E noʻonoʻo he ʻeha ka puʻu o kāu keiki a e ola ana i loko o kekahi mau lā. Akā ma hope o hoʻokahi a ʻelua paha pule, loaʻa hou i kāu keiki ke kuni, me nā hono pehu e like me nā kuli a me nā kuʻekuʻe wāwae, a me ka ʻeha nui. I kekahi manawa neʻe kēia ʻeha mai kekahi hono a i kekahi. Ua loaʻa anei iā ʻoe kēia ʻike? ʻAʻole kēia he mea e hoʻowahāwahā wale ʻia. Hiki paha ke kuni rumatika, kahi maʻi koʻikoʻi e kū mai ana ke waiho ʻole ʻia ka maʻi puʻu me ka mālama ʻole ʻia. E kamaʻilio kākou e pili ana i nā mea a pau i kēia lā.
He aha maoli ka Rheumatic Fever?
I ka ʻōlelo maʻalahi, ʻo ka maʻi rumatika kahi hopena koʻikoʻi i
kahi maʻi ʻāʻī i mālama ʻole ʻia (Strep Throat) . Hoʻokumu ʻia kēia maʻi ʻāʻī e kahi bacteria i kapa ʻia ʻo 'group A streptococcus'. Ke mālama ʻole ʻia kēia bacteria, hele hewa ka ʻōnaehana pale o ko mākou kino. ʻO ke ʻano kēia, hoʻomaka nā antibodies e hana e like me nā pale kino
e hoʻouka ʻaʻole wale i ka bacteria akā i ko mākou mau ʻiʻo ponoʻī, ʻoiai nā hono, ka puʻuwai, a me ka ʻili . ʻO ka pōʻino nui o kēia, ʻo ia ka hōʻino ʻana i ka puʻuwai. ʻOi aku ma mua o ka hapalua o ka poʻe i loaʻa i ka maʻi rumatika ua hōʻino ʻia ko lākou mau valves puʻuwai. Hoʻoikaika kēia i ka puʻuwai e hana ikaika e pamu i ke koko. I ka hala ʻana o ka manawa, hiki i kēia hōʻino ke alakaʻi i kahi maʻi i kapa ʻia ʻo
ka maʻi puʻuwai rumatika , hiki ke alakaʻi i ka hāʻule ʻana o ka puʻuwai. I kekahi manawa, hiki i ka maʻi rumatika ke hana i kahi maʻi manawa pōkole i kapa ʻia ʻo Sydenham's chorea, kahi e hoʻopilikia ai i ka ʻōnaehana nerve. Hiki i kēia ke hana i nā ʻiʻo o ke kino, nā lālā, a me ke alo e ʻoniʻoni me ka ʻole o ka hoʻomalu ʻia.
ʻO ka mea nui, ʻaʻole he maʻi lele ka fiva rumatika. Eia nō naʻe, hiki ke laha nā bacteria streptococcus e hoʻoulu ai ( ʻeha puʻu ) mai ke kanaka a i ke kanaka.
He aha nā hōʻailona nui o ka maʻi rumatika?
ʻIke pinepine ʻia kēia mau hōʻailona ma waena o 1 a me 5 mau pule ma hope o ka ʻeha ʻana o ka puʻu. I kekahi manawa hiki ke maʻalahi ka ʻeha ʻana o ka puʻu, ʻo ia hoʻi hiki ke hele mai a hele aku me ka ʻole o nā hōʻailona nui. No laila, ʻaʻole paha e hoʻomanaʻo kekahi poʻe i ka ʻeha ʻana o ka puʻu.
