Ðe viwò suea le teƒe siwo le dzo dam le woƒe ŋutilã ŋu zi ɖekaa? Ate ŋu anye Henoch-Schönlein Purpura (HSP)! Ðe míaƒo nu tso esia ŋua?

Enye nusi sɔ be nàtsi dzi vie ne kasia viwòa de dzesi teƒe suesuesue siwo ƒe amadede nye aŋutiɖiɖi le woƒe ŋutilã ŋu, vevietɔ le woƒe afɔwo kple akɔta, le fefewɔwɔ dzidzɔtɔe vɔ megbe. Ɣeaɖewoɣi la, dɔgbo ƒe veve kple ƒunukpeƒeveame ate ŋu akpe ɖe teƒe siawo ŋu. Ne míekpɔ nane si le abe esia ene la, míebua nu ɖeka ɖe wo nɔewo yome. Eyata egbea míele nu ƒom tso nɔnɔme aɖe si ate ŋu ahe dzesi siawo vɛ ŋu, gake zi geɖe la, menye naneke si ŋu woatsi dzi ɖo o, gake ele vevie ŋutɔ be nànɔ ŋudzɔ. Emae nye Henoch-Schonlein Purpura, alo HSP kpuie.

Nukae nye Henoch-Schönlein Purpura (HSP)?

Kpuie ko la, Henoch-Schonlein Purpura (HSP) nye nɔnɔme si me ʋuka suesuesue siwo le míaƒe ŋutilã me vuvu alo vuvuna. Ðɔktawo yɔa esia be `` vasculitis .'' Bu eŋu abe ʋuka suesuesue siwo le míaƒe ŋutilã katã me siwo doa dziku hevuvu ene. Vuvu siae hea kuxi siawo katã vɛ.

Ne ʋukawo vuvu alea la, ʋumenugbagbevi suewo dzea dodo gɔme. Abe alesi tsi ƒe pɔmpi naa tsi dona ene. Ʋumenugbagbevi siawo ate ŋu age ɖe ŋutigbalẽa, lãkusiwo (abe lãkusi siwo le míaƒe nu kple ŋɔti me ene), alo ŋutinu siwo le ememe. Ne wodo ɖe ŋutigbalẽa me la, wonaa teƒe mawo siwo le abe aŋutiɖiɖi ene, siwo le abe abi ene. Míeyɔa teƒe mawo be `(purpura)`.

Zi geɖe la, HSP ƒe nɔnɔme sia gblẽa nu le ʋuka siwo le ŋutigbalẽa, ƒunukpeƒewo, dɔgbowo (dɔgbowo), kple ayikuwo me ŋu. Gake nya nyuiae nye be ɖevi akpa gãtɔ siwo xɔ HSP la hayana keŋkeŋ le kwasiɖa ʋɛ aɖewo me kuxi aɖeke manɔmee ɣeyiɣi didi . Eyata ele vevie be nànya nyateƒea hafi nàtsi dzodzodzoe.

Nukawoe hea HSP vɛ?

Ðɔktawo mete ŋu gblɔ nusi hea HSP vɛ kple kakaɖedzi haɖe o. Gake wosusu be anɔ eme be edzea egɔme le dɔlékui aɖe xɔxɔ vɔ megbe . Ate ŋu anye dɔlékui, dɔlékui, alo dɔlékuiwo ƒe dɔléle. Le kpɔɖeŋu me, ɖevi aɖewo ate ŋu axɔ nɔnɔme sia le ŋɔti ƒe veve megbe.

Le ema ɖeɖeko megbe la, wosusui be atike aɖewo kple nuɖuɖu ƒe nulɔdɔ gbɔe wòtso . Ðewohĩ domenyiŋusẽfianu hã ate ŋu anɔ ame aɖewo si. Numekulawo gale nusi tututu gbɔ HSP tsona dim.

HSP dzɔna ne míaƒe dɔlélenutsiŋutete mewɔa dɔ nyuie o. Protein ƒomevi tɔxɛ aɖe si woyɔna be `(Immunoglobulin A - IgA)` le míaƒe ŋutilã me. Eƒe dɔ vevitɔe nye be wòawɔ avu kple dɔlékuiwo eye wòakpɔ mía ta tso dɔlélewo me. Gake nusi dzɔna le amesi ŋu HSP le ƒe ŋutilã me enye be `(IgA)` protein sia gena ɖe ʋuka sue mawo me. Ɣemaɣie `(vasculitis)` nɔnɔme ma dzɔna, si nana ʋukawo vuvu.

