Ingabe ingane yakho ibinomkhuhlane izinsuku ezimbalwa? Ingabe kufanele siqaphele lesi sifo se-Kawasaki?

Njengomama noma ubaba, kunzima ukuchaza ukwesaba nokukhathazeka esikuzwayo lapho ingane yethu igula, akunjalo? Ngisho nomkhuhlane ovamile noma umkhuhlane kungasenza sikhathazeke. Ngakho-ke, akumangazi ukuthi izinhliziyo zethu ziyathuthumela lapho ingane yethu ibonisa izimpawu ezingavamile. Namuhla sizokhuluma ngesifo okungenzeka ukuthi awukaze uzwe ngaso, kodwa kubaluleke kakhulu ukusazi. Leso yisifo sikaKawasaki , noma "Isifo sikaKawasaki". Ungakhathazeki, lesi yisimo esingelapheka ngokuphelele uma siqashelwa kusenesikhathi futhi selashwa kahle.

Siyini isifo sikaKawasaki? Kalula nje...

Kalula nje, isifo se-Kawasaki yisimo lapho izindonga zemithambo yegazi (imithambo yegazi) emzimbeni wethu zivuvukala noma zivuvukale . Sithinta kakhulu izingane ezincane, ezingaphansi kweminyaka emihlanu, futhi sivame ukubonakala ezinganeni eziphakathi kwezinyanga eziyisithupha neminyaka emibili. Kodwa-ke, nakuba singavamile, singathinta nezingane ezindala kanye nabantu abadala abasebasha.

Lesi sifo saqala ukutholwa futhi sachazwa udokotela waseJapan, uDkt. Tomisaku Kawasaki. Yingakho sibizwa ngokuthi isifo sikaKawasaki.

Into ebaluleke kakhulu ukuthi lesi akusona isifo esithelelanayo . Lokhu kusho ukuthi ingane yakho ngeke isisakaze komunye umuntu. Ngakho ungakhathazeki ngaso.

Lesi sifo sithinta kakhulu imithambo yegazi ethwala igazi liye enhliziyweni. Siyibiza ngokuthi imithambo yenhliziyo . Uma leyo mithambo ivuvukala, kungaba nemiphumela ethile enhliziyweni. Yingakho sikhathazeke kangaka ngalesi sifo.

Sitholakala kanjani lesi sifo? Ziyini izimpawu?

Izimpawu zesifo sikaKawasaki zingavamile kancane. Azivami ukuvela ngesikhathi esisodwa, kodwa kancane kancane. Odokotela basebenzisa icebo elincane ukukhumbula lezi zimpawu, ezibizwa ngokuthi "CRASH and Burn." Ake sibheke ukuthi ziyini.

• "Shisa" (umkhuhlane): Lolu uphawu oluyinhloko nolokuqala. Kukhona umkhuhlane ophezulu izinsuku ezinhlanu noma ngaphezulu . Lo mkhuhlane ngezinye izikhathi ungafinyelela kuma-degree Celsius angu-39-40 (102-104 Fahrenheit). Ngisho nangemithi evamile yokunciphisa umkhuhlane, lo mkhuhlane awuvamile ukuphela.

Manje ake sibone ukuthi kusho ukuthini ukuthi "CRASH":

• C - I-Conjunctivitis (ububomvu bamehlo): Amhlophe amehlo womabili engane aba bomvu . Kufana nokutheleleka kwamehlo. Kodwa into ekhethekile ukuthi, azikho izinyembezi eziphumayo. Kubomvu nje.
• R - Ukuqubuka: Amabala abomvu nalumayo avela emzimbeni wonke, ikakhulukazi esifubeni, esiswini, emhlane, futhi ngezinye izikhathi ezingalweni nasemilenzeni. Lawa mabala angaba nezimo eziningi. Abanye abantwana bangase bawabone kaningi lawa mabala endaweni enama-diaper (amathanga nezinqe).
• A - I-Adenopathy: I-lymph node (i-node) entanyeni, ngokuvamile ohlangothini olulodwa, iyavuvukala.Lokhu kungaba kukhulu ngokwanele ukuba kubanjwe esandleni, mhlawumbe kube kukhulu ngisho nangaphezu kwamasentimitha angu-1.5.
• S - Ulimi lwesitrobheli kanye nezinye izinguquko zomlomo:
• Izindebe zomntwana zingase zome, ziqhekeke, futhi ngezinye izikhathi zibe bomvu ngokwanele ukuba ziphume igazi .
• Ulimi luqale lumbozwe ngengubo emhlophe, kamuva inyamalale bese ulimi luba bomvu, kube namaqhubu amancane avelayo, futhi lubukeka njenge-strawberry . Yingakho lubizwa ngokuthi "ulimi lwe-strawberry."
• Ingaphakathi lomlomo nomphimbo lingase libe bomvu.
• H - Izandla nezinyawo ziyashintsha:
• Ezinsukwini zokuqala, izintende zezandla nezinyawo ziba bomvu futhi zivuvuke . Kungase kuzwakale sengathi izitho zomzimba zivuvukele.
• Ngemva kwesonto nesigamu kuya kwamasonto amabili, isikhumba sizoqala ukukhumuka kusukela ezinzwaneni zeminwe futhi ngezinye izikhathi ezintendeni zezandla nasematheni ezinyawo . Lokhu kungaphuma kube amaqhubu amakhulu.

