Mwana wanga ali ndi matenda a Kawasaki

Matenda a Kawasaki: ndichiyani?

Matenda a Kawasaki ndi kutupa komanso necrosis yamakoma amitsempha yamagazi ndi mitsempha yomwe imalumikizidwa ndi kufooka kwa chitetezo chamthupi (febrile systemic vascularity).

Nthawi zina imakhudza mitsempha ya m'mitsempha. Kuphatikiza apo, popanda chithandizo, zimatha kukhala zovuta ndi ma coronary aneurysms, mu 25 mpaka 30% ya milandu. Ndiwonso chomwe chimayambitsa matenda a mtima omwe amapezeka kwa ana omwe ali m'mayiko olemera, ndipo amatha kukhala ndi chiopsezo cha matenda a mtima wa ischemic mwa akuluakulu.

Kodi ikufikira ndani? Makanda ndi ana azaka zapakati pa 1 ndi 8 nthawi zambiri amadwala matenda a Kawasaki.

Matenda a Kawasaki ndi coronavirus

Kodi matenda a SARS-CoV-2 angayambitse kuwonekera kwachipatala mwa ana, zofanana ndi zomwe zimawonedwa mu matenda a Kawasaki? Kumapeto kwa Epulo 2020, ntchito za ana ku UK, France ndi US zidanenanso za ana ogonekedwa m'chipatala omwe ali ndi matenda otupa a systemic, omwe zizindikiro zawo zimakumbukira matenda osowa otupawa. Kuwonekera kwazizindikiro zakuchipatala izi komanso kulumikizana kwawo ndi Covid-19 kumadzetsa mafunso. Pafupifupi ana makumi asanu ndi limodzi anali kudwala ku France, panthawi yomwe anali mndende yolumikizidwa ndi coronavirus.

Koma kodi pali kulumikizana kwenikweni pakati pa SARS-CoV-2 coronavirus ndi matenda a Kawasaki? "Pali mgwirizano wamphamvu pakati pa kuyambika kwa milanduyi ndi mliri wa Covid-19, koma si odwala onse omwe adayezetsa. Mafunso angapo amakhalabe osayankhidwa ndipo ndi nkhani yofufuzidwanso m'madipatimenti a ana, "akumaliza Inserm. Ulalowu uyenera kuwunikiridwanso, ngakhale pakali pano, boma likukhulupirira kuti matenda a Kawasaki sakuwoneka kuti angakhalenso chiwonetsero china cha Covid-19. Omaliza amalemba, komabe, kuti "kuyambika kwake kumatha kuyanjidwa ndi matenda osadziwika a virus". Zowonadi, "Covid-19 pokhala matenda a virus (monga ena), ndiye kuti ndizomveka kuti ana, atakumana ndi Covid-19, amakhala ndi matenda a Kawasaki pakapita nthawi, monga momwe zimakhalira ndi matenda ena a virus," akutsimikizira, komabe kukumbukira kufunika koonana ndi dokotala ngati mukukayikira. Komabe, chipatala cha Necker chikukondwera ndi mfundo yakuti ana onse adalandira chithandizo chanthawi zonse cha matendawa, ndipo onse adayankha bwino, ndikuwongolera mofulumira kwa zizindikiro zachipatala komanso makamaka kuchira kwa mtima wabwino. . Nthawi yomweyo, kalembera wadziko lonse adzakhazikitsidwa ndi bungwe la Public Health France.

Kodi zimayambitsa matenda a Kawasaki ndi chiyani?

Zomwe zimayambitsa matendawa osapatsirana sizidziwika, koma n'zotheka kuti amayamba chifukwa cha mavairasi kapena mabakiteriya mwa ana. Inserm imatiuza kuti “kuyambika kwake kumakhudzana ndi mitundu ingapo ya matenda obwera chifukwa cha mavairasi, makamaka ndi ma virus opuma kapena a enteric. "Ikhoza kukhala njira yochitira pambuyo pa mliri wa virus, kupita patsogolo kwa gawo lake Olivier Véran, Unduna wa Zaumoyo.

