He aha ka Mai Kawasaki? Nā Hōʻailona, Nā Kumu, & ka Lapaʻau

ʻO ka mai Kawasaki kahi kūlana e hoʻoulu ai i ka mumū i loko o nā kīʻaha koko ma ke kino holoʻokoʻa, ʻoi aku ka nui o ka hopena i nā keiki ma lalo o 5 mau makahiki. ʻOiai paha he leo ʻano ʻike ʻole ka inoa, ʻoi aku ka nui o kēia maʻi ma mua o ka manaʻo o nā mākua he nui, a me ka lapaʻau kūpono, e ola hou ka hapa nui o nā keiki me ka ʻole o nā hopena lōʻihi.

E noʻonoʻo iā ia e like me ka ʻōnaehana pale o kāu keiki e lilo ana i mea nui loa a e hoʻouka ana i nā kīʻaha koko olakino ma ka hewa. ʻO ka ʻoiaʻiʻo maikaʻi, ua lilo nā kauka i mea akamai loa i ka ʻike ʻana a me ka mālama ʻana i kēia kūlana, ʻoi aku hoʻi i ka wā e hopu koke ʻia ai.

He aha ka Mai Kawasaki?

ʻO ka mai Kawasaki kahi kūlana mumū e pili nui ana i nā kīʻaha koko, ʻoi aku hoʻi nā arteries coronary e hoʻolako ana i ke koko i ka naʻau. ʻIke ʻia hoʻi ʻo ia ʻo ka mucocutaneous lymph node syndrome no ka mea e pili ana i ka ʻili, nā membrane mucous, a me nā lymph nodes.

ʻO kēia kūlana kokoke loa e pili ana i nā keiki, me kahi 80% o nā hihia e hana ana i nā keiki ma lalo o 5 mau makahiki. ʻOiai paha e ʻano weliweli ke ʻike ʻia kāu keiki, he mea nui e ʻike ʻoe he hiki ke mālama ʻia ka mai Kawasaki, a ʻo ka hapa nui o nā keiki e ola mau ana i nā ola maʻamau, olakino.

Ua wehewehe mua ʻia ka maʻi e ka Kauka Tomisaku Kawasaki ma Iapana i ka makahiki 1967. I kēia lā, ua ʻike ʻia ma ka honua holoʻokoʻa ʻo ia kekahi o nā kumu nui o ka maʻi naʻau i loaʻa i nā keiki ma nā ʻāina holomua, akā, ʻo ka mālama koke ʻana e hōʻemi nui i ka pilikia o nā pilikia naʻau.

He aha nā Hōʻailona o ka Mai Kawasaki?

ʻO nā hōʻailona o ka mai Kawasaki e ʻike pinepine ʻia ana ma nā ʻāpana, a ʻo ka ʻike koke ʻana iā lākou e hiki ke hana i kahi ʻokoʻa nui i ka hopena o kāu keiki. ʻO ka hōʻailona nui kahi wela kiʻekiʻe e mau ana no ka liʻiliʻi o 5 mau lā a ʻaʻole pane maikaʻi i nā mea hoʻoemi wela maʻamau e like me ka acetaminophen a i ʻole ibuprofen.

Eia nā hōʻailona nui a nā kauka e ʻimi nei, a ʻike paha ʻoe iā lākou e ʻike ʻia ana i nā lā he nui:

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• Wela nui (102°F a ʻoi aku paha) e mau ana no 5 mau lā a ʻoi aku paha a ʻaʻole hoʻomaikaʻi me nā lāʻau lapaʻau wela maʻamau
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• Nā maka ʻulaʻula, koko me ka ʻole o ka waimaka a i ʻole ka ʻili pala, e pili ana i nā maka ʻelua
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• ʻO ka ʻili ʻulaʻula ma ke kino e hiki ke ʻike ʻia ma ke ʻano he mau ʻāpana ʻulaʻula, nā puʻupuʻu kiʻekiʻe, a i ʻole e like me ka measles
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• Nā lehelehe ʻulaʻula, pehu, a i ʻole haki a me ka
  • Nā mea hoʻomaʻi e like me nā mea hoʻomaʻi a i ʻole nā ​​bacteria e hoʻonāukiuki i ka pane pale ʻāina kūpono ʻole i nā keiki maʻalahi
  • Nā kumu genetic e hoʻolilo ai i kekahi mau keiki i nā mea nāwaliwali, ʻoiai ua ʻoi aku ka maʻamau o ka maʻi i nā keiki o ka lāhui ʻAsia
  • Nā mea ʻino a i ʻole nā ​​kemika o ke kaiapuni e hiki ke hoʻopili i ke kaʻina hana inflammatory
  • Pane autoimmune kahi e hoʻouka ai ka ʻōnaehana pale o ke kino i nā pūnaewele olakino me ka hewa