Ngaphezu kwalezi zimpawu eziyinhloko, ezinye izingane zingase zibhekane nezinye izinkinga. Isibonelo:

• Uthukuthele kakhulu, uyakhala .
• Ukuhlanza, ubuhlungu besisu, uhudo.
• Ubuhlungu nokuvuvukala kwamalunga.
• Ngezinye izikhathi izimpawu ezifana ne-jaundice nazo zingavela.

Cabanga nje, uma umkhuhlane wengane yakho ungehli izinsuku ezingu-4-5, futhi ekhombisa ezinye zezimpawu ezibalwe ngenhla, kufanele nakanjani ubone udokotela.

Kungani lokhu kwenzeka? Yini ebangela isifo seKawasaki?

Eqinisweni, imbangela eqondile yesifo i-Kawasaki ayikakaziwa . Odokotela nososayensi basacwaninga ngalokhu. Kodwa-ke, kunezici eziningana okucatshangwa ukuthi ziyimbangela yalokhu:

• Ukutheleleka: Kucatshangwa ukuthi amasosha omzimba angase asebenze ngokweqile futhi ahlasele imithambo yegazi yawo ngenxa yento efana nebhaktheriya noma igciwane. Kodwa akwaziwa kahle ukuthi iyini igciwane.
• Ukuthambekela kwezakhi zofuzo: Kutholakale ukuthi izingane kweminye imindeni zinamathuba amancane okuthuthukisa lokhu. Lokhu kusho ukuthi kungase kube nokuxhumana okuthile kwezakhi zofuzo. Kodwa-ke, lesi akusona isifo esizuzwa ngqo kubazali ezinganeni.
• Izici zemvelo: Siphenya nokuthi ezinye izici zemvelo nazo ziyakuthinta yini lokhu.

Into ebaluleke kakhulu ukuthi lesi akusona isifo esibangelwa yiphutha lakho. Ungakhathazeki ngaso.

Odokotela bakuthola kanjani lokhu? (Ukuxilongwa)

Akukho ukuhlolwa okukodwa okuqinisekile kokuthola isifo seKawasaki. Okusho ukuthi, akukho ukuhlolwa okungathatha igazi elincane bese kuthi, "O, nansi iKawasaki."

Udokotela uzonquma ukuthi ingane inalesi simo noma cha ngokusekelwe kakhulu ezimpawini ezibhekene nazo. Uma izimpawu eziningana ze-"CRASH and Burn" ezishiwo ngenhla sezikhona isikhathi esithile, udokotela angase abe nokungabaza.

Ngaphezu kwalokho, udokotela angenza izinto ezifana nalezi:

• Hlola ingane ngokucophelela: Hlola umkhuhlane, amehlo, umlomo, isikhumba, intamo kanye nemilenze.
• Ukuhlolwa kwegazi:
• Ukuhlolwa okufana ne-`(CRP - C-Reactive Protein)` kanye ne-`(ESR - Erythrocyte Sedimentation Rate)` kwenziwa ukuze kubonakale ukuthi kukhona yini ukuvuvukala emzimbeni. Uma une-Kawasaki, lokhu kungaba phezulu kakhulu.
• Inani lamaseli amhlophe egazi nama-platelet liyahlolwa.
• Ukuhlolwa kokusebenza kwesibindi nakho kungenziwa.
• Ukuhlolwa komchamo: Kusiza ekuvimbeleni ezinye izifo ezithathelwanayo.
• Ukuhlolwa kwenhliziyo `(Echocardiogram - Echo)`: Lokhu ukuhlolwa okubaluleke kakhulu . Lokhu kungahlola ukusebenza kwenhliziyo, ama-valve enhliziyo, ikakhulukazi isimo semithambo yenhliziyo. Lokhu kuhlolwa kungabona ukuthi le mithambo ivuvukele futhi ikhulisiwe yini (i-aneurysm) esifweni sikaKawasaki. Lokhu kuhlolwa `(Echo)` kuvame ukwenziwa ngemva kokuba isifo sitholakale, ngemva kwamasonto ambalwa.

