Loaʻa i kāu keiki liʻiliʻi ke kuni kiʻekiʻe ʻaʻole e iho i loko o kekahi mau lā? Pehea ka weliweli o ka makuahine a makua paha ke ʻike i kā lāua keiki i ka ʻeha nui, me ka ʻulaʻula a me ke kuni ʻaʻole e iho ma hope o ka hāʻawi ʻana iā lākou i ka paracetamol? I nā manawa e like me kēia, manaʻo pinepine mākou he kuni viral ia. Akā i kekahi manawa, hiki ke lilo i "maʻi Kawasaki," kahi mea a mākou i lohe ʻole ai akā pono e nānā koke ʻia. No laila e makaʻala kākou i kēia i kēia lā.
He aha ka maʻi Kawasaki?
I ka ʻōlelo maʻalahi, ʻo ka maʻi Kawasaki kahi maʻi e pehu ai a mumū paha nā kīʻaha koko i loko o ko kākou kino. ʻIke pinepine ʻia ia i nā keiki ma lalo o 5 mau makahiki. ʻO ka ʻoiaʻiʻo, ʻo ka maʻi Kawasaki ke kumu nui o ka maʻi puʻuwai i nā keiki ʻōpio.
Akā, mai makaʻu. ʻOiai paha he mea weliweli kēia, inā ʻike mua ʻia kēia maʻi a hoʻomaka ʻia ka lāʻau kūpono, e ola loa ka hapa nui o nā keiki me ka ʻole o nā pilikia. ʻO ka mea nui loa, ʻo ia ka ʻike i nā hōʻailona a ʻike i ke kauka i ka manawa kūpono.
No ke aha e loaʻa ai kēia maʻi? He aha nā kumu pilikia?
ʻAʻole ʻike maopopo nā kānaka ʻepekema i ke kumu kikoʻī o ka maʻi, akā manaʻoʻiʻo lākou he nui nā kumu e hiki ke kōkua i ia. ʻO kēia mau mea:
- ʻO ke kūlana hoʻoilina (Genes): Loaʻa paha i kekahi mau keiki kahi ʻano maʻamau iki e hoʻomohala i kēia maʻi ma muli o ko lākou ʻano hoʻoilina.
- Nā maʻi: Ua manaʻo ʻia he hiki ke hana ʻia kēia ʻano ma muli o ka pane ʻana o ka ʻōnaehana pale o ke kino ma hope o kekahi mau maʻi viral a bacteria paha.
- Nā kumu o ke kaiapuni: Hiki i nā mea e like me kekahi mau kemika i ke kaiapuni a puni mākou ke loaʻa ka hopena.
ʻO ka mea nui loa, ʻaʻole laha ka maʻi Kawasaki , no laila inā loaʻa i kāu keiki ka maʻi, ʻaʻole pono ʻoe e hopohopo e pili ana i ka laha ʻana i nā poʻe ʻē aʻe o kou hale.
Aia kekahi mau kumu pilikia ʻē aʻe e hiki ke hoʻopilikia i ka ulu ʻana o kēia maʻi:
- Makahiki: ʻOi aku ka maʻamau i nā keiki ma lalo o 5 mau makahiki, ʻoi aku hoʻi ma waena o 6 mahina a me 2 mau makahiki.
- Kāne: ʻOi aku ka nui o ka loaʻa ʻana o kēia maʻi i nā keikikāne ma mua o nā kaikamahine.
- Lāhui: Ua ʻike ʻia ʻo nā keiki o nā lāhui ʻAsia a me nā mokupuni Pākīpika e ʻoi aku ka nui o ka loaʻa ʻana o kēia maʻi, no laila he mea nui iā mākou e makaʻala pono i kēia.
He aha nā hōʻailona o ka maʻi Kawasaki?
Hiki ke ʻike koke ʻia nā hōʻailona o kēia maʻi, a hiki ke ʻike ʻia hoʻi ma nā pae he nui.
