Kei tō tamaiti ēnei tohu? Kia tūpato tātou ki te mate Reye!

Kua kite koe i tētahi wā kua pāngia tō tamaiti e te kirika, e te makariri rānei, kātahi ka rerekē whakarerekē tana whanonga, ka ruaki pinepine, ka hiamoe rawa rānei? Ki te kite koe i ēnei huringa, kaua e warewaretia pērā i te mea noa. Nā te mea, he tohu pea tēnei o tētahi mate onge engari he morearea pea e kiia nei ko te "Reye's Syndrome." Me kōrero tātou mō tēnei i tēnei rā.

He aha te mate Reye?

He kupu ngāwari, he mate onge engari he mate kino pea te Reye's Syndrome. Ka puta mai ina pupuhi te roro o te tamaiti, ā, ka mutu ohorere te mahi a te ate i muri i te mate huaketo, he makariri, he rewharewha, he rewharewha rānei. Ka kitea pinepine tēnei mate ina hoatu he aspirin ki ngā tamariki hei whakahaere i ngā tohu o te mate huaketo. Ka puta pea ēnei tohu i roto i te wiki kotahi i muri i te tīmatanga o te mate huaketo.

Ko wai te mea tino tūpono ka pāngia e te mate Reye's Syndrome?

E kiia ana tēnei he mate tamariki. Heoi, ka taea te pā ki ngā tau katoa. Heoi, ko te nuinga o te wā ka kitea i waenga i ngā tamariki kei raro iho i te 18 tau te pakeke. Ka kitea tēnei mate i ngā wā o te ngahuru me te takurua (i tō tātou whenua, i te wā ua, ina horapa ngā mate huaketo).

E hia te auau o tēnei āhuatanga?

Ina hoki, he tino onge te mate Reye's Syndrome ināianei. Hei tauira, i te Hononga o Amerika, e rua noa iho ngā kēhi o tēnei mate e pūrongohia ana i ia tau.

Ko te take matua mō tēnei, kua mōhio ake te iwi ki tēnei mate. Ina koa, he maha ngā mātua e mōhio ana ehara i te mea pai te hoatu i te aspirin ki te tamaiti hei rongoā i ngā tohumate ina pāngia rātou e te kirika. Waihoki, kua whakaitihia te horapa o tēnei mate e ngā werohanga ārai mate huaketo pērā i te rewharewha me te rewharewha.

He pēhea te pānga o te mate Reye ki te tinana o te tamaiti?

I muri i te mate huaketo, pērā i te makariri, i te rewharewha rānei, ka tīmata pea tāu tamaiti ki te whakawhanake i ngā tohu hou i roto i ngā rā torutoru (tērā pea he wiki). Ko te mea nui kia maumahara ko te kaua rawa e hoatu he aspirin ki tāu tamaiti mō ōna tohu me te kore he tohutohu hauora. Mā te mahi pēnā ka piki ake te mōrearea o te Reye's Syndrome.

Ka puta te pikinga ohorere o te pēhanga i roto i te roro o te tamaiti i te Mate Reye, ka arahi pea ki ngā huringa ohorere o te whanonga me te tuakiri. Whakaarohia tāu tamaiti takaro, harikoa e ngaro ohorere ana te hiahia ki āna taonga takaro tino pai, e ngawari ana rānei te riri, te oho rānei mō ngā mea iti noa iho. Ko ēnei huringa o te wairua pea ngā tohu tuatahi o te Mate Reye. Ki te kite wawe koe i ēnei tohu, ka taea e koe te tīmata wawe i te maimoatanga me te āwhina i tāu tamaiti kia ora.

He aha ngā tohu o te Reye's Syndrome?

