Cudurka Kawasaki

Cudurka Kawasaki waa xaalad dhif ah oo ku lug leh bararka marinnada dhiigga. Waxay ku dhacdaa carruurta.

Cudurka Kawasaki wuxuu badanaa ka dhacaa Japan, halkaas oo markii ugu horreysay laga helay. Cudurka ayaa badanaa lagu arkaa wiilasha marka loo eego gabdhaha. Inta badan carruurta ku dhacda xaaladan waxay ka yar yihiin da'da 5.

Cudurka Kawasaki si fiican looma fahmin sababta keentayna wali lama oga. Waxay noqon kartaa cillad isdifaac ah. Dhibaatadu waxay saameysaa xuubabka xuubabka, qanjidhada qanjidhada, derbiyada marinnada dhiigga, iyo wadnaha.

Cudurka Kawasaki wuxuu badanaa ku bilaabmaa qandho dhan 102 ° F (38.9 ° C) ama ka sareeya oo aan tagaynin. Qandhada badanaa waxay u sarreysaa 104 ° F (40 ° C). Qandho socotaa ugu yaraan 5 maalmood ayaa ah astaamaha guud ee cilladda. Xummaddu waxay socon kartaa illaa 2 toddobaad. Qandhada badanaa kuma soo degto qiyaasta caadiga ah ee acetaminophen (Tylenol) ama ibuprofen.

Calaamadaha kale waxaa badanaa ka mid ah:

• Dhiigbax ama indho casaan ah (malax la'aan ama biyo la'aan)
• Bushima dhalaalaya, dildillaacsan, ama bushimaha dillaacay
• Xuubabka xabka ee afka ku jira
• Carrabka "Strawberry", oo leh carrab cad oo carrabka saaran, ama kuuskuus muuqda oo casaan ah oo ku yaal dhabarka carrabka
• Casaan, calaacalaha gacmaha oo barara iyo cagaha
• Nabarro maqaarka ah oo ku yaal bartamaha jidhka, MA aha wax nabarro u eg
• Maqaarka maqaarka ee xubnaha taranka, gacmaha, iyo cagaha (inta badan hareeraha ciddiyaha, calaacalaha, iyo cagaha)
• Qanjirrada qanjidhada oo barara qoorta (badiyaa hal buro oo keliya ayaa bararan)
• Xanuun wadajir ah iyo barar, badiyaa labada dhinac ee jirka

Calaamadaha dheeraadka ah waxaa ka mid noqon kara:

• Xanaaq
• Shuban, matag, iyo calool xanuun
• Qufac iyo sanka oo dareera

Tijaabooyinka keligood laguma ogaan karo cudurka Kawasaki. Inta badan, bixiyaha xanaanada caafimaadka ayaa baari doona cudurka marka cunug uu yeesho astaamaha ugu badan ee caanka ah.

Xaaladaha qaarkood, cunugga waxaa ku dhici kara xummad soconeysa in ka badan 5 maalmood, laakiin ma aha dhammaan calaamadaha caanka ah ee cudurka. Carruurtan waxaa laga yaabaa in laga helo cudurka Kawasaki ee aan caadiga ahayn.

Dhammaan carruurta leh qandho soconaya in ka badan 5 maalmood waa inuu daryeel caafimaad ka hubiyaa cudurka Kawasaki. Carruurta qaba cudurka waxay u baahan yihiin daaweyn goor hore si natiijo wanaagsan looga gaaro.

Tijaabooyinka soo socda waa la samayn karaa:

• Raajo xabadka ah
• Tirinta dhiigga oo dhammaystiran
• C-reactive protein (CRP)
• Qiyaasta qanjirka 'Erythrocyte' (ESR)
• Ferritin
• Serum albumin
• Serum transaminase
• Kaadida - waxay ku tusi kartaa malax kaadi ama borotiinka ku jira kaadida
• Dhaqanka cunaha ee loo yaqaan 'streptococcus'
• Echocardiogram
• Qalabka korantada

Tijaabooyinka sida ECG iyo echocardiography waxaa loo sameeyaa si loo eego calaamadaha myocarditis, pericarditis, iyo bararka xididdada wadnaha. Arthritis iyo meningitis aseptic ayaa sidoo kale dhici kara.

Carruurta qaba cudurka Kawasaki waxay u baahan yihiin daaweyn isbitaal. Daaweynta waa in si dhakhso leh loo bilaabaa si looga hortago waxyeelo soo gaadha xididdada halbowlayaasha wadnaha iyo wadnaha.

