Yu smɔl pikin gɛt dɛn strenj flu simptom ya? Mek wi lan bɔt Kawasaki Sik!

Tide wi go tɔk bɔt wan sik we nɔ kin apin so ɔltɛm, bɔt sɔntɛnde i kin rili siriɔs, we kin afɛkt yɔŋ pikin dɛn, mɔ di wan dɛn we nɔ rich fayv ia yet. Dɛn kɔl am Kawasaki Sik. Sɔm mama ɛn papa dɛn kin fred smɔl we dɛn yɛri dis nem, bɔt nɔ wɔri. If dɛn tɛl yu fayn fayn wan ɛn gɛt tritmɛnt di rayt tɛm, bɔku tɛm yu pikin kin wɛl kpatakpata.

Wetin na Kawasaki Sik?

Fɔ tɔk am simpul wan, Kawasaki sik na we di blɔd vesel dɛn na wi bɔdi kin wam . Dɔktɔ dɛn kin kɔl dis bak ``Vasculitis``. Naw tink bɔt am, wetin kin apin we wan blɔd vesel inflam? I kin wik, strɛch, ɛn swel lɛk balyɔn. If dat apin, dɛn kin bɔs. Sɔntɛnde, dis inflamɛns kin mek skata insay di blɔd vesel dɛn, we kin mek di blɔd vesel dɛn smɔl. Dɔn, difrɛn pat ɛn ɔgan dɛn na di bɔdi nɔ kin gɛt inof blɔd, dat na, it. Kawasaki sik kin afɛkt yɔŋ pikin dɛn we ol bitwin 6 mɔnt ɛn 5 ia . pan ɔl we i kin rili afɛkt ɛni blɔd vesel na di bɔdi, wi fɔ bisin mɔ bɔt di men blɔd vesel dɛm we de gi blɔd to di at, ``Coronary arteries`` . Bikɔs if dɛn blɔd vesel ya pwɛl, i kin afɛkt di we aw di pikin in at de wok dairekt wan. Bɔt di bɛst tin na dat if dɛn no di sik insay di tɛm ɛn bigin fɔ trit am kwik kwik wan, bɔku pikin dɛn go wɛl kpatakpata insay lɛk tu mɔnt so .

Aw dis sik kin bɔku?

Kawasaki Disease na rili sik we nɔ kin bɔku . Fɔ ɛgzampul, na kɔntri dɛn lɛk Amɛrika ɛn Kanada, i kin ambɔg bitwin 10 ɛn 20 pan ɛvri 100,000 pikin dɛn we nɔ rich 5 ia yet. Bɔt na kɔntri dɛn na Eshia lɛk Jepan, Koria, ɛn Taywan, dis nɔmba pas smɔl. Na de, i kin afɛkt bitwin 50 ɛn 250 pan ɛvri 100,000 pikin dɛn. Bɔt wan impɔtant tin na dat, na divɛlɔp kɔntri dɛn lɛk Amɛrika ɛn Jepan, dɛn dɔn no se Kawasaki Disease na di men tin we kin mek pikin dɛn gɛt at sik we dɛn de liv leta . Dis min se i rili impɔtant fɔ mek wi no bɔt dis.

Wetin na di sayn dɛm fɔ Kawasaki Disease?

Naw lɛ wi luk di sayn dɛm wae kin sho if yu smɔl pikin gɛt Kawasaki Disease. Yu fɔ mɛmba dɛn tin ya wan bay wan.

• Fiva we kin las fɔ at le fayv dez . Dis na di men ɛn fɔs sayn.
• Di pikin nɔ kin rɛst ɔltɛm ɛn i kin kray (Irritability) .
• Di yay dɛn kin rɛd ɔ pink , bɔt nɔ wata nɔ de kɔmɔt na di yay.
• Rɛd, krak krak lip, rɛd tɔŋ we tan lɛk strawberry (`Strawberry tongue`) .
• Di an ɛn fut dɛn kin swel ɛn/ɔ rɛd .
• Fɔ pul di skin na di finga dɛn, mɔ we de rawnd di nel dɛn .
• Kraw kraw . dis kin bכku pan di εria dεm lεk di chεst εn di bεlε. Sɔntɛnde, i kin apia pan ɔda pat dɛn na di bɔdi bak.
• Di limf no dɛm we dɔn swel na di nɛk . Wan ɔ mɔ kin swel.
• Bɛlɛ at , bɛlɛ at, vɔmit , dayarɛa , ɛn ɔda tin dɛn.

