So woahyɛ no nsow pɛn sɛ nsensanee bi a ɛyɛ kɔkɔɔ anaa nsensanee nketenkete bi pue mpofirim wɔ wo honam ani, titiriw wo nsa anaa wo nan so, a womfa wo nsa nka mpo? Ɛtɔ mmere bi a eyinom te sɛ akuru, nanso ebetumi ayɛ biribi foforo ankasa. Wɔ nnuruyɛ mu no, yɛfrɛ tebea yi purpura. Mma ɛnhaw wo, eyi nyɛ yare, nanso ebetumi ayɛ tebea foforo a ɛhyɛ ase ho sɛnkyerɛnne. Enti ɛnnɛ, momma yɛnka biribiara ho asɛm wɔ nsɛm a ɛnyɛ den mu.
Dɛn ankasa ne Purpura?
Sɛ yɛbɛka no tiawa a, purpura yɛ tebea a mogya ntini nketenkete a ɛwɔ yɛn honam ani no ma mogya tu, na ɛde nsensanee ba honam ani. Eyinom betumi aba wo honam ani anaasɛ ntini a ɛwɔ wo honam ani te sɛ w’ano ne w’anom.
Ɛsono sɛnea saa nsensanee yi te, na egyina wo honam ani hwɛbea so.
- Wɔ obi a ne honam ani yɛ fitaa fam no: Eyinom da adi sɛ kɔla kɔkɔɔ-akuturuku.
- Wɔ obi a ne honam ani yɛ hare fam no: Ebia eyinom kɔla yɛ bruu anaa tuntum.
Nea ɛho hia ne sɛ purpura nyɛ yare, na mmom ɛyɛ tebea foforo ho sɛnkyerɛnne. Saa tebea yi betumi afi nnuru bi, vitamin a enni nipadua mu, anaa tebea horow bi a wonya fi awo mu mpo. Enti, sɛ nsensanee a ɛte saa pue a ntease biara nnim a, ɛbɛyɛ papa sɛ wobɛka ho asɛm akyerɛ oduruyɛfo.
So nsonsonoe wɔ nsensanee ahorow yi ntam?
Yiw, wɔde din abiɛsa frɛ saa nsensanee a mogya a ɛtɔ wɔ honam ani no de ba yi a egyina ne kɛse so. Ɛho hia paa sɛ wubehu eyi.
| Beae no din | Kɛseɛ | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|---|
| Petechiae na ɔkyerɛwee | Nea ennu mm 4 | Sɛ yɛbɛka no pɛpɛɛpɛ a, eyinom yɛ nsensanee nketenkete paa, te sɛ nsensanee a kyerɛwdua ano yɛ. Mpɛn pii no, eyinom boaboa ano, enti nnipa binom di mfomso sɛ ɛyɛ akisikuru. |
| Purpura a ɛyɛ kɔkɔɔ | Ɛyɛ milimita 4 kosi 10 (ennu sɛntimita 1) . | Eyi ne mole titiriw a yɛreka ho asɛm no. Eyinom sõ kakra sen petechiae. |
| Ecchymoses na ɔkyerɛwee | Bɛboro sɛntimita 1 | Eyinom ne nea yɛtaa frɛ no "thale akwan ." Eyinom yɛ akɛse wɔ ne kɛse mu. |
Nea ɛyɛ soronko wɔ saa nsensanee yi ho ne sɛ, sɛ wode wo nsateaa mia so a, ɛnsakra kɔla (non-blanching). Sɛ womia a, akisikuru a ɛte saa no dan fitaa na sɛ woka a, ɛsan yɛ kɔkɔɔ bio.
Dɛn ne nneɛma atitiriw a ɛde purpura ba?
Nea ɛde purpura ba no gyina ne su so. Wɔakyekyɛ mu titiriw ayɛ no ahorow abien. Biako gyina mogya nkwammoaa dodow a ɛwɔ yɛn mogya mu so. Nkwammoaa a ɛma mogya tu yɛ nkwammoaa nketenkete a ɛboa ma mogya gyae na ɛma mogya tu bere a yɛretu mogya no.
1. Thrombocytopenic Purpura: Eyi ne bere a mogya mu nkwammoaa a ɛwɔ mogya no mu no so tew.
2. Purpura a ɛnyɛ thrombocytopenic: Ɛha yi, ɛwom sɛ mogya nkwammoaa dodow no yɛ nea ɛfata de, nanso mogya tu fi mogya ntini no mu esiane biribi foforo nti.
Momma yɛnhwɛ nea enti a ɛte saa yi wɔ pon a ɛwɔ ase ha no so pefee.
| Nneɛma a ɛde Purpura ba | |
|---|---|
| 1. Esiane mogya nkwammoaa a ɛba fam nti (Thrombocytopenic Purpura) . | |
| |
| 2. Nneɛma a ɛde mogya nkwammoaa a ɛwɔ mogya mu no dodow a ɛfata ba (Non-thrombocytopenic Purpura) . | |
|
Nea ɛho hia: Purpura nso betumi aba sɛ aduru a ɛma mogya yɛ mmerɛw te sɛ heparin ne warfarin ho adeyɛ a emu yɛ den, anaasɛ tebea horow a emu yɛ den yiye, nanso ɛntaa nsi te sɛ DIC (Disseminated Intravascular Coagulation) mu. Eyinom yɛ tebea horow a ehia sɛ wɔsa yare ntɛm ara.
Ɔkwan bɛn so na oduruyɛfo hu saa tebea yi?
Sɛ wokɔ oduruyɛfo nkyɛn a ɔwɔ akisikuru te sɛ eyi a, ade a edi kan a ɔbɛyɛ ne sɛ ɔbɛhwɛ wo honam ani yiye. Afei, wobebisa w’ayaresa ho abakɔsɛm a edi mũ ne nnuru a worenom no ho asɛm.
Sɛnea ɛbɛyɛ na woahu nea ɛde purpura ba ankasa no, wo duruyɛfo betumi ahyɛ sɛ wɔnyɛ nhwehwɛmu bi.
- Mogya Dodow a Edi Mu (CBC): Eyi titiriw na ɛhwɛ mogya nkwammoaa dodow a ɛwɔ wo mogya mu. Sɛ wuhu sɛ ebia wo mogya mu nkwammoaa kɔkɔɔ sua anaasɛ ɛnte saa a, ebetumi aboa ma woahu nea ɛde ba.
- Skin Biopsy: Ɛtɔ mmere bi a, sɛ mogya nkwammoaa a ɛwɔ mogya mu no dodow yɛ nea ɛfata a, wobetumi afa honam ani fã ketewaa bi na wɔasɔ ahwɛ sɛ ebia tebea bi wɔ hɔ a wɔfrɛ no vasculitis anaa.
Wɔde sɔhwɛ ahorow yi di dwuma de hu tebea pɔtee a ɛde purpura no ba.
Ɔkwan bɛn so na wɔsa?
Kae sɛ ɛnyɛ purpura nsensanee no na wɔde sa yare no, na mmom tebea a ɛwɔ ase a ɛde bae no. Ɛtɔ mmere bi a, titiriw wɔ mmofra mu no, saa nsensanee yi kɔ a wonnya ayaresa biara.
Sɛ wohu nea ɛde ba wie a, oduruyɛfo no betumi ayɛ nea edidi so yi:
- Sɛ worenom aduru bi a ɛde purpura ba a, sesa anaa gyae.
- Ayaresa tebea bi a ɛda adi (e.g., ɔyare mmoawa, yare a ɛko tia nyarewa).
- Sɛ mogya mu nkwammoaa a ɛwɔ mogya mu no sua dodo a, fa ayaresa ma na ama akɔ soro.
Ayaresa ahorow bi a wɔde ma mogya nkwammoaa dodow kɔ soro ne:
- Corticosteroids: Nnuru a ɛma mogya nkwammoaa a wɔsɛe no no gyae.
- IVIG ayaresa (Intravenous Immunoglobulin): Saa ayaresa yi a wɔde fa ntini mu ma no ma mogya nkwammoaa dodow kɔ soro ntɛmntɛm.
- Nnuru a ɛma nipadua no tumi ko tia nyarewa: Sɛ nhwɛso no, nnuru te sɛ Rituximab.
- Mogya a Wɔde Ma: Sɛ ɛho hia a, wɔde mogya mu nkwammoaa a ɛma mogya tu kɔ nipadua no mu.
- Splenectomy: Wɔ tebea horow bi mu no, wɔyɛ oprehyɛn yi akisikuru a ɛyɛ ade titiriw a ɛma mogya nkwammoaa a wɔsɛe no no fi hɔ.
Sɛ wuhu sɛ saa nsensanee, nkekae, anaa akuru yi wɔ wo honam ani a ntease biara nnim a, mmu w’ani ngu so. Akyinnye biara nni ho sɛ kɔ wo duruyɛfo nkyɛn. Efisɛ ɛtɔ mmere bi a eyi nyɛ aniberesɛm, nanso mmere foforo nso ebetumi ayɛ yare bi a ɛde ne nkwa to asiane mu ho sɛnkyerɛnne a edi kan. Enti, ade a ɛteɛ a ɛsɛ sɛ yɛyɛ ne sɛ yɛbɛhwehwɛ aduruyɛ mu afotu.
Nkrasɛm a Wɔde Kɔ Fie
- Purpura yɛ nsensanee a ɛyɛ kɔkɔɔ, kɔkɔɔ, anaa bruu a mogya a ɛretu fi mogya ntini nketenkete a ɛwɔ honam ani no mu na ɛde ba.
- Eyi nyɛ yare, na mmom ɛyɛ tebea foforo a ɛhyɛ ase ho sɛnkyerɛnne.
- Wɔkyekyɛ eyinom mu sɛnea wɔn kɛse te sɛ petechiae (ketewaa), purpura (a ɛyɛ mfinimfini), ne ecchymosis (akuru/kɛse sen biara).
- Nea ɛde ba no bi ne mogya mu nkwammoaa a ɛba fam, nnuru, ɔyare mmoawa, ne mogya ntini a ɛyɛ mmerɛw.
- Sɛ wuhu sɛ nsensanee ahorow yi nni akuru biara a, mmu w’ani ngu so. Akyinnye biara nni ho sɛ hwehwɛ aduruyɛ mu afotu.
- Ayaresa no nni nsensanee no ho dwuma, na mmom tebea a ɛwɔ ase a ɛde bae no.
💬 Comments (0)
Wɔnnya nyɛɛ nsɛm biara. Fa wo nsɛm no ka ho wɔ ha nea edi kan.
Fa wo nsɛm no ka ho