Ka rerekē ngā tohu i ia tangata, i ia tangata, ā, ka rerekē anō hoki i runga i te kaha o te mate. Ko ngā tohu tuatahi ko ngā tohu o tētahi mate huaketo noa. Arā, he makariri, he korokoro mamae, he kirika, he rewharewha rānei. I muri i te rima ki te whitu rā o ngā tohu o tēnei mate huaketo, ka tīmata te puta o ngā tohu e pā ana ki te Reye's Syndrome. Ko ēnei:

• Te ruaki pinepine.
• Te tino ngenge me te hiamoe .
• Ngā mea pēnei i te manukanuka, te ngaronga o te mahara, te pōhēhē, me ngā moemoeā .
• Ngā huringa whanonga: te pakeke, te riri tere, te ngangau.
• Te manawa tere.

Ka puta ēnei panonitanga o te mahi a te roro nā te pikinga o te pēhanga i roto i te angaanga (`(Pēhanga Intracranial)`). I taua wā anō, ka ngoikore hoki te mahi a te ate. Mēnā ka kaha haere te mate, ka kitea pea e koe ngā tohu pēnei i:

• Ngā hopukanga.
• Ko te koma he āhua o te kore mohio, he rite ki te moe hohonu.
• Te ngaronga katoa o te māramatanga.
• Ngā raruraru toto totoka.
• Te pikinga o ngā taumata haukini i roto i te toto.

He mea nui: Ki te whakaatu tāu tamaiti i tētahi, i ētahi rānei o ēnei tohu, ahakoa i te wā e pāngia ana e te kirika huaketo, i ētahi rā rānei i muri i te hekenga o te kirika, me rapu tohutohu hauora tonu koe, nā te mea ka taea e ēnei te whakararu i te ora.

He aha te take o te mate Reye?

Ina hoki, kāore anō kia kitea te tino pūtake o te mate Reye's Syndrome.

Heoi, he maha ngā wā ka puta tēnei mate i te hoatutanga o te aspirin, te salicylates rānei ki tētahi tamaiti he mate huaketo (pērā i te rewharewha, te rewharewha rānei) hei whakahaere i ngā tohu. Ko ētahi o ngā mate huaketo ka puta ai te Reye's Syndrome ko:

• Rewharewha
• rewharewha
• Mate pāwera manawa
• Te makariri noa

Ko ngā tohu o te Reye's Syndrome ka puta mai i te nui haere o te wai, i te pikinga rānei o te pēhanga i roto i te kiko o te roro (te edema roro) me ngā huringa i roto i te ate.

E ai ki ētahi rangahau, ko tēnei āhuatanga o te ate ka puta mai i te kino o ngā mitochondria (`(Mitochondria)`) i roto i ngā pūtau. Ko ngā Mitochondria (`(Mitochondria)`) he mea whakarāpopoto, ko ngā tipu hiko iti e whakarato ana i te pūngao ki ō tātou pūtau. Ina pakaru ēnei, ka ngoikore te mahi a te ate, ā, ka puta ngā tohu. Heoi, kāore anō kia mārama he aha i pakaru ai ēnei mitochondria (`(Mitochondria)`).

Ka puta te mate a Reye i te aspirin?

Kua whakaatuhia e ngā rangahau ka taea e te aspirin, e te matū rānei e kiia nei ko te salicylate, te whakaoho i te mate Reye's Syndrome, me te whakanui ake i te kaha o ngā tohu. Heoi, e ai ki te kōrero i mua ake nei, he mea ngaro tonu te take tuturu. Nō reira, kia mōhio koe ki te kōrero ki te tākuta i mua i te hoatutanga o te aspirin ki tāu tamaiti ina pāngia ia e te mate huaketo pēnei i te rewharewha. Pānuihia te tapanga o tētahi rongoā ka hoatu e koe ki te tamaiti me te āta tirotiro kia tika mō tōna tau, me pēhea hoki te hoatu. Pātai atu ki tō tākuta mēnā he pātai āu.

Te Mahi a te Mate Reye i roto i te Tinana (Pathophysiology)

Kāore anō kia tino mārama ngā taipitopito katoa (`(Pathophysiology)`) mō te mahi a tēnei mate i roto i te tinana o te tamaiti.

