Siyini isifo seKawasaki, Izimpawu kanye nokwelashwa kwaso

-Delile

• Izimpawu nezimpawu eziyinhloko
• Buyini ubudlelwano ne-COVID-19
• Ungakuqinisekisa kanjani ukuxilongwa
• Yelashwa kanjani

Isifo i-Kawasaki yisimo esingajwayelekile sobuntwana esivezwa ukuvuvukala kodonga lwemithambo yegazi okuholela ekubonakaleni kwamabala esikhunjeni, umkhuhlane, ama-lymph node akhulisiwe futhi, kwezinye izingane, ukuvuvukala kwenhliziyo nokuhlangene.

Lesi sifo asithelelani futhi sivela kaningi ezinganeni ezineminyaka engama-5 ubudala, ikakhulukazi kubafana. Isifo i-Kawasaki sivame ukubangelwa izinguquko kumasosha omzimba, okudala ukuthi amaseli wokuzivikela wona ahlasele imithambo yegazi, okuholele ekuvukeleni. Ngaphezu kwesizathu sokuzimela, kungabangelwa futhi ngamagciwane noma izici zofuzo.

Isifo i-Kawasaki siyelapheka uma sikhonjwa selashwa ngokushesha, futhi ukwelashwa kufanele kwenziwe ngokuyalelwa ngudokotela wezingane, okuvame ukuthi, kubandakanya ukusetshenziswa kwe-aspirin ukuqeda ukuvuvukala nomjovo wama-immunoglobulin ukulawula ukuphendula okuzenzakalelayo.

Izimpawu nezimpawu eziyinhloko

Izimpawu zesifo sikaKawasaki ziyaqhubeka futhi zingaveza izigaba ezintathu zalesi sifo. Kodwa-ke, akuzona zonke izingane ezinazo zonke izimpawu. Isigaba sokuqala sesifo sibonakala ngezimpawu ezilandelayo:

• Umkhuhlane omkhulu, imvamisa ungaphezulu kuka-39 ºC, okungenani izinsuku ezi-5;
• Ukuthukuthela;
• Amehlo abomvu;
• Izindebe ezibomvu nezishwabene;
• Ulimi luvuvukile futhi lwabomvu njenge-sitrobheli;
• Umphimbo obomvu;
• Izilimi zezintamo;
• Izintende ezibomvu namathe ezinyawo;
• Ukubukeka kwamabala abomvu esikhunjeni sesiqu nasendaweni ezungeze inabukeni.

Esigabeni sesibili sesifo, kuqala ukubakhona kwesikhumba eminweni nasezinzwaneni, ubuhlungu bamalunga, isifo sohudo, ubuhlungu besisu nokuhlanza okungathatha cishe amasonto amabili.

Esigabeni sesithathu nesokugcina sesifo, izimpawu ziqala ukwehla kancane kancane zize zinyamalale.

Buyini ubudlelwano ne-COVID-19

Kuze kube manje, isifo sikaKawasaki asibhekwa njengenkinga ye-COVID-19. Kodwa-ke, futhi ngokusho kokubukwa okwenziwe kwezinye izingane ezihlolwe zine-COVID-19, ikakhulukazi e-United States, kungenzeka ukuthi uhlobo lokutheleleka olusencane lwe-coronavirus entsha lubanga isifo esinezimpawu ezifana nesifo sikaKawasaki, okuwumkhuhlane , amabala abomvu emzimbeni nokuvuvukala.

Funda kabanzi mayelana nokuthi i-COVID-19 izithinta kanjani izingane.

Ungakuqinisekisa kanjani ukuxilongwa

Ukutholakala kwesifo seKawasaki kwenziwa ngokuya ngemibandela esungulwe yi-American Heart Association. Ngakho-ke, kubhekwa izindlela ezilandelayo:

• Umkhuhlane izinsuku ezinhlanu noma ngaphezulu;
• I-conjunctivitis ngaphandle kwe-pus;
• Ubukhona bolimi olubomvu nokuvuvukala;
• Ububomvu be-Oropharyngeal ne-edema;
• Ukubukwa kwe-fissures nokubomvu kwezindebe;
• Ububomvu ne-edema yezandla nezinyawo, nge-flaking endaweni ye-groin;
• Ubukhona bamabala abomvu emzimbeni;
• I-lymph node evuvukile entanyeni.

Ngaphezu kokuhlolwa komtholampilo, izivivinyo zingayalelwa ngudokotela wezingane ukusiza ukuqinisekisa ukuxilongwa, njengokuhlolwa kwegazi, i-echocardiogram, i-electrocardiogram noma i-X-ray yesifuba.

Yelashwa kanjani

Isifo sikaKawasaki siyelapheka kanti ukwelashwa kwaso kuqukethe ukusetshenziswa kwemithi ukwehlisa ukuvuvukala nokuvikela ukwanda kwezimpawu. Imvamisa ukwelashwa kwenziwa ngokusetshenziswa kwe-aspirin ukunciphisa umkhuhlane nokuvuvukala kwemithambo yegazi, ikakhulukazi imithambo yenhliziyo, kanye nemithamo ephezulu yama-immunoglobulin, okungamaprotheni ayingxenye yesistimu yomzimba, izinsuku ezi-5, noma ngezeluleko zezokwelapha.

Ngemuva kokuphela komkhuhlane, ukusetshenziswa kwamanani amancane we-aspirin kungaqhubeka izinyanga ezimbalwa ukunciphisa ubungozi bokulimala emithanjeni yenhliziyo nokwakheka kwamahlule. Kodwa-ke, ukugwema iReye's Syndrome, okuyisifo esidalwa ukusetshenziswa isikhathi eside kwe-aspirin, iDipyridamole ingasetshenziswa ngokuyalelwa ngudokotela wezingane.

Ukwelashwa kufanele kwenziwe ngesikhathi sokulaliswa esibhedlela kuze kube ayikho ingozi empilweni yengane futhi akunakwenzeka ukuthi kube nezinkinga, njengezinkinga ze-valve yenhliziyo, i-myocarditis, i-arrhythmias noma i-pericarditis. Okunye okungenzeka kube yisifo seKawasaki ukwakheka kwama-aneurysms emithanjeni ye-coronary, engaholela ekuvinjelweni komthambo futhi, ngenxa yalokho, i-infarction nokufa okungazelelwe. Bona ukuthi yiziphi izimpawu, izimbangela nokuthi i-aneurysm iphathwa kanjani.