Puas yog koj tus me nyuam me me tam sim ntawd pib muaj cov xim av ntawm lawv lub cev? Tej zaum nws yog Henoch-Schönlein Purpura (HSP)! Peb puas yuav tham txog qhov no?

Nws yog ib qho ib txwm muaj kev txhawj xeeb me ntsis yog tias koj tus menyuam pom cov pob me me xim av ntawm lawv lub cev, tshwj xeeb tshaj yog ntawm lawv ob txhais ceg thiab pob tw, tom qab ua si zoo siab. Qee zaum cov pob no tuaj yeem nrog mob plab thiab mob pob qij txha. Thaum peb pom ib yam dab tsi zoo li no, peb xav txog ib yam tom qab lwm yam. Yog li hnub no peb yuav tham txog ib qho mob uas tuaj yeem ua rau muaj cov tsos mob no, tab sis feem ntau nws tsis muaj dab tsi yuav txhawj txog, tab sis nws tseem ceeb heev uas yuav tsum paub txog. Ntawd yog Henoch-Schonlein Purpura, lossis luv luv HSP.

Henoch-Schönlein Purpura (HSP) yog dab tsi?

Hais yooj yim xwb, Henoch-Schonlein Purpura (HSP) yog ib yam mob uas cov hlab ntsha me me hauv peb lub cev o lossis o. Cov kws kho mob hu qhov no tias " vasculitis ." Xav txog nws zoo li cov hlab ntsha me me thoob plaws peb lub cev tau khaus thiab o. Qhov o no yog qhov ua rau muaj tag nrho cov teeb meem no.

Thaum cov hlab ntsha o tuaj li no, cov qe ntshav me me pib xau tawm. Ib yam li cov kav dej xau dej. Cov qe ntshav no tuaj yeem xau rau hauv daim tawv nqaij, cov ntaub so ntswg (xws li cov ntaub so ntswg ntub hauv peb lub qhov ncauj thiab qhov ntswg), lossis rau hauv cov kabmob sab hauv. Thaum lawv xau rau hauv daim tawv nqaij, lawv ua rau cov xim av, zoo li mob. Peb hu cov chaw ntawd tias '(purpura)'.

Feem ntau, tus mob HSP no cuam tshuam rau cov hlab ntsha hauv daim tawv nqaij, pob qij txha, plab hnyuv (plab hnyuv), thiab raum. Tab sis qhov xov xwm zoo yog tias feem ntau cov menyuam yaus uas muaj HSP rov zoo tag nrho hauv ob peb lub lis piam yam tsis muaj teeb meem mus sij hawm ntev . Yog li nws yog ib qho tseem ceeb kom paub qhov tseeb ua ntej koj ntshai.

Dab tsi yog cov ua rau muaj HSP?

Cov kws kho mob tseem tsis tau hais meej tias yog dab tsi ua rau HSP. Tab sis lawv xav tias feem ntau nws pib tom qab muaj kev kis kab mob . Nws yuav yog kab mob bacterial, viral, lossis parasitic. Piv txwv li, qee tus menyuam yaus yuav muaj tus mob tom qab mob caj pas.

Tsis tas li ntawd xwb, muaj kev xav tias nws tuaj yeem tshwm sim los ntawm qee yam tshuaj thiab kev ua xua rau zaub mov. Ib txhia neeg kuj tseem yuav muaj kev pheej hmoo ntawm kev mob caj ces. Cov kws tshawb fawb tseem tab tom nrhiav qhov ua rau muaj HSP.

HSP tshwm sim thaum peb lub cev tiv thaiv kab mob tsis ua haujlwm zoo. Peb muaj ib hom protein tshwj xeeb hu ua '(Immunoglobulin A - IgA)' hauv peb lub cev. Nws lub luag haujlwm tseem ceeb yog los tawm tsam kev kis kab mob thiab tiv thaiv peb ntawm cov kab mob. Tab sis qhov tshwm sim hauv lub cev ntawm ib tus neeg uas muaj HSP yog tias cov protein '(IgA)' no tau tso rau hauv cov hlab ntsha me me. Thaum ntawd yog thaum qhov mob '(vasculitis)' tshwm sim, uas ua rau cov hlab ntsha o.

HSP yog hom kab mob vasculitis uas feem ntau tshwm sim rau menyuam yaus . Txawm hais tias nws tuaj yeem tshwm sim rau txhua lub hnub nyoog, nws feem ntau tshwm sim rau cov menyuam yaus hnub nyoog ntawm 2 thiab 6. Nws yog li ob npaug ntawm cov tub hluas dua li cov ntxhais. Nws kuj tseem tshwm sim ntau dua thaum lub caij nplooj zeeg thiab lub caij ntuj no (piv txwv li, thaum kawg ntawm lub xyoo).

