ʻO Purpura i ka hāpai ʻana: nā pilikia, nā ʻōuli a me nā lāʻau
Anter
ʻO Thrombocytopenic purpura i ka hāpai hāpai kahi maʻi autoimmune, kahi o nā kino ponoʻī o ke kino e luku ai i nā pā koko. Hiki i kēia maʻi ke koʻikoʻi, keu hoʻi inā ʻaʻole nānā maikaʻi ʻia a mālama ʻia, no ka mea hiki i nā mea ʻino a ka makuahine ke hele i ka fetus.
Hiki ke hana i ka mālama ʻana i kēia maʻi me ka corticosteroids a me ka gamma globulins a, i nā hihia ʻoi aku ka paʻakikī, pono paha e hana i kahi transfusion platelet a i ʻole ka hemo ʻana o ka palapū. E aʻo hou aʻe e pili ana i ka thrombocytopenic purpura.
He aha nā pilikia
ʻO nā wahine e ʻehaʻeha i ka thrombositopenic purpura i ka wā o ka hāpai ʻana e pilikia paha i ka wā hānau I kekahi mau hihia, hiki ke kahe ʻana o ke kahe o ke pēpē i ka wā o ka hana a hiki i ka hopena ke hōʻeha a i ʻole ka make ʻana o ka pēpē, ʻoiai ʻo nā antibodies o ka makuahine, ke hāʻawi ʻia i ka pēpē, hiki ke alakaʻi i kahi hōʻemi o ka helu o nā pā o ka pēpē i ka wā hāpai a i ʻole ma hope koke hānau.
Pehea e hana ʻia ai ke kuhi
Ma ka hana ʻana i kahi hoʻokolohua koko ʻulaʻula, ʻoiai i ka wā o ka hāpai ʻana, hiki ke hoʻoholo i ke alo a i ʻole ka loaʻa ʻole o nā mea ʻino a e ʻike i ka helu o nā platelet i ka fetus, i mea e pale aku ai i kēia mau pilikia.
Inā ua hōʻea nā ʻōpala i ka ʻōpū, hiki ke hana ʻia kahi ʻāpana cesarean, e like me ka mea i hōʻike ʻia e ka mea hānau, e pale ai i nā pilikia i ka wā o ka hānau ʻana, e like me ka hemorrhage cerebral i ka hānau hou, no ka laʻana.
He aha ka lāʻau
Hiki ke hana i ka mālama ʻana no ka purpura i ka hāpai hāpai ʻana me nā corticosteroids a me nā gamma globulins, e hoʻomaikaʻi iki ai i ke kāpili ʻana o ke koko o ka wahine hāpai, e pale ana i ke kahe ʻana o ka wai a ʻae ʻia e hoʻokomo pono ʻia ka hana, me ke kahe ʻole ʻole o ke kahe.
I nā kūlana koʻikoʻi hou aʻe, hiki ke hana i kahi transfusion o nā platelet a me ka hoʻoneʻe ʻia ʻana o ka pelepelu, e pale aku ai i ka luku hou ʻana o nā platelet.
NāʻAtikala Hou
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