He aha te Mate a Kawasaki? Tohutohu, Take, me te Maimoatanga

Ko te mate a Kawasaki tētahi āhuatanga e pā ana ki te mumura o ngā oko toto puta noa i te tinana, nō te nuinga o ngā tamariki kei raro iho i te 5 tau te pakeke. Ahakoa ka rongo pea te ingoa he mea ke, he maha atu te mate nei i te whakaaro o te nuinga o ngā mātua, ā, me te maimoatanga tika, ka ora te nuinga o ngā tamariki kāore he pānga roa.

Whakaarohia te pūnaha ārai mate o tō tamaiti e kaha rawa ana, ā, e whakaeke ana i ngā oko toto hauora mā te he. Ko te rongo pai, kua tino pūkenga ngā tākuta ki te kite me te whakaora i tēnei āhuatanga, inā, i te wā e mau tonu ana.

He aha te Mate a Kawasaki?

Ko te mate a Kawasaki tētahi āhuatanga mumura e pā ana ki ngā oko toto, inā, ki ngā oko koroni e whakarato ana i te toto ki te ngākau. E mohiotia ana hoki ko te mate mucocutaneous lymph node syndrome, nā te mea e pā ana ki te kiri, ngā kiri kiri, me ngā pūngāwerewere lymph.

Ko tēnei āhuatanga e pā ana ki ngā tamariki, ā, tata ki te 80% o ngā keehi e puta ana i ngā tamariki kei raro iho i te 5 tau te pakeke. Ahakoa ka ātaahua pea i te wā e whakatauhia ana tō tamaiti, he mea nui kia mōhio koe ka taea te whakaora i te mate a Kawasaki, ā, ka ora te nuinga o ngā tamariki ki te ora noa, hauora.

I whakaahuatia tuatahi te mate e te Dr. Tomisaku Kawasaki i Hapani i te tau 1967. I tēnei rā, e mohiotia ana puta noa te ao ko tētahi o ngā take nui o te mate ngākau i whiwhihia i ngā tamariki i ngā whenua whānui, engari ka whakaitihia te tūponotanga o ngā raruraru ngākau mā te maimoatanga tere.

He aha ngā Tohutohu o te Mate a Kawasaki?

Ka puta ngā tohutohu o te mate a Kawasaki i ngā wāhanga, ā, ko te kite wawe i a rātou ka taea te whakarereke nui i te hua o tō tamaiti. Ko te tohu tino nui ko te kirikaha teitei e roa ana mo te 5 rā neke atu, kāore hoki e whakautu pai ki ngā whakaiti kirikaha noa penei i te acetaminophen, te ibuprofen rānei.

Koinei ngā tohutohu matua e titiro ana ngā tākuta, ā, ka kite pea koe i a rātou e puta ana i ngā rā maha:

• Kirikaha teitei (102°F, 39°C rānei neke atu) e mau tonu ana mo te 5 rā neke atu, kāore hoki e pai ake me ngā rongoā kirikaha noa
• Ngā kanohi whero, toto kāore he tukunga, he kohinga kakā rānei, e pā ana ki ngā kanohi e rua
• Pūeru i te tinana ka puta pea hei paparanga whero, pūngāwerewere teitei, te rite rānei ki te mate measles
• Ngā ngutu whero, pupū, kakā rānei me te “arero tarakona” e puta ana he whero, he pūngāwerewere
• Ngā pūngāwerewere lymph pupū i te kaki, te nuinga i te taha kotahi, nui atu i te walnut
• Ngā ringa me ngā waewae whero, pupū ka puta pea te kiri wehewehe i ngā maihao me ngā maihao waewae

Ka rongo pea tō tamaiti i te riri e tino kaha atu ana i te whakaaro noa o te tamarikitanga, me te ngenge me te ngaro o te hiahia kai. Ka whanake pea etahi tamariki i te mamae o te kopu, te ruaki, te korere rānei.

He mea tika kia mōhio kei te kore ngā tamariki katoa e whai i ēnei tohutohu katoa, kāore hoki e puta katoa i te wā kotahi. Ka taea e tēnei te whakahirahira i te whakatau, koia te take he mea nui kia rapu awhina hauora mena kei tō tamaiti te kirikaha teitei e mau tonu ana me tetahi atu o ēnei tohu.

He aha ngā Take o te Mate a Kawasaki?

Ko te take tika o te mate a Kawasaki tonu kaore i te mohiotia, ka ātaahua pea tēnei mō ngā mātua e rapu ana i ngā whakautu. Heoi, e whakapono ana ngā kairangahau pea ka puta mai i te whakakotahitanga o te whakawhānautanga ira me ngā whakaoho taiao, kāore i te take kotahi.

