Kawasaki maʻi

Kawasaki maʻi i ka loa pohihihi keia, o ka oi aku ma ko kakou aina. Kona nā inoa - nunui aeea arteritis. Ua ho'ākāka ka hihia mua i ka makahiki 1967 ma Iapana, kahi hiki i keia manawa i ka maʻi, he nui aku, he pono ole ma mua i loko o nā'āina'ē.

Kona etiology mea,ʻaʻole i maopopo hoomaopopo, akā, no ka loaʻa nā mea mahuʻi Agena mea he retrovirus ka mea e hookomo li nui o na moku i ke koko i loko o ka kanaka kino. He hana hoihoi i Kawasaki maʻi e loli aiʻano nui na keiki ma lalo o 4 makahiki o ka makahiki i ua hoʻonāwaliwaliʻia'ōnaehana paleʻea'ōnaehana, a oi pinepine ma mua o nā keikikāne. I ko makou aupuni ua waiho i kaʻike, o "Kawasaki maʻi" kākaʻikahi, e pili ana i B10 hihia no ka makahiki. Naʻe, ka mea maoli huahelu i e oi aku, no ka mea,ʻaʻole na kauka 'aʻole e hoʻomaopopo i nā symptoms, a kau i ka pololeiʻike.

I loko nō o kaʻano o symptoms, e diagnose nui nō he mau kī wahi. Kawasaki maʻi hoʻomaka me ka wela māhuahua, i hiki ke paʻa mai ka 5-10 e 15-20dney. E hoomanawanui i hoʻomōhala conjunctivitis, i loli ai nā maka. Ma hope o nā pule o ka hoouka kaua ili ma na poho a me na puupuu wawae ua sila, blushes, a hoʻomaka e ihi aku. Ua ka hana i Kawasaki maʻi ua pu ia e ka poʻe noʻonoʻoʻole ma luna o nā wahi likeʻole o ke kino, e aahu ana i ka polymorphous külana. Ma hope o ka manawa, ka mea e pehu ae, a laila, nalo. Inā e nana aku i loko o ka waha maʻi keiki, e hiki ke loaʻa ai-kapaia "'ōhelo papa" olelo pehu ana, ao alohilohi i ulaula i ke kala a me ke alo o ka poe liilii, hemorrhages ma ka nui aʻe ana, maloko o na papalina. Nā lehelehe i ka pehu a me ka ohia Ana. E hoʻomōhala ana i hyperemia puu, nasal congestion ia lŘlŘ. Pinepine me kekahi lima ma luna o ka'ā'ī lymph aka wahi, ua hoʻonuiʻia, i ke kumu no kaʻeha ma luna o palpation. By hui pu symptoms o Kawasaki maʻi nā headache, malaise, hui eha, indigestion, pu ma kaʻeha a me ka luaʻi.

Keʻike, no ka kauka e ukuhi i nā ma ke kumu o ka lapaʻau symptoms, a alakaʻi ma ka hopena o ka hoʻomanawanui ho'āʻo ma. Inā hoonuiia pae o ka erythrocyte sedimentation ana, C-kū'ē kumuʻiʻo, antitrypsin, transaminases a me nā mea kiko'î a ma ka hoʻomanawanui ka koko olelo e pili ana i anaemia, a thrombocytosis,ʻaʻole i ke kauka e kānalua i ka hana ana i kaʻike, o Kawasaki. I ka maʻi ua wehewehe aku ma ke alo o ke kumuʻiʻo ma ka mimi a me ka pus.

Keia pilikia maʻi e hiki i ka naau complications, a hiki i ka hanana o ka naau e loaa, myocardial infarction a me ka jaundice. Hoomanawanui ma ka iki e hoʻohuoiʻia o Kawasaki hoouna i kilo i ka cardiologist a me ka echocardiography. Ma ka huʻi ano o ka maʻi, he mea ka li nui o ka naau Muscle. 'Oiai,' ikepili helu, e like me na mea pohihihi. Akā, aneurysms o ka coronary arteries olelo e hoʻomōhala ana i loko o 20% o nā mea maʻi. Inā i kona maʻi, e hanaʻino i ka meninges, e hoʻomōhala aseptic meningitis. Like complications ikeia ma na ami arthritis, a me ke pio o ka gallbladder - hydrocephalus, complications i nā otitis Media.

I ka lapaau ana i ka maʻi ua kuhikuhi aʻo i kaʻoihana ma ka hoomalu ana o ka mea'ōnaehana mānowai koko'ōnaehana a me ka Kāohiʻana o ka hoʻolako 'ole i loko o kona hana. Ke hoomanawanui Ua koi 'ia ka pili-steroidal Anati-hoʻoʻino ai' i loko o nā māhele kiʻekiʻe, corticosteroid holika, a me ka hinu. Kela la i keia no ka 5-7 lā i ka hoomanawanui intravenously lawelawe immunoglobulin e hōʻoi 'e hoʻonele a me kokololio hou ana o ka hoʻomanawanui. Oia maikaʻi-ike 'inikua lāʻau e like aspirin, mea hiki ke hoʻolako invaluable kōkua i loko o ke kaua ana i ka pohihihi keia maʻi. Ua hiehie kekahi mau waiwai, a ua hoʻohana 'ia e like me ka antipyretic, Anati-hoʻoʻino a me ke koko-thinning Agena. Ma ka hihia o Kawasaki maʻi, ka mea, ua hoʻohana 'ia i na keiki ma lalo o 12 makahiki. Nei, ke koko thinner heparin lawelawe i nā mea maʻi. Pakahi aku la iaʻana Kawasaki maʻi ua malamaia lakou nei, ma ka 'inikua kulanui i loko o kaʻIseraʻela, ma nā mea maʻi akaaka malu plasmapheresis ke kaʻina hana no - huikala ana o ke koko wai koko.