Ðe viwòa ƒe ŋutilã ƒe amadede nye aŋutiɖiɖi zi ɖekaa? Esia ate ŋu anye Henoch-Schönlein Purpura (IgA Vasculitis).

Ðe vɔvɔ̃ ɖo wò esi kasia viwò suea va xɔ teƒe suesuesue siwo ƒe amadede nye dzĩ kple aŋutiɖiɖi le woƒe afɔwo kple akɔta? Ðewohĩ woto nyatoƒoe le dɔgbo ƒe veve kple ƒunukpeƒeveame ŋu. Enye nusi sɔ be dzila ɖesiaɖe natsi dzi ne ekpɔ nane si le abe esia ene. Gake zi geɖe la, menye nya vevi aɖekee wònye o . Dzesi siawo ate ŋu atso nɔnɔme aɖe si woyɔna be Henoch-Schönlein Purpura (HSP), alo abe alesi woyɔnɛ fifia ene la, IgA Vasculitis gbɔ. Mina míaƒo nu tso eŋu bɔbɔe.

Kpuie ko la, nukae nye Henoch-Schönlein Purpura (HSP)?

Henoch-Schönlein Purpura (HSP) nye, le atikewɔwɔ me la, ``Vasculitis.`` ƒomevi aɖe.Vasculitis nye ne ʋuka siwo le míaƒe ŋutilã me, siwo le abe ʋuka sue siwo tsɔa ʋu ene, xɔ dzo tso ememe. Abe alesi ko ne míaƒe ŋutigbalẽ vuvu ne exɔ abi ene la, ʋukawo me vuvu.

Le HSP me la, ʋuka sue siwo le ŋutigbalẽa te siwo le sue ŋutɔ la koŋue vuvu sia dzɔna. Gake ɣeaɖewoɣi la, ŋusẽkpɔɖeamedzi sia ate ŋu akeke ta ayi ʋuka siwo le ayiku, dɔgbo, kple ƒunukpeƒewo hã gbɔ.

Esia dzɔna elabena protein (antibody) tɔxɛ aɖe si woyɔna be `(Immunoglobulin A)` alo `(IgA)`, si nye míaƒe ŋutilã ƒe dɔlélenutsiŋutete ƒe akpa aɖe (si nye ɖoɖo si kpɔa mía ta tso dɔlélewo me), ƒoa ƒu ɖe ʋukawo me. Ne `(IgA)` ƒo ƒu alea la, ʋukawo gblẽna, wogbãna, eye ʋu sue aɖe dona le ŋutigbalẽa te. Esia tae míekpɔa teƒe siwo ƒe amadede nye aŋutiɖiɖi kple dzĩ le gota. Abe abi sue aɖe ene.

Wogayɔa nɔnɔme sia be `(IgA) Vasculitis` elabena `(IgA)` dɔlékuiwutikea le eme. Togbɔ be ate ŋu adze ame siwo xɔ ƒe ɖesiaɖe dzi hã la, ɖeviwo ŋue wòdzena le wu .

Dzesi kawoe míekpɔna?

HSP ƒe dzesiwo ate ŋu akpɔ ŋusẽ ɖe ɖevia ƒe ŋutigbalẽ, ƒunukpeƒewo, dɔgbowo, kple ayiku dzi koŋ. Dzesi si ɖe dzesi wu eye wòdze ƒã wue nye teƒe siwo le dzo dam siwo dzena le ŋutigbalẽa ŋu. Mina míalé ŋku ɖe dzesi siawo ŋu ɖe vovo.

Nukatae esia dzɔna ɖo? Nukawoe nye susu siwo tae?

HSP nye dɔléle si dɔlélenutsiŋutete ŋutɔ hena vɛ . Kpuie ko la, míaƒe ŋutilã ƒe "aʋakɔ" (dɔlélenutsiŋutete) dzea eya ŋutɔ ƒe ʋuka siwo le lãmesẽ me dzi dzedze gɔme vodadatɔe. Numekulawo menya nusita tututu nusia dzɔna haɖe o.

Gake nu ɖeka me kɔ: Ðevi siwo xɔ HSP la dometɔ siwo ade 50% xɔ gbɔgbɔtsixe ƒe akpa si le etame, abe ŋɔti me veve alo dzamezã ene, ŋkeke ʋɛ aɖewo hafi dzesi siawo dze .

Nu bubu siwo ate ŋu aʋã HSP (Triggers) .

Ɣeaɖewoɣi la, HSP ate ŋu adzɔ hã abe dɔlélenutsiŋutete ƒe ŋuɖoɖo si mesɔ o ene ɖe nusiwo gbɔna ŋu:

• Dɔlékuiwo ƒe dɔlélewo, le kpɔɖeŋu me, strep throat.
• Dɔlékuiwo ƒe dɔlélewo.
• Nuɖuɖu aɖewo.
• Nudzodzoeviwo ƒe ɖuɖu.
• Atike aɖewo.
• Atike ƒomevi aɖewo (esia mebɔ kura o).

Amekae ate ŋu axɔ nɔnɔme sia wu?

Togbɔ be IgA ʋukawo me dɔléle ate ŋu adzɔ le ƒe ɖesiaɖe me hã la, wogblɔa dɔléle siwo wu 90% le ɖevi siwo xɔ tso ƒe 3 va ɖo ƒe 10 ŋu .