Kei te akohia ētahi whakaaro mō te aha pea ka whakaoho i te āhuatanga:

• Ngā kaiwhakaoho mate penei i ngā huaketo, ngā pūngāwerewere rānei e whakaoho ana i te whakautu ārai mate koretake i ngā tamariki e ngawari ana
• Ngā take ira e whakawehi ana i ētahi tamariki, i te mea he maha atu te mate nei i ngā tamariki o te iwi Āhia
• Ngā pokanoa taiao, ngā matū rānei ka awhina pea ki te tukanga mumura
• Te whakautu ārai mate kei te whakaeke he te pūnaha ārai mate o te tinana i ngā kōpū hauora

He mea nui kia mōhio kei te kore te mate a Kawasaki e pā. Kaore e taea te hopu mai i tētahi atu tangata, kāore hoki e taea e tō tamaiti te horapa ki ngā teina, ki ngā hoa kura rānei. Kāore hoki i puta mai i tetahi mea i mahi koe, kāore rānei i mahi hei mātua.

E kite ana te āhuatanga he maha atu i ngā marama o te takurua me te puna, ā, ka puta pea i ngā putanga iti i ngā hapori, e whakaatu ana pea he wāhi ngā take taiao ki te whakaoho i te mate i ngā tamariki e ngawari ana ki te ira.

Nōhea te Kite i te Tākuta mō te Mate a Kawasaki?

Me whakapiri atu koe ki te tākuta o tō tamaiti tonu mena kei tō tamaiti te kirikaha o te 102°F (39°C) neke atu rānei e roa ana mo te 3 rā neke atu, inā, me tetahi atu tohutohu i whakahuatia i runga ake nei. Kaua e tatari kia puta ngā tohu tino nui katoa.

Rapua te tiaki hauora āwangawanga mena ka whanake tō tamaiti i ngā tohutohu kino penei i te uaua o te manawa, te riri nui kaore e taea te whakamarie, ngā tohu o te maroke, te manukanuka rānei ki tō rātou āhuatanga whānui. Whakawhirinaki ki ō pūmanawa mātua – mena he mea kino te ahua, he pai tonu te mahi i te taha o te tupato.

He mea nui te whakatau me te maimoatanga wawe hei aukati i ngā raruraru, inā, ngā raruraru ngākau. Mena kei te manukanuka koe mō te mate a Kawasaki, kaua e whakaroa ki te tautoko i tō tamaiti me te tono i te arotake tino pai, ahakoa kua kite koe i te tākuta, ā, kei te mau tonu te kirikaha.

He aha ngā Take Tūponotanga mō te Mate a Kawasaki?

Ahakoa ka taea e tetahi tamaiti te whanake i te mate a Kawasaki, ka taea e ētahi take te whakapiki ake i te tūponotanga o te whanake i tēnei āhuatanga. Ka taea e te mōhiotanga ki ēnei take tūponotanga te awhina i a koe ki te mataara ki ngā tohutohu, ahakoa te whai i ngā take tūponotanga kaore e tikanga ka whiwhi tō tamaiti i te mate.

Ko ngā take tūponotanga matua e whai ake nei:

• Te Tau – Ko ngā tamariki kei raro iho i te 5 tau te pakeke te nuinga o te pānga, me te nui o te putanga i waenganui i te 1-2 tau te pakeke
• Te Iwi – Ko ngā tamariki o te iwi Āhia, inā, o te iwi Hapani me te iwi Kōrea, he nui ake ngā reiti
• Te Ira Tangata – He iti te tūponotanga o ngā tamaiti ki te whanake i te āhuatanga atu i ngā kōhine
• Te Hītori Whānau – Ko te whai teina me te mate a Kawasaki e whakapiki ake ana i te tūponotanga, ahakoa he mea noa tonu
• Te Wāhi Whenua – He nui ake ngā reiti e puta ana i ētahi wāhi, inā, i Āhia me ngā iwi Āhia puta noa te ao

He mea nui kia mahara ko te nuinga o ngā tamariki, ahakoa ngā mea maha o ngā take tūponotanga, kaore rawa e whanake i te mate a Kawasaki. Ko ēnei take anake e āwhina ana i ngā tākuta ki te mōhio ki ngā tauira me te mataara ki ngā tohutohu i ngā taupori tūponotanga teitei.

He aha ngā Raruraru Pea o te Mate a Kawasaki?

