʻa iā lākou kekahi a ʻelua paha o kēia mau hōʻailona me ke kuni.

No ke aha i loaʻa ai kēia maʻi? He maʻi lele anei?

ʻO kaʻoiaʻiʻo, ʻaʻole i loaʻa i nā kauka kahi kumu kūpono no ka maʻi Kawasaki, akā aia kekahi mau manaʻo.

• Ka pane ʻana i kahi maʻi: Manaʻo kekahi poʻe noiʻi ke komo kahi maʻi a bacteria paha i ke kino, pane nui kā mākou ʻōnaehana pale iā ia, e hōʻino ana i nā kīʻaha koko.
• Nā kumu o ke kaiapuni: ʻOi aku ka pinepine o ka hōʻike ʻia ʻana o kēia maʻi i kekahi mau manawa o ka makahiki, ʻoi aku hoʻi i ka hopena o ka hoʻoilo a me ka hoʻomaka ʻana o ka pūnāwai.
• Kūlana hoʻoilina: Ua manaʻo ʻia ʻo nā keiki e lawe ana i kekahi mau genes e ʻoi aku ka maʻalahi o ka hoʻomohala ʻana i kēia maʻi.

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia?

• ʻOi aku ka nui o ka pilikia o nā keiki kāne ma mua o nā keiki wahine.
• Nā keiki ma lalo o 5 mau makahiki.
• No nā keiki o ka lāhui ʻĀsia a i ʻole nā ​​​​mokuʻāina Pākīpika.

He aha nā pilikia e hiki ai ke hoʻoweliweli i ka maʻi Kawasaki?

ʻO kēia ka ʻāpana e pono ai mākou e makaʻala nui. Inā waiho ʻole ʻia a mālama ʻia paha i ka wā lohi, hiki i nā pilikia e hiki mai ana, ʻoiai nā mea e pili ana i ka puʻuwai, ke lilo i mea weliweli.

• ʻO nā aneurysms o ke aʻa coronary: ʻO kēia ka pilikia koʻikoʻi a weliweli loa. ʻO ka aneurysm kahi puʻupuʻu i loko o ka paia o ke kīʻaha koko i nāwaliwali ma muli o ka mumū. Hiki i kēia mau mea ke puʻupuʻu a haki i kekahi manawa.
• Hoʻouka puʻuwai: Inā hana ʻia kahi ʻaʻa koko i loko o kahi aneurysm a ālai i ke kahe o ke koko i ka puʻuwai, hiki ke hana ʻia kahi hōʻeha puʻuwai.
• Myocarditis: Ka mumū o ka ʻiʻo o ka puʻuwai.
• Nā pilikia o ka valve o ka puʻuwai: Hiki ke hōʻino ʻia nā valve o ka puʻuwai a ʻaʻole e wehe pono a pani pono paha.
• Ka hāʻule ʻana o ka puʻuwai: Ka hiki ʻole o ka puʻuwai ke pamu i ke koko kūpono i ke kino holoʻokoʻa.

ʻO ka lohe ʻana e pili ana i kēia mau pilikia e hopohopo paha ʻoe. Akā e hoʻomanaʻo, hiki ke pale ʻia ka hapa nui o kēia mau pilikia inā hoʻomaka ʻia ka lāʻau lapaʻau i loko o nā lā 10 mua o ka hoʻomaka ʻana o nā hōʻailona. ʻO ia ke kumu e ʻōlelo ai mākou inā loaʻa iā ʻoe ke kuni a me nā hōʻailona i ʻōlelo ʻia ma luna, e ʻike koke i ke kauka.

Pehea e ʻike pono ai ke kauka i kēia maʻi?

ʻAʻohe hoʻāʻo koko hoʻokahi a i ʻole scan e hiki ke hōʻoia i ka maʻi Kawasaki. Hana ke kauka i ka hōʻailona ma ka nānā pono ʻana i nā hōʻailona o ke keiki. Kāhea mākou i kēia he hōʻailona lapaʻau .

E ʻike ke kauka i ka maʻi Kawasaki ma ka nānā ʻana i ke keiki, e nānā i ka nui o nā lā i loaʻa ai ke kuni, he aha nā hōʻailona ʻē aʻe i loaʻa, a me ka hōʻoia ʻana ʻaʻohe maʻi ʻē aʻe e hiki ke hoʻoulu i nā hōʻailona (e like me ka measles, ka scarlet fever).

