Ðe nède dzesi teƒe aɖe si ƒe amadede nye aŋutiɖiɖi alo teƒe suesuesuewo ƒe ƒuƒoƒo aɖe do zi ɖeka le wò ŋutigbalẽ ŋu, vevietɔ le wò abɔwo alo afɔwo dzi, evɔ mèka asi eŋu gɔ̃ hã oa? Ɣeaɖewoɣi la, esiawo dzena abe abi ene, gake le nyateƒe me la, woate ŋu anye nu bubu. Le atikewɔwɔ me la, míeyɔa nɔnɔme sia be purpura. Mègatsi dzi o, menye dɔlélee esia nye o, gake ate ŋu anye nɔnɔme bubu si le eme ƒe dzesi. Eyata egbea, mina míaƒo nu tso nusianu ŋu le nya bɔbɔewo me.
Nuka tututue nye Purpura?
Kpuie ko la, purpura nye nɔnɔme si me ʋuka suesuesue siwo le míaƒe ŋutigbalẽ te la tsia ʋu, si wɔnɛ be teƒeteƒewo nɔa ŋutigbalẽa ŋu. Esiawo ate ŋu adzɔ ɖe wò ŋutigbalẽ dzi alo le lãkusiwo abe wò nu kple ŋɔti ene dzi.
Teƒe siawo ƒe dzedzeme toa vovo le wò ŋutigbalẽ ƒe amadede nu.
- Le amesi ƒe ŋutigbalẽ le ɣie gome: Esiawo dzena abe amadede dzĩ-dzẽ ene.
- Le amesi ƒe ŋutigbalẽ ƒe amadede me kɔ wu gome: Esiawo ƒe amadede ate ŋu anye aŋutiɖiɖi alo yibɔ.
Nu vevitɔe nye be purpura menye dɔléle o, ke boŋ enye nɔnɔme bubu ƒe dzesi. Nɔnɔme sia ate ŋu atso atike aɖewo, vitamin ƒe anyimanɔmanɔ, alo nɔnɔme aɖewo siwo wodzina gɔ̃ hã gbɔ. Eyata ne teƒe mawo tɔgbe dze le susu aɖeke manɔmee la, anyo wu be nàna ɖɔkta nanya nu tso eŋu.
Ðe vovototo aɖe le teƒe siawo ƒomevi domea?
Ẽ, wotsɔ ŋkɔ etɔ̃ yɔa teƒe siawo siwo ʋu si dona le ŋutigbalẽ te hena vɛ la le woƒe lolome nu. Ele vevie ŋutɔ be nànya esia.
| Teƒea ƒe ŋkɔ | Lolome | Numeɖeɖe bɔbɔe |
|---|---|---|
| Petechiae ƒe ŋkɔ | Menye milimeta 4 o | Ne míagblɔe tututu la, esiawo nye teƒe suesuesuewo ŋutɔ, abe dometsotso si nuŋlɔti ƒe nugbɔ wɔ ene. Zi geɖe la, esiawo ƒoa ƒu ɖekae, eyata ame aɖewo bua vodadatɔe be wonye ʋuʋudedi. |
| Purpura ƒe amadede | Eƒe didime tso milimeta 4 va ɖo 10 (si mede sentimeta 1 o) . | Esiae nye mole ƒomevi vevitɔ si ŋu míele nu ƒom tsoe. Esiawo lolo vie wu petechiae. |
| Ecchymoses ƒe agbalẽ | Ewu sentimeta 1 | Esiawoe nye nusiwo míeyɔna zi geɖe be "thale mɔdodowo ." Esiawo lolo le woƒe lolome nu. |
Nusi le etɔxɛ le teƒe siawo ŋue nye be ne ètsɔ asibidɛ te wo dzi la, wometrɔa amadede o (non-blanching). Aɖuɖɔtoe si sɔ la trɔna zua blɔ ne wozi edzi eye wògatrɔna biã ne woka asi eŋu.
Nukawo koŋue hea purpura vɛ?
Nusi gbɔ purpura tsona nɔ te ɖe eƒe ƒomevi dzi. Womae ɖe ƒomevi eve me koŋ. Wotu ɖeka ɖe ʋumenugbagbevi dzĩ siwo le míaƒe ʋu me ƒe xexlẽme dzi. Ʋumenugbagbevi dzĩwo nye lãmenugbagbevi suesuesue siwo kpena ɖe ame ŋu be ʋu nagadona o eye wowɔa ʋukawo ne míele ʋu dom.
1. Thrombocytopenic Purpura: Esiae nye esime ʋumenugbagbevi dzĩwo ƒe xexlẽme dzi ɖena kpɔtɔna le ʋua me.
2. Non-thrombocytopenic Purpura: Le afisia la, togbɔ be ʋumenugbagbevi dzĩwo ƒe xexlẽme sɔ hã la, ʋu dona tso ʋukawo me le susu bubu aɖe ta.
Mina míakpɔ nu siwo tae susu siawo le la ɖa nyuie le kplɔ̃ si le ete la dzi.
| Nusiwo Hea Purpura vɛ | |
|---|---|
| 1. Le ʋumenugbagbevi dzĩwo ƒe agbɔsɔsɔ si mede o ta (Thrombocytopenic Purpura) . | |
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| 2. Nusiwo hea ʋumenugbagbevi dzĩwo ƒe agbɔsɔsɔ si sɔ vɛ (Non-thrombocytopenic Purpura) . | |
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Vevietɔ: Purpura ate ŋu adzɔ hã abe atike siwo nana ʋu mekɔna o abe heparin kple warfarin ene ƒe nuwɔna sesẽ ene, alo le nɔnɔme sesẽ ŋutɔ, gake mebɔ o, abe DIC (Disseminated Intravascular Coagulation) ene me. Esiawo nye nɔnɔme siwo hiã be woawɔ atike na wo kpata.
