Puʻuloa

ʻO Purpura he mau kiko kala a me nā pā i loaʻa i ka ʻili, a i nā membrane mucus, me ka uhi o ka waha.

Kū ka Purpura ke hoʻokahe nā kīʻaha koko liʻiliʻi i ke koko ma lalo o ka ʻili.

Ana ʻo Purpura ma waena o 4 a me 10 mm (millimeter) i ke anawaena. Ke emi nā kiko purpura ma mua o 4 mm i ke anawaena, ua kapa ʻia lākou ʻo petechiae. ʻO nā kiko o ka Purpura ʻoi aku ka nui ma mua o 1 cm (kenimika) i kapa ʻia ʻo ecchymoses.

Kōkua nā platelet i ka huehue koko. Loaʻa paha i kahi kanaka me ka purpura nā helu platelet maʻamau (non-thrombositopenic purpuras) a i ʻole nā ​​helu platelet haʻahaʻa (thrombositopenic purpuras).

ʻO nā purpuras non-thrombositopenic ma muli o:

• ʻO Amyloidosis (kahi maʻi kahi e kūkulu ai nā protein āpau i nā aʻa a me nā meaola)
• Nā maʻi maʻi kō
• ʻO ka cytomegalovirus Congenital (ke ʻano i maʻi ʻia ai kahi pēpē me kahi maʻi i kapa ʻia ʻo cytomegalovirus ma mua o ka hānau ʻana)
• ʻO ka maʻi rubella Congenital
• Nā lāʻau e pili ana i ka hana platelet a i ʻole nā ​​kumu paʻa
• ʻIke ʻia nā kīʻaha koko Fragile i ka poʻe ʻelemakule (senile purpura)
• Hemangioma (kūkulu ʻole ʻia o nā kīʻaha koko i ka ʻili a i ʻole nā ​​mea o loko)
• ʻO ka hoʻohaunaele o nā kīʻaha koko (vasculitis), e like me Henoch-Schönlein purpura, ka mea i hāpai i kahi ʻano purpura
• Hoʻololi nā kaomi i ka wā hānau hānau hānau
• Scurvy (wikamina C hemahema)
• Hoʻohana Steroid
• Nā maʻi āpau
• ʻEhaʻeha

Loaʻa paha ka Thrombocytopenic purpura i:

• Nā lāʻau e hoʻemi ana i ka helu platelet
• Idiopathic thrombositopenic purpura (ITP) - kahi maʻi kahe o ke kahe
• Immune neonatal thrombocytopenia (hiki i nā pēpē nona nā makuahine i loaʻa iā ITP)
• Meningococcemia (maʻi kahe o ke koko)

Kāhea i kāu mea mālama ola no kahi kau inā loaʻa iā ʻoe nā hōʻailona o ka purpura.

E nānā ka mea hāʻawi i kou ʻili a nīnau e pili ana i kāu mōʻaukala a me nā ʻōuli, e like me:

• ʻO kēia ka manawa mua āu i loaʻa ai i kēlā mau kiko?
• I ka manawa hea i ulu ai lākou?
• He aha ke kala?
• He ʻeha paha ko lākou ʻano?
• He aha nā lāʻau e lawe ai?
• He aha nā pilikia olakino ʻē aʻe āu i loaʻa?
• Loaʻa i kekahi o kou ʻohana nā kiko like?
• He aha nā hōʻailona ʻē aʻe āu?

Hana ʻia kahi biopsy ʻili. E kauoha ʻia paha nā hoʻokolohua koko a me ka mimi e hoʻoholo i ke kumu o ka purpura.

Nā kiko koko; Hemorrhages ʻili

• ʻO Henoch-Schonlein purpura ma nā wāwae lalo
• ʻO Henoch-Schonlein purpura ma ka wāwae o kahi pēpē
• ʻO Henoch-Schonlein purpura ma nā wāwae o ke pēpē
• ʻO Henoch-Schonlein purpura ma nā wāwae o ke pēpē
• ʻO Henoch-Schonlein purpura ma nā wāwae
• ʻO Meningococcemia ma nā keiki bipi
• ʻO Meningococcemia ma ka wāwae
• ʻIke ka mauna pōhaku i ke kuni ma ka wāwae
• ʻO Meningococcemia e pili ana i ka purpura

ʻO Habif TP. Nā loina o ka ʻike a me ka anatomy. I: Habif TP, hoʻoponopono. ʻO Dermatology Haumana: Kahi Alakaʻi Kānana i ka Diagnosis a me ka Therapy. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2016: chap 1.

Nā lumi kuke CS. ʻO Purpura a me nā maʻi hematovascular ʻē aʻe. I: Nā lumi kuke CS, Kessler CM, Konkle BA, Streiff MB, Garcia DA, eds. ʻO Hemostasis kūkā a me Thrombosis. ʻEhā ed. Piladelapia, PA: Elsevier; 2019: chap 10.