Matenda a Kawasaki

Matenda a Kawasaki ndi osowa omwe amaphatikizapo kutupa kwa mitsempha yamagazi. Zimachitika mwa ana.

Matenda a Kawasaki amapezeka kwambiri ku Japan, komwe adapezeka koyamba. Matendawa amapezeka kwambiri mwa anyamata kuposa atsikana. Ambiri mwa ana omwe amakhala ndi vutoli ndi ocheperako zaka zisanu.

Matenda a Kawasaki samamveka bwino ndipo chifukwa chake sichikudziwika. Kungakhale kusokonezeka kwa thupi. Vutoli limakhudza mamina, ma lymph node, makoma amitsempha yamagazi, ndi mtima.

Matenda a Kawasaki nthawi zambiri amayamba ndi malungo a 102 ° F (38.9 ° C) kapena kupitilira apo omwe samatha. Malungo nthawi zambiri amakhala mpaka 104 ° F (40 ° C). Kutentha thupi kwa masiku osachepera asanu ndi chizindikiro chofala cha matendawa. Malungo amatha milungu iwiri. Nthawi zambiri malungo samatsika ndi acetaminophen (Tylenol) kapena ibuprofen.

Zizindikiro zina nthawi zambiri zimaphatikizapo:

• Magazi ofiira kapena ofiira (opanda mafinya kapena ngalande)
• Mawonekedwe ofiira owala, otseka, kapena osweka
• Ziphuphu zofiira pakamwa
• Lilime "la Strawberry", lokhala ndi zokutira zoyera palilime, kapena zotupa zofiira kumbuyo kwa lilime
• Zofiyira, zotupa za manja ndi zidendene za mapazi
• Ziphuphu pakhungu pakati pa thupi, OSATI chokhala chithuza
• Kusenda khungu kumaliseche, manja, ndi mapazi (makamaka mozungulira misomali, mitengo ya kanjedza, ndi zidendene)
• Kutupa ma lymph nodes m'khosi (nthawi zambiri lymph node imodzi ndi yotupa)
• Ululu wophatikizana ndi kutupa, nthawi zambiri mbali zonse ziwiri za thupi

Zizindikiro zowonjezera zitha kuphatikiza:

• Kukwiya
• Kutsekula m'mimba, kusanza, ndi kupweteka m'mimba
• Chifuwa ndi mphuno yothamanga

Kuyesa kokha sikungapeze matenda a Kawasaki. Nthawi zambiri, wothandizira zaumoyo amapeza matendawa mwana akamakhala ndi zisonyezo zambiri.

Nthawi zina, mwana amatha kukhala ndi malungo omwe amatha masiku opitilira 5, koma sizizindikiro zonse za matendawa. Ana awa amatha kupezeka ndi matenda amtundu wa Kawasaki.

Ana onse omwe ali ndi malungo opitilira masiku asanu akuyenera kuwunika matenda a Kawasaki ndi omwe amakupatsani. Ana omwe ali ndi matendawa amafunikira chithandizo choyambirira kuti zinthu ziwayendere bwino.

Mayesero otsatirawa akhoza kuchitika:

• X-ray pachifuwa
• Kuwerengera kwathunthu kwa magazi
• Mapuloteni othandizira C (CRP)
• Mlingo wa sedimentation wa erythrocyte (ESR)
• Ferritin
• Seramu albumin
• Seramu transaminase
• Kusanthula kwam'mimba - kumatha kuwonetsa mafinya mumkodzo kapena mapuloteni mumkodzo
• Chikhalidwe cha pakhosi cha streptococcus
• Zojambulajambula
• Electrocardiogram

Kuyesa monga ECG ndi echocardiography kumachitika kuti ayang'ane zizindikiritso za myocarditis, pericarditis, ndi kutupa kwamitsempha yama coronary. Matenda a nyamakazi ndi aseptic meningitis amathanso kuchitika.

Ana omwe ali ndi matenda a Kawasaki amafunikira kuchipatala. Chithandizo chiyenera kuyambika pomwepo kuti zisawonongeke mitsempha yamtima ndi mtima.

