He mea weliweli iki paha inā ʻoe e nānā i ke aniani i kekahi lā a ʻike ʻoe ua ʻulaʻula loa kou alelo, a i ʻole ke alelo o kāu keiki liʻiliʻi, ma mua o ka maʻamau, me nā pehu liʻiliʻi e like me nā hua ma luna o ka ʻili o kahi ʻōhelopapa. I ka lāʻau lapaʻau, ʻo kēia ka mea a mākou e kapa nei ʻo 'Strawberry Tongue'. Ua kapa pū kekahi poʻe iā ia ʻo 'Raspberry Tongue' ma muli o kona ʻano. ʻOiai paha e hoʻomanaʻo kēia inoa iā ʻoe i kahi hua ʻono, ʻaʻole maikaʻi loa kēia kūlana. Akā, mai hopohopo. I kēia lā, e kamaʻilio mākou e pili ana i ka mea e hana ai inā ʻike ʻoe i kēia a me ke kumu o ia mea.
He aha ke ʻano o ka 'Strawberry Tongue'?
I ka ʻōlelo maʻalahi, he ʻulaʻula ka alelo olakino, a he mau puʻupuʻu liʻiliʻi loa (papillae) ma kona ʻili. Akā i ke ʻano o ke alelo 'strawberry tongue', lilo ke alelo i ʻulaʻula ʻālohilohi, a lilo kēlā mau puʻupuʻu liʻiliʻi i pehu a nui, e like me nā hua o ka strawberry.
ʻO ka mea nui, ʻaʻole he maʻi ke alelo ʻōhelopapa. He hōʻailona ia o kekahi maʻi ʻē aʻe. E like me ke kuni. ʻAʻole he maʻi ke kuni, he hōʻailona ia o kahi maʻi. A pēlā nō hoʻi kēia.
No laila, inā ʻoe a kāu keiki paha i kekahi o kēia mau hōʻailona, he mea nui e ʻike i ke kauka e ʻike pono i ke kumu o ia mea.
He aha nā kumu nui o ke 'alelo ʻōhelopapa'?
ʻEkolu mau kūlana olakino nui e hiki ai ke hana i ka hōʻailona 'strawberry tongue'. Pono kēia i ka mālama koke ʻana.
1. Ka maʻi ʻulaʻula
2. ʻO ka maʻi ʻawahia (TSS)
3. Maʻi Kawasaki
Ma waho aʻe o kēia mau kumu nui ʻekolu, hiki ke hana ʻia kēia hōʻailona e nā kumu ʻē aʻe, kakaʻikahi loa. No ka laʻana, nā maʻi allergies i kekahi mau meaʻai a lāʻau lapaʻau paha, ka nele o ka wikamina B12, a me kekahi mau maʻi lele kakaʻikahi (e.g. Yersinia pseudotuberculosis, yellow fever). Eia nō naʻe, ʻo nā kumu mua ʻekolu ka mea maʻamau.
E nānā kākou i kēia mau maʻi lapaʻau nui ʻekolu a me nā hōʻailona ʻē aʻe e loaʻa ai iā lākou ma waho aʻe o ka hōʻailona 'strawberry tongue' ma kēia papa. E maʻalahi kēia iā ʻoe ke hoʻomaopopo i nā ʻokoʻa ma waena o kēia mau maʻi.
| Kūlana | Nā Hōʻailona Pili |
|---|---|
| kuni ʻulaʻula |
|
| ʻO ka maʻi haʻalulu ʻawahia (TSS) |
|
| Maʻi Kawasaki |
|
He mea hou aʻe e pili ana i ke kuni ʻulaʻula
He maʻi kēia i hoʻokumu ʻia e kahi bacteria i kapa ʻia ʻo ka hui A Streptococcus. ʻO kēia ka bacteria like e hoʻoulu ai i ka ʻāʻī strep. Akā i loko o ke kuni ʻulaʻula, hoʻopuka kēia bacteria i kahi toxin. ʻO kēlā toxin ke kumu o nā ʻeha ʻulaʻula a me ka 'strawberry tongue'. ʻOiai hiki i kēia maʻi ke hoʻopilikia i kekahi o kēlā me kēia makahiki, ʻoi aku ka maʻamau i nā keiki ma waena o 5 a me 15 mau makahiki. Hiki i ke alelo ke keʻokeʻo i ka wā mua, a laila lilo i ʻulaʻula i loko o kekahi mau lā.
