Loaʻa pinepine i kāu keiki ka ʻāʻī ʻeha a i ʻole ka tonsillitis? I kekahi manawa manaʻo mākou he anu maʻamau wale nō ia a ʻaʻole mākou e nānā nui iā ia. Akā inā ma hope o kekahi mau lā e hoʻomaka ana kāu keiki e ʻōlelo i nā mea e like me "Māmā, ʻeha koʻu kuli," a i ʻole "Manaʻo wau he mae koʻu wāwae," mai hoʻokuke wale iā ia. No ka mea, hiki ke lilo i hoʻomaka o kahi maʻi i kapa ʻia ʻo ka rheumatic fever a mākou e kamaʻilio nei i kēia lā. He mea kēia e makaʻala ai, no laila e kamaʻilio hou aku kākou e pili ana i ia mea.
I ka ʻōlelo maʻalahi, he aha ka maʻi rumatika?
He maʻi autoimmune kakaikahi ka maʻi Rheumatic e hoʻoulu ai i nā ʻiʻo a me nā ʻōpū o ke kino e pehu. I nā huaʻōlelo maʻalahi, penei kāna hana. E noʻonoʻo i kā mākou ʻōnaehana pale ma ke ʻano he pūʻali koa e pale ana i kahi ʻāina. ʻO ka hana a kēia pūʻali koa, ʻo ia ke ʻike a hoʻouka i nā mea hoʻouka kaua haole (nā virus, nā bacteria) a pale iā mākou mai nā maʻi.
I kēia manawa, e ʻōlelo kākou he maʻi ʻāʻī ko kāu keiki a he kuni ʻulaʻula paha. Hoʻokumu ʻia kēia mau maʻi ʻelua e kahi ʻano bacteria i kapa ʻia ʻo Group A Streptococcus. Inā ʻaʻole mākou e mālama pono i ka maʻi me nā antibiotics, hopohopo iki ka pūʻali koa o ko mākou kino. ʻOiai lākou e hakakā nei i ka bacteria, hana lākou i kahi kuhihewa iki. ʻIke lākou i ko mākou ʻiʻo olakino ponoʻī a manaʻo, "Auē, eia kahi ʻenemi," a hoʻomaka lākou e hoʻouka iā ia. Ua like ia me ko mākou pūʻali koa ponoʻī e hoʻopōkā ana i ko mākou mau kūlanakauhale ponoʻī.
ʻO ka pane kuhihewa o kēia ʻōnaehana pale e hoʻoulu ai i ka mumū i loko o nā hono o ke keiki, ka puʻuwai, nā kīʻaha koko, ka ʻili, a me ka lolo . Ua kapa ʻia kēia maʻi he fiva rumatika.
ʻO ka mea nui, ʻaʻole he maʻi ʻāʻī ka fiva rumatika. He pilikia kakaikahi loa akā he koʻikoʻi ia o kahi maʻi ʻāʻī i mālama ʻole ʻia.
He aha nā hōʻailona o ka maʻi rumatika i loko o kahi keiki?
Hiki ke ʻokoʻa nā hōʻailona o ke kuni rumatika mai kekahi keiki a i kekahi. I kekahi manawa, he palupalu loa ka maʻi ʻāʻī o ke keiki a ʻaʻole paha ʻoe e ʻike. ʻIke pinepine ʻia nā hōʻailona o ke kuni rumatika i ʻelua a ʻekolu pule ma hope. Hiki ke like kēia mau hōʻailona me nā maʻi maʻamau ʻē aʻe, no laila hiki ke alakaʻi hewa ʻia mākou i kekahi manawa. Akā he mea nui e makaʻala i kēia.
E nānā kākou i nā hōʻailona nui ma ka papa ma lalo nei.
