I-Purpura

I-Purpura ngamabala anombala onsomi kanye nezimagqabhagqabha ezenzeka esikhunjeni, nasezikhungweni zezinambuzane, kufaka phakathi ulwelwesi lomlomo.

I-Purpura yenzeka lapho imithambo yegazi emincane ivuza igazi ngaphansi kwesikhumba.

Isilinganiso se-Purpura esiphakathi kuka-4 no-10 mm (amamilimitha) ububanzi. Lapho amabala we-purpura engaphansi kuka-4 mm ububanzi, abizwa ngokuthi i-petechiae. Amabala we-Purpura amakhulu kune-1 cm (isentimitha) abizwa ngokuthi ama-ecchymoses.

Ama-platelet asiza i-clot yegazi. Umuntu one-purpura angaba nokubalwa kweplatelet okujwayelekile (i-non-thrombocytopenic purpuras) noma ukubalwa kweplatelet okuphansi (i-thrombocytopenic purpuras).

Ama-purpuras angenayo i-thrombocytopenic angabangelwa i:

• I-Amyloidosis (ukuphazamiseka lapho amaprotheni angajwayelekile akha ezicutshini nasezithweni)
• Ukuphazamiseka kwegazi
• I-cytomegalovirus yokuzalwa (isimo lapho usana lutheleleka khona ngegciwane elibizwa ngokuthi i-cytomegalovirus ngaphambi kokuzalwa)
• Isifo se-rubella syndrome
• Izidakamizwa ezithinta ukusebenza kweplatelet noma izinto ezijiyisayo
• Imithambo yegazi ethambile ebonwa kubantu asebekhulile (senile purpura)
• I-Hemangioma (ukwakheka okungavamile kwemithambo yegazi esikhunjeni noma ezithweni zangaphakathi)
• Ukuvuvukala kwemithambo yegazi (i-vasculitis), efana neHenoch-Schönlein purpura, edala uhlobo oluphakeme lwe-purpura
• Izinguquko zengcindezi ezenzeka ngesikhathi sokubeletha kwesitho sangasese sowesifazane
• Iscurvy (ukuntula uvithamini C)
• Ukusetshenziswa kwe-steroid
• Izifo ezithile
• Ukulimala

I-purpura ye-Thrombocytopenic kungenzeka ngenxa ye:

• Izidakamizwa ezehlisa inani leplatelet
• Idiopathic thrombocytopenic purpura (ITP) - isifo sokopha
• I-immune neonatal thrombocytopenia (ingenzeka ezinganeni ezinonina abane-ITP)
• I-Meningococcemia (ukutheleleka kwegazi)

Shayela umhlinzeki wakho wezokunakekelwa kwempilo ngesivumelwano uma unezimpawu ze-purpura.

Umhlinzeki uzohlola isikhumba sakho bese ebuza ngomlando wakho wezokwelapha nezimpawu, kufaka phakathi:

• Ngabe uyaqala ukuba nezindawo ezinjalo?
• Bakhula nini?
• Anombala onjani?
• Ngabe zibukeka njengemihuzuko?
• Imiphi imithi oyiphuzayo?
• Yiziphi ezinye izinkinga zokwelashwa oke waba nazo?
• Ngabe ukhona emndenini wakho onamabala afanayo?
• Yiziphi ezinye izimpawu onazo?

I-biopsy yesikhumba ingenziwa. Ukuhlolwa kwegazi nomchamo kungalawulwa ukuthola imbangela ye-purpura.

Amabala wegazi; Ukopha kwesikhumba

• UHenoch-Schonlein purpura emilenzeni engezansi
• UHenoch-Schonlein purpura onyaweni losana
• UHenoch-Schonlein purpura emilenzeni yosana
• UHenoch-Schonlein purpura emilenzeni yosana
• UHenoch-Schonlein purpura emilenzeni
• I-Meningococcemia ematholeni
• I-Meningococcemia emlenzeni
• Imfiva enamadwala ibone umkhuhlane onyaweni
• I-Meningococcemia ehambisana ne-purpura

IHabif TP. Izimiso zokuxilongwa nokwakheka komzimba. Ku: Habif TP, ed. I-Clinical Dermatology: Umhlahlandlela Wombala Wokuxilongwa Nokwelapha. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2016: isahluko 1.

Amakhishi CS. I-Purpura nezinye izifo ze-hematovascular. Ku: Amakhishi CS, Kessler CM, Konkle BA, Streiff MB, Garcia DA, eds. I-Hemostasis yokubonisana ne-Thrombosis. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2019: isahluko 10.