ʻO ka maʻi haʻalulu ʻawahia (TSS)
He maʻi laha ʻole kēia akā he koʻikoʻi. Hoʻokumu ʻia ia e ka ulu ʻole ʻana o nā bacteria Staphylococcus a me Streptococcus a me nā mea ʻawahia a lākou e hana ai e komo i ke kino. Manaʻo ka poʻe he nui he mea kēia e hana wale ʻia i nā wahine ke hoʻohana lākou i nā tampons, akā ʻaʻole kēia he ʻoiaʻiʻo. Hiki i kekahi, me ka nānā ʻole i ke kāne, ke loaʻa i kēia maʻi. ʻOiai e ʻike koke ʻia nā hōʻailona TSS, inā loaʻa iā ʻoe kēia mau hōʻailona, pono ʻoe e hele koke i ka keʻena pilikia o ka haukapila (ETU).
Maʻi Kawasaki
He maʻi laha ʻole nō hoʻi kēia. Hoʻokumu ʻia ia e ka mumū o nā kīʻaha koko i loko o ke kino. Inā ʻaʻole mālama pono ʻia, hiki ke hōʻino ʻia nā kīʻaha koko e hoʻolako ana i ke koko i ka puʻuwai (nā ʻaʻa coronary). ʻAʻole ʻike ʻia ke kumu pololei o kēia. Eia naʻe, ʻoi aku ka maʻamau i nā keiki liʻiliʻi ma waena o 6 mahina a me 5 mau makahiki. No laila, inā he alelo kala ʻōhelopapa ko ke keiki liʻiliʻi a me nā hōʻailona i ʻōlelo ʻia ma luna me ke kuni, kānalua loa nā kauka.
No laila pehea ʻoe e mālama ai i kēia?
ʻOiai he hōʻailona ke 'alelo ʻōhelopapa', kuhikuhi ʻia ka lāʻau lapaʻau i ke kūlana kumu i hoʻokumu ai. Ke ho'ōla ʻia kēlā kūlana, e hoʻi hou ke alelo i ka maʻamau.
- Nā lāʻau antibiotic: No nā maʻi bacteria e like me ke kuni ʻulaʻula a me ka TSS, e kuhikuhi kāu kauka i nā lāʻau antibiotic. ʻO ka maʻamau, pono kahi papa hana o kahi 10 mau lā.
- ʻO ka immune globulin (IVIG): Hāʻawi ʻia kēia lāʻau lapaʻau ma ke ʻano intravenous (IV) i kahi keiki me ka maʻi Kawasaki ma kahi haukapila. Hoʻomalu ia i ka mumū e hoʻoulu ai i nā hōʻailona.
- Nā Antihistamines: Inā loaʻa ka hōʻailona i kahi maʻi allergy, hiki i kēia mau lāʻau lapaʻau ke kōkua i ka hōʻemi ʻana i ka pehu a me ka ʻulaʻula.
- Wikamina B12: He kumu kākaʻikahi loa kēia. Inā ma muli o ka nele o ka wikamina B12, pono paha ʻoe e ʻai i nā meaʻai hou aʻe i loaʻa ka wikamina B12 a lawe paha i kahi mea hoʻohui e like me ke kuhikuhi a kāu kauka.
He aha ka mea e hiki ke hana inā ʻaʻole mālama ʻia?
ʻO kēia ka mea a kākou e makaʻu nei. Akā, mai hopohopo. Inā ʻike mua ʻoe i ke kauka a loaʻa ka lāʻau lapaʻau, ʻaʻole e kū mai kēia pilikia. Akā inā ʻaʻole ʻoe e loaʻa ka lāʻau lapaʻau, hiki iā ia ke alakaʻi i nā pilikia olakino koʻikoʻi.
