Koj tus me nyuam puas tau kub taub hau tau ob peb hnub lawm? Peb puas yuav tsum paub txog Kab Mob Kawasaki no?

Ua ib leej niam los yog ib leej txiv, nws nyuaj rau piav qhia txog qhov kev ntshai thiab kev ntxhov siab uas peb xav thaum peb tus menyuam yaus mob, puas yog? Txawm tias mob khaub thuas lossis kub taub hau tuaj yeem ua rau peb ntxhov siab. Yog li, nws tsis yog qhov xav tsis thoob uas peb lub siab dhia thaum peb tus menyuam muaj qee yam tsos mob txawv txawv. Hnub no peb yuav tham txog ib yam kab mob uas koj yuav tsis tau hnov ​​​​dua, tab sis nws tseem ceeb heev uas yuav tsum paub txog. Ntawd yog kab mob Kawasaki , lossis "Kawasaki Kab Mob". Tsis txhob txhawj, qhov no yog ib qho mob uas kho tau tag nrho yog tias paub thaum ntxov thiab kho kom zoo.

Kab mob Kawasaki yog dab tsi? Hais yooj yim xwb...

Hais yooj yim xwb, kab mob Kawasaki yog ib yam mob uas cov phab ntsa ntawm cov hlab ntsha (cov hlab ntsha) hauv peb lub cev o lossis o . Nws feem ntau cuam tshuam rau cov menyuam yaus, hnub nyoog qis dua tsib xyoos, thiab feem ntau pom muaj rau cov menyuam mos hnub nyoog ntawm 6 lub hlis thiab 2 xyoos. Txawm li cas los xij, txawm tias tsis tshua muaj, nws kuj tseem tuaj yeem cuam tshuam rau cov menyuam loj dua thiab cov hluas.

Kab mob no tau tshawb pom thiab piav qhia thawj zaug los ntawm ib tug kws kho mob Nyiv Pooj, Dr. Tomisaku Kawasaki. Yog vim li ntawd nws thiaj hu ua kab mob Kawasaki.

Qhov tseem ceeb tshaj plaws yog qhov no tsis yog kab mob sib kis tau . Qhov no txhais tau tias koj tus menyuam yuav tsis kis mus rau lwm tus. Yog li ntawd, tsis txhob txhawj txog nws.

Kab mob no feem ntau cuam tshuam rau cov hlab ntsha uas nqa ntshav mus rau lub plawv. Peb hu lawv ua cov hlab ntsha hauv lub plawv . Yog tias cov hlab ntsha ntawd o, nws tuaj yeem muaj qee qhov cuam tshuam rau lub plawv. Yog vim li ntawd peb thiaj txhawj xeeb txog kab mob no.

Yuav kuaj tus kab mob no li cas? Cov tsos mob yog dab tsi?

Cov tsos mob ntawm tus kab mob Kawasaki yog qhov txawv me ntsis. Feem ntau lawv tsis tshwm sim tag nrho ib zaug, tab sis maj mam tshwm sim. Cov kws kho mob siv me ntsis tswv yim los nco ntsoov cov tsos mob no, hu ua "CRASH and Burn." Cia peb saib seb lawv yog dab tsi.

• "Kub hnyiab" (kub taub hau): Qhov no yog cov tsos mob tseem ceeb thiab thawj zaug. Muaj kub taub hau siab rau tsib hnub lossis ntau dua . Qhov kub taub hau no qee zaum tuaj yeem ncav cuag 39-40 degrees Celsius (102-104 Fahrenheit). Txawm tias muaj cov tshuaj txo qhov kub taub hau, qhov kub taub hau no tsis tshua ploj mus.

