Ngaba umntwana wakho ebenomkhuhlane kangangeentsuku ezimbalwa? Ngaba kufuneka siqaphele esi sifo seKawasaki?

Njengomama okanye utata, kunzima ukuchaza uloyiko kunye nokuxhalaba esikuvayo xa umntwana wethu egula, akunjalo? Nokuba ngumkhuhlane okanye umkhuhlane oqhelekileyo unokusenza sixhalabe. Ngoko ke, akumangalisi ukuba iintliziyo zethu ziyaqhaqhazela xa umntwana wethu ebonisa iimpawu ezingaqhelekanga. Namhlanje siza kuthetha ngesifo osenokuba awuzange uve ngaso, kodwa kubaluleke kakhulu ukusazi. Esi sisifo sikaKawasaki , okanye "iSifo sikaKawasaki". Ungakhathazeki, esi sisifo esinokunyangeka ngokupheleleyo ukuba siqatshelwe kwangethuba kwaye sinyangwa ngokufanelekileyo.

Yintoni isifo sikaKawasaki? Ngamafutshane...

Ngamafutshane, isifo sikaKawasaki sisifo apho iindonga zemithambo yegazi (imithambo yegazi) emzimbeni wethu zivuvukala okanye zivuvukala . Sichaphazela kakhulu abantwana abancinci, abangaphantsi kweminyaka emihlanu ubudala, kwaye sibonakala kakhulu kwiintsana eziphakathi kweenyanga ezi-6 kunye neminyaka emi-2 ubudala. Nangona kunjalo, nangona singaqhelekanga, sinokuchaphazela nabantwana abadala kunye nabantu abadala abancinci.

Esi sifo saqala ukufunyanwa saza sachazwa ngugqirha waseJapan, uGqr. Tomisaku Kawasaki. Yiyo loo nto sibizwa ngokuba sisifo sikaKawasaki.

Eyona nto ibalulekileyo kukuba esi ayisosifo sisasazekayo . Oku kuthetha ukuba asinakudluliselwa ukusuka kumntwana wakho ukuya komnye umntu. Ngoko ke ungakhathazeki ngaso.

Esi sifo sichaphazela kakhulu imithambo yegazi ethwala igazi entliziyweni. Siyibiza ngokuba yimithambo yentliziyo . Ukuba loo mithambo iyavuvukala, inokuba nemiphumo ethile entliziyweni. Yiyo loo nto sixhalabile kangaka ngesi sifo.

Sifunyaniswa njani esi sifo? Zithini iimpawu zaso?

Iimpawu zesifo sikaKawasaki zingaqhelekanga kancinci. Azisoloko zibonakala ngaxeshanye, kodwa zibonakala kancinci kancinci. Oogqirha basebenzisa icebo elincinci ukukhumbula ezi mpawu, ezibizwa ngokuba yi-"CRASH and Burn." Makhe sijonge ukuba ziyintoni na.

• "Ukutshisa" (umkhuhlane): Olu luphawu oluphambili nolokuqala. Kukho umkhuhlane ophezulu kangangeentsuku ezintlanu nangaphezulu . Lo mkhuhlane ngamanye amaxesha ungafikelela kuma-39-40 degrees Celsius (102-104 Fahrenheit). Nokuba usebenzisa amayeza aqhelekileyo okunciphisa umkhuhlane, lo mkhuhlane awuhlali uphela.

Ngoku masibone ukuba ithetha ukuthini i-"CRASH":

• C - I-Conjunctivitis (ububomvu bamehlo): Amhlophe amehlo omntwana omabini ajika abe bomvu . Kufana nosulelo lwamehlo. Kodwa into ekhethekileyo kukuba, akukho inyembezi ziphumayo. Zibomvu nje.
• R - Urhawuzelelo: Amabala abomvu narhawuzelayo abonakala emzimbeni wonke, ingakumbi esifubeni, esiswini, emqolo, kwaye ngamanye amaxesha ezingalweni nasemilenzeni. La mabala anokubakho ngeendlela ezahlukeneyo. Abanye abantwana banokuwabona la mabala rhoqo kwindawo ye-diaper (emathangeni nasezinqeni).
• A - I-Adenopathy: I-lymph node (i-node) entanyeni, ngokuqhelekileyo kwicala elinye, iyadumba.Oku kunokuba nkulu ngokwaneleyo ukuba kubanjwe esandleni, mhlawumbi kube nkulu nangaphezu kwe-1.5 centimeters.
• Utshintsho lolwimi lwestrawberry kunye nolunye ulwimi lomlomo:
• Imilebe yomntwana isenokuba yomile, iqhekeke, kwaye ngamanye amaxesha ibe bomvu ngokwaneleyo ukuba iphume igazi .
• Ulwimi luqala lugqunywe ngengubo emhlophe, ethi kamva inyamalale kwaye ulwimi luba bomvu, luneziqwenga ezincinci, kwaye lubukeka njengestrawberry . Yiyo loo nto lubizwa ngokuba "lulwimi lwestrawberry."
• Ingaphakathi lomlomo nomqala lisenokuba bomvu.
• H - Izandla neenyawo ziyatshintsha:
• Kwiintsuku zokuqala, iintende zezandla kunye neenyawo ziba bomvu kwaye zivuvuke . Kusenokuvakala ngathi amalungu omzimba avuvukile.
• Emva kweveki enesiqingatha ukuya kwiiveki ezimbini, ulusu luza kuqala ukukrazuka kwiinwebu zeminwe kwaye ngamanye amaxesha ezintendeni nasezinyaweni zeenyawo . Oku kunokuphuma kube ziingceba ezinkulu.