| Nā pae hōʻailona nui | |
|---|---|
| ʻAno | Wehewehena |
| Pae Mua | |
| kuni kiʻekiʻe | ʻOi aku ke kuni ma mua o 38.3 Celsius (101 Fahrenheit). ʻOi aku ma mua o 5 mau lā i ka lālani . ʻAʻole hiki i nā lāʻau lapaʻau kuni maʻamau ke hoʻēmi i ke kuni. |
| ʻŌhūhū | ʻIke pinepine ʻia ma ka ʻāʻī, ka umauma, a me ka ʻāpana ʻāʻī. |
| ʻUlaʻula o nā maka | Lilo i ʻulaʻula nā keʻokeʻo o nā maka, akā, ʻaʻole e kahe ka huʻa mai nā maka aku. |
| Nā loli o ka lehelehe, ke alelo, a me ka puʻu | Maloʻo nā lehelehe, māwae, a ʻulaʻula ʻeleʻele. Pehu paha ke alelo a loaʻa nā puʻupuʻu ʻulaʻula e like me ka ʻōhelopapa (i kapa ʻia hoʻi ʻo "strawberry tongue"). ʻEha paha ka puʻu. |
| Ka pehu ʻana o nā lima a me nā wāwae | ʻUlaʻula a pehu nā poho lima a me nā kapuwaʻi. |
| Nā ʻōpū pehu | Pehu nā ʻāpana lymph ma ka ʻāʻī. |
| Pae ʻElua | |
| ʻIli ʻili | Ma kahi o 2-3 mau pule ma hope o ka hoʻomaka ʻana o ka maʻi, hoʻomaka ka ʻili ma nā manamana lima a me nā wāwae e ʻili. |
| Nā hiʻohiʻona ʻē aʻe | Hiki ke loaʻa ka ʻeha o nā hono, ka ʻeha o ka ʻōpū, ka luaʻi ʻana, a me ka maʻi pākī. |
I ke kolu o ka pae, e emi mālie ana kēia mau hōʻailona. Eia nō naʻe, hiki ke hala a hiki i 8 mau pule e hoʻōla piha ai. Inā loaʻa i kāu keiki ke kuni kiʻekiʻe e mau ana no nā lā he 4-5 a loaʻa iā ia nā hōʻailona ʻē aʻe e like me kēia, e ʻike pono i ke kauka me ka hoʻonele ʻole i ka manawa.
ʻO ka maʻi Kawasaki a me COVID-19
Hiki i kekahi mau keiki e loaʻa ana i ka COVID-19 ke loaʻa i kahi maʻi i kapa ʻia ʻo "multisystem inflammatory syndrome (MIS-C)". ʻO kona mau hōʻailona (e like me ke kuni a me nā ʻeha kino) ua like loa me ka maʻi Kawasaki. No laila, inā ʻike ʻoe i kēia mau hōʻailona, he mea nui loa ia e kamaʻilio me ke kauka o kāu keiki e pili ana i ia mea.
Pehea e ʻike ai ke kauka i kēia maʻi?
E nānā pono ke kauka i kāu keiki a nīnau iā ʻoe e pili ana i kāu mau hōʻailona. ʻOiai ʻaʻohe hoʻāʻo kikoʻī e ʻike ai i ka maʻi, e nānā ke kauka i ka liʻiliʻi he 4 o nā hōʻailona 5 e hiki mai ana me ke kuni e mau ana no nā lā he 5 a ʻoi:
1. Nā maka ʻulaʻula
2. Nā loli o ka lehelehe a me ke alelo (maloʻo, māwae, lehelehe ʻulaʻula a me ke alelo ʻōhelopapa)
3. Hoʻohilahila kino
4. Ka pehu ʻana o ka ʻāʻī
5. Ka pehu a me ka ʻulaʻula o nā lima a me nā wāwae
Eia kekahi, hiki ke hana ʻia kekahi mau hoʻokolohua e kāpae i nā kūlana olakino ʻē aʻe a e ʻike inā ua hoʻopilikia ʻia ka puʻuwai e kēia maʻi.
- Nā hoʻāʻo puʻuwai: He "Electrocardiogram - EKG", e nānā ana i ka hana uila o ka puʻuwai, a me kahi "Echocardiogram", e nānā ana i ke ʻano a me ka hana o ka puʻuwai. He hoʻāʻo koʻikoʻi loa kēia.
- Nā hoʻāʻo koko: E nānā no ka mumū a me nā maʻi ʻē aʻe i loko o ke kino.
- Nā hoʻokolohua ʻē aʻe: Hiki ke hana ʻia kahi X-ray umauma a i ʻole, inā pono, kahi angiogram coronary e nānā i nā kīʻaha koko e hoʻolako koko i ka puʻuwai (nā ʻaʻa coronary).
Pehea e mālama ʻia ai?
ʻO ke kuni, ka pehu, a me ka ʻeha i hoʻokumu ʻia e kēia maʻi hiki ke lilo i mea ʻoluʻolu ʻole no ke keiki. Eia kekahi, ma muli o nā hopena e hiki ai ke loaʻa i ka puʻuwai, hana pinepine ʻia ka mālama ʻana no kēia maʻi ma kahi haukapila.