Tam sim no cia peb saib seb "CRASH" txhais li cas:

• C - Kab mob qhov muag liab (qhov muag liab): Ob lub qhov muag dawb ntawm tus menyuam tig liab . Zoo li muaj kab mob qhov muag. Tiam sis qhov tshwj xeeb yog, tsis muaj kua muag tawm los. Nws tsuas yog liab xwb.
• R - Pob khaus: Cov pob liab, khaus khaus tshwm sim thoob plaws lub cev, tshwj xeeb tshaj yog rau ntawm lub hauv siab, lub plab, nraub qaum, thiab qee zaum ntawm caj npab thiab ceg. Cov pob khaus no tuaj yeem muaj ntau yam duab. Ib txhia menyuam yaus yuav pom cov pob khaus no ntau dua nyob rau hauv thaj chaw hnav khaub ncaws menyuam yaus (lub duav thiab lub pob tw).
• A - Adenopathy: Ib lub qog ntshav hauv caj dab, feem ntau ntawm ib sab, o tuaj.Qhov no tuaj yeem loj txaus kom tuav tau hauv tes, tej zaum tseem loj dua 1.5 centimeters.
• S - Tus nplaig Strawberry thiab lwm yam kev hloov pauv hauv qhov ncauj:
• Tus me nyuam daim di ncauj yuav qhuav, tawg, thiab qee zaum liab txaus kom los ntshav .
• Thaum xub thawj tus nplaig muaj ib txheej dawb npog, uas tom qab ntawd ploj mus thiab tus nplaig hloov liab, nrog rau cov pob me me tshwm sim, thiab nws zoo li txiv pos nphuab . Yog vim li ntawd nws thiaj hu ua "tus nplaig txiv pos nphuab."
• Sab hauv ntawm lub qhov ncauj thiab caj pas kuj tseem yuav liab.
• H - Kev hloov tes thiab taw:
• Thaum pib, xib teg thiab hauv qab taw yuav liab thiab o . Tej zaum yuav zoo li ob txhais ceg o.
• Tom qab li ib lub lim tiam thiab ib nrab mus rau ob lub lim tiam, daim tawv nqaij yuav pib tev tawm ntawm cov ntiv tes thiab qee zaum ntawm xib teg thiab hauv qab taw . Qhov no tuaj yeem tawm ua cov nplais loj.

Ntxiv rau cov tsos mob tseem ceeb no, qee tus menyuam yaus yuav muaj lwm yam teeb meem. Piv txwv li:

• Chim siab heev, quaj .
• Ntuav, mob plab, raws plab.
• Mob pob qij txha thiab o.
• Qee zaum cov tsos mob xws li mob daj ntseg kuj yuav tshwm sim.

Xav txog seb, yog tias koj tus me nyuam kub taub hau tsis poob qis li 4-5 hnub, thiab lawv kuj qhia qee cov tsos mob uas tau hais los saum toj no, koj yuav tsum mus ntsib kws kho mob.

Vim li cas qhov no thiaj tshwm sim? Dab tsi ua rau muaj tus kab mob Kawasaki?

Qhov tseeb, qhov ua rau muaj tus kab mob Kawasaki tseem tsis tau paub meej . Cov kws kho mob thiab cov kws tshawb fawb tseem tab tom tshawb nrhiav qhov no. Txawm li cas los xij, muaj ntau yam uas xav tias yog tus ua rau muaj tus kab mob no:

• Kev kis kab mob: Lawv xav tias lub cev tiv thaiv kab mob yuav ua haujlwm ntau dhau thiab tawm tsam nws cov hlab ntsha vim muaj ib yam dab tsi zoo li cov kab mob me me lossis cov kab mob me me. Tab sis tsis paub meej tias nws yog kab mob dab tsi.
• Kev mob caj ces: Tau pom tias cov menyuam yaus hauv qee tsev neeg muaj feem yuav mob no ntau dua. Qhov no txhais tau tias tej zaum yuav muaj qee qhov kev sib txuas ntawm caj ces. Txawm li cas los xij, qhov no tsis yog kab mob uas tau txais los ntawm niam txiv mus rau cov menyuam.
• Tej yam ib puag ncig: Peb kuj tseem tab tom tshawb xyuas seb qee yam ib puag ncig puas cuam tshuam rau qhov no.

Qhov tseem ceeb tshaj plaws yog qhov no tsis yog kab mob uas tshwm sim los ntawm qhov yuam kev uas koj tau ua. Tsis txhob txhawj txog nws.

