Kawasaki chirwere

Kawasaki chirwere chinowanikwa chisingawanzo chinosanganisira kuzvimba kwemitsipa yeropa. Zvinoitika muvana.

Kawasaki chirwere chinowanzoitika muJapan, kwayakatanga kuwanikwa. Chirwere chinoonekwa kakawanda muvakomana kupfuura kuvasikana. Vazhinji vevana vanovandudza mamiriro aya vadiki pane zera rechishanu.

Chirwere cheKawasaki hachina kunyatsonzwisiswa uye chikonzero chacho hachisati chazivikanwa. Inogona kunge iri autoimmune kusagadzikana. Dambudziko rinokanganisa mucous membranes, lymph node, madziro emitsipa yeropa, uye nemoyo.

Kawasaki chirwere chinowanzotanga nefivha ye102 ° F (38.9 ° C) kana yakakwira isingaendi. Iyo fivhiri inowanzo kuve yakakwira se104 ° F (40 ° C). Fivha inogara mazuva mashanu kana kupfuura chiratidzo chinowanzoitika chekusagadzikana. Iyo fivhiri inogona kutora kweanosvika mavhiki maviri. Iyo fivhiri kazhinji haiuye pasi neyakajairwa madosi eacetaminophen (Tylenol) kana ibuprofen.

Zvimwe zviratidzo zvinowanzo sanganisira:

• Ropa kana maziso matsvuku (asina pus kana drainage)
• Akatsvuka akatsvuka, akadzipwa, kana kutsemuka miromo
• Mutsvuku mutsvuku mumuromo
• "Strawberry" rurimi, nechena kuputira parurimi, kana anooneka matsvuku mapundu kumusana kwerurimi
• Dzvuku, kuzvimba kwembama nemaoko etsoka
• Ganda rinoputika pakati pemuviri, HERE blister-yakafanana
• Kubvisa ganda munzvimbo yekubereka, maoko, uye tsoka (kunyanya kutenderedza nzara, mapama, uye zvigaro)
• Kuzvimba lymph node mumutsipa (kazhinji kacho lymph node imwe chete kuzvimba)
• Joint kurwadziwa uye kuzvimba, kazhinji pamativi ese emuviri

Zvimwe zviratidzo zvinogona kusanganisira:

• Kushatirwa
• Dhairrhea, kurutsa, uye kurwadziwa mudumbu
• Kukosora uye kumhanya mhino

Miedzo yega haigone kuongorora chirwere cheKawasaki. Kazhinji yenguva, mupi wezvehutano anozoongorora chirwere kana mwana aine akawanda ezviratidzo zvakajairika.

Mune zvimwe zviitiko, mwana anogona kuve nefivhiri iyo inopedza anopfuura mazuva mashanu, asi kwete zvese zvinozivikanwa zviratidzo zvechirwere. Vana ava vanogona kuongororwa vaine atypical chirwere cheKawasaki.

Vese vana vane fivha inogara mazuva anodarika mashanu vanofanirwa kuongororwa chirwere cheKawasaki nemupi anopa. Vana vane chirwere vanoda kurapwa nekukurumidza kuitira mhedzisiro yakanaka.

Iyi bvunzo inotevera inogona kuitwa:

• Chest x-ray
• Yakazara kuverenga ropa
• C-inoshanda mapuroteni (CRP)
• Erythrocyte sedimentation chiyero (ESR)
• Ferritin
• Serum albumin
• Serum transaminase
• Urinalysis - inogona kuratidza pus mune weti kana protein mune weti
• Mutsika mutsika we streptococcus
• Echocardiogram
• Electrocardiogram

Kuyedza kwakadai seECG uye echocardiography kunoitwa kutsvaga zviratidzo zve myocarditis, pericarditis, uye kuzvimba kwecoronary arteri. Arthritis uye aseptic meningitis inogona zvakare kuitika.

Vana vane chirwere cheKawasaki vanoda kurapwa muchipatara. Kurapa kunofanirwa kutanga ipapo kudzivirira kukanganisa kune coronary arteri nemoyo.