ʻEkolu mau pae o ka maʻi

ʻO ka maʻamau, holomua ka maʻi Kawasaki ma o ʻekolu mau pae.

1. Pae 1 - ʻOi loa: ʻO kēia nā pule ʻelua mua a i ʻole. ʻO nā hōʻailona nui e like me ke kuni, ka ʻulaʻula, nā maka ʻulaʻula, a me nā loli i loko o ka waha e kū mai ana i kēia manawa. Lilo ke keiki i mea hoʻomaha loa i kēia pae.

2. Pae 2 - Subacute: Loaʻa i ʻelua a ʻehā pule. I kēia manawa, ua emi ke kuni. Eia nō naʻe, hiki ke loaʻa nā hōʻailona e like me ka ʻeha o ka ʻōpū, ka maʻi pākīkī, a me ka ʻeha o nā hono. ʻO ka mea nui loa, hoʻomaka ka ʻili ma nā manamana lima a me nā manamana wāwae e hemo i kēia manawa. ʻOi aku ka nui o ka pilikia o ka loaʻa ʻana o nā aneurysms artery coronary i kēia pae.

3. Pae 3 - Hoʻōla: Hiki ke mau kēia no hoʻokahi a ʻelua paha mahina. Nalo mālie nā hōʻailona āpau. Eia nō naʻe, hiki i ke keiki ke manaʻo i kahi luhi iki. He manawa ka lōʻihi no ka hōʻino ʻana i nā kīʻaha koko e ho'ōla ai.

He aha nā hoʻokolohua e hana ʻia?

ʻOiai inā ʻaʻole hiki ke hōʻoia ʻia ka maʻi, hiki i ke kauka ke kauoha i kekahi mau hoʻokolohua e hoʻoholo ai i ke koʻikoʻi o ke ʻano a e kāpae i nā maʻi ʻē aʻe.

• Nā hoʻāʻo koko: E nānā i nā mea e like me CRP a me ESR, e hōʻike ana i ke kiʻekiʻe o ka mumū i loko o ke kino.
• Ka nānā ʻana i ka mimi
• Echocardiogram: ʻO kēia ka hoʻāʻo koʻikoʻi loa. He scan ultrasound kēia. Hiki iā ia ke ʻike maopopo i ka hana o ka puʻuwai, ke kūlana o nā valves, a ʻoi aku hoʻi inā ua hōʻino ʻia nā aʻa coronary a i ʻole ua hoʻokumu ʻia nā aneurysms.
• Electrocardiogram (EKG): Kōkua kēia i ka nānā ʻana i ka hana uila (rhythm) o ka puʻuwai.

Pehea e mālama ʻia ai?

I ka manawa e kānalua ʻia ai ka maʻi Kawasaki, ua hoʻokomo ʻia ke keiki i ka haukapila. Hoʻomaka ka lāʻau lapaʻau ma ka haukapila. ʻEhā mau pahuhopu nui o ka lāʻau lapaʻau:

1. Hoʻemi i ke kuni a me ka mumū i loko o ke kino.

2. Kāohi a hōʻemi paha i ka hōʻino ʻana i nā kīʻaha koko, ʻoiai hoʻi nā aʻa coronary.

3. Ke pale ʻana i nā pilikia o ka puʻuwai.

4. Kāohi i nā ʻūpā koko.

Hoʻohana ʻia ʻelua mau ʻano lapaʻau nui:

• ʻO ka Intravenous Immunoglobulin (IVIG): ʻO kēia ka lāʻau lapaʻau nui. I ka ʻōlelo maʻalahi, he mea ia e loaʻa ana nā antibodies i lawe ʻia mai nā poʻe olakino. Hāʻawi ʻia i ke keiki ma ke ʻano intravenous (IV) e like me ka saline. Hana ia ma ka kaohi ʻana i ka pane pale kino ikaika o ke kino a me ka hōʻemi ʻana i ka hōʻino ʻana i nā kīʻaha koko. ʻO ka hāʻawi ʻana i kēia lāʻau lapaʻau i loko o nā lā 10 mua e hiki ke hōʻemi i ka pilikia o nā pilikia puʻuwai mai 25% a i lalo o 5%.
• ʻAspirin: ʻAʻole mākou e hāʻawi pinepine i ka aspirin i nā keiki me nā kuni viral. Eia nō naʻe, i ka maʻi Kawasaki, hāʻawi mua ʻia ka aspirin i nā nui kiʻekiʻe e hōʻemi i ke kuni a me ka mumū, a laila ma nā nui haʻahaʻa e pale ai i ke kāpili ʻana o ke koko no kekahi mau pule.