Matendawa omwe amawonedwa mwa ana okhudzidwawo amaganiziridwa kuti ndi chifukwa cha kuchulukitsitsa kwa chitetezo chamthupi kutsatira kutenga kachilombo kamodzi mwama virus. “

Kodi zizindikiro za matenda a Kawasaki ndi chiyani?

Matenda a Kawasaki amasiyanitsidwa ndi kutentha thupi kwanthawi yayitali, zidzolo, conjunctivitis, kutupa kwa mucous nembanemba, lymphadenopathy. Komanso, mawonetseredwe oyambirira ndi pachimake myocarditis ndi mtima kulephera, arrhythmias, endocarditis ndi pericarditis. Aneurysms ya Coronary artery imatha kupanga. Minofu yowonjezereka imathanso kupsa, kuphatikiza thirakiti lapamwamba la kupuma, kapamba, ma ducts a bile, impso, mucous nembanemba ndi ma lymph nodes.

"Zowonetsa zachipatalazi zimadzutsa matenda a Kawasaki. Kusaka kwa kachilombo ka Covid-19 kudapezeka kuti kuli kothandiza, mwina kudzera pa PCR kapena serology (antibody assay), gawo loyambirira la matendawa silinadziwike nthawi zambiri, popanda ulalo zitha kukhazikitsidwa pakadali pano ndi Covid ”, akuwonetsa kukhazikitsidwa. Nthawi zambiri, matendawa amawonekera ndi kutupa kwa mitsempha yamagazi, makamaka yamtima (mitsempha yama coronary). Amakhudza kwambiri ana aang’ono asanakwanitse zaka 5. Ngakhale kuti zachitika lipoti padziko lonse, matendawa ndi ofala kwambiri ku anthu a ku Asia, akutero Inserm m’nkhani ina.

Malinga ndi ziwerengero zake, ku Ulaya, ana 9 mwa 100 alionse amavomereza matendawa chaka chilichonse, ndipo chiŵerengero chapamwamba chapachaka chimachitika m’nyengo yachisanu ndi masika. Malinga ndi katswiri wa malo Orphanet, matendawa amayamba ndi malungo osalekeza, omwe pambuyo pake amatsagana ndi mawonetseredwe ena: kutupa kwa manja ndi mapazi, totupa, conjunctivitis, milomo yofiira yosweka ndi lilime lotupa ("raspberry lilime"), kutupa. ma lymph nodes pakhosi, kapena kukwiya. "Ngakhale kuti pali kafukufuku wambiri, palibe mayeso ozindikira matenda omwe alipo, ndipo matenda ake amachokera pazidziwitso zachipatala pambuyo pochotsa matenda ena omwe ali ndi kutentha kwakukulu komanso kosalekeza," akutero.

Matenda a Kawasaki: nthawi yodandaula

Ana ena ndi zambiri atypical mitundu ya matenda, ndi kuwonongeka kwa mtima (kutupa kwa minofu ya mtima) kuposa tingachipeze powerenga mawonekedwe. Otsatirawa amavutikanso ndi mkuntho wa cytokine, monga mitundu yoopsa ya Covid-19. Pomaliza, ana yomweyo anapereka mtima kulephera chifukwa kutupa matenda a myocardium (minofu minofu ya mtima), ndi zizindikiro zochepa kapena ayi za matenda.

Kodi chithandizo cha matenda a Kawasaki ndi chiyani?

Chifukwa cha chithandizo choyambirira ndi ma immunoglobulins (omwe amatchedwanso kuti ma antibodies), odwala ambiri amachira msanga ndipo sakhala ndi zotsatirapo zilizonse.

Kuzindikira msanga kumakhalabe kofunika chifukwa pali chiopsezo cha kuwonongeka kwa mitsempha ya mitsempha. “Kuwonongeka kumeneku kumachitika mwa mwana mmodzi mwa asanu osalandira chithandizo. Mwa ana ambiri, amakhala aang’ono ndipo sakhalitsa. Mosiyana ndi zimenezi, iwo amalimbikira kwa nthaŵi yaitali mwa ena. Pachifukwa ichi, makoma a mitsempha yam'mitsempha amafooketsa ndikupanga aneurysms (kutupa komweko kwa khoma la mtsempha wamagazi wokhala ndi mawonekedwe a baluni ", likutero mgwirizano" AboutKidsHealth ".