Inopinza gamma globulin ndiyo inorapwa. Iyo inopihwa mune yakakwira madhizaini seimwe infusion. Mamiriro emwana anowanzo kuwana zvirinani mukati memaawa makumi maviri nemana ekurapwa neIV gamma globulin.

Yakakwira-dose aspirin inowanzo kupihwa pamwe neIV gamma globulin.

Kunyangwe neyakajairwa kurapwa, anosvika mumwe muvana vana anogona achiri kukura matambudziko mune yavo coronary arteri. Mune vana vanorwara kana avo vane zviratidzo zvehosha yemoyo, kuwedzera corticosteroids inokurudzirwa. Tumor necrosis factor (TNF) inhibitors senge infliximab (Remicade) kana etanercept (Enbrel) haina kukurudzirwa kurapwa kwekutanga. Nekudaro, pachine zvimwe zvinofanirwa kuve nemiedzo iri nani kutaura kuti ndevapi vana vachabatsirwa nemishonga iyi.

Vana vazhinji vanogona kupora zvizere kana chirwere chikabatwa nekurapwa nekukasika. Vanenge mumwe chete pavana vana vanofa nematambudziko emoyo anokonzerwa nechirwere ichi. Vanhu vane chirwere cheKawasaki vanofanirwa kunge vane echocardiogram makore ese 1 kusvika maviri ekuvhenekera matambudziko emoyo.

Chirwere cheKawasaki chinogona kukonzera kuzvimba kwemitsipa yeropa mumatsinga, kunyanya aron coronary. Izvi zvinogona kutungamira kune aneurysm. Kazhinji, zvinogona kutungamira pakurwara kwemoyo pazera diki kana gare gare muhupenyu.

Fonera mupiki wako kana zviratidzo zvechirwere cheKawasaki zvichikura. Yakatsemuka, miromo mitsvuku uye kuzvimba uye kutsvuka kunokura munzvimbo dzakakanganisika dzakadai semichindwe netsoka dzetsoka. Kana izvi zvinetso zvikaitika pamwe chete nefivha yakakwira isingauyi neacetaminophen kana ibuprofen, mwana wako anofanira kuongororwa nemupi.

Iko hakuna nzira dzinozivikanwa dzekudzivirira kusagadzikana uku.

Mucocutaneous lymph node syndrome; Mucheche polyarteritis

• Kawasaki chirwere - edema yeruoko
• Chirwere cheKawasaki - peeling yeminwe

Abrams JY, Belay ED, Uehara R, Maddox RA, Schonberger LB, Nakamura Y. Cardiac matambudziko, kurapwa kwekutanga, uye chirwere chekutanga chakasimba muchirwere cheKawasaki. J Pediatr. 2017; 188: 64-69. PMID: 28619520 www.ncbi.nlm.nih.gov/pubmed/28619520.

American Academy yePediatrics. Kawasaki chirwere. Mune: Kimberlin DW, Brady MT, Jackson MA, Yakareba SS, eds. Red Book: 2018 Chirevo cheKomiti yeZvirwere zvinotapukira. 31 ed. Itasca, IL: American Academy yePediatrics; 2018: 490.

McCrindle BW, Rowley AH, Newburger JW, et al. Kuongororwa, kurapwa, uye kwenguva refu manejimendi yechirwere cheKawasaki: chirevo chesainzi chevashandi vehutano kubva kuAmerican Heart Association. Kutenderera. 2017; 135 (17): e927-e999. PMID: 28356445 www.ncbi.nlm.nih.gov/pubmed/28356445.

Raees M. Cardiology. Mune: The Johns Hopkins Hospital, Hughes HK, Kahl LK, eds. Harriet Lane Handbook. 21st ed. Philadelphia, PA: Elsevier; 2018: chits. 7.

Xue LJ, Wu R, Du GL, uye al. Mhedzisiro uye chengetedzo yeTNF inhibitors mune immunoglobulin-inodzivirira Kawasaki Chirwere: meta-ongororo. Kliniki Rev Allergy Immunol. 2017; 52 (3): 389-400. PMID: 27550227 www.ncbi.nlm.nih.gov/pubmed/27550227.