Matenda Kawasaki

Kawasaki matenda ali osowa kwambiri, makamaka dziko lathu. Dzinali ena - chimphona selo arteritis. Mlandu limafotokonzera 1967 ku Japan, komwe mpaka pano matenda ndi zambiri wamba kuposa mayiko ena.

etiology ake ndi zisanathe bwino, koma zilipo mfundo wothandizila ndi retrovirus omwe amachititsa kutupa Mitsempha mu thupi la munthu. N'zochititsa chidwi kuti matenda Kawasaki amakhudza makamaka ana osaposa zaka 4 wa zaka amene kuchepa chitetezo, ndi zambiri kuposa anyamata. Mu dziko lathu matenda a "Kawasaki matenda 'mwa kawirikawiri za milandu B10 pa chaka. Komabe, chithunzi chenicheni akhale apamwamba, chifukwa dokotala aliyense ukulephera kuwazindikira zizindikiro ndi kuika matenda zolondola.

Ngakhale zizindikiro zosiyanasiyana, matenda ofunika mfundo angapo ofunika. matenda Kawasaki umayamba ndi kuwonjezeka kutentha, sipangakhalenso inachitika kuyambira 5-10 kwa 15-20dney. Odwala kukhala conjunctivitis, kumene kumakhudza maso onse. Patatha milungu iwiri isanayambike khungu pa Yakanjedza ndi zidendene wasindikizidwa, blushes ndi kuyamba peel kutali. Zimachitika kuti matenda Kawasaki limodzi ndi zidzolo pa mbali zosiyanasiyana za thupi, atavala khalidwe polymorphous. Patapita kanthawi, izo amawonjezereka, kenako kusiyiratu. Ngati inu muyang'ane mu mwana pakamwa odwala, mungapeze otchedwa "sitiroberi" lilime kutupa, ofiira owala mu mtundu ndi kukhalapo kwa kukha magazi ang'onoang'ono m'kamwa, mkati mwa masaya. milomo komanso asamatupe ndi losweka. Mpatuko hyperemia pakhosi, kuchulukana m'mphuno amapezeka. Nthawi zambiri ndi dzanja limodzi pa mfundo khosi lymph ndi kuchuluka, amene amayambitsa kupweteka pa palpation. Ndi Associated matenda a Kawasaki monga mutu, malaise, molumikizana mafupa, kudzimbidwa, limodzi ndi ululu komanso kusanza.

Matenda a dokotala amaika onse pamaziko zizindikiro matenda, natsogozedwa ndi zotsatira za mayeso mtima. Ngati kuchuluka misinkhu ya erythrocyte mlingo sedimentation, C-zotakasika mapuloteni, antitrypsin, transaminases ndi magawo mu magazi wodwalayo kunena za magazi m'thupi ndi thrombocytosis, adokotala musazengereze pakupanga matenda a Kawasaki. Matendawa ali ndi makhalidwe oipa pamaso pa mapuloteni mu mkodzo ndi mafinya.

Matenda oopsa zomwe zingachititse mavuto mtima, mpaka pakutchulidwa kulephera mtima, m'mnyewa wamtima infarction ndi matenda a chikasu ndiyo. Wodwala pa kukayikirana pang'ono Kawasaki anatumiza Ataona kuti cardiologist ndi echocardiography. Mu mawonekedwe pachimake cha matenda, kumeneko ndi kutukusira kwa minofu mtima. Ngakhale ziwerengero Zikatero n'zochepa. Koma aneurysms ya mitsempha inatsekeratu ambiri akufotokozera mu 20% odwala. Ngati akudwala wake angawononge meninges, angathe meninjaitisi aseptic. Pamene mavuto limapezeka pa mfundo nyamakazi, ndi kugonjetsedwa kwa ndulu ya - hydrocephalus, zosokonezeka mulinso TV otitis.

Mankhwalawa matenda kwenikweni zochokera kwa chitetezo cha dongosolo mtima ndi kupewa zolephera m'zochita zake. Wodwala Kwalamulidwa ndi mankhwala si steroidal odana ndi yotupa mu mlingo waukulu, corticosteroid creams ndi zodzola. Tsiku kwa masiku 5-7 munthu wodwala m'nsinga kutumikiridwa immunoglobulin kumapangitsanso chitetezo chokwanira ndi kusintha mofulumira wodwalayo. Zoterezi odziwika mankhwala mankhwala monga aspirin ndi kuti athe kuthandizapo kwambiri polimbana ndi matenda osowa. Chili katundu angapo ndipo ntchito ngati antipyretic, odana ndi yotupa ndi magazi-kupatulira wothandizira. Pankhani ya matenda Kawasaki, amagwiritsidwanso ntchito ngakhale ana osakwana zaka 12. Posachedwapa, magazi n'kakang'ono heparin kutumikiridwa odwala. Makamaka bwino matenda Kawasaki amaliona kumabungwe zachipatala Israeli, kumene odwala anakumana plasmapheresis ndondomeko - yoyeretsa madzi a m'magazi.