Cov tsos mob ntawm HSP yog dab tsi?

Tam sim no cia peb saib seb cov tsos mob uas ib tug me nyuam yuav pom yog tias lawv muaj HSP.

Cov pob tawv nqaij `(Purpura)`

Qhov no yog lub cim tseem ceeb thiab pom tseeb tshaj plaws ntawm HSP . Cov pob me me, xim ntshav uas zoo li cov qhov txhab tshwm sim ntawm daim tawv nqaij. Cov pob no tsis hloov daj thaum koj saib lawv (mob pob khaus uas tsis dawb).

• Cov chaw no feem ntau pom ntawm ob txhais ceg thiab lub pob tw .
• Qee zaum cov chaw no kuj tuaj yeem pom ntawm tes, lub ntsej muag, thiab nruab nrab ntawm lub cev, xws li lub hauv siab thiab lub plab.
• Cov pob no yuav tshwm sim sai sai, lossis lawv yuav nce zuj zus.

Mob pob qij txha thiab o

Rau ntau tus menyuam yaus, mob pob qij txha thiab o tuaj yeem tshwm sim li ib lossis ob lub lis piam ua ntej daim tawv nqaij tawm pob .

• Feem ntau nws cuam tshuam rau cov pob qij txha ntawm lub hauv caug thiab pob luj taws .
• Qee zaum cov pob qij txha xws li lub luj tshib thiab dab teg kuj tuaj yeem raug mob.
• Qhov mob no yuav ua rau tus me nyuam nyuaj taug kev.

Mob plab

Mob plab feem ntau tshwm sim tom qab muaj pob khaus ntawm daim tawv nqaij.

• Tej zaum koj yuav mob plab.
• Xeev siab thiab ntuav .
• Tej zaum ib txhia menyuam yaus kuj yuav muaj ntshav hauv lawv cov quav (ntshav hauv BMs/quav). Qhov no yog ib qho cim qhia tias yuav tsum txhawj xeeb txog.

Cov teebmeem rau lub raum

Qee zaum, HSP kuj tseem tuaj yeem cuam tshuam rau lub raum .

• Tej zaum yuav muaj me ntsis ntshav los yog protein tawm nrog cov zis .
• Qee zaum cov zis yuav zoo li xim liab (hematuria).
• Txawm hais tias qhov no tsis loj heev rau feem ntau, nws yog ib qho tseem ceeb heev uas yuav tsum mus ntsib kws kho mob kom paub seb puas muaj kev cuam tshuam rau lub raum.

Cov tsos mob ntawm HSP feem ntau kav ntev li ib hlis , tom qab ntawd feem ntau cov menyuam yaus rov zoo lawv tus kheej.

Cov kws kho mob kuaj mob HSP li cas kom raug?

Thaum koj coj koj tus menyuam mus ntsib kws kho mob, thawj qhov uas lawv ua yog kuaj xyuas tus menyuam kom zoo. Vim tias cov pob purpura no muaj nyob rau hauv yuav luag txhua tus neeg mob HSP, lawv yog ib qho kev pab zoo rau cov kws kho mob hauv kev kuaj mob.

Tsis tas li ntawd xwb, tus kws kho mob kuj tseem yuav ua cov kev kuaj mob xws li:

• Kev kuaj ntshav: Cov no siv tau los xyuas kev ua haujlwm ntawm lub raum, xyuas seb puas muaj kab mob, thiab xyuas seb puas muaj teeb meem ntshav txhaws.
• Kuaj zis: Xyuas seb puas muaj ntshav lossis protein nyob hauv cov zis. Qhov no tuaj yeem muab lub tswv yim seb lub raum puas tau raug cuam tshuam.
• Kuaj cov quav: Xyuas seb puas muaj ntshav nyob hauv cov quav.
• Kev kuaj mob ultrasound: Yog tias koj tus menyuam mob plab heev, qhov no tuaj yeem pab tshem tawm lwm yam teeb meem hauv plab, tshwj xeeb tshaj yog qhov mob hu ua intussusception.

Tom qab ua tag nrho cov kev kuaj no, tus kws kho mob txiav txim siab seb koj puas muaj HSP thiab nws qhov hnyav.

Cov kev kho mob rau HSP yog dab tsi?

Feem ntau, HSP yuav zoo li qub yam tsis tas yuav kho tshwