Ukopha okushisayo

Ukweqa kwegazi okuhlukanisiwe yizindawo ezincane zokopha (ukopha) ngaphansi kwezinzipho noma izinzwani.

Ukopha okwehlukanisiwe kubukeka njengokuncanyana, okubomvu kuya kolayini ababomvu kansundu ngaphansi kwezipikili. Zigijimela lapho kukhula khona izinzipho.

Zibizwa ngama-splinter hemorrhages ngoba zibukeka njenge-splinter ngaphansi kocikicane. Ukopha kungabangelwa amahlule amancane alimaza ama-capillary amancane ngaphansi kwezipikili.

Ukwehla kwegazi okuhlukanisiwe kungenzeka ngokutheleleka kwama-valve wenhliziyo (endocarditis). Kungabangelwa ukulimala komkhumbi ekuvuvukeni kwemithambo yegazi (i-vasculitis) noma amahlule amancane alimaza ama-capillaries amancane (i-microemboli).

Izimbangela zingafaka:

• I-endocarditis yebhaktheriya
• Ukulimala kwesipikili

Akukho ukunakekelwa okuqondile kwama-splinter hemorrhages. Landela imiyalo yomhlinzeki wakho wokunakekelwa kwezempilo yokwelapha i-endocarditis.

Xhumana nomhlinzeki wakho uma ubona ukopha okwehlukanisiwe futhi awukaze ube nokulimala kwakamuva esikhonkwaneni.

Ukopha okushisayo ngokuvamile kuvela sekwedlule isikhathi endocarditis. Ezimweni eziningi, ezinye izimpawu zizokudalela ukuthi uvakashele umhlinzeki wakho ngaphambi kokuba kuvele ukopha okungatheni.

Umhlinzeki wakho uzokuhlola ukuze abheke imbangela yokopha okungatheni. Ungabuzwa imibuzo efana nale:

• Uqale nini ukukuqaphela lokhu?
• Ngabe uke waba nokulimala kuzipikili muva nje?
• Ngabe une-endocarditis, noma umhlinzeki wakho usola ukuthi une-endocarditis?
• Yiziphi ezinye izimpawu onazo, njengokuphelelwa umoya, umkhuhlane, ukugula okuvamile, noma izinhlungu zemisipha?

Ukuhlolwa komzimba kungafaka ukunakwa okukhethekile ezinhlelweni zokujikeleza kwegazi nenhliziyo.

Izifundo zaselebhu zingabandakanya:

• Amasiko egazi
• Qedela ukubalwa kwegazi (CBC)
• Izinga le-sedimentation ye-Erythrocyte (ESR)

Ngaphezu kwalokho, umhlinzeki wakho anga-oda:

• I-x-ray yesifuba
• ECG
• I-Echocardiogram

Ngemuva kokubona umhlinzeki wakho, ungahle uthande ukwengeza ukuxilongwa kwama-splinter hemorrhages kwirekhodi lakho lezokwelapha.

Ukuphuma kwegazi lomunwe

I-Lipner SR, iSher RK. Izimpawu zesipikili zesifo se-systemic. Ku: Callen JP, Jorizzo JL, Zone JJ, Piette WW, Rosenbach MA, Vleugels RA, eds. Izimpawu Zesikhumba Zesifo Esihlelekile. Umhlaka 5. IPhiladelphia, PA: Elsevier; I-2017: isahluko 44.

Tosti A. Izifo zezinwele nezinzipho. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 413.

UWright WF. Umkhuhlane wemvelaphi engaziwa. Ku: Bennett JE, Dolin R, Blaser MJ, ama-eds. Mandell, Douglas, kanye neBennett's Principles and Practice of Infectious Diseases. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2020: isahluko 56.