Nɔr frayd fɔ Kawasaki sik jɔs bikɔs yu gɛt wan ɔ tu pan dɛn sayn ya. Bɔt if yu gɛt fiva fɔ pas fayv dez ɛn yu gɛt wan ɔ mɔ pan di ɔda sayn dɛn we dɛn tɔk bɔt bak, yu fɔ rili go to dɔktɔ wantɛm wantɛm .

Wetin kin mek pɔsin gɛt Kawasaki sik?

Wi nɔ no di rayt tin we kin mek pɔsin gɛt Kawasaki sik . Dis min se i nɔ pɔsibul fɔ tɔk fɔ tru wetin mek i kin apin. Bɔt di wan dɛn we de stɔdi bɔt dis de kɔntinyu fɔ chɛk. Sɔm pipul dɛn biliv se na infɛkshɔn , sɔntin we de na di say we dɛn de , ɔ wan tin we de mek pɔsin gɛt dis sik kin mek i gɛt di sik. Wan ɔda tin na dat dɛn kin si dis sik mɔs let winta ɛn ali spring . Bɔt wi nɔ no di rayt rizin.

Dis na sik we pɔsin kin pas?

Nɔ, Kawasaki Sik nɔto sik we pɔsin kin gɛt . I nɔ kin pas tru wata we de na di bɔdi, tɔch, ɔ sniz. So natin nɔ de fɔ wɔri bɔt.

Udat de pan big risk fɔ gɛt Kawasaki Disease?

Sɔm pipul dɛn kin gɛt dis sik. Wi kin kɔl dɛn ‘risk grup’.

• Bɔy pikin dɛn kin gro smɔl pas gyal pikin dɛn.
• Pikin dɛn we nɔ rich 5 ia yet kin afɛkt mɔ.
• Pikin dɛn we kɔmɔt na Eshia ɔ Pasifik Ayland dɛn kin gɛt dis sik mɔ.

Bɔt i impɔtant fɔ mɛmba se Kawasaki sik kin kam ivin pan pipul dɛm wae nɔr gɛt dɛn kayn risk factor dɛm ya.

Wetin na di prɔblɛm dɛn we kin kam wit di sik we dɛn kɔl Kawasaki?

De tin wae denja pasmak pan Kawasaki sik na de kɔmplikɛshɔn wae e kin kam wit, mɔr di wan dɛm wae gɛt fɔ du wit di at.

• di korona at dεm na di at kin swεla, wik, εn lεk balכn (Aneurysms) . Dis na di kɔmplikeshɔn we denja pas ɔl. Sɔm kayn bad bad kes dɛm, dɛn kin nid fɔ du ɔpreshɔn lɛk fɔ du ɔpreshɔn pan di korona at baypas.
• di bכdi we de kכlכt de fכm insay di korona at dεm εn di at dεm de sכmtεm sכmtεm .
• Di korona at we de brok . Dis nɔ kin apin so ɔltɛm, bɔt i kin rili denja.
• Prɔblɛm dɛn we gɛt fɔ du wit di at valvDɛn valv dɛn ya de kɔntrol aw blɔd de pas na di at.
• Inflameshɔn na di at mɔsul (`Myocarditis` ɔ ` Pericarditis` ) .
• Epataytis we gɛt di sik .
• Inflameshɔn na di lɔng dɛn (Nimonitis) .
• Infεkshכn dεm na di at .
• Inflameshɔn na di pankrias (` Pankreas` ) .
• At we nɔ de wok fayn .
• At atak . Pan ɔl we i nɔ kin apin so ɔltɛm pan yɔŋ pikin dɛn, dis kin kam wit Kawasaki sik.

Dɛn kɔmplikeshɔn ya kin mek yu fred fɔ yɛri bɔt. Bɔt mɛmba se bɔku pan dɛn prɔblɛm ya kin avɔyd if dɛn bigin fɔ trit dɛn di rayt tɛm .