| Hōʻailona | Ka wehewehe a me nā mea e makaʻala ai |
|---|---|
| ʻO ka pehu ʻana a me ka ʻeha o nā hono (Arthritis) | ʻO kēia ka hōʻailona maʻamau. ʻO nā hono nui o ke keiki, e like me nā kuli, nā kuʻekuʻe wāwae, nā kuʻekuʻe lima, a me nā pulima, lilo i ʻulaʻula, pehu, a ʻeha. Lele pinepine ka ʻeha mai kekahi hono a i kekahi. Inā ʻeha ke kuli i kēia lā, ʻeha paha ke kuʻekuʻe wāwae i ka lā ʻapōpō. |
| ʻO ke kaumaha o ka puʻuwai | ʻO kēia ka hōʻailona koʻikoʻi loa o ka fiva rumatika. Hiki iā ia ke hōʻeha i ka umauma, ka pōkole o ka hanu, a me ka manaʻo e kuʻi wikiwiki ana ka puʻuwai. I kekahi manawa, ke kau ke kauka i kahi stethoscope i ka umauma o ke keiki, lohe paha ʻo ia i kahi leo ʻē (murmur). |
| Nā neʻe ʻana i kāohi ʻole ʻia (Chorea) | He hōʻailona ʻē kēia. ʻO nā lima, nā wāwae, a me nā ʻiʻo o ke keiki e neʻe mālie ana me ke kāohi ʻole, me he mea lā e hula ana lākou. ʻAʻole hiki i ke keiki ke hana i nā mea e like me ke kākau ʻana, ka ʻai ʻana, a i ʻole ke pihi ʻana i ko lākou lole. Hana ʻia kēia e ka hōʻino ʻia o ka lolo. |
| Nā puʻupuʻu ma lalo o ka ʻili (Nodules) | Hiki ke ʻike ʻia nā puʻupuʻu liʻiliʻi ʻeha ʻole e like me nā iwi ma lalo o ka ʻili kokoke i nā hono e like me nā kuʻekuʻe lima o ke keiki, nā kuli, a me nā pulima lima. Nalo pinepine kēia mau mea i loko o kekahi mau pule. |
| ʻUlaʻula ʻili | Hoʻomohala kekahi mau keiki i nā puʻupuʻu ʻulaʻula, poepoe, a ʻike maikaʻi ʻia ma ko lākou kino, ʻoiai ma ko lākou umauma, ʻōpū, a me ke kua. ʻAʻole maʻamau kēia mau mea e maneʻo. |
| Nā hiʻohiʻona maʻamau ʻē aʻe | Ma waho aʻe o kēia mau hōʻailona nui, hiki iā ʻoe ke ʻike i ke kuni, ka luhi nui, nā ʻeha kino, nā poʻo hina, a me nā tonsils ʻulaʻula pehu . |
ʻO wai ka mea i pilikia nui i ka loaʻa ʻana o kēia maʻi?
ʻOiai hiki i kekahi ke loaʻa i ka fiva rumatika, ʻoi aku ka nui o ka pilikia o kekahi poʻe.
- Makahiki: Hoʻopilikia nui kēia maʻi i nā keiki a me nā ʻōpio ma waena o 5 a me 15 mau makahiki. He mea kākaʻikahi loa ia no ka poʻe ma lalo o 5 mau makahiki a ʻoi aku o 15 mau makahiki e loaʻa iā ia.
- Kaiapuni noho: ʻOi aku ke kiʻekiʻe o ka pilikia ma nā wahi e ʻākoakoa ai nā kānaka he nui (no ka laʻana, nā kula, nā kikowaena mālama keiki, nā hale piha i nā kānaka) no ka mea ua maʻalahi ka laha ʻana o ka bacteria.
- Moʻolelo ʻohana: Inā ua loaʻa kekahi o ka ʻohana i ka maʻi rumatika, hiki i kekahi ke loaʻa pū kekahi.
- Nā maʻi ʻāʻī pinepine: Inā loaʻa pinepine i kahi keiki nā maʻi ʻāʻī strep, piʻi aʻe ka pilikia o ka loaʻa ʻana o ka fiva rumatika.
- Nā Hale Ola: ʻOi aku ka pilikia o nā keiki e noho ana ma nā wahi mamao kahi paʻakikī ke komo i nā hale lapaʻau no ka mea ʻaʻole paha lākou e loaʻa i ka lāʻau lapaʻau i ka manawa kūpono no ka maʻi ʻāʻī.
He ʻoiaʻiʻo anei e hoʻopilikia ka maʻi rumatika i ka puʻuwai?
ʻAe, ʻo kēia ka mea weliweli loa a hopohopo hoʻi ke kamaʻilio mākou e pili ana i ka maʻi rumatika. ʻAʻole pili mau ka maʻi rumatika i ka puʻuwai. Akā i ka wā e hana ai, hiki iā ia ke hōʻino i nā ʻiʻo o ka puʻuwai, ʻoiai nā valves o ka puʻuwai .
E noʻonoʻo i nā kiwikā puʻuwai e like me nā puka i loko o ko kākou mau puʻuwai. ʻO kā lākou hana, ʻo ia ke ʻae i ke koko e kahe i hoʻokahi ala wale nō a pale i ke kahe ʻana i hope. Hiki i ka maʻi rumatika ke hana i nā ʻiʻo ʻeha ma luna o kēia mau kiwikā, e pani pono ʻole ai a wehe pono ʻole paha. Hiki i kēia ke hoʻopilikia i ka hana o ka puʻuwai.
