He aha kāu e hana mau ai ke loaʻa i kāu keiki ke kuni, ke anu, a i ʻole kahi maʻi e like me ka moa? I kekahi manawa manaʻo mākou, "ʻĀ ... e hāʻawi wale iā lākou i kahi aspirin liʻiliʻi." Akā ua ʻike anei ʻoe he mea weliweli loa ka hāʻawi ʻana i ka aspirin i ka manawa e like me ia no kāu keiki? I kēia lā ke kamaʻilio nei mākou e pili ana i kahi maʻi i ʻole i kamaʻilio nui ʻia, akā koʻikoʻi loa ke kumu. ʻO ia ka Reye's Syndrome, a i ʻole Reye's Syndrome .
I ka ʻōlelo maʻalahi, he aha ka Reye's Syndrome?
He maʻi laha ʻole akā koʻikoʻi loa ka Reye's Syndrome e hoʻoulu ai i ka pehu ʻana o ke akepaʻa a me ka lolo. Hiki iā ia ke hoʻopilikia i kekahi o kēlā me kēia makahiki, akā ʻoi aku ka maʻamau i nā keiki a me nā ʻōpio e hoʻōla ana mai kahi maʻi viral e like me ka maʻi palū a i ʻole ka chickenpox.
Ua ʻike ʻia e ka noiʻi a nā kauka ʻo ke kumu nui o ka pilikia no kēia ka hāʻawi ʻana i ka aspirin a i ʻole nā lāʻau lapaʻau like ʻē aʻe, ʻo ia hoʻi, nā lāʻau lapaʻau i loaʻa nā salicylates, i kahi keiki i ka wā o kahi maʻi viral.
No kēia kumu, paipai ikaika nā kauka e pale aku i ka aspirin no nā pēpē a me nā kamaliʻi e ho'ōla ana mai nā maʻi viral.
No ke aha lā e kū mai ai kēia kūlana?
ʻAʻole maopopo loa i nā kauka ke kumu pololei o Reye's Syndrome, akā ua ʻike lākou he ʻoi aku ka nui o ka loaʻa ʻana o ke ʻano o kekahi mau keiki inā hāʻawi ʻia lākou i ka aspirin i ka wā o kahi maʻi viral.
Eia kekahi, ʻoi aku ka nui o ka pilikia o kekahi mau keiki ʻē aʻe i ka loaʻa ʻana o kēia maʻi. ʻO kēia mau mea:
- Inā loaʻa iā lākou kahi maʻi hoʻoilina e pili ana i ke kaʻina hana o ka wāwahi ʻana i nā waikawa momona i loko o ke kino (Fatty Acid Oxidation Disorder).
- Inā ua pili ʻoe i kekahi mau kemika ʻawahia e like me nā mea hoʻomāmā pena, nā insecticides, a me nā mea pepehi nāhelehele.
Ke kū mai ka Reye's Syndrome, pehu nā ʻāpana o ke kino a hoʻomaka ka momona e hōʻiliʻili i loko o lākou. I ka manawa like, hāʻule koke ke kiʻekiʻe o ke kō koko. Hoʻonui ʻia nā mea ʻino e like me ka ammonia a me ka acidity i loko o ke koko. Hiki i kēia mau loli ke hōʻeha nui i ke akepaʻa a me ka lolo, no ka mea, pehu nui kēia mau ʻōpū.
He aha nā hōʻailona? Pehea mākou e ʻike ai iā lākou?
ʻIke pinepine ʻia nā hōʻailona o ka Reye's Syndrome ma hope o 3 a 5 mau lā ma hope o ka hoʻomaka ʻana o kahi maʻi viral. Hiki ke ʻokoʻa iki kēia mau hōʻailona ma muli o ka makahiki, no laila he mea nui e makaʻala pono i kēia.
E nānā kākou i kēia mau ʻano ma kahi papa no ka maʻalahi o ka hoʻomaopopo ʻana.
| Hana kūikawā / Pūʻulu Makahiki | Nā hōʻailona i ʻike ʻia |
|---|---|
| Nā Hōʻailona Mua | |
| Nā keiki ma lalo o 2 mau makahiki | Ka maʻi kahe a me ka hanu wikiwiki |
| Nā keiki ʻōpio a me nā ʻōpio | Ka luaʻi mau ʻana a me ka hiamoe maʻamau ʻole |
| Nā Hōʻailona Koʻikoʻi | |
| Nā loli ʻano | Ka huhū koke, ka hoʻonāukiuki, a me ka huhū. |
| Kūlana noʻonoʻo | Ka huikau, ka ʻike ʻana a i ʻole ka lohe ʻana i nā mea i ʻike ʻole ʻia (hallucinations). |
| Nā loli kino | Ka nāwaliwali a i ʻole ka mae ʻana o nā lālā, nā ʻūlū , ka nalowale o ka ʻike. |
He pilikia kēia! Inā ʻike ʻoe i kekahi o kēia mau hōʻailona koʻikoʻi, e like me ka loli nui o ke ʻano, nā hopu ʻana, a i ʻole ka nalowale o ka ʻike, e lawe koke i kāu keiki i ka ʻOihana Pilikia o ka haukapila (ETU) . Hiki i kēia ke hoʻoweliweli i ke ola, no laila he mea nui ka ʻike koke ʻana a me ka mālama ʻana.