Intravenous gamma globulin waa daaweynta caadiga ah. Waxaa lagu bixiyaa qadar sare sida hal faleebo. Xaaladda ilmaha ayaa inta badan ka soo raynaysa 24 saacadood gudahood daaweynta IV gamma globulin.

Asbiriin heer sare ah ayaa badanaa lasiiyaa iyada oo ay weheliso IV gamma globulin.

Xitaa iyadoo la daaweynayo heerka caadiga ah, illaa 4tii carruur ahba 1 ayaa weli laga yaabaa inay dhibaatooyin ku yeeshaan xididdada halbowlayaasha wadnaha. Carruurta jiran ama kuwa leh calaamadaha cudurka wadnaha, ku darista corticosteroids ayaa lagula talinayaa. Cudurka necrosis ee Tumor necrosis (TNF) inhibitors sida infliximab (Remicade) ama etanercept (Enbrel) laguma talinayo daaweynta ugu horeysa. Si kastaba ha noqotee, weli waxaa loo baahan yahay in la helo baaritaano fiican oo lagu ogaanayo carruurta ka faa'iideysan doonta daawooyinkan.

Carruurta badankood si buuxda ayey u bogsadaan marka cudurka la qabto oo goor hore la daaweeyo. Qiyaastii 100kii carruur ahba 1 ayaa u dhinta dhibaatooyinka wadnaha ee cudurku keeno. Dadka qaba cudurka Kawasaki waa inay yeeshaan echocardiogram 1 ilaa 2 sano kasta si looga baaro dhibaatooyinka wadnaha.

Cudurka Kawasaki wuxuu sababi karaa caabuq xididdada dhiigga ee xididdada dhiigga, gaar ahaan halbowlayaasha wadnaha. Tani waxay u horseedi kartaa aneurysm. Marar dhif ah, waxay u horseedi kartaa wadno qabad da 'yar ama dambe oo nolosha ah.

Wac bixiyahaaga haddii calaamadaha cudurka Kawasaki ay soo baxaan. Dildilaaca, bushimaha guduudan iyo bararka iyo casaanka waxay ku soo baxaan meelaha ay dhibaatadu saameysey sida calaacalaha iyo cagaha cagaha. Haddii dhibaatooyinkani ay la socdaan xummad sare oo socota oo aan la iman acetaminophen ama ibuprofen, ilmahaaga waa inuu hubiyaa bixiye.

Ma jiraan siyaabo la yaqaan oo looga hortago cilladan.

Cudurka qanjidhada qanjirada 'Mucocutaneous'; Cudurka 'polyarteritis'

• Cudurka Kawasaki - barar gacanta
• Cudurka Kawasaki - xoqidda faraha

Abrams JY, Belay ED, Uehara R, Maddox RA, Schonberger LB, Nakamura Y. Dhibaatooyinka wadnaha, daaweynta hore, iyo darnaanta cudurka hore ee cudurka Kawasaki. J Pediatr. 2017; 188: 64-69. PMID: 28619520 www.ncbi.nlm.nih.gov/pubmed/28619520.

Akadeemiyada Mareykanka ee Dhakhaatiirta Carruurta. Cudurka Kawasaki. Gudaha: Kimberlin DW, Brady MT, Jackson MA, Long SS, eds. Buugga Cas: Warbixinta 2018 ee Guddiga Cudurada faafa. 31aad. Itasca, IL: Akadamiyadda Maraykanka ee Cudurada carruurta; 2018: 490.

McCrindle BW, Rowley AH, Newburger JW, iyo al. Ciladeynta, daaweynta, iyo maareynta muddada-dheer ee cudurka Kawasaki: bayaan cilmiyeed loogu talagalay xirfadlayaasha caafimaadka ee ka socda Ururka Wadnaha Mareykanka. Wareegga. 2017; 135 (17): e927-e999. PMID: 28356445 www.ncbi.nlm.nih.gov/pubmed/28356445.

Raees M. Wadnaha. Gudaha: Isbitaalka Johns Hopkins, Hughes HK, Kahl LK, eds. Buug-gacmeedka Harriet Lane. 21aad ed. Philadelphia, PA: Elsevier; 2018: cutubka 7.

Xue LJ, Wu R, Du GL, iyo al. Saameynta iyo badbaadada ka hortagayaasha TNF ee Cudurka Kawasaki ee u adkaysata immunoglobulin: falanqaynta maadada. Clin Rev Allergy Immunol. 2017; 52 (3): 389-400. PMID: 27550227 www.ncbi.nlm.nih.gov/pubmed/27550227.