Heoi, e whakaatu ana ngā rangahau ka puta tēnei āhuatanga ina honoa ngā pūtau mitochondria (`(Mitochondria)`) kua pakaru ki te mate huaketo. Mēnā ka uru te aspirin ki te tinana o te tamaiti i tēnei wā, ka piki ake te kino o te mitochondria (`(Mitochondria)`) ka kino haere ngā tohu. Nā te mitochondria kua pakaru (`(Mitochondria)`), ka piki ake te taumata haukini i roto i te toto. Kātahi ka tīmata te pupuhi o te roro (`(Cerebral edema and intracranial pressure)`). Ina nui rawa te pikinga o te pēhanga ki te roro, ka tīmata te pakaru o te kiko ngako i roto i ngā whatukuhu (`(Fatty degeneration)`), ā, ka heke hoki te mahi a ngā pūtau io (`(Neurons)`).

Me pēhea te tātaritanga o te mate Reye? (Tauātanga)

Tērā pea ka whakapae ngā tākuta kei te mate a Reye te tamaiti mēnā he mate huaketo tōna, ā, ka puta mai ngā tohu e rite ana ki te mate a Reye, pērā i te ruaki me ngā huringa whanonga (pērā i te oho, te pōhēhē). Kātahi ka whakahaerehia e rātou ngā whakamātautau hei whakakore i ētahi atu āhuatanga ka puta ai ngā tohu rite.

Mena kua tāpaetia tō tamaiti ki te mate Reye's Syndrome, ka whakarōpūtia kia rite ki tōna kaha. Ka tohua ēnei wāhanga ki ngā tau Rōmana mai i te I (kotahi - te iti rawa o te kino) ki te V (rima - te tino kino).

He aha ngā whakamātautau e whakamahia ana hei tautuhi i te mate?

Tērā pea ka whakahaerehia e te tākuta ētahi whakamātautau hei whakaū i te mate. Kei roto i ēnei ko:

• Ngā whakamātautau toto: Tirohia te taumata haukini i roto i te toto, me te tirotiro mō ngā paitini i roto i te mimi.
• Ngā whakamātautau whakaahua: He matawai MRI, CT rānei o te roro.
• Kohikohi ate: Te tango i tētahi wāhanga iti o te ate hei tirotiro.
• Te tātaritanga tuaiwi: Te tirotiro i te wai e karapoti ana i te roro me te taurakira (te wai cerebrospinal).

Ka taea te hē te tautuhi i te mate Reye?

Nā te mea he rite ngā tohu o te Reye's Syndrome ki ērā o ētahi atu mate, ka taea te hē te tautuhi i ētahi wā. Heoi, ehara tēnei i te mea onge. Ko ētahi o ngā mate ka taea te hē te tautuhi ko:

• Te mate pukupuku roro (te kirika roro)
• Te mate kiriuhi (`(Meningitis)`)
• Mate huka (`(Te mate huka)`)
• Te nui rawa o te tarukino
• Paitini (`(Paitini)`)
• Te mate ohorere o te pēpi (`(Te mate ohorere o te pēpi)`)
• Mate hinengaro

Me pēhea te rongoā i te mate Reye?

Ko te whāinga matua o te maimoatanga he tiaki i te roro o te tamaiti. Ko te tikanga o tēnei he whakaiti i te pupuhi o te roro, he whakatika i ngā kino o te ate me ngā tukanga pākia (`(Metabolic injury)`), me te ārai i ngā raruraru o te pukahukahu. Ka uru pea ēnei ki te maimoatanga:

• Hei whakangāwari ake i te manawa, whakauruhia he ngongo ki roto i te puoto o te manawa (whakaurunga ngongo endotracheal) hono atu rānei ki tētahi taputapu manawa.
• Kia teitei te māhunga o te pēpi.
• Te hoatu rongoā hei whakaiti i ngā taumata haukini i roto i te toto (`(Ngā rongoā whakakore paitini haukini)`).
• Te hoatu rongoā hei whakahaere i te huka toto (`(Glucose)`).
• Hoatu he huaora K, he toto toto rānei hei whakapai ake i te toto totoka.

