He aha ka maʻi ʻo Kawasaki, nā ʻōuli a me ka mālama ʻana

Anter

• Nā hōʻailona nui a me nā ʻōuli
• He aha ka pilina me COVID-19
• Pehea e hōʻoia ai i ke kuhi
• Pehea e hana ai i ka lāʻau

ʻO ka maʻi ʻo Kawasaki kahi ʻano kamaliʻi liʻiliʻi e hōʻike ʻia e ka mumū o ka paia o ke kīʻaha koko e alakaʻi ana i ke ʻano o nā kiko ma ka ʻili, ka wela, hoʻonui ʻia nā lymph node a, i kekahi mau keiki, ka puʻuwai puʻuwai a me ka hui pū.

ʻAʻole maʻi kēia maʻi a pinepine pinepine i nā keiki a hiki i nā makahiki 5, keu hoʻi i nā keikikāne. Hoʻokumu pinepine ʻia ka maʻi ʻo Kawasaki e nā loli i ka ʻōnaehana pale, ʻo ia ke kumu o nā pale pale iā lākou iho e hoʻouka i nā kīʻaha koko, e alakaʻi ana i ka mumū. Ma waho aʻe o ke kumu autoimmune, hiki ke kumu ʻia i nā maʻi ʻino a me nā kumu kūlohelohe.

Hiki ke mālama ʻia ka maʻi ʻo Kawasaki ke ʻike ʻia a mālama koke ʻia, a pono e mālama ʻia e like me ke alakaʻi a ka pediatrician, a ma ka hapanui o nā hihia, komo pū me ka hoʻohana ʻana i ka aspirin e hoʻopakele ai i ka mumū a me ka hoʻopili ʻana o nā immunoglobulins e kaohi i ka pane autoimmune.

Nā hōʻailona nui a me nā ʻōuli

Holomua nā ʻōuli o ka maʻi ʻo Kawasaki a hiki ke hōʻailona i ʻekolu mau hanana o ka maʻi. Eia naʻe, ʻaʻole loaʻa i nā keiki āpau nā ʻōuli. ʻO ka pae mua o ka maʻi i ʻike ʻia e nā ʻōuli penei:

• ʻO ke kuni kiʻekiʻe, ma mua o 39 ºC, no 5 mau lā;
• Huhū;
• Nā maka ʻulaʻula;
• ʻUlaʻula a papā hoʻi nā lehelehe;
• Pehu a ʻulaʻula hoʻi ka ʻōlelo e like me ka strawberry;
• Puʻu ʻulaʻula;
• ʻ tongueslelo ʻāʻī;
• ʻO nā pālima ʻulaʻula a me nā kapuwaʻi o nā wāwae;
• ʻO ka helehelena o nā kiko ʻulaʻula ma ka ʻili o ka pahu a ma kahi e puni ana i ka diaper.

I ka mahele ʻelua o ka maʻi, hoʻomaka ka lele ʻana o ka ʻili ma nā manamana lima a me nā manamana wāwae, ʻeha pū, ka palahī, ka ʻeha o ka ʻōpū a me ka luaʻi e hiki ke lōʻihi ma kahi o 2 mau pule.

I ke kolu a me ka pae hope loa o ka maʻi, hoʻomaka nā ʻōuli e hoʻi mālie a nalowale.

He aha ka pilina me COVID-19

I kēia manawa, ʻaʻole i manaʻo ʻia ka maʻi ʻo Kawasaki he komplication o COVID-19. Eia nō naʻe, a e like me nā mea i ʻike ʻia i loko o kekahi mau keiki i hoʻāʻo maikaʻi no COVID-19, keu hoʻi i ʻAmelika Hui Pū ʻIa, hiki i ke ʻano infile o ka maʻi me ka coronavirus hou ke kumu i kahi maʻi maʻi e like me ka maʻi ʻo Kawasaki, ʻo ia hoʻi ke kuni. , nā kikoʻula i ke kino a me ka pehu.

E aʻo hou e pili ana i ka hopena o COVID-19 i nā keiki.

Pehea e hōʻoia ai i ke kuhi

Hana ʻia ke kuhi o ka maʻi ʻo Kawasaki e like me nā ana i hoʻokumu ʻia e ka American Heart Association. No laila, loiloi ʻia kēia mau pae hoʻohālikelike:

• Ka wela no nā lā ʻelima a ʻoi paha;
• Conjunctivitis me ka ʻole o ka pus;
• Ke kū ʻana o ke alelo ʻulaʻula a pehu hoʻi;
• ʻO kaʻulaʻula oropharyngeal a me ka edema;
• Ke nānā ʻana i nā māwae a me ka ʻulaʻula o ka lehelehe;
• ʻO kaʻulaʻula a me ka edema o nā lima a me nā wāwae, me ke kahe ʻana ma ka ʻūhū;
• Ke kūʻana o nā kikoʻula i ke kino;
• Pehu nā lymph node i ka ʻāʻī.

Ma waho o ka hoʻokolohua hoʻokolohua, hiki ke kauoha ʻia e nā kauka kauka e kōkua i ka hōʻoia ʻana i ke kuhi, e like me nā hoʻokolohua koko, echocardiogram, electrocardiogram a i ʻole X-ray umauma.

Pehea e hana ai i ka lāʻau

Hiki ke mālama ʻia ka maʻi ʻo Kawasaki a ʻo kāna mālama ʻana me ka hoʻohana ʻana i nā lāʻau e hōʻemi i ka mumū a pale i ka hōʻeha ʻana o nā ʻōuli. Hana ʻia ka lapaʻau me ka hoʻohana ʻana i ka aspirin e hoʻēmi ai i ke kuni a me ka mumū o nā kīʻaha koko, ʻo ka hakahaka o ka puʻuwai, a me nā kaha kiʻekiʻe o immunoglobulins, he mau protein nā ʻāpana o ka ʻōnaehana paleʻea, no 5 mau lā, a i ʻole me nā ʻōlelo aʻoaʻo lapaʻau.

Ma hope o ka pau ʻana o ke kuni, hoʻomau ka hoʻohana ʻana i nā kaha liʻiliʻi o ka aspirin no kekahi mau mahina e hoʻemi i ka hopena o ka ʻeha i nā aʻa o ka puʻuwai a me ka hoʻokumu ʻana i ka ʻōpala. Eia nō naʻe, e hōʻalo i ka Reye's Syndrome, kahi maʻi i hoʻokumu ʻia e ka lōʻihi o ka aspirin, hiki ke hoʻohana ʻia ʻo Dipyridamole e like me ke alakaʻi a ka pediatrician.

Pono e hana i ka mālama ʻana i ka wā o ka haukapila a hiki i ka loaʻa ʻole o kahi pilikia i ke olakino o ke keiki a ʻaʻohe hiki i nā pilikia, e like me nā pilikia o ka puʻuwai puʻuwai, myocarditis, arrhythmia a i ʻole pericarditis. ʻO kekahi pilikia kūpono o ka maʻi ʻo Kawasaki ka hoʻokumu ʻia o aneurysms i loko o nā aʻa coronary, i hiki ai ke alakaʻi i ke aʻa a, a no laila, infarction a make koke. E ʻike he aha nā ʻōuli, nā kumu a pehea e mālama ʻia ai ka aneurysm.