Ukongeza kwezi mpawu ziphambili, abanye abantwana banokufumana ezinye iingxaki. Umzekelo:

• Unomsindo kakhulu, uyalila .
• Ukugabha, iintlungu zesisu, urhudo.
• Intlungu kunye nokudumba kwamalungu.
• Ngamanye amaxesha iimpawu ezifana ne-jaundice nazo zinokuvela.

Khawucinge nje, ukuba umkhuhlane womntwana wakho awunciphi kangangeentsuku ezi-4-5, kwaye ebonakalisa nezinye zeempawu ezichazwe apha ngasentla, ngokuqinisekileyo kuya kufuneka ubone ugqirha.

Kutheni oku kusenzeka? Yintoni ebangela isifo seKawasaki?

Enyanisweni, imbangela echanekileyo yesifo sikaKawasaki ayikaziwa . Oogqirha kunye noososayensi basaphanda oku. Nangona kunjalo, kukho izinto ezininzi ezicingelwa ukuba zibangela oku:

• Usulelo: Kukholelwa ukuba inkqubo yomzimba yokuzikhusela isenokuba isebenza kakhulu kwaye ihlasele imithambo yegazi yayo ngenxa yento efana nebhaktheriya okanye intsholongwane. Kodwa akwaziwa ukuba yeyiphi intsholongwane.
• Utyekelo lwemfuza: Kufunyaniswe ukuba abantwana kwezinye iintsapho banamathuba amancinci okuba nale ngxaki. Oku kuthetha ukuba kunokubakho unxibelelwano oluthile lwemfuza. Nangona kunjalo, esi asisosifo esizuzwa ngqo kubazali ukuya ebantwaneni.
• Izinto ezichaphazela imeko-bume: Sikwaphanda nokuba ezinye izinto ezichaphazela imeko-bume ziyayichaphazela na le nto.

Eyona nto ibalulekileyo kukuba esi ayisosifo sibangelwa yimpazamo oyenzileyo. Ungakhathazeki ngaso.

Oogqirha bayixilonga njani le nto? (Ukuxilongwa)

Akukho vavanyo lulodwa olucacileyo lokufumanisa isifo seKawasaki. Oko kukuthi, akukho vavanyo olunokuthatha igazi elincinci luze luthi, "Owu, nantsi iKawasaki."

Ugqirha uza kugqiba ukuba umntwana unale meko okanye akanayo ngokusekwe kwiimpawu azibonayo. Ukuba ezinye zeempawu ze-"CRASH and Burn" ezikhankanyiweyo apha ngasentla bezikho kangangexesha elithile, ugqirha usenokurhanela.

Ukongeza, ugqirha angenza izinto ezifana nezi:

• Mhlole umntwana ngononophelo: Jonga umkhuhlane, amehlo, umlomo, ulusu, intamo kunye namalungu omzimba.
• Uvavanyo lwegazi:
• Uvavanyo olufana ne-`(CRP - C-Reactive Protein)` kunye ne-`(ESR - Erythrocyte Sedimentation Rate)` lwenziwa ukuze kubonwe ukuba kukho ukudumba emzimbeni. Ukuba une-Kawasaki, oku kunokuba phezulu kakhulu.
• Inani leeseli ezimhlophe zegazi kunye neeplatelets liyajongwa.
• Uvavanyo lokusebenza kwesibindi lunokwenziwa.
• Uvavanyo lomchamo: Lunceda ekuthinteleni ezinye izifo ezisulelayo.
• Uvavanyo lwentliziyo `(Echocardiogram - Echo)`: Olu luvavanyo olubaluleke kakhulu . Olu vavanyo lunokujonga ukusebenza kwentliziyo, iivalvu zentliziyo, ingakumbi imeko yemithambo yentliziyo. Olu vavanyo lunokufumanisa ukuba le mithambo idumbile kwaye ikhulisiwe (i-aneurysm) kwisifo sikaKawasaki. Olu vavanyo `(Echo)` ludla ngokwenziwa emva kokuba isifo sifunyenwe, emva kweeveki ezimbalwa.

