Ukopha kulusu

Ukopha kulusu kunokubakho kwimithambo yegazi eyaphukileyo eyenza amachaphaza amancinci abomvu (abizwa ngokuba yi-petechiae). Igazi linokuqokelela phantsi kwezicubu kwiindawo ezinkulu ezithe tyaba (ezibizwa ngokuba yi-purpura), okanye kwindawo enkulu eyonzakeleyo (ebizwa ngokuba yi-ecchymosis).

Ngaphandle kwembubhiso eqhelekileyo, ukopha kulusu okanye inwebu yangaphakathi ngumqondiso obaluleke kakhulu kwaye kufuneka uhlale ujongwa ngumboneleli wezempilo.

Ubomvu bolusu (i-erythema) akufuneki ukuba ngempazamo xa wopha. Iindawo zokopha phantsi kwesikhumba azibi zi-paler (blanch) xa ucinezela kuloo ndawo, njengokubomvu kwe-erythema.

Izinto ezininzi zinokubangela ukopha phantsi kolusu. Ezinye zazo zezi:

• Ukwenzakala okanye ukwenzakala
• Ukuphendula ngokuchaseneyo
• Ukuphazamiseka ngokuzenzekelayo
• Usulelo lwentsholongwane okanye ukugula okuchaphazela ukujiya kwegazi (ukujiya)
• I-Thrombocytopenia
• Unyango, kubandakanya i-radiation kunye ne-chemotherapy
• Amayeza e-antiplatelet anjenge clopidogrel (Plavix)
• Ukuqhekeka (ecchymosis)
• Ukuzalwa (petechiae kwimveku)
• Ulusu olugugayo (ecchymosis)
• Idiopathic thrombocytopenic purpura (petechiae kunye ne-purpura)
• IHenoch-Schonlein purpura (purpura)
• Ileukemia (purpura kunye ne-ecchymosis)
• Amayeza - iiAnticoagulants ezinje ngewarfarin okanye iheparin (ecchymosis), iasprini (ecchymosis), i-steroids (ecchymosis)
• I-Septicemia (petechiae, purpura, ecchymosis)

Khusela ulusu olugugayo. Kulumkele ukwenzakala okunjengokungqubeka okanye ukutsala kwiindawo zolusu. Ukusika okanye ukukrwela, sebenzisa uxinzelelo ngqo ukunqanda ukopha.

Ukuba impendulo yakho ichaphazela iziyobisi, buza umboneleli wakho malunga nokumisa iyeza. Ngaphandle koko, landela unyango lwakho olumiselweyo ukunyanga oyena nobangela wengxaki.

Nxibelelana nomboneleli wakho ukuba:

• Ukopha ngequbuliso kulusu ngaphandle kwesizathu
• Uyabona ukutyunyuzwa okungachazekiyo okungapheliyo

Umboneleli wakho uya kukuvavanya kwaye abuze imibuzo malunga nokopha, njenge:

• Ngaba ukhe wenzakala okanye wenzakele kutshanje?
• Ngaba ukhe wagula mva nje?
• Ngaba unayo unyango lwe-radiation okanye i-chemotherapy?
• Loluphi olunye unyango onalo?
• Ngaba uthatha iasprini ngaphezu kwesihlandlo esinye ngeveki?
• Ngaba uthatha iCoumadin, heparin, okanye ezinye "izinciphisi zegazi" (i-anticoagulants)?
• Ngaba ukopha kwenzeke ngokuphindaphindiweyo?
• Ngaba uhlala unomdla wokuphuma egazini?
• Ngaba ukopha kwaqala ebusaneni (umzekelo, ngolwaluko)?
• Ngaba iqale ngotyando okanye xa ukhuphe izinyo?

Olu vavanyo lulandelayo lunokwenziwa:

• Uvavanyo lwe-Coagulation kubandakanya i-INR kunye nexesha leprothrombin
• Gcwalisa ubalo lwegazi (CBC) ngenani leplatelet kunye nokwahluka kwegazi
• Umongo wethambo

Ecchymoses; Amabala esikhumba - abomvu; Khomba amabala abomvu eluswini; UPetechiae; Iipurura

• Amehlo amnyama

Inkqubo yeHayward CPM. Indlela yezonyango kwisigulana esopha okanye esityumkileyo. Ku: Hoffman R, Benz EJ, Silberstein LE, et al, ii-eds. I-Hematology: Imigaqo esisiseko kunye nokuziqhelanisa. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2018: isahluko 128.

UJuliano JJ, uCohen MS, u-Weber DJ. Isigulana esigula kakhulu sinomkhuhlane kunye nerhashalala. Ku: Bennett JE, Dolin R, Blaser MJ, ii-eds. Mandell, Douglas, kunye neBennett's Principles and Practice of Infectious Diseases. Umhla we-9. IPhiladelphia, PA: Elsevier; 2020: isahluko 57.

I-Schafer AI. Sondela isigulane ukopha kunye thrombosis. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 162.