Aw dɛn kin no se pɔsin gɛt Kawasaki Sik?

Dɔktɔ dɛn kin no if pikin gɛt Kawasaki sik mɔ bay di sayn dɛn we i gɛt ɛn di ɛgzam pan in bɔdi . Dɛn kin luk fɔ di sayn dɛm wae wi bin dɔn tɔk bɔt. Sɔmtɛm pikin nɔ kin sho di ful rεnj ɔf di sayn dɛm fɔ Kawasaki sik. Dɛn kin jɔs gɛt sɔm pan di sayn dɛm. If na so i bi, dɛn kin kɔl am ``Atypical or Incomplete Kawasaki Disease.'' Bifo dɛn no di sik, dɔktɔ dɛn kin luk bak fɔ ɔda tin dɛn we kin mek pɔsin gɛt di fiva, dat na ɔda sik dɛn. Dɛn kin rul ɔl dɛn tin ya bifo dɛn kɔnfɔm Kawasaki sik.

Wetin na di tri stej dɛm fɔ Kawasaki Disease?

Kawasaki sik kin pas tri stej.

Fɔs stej (Akyu Stej) .

• I kin bigin wit fiva we kin las fɔ fayv dez ɔ mɔ .
• Dɛn kin wund di bɔdi, mɔ di chɛst, di bɛlɛ, ɛn di groin.
• Ay dɛn kin bi rɛd (Pink yay).
• Di lip ɛn di tɔŋ kin rɛd, ɛn di tɔŋ kin tan lɛk strawberry.
• Di an ɛn di fut dɛn kin rɛd ɛn swel.
• Di lumps we de na di nɛk dɔn swel.

Sɛkɔn Stej (Subakut Stej) .

• Dis stej kin bigin afta di fiva dɔn stɔp .
• Bɛlɛ kin at, vɔmit, ɛn dayarɛa kin apin.
• Joint pen ɛn bɛlɛ pen kin apin.
• Di skin na di an ɛn fut kin bigin fɔ pul , mɔ na di finga dɛn.

Tɔd Stej (Kɔnvalesɛnt Stej) .

• Insay dis tɛm , di sayn dɛn kin go dɔŋ smɔl smɔl .
• Bɔt di prɔblɛm dɛn we bin dɔn de bifo (espɛshali di wan dɛn we gɛt fɔ du wit at) kin kɔntinyu fɔ de, so dɔktɔ dɛn go kɔntinyu fɔ wach di pikin gud gud wan insay dis tɛm.

I nɔ kin izi fɔ no dɛn stej ya apat ɛksaktɔli, ɛn sɔntɛnde dɛn kin ivin chenj to dɛnsɛf.

Us tɛst dɛn kin ɛp fɔ no if pɔsin gɛt di sik?

Kawasaki Disease na wan dairekt manifestɔshɔn fɔ dis, .No ``spɛsifi k tɛst`` nɔ de . Dat min se yu nɔ go ebul fɔ tek wan drop blɔd ɛn se, ‘O, dis na Kawasaki.’ Bɔt we dɔktɔ dɛn tink se Kawasaki sik, dɛn kin du bɔku tɛst fɔ kɔnfirm am ɛn nɔ no ɔda tin dɛn we de apin.

• Blɔd tɛst : Dɛn tin ya kin chɛk fɔ si if yu gɛt mak dɛn we de mek yu inflamɛns, we yu nɔ gɛt blɔd, ɛn if yu liva de wok.
• Urinalysis we dɛn kin du .
• Echocardiogram : Dis na wan tɛst we rili impɔtant . semweso lεk we dεn kin skan di pikin we de na di bεlε, i kin si klia wan aw di pikin in at εn di korona at dεm de, εn if εni anεvrizm de. Dis na tɛst we nɔ de mek pɔsin fil pen.
• ilektrokardiogram (ECG/EKG) : dis de chεk di ilektrikal aktiviti na di pikin in at, dat na di hat bit pat. Dis na tɛst bak we nɔ de mek pɔsin fil pen.
• Sɔntɛnde, if nid de, dɛn kin du CT angiogram ( tɛst we dɛn kin du ɛkstrem rayt ɛn kɔmpyuta) ɔ MRA (Magnetic Resonance Angiogram) (tɛst we dɛn kin yuz MRI mashin) bak.