Aleke ɖɔkta awɔ anya dɔléle siae?
Ne èyi ɖɔkta si ŋu ʋetsuvi aɖe le abe esia ene gbɔ la, nu gbãtɔ si wòawɔe nye be wòalé ŋku ɖe wò ŋutigbalẽ ŋu nyuie. Emegbe, woabia nya tso wò atikewɔwɔ ŋutinya bliboa kple atike siwo zãm nèle ŋu.
Be wò ɖɔkta nanya nusi tututu gbɔ purpura tsona la, ate ŋu abia be woawɔ dodokpɔ aɖewo.
- Ʋu Xexlẽme Blibo (CBC): Esia koŋ léa ŋku ɖe ʋumenugbagbevi dzĩ siwo le wò ʋu me ƒe xexlẽme ŋu. Ne ènya ne wò ʋumenugbagbevi dzĩwo mesɔ gbɔ o alo mesɔ gbɔ o la, ate ŋu akpe ɖe ŋuwò nànya nusi gbɔ wòtso.
- Ŋutilãmeʋuʋu: Ɣeaɖewoɣi ne ʋumenugbagbevi dzĩwo ƒe xexlẽme sɔ la, woate ŋu axɔ ŋutigbalẽ sue aɖe ŋutɔ adoe kpɔ be dɔléle aɖe li si woyɔna be ʋukawo me dɔléle hã.
Wozãa dodokpɔ siawo tsɔ dea dzesi nɔnɔme si tututu gbɔ purpura la tso.
Aleke wowɔa atike nɛ?
Ðo ŋku edzi be menye purpura ƒe teƒeteƒewo tae atikewɔwɔa le o, ke boŋ nɔnɔme si gbɔ wòtso lae. Ɣeaɖewoɣi, vevietɔ le ɖeviwo gome la, teƒe siawo nu yina atike aɖeke mawɔmawɔe.
Ne wonya de dzesi nusi gbɔ wòtso ko la, ɖɔkta ate ŋu awɔ nu siwo gbɔna:
- Ne èle atike aɖe si hea purpura vɛ zãm la, trɔe alo dzudzɔe.
- Atikewɔwɔ ƒe nɔnɔme aɖe si le ete la dada (e.g., dɔlékui, dɔlélenutsiŋutete ƒe dɔléle).
- Ne ʋumenugbagbevi dzĩwo ƒe xexlẽme le sue akpa la, na atikewɔwɔ be wòadzi ɖe edzi.
Dɔdamɔnu aɖewo siwo wozãna tsɔ dzia ʋumenugbagbevi dzĩwo ƒe xexlẽme ɖe edzie nye:
- Corticosteroids: Atike siwo xea mɔ na ʋumenugbagbevi dzĩwo ƒe tsɔtsrɔ̃.
- IVIG-dɔdamɔnu (Intravenous Immunoglobulin): Dɔdamɔnu sia si wowɔna to ʋuka me la nana ʋumenugbagbevi dzĩwo ƒe agbɔsɔsɔ dzina ɖe edzi kabakaba.
- Dɔlélenutsiŋutete ƒe atikewo: Le kpɔɖeŋu me, atikewo abe Rituximab ene.
- Ʋudodo: Ʋumenugbagbevi dzĩwo nana ŋutilãa tso egodo, ne ehiã.
- Splenectomy: Le go aɖewo me la, wowɔa dɔ na aɖuɖɔtoe, si nye nu vevi aɖe si nana ʋumenugbagbevi dzĩwo gblẽna.
Ne ède dzesi teƒe, ɖiƒoƒo, alo abi siawo ƒomevi le wò ŋutigbalẽ ŋu le susu aɖeke manɔmee la, mègaŋe aɖaba ƒu wo dzi o. Kpɔ wò ɖɔkta ɖa godoo. Elabena ɣeaɖewoɣi la, esia menyea nu vevi aɖeke o, gake ɣebubuɣiwo la, ate ŋu anye dɔléle si ate ŋu ade ame ƒe agbe afɔku me ƒe dzesi gbãtɔ. Eya ta nu nyuitɔ si wòle be nàwɔe nye be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo.
Gbedasi si Wotsɔ Yi Aƒeme
- Purpura nye teƒe si ƒe amadede nye aŋutiɖiɖi, dzĩ, alo aŋutiɖiɖi si ʋu si le dodom tso ʋuka suesuesue siwo le ŋutigbalẽa te me hena vɛ.
- Esia menye dɔléle o, ke boŋ enye nɔnɔme bubu si gbɔ wòtso ƒe dzesi.
- Woda esiawo ɖe hatsotsowo me le woƒe lolome nu be petechiae (suetɔ kekeake), purpura (si le titina), kple ecchymosis (aɖuɖɔtoewo/lolotɔ kekeake).
- Nusiwo gbɔ wòtsona dometɔ aɖewoe nye ʋumenugbagbeviɣidɔ, atikewo, dɔlékuiwo, kple ʋukawo ƒe gbɔdzɔgbɔdzɔ.
- Ne ède dzesi teƒe siawo ƒomevi evɔ womexɔ abi aɖeke o la, mègaŋe aɖaba ƒu wo dzi o. Di atikewɔlawo ƒe aɖaŋuɖoɖo godoo.
- Atikewɔwɔa meƒoa nu tso teƒe siwo le teƒea ŋu o, ke boŋ nɔnɔme si gbɔ wòtso si he wo vɛ la gbɔe.
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