Mena ka kitea tō tamaiti kua pāngia e te mate Reye's Syndrome, ka haria tonutia ia ki te Wāhanga Tiaki Kaha (ICU) ā, ka tīmata te maimoatanga. Ka aroturuki tonu te tīma hauora i ngā mea katoa, tae atu ki te pāmahana tinana o te tamaiti me te mahi a ngā whekau nui, kia kite ai mēnā ka angitu te maimoatanga.

He pānga taha kei te rongoā?

Ko te nuinga o ngā tamariki kua kitea he mate Reye's Syndrome ka ora katoa. Heoi, ki te tino kaha te pupuhi o te roro o te tamaiti, ka puta pea ētahi pānga taha. Ko ētahi o ēnei ko:

• Ngaronga o te mahara (`(Ngaronga o te mahara)`)
• Ngā uauatanga ako (`(Te uauatanga o te ako)`)
• Te ngaronga o te tirohanga me te rongo
• He raruraru ki te kōrero me te reo
• He uaua ki te neke i te tinana me te mahi i ngā mahi o ia rā, pēnei i te whakakakahu.

I ngā āhuatanga pēnei, me whiwhi te tamaiti i te tautoko me te manaaki motuhake i a ia e tipu ake ana.

Kia pēhea te tere o te ora o te tamaiti i muri i te maimoatanga?

Whai muri i te maimoatanga, ina mutu te pupuhi o te roro o tāu tamaiti, ka tīmata ia ki te ora. Tērā pea ka roa pea i roto i ētahi rā, i ētahi wiki rānei kia ora ai tāu tamaiti, kia puta ai i te hōhipera. Mā te tīma hauora koe e whakamōhio atu mō te ahunga whakamua o tāu tamaiti.

He aha ngā mea ka taea e au te tumanako mēnā kei te pāngia taku tamaiti e te mate Reye's Syndrome?

Ko te āhua o te mate o te tamaiti e whakawhirinaki ana ki te kaha o te tātaritanga, inā koa te nui o te pupuhi o te roro me te nui o te haukini i roto i te toto. Mēnā ka tere te haere o te mate, ā, ka taka te tamaiti ki te koma, he iti noa te tūponotanga ka ora. Heoi, ki te tātaritanga wawetia te mate, ā, ka rongoatia, he tino teitei te tūponotanga ka ora.

Ko te reiti mate mō ngā tamariki kua tāpaetia ki te Reye's Syndrome he tata ki te 21%. Kei waenganui i tēnei me te iti iho i te 2% o ngā tamariki he mate wāhanga I (ngāwari) ki te 80% o ngā tamariki he mate wāhanga V (coma). Mā te mōhio wawe me te maimoatanga ka nui ake te tūponotanga o te ora.

Ko ngā tamariki e pāngia ana e ngā tohu kino o te Mate Reye, ka pāngia pea rātou e ngā pānga taha ka roa tae noa ki te pakeketanga. Hei tauira, te pakaru o te roro, ngā raruraru whanaketanga hinengaro, te mate haurangi, te ngoikore o ngā uaua, me ngā raruraru pūnaha io.

He rongoā motuhake kei te wātea mō te mate Reye's Syndrome?

Kāore he rongoā motuhake mō tēnei. Heoi, ka ora katoa te nuinga o ngā tamariki, i runga i te tātaritanga. Ko te whāinga o te maimoatanga he whakaiti i ngā tohu me te ārai i ngā raruraru roa, i te mate rānei.

Me pēhea te ārai i te mate Reye?

