I-Purpura: yintoni, iintlobo, iimpawu kunye nonyango

Umxholo

• Iindidi zemfusa
• 1. UHenöch-Schönlein omfusa
• 2. Idiopathic thrombocytopenic purpura
• 3. Thrombotic thrombocytopenic purpura
• 4. Ukugcwalisa umbala omfusa
• 5. Isenile emfusa
• Unyango lwenziwa njani
• Iimpawu eziphambili

I-Purpura yingxaki enqabileyo ebonakaliswa kukuvela kwamabala abomvu eluswini kwaye anganyamalali xa ucinezelwe, kubangelwa kukuqokelelwa kwegazi phantsi kolusu ngenxa yokudumba kwemithambo yegazi. I-Purple ixhaphake kakhulu kubantwana, kodwa inokubonakala nangaliphi na ixesha.

Inkangeleko ye-purpura inokubakho ngenxa yeemeko ezininzi kwaye, ngokuxhomekeke kwisizathu sayo, unyango lunokunyanzeleka okanye alunakuba yimfuneko. Ngokwesiqhelo, ebantwaneni, imfusa iyanyamalala ngaphandle konyango oluthile, ngelixa kubantu abadala inokuba yingxaki engapheliyo, kwaye inokubonakala okanye inyamalale ngamaxesha.

Kubalulekile ukudibana nodokotela wesikhumba okanye ugqirha oqhelekileyo xa iimpawu ezimfusa ziqala ukubonakala, ukuze kunokwenzeka ukuba uchaze unobangela kwaye uqale unyango, ukuba kukho imfuneko.

Iindidi zemfusa

1. UHenöch-Schönlein omfusa

IHenöch-Schönlein purpura, ekwabizwa ngokuba yi-PHS, lolona hlobo luqhelekileyo lwe-purpura kubantwana abangaphantsi kweminyaka eli-10 ubudala kwaye ibonakaliswa kukudumba kwemikhumbi encinci, ekhokelela ekuveleni kwamabala abomvu, ikakhulu kwimilenze nasezimpundu, kwaye kukhokelela kwintlungu kumalungu okanye esiswini. Funda ngezinye iimpawu zeHenöch-Schönlein purpura.

Unyango njani: Ngokwesiqhelo i-PHS ayifuni unyango oluthile, kubalulekile ukuba umntu aphumle kwaye ahambe nogqirha ukuvavanya ukuqhubela phambili kweempawu. Nangona kunjalo, xa kukho iintlungu ezininzi, ugqirha unokuyalela ukusetyenziswa kwe-anti-inflammatories okanye i-analgesics, njenge-Ibuprofen kunye neParacetamol, ukunciphisa iintlungu.

2. Idiopathic thrombocytopenic purpura

I-Idiopathic thrombocytopenic purpura okanye i-ITP sisifo esizenzekelayo esibonakaliswa kukuhla kwenani leeplatelets, ukuphazamisa inkqubo yokujiya kunye nokukhokelela ekwakhiweni kwamabala amancinci abomvu kulusu kunye nokuphuma kwempumlo. Uxilongo lwenziwa ikakhulu kuhlalutyo lweempawu kunye novavanyo lwegazi, oluthi kwezi meko lubonakalise ngaphantsi kwe-100 zeeplatelets / mm³ zegazi.

Unyango njani: Unyango lwe-ITP lwenziwa ngokobunzima beempawu, kwaye ukusetyenziswa kwamachiza anciphisa ukusebenza kwamajoni omzimba kunokucetyiswa, kuthintelwe ukusabela komzimba ngokwawo, inaliti ye-immunoglobulins okanye iziyobisi ezikhuthaza ukuveliswa kweeplatelets. Ngomongo wethambo, njengeRomiplostim, umzekelo. Fumana ulwazi oluthe vetshe malunga nokuba yintoni i-ITP kunye nokuba lwenziwa njani unyango.