Udokotela uzohlanganisa konke lokhu ukuze anqume ukuthi ngabe yisifo sikaKawasaki noma cha.

Kwenzekani uma ingelashwa? Ingabe lokhu kuyingozi?

Isifo se-Kawasaki singadala izinkinga uma singelashwa ngokushesha nangendlela efanele . Yingakho kubalulekile ukusiqaphela kusenesikhathi bese uqala ukwelashwa.

Inkinga ebaluleke kakhulu neyingozi ukwanda kwemithambo yenhliziyo (Coronary Artery Aneurysms). Lokhu kusho ukuthi imithambo yegazi enikeza igazi enhliziyweni ivuvukala njengebhaluni. Uma kwenzeka "(Aneurysm)" enjalo, ukugeleza kwegazi kuyo kungavimbeka, kwakheke amahlule egazi, futhi ngezinye izikhathi umthambo ungaqhuma (lokhu kwenzeka kaningi). Lokhu kwandisa ingozi yokuhlaselwa yinhliziyo esikhathini esizayo.

Ezinye izinkinga:

• I-Myocarditis
• Ukuvuvukala kolwelwesi oluzungeze inhliziyo (i-pericarditis)
• Izinkinga ze-valve yenhliziyo
• Ukuphazamiseka kwenhliziyo (i-Arrhythmias)

Kodwa ungesabi ukuzwa lezi zinto. Uma isifo sikaKawasaki sibonakala kusenesikhathi futhi ukwelashwa kuqalwe zingakapheli izinsuku eziyi-10 kusukela kuqale izimpawu, ingozi yalezi zinkinga ingancishiswa kakhulu. Yingakho sithi bonana nodokotela ngokushesha okukhulu.

Kuphathwa kanjani lokhu?

Uma udokotela eqinisekisa ukuthi ingane inesifo iKawasaki, ingane izolaliswa esibhedlela futhi yelashwe . Lokhu akunakwelashwa ekhaya.

Kunezindlela ezimbili eziyinhloko zokwelapha:

1. I-Intravenous Immunoglobulin (IVIG): Lena yindlela yokwelapha eyinhloko. I-IVIG iyisisombululo esiqukethe ama-antibodies athathwe kubantu abaphilile. Inikezwa ingane ngemithambo yegazi, njenge-saline. Ithulisa amasosha omzimba asebenza ngokweqile emzimbeni futhi inciphise ukuvuvukala emithanjeni yegazi. Ngokuvamile inikezwa kanye, futhi kuthatha cishe amahora angu-8-12 ukuqeda.

2. I-aspirini:

• Ekuqaleni, kunikezwa imithamo ephezulu ye-aspirin kuze kube yilapho umkhuhlane uphela futhi ukuvuvukala emzimbeni kunciphile.
• Ngemva kwalokho, i-aspirin ephansi kufanele inikezwe cishe amasonto ayi-6-8, noma ngaphezulu, ukuvimbela ukujiya kwegazi emithanjeni yenhliziyo. Udokotela uzonquma isikhathi ngokusekelwe ku-echocardiogram yengane.

Ngokuvamile asincomi ukunikeza izingane i-aspirin ngoba ingabangela isimo esiyingozi esibizwa ngokuthi i-Reye's Syndrome. Kodwa-ke, esifweni sikaKawasaki, izinzuzo ze-aspirin zidlula kakhulu izingozi. Ngakho-ke, inikezwa ngeseluleko sikadokotela.

Ngesikhathi sokwelashwa, odokotela nabahlengikazi baqapha ingane ngokucophelela, beqapha njalo ukusebenza kwenhliziyo, umkhuhlane, nezinye izimpawu.

Kwenzekani ngemva kokwelashwa? Ingabe ingane izobuyela esimweni sayo esijwayelekile?

Ezimweni eziningi, phakathi nosuku noma ezimbili zokuqala ukwelashwa kwe-IVIG, umkhuhlane wengane uzophela kanti ezinye izimpawu zizothuthuka kancane kancane. Ingane izoqala ukuzizwa ingcono.

