Koj tus me nyuam puas tau kub taub hau tau ob peb hnub lawm? Cia peb tham txog Kab Mob Kawasaki

Koj tus me nyuam puas kub taub hau tsis tau poob qis tshaj tsib hnub? Puas muaj cov pob liab thoob plaws lawv lub cev? Lawv lub qhov muag puas liab thiab lawv daim di ncauj puas tawg? Peb ntshai npaum li cas ua niam txiv thaum lub sijhawm zoo li no? Txawm tias koj xav tias nws tsuas yog kub taub hau ib txwm lossis mob khaub thuas, qee zaum nws tuaj yeem yog qee yam loj dua. Hnub no, peb yuav tham txog ib qho mob tsis tshua muaj uas cuam tshuam rau cov menyuam yaus uas yuav tsum tau kuaj mob thiab kho sai. Ntawd yog Kab Mob Kawasaki.

Kab mob Kawasaki yog dab tsi?

Hais yooj yim xwb, kab mob Kawasaki yog ib yam mob uas cov hlab ntsha (cov hlab ntsha) hauv peb lub cev o, uas yog, lawv o thiab liab. Hauv kev kho mob, peb hu qhov no ua vasculitis . Xav txog cov hlab ntsha thoob plaws peb lub cev zoo li cov kav dej uas nqa dej. Yuav ua li cas yog tias cov kav dej no o los ntawm sab hauv? Cov ntshav ntws raug cuam tshuam, thiab cov phab ntsa ntawm cov kav dej ntawd kuj tuaj yeem qaug zog.

Txawm hais tias tus kab mob no tuaj yeem cuam tshuam rau txhua txoj hlab ntsha hauv lub cev, ua cov kws kho mob, peb txhawj xeeb tshaj plaws txog cov hlab ntsha hauv lub plawv, uas muab ntshav rau lub plawv. Vim tias lub plawv yog lub cav ntawm peb lub cev. Cov hlab ntsha tseem ceeb uas muab ntshav rau lub cav ntawd hu ua cov hlab ntsha hauv lub plawv. Yog tias cov no o lossis qaug zog, kev ua haujlwm ntawm lub plawv tuaj yeem raug puas tsuaj loj heev.

Kab mob no feem ntau tshwm sim rau cov menyuam yaus hnub nyoog ntawm 6 lub hlis thiab 5 xyoos . Txawm li cas los xij, qhov zoo tshaj plaws yog tias yog tias kuaj pom tus kab mob raws sijhawm thiab pib kho kom zoo, feem ntau cov menyuam yaus yuav zoo tag nrho hauv ob lub hlis. Yog li ntawd, nws yog ib qho tseem ceeb kom tsis txhob ntshai thiab paub txog cov tsos mob.

Kab mob no feem ntau tshwm sim li cas?

Kab mob Kawasaki yog ib yam kab mob tsis tshua muaj. Hauv cov tebchaws xws li Tebchaws Meskas thiab Canada, nws cuam tshuam rau ntawm 10 thiab 20 ntawm 100,000 tus menyuam yaus hnub nyoog qis dua 5 xyoos. Txawm li cas los xij, hauv cov tebchaws Es Xias xws li Nyiv Pooj thiab Kauslim Teb, tus lej no siab dua me ntsis. Qhov tseem ceeb tshaj plaws yog tias kab mob Kawasaki tau dhau los ua qhov ua rau muaj kab mob plawv hauv cov menyuam yaus hauv cov tebchaws tsim kho.

Cov tsos mob ntawm tus kab mob no yog dab tsi? Peb yuav paub nws li cas?

Ua ib tug niam txiv, koj yuav tsum ceev faj txog qhov no. Vim tias cov tsos mob no zoo ib yam li cov mob khaub thuas uas feem ntau kis los ntawm cov kab mob sib kis. Tab sis thaum cov tsos mob no los ua ke koj yuav tsum tau ua tib zoo saib xyuas.

Cia peb saib lwm cov yam ntxwv tseem ceeb hauv txoj kev no kom yooj yim nco qab.

Muaj ib txhia menyuam tsis qhia tag nrho cov tsos mob no ib zaug. Yog tias tsuas muaj ob peb yam tsos mob xwb, peb hu ua tus kab mob Kawasaki tsis tiav . Txawm li cas los xij, nws yog ib qho tseem ceeb heev uas yuav tsum coj koj tus menyuam mus ntsib kws kho mob tam sim ntawd, txawm tias lawv muaj ib lossis ob qho ntawm cov tsos mob no nrog rau kub taub hau.

Vim li cas tus kab mob no thiaj tshwm sim? Puas yog nws kis tau?

Qhov tseeb, cov kws kho mob tseem tsis tau pom qhov ua rau muaj tus kab mob Kawasaki, tab sis muaj ntau lub tswv yim.

• Kev teb rau kev kis kab mob: Qee cov kws tshawb fawb ntseeg tias thaum ib tug kab mob lossis cov kab mob nkag mus rau hauv lub cev, peb lub cev tiv thaiv kab mob ua rau nws dhau heev, ua rau cov hlab ntsha puas tsuaj.
• Tej yam ib puag ncig: Tus kab mob no feem ntau tshwm sim rau qee lub sijhawm ntawm lub xyoo, tshwj xeeb tshaj yog thaum lub caij ntuj no lig thiab thaum ntxov caij nplooj ntoos hlav.
• Kev muaj feem yuav mob los ntawm noob caj noob ces: Nws ntseeg tau tias cov menyuam yaus uas muaj qee cov noob caj noob ces yuav muaj feem yuav mob no ntau dua.

Leej twg muaj kev pheej hmoo siab dua?

• Cov menyuam txiv neej muaj feem yuav muaj kev pheej hmoo ntau dua li cov menyuam poj niam.
• Cov menyuam yaus hnub nyoog qis dua 5 xyoos.
• Rau cov menyuam yaus ntawm cov neeg Esxias lossis Pacific Islander.

Cov teeb meem dab tsi ua rau tus kab mob Kawasaki txaus ntshai?

Qhov no yog qhov uas peb yuav tsum tau ua tib zoo saib xyuas tshaj plaws. Yog tias tsis kho lossis kho lig, cov teeb meem uas yuav tshwm sim, tshwj xeeb tshaj yog cov uas cuam tshuam nrog lub plawv, tuaj yeem ua rau muaj kev phom sij.

• Kab mob plawv (coronary artery aneurysms): Qhov no yog qhov teeb meem loj tshaj plaws thiab txaus ntshai tshaj plaws. Kab mob aneurysm yog qhov o ntawm phab ntsa hlab ntsha uas tau qaug zog vim yog o. Cov no tuaj yeem o thiab qee zaum tawg.
• Mob plawv nres: Yog tias cov ntshav txhaws hauv lub aneurysm thiab thaiv cov ntshav ntws mus rau lub plawv, mob plawv nres tuaj yeem tshwm sim.
• Myocarditis: o ntawm cov leeg nqaij plawv.
• Teeb meem ntawm lub plawv valve: Lub plawv valve tuaj yeem puas tsuaj thiab tsis qhib lossis kaw kom zoo.
• Mob plawv tsis ua haujlwm: Lub plawv tsis muaj peev xwm tso ntshav txaus rau lub cev tag nrho.

Hnov txog cov teeb meem no yuav ua rau koj ntshai. Tab sis nco ntsoov, feem ntau ntawm cov teeb meem no tuaj yeem tiv thaiv tau yog tias pib kho mob hauv 10 hnub thawj zaug ntawm qhov pib muaj cov tsos mob. Yog vim li ntawd peb thiaj hais tias yog tias koj kub taub hau thiab cov tsos mob tau hais los saum toj no, mus ntsib kws kho mob yam tsis muaj kev ncua.

Tus kws kho mob kuaj mob li cas tiag?

Tsis muaj ib qho kev kuaj ntshav lossis kev ntsuas uas tuaj yeem lees paub tus kab mob Kawasaki. Tus kws kho mob ua qhov kev kuaj mob los ntawm kev saib xyuas cov tsos mob ntawm tus menyuam kom zoo zoo. Peb hu qhov no ua kev kuaj mob hauv tsev kho mob .

Tus kws kho mob yuav kuaj mob Kawasaki los ntawm kev kuaj xyuas tus menyuam, saib seb muaj pes tsawg hnub uas tus menyuam kub taub hau, muaj lwm yam tsos mob dab tsi, thiab xyuas kom meej tias tsis muaj lwm yam kab mob uas ua rau muaj cov tsos mob (piv txwv li qhua pias, kub taub hau liab).

Peb theem ntawm tus kab mob

Kab mob Kawasaki feem ntau yuav mob mus txog peb theem.