  ʻO ka mea nui e hoʻomaopopo ai, ʻaʻole pilikia ka maʻi Kawasaki. ʻAʻole hiki iā ʻoe ke hopu mai kekahi kanaka ʻē aʻe, a ʻaʻole hiki i kāu keiki ke hoʻolaha i nā kaikuaʻana a i ʻole nā ​​hoa papa. ʻAʻole hoʻi ia i hana ʻia e kekahi mea āu i hana ai a i ʻole ʻaʻole i hana ai ma ke ʻano he mākua.

  Me he mea lā ua ʻoi aku ka maʻamau o ke kūlana i nā mahina hoʻoilo a me ka pūnāwai, a i kekahi manawa e kū mai ana i nā puka liʻiliʻi i nā kaiāulu, e hōʻike ana he kuleana paha nā kumu kaiapuni i ka hoʻonāukiuki ʻana i ka maʻi i nā keiki i loaʻa nā kumu genetic.

  I ka Wā e ʻIke ai i ke Kauka no ka Maʻi Kawasaki?

  Pono ʻoe e hoʻokaʻaʻike koke i ke kauka o kāu keiki inā loaʻa i kāu keiki kahi wela o 102°F (39°C) a ʻoi aku paha ka lōʻihi ma mua o 3 mau lā, ʻoi aku hoʻi inā hele pū me nā hōʻailona ʻē aʻe i ʻōlelo ʻia ma luna. Mai kali i ka hōʻike ʻana o nā hōʻailona maʻamau a pau.

  E ʻimi i ka mālama ola kino pilikia inā loaʻa i kāu keiki nā hōʻailona koʻikoʻi e like me ka pilikia o ka hanu, ka huhū nui loa ʻaʻole hiki ke hōʻoluʻolu, nā hōʻailona o ka maloʻo ʻana, a i ʻole inā hopohopo ʻoe e pili ana i ko lākou kūlana holoʻokoʻa. E hilinaʻi i kāu mau manaʻo makua - inā manaʻo ʻia he mea hewa nui, ʻoi aku ka maikaʻi o ka hewa ʻana ma ka ʻaoʻao o ka makaʻala.

  He mea nui ka ʻike mua ʻana a me ka mālama ʻana no ka pale ʻana i nā pilikia, ʻoi aku hoʻi nā pilikia o ka naʻau. Inā hopohopo ʻoe e pili ana i ka maʻi Kawasaki, mai kānalua e kākoʻo i kāu keiki a noi i ka loiloi piha, ʻoiai inā ua ʻike mua ʻoe i ke kauka a mau ka wela.

  He aha nā kumu pilikia no ka maʻi Kawasaki?

  ʻOiai hiki i kekahi keiki ke loaʻa i ka maʻi Kawasaki, aia kekahi mau mea e hoʻonui ai i ka nui o ka loaʻa ʻana o kēia maʻi. Hiki i ka hoʻomaopopo ʻana i kēia mau kumu pilikia ke kōkua iā ʻoe e makaʻala i nā hōʻailona, ʻoiai ʻaʻole ia he manaʻo e loaʻa maoli ana i kāu keiki ka maʻi.

