Ke ʻike koke nei ʻoe i nā kiko poni ma kou ʻili? E kamaʻilio kākou e pili ana iā Purpura.

Ua ʻike anei ʻoe i kahi kiko poni a i ʻole kahi puʻu o nā kiko liʻiliʻi e ʻike koke ʻia ana ma kou ʻili, ʻoi aku hoʻi ma kou mau lima a i ʻole kou mau wāwae, me ka ʻole o kou hoʻopā ʻana iā ia? I kekahi manawa ua like kēia me nā palapū, akā hiki ke lilo i mea ʻē aʻe. I ka lāʻau lapaʻau, kapa mākou i kēia ʻano he purpura. Mai hopohopo, ʻaʻole kēia he maʻi, akā hiki ke lilo i hōʻailona o kekahi ʻano maʻi ʻē aʻe. No laila i kēia lā, e kamaʻilio kākou e pili ana i nā mea āpau ma nā ʻōlelo maʻalahi.

He aha maoli ka Purpura?

I ka ʻōlelo maʻalahi, ʻo ka purpura kahi kūlana kahi e hoʻokahe ai ke koko i nā kīʻaha koko liʻiliʻi ma lalo o ko mākou ʻili, e hana ana i nā kiko ma ka ʻili o ka ʻili. Hiki ke loaʻa kēia mau mea ma kou ʻili a i ʻole ma nā membrane mucous e like me kou waha a me kou puʻu.

ʻOkoʻa ke ʻano o kēia mau kiko ma muli o ke kala o kou ʻili.

• No kekahi me ka ʻili keʻokeʻo: He ʻulaʻula-poni kēia ke ʻano o kēia mau mea.
• No kekahi kanaka me ke kala ʻili māmā: He ʻeleʻele a ʻeleʻele paha kēia.

ʻO ka mea nui, ʻaʻole he maʻi ka purpura, akā he hōʻailona o kekahi maʻi ʻē aʻe. Hiki ke hana ʻia kēia maʻi e kekahi mau lāʻau lapaʻau, nā hemahema o ka wikamina, a i ʻole kekahi mau maʻi hānau ʻia. No laila, inā ʻike ʻia kēlā mau kiko me ke kumu ʻole, ʻoi aku ka maikaʻi o ka hoʻomaopopo ʻana i ke kauka e pili ana i ia mea.

Aia kekahi ʻokoʻa ma waena o kēia mau ʻano kiko?

ʻAe, ua kapa ʻia kēia mau kiko i hoʻokumu ʻia e ke kahe ʻana o ke koko ma lalo o ka ʻili ma o ʻekolu mau inoa ma muli o ko lākou nui. He mea nui loa iā ʻoe e ʻike i kēia.

ʻO ka mea kūikawā e pili ana i kēia mau kiko, inā ʻoe e kaomi iā lākou me kou manamana lima, ʻaʻole lākou e loli ke kala (ʻaʻole e palalulu). Lilo ka ʻulaʻula maʻamau i ke keʻokeʻo ke kaomi ʻia a lilo hou i ʻulaʻula ke hoʻopā ʻia.

He aha nā kumu nui o ka purpura?

ʻO ke kumu o ka purpura ma muli o kona ʻano. Ua māhele nui ʻia i ʻelua ʻano. Hoʻokumu ʻia kekahi ma ka helu o nā platelets i loko o ko kākou koko. He mau ʻāpana liʻiliʻi nā platelets e kōkua i ka hoʻōki ʻana i ke kahe ʻana o ke koko a hana i nā ʻūpā koko ke kahe ke koko kākou.

1. Thrombocytopenic Purpura: ʻO kēia ka manawa e emi ai ka helu o nā platelets i loko o ke koko.

2. Non-thrombocytopenic Purpura: Maanei, ʻoiai he maʻamau ka helu platelet, kahe ke koko mai nā kīʻaha koko no kekahi kumu ʻē aʻe.

E ʻike pono kākou i kēia mau kumu ma ka papa ma lalo nei.

