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ʻO ka maʻi Kawasaki: he aha ia?
ʻO ka maʻi Kawasaki he ʻaʻa a me ka necrosis o nā paia vascular o nā aʻa a me nā veins e pili ana me ka pale ʻole (febrile systemic vascularity).
I kekahi manawa pili ia i ke aʻa coronary. Eia kekahi, me ka ʻole o ka mālama ʻana, hiki ke paʻakikī e ka coronary aneurysms, ma 25 a 30% o nā hihia. ʻO ia hoʻi ke kumu maʻamau o ka loaʻa ʻana o ka maʻi puʻuwai i nā keiki ma nā ʻāina ʻenehana, a hiki ke hoʻopilikia i ka maʻi naʻau ischemic i nā pākeke.
ʻO wai ka mea e hiki mai ana? ʻO nā pēpē a me nā keiki ma waena o nā makahiki 1 a me 8 ka mea maʻamau i ka maʻi Kawasaki.
Hiki paha i ka maʻi SARS-CoV-2 ke hopena i nā hōʻailona koʻikoʻi i nā keiki, e like me nā hōʻailona i ʻike ʻia i ka maʻi Kawasaki? I ka hopena o ʻApelila 2020, ua hōʻike nā lawelawe pediatric ma UK, Farani a me ʻAmelika i kahi helu liʻiliʻi o nā keiki i mālama ʻia i ka haukapila me ka maʻi ʻōnaehana systemic, nona nā hōʻailona e hoʻomanaʻo nei i kēia maʻi ʻehaʻeha. ʻO ka puka ʻana mai o kēia mau hōʻailona lapaʻau a me kā lākou pilina me Covid-19 e hāpai i nā nīnau. Ma kahi o kanaono mau keiki i loaʻa iā ia ma Farani, i ka manawa o ka hoʻopaʻa ʻia i pili i ka coronavirus.
Akā aia kahi pilina ma waena o ka SARS-CoV-2 coronavirus a me ka maʻi Kawasaki? "Aia kahi hui like ma waena o ka hoʻomaka ʻana o kēia mau hihia a me ka maʻi maʻi Covid-19, akā ʻaʻole nā maʻi āpau i hoʻāʻo maikaʻi. No laila ʻaʻole i pane ʻia kekahi mau nīnau a ʻo ia ke kumuhana o ka hoʻokolokolo hou ʻana i nā keʻena pediatric, "wahi a Inserm. No laila pono e ʻimi hou ʻia kēia loulou, ʻoiai inā i kēia manawa, manaʻo ke aupuni ʻaʻole ʻike ʻia ka maʻi Kawasaki i kahi hōʻike hou o Covid-19. Eia naʻe, ʻōlelo ka hope, "hiki ke hoʻomaka ʻia e kahi maʻi viral nonspecific". ʻOiaʻiʻo, "ʻo Covid-19 he maʻi maʻi viral (e like me nā mea ʻē aʻe), no laila hiki ke hoʻomohala ʻia nā keiki, ma hope o ka hoʻopili ʻana me Covid-19, e hoʻomohala i ka maʻi Kawasaki i ka wā lōʻihi, e like me ke ʻano o nā maʻi maʻi ʻē aʻe," hōʻoia ʻo ia, e hoʻomanaʻo naʻe i ke koʻikoʻi o ke kamaʻilio ʻana i kāna kauka inā kānalua. Eia nō naʻe, ua hauʻoli ka Halemai Necker i ka loaʻa ʻana o nā keiki a pau i ka mālama maʻamau no ka maʻi, a ua pane maikaʻi nā mea a pau, me ka wikiwiki o ka hoʻomaikaʻi ʻana i nā hōʻailona maʻi a me ka hoʻihoʻi ʻana i ka hana puʻuwai maikaʻi. . I ka manawa like, e hoʻokumu ʻia kahi helu helu aupuni e ka hui Public Health France.
He aha nā kumu o ka maʻi Kawasaki?
ʻAʻole ʻike ʻia nā kumu kūpono o kēia maʻi lele ʻole, akā hiki ke kumu i ka maʻi viral a i ʻole bacteria i nā keiki. Hōʻike ʻo Inserm "ua pili kona hoʻomaka ʻana me nā ʻano maʻi maʻi maʻi, a me nā maʻi hanu a i ʻole enteric. "He mea hiki ke hana ma hope o kahi maʻi maʻi maʻi, i mua no kāna ʻāpana ʻo Olivier Véran, ke Kuhina Ola.
ʻO ka maʻi i ʻike ʻia i nā keiki i hoʻopilikia ʻia, ua manaʻo ʻia ʻo ia ka hopena o ka hoʻoulu ʻana o ka ʻōnaehana pale ma hope o ka maʻi me kekahi o kēia mau maʻi. “
He aha nā hōʻailona o ka maʻi Kawasaki?
Hoʻokaʻawale ʻia ka maʻi Kawasaki me ka lōʻihi o ke kuni, ka ʻūhū, ka conjunctivitis, ka ʻāʻī o ka mucous membranes, a me ka lymphadenopathy. Eia kekahi, ʻo nā hōʻike mua he myocarditis acute me ka pau ʻole o ka naʻau, arrhythmias, endocarditis a me pericarditis. A laila hiki ke hana ʻia nā aneurysms coronary. Hiki ke ho'ā 'ia ka 'i'o extravascular, e like me ka 'eha o ka hanu luna, ka pancreas, ka bile ducts, nā pu'upa'a, ka mucous membranes a me ka lymph nodes.
“Ke hoʻāla nei kēia hōʻike lapaʻau i ka maʻi Kawasaki. ʻO ka ʻimi ʻana i kahi maʻi e Covid-19 i ʻike ʻia he maikaʻi, ma o PCR a i ʻole ma ka serology (antibody assay), ʻo ka pae mua o ka maʻi i ʻike ʻole ʻia i ka nui o nā hihia, me ka ʻole o kahi loulou hiki ke hoʻokumu ʻia i kēia manawa me ka Covid ”, hōʻike i ka hoʻokumu. Kakaʻikahi, ʻike ʻia kēia maʻi maʻi ma muli o ka mumū o ke kaʻe o nā kīʻaha koko, ʻoi aku ka nui o ka puʻuwai (coronary arteries). Hoʻopilikia nui ia i nā keiki liʻiliʻi ma mua o ka makahiki 5. ʻOiai ua hōʻike ʻia nā hihia ma ka honua holoʻokoʻa, ʻoi aku ka maʻamau o ka maʻi i nā heluna ʻĀsia, wahi a Inserm ma kahi ʻike.
Wahi a kāna mau helu, ma ʻEulopa, 9 o 100 mau keiki e hōʻike nei i ka maʻi i kēlā me kēia makahiki, me kahi kiʻekiʻe makahiki i ka hoʻoilo a me ka puna. Wahi a ka pūnaewele loea Orphanet, hoʻomaka ka maʻi me kahi maʻi maʻi mau, a laila hele pū ʻia me nā hōʻike maʻamau ʻē aʻe: ka pehu ʻana o nā lima a me nā wāwae, nā ʻōpala, conjunctivitis, nā lehelehe ʻulaʻula a me ke alelo ʻulaʻula ("raspberry tongue"), Pehu. ʻo nā lymph nodes ma ka ʻāʻī, a i ʻole ka huhū. "ʻOiai ka nui o ka noiʻi, ʻaʻohe loaʻa kahi hōʻike diagnostic, a ua hoʻokumu ʻia kāna hōʻailona ma nā pae hoʻokolohua ma hope o ka haʻalele ʻana i nā maʻi ʻē aʻe me ke kuni kiʻekiʻe a hoʻomau," wahi āna.
ʻO ka maʻi Kawasaki: i ka wā e hopohopo ai
ʻO nā keiki ʻē aʻe me nā ʻano atypical o ka maʻi, me ka ʻoi aku o ka pōʻino i ka puʻuwai (ka wela o ka puʻuwai puʻuwai) ma mua o kona ʻano maʻamau. Hoʻopilikia ʻia ka hope i kahi ʻino cytokine, e like me nā ʻano koʻikoʻi o Covid-19. ʻO ka hope, hōʻike koke ʻia nā keiki me ka puʻuwai puʻuwai ma muli o ka maʻi ʻeha o ka myocardium (ʻiʻo ʻiʻo o ka puʻuwai), me nā hōʻailona liʻiliʻi a ʻaʻohe o ka maʻi.
He aha nā lāʻau lapaʻau no ka maʻi Kawasaki?
Mahalo i ka mālama mua ʻana me nā immunoglobulins (i kapa ʻia hoʻi nā antibodies), hiki i ka hapa nui o nā maʻi ke hoʻōla koke a ʻaʻole mālama i kekahi sequelae.
He mea nui ka hoʻomaʻamaʻa wikiwiki ʻana no ka mea aia ka pilikia o ka pōʻino i ke aʻa coronary. "Hiki kēia pōʻino i hoʻokahi o ʻelima mau keiki i mālama ʻole ʻia. I ka nui o nā keiki, he liʻiliʻi lākou a ʻaʻole lōʻihi. ʻO ka ʻokoʻa, hoʻomau lākou i ka lōʻihi i nā poʻe ʻē aʻe. I kēia hihia, nāwaliwali nā paia o nā aʻa coronary a lilo i aneurysms (ka pehu kūloko o ka paia o kahi kīʻaha koko me ke ʻano o ka baluna ", e ʻōlelo ai ka hui" AboutKidsHealth ".