Reye maʻi maʻi

ʻO ka Reye Syndrome he hōʻeha (lolo) lolo a me nā pilikia o ka hana ate. ʻAʻohe kumu i ʻike ʻia i kēia ʻano.

Ua hana ʻia kēia maʻi maʻi i nā keiki i hāʻawi ʻia i ka aspirin ke loaʻa lākou i ka paukū a i ʻole ka maʻi flu. Ua kākaʻikahi loa ʻo Reye Syndrome. ʻO kēia no ka mea ʻaʻole i koi hou ʻia ka aspirin no ka hoʻohana maʻamau i nā keiki.

ʻAʻohe kumu i ʻike ʻia o Reye Syndrome. ʻIke pinepine ʻia ia i nā keiki mai ka makahiki 4 a hiki i ka 12. ʻO ka hapa nui o nā hihia i loaʻa me ka pulupulu ma nā keiki he 5 a hiki i ka 9. ʻO nā hihia i loaʻa me ka maʻi palū pinepine i nā keiki mai ka makahiki 10 a 14.

ʻO nā keiki me ka Reye maʻi e maʻi hikiwawe loa. Hoʻomaka pinepine ka maʻi maʻi me ka luaʻi. He mau hola paha ka lōʻihi. Hahai koke ʻia ka luaʻi e ka hana huhū a me ka hakakā. Ke hele a mānoanoa ke kūlana, hiki ʻole i ke keiki ke makaʻala a makaʻala.

Nā ʻōuli ʻē aʻe o Reye syndrome:

• Huikau
• Lethargy
• Ka nalowale o ka ʻike a i ʻole ke koma
• Hoʻololi manaʻo
• ʻO Nusea a me ka luaʻi
• Ka hopu ʻana i nā maʻi
• Ke kau maʻamau ʻana o nā lima a me nā wāwae (decerebrate posture). Hoʻonui pololei ʻia nā lima a huli i ke kino, paʻa pololei nā wāwae, a kuhikuhi ʻia nā manamana wāwae i lalo

ʻO nā ʻōuli ʻē aʻe e hiki ke hana me kēia maʻi pū me:

• Hōʻike pālua
• Lohe hoʻolohe
• Ka nalowale ʻana o ka mākala a i ʻole ka lōlō ʻana o nā lima a me nā wāwae
• Pilikia haʻi ʻōlelo
• Nāwaliwali i nā lima a me nā wāwae

Hiki ke hoʻohana ʻia nā hoʻokolohua aʻe e kuhikuhi ai i ka Reye Syndrome:

• Nā hoʻāʻo kemika koko
• Head CT a i ʻole poʻo scan MRI
• ʻO ka biopsy ate
• Nā hoʻāʻo hana ate
• Hōʻike amonia serum
• Piula ʻōiwi

ʻAʻohe mālama kūikawā no kēia ʻano. E mālama ka mea mālama ola i ke kaomi i ka lolo, nā kinoea koko, a me ke kaulike kūmole kūmole o ke kumu (pH).

Hiki i nā mālama ke hoʻopili:

• Kākoʻo hanu (pono paha kahi mīkini hanu i ka wā koma hohonu)
• Nā Fluids e IV e hāʻawi i nā electrolytes a me ka glucose
• ʻO Steroids e hoʻemi i ka pehu ma ka lolo

Aia ka maikaʻi o ke kanaka ma muli o ka paʻakikī o kekahi koma, a me nā kumu ʻē aʻe.

Maikaʻi ka hopena no ka poʻe i ola i kahi ʻāpana koʻikoʻi.

Komo pū nā pilikia:

• Koma
• Poino lolo paʻa
• Ka hopu ʻana i nā maʻi

Ke mālama ʻole ʻia, hopu ʻia ka hopu ʻana a me ke koma i ke ola weliweli.

E hele i ka lumi pilikia a kāhea paha i ka helu pilikia kūloko (e like me 911) inā loaʻa i kāu keiki:

• Huikau
• Lethargy
• Nā hoʻololi noʻonoʻo ʻē aʻe

Mai hāʻawi i ka aspirin i kahi keiki ke ʻole i haʻi ʻia e kāu mea hāʻawi.

I ka wā e pono ai i kahi keiki e lawe i ka aspirin, e mālama pono e hōʻemi i ka makaʻu o ke keiki i ka loaʻa ʻana i kahi maʻi viral, e like me ka maʻi flu a me ka moa. Hōʻalo i ka aspirin no mau pule he nui ma hope o ka loaʻa ʻana o ke keiki i ka lāʻau lapaʻau ʻo varicella (chickenpox).

Nānā: ʻO nā lāʻau ʻē aʻe i kūʻai aku ʻole ʻia, e like me Pepto-Bismol a me nā mea me ka aila o wintergreen i loaʻa pū ʻia nā aspirin i kapa ʻia he salicylates. MAI hāʻawi i kēia i kahi keiki i loaʻa i ke anu a fiva paha.

• Nā ʻōnaehana ʻōnaehana Digestive

Aronson JK. ʻAkika acsallsalicylic. I: Aronson JK, hoʻoponopono. Nā hopena a Meyler o nā lāʻau. 16th ed. Waltham, MA: Elsevier B.V.; 2016: 26-52.

Cherry JD. Reye maʻi maʻi I: Cherry JD, Harrison GJ, Kaplan SL, Steinbach WJ, Hotez PJ, eds. ʻO Feigin lāua ʻo Cherry's Textbook of Pediatric Infectious Diseases. 8th ed. Piladelapia, PA: Elsevier; 2019: chap 50.

Johnston MV. Nā Encephalopathies. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 616.