ʻElua mau ʻano lapaʻau nui:
1. Immunoglobulin Intravenous (IVIG):He lāʻau lapaʻau kēia i hāʻawi ʻia ma o kahi aʻa koko (IV). Loaʻa iā ia nā antibodies, kahi ʻano protein e kōkua i ke kino e hakakā i nā maʻi. Ke hāʻawi ʻia i ka wā mua o ka maʻi, hiki i kēia lāʻau lapaʻau ke hōʻemi i ka pehu ʻana i loko o nā kīʻaha koko a pale i ka hapa nui o nā pōʻino e hiki ke hana i ka puʻuwai.
2. ʻAspirin: Paipai ke kauka i ka aspirin e hōʻemi i ke kuni a me ka ʻeha a pale i nā ʻūpā koko.
He ʻōlelo aʻo koʻikoʻi loa: Mai hāʻawi i ka aspirin i nā keiki liʻiliʻi me ka ʻole o ke aʻo ʻana a ke kauka. Hiki i ka aspirin ke lilo i mea weliweli loa i nā hihia o nā kuni viral ʻē aʻe, e like me ka dengue. He lāʻau lapaʻau kēia no ka maʻi Kawasaki e hāʻawi wale ʻia ma lalo o ke aʻo ʻana a ke kauka loea.
Ma hope o ka mālama ʻana, inā loaʻa i kāu keiki kahi maʻi e like me ka aneurysm artery coronary, e noi ʻia paha ʻoe e lawe i ka aspirin haʻahaʻa no kekahi mau pule a ʻoi aku paha. Eia kekahi, ma hope o ka haʻalele ʻana i ka haukapila, pono ʻoe e lawe i kāu keiki no nā kipa hahai e like me ke kuhikuhi a ke kauka.
Hiki i kēia maʻi ke hoʻoulu i nā pilikia?
He mea maopopo ia e makaʻu kekahi ke lohe i kēia, no ka mea, he mea pili ia i ka puʻuwai. Akā ʻo ka ʻoiaʻiʻo, inā e mālama koke ʻia, hoʻōla piha ka hapa nui o nā keiki me ka ʻole o nā pilikia lōʻihi.
Eia nō naʻe, i nā hihia kakaikahi, hiki ke loaʻa kekahi mau pilikia, ʻoiai inā hoʻopaneʻe ʻia ka mālama ʻana.
- Nā ʻano ʻē i ka rhythm o ka puʻuwai (dysrhythmia)
- Ka mumū ʻana o ka ʻiʻo puʻuwai (myocarditis)
- Ka hōʻino ʻana i nā valves puʻuwai (mitral regurgitation)
- ʻO ka mumū ʻana o nā kīʻaha koko (vasculitis)
Hiki i kēia ke hoʻonāwaliwali i nā paia o nā kīʻaha koko i loko o ka puʻuwai a puʻupuʻu e like me nā pōpō (aneurysms). Hoʻonui kēia i ka pilikia o ka paʻa ʻana o nā kīʻaha koko i ka wā e hiki mai ana, ke kahe koko i loko, a me nā hōʻeha puʻuwai.
Akā e hoʻomanaʻo, he mau pilikia kakaikahi loa kēia. Me ka mālama pono ʻana, hiki ke hoʻemi ʻia kēia pilikia ma mua o 95%. ʻO ia ke kumu a mākou e ʻōlelo nei e ʻike i ke kauka i ka manawa kūpono.
Leka Lawe-Home
- He maʻi hiki ke mālama ʻia ka maʻi Kawasaki, akā hiki ke mālama ʻia e hoʻopilikia ana i nā keiki ʻōpio a pono e mālama koke ʻia e ke kauka.
- E makaʻala i nā hōʻailona e like me nā maka ʻulaʻula, nā ʻulaʻula, nā lehelehe ʻulaʻula a me ke alelo, a me ka pehu ʻana o nā lima a me nā wāwae, me ke kuni nui e mau ana no nā lā he 5 a ʻoi.
- Inā ʻike ʻoe i kēia mau hōʻailona, mai hopohopo a hopohopo paha, a lawe koke i kāu keiki i ke kauka. Hiki i ka mālama koke ke pale i ka hōʻino ʻana i ka puʻuwai.
- Mai hāʻawi i ka aspirin i nā keiki me ke aʻo ʻole ʻia e ke kauka.
- Me ka mālama kūpono a me ka hahai ʻana, hiki i kāu keiki ke ho'ōla piha a ola i ke ola olakino me ka ʻole o nā pilikia.
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