Dɔktɔ dɛn kin tɔk se di pikin gɛt Kawasaki sik bay we dɛn kɔmpia di tin dɛn we dɛn kin gɛt frɔm dɛn tɛst ya wit di sayn dɛn we di pikin gɛt.

Aw dɛn kin trit Kawasaki Sik?

As dɛn no se i gɛt Kawasaki Disease so, dɛn kin bigin fɔ trit di pikin bay we dɛn admit di pikin na ɔspitul . I rili impɔtant fɔ bigin tritmɛnt kwik kwik wan, bikɔs dis kin mek di at pwɛl smɔl. Di men tritmɛnt dɛn we dɛn kin gi na:

• Intravenous Immunoglobulin (IVIG) : Dis na spɛshal mɛrɛsin we dɛn mek wit prɔtin dɛn we de na mɔtalman blɔd. Dɛn kin gi am insay wan vein we tan lɛk salin. I de mek di bɔdi nɔ swel. Bɔku pikin dɛn kin bɛtɛ wit dis. Bɔt, lɛk 10 pan 100 pikin dɛn nɔ kin ansa fayn we dɛn tek di fɔs doz fɔ IVIG. If dis apin, dɛn kin nid fɔ tek di sɛkɔn doz ɔ ɔda mɛrɛsin dɛn.
• Aspirin : Dɛn kin gi bɔku aspirin fɔ ridyus fiva, fɔ ridyus pen, ɛn fɔ mek blɔd nɔ klɔt. Afta di fiva dɔn stɔp, if di blɔd vesel dɛn na di at dɔn pwɛl, dɛn kin kɔntinyu fɔ gi aspirin we i nɔ tek bɔku mɔni fɔ mek di blɔd nɔ klɔt.
• IV fluid : Mek di pikin nɔ gɛt wata na in bɔdi.
• Ɔda mɛrɛsin dɛn we de mek pɔsin nɔ fil pen ɛn nɔ swel .
• Antikoagulant fɔ pikin dɛn we de pan denja fɔ mek blɔd klɔt .
• Sɔntɛnde, dɛn kin gi dɛn stɛroyd ɔ ɔda mɛrɛsin dɛn we de mek pɔsin nɔ gɛt sik .
• If yu put kol kɔmprɛs na di bɔdi wit klos we yu sok insay kol wata, dat kin ɛp fɔ mek yu nɔ gɛt fiva.

Di men gol dɛm fɔ tritmɛnt na:

• Fɔ ridyus di inflamɛns na di bɔdi.
• Fɔ mek di blɔd vesel dɛn nɔ pwɛl ɔ fɔ ridyus di damej, mɔ di korona at na di at.
• Fɔ mek blɔd nɔ klɔt pan pikin dɛn we gɛt prɔblɛm wit di korona at.
• Fɔ mek dɛn nɔ gɛt prɔblɛm dɛn we gɛt fɔ du wit at.

Ɛni bad tin de we di tritmɛnt kin du?

Jɔs lɛk ɛni ɔda mɛrɛsin, dɛn tritmɛnt ya kin mek sɔm bad bad tin dɛn apin. IVIG na jεnarali dεn kin tכlerεt fayn fayn wan. Bɔt, sɔntɛnde:

• Hemolytic anemia ( di rεd bכdi sεl dεm de day fast pas aw i nכmal) .
• Infushon riakshכn - lεk fiva εn kol.
• Chɛst de pen.
• I nɔ kin izi fɔ yu fɔ blo.
• Bɛlɛ de at.
• Pen na di mɔsul ɔ di jɔyn dɛn.

We dɛn gi yu tin dɛn we de mek yu blɔd tan (anticoagulants), di risk fɔ mek yu blɔd kɔmɔt smɔl. So, ivin smɔl wund kin tek sɔm tɛm fɔ lɛ blɔd nɔ de kɔmɔt igen.

Yu tink se dɛn kin ebul fɔ avɔyd Kawasaki Sik?

