Ua ʻike anei ʻoe ua ʻike ʻia nā kiko ʻulaʻula liʻiliʻi ma kou mau lima, umauma, a i ʻole nā wāwae me ke kumu ʻole? Me he mea lā ua hou ʻia me ka wēlau peni. ʻAʻole lākou e ʻānai a ʻeha paha. Nui ka poʻe e makaʻu iki i ka ʻike ʻana i kēia, me ka noʻonoʻo inā he mea koʻikoʻi paha. No laila, i kēia lā e kamaʻilio mākou e pili ana i kēia maʻi, i ʻike ʻia ma ke ʻano lapaʻau ʻo Petechiae. E hoʻomaopopo pono kākou i ke ʻano o ia mea, no ke aha e kū mai ai, a i ka wā e pono ai kākou e hopohopo no ia mea.
No laila he aha kēia mau Petechiae?
I ka ʻōlelo maʻalahi, ʻo nā petechiae he mau kiko koko liʻiliʻi e hana ʻia i ka wā e pohā ai nā kīʻaha koko liʻiliʻi (capillaries) ma lalo o ko kākou ʻili. Hiki iā lākou ke ʻulaʻula, poni, a ʻeleʻele paha ke kala. Ua like lākou me ka nui o ka wēlau peni, e pololei. ʻAʻole lākou e like me he mea lā e hāpai ʻia ma luna o ka ʻili a ʻaʻole like me nā puʻupuʻu.
Hiki ke ʻike pinepine ʻia kēia mau kiko ma nā wahi āpau o ke kino, akā ʻike pinepine ʻia ma:
- I loko o nā lima
- Ma nā wāwae
- I loko o ka ʻōpū
- Ma ka ʻāpana o ka puʻupuʻu
- I loko o ka maka
- I loko o ka waha
He ʻōhū ʻili anei kēia? Pehea ʻoe e ʻike pono ai?
He pilikia kēia i loaʻa i nā kānaka he nui. ʻOiai paha e like ka petechiae me kahi ʻulaʻula ma ka ʻili, ʻaʻole ia. ʻO ka ʻokoʻa nui ma waena o nā mea ʻelua penei:
Inā ʻoe e kaomi i kou manamana lima ma luna o kēia kiko ʻulaʻula, ʻaʻole ia e loli ke kala. ʻO ia hoʻi, ʻaʻole ia e mae. Akā inā ʻoe e kaomi i kahi ʻulaʻula maʻamau, e mae ia no kekahi manawa, a laila e ʻulaʻula hou ke wehe ʻoe i kou manamana lima.
Hiki iā ʻoe ke hoʻokaʻawale maʻalahi ma waena o nā mea ʻelua me kēia hoʻāʻo maʻalahi. ʻO kekahi hiʻohiʻona ʻokoʻa o ka petechiae, ʻaʻole lākou e ʻānai a ʻeha paha.
He aha nā kumu kūpono o ka petechiae?
Hiki ke hana ʻia ʻo Petechiae e nā kumu like ʻole, mai nā mea maʻalahi loa a hiki i nā kūlana olakino koʻikoʻi loa. No laila, he mea nui e ʻike i ke kumu o kēia mau kiko ke ʻike ʻoe iā lākou. E nānā kākou i kekahi o nā kumu nui.
| Kumu | Wehewehena a me nā Hōʻailona ʻē aʻe |
|---|---|
| Ke hoʻoikaika nei i ke kino | ʻO ke kaomi mai ka luaʻi nui ʻana, ka hāpai kaumaha ʻana, a i ʻole ka hānau keiki ʻana hiki ke pohā i nā kīʻaha koko palupalu. ʻAʻole kēia mau mea i pōʻino. |
| ʻEha | Hiki ke hana ʻia kēia mau kiko e nā mea e like me kahi ulia, ke kahakaha ʻana i ka ʻili me ka ikaika loa, ka nahu ʻia ʻana e kahi pepeke, a i ʻole ka wela ʻana i ka lā. |
| Nā maʻi | Hoʻokumu pinepine ʻia nā petechiae e nā maʻi bacteria a viral paha. Nā laʻana: Strep throat, Dengue, Cytomegalovirus. Hiki nō hoʻi ke ʻike ʻia nā hōʻailona e like me ke kuni, ka ʻeha kino, ka luhi, a me ka luaʻi. |
| ʻO ka thrombocytopenia | He emi kēia o ka pae o nā platelets, nāna e kōkua i ke kāpili ʻana o ke koko. Ma kēia kūlana, me nā kiko koko ma ka ʻili, hiki iā ʻoe ke ʻike i ke kahe pinepine ʻana o ka ihu, nā ʻāʻī koko, ka maʻalahi o ka palapū, a me ke koko i loko o kou ʻōpala. |
| Leukemia | He maʻi ʻaʻai kēia o ke koko a me ka iwi iwi. Me ka petechiae, ʻo nā hōʻailona e komo pū me ka pohō kaumaha, nā kuʻekuʻe wāwae pehu, nā ʻeha pinepine, a me ka hou ʻana i ka pō. |
| Kekahi mau lāʻau lapaʻau | Hiki i ka Petechiae ke lilo i hopena ʻaoʻao o kekahi mau antibiotics, antidepressants, a me nā lāʻau hoʻokahe koko. |
| Ka nele o ka wikamina C (Scurvy) | He kūlana e kū mai ana ke loaʻa ʻole i ke kino ka lawa o ka wikamina C. ʻO nā hōʻailona e komo pū me nā ʻāʻī pehu, ʻeha nā hono, a me ka maʻalahi o ka palapū. |
| Nā kūlana koʻikoʻi ʻē aʻe | Hiki ke ʻike ʻia ʻo Petechiae ma ke ʻano he hōʻailona o nā maʻi koʻikoʻi ʻē aʻe, e like me ka endocarditis (ka maʻi o ka ʻili o loko o ka puʻuwai) a me ka vasculitis (ka mumū o nā kīʻaha koko). |
He aha nā lāʻau lapaʻau no kēia?
