maika keiki a hōʻike ʻO nā maʻi maʻi ʻeha o nā keiki (PIMS), komo i ka haukapila. Ua hōʻike mua ʻia nā hihia i nā luna olakino e ke United Kingdom. Ua nānā like nā ʻāina ʻē aʻe, e like me ʻItalia a me Pelekiuma. Ma Palani, ʻo ka haukapila Necker ma Palisa, ua hōʻike ʻia he 125 mau hihia o nā keiki i hōʻola ʻia i ka mahina ʻo ʻApelila 2020. I kēia lā, ma Mei 28, 2021, ua ʻike ʻia he 563 mau hihia. He aha nā hōʻailona? He aha ka loulou ma waena o PIMS a me Covid-19? He aha nā pilikia no nā keiki?

Ka wehewehe ʻana a me nā ʻōuli o ka maʻi ʻo Kawasaki

Maʻi ʻo Kawasaki he maʻi laha ʻole. Ua ʻike ʻia ma Iāpana, e ka pediatric ʻo Kauka Tomisaku Kawasaki ma 1967, e like me hui vasculitis. ʻO kēia pathology kekahi o nā maʻi makua ʻole. ʻLelo mākou i ka maʻi makua ʻole ke emi ka prevalence ma mua o 5 mau hihia no 10 mau kamaʻāina. Maʻi ʻo Kawasaki ʻike ʻia e vasculitis ʻōnaehana koʻikoʻi; he ʻōpala o nā paia o nā kīʻaha koko. Hōʻike ʻia e kahi kuni kiʻekiʻe loa, e hoʻomau nei no 5 mau lā. ʻAno ʻoluʻolu ʻole ʻia ia e ke keiki. E ʻōlelo he keiki kā Maʻi ʻo Kawasaki, pono ke kuni pili pū ʻia me 4 ma mua o kēia mau ʻōuli : 

• Ka pehu ʻana o nā lymph node; 
• ʻ rhū ʻili;
• Conjunctivitis; 
• ʻO ke alelo raspberry a me nā lehelehe naha; 
• Scalding o nā wēlau o ka ʻili me ka ʻulaʻula a me ka edema. 

I ka hapanui o nā hihia, akahai ka maʻi a ʻaʻole loaʻa nā keiki i nā ʻōuli āpau; kapa ʻia kēia he maʻi atypical a i ʻole piha ʻole. Pono e ukali a mālama ʻia ke keiki e ka ʻoihana olakino. Hāʻawi ʻia ʻo ia i ka lāʻau a pane maikaʻi kona kino. Ola koke ke keiki mai ka maʻi ke mālama ʻia i ka lawa pono. ʻAʻole maʻi ka maʻi ʻo Kawasakiʻaʻole hoʻi hoʻoilina. 

I nā pilikia pinepine loa Hiki i ka maʻi ʻo Kawasaki ke alakaʻi i kekahi mau maʻi maʻi maʻi maʻi : 

• Hoʻonui o nā aʻa;
• Nā maʻi kīnā ʻole o ka naʻau (ʻōhū);
• Nā haunaele o ka puʻuwai puʻuwai (arrhythmia);
• Hoʻopōʻino i ka paia o ka puʻuwai (myocarditis);
• Ka hōʻino i ka membrane o ka puʻuwai (pericarditis).

Hoʻomanaʻo o nā ʻōuli a me nā pilikia o ka coronavirus i nā keiki

Wahi a ka Ped-Covid study, alakaʻi ʻia e ka haukapila Necker (AP-HP) a me ka Institut Pasteur, ʻaʻole hōʻailona nā keiki ma kahi o 70% o nā hihia. Pili ka noiʻi i nā keiki 775 mai ka makahiki 0 a hiki i ka 18. Ma nā ʻaoʻao ʻē aʻe, ʻike ʻia nā ʻōuli ʻano like ʻole i ʻike ʻia i loko o nā keiki e ka wela me ka huhū maʻamau, ka puʻu, ka maʻi palahā e pili pū ana me ka luaʻi a me nā ʻōpū o ka ʻōpū. ʻO nā hihia o ke ʻano koʻikoʻi o ka maʻi Covid-19 i loaʻa ʻole i nā keiki. ʻO nā ʻōuli e makaʻala ke pilikia ʻana i ka hanu ʻana, cyanosis (ʻili bluish) a i ʻole ʻeha hanu koʻikoʻi. E hoʻopiʻi ke keiki a hōʻole e hānai. 

I ka maka mua o ka maʻi ahulau Covid-19, me he mea lā ua pili iki nā keiki i ka coronavirus hou. Pēlā mau ia. I ka ʻoiaʻiʻo, hiki i nā keiki ke maʻi me Covid-19, akā ʻaʻole ʻōuli loa, a ʻaʻohe o nā hōʻailona iki. ʻO kēia ke kumu e paʻakikī e lawe iā lākou i ka ʻike i nā ʻikepili epidemiological. Hoʻohui, manaʻo ia hiki iā lākou ke hoʻouna i ka maʻi. E like me ka nā ʻōuli o ka coronavirus, like lākou ma nā mākua a me nā keiki. ʻO kēia nā hōʻailona hōʻailona e like me ke anu a me ka flu.

ʻO ka lua paʻa a me nā keiki

Ma hope o nā hoʻolaha a Emmanuel Macron, hoʻopaʻa ʻia ka heluna Palani no ka manawa ʻelua, mai ʻOkakopa 30 a ma ka liʻiliʻi a hiki i Kekemapa 1. Eia nō naʻe, mālama ʻia ke kula (mai ka papa mālaaʻo a i ke kula kiʻekiʻe) a hāmama mau nā kahu hānai, me kahi kaola olakino hoʻoikaika ʻia. ʻO ke kau ʻana i ka pale maka ke koina no nā keiki mai ka makahiki 6, ma ke kula. Ma ka lima ʻē aʻe, e like me ka wā o ka hoʻopaʻa mua ʻana, pono i kēlā me kēia kamaʻāina e lawe i palapala hele huakaʻi hoʻowahāwahā. ʻO ka ʻokoʻa ka loaʻa o kahi hōʻoia mau o ke kula no nā huakaʻi a nā mākua, ma waena o ka home a me kahi e hoʻokipa ai ke keiki. 

E hoʻi i ke kula a me ka coronavirus

Hoʻohui ʻia, mahalo nui ʻia nā hana hoʻomaʻemaʻe, mahalo i ka holoi lima i hana ʻia i nā manawa he nui i ka lā a me ka disinfection o kēlā me kēia lā o nā papa i hoʻohana ʻia. Ua kauoha ʻia nā lula koʻikoʻi, e like me ke kau ʻana i nā masks e nā poʻe mākua āpau me ka hoʻokaʻawale ʻole ʻia o loko a me waho o nā hale. Pono pū nā haumāna mai ka makahiki 6 i ka pale maka, ma lalo o kēia mau ʻano like. Nā ʻōlelo paipai ma ka “huikau haumanaHoʻopuka ʻia e pale i nā hui mai nā ala ʻē aʻe. I ka hale ʻaina, pono e mahalo ʻia ka mamao o 1 mika ma waena o kēlā me kēia haumāna.

Kuhi loulou i hoʻopaʻa ʻia ma waena o PIMS a me Covid-19

Ma mua o ka hoʻomaka o ka hoʻopili ʻia ka maʻi ahulau i ka maʻi Sars-Cov-2, ua hana ka ʻepekema i ka pilina, i ka manawa o nā ʻike virological, ma waena keiki a hōʻike Nā hōʻailona e like me ka Kawasaki a me nā coronaviruses (ʻokoʻa mai Covid-19). Ua loaʻa ka mea maʻi infectious ma 7% o nā mea maʻi me ka maʻi. Hoʻokumu ʻia ka nānā aʻe: "ʻAʻole kuhikuhi ko lākou alo iā lākou ma ke ʻano he kumu pololei o ka maʻi akā, akā naʻe, hiki iā lākou ke noʻonoʻo ʻia e hōʻeuʻeu i kahi pane hoʻoweliweli kūpono ʻole i nā keiki i kuhi mua ʻia", e like me ka hui vasculitis. Ua ʻike ʻia i kēia lā ua ʻeha nā hihia o nā keiki i hōʻike ʻia PIMS, no nā pediatric multisystem inflammatory syndrome. Nā hōʻailona maʻi o Pili loa ʻo PIMS i nā maʻi ʻo Kawasaki. ʻO ka ʻokoʻa ka PIMS e hoʻopili i nā keiki nui aʻe, ʻoiai ʻo ka maʻi ʻo Kawasaki e pili ana i nā keiki ʻōpio a me nā pēpē. ʻO nā maʻi puʻuwai na PIMS i ʻōlelo ʻia i ʻoi aku ka ikaika ma mua o ka maʻi laha ʻole.

I ka hōʻike o Iune 16, 2020, o nā keiki 125 i haukapila mua ʻia no PIMS, 65 o lākou hoaoia ia no Covid-19. Ma hope paha ka loulou, akā ʻaʻole i hōʻike ʻia.

Ma Kēkēmapa 17, 2020, Public Health France hōʻike i loko o kā lākou hōʻike i " ʻo ka ʻikepili i hōʻiliʻili ʻia e hōʻoia i ke ola ʻana o kahi Synisystem inflammatory syndrome he nui loa i nā keiki me ka hoʻopili pinepine ʻana o ka naʻau, pili i ka maʻi COVID-19. ". I ka ʻoiaʻiʻo, mai Malaki 1, 2020, ua hoʻonohonoho ʻo Santé Publique France i kahi ʻōnaehana kia keiki me PIMS. Mai ia lā, 501 mau hihia o nā keiki i hoʻopili ʻia ma Palani. ʻAneʻane ʻekolu hapahā o lākou, a i ʻole 77%, i hōʻike ʻia serology maikaʻi no Covid-19. Ma kahi o hoʻokahi kaukani a puni ka honua, e like me ka UK's National Health Service.

Ma Mei 16, 2020, ua hoʻolaha ʻo Santé Publique France i ka make ʻana o kahi keikikāne 9 mau makahiki mai Marseille. Hōʻike ke keiki Nā hōʻailona e like me ka Kawasaki. Hoʻohui ʻia, kāna serology maikaʻi e pili ana iā Covid-19. ʻO ka mea maʻi ʻōpio i loaʻa iā “pilikia nui me ka hopu ʻia o ka naʻau", Ma kona home, ʻoiai ua hoʻokau ʻia ʻo ia i ka haukapila no 7 mau lā ma mua. Ua hōʻike ʻo ia i kahineuro-developmental co-morbidity". ʻO nā ʻōuli ʻōlinolino, e like me nā maʻi laha ʻole, e ʻike ʻia ma kahi o 4 mau pule ma hope o ka pili ʻana o ke keiki me ka coronavirus hou. 

He aha ka lapaʻau no kēia mau mea maʻi liʻiliʻi? 

Ma Palani, ma hope o ka piko i ʻike ʻia ma ka pule o ʻApelila 27 a Mei 3, ua heleleʻi ka nui o nā hihia hou mai ia manawa. 

Inā kānalua, e kāhea i ke kauka. Ma hope o kahi hōʻailona, ​​e hāʻawi ʻo ia i kahi lāʻau i hoʻomaʻa ʻia i ke keiki a e hoʻoholo i nā hana e hana ai. ʻO ka mea maʻamau, pono e hōʻola ʻia ke keiki e hōʻoia i ka ukali a me pēlā e hōʻalo ai i ka pilikia o nā pilikia. E hāʻawi ʻia ka lāʻau ʻana iā ia. E kauoha ʻia nā hoʻāʻo, e like me ultrasound, e aʻo hou aʻe e pili ana i ke kūlana olakino olakino o ke keiki. ʻAno ʻoluʻolu ke kino o ke kino ʻōpio a hoʻi koke me ka wikiwiki. Ma lalo o nā kūlana maikaʻi o ka ukali ʻana, ola ke keiki. 

Hoʻomaopopo i nā hana kuʻuna maikaʻi

E hakakā i ka hoʻolaha ʻana o ka maʻi Sars-Cov-2, pono mākou e hana i ka pale ʻana e pale ai i ka mea nāwaliwali loa. Paipai ʻo UNICEF (United Nations Children Fund) e ʻōlelo akāka nā mākua e pili ana i ka maʻi, ma o nā papa hana akamai a hoʻohana ʻana paha i nā huaʻōlelo maʻalahi. Pono ʻoe e hoʻomanawanui a me kahi mea aʻo. Pono e mālama ʻia nā ana o ka hoʻomaʻemaʻe, e like me ka holoi mau ʻana i kou mau lima a i ʻole ka ʻū ʻana i ka lipolipo o kou kuʻe lima. I mea e hōʻoia ai i nā keiki e hoʻi nei i ke kula, pono e makaʻala nā mākua ʻaʻole e ʻeha nā keiki i ka lohi o ka ʻike. Aia nā keiki āpau i ke kūlana like. ʻO ka wehewehe ʻana i kāna mau manaʻo, ʻo ka ʻoiaʻiʻo me kāna keiki ʻoi aku ka maikaʻi ma mua o ka wahaheʻe iā ia e hoʻāʻo ana e hōʻoia iā ia. Inā ʻole, e ʻike ʻo ia i ka pīhoihoi o kona mau mākua a laila e pīhoihoi ʻo ia i ka hoʻi ʻana i ke kula. E hiki nō i ke keiki ke hōʻike iā ia iho a hoʻomaopopo i ka mea e hana nei. E ʻoi aku kona makemake e mahalo i nā lula, e pale iā ia iho a me kāna mau hoa.