HSP ye nye ʋukawo me dɔléle ƒomevi si bɔ wu le ɖeviwo me . Togbɔ be ate ŋu adzɔ le ƒe ɖesiaɖe me hã la, ebɔ ɖe ɖevi siwo xɔ tso ƒe 2 va ɖo ƒe 6. Ebɔ ɖe ŋutsuviwo me abe nyɔnuviwo ene zi gbɔ zi eve. Edzɔna zi geɖe hã le adame kple dzomeŋɔli (i.e., le ƒea ƒe nuwuwu lɔƒo).

Nukawoe nye HSP ƒe dzesiwo?

Azɔ mina míakpɔ dzesi siwo ɖevi ate ŋu aɖe afia ne HSP le eŋu.

Ŋutilã ƒe teƒeteƒewo `(Purpura)`

Esiae nye HSP ƒe dzesi vevitɔ si dze ƒã wu . Teƒe suesuesue siwo ƒe amadede nye aŋutiɖiɖi siwo le abe abi ene la dzena le ŋutigbalẽa ŋu. Teƒe siawo metrɔna zua ɣie ne èlé ŋku ɖe wo ŋu o (a non-blanching rash).

• Wokpɔa teƒe siawo zi geɖe le afɔ siwo le ete kple akɔta .
• Ɣeaɖewoɣi la, woate ŋu akpɔ teƒe siawo le asiwo, mo, kple ŋutilã ƒe akpa siwo le titina, abe akɔta kple dɔgbo ene hã ŋu.
• Teƒe siawo ate ŋu adze kpata, alo woate ŋu adzi ɖe edzi vivivi.

Ƒunukpeƒewo ƒe vevesese kple vuvu

Le ɖevi geɖe gome la, ƒunukpeƒeveame kple vuvu ate ŋu adzɔ abe kwasiɖa ɖeka alo eve ene hafi ŋutigbalẽa nado.

• Zi geɖe la , egblẽa nu le klowo kple afɔkpodzi ƒe ƒunukpeƒewo ŋu .
• Ɣeaɖewoɣi la, ƒunukpeƒewo abe abɔta kple asibidɛ ene hã ate ŋu agblẽ.
• Vevesese sia ate ŋu ana azɔlizɔzɔ nasesẽ na ɖevia.

Dɔgbo ƒe vevesese

Zi geɖe la, dɔgbo ƒe veve dzɔna ne ŋutigbalẽ me ʋuʋudediwo do vɔ.

• Àte ŋu akpɔ ƒodo ƒe ʋuʋu.
• Aɖuɖɔtoe kple ʋuʋudedi .
• Ʋu ate ŋu anɔ ɖevi aɖewo hã ƒe aɖuɖɔ me (ʋu le BM/aɖuɖɔ me). Esia nye dzesi si ŋu wòle be woatsi dzi ɖo.

Ŋusẽ si wòkpɔna ɖe ayiku dzi

Le go aɖewo me la, HSP ate ŋu agblẽ nu le ayikuwo hã ŋu .

• Woate ŋu atsɔ ʋu alo protein sue aɖe akpe ɖe aɖuɖɔa ŋu .
• Ɣeaɖewoɣi la, aɖuɖɔa ate ŋu adze abe ɖe wòle dzĩe ene (hematuria).
• Togbɔ be esia mesesẽna le go geɖe me o hã la, ele vevie ŋutɔ be nàyi ɖɔkta gbɔ akpɔe ɖa be ŋusẽ aɖe le ayikuawo ŋu hã.

Zi geɖe la, HSP ƒe dzesiwo nɔa anyi abe ɣleti ɖeka ene , eye le ema megbe la, ɖevi akpa gãtɔ hayana le wo ɖokui si.

Aleke ɖɔktawo wɔa anya HSP nyuie?

Ne èkplɔ viwòa yi ɖɔkta gbɔ la, nu gbãtɔ si wowɔnae nye be woado ɖevia kpɔ nyuie. Esi wònye be purpura ƒe teƒe mawo le HSP dɔnɔwo katã kloe ŋu ta la, wokpena ɖe ɖɔktawo ŋu ŋutɔ le dɔlélea didi me.

