I-Purpura: kuyini, izinhlobo, izimpawu nokwelashwa

-Delile

• Izinhlobo onsomi
• 1. UHenöch-Schönlein onsomi
• 2. Idiopathic thrombocytopenic purpura
• 3. Thrombotic thrombocytopenic purpura
• 4. Ukugcwalisa okunsomi
• 5. USenile onsomi
• Yelashwa kanjani
• Izimpawu eziyinhloko

I-Purpura yinkinga engajwayelekile ebonakala ngokuvela kwamabala abomvu esikhunjeni futhi anganyamalali lapho icindezelwa, edalwa ukuqoqwa kwegazi ngaphansi kwesikhumba ngenxa yokuvuvukala kwemithambo yegazi. Umbala onsomi uvame kakhulu ezinganeni, kodwa ungavela noma nini.

Ukuvela kwe-purpura kungaba ngenxa yezimo eziningana futhi, ngokuya ngesizathu sayo, ukwelashwa kungahle kungadingeki. Imvamisa ezinganeni, oku-purple kuyanyamalala ngaphandle kokwelapha okuthile, kuyilapho kubantu abadala kungaba yinkinga engapheli, futhi ingavela noma inyamalale ngezikhathi.

Kubalulekile ukuxhumana nodokotela wesikhumba noma udokotela ojwayelekile lapho kuqala ukuvela izimpawu zombala onsomi, ukuze kukhonjwe imbangela bese uqala ukwelashwa, uma kunesidingo.

Izinhlobo onsomi

1. UHenöch-Schönlein onsomi

IHenöch-Schönlein purpura, eyaziwa nangokuthi yi-PHS, uhlobo oluvame kakhulu lwe-purpura ezinganeni ezingaphansi kweminyaka eyi-10 ubudala futhi lubonakala ngokuvuvukala kwemikhumbi emincane, okuholela ekubonakaleni kwamabala abomvu, ikakhulukazi emilenzeni nasezinqeni, futhi kungenzeka kuholele ebuhlungwini bamalunga noma esiswini. Funda ngezinye izimpawu zeHenöch-Schönlein purpura.

Indlela yokwelapha: Imvamisa i-PHS ayidingi ukwelashwa okuqondile, kubalulekile kuphela ukuthi umuntu aphumule futhi ahambisane nodokotela ukuhlola ukuqhubeka kwezimpawu. Kodwa-ke, lapho kunezinhlungu eziningi, udokotela anganquma ukusetshenziswa kwama-anti-inflammatories noma ama-analgesics, njenge-Ibuprofen neParacetamol, ukudambisa izinhlungu.

2. Idiopathic thrombocytopenic purpura

I-Idiopathic thrombocytopenic purpura noma i-ITP isifo esizimele esibonakala ngokwehla kwenani lama-platelet, okuphazamisa inqubo yokujiya futhi siholele ekwakhekeni kwamabala amancane abomvu esikhunjeni nasekhaleni ekhaleni. Ukuxilongwa kwenziwa ikakhulukazi ngokuhlaziywa kwezimpawu nokuhlolwa kwegazi, okukhombisa ukuthi kulezi zimo kukhombisa amaplatelet / mm³ egazi angaphansi kuka-10,000.

Indlela yokwelapha: Ukwelashwa kwe-ITP kwenziwa ngokobukhulu bezimpawu, futhi kunganconywa ukusetshenziswa kwezidakamizwa ezinciphisa ukusebenza kwamasosha omzimba, ukugwema ukusabela komzimba uqobo, umjovo wama-immunoglobulin noma izidakamizwa ezikhuthaza ukwenziwa kwama-platelet ngokusebenzisa umnkantsha wethambo, njengeRomiplostim, isibonelo. Thola kabanzi mayelana nokuthi yini i-ITP nokuthi ukwelashwa kwenziwa kanjani.

