Yintoni kunye nendlela yokuphatha i-Henöch-Schönlein purpura

Umxholo

• Iimpawu eziphambili
• Unyango lwenziwa njani
• Iingxaki ezinokwenzeka

IHenöch-Schönlein purpura, ekwabizwa ngokuba yi-PHS, sisifo esidala ukuvuvukala kwemithambo yegazi encinci eluswini, okukhokelela kumabala amancinci abomvu kulusu, iintlungu esiswini kunye nentlungu edibeneyo. Nangona kunjalo, ukudumba kuyenzeka nakwimithambo yegazi yamathumbu okanye kwizintso, ebangela urhudo kunye negazi kumchamo, umzekelo.

Le meko ixhaphake kakhulu kubantwana abangaphantsi kweminyaka eli-10, kodwa inokwenzeka nakwabantu abadala. Ngelixa kubantwana, imfusa ihlala inyamalala emva kweeveki ezi-4 ukuya kwezi-6, kubantu abadala, ukubuyela kwimeko yesiqhelo kunokuba kancinci.

IHenöch-Schönlein purpura iyanyangeka kwaye akukho sidingo salo naluphi na unyango oluthile, kwaye kuphela ngamayeza ambalwa anokusetyenziswa ukunciphisa iintlungu kunye nokwenza ukuba ukubuyela kwimeko yesiqhelo kube lula ngakumbi.

Iimpawu eziphambili

Iimpawu zokuqala zolu hlobo lwe-purpura ngumkhuhlane, intloko ebuhlungu kunye nentlungu yomsipha ehlala phakathi kwe-1 ukuya kwiiveki ezi-2, ezinokuthi ziphosakele ngokubanda okanye umkhuhlane.

Emva kweli xesha, kubonakala iimpawu ezithile, ezinje:

• Amabala abomvu eluswini, ngakumbi emilenzeni;
• Iintlungu kunye nokudumba kumalungu;
• Isisu esibuhlungu;
• Igazi kumchamo okanye kwilindle;
• Isihlunu kunye nesifo sohudo.

Kwiimeko ezinqabileyo kakhulu, esi sifo sinokuchaphazela nemithambo yegazi emiphungeni, entliziyweni okanye kwingqondo, sibangele ezinye iintlobo zeempawu ezinzulu ezifana nokuphefumla nzima, ukukhohlela igazi, iintlungu esifubeni okanye ukulahleka kwengqondo.

Xa kukho naziphi na kwezi mpawu, kufuneka ubonane nogqirha jikelele, okanye ugqirha wabantwana, ukuze wenze uvavanyo ngokubanzi kwaye uchonge ingxaki. Ke, ugqirha unokuyalela kuvavanyo oluninzi, njengegazi, umchamo okanye i-biopsy yolusu, ukuphelisa ezinye izinto ezinokwenzeka kunye nokuqinisekisa umbala omfusa.

Unyango lwenziwa njani

Ngokwesiqhelo, akukho lunyango lufunekayo kwesi sifo, kuyacetyiswa kuphela ukuba uphumle ekhaya kwaye uvavanye ukuba kukho ukwanda kweempawu.

Ukongeza, ugqirha unokuyalela ukuba kusetyenziswe ii-anti-inflammatories okanye ii-analgesics, ezinje nge-Ibuprofen okanye iParacetamol, ukunciphisa iintlungu. Nangona kunjalo, la mayeza kufuneka asetyenziswe kuphela phantsi kolwalathiso lukagqirha njengoko, ukuba izintso zichaphazelekile, akufuneki zithathwe.

Kwiimeko ezinzima kakhulu, apho esi sifo sibangela iimpawu ezibi kakhulu okanye sichaphazela amanye amalungu anjengentliziyo okanye ingqondo, kunganyanzeleka ukuba ungeniswe esibhedlele ukuze kungeniswe amayeza ngqo emthanjeni.

Iingxaki ezinokwenzeka

Kwiimeko ezininzi, iHenöch-Schönlein purpura iyanyamalala ngaphandle kwe-sequelae, nangona kunjalo, enye yeengxaki eziphambili ezinxulumene nesi sifo kukutshintsha kwezintso. Olu tshintsho lunokuthatha phakathi kweeveki okanye iinyanga ezimbalwa ukuvela, nokuba sele zivele zonke iimpawu, zibangela:

• Igazi kumchamo;
• Igwebu egqithisileyo kumchamo;
• Ukwanda koxinzelelo lwegazi;
• Ukudumba ujikeleze amehlo okanye amaqatha.

Ezi mpawu ziyaphucuka ngokuhamba kwexesha, kodwa kwezinye iimeko ukusebenza kwezintso kunokuchaphazeleka kangangokuba kubangele ukusilela kwezintso.

Ke, emva kokuchacha kubalulekile ukuba ubonane rhoqo nogqirha, okanye ugqirha wabantwana, ukuvavanya ukusebenza kwezintso, ukunyanga iingxaki njengoko zivela.