Tsɔ kpe ɖe eŋu la, ɖɔkta ate ŋu awɔ dodokpɔwo abe:

• Ʋudodokpɔ: Woate ŋu azã esiawo atsɔ alé ŋku ɖe ayiku ƒe dɔwɔwɔ ŋu, akpɔe ɖa be dɔlékuiwo le wo me hã, eye woalé ŋku ɖe ʋu ƒe sisi ƒe kuxiwo ŋu hã.
• Aɖuɖɔtoe dodokpɔ: Kpɔe ɖa be ʋu alo protein le aɖuɖɔ me hã. Esia ate ŋu ana woakpɔe ɖa be ayikuawo ŋue wògblẽ nu le hã.
• Aɖuɖɔ dodokpɔ: Kpɔe ɖa be ʋu le aɖuɖɔ me hã.
• Ultrasound scan: Ne viwòa ƒe ƒodo le veve sem vevie la, esia ate ŋu akpe ɖe ŋuwò nàɖe kuxi bubu siwo le ƒodoa me ɖa, vevietɔ nɔnɔme si woyɔna be intussusception.

Ne ɖɔktaa wɔ dodokpɔ siawo katã vɔ la, ekpɔnɛ nenye be HSP le ŋuwò kple eƒe sesẽme.

Nukawoe nye atike siwo wozãna na HSP?

Zi geɖe la, HSP kpɔa egbɔ le eɖokui si atike aɖeke koŋ manɔmee . Nya nyui lae nye ema. Gake ne HSP gblẽ nu le wò ayiku ŋu la, ekema ate ŋu ahiã be woawɔ atike na wò.

Be viwòa nase le eɖokui me be yeƒe dzi dze eme eye wòaɖu dzesiawo dzi la, wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàzã atikewo abe:

• Dɔlékuiwutikewo: Ne wosusu be dɔlékui aɖe gbɔe HSP la tso ko hafi wonaa esiawo.
• Vevesesenutsitikewo: Le kpɔɖeŋu me, acetaminophen (abe paracetamol ene) ate ŋu akpe ɖe ame ŋu wòaɖe ƒunukpeƒeveame kple ŋutilã ƒe vevesese dzi akpɔtɔ.
• Atike siwo tsia dɔdzẽ nu: Le kpɔɖeŋu me, atikewo abe ibuprofen ene ate ŋu akpe ɖe ame ŋu be vevesese kple ƒunukpeƒewo ƒe vuvu dzi naɖe akpɔtɔ.
• Corticosteroids: Le kpɔɖeŋu me, atikewo abe prednisone ene. Ne dɔgbo le veve sem vevie alo ayikudɔ le ɖevia ŋu ko hafi wonaa esiawo. Ðɔkta ƒe dzikpɔkpɔ te koe wòle be woazã esiawo.

Nusiwo nàte ŋu awɔ le aƒeme

Tsɔ kpe ɖe atikewo zazã ŋu la, nanewo li nàte ŋu awɔ le aƒeme be viwòa naɖe dzi ɖi:

• Na viwòa nagbɔ ɖe eme nyuie: Ðe duƒuƒu kple fefewɔwɔ dzi kpɔtɔ, eye nàde dzi ƒo na wo be woanɔ aba dzi axlẽ agbalẽ.
• Na tsi geɖe nàno:Nuwo abe tsi kple atikutsetse me tsi ene nana ate ŋu akpe ɖe ame ŋu be tsi nagage ɖe lãme na ame o.
• Ne wò ƒunukpeƒewo vuvu eye wole veve sem: Àte ŋu ana woakɔ wo dzi hena ɣeyiɣi aɖe, eye ɖewohĩ nàtsɔ tsikpe aɖe gɔ̃ hã ade wo dzi ne wò ɖɔkta gblɔ na wò.

Nu vevitɔe nye be nàkplɔ viwòa ayi ɖɔkta gbɔ enumake ne egbe nuɖuɖu alo nunono, ne dɔgbo le veve sem vevie, alo ne ayiku me kuxiwo ƒe dzesiwo le eŋu (e.g., aɖuɖɔtoe dzi ɖeɖe kpɔtɔ, vuvu). Ðewohĩ ahiã be woaxɔ wo ɖe kɔdzi be woawɔ atike na wo.

Ðe kuxi bubuwo li siwo ate ŋu ado mo ɖa le HSP ta?