| Hōʻailona | Wehewehena |
|---|
| Nā hono pehu a ʻeha | ʻO nā hono, ʻoiai nā kuli, nā kuʻekuʻe wāwae, nā kuʻekuʻe lima, a me nā pulima lima, e pehu, ʻulaʻula, a ʻeha. Hiki i kēia ʻeha ke neʻe mai kekahi hono a i kekahi. |
| kuni | Ke kuni e hiki mai ana me ke kumu ʻole. |
| He ʻulaʻula ʻili | ʻO ke ʻano o kahi ʻulaʻula, i piʻi iki aʻe, me he ʻōpala lā ma ka umauma, ke kua, a i ʻole ka ʻōpū. |
| Nā puʻupuʻu ma lalo o ka ʻili (Nodules) | ʻIke ʻia nā puʻu liʻiliʻi a ʻeha ʻole ma lalo o ka ʻili kokoke i nā hono pehu, ʻoiai ma nā wahi e like me nā kuʻekuʻe lima. |
| Nā hōʻailona e pili ana i ka puʻuwai | ʻO ka ʻeha o ka umauma, ka wikiwiki o ka puʻuwai, a me ka paʻakikī o ka hanu ʻana he mau hōʻailona ia ua hoʻopilikia ʻia ka puʻuwai. |
| Nā neʻe ʻana i hiki ʻole ke kāohi ʻia (Chorea) | Nā neʻe ʻana o nā lima, nā wāwae, a i ʻole ke alo i kāohi ʻole ʻia. |
E mālama i ka ʻeha ʻāʻī o ke keiki
Mai hoʻomāmā i ka ʻeha puʻu o ke keiki. ʻOi loa aku
inā he ʻeha nui ko lākou puʻu a me ke kuni (ma luna o 100.4 F / 38 C) me ka ʻole o nā hōʻailona ʻē aʻe o ke anu (e like me ka ihu wai, ka ʻūhū ʻana) , a inā ʻoi aku ka lōʻihi o ko lākou ʻeha puʻu ma mua o ʻelua a ʻekolu paha lā,
pono ʻoe e ʻike i ke kauka . He maʻi ʻeha puʻu paha ia. Inā pēlā, he mea nui e loaʻa nā lāʻau antibiotic kūpono e mālama pono ai.
ʻO wai ka mea i pilikia nui?
ʻOiai hiki i kekahi mea i loaʻa i ka maʻi streptococcal ke hoʻomohala i ka fiva rheumatic, ʻoi aku ka maʻalahi o kekahi poʻe i ia mea.
- Nā keiki ma waena o nā makahiki 5-15.
- ʻO ka poʻe ma nā wahi piha kanaka e like me nā kula a me nā kikowaena mālama keiki .
- Inā loaʻa hou i kahi kanaka i loaʻa mua i ka fiva rumatika kahi maʻi streptococcal.
Pehea ʻoe e ʻike ai i kēia, e Kauka?
Ke hele ʻoe e ʻike i ke kauka, e hoʻolohe pono mua ʻo ia i kāu mau hōʻailona. A laila e hana ʻo ia i kahi hoʻokolokolo kino. 1.
Moʻomeheu ʻĀʻī: Lawe ʻia kahi swab liʻiliʻi mai loko mai o kou ʻāʻī e nānā i nā bacteria strep a hoʻouna aku i ka lab. 2.
Hoʻokolokolo Kino: E hoʻolohe ke kauka i kou puʻuwai me kahi stethoscope e nānā i nā leo ʻē aʻe (nā murmurs puʻuwai). E nānā pū ʻo ia no ka pehu ʻana i kou mau hono, nā ʻeha ʻili, a i ʻole nā puʻupuʻu. 3.
Nā Hoʻāʻo ʻē aʻe:- Nā hoʻāʻo koko : Nānā ʻia nā pae antibody e hoʻoholo ai inā he maʻi streptococcal i loaʻa koke.
- ECG (Electrocardiogram): Hoʻāʻo i ka hana a me ka hana uila o ka puʻuwai.
- Echo (Echocardiography): He scan e hiki ai iā ʻoe ke ʻike i nā ʻiʻo o ka puʻuwai, nā valves, a me ka hana pumping e like me ke wikiō.
He aha nā lāʻau lapaʻau?
Inā ua hōʻoia ʻia ka maʻi rumatika, ʻelua mau pahuhopu nui o ka lāʻau lapaʻau. ʻO kekahi, ʻo ia ke kāohi i nā hōʻailona o kēia manawa. A ʻo kekahi, a ʻo ka mea nui loa,
ʻo ia ke pale ʻana i ka hōʻino lōʻihi o ka puʻuwai.- Nā lāʻau antibiotic : Hāʻawi ʻia kahi lāʻau antibiotic e like me ka penicillin e pepehi loa i nā bacteria streptococcus i koe i loko o ke kino. Pono paha ʻoe e lawe i nā lāʻau antibiotic haʻahaʻa no nā makahiki, a i ʻole kou ola holoʻokoʻa, i mea e pale ai i ka hoʻi hou ʻana mai o ka maʻi.
