Yu smɔl pikin dɔn gɛt fiva fɔ sɔm dez? Mek wi tok abaut Kawasaki Disease

Yu smɔl pikin in fiva nɔ dɔn stɔp fɔ pas fayv dez? Yu tink se rɛd spat dɛn de ɔlsay na dɛn bɔdi? Dɛn yay dɛn rɛd ɛn dɛn lip dɛn dɔn skata? Aw wi kin fred as mama ɛn papa dɛn tɛm dɛn lɛk dis? Ivin if yu tink se na jɔs nɔmal fiva ɔ kol, sɔntɛnde i kin bi sɔntin we rili siriɔs. Tide, wi go tɔk bɔt wan sik we nɔ kin apin so ɔltɛm we kin afɛkt yɔŋ pikin dɛn we nid fɔ no ɛn trit dɛn kwik kwik wan. Dat na Kawasaki Sik.

Wetin na Kawasaki Sik?

Fɔ tɔk am simpul wan, Kawasaki sik na wan sik we di blɔd vesel dɛm (blɔd vesel dɛm) na wi bɔdi kin inflam, dat min se dɛn kin swel ɛn rɛd. Insay mɛrɛsin, wi kin kɔl dis vaskulaytis . Tink bɔt di blɔd vesel dɛn we de ɔlsay na wi bɔdi lɛk paip dɛn we de kɛr wata. Wetin kin apin if dɛn paip ya kin bɔn frɔm insay? Blɔd nɔ de flɔ, ɛn di wɔl dɛn na dɛn paip dɛn de kin wik bak.

Pan ɔl we dis sik kin afɛkt ɛni blɔd vesel na di bɔdi, as dɔktɔ, wi kin wɔri mɔ bɔt di korona at, we de gi blɔd to di at. Na bikɔs di at na di injin fɔ wi bɔdi. di men vessel dεm we de gi blɔd to da injin de, dεn kכl dεm korona atεri. If dɛn tin ya inflam ɔ wik, di wok we di at de du kin rili pwɛl.

Dis sik kin kam pan pikin dɛm wae ol bitwin 6 mɔnt ɛn 5 ia . Bɔt di bɛst tin na dat if dɛn no di sik di rayt tɛm ɛn bigin fɔ trit am di rayt we, bɔku pikin dɛn go wɛl ɔlsay insay lɛk tu mɔnt so. So, e fayn fɔ lɛ yu nɔr frayd ɛn no bɔt de sik.

Aw dis sik kin bɔku?

Kawasaki sik na sik we nɔ kin bɔku. Insay kɔntri dɛn lɛk Amɛrika ɛn Kanada, i kin ambɔg bitwin 10 ɛn 20 pan 100,000 pikin dɛn we nɔ rich 5 ia yet. Bɔt na kɔntri dɛn na Eshia lɛk Jepan ɛn Koria, dis nɔmba pas smɔl. Di tin we impɔtant pas ɔl na dat, Kawasaki sik dɔn bi di men tin we kin mek pikin dɛn gɛt at sik we dɛn kin gɛt na di divɛlɔp kɔntri dɛn.

Wetin na di sayn dɛm fɔ dis sik? Aw wi kin no am?

As mama ɔ papa, yu fɔ rili tek tɛm wit dis. Bikɔs dɛn sik ya kin tan lɛk di wan dɛn we pɔsin kin gɛt we i gɛt kɔmɔn vayral flu. Bɔt na we dɛn sayn ya kam togɛda na in yu fɔ pe atɛnshɔn mɔ.

Lɛ wi luk di ɔda men tin dɛn dis we fɔ mek i izi fɔ mɛmba dɛn.

Sɔm pikin dɛn nɔ kin sho ɔl dɛn sik ya wan tɛm. If na sɔm sayn dɛn nɔmɔ dɛn sho, wi kin kɔl am inkɔmplit Kawasaki sik . Bɔt i rili impɔtant fɔ kɛr yu pikin go to dɔktɔ wantɛm wantɛm, ilɛksɛf i gɛt wan ɔ tu pan dɛn sayn ya wit fiva.