Ðevi siwo ŋu HSP le ƒe afã ate ŋu akpɔ ŋusẽ aɖe ɖe woƒe ayiku dzi. Zi geɖe la, esia nyea ŋusẽkpɔɖeamedzi sue aɖe ko eye wòkpɔa egbɔ ne womewɔ atike tɔxɛ aɖeke nɛ o. Gake ƒã ŋutɔ la, ɖevi aɖewo ate ŋu axɔ nɔnɔme sesẽwo abe ayiku ƒe dɔmawɔmawɔ nyuie ene. Ðewohĩ ahiã be ɖevi mawo nayi ayikuŋutinunyala (ayikuŋutinunyala) gbɔ hena dodokpɔ bubuwo wɔwɔ.

Atikewɔwɔ me dɔléle bubu si mebɔ o gake wòsẽa ŋu ŋutɔe nye intussusception. Esia nye ne dɔgboa ƒe akpa ɖeka tsɔ didiƒekpɔmɔ̃ yi akpa bubu . Esia ate ŋu atso ʋu si yia akpa ma me eye wòana ʋua naxe. Esia nye nɔnɔme kpata aɖe si ŋu wòle be woakpɔ egbɔ enumake. Ne kasia viwòa ƒe ƒodo le veve sem vevie, eye wònɔa ʋuʋum ɣeaɖewoɣi, alo ʋu si le abe jelly ene le eƒe aɖuɖɔ me la, ele be nàsusu esia.

Nu vevi bubu siwo wòle be míanya

• Nu nyuitɔ kekeakee nye be, ɖevi akpa gãtɔ siwo xɔ HSP la hayana keŋkeŋ le ɣleti ɖeka me eye womekpɔa kuxi aɖeke si nɔa anyi didi o.
• Ðevi aɖewo ate ŋu agaxɔ HSP ake. Zi geɖe la, esia dzɔna le ɣleti ʋɛ aɖewo le nudzɔdzɔ gbãtɔa megbe. Gake ne egadzɔ ake la, zi geɖe la, mesẽna boo o wu nudzɔdzɔ gbãtɔ .

Eyata nukae nye gbedasi si woatsɔ ayi aƒemee tso nusiawo katã me?

Enyo, eyata, le nusiwo ŋu míeƒo nu tsoe nu la, esiawoe nye nu vevitɔ kekeake siwo wòle be wòanɔ susu me na mí:

• HSP nye dɔléle si ate ŋu adze ɖevi suewo dzi, si ana ʋukawo navuvu. Dzesi vevitɔe nye teƒe siwo ƒe amadede nye aŋutiɖiɖi.
• Zi geɖe la, esia ada gbe le eɖokui si.
• Ƒunukpeƒewo ƒe vevesese, dɔgbo ƒe veve, kple ayiku ƒe gbegblẽ ate ŋu adzɔ.
• Ne èkpɔ teƒe wɔnukuwo le viwòa ƒe ŋutilã ŋu, ne woto nyatoƒoe le dɔgbo ƒe veve ŋu, alo ne woƒe ƒunukpeƒewo le veve sem la, tsɔ wo yi ɖɔkta gbɔ godoo. Mègatsi dzodzodzoe o, ke boŋ di atikewɔlawo ƒe aɖaŋuɖoɖo enumake.
• Wɔ ɖe ɖɔkta ƒe mɔfiamewo dzi nyuie. Na viwòa nagbɔ ɖe eme geɖe eye nàna tsi geɖe.
• Ðevi akpa gãtɔ hayana keŋkeŋ. Nya nu tso kuxi siwo mebɔ o ŋu.

Ðo ŋku edzi be menye wò ɖeka koe o. Ðɔktawo li be yewoakpe ɖe mia kple viwòa ŋu. Nyatakaka sia ƒomevi nyanya ana ŋusẽ gã aɖe wò be nàwɔ afɔɖeɖe le ɣeyiɣi nyuitɔ dzi.

Eyata, mele mɔ kpɔm be nyatakaka sia akpe ɖe ŋuwò. Medi be viwòa nahaya kaba!

` Henoch-Schonlein purpura, HSP, ɖeviwo ƒe dɔlélewo, ŋutigbalẽ ƒe teƒeteƒewo, ʋukawo ƒe dɔléle, IgA ʋukawo ƒe dɔléle, ɖeviwo ƒe dɔlélewo