Mwana wako mudiki ane fivha yakanyanya isingaderere mumazuva mashoma here? Zvinotyisa sei kuna amai kana baba kuona mwana wavo achirwadziwa zvakanyanya, aine mapundu nefivha isingaderere kunyangwe mushure mekumupa paracetamol? Dzimwe nguva dzakadai, tinowanzo funga kuti ifivha inotapukira. Asi dzimwe nguva, inogona kunge iri "chirwere cheKawasaki," chatisati tanzwa zvakawanda nezvacho asi chinoda kutarisirwa nekukurumidza. Saka ngatizivei nezvazvo nhasi.
Chii chinonzi chirwere cheKawasaki?
Zvichitaurwa zviri nyore, chirwere cheKawasaki chirwere chinoita kuti tsinga dzeropa mumuviri wedu dzizvimbe kana kuzvimba. Chinowanzoonekwa muvana vari pasi pemakore mashanu. Kutaura zvazviri, chirwere cheKawasaki ndicho chinokonzera chirwere chemwoyo muvana vadiki.
Asi musatya. Kunyangwe izvi zvingaita sekunge zvinotyisa, kana chirwere ichi chikaonekwa nekukurumidza uye kurapwa kwakakodzera kukatanga, vana vazhinji vanopora zvachose pasina matambudziko. Chinhu chakakosha kuziva zviratidzo uye kuona chiremba nenguva.
Sei chirwere ichi chichiitika? Ndezvipi zvinhu zvinokonzera njodzi?
Masayendisiti haasati aziva chikonzero chaicho chechirwere ichi, asi vanotenda kuti zvinhu zvakawanda zvinogona kukonzera chirwere ichi. Izvi zvinosanganisira:
- Kufarirwa kwemajini (Majini): Vamwe vana vanogona kunge vaine mukana wekuwana chirwere ichi nekuda kwemajini avo.
- Utachiona: Zvinofungidzirwa kuti chirwere ichi chinogona kukonzerwa nekupindura kwemuviri mumuviri mushure mehutachiona hwehutachiona kana hwebhakitiriya.
- Zvinhu Zvakatipoteredza: Zvinhu zvakaita semamwe makemikari ari munharaunda yakatipoteredza zvinogonawo kuva nemigumisiro.
Chinhu chakakosha ndechekuti chirwere cheKawasaki hachitapurirani , saka kana mwana wako akawana chirwere ichi, haufanirwe kunetseka nezvekuchiparadzira kune vamwe vanhu vari mumba mako.
Kune zvimwe zvinhu zvakawanda zvinogona kukanganisa kukura kwechirwere ichi:
- Zera: Inonyanya kuwanikwa muvana vari pasi pemakore mashanu, kunyanya pakati pemwedzi mitanhatu nemakore maviri.
- Murume kana Mukadzi: Vakomana vane mukana wekuwana chirwere ichi kupfuura vasikana.
- Rudzi: Vana vanobva kuAsia nePacific Islander vakaonekwa kuti vane mukana wekuwana chirwere ichi, saka zvakakosha kuti tinyatsoziva izvi.
Ndezvipi zviratidzo zvechirwere cheKawasaki?
Zviratidzo zvechirwere ichi zvinogona kuonekwa kamwe kamwe, uye zvinogonawo kuonekwa mumatanho akasiyana-siyana.
| Matanho makuru ezviratidzo | |
|---|---|
| Hunhu | Tsananguro |
| Chikamu Chekutanga | |
| Fivha yakanyanya | Fivha inodarika 38.3 Celsius (101 Fahrenheit). Inogara kwemazuva anopfuura mashanu akatevedzana . Mishonga yefivha haideredzi fivha. |
| Mapundu | Inowanzoonekwa pachipfuva, makumbo, uye munzvimbo yehudyu. |
| Kutsvuka kwemaziso | Machena emaziso anoshanduka kuva matsvuku, asi madzihwa haabudi mumaziso. |
| Kuchinja kwemiromo, rurimi, uye pahuro | Miromo inooma, inotsemuka, uye inotsvuka zvakasvibira. Rurimi runogona kuzvimba uye rune mapundu matsvuku akaita sestrawberry (anonziwo "strawberry tongue"). Huro inogonawo kuva inorwadza. |
| Kuzvimba kwemaoko netsoka | Zvanza netsoka zvinotsvuka uye zvinozvimba. |
| Zvirwere zvakazvimba | Ma lymph nodes ari mumutsipa anozvimba. |
| Chikamu Chechipiri | |
| Kubviswa kweganda | Mavhiki maviri kusvika matatu mushure mekutanga kwechirwere ichi, ganda riri paminwe netsoka rinotanga kubvuruka. |
| Zvimwe zvinhu | Marwadzo emajoini, marwadzo emudumbu, kurutsa, uye manyoka zvinogona kuitika. |
Padanho rechitatu, zviratidzo izvi zvinodzikira zvishoma nezvishoma. Zvisinei, zvinogona kutora mavhiki masere kuti apore zvizere. Kana mwana wako aine fivha yakanyanya inogara kwemazuva anopfuura 4-5 uye aine zvimwe zviratidzo zvakaita seizvi, taura nachiremba usingatambisi nguva.
Chirwere cheKawasaki neCOVID-19
Vamwe vana vanobatwa neCOVID-19 vanogona kuva nechirwere chinonzi "multisystem inflammatory syndrome (MIS-C)". Zviratidzo zvacho (zvakaita sefivha nekurwadziwa kwemuviri) zvakafanana zvikuru nechirwere cheKawasaki. Saka kana ukaona zviratidzo izvi, zvakakosha kutaura nachiremba wemwana wako nezvazvo.