Bɔt i sɔri fɔ no se, nɔ . Bikɔs dɛn nɔ no di rayt tin we kin mek pɔsin gɛt Kawasaki Sik, no we nɔ de fɔ mek i nɔ gɛt am yet.

Wetin fɔ ɛkspɛkt if mi pikin gɛt Kawasaki Disease?

As dɛn tink se yu pikin gɛt Kawasaki Disease so, dɔktɔ dɛn go admit am na ɔspitul. Na di ɔspitul dɛn kin du di tɛst dɛn we dɛn nid ɛn bigin fɔ trit am. Di pikin go ebul fɔ go na os:

• We yu kin drink wata fayn fayn wan.
• We yu kin tek mɛrɛsin wit yu mɔt.
• We di fiva dɔn stɔp kpatakpata ɛn di sayn dɛm fɔ swel na di bɔdi dɔn dɔn.

Afta yu dɔn go na os, yu go nid fɔ kɔntinyu fɔ go to yu famili dɔktɔ (primari wɛlbɔdi prɔvayda), dɔktɔ we de mɛn pipul dɛn we gɛt sik (dɔktɔ we de mɛn pipul dɛn we gɛt sik), ɛn dɔktɔ we de mɛn yu at (dɔktɔ we de mɛn yu at) . Dɛn go wach yu pikin gud gud wan, ripit blɔd tɛst, ɛn ripit tritmɛnt te dɛn se dɛn nɔ nid ɔda tritmɛnt. Di dɔktɔ we de mɛn yu pikin go go na yu pikin in os ɛn du ɛkokadiogram insay tu wiks, ɛn bak insay 4 to siks wik . If yu pikin dɔn gɛt ɛni prɔblɛm wit di korona at, yu kin nid fɔ du ɛkokadiogram bɔku tɛm.

Yu tink se dɛn kin mɛn Kawasaki Sik ɔltogɛda?

Di sayn dɛm fɔ Kawasaki sik kin las fɔ lɛk 4 to siks wiks . Di pikin kin fil taya ɛn nɔ kin rɛst fɔ te et wiks. Sɔm pikin dɛn, lɛk 2 ɔ 3 pan 100 pikin dɛn, kin gɛt Kawasaki sik bak . Wetin pas dat, Kawasaki sik kin mek di korona at dɛn pwɛl fɔ lɔng tɛm ɛn i kin mek yu gɛt at sik we yu dɔn big.. Wan ɛgzampul na di sik we dɛn kɔl atherosclerosis. Pipul wae gɛt aneurysm bikɔs ɔf dis sik go nid fɔ go to dɔktɔ wae de mɛn dɛn at fɔ chɛk ɔl dɛn layf, wan tɛm insay di ia ɔr ɛvri sɔm ia. Sɔntɛnde, dɛn kin nid fɔ du sɔntin fɔ mek di blɔd go fayn. Yu dɔktɔ go mek shɔ se yu pikin nɔ gɛt blɔd klot ɛn di at mɔsul de gɛt inof ɔksijɛn.

Yu tink se Kawasaki Sik denja?

Yɛs, Kawasaki sik na siriɔs sik . Bɔt if dɛn no di sik kwik kwik wan ɛn bigin fɔ trit am di rayt tɛm, bɔku pikin dɛn kin wɛl ful wan . At kɔmplikɛshɔn, ɛn sɔmtɛm ivin day, kin apin bitwin 15 ɛn 45 dez afta di fiva bigin. Bɔt gud tin na dat, tritmɛnt kin mek bɔku pan di at sik dɛn nɔ kam. If dɛn nɔ trit dɛn, lɛk 25 pan 100 pikin dɛn go gɛt korona at anɛrizm. Bɔt if dɛn trit am di rayt tɛm, dis nɔmba kin go dɔŋ to less dan 6 pan 100. We dɛn trit am, lɛk 50% pan di pikin dɛn we gɛt korona at anɛrizm kin wɛl insay wan ɔ tu ia.

Aw a go kia fɔ mi pikin?

