Kawasaki disease

Kawasaki's disease is rare, especially in our country. Zita raro ndiro giant cell arteritis. Kwenguva yokutanga nyaya yacho yakarondedzerwa muna 1967, muJapan, uko chirwere chacho chiri chichiri chakajairika pane dzimwe nyika.

Kurasika kwake hakuna kunyatsonzwisiswa zvakadaro, asi maererano nekufungidzira, iyo causative agent ndiyo retrovirus, inotungamirira mukuputika kwemidziyo yeropa mumuviri womunhu. Zvinonakidza kuti chirwere cheKawasaki chinokanganisa zvikuru vana vari pasi pemakore mana, avo vasina simba rekuchengetedza muviri, uye kazhinji kakomana. Munyika yedu, kuongororwa kwe "Kawasaki chirwere" hachisi chakanaka, anenge masero gumi pagore. Zvisinei, chimiro chaicho chinogona kuva chakakwirira, nokuti havasi chiremba wega wega anotarisira kuziva zviratidzo zvechirwere uye oita chirwere chakakodzera.

Pasinei nezviratidzo zvakasiyana-siyana, huwandu hunokosha hunokosha pakuongorora. Kawasaki chirwere chinotanga nekuwedzera kwekushisa, izvo zvinogona kupera kubva pa5-10 kusvika 15-20days. Varwere vanokura conjunctivitis, iyo inobata maziso ose. Vhiki mbiri mushure mokutanga kwechirwere, ganda riri pamiti nemichindwe rinova rakaoma, rinopisa uye rinotanga kubvisa. Izvi zvinoitika kuti chirwere cheKawasaki chinoperekedzwa nekumhanya kwezvikamu zvakasiyana-siyana zvemuviri, izvo zvinonzi mapolymorphic muzvisikwa. Pashure penguva, inokura, uye inobva yanyangarika. Kana iwe ukatarisa mumuromo wemwana anorwara, unogona kuwana izvo zvinonzi "sitirobheri", rurimi rukavhurika, ruvara rutsvuku uye kuvapo kwemadiki mashoma mukati mejamu, rutivi rwomukati rwemasaya. Miromo zvakare inoputika uye inoputika. Inovandudza maitiro emutsipa, kusvibiswa kweputi kunoonekwa. Kakawanda, kune rumwe rutivi rwomutsipa, lymph nodes inowedzera, iyo, kana yakagadzika, inokonzera marwadzo. Kuenda kune zviratidzo zvechirwere cheKawasaki chinosanganisira misoro, hurumende yakawanda, marwadzo akabatana, kusuruvara kwepamu pamwe nekurwadziwa uye kurutsa.

Kuongororwa kunogadzirwa nachiremba zvose nekuda kwezviratidzo zvechipatara, uye kutungamirirwa nemigumisiro yekuongororwa kwemurwere. Kana chirwere chemuropa chikapamusoro cheSRR, mapuroteni eC-reactive, antitrypsin, transaminase, uye zviratidzo zvinotaura nezveanemia uye thrombocytosis, chiremba haazokanganisi kuongororwa kweKawasaki. Chirwere ichi chinoratidzwawo nekuvapo kwemuti weprotheni uye pus.

Ichi chirwere chinotyisa nokuti chinogona kukonzera zvinetso pamwoyo, kusvika pakuitika kwekushaya mwoyo, myocardial infarction uye mechanical jaundice. Murwere ane hanya zvakanyanya kuKawasaki anotumirwa kutarisa kune cardiologist uye echocardiography inoitwa. Nechimiro chakaoma chechirwere, kuputika kwemutsipa wemwoyo kunoitika. Kunyange zvazvo nhamba dzezviitiko zvakadaro dzisingabviri. Asi aneurysm yemakironi inonzi coronary inowanzoitika mumakumi maviri evarwere. Kana, panguva yechirwere, nhengo dzehuropi dzinoshandiswa, saka aseptic meningitis inogona kukura. Sezvinetso pamasangano arthritis anoonekwa, ane chironda chekuita - gonhesi, uye otitis media inoshandawo kune zvinetso.

Mukurapa kwechirwere, kutanga kwezvose, vanoisa pfungwa pakuvimbisa kuchengetedzwa kwemwoyo yemagetsi nekudzivirira kukanganisa mubasa rayo. Murwere anorayirwa kwete-steroidal anti-inflammatory drugs in high dose, corticosteroid creams namafuta. Zuva rega rega mazuva mashanu kusvika ku7 murwere anonzi intravenously injected with immunoglobulin, kuvandudza kusagadzikana uye nekukurumidze kupora kwemurwere. Mushonga unozivikanwa zvakadaro se aspirin, unogona kupa rubatsiro runokosha mukurwisana nechirwere chisingawanzoitiki. Inobatanidza zvinhu zvakasiyana-siyana panguva imwechete uye inoshandiswa se antipyretic, anti-inflammatory uye neropa rakatapira remhinduro. Mune chirwere cheKawasaki, inoshandiswa kunyange kune vana pasi pemakore gumi nemaviri. Munguva pfupi yapfuura, kuwedzera ropa, varwere vanorayirwa heparin. Kunyanya kubudirira, chirwere cheKawasaki chinotarisirwa muzvipatara zvevaIsrael, apo varwere vanopinda muitiro we plasmapheresis - kucheneswa kweplasma yeropa.