Kāhea mākou i kēia maʻi ʻo ka maʻi puʻuwai Rheumatic . ʻO ka mea weliweli loa, hiki ke ʻike ʻia nā hōʻailona o kēia maʻi puʻuwai i kekahi manawa he 10-20 mau makahiki ma hope o ka hoʻomaka ʻana o ka fiva rheumatic.
ʻO ia ke kumu he mea nui ka nānā ʻana i ke olakino no kahi keiki i loaʻa i ka maʻi rumatika. Hiki i kēia ke ʻike mua i ka hōʻino ʻana o ka puʻuwai a me ka mālama ʻana.
Pehea e ʻike ai ke kauka i kēia maʻi?
Inā ʻeha ka ʻāʻī o kāu keiki no nā lā ʻelua a ʻekolu paha, e ʻike pono i ke kauka. ʻO ka mālama ʻana i kahi maʻi strep ke ala maikaʻi loa e pale aku ai i ka fiva rumatika.
Inā nānā ke kauka i kāu keiki a kānalua i ka maʻi rheumatic, e hana lākou i kekahi mau hoʻokolohua, e like me:
1. ʻUmi ʻāʻī: Lawe ʻia kahi hāpana liʻiliʻi o ka ʻāʻī e nānā i ke alo o ka bacteria 'Group A Streptococcus'. Hiki ke hana ʻia kēia ma ke ʻano he 'Rapid Strep Test' e hāʻawi ana i nā hopena i loko o 10 mau minuke, a i ʻole hiki ke hoʻouna ʻia no kahi 'Throat Culture' e hala ana i kekahi mau lā e hoʻāʻo ai.
2. Nā hoʻāʻo koko:Hiki ke hoʻāʻo ʻia ke koko o ke keiki no nā antibodies e kūʻē i ka bacteria Strep. Hiki iā lākou ke nānā i nā pae o nā mea e like me CRP a me ESR, e hōʻike ana inā he mumū i loko o ke kino.
3. Nā Hoʻāʻo Puʻuwai: He mea nui loa kēia mau hoʻāʻo e hoʻoholo ai inā ua hoʻopilikia ʻia ka puʻuwai.
- EKG (Electrocardiogram): He hoʻāʻo e nānā i ka hana uila o ka puʻuwai.
- Echocardiogram (Echo): E like me ke kiʻi ʻana, hiki i kēia ke ʻike maopopo i ke ʻano o ka hana ʻana o nā valves a me nā ʻiʻo o ka puʻuwai.
Nā Kūlana Jones
Hoʻohana nā kauka i kahi hoʻonohonoho kūikawā o nā alakaʻi i kapa ʻia ʻo "Jones criteria" e ʻike ai i ka maʻi rheumatic fever. Ua like kēia me kahi ʻōnaehana helu. No ka hōʻoia ʻana i ka maʻi, pono i ke keiki ke loaʻa ma ka liʻiliʻi ʻelua o nā criteria nui ma lalo nei, a i ʻole hoʻokahi criteria nui a me ʻelua mau criteria liʻiliʻi, me nā hōʻike o kahi maʻi strep ma mua.
| Nā Kūlana Nui | Nā Kūlana Liʻiliʻi |
|---|---|
| Ka mumū ʻana o kekahi mau hono (Arthritis) | kuni |
| ʻO ke kaumaha o ka puʻuwai | ʻO ke kiʻekiʻe o ka ESR a i ʻole CRP i loko o ke koko |
| Nā puʻupuʻu ma lalo o ka ʻili (Nodules) | ʻEha hui (Arthralgia) |
| Nā neʻe ʻana i kāohi ʻole ʻia (Chorea) | Nā loli i ka hoʻāʻo EKG |
| ʻErythema marginatum (ʻulaʻula ʻili) | Ua loaʻa i ka fiva rumatika a i ʻole ka maʻi puʻuwai rumatika ma mua |
He aha nā lāʻau lapaʻau no ka maʻi rumatika?
Aia kekahi mau pahuhopu nui i ka mālama ʻana i ka fiva rumatika.
1. Ke hoʻopau ʻana i ka maʻi bacteria: ʻO ka hana mua, ʻo ia ka hoʻopau loa ʻana i ka bacteria Strep e hoʻoulu ai i ka fiva rheumatic mai ke kino. No kēia, e kuhikuhi ke kauka i nā antibiotics . He injection hoʻokahi manawa paha kēia a i ʻole he papa hana antibiotics he 10 lā. ʻO ka mea nui loa, ʻo ia ka lawe ʻana i ka papa hana piha o ka lāʻau lapaʻau, ʻoiai inā maikaʻi ke keiki. A i ʻole, e hoʻi hou mai paha ka maʻi.