  ʻO nā kumu pilikia nui loa:

  • Makahiki – ʻO nā keiki ma lalo o 5 mau makahiki ka nui o ka loaʻa ʻana, me ka nui loa ma waena o 1-2 mau makahiki
  • ʻOihana lāhui – ʻOi aku ka nui o nā keiki o ka lāhui ʻAsia, ʻo nā Kepani a me nā Kōlea ke kumu nui
  • Kāne – ʻOi aku ka nui o nā keikikāne e loaʻa ai ka maʻi ma mua o nā kaikamahine
  • Mōʻaukala ʻohana – ʻOi aku ka nui o ka loaʻa ʻana inā loaʻa i kekahi kaikuaʻana ka maʻi Kawasaki, ʻoiai he mea maʻamau ʻole ia
  • Kahi honua – ʻOi aku ka nui o ka loaʻa ʻana ma kekahi mau wahi, ʻo Asia a me nā poʻe ʻAsia ma ka honua holoʻokoʻa

  He mea nui e hoʻomanaʻo ʻaʻole e loaʻa i ka hapa nui o nā keiki, ʻoiai inā he nui nā kumu pilikia, ka maʻi Kawasaki. Kōkua wale kēia mau mea i nā kauka e hoʻomaopopo i nā ʻano a me ka makaʻala i nā hōʻailona i nā poʻe i pilikia nui.

  He aha nā hopena hiki ke loaʻa mai ka maʻi Kawasaki?

  ʻOiai e ola hou ka hapa nui o nā keiki mai ka maʻi Kawasaki, ʻo ka mea nui loa ka pilikia o nā pilikia o ka naʻau, ʻoiai inā ʻaʻole i mālama ʻia ka maʻi a i ʻole ua lohi ka mālama ʻana. Hiki i ka hoʻomaopopo ʻana i kēia mau mea hiki ke kōkua i ka hoʻoikaika ʻana i ka pono o ka mālama ʻana i ka wā mua.

  ʻO nā pilikia nui e nānā ai nā kauka:

  • Nā aneurysms o nā arteries coronary – Ka nāwaliwali ʻana a me ka puʻupuʻu ʻana o nā kīʻaha koko o ka naʻau, kahi e loaʻa ai ma kahi o 25% o nā hihia i mālama ʻole ʻia akā i emi i ka 3-5% me ka mālama koke
  • Nā pilikia o ka leo o ka naʻau – Nā hahau naʻau kūpono ʻole e pono ai paha ka nānā mau
  • Ka mumū ʻana o ka ʻiʻo naʻau (myocarditis) – Ka pehu ʻana o ka ʻiʻo naʻau e hiki ke hoʻopilikia i kāna hana
  • Nā pilikia o nā valve – Nā pilikia me nā valve naʻau e kaohi ana i ke kahe koko
  • Nā clots koko – ʻOi aku ma nā wahi i hōʻino ʻia ai nā kīʻaha koko

  ʻAʻole pinepine, hiki i kekahi mau keiki ke ʻike i ka ʻeha o nā hono, ka lilo ʻana o ka lohe, a i ʻole ka mumū ʻana o ka gallbladder. ʻO ka hapa nui o kēia mau pilikia hiki ke pale ʻia me ka mālama mua, ʻo ia ke kumu e nui ai ka ʻike koke ʻana i nā hōʻailona.

  Me ka mālama kūpono, emi nui ka pilikia o nā pilikia naʻau koʻikoʻi. ʻO ka hapa nui o nā keiki i loaʻa ka mālama ma loko o nā lā 10 mua o ka maʻi, loaʻa iā lākou nā hopena lōʻihi maikaʻi a hiki ke komo i nā hana maʻamau a pau o ke kamaliʻi.

  Pehea e ʻike ʻia ai ka Maʻi Kawasaki?

  Hiki ke paʻakikī ke ʻike i ka maʻi Kawasaki no ka mea ʻaʻohe hoʻokolohua hoʻokahi e hōʻoia i ke kūlana. Ma kahi o ia mea, hoʻohana nā kauka i nā kūlana klinika ma muli o nā hōʻailona o kāu keiki a kāpae i nā kūlana ʻē aʻe e hiki ke hana i nā hōʻailona like.