Cov kws kho mob kuaj qhov no li cas? (Kev kuaj mob)

Tsis muaj ib qho kev kuaj mob uas paub tseeb tias yog tus kab mob Kawasaki. Yog li ntawd, tsis muaj ib qho kev kuaj mob uas siv tau me ntsis ntshav thiab hais tias, "Auj, nov yog Kawasaki."

Tus kws kho mob yuav txiav txim siab seb tus menyuam puas muaj tus mob no raws li cov tsos mob uas lawv tab tom muaj. Yog tias muaj ntau yam tsos mob "CRASH and Burn" uas tau hais los saum toj no tau muaj rau ib lub sijhawm, tus kws kho mob yuav ua rau muaj kev tsis ntseeg.

Ntxiv rau qhov ntawd, tus kws kho mob yuav ua tej yam xws li:

• Tshuaj xyuas tus menyuam kom zoo: Xyuas seb puas kub taub hau, qhov muag, qhov ncauj, daim tawv nqaij, caj dab, thiab ceg.
• Kev kuaj ntshav:
• Cov kev kuaj xws li '(CRP - C-Reactive Protein)' thiab '(ESR - Erythrocyte Sedimentation Rate)' yog ua los saib seb puas muaj kev o hauv lub cev. Yog tias koj muaj Kawasaki, cov no tuaj yeem siab heev.
• Xyuas seb muaj pes tsawg cov qe ntshav dawb thiab cov platelets.
• Kuj tseem yuav ua tau kev kuaj mob siab.
• Kev kuaj zis: Pab tshem tawm lwm yam kab mob sib kis.
• Kev kuaj plawv '(Echocardiogram - Echo)': Qhov no yog ib qho kev kuaj tseem ceeb heev . Qhov no tuaj yeem kuaj xyuas kev ua haujlwm ntawm lub plawv, cov qhov valve ntawm lub plawv, thiab tshwj xeeb tshaj yog qhov xwm txheej ntawm cov hlab ntsha hauv lub plawv. Kev kuaj no tuaj yeem ntes tau seb cov hlab ntsha no puas o thiab loj hlob (aneurysm) hauv tus kab mob Kawasaki. Kev kuaj '(Echo)' no feem ntau yog ua tom qab kuaj pom tus kab mob, tom qab ob peb lub lis piam.

Tus kws kho mob yuav muab tag nrho cov no los ua ke los txiav txim seb nws puas yog tus kab mob Kawasaki lossis tsis yog.

Yog tsis kho ces yuav ua li cas? Qhov no puas txaus ntshai?

Kab mob Kawasaki tuaj yeem ua rau muaj teeb meem yog tias tsis kho sai thiab kom raug . Yog vim li ntawd nws thiaj li tseem ceeb kom paub txog nws thaum ntxov thiab pib kho.

Qhov teeb meem tseem ceeb thiab txaus ntshai tshaj plaws yog kev nthuav dav ntawm cov hlab ntsha hauv lub plawv (Coronary Artery Aneurysms). Qhov no txhais tau tias cov hlab ntsha uas muab ntshav rau lub plawv yuav o zoo li lub npas. Yog tias muaj "Aneurysm" zoo li no tshwm sim, cov ntshav ntws los ntawm nws yuav raug thaiv, cov ntshav txhaws yuav tsim, thiab qee zaum cov hlab ntsha yuav tawg (qhov no tshwm sim tsawg heev). Qhov no ua rau muaj kev pheej hmoo ntawm kev mob plawv yav tom ntej.

Lwm yam teeb meem:

• Mob plawv
• Kev o ntawm daim nyias nyias uas nyob ib puag ncig lub plawv (pericarditis)
• Teeb meem ntawm lub plawv
• Kev tsis sib xws ntawm lub plawv dhia (Arrhythmias)

Tiamsis tsis txhob ntshai hnov ​​​​​​cov no. Yog tias tus kab mob Kawasaki raug kuaj pom thaum ntxov thiab pib kho mob hauv 10 hnub tom qab pib muaj cov tsos mob, qhov kev pheej hmoo ntawm cov teeb meem no tuaj yeem txo qis heev. Yog vim li cas peb thiaj hais kom mus ntsib kws kho mob sai li sai tau.

Qhov no kho li cas?