Afɔku bubuwoe nye:

• Ƒome ŋutinya:Ne wò ƒomea me tɔ aɖe xɔ HSP kpɔ la, afɔku le viwòa hã me be wòaxɔe vie.
• Domenyiŋusẽfianu ƒe ŋusẽkpɔɖeamedzi: Wokpɔe be nɔnɔme sia bɔ ɖe Europatɔwo kple Asiatɔwo dome ŋutɔ.

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

Ame akpa gãtɔ hayana keŋkeŋ le ɣleti ɖeka alo etɔ̃ me atike aɖeke mawɔmawɔe. Ɣeaɖewoɣi la, dɔlélea ate ŋu agava, gake zi geɖe la, ema hã nu tsona le eɖokui si.

Gake ƒã hafi HSP ate ŋu asẽ eye wòahe kuxiwo vɛ, vevietɔ le ame tsitsiwo dome.

• Ayiku ƒe gbegblẽ: Ayikudɔ ate ŋu adzɔ ɣeyiɣi didi. Esiae nye kuxi vevitɔ si ŋu wòle be woakpɔ nyuie le le HSP me.
• Ʋu si le dodom le dɔgboa me.
• Dɔgbowo ƒe gbegblẽ alo woƒe xexe.
• Ʋusɔgbɔdɔ le fufɔɣi (na nyɔnuwo).

Aleke nèwɔ kpɔ esia, Ðɔkta?

Ne èkplɔ viwòa yi ɖeviwo ƒe dɔdala gbɔ la, ado viwòa kpɔ nyuie gbã, vevietɔ ne wòadi be ŋutigbalẽ ƒe ʋuʋudedi kple ƒunukpeƒe siwo vuvu ɖesiaɖe. Emegbe, woabia nya wò tso viwòa ƒe dzesiwo kple dɔléle ɖesiaɖe si wòdze nyitsɔ laa ŋu.

Be ɖɔktaa naɖo kpe dɔlélea dzi eye wòaɖe atikewɔwɔ me nɔnɔme bubuwo ɖa la, ate ŋu aɖe gbe be woawɔ dodokpɔ aɖewo.

• Aɖuɖɔtoe me dzodzro: Be woakpɔe ɖa be ayikuawo ŋue wògblẽ nu le hã la, woléa ŋku ɖe aɖuɖɔa me be ʋu alo protein le eme hã.
• Ʋudodokpɔ: Be woatsɔ akpɔe ɖa be dɔlékuiwo alo kuxi bubuwo le ŋutilãa me hã.
• Ayiku me ultrasound: Kpɔ ayikuawo ƒe nɔnɔme ɖa.
• Ƒodo me ultrasound: Kpɔ nusi gbɔ dɔgbo ƒe vevesese tsona ɖa.
• Ŋutilã ƒe lãmenugbagbeviwo ɖeɖe: Le go aɖewo me la, woɖea ŋutigbalẽ sue aɖe ŋutɔ tso teƒe si ʋuʋudedia le eye wodoa wo kpɔna tsɔ ɖoa ​​kpe dɔlélea dzi.
• Kidney biopsy: Dodokpɔ si wowɔna ne wosusu be ayiku gblẽ vevie ko.

Nukawoe nye atike siwo wozãna na HSP?

Zi geɖe la, HSP mehiã be woawɔ atike na ame aɖe koŋ o. Nu vevitɔe nye be woakpɔ dzesiawo gbɔ le aƒeme.

Ne ƒunukpeƒeveame kple vuvu la, àte ŋu ano paracetamol (Tylenol®) alo NSAID vevesesenutsitike (Advil®) abe alesi wò ɖɔkta gblɔe ene.

Gake ne dzesiwo abe dɔgbo ƒe veve ene nu sẽ la, ɖɔkta ate ŋu aŋlɔ steroid-tike aɖe abe prednisone ene na wò. Ne ŋutigbalẽa ƒe ʋuʋu kple dzesi bubuwo gakpɔtɔ li la, kpɔ egbɔ be yeyi viwòa ƒe ɖɔkta gbɔ.

Ɣekaɣie wòle be míayi ɖɔkta gbɔ?

Anyo wu be nàyi ɖɔkta gbɔ ne dzesi siawo dze viwòa ŋu ko. Azɔ hã, ne dzesi siwo gbɔna la dze le atikewɔwɔ me alo esime dɔlélea le dɔ dam la, yi ɖɔkta gbɔ ake.

HSP menye dɔléle si nɔa ame ƒe agbemeŋkekewo katã me o. Zi geɖe la, ekpɔa egbɔ le ɣleti ɖeka alo etɔ̃ me. Ðevi aɖewo ate ŋu adze zi evelia, gake zi geɖe la, dzesiawo mesẽna boo o.

Mlɔeba la, HSP ate ŋu ana viwòa nase veve eye wòase veve. Ate ŋu asesẽ na dzilawo ŋutɔ be woakpɔ wo vi wòanɔ veve sem. Gake ɖo ŋku edzi be ɖevi akpa gãtɔ hayana keŋkeŋ kuxi aɖeke manɔmee ɣeyiɣi didi.Ðewohĩ ahiã be ɖɔktaa nakplɔ ɖevia ɖo hena ɣeyiɣi aɖe be wòalé ŋku ɖe ayikuawo ƒe nɔnɔme ŋu. Esia le vevie ŋutɔ.