1. Theem 1 - Mob hnyav heev: Qhov no yog thawj ob lub lis piam lossis li ntawd. Cov tsos mob tseem ceeb xws li kub taub hau, pob khaus, qhov muag liab, thiab kev hloov pauv hauv qhov ncauj yog txhua yam uas muaj thaum lub sijhawm no. Tus menyuam yuav tsis so thaum lub sijhawm no.

2. Theem 2 - Subacute: Kav ntev li ob mus rau plaub lub lis piam. Txog lub sijhawm no, qhov kub taub hau tau ploj mus lawm. Txawm li cas los xij, cov tsos mob xws li mob plab, raws plab, thiab mob pob qij txha yuav tshwm sim. Qhov tseem ceeb tshaj plaws, daim tawv nqaij ntawm cov ntiv tes thiab cov ntiv taw pib tev tawm thaum lub sijhawm no. Qhov kev pheej hmoo ntawm kev mob aneurysms ntawm cov hlab ntsha hauv lub plawv yog siab tshaj plaws thaum lub sijhawm no.

3. Theem 3 - Kev Rov Zoo: Qhov no yuav kav ntev li ib lossis ob hlis. Txhua yam tsos mob maj mam ploj mus. Txawm li cas los xij, tus menyuam yuav xav tias nkees me ntsis. Nws yuav siv sijhawm rau qhov puas tsuaj rau cov hlab ntsha kom zoo.

Yuav ua cov kev ntsuam xyuas twg?

Txawm tias tsis tuaj yeem paub tseeb tias muaj tus kab mob no los xij, tus kws kho mob yuav hais kom kuaj ntau zaus kom paub qhov mob hnyav npaum li cas thiab txiav txim siab seb puas muaj lwm yam kab mob.

• Kev kuaj ntshav: Nrhiav cov khoom xws li CRP thiab ESR, uas qhia txog qib kev o ntawm lub cev.
• Kev kuaj zis
• Echocardiogram: Qhov no yog qhov kev kuaj tseem ceeb tshaj plaws. Qhov no yog kev ntsuas ultrasound. Nws tuaj yeem pom tseeb txog kev ua haujlwm ntawm lub plawv, qhov xwm txheej ntawm cov valve, thiab tshwj xeeb tshaj yog seb cov hlab ntsha hauv lub plawv puas tau puas tsuaj lossis aneurysms tau tsim.
• Electrocardiogram (EKG): Qhov no pab saib xyuas kev ua haujlwm hluav taws xob (rhythm) ntawm lub plawv.

Yuav kho li cas?

Thaum twg xav tias muaj tus kab mob Kawasaki, tus menyuam yuav raug xa mus rau tsev kho mob. Kev kho mob pib hauv tsev kho mob. Muaj plaub lub hom phiaj tseem ceeb ntawm kev kho mob:

1. Txo qhov kub taub hau thiab o ntawm lub cev.

2. Tiv thaiv lossis txo kev puas tsuaj rau cov hlab ntsha, tshwj xeeb tshaj yog cov hlab ntsha hauv lub plawv.

3. Tiv thaiv cov teeb meem ntawm lub plawv.

4. Tiv thaiv cov ntshav txhaws.

Ob txoj kev kho mob tseem ceeb siv:

• Kev txhaj tshuaj tiv thaiv kab mob rau hauv cov hlab ntshav (IVIG): Qhov no yog kev kho mob tseem ceeb. Hais yooj yim xwb, nws yog ib yam khoom uas muaj cov tshuaj tua kab mob uas tau los ntawm cov neeg noj qab nyob zoo. Nws raug muab rau tus menyuam hauv cov hlab ntshav (IV) zoo li saline. Nws ua haujlwm los ntawm kev tswj lub cev tiv thaiv kab mob thiab txo qhov kev puas tsuaj rau cov hlab ntshav. Kev muab kev kho mob no hauv 10 hnub thawj zaug tuaj yeem txo qhov kev pheej hmoo ntawm cov teeb meem plawv los ntawm 25% mus rau tsawg dua 5%.
• Tshuaj Aspirin: Feem ntau peb tsis muab tshuaj aspirin rau cov menyuam yaus uas muaj mob kub taub hau los ntawm tus kab mob viral. Txawm li cas los xij, hauv tus kab mob Kawasaki, lawv muab tshuaj aspirin ntau ntau rau thawj zaug kom txo qhov kub taub hau thiab o, thiab tom qab ntawd muab tsawg tsawg kom tiv thaiv cov ntshav txhaws rau ob peb lub lis piam.