Chiremba anoongorora sei chirwere ichi?
Chiremba achatanga aongorora mwana wako nokungwarira uye obvunza nezvezviratidzo zvako. Sezvo pasina bvunzo chaiyo yekuongorora chirwere, chiremba achatsvaga zviratidzo zvina kubva pazvishanu zvinotevera pamwe chete nefivha inogara kwemazuva anopfuura mashanu:
1. Maziso matsvuku
2. Kuchinja kwemiromo nerurimi (miromo yakaoma, yakatsemuka, mitsvuku uye rurimi rwestrawberry)
3. Kunyadzisa muviri
4. Kuzvimba kwemutsipa
5. Kuzvimba nekutsvuka kwemaoko netsoka
Pamusoro pezvo, bvunzo dzinoverengeka dzinogona kuitwa kuti pasave nedzimwe zvirwere uye kuti paonekwe kana mwoyo wakanganiswa nechirwere ichi.
- Kuongororwa kwemoyo: ``Electrocardiogram - EKG``, inotarisa mashandiro emagetsi emoyo, uye ``Echocardiogram``, inotarisa chimiro uye mashandiro emoyo. Uyu muedzo unokosha zvikuru.
- Kuongororwa kweropa: Tarisa kuzvimba nezvimwe zvirwere mumuviri.
- Mimwe miedzo: Kuongororwa kweX-ray yechipfuva kana, kana zvichidikanwa, coronary angiogram yekutarisa tsinga dzeropa dzinopa ropa kumoyo (coronary arteries) zvinogonawo kuitwa.
Inorapwa sei?
Fivha, kuzvimba, uye marwadzo anokonzerwa nechirwere ichi zvinogona kusafadza mwana. Uyewo, nekuda kwemigumisiro yachinogona kuita pamwoyo, kurapwa kwechirwere ichi kunowanzoitirwa muchipatara.
Kune nzira mbiri huru dzekurapa:
1. Immunoglobulin yemutsinga (IVIG):Uyu mushonga unopiwa kuburikidza netsinga (IV). Une ma antibodies, rudzi rweprotein inobatsira muviri kurwisa hutachiona. Kana ukapihwa pakutanga kwechirwere, mushonga uyu unogona kuderedza kuzvimba mutsinga dzeropa uye kudzivirira kukuvara kwakawanda kunogona kuitika kumoyo.
2. Aspirin: Chiremba anokurudzira aspirin kuderedza fivha nekurwadziwa uye kudzivirira kuumbwa kweropa.
Yambiro inokosha zvikuru: Musambopa vana vadiki aspirin musina kupiwa zano nachiremba. Aspirin inogona kuva nengozi zvikuru kana paine mamwe mavhairasi akadai sedengue. Uyu mushonga wechirwere cheKawasaki unofanirwa kungopihwa chete pasi pezano renyanzvi.
Mushure mekurapwa, kana mwana wako akaonekwa nechirwere chakadai se coronarysm yeropa, unogona kukumbirwa kuti utore aspirin shoma kwemavhiki mashoma kana kupfuura. Zvakare, kunyangwe mushure mekubuda muchipatara, unofanira kuendesa mwana wako kunoona chiremba zvakare sezvakarairwa.
Chirwere ichi chinogona kukonzera matambudziko here?
Zvinonzwisisika kuti chero ani zvake angatya kunzwa izvi, sezvo zviri zvinhu zvine chekuita nemoyo. Asi muchokwadi, kana zvikarapwa nekukurumidza, ruzhinji rwevana vanopora zvachose vasina matambudziko enguva refu.
Zvisinei, mune dzimwe nguva dzisingawanzoitiki, mamwe matambudziko anogona kuitika, kunyanya kana kurapwa kunonoka.
- Kusarongeka kwemoyo (dysrhythmia)
- Kuzvimba kwetsandanyama yemwoyo (myocarditis)
- Kukuvadzwa kwemavharuvhu emwoyo (mitral regurgitation)
- Kuzvimba kwetsinga dzeropa (vasculitis)
Izvi zvinogona kukonzera kuti madziro etsinga dzeropa dziri mumoyo ashaye simba uye azvimbe semabharumu (aneurysms). Izvi zvinowedzera njodzi yekuvharika kwetsinga dzeropa mune ramangwana, kubuda ropa mukati, uye kurwiswa kwemoyo.
Asi yeuka, aya matambudziko asingawanzoitiki. Kana ukarapwa zvakanaka, njodzi iyi inogona kuderedzwa neanopfuura 95%. Ndosaka tichiti shanyira chiremba nenguva.
Mharidzo Yekuenda Nayo Kumba
- Chirwere cheKawasaki chirwere chinorapika, asi chinorapika, chinobata vana vadiki uye chinoda rubatsiro rwechiremba nekukasika.
- Tarisa zviratidzo zvakaita semaziso matsvuku, mapundu, miromo mitsvuku nerurimi, uye kuzvimba kwemaoko netsoka, pamwe nefivha yakakwira inogara kwemazuva anopfuura mashanu.
- Kana ukaona zviratidzo izvi, usavhunduke kana kutya, uye endesa mwana wako kuna chiremba nekukurumidza. Kurapwa nekukasika kunogona kudzivirira kukuvara kwemoyo.
- Usambofa wapa vana aspirin usina kupiwa mazano nachiremba.
- Kana mwana wako akarapwa zvakanaka uye akaongororwazve, anogona kupora zvizere uye kurarama hupenyu hwakanaka pasina matambudziko.
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