Matenda a Kawasaki, Zizindikiro ndi Chithandizo chake ndi chiyani

Zamkati

• Zizindikiro zazikulu
• Kodi pali ubale wotani ndi COVID-19
• Momwe mungatsimikizire matendawa
• Momwe mankhwalawa amachitikira

Matenda a Kawasaki ndimakhalidwe osowa aubwana omwe amadziwika ndi kutupa kwa khoma lamitsempha yamagazi lomwe limapangitsa kuti mawanga akhungu, malungo, ma lymph node owonjezera ndipo, mwa ana ena, kutupa kwamtima komanso kolumikizana.

Matendawa sakhala opatsirana ndipo amapezeka pafupipafupi kwa ana mpaka zaka 5, makamaka anyamata. Matenda a Kawasaki nthawi zambiri amayamba chifukwa cha kusintha kwa chitetezo chamthupi, komwe kumapangitsa kuti maselo achitetezo omwewo azitha kuwukira mitsempha yamagazi, zomwe zimabweretsa kutupa. Kuphatikiza pazomwe zimayambitsa autoimmune, amathanso kuyambitsidwa ndi ma virus kapena ma genetic.

Matenda a Kawasaki amachiritsidwa akazindikiritsidwa ndikuchiritsidwa mwachangu, ndipo mankhwala ayenera kuchitidwa molingana ndi malangizo a dotolo, omwe nthawi zambiri amaphatikizapo kugwiritsa ntchito aspirin kuti athetse kutupa ndi jakisoni wa ma immunoglobulins kuti athane ndi kuyankha kwadzidzidzi.

Zizindikiro zazikulu

Zizindikiro za matenda a Kawasaki zikukula ndipo zimatha kukhala magawo atatu a matendawa. Komabe, si ana onse omwe ali ndi zizindikilo zonse. Gawo loyamba la matendawa limadziwika ndi izi:

• Kutentha kwakukulu, nthawi zambiri kumakhala pamwamba pa 39 ºC, kwa masiku osachepera 5;
• Kukwiya;
• Maso ofiira;
• Milomo yofiira ndikuphwanyika;
• Lilime latupa komanso lofiira ngati sitiroberi;
• Khosi lofiira;
• Malilime a khosi;
• Kanjedza zofiira ndi zidendene za mapazi;
• Kuwonekera kwa mawanga ofiira pakhungu la thunthu komanso malo ozungulira thewera.

Gawo lachiwiri la matendawa, pamayamba kuphulika pakhungu pazala ndi zala zakumapazi, kupweteka pamiyendo, kutsegula m'mimba, kupweteka m'mimba ndi kusanza komwe kumatha pafupifupi milungu iwiri.

Gawo lachitatu komanso lomaliza la matendawa, zizindikilo zimayamba kuchepa pang'onopang'ono mpaka kuzimiririka.

Kodi pali ubale wotani ndi COVID-19

Pakadali pano, matenda a Kawasaki sawonedwa ngati vuto la COVID-19. Komabe, malinga ndi zomwe ana ena adayeza atapezeka ndi COVID-19, makamaka ku United States, nkutheka kuti kachilombo koyambitsa matendawa kamene kamayambitsa matenda omwe ali ndi matenda ofanana ndi matenda a Kawasaki, omwe ndi malungo , mawanga ofiira pathupi ndi kutupa.

Dziwani zambiri za momwe COVID-19 imakhudzira ana.

Momwe mungatsimikizire matendawa

Kupezeka kwa matenda a Kawasaki kumapangidwa molingana ndi zomwe bungwe la American Heart Association limakhazikitsa. Chifukwa chake, izi zimayesedwa:

• Malungo masiku asanu kapena kupitilira apo;
• Conjunctivitis popanda mafinya;
• Kukhalapo kwa lilime lofiira ndi lotupa;
• Kufiira kwa Oropharyngeal ndi edema;
• Kuwonetseratu kwa ziphuphu ndi kufiira kwa milomo;
• Kufiira ndi edema ya manja ndi miyendo, ndikutuluka m'chiuno;
• Kupezeka kwa mawanga ofiira pathupi;
• Kutupa ma lymph node m'khosi.

Kuphatikiza pa kuyezetsa kwazachipatala, mayeso atha kulamulidwa ndi dokotala wa ana kuti athandizire kutsimikizira matendawa, monga kuyezetsa magazi, echocardiogram, electrocardiogram kapena X-ray pachifuwa.

Momwe mankhwalawa amachitikira

Matenda a Kawasaki amachiritsidwa ndipo chithandizo chake chimakhala ndikugwiritsa ntchito mankhwala ochepetsa kutupa komanso kupewa kuwonjezeka kwa zizindikilo. Kawirikawiri mankhwalawa amachitika pogwiritsa ntchito aspirin kuti achepetse kutentha thupi ndi kutupa kwa mitsempha ya magazi, makamaka mitsempha ya mtima, komanso kuchuluka kwa ma immunoglobulins, omwe ndi mapuloteni omwe ali mbali ya chitetezo chamthupi, kwa masiku 5, kapena malingana ndi upangiri wa zamankhwala.

Malungo atatha, kugwiritsa ntchito mankhwala ochepetsa aspirin kumatha kupitilira kwa miyezi ingapo kuti muchepetse kuvulala kwamitsempha yam'mimba ndi kapangidwe kake. Komabe, kuti mupewe Reye's Syndrome, yomwe ndi matenda omwe amabwera chifukwa chogwiritsa ntchito aspirin kwa nthawi yayitali, Dipyridamole itha kugwiritsidwa ntchito molingana ndi malangizo a adotolo.

Chithandizo chiyenera kuchitidwa nthawi yachipatala kufikira pomwe palibe chiopsezo ku thanzi la mwanayo ndipo sizingachitike zovuta zina, monga mavuto a valavu yamtima, myocarditis, arrhythmias kapena pericarditis. Vuto lina lomwe lingachitike chifukwa cha matenda a Kawasaki ndikupanga ma aneurysms m'mitsempha yama coronary, yomwe imatha kubweretsa kutsekeka kwa mitsempha ndipo, chifukwa chake, infarction ndi kufa kwadzidzidzi. Onani zizindikiro zake, zomwe zimayambitsa komanso momwe amachizira.