- Nā lāʻau lapaʻau ʻeha a me ka pehu: Ua kuhikuhi ʻia nā lāʻau lapaʻau e like me ka aspirin a me ka ibuprofen e kāohi i ka ʻeha hui , ka pehu ʻana, a me ke kuni.
- Corticosteroids: Hāʻawi ʻia kēia mau lāʻau lapaʻau e kāohi i ka pehu ʻana inā ua hoʻopilikia ʻia ka puʻuwai.
- Hoʻomaha piha: He mea nui e hoʻomaha nui a hiki i ka nalowale ʻana o nā hōʻailona.
- ʻOki kino: I kekahi manawa, inā ua hōʻino nui ʻia nā valves o ka puʻuwai, pono paha ke ʻoki kino e hoʻoponopono a hoʻololi paha iā lākou.
Inā loaʻa iā ʻoe ka maʻi puʻuwai rumatika, pono paha ʻoe e lawe i nā lāʻau antibiotic ma mua o kekahi mau ʻoki kino, e like me ka unuhi ʻana i nā niho, i mea e pale ai i ka maʻi o nā valves puʻuwai. E aʻo aku kāu kauka iā ʻoe e pili ana i kēia.
Nā hopena lōʻihi a me nā pilikia
ʻO ka mea weliweli loa o ka maʻi rumatika ʻo ia kona hopena lōʻihi ma ka puʻuwai. Hiki ke hana ʻia kēia hōʻino i nā makahiki he nui ma hope o ka ulu ʻana o ka maʻi.
Ka pōʻino nui e hiki ke hana i ka puʻuwai
| ʻO ka stenosis valve | ʻO ka hāiki ʻana o ka valve puʻuwai e kāohi ai i ke kahe o ke koko ma o ia mea. |
| Ka hoʻihoʻi ʻana o ka valve | ʻAʻole pani pono ka valve, no laila ke kahe nei ke koko i hope. |
| Ka hōʻino ʻana o nā ʻiʻo puʻuwai | ʻO ka pehu ʻana i hoʻokumu ʻia e ka fiva rumatika e hoʻonāwaliwali i ka ʻiʻo o ka puʻuwai a hōʻemi i kona hiki ke pamu. |
| Puʻuwai puʻuwai kūpono ʻole `(Atrial fibrillation)` | ʻO ka hōʻino ʻana i nā valves a me nā ʻāpana ʻē aʻe o ka puʻuwai ke kumu o ka puʻuwai kū ʻole. |
Leka Lawe-Home
- ʻO ka fiva rumatika kahi hopena koʻikoʻi o ka ʻāʻī strep i mālama ʻole ʻia, kahi maʻi ʻāʻī i hoʻokumu ʻia e ka bacteria Streptococcus.
- Inā loaʻa i kāu keiki kahi ʻeha nui o ka puʻu me ke kuni, mai hoʻowahāwahā wale iā ia a e ʻimi koke i ke kōkua lapaʻau.
- ʻO ka pilikia weliweli loa o ka maʻi rumatika ka hōʻeha lōʻihi i ka puʻuwai, i ʻike ʻia ʻo ka maʻi puʻuwai rumatika.
- ʻOiai ʻaʻole kēia maʻi e laha, hiki i ka maʻi ʻāʻī ke laha.
- Inā loaʻa iā ʻoe ka fiva rumatika, he mea nui e lawe i ka lāʻau lōʻihi e like me ke kuhikuhi a kāu kauka e pale ai i ka hoʻi hou ʻana a pale i kou puʻuwai.
Fiva Rheumatic, ʻeha hui, maʻi ʻāʻī, streptococcus, maʻi puʻuwai rheumatic, nā maʻi pediatric, maʻi puʻuwai
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