Ugqirha uza kudibanisa konke oku ukuze agqibe ukuba sisifo seKawasaki okanye akunjalo.

Kuza kwenzeka ntoni ukuba ayinyangwa? Ingaba oku kuyingozi?

Isifo sikaKawasaki singakhokelela kwiingxaki ukuba asinyangwa ngokukhawuleza nangendlela efanelekileyo . Yiyo loo nto kubalulekile ukusiqaphela kwangethuba uze uqale unyango.

Eyona ngxaki ibalulekileyo neyingozi kukwanda kwemithambo yegazi yentliziyo (Coronary Artery Aneurysms). Oku kuthetha ukuba imithambo yegazi ehambisa igazi entliziyweni idumba njengebhaluni. Ukuba kwenzeka "(Aneurysm)` enjalo, ukuhamba kwegazi kuyo kunokuvaleka, igazi liqhekeke, kwaye ngamanye amaxesha umthambo ungaqhuma (oku kwenzeka rhoqo). Oku kwandisa umngcipheko wokuhlaselwa yintliziyo kwixesha elizayo.

Ezinye iingxaki:

• I-Myocarditis
• Ukudumba kwenwebu ejikeleze intliziyo (i-pericarditis)
• Iingxaki zevalvu yentliziyo
• Ukungahambi kakuhle kwentliziyo (iiArrhythmias)

Kodwa ungoyiki ukuva ezi zinto. Ukuba isifo sikaKawasaki siqatshelwa kwangethuba kwaye unyango luqalwe kwiintsuku ezili-10 emva kokuqala kweempawu, umngcipheko wezi ngxaki unokuncipha kakhulu. Yiyo loo nto sithi bonana nogqirha ngokukhawuleza.

Iphathwa njani le nto?

Ukuba ugqirha uqinisekisa ukuba umntwana unesifo sikaKawasaki, umntwana uza kulaliswa esibhedlele aze anyangwe . Esi sifo asinakunyangwa ekhaya.

Kukho iindlela ezimbini eziphambili zonyango:

1. I-Intravenous Immunoglobulin (IVIG): Olu lolona nyango luphambili. I-IVIG sisicombululo esinee-antibodies ezithathwe kubantu abaphilileyo. Sinikwa umntwana ngemithambo yegazi, njenge-saline. Sithomalalisa inkqubo yomzimba yokuzikhusela esebenza kakhulu kwaye sinciphise ukudumba kwimithambo yegazi. Sidla ngokunikwa kube kanye, kwaye kuthatha malunga neeyure ezisi-8-12 ukugqitywa.

2. I-Aspirin:

• Ekuqaleni, kunikwa iidosi eziphezulu ze-aspirin de umkhuhlane uphele kwaye ukudumba emzimbeni kuphele.
• Emva koko, kufuneka kunikwe i-aspirin enesilinganiselo esiphantsi kangangeeveki ezi-6-8, okanye nangaphezulu, ukuthintela ukuqhekeka kwegazi kwimithambo yentliziyo. Ugqirha uya kugqiba ixesha ngokusekwe kwi-echocardiogram yomntwana.

Ngokuqhelekileyo asicebisi ukunika abantwana i-aspirin kuba inokubangela imeko eyingozi ebizwa ngokuba yiReye's Syndrome. Nangona kunjalo, kwisifo sikaKawasaki, iingenelo ze-aspirin zingaphezulu kakhulu kuneengozi. Ke ngoko, inikwa ngengcebiso kagqirha.

Ngexesha lonyango, oogqirha kunye nabongikazi bajonga umntwana ngokusondeleyo, behlala bejonga ukusebenza kwentliziyo, umkhuhlane, kunye nezinye iimpawu.

Kwenzeka ntoni emva konyango? Ngaba umntwana uza kubuyela kwimeko yesiqhelo?

Kwiimeko ezininzi, kungekapheli usuku okanye ezimbini emva kokuqala unyango lwe-IVIG, umkhuhlane womntwana uya kuphela kwaye ezinye iimpawu ziya kuphucuka kancinci kancinci. Umntwana uya kuqala ukuziva ngcono.