  E nānā pono kāu kauka i kāu keiki a e ʻimi i ka hui maʻamau o nā hōʻailona. E kauoha pū lākou i kekahi mau hoʻokolohua e kākoʻo i ka ʻike a e nānā i nā pilikia:

  • Nā ho'okolohua koko e nānā ai i nā hōʻailona o ka mumū, e like me ka nui o nā keʻokeʻo koko a me ka C-reactive protein
  • Echocardiogram (ultrasound naʻau) e nānā ai i nā arteries coronary a me ka hana naʻau
  • Electrocardiogram (ECG) e nānā ai i nā hemahema o ka rhythm naʻau
  • Nā ho'okolohua mimi e kāpae ai i nā maʻi ʻē aʻe a nānā i ka protein i loko o ka mimi
  • Kūleʻa ʻāʻī a i ʻole nā ​​kūleʻa ʻē aʻe e kāpae ai i nā maʻi bacteria

Hoʻokumu pinepine ʻia ka maʻi ke loaʻa i ke keiki ka mahana no 5 mau lā a ʻoi aku paha me ka liʻiliʻi o ʻehā o nā ʻelima hiʻohiʻona lapaʻau nui. Eia naʻe, hiki i nā kauka akamai ke ʻike i ka maʻi Kawasaki “ʻole i piha” ke emi iho nā kūlana i hoʻokō ʻia akā kūlike ka hiʻohiʻona holoʻokoʻa.

Hiki i kāu kauka ke kūkākūkā pū me nā loea pediatrics, ʻoiai nā cardiologists pediatrics a i ʻole rheumatologists, e hōʻoia i ka maʻi a hoʻomohala i ka papahana lapaʻau maikaʻi loa no kāu keiki.

He aha ka Lapaʻau no ka Maʻi Kawasaki?

Kūpono ka lapaʻau ʻana i ka maʻi Kawasaki i ka hōʻemi ʻana i ka mumū a pale aku i nā pilikia naʻau. ʻO ka ʻoiaʻiʻo maikaʻi, ke hoʻomaka koke ka lapaʻau, he mea maikaʻi loa ia i ka pale ʻana i nā pilikia nui a kōkua i nā keiki e ola hou.

ʻO nā lapaʻau nui e hoʻohana paha kāu hui lapaʻau keiki e komo pū me:

• Intravenous immunoglobulin (IVIG) – He infusion kiʻekiʻe o nā antibodies e kōkua i ka hoʻomālie i ka ʻōnaehana pale a hōʻemi i ka mumū
• Aspirin kiʻekiʻe – Hoʻohana mua ʻia e hōʻemi i ka mumū a me ka mahana, a laila hoʻomau ʻia i nā doses haʻahaʻa e pale aku i nā clots koko
• Corticosteroids – I kekahi manawa hoʻohui ʻia no nā keiki i ka pilikia kiʻekiʻe o nā pilikia naʻau a i ʻole ka poʻe ʻaʻole pane i ka lapaʻau mua
• Nā lāʻau lapaʻau hou aku – E like me ka infliximab a i ʻole nā ​​lāʻau ʻē aʻe e hoʻoponopono ai i ka ʻōnaehana pale no nā hihia koʻikoʻi a i ʻole ka pane ʻole i ka lapaʻau

Hoʻomaka mau ka lāʻau lapaʻau ma ka haukapila, kahi e nānā pono ʻia ai kāu keiki. ʻOi aku ka maikaʻi o ka manaʻo o ka hapa nui o nā keiki i loko o 24-48 mau hola ma hope o ka loaʻa ʻana o ka IVIG, me ka emi ʻana o ka wela a me ka hoʻomaikaʻi nui ʻana o ka huhū.

ʻOkoʻa ka lōʻihi o ka lāʻau lapaʻau, akā hiki i ka hapa nui o nā keiki ke hele i ka home i loko o kekahi mau lā ma hope o ka pau ʻana o ko lākou wela a kūpaʻa lākou. He mea nui ka mālama hoʻomau a e komo pū me ka nānā mau ʻana i ka naʻau me nā echocardiograms e hōʻoia ʻaʻohe pilikia e ulu mai.

Pehea e Hāʻawi Ai i ka Mālama Home i ka wā e Ola Ana mai ka Maʻi Kawasaki?

Ke hoʻi mai kāu keiki mai ka haukapila, aia kekahi mau ala nui e hiki ai iā ʻoe ke kākoʻo i ko lākou ola hou ʻana a kōkua iā lākou e ʻoluʻolu hou aku. ʻO ka mea nui, ʻo ia ke hahai i nā ʻōlelo a kāu hui lapaʻau ʻoiai e hāʻawi ana i ka mālama aloha a mālie.

