Mukati
Kawasaki chirwere: chii?
Chirwere cheKawasaki kuzvimba uye necrosis yevascular madziro etsinga uye tsinga dzine chekuita ne immune dysfunction (febrile systemic vascularity).
Dzimwe nguva zvinosanganisira coronary arteries. Uyezve, pasina kurapwa, inogona kuomeswa necoronary aneurysms, mu25 kusvika ku30% yezviitiko. Ichowo ndicho chikonzero chinowanzokonzera chirwere chemwoyo chakawanikwa muvana vari munyika dzakabudirira, uye inogona kuisa njodzi yechirwere chemoyo ischemic kune vanhu vakuru.
Iri kusvika kunaani? Vacheche nevana vari pakati pemakore 1 kusvika 8 vanowanzotambura nechirwere cheKawasaki.
Ko hutachiona hweSARS-CoV-2 hunogona kukonzera kuratidzwa kwakakomba kwekiriniki muvana, zvakafanana nezviratidzo zvinoonekwa muchirwere cheKawasaki? Pakupera kwaKubvumbi 2020, masevhisi evana muUK, France neUS akashuma nhamba diki yezviitiko zvevana vakaiswa muchipatara vane systemic yekuzvimba chirwere, vane zviratidzo zvinoyeuchidza chirwere ichi chisingawanzo kuputika. Kubuda kweizvi zviratidzo zvekiriniki uye kubatana kwavo neCovid-19 kunomutsa mibvunzo. Vana vangangosvika makumi matanhatu vairwara nazvo muFrance, panguva yekuvharirwa kwakabatana neiyo coronavirus.
Asi ipapo pane chaizvo chinongedzo pakati peSARS-CoV-2 coronavirus nechirwere cheKawasaki? “Pane kusawirirana kwakasimba pakati pekutanga kwenyaya idzi nedenda reCovid-19, asi havasi varwere vese vakaonekwa vaine hutachiona. Mibvunzo yakati wandei saka inoramba isina kupindurwa uye inyaya yekuenderera mberi nekuferefetwa mumadhipatimendi evana, ”inopedzisa Inserm. Ichi chinongedzo saka chinoda kuongororwa, kunyangwe parizvino, hurumende inotenda kuti chirwere cheKawasaki hachiratidzike sechimwe chiratidziro cheCovid-19. Iwo ekupedzisira anoti, zvakadaro, "kutanga kwayo kunogona kufarirwa nehutachiona hwehutachiona husina kujeka". Chokwadi, "Covid-19 iri chirwere chevhairasi (sevamwe), saka zvinogoneka kuti vana, mushure mekusangana neCovid-19, vanokura chirwere cheKawasaki mukufamba kwenguva, sezvazvakaita kune humwe hutachiona hwehutachiona, "anodaro, zvisinei achirangarira kukosha kwekuonana nachiremba wake kana paine kupokana. Zvakadaro, Necker Hospital inofara nenyaya yekuti vana vese vakagamuchira kurapwa kwakajairika kwechirwere, uye vese vakapindura zvakanaka, nekukurumidza kuvandudzwa kwezviratidzo zvekiriniki uye kunyanya kudzoreredzwa kwemoyo wakanaka basa. . Panguva imwecheteyo, census yenyika ichagadzwa nePublic Health France agency.
Ndezvipi zvikonzero zvechirwere cheKawasaki?
Zvikonzero zvechirwere ichi chisingatapuki hachizivikanwi, asi zvinokwanisika kuti zvinokonzerwa nehutachiona hwehutachiona kana bhakitiriya muvana. Inserm inozivisa kuti “kutanga kwayo kwakabatana nemhando dzinoverengeka dzehutachiona hwehutachiona, uye kunyanya nehutachiona hwekufema kana enteric. "Inogona kunge iri maitiro ekuita mushure medenda rehutachiona, kufambira mberi kune chikamu chake Olivier Véran, Gurukota rezvehutano.
Chirwere ichi chinocherechedzwa muvana vakabatwa chinofungidzirwa kuti chakakonzerwa nekuwanda kwesimba rekudzivirira zvirwere zvichitevera kutapukirwa nehumwe hwehutachiona uhu. “
Ndezvipi zviratidzo zvechirwere cheKawasaki?
