I kēia lā, e kamaʻilio mākou e pili ana i kahi maʻi laha ʻole akā hiki ke koʻikoʻi. He mea maʻamau kēia i kā mākou mau keiki ʻōpio, ʻoiai ke loaʻa iā lākou kahi maʻi viral, ke anu, a i ʻole kekahi mea e like me ka chickenpox a laila ola. ʻO kēia ka mea a nā kauka e kapa nei ʻo Reye Syndrome. He mea nui loa ia no kākou a pau e makaʻala i kēia, no ka mea, ʻo ka wikiwiki o ko kākou ʻike ʻana, ʻoi aku ka nui o ka manawa e hoʻopakele ai i ke keiki.
He aha maoli ka Reye Syndrome?
I ka ʻōlelo maʻalahi, he maʻi weliweli loa ʻo Reye Syndrome hiki ke hiki koke mai a hōʻino i ka lolo a me ke akepaʻa o ke keiki . ʻIke pinepine ʻia ia i ka wā e hoʻōla ana kahi keiki ʻōpio mai kahi maʻi viral.
ʻOiai ʻaʻole i ʻike ʻia ke kumu kikoʻī, ua hoʻopili ka noiʻi i ke kūlana i ka hoʻohana ʻana i ka aspirin a i ʻole salicylates i ka wā e maʻi ai nā keiki i kahi maʻi viral. I kekahi manawa, hiki ke koʻikoʻi loa a hiki ke hoʻoweliweli i ke ola i loko o nā hola. Ua manaʻo ʻia ʻo Reye Syndrome he pilikia olakino a pono e mālama koke ʻia e ke kauka .
ʻO ka ʻike mua ʻana i kēia maʻi a me ka hoʻomaka mua ʻana o ka lāʻau lapaʻau nā manawa kūpono loa no ke keiki e ho'ōla piha ai.
ʻO wai ka mea iʻoi aku ka nui o ka loaʻa ʻana o ka Reye Syndrome?
ʻO ka hapa nui o kēia maʻi e pili ana i nā keiki ma waena o 4 a me 14 mau makahiki. Eia nō naʻe, hiki iā ia ke hoʻopilikia i nā pēpē ʻōpio a i kekahi manawa nā keiki ʻōpio.
Akā ʻo ka nūhou maikaʻi, mai ka wā i hoʻomaka ai nā kauka e aʻo aku e kūʻē i ka hāʻawi ʻana i ka aspirin i nā keiki, ʻoiai inā loaʻa iā lākou nā maʻi viral, ua emi nui ka nui o nā hihia o kēia maʻi.
ʻIke pinepine ʻia kēia maʻi i ka wā o nā maʻi ahulau viral. No ka laʻana, i nā mahina hoʻoilo i ka wā e loaʻa ai ka maʻi palū a anu paha, a i ʻole i ka wā o ka maʻi ahulau chickenpox, ʻoi aku ka nui o ka hiki ke loaʻa.
He aha nā hōʻailona o ka Reye Syndrome? Pehea e ʻike ai?
Hoʻomaka pinepine nā hōʻailona o Reye Syndrome ma hope o ka loaʻa ʻana o kahi maʻi hanu o luna (e like me ke anu a i ʻole ka maʻi palū), kahi maʻi me ka maʻi kahe, a i ʻole kahi maʻi viral e like me ka chickenpox.
Hiki ke ʻike ʻia kēia mau hōʻailona i loko o hoʻokahi lā a ʻelua pule o ka maʻi ʻana me ka maʻi. Eia kekahi o nā hōʻailona:
- Luaʻi pinepine: ʻO kēia ka hōʻailona mua e ʻike ʻia. Inā hoʻomau ka luaʻi ʻana, he mea kānalua ia.
- Ka luhi a me ka hiamoe maʻamau ʻole: Pono ʻoe e hopohopo inā hiamoe mau kāu keiki a luhi ʻole.
- No nā pēpē ʻōpio: Hiki i ka maʻi pākī ke hoʻonui i ka wikiwiki o ka hanu ʻana.
- Ka huhū, ke ʻano hoʻouka kaua: Inā loli koke ke ʻano o ke keiki, a huhū pinepine lākou a hana hoʻouka kaua paha, he hōʻailona nō hoʻi kēlā.