Eia pehea ʻoe e kōkua ai i kāu keiki i ka wā e ola hou ana:

• Ke hoʻokele lāʻau lapaʻau – E hāʻawi i ka aspirin e like me ke kauoha ʻia, ʻoiai inā ʻoi aku ka maikaʻi o kāu keiki, a mai hoʻōki loa me ka ʻae ʻole o ke kauka
• Nā ana hoʻoluʻolu – E hāʻawi i nā meaʻai palupalu a anuanu no ka waha a me ka ʻāʻī ʻeha, a e hoʻohana i nā lotions ʻala ʻole no ka ʻili ʻiliʻili
• Ka hoʻololi ʻana i ka hana – E ʻae i ka pāʻani mālie a me ka hoʻomaha e like me ka pono, akā e pale i ka hana kino ikaika a hiki i ka hoʻomaʻemaʻe ʻia e kāu kauka
• Ke nānā ʻana – E nānā i nā hōʻailona hou a mālama i ka pehea o ka manaʻo o kāu keiki i kēlā me kēia lā
• Nā hālāwai hoʻomau – Mai poina i nā kipa kāleka i hoʻonohonoho ʻia, ʻoiai inā ua maikaʻi loa kāu keiki

Hiki i kāu keiki ke ʻike i ka ʻili ʻili ma ko lākou mau manamana lima a me nā manamana wāwae i ka wā e ola hou ana, he mea maʻamau loa kēia a ʻaʻohe ʻeha. Hana mau kēia ma hope o 2-3 mau pule ma hope o ka hoʻomaka ʻana o ka maʻi a e hoʻonā ia iho.

He mea maʻamau hoʻi i nā keiki ke luhi nui aʻe ma mua o ka maʻamau no kekahi mau pule ma hope o ka maʻi Kawasaki. E ʻae i ka hoʻomaha nui a mai hopohopo inā pono kāu keiki i ka hiamoe hou a i ʻole ka manawa mālie ma mua o ka maʻamau i ka wā hoʻōla.

Pehea ʻoe e hoʻomākaukau ai no kāu kūkā lāʻau lapaʻau?

Hiki i ka hoʻomākaukau ʻana no nā kūkā lāʻau lapaʻau o kāu keiki ke kōkua i ka hōʻoia ʻana e loaʻa iā ʻoe ka hōʻoia pololei loa a me ka mālama maikaʻi loa. Hiki i ka hoʻonohonoho pono ʻana a me ka hoʻomākaukau piha ke hoʻolilo i kahi ʻokoʻa nui i ka hopena.

Ma mua o ke kūkā, e hōʻiliʻili i kēia ʻike koʻikoʻi:

• Ka lā palapala o nā hōʻailona – E kākau i ka manawa i hoʻomaka ai kēlā me kēia hōʻailona, ​​pehea ka lōʻihi o kona mau ʻana, a me nā loli āu i ʻike ai
• Nā moʻolelo mahana – E mālama i ka moʻokāki o nā ʻano kuni o kāu keiki, me nā mahana pololei a me nā manawa
• Nā kiʻi palapala – E kiʻi i nā kiʻi o nā ʻili ʻili, nā maka ʻulaʻula, a i ʻole nā ​​hōʻailona ʻike ʻē aʻe e hōʻike i ke kauka
• Papa lāʻau lapaʻau – E hoʻokomo i nā lāʻau lapaʻau a pau, nā mea hoʻohui, a me nā lāʻau home āu i ho'āʻo ai
• Papa nīnau – E kākau i kāu mau hopohopo a me nā nīnau a pau i ʻole ʻoe e poina i kekahi mea nui

I ka wā o ke kūkā, mai kānalua e nīnau i nā nīnau a i ʻole e noi i ka wehewehe inā ʻaʻole ʻoe i maopopo i kekahi mea. E hōʻoia e maopopo iā ʻoe ka papahana mālama, ka mea e nānā ai ma ka home, a me ka manawa e kelepona aku ai i ke kauka.

