Kab mob Kawasaki yog dab tsi thiab nws txaus ntshai li cas

2024 Tus sau: Malcolm Clapton | [email protected]. Kawg hloov kho: 2023-12-17 03:58

Cov kws tshawb fawb kwv yees tias COVID-19 yog ib yam kab mob tsis tshua muaj nyob rau thaum yau.

Kab mob Kawasaki yog dab tsi

Kawasaki Disease yog ib qho mob ntawm cov hlab ntsha, ib hom vasculitis. Qhov tshwm sim tau piav qhia thawj zaug los ntawm tus kws kho menyuam yaus Nyij Pooj Tomisaku Kawasaki Kab Mob Kawasaki: Keeb Kwm Luv luv thaum xyoo 1960s, yog li lub npe.

Tus kab mob no tsis tshua muaj, feem ntau tshwm sim rau cov menyuam yaus hnub nyoog qis dua 5 xyoos, Nyiv thiab Kaus Lim Kauslim qhovntsej thiaj tsis mob Kawasaki (rau cov niam txiv). Ntau precisely, nws yog li ntawd ua ntej.

Vim li cas cov kws kho mob pib tham txog qhov muaj peev xwm sib txuas ntawm tus kab mob Kawasaki thiab tus mob coronavirus

Thaum Lub Peb Hlis-Lub Plaub Hlis 2020, Ltalis, UK tshawb nrhiav qhov muaj peev xwm tiv thaiv COVID-19 txuas rau cov menyuam yaus inflammatory kab mob tau sau npe nyob rau hauv ltalis ib tug loj tus naj npawb ntawm cov me nyuam uas muaj tsos mob ntawm tus kab mob Kawasaki: 20 tus neeg mob tau mus rau lub tsev kho mob Bergamo ib leeg nyob rau hauv ib lub hlis. Qhov no yog rau lub sijhawm ntau dua li feem ntau sau tseg hauv ib xyoos.

Cov kws kho mob tau txaj muag tias qhov tshwm sim ntawm tus kab mob Kawasaki tau tshwm sim nyob rau hauv tib cheeb tsam uas tau muaj tus kab mob coronavirus COVID-19 nyob rau lub sijhawm ntawd. Qhov kev sib txuas ntawm ob kab mob tau tham txog, tab sis nrog cov lus zoo "tseem ceeb". Tsis tas li ntawd, feem ntau ntawm cov menyuam yaus hauv tsev kho mob, kev kuaj PCR rau tus kabmob coronavirus tsis zoo.

Txawm li cas los xij, sai sai no kev kis mob ntawm COVID-19 thiab kab mob Kawasaki tshwm sim nyob rau lwm thaj chaw - piv txwv li, hauv tebchaws Askiv Ltalis, UK tshawb nrhiav qhov muaj peev xwm COVID-19 txuas rau tus kabmob kis rau menyuam yaus, Fabkis Tus kabmob Kawasaki hauv cov menyuam yaus thaum lub sijhawm COVID-19 kis thoob qhov txhia chaw: a Kev soj ntsuam yav tom ntej hauv Paris, Fab Kis thiab Tebchaws Asmeskas 15 Cov Menyuam Yaus Hauv Tsev Khomob Nrog Kev Mob Tsis Txaus Siab Tej zaum yuav raug khi rau Covid-19. Raws li nyob rau hauv cov ntaub ntawv Italian, feem ntau ntawm cov menyuam yaus tau kuaj pom tsis zoo rau tus kabmob coronavirus. Tab sis cov kws kho mob txuas ntxiv tham txog qhov muaj feem cuam tshuam ntawm cov kab mob no. Piv txwv li, nws raug txheeb xyuas hauv 2020 Kev Ceeb Toom Txog Kev Noj Qab Haus Huv # 13: Pediatric Multi-System Inflammatory Syndrome Muaj Peev Xwm Koom Tes nrog COVID-19, suav nrog New York Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv.

Tib daim ntawv tshaj tawm qhia tias lub hnub nyoog ntawm cov menyuam yaus raug mob yog los ntawm 2 txog 15 xyoo. Ntawd yog, sib piv rau cov kab mob Kawasaki classic, cov tub ntxhais hluas kuj raug cuam tshuam.

Tus mob coronavirus puas tuaj yeem ua rau tus kabmob Kawasaki?

Cov kws tshawb fawb tseem tsis tau paub txog Kev Kho Mob, Kev Kho Mob, thiab Kev Tswj Lub Sij Hawm Ntev ntawm Kab Mob Kawasaki: Daim Ntawv Qhia Txog Kev Noj Qab Haus Huv los ntawm American Heart Association, dab tsi ua rau tus kab mob Kawasaki.

Kab Mob Kawasaki: Ua rau pom tias mob vascular mob tshwm sim hauv cov menyuam yaus uas muaj caj ces. Thiab ib co kab mob provoke nws. Rau lub luag haujlwm ntawm qhov tshwm sim, cov kws tshawb fawb tab tom xav txog cov kab mob, cov kab mob, cov kab mob - suav nrog cov kab mob coronaviruses ntev uas ua rau mob khaub thuas.

Raws li lub hauv paus no, theoretically, SARS - CoV - 2 yeej yog qhov ua rau tus kab mob Kawasaki hauv cov menyuam yaus. Txawm li cas los xij, cov kws kho mob tseem tsis tuaj yeem lees paub lossis tsis lees paub qhov kev xav no.

Vim li cas Kawasaki kab mob txaus ntshai?