ʻO ka lāʻau no ka petechiae e pili ana i ke kumu kumu . ʻO kēia ka mea nui loa. ʻO ka mea mua a ke kauka e hana ai, ʻo ia ke ʻimi i ke kumu.
- Inā he hoʻoikaika kino maʻalahi a i ʻole he ʻeha liʻiliʻi ke kumu, ʻaʻole pono ke lāʻau lapaʻau .
- Inā he maʻi bacteria, e hāʻawi ʻia nā antibiotics .
- I ke ʻano o kahi maʻi kanesa e like me ka leukemia, pono paha nā lāʻau lapaʻau e like me ka chemotherapy a me ka radiation .
- Inā he pehu o nā kīʻaha koko (vasculitis), e hāʻawi ʻia nā corticosteroids e hōʻemi i ka pehu.
- Inā nele ʻoe i ka wikamina C, e aʻo ʻia paha ʻoe e lawe i nā mea hoʻopihapiha wikamina C.
ʻO ia hoʻi, ʻaʻole no nā kiko ma ka ʻili ka lāʻau lapaʻau, akā, no ke kūlana kumu i hoʻokumu ai i kēlā mau kiko.
Hiki iaʻu ke loaʻa ka hōʻoluʻolu ma ka home?
Inā ʻike ʻoe i ka petechiae ma kou ʻili, ʻo ka mea mua āu e hana ai, ʻo ia ke ʻike i ke kauka. Eia nō naʻe, a hiki i kou ʻike ʻana i ke kauka a i ʻole e hahai i kāna ʻōlelo aʻo, hiki iā ʻoe ke loaʻa ka hōʻoluʻolu ma ka hana ʻana i kekahi mau mea maʻalahi:
- E hoʻomaha maikaʻi.
- E inu i nā wai hou aku.
- I kekahi mau hihia , hiki ke kōkua nā compresses anu .
- Mai lawe i nā lāʻau ʻeha, e like me NSAID, me ka ʻole o ke aʻo ʻana a ke kauka. Hiki i kēia mau lāʻau ke lilo i mea weliweli loa ke lawe ʻia me kekahi mau maʻi, e like me ka dengue.
I ka manawa hea ʻoe e pono ai e ʻike i ke kauka?
Hiki i ka petechiae ke lilo i hōʻailona o kahi maʻi koʻikoʻi a i ʻole pilikia. Pono ʻoe e hopohopo nui inā ʻike ʻoe iā lākou ma ka ʻili o kahi keiki ʻōpio. No laila, inā ʻike ʻoe iā lākou, mai lawe māmā iā lākou.
Inā loaʻa iā ʻoe nā hōʻailona ma lalo nei me Petechiae, e ʻike koke i ke kauka a i ʻole e hele i ka Emergency Department (ETU) o ka haukapila.
- Inā he kuni kou.
- Inā e piʻi wikiwiki ana ka nui o nā kiko ma ka ʻili .
- Inā pilikia ʻoe i ka hanu ʻana .
- Inā ʻike ʻoe i ka huikau, ka poniuniu, a i ʻole ka nalowale o ka ʻike .
I ia kūlana, hiki i ka hana wikiwiki ke pale i nā pilikia koʻikoʻi.
Leka Lawe-Home
- He mau kiko ʻulaʻula liʻiliʻi nā petechiae i hana ʻia e ka haki ʻana o nā kīʻaha koko liʻiliʻi ma lalo o ka ʻili. ʻAʻole lākou he ʻulaʻula ʻili.
- ʻO ka hiʻohiʻona nui no ka ʻike ʻana i kēia mau mea, ʻaʻole lākou e mae (ʻaʻole e loli ke kala) ke kaomi ʻia me ka manamana lima.
- Hiki i ke kumu ke lilo i mea maʻalahi e like me ka luhi nui i kahi maʻi koʻikoʻi e like me ka dengue a i ʻole ka leukemia.
- Inā hele pū nā petechiae me nā hōʻailona e like me ke kuni, ka luhi nui, ka paʻakikī o ka hanu ʻana, a i ʻole ka laha wikiwiki ʻana o nā kiko, he pilikia ia. E ʻike koke i ke kauka.
- Mai hoʻoholo ponoʻī a mālama paha ma muli o ke kuhi wale ʻana. He mea nui e ʻimi i ke kōkua lapaʻau e hoʻoholo ai i ke kumu pololei.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo