Purpura: he aha ia, ʻano, ʻōuli a me nā lāʻau

Anter

• Nā ʻano poni
• 1. Pālena Henöch-Schönlein
• 2. Idiopathic thrombocytopenic purpura
• 3. Thrombotic thrombositopenic purpura
• 4. Fulminating poni
• 5. Poni senile
• Pehea e hana ai i ka lāʻau
• Nā hōʻailona nui

He pilikia pilikia ʻole ʻo Purpura e ke ʻano o nā kiko ʻulaʻula ma ka ʻili a ʻaʻole e nalo ke kaomi ʻia, e ka hōʻiliʻili ʻana o ke koko ma lalo o ka ʻili ma muli o ka hoʻā o nā kīʻaha koko. ʻOi aku ka pinepine o ka poni i nā keiki, akā hiki ke ʻike ʻia i kēlā me kēia makahiki.

Hiki ke ʻano o ka purpura ma muli o kekahi mau hanana a, ke hilinaʻi nei i kāna kumu, pono a pono ʻole paha ka lāʻau. ʻO ka maʻamau, i nā keiki, nalo ka poni me ka ʻole o kahi lapaʻau maʻamau, ʻoiai i ka poʻe mākua hiki ke lilo i pilikia mau, a hiki ke ʻike ʻia a nalo paha i nā kau.

He mea nui e nīnau aku i ka dermatologist a i ʻole ka mea hana maʻamau ke hoʻomaka nā ʻōuli o ka poni, i hiki ai ke ʻike i ke kumu a hoʻomaka i ka lāʻau, inā pono.

Nā ʻano poni

1. Pālena Henöch-Schönlein

ʻO Henöch-Schönlein purpura, i ʻike ʻia ʻo PHS, ke ʻano maʻamau o ka purpura i loko o nā keiki ma lalo o 10 mau makahiki a ʻike ʻia e ka huʻi o nā moku liʻiliʻi, e alakaʻi ana i ke ʻano o nā kiko ʻulaʻula, ka nui o nā wāwae a me nā puʻupuʻu. alakaʻi i kaʻeha i nā hono a i ʻole i ka ʻōpū. E aʻo e pili ana i nā ʻōuli ʻē aʻe o Henöch-Schönlein purpura.

Pehea e mālama ai: ʻAʻole pono ka PHS i kahi lāʻau maʻamau, he mea nui wale ia e hoʻomaha ana ke kanaka a hele pū ʻia me ke kauka e nānā i ka holomua o nā hōʻailona. Eia nō naʻe, ke nui ka ʻeha, hiki i ke kauka ke kuhikuhi i ka hoʻohana ʻana i nā anti-inflammatories a i ʻole analgesics, e like me Ibuprofen a me Paracetamol, e hoʻomaha ai i ka ʻeha.

2. Idiopathic thrombocytopenic purpura

ʻO ka Idiopathic thrombocytopenic purpura a i ʻole ITP kahi maʻi autoimmune i hōʻike ʻia e ka hōʻemi ʻana i ka helu o nā platelet, keakea nei i ke kaʻina hoʻopili ʻana a alakaʻi i ka hoʻokumu ʻana o nā kiko ʻulaʻula liʻiliʻi i ka ʻili a me ke kahe o ka ihu. Hana ʻia ka hōʻailona ma o ke kālailai ʻana i nā ʻōuli a me ka hoʻāʻo ʻana o ke koko, a ma kēia mau hihia e hōʻike ana ma lalo o 10,000 platelet / mm³ o ke koko.

Pehea e mālama ai: Hana ʻia ka lapaʻau no ITP e like me ke koʻikoʻi o nā ʻōuli, a me ka hoʻohana ʻana i nā lāʻau e hoʻoliʻiliʻi i ka hana o ka ʻōnaehana pale e paipai ʻia, e ʻalo nei i kahi hopena e kūʻē i ke kino ponoʻī, ka hoʻokomo ʻana i nā immunoglobulins a i ʻole nā ​​lāʻau e hoʻonāukiuki i ka hana ʻana o nā platelet . ma o ka iwi iwi, e like me Romiplostim, no ka laʻana. E ʻike hou aʻe e pili ana i ka ITP a pehea e hana ai ka lāʻau.