Yog tias tus kab mob tau kuaj pom nyob rau lub sijhawm, ces yuav luag tsis muaj dab tsi Kawasaki Kab Mob (rau Cov Niam Txiv). Feem coob ntawm cov menyuam yaus hnov zoo dua hauv ob peb hnub tom qab pib kho raws sijhawm.

Tab sis yog tias koj ncua sijhawm mus ntsib kws kho mob lossis tsis mus rau lawv txhua qhov, muaj teeb meem loj. Kwv yees li 2-3% ntawm Kawasaki Kab Mob yog qhov tuag taus yog tias tsis kho. Lwm 25% ntawm cov me nyuam muaj aneurysms (bulging ntawm phab ntsa) ntawm cov hlab ntsha coronary uas muab lub plawv nrog cov ntshav. Cov ntshav txhaws tuaj yeem tsim hauv cov hlab ntsha, kev pheej hmoo ntawm lub plawv nres, arrhythmias, thiab teeb meem nrog lub plawv li qub nce ntxiv.

Yog li ntawd, nws yog ib qho tseem ceeb kom paub yuav ua li cas paub txog kab mob Kawasaki thaum ntxov kom nrhiav kev pab hauv lub sijhawm. Hauv qhov no, qhov kev pheej hmoo ntawm cov teeb meem raug txo mus rau 3-5%.

Cov tsos mob ntawm tus kab mob Kawasaki yog dab tsi

Nov yog cov cim qhia ntxov ntawm Kawasaki Kab Mob: Cov tsos mob tshwm sim hauv cov menyuam yaus mob:

• Kub kub - 38-40 ℃. Nws kav tsib hnub lossis ntau dua, thiab qee zaum nws rub rau 3-4 lub lis piam. Nrog Kawasaki tus kab mob, qhov kub thiab txias yog qhov nyuaj heev los txo qis nrog cov tshuaj tiv thaiv kab mob xws li paracetamol lossis ibuprofen.
• Raj. Lawv tuaj yeem muaj cov duab sib txawv, zoo ib yam li daim tawv nqaij ua pob khaus, mob qhua pias, kub taub hau.
• Redness thiab o ntawm daim tawv nqaij ntawm cov ntiv tes thiab ntiv taw. Tej zaum nws yuav mob rau tus menyuam kov lossis taug kev.
• Reddened ob lub qhov muag - dawb nrog tawg capillaries.
• Qhuav, daim di ncauj. Cov tawv nqaij ntawm lawv feem ntau flakes tawm, uas ua rau nws mob rau noj los yog tham.
• Loj lymph nodes nyob rau hauv lub caj dab. Lawv feem ntau hnov ntawm ib sab.

Tom qab ib lub lim tiam lossis ob, cov tsos mob hloov pauv: qhov kub thiab txias, tab sis mob taub hau, xeev siab, ntuav, mob pob qij txha, yellowing ntawm daim tawv nqaij thiab qhov muag dawb tshwm. Tab sis los ntawm lub sij hawm no koj yuav tsum tau hu rau koj tus kws kho mob.

Yog tias thawj cov tsos mob tshwm sim lawv tus kheej raug mob, thiab ntau dua yog tias tus menyuam muaj hnub nyoog qis dua rau lub hlis, tsis txhob tos mus ntsib kws kho mob. Hu rau lub tsheb thauj neeg mob.

Txhawm rau kom paub meej qhov kev kuaj mob thiab txiav tawm tus mob qhua pias thiab liab liab ua npaws zoo ib yam li Kawasaki, cov kws kho mob yuav kuaj zis thiab ntshav los ntawm tus menyuam, thiab tseem ua ib qho electrocardiogram.

Yuav kho tus kab mob Kawasaki li cas

Cov me nyuam vasculitis tsuas yog kho hauv tsev kho mob xwb. Qhov no yog qhov tsim nyog kom cov kws kho mob muaj sijhawm los teb cov teeb meem tshwm sim.

Txoj kev kho nws tus kheej yog Kawasaki tus kab mob hauv kev txhaj tshuaj ntawm cov tshuaj immunoglobulin siab (feem ntau yog ib koob tshuaj) thiab noj tshuaj aspirin tsis tu ncua, thaum ntxov - hauv koob tshuaj loj. Qhov no yog ib qho ntawm cov sijhawm tsis tshua muaj thaum Kawasaki Kab Mob: Kev kho mob tau muab tshuaj aspirin rau cov menyuam yaus hnub nyoog qis dua 16 xyoo. Cov tshuaj yog tsim nyog los txo qhov kub thiab txias, alleviate tus mob ntawm tus me nyuam thiab nyob rau tib lub sij hawm txo qhov kev pheej hmoo ntawm cov ntshav txhaws nyob rau hauv lub coronary hlab ntsha.

Qee qhov xwm txheej, yog tias kev kho mob classic tsis muab cov txiaj ntsig xav tau lossis muaj kev pheej hmoo ntawm cov teeb meem loj, cov tshuaj ntxiv tau raug sau tseg - corticosteroids lossis anticoagulants (cov tshuaj uas txo cov ntshav).

Txhua lub sijhawm no, tus menyuam tus mob yuav tsum tau saib xyuas los ntawm kws kho mob plawv, tus kws kho mob kis mob lossis tus kws kho mob rheumatologist.

Raws li txoj cai, kev kho mob yog ncua rau ob peb lub lis piam. Ces tus me nyuam rov zoo lawm.

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