2. Ke kāohi ʻana i ka pehu: Hāʻawi ʻia nā lāʻau anti-inflammatory e hōʻemi i ka pehu a me ka ʻeha i ke kino. He kōkua nui kēia no ka ʻeha o nā hono. Inā koʻikoʻi nā hōʻailona, ʻoiai inā ua pilikia ka puʻuwai, hiki ke hāʻawi ʻia nā lāʻau ikaika e like me 'Corticosteroids'.
3. Ke kāohi ʻana i ka hoʻi hou ʻana: He mea nui loa kēia. Inā ua loaʻa i kahi keiki ka maʻi rheumatic i hoʻokahi manawa, ʻoi aku ka nui o ka loaʻa hou ʻana o ka maʻi rheumatic inā loaʻa hou iā lākou ka maʻi strep. I mea e pale ai i kēia, hiki i ke kauka ke kau i ke keiki ma kahi papa lōʻihi o nā antibiotics . He inikini penicillin mahina paha kēia. Pono paha e hoʻomau ʻia kēia lāʻau no nā makahiki, i kekahi manawa a hiki i ke keiki i ka wā makua.
Pehea lā e pale ai i kā kākou mau keiki mai kēia maʻi?
ʻO ke ala maikaʻi loa a ʻo ke ala wale nō e pale aku ai i ka fiva rumatika, ʻo ia ka ʻike a me ka mālama ʻana i ka ʻāʻī strep a me ka fiva ʻulaʻula i ka wikiwiki a me ka pololei.
- Mai hoʻowahāwahā i ka ʻeha o ka puʻu: Inā ʻeha ka puʻu o ke keiki no nā lā ʻekolu a ʻoi aku, paʻakikī ke ale ʻana, pehu nā lymph node ma ka ʻāʻī, a i ʻole he kuni, e ʻike pono i ke kauka.
- E hāʻawi i nā lāʻau antibiotic e like me ke kauoha: E hāʻawi i ka lāʻau lapaʻau e like me ke kauoha a ke kauka no ka manawa piha. Mai ho'ōki i ka lawe ʻana i ka hapalua, me ka ʻōlelo ʻana e ola ana kāu keiki i loko o ʻelua lā.
- Nā hana hoʻomaʻemaʻe maikaʻi:
- E aʻo aku i kāu keiki e holoi pono i ko lākou mau lima me ke kopa i nā manawa a pau.
- E aʻo iā lākou e uhi i ko lākou waha a me ko lākou ihu me kahi pepa kiko a i ʻole ko lākou kuʻekuʻe lima i ka wā e ʻū ana a i ʻole e kihe ana.
- E hōʻoia ʻaʻole e hoʻohana nā poʻe ʻē aʻe i nā pā, nā kīʻaha, a me nā puna a kāu keiki.
Ma ka mālama ʻana i kēia mau mea, hiki iā ʻoe ke hana i ka nui o ka pale ʻana i kāu keiki mai kahi maʻi koʻikoʻi e like me ka fiva rumatika.
Leka Lawe-Home
- Inā ʻoi aku ka lōʻihi o ka ʻeha o ka puʻu o kāu keiki ma mua o ʻelua a ʻekolu paha lā, a hele pū ʻia me nā hōʻailona e like me ke kuni, ka nalowale o ka makemake, a i ʻole kahi puʻupuʻu ma ka ʻāʻī, e ʻike pono i ke kauka.
- Hiki mai ka fiva Rheumatic ma muli o kahi maʻi bacteria Strep i mālama ʻole ʻia.
- Hiki i kēia maʻi ke hōʻeha i ka puʻuwai o ke keiki, nā hono, a me ka ʻōnaehana nerve i ka wā lōʻihi, no laila he mea nui ka ʻike mua ʻana a me ka mālama ʻana.
- E hāʻawi i kāu keiki i nā lāʻau antibiotic i kuhikuhi ʻia e ke kauka no ka manawa piha. Mai ho'ōki i ka lawe ʻana iā lākou ʻoiai inā e emi ana nā hōʻailona.
- Pono paha ke keiki i loaʻa i ka fiva rumatika e lawe i nā lāʻau antibiotic no ka manawa lōʻihi e pale aku ai i kona hoʻi hou ʻana mai. E hahai pono i nā ʻōlelo a kāu kauka.
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