Koinei te mea tino nui me mōhio tātou katoa. Nā te mea he hononga kei waenganui i te āpipirini me te mate Reye, ka taea te ārai i tēnei mate mā te karo i te hoatu āpipirini ki ngā tamariki, inā koa ngā tamariki kei raro iho i te 16 tau te pakeke. Mena e hiahia ana tāu tamaiti ki te āpipirini hei rongoā i tētahi mate hauora, kaua rawa e hoatu āpipirini me te kore kōrero ki te tākuta mōna.

Me pānui marie te tapanga i mua i te hoatutanga o tētahi rongoā ki te tamaiti, tirohia te tika o te rongoā mō tōna pakeke, me ngā tohutohu hoki mō te hoatutanga. Mēnā he ruarua koe, pātai atu ki tō tākuta, ki tō kaiwhakahaere rongoā rānei.

Āhea ahau me toro atu ki te tākuta?

Mena ka puta ngā tohu o te Reye's Syndrome i muri i te kirika huaketo, i te mate urutā rānei, ki te mea rānei kua hoatu e koe ki tāu tamaiti he aspirin, he rongoā rānei kei roto he salicylate, me te kore tohutohu hauora, me toro atu ki te tākuta tonu.

Āhea ahau me haere ki te Tari Whawhati Tata (ETU) ?

Ki te pāngia tāu tamaiti e te mate hopuhopu ("(Ngā Mate Huruhuru)"), arā, ka ngaro te mārama mō te wā poto, ka oho ake ō rātou ringa me ō rātou waewae, ka ohorere, ka whakaatu rānei i ngā tohu o te pōhēhē, waea atu ki te 911 tonu, ka haria rānei tāu tamaiti ki te rūma whawhati tata. Ko te roa o ngā mate hopuhopu he 30 hēkona ki te rua meneti pea.

He aha ngā pātai me pātai atu e au ki taku tākuta?

• Ka taea tonu e taku tamaiti te pāngia e ngā tohu o te Reye's Syndrome i muri i tana putanga mai i te hōhipera?
• He aha te pānga o te tātaritanga o te Reye's Syndrome ki te heke mai o taku tamaiti?
• He aha ngā rongoā kāore e tika kia hoatu ki taku tamaiti ina pāngia ia e te mate?

Ka taea e te horopeta kotahi o te Pepto-Bismol® te whakaputa i te mate Reye?

Kei roto hoki i te Pepto-Bismol® tētahi matū e kiia nei ko te salicylate, he rite ki te aspirin. Nō reira, kāore i te tūtohutia kia hoatu ki ngā tamariki me te kore he tohutohu hauora. Mā te hoatu aspirin i te wā e pāngia ana e te mate huaketo pērā i te rewharewha ka puta ngā tohu o te Reye's Syndrome. Heoi, e ai ki te kōrero i mua ake nei, kāore anō kia mōhiotia te pūtake tuturu o te Reye's Syndrome. Pānuihia te tapanga, pātai atu rānei ki tō kaiwhakahaere rongoā, ki tō tākuta rānei i mua i te hoatu i tētahi rongoā ki te tamaiti.

Hei whakamutunga, ko te karere tino nui

Mena kei te mōhio koe ki ngā tohu o te Mate Reye, ā, ka kite koe i tētahi panoni i roto i ngā whanonga a tāu tamaiti, i ētahi tohu hou rānei i muri i te mate huaketo, he pai ake te toro atu ki te tākuta i te wā e taea ai. Kia mau tonu te whakamōhiotanga o tāu tamaiti ki ngā werohanga hou. He mea nui tēnei i ngā wā e kitea whānuitia ana ngā mate huaketo (pērā i te wā ua). Mena kua tāpaetia tāu tamaiti he Mate Reye, ka whakamōhio atu tō rōpū hauora i a koe mō te hauora o tāu tamaiti, ā, ka tautoko i a koe. Ko te mea nui ko te noho marino me te mahi whakaaro nui.

Te mate a Reye, te aspirin, ngā mate o te tamarikitanga, te kirika huaketo, te mate ate, te pupuhi roro, te ruaki