Yog tus kws kho mob lees paub tias tus menyuam muaj tus kab mob Kawasaki, tus menyuam yuav raug coj mus pw hauv tsev kho mob thiab kho . Qhov no tsis tuaj yeem kho tau hauv tsev.

Muaj ob txoj kev kho mob tseem ceeb:

1. Kev txhaj tshuaj Immunoglobulin rau hauv cov hlab ntsha (IVIG): Qhov no yog kev kho mob tseem ceeb. IVIG yog cov tshuaj uas muaj cov tshuaj tua kab mob uas tau los ntawm cov neeg noj qab nyob zoo. Nws raug muab rau tus menyuam los ntawm cov hlab ntsha, zoo li saline. Nws ua rau lub cev tiv thaiv kab mob hauv lub cev so thiab txo qhov o ntawm cov hlab ntsha. Feem ntau nws raug muab ib zaug xwb, thiab nws siv sijhawm li 8-12 teev kom ua tiav.

2. Tshuaj Aspirin:

• Thaum xub thawj, yuav muab tshuaj aspirin ntau ntau kom txog thaum qhov kub taub hau ploj mus thiab qhov o ntawm lub cev ploj mus.
• Tom qab ntawd, yuav tsum muab tshuaj aspirin tsawg li ntawm 6-8 lub lis piam, lossis ntev dua, kom tiv thaiv cov ntshav txhaws hauv cov hlab ntsha hauv lub plawv. Tus kws kho mob yuav txiav txim siab lub sijhawm ntev npaum li cas raws li tus menyuam lub echocardiogram.

Feem ntau peb tsis pom zoo kom muab tshuaj aspirin rau menyuam yaus vim nws tuaj yeem ua rau muaj tus mob txaus ntshai hu ua Reye's Syndrome. Txawm li cas los xij, hauv tus kab mob Kawasaki, cov txiaj ntsig ntawm tshuaj aspirin ntau dua li cov kev pheej hmoo. Yog li ntawd, nws yog muab raws li cov lus qhia ntawm tus kws kho mob.

Thaum lub sijhawm kho mob, cov kws kho mob thiab cov kws tu mob yuav saib xyuas tus menyuam ze ze, saib xyuas lub plawv ua haujlwm, kub taub hau, thiab lwm yam tsos mob tas li.

Tom qab kho tas lawm, yuav muaj li cas? Tus me nyuam puas yuav rov qab zoo li qub?

Feem ntau, tsis pub dhau ib hnub lossis ob hnub tom qab pib kho IVIG, tus menyuam qhov kub taub hau yuav ploj mus thiab lwm yam tsos mob yuav maj mam zoo zuj zus. Tus menyuam yuav pib zoo siab dua.

Cov no tseem ceeb tom qab kev kho mob:

• Kev teem caij ntsib kws kho mob tom qab: Tom qab tawm hauv tsev kho mob, koj yuav tsum coj koj tus menyuam mus ntsib kws kho mob raws li qhov tau teem tseg.
• Kev kuaj '(Echocardiogram)' rov ua dua: Kev kuaj '(Echo)' yuav ua txhua ob peb lub lis piam mus txog txhua ob peb lub hlis los xyuas seb cov hlab ntsha hauv lub plawv puas zoo. Qhov no ua ntau zaus npaum li cas yuav nyob ntawm seb tus menyuam lub plawv zoo li cas.
• Txuas ntxiv muab tshuaj aspirin tsawg tsawg: Tsis txhob tsum muab tshuaj aspirin tsawg tsawg kom txog thaum koj tus kws kho mob hais kom koj ua.
• Ceev faj txog kev mob khaub thuas lossis mob ntsws: Yog tias koj tus menyuam mob qhua pias lossis mob ntsws thaum noj tshuaj aspirin, muaj feem yuav mob Reye's Syndrome, yog li ntawd cia koj tus menyuam nyob deb ntawm cov neeg uas muaj mob zoo li no. Nws tseem yog ib lub tswv yim zoo kom koj tus menyuam txhaj tshuaj tiv thaiv mob ntsws txhua xyoo raws li koj tus kws kho mob qhia.
• Kev ncua qee cov tshuaj tiv thaiv kab mob: Koj tus kws kho mob yuav qhia koj kom ncua qee cov tshuaj tiv thaiv kab mob uas muaj sia nyob (piv txwv li mob qhua pias, mob qog, mob rubella - MMR, tshuaj tiv thaiv kab mob qaib ntxhw) rau ob peb lub hlis vim yog kev kho mob IVIG. Tham nrog koj tus kws kho mob txog qhov no thiab.

