Ukopha okubonakalayo

I-Splinter hemorrhages ziindawo ezincinci zokopha (ukopha) phantsi kweenzipho okanye iinzwane.

Ukopha okubomvu kufana nokubhitya, bomvu ukuba bomvu-bomvu imigca yegazi phantsi kwezikhonkwane. Zibaleka zisiya kwicala lokukhula kwenzipho.

Babizwa ngokuba ngamachaphaza egazi ngenxa yokuba bajongeka ngathi batyabukile phantsi kwentloko. Amachaphaza egazi anokubangelwa ngamahlwili amancinci amosha ii-capillaries ezincinci eziphantsi kweenzipho.

I-Splinter hemorrhages ingenzeka ngokusuleleka kweentliziyo ze-valves (endocarditis). Zingabangelwa ngumonakalo wenqanawa ekudumbeni kwemithambo yegazi (vasculitis) okanye amahlwili amancinci awonakalisa ii-capillaries ezincinci (i-microemboli).

Izizathu zingabandakanya:

• I-bacterial endocarditis
• Ukwenzakala kwisikhonkwane

Akukho nkathalo kwi-hemorrhages. Landela imiyalelo yomboneleli wakho wezempilo kunyango lwe-endocarditis.

Nxibelelana nomboneleli wakho ukuba uphawula ukopha kwaye awuzange wenzakaliswe kutshanje esikhonkwaneni.

I-Splinter hemorrhages zihlala zibonakala kade kwi-endocarditis. Kwiimeko ezininzi, ezinye iimpawu ziya kubangela ukuba undwendwele umboneleli wakho ngaphambi kokuba kuvele ukubola kwegazi.

Umboneleli wakho uya kukuvavanya ukuba ajonge unobangela wokopha okuchithakeleyo. Unokubuzwa imibuzo efana nale:

• Uyiqale nini le nto?
• Ngaba ukhe wenzakala kwiinzipho kutshanje?
• Ngaba unayo i-endocarditis, okanye ngaba umboneleli wakho ukrokrela ukuba une-endocarditis?
• Zeziphi ezinye iimpawu onazo, njengokuphefumla kancinci, umkhuhlane, ukugula ngokubanzi, okanye iintlungu zemisipha?

Uvavanyo lomzimba lunokubandakanya ingqalelo ekhethekileyo kwinkqubo yentliziyo kunye nokujikeleza kwegazi.

Izifundo zaselebhu zingabandakanya:

• Iinkcubeko zegazi
• Gcwalisa ubalo lwegazi (CBC)
• Izinga le-sedimentation ye-Erythrocyte (ESR)

Ukongeza, umboneleli wakho unoku-odola:

• I-x-ray yesifuba
• ECG
• Echocardiogram

Emva kokubona umboneleli wakho, unokufuna ukongeza ukuxilongwa kweempawu zokopha kwiirekhodi zakho zonyango.

Ukuphuma kwegazi lomnwe

I-Lipner SR, kunye ne-Scher RK. Iimpawu zenzipho zesifo se-systemic. Ku: Callen JP, Jorizzo JL, Zone JJ, Piette WW, Rosenbach MA, Vleugels RA, ii-eds. Iimpawu zesifo seSifo seNkqubo. Umhla we-5. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 44.

Tosti A. Izifo zeenwele kunye neenzipho. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahl. 413.

UWright WF. Umkhuhlane wemvelaphi engaziwayo. 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 56.