Eia kekahi, hiki i kekahi mau keiki ke ʻike i nā loli o ka ʻike, nā pilikia o ka lohe, a me nā ʻano ʻē o ka ʻōlelo (e like me ka slurring o nā huaʻōlelo).
I ka holomua ʻana o ka maʻi, hiki i ke keiki ke hōʻike i nā hōʻailona e like me:
- Ka hana ʻana ma ke ʻano hoʻowahāwahā, manaʻo ʻole.
- Nā kūlana e like me ka huikau a me ka nalowale o ka hoʻomanaʻo.
- Ka nāwaliwali nui o nā ʻiʻo, nā kuʻi ʻana, a me ka nalowale o ka ʻike.
No laila, inā ua hoʻōla hou ʻia kāu keiki mai kahi maʻi viral a ke luaʻi mau nei, a inā ʻike ʻoe i kahi loli koʻikoʻi i ko lākou kūlana noʻonoʻo a i ʻole ke ʻano, mai hoʻowahāwahā iā ia. ʻOiai he mea kakaikahi, hiki ke lilo i Reye Syndrome.
Pehea e mālama ai i kahi keiki me Reye Syndrome?
ʻO ka maʻamau, mālama ʻia nā keiki me Reye Syndrome ma ka haukapila . Inā koʻikoʻi ke kūlana, mālama ʻia lākou ma ka Intensive Care Unit (ICU).
ʻAʻohe lāʻau lapaʻau kūikawā no kēia, ʻo ia hoʻi "e hāʻawi i kēia lāʻau lapaʻau a e hoʻomaikaʻi ia." He mālama kākoʻo ka lāʻau lapaʻau. ʻO ia hoʻi, ke kāohi ʻana i nā hōʻailona a me ke kōkua ʻana i ke kino e hana pono. E hana ka hui lapaʻau i kēia mau mea:
- Ke nānā nei inā loaʻa i ke kino o ke keiki ke kaulike kūpono o ka wai a me ka paʻakai (electrolyte balance) .
- E hōʻoiaʻiʻo ana e loaʻa ana i ke keiki ka meaʻai kūpono e pono ai.
- E nānā mau ana i ka puʻuwai o ka pēpē a me ka hanu ʻana .
- Ke nānā ʻana i ke kaomi o ke wai i loko o ka lolo o ke keiki (kaomi intracranial) a me ke koko .
No kēia, pono e hana ʻia nā hoʻokolohua like ʻole. Eia kekahi laʻana:
- Nā hoʻāʻo koko (e nānā i nā electrolytes a me ka hana ate).
- Nā hoʻokolohua kiʻi lolo (CT scan a i ʻole MRI).
- I kekahi manawa, hiki ke hana ʻia kahi spinal tap (lumbar puncture), kahi biopsy ate, a me kahi EEG (Electroencephalogram).
Eia kekahi, hiki ke hāʻawi ʻia i ke keiki i nā lāʻau lapaʻau e like me:
- Hoʻomaikaʻi ka insulin i nā ʻāpana liʻiliʻi i ka metabolism glucose.
- Hoʻemi nā lāʻau lapaʻau i kapa ʻia ʻo corticosteroids i ka pehu ʻana o ka lolo.
- ʻO nā diuretics nā lāʻau i hoʻohana ʻia e wehe i ka wai keu mai ke kino.
Inā loaʻa i ke keiki kahi maʻi ʻōʻili, mālama ʻia kēia me ka lāʻau lapaʻau. Pono paha kekahi mau keiki e hāʻawi i kahi ventilator e kōkua iā lākou e hanu inā lohi loa ko lākou hanu ʻana a i ʻole ʻaʻole hana pono.
ʻOi aku ka maikaʻi o ka manawa e ola ai nā keiki me Reye Syndrome ma mua o ka wā ma mua, mahalo i ka ʻike mua ʻana a me ka mālama ʻana i hoʻomaikaʻi ʻia. Eia nō naʻe, i nā pae hope o ka maʻi, hiki ke hōʻino ʻia ka lolo, ke kīnā, a me ka make . ʻO ia ke kumu he mea nui ka mālama mua ʻana.
Āhea wau e ʻike ai i ke kauka?
Inā hōʻike kāu keiki i kekahi o kēia mau hōʻailona, e ʻike koke i ke kauka a lawe paha iā ia i ka haukapila :
- Inā ʻoe e luaʻi mau a pinepine.