I kekahi manawa hiki ke huikau kēia mau hōʻailona me ka meningitis, kahi hopena maʻi diabetes, a i ʻole ka lāʻau make. Inā manaʻo ʻoe he mea ʻawahia (e like me ka herbicide), e kelepona koke i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ʻo Colombo no ka ʻōlelo aʻoaʻo.
Pehea e ʻike pono ai ke kauka i kēia maʻi?
ʻAʻohe hoʻokolohua hoʻokahi e pili ana i ka Reye's Syndrome, no laila e nānā pono nā kauka i nā hōʻailona a me ka mōʻaukala a holo i kekahi mau hoʻokolohua e kāpae i nā kūlana ʻē aʻe.
Ma waena o lākou:
- Nā hoʻāʻo koko a me ka mimi: Nānā kēia i nā mea e like me ka hana o ke ake, ke kō koko, a me nā pae ammonia.
- Nānā ʻana no nā maʻi metabolism waikawa momona: Hana ʻia nā hoʻāʻo koko kūikawā no kēia.
- Spinal Tap / Lumbar Puncture: Hana ʻia kēia hoʻāʻo e ana i ke kaomi i loko o ka lolo a me ke kaula spinal a e nānā no ka maʻi.
- ʻO ka Biopsy o ke Ake: Kōkua kēia i ka hoʻoholo ʻana i ka nui o ka hōʻino ʻia i nā hunaola ake.
- Nā scan CT a MRI paha: Hiki i kēia ke nānā i ka pehu ʻana i loko o ka lolo a ʻike inā he mau pilikia ʻē aʻe.
Aia kekahi lāʻau lapaʻau no kēia?
ʻAʻohe lāʻau lapaʻau kikoʻī e hiki ke hoʻōki loa i ka Reye's Syndrome. Eia nō naʻe, hiki i nā kauka ke hoʻokele i ke kūlana ma ka lawe ʻana i ka mea maʻi i ka haukapila, ka pale ʻana i nā hōʻailona koʻikoʻi, a me ka kaohi ʻana i ka pehu ʻana o ka lolo. Eia kekahi mau mea e hana ai:
- Nā wai intravenous (IV) a me ka meaʻai.
- ʻO nā diuretics nā lāʻau lapaʻau e wehe i ka wai keu a me nā paʻakai mai ke kino a hōʻemi i ka pehu.
- Nā lāʻau lapaʻau e pale ai i ke kahe ʻana o ke koko.
- Inā loaʻa kahi kūlana e like me ke kahe ʻana o ke koko mai ke akepaʻa, hāʻawi ʻia ka huaora K, plasma, a me nā platelets e kōkua i ke kāpili ʻana o ke koko.
He aha nā hopena lōʻihi?
ʻO ka nūhou maikaʻi, me ka holomua o ka ʻepekema lapaʻau, hiki ke ʻike mua ʻia ka maʻi, a ua hāʻule ka nui o ka make mai 50% a i lalo o 20%. ʻO ke ʻano kēia, ʻo ka hapa nui o nā keiki a me nā ʻōpio i loaʻa i ka maʻi e hoʻōla piha ʻia.
ʻO ke ʻano o ka hoʻōla ʻana o kekahi a me ka pilikia o ka hōʻino ʻana o ka lolo no ka manawa lōʻihi e pili ana i ka nui o ka pehu ʻana o ka lolo . ʻOi aku ka kiʻekiʻe o ka pilikia o ka hōʻino ʻana o ka lolo ke lilo koke nā hōʻailona i mea koʻikoʻi, e alakaʻi ana i ka coma.
Leka Lawe-Home
- Mai hāʻawi i ka aspirin i nā keiki a me nā ʻōpio ke loaʻa iā lākou kahi maʻi viral e like me ka maʻi palū, ke anu, a i ʻole ka moa.
- Ma mua o ka hāʻawi ʻana i kāu keiki i kekahi lāʻau lapaʻau, e nānā inā he aspirin a salicylates paha. Inā kānalua, e nīnau i kāu kauka .
- Inā hōʻike kāu keiki i nā hōʻailona e like me ka luaʻi mau ʻana, ka hiamoe nui, a me nā loli o ke ʻano ma hope o kahi maʻi viral, mai hoʻowahāwahā iā lākou.
- Inā ʻike ʻoe i nā hōʻailona koʻikoʻi e like me ka hopu ʻana a i ʻole ka nalowale o ka ʻike, e lawe koke i kāu keiki i ka Emergency Treatment Unit (ETU) o ka haukapila. Hiki i ka mālama koke ke hoʻopakele i nā ola a hōʻemi i ka pōʻino lōʻihi.
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