3. Thrombotic thrombocytopenic purpura

I-Thrombotic thrombocytopenic purpura okanye i-PTT luhlobo olunqabileyo lwe-purpura exhaphake phakathi kweminyaka engama-20 ukuya kuma-40. Olu hlobo lwe-purpura lubonakaliswa ngokwanda kweplatelet aggregation, ekhokelela ekwakheni i-thrombi kwaye ibangele ukuba ii-erythrocytes ziqhekeke. Ke, kubalulekile ukuba i-PTT ichongwe ngokukhawuleza kwaye inyangwe ngokukhawuleza ukukhusela i-anemia, ukulahleka kweeplatelets kunye notshintsho kwimithambo-luvo.

Unyango njani: Unyango lwe-PTT kufuneka luqalwe ngokukhawuleza, kwaye i-plasmapheresis ihlala icetyiswa, ehambelana nenkqubo yokuhluza igazi apho ii-antibodies ezigqithisileyo ezinokuthi zithintele ukusebenza komzimba kunye nokuhamba kwegazi kususwe.

4. Ukugcwalisa umbala omfusa

Ukugqitywa kwe-purpura kubonakala ikakhulu kusana olusandul 'ukuzalwa ngenxa yokunqongophala kweeproteni ezinxulumene nokuqunjelwa, okukhokelela ekwenziweni kwamahlwili anokuthintela ukujikeleza kwegazi kwaye kukhokelele ekubonakaleni kwamabala abomvu kulusu olunokuba mnyama ngenxa yokufa kweeseli kwezo ndawo.

Ukongeza, olu hlobo lwe-purpura lunokubangelwa kukusulelwa ziibhaktiriya, intsholongwane okanye ukosuleleka, umzekelo.

Unyango njani: Unyango lwe-purpura egcweleyo lunokwenziwa ngokulawulwa kweprotein yokunqumka egazini ngokwesikhokelo sikagqirha.

5. Isenile emfusa

Olu hlobo lwe-purpura lubonakala ngokubonakala kwamabala amfusa ngasemva, izihlahla, izandla kunye neengalo ngenxa yokuguga kolusu, ngenxa yoko, exhaphake kakhulu kubantu abangaphezu kweminyaka engama-65 ubudala.

Unyango njani: I-senile purpura ayifuni kunyangwa, kuba ayibonisi mngcipheko wezempilo kwaye ayibonisi ukopha. Nangona kunjalo, ukuba umntu uziva engonwabanga, banokusebenzisa ezinye iintlobo zeekhrim okanye amafutha okuthambisa ane-vitamin K enceda ukunciphisa amabala, kwaye kufuneka iboniswe ngugqirha wesikhumba.

Jonga indlela yokususa iintlobo ezi-8 eziqhelekileyo zesikhumba.

Unyango lwenziwa njani

Unyango lwe-purpura luxhomekeke kwisizathu sayo, kodwa ihlala isenziwa ngeekhrim ezityebile ku-vitamin K, onje nge-Thrombocid, ekufuneka isasazeke kulusu de amabala anyamalale.

Kwiimeko ezinzima kakhulu, ukungeniswa kwamayeza e-corticosteroid, anje ngeHydrocortisone okanye iPrednisone, okanye utyando lokususa udakada, kwimeko ye-thrombocytopenic purpura, kungabonakaliswa, kuba kweli lungu kukho ii-antibodies ezenziwayo ezinokutshabalalisa Iiplatelets, ezibangela ukufumba kweplatelets.igazi kulusu. Kubantwana, kwiintsana okanye kwiintsana imfusa inokunyamalala ngaphandle konyango, kodwa kwimeko yabantu abadala, unyango luhlala luyimfuneko.

Iimpawu eziphambili

Iimpawu eziqhelekileyo zepurura zibandakanya:

• Amabala abomvu kulusu - wazi ezinye izizathu zamabala abomvu kulusu;
• Amabala abomvu asasazeka emzimbeni;
• Ukopha empumlweni, emathunjini, kwiintsini okanye kumchamo;
• Ubuhlungu kwindawo yeendawo;
• Ifiva.

Kwiimeko ezininzi, kuphela amabala amancinci avela kulusu kwaye uhlala engadingi nyango.