3. Thrombotic thrombocytopenic purpura

I-thrombotic thrombocytopenic purpura noma i-PTT uhlobo olungavamile lwe-purpura oluvame kakhulu phakathi kweminyaka engama-20 nengama-40. Lolu hlobo lwe-purpura lubonakala ngokwanda kokuhlanganiswa kweplatelet, okuholela ekwakhekeni kwe-thrombi futhi kubangele ukuthi ama-erythrocyte aqhekeke. Ngakho-ke, kubalulekile ukuthi i-PTT ikhonjwe futhi yelashwe ngokushesha okukhulu ukuvimbela i-anemia, ukulahleka kwama-platelets kanye nezinguquko zemizwa.

Indlela yokwelapha: Ukwelashwa kwe-PTT kufanele kuqalwe ngokushesha okukhulu, futhi kuvame ukunconywa i-plasmapheresis, ehambelana nenqubo yokuhlunga igazi lapho kususwa khona amasosha omzimba amaningi ngokweqile angaphazamisa ukusebenza komzimba nokujikeleza kwegazi.

4. Ukugcwalisa okunsomi

I-purpura eqeda ukuvela ivela ikakhulu enganeni esanda kuzalwa ngenxa yokushoda kwamaprotheni ahlobene nokujiya kwegazi, okuholela ekwakhekeni kwamahlule angavimbela ukujikeleza kwegazi futhi aholele ekubonakaleni kwamabala abomvu esikhunjeni angaba mnyama ngenxa yokufa kwamaseli kulezo zindawo.

Ngaphezu kwalokho, lolu hlobo lwe-purpura lungabangelwa ukutheleleka kwamagciwane, amagciwane noma ama-parasitic, ngokwesibonelo.

Indlela yokwelapha: Ukwelashwa kwe-purpura egcwele kungenziwa ngokufakwa kweprotheni elahlayo egazini ngokuyalelwa ngudokotela.

5. USenile onsomi

Lolu hlobo lwe-purpura lubonakala ngokubonakala kwamabala ansomi ngemuva, izihlakala, izandla nezandla ngenxa yokuguga kwesikhumba, ngakho-ke, kuvame kakhulu kubantu abaneminyaka engaphezu kwengama-65 ubudala.

Indlela yokwelapha: I-Senile purpura ayidingi ukwelashwa, ngoba ayimele ingozi yezempilo futhi ayikhombisi ukopha. Kodwa-ke, uma umuntu ezizwa engakhululekile, bangasebenzisa ezinye izinhlobo zonokhilimu noma izithambiso ezinamavithamini K asiza ukunciphisa izisihla, futhi kufanele akhonjiswe ngudokotela wesikhumba.

Bona ukuthi ungazisusa kanjani izinhlobo ezi-8 ezivame kakhulu zezici zesikhumba.

Yelashwa kanjani

Ukwelashwa kwe-purpura kuya ngesizathu sayo, kepha kuvame ukwenziwa ngama-cream anothe ngo-vitamin K, njenge-Thrombocid, okumele isatshalaliswe esikhunjeni kuze kuphele amabala.

Ezimweni ezimbi kakhulu, ukungeniswa kwemithi ye-corticosteroid, efana ne-Hydrocortisone noma i-Prednisone, noma ukuhlinzwa ukususa ubende, esimweni se-thrombocytopenic purpura, kungakhonjiswa, ngoba kuleli gumbi lapho kwenziwa khona ama-antibody angabhubhisa ama-platelets, abangela ukuqoqwa kwama-platelets.igazi esikhunjeni. Ezinganeni, izingane noma izingane ezisanda kuzalwa i-purple inganyamalala ngaphandle kokwelashwa, kepha esimweni sabantu abadala, ukwelashwa kuhlale kuyadingeka.

Izimpawu eziyinhloko

Izimpawu ezivame kakhulu ze-purpura zifaka:

• Amabala abomvu esikhunjeni - azi ezinye izimbangela zamabala abomvu esikhunjeni;
• Amabala abomvu asakazeke emzimbeni wonke;
• Ukopha okuphuma emakhaleni, amathumbu, izinsini noma umgudu womchamo;
• Ubuhlungu endaweni yamabala;
• Imfiva.

Ezimweni eziningi, kuvela izindawo ezincane kuphela esikhumbeni futhi imvamisa azidingi ukwelashwa.