3. Thrombotic thrombositopenic purpura

ʻO Thrombotic thrombositopenic purpura a i ʻole PTT kahi ʻano purpura laha ʻole e ʻoi pinepine ma waena o nā makahiki 20 a 40. Hoʻohālikelike ʻia kēia ʻano purpura e ka hoʻonui ʻana o ka hōʻuluʻulu platelet, e alakaʻi ana i ka hoʻokumu ʻia ʻana o thrombi a me ka hana ʻana i nā erythrocytes e wāwahi ʻia. No laila, he mea nui e ʻike koke ʻia ʻo PTT a mālama ʻia me ka wikiwiki e hiki ai ke pale aku i ka anemia, ka nalo ʻana o nā platelet a me nā hoʻololi neurological.

Pehea e mālama ai: Pono e hoʻomaka i ka hoʻomaʻamaʻa ʻana no PTT i ka wā hiki loa, a paipai pinepine ʻia ka plasmapheresis, i kūlike i ke kaʻina hana kānana koko kahi e hoʻoneʻe ʻia ai nā mea ʻino nui e hōʻino ana i ka hana o ke kino a me ke kahe o ke koko.

4. Fulminating poni

Fulminating purpura ʻike nui ʻia i ka hānau hou ma muli o ka nele o nā protein e pili ana i ka hoʻopili ʻana, kahi e alakaʻi ai i ka hoʻokumu ʻia ʻana o nā clots i hiki ke keʻakeʻa i ke kahe o ke koko a alakaʻi i ke ʻano o nā ʻulaʻula i ka ʻili i hiki ke ʻeleʻele ma muli o ka make o nā hunaola. i kēlā mau wahi.

Hoʻohui ʻia, hiki ke hoʻomaka ʻia kēia ʻano purpura e nā maʻi koʻohune, viral a i ʻole parasitic, no ka laʻana.

Pehea e mālama ai: Hiki ke hana i ka mālama ʻana no ka purpura fulminant me ka lawelawe ʻana o ka protein protein i nalo i loko o ke koko e like me ke alakaʻi a ke kauka.

5. Poni senile

Kuhi ʻia kēia ʻano purpura e ke ʻano o nā kiko poni ma ke kua, nā pūlima, nā lima a me nā forearms ma muli o ka ʻelemakule o ka ʻili, no laila, ʻoi aku ka maʻamau o ka poʻe ma mua o 65 mau makahiki.

Pehea e mālama ai: ʻAʻole pono e mālama ʻia ʻo Senile purpura, no ka mea ʻaʻole ia e hōʻike i kahi pilikia olakino a ʻaʻole ia he hōʻailona o ke kahe ʻana o ke kahe. Eia nō naʻe, inā ʻoluʻolu ʻole ke kanaka, hiki iā lākou ke hoʻohana i kekahi ʻano kalima a i ʻole nā ​​hamo me ka huaola K e kōkua ai e hōʻemi i nā kīnā, a pono e hōʻike ʻia e ka dermatologist.

E ʻike pehea e hemo ai i nā ʻano maʻamau o nā ʻili o ka ʻili he 8.

Pehea e hana ai i ka lāʻau

Pili ka mālama ʻana i ka purpura i ke kumu, akā hana pinepine ʻia me nā kalima waiwai i loko o ka huaola K, e like me Thrombocid, a pono e pāhola ma luna o ka ʻili a hiki i ka nalo ʻana o nā kiko.

I nā hihia ʻoi loa, ʻo ke komo ʻana o nā lāʻau corticosteroid, e like me Hydrocortisone a i ʻole Prednisone, a i ʻole ke ʻoki ʻana e wehe ai i ka pelupelu, i ka hihia o ka thrombositopenic purpura, no ka mea aia i loko o kēia lālā nā huaʻohina i hana ʻia e hiki ke luku i ka platelet, ke kumu o ka hōʻiliʻili o nā platelet. ke koko ma ka ʻili. I nā keiki, nā pēpē a i ʻole nā ​​keiki hānau hou e nalowale paha ka poni me ka ʻole o ka mālama ʻana, akā i ka hihia o nā mākua, pono mau ka lāʻau.

Nā hōʻailona nui

ʻO nā ʻōuli maʻamau o ka purpura me:

• Nā kiko ʻulaʻula i ka ʻili - ʻike i nā kumu ʻē aʻe o nā ʻulaʻula i ka ʻili;
• Hoʻopuehu nā ʻulaʻula i ke kino a puni;
• Kahe mai ka ihu, ʻōpū, gums a i ʻole ka maʻi mimi;
• ʻEha ma kahi o nā kiko;
• Fiva.

I ka hapanui o nā hihia, ʻike ʻia nā wahi liʻiliʻi wale nō ma ka ʻili a ʻaʻole pono ka lapaʻau maʻamau.