Ahakoa ka ora te nuinga o ngā tamariki katoa i te mate a Kawasaki, ko te āwangawanga tino nui ko te tūponotanga o ngā raruraru ngākau, inā, i te wā e kore ai te āhuatanga e whakaorahia, te whakaroa rānei te maimoatanga. Ka taea e te mōhiotanga ki ēnei wāhi te awhina i te whakamārama i te hiranga o te tiaki hauora wawe.

Ko ngā raruraru matua e titiro ana ngā tākuta e whai ake nei:

• Ngā aneurysms o te oko koroni – Te ngoikore me te pupū o ngā oko toto o te ngākau, e puta ana i te 25% o ngā keehi kaore i te whakaorahia, engari ka heke ki te 3-5% me te maimoatanga tere
• Ngā raruraru o te tere o te ngākau – Ngā whiu ngākau koretake ka hiahia pea ki te aroturuki tonu
• Te mumura o te uaua ngākau (myocarditis) – Te pupū o te uaua ngākau ka pā pea ki tōna mahi
• Ngā raruraru o te taiepa – Ngā take me ngā taiepa ngākau e whakahaere ana i te rere o te toto
• Ngā toto kōtiti – Inā, i ngā wāhi e pakaru ana ngā oko toto

He iti te maha, ka rongo pea etahi tamariki i te mamae o ngā hononga, te ngaro o te rongohere, te mumura rānei o te gallbladder. Ko te nuinga o ēnei raruraru ka taea te aukati mā te maimoatanga wawe, koia te take he mea nui te kite tere i ngā tohutohu.

Me te maimoatanga tika, ka heke te tūponotanga o ngā raruraru ngākau kino. Ko te nuinga o ngā tamariki e whiwhi ana i te maimoatanga i roto i ngā rā 10 tuatahi o te mate he hua roa te pai, ā, ka taea te whakauru ki ngā mahi tamarikitanga noa katoa.

Me pēhea te Whakatau i te Mate a Kawasaki?

Ka taea te whakahirahira i te whakatau i te mate a Kawasaki nā te mea kaore he whakamātautau kotahi e whakau ana i te āhuatanga. Engari, ka whakamahi ngā tākuta i ngā tikanga hauora e pā ana ki ngā tohutohu o tō tamaiti, ā, ka whakakore i ētahi atu āhuatanga ka puta pea ngā tohu rite.

Ka tirotirohia e tō tākuta tō tamaiti, ā, ka titiro ki te whakakotahitanga o ngā tohutohu. Ka tono hoki rātou i ētahi whakamātautau hei tautoko i te whakatau me te tirotiro i ngā raruraru:

• Ngā whakamātautau toto hei tirotiro i ngā tohu o te mumura, penei i te maha o ngā pūtau toto ma teitei me te pūtau C-reactive
• Echocardiogram (ultrasound ngākau) hei tirotiro i ngā oko koroni me te mahi ngākau
• Electrocardiogram (ECG) hei tirotiro i ngā raru o te tere o te ngākau
• Ngā whakamātautau mimi hei whakakore i ētahi atu mate me te tirotiro i te pūtau i te mimi
• Te whakawhanaketanga korokoro, ētahi atu whakawhanaketanga rānei hei whakakore i ngā mate pūngāwerewere

Ka mahia te whakatau i te wā e whai kirikaha ana te tamaiti mo te 5 rā neke atu me te 4 neke atu rānei o ngā āhuatanga hauora matua e rima. Heoi, ka taea e ngā tākuta wheako te whakatau i te mate a Kawasaki “kore katoa” i te wā e iti ake ana ngā tikanga, engari he rite te ahua whānui.

Ka korero pea tō tākuta ki ngā tohunga tamariki, inā, ki ngā tohunga ngākau tamariki, ki ngā tohunga rheumatologists rānei, hei whakau i te whakatau me te whakawhanake i te mahere maimoatanga pai mō tō tamaiti.

He aha te Maimoatanga mō te Mate a Kawasaki?

Ko te maimoatanga mō te mate a Kawasaki e aro ana ki te whakaiti i te mumura me te aukati i ngā raruraru ngākau. Ko te rongo pai, i te wā e tīmata ana te maimoatanga wawe, he tino whai hua ki te aukati i ngā raruraru kino me te awhina i ngā tamariki ki te ora katoa.