Ezi zinto zibalulekile emva konyango:

• Amadinga okulandela: Emva kokuphuma esibhedlele, kufuneka umse umntwana wakho kumadinga kagqirha.
• Uvavanyo oluphindaphindwayo lwe-`(Echocardiogram)`: Uvavanyo lwe-`(Echo)` luya kwenziwa rhoqo emva kweeveki ezimbalwa ukuya kwiinyanga ezimbalwa ukujonga imeko yemithambo yentliziyo. Ukuba oku kwenziwa kangaphi kuya kuxhomekeka kwimeko yentliziyo yomntwana.
• Qhubeka unika i-aspirin enedosi ephantsi: Musa ukuyeka ukunika i-aspirin enedosi ephantsi de ugqirha wakho akuxelele ukuba wenze njalo.
• Lumka ungangenwa ngumkhuhlane okanye yiflu: Ukuba umntwana wakho ufumana i-chickenpox okanye i-influenza ngelixa esela i-aspirin, kukho umngcipheko we-Reye's Syndrome, ngoko ke gcina umntwana wakho kude nabantu abanezifo ezinjalo. Kukwangumbono olungileyo ukuba umntwana wakho agonyelwe i-influenza minyaka le njengoko ugqirha wakho ecebisile.
• Ukulibazisa ezinye izitofu zokugonya: Ugqirha wakho unokukucebisa ukuba uhlehlise ezinye izitofu zokugonya iintsholongwane eziphilayo (umz. imasisi, umphimbo, i-rubella - MMR, ugonyo lwe-chickenpox) kangangeenyanga ezimbalwa ngenxa yonyango lwe-IVIG. Thetha nogqirha wakho ngale nto.

Iindaba ezimnandi zezokuba ukuba isifo sikaKawasaki sinyangwa ngokukhawuleza, uninzi lwabantwana luyachacha ngokupheleleyo kwaye lunokuphila ubomi obuqhelekileyo ngaphandle kwemiphumo yexesha elide ezintliziyweni zabo.

Ngaba kufuneka ndiye kugqirha? Ndingaya nini?

Ewe, ngokuqinisekileyo. Ukuba umntwana wakho unezinye zezi mpawu, kufuneka ubone ugqirha ngokukhawuleza .

Lumka ngakumbi ngezi zinto:

• Umkhuhlane ophezulu ohlala iintsuku ezingaphezu kwe-4-5 , ingakumbi ukuba awupheli ngamayeza omkhuhlane aqhelekileyo.
• Ukuba umkhuhlane uhamba neempawu enye okanye ezingaphezulu ezifana namehlo abomvu, imilebe eqhekekileyo, utshintsho kulwimi, amabala omzimba, ukudumba kwamalungu, kunye neqhuma entanyeni .

Isifo sikaKawasaki sisifo esingaqhelekanga. Nangona kunjalo, ngamanye amaxesha kunokuba nzima ukusihlula kwezinye izifo eziqhelekileyo zentsholongwane. Ke ngoko, ukuba unamathandabuzo, ukuba ucinga ukuba "oku akubonakali ngathi sisifo esiqhelekileyo," kungcono ukubona ugqirha ukuze akunike ingcebiso. Okukhona sifunyanwa kwangethuba, kokukhona unyango lunokuqala ngokukhawuleza, kwaye umngcipheko weengxaki uyancipha.

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Njengomzali, usenokuba ukhathazekile ngeSifo sikaKawasaki. Yinto eqhelekileyo leyo. Kodwa khumbula ezi zinto:

• Isifo seKawasaki sisifo esibangela ukudumba kwemithambo yegazi ebantwaneni abancinci .
• Iimpawu eziphambili ngumkhuhlane ophezulu ohlala iintsuku eziliqela, amehlo abomvu, utshintsho emlonyeni nasemilebeni, amaqhakuva, ukudumba kwamalungu aze emva koko aqhekeze ulusu, kunye nokudumba kwama-lymph nodes entanyeni .
• Esi asisosifo esosulelayo .
• Nangona unobangela ochanekileyo ungaziwa, unokunyangeka ngokupheleleyo ukuba unyangwa ngexesha elifanelekileyo .
• Ukuba ayinyangwa, inokuchaphazela imithambo yegazi entliziyweni . Yiyo loo nto unyango olukhawulezileyo lubalulekile.
• Unyango lungokufakwa esibhedlele kunye namayeza abizwa ngokuba yi-`(IVIG)` kunye ne-`(Aspirin).`
• Ukuba umntwana wakho unezi mpawu, bonana nogqirha ngokukhawuleza. Kubalulekile ukuba ungoyiki, kodwa ukuba wenze ngokukhawuleza.

Ndikunqwenelela umntwana wakho ukuba aphile ngokukhawuleza! Ndiyathemba ukuba olu lwazi luza kukunceda.

Isifo sikaKawasaki , isifo sikaKawasaki, umkhuhlane ebantwaneni, amehlo abomvu, ulwimi lwesitrobheli, isifo sentliziyo, i-IVIG, unyango lwe-aspirin