Chidule cha Matenda a Kawasaki

Mtundu wa Matenda a Nyamakazi ndi Maonekedwe a Kusakaniza Kwambiri

Matenda a Kawasaki ndi amodzi mwa mitundu yoposa 100 ya nyamakazi, malinga ndi Arthritis Foundation. Matenda a Kawasaki ndi mawonekedwe a vasculitis omwe amayamba mwa ana; 80% a odwala a Kawasaki ali ndi zaka zoposa zisanu.

Tomasaku Kawasaki poyamba anazindikira matendawa mu 1967 ku Japan. Asanatchulidwe kuti ndi matenda a Kawasaki, matendawa ankadziwika kuti matenda a lymph node mucocutaneous.

Amatchedwanso matenda a Kawasaki, Kawasaki's syndrome ndi infantile polyarteritis.

Zizindikiro

Matenda a Kawasaki angagwirizane ndi chitukuko cha coronary arteritis (kutupa kwa mitsempha ya coronary) komanso kupanga mapulaneti ovutika. Ku United States, matenda a Kawasaki amaonedwa kuti ndi omwe amachititsa kuti ana adziwe matenda a mtima.

Matenda a Kawasaki amakula mofulumira ndipo amatha kupweteka kwa milungu ingapo. Kawirikawiri, chikhalidwecho chimatsimikiza. Ngakhale kuti zithetsa, pangakhale mavuto a mtima pambuyo pake.

Zizindikiro zina zogwirizana ndi matenda a Kawasaki ndi awa:

• malungo omwe amatha masiku asanu kapena asanu (oyenerera kuti apeze matenda a Kawasaki)
• Maso oundana (maso) opanda pus
• milomo yofiira yofiira
• zofiira mucous membrane mkamwa
• Lilime lofiira lomwe lili ndi mawonekedwe a sitiroberi
• phulusa pa thunthu la thupi
• Manja ofiira ofiira ndi magawo ofiira a mapazi

• edema wa manja ndi mapazi
• kupukuta khungu pamanja, mapazi, ndi ziwalo
• Kutupa kwa mitsempha yotupa nthawi zambiri pafupi ndi khosi
• kupweteka palimodzi ndi kutupa nthawi zambiri kumbali zonse ziwiri za thupi

Zovuta zina zomwe zimachitika ndi matenda a Kawasaki ndi aseptic meningitis, wosabala pyuria ndi urethritis, kutsegula m'mimba, kupweteka kwa m'mimba, pericardial effusion , obstructive jaundice, ndi hydrops wa gallbladder.

Chifukwa

Ena amaganiza kuti pali matenda opatsirana a Kawasaki, koma palibe omwe atsimikiziridwa. Pali ziwerengero zambiri zosagwirizana ndi matenda a Kawasaki, ndipo ena amakhulupirira kuti ndizokhazikika.

Kukula

Ku United States, matenda a Kawasaki amakhudza ana 4,000 pachaka. Chifalikira ku Japan komwe chinapezedwa ndi milandu 5,000 mpaka 6,000 pachaka.

Kuchiza

Matendawa atapezeka, chithandizo chofulumira chimalimbikitsidwa kotero kuti kuwonongeka kwa mitsempha ya m'mimba ndi mtima kungalephereke. Intravenous immune globulin (IVIG) yomwe imapatsidwa mlingo waukulu imatengedwa ngati mankhwala oyenera a matenda a Kawasaki. Mankhwala apamwamba a aspirin amatha kukhala mbali ya dongosolo la mankhwala. Matenda a glucocorticoids samagwiritsidwa ntchito pochiza matenda a Kawasaki.

Pochiza matenda a Kawasaki mwamsanga, anthu ambiri amatha kuchira, koma 2% mwa odwala matenda a Kawasaki amafa chifukwa cha mavuto a kutupa kwa mitsempha. Ndikoyenera kuti odwala omwe ali ndi matenda a Kawasaki ali ndi EKG (echocardiogram) iliyonse kapena zaka ziwiri kuti ayang'anire mavuto a mtima otsala.

_Zotsatira:

_{Vasculitides. Matenda a Kawasaki (Chaputala 21). Choyamba pa Rheumatic Diseases . Koperani 13. Lofalitsidwa ndi Arthritis Foundation. Klippel J. et al.}

_{Sikumangowonjezereka Kwambiri . Matenda a Kawasaki Mutu 17. Thomas JA Lehman, MD. Oxford University Press. 2004.}

_{Matenda a Kawasaki. MedlinePlus. NLM ndi NIH. 11/29/2006.}