Kawasaki cuta

Kawasaki cuta ne quite rare, musamman a cikin kasar. Its sauran sunan - giant cell arteritis. A farko idan aka bayyana a cikin 1967, a Japan, inda har yanzu cutar ne yafi kowa, fiye da sauran ƙasashe.

Its etiology ne ba tukuna cikakken gane, amma akwai da zaton wakili ne a retrovirus da cewa yana sa kumburi jini a cikin jikin mutum. Yana da ban sha'awa cewa Kawasaki cuta yafi shafar yara a karkashin 4 shekara wanda ya yi rauni rigakafi da tsarin, kuma mafi sau da yawa fiye da yara maza. A kasar da ganewar asali "Kawasaki cuta", an sa da wuya, game da B10 lokuta a kowace shekara. Duk da haka, da real adadi na iya zama mafi girma, domin ba kowane likita ya kasa gane bayyanar cututtuka da kuma sanya daidai ganewar asali.

Duk da dama cututtuka, don gane asali muhimmanci ne 'yan key maki. Kawasaki cutar ta fara da yawan zafin jiki karuwa, wanda za a iya gudanar daga 5-10 ga 15-20dney. Marasa lafiya ci gaba conjunctivitis, wanda rinjayar biyu idanu. Bayan makonni biyu na farko fata a kan dabĩno da tafin da aka shãfe haske, blushes kuma yana farawa zuwa kwasfa kashe. Sai ya faru da cewa Kawasaki cutar tare da wani kurji a sassa daban-daban na jiki, sanye da polymorphous hali. Bayan wani lokaci, shi ta kumbura, sa'an nan ya shuɗe. Idan ka duba a bakin rashin lafiya yaro, za ka iya samun abin da ake kira "strawberry" harshenka kumbura, mai haske ja a launi da kuma gaban kananan hemorrhages a kan gumis, ciki da kumatunta. Lebe kuma zama kumbura, kuma fashe. Tasowa hyperemia makogwaro, hanci cunkoso ya auku. Sau da yawa da daya hannun a kan wuyansa Lymph nodes an ya karu, wanda ya haddasa zafi a kan palpation. By Associated bayyanar cututtuka na Kawasaki cuta sun hada da ciwon kai, malaise, hadin gwiwa zafi, bacin, tare da zafi da amai.

A ganewar asali da likita ya sanya biyu a kan tushen da na asibiti bayyanar cututtuka, da kuma shiryar da sakamakon haƙuri gwaje-gwaje. Idan ya karu matakan erythrocyte sedimentation kudi, C-amsawa gina jiki, antitrypsin, transaminases da sigogi a cikin haƙuri na jini ce game da anemia da kuma thrombocytosis, likita zai ba shakka a cikin yin wani ganewar asali Kawasaki. A cutar halin gaban furotin a fitsari ne da ruɓaɓɓen jini.

Wannan hatsari cutar da cewa zai iya sa zuciya rikitarwa, har da ya faru na zuciya rashin cin nasara, da kuma tsokar zuciya infarction jaundice. Haƙuri a yar alamar tuhuma da Kawasaki aiko don kallo zuwa likitan zuciyar da echocardiography. A cikin m nau'i na cutar, akwai wani kumburi daga cikin zuciya tsoka. Ko da yake statistics, irin haka ne rare. Amma aneurysms na jijiyoyin zuciya arteries fiye tasowa a 20% da marasa lafiya. Idan a lokacin da yake rashin lafiya zai lalata meninges, na iya ci gaba aseptic meningitis. Kamar yadda rikitarwa bayyana a cikin gidajen abinci amosanin gabbai, tare da shan kashi na gallbladder - hydrocephalus, rikitarwa kuma sun hada da otitis kafofin watsa labarai.

A lura da cutar ne da farko daidaitacce zuwa da kariya na zuciya da jijiyoyin jini tsarin da kuma rigakafin kasawa a cikin aikin. A haƙuri An wajabta wani maras steroidal anti-kumburi kwayoyi a high allurai, Corticosteroid creams da man shafawa. Daily for 5-7 kwana zuwa haƙuri intravenously gudanar immunoglobulin to inganta rigakafi da kuma m dawo daga mãsu haƙuri. Irin wannan sanannun likita magani kamar asfirin, shi ne iya samar da invaluable taimako a yaki da m cutar. Yana hadawa da dama kaddarorin da kuma ake amfani da matsayin antipyretic, anti-kumburi da jini-thinning wakili. A cikin hali na Kawasaki cuta, shi ne amfani da ko da yara a karkashin shekaru 12. Kwanan nan, jini thinner heparin gudanar ga marasa lafiya. Musamman nasara Kawasaki cutar da ake bi da ta kiwon lafiya cibiyoyin a cikin Isra'ila, inda marasa lafiya underwent plasmapheresis hanya - tsarkakewa daga jini jini.