Kab mob Kawasaki

Kab mob Kawasaki yog ib yam mob tsawg kawg uas cuam tshuam txog kev mob rau cov hlab ntshav. Nws tshwm sim hauv cov menyuam yaus.

Kab mob Kawasaki tshwm sim feem ntau hauv Nyij Pooj, uas nws tau pom thawj zaug. Tus kab mob no yog pom feem ntau rau cov tub hluas dua hauv ntxhais. Feem ntau ntawm cov menyuam yaus uas muaj tus mob no tseem yau dua li 5 xyoos.

Kab mob Kawasaki tseem tsis tau nkag siab zoo thiab qhov ua rau tseem tsis tau paub meej. Nws yuav yog qhov kev tsis zoo autoimmune. Qhov teeb meem cuam tshuam cov xoos mucous, cov qog ntshav, phab ntsa ntawm cov hlab ntshav, thiab lub plawv.

Kab mob Kawasaki feem ntau pib nrog ua npaws kub ntawm 102 ° F (38.9 ° C) lossis siab dua uas tsis ploj mus. Qhov kub taub hau feem ntau kub txog li 104 ° F (40 ° C). Ua npaws ntev li 5 hnub yog qhov pom ntawm tus mob. Kub taub hau yuav nyob ntev txog li 2 asthiv. Qhov kub taub hau feem ntau tsis nqis los nrog cov tshuaj acetaminophen (Tylenol) lossis ibuprofen ib txwm muaj.

Lwm cov tsos mob feem ntau muaj xws li:

• Ntshav ntshav lossis qhov muag liab (tsis muaj kua paug lossis kua paug)
• Cov qaim liab, chapped, los yog daim di ncauj tawg
• Cov kab mob ua paug liab nyob hauv qhov ncauj
• Tus nplaig "Strawberry", nrog pleev xim dawb rau ntawm tus nplaig, lossis pom pob liab liab nyob tom qab tus nplaig
• Liab, o tuaj ntawm txhais tes thiab lub qab xib taws
• Cov tawv nqaij ua pob ua xyua hauv nruab nrab ntawm lub cev, TSIS TXHOB blister zoo li
• Tev tawv nqaij ntawm thaj chaw mos, tes thiab taw (feem ntau nyob ib ncig ntawm cov ntsia hlau, xib teg, thiab taw)
• Cov qog ntshav hauv lub caj dab (feem ntau tsuas yog ib lub qog ntshav o tuaj xwb)
• Mob tej pob txha thiab o, feem ntau nyob rau ob sab ntawm lub cev

Cov tsos mob ntxiv tuaj yeem suav nrog:

• Vauv
• Raws plab, ntuav, thiab mob plab
• Hnoos thiab los ntswg

Kev kuaj mob ib leeg tsis tuaj yeem kuaj pom tus kab mob Kawasaki. Feem ntau, cov kws kho mob yuav kuaj pom tus kab mob thaum tus menyuam yaus muaj cov tsos mob tshwm sim feem ntau.

Muaj qee kis, tus menyuam yaus yuav ua npaws ntev dua 5 hnub, tabsis tsis yog txhua tus tsos mob tshwm sim ntawm tus kabmob. Cov menyuam no tej zaum yuav kuaj tau tus kab mob atasical Kawasaki.

Txhua tus menyuam yaus uas kub taub hau ntev dua 5 hnub yuav tsum muaj kev kuaj mob Kawasaki los ntawm ib tus kws khomob. Cov menyuam yaus uas muaj tus kabmob yuav tsum tau txais kev kho mob ntxov uantej kom tau qhov zoo.

Cov kev xeem hauv qab no tuaj yeem ua:

• Kev ntsuas hluav taws xob xoo
• Ua kom tiav cov ntshav suav
• C-nti protein (CRP)
• Erythrocyte tus nqi txo qis (ESR)
• Ferritin
• Ntshav dej albumin
• Ntshav dej transaminase
• Urinalysis - tej zaum yuav qhia kua paug tawm ntawm cov zis lossis cov protein nyob hauv cov zis
• Lub caj pas kab lis kev cai rau tus mob streptococcus
• Echocardiogram
• Electrocardiogram

Kev ntsuam xyuas xws li ECG thiab echocardiography yog ua los nrhiav cov cim ntawm myocarditis, pericarditis, thiab mob ntawm cov hlab ntsha txhaws. Mob caj dab thiab mob pob txha caj qaum kuj tuaj yeem tshwm sim.

Cov menyuam yaus uas muaj tus kabmob Kawasaki yuav tsum tau mus pw hauv tsev kho mob. Txoj kev kho yuav tsum tau pib tam sim ntawd txhawm rau tiv thaiv kev puas tsuaj rau cov hlab ntshav ntawm cov ntshav thiab ntshav siab.

Qhov tso ntshav gamma globulin yog kev kho mob. Nws yog muab nyob rau hauv high koob tshuaj raws li ib tug Txoj kev lis ntshav. Tus me nyuam tus mob feem ntau zoo dua nyob rau hauv 24 teev ntawm kev kho mob nrog IV gamma globulin.

Cov tshuaj aspirin ntau kawg yog feem ntau muab nrog IV gamma globulin.

Txawm hais tias yuav tau kho tus mob kom zoo, li 1 tus ntawm 4 leej menyuam yaus tseem tuaj yeem muaj teeb meem hauv lawv cov hlab ntsha. Hauv cov menyuam yaus tsis muaj mob lossis cov neeg muaj mob plawv, ntxiv cov tshuaj corticosteroids pom zoo. Cov nqaij hlav necrosis factor (TNF) inhibitors xws li infliximab (Remicade) lossis etanerceptia (Enbrel) tsis pom zoo rau kev kho thaum pib. Txawm li cas los xij, tseem yuav tsum muaj kev sim zoo dua los qhia rau seb cov me nyuam twg yuav tau txais txiaj ntsig los ntawm cov tshuaj no.

Feem ntau cov menyuam yaus tuaj yeem rov qab muaj mob thaum muaj tus kabmob raug ntes thiab kho thaum ntxov. Kwv yees li ntawm 1 ntawm 100 tus me nyuam tuag los ntawm teeb meem mob plawv los ntawm tus kab mob. Cov neeg uas muaj tus mob Kawasaki yuav tsum muaj echocardiogram txhua 1 rau 2 xyoos los kuaj xyuas cov teeb meem plawv.

Kab mob Kawasaki tuaj yeem ua rau cov hlab ntshav ntawm cov hlab ntsha, tshwj xeeb tshaj yog cov hlab ntsha txhaws. Qhov no tuaj yeem ua rau aneurysm. Tsis tshua muaj, nws tuaj yeem ua rau lub plawv nres ntawm lub hnub nyoog hluas lossis tom qab lub neej.

Hu rau koj tus kws kho mob yog tias muaj cov tsos mob ntawm Kawasaki. Cov kab nrib pleb, daim di ncauj liab thiab o thiab liab sawv ntawm thaj chaw cuam tshuam xws li xib teg thiab taw ntawm taw. Yog tias cov teeb meem no tshwm sim nrog rau kev kub taub hau tsis tu ncua uas tsis nrog acetaminophen lossis ibuprofen, koj tus menyuam yuav tsum tau kuaj xyuas los ntawm tus kws khomob.

Nws tsis muaj txoj hau kev paub los tiv thaiv tus mob no.

Mucocutaneous lymph node syndrome; Cov kab mob hauv cov menyuam mos

• Kab mob Kawasaki - edema ntawm tes
• Kawasaki's kab mob - tev ntawm cov ntiv tes

Abrams JY, Belay ED, Uehara R, Maddox RA, Schonberger LB, Nakamura Y. Cov teeb meem plawv mob, kev kho mob ua ntej, thiab pib muaj mob hnyav hauv Kawasaki. J PediatrCov. 2017; 188: 64-69. PMID: 28619520 www.ncbi.nlm.nih.gov/pubmed/28619520.

American Academy of Pediatrics. Kab mob Kawasaki. Hauv: Kimberlin DW, Brady MT, Jackson MA, Ntev SS, eds. Phau Ntawv Liab: 2018 Tshaj Qhia ntawm Pawg Neeg ntawm Cov Kab Mob Sib KisCov. 31st ed. Itasca, IL: Asmeskas Academy of Pediatrics; 2018: 490.

McCrindle BW, Rowley AH, Newburger JW, li al. Kev kuaj mob, kho mob, thiab kev tswj hwm tus kab mob Kawasaki ntev: cov lus tshaj tawm txog kev noj qab haus huv los ntawm American Heart Association. Kev ncigCov. 2017; 135 (17): e927-e999. PMID: 28356445 www.ncbi.nlm.nih.gov/pubmed/28356445.

Raees M. Cardiology. Hauv: Tsev Kho Mob Johns Hopkins, Hughes HK, Kahl LK, eds. Harriet Txoj Kev Qhia Phau NtawvCov. 21st ed. Philadelphia, PA: Elsevier; 2018: chap 7.

Xue LJ, Wu R, Du GL, li al. Cov nyhuv thiab kev nyab xeeb ntawm TNF inhibitors hauv kev tiv thaiv kab mob Kawasaki-tiv thaiv kab mob: ib qho kev soj xyuas meta. Clin Rev Kev Txhaj Tshuaj Tiv Thaiv ImmunolCov. 2017; 52 (3): 389-400. PMID: 27550227 www.ncbi.nlm.nih.gov/pubmed/27550227.