Kawasaki kab mob

Kawasaki kab mob yog heev tsawg, tshwj xeeb tshaj yog nyob rau hauv peb lub teb chaws. Nws lub npe - giant cell arteritis. Cov thawj cov ntaub ntawv twb tau piav nyob rau hauv 1967 nyob rau Nyiajpoom Teb, nyob qhov twg kom txog rau thaum tam sim no tus kab mob no yog ntau npaum li cas ntau tshaj nyob rau hauv lwm lub teb chaws.

Nws etiology yog tsis tau tag nrho to taub, tab sis cov muaj kev xav neeg uas sawv cev ib tug retrovirus uas ua rau o ntawm cov hlab ntsha nyob rau hauv tib neeg lub cev. Nws yog nthuav tias Kawasaki kab mob muaj feem xyuam rau mas cov me nyuam nyob rau hauv 4 xyoo ntawm lub hnub nyoog uas tau tsis muaj zog txaus tiv thaiv kab mob, thiab ntau dua cov tub hluas. Nyob rau hauv peb lub teb chaws qhov mob ntawm "Kawasaki kab mob" yog muab tso rau tsis tshua, txog B10 mob ib xyoo. Txawm li cas los, qhov tiag daim duab tej zaum yuav ntau dua, vim hais tias tsis yog txhua tus kws kho mob tsis paub txog cov tsos mob thiab muab tso rau qhov tseeb kuaj mob.

Dua li ntawm qhov ntau yam ntawm cov tsos mob, mus kuaj tseem ceeb yog ib tug ob peb ntsiab lus tseem ceeb. Kawasaki kab mob no pib nrog kub nce, uas yuav tsum tau muaj nyob rau ntawm 5-10 mus 15-20dney. Cov neeg mob tsim conjunctivitis, uas muaj feem xyuam rau ob lub qhov muag. Tom qab ob lub lim piam ntawm pib daim tawv nqaij nyob rau hauv lub xib teg thiab qab xib taws yog ntim, blushes thiab pib dhas tawm. Nws tshwm sim hais tias Kawasaki kab mob no yog los ntawm ib tus mob ua pob xua rau ntau qhov chaw ntawm lub cev, hnav ib polymorphous cim. Tom qab ib pliag, nws swells, thiab ces disappears. Yog hais tias koj saib nyob rau hauv lub qhov ncauj mob tus me nyuam, koj yuav nrhiav tau thiaj li hu ua "pos nphuab" tus nplaig o, liab nyob rau hauv cov xim thiab lub xub ntiag ntawm me me hemorrhages rau cov pos hniav, sab hauv ntawm lub puab tsaig. Lub ob daim di ncauj kuj ua o thiab tawg. Tsim hyperemia caj pas, txhaws ntswg tshwm sim. Feem ntau nrog ib txhais tes rau ntawm lub caj dab qog yog nce, uas ua rau qhov mob ntawm palpation. Los ntawm Associated cov tsos mob ntawm Kawasaki kab mob muaj xws li mob taub hau, tsis xis nyob, mob tej pob txha, kem plab, nrog mob thiab ntuav.

Tus kab mob ntawm tus kws kho mob txo nws hwj ob leeg rau lub hauv paus ntawm kev soj ntsuam cov tsos mob, thiab coj los ntawm cov kev tshwm sim ntawm tus neeg mob kev ntsuam xyuas. Yog hais tias muaj zog theem ntawm erythrocyte sedimentation tus nqi, C-reactive protein, antitrypsin, transaminases thiab tsis nyob rau hauv tus neeg mob cov ntshav hais txog anemia thiab thrombocytosis, tus kws kho mob yuav tsis tos nyob rau hauv kev mob ntawm Kawasaki. Tus kab mob yog tsiag ntawv los ntawm xub ntiag ntawm protein nyob rau hauv cov zis thiab kua paug.

Qhov no txaus ntshai tus kab mob uas yuav ua rau lub plawv mob, kom txog rau thaum qhov tshwm sim ntawm lub plawv tsis ua hauj lwm, heart attack myocardial infarction thiab daj ntseg. Tus Neeg Mob ntawm lub slightest suspicion ntawm Kawasaki xa rau kev soj mus rau ib tug kws kho plawv thiab echocardiography. Nyob rau hauv lub mob hauv daim ntawv ntawm tus kab mob no, yog ib tus mob o ntawm cov kev mob plawv. Txawm tias statistics, xws li mob tsis tshua muaj. Tab sis aneurysms ntawm lub coronary hlab ntsha ntau muaj nyob rau hauv 20% ntawm cov neeg mob. Yog hais tias thaum lub sij hawm nws muaj mob yuav ua puas lub meninges, tej zaum yuav tsim aseptic meningitis. Raws li teeb meem tshwm nyob rau hauv cov pob qij txha mob caj dab, nrog lub yeej ntawm lub gallbladder - hydrocephalus, teeb meem kuj muaj xws li otitis media.

Nyob rau hauv cov kev kho mob ntawm tus kab mob yog feem ntau oriented kev tiv thaiv ntawm cov hlab plawv system thiab kev tiv thaiv ntawm swb nyob rau hauv nws cov hauj lwm. Tus neeg mob yog tus kws kho ib tug uas tsis yog-tshuaj anti-inflammatory siv tshuaj nyob rau hauv high koob, corticosteroid cream thiab tshuaj pleev. Txhua hnub rau 5-7 hnub rau ib tug neeg mob intravenously muab immunoglobulin lug txhim khu kev tiv thaiv thiab ceev ceev rov qab los ntawm tus neeg mob. Tej zoo-paub kho mob tshuaj zoo li tshuaj aspirin, yog muaj peev xwm muab invaluable pab nyob rau hauv sib ntaus tawm tsam tsawg tus kab mob. Nws combines ob peb lub zog thiab yog siv raws li ib tug antipyretic, anti-inflammatory thiab cov ntshav-thinning neeg sawv cev. Nyob rau hauv cov ntaub ntawv ntawm Kawasaki kab mob, nws yog siv txawm rau cov me nyuam nyob rau hauv 12 lub xyoos. Tsis ntev los no, cov ntshav thinner heparin los siv rau cov neeg mob. Tshwj xeeb yog muaj kev vam meej Kawasaki kab mob no yog kho los ntawm kev kho mob tsev nyob rau hauv Ixayees, qhov chaw uas cov neeg mob underwent plasmapheresis txoj kev - purification ntawm cov ntshav ntshav.