Minyewa ya gamma globulin ndiyo mankhwala wamba. Amapatsidwa mlingo waukulu ngati kulowetsedwa kamodzi. Matenda a mwana nthawi zambiri amakhala bwino mkati mwa maola 24 akuchipatala ndi IV gamma globulin.

Asipilini wa mlingo wapamwamba nthawi zambiri amaperekedwa limodzi ndi IV gamma globulin.

Ngakhale atalandira chithandizo chamankhwala, mwana mmodzi mwa anayi aliwonse amatha kukhala ndi mavuto m'mitsempha yawo. Kwa ana odwala kapena omwe ali ndi zizindikilo za matenda amtima, kuwonjezera corticosteroids ndikofunika. Tumor necrosis factor (TNF) inhibitors monga infliximab (Remicade) kapena etanercept (Enbrel) sakuvomerezeka kuchipatala koyambirira. Komabe, pakufunikabe mayesero abwinoko oti adziwe ana omwe adzapindule ndi mankhwalawa.

Ana ambiri amatha kuchira kwathunthu matendawa akagwidwa ndikuchiritsidwa msanga. Pafupifupi mwana m'modzi mwa 100 amamwalira ndi mavuto amtima omwe amadza chifukwa cha matendawa. Anthu omwe adwala matenda a Kawasaki amayenera kukhala ndi echocardiogram zaka 1 kapena 2 zilizonse kuti awonetse mavuto amtima.

Matenda a Kawasaki amatha kuyambitsa mitsempha yamagazi m'mitsempha, makamaka mitsempha yamtendere. Izi zitha kubweretsa matenda a aneurysm. Nthawi zambiri, zimatha kudwala matenda a mtima akadali aang'ono kapena mtsogolo.

Itanani omwe akukuthandizani ngati zizindikiro za matenda a Kawasaki zikukula. Milomo yosweka, yofiira ndi kutupa ndi kufiira kumachitika m'malo okhudzidwa monga kanjedza ndi zidendene za mapazi. Ngati mavutowa amachitika limodzi ndi kutentha thupi kwambiri komwe sikutsika ndi acetaminophen kapena ibuprofen, mwana wanu ayenera kuyang'aniridwa ndi wothandizira.

Palibe njira zodziwika zotetezera vutoli.

Matenda a lymph node; Infantile polyarteritis

• Matenda a Kawasaki - edema ya dzanja
• Matenda a Kawasaki - khungu la zala zawo

Abrams JY, Belay ED, Uehara R, Maddox RA, Schonberger LB, Nakamura Y. Matenda amtima, chithandizo cham'mbuyomu, komanso kuopsa kwa matenda oyamba mu matenda a Kawasaki. J Wodwala. 2017; 188: 64-69. PMID: 28619520 www.ncbi.nlm.nih.gov/pubmed/28619520. (Adasankhidwa)

American Academy of Pediatrics. Matenda a Kawasaki. Mu: Kimberlin DW, Brady MT, Jackson MA, Long SS, olemba. Buku Lofiira: Lipoti la 2018 la Komiti Yokhudza Matenda Opatsirana. 31 Mkonzi. Itasca, IL: American Academy of Pediatrics; 2018: 490.

McCrindle BW, Rowley AH, Newburger JW, ndi al. Kuzindikira, chithandizo, ndikuwongolera kwakanthawi kwa matenda a Kawasaki: chidziwitso cha asayansi kwa akatswiri azaumoyo ochokera ku American Heart Association. Kuzungulira. Chizindikiro. 2017; 135 (17): e927-e999. PMID: 28356445 www.ncbi.nlm.nih.gov/pubmed/28356445. (Adasankhidwa)

Raees M. Cardiology. Mu: Chipatala cha Johns Hopkins, Hughes HK, Kahl LK, eds. Buku la Harriet Lane. Wolemba 21. Philadelphia, PA: Elsevier; 2018: mutu 7.

Pezani nkhaniyi pa intaneti Xue LJ, Wu R, Du GL, et al. Mphamvu ndi chitetezo cha ma TNF inhibitors mu matenda a Kawasaki omwe sagonjetsedwa ndi immunoglobulin: kusanthula meta. Clin Rev Ziwengo Immunol. 2017; 52 (3): 389-400. PMID: 27550227 www.ncbi.nlm.nih.gov/pubmed/27550227.