He mea nui: Hiki i ka Purpura ke hana ʻia ma ke ʻano he hopena koʻikoʻi i nā lāʻau hoʻokahe koko e like me heparin a me warfarin, a i ʻole i nā kūlana koʻikoʻi loa, akā kakaikahi, e like me DIC (Disseminated Intravascular Coagulation). ʻO kēia nā kūlana e pono ai ka mālama olakino ulia pōpilikia.

Pehea e ʻike ai ke kauka i kēia maʻi?

Ke hele ʻoe e ʻike i ke kauka me kahi ʻōuli e like me kēia, ʻo ka mea mua āna e hana ai, ʻo ia ke nānā pono i kou ʻili. A laila, e nīnau lākou e pili ana i kou mōʻaukala olakino piha a me nā lāʻau lapaʻau āu e lawe nei.

No ka ʻike ʻana i ke kumu kūpono o ka purpura, hiki i kāu kauka ke kauoha i kekahi mau hoʻokolohua.

• Helu Koko Piha (CBC): Nānā nui kēia i ka helu o nā platelets i loko o kou koko. ʻO ka ʻike inā haʻahaʻa kāu mau platelets a ʻaʻole paha e kōkua i ka hoʻoholo ʻana i ke kumu.
• Biopsy ʻIli: I kekahi manawa, inā maʻamau ka helu platelet, hiki ke lawe ʻia kahi ʻāpana ʻili liʻiliʻi a hoʻāʻo ʻia e ʻike inā he maʻi i kapa ʻia ʻo vasculitis.

Hoʻohana ʻia kēia mau hoʻokolohua e ʻike i ke kumu maoli o ka purpura.

Pehea e mālama ʻia ai?

E hoʻomanaʻo, ʻaʻole no nā kiko purpura ka lāʻau lapaʻau, akā no ke kūlana kumu i hoʻokumu ai iā lākou. I kekahi manawa, ʻoi aku hoʻi i nā keiki, nalowale kēia mau kiko me ka ʻole o ka lāʻau lapaʻau.

Ke ʻike ʻia ke kumu, hiki i ke kauka ke hana i kēia mau mea:

• Inā ʻoe e lawe ana i ka lāʻau lapaʻau e hoʻoulu ai i ka purpura, e hoʻololi a hoʻōki paha.
• Ka mālama ʻana i kahi maʻi olakino (e like me ka maʻi, ka maʻi pale kino).
• Inā haʻahaʻa loa ka helu platelet, e hāʻawi i ka lāʻau e hoʻonui ai.

ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia e hoʻonui i ka helu platelet:

• Corticosteroids: Nā lāʻau lapaʻau e hoʻōki ai i ka luku ʻia ʻana o nā platelets.
• Lapaʻau IVIG (Intravenous Immunoglobulin): ʻO kēia lāʻau lapaʻau, i hāʻawi ʻia ma o kahi aʻa koko, e hoʻonui koke i nā pae platelet.
• Nā Immunosuppressants: No ka laʻana, nā lāʻau lapaʻau e like me Rituximab.
• Hoʻoili koko: Ke hāʻawi ʻana i nā platelets i ke kino mai waho mai, inā pono.
• Splenectomy: I kekahi mau hihia, ua wehe ʻia ke ʻoki ʻana i ka spleen, kahi mea nui i ka luku ʻia ʻana o ka platelet.

Inā ʻike ʻoe i kēia ʻano kiko, kīnā, a i ʻole nā ​​palapū ma kou ʻili me ke kumu ʻole, mai hoʻowahāwahā iā lākou. E ʻike pono i kāu kauka. No ka mea, i kekahi manawa ʻaʻole kēia he mea koʻikoʻi, akā i nā manawa ʻē aʻe hiki ke lilo i hōʻailona mua o kahi maʻi e hoʻoweliweli ana i ke ola. No laila, ʻo ka mea kūpono e hana ai, ʻo ia ke ʻimi i ka ʻōlelo aʻo lapaʻau.