Ntxiv rau cov kev kho mob no, tus menyuam kuj tseem tau muab cov khoom xws li saline los tiv thaiv kev qhuav dej, thiab tshuaj rau qhov mob thiab o.

Tom qab koj mus tsev los ntawm tsev kho mob lawm, muaj dab tsi tshwm sim?

Thaum tus me nyuam kub taub hau tas lawm thiab nws haus tau dej thiab tshuaj, ces nws mam li raug xa mus tsev hauv tsev kho mob. Tiam sis txoj hauj lwm tseem tsis tau xaus tom qab nws rov qab los tsev. Yuav tsum tau saib xyuas tus me nyuam zoo zoo.

Koj yuav tsum tau mus ntsib kws kho mob menyuam yaus thiab kws kho mob plawv tas li.

• Koj yuav mus tsev thiab ua echocardiogram li ib lossis ob lub lis piam, thiab dua li ntawm 4-6 lub lis piam kom pom koj lub plawv zoo li cas.
• Yog tias muaj kev puas tsuaj rau cov hlab ntsha hauv lub plawv, koj yuav tsum tau nyob hauv kev saib xyuas ntawm kws kho mob ntev, thiab tej zaum yuav tsum tau kuaj mob tsis tu ncua thoob plaws hauv koj lub neej.

Kab mob Kawasaki puas kho tau tag nrho?

Feem ntau cov menyuam yaus yuav zoo tag nrho. Cov tsos mob yuav kav ntev li 4-6 lub lis piam. Tus menyuam yuav nkees thiab tsis so li ob lub hlis. Tsis tshua muaj (kwv yees li 2-3%) uas tus kab mob yuav rov tshwm sim dua.

Tom qab kho mob, kwv yees li 50% ntawm cov hlab ntsha uas raug puas tsuaj yuav zoo li qub hauv ib xyoos lossis ob xyoos. Txawm li cas los xij, yog tias qhov kev puas tsuaj loj heev, xws li aneurysm, nws tuaj yeem yog teeb meem mus ib txhis.

Ua ib tug niam txiv, koj ua tau dab tsi?

Peb nkag siab txog kev ntxhov siab thiab kev tu siab uas koj hnov ​​thaum ib tug me nyuam mob. Tiam sis koj lub zog yog lub zog loj tshaj plaws rau koj tus me nyuam.

• Ua raws li koj tus kws kho mob cov lus qhia kom meej: Noj koj cov tshuaj raws li tau qhia. Tsis txhob ncua txhua qhov kev teem caij rov qab.
• Ceev faj txog kev txhaj tshuaj tiv thaiv kab mob:Thaum noj tshuaj aspirin, nws yog ib qho tseem ceeb uas yuav tsum tiv thaiv koj tus menyuam kom tsis txhob muaj kab mob sib kis xws li mob qaib ntxhw thiab mob khaub thuas. Tshuaj aspirin thiab qee cov kab mob sib kis tuaj yeem ua rau muaj tus mob Reye's syndrome uas tsis tshua muaj tab sis txaus ntshai. Yog li ntawd, nrog koj tus kws kho mob tham kom paub tseeb tias koj tus menyuam tau txhaj tshuaj tiv thaiv kab mob raws sijhawm.
• Ceev faj txog cov tshuaj tiv thaiv kab mob uas muaj sia nyob: Cov tshuaj tiv thaiv kab mob uas muaj sia nyob, xws li mob qhua pias-mob qog-mob rubella (MMR) thiab mob qaib ntxhw (varicella), tsis pub muab rau 11 lub hlis tom qab tau txais kev kho mob IVIG. Qhov no yog vim tias kev kho mob IVIG yuav tiv thaiv lub cev los ntawm kev tsim cov tshuaj tiv thaiv kab mob txaus rau cov tshuaj tiv thaiv no.
• Txwv kev ua ub ua no: Yog tias koj tus menyuam lub plawv raug cuam tshuam, koj tus kws kho mob yuav qhia koj kom txwv kev ua si nawv thiab kev khiav ib ntus. Ua raws li cov lus qhia no kom zoo zoo.
• Nplij koj tus menyuam: Thaum koj tus menyuam nyob hauv tsev kho mob, muab ib yam khoom ua si lossis phau ntawv uas nws nyiam rau lawv. Koj lub suab thiab koj txoj kev hlub yuav ua rau koj tus menyuam nplij siab thaum lub sijhawm nyuaj no.