Wetin mek dis sik kin apin? Yu tink se i kin pas?

Infakt, dɔktɔ dɛn nɔ dɔn fɛn ɛni patikyula tin we kin mek pɔsin gɛt Kawasaki sik yet, bɔt bɔku tin dɛn de we pipul dɛn kin tink bɔt.

• Di we aw pɔsin kin biev we pɔsin gɛt di sik: Sɔm pipul dɛn we de stɔdi bɔt dis biliv se we vayrɔs ɔ baktri kam insay di bɔdi, wi imyun sistɛm kin du am pasmak, ɛn dis kin mek di blɔd vesel dɛn pwɛl.
• Di tin dɛn we de apin na di envayrɔmɛnt: Dɛn kin ripɔt dis sik mɔ pan sɔm tɛm dɛn insay di ia, mɔ na di let winta ɛn di fɔs spring.
• Jɛnɛtik prɛdispɔzishɔn: Dɛn biliv se pikin dɛn we gɛt sɔm jin dɛn kin gɛt dis sik mɔ.

Udat dɛn de pan big risk?

• Man pikin dεm de pan risk sכmtεm pas uman pikin dεm.
• Pikin dɛn we nɔ rich 5 ia yet.
• Fɔ pikin dɛn we kɔmɔt na Eshia ɔ Pasifik Ayland.

Us prɔblɛm dɛn kin mek di Kawasaki sik denja?

Dis na di pat we wi nid fɔ pe atɛnshɔn to mɔ. If dɛn nɔ trit am ɔ dɛn trit am let, di prɔblɛm dɛn we kin apin, mɔ di wan dɛn we gɛt fɔ du wit di at kin denja.

• Coronary artery aneurysms: Dis na di kɔmplikeshɔn we siriɔs ɛn denja pas ɔl. Aneurism na di bulge na di blɔd vesel wall we dɔn wik bikɔs ɔf inflamɛns. Dɛn tin ya kin bɔn ɛn sɔntɛnde dɛn kin brok.
• At atak: If blɔd klɔt fɔm insay wan anɛrizm ɛn blok di blɔd fɔ flɔ to di at, at atak kin apin.
• Mayokarditis: Na inflamɛns na di at mɔsul.
• Prɔblɛm fɔ di at valv: di at valv kin pwɛl ɛn nɔ kin opin ɔ lɔk fayn fayn wan.
• At we nɔ de wok fayn: Na we di at nɔ ebul fɔ pɔmp inof blɔd to di wan ol bɔdi.

We yu yɛri bɔt dɛn prɔblɛm ya, dat kin mek yu fred. Bɔt mɛmba se bɔku pan dɛn prɔblɛm ya kin avɔyd if dɛn bigin fɔ trit am insay di fɔs 10 dez afta di sik bigin. Na dat mek wi se if yu gɛt fiva ɛn di sayn dɛm we wi dɔn tɔk bɔt, go to dɔktɔ we yu nɔ de te.

Aw di dɔktɔ kin no dis sik klia wan?

Nɔr wan blɔd tɛst ɔ skan nɔr de fɔ kɔnfirm Kawasaki sik. Di dɔktɔ kin mek di diagnosis bay we i tek tɛm luk di pikin in sik dɛn. Wi kin kɔl dis klinik diagnosis .

Di dɔktɔ go no se i gɛt Kawasaki sik bay we i de chɛk di pikin, luk ɔmɔs dez di fiva dɔn de, us ɔda sayn dɛn de, ɛn mek shɔ se nɔ ɔda sik nɔ de we kin mek i gɛt di sik (e.g. mizɛl, skarlet fiva).

Tri stej dɛm fɔ di sik

Kawasaki sik kin go bifo tru tri stej.

