Kuru >> Dzidzo Yehutano >> Verenga gwara remubereki kuchirwere cheKawasaki

Verenga gwara remubereki kuchirwere cheKawasaki

Verenga gwara remubereki kuchirwere cheKawasakiDzidzo yehutano

Kukosora kusingagumi nekuhotsira, mhino dzinoyerera, uye mapundu asinganzwisisike anonzwika-vana vanoita kunge magineti emajemusi. Mune gwara remubereki wedu kuzvirwere zvehucheche, tinotaura nezvezviratidzo uye kurapwa kwemamiriro akajairika. Verenga zvakazara zvakateedzana pano .





Chii chinonzi Kawasaki chirwere? | Njodzi zvinhu | Zviratidzo | Kuongorora | Kurapa | Kudzivirira | COVID-19



Shamwari payakagovana kuti mwanakomana wavo anga achirwara nefivha yakasimba isinganzwisisike nezviratidzo zvisina kujairika kwemazuva anodarika mashanu, ndakamuudza kuti zvinoita sekunge mwanakomana wake ane chirwere cheKawasaki. Kufanana nevanhu vazhinji, shamwari yangu yakanga isati yambonzwa nezvechirwere ichi.

Iyo mukaha une ngozi muzivo. Nekuti chirwere cheKawasaki chinoda kurapwa panguva, mubereki wese anofanirwa kuziva zviratidzo-uye nzira yekuongororwa. Neraki, mwanakomana weshamwari yangu akagamuchira kurapwa mukati menguva yakakodzera hwindo uye akazorora zvizere.

Chii chinonzi Kawasaki chirwere?

Kawasaki chirwere (KD), inozivikanwawo seKawasaki syndrome, mamiriro ezvinhu anokonzera vasculitis, kana kuzvimba kwemitsipa yeropa. Vanopfuura zviuru mazana mana Vana veAmerica vanoonekwa kuti vane KD gore rega rega. Icho chiri chikonzero chinotungamira cheakawanikwa chirwere chemoyo muvacheche uye vana vadiki muUnited States. Kurumidza kuongororwa uye kurapwa kunodiwa kuti zvisave zvakakomba.



Chirwere cheKawasaki chinogona kuva nenjodzi kana chikasarapwa, anodaro Ashanti Woods , MD, chiremba wevana paMercy Medical Center muBaltimore. Kana ikasarapwa, kana ikarapwa nguva yapera, KD inogona kutungamira mukuchinja kwakakomba kwemoyo, kusanganisira aneurysm yetsinga yegonona. Iyo aronari artery inoitisa kupa oxygen mumoyo. Naizvozvo, kana tsinga iyi ikakanganiswa zvisizvo, inogona kukanganisa moyo wese.

Kawasaki chirwere hachina kutenda kuti chinopararira. Kunyangwe pasina kuwirirana kwakajeka pazvikonzero zvinowanzoitika zveKD, kune dzimwe dzidziso dzekuti KD inokura sei.

Chikonzero chaicho chechirwere cheKawasaki hachizivikanwe, anodaro Soma Mandal , MD, bhodhi-yakasimbiswa internist kuSummit Medical Group. Zvinhu zvine chepfu zvinodaidzwa kuti mabhakitiriya masantigenantigen izvo zvinogadzirwa neStreptococcus kana Staphylococcus zvinogona kukonzera kupamhidzira kuwedzeredza nema immune system.



Njodzi zvinhu

KD inonyanya hosha yevana. Hosha yeKawasaki inowanzo kuverengerwa kuvana vane makore mashanu ekuberekwa zvichidzika, Dr. Woods anodaro. Kune mamwe marudzi eanypical Kawasaki chirwere chinokanganisa vana vakura zvishoma, asi kazhinji vanhu vakuru vanoponeswa.

Nepo KD ichikanganisa vese varume kana vakadzi uye madzinza, vakomana vari 1.5 zvakapetwa kazhinji kupfuura vasikana kuti vawane KD. Chirwere cheKawasaki chakapararira muJapan uye pakati pemamwe madzinza - kunyanya avo vanobva kuAsia. Vazhinji vana vane KD vari pasi pemakore mashanu ekuberekwa. Mumakondinendi United States, KD inowanzoitika munguva yechando uye kutanga kwechirimo.

Kawasaki chirwere zviratidzo

Chiratidzo cheKD fivhiri yakakwira inogara kusvika mazuva mashanu, izvo zvisingakwanise kuverengerwa kune chero chinhu. Zvimwe zviratidzo zvechirwere cheKawasaki inosanganisira :



  • Maziso matsvuku (kutsvuka kweropa — pasina kubuda)
  • Strawberry rurimi (chena kupfeka uye matsvuku mapundu parurimi)
  • Akatsvuka, akaoma, akatsemuka miromo
  • Rushingi rwepingi pamuviri, kunyanya munzvimbo yekugomera
  • Pepuru, mutsvuku pane zvanza zvemaoko uye / kana pasi petsoka
  • Dzimba dzakazvimba uye / kana tsoka dzetsoka
  • Huro inorwadza
  • Kuzvimba lymph node mumutsipa

Izvi zviratidzo ingasaonekwa panguva imwe chete. Ita zvinyorwa zvezviratidzo kunyange kana zvisipo zvose panguva imwe chete. Zvimwe zviratidzo zvinogona kuitika zvinosanganisira:

  • Kubvisa ganda pamaoko nemakumbo (kazhinji vhiki mbiri kana nhatu mushure mekunge fivha yatanga)
  • Marwadzo emudumbu
  • Kusvipa
  • Manyoka
  • Joint kurwadziwa

Chirwere cheKawasaki chinoonekwa sei?

KD inoonekwa zvichienderana nekiriniki yemwana yekuratidzira uye yebasa rebasa, Dr. Woods anodaro. Kamwe kana mwana aine fivha kweanopfuura mazuva mashanu, chiremba kana mukoti murapi anoziva kutarisa zvimwe zvechirwere cheKawasaki.



Pamusoro pebvunzo, wezvehutano anogona kusarudza kumhanyisa bvunzo dzekurapa.

Kune zvekare zvimwe zvinoitwa murabhoritari, senge mamaki ekuzvimba, ayo anokwanawo mufananidzo wechirwere cheKawasaki, anodaro Dr. Woods. Kana mukiriniki achinyumwira chirwere cheKawasaki, kazhinji echocardiogram (kana ultrasound yemwoyo) ichaitwa kuti uone kana paine shanduko dzakadai seaneurysm (kana kubharura) yecoronary arteri. Iko hakuna chaiko kuongororwa kweropa kuratidza KD, asi zvidzidzo zvebhu zvinogona kubatsira kutungamira kuongororwa.



Kawasaki chirwere chinoda kurapwa nekukurumidza. Vabereki vanofanirwa kufungira KD kana mwana wavo aine fivhiri yakakura kwemazuva mashanu kana kupfuura uye akati wandei ezviratidzo zvataurwa pamusoro, anodaro Dr. Woods. Kana chirwere cheKawasaki chikafungidzirwa, vabereki vanofanirwa kubata chiremba wavo wevana kuti varonge musangano. Kana iri pakati pehusiku, mubereki anofanira kuenda kuE ER.

Chirwere cheKawasaki chinogona kunge chakaoma kuongorora, uye chingangoda bvunzo dzinoverengeka chirwere chisati chaitwa. Kana mupi wezvehutano asingapi KD kuongororwa pakutanga, asi iwe uchifungidzira kuti KD, usazeze kuronga imwe kushanya.



Mwanakomana weshamwari haana kuwana kuongororwa kweKD kekutanga nguva shamwari yangu paakamutsa kunetseka kwachiremba wake. Akaonekwa aine KD kuchipatara chevana nguva pfupi yapfuura.

