I fa te hian ni rei lo te chhunga a tlahniam lova khawsik sang tak a nei em? Nu emaw pa emaw chuan an fa chu natna nasa tak, paracetamol pek hnu pawha a tlakbuak leh khawsik a tlahniam lo hmuh chu engtiang chiahin nge a hlauhawm? Hetiang hunah hian viral fever angah kan ngai tlangpui. Mahse a chang chuan, "Kawasaki natna" a ni thei a, chu chu kan hre tam lo nain ngaihven vat a ngai a ni. Chuvangin vawiin hian hei hi i fimkhur ang u.
Kawasaki Natna hi eng nge ni?
A awlsam zawngin sawi ila, Kawasaki natna hi kan taksa chhunga thisen kalna kawngte a hring emaw, a hring emaw a ni. Naupang kum 5 hnuai lam ah hmuh tur a tam ber a , a nihna takah chuan Kawasaki natna hi naupang tê tête thinlung natna thlentu lian ber a ni.
Mahse, hlau suh. Hei hi hlauhawm tak angin lang mah se, he natna hi hriat hmasak a nih a, enkawl dan tur dik tak tan a nih chuan naupang tam zawk chu harsatna awm lovin an dam vek a ni. A pawimawh ber chu a natna lan chhuah dan fimkhur a, a hun taka Doctor hmuh hi a ni.
Engvangin nge he natna hi a lo awm? Risk factors te chu engte nge ni?
Scientist-te chuan he natna thlentu dik tak hi an la hre lo a, mahse thil engemaw zatin a thlen thei niin an ngai. Chung zingah chuan:
- Genetic predisposition (Genes): Naupang thenkhat chuan an genetic makeup avang hian he natna hi vei duhna tlem an nei thei.
- Infection: Hetiang dinhmun hi virus emaw bacteria emaw infection thenkhat hnua taksa immune system-a response avanga lo awm thei niin rinhlelh a ni.
- Environment factors: Kan chhehvela chemical thenkhat ang chi thil te pawh hian nghawng a nei thei bawk.
A pawimawh ber chu Kawasaki natna hi kai theih a ni lo , chuvangin i fain natna a vei a nih chuan i in chhunga midangte hnena thehdarh tur ngaihtuah buai a ngai lo.
He natna lo awm dan tur tichhe thei thil dang engemaw zat a awm a:
- Kum: Naupang kum 5 hnuai lam, a bik takin thla 6 leh kum 2 inkar ah a tam ber.
- Gender: Hmeichhia aiin mipa naupangin he natna hi an vei tam zawk.
- Hnam: Asian leh Pacific Islander hnam chhuak naupangte hian he natna hi an vei tam zawk tih hmuhchhuah a ni a, chuvangin kan tan chuan a bik takin he natna hi kan hriat chian a pawimawh hle.
Kawasaki natna lan chhuah dan chu engte nge ni?
He natna lan chhuah dan hi a lo lang nghal thei a, stage engemaw zatah pawh hmuh theih a ni bawk.
| Symptom stage lian ber berte | |
|---|---|
| Mihring ziarang | Hrilhfiahna |
| Phase hmasa ber a ni | |
| Khawsik sang tak a nei | Khawsik hi 38.3 Celsius (101 Fahrenheit) aia sang a ni. Ni 5 aia tam a zawnin a daih . Khawsik damdawi hman tlanglawn tak hian khawsik a tiziaawm lo. |
| Bawl | A rilru, ke leh groin area-ah hmuh tur a awm fo. |
| Mit a sen vek | Mit var chu a sen a, mahse mit atang chuan mucus a chhuak lo. |
| Ka hmui, lei leh kawr a inthlak danglam thin | A hmui chu a vawt a, a chhe a, a sen dum bawk. Lei chu a hring thei a, strawberry ang maia hring ("strawberry tongue" an ti bawk) ang maia hring hring a nei thei bawk. A ril pawh a na thei bawk. |
| Kut leh ke a hring chhuak | Ke kutphah leh kephah chu a sen a, a hring bawk. |
| Glands a lo hring chhuak | Kawr chhunga lymph node te chu a lo hring chhuak thin. |
| Phase hnihna a ni | |
| Vun peeling | Natna a lo chhuah atanga kar 2-3 vel ah chuan kut zungtang leh ke vun chu a lo chhuak tan thin. |
| Thil dang pawh a awm | Joint na, pum na, luak leh riltam a awm thei. |
Stage pathumnaah chuan heng symptoms te hi a reh zauh zauh a. Mahse, a dam kim theih nan kar 8 vel a ngai thei. I fa hian ni 4-5 aia rei khawsik sang tak a neih a, hetiang symptom dang a neih chuan hun khawhral lovin doctor pan ngei ang che.
Kawasaki natna leh COVID-19
Naupang thenkhat COVID-19 vei te hian ``multisystem inflammatory syndrome (MIS-C)'' tih natna an nei thei a ni. A natna lan chhuah dan (khawsik leh taksa na ang chi) hi Kawasaki natna nen a inang hle. Chuvangin heng symptoms te hi i hriat chian chuan i fa doctor hnenah hemi chungchang hi sawipui a pawimawh hle.