Eia kekahi laʻana, inā ʻaʻole mālama ʻia, hiki i ka maʻi Kawasaki ke hōʻino mau loa i nā kīʻaha koko i loko o ka puʻuwai o ke keiki, e alakaʻi ana i ka maʻi puʻuwai no ke ola holoʻokoʻa. Pēlā nō, hiki i ka maʻi ʻulaʻula i mālama ʻole ʻia a me nā maʻi TSS ke laha ma ke kino holoʻokoʻa, e hōʻino ana i nā ʻōpū o loko e like me nā puʻupaʻa.
No laila, ke ʻike ʻoe i ka hōʻailona o ke alelo ʻōhelopapa, mai hopohopo nui e pili ana i ia mau hopena weliweli. Eia nō naʻe, e hoʻomanaʻo he hōʻailona koʻikoʻi kēia e hōʻike ʻia i ke kauka.
Leka Lawe-Home
- ʻAʻole he maʻi ka 'Strawberry Tongue', he hōʻailona ia o kahi maʻi ʻē aʻe.
- He hōʻailona paha kēia o kahi maʻi koʻikoʻi e like me ke kuni ʻulaʻula, ka maʻi ʻawahia (TSS), a i ʻole ka maʻi Kawasaki.
- Inā ʻike ʻoe i kēia hōʻailona ma kāu alelo a i ʻole ke alelo o kāu keiki, mai hopohopo a e ʻike koke i ke kauka kūpono.
- ʻO ka mālama koke ʻana i ka maʻi kumu e hoʻokumu ai i kēia hōʻailona hiki ke pale loa i nā pilikia koʻikoʻi.
- ʻAʻole kēia he maʻi e ho'ōla ʻia e ia iho, no laila, mai hoʻowahāwahā iā ia.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He aha ka emi ʻana o ka Turgor ʻili?
ʻAʻole kēia he ʻelemakule maʻamau! ʻO ka 'Decreased Skin Turgor' ʻo ia ka wā ʻaʻole e hoʻi koke ka ʻili ma ke kua o kou lima (hand dorsum) a i ʻole ma kou ʻōpū (pinch test) i ka maʻamau, akā, 'hale lole' no kekahi mau kekona/minuke (Tent sign / skin tenting) a he pilikia olakino weliweli loa ia! ʻO ke ʻano kēia, ua pau ka wai o ke kino o ka mea maʻi i ka 100% (Severe Dehydration).
💬 He aha nā kumu nui e nalowale ai ka elasticity/sag o ka ʻili o ke kanaka (Decreased Turgor)?
ʻO ke kumu nui a hoʻokahi wale nō no kēia ma ka honua, ʻo ia ka hoʻolei koke ʻia ʻana o nā lita o ka wai i loko o ke kino a loaʻa ka 'Dehydration Nui'! 1) ʻO ka 'Diarrhea (Severe Diarrhea/Cholera-like)' hiki ʻole ke hoʻomanawanui a me ka luaʻi mau ʻana (Vomiting). 2) ʻO nā maʻi maʻi diabetes he 500-600 ke kōpaʻa a mimi i ka lā a pau (DKA / Hyperosmolar state). 3) Ka hou ʻana ma muli o ka wela nui (Heat stroke). 4) Poina/ʻaʻole hiki i ka poʻe ʻelemakule ke inu i ka wai.
💬 No ke aha e lawe koke ʻia ai kahi mea maʻi me ka turgor emi i hoʻōla ʻole ʻia ma hope o ka huki ʻia ʻana a hoʻokuʻu ʻia i ka haukapila, ma mua o ka hāʻawi ʻana iā ORS ma ka home?
ʻO ke kau ʻana i ka ʻili e like me kēia, ʻo ia hoʻi, ʻaʻohe mea nui ka nui o ka wai/wai āu e inu ai ma ka home! ʻO ka pōʻino nui loa a make loa! Me kēia mau hōʻailona, 1) 'Huli/Lethargy', 2) ʻAʻohe mimi i ka lā a pau/lilo ka mimi i melemele ʻeleʻele (Oliguria-kidney failure!), 3) Ka wikiwiki o ka puʻuwai (Ka wikiwiki o ka puʻuwai >120), hiki i ka mea maʻi ke komo i loko o ka coma (Hypovolemic shock) i loko o nā hola, a pono ʻoe e lawe koke ʻia i ka ʻoihana pilikia o ka haukapila a hāʻawi ʻia i nā wai IV!
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