Kawasaki chirwere chekurapa

Kurapa mukati memazuva gumi ekutanga kwefivha kwakakosha kuti uve nechokwadi chekuzorora zvizere. Pasina kurapwa, kusvika 1 mu4 vana vane KD vachachengetedza kukuvara pamoyo yavo, sekureva kweAmerican Heart Association. Kusarapwa kana kutadza kuziva chirwere cheKawasaki muhucheche kunogona kutungamira kune zvinetso zvine chekuita nemoyo mukukura. Iko hakuna chaiyo kurapwa kwekurapa kweKS-asi chinangwa chekutanga kurapwa ndechekuderedza kuzvimba, kukuvara kwemitsipa, uye kudzivirira kuumbana mune avo vane coronary artery kusagadzikana. Nekutenda, kurapwa mukati memazuva gumi kunoderedza zvakanyanya mikana yezvinetso zvakakomba sekurwadziwa kwemoyo, chirwere chemwoyo, myocarditis, kana coronary artery aneurysms.

1. Enda kuchipatara nekukurumidza

Kurapa kweKD kunoda kugara muchipatara kwemaawa makumi maviri nemana, uye kazhinji mazuva mazhinji.

2. In-chipatara kurapwa nzira

Intravenous immune globulin (IVIG) uye asipurini anonyanya kushandiswa pakurapa, anodaro Dr. Mandal. Njodzi yekushomeka kweIVIG inofanirwa kugadziriswa usati watanga kurapwa. Varwere vari panjodzi huru yekuramba vari kuwedzerwa kurapwa ne systemic steroid. Cyclosporine yakaratidza kumwe kurapa kwechirwere chinodzivirira chirwere cheKawasaki kana mune avo varwere vari panjodzi yakanyanya yekudzivirira IVIG.

Intravenous immunoglobulin inoshanda senge inorwisa-kupisa, ayo kunze kwekuita haazivikanwe. Inotungamirwa kuburikidza neIV pamusoro peawa masere kusvika gumi nemaviri maawa. Yakakwira-chipimo chemushongaasipurini inogona kutanga muchipatara uye ndokuenderera mberi ne yakaderera dose kumba kwemavhiki matanhatu kusvika masere ekudzivirira kugwamba kweropa. Ongorora: Aspirin inofanirwa kupihwa chete vana vari pasi pekutarisirwa nemupi wezvehutano nekuda kwenjodzi yeku Reye chirwere (mamiriro anogona kusimuka kana vana vane hutachiona hutachiona vatora Aspirin.)

3. Bvunzo dzekutevera dzekudzivirira uye manejimendi ezvinetso zvechirwere cheKawasaki

Vana vakave neKD vanofanirwa kupihwa anoverengeka maviri anoteedzera-maelectrocardiograms nachiremba wevana, kazhinji pamavhiki maviri mushure mekutanga kwefivha, uyezve pamasvondo matanhatu kusvika masere mushure mekutanga kwefivha. Kana paine chero zviwanikwa zvisingawanzo kuratidza pane izvi bvunzo, kumwe kuongorora kuchazodikanwa kuti utarise kunonoka kwemoyo matambudziko.

Nekutenda, vana vazhinji vanogamuchira kurapwa nekukurumidza kweKD vanopora zvakakwana.

Nzira yekudzivirira chirwere cheKawasaki

Pane hapana nzira inozivikanwa kudzivirira chirwere cheKawasaki, uye ndizvo zvisingawanzoitika kuwana KD kanopfuura kamwe.

Inogona here COVID-19 kukonzera Kawasaki chirwere?

Ipo COVID-19 ichiita senge isina njodzi kuvana pane vanhu vakuru, vamwe vana vanoita kondinendi coronavirus vanorwara zvakanyanya, nekukurumidza zvakanyanya nemamiriro anozivikanwa se multisystem anogumbura chirwere muvana (MIS-C). Iyi nyowani syndrome ine zviratidzo zvakafanana neKD.

Sezvo ichi chirwere chiri chitsva, hachisati chanyatsonzwisiswa. Kumwe kutsvagurudza kuri kuitiswa pane zvisingawanzo asi zvakakomba mamiriro. Vana vane MIS-C vanogona kusayedza zvakanaka kune COVID-19. Kana MIS-C ichifungidzirwa, tsvaga kurapwa nekukurumidza.

Kawasaki chirwere chinotyisa, asi ruzivo isimba. Nekuziva zvekutarisa, vabereki vanogona kuve nechokwadi chekuti vana vavo vanowana kurapwa nekukasira kwavanoda kuti vanyatso kupora.