Ka rumatika i loko o ke keiki: o ka symptoms, lapaʻau, Kāohi

Ma kēia 'atikala e kamaʻilio mākou i loko o au mamuli pehea ke keiki hoike rumatika. Symptoms laha ', ka oi aku o ka lapaau,ʻike, a me ka Kāohiʻana - i ka papa kuhikuhiE nīnūnē e e e kūkākūkā.

Koke huki i kou noonoo ana i ka mea i rumatika hiki hoʻomōhala i kekahi makahiki loa. Ka maʻi He infectious a me ka allergic ano. Aʻano o ka lapaʻau hoike ana aie i ka mea i ka rumatika e loli ai i kekahi mau kino, a me ka connective'aʻaʻa i ka makana i loko o nā mea a pau me ke kino. E noonoo i na hoailona o ka rheumatic mai kuni i loko o nā keiki.

He aha ka mea?

Mākou hoʻomaka mākou moʻolelo me ka manaʻo o "rumatika". He aha ka i kēia maʻi? No laila, kapa hoʻoʻino maʻi e loli ai i ke kino holoʻokoʻa i ka ia manawa (a laila, o ka nenoaiu). Ke kumu o rheumatic kuni - he infectious-allergic. He mea kekahi inoa: Sokolowski maʻi-Buyo.

Ua Ua wehewehe aku ma lesions o connective'aʻaʻa maʻi. ʻano nui loli ka connective nā'aʻaʻa o ka mea'ōnaehana mānowai koko a me ka Central ko mākou hopohopo kahua. Aia mau ana helu 'ike, i Hōʻike i nā wāhine loa pinepine e ae mai i kēia maʻi - ekolu mau manawa hou ma mua o nā kānaka. Naʻe, ua like ke kino i loko o adulthood.

He aha nō i nā hiʻona o rheumatic kuni i loko o nā keiki? Symptoms a me ka lapaʻau o ka maʻi i loko o kamaliʻi he uuku okoa. O ke kumu ho i ka mea i na keiki rumatika i kekahi peculiarities, e like me:

• hou haʻi oolea o ka mea'ōnaehana mānowai koko oihana;
• loli i nā nenoai a me nā loko;
• manawa kūpono o ka hoʻololi i loko o ka maʻi ano o ka maʻi (pakeneka pahiki o ka noho 'ana kamaliʻi ka loa kiʻekiʻe);
• ka hanana o relapses.

Ua hoike mai ka maʻi ano like penei: ma hope lapaʻau aia no he moe ko wā, akā, ma hope o ka manawa o ka pilikia, e huli hou. Ua mea noteworthy i ka recurrence o rheumatic kuni, e malama i na keiki ka loa, he pono ole.

Symptoms o rheumatic kuni i loko o nā keiki 2 makahiki paha 10 e ole oko mai kekahi i kekahi. Eʻoluʻolu, e hoailona oukou i na keiki i pololei ai susceptible i ka maʻi, mai ehiku i umikumamalima makahiki. Children ka rumatika maka i ka helu o complications, me ka naau a me ka ole. Ka rumatika pinepine hoʻomaka e hoʻomōhala ma hope maʻiʻaʻai. O nā ula wela, eha loa puʻu, a no laila, ma luna o.

Loa pinepine kālele 'akomi i loko o ka mea'ōnaehana mānowai koko nenoaiu. Rheumatic wela mea, he pono ole nā hualoaʻa a, o ka oi aku i ka poe ilihune aina, kahi i holo 'awelika o ka maʻi i loa kiʻekiʻe.

Mākou i lawe i ka pilina nana i na symptoms a me kaʻike, a me ka maʻi i loko o kamaliʻi ma luna, akā, e au makemake e huki hoʻolohe i ka Jones ana hoʻohālike. He nui ka e hoailona oukou ia ia distinguishes ma waena o nui a me ka uuku ana hoʻohālike. Inā he mea ma ka liʻiliʻi loa kekahi hiʻona o ka waeʻano mua, ka mea, ua lawa ke diagnose i ka maʻi.

More ana hoʻohālike	nīnūnē 'Oihana
Carditis (mālama i loko o 70% o ka hoopii), polyarthritis (75%), erythema (10%), chorea (10%), i ke kahua o ka subcutaneous nodules (20%).	Wela, arthralgia, rumatika anemneze, mahuahua ESR paha CRP.

symptoms

Mākou e noonoo i au mamuli o ka symptoms o rheumatic mai kuni i loko o nā keiki. E like me ka olelo mua, ka rumatika hiki luku connective'aʻaʻa i mau nā loko. Kēia hiki wehewehe i ka nui helu o kekahi mau hoike ana mai o ka maʻi. Ua pau hilinaʻi nui ma luna o ke kino a me ka oolea o ke kaʻina.

Pathogen rumatika stimulates ka? Iecaianoaaiiie o kekahi waiwai i kapaia C-kū'ē kumuʻiʻo. Ua ka oia i ke kumu li nui a me ka make ana o ka connective'aʻaʻa. Hou, e hoailona oukou i rheumatic wela, aole ia e hōʻike i mai o ka wahi. Ke kaʻina hana o ka? Acaeoey kaʻina kānāwai ma hope maʻiʻaʻai. Total anao? Aou ekolu ano o ka maʻi, e kamaʻilio pū mākou e pili ana ia hope. Ke kumu nui hiʻona o rheumatic kuni - he huʻi hookahi. Symptoms nā:

• he oi mahuahua ma ke kino ana wela;
• loa nawaliwali;
• mea hōʻemi o ke ola.

Ano, he pono ole ka loiloi mua symptoms i helu. I ka bipi keiki (2 makahiki) symptoms o rheumatic kuni hiki e:

• irritability;
• tearfulness;
• hiamoe kāna hana, a no laila, ma luna o.

Next ia ia e ke i nā hui ma nā symptoms mea i emi iho i keʻano o ka rumatika. Rheumatic wela i loko o nā kamaliʻi, symptoms a me ka hana a mākou noonoo ana ma o ka 'atikala, ke hoike mai ai ia ia iho ma naʻano likeʻole, akā, ka hola 85% o ka hihia, ka maʻi Hoʻoweliweli' o ia i ka naʻau complications.

Mea Maluna

I huina, he ekolu ano o ka maʻi.

• articular;
• naau;
• ko mākou hopohopo.

E kakau i ka au mamuli no ia o ka apana uuku na hope.

Ua mea waiwai 'ana i kumumanaʻo i na symptoms o streptococcal rheumatic kuni i loko o na keiki e, mai hele unnoticed. Ka maʻi mau mea hopena i loko o ka palapala o ka complications a rumatika i maʻi.

Symptoms o rheumatic kuni i loko o na keiki he 10 makahiki, a kaikaina i loa indistinguishable. An inā pilikia ka haumāna i ka 'oihana hiki wale diagnose i ka maʻi ma kekahi kahua.

Rheumatic wela, he mau kūlana:

• hana;
• AEeOEXAaI.

He aha nō nā ana hoʻohālike o ka maʻi hope? Mau nā:

• ka oolea o ka hoikeana;
• loli ma ke keʻena hoʻokolohua hōʻailona.

Ma muli o kēia, eia ekolu degere o ka rumatika. Ka mea, e hōʻike mai iā ia i loko o ka papaʻaina ma lalo nei.

mua ka papahelu	palena iki Activity	Ma kēia kahua, loa mehana lapaʻau a me ka keʻena hoʻokolohua hoailona.
lua o ka degere	lōpū ha awina	Lua o ka papahelu streptococcal rheumatic kuni i loko o na keiki, na symptoms o i keia manawa, maopopo i olelo ia, ka mea, ua hoopuni diagnosed. O ke kumu ho i ka mea i ka lapaʻau, radiological a me nā hana mana e, ua hiki.
kolu o ka degere	i kā mākou ha awina	Ano hiʻona i: ke kuni, rheumatic naau maʻi symptoms, articular maʻi pale, ulia loli ma ka keʻena hoʻokolohua kiko'î, a no laila, ma luna o.

articular palapala

Ano, e nana i na symptoms o ka rumatika i loko o ke keiki ami palapala. E ka hoʻomaka me ke poo o ka uuku nui o ana helu 'ike. Na kamalii uuku kākaʻikahi hāʻule i loko o kēia mau mea hoʻoponopono. Kokoke 20% o rheumatoid arthritis akaka ma waena o nā makahiki o kekahi i elima makahiki; a me kaʻaneʻane 80% - mai ka umi a hiki i umikumamalima makahiki.

Symptoms o rheumatic ami i na keiki i hoike mai ai ia ia iho e like me penei:

• kuni;
• nawaliwali;
• headaches;
• ami eha;
• redness a me ka nani o na ami a me ka pela ia.

I loko nō o ka mea i hoopii i lehulehu, i ka pathogen ua nō ,ʻaʻole nānā '. Oiaio no, ka rumatika mea infectious ma ka ano. Kēia maʻiʻaʻai e loli ai i ka hapanui o ka lymph aka wahi aia i loko o ka nasopharynx. Maʻi pili me ka moolelo i hala o ka angina, niho palaho, li nui.

Ua mea waiwai 'ana i kumumanaʻo i loaʻa i kekahi mau theories o ka maʻi. Articular rumatika i loko o nā kamaliʻi, symptoms a me ka hana a ke noonoo i loko o keia 'atikala o ka manao o ka hapa nui, o ka infectious-allergic külana. 'O kēia ka loa, he pono ole kumumanaʻo. Inā e hoopili aku i keia manao, ka rumatika - nā hopena o allergic reactions i loko o kānaka. Manawa, e komo i ka halepaahao metabolic nā huahana o koʻohune i loko o ka incubation au ia lŘlŘ reconfiguration meaola. Streptococci ma keia hihia hiki i ka luna i oleloia symptoms o ka rumatika.

Mākou i mua i olelo ia i ka aoao o ka rumatika ua pinepine Neʻe i mua o kekahi infectious mai (e like me kaʻulaʻula kuni). Eia naʻe, 'ē aʻe examples hiki ke haawiia:

• hypothermia;
• overexertion.

He nui no na symptoms ka hōʻike 'ia' ana o ka CNS (Central ko mākou hopohopo'ōnaehana) i loko o ke kaʻina. Mau symptoms nā:

• chorea;
• Hawaii ka haunaele;
• noʻonoʻo, nā kīnānā;
• nā aʻalolo maʻi, a pela aku no.

He nui e hoailona oukou ia ia a pau o kēia mau mai i pinepine pu ma ka rumatika. Haʻawina hōʻike i ka reactivity o ka cerebral cortex ua me ka nui loa hoemiia. Ua hiki ke kuhikuhi i ka mākaukau artisan me ka pilikia. No ke aha la i keia ahaʻia nei? Ua ua IeAUPIIe, IAa IO me ka māhuahua excitability o subcortical-oaio? A, i loli ai ke kino a pau pili i.

naau shape

Ano, ua kaumaha i ka wahi hou e kamailio e pili ana i ka naau ke ano o ka rumatika i loko o ke keiki, na symptoms o ka maʻi. Koke huki i kou noonoo ana i ka mea i ka naau pilikia ke hoʻomaka ka poʻe me ka articular kino o ka rumatika, e like me ka hōʻike i nā. Loa ke ano o ka rumatika ua wehewehe aku ma ka mea i cardiac kāna hana symptoms ka loa lohi,ʻo ia hoʻi, ka maʻi e hoʻomōhala ana i unnoticed.

Mamua aku nei nō mākou i aku la i ke kiʻiona hiʻona o ka rumatika - he koke a me kaʻino hoouka. Aia, Ua lena ana na eha, a no laila, ma luna o. Naʻe, na keiki kekahi e ohumu o hōʻemi ikiʻeha i loko o na ami, ka luhi. A hiki i keia hihia, e hoʻomōhala cardiac kāna hana. E pale hopena kaumaha a koke hoʻomaka lapaʻau, e hele i ke kukakuka ana me ka hoʻomalu, a me ka hoopii.

Rheumatic naau maʻi i loko o nā kamaliʻi, symptoms a me ka hana a mākou i noonoo pono manawa, kapaʻia rheumatic naʻau maʻi. Ka loiloi mua ke kahua Ua kokoke, aole i hoike ia. Symptoms e nā:

• luhi;
• rejection o nā pāʻani;
• lakou makemake ole e holo;
• pokole o ka hanu;
• naau palpitations;
• haikea ili.

Loa palapala pu ma ke kiekie wela, IeAUPIIe, IAa IO i oi aku mamua o kanakolu kumamawalu na degere. Ke mau ano o ke keiki i ka mea ia manawa worsens kela la i keia.

Heart shape rumatika ke alakai i kekahi hoʻohuikau o ka naau, a hooku iho la ia ma ka papaʻaina ma lalo nei.

endocarditis	'aʻe' ana i ka pā naʻau o ka naau
myocarditis	kiʻekiʻe
pericarditis	owaho no
endopericarditis	a pau ekolu

A pau i kēia hiki aku ai i ke kūpono 'ana o ka naau maʻi, i mea, i ka hoʻoʻino kaʻina hana' ia he i ka nohona kiwikā. He nui ka ike i kakahiaka nui lapaau a me kaʻaeʻana me ka mea i hoakakaia regimen - o ke ki i ka hauʻoli i ka wā e hiki mai. Nui na keiki a me koʻu hoomanawanui ana'ku naau mā, e alakai i ka maʻamau ola (i loko o ke kula, a kau mai i nā hoa, kipa i ka laau palau, a no laila, ma luna). Inā ua hemo i ka hihia, ai ka maʻi i ka nui palapala, a e loli ai i ka maikaʻiʻana like penei:

• i ke alo o circulatory kāna hana;
• lala haanou ana;
• loa pokole o ka hanu;
• ake hoʻonui.

Kekahi kiʻiona hiʻona o ka hanahana loa helehelena o ka maʻi - apo-hoʻokino poʻe noʻonoʻoʻole ma luna o kaʻili. I ka ka mea mua symptoms o ka manaʻo 'inikua noonoo! 'Eleu he lālā o ka lapaʻau - he manawa no ka maʻamau ola o ke keiki, i pono ole e nalo ana.

ko mākou hopohopo palapala

Ma keia mahele o ka 'atikala mākou e hoʻolohe i ka'emi ko ano o ka rumatika i loko o nā keiki. Symptoms a me ka lapaʻau o ka maʻi - kēia mau mea i ka papa kuhikuhiE nīnūnē e mākou, e uhi i loko o kēia 'atikala.

A kiʻiona hiʻona o ka'emi ko ano o rheumatic kuni i loko o nā keiki - chorea, make o kekahi lolo wahi. Chorea e hoʻomōhala ana i ke kiʻekiʻe o, symptoms e komo:

• naʻau i loko hoʻololi;
• irritability;
• tearfulness;
• twitching o nāʻiʻo (e hoailona oukou i keia symptom mea hiki ke holomua, a me na makua kekahi manaʻo i ke keiki mea i ka maka a me ka hewa, a hiki ole ka ike i ka moku'āina oiaio o ka mea);
• hemahema o ka hahau;
• ka palaleha;
• loli o ka lima;
• helehelena slurred olelo;
• flail gait.

Like no ka nele o ke hahau a me ka palaleha ', oe e kekahi e kekahi clarifications. I mea, ke keiki mea,ʻaʻole e'āhewa. Ua maoli hiki ole ke pololei kaula i kā lākou nā kamaʻa puki, pinepine kulu'ō, puna, mńka a me nā 'ikamu. E lohe i kēia mau symptoms. He nui ka poe i hookahuli ai i ka mea, me ka luhi ole carelessness. I ka mea, nele i ke keiki i kou kōkua. Mau symptoms E hōʻike no ma kahi o ekolu mahina. E uku hou noonoo ana i ka hana a me ke ano o ke keiki, no laila, i ole e hala ka manawa pono, a ke hoʻomaka lapaʻau i ka manawa.

Ka lono maikaʻi i loko o kēia maʻi: ka naau o ka hoʻokō 'ole me ka rumatika ko mākou hopohopo palapala ka'āina pohihihi keia. Inā i hāʻawiʻia mākou i ka maʻi a me ka complication o ka mea'ōnaehana mānowai koko'ōnaehana, ka maʻi ia lŘlŘ loa wale. Inā e nana ole ma ka liʻiliʻi loa kekahi loli ma ka hana o ke keiki - e leka uila i kou kauka.

Ano, e ka uku i kekahi hoolohe hyperkinesia. He He kūlana i hele mai ai i ke kiekie o ka maʻi. I loko o kēia wā, he kanaka mea mau i loko o ka noi (ia i hiki ole ke noho, e ku a moe i lalo). Aia i involuntary Muscle contractions i ke ālai ia 'aʻe i ke keiki ma ka hoʻohanaʻana i ka ai (emi nāʻiʻo o ke alelo, lehelehe, a no laila, ma luna). Ka mea, i pili i nā Muscle hui, ke kēia symptoms i ana:

• paʻa a ua lalapa;
• elelo nei iluna;
• laila.

Eʻoluʻolu, e hoailona oukou ia i ka hiamoe, a pau hyperkinetic symptoms nalo. Ma waho a pau o ka luna symptoms hiki ke loaʻa i loko o ka anamanaʻo ua hoʻemi Muscle leo. No kūikawā examinations i koi 'ia ma ka loa' ano apau loa, i hiki ke ike i ka maka kapa ole. A keiki me ka nui 'ano o ka maʻi hiki ole ke hoopaa i kona poo, a me ka noho. I hookuu, na symptoms mau mai ekolu pule a hiki i na malama ekolu. A laila, i nā mea emi iho. E hōʻoia i ka malama i ka manao e relapses i 'ano, he pono ole (ulu manawa - e pili ana i ka makahiki ma hope o ka hope hihia, i kekahi manawa, he nui loa mamua).

Chorea e iki hoonui kino mahana (37.5 degere). E ikeia nani a me kaʻeha ma na ami.

kumu

Ma keia mahele o ka 'atikala mākou e ho'āʻo e kālailai i au mamuli o ka ninau o na kumu o rheumatic mai kuni i loko o nā keiki. E like me ka olelo mua, hiki ole haawi aku i ke kālā no lapaau he mau pane i kēia mea. Aia i kekahi mau theories, a kūkuluʻana ma luna o ia mau mea, ua hiki manao nei makou, na kumu hiki e nui aʻe.

ololi	clarification
Nei, infectious maʻi	'O kēia mau mea e like me ka ARI, ka tonsillitis, ka'ulama ulaula, ka nonsillitis a pēlā aku. He mea nui e ho'omaopopo i ka hopena o ka hui A streptococcus. He mea pono e wehewehe i kēlā ma'i me ka ma'i'elele'ole ka mea ma'amau no ka ulu'ana o ka rumatika. Mālama kēia i kahi hana kūpono'ole i ka'ōnaehana kamepiula. 'O kēia wale nō ke ho'omaka nei e hō'eha i nā pūnaei olakino. Hō'ike'ia kēia ma nā hihia i ka manawa i ho'omaka ai ke kāpena'ole (belatedly) ai'ole he hewa wale nō ia.
'O ka lua o ka helu he pono'ī	I loko o nā hanana a me nā nīnau ninaninau ua'ike'ia he mea nui ke kumu ho'oilina i ka ulu'ana o ka rumatika. Ua'ike'ia he ma'i nui kēia ma'i i nā lālā o ka'ohana ho'okahi.
'O ke kau'ana o ka ma'i streptococcal	'Oiai,'o ka streptococcus lō'ihi hiki ke noho i loko o ka nasopharynx, a ma muli o ka hopena o ka pilikia o ka'ōnaehana kamepiula. 'O ka hopena,'o ia ka ulu'ana o ka rumatika.
Nā mea kumu lua	Hiki paha i ke'ano'ē ke kani, aia kekahi mau mea'oko'a (hiki ke kumu i ka ulu'ana o ka rumatika i ka wā kamali'i. 'O kēia mau mea:'o ka hypothermiamia, ka lu'uwaiwai, ka'ai'ole. Pehea e pili ai kēia i ka ulu'ana o kēia ma'i? Ua ma'alahi nā mea a pau,'o kēia mau hopena i loa'a ka hopena maika'i ma ke kamepiula o ke keiki. Ma muli o ka hopena, hiki ke likelike'ia ka ma'i wela i ka manawa he nui.

Nā diagnostics

He aha ka rumatika i loko o nā keiki (nā hō'ailona, nā ki'i, nā kumu i hā'awi'ia ma ka'atikala), i kēia manawa, mana'olana, ho'omaopopo. Hele mākou i ka hō'oia o ka ma'i. I ka ho'omaka'ana, pono e'ōlelo'ia, hiki i kekahi kanaka, mai nā mākua a me nā kumu i ka pediatric a i'ole ke kahakiho, ke ho'omana'o i ke keiki o ia ma'i.

'O ke kauka o ka rumatika i nā keiki (hō'ike kino) he'oko'a. He mea nui e'ike i nā kumu papahana:

• Kākau (kekahi'ano o ia mea);
• 'O Chorea (ua uku nui mākou i kēia ma'i ma mua);
• Nānā o nā nodules ma lalo o ka'ili o kahi keiki;
• Erythema;
• 'O Polarthritis;
• 'O ka ma'i streptococcal i ho'oku'u mua'ia nei;
• 'O ka hopena kumu.

Inā loa'a i kahi keiki i ho'okahi o nā hō'ailona i kākau'ia, a laila he mea wikiwiki e'ike i ke kauka. Ma waho o kēia mau papahana, aia kekahi mau mea'ē a'e:

• Arthralgia;
• Pāhili;
• 'O nā helu i ho'ololi'ia i ke koko.

E nānā i kahi ho'okolokolo nui a me ka ninaninau i ka mea ma'i. No ka'ike pololei, pono e hana i kahi o nā ha'awina ho'okolohua, e like me ka X-ray, ECG, echocardiography.

Kōkua nā hua'ōlelo X-i ka ho'oholo'ana o ka na'au, e hō'ike ka ECG i nā haunapuni pūpū (inā loa'a kekahi), echocardiography e ho'oholo i ka hiki'ana o ka ma'i ma'i.

Hana

Ua nānā mākou i nā hō'ailona a me nā hō'ailona o ka rumatika i loko o nā kamali'i. 'O ka ma'i o ka ma'i ke nīnau hou. I kēia kūlana, makemake'ia kahi'aha i ho'ohui'ia. Ho'oma'a'ia nā kuhi o ka rumatika i:

• Ka ho'ā'o'ana i nā hō'ailona;
• Ka hopena o ka floptococcal flora.

Hā'awi'ia ka Rheumatism ma nā keiki (ke hō'ailona, ka ma'i a me ke ki'i a mākou e nānā nei) i loko o ka haukapila. E no'ono'o i ka hō'oia'ana o ka ho'olālā me kahi kānalua o ka ma'i.

Pono ke keiki:

• moe koena , me ka gradual mahuahua ma kaʻeleu hana;
• 'O nā mea'ai kūpono, ka nui o ka mea'ai pālolo;
• 'O ka ho'onohonoho kūpono o nā hana le'ale'a.

Ho'okumu'ia ka lā'au hō'ailona ma:

• Pā'ani antbacterial;
• Hormonal;
• Pā'ani-inflammatory;
• Nā mea'enela;
• Ho'omākaukau'ana i ka pālolo;
• Immunostimulants.

'O kēia mau lā'au lapa'au a pau e kōkua i ka microflora pathogenic. 'O ka hopena, ua ho'one'e'ia ke ka'ina hana inflammatory a ua emi emi loa ka hō'ailona o ka ma'i. He mea nui e ho'omaopopo he hiki i nā lā'au lā'au ke loa'a kekahi mau hopena:

• Ka ulu'ana o ka ma'i'eha;
• Kahe'ele'ele;
• 'O ka ho'opilikia'ana i ka hana o nā āpau.

'O kahi palekana

Ho'opili'ia kēia māhele i ka pale'ana i ka rumatika i loko o nā keiki. Ho'oholo i nā ma'i kumu kula ki'eki'e a me ke kula ki'eki'e. I ka hihia mua, e uku'ia ka nānā i ka ho'oponopono pono'ana o ke keiki:

• Ho'oikaika;
• 'Ano kūpono;
• Hā'awe;
• Ke kaua'ana me ka hui A streptococcus

Ho'olako ka lua i ka pale'ana i nā ho'iho'i'ana:

• "Bicilin 5" - 1,5 miliona mau minuke i hookahi manawa i na hebedoma eha i na haumana;
• "Bicilin 5" me kahi hui 0.75 miliona mau manawa i ho'okahi manawa i kēlā me kēia pule'elua i nā keiki kula.

E'olu'olu e'ōlelo'ia e kāohi i nā hana ho'onui i kēlā me kēia makahiki, i kēlā me kēia mahina. 'O ka lō'ihi i mana'o'ia he'elima makahiki.

Ka wānana

He nui nā māmā i hiki ke pale aku i kēia ma'i ma ka'ike'ana i ka haukapila no ke kōkua lapa'au i ka manawa. Inā mālama i ka mālama'ana i ka rumatika,'o ka ho'iho'i'ana'a'ole ia e ho'oweliweli i ke ola. Ua wehewehe nui mākou i kahi nīnau o ka rumatika i nā keiki, nā hō'ailona, nā pane. He aha nā wanana?

Ho'omaopopo mākou i ka ma'i kalakōmati ma kahi o 25 pakeneka o nā hihia e hele pū'ia me ka ulu'ana o ka ma'i ma'i. Hō'ike hou'ia ka hō'ailona hō'ike'ole i ka manawa e palekana ai i ka pahū o ka valve. 'O ka hopena, he kūpono ka mea noi'i cardiosurting. 'O ka hopena hopena o ka ho'opau'ana o ka na'au, he 0.4% ka nui. He mea pono e ho'omaopopo i ka hopena o ka ma'i e pili ana i ka pololei a me ka manawa kūpono o ka lā'au.