1. Stej 1 - Akyu: Dis na di fɔs tu wik ɔ so. Di men sayn dɛm lɛk fiva, rash, rɛd yay, ɛn chenj na di mɔt ɔl kin de insay dis tɛm. di pikin kin rεst pasmak insay dis stej.

2. Stej 2 - Subacute: I de las tu to fכ wik. Bay dis tɛm, di fiva dɔn stɔp. Bɔt sɔm sayn dɛn lɛk bɛlɛ at, dayarɛa, ɛn jɔyn pen kin apin. di tin we impɔtant pas ɔl na dat di skin na di finga ɛn fut finga dɛn kin bigin fɔ kɔmɔt insay dis tɛm. di risk fכ divεlכp korona atεri anεvrizm de hכy pasmak insay dis stej.

3. Stej 3 - Kɔnvalesɛnt: Dis kin las fɔ wan ɔ tu mɔnt. Ɔl di sayn dɛm kin dɔn smɔl smɔl. Bɔt, di pikin kin fil taya smɔl. I kin tek tɛm fɔ mek di damej we de na di blɔd vesel dɛn wɛl.

Us tɛst dɛn dɛn kin du?

Ivin if dɛn nɔ ebul fɔ no di sik, di dɔktɔ kin tɛl dɛn fɔ du bɔku tɛst fɔ no aw di sik at ɛn fɔ mek dɛn nɔ gɛt ɔda sik dɛn.

• Blɔd tɛst: Luk fɔ tin dɛn lɛk CRP ɛn ESR, we de sho di lɛvɛl we di inflamɛns de na di bɔdi.
• Urinalysis we dɛn kin du
• Echocardiogram: Dis na di tɛst we impɔtant pas ɔl. Dis na ɔltra saund skan. i kin si klia wan aw di at de wok, aw di valv dεm de kכndishכn, εn spεshal wan if di korona at dεm dεn dכn pwεl כ di anεvrizm dεm dכn fכm.
• Ilektrokardiogram (EKG): Dis kin ɛp fɔ luk di ilɛktrik aktiviti (ritm) na di at.

Aw dɛn kin trit am?

As soon as dem saspek Kawasaki sik, dem admit di pikin fo haus sik. Dɛn kin bigin fɔ trit am na di ɔspitul. Fo men gol de fo tritmεnt:

1. Fɔ ridyus fiva ɛn inflamɛns na di bɔdi.

2. Fɔ mek di blɔd vesel dɛn nɔ pwɛl ɔ ridyus di damej, mɔ di korona at.

3. Fɔ mek yu nɔ gɛt prɔblɛm wit yu at.

4. Nɔ mek blɔd nɔ klɔt.

Dɛn kin yuz tu men we dɛn fɔ trit pɔsin:

• Intravenous Immunoglobulin (IVIG): Dis na di men tritmɛnt. Fɔ tɔk am simpul wan, na sɔntin we gɛt antibodi dɛn we dɛn tek frɔm pipul dɛn we gɛt wɛlbɔdi. Dɛn kin gi di pikin insay in bɛlɛ (IV) lɛk salin. I de wok bay we i de kɔntrol di bɔdi in ɔva aktiv imyun rispɔns ɛn i de ridyus di damej pan di blɔd vesel dɛn. If yu gi dis tritmɛnt insay di fɔs 10 dez, i kin ridyus di risk fɔ gɛt at kɔmplikeshɔn frɔm 25% to less dan 5%.
• Aspirin: Wi nɔ kin gi aspirin to pikin dɛn we gɛt vayral fiva. Bɔt pan Kawasaki sik, dɛn kin gi aspirin fɔs insay ay dos fɔ ridyus fiva ɛn inflamɛns, dɔn dɛn kin gi am smɔl dos fɔ mek blɔd nɔ klɔt fɔ sɔm wiks.