Inā pilikia ʻoe e pili ana i ka maʻi Kawasaki, e haʻi aku i kāu kauka. ʻOiai e noʻonoʻo lākou i nā mea hiki ke nui, hiki i kāu manaʻo e pili ana i nā pilikia kikoʻī ke alakaʻi i kā lākou loiloi a hōʻoia ʻaʻole i nalowale kekahi mea nui.

He aha ka lawe nui e pili ana i ka maʻi Kawasaki?

ʻO ka mea nui loa e hoʻomanaʻo ai e pili ana i ka maʻi Kawasaki, ʻo ia ka ʻike koke ʻana a me ka mālama ʻana e alakaʻi i nā hopena maikaʻi loa no ka hapa nui o nā keiki. ʻOiai hiki i ke kūlana ke hopohopo, ʻoi aku hoʻi i ka wā maʻi kāu keiki, ua hana ka lāʻau lapaʻau hou i mea maʻalahi loa ke mālama.

E hilinaʻi i kou mau manaʻo ma ke ʻano he mākua. Inā loaʻa i kāu keiki kahi wela kiʻekiʻe mau loa me nā hōʻailona ʻē aʻe e hopohopo ai, mai kānalua e ʻimi i ka mālama lapaʻau. Hiki i ka mālama koke ke pale aku i nā pilikia koʻikoʻi a kōkua i kāu keiki e hoʻi koke i nā hana maʻamau.

ʻO ka hapa nui o nā keiki e loaʻa ana ka mālama koke no ka maʻi Kawasaki e ola ana i nā ola maʻamau loa, olakino loa me ka ʻole o nā hopena mau loa. Me ka mālama hoʻomau kūpono a me ka nānā ʻana, hiki iā ʻoe ke hilinaʻi e ola piha kāu keiki a ulu.

Nā Nīnau Pinepine e pili ana i ka Maʻi Kawasaki

Q1: Hoʻopilikia anei ka maʻi Kawasaki?

ʻAʻole, ʻaʻole hoʻopilikia ka maʻi Kawasaki. ʻAʻole hiki i kāu keiki ke hopu mai ke kanaka ʻē aʻe, a ʻaʻole hiki iā lākou ke hoʻolaha aku i nā kaikaina, nā hoa papa, a i ʻole kekahi. He mea paha ia i hana ʻia e ka pane ʻimi kūpono ʻole i nā keiki i loaʻa ka gene, ʻaʻole ma kahi mea hoʻomaʻi e pālahalaha ana mai ke kanaka a i ke kanaka.

Q2: Hiki i nā mākua ke loaʻa i ka maʻi Kawasaki?

Hoʻopili nui ka maʻi Kawasaki i nā keiki, me kahi 85% o nā hihia i loaʻa i nā keiki ma lalo o 5 mau makahiki. He mea maʻamau loa nā hihia o nā mākua, a i ka wā e loaʻa ai, ua kapa pinepine ʻia ʻo

Nīnau 4: Hiki i ka maʻi Kawasaki ke hoʻi hou mai?

ʻAʻole pinepine ka hoʻi hou ʻana mai o ka maʻi Kawasaki, ma kahi o 1-3% wale nō o nā keiki i loaʻa mua iā ia. Inā ua loaʻa i kāu keiki ka maʻi Kawasaki i hoʻokahi manawa, ʻaʻole paha ia e loaʻa hou iā ia, akā he mea nui nō ka nānā ʻana i nā hōʻailona inā loaʻa iā lākou ka wela lōʻihi i ka wā e hiki mai ana.

Nīnau 5: He aha nā hopena lōʻihi o ka maʻi Kawasaki?

ʻO ka hapa nui o nā keiki i loaʻa ka mālama koke ʻana ʻaʻohe hopena lōʻihi a hiki ke komo i nā hana maʻamau a pau, me nā haʻuki. Pono paha nā keiki i loaʻa nā pilikia o nā ʻāpana o ka puʻuwai e nānā mau ʻia ka puʻuwai a me ka palena paha o ka hana, akā ʻo ka nui o kēia mau keiki e hana maikaʻi loa me ka mālama lapaʻau kūpono a me ka hahai ʻana.