Kuyini nokuthi ungaphatha kanjani uHenöch-Schönlein purpura
-Delile
IHenöch-Schönlein purpura, eyaziwa nangokuthi yi-PHS, yisifo esidala ukuvuvukala kwemithambo yegazi emincane esikhunjeni, okuholele ekutheni kube namabala amancane abomvu esikhunjeni, ubuhlungu esiswini nobuhlungu bamalunga. Kodwa-ke, ukuvuvukala kungenzeka nasemithanjeni yegazi yamathumbu noma yezinso, okudala isifo sohudo negazi emchameni, isibonelo.
Lesi simo sivame kakhulu ezinganeni ezineminyaka engaphansi kwengu-10, kodwa singenzeka nakubantu abadala. Ngenkathi isezinganeni, onsomi uvame ukunyamalala ngemuva kwamasonto amane kuya kwayisithupha, kubantu abadala, ukululama kungahle kuhamba kancane.
I-Henöch-Schönlein purpura iyelapheka futhi ngokuvamile asikho isidingo sokwelapha okuthile, futhi amakhambi ambalwa kuphela angasetshenziswa ukudambisa izinhlungu nokwenza ukutakula kube mnandi.
Izimpawu eziyinhloko
Izimpawu zokuqala zalolu hlobo lwe-purpura umkhuhlane, ikhanda elibuhlungu nobuhlungu bemisipha obuhlala phakathi kwamasonto ayi-1 kuye kwangama-2, okungaphutha ngomkhuhlane noma umkhuhlane.
Ngemuva kwalesi sikhathi, kuvela izimpawu ezithile, njenge:
- Amabala abomvu esikhunjeni, ikakhulukazi emilenzeni;
- Ubuhlungu nokuvuvukala emalungeni;
- Isisu esibuhlungu;
- Igazi emchameni noma endleni;
- Isicanucanu nohudo.
Ezimweni ezingavamile kakhulu, lesi sifo singathinta nemithambo yegazi emaphashini, enhliziyweni noma ebuchosheni, sidale ezinye izinhlobo zezimpawu ezinzima njengokuphefumula kanzima, ukukhwehlela igazi, ubuhlungu besifuba noma ukulahlekelwa ukwazi.
Lapho noma yiziphi zalezi zimpawu zivela, kufanele ubonane nodokotela ojwayelekile, noma udokotela wezingane, ukuze wenze ukuhlolwa okujwayelekile bese uthola inkinga. Ngakho-ke, udokotela anga-oda ukuhlolwa okuningi, okufana negazi, umchamo noma i-biopsy yesikhumba, ukuqeda amanye amathuba futhi aqinisekise okububende.
Yelashwa kanjani
Imvamisa, akukho ludingo oluthile oludingekayo lwalesi sifo, kunconywa kuphela ukuphumula ekhaya nokuhlola ukuthi ngabe ziya ngokuya ziba zimbi izimpawu.
Ngaphezu kwalokho, udokotela angaphinde anikeze ukusetshenziswa kwama-anti-inflammatories noma ama-analgesics, njenge-Ibuprofen noma i-Paracetamol, ukudambisa izinhlungu. Kodwa-ke, la makhambi kufanele asetshenziswe kuphela ngaphansi kokuqondisa kukadokotela njengoba, uma izinso zithintekile, akufanele zithathwe.
Ezimweni ezibucayi kakhulu, lapho lesi sifo sibanga izimpawu ezinzima kakhulu noma sithinta ezinye izitho ezifana nenhliziyo noma ubuchopho, kungadingeka ukuthi ungeniswe esibhedlela ukuze ukwazi ukufaka imithi ngqo emthanjeni.
Izinkinga ezingenzeka
Ezimweni eziningi, iHenöch-Schönlein purpura iyanyamalala ngaphandle kwe-sequelae, noma kunjalo, enye yezinkinga ezinkulu ezihambisana nalesi sifo ukushintsha ukusebenza kwezinso. Lolu shintsho lungathatha phakathi kwamasonto noma izinyanga ezimbalwa ukuvela, noma ngabe zonke izimpawu sezinyamalele, kubangela:
- Igazi emchameni;
- Igwebu eleqile emchameni;
- Ukwanda komfutho wegazi;
- Ukuvuvukala ngamehlo noma emaqakaleni.
Lezi zimpawu futhi ziyathuthuka ngokuhamba kwesikhathi, kepha kokunye ukusebenza kwezinso kungathinteka kakhulu kuze kubangele ukwehluleka kwezinso.
Ngakho-ke, ngemuva kokululama kubalulekile ukubonisana njalo nodokotela ojwayelekile, noma udokotela wezingane, ukuhlola ukusebenza kwezinso, ukwelapha izinkinga njengoba zivela.