Lezi zinto zibalulekile ngemva kokwelashwa:

• Ama-aphoyintimenti okulandelela: Ngemva kokuphuma esibhedlela, kufanele uyise ingane yakho kuma-aphoyintimenti kadokotela.
• Ukuhlolwa okuphindaphindwayo kwe-`(Echocardiogram)`: Ukuhlolwa kwe-`(Echo)` kuzokwenziwa njalo emavikini ambalwa kuya ezinyangeni ezimbalwa ukuhlola isimo semithambo yenhliziyo. Ukuthi lokhu kwenziwa kangaki kuzoncika esimweni senhliziyo yengane.
• Qhubeka nokunikeza i-aspirin ephansi: Ungayeki ukunikeza i-aspirin ephansi kuze kube yilapho udokotela wakho ekuyala.
• Qaphela ukuthi ungangenwa umkhuhlane noma umkhuhlane: Uma ingane yakho ithola i-chickenpox noma umkhuhlane ngenkathi ithatha i-aspirin, kunengozi ye-Reye's Syndrome, ngakho-ke gcina ingane yakho kude nabantu abanezifo ezinjalo. Kungumqondo omuhle futhi ukuthi ingane yakho igonyelwe umkhuhlane minyaka yonke njengoba udokotela wakho eyalile.
• Ukuhlehlisa eminye imijovo: Udokotela wakho angase akucebise ukuthi uhlehlise eminye imijovo yegciwane eliphilayo (isib. isimungumungwane, ukhunta, i-rubella - MMR, umjovo we-chickenpox) izinyanga ezimbalwa ngenxa yokwelashwa kwe-IVIG. Khuluma nodokotela wakho ngalokhu futhi.

Izindaba ezinhle ukuthi uma isifo sikaKawasaki selashwa ngokushesha, izingane eziningi ziyalulama ngokugcwele futhi zingaphila impilo evamile ngaphandle kwemiphumela yesikhathi eside ezinhliziyweni zazo.

Ingabe ngidinga ukubona udokotela? Kufanele ngiye nini?

Yebo, impela. Uma ingane yakho inanoma yiziphi zalezi zimpawu, kufanele ubonane nodokotela ngokushesha .

Qaphela kakhulu ngalezi zinto:

• Umkhuhlane ophakeme ohlala izinsuku ezingaphezu kwezingu-4-5 , ikakhulukazi uma unganciphi ngemithi ejwayelekile yomkhuhlane.
• Uma umkhuhlane uhambisana nesibonakaliso esisodwa noma ngaphezulu njengamehlo abomvu, izindebe eziqhekekile, izinguquko olimini, amabala omzimba, ukuvuvukala kwamalungu, kanye neqhubu entanyeni .

Isifo i-Kawasaki siyisifo esingavamile. Kodwa-ke, ngezinye izikhathi kungaba nzima ukusihlukanisa nezinye izifo ezivamile ezibangelwa amagciwane. Ngakho-ke, uma unokungabaza, uma ucabanga ukuthi "lokhu akubonakali kuyisifo esivamile," kungcono ukubona udokotela ukuze uthole iseluleko. Uma sitholakala kusenesikhathi, ukwelashwa kungaqala ngokushesha, futhi ingozi yezinkinga iyancipha.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Njengomzali, ungase ukhathazeke ngesifo iKawasaki. Lokho kujwayelekile. Kodwa khumbula lezi zinto:

• Isifo se-Kawasaki yisimo esibangela ukuvuvukala kwemithambo yegazi ezinganeni ezincane .
• Izimpawu eziyinhloko umkhuhlane omkhulu ohlala izinsuku eziningana, amehlo abomvu, izinguquko emlonyeni nasezindebeni, ukuqubuka, ukuvuvukala kwamalungu bese kuba ukuxebuka kwesikhumba, kanye nokuvuvukala kwama-lymph node entanyeni .
• Lesi akusona isifo esithathelwanayo .
• Nakuba imbangela eqondile ingaziwa, ingelapheka ngokuphelele uma yelashwa ngesikhathi .
• Uma ingelashwa, ingathinta imithambo yegazi enhliziyweni . Yingakho ukwelashwa okusheshayo kubalulekile.
• Ukwelashwa kwenziwa ngokulaliswa esibhedlela kanye nemithi ebizwa ngokuthi `(IVIG)` kanye `(Aspirin).`
• Uma ingane yakho inalezi zimpawu, bona udokotela ngokushesha. Kubalulekile ukungesabi, kodwa ukuthatha isinyathelo ngokushesha.

Ngifisela ingane yakho ukululama okusheshayo! Ngithemba ukuthi lolu lwazi luzokusiza.

Isifo sikaKawasaki , isifo sikaKawasaki, umkhuhlane ezinganeni, amehlo abomvu, ulimi lwesitrobheli, isifo senhliziyo, i-IVIG, ukwelashwa nge-aspirin