Yintoni isifo seKawasaki, iimpawu kunye nonyango

Umxholo

• Iimpawu eziphambili kunye neempawu
• Buyintoni ubudlelwane ne-COVID-19
• Indlela yokuqinisekisa ukuxilongwa
• Unyango lwenziwa njani

Isifo i-Kawasaki yimeko enqabileyo yobuntwana ebonakaliswa kukudumba kodonga lomthambo wegazi okhokelela ekubonakaleni kwamabala eluswini, umkhuhlane, i-lymph node ezandisiweyo kwaye, kwabanye abantwana, ukudumba kwentliziyo kunye nokudibana.

Esi sifo asosuleli kwaye senzeka rhoqo kubantwana ukuya kuthi ga kwiminyaka emi-5 ubudala, ngakumbi amakhwenkwe. Isifo i-Kawasaki sihlala sibangelwa lutshintsho kwinkqubo yomzimba yokuzikhusela, nto leyo ebangela ukuba iiseli zokhuselo ngokwazo zihlasele imithambo yegazi, zikhokelela kukudumba. Ukongeza kwisizathu sokuzimela, inokubangelwa ziintsholongwane okanye izinto zemfuza.

Isifo i-Kawasaki siyanyangeka xa sichongiwe kwaye sinyangwa ngokukhawuleza, kwaye unyango kufuneka lwenziwe ngokwengcebiso yabantwana, ethi, kwiimeko ezininzi, ibandakanye ukusetyenziswa kwe-aspirin yokuphelisa ukudumba kunye nenaliti ye-immunoglobulins yokulawula ukuphendula okuzenzekelayo.

Iimpawu eziphambili kunye neempawu

Iimpawu zesifo sikaKawasaki ziqhubela phambili kwaye zinokubonakalisa amanqanaba amathathu esi sifo. Nangona kunjalo, ayingabo bonke abantwana abanazo zonke iimpawu. Inqanaba lokuqala sifo luphawulwa ezi mpawu zilandelayo:

• Umkhuhlane ophezulu, uhlala ngaphezulu kwe-39 ºC, ubuncinci iintsuku ezi-5;
• Ukucaphuka
• Amehlo abomvu;
• Imilebe ebomvu nebomvu;
• Ulwimi ludumbile kwaye lubomvu njenge-sitrobheli;
• Umqala obomvu;
• Iilwimi zentamo;
• Iintende ezibomvu kunye nonyawo;
• Inkangeleko yamabala abomvu kulusu lomboko nakwindawo ejikeleze ilweyile.

Kwinqanaba lesibini lesi sifo, kuqala ukubakho kolusu eminweni nasezinzwaneni, iintlungu ezidibeneyo, urhudo, iintlungu zesisu kunye nokugabha okunokuhlala kufutshane neeveki ezi-2.

Kwinqanaba lesithathu nelokugqibela lesi sifo, iimpawu ziqala ukuncipha kancinci zide ziphele.

Buyintoni ubudlelwane ne-COVID-19

Ukuza kuthi ga ngoku, isifo sikaKawasaki asithathwa njengengxaki ye-COVID-19. Nangona kunjalo, kwaye ngokutsho koqwalaselo olwenziwe kwabanye abantwana abavavanye intsholongwane ye-COVID-19, ngakumbi e-United States, kunokwenzeka ukuba uhlobo losana olusulelayo kwi-coronavirus entsha lubangela isifo esineempawu ezifanayo nesifo sika-Kawasaki, oko kukuthi umkhuhlane , amabala abomvu emzimbeni kunye nokudumba.

Funda ngakumbi malunga nendlela i-COVID-19 ebachaphazela ngayo abantwana.

Indlela yokuqinisekisa ukuxilongwa

Ukuchongwa kwesifo saseKawasaki kwenziwa ngokwemiqathango esekwe yiAmerican Heart Association. Yiyo loo nto kuvavanywa ezi ndlela zilandelayo:

• Umkhuhlane iintsuku ezintlanu okanye nangaphezulu;
• Ukudibana ngaphandle kobofu;
• Ubukho bolwimi olubomvu nokudumba;
• Ububomvu be-Oropharyngeal kunye ne-edema;
• Ukubonakaliswa kweefissures kunye nobomvu bomlomo;
• Ubomvu kunye ne-edema yezandla kunye neenyawo, kunye ne-flaking kwindawo ye-groin;
• Ubukho bamabala abomvu emzimbeni;
• I-lymph nodes ezivuvukileyo entanyeni.

Ukongeza kuvavanyo lweklinikhi, iimvavanyo zinoku-odolwa ngugqirha wabantwana ukunceda ukuqinisekisa isifo, njengokuvavanywa kwegazi, i-echocardiogram, i-electrocardiogram okanye i-X-ray yesifuba.

Unyango lwenziwa njani

Isifo sikaKawasaki siyanyangeka kwaye unyango lwaso luquka ukusetyenziswa kwamayeza ukunciphisa ukudumba nokukhusela ukwanda kweempawu. Ngokwesiqhelo unyango lwenziwa ngokusetyenziswa kweasprini ukunciphisa umkhuhlane kunye nokudumba kwemithambo yegazi, ikakhulu imithambo yentliziyo, kunye needosi eziphezulu zeemunoglobulins, eziziproteni eziyinxalenye yenkqubo yomzimba yokuzikhusela, kangangeentsuku ezintlanu, okanye neengcebiso zonyango.

Emva kokuba umkhuhlane uphelile, ukusetyenziswa kweedosi ezincinci zeasprini kunokuqhubeka iinyanga ezimbalwa ukunciphisa umngcipheko wokwenzakala kwimithambo yentliziyo kunye nokwakheka kwehlwili. Nangona kunjalo, ukunqanda iReye's Syndrome, esisifo esibangelwa kukusetyenziswa ixesha elide kweasprini, iDipyridamole inokusetyenziswa ngokwesikhokelo sikagqirha.

Unyango kufuneka lwenziwe ngexesha lokulaliswa esibhedlele de kungabikho mngcipheko kwimpilo yomntwana kwaye akukho ngxaki, njengeengxaki zevalvevu yentliziyo, i-myocarditis, i-arrhythmias okanye i-pericarditis. Enye into enokubakho kwisifo sikaKawasaki kukwenziwa kwee-aneurysms kwimithambo yegazi, enokuthi ikhokelele ekuthinteleni komthambo kwaye, ngenxa yoko, infarction kunye nokufa ngesiquphe. Jonga ukuba zintoni iimpawu, izizathu kunye nendlela ephathwa ngayo i-aneurysm.