Chirwere cheKawasaki chinosiyaniswa nefivha yakareba, kuputika, conjunctivitis, kuzvimba kwe mucous membranes, uye lymphadenopathy. Uyezve, zviratidzo zvepakutanga ndeye acute myocarditis nemoyo kukundikana, arrhythmias, endocarditis uye pericarditis. Coronary artery aneurysms inogona kuumba. Extravascular tissues inogonawo kupisa, kusanganisira yekumusoro kufema turakiti, pancreas, bile ducts, itsvo, mucous membranes uye lymph nodes.
“Kuratidzwa kwekiriniki uku kunomutsa chirwere cheKawasaki. Kutsvaga kwehutachiona neCovid-19 kwakawanikwa kuve kwakanaka, kungave kuburikidza nePCR kana neserology (antibody assay), chikamu chekutanga chehutachiona chaenda chisingaonekwe muzviitiko zvakawanda, pasina chinongedzo chinogona kumiswa panguva ino ne Covid ”, inoratidza kuumbwa. Kashoma, chirwere ichi chakakomba chinoratidzwa nekuzvimba kwemukati wetsinga dzeropa, kunyanya iyo yemoyo (coronary arteries). Chinonyanya kubata vana vaduku vasati vava nemakore 5. Kunyange zvazvo nyaya dzacho dzave dzichishumwa munyika yose, hosha yacho inopararira zvikuru muvanhu vokuAsia, inodaro Inserm mune imwe nzvimbo yemashoko.
Maererano nenhamba dzayo, muEurope, vana 9 mu100 vanoshuma hosha yacho gore rimwe nerimwe, nenhamba yapamusoro yegore negore muchando nomuchirimo. Maererano nenyanzvi saiti Orphanet, chirwere chinotanga nefivha inoramba iripo, iyo inozoperekedzwa nezvimwe zvinowanzoitika: kuzvimba kwemaoko netsoka, mapundu, conjunctivitis, tsvuku yakatsemuka miromo uye rurimi rutsvuku rwakazvimba ("raspberry rurimi "), Kuzvimba. ye lymph nodes mumutsipa, kana kutsamwa. "Pasinei nekutsvakurudza kwakawanda, hapana kuongororwa kwekuongorora kunowanikwa, uye kuongororwa kwaro kunobva pamiitiro yekliniki mushure mokubvisa zvimwe zvirwere zvine kupisa kwakanyanya uye kunoramba kuripo," anodaro.
Chirwere cheKawasaki: nguva yekunetseka
Vamwe vana vane mamwe maitiro atypical echirwere, ane zvakanyanya kukuvadza kumoyo (kuzvimba kwemhasuru yemoyo) kupfuura muchimiro chayo chekare. Iwo ekupedzisira anotamburawo nedutu re cytokine, senzira dzakakomba dzeCovid-19. Pakupedzisira, vana vakakurumidza kuratidzwa nekukundikana kwemoyo nekuda kwechirwere chinoputika chemyocardium (tsandanyama yemwoyo), ine zviratidzo zvishoma kana pasina zvechirwere.
Ndeapi marapirwo echirwere cheKawasaki?
Nekuda kwekukurumidza kurapwa neimmunglobulins (inonziwo masoja ekudzivirira chirwere), ruzhinji rwevarwere vanopora nekukurumidza uye havachengete chero sequelae.
Kukurumidza kuongororwa kunoramba kuchikosha nekuti kune njodzi yekukuvadzwa kune coronary arteries. “Kukuvadzwa uku kunoitika mumwana mumwe chete pavashanu asina kurapwa. Muvana vakawanda, ivo vaduku uye havagari kwenguva refu. Mukupesana, ivo vanopfuurira kwenguva refu mune vamwe. Muchiitiko ichi, madziro eecoronary arteries anopera simba uye anoita aneurysms (kuzvimba kwenzvimbo yemadziro emudziyo weropa ane chimiro chebharumu ", inocherechedza kushamwaridzana" AboutKidsHealth ".