Ma waho aʻe o kēia mau lāʻau lapaʻau, hāʻawi ʻia ke keiki i nā mea e like me ka saline e pale ai i ka maloʻo ʻana o ka wai, a me nā lāʻau lapaʻau no ka ʻeha a me ka pehu.

He aha ka mea e hana ma hope o kou hoʻi ʻana mai ka haukapila mai?

Ke pau loa ke kuni o ke keiki a hiki iā ia ke lawe i nā wai waha a me nā lāʻau lapaʻau, hiki ke hoʻouna ʻia ʻo ia i ka home mai ka haukapila. Akā, ʻaʻole i pau ka hana ma hope o kona hoʻi ʻana i ka home. Pono e nānā pono ʻia ke keiki.

Pono ʻoe e hoʻomau i nā kipa ʻana me kāu pediatrician a me ka cardiologist.

• E hoʻi ʻoe i ka home a hana i kahi echocardiogram i hoʻokahi a ʻelua paha pule, a laila i loko o 4-6 mau pule e ʻike ai pehea ke ʻano o kou puʻuwai.
• Inā ua hōʻino ʻia nā aʻa coronary, pono ʻoe e noho ma lalo o ka nānā ʻana o ke kauka no ka manawa lōʻihi, a pono paha e hana ʻia nā hoʻokolohua manawa i kēlā me kēia manawa i kou ola.

Hiki ke ho'ōla loa ʻia ka maʻi Kawasaki?

Hoʻōla piha ka hapa nui o nā keiki. Hiki ke mau nā hōʻailona no kahi o 4-6 mau pule. Hiki i ke keiki ke luhi a hoʻomaha ʻole no kahi o ʻelua mahina. He mea kākaʻikahi loa (ma kahi o 2-3%) hiki ke hoʻi hou mai ka maʻi.

Ma hope o ka mālama ʻana, e ola ana ma kahi o 50% o nā pōʻino i nā aʻa i loko o hoʻokahi a ʻelua paha makahiki. Eia nō naʻe, inā koʻikoʻi ka pōʻino, e like me ka aneurysm, hiki ke lilo i pilikia no ke ola holoʻokoʻa.

He aha kāu e hiki ai ke hana ma ke ʻano he makua?

Hoʻomaopopo mākou i ke kaumaha a me ke kaumaha āu e manaʻo ai ke maʻi kahi keiki. Akā, ʻo kou ikaika ka ikaika nui loa o kāu keiki.

• E hahai pono i nā ʻōlelo a kāu kauka: E lawe i kāu mau lāʻau lapaʻau e like me ke kauoha. Mai poina i nā manawa hoʻopaʻa.
• E makaʻala e pili ana i nā lāʻau pale:He mea nui e pale i kāu keiki mai nā maʻi viral e like me ka chickenpox a me ka influenza i ka wā e lawe ana i ka aspirin. Hiki i ka aspirin a me kekahi mau virus ke hana i kahi maʻi laha ʻole akā weliweli i kapa ʻia ʻo Reye's syndrome. No laila e kamaʻilio me kāu kauka e hōʻoia i ka loaʻa ʻana o nā lāʻau pale o kāu keiki i kēia lā.
• E makaʻala i nā lāʻau pale maʻi ola: ʻAʻole hāʻawi ʻia nā lāʻau pale maʻi ola, e like me ka measles-mumps-rubella (MMR) a me ka chickenpox (varicella), no 11 mau mahina ma hope o ka loaʻa ʻana o ka lāʻau IVIG. ʻO kēia no ka mea hiki i ka lāʻau IVIG ke pale i ke kino mai ka hana ʻana i nā antibodies kūpono i kēia mau lāʻau pale.
• Ke kaupalena ʻana i nā hana: Inā ua hoʻopilikia ʻia ka puʻuwai o kāu keiki, hiki i kāu kauka ke aʻo aku iā ʻoe e kaupalena i nā haʻuki ikaika a me nā hana holo no kekahi manawa. E hahai pono i kēia mau kuhikuhi.
• E hōʻoluʻolu i kāu keiki: ʻOiai kāu keiki ma ka haukapila, e hāʻawi iā lākou i kahi mea pāʻani punahele a puke paha. ʻO kou leo ​​a me kou hoʻopā ʻana e lawe mai i ka hōʻoluʻolu nui i kāu keiki i kēia manawa paʻakikī.