Yu smɔl pikin dɔn gɛt fiva fɔ sɔm dez? Wi fɔ no bɔt dis Kawasaki Sik?

As mama ɔ papa, i nɔ kin izi fɔ tɔk bɔt di fred ɛn wɔri we wi kin fil we wi smɔl pikin sik, nɔto so? Ivin kɔmɔn kol ɔ fiva kin mek wi wɔri. So, wi nɔ sɔprayz fɔ si se wi at kin flɔt we wi pikin sho sɔm sayn dɛn we nɔ kɔmɔn. Tide wi go tɔk bɔt wan sik we yu nɔ go dɔn yɛri bɔt, bɔt i rili impɔtant fɔ no bɔt. Dat na Kawasaki sik , ɔ ``Kawasaki Sik``. Nɔr wɔri, dis na wan sik wae kin wɛl ɔl if yu no am kwik ɛn trit yu fayn fayn wan.

Wetin na Kawasaki Sik? Fɔ tɔk am simpul wan...

Fɔ tɔk am simpul wan, Kawasaki sik na wan sik we de mek di wɔl dɛn na di blɔd vesel (blɔd vesel) na wi bɔdi kin swel ɔ inflam . I kin mɔs afɛkt yɔŋ pikin dɛn, we nɔ rich fayv ia yet, ɛn dɛn kin si am mɔ pan pikin dɛn we ol bitwin 6 mɔnt ɛn 2 ia. Bɔt pan ɔl we i nɔ kin apin so ɔltɛm, i kin afɛkt pikin dɛn we dɔn ol ɛn yɔŋ pipul dɛn bak.

Na wan dɔktɔ we kɔmɔt Jepan we nem Dɔktɔ Tomisaku Kawasaki bin kam fɔ no bɔt dis sik fɔs ɛn tɔk bɔt am. Na dat mek dɛn kɔl am Kawasaki sik.

Di tin we impɔtant pas ɔl na dat dis nɔto sik we pɔsin kin gɛt . Dis min se yu pikin nɔ go spre am to ɛni ɔda pɔsin. So nɔ wɔri bɔt am.

Dis sik kin mɔs afɛkt di blɔd vesel dɛm we de kɛr blɔd go na di at. Wi kin kɔl dɛn di korona at . If dɛn vessel dɛn de inflam, i kin gɛt sɔm ifɛkt pan di at. Na dat mek wi de wɔri so bɔt dis sik.

Aw dɛn kin no dis sik? Wetin na di sayn dɛm we de sho se yu gɛt dis sik?

Di sayn dɛm fɔ Kawasaki sik na smɔl pekul. Dɛn nɔ kin apin wan tɛm, bɔt dɛn kin apia smɔl smɔl. Dɔktɔ dɛn kin yuz smɔl trik fɔ mɛmba dɛn sik ya, we dɛn kɔl "KRASH ɛn Bɔn." Lɛ wi tek wan luk pan wetin dɛn bi.

• "Bɔn" (fiva): Dis na di men ɛn fɔs sayn. Fiva kin gɛt ay fiva fɔ fayv ɔ mɔ dez . Sɔntɛnde dis fiva kin rich 39-40 digri sɛlshiɔs (102-104 Fahrenheit). Ivin wit kɔmɔn mɛrɛsin dɛn we de ridyus fiva, dis fiva nɔ kin shɔt.

Naw lɛ wi si wetin "CRASH" min:

• C - Kɔnjɔktivitis (di yay dɛn kin rɛd): di wayt dɛn na di pikin in tu yay dɛn kin tɔn rɛd . I tan lɛk se yu gɛt ay infekshɔn. Bɔt di spɛshal tin na dat, kray wata nɔ de kɔmɔt. I jɔs tan lɛk rɛd.
• R - Rash: Rεd, it pat dεm de apin כlsay na di bכdi, spεshal wan na di chεst, bεlε, bak, εn sכmtεm di an εn leg dεm. Dɛn pat dɛn ya kin kam insay bɔku shep dɛn. sכm pikin dεm kin notis dεn pat dεm ya bכku tεm na di dayapεr εria (thighs εn bכtכk).
• A - Adenopathy: Na wan limf node (node) na di nεk, we kin de na wan say, kin swεla.Dis kin big fɔ ol am na di an, sɔntɛm i kin ivin big pas 1.5 sɛntimita.
• S - Strawberry tong ɛn ɔda chenj dɛn na yu mɔt:
• Di pikin in lip kin dray, krak, ɛn sɔntɛnde i kin rɛd fɔ mek blɔd kɔmɔt .
• Fɔs, dɛn kin kɔba di tɔŋ wit wayt tin, we leta nɔ de igen ɛn di tɔŋ kin tɔn rɛd, wit smɔl smɔl bɔmp dɛn we kin kɔmɔt, ɛn i kin tan lɛk strawberry . Na dat mek dɛn kɔl am "strawberry tongue."
• Di insay pat na di mɔt ɛn di trot kin rɛd bak.
• H - An ɛn fut de chenj:
• Insay di fɔs tɛm, di an ɛn di fut dɛn kin rɛd ɛn swel . I kin fil lɛk se di an ɛn fut dɛn dɔn swel.
• Afta lɛk wan ɛn af wik to tu wiks, di skin go bigin fɔ kɔmɔt na di finga dɛn ɛn sɔm tɛm dɛn de kɔmɔt na di an ɛn di fut dɛn . Dis kin kɔmɔt insay big big flɛks.