Qhov xov xwm zoo yog tias yog tias tus kab mob Kawasaki raug kho sai sai, feem ntau cov menyuam yaus yuav rov zoo tag nrho thiab tuaj yeem ua neej nyob li qub yam tsis muaj kev cuam tshuam ntev rau lawv lub siab.

Kuv puas yuav tsum tau mus ntsib kws kho mob? Kuv yuav tsum mus thaum twg?

Yog, yeej muaj tseeb. Yog tias koj tus menyuam muaj ib qho ntawm cov tsos mob no, koj yuav tsum mus ntsib kws kho mob tam sim ntawd .

Ua tib zoo xyuam xim rau tej yam no:

• Kub taub hau heev uas kav ntev tshaj 4-5 hnub , tshwj xeeb yog tias nws tsis txo qis nrog kev siv tshuaj kub taub hau ib txwm muaj.
• Yog tias qhov kub taub hau nrog ib lossis ntau cov tsos mob xws li qhov muag liab, daim di ncauj tawg, kev hloov pauv ntawm tus nplaig, cov pob ntawm lub cev, o ntawm ob txhais ceg, thiab pob ntawm caj dab .

Kab mob Kawasaki yog ib yam kab mob uas tsis tshua muaj. Txawm li cas los xij, qee zaum nws yuav nyuaj rau paub qhov txawv ntawm lwm yam kab mob viral. Yog li ntawd, yog tias koj muaj kev tsis ntseeg, yog tias koj xav tias "qhov no zoo li tsis yog ib yam kab mob uas ib txwm muaj," nws yog qhov zoo tshaj plaws mus ntsib kws kho mob kom tau lus qhia. Thaum ntxov nws raug kuaj pom, kev kho mob sai dua tuaj yeem pib, thiab qhov kev pheej hmoo ntawm cov teeb meem tsawg dua.

Thaum kawg, tej yam yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)

Ua ib tug niam txiv, tej zaum koj yuav txhawj xeeb txog Kab Mob Kawasaki. Qhov ntawd yog ib txwm muaj. Tab sis nco ntsoov cov no:

• Kab mob Kawasaki yog ib yam mob uas ua rau cov hlab ntsha o hauv cov menyuam yaus .
• Cov tsos mob tseem ceeb yog kub taub hau heev uas kav ntev li ob peb hnub, qhov muag liab, qhov ncauj thiab daim di ncauj hloov pauv, pob khaus, o ntawm ob txhais ceg thiab tom qab ntawd tawv nqaij tev tawm, thiab cov qog ntshav hauv caj dab o .
• Qhov no tsis yog ib yam kab mob sib kis tau .
• Txawm hais tias tsis paub qhov ua rau muaj qhov teeb meem no los, nws tuaj yeem kho tau tag nrho yog tias kho raws sijhawm .
• Yog tias tsis kho, nws tuaj yeem cuam tshuam rau cov hlab ntsha hauv lub plawv . Yog vim li ntawd kev kho mob sai sai yog qhov tseem ceeb.
• Kev kho mob yog los ntawm kev pw hauv tsev kho mob thiab cov tshuaj hu ua '(IVIG)' thiab '(Aspirin).'
• Yog koj tus menyuam muaj cov tsos mob no, mus ntsib kws kho mob tam sim ntawd. Nws yog ib qho tseem ceeb uas yuav tsum tsis txhob ntshai, tab sis ua sai sai.

Vam tias koj tus menyuam yuav zoo sai sai! Vam tias cov ntaub ntawv no yuav pab tau koj.

Kab mob Kawasaki, kab mob Kawasaki, kub taub hau rau menyuam yaus, qhov muag liab, tus nplaig strawberry, kab mob plawv, IVIG, kev kho mob aspirin