Wae yu pikin de wɛl frɔm Kawasaki Disease, sɔm tin dɛn de wae yu kin du:

• Mek shɔ se yu pikin de ɔp to det wit ɔl dɛn vaysin . Tek tɛm mɔ bɔt di COVID-19, influenza, ɛn varicella vaccines we yu pikin de tek aspirin. Smɔl risk de fɔ wan sik we nɔ kin bɔku bɔt we denja we dɛn kɔl Reye’s syndrome pan yɔŋ pikin dɛn we dɛn tek aspirin wit vayral sik.
• Nɔ gi yu pikin layf vayrɔs vaysin fɔ 11 mɔnt afta IVIG tritmɛnt . Fɔ ɛgzampul, mizɛl-mɔmp-rubɛla (MMR), chukchuk (varicella), ɛn layf nos influenza vaysin. IVIG kin ambɔg di bɔdi in ebul fɔ mek antibodi dɛn agens dɛn vayrɔs ya.
• If ɛnitin de we nɔ fayn na yu pikin in ɛkokardiogram, nɔ du sɔm tin dɛn lɛk aw di dɔktɔ advays yu .

Ustɛm a fɔ go to di dɔktɔ?

If yu pikin sho ɛni wan pan dɛn sik ya afta i kam na os, mek shɔ se yu go to dɔktɔ:

• If di fiva kam bak .
• If yu gɛt bad bad pen na yu jɔyn dɛn .
• If di sayn dɛm we bin dɔn de bifo dɔn kam bak ɛn i tan lɛk se dɛn de wɔs .

Us kwɛstyɔn dɛn a fɔ aks di dɔktɔ?

Na sɔm kwɛstyɔn dɛn we yu kin aks di dɔktɔ if yu kam fɔ no se yu pikin gɛt Kawasaki sik:

• ‘Aw siriɔs mi pikin in kɔndishɔn?’ i aks am.
• ‘Aw lɔng yu tink se di pikin go de na ɔspitul?’ i aks am.
• ‘Sɔpɔt grup dɛn de fɔ mama ɛn papa dɛn we gɛt pikin dɛn we gɛt Kawasaki sik?’
• ‘Aw bɔku a fɔ stɔp mi pikin fɔ du tin?’

E nɔr izi fɔ wach yu smɔl pikin de sɔfa wit fiva ɛn ɔda sayn dɛm. Bɔt mɛmba se, sɔm pipul dɛn we de stɔdi bɔt dis sik dɔn fɛn gud tritmɛnt fɔ dis sik, ɛn bɔku pikin dɛn dɔn wɛl frɔm dis sik. Fɔ kɔrej yu pikin, aks di dɔktɔ if yu kin kam wit tɔys ɔ blankit we yu lɛk na ɔspitul. Yu lɔv ɛn yu vɔys we yu de tɔk wit kol at go mek yu pikin gɛt bɔku trɛnk insay dis tɛm we tin nɔ izi.

Faynal Mɛsej fɔ Tek-Hom

Kawasaki sik na wan sik wae nɔr kin bɔrku bɔt wae kin gɛt siriɔs sik wae kin ambɔg yɔŋ pikin dɛm ɛn kin afɛkt di at.

• Yu fɔ no bɔt di sayn dɛm lɛk fiva we de te pas 5 dez ɛn we de kam wit yu rɛd yay, rɛd lip/tɔng, bɔdi we de at, di limb dɛm we de swel, ɛn di nɛk we de stif.
• If yu notis dɛn sayn ya, go to dɔktɔ wantɛm wantɛm. De tin wae impɔtant pas ɔl na fɔ bigin tritmɛnt di rayt tɛm.
• Bɔku pikin dɛn kin wɛl kpatakpata we dɛn gi dɛn tritmɛnt.
• Ivin afta we i dɔn wɛl, dɛn fɔ kɔntinyu fɔ chɛk di pikin akɔdin to di dɔktɔ in instrɔkshɔn , mɔ di dɔktɔ we de mɛn di at.

Nɔ fred, bi aware. Dɔktɔ dɛn de we kin gi yu pikin di bɛst tritmɛnt. Di atɛnshɔn we yu go pe atɛnshɔn ɛn du kwik kwik wan go bi di big ɛp fɔ mek yu pikin wɛl.