Apat frɔm dɛn men sayn ya, sɔm pikin dɛn kin gɛt ɔda prɔblɛm dɛn. Fɔ ɛgzampul:

• I kin rili vɛks, i kin kray .
• Vɔmit, bɛlɛ pen, dayarɛa.
• Jɔyn pen ɛn swel.
• Sɔmtɛm, sɔm kayn sayn dɛm lɛk janda kin apia bak.

Jɔs tink bɔt, if yu smɔl pikin in fiva nɔ go dɔŋ fɔ 4-5 dez, ɛn dɛn de sho bak sɔm pan di sayn dɛm we wi dɔn tɔk bɔt, yu fɔ rili go to dɔktɔ.

Wetin mek dis kin apin? Wetin kin mek pɔsin gɛt Kawasaki sik?

Infakt, wi nɔ stil no di rayt tin we kin mek pɔsin gɛt Kawasaki sik . Dɔktɔ ɛn sayɛnsman dɛn stil de du risach bɔt dis. Bɔt sɔm tin dɛn de we dɛn kin tink se na dɛn kin mek i apin:

• Infεkshכn: dεn kin tink se di bכdi in imyun sistεm kin ova aktif εn atak in כwn bכdi vεsul dεm bikoz fכ sכmtin lεk baktri כ vayrus. Bɔt dɛn nɔ rili no us jem i bi.
• Jɛnɛtik prɛdispɔzishɔn: Dɛn dɔn si se pikin dɛn na sɔm famili dɛn kin gɛt dis smɔl smɔl. Dis min se sɔntɛm sɔm jɛnɛtik kɔnekshɔn de. Bɔt dis nɔto sik we mama ɛn papa kin gɛt dairekt wan to pikin dɛn.
• Di tin dɛn we de apin na di envayrɔmɛnt: Wi de chɛk bak if sɔm tin dɛn we de apin na di envayrɔmɛnt de afɛkt dis bak.

De tin wae impɔtant pas ɔl na dat dis nɔr sik wae de kam wit ɛni mistek wae yu mek. Nɔ wɔri bɔt am.

Aw dɔktɔ dɛn kin no bɔt dis? (Diagnosis) .

Nɔr wan difinitiv tɛst nɔr de fɔ no if yu gɛt Kawasaki sik. Dat min se, no tɛst nɔ de we go tek smɔl blɔd ɛn se, "O, na Kawasaki ya."

Dɔktɔ go no if di pikin gɛt dis sik ɔ nɔ gɛt dis sik bay di prɔblɛm dɛn we i de gɛt mɔ. If sɔm pan di "CRASH and Burn" simptom dɛm we wi bin dɔn tɔk bɔt dɔn de fɔ sɔm tɛm, di dɔktɔ kin sɔprayz.

Apat frɔm dat, dɔktɔ kin du tin dɛn lɛk:

• Tek tɛm chɛk di pikin: Chɛk fɔ si if i gɛt fiva, in yay, in mɔt, in skin, in nɛk, ɛn in an ɛn fut dɛn.
• Blɔd tɛst dɛn:
• tεst dεm lεk `(CRP - C-Reactive Protein)` εn `(ESR - Erythrocy Sedimentation Rate)` dεn de du fכ si if inflameshn de na di bכdi. If yu gɛt Kawasaki, dɛn tin ya kin rili ay.
• Dɛn kin chɛk di nɔmba fɔ di wayt blɔd sɛl ɛn di pletlɛt dɛn.
• Dɛn kin du tɛst bak we di liva de wok.
• Yurin tɛst: Ɛp fɔ pul ɔda sik dɛn we gɛt di sik.
• At tεst `(Echocardiogram - Echo)`: Dis na tεst we rili imכtant . dis kin chεk aw di at de wok, di valv dεm na di at, εn spεshal wan di kכndishכn fכ di korona at. dis tεst kin no if dεn at dεm ya swεla εn big (aneurysm) insay Kawasaki sik. Dɛn kin du dis `(Echo)` tɛst afta dɛn dɔn no di sik, afta sɔm wik.