Apat frɔm dɛn tritmɛnt ya, dɛn kin gi di pikin tin dɛn bak lɛk salin fɔ mek i nɔ gɛt wata na in bɔdi, ɛn mɛrɛsin fɔ mek i nɔ fil pen ɛn fɔ mek i swel.

Wetin kin apin afta yu dɔn go na os frɔm ɔspitul?

We di pikin in fiva dɔn dɔn ɛn i ebul fɔ tek wata we i de it ɛn mɛrɛsin, dɛn kin sɛn am na os frɔm ɔspitul. Bɔt di wok nɔ dɔn afta i dɔn go bak na os. Dɛn nid fɔ wach di pikin gud gud wan.

Yu go nid fɔ kɔntinyu fɔ gɛt fɔlɔp visit wit yu pikin dɛn dɔktɔ ɛn di dɔktɔ we de mɛn yu at.

• Yu go go na os ɛn gɛt ɛkokardiogram insay wan ɔ tu wik, ɛn bak insay 4-6 wik fɔ si aw yu at de du.
• If ɛnitin dɔn pwɛl di korona at, yu go nid fɔ de ɔnda dɔktɔ fɔ lɔng tɛm, ɛn yu kin ivin nid fɔ du tɛst wan wan tɛm ɔlsay na yu layf.

Yu tink se Kawasaki sik kin mɛn ɔltogɛda?

Bɔku pikin dɛn kin wɛl kpatakpata. Di sayn dɛm kin las fɔ lɛk 4-6 wik. Di pikin kin fil taya ɛn nɔ kin rɛst fɔ lɛk tu mɔnt so. Na smɔl tɛm nɔmɔ (lɛk 2-3%) di sik kin kam bak.

afta tritmεnt, lεk 50% pan di damej pan di at dεm go hεl insay wan כ tu ia. Bɔt if di damej bad bad wan, lɛk aneurysm, i kin bi prɔblɛm fɔ ɔl in layf.

Wetin yu go du as mama ɔ papa?

Wi ɔndastand di strɛs ɛn sɔri we yu kin fil we pikin sik. Bɔt yu trɛnk na di trɛnk we yu pikin gɛt pas ɔl.

• Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn: Tek yu mɛrɛsin dɛn jɔs lɛk aw dɛn tɛl yu fɔ tek. Nɔ mis ɛni apɔntinmɛnt fɔ fala yu.
• Tek tɛm bɔt di vaysin dɛn:I impɔtant fɔ protɛkt yu pikin frɔm vayral sik dɛn lɛk chikinpoks ɛn influenza we yu de tek aspirin. Aspirin ɛn sɔm vayrɔs kin mek pɔsin gɛt wan sik we nɔ kin apin so ɔltɛm bɔt we kin denja we dɛn kɔl Reye’s syndrome. So tɔk to yu dɔktɔ fɔ mek shɔ se yu pikin in vaysin dɛn de ɔp to det.
• Yu fɔ no bɔt layf vayrɔs vaysin: Dɛn nɔ de gi layf vayrɔs vaysin, lɛk mizɛl-mɔmps-rubɛla (MMR) ɛn chikinpoks (varicella), fɔ 11 mɔnt afta dɛn dɔn gɛt IVIG tritmɛnt. Dis na bikɔs IVIG tritmɛnt kin mek di bɔdi nɔ mek di rayt antibodies to dɛn vaysin ya.
• Fɔ stɔp fɔ du tin: If yu pikin in at dɔn afɛkt, yu dɔktɔ go advays yu fɔ stɔp fɔ du spɔt ɛn rɔn fɔ sɔm tɛm. Tek tɛm fala dɛn instrɔkshɔn ya.
• Kɔmfɔt yu pikin: We yu pikin de na ɔspitul, gi am wan tɔys ɔ buk we i lɛk. Yu vɔys ɛn di we aw yu de kɔt kɔt yu pikin go mek yu pikin gɛt bɔku kɔrej insay dis tɛm we tin nɔ izi.