Chii chinonzi Kawasaki Chirwere, Zviratidzo uye Kurapa

Zvemukati

• Zviratidzo zvikuru nezviratidzo
• Chii chinonzi hukama neCOVID-19
• Maitiro ekusimbisa kuongororwa
• Kurapwa kunoitwa sei

Chirwere cheKawasaki chiitiko chisingawanzoitika chehucheche chinoratidzwa nekuputika kweropa remidziyo remadziro rinotungamira pakuonekwa kwemavara paganda, fivhiri, yakawedzera lymph node uye, mune vamwe vana, kuzvimba kwemoyo uye kwemajoini.

Ichi chirwere hachipararire uye chinoitika kazhinji muvana kusvika pamakore mashanu ekuberekwa, kunyanya muvakomana. Kawasaki chirwere chinowanzo kukonzerwa neshanduko mune immune system, iyo inokonzeresa maseru ekudzivirira pachawo kurwisa tsinga dzeropa, zvichitungamira mukuzvimba. Pamusoro pechikonzero autoimmune, icho chinogona zvakare kukonzerwa nemavirusi kana majini zvinhu.

Chirwere cheKawasaki chinorapika kana chikazivikanwa nekurapwa nekukasira, uye kurapwa kunofanira kuitwa zvinoenderana nekutungamira kwachiremba wevana, uko, kazhinji, kunosanganisira kushandiswa kweaspirini kubvisa kuzvimba uye jekiseni remunogoglobulin kudzora mhinduro autoimmune.

Zviratidzo zvikuru nezviratidzo

Zviratidzo zvechirwere cheKawasaki zviri kufambira mberi uye zvinogona kuratidza matanho matatu echirwere. Zvisinei, havasi vana vese vane zviratidzo zvese. Chikamu chekutanga chechirwere chinoratidzwa nezviratidzo zvinotevera:

• High fever, kazhinji iri pamusoro pe39 ºC, kwemazuva mashanu;
• Kutsamwa;
• Maziso matsvuku;
• Miromo yakatsvuka uye yakatemwa;
• Rurimi rwazvimba nekutsvuka kunge sitirobheri;
• Mutsipa mutsvuku;
• Mitauro yemitsipa;
• Matsvuku matsvuku uye pasi petsoka;
• Chitarisiko chemavara matsvuku paganda remuti uye munzvimbo yakatenderedza diaper.

Muchikamu chechipiri chechirwere, panotanga kuve nekuputika kweganda pazvigunwe nezvigunwe, kurwadza kwemajoini, manyoka, kurwadziwa mudumbu uye kurutsa izvo zvinogona kugara kweanosvika mavhiki maviri.

Muchikamu chechitatu uye chekupedzisira chechirwere, zviratidzo zvinotanga kudzikira zvishoma nezvishoma kusvika zvanyangarika.

Chii chinonzi hukama neCOVID-19

Parizvino, chirwere cheKawasaki hachifungidzirwe kusanzwanana kwe COVID-19. Nekudaro, uye sekucherechedzwa kwakaitwa mune vamwe vana vakaedza hutachiona hweECVID-19, kunyanya muUnited States, zvinokwanisika kuti rudzi rwehutachiona hwehutachiona neiyo coronavirus nyowani inokonzera chirwere chine zviratidzo zvakafanana nechirwere cheKawasaki, icho fivhiri. , matsvuku mavara pamuviri nekuzvimba.

Dzidza zvakawanda nezvekuti COVID-19 inobata sei vana.

Maitiro ekusimbisa kuongororwa

Kuongororwa kwechirwere cheKawasaki kunoitwa zvinoenderana nezvakatemwa neAmerican Heart Association. Nekudaro, izvo zvinotevera zvinotariswa:

• Fivha kwemazuva mashanu kana kupfuura;
• Conjunctivitis isina pus;
• Kuvapo kwerurimi rutsvuku uye rwakazvimba;
• Kutsvuka kweOropharyngeal uye edema;
• Kufungidzira kwekuputika uye kubwinya kwemuromo;
• Kutsvuka uye edema yemaoko nemakumbo, iine kupenya munzvimbo yekugomera;
• Kuvapo kwemavara matsvuku pamuviri;
• Kuzvimba lymph node mumutsipa.

Pamusoro pekuongororwa kwekiriniki, bvunzo dzinogona kurairwa nachiremba wevana kuti abatsire kusimbisa kuongororwa, kwakadai sekuongororwa kweropa, echocardiogram, electrocardiogram kana X-ray yechifuva.

Kurapwa kunoitwa sei

Chirwere cheKawasaki chinorapika uye kurapwa kwacho kunosanganisira kushandiswa kwemishonga kudzikisa kuzvimba uye kudzivirira kuwedzera kwezviratidzo. Kazhinji kurapwa kunoitwa nekushandisa aspirin kudzikisa kupisa uye kuzvimba kwemitsipa yeropa, kunyanya tsinga dzemoyo, uye madosi epamusoro emunogoglobulins, ari mapuroteni ari chikamu chemuviri, kwemazuva mashanu, kana maererano nemazano ekurapa.

Mushure mekunge fivhiri yapera, kushandiswa kwemadhosi madiki easpirin kunogona kuenderera kwemwedzi mishoma kudzikisa njodzi yekukuvara kumitsipa yemoyo uye kugadzirwa kwegadziriro. Nekudaro, kunzvenga Reye's Syndrome, chinova chirwere chinokonzerwa nekushandisa kwenguva yakareba asipurini, Dipyridamole inogona kushandiswa sekutungamira kwachiremba wevana.

Kurapa kunofanira kuitwa panguva yekugara muchipatara kusvika pasisina njodzi kuhutano hwemwana uye pasina mukana wezvinetso, senge matambudziko emoyo wemagetsi, myocarditis, arrhythmias kana pericarditis. Chimwe chinetso chinokwanisika chechirwere cheKawasaki kugadzirwa kweaneurysms mune aron coronary arteri, izvo zvinogona kukonzeresa kuvharika kwetsinga uye, zvichidaro, infarction uye kamwe kamwe kufa. Ona kuti ndezvipi zviratidzo, zvinokonzeresa uye kuti aneurysm inorapwa sei.