Di dɔktɔ go jɔyn ɔl dis fɔ disayd if na Kawasaki sik ɔ nɔto so.

Wetin kin apin if dɛn nɔ trit am? Yu tink se dis denja?

Kawasaki sik kin mek yu gɛt prɔblɛm if dɛn nɔ trit am kwik ɛn fayn . Na dat mek i impɔtant fɔ no am kwik ɛn bigin fɔ trit am.

di komplikashכn we imכtant εn denja pas כl na di εkspכnshכn fכ di korona atεri dεm (Coronary Artery Aneurysms). Dis min se di blɔd vesel dɛn we de gi blɔd to di at kin swel lɛk balɔ. if dis kayn ``(Aneurysm)`` apin, di bכdi fכ fכlכ tru am kin bכn, bכdi kin fכm, εn sכmtεm di at kin bכs (dis kin apin sכmtεm). Dis kin mek yu gɛt mɔ at atak tumara bambay.

Ɔda prɔblɛm dɛn we kin apin:

• Mayokarditis we gɛt di sik
• Inflameshɔn na di mɛmbran we de rawnd di at (pericarditis) .
• Prɔblɛm dɛn we gɛt fɔ du wit di at valv
• Di at bit we nɔ de bit ɔltɛm (Arrhythmias) .

Bɔt nɔ fred fɔ yɛri dɛn tin ya. If dɛn no di Kawasaki sik kwik kwik wan ɛn bigin fɔ trit am insay 10 dez afta di sik bigin, di risk fɔ dɛn kɔmplikeshɔn ya kin ridyus bad bad wan. Na dat mek wi se wi go si dɔktɔ kwik kwik wan.

Aw dɛn kin trit dis?

If di dɔktɔ kɔnfirm se di pikin gɛt Kawasaki sik, dɛn go put di pikin na ɔspitul ɛn trit am . Dɛn nɔ go ebul fɔ trit dis na os.

Tu men we dɛn de fɔ trit pɔsin:

1. Intravenous Immunoglobulin (IVIG): Dis na di men tritmɛnt. IVIG na sɔlv we gɛt antibodi dɛn we dɛn tek frɔm pipul dɛn we gɛt wɛlbɔdi. Dɛn kin gi am to di pikin tru wan vein, lɛk salin. I de mek di imyun sistɛm we de wok pasmak na di bɔdi kol ɛn i de mek di blɔd vesel dɛn nɔ swel. Dɛn kin gi am wan tɛm, ɛn i kin tek lɛk 8-12 awa fɔ dɔn.

2. Aspirin we dɛn kin yuz: .

• Fɔs, dɛn kin gi bɔku aspirin te di fiva dɔn ɛn di inflamɛns na di bɔdi go stɔp.
• afta dat, dεn fכ gi lכw dכz aspirin fכ lεk 6-8 wik, כ ivin lכng pas dat, fכ mek blכd nכ kכlכt na di korona at. Di dɔktɔ go disayd aw fɔ tek am bay di echocardiogram we di pikin gɛt.

Bɔku tɛm wi nɔ kin advays fɔ gi pikin dɛn aspirin bikɔs i kin mek dɛn gɛt wan bad bad sik we dɛn kɔl Reye’s Syndrome. Bɔt pan di sik we dɛn kɔl Kawasaki, di bɛnifit dɛn we aspirin kin gi kin pas di bad tin dɛn we kin apin to am fa fawe. So, dɛn kin gi am bay di advays we dɔktɔ gi.

We dɛn de trit di pikin, dɔktɔ ɛn nɔs dɛn kin wach di pikin gud gud wan, ɛn dɛn kin wach ɔltɛm aw in at de wok, fiva, ɛn ɔda sayn dɛn.

Wetin kin apin afta dɛn dɔn trit am? Yu tink se di pikin go kam bak to in nɔmal?

Bɔku tɛm, insay wan ɔ tu dez we dɛn bigin fɔ tek IVIG tritmɛnt, di pikin in fiva go stɔp ɛn ɔda sayn dɛn go bɛtɛ smɔl smɔl. Di pikin go bigin fɔ fil fayn.

Dɛn tin ya impɔtant afta dɛn dɔn trit am:

• Fɔ fala di apɔntinmɛnt: Afta yu dɔn kɔmɔt na ɔspitul, yu fɔ kɛr yu pikin go na di dɔktɔ in apɔntinmɛnt.
• ripit `(Echocardiogram)` tεst dεm: dεn go du `(Echo)` tεst dεm εvri fכ wik to εvri fכ mכnt fכ chεk di kכndishכn fכ di korona at. Aw ɔltɛm dɛn kin du dis go dipen pan aw di pikin in at de.
• Kɔntinyu fɔ gi smɔl aspirin: Nɔ stɔp fɔ gi smɔl aspirin te yu dɔktɔ tɛl yu fɔ du am.
• Tek tɛm fɔ mek yu gɛt kol ɔ flu: If yu pikin gɛt chikinpoks ɔ influenza we i de tek aspirin, risk de fɔ gɛt Reye’s Syndrome, so kip yu pikin fa frɔm pipul dɛn we gɛt dɛn kayn sik ya. I fayn bak fɔ mek yu pikin gɛt di vaysin agens influenza ɛvri ia lɛk aw yu dɔktɔ advays yu.
• Fɔ put sɔm vaysin dɛn bifo tɛm: Yu dɔktɔ kin advays yu fɔ put sɔm layf vayrɔs vaysin dɛn bifo tɛm (e.g., mizɛl, mɔmp, rubɛla - MMR, chukchuk vaysin) fɔ sɔm mɔnt bikɔs ɔf IVIG tritmɛnt. Tɔk to yu dɔktɔ bɔt dis bak.

Di gud nyus na dat if dɛn trit Kawasaki sik kwik kwik wan, bɔku pikin dɛn kin wɛl ful wan ɛn dɛn kin liv nɔmal layf we nɔ go ambɔg dɛn at fɔ lɔng tɛm.

A nid fɔ go to dɔktɔ? Ustɛm a fɔ go?

Yɛs, na fɔ tru. If yu pikin gɛt ɛni wan pan dɛn sik ya, yu fɔ go to dɔktɔ wantɛm wantɛm .

Tek tɛm mɔ bɔt dɛn tin ya:

• Wan ay fiva we de te pas 4-5 dez , mɔ if i nɔ de stɔp wit fiva mɛrɛsin ɔltɛm.
• If di fiva gɛt wan ɔ mɔ sayn dɛn lɛk rɛd yay, lip we chɛt, chenj na di tɔŋ, bɔdi spat, di an ɛn fut dɛn we de swel, ɛn wan lump na di nɛk .

Kawasaki sik na sik we nɔ kin bɔku. Bɔt sɔmtɛm, i kin tranga fɔ no difrɛns frɔm ɔda kɔmɔn vayral sik dɛm. So, if yu gɛt ɛni dawt, if yu tink se "dis nɔr tan lɛk kɔmɔn sik," i bɛtɛ fɔ go to dɔktɔ fɔ advays. Di kwik we dɛn no se i gɛt am, na di mɔ dɛn kin bigin fɔ trit am kwik kwik wan, ɛn na di mɔ i nɔ kin izi fɔ gɛt prɔblɛm dɛn.

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

As mama ɔ papa, yu kin wɔri bɔt Kawasaki Sik. Dat na nɔmal tin. Bɔt mɛmba dɛn tin ya:

• Kawasaki sik na wan sik we kin mek di blɔd vesel dɛn swel na yɔŋ pikin dɛn .
• Di men sayn dɛm na we yu gɛt ay fiva we kin te fɔ sɔm dez, yu yay kin rɛd, yu kin chenj yu mɔt ɛn yu lip, yu kin gɛt rash, yu an kin swel ɛn afta dat yu kin pul yu skin, ɛn yu nɛk kin swel .
• Dis nɔto sik we pɔsin kin pas .
• Pan ɔl we dɛn nɔ no di rayt tin we mek i apin, i kin wɛl ɔl if dɛn trit am di rayt tɛm .
• If dɛn nɔ trit am, i kin afɛkt di blɔd vesel dɛn na di at . Na dat mek i impɔtant fɔ gɛt tritmɛnt kwik kwik wan.
• Tritmɛnt na bay ɔspitul ɛn mɛrɛsin we dɛn kɔl `(IVIG)` ɛn `(Aspirin).`
• If yu pikin gɛt dɛn sik ya, go to dɔktɔ wantɛm wantɛm. I impɔtant fɔ mek yu nɔ panik, bɔt yu fɔ du sɔntin kwik kwik wan.

Wi de wish yu pikin fɔ wɛl kwik kwik wan! A op se dis infɔmeshɔn go ɛp yu.

` Kawasaki sik, Kawasaki sik, fiva na pikin dɛm, rɛd yay, strawberry tong, at sik, IVIG, aspirin tɛrapi