- Inā he loli nui i ke ʻano o ke keiki (e like me ka huhū koke ʻana, ka pihoihoi, a i ʻole ka mālie loa).
- Inā ʻoi aku kou hiamoe ma mua o ka maʻamau a paʻakikī ke hoʻāla.
He mea nui loa kēia mau mea inā ua ho'ōla hou ʻia kāu keiki mai kahi maʻi viral e like me ka maʻi palū a i ʻole ke anu .
ʻOiaʻiʻo, ʻaʻole nā keiki āpau me ka maʻi viral e loaʻa i kekahi o kēia mau hōʻailona, a ʻo ka hapa nui ʻaʻole e loaʻa iā Reye Syndrome. Eia nō naʻe, ʻoiai he mea kakaikahi kēia akā he mea weliweli, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka inā he mau hopohopo kāu . No ka mea, he mea nui ka ʻike mua ʻana no ka mālama pono ʻana i ka Reye Syndrome.
Pehea mākou e pale ai i kā mākou mau keiki mai ka Reye Syndrome?
ʻO kēia ka ʻāpana koʻikoʻi loa. Aia kekahi mau mea hiki iā kākou ke hana e pale aku i kā kākou mau keiki mai ka Reye Syndrome.
Mai hāʻawi i kāu keiki i ka aspirin a i ʻole nā lāʻau lapaʻau ʻē aʻe i loaʻa ka salicylates ke loaʻa iā ia ka moa, ka maʻi palū, ke anu, a i ʻole kekahi maʻi viral ʻē aʻe.
He nui nā lāʻau lapaʻau i kūʻai ʻia ma ke kūʻai aku (OTC) i loaʻa nā salicylates. No ka laʻana, aia kekahi mau lāʻau lapaʻau ʻeha ʻōpū, e like me Pepto-Bismol, i loaʻa ka bismuth subsalicylate. No laila, ma mua o ka hāʻawi ʻana i kahi lāʻau lapaʻau i kahi keiki, e heluhelu pono i ka lepili . Inā ʻaʻole ʻoe maopopo inā palekana kahi lāʻau lapaʻau no kāu keiki, e nīnau i kāu kauka ʻohana a i ʻole ke kauka lāʻau lapaʻau.
Ma ke ʻano he kānāwai maʻamau, ʻaʻole ia he manaʻo maikaʻi e hāʻawi i ka aspirin a i ʻole salicylates i nā keiki ʻōpio a me nā ʻōpio , ke ʻole i kuhikuhi pono ʻia e ke kauka no kahi kūlana olakino kūikawā.
ʻO ka mea nui e hoʻomanaʻo mai nā mea a mākou i kūkākūkā ai (Leka Lawe-Home)
ʻAe, ua kamaʻilio nui mākou e pili ana i ka Reye Syndrome i kēia lā. ʻO nā mea nui e pono ai ʻoe e hoʻomanaʻo mai kēia mau mea a pau:
- He maʻi laha ʻole ka Reye's Syndrome akā he maʻi koʻikoʻi loa ia e hiki ai ke hōʻino i ka lolo a me ke akepaʻa o kahi keiki.
- Hana pinepine kēia ma hope o kahi maʻi viral, ʻoiai inā ua hāʻawi ʻia i ke keiki nā lāʻau lapaʻau i loaʻa ka aspirin a i ʻole salicylates i ia manawa.
- No laila, mai hāʻawi i ka aspirin i kahi keiki me nā hōʻailona viral no kekahi kumu .
- Inā ua hoʻōla hou ʻia kāu keiki mai kahi maʻi viral a ke luaʻi mau nei, e hōʻike ana i kahi loli nui i ke ʻano, a i ʻole he hiamoe loa, e ʻimi koke i ke kōkua lapaʻau .
- ʻO ka ʻike mua a me ka mālama ʻana i nā maʻi ʻo ia nā ala maikaʻi loa e hōʻoia ai i ka ho'ōla piha ʻana o kāu keiki.
Inā mākou e hoʻomanaʻo i kēia mau mea, hiki iā mākou ke hoʻopakele i kā mākou mau keiki mai ia mau kūlana weliweli. He mea nui e makaʻala i nā manawa a pau.
ʻO Reye Syndrome, Reye Syndrome, Nā Maʻi o nā Keiki, ʻAspirin, Nā Maʻi Viral, Ake, Lolo











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