Ko ngā maimoatanga matua ka whakamahi pea te rōpū hauora o tō tamaiti e whai ake nei:

• Immunoglobulin intravenous (IVIG) – He whakauru nui o ngā antibodies e awhina ana i te whakamarie i te pūnaha ārai mate me te whakaiti i te mumura
• Aspirin nui – E whakamahia ana i te tīmatanga hei whakaiti i te mumura me te kirikaha, katahi ka haere tonu i ngā rā iti hei aukati i ngā toto kōtiti
• Corticosteroids – Ka taapirihia pea mō ngā tamariki kei te tūponotanga teitei o ngā raruraru ngākau, te hunga rānei kaore e whakautu ki te maimoatanga tīmatanga
• Ngā rongoā atu – Pēnei i te infliximab, ētahi atu rongoā whakahaere ārai mate rānei mō ngā keehi kino, te ārai rānei ki te maimoatanga

Ko te maimoatanga e tīmata ana i te whare hauora, kei reira ka taea te aroturuki tata i tō tamaiti. Ko te nuinga o ngā tamariki e tīmata ana te pai ake i roto i ngā haora 24-48 i muri i te whiwhi IVIG, me te pakaru o te kirikaha me te pai ake o te riri.

Ka rerekē te roa o te maimoatanga, engari ka taea e te nuinga o ngā tamariki te haere ki te kāinga i roto i ngā rā torutoru i te wā kua mutu to rātou kirikaha, ā, he pumau rātou. He mea nui te tiaki whai muri, ā, ka whai aroturuki ngākau tonu me ngā echocardiograms hei whakarite kia kaua e whanake ngā raruraru.

Me pēhea te whakarato i te tiaki kāinga i te wā e ora ana te Mate a Kawasaki?

I te wā e haere ana tō tamaiti ki te kāinga mai i te whare hauora, he maha ngā huarahi nui ka taea te tautoko i tōna ora me te awhina i a ia kia pai ake te ahua. Ko te matua ko te whai i ngā tohutohu a tō rōpū hauora i te wā e whakarato ana i te tiaki atawhai, aroha.

Koinei te huarahi ka taea te awhina i tō tamaiti i te wā e ora ana:

• Te whakahaere rongoā – Hoatu te aspirin kia rite ki te tohu, ahakoa pai ake te ahua o tō tamaiti, kaua hoki e mutu me te kore e whakaaetia e te tākuta
• Ngā whakamarie – Tuku kai ngawari, makariri mō te waha me te korokoro mamae, me te whakamahi i ngā hinu kore kakara mō te kiri wehewehe
• Te whakarerekētanga mahi – Tukua te takaro māori me te okioki kia rite ki te hiahia, engari kaua e mahi tinana kaha kia whakamāramahia e tō tākuta
• Te aroturuki – Mataara mō tetahi tohutohu hou, ā, kia mau ki te tuhi i te ahua o tō tamaiti i ia rā
• Ngā hui whai muri – Kaua rawa e ngaro ngā haerenga tirotiro ngākau, ahakoa pai te ahua o tō tamaiti

Ka rongo pea tō tamaiti i te wehewehe o te kiri i ōna maihao me ōna maihao waewae i te wā e ora ana, he mea noa katoa tēnei, kāore hoki e mamae. Ko tēnei e puta ana i te nuinga i te 2-3 wiki i muri i te tīmatanga o te mate, ā, ka ora ake.

He mea noa hoki mō ngā tamariki kia nui ake te ngenge i te noa mo ngā wiki maha i muri i te mate a Kawasaki. Tukua te okioki nui, kaua hoki e manukanuka mena ka hiahia tō tamaiti ki te moe nui ake, ki te wā māori rānei i te wā e ora ana.

Me pēhea te Whakarite mō tō Hui Tākuta?

Ko te whakarite mō ngā hui hauora o tō tamaiti ka taea te awhina i te whakarite kia whiwhi koe i te whakatau tino tika me te tiaki pai. Ko te whakarite me te tino pai i tō whakarite ka taea te whakarereke nui i te hua.

I mua i te hui, kohikohia ēnei korero nui:

• Te raupapa tohutohu – Tuhia te wā i tīmata ai ia tohutohu, te roa o tōna roa, me ētahi atu huringa kua kite koe
• Ngā rēkōta pāmahana – Kia mau ki te tuhi i ngā tauira kirikaha o tō tamaiti, tae atu ki ngā pāmahana me ngā wā tika
• Ngā whakaahua tuhinga – Tango pikitia o ngā pūeru, ngā kanohi whero, ētahi atu tohutohu kitea rānei hei whakaatu ki te tākuta
• Te rārangi rongoā – Whakauruhia ngā rongoā katoa, ngā taapiri, me ngā rongoā kāinga kua whakamātau koe
• Te rārangi pātai – Tuhia ō manukanuka me ō pātai katoa kia kaua e wareware i tetahi mea nui

I te wā o te hui, kaua e whakaroa ki te ui i ngā pātai, ki te tono whakamārama rānei mena kaore koe e mōhio ki tetahi mea. Kia mōhio koe ki te mahere maimoatanga, te mea hei titiro i te kāinga, me te wā hei whakapiri atu ki te tākuta.