He natna hi Doctor hian engtin nge a hriat chian?
Doctor chuan i fa chu uluk takin a enfiah hmasa ang a, i natna lan chhuah dan a zawt hmasa ang. Natna hriat theihna tur test bik a awm loh avangin doctor chuan a hnuaia symptom 5 zinga 4 tal chu ni 5 aia rei khawsik nen a zawng ang:
1. Mit sen
2. hmui leh lei inthlak (Dry, cracked, red lips leh strawberry tongue) .
3. Taksa mualphona
4. Kawr a hring
5. Kut leh ke a hring leh a sen
Chu bakah, damdawi lam thil dang hriat loh nan leh he natna hian thinlung a nghawng em tih hriat nan test eng emaw zat neih theih a ni bawk.
- Heart test: ``Electrocardiogram - EKG``, thinlung electrical activity entu, leh ``Echocardiogram``, thinlung insiam dan leh hnathawh dan entu. Hei hi fiahna pawimawh tak a ni.
- Thisen test: Taksa chhunga inflammation leh infection dang awm leh awm loh enfiah thin.
- Test dang: Chest X-ray emaw, a tul chuan coronary angiogram emaw hmangin thinlunga thisen petu thisen kalna kawng (coronary arteries) te enfiah theih a ni bawk.
Engtin nge enkawl a nih?
He natna avanga khawsik, khuh, leh natna te hi naupang tan chuan a nuam lo hle thei a ni. Tin, thinlunga nghawng a neih theih avangin he natna hi damdawi inah enkawl a ni fo bawk.
Enkawl dan tlangpui pahnih a awm a, chungte chu:
1. Immunoglobulin (IVIG) hmanga thisen kalna: 1.1.Hei hi vein (IV) hmanga enkawlna a ni. Antibodies a awm a, chu chu protein chi khat a ni a, chu chuan taksain natna hrik a do theih nan a pui a ni. Natna hmaa pek a nih chuan he damdawi hian thisen kalna kawnga a hring (swelling) a tiziaawm thei a, thinlunga chhiatna thleng thei tam tak a veng thei bawk.
2. Aspirin: Doctor chuan khawsik leh natna tihziaawm nan leh thisen zam a veng loh nan aspirin hman a rawt a.
Vaukhânna pawimawh tak: Doctor thurawn tel lo chuan naupang tê tête chu aspirin pe ngai suh. Viral fever dang, dengue ang chi te tan chuan aspirin hi a hlauhawm hle thei a ni. Hei hi Kawasaki natna enkawlna a ni a, mithiamte thurawn chauh pek tur a ni.
Enkawl zawhah i fain coronary artery aneurysm ang chi natna a neih chuan kar tlemte emaw a aia rei emaw chhung aspirin dose tlem ei turin an ti thei che a ni. Tin, damdawi in chhuahsan hnuah pawh doctor-in a hrilh angin i fa chu follow-up visit-ah i hruai ngei tur a ni.
He natna hian harsatna a thlen thei em?
He thu hi tu pawhin an hriat chuan an hlau ang tih chu hriatthiam theih a ni, thinlung nena inzawm thil a nih avangin. Mahse a nihna takah chuan enkawl vat a nih chuan naupang tam zawk chu hun rei tak chhung harsatna nei lovin an dam chhuak vek a ni.
Mahse, a tlem berah chuan harsatna engemaw zat a awm thei a, a bik takin enkawlna tihkhawtlai a nih chuan.
- Heart rhythm dik lo (dysrhythmia) .
- Lung ruh natna (myocarditis) .
- Thinlung valve a chhiat (mitral regurgitation) .
- Thisen kalna kawng a na (vasculitis) .
Chungte chuan thinlunga thisen kalna kawngte chu a tichak lo thei a, balloon (aneurysms) ang maiin a ti bulge thei bawk. Hei hian nakin lawka thisen kalna kawng a tikhawtlai a, chhungril thisen a chhuak thei a, heart attack a thlen theihna a tipung bawk.
Mahse, hengte hi harsatna awm lo tak tak an ni tih hre reng ang che. Enkawlna dik tak a awm chuan he hlauhawmna hi 95% aia tamin a tlahniam thei a ni. Chuvang chuan a hun taka Doctor hmu turin kan ti a ni.
Take-Home Thuchah a ni
- Kawasaki natna hi enkawl theih a ni a, mahse enkawl theih a ni a, naupang te te a nghawng a, damdawi lam pan vat a ngai a ni.
- Mit sen, vun rawng, hmui leh lei sen, leh kut leh ke hring te, chubakah ni 5 aia rei khawsik sang tak nei te chu fimkhur hle ang che.
- Heng symptoms te hi i hmuh chuan hlauthawng leh hlauthawng suh la, i fa chu a rang thei ang bera doctor hnenah hruai rawh. Inenkawl vat chuan thinlung chhiatna a veng thei a ni.
- Damdawi lam thurawn tel lo chuan naupang hnenah aspirin pe ngai suh.
- Enkawlna dik leh enkawl zui zel chuan i fa chu a dam kim thei a, harsatna awm lovin nun hrisel takin a nung thei bawk.











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