Yu smɔl pikin gɛt dɛn sik ya? Mek wi tok abaut Kawasaki Disease

yu smɔl pikin gɛt ay fiva we nɔ de go dɔŋ insay sɔm dez? Aw i kin fred fɔ mek mama ɔ papa si dɛn pikin we i de fil bɔku pen, wit rash ɛn fiva we nɔ de go dɔŋ ivin afta i dɔn gi dɛn paracetamol? Na tɛm lɛk dis, wi kin tink se na vayral fiva. Bɔt sɔmtɛm, e kin bi "Kawasaki sik," wae wi nɔr dɔn yɛri bɔrku bɔt bɔt wi nid fɔ pe atɛnshɔn kwik kwik wan. So lɛ wi no bɔt dis tide.

Wetin na Kawasaki Sik?

Fɔ tɔk am simpul wan, Kawasaki sik na wan sik we de mek di blɔd vesel dɛn na wi bɔdi kin swel ɔ inflam. Dɛn kin si am mɔ pan pikin dɛn we nɔ rich 5 ia yet.Fɔ tru, Kawasaki sik na di men tin we kin mek yɔŋ pikin dɛn gɛt at sik.

Bɔt nɔ fred. Pan ɔl we dis kin tan lɛk se i de mek pɔsin fred, if dɛn no dis sik kwik kwik wan ɛn bigin fɔ trit am fayn, bɔku pan di pikin dɛn kin wɛl kpatakpata ɛn dɛn nɔ kin gɛt ɛni prɔblɛm. De tin wae impɔtant pas ɔl na fɔ no bɔt de sik ɛn go to dɔktɔ di rayt tɛm.

Wetin mek dis sik kin apin? Wetin na di tin dɛn we kin mek pɔsin gɛt dis sik?

Sayɛnsman dɛn stil nɔ no di rayt tin we kin mek pɔsin gɛt dis sik, bɔt dɛn biliv se bɔku tin dɛn kin mek i gɛt dis sik. Dɛn tin ya na:

• Jɛnɛtik prɛdispɔzishɔn (Jɛnɛtik): Sɔm pikin dɛn kin gɛt smɔl prɛdispɔzishɔn fɔ gɛt dis sik bikɔs ɔf dɛn jɛnɛtik mek-ap.
• Infεkshכn: dεn sכspεkt se dis kכndyushכn kin kכz fכ wan rispכns na di bכdi in imyun sistεm afta sכm vayral כ baktri infεkshכn.
• Tin dɛn we de apin na di envayrɔmɛnt: Tin dɛn lɛk sɔm kemikal dɛn we de na di envayrɔmɛnt we de rawnd wi kin gɛt ɛfɛkt bak.

Bɔku ɔda tin dɛn de we kin mek pɔsin gɛt dis sik:

• Ej: I kin mɔs bi pan pikin dɛn we nɔ rich 5 ia yet, mɔ bitwin 6 mɔnt ɛn 2 ia.
• Jɛnda: Bɔy pikin dɛn kin gɛt dis sik smɔl pas gyal pikin dɛn.
• Etnik: Dɛn dɔn si se pikin dɛn we kɔmɔt na Eshia ɛn Pasifik Ayland kin gɛt dis sik, so i impɔtant fɔ mek wi no bɔt dis mɔ.

Wetin na di sayn dɛm fɔ Kawasaki sik?

De sayn dɛm fɔ dis sik kin apia wantɛm wantɛm, ɛn dɛn kin si am bak pan sɔm stej dɛm.

Insay di tɔd stej, dɛn sayn ya kin stɔp smɔl smɔl. Bɔt i kin tek 8 wiks fɔ mek i wɛl ɔl. If yu pikin gɛt ay fiva we de te fɔ pas 4-5 dez ɛn gɛt ɔda sayn dɛn lɛk dis, fɔ tru, go to dɔktɔ we yu nɔ west ɛni tɛm.

Kawasaki sik ɛn COVID-19

Sɔm pikin dɛm we gɛt COVID-19 kin gɛt wan sik we dɛn kɔl ``multisystem inflammatory syndrome (MIS-C)''. De sayn dɛm wae de kam (lɛk fiva ɛn bɔdi pen) kin rili fiba Kawasaki sik. So if yu notis dɛn sayn ya, i rili impɔtant fɔ tɔk to yu pikin in dɔktɔ bɔt am.

Aw di dɔktɔ kin no bɔt dis sik?

Fɔs, di dɔktɔ go tek tɛm chɛk yu pikin ɛn aks yu bɔt di sik dɛn we yu gɛt. Bikɔs no patikyula tɛst nɔ de fɔ no di sik, di dɔktɔ go luk fɔ at le 4 pan dɛn 5 sayn ya wit fiva we kin las fɔ pas 5 dez:

1. Rɛd yay

2. Lip ɛn tɔŋ chenj (dray, krak, rɛd lip ɛn strawberry tong) .

3. Fɔ shem yu bɔdi

4. Di nɛk we de swel

5. Di an ɛn fut de swel ɛn rɛd

Apat frɔm dat, dɛn kin du bɔku tɛst fɔ no ɔda kayn mɛrɛsin ɛn fɔ si if dis sik dɔn afɛkt di at.

• di hat tεst dεm: na ``Electrocardiogram - EKG``, we de luk pan di ilektrikal aktiviti fכ di at, εn wan ``Echocardiogram``, we de luk di strכkchכ εn di wok we di at de du. Dis na tɛst we rili impɔtant.
• Blɔd tɛst: Chɛk fɔ si if yu gɛt inflamɛns ɛn ɔda infɛkshɔn dɛn na di bɔdi.
• Ɔda tɛst dɛn: Dɛn kin du ɛkstrem rayt na di chɛst ɔ if nid de, dɛn kin du korona angiogram fɔ luk di blɔd vesel dɛn we de gi blɔd to di at (koronary arteries).

Aw dɛn kin trit am?

Di fiva, swel, ɛn pen we dis sik kin kam wit kin rili nɔ fayn fɔ di pikin. Dɔn bak, bikɔs ɔf di tin dɛn we i kin du to di at, bɔku tɛm dɛn kin du tritmɛnt fɔ dis sik na ɔspitul.

Tu men we dɛn de fɔ trit pɔsin:

1. Imyunoglobulin we dɛn kin put insay di bɛlɛ (IVIG):Dis na tritmɛnt we dɛn kin gi tru wan vein (IV). I gɛt antibodies, we na wan kayn prɔtin we de ɛp di bɔdi fɔ fɛt infɛkshɔn. We dɛn gi dis tritmɛnt ali na di sik, i kin mek di blɔd vesel dɛn nɔ swel ɛn i kin mek bɔku pan di damej we kin apin to di at.

2. Aspirin: Di dɔktɔ se yu fɔ yuz aspirin fɔ mek yu nɔ gɛt fiva ɛn pen ɛn fɔ mek yu blɔd nɔ klɔt.

Afta tritmɛnt, if yu pikin gɛt wan sik lɛk korona at anɛrizm, dɛn kin aks yu fɔ tek smɔl smɔl aspirin fɔ sɔm wiks ɔ pas dat. Dɔn bak, ivin afta yu dɔn kɔmɔt na ɔspitul, yu fɔ rili kɛr yu pikin go fɔ go fala am lɛk aw di dɔktɔ tɛl yu.

Dis sik kin mek yu gɛt prɔblɛm?

I ɔndastand se ɛnibɔdi go fred fɔ yɛri dis, as na sɔntin we gɛt fɔ du wit di at. Bɔt fɔ tru, if dɛn trit dɛn kwik kwik wan, bɔku pan di pikin dɛn kin wɛl kpatakpata ɛn dɛn nɔ kin gɛt ɛni prɔblɛm fɔ lɔng tɛm.

Bɔt, sɔm tɛm dɛn we nɔ kin apin so ɔltɛm, sɔm prɔblɛm dɛn kin apin, mɔ if dɛn delay fɔ di tritmɛnt.

• Abnɔmal tin dɛn we de apin na di at ritm (dysrhythmia) .
• Inflameshɔn na di at mɔsul (mayokarditis) .
• Damej pan di at valv dεm (mitral regurgitation) .
• Inflameshɔn na di blɔd vesel dɛn (vasculitis) .

dis kin mek di wכl dεm na di bכdi we de na di at wik εn bulge lεk balכn (aneurysms). Dis kin mek di blɔd vesel dɛn blok tumara bambay, blɔd kɔmɔt insay di bɔdi, ɛn at atak.

Bɔt mɛmba se dɛn tin ya na prɔblɛm dɛn we nɔ kin apin so ɔltɛm. If yu trit am fayn, dis risk kin ridyus pas 95%. Na dat mek wi se fɔ si dɔktɔ di rayt tɛm.