Mena kei te manukanuka koe mō te mate a Kawasaki, whakahuahia tēnei ki tō tākuta. Ahakoa ka whakaaro rātou ki ngā wāhi maha, ka taea e tō whakauru mō ngā manukanuka motuhake te awhina i te aratohu i to rātou arotake me te whakarite kia kaua e ngaro tetahi mea nui.

He aha te Tango Matua mō te Mate a Kawasaki?

Ko te mea nui rawa hei mahara mō te mate a Kawasaki ko te kite wawe me te maimoatanga e arahina ana ki ngā hua pai mō te nuinga o ngā tamariki. Ahakoa ka ātaahua pea te āhuatanga, inā, i te wā e mate ana tō tamaiti, kua tino whakaorahia e te rongoā hou.

Whakawhirinaki ki ō pūmanawa hei mātua. Mena kei tō tamaiti te kirikaha teitei e mau tonu ana me ētahi atu tohutohu āwangawanga, kaua e whakaroa ki te rapu awhina hauora. Ka taea e te maimoatanga wawe te aukati i ngā raruraru kino me te awhina i tō tamaiti ki te hoki ki ngā mahi noa tere.

Ko te nuinga o ngā tamariki e whiwhi ana i te maimoatanga tere mō te mate a Kawasaki ka haere tonu ki te ora noa, hauora kāore he pānga roa. Me te tiaki whai muri me te aroturuki tika, ka taea e koe te whakawhirinaki ka ora katoa tō tamaiti, ka tupu.

Ngā Pātai Nui e Uihia ana mō te Mate a Kawasaki

P1: Kei te pā te mate a Kawasaki?

Kāo, kāore te mate a Kawasaki e pā. Kaore e taea e tō tamaiti te hopu mai i tētahi atu tangata, kāore hoki e taea te horapa ki ngā teina, ki ngā hoa kura rānei, ki tetahi atu rānei. Pea ka puta mai i te whakautu ārai mate koretake i ngā tamariki e ngawari ana ki te ira, kāore i te kaiwhakaoho mate e horapa ana i te tangata ki te tangata.

P2: Ka taea e ngā pakeke te whiwhi i te mate a Kawasaki?

Ko te mate a Kawasaki e pā ana ki ngā tamariki, ā, tata ki te 85% o ngā keehi e puta ana i ngā tamariki kei raro iho i te 5 tau te pakeke. He tino onge ngā keehi pakeke, ā, i te wā e puta ana, ka kiia pea he “Kawasaki-like syndrome.” Ko te nuinga o ngā keehi e puta ana i te tamarikitanga wawe.

P3: Me inu tonu rānei tō tamaiti i te aspirin?

Ko te nuinga o ngā tamariki kaore e hiahia ki te inu aspirin mo te roa. Ko te roa e whakawhirinaki ana ki te whanake rānei i ngā raruraru ngākau o tō tamaiti. Mena kaore he raruraru o te oko koroni, ka mutu te aspirin i te nuinga i muri i te 6-8 wiki. Ka hiahia pea ngā tamariki me ngā raruraru ngākau ki te haere tonu i te aspirin mo te roa, engari ka whakatauhia tēnei motuhake e te tohunga ngākau o tō tamaiti.

P4: Ka hoki mai rānei te mate a Kawasaki?

He mea onge te hokinga mai o te mate a Kawasaki, e puta ana i te 1-3% anake o ngā tamariki kua whiwhi i mua. Mena kua whiwhi tō tamaiti i te mate a Kawasaki kotahi, kāore pea e whiwhi ano, engari he mea nui tonu te titiro ki ngā tohutohu mena ka whanakehia he kirikaha roa i muri mai.

P5: He aha ngā pānga roa o te mate a Kawasaki?

Ko te nuinga o ngā tamariki e whiwhi ana i te maimoatanga tere kāore he pānga roa, ā, ka taea te whakauru ki ngā mahi katoa noa tae atu ki ngā hākinakina. Ka hiahia pea ngā tamariki e whanake ana i ngā raruraru o te oko koroni ki te aroturuki ngākau tonu me te ārai pea i ngā mahi, engari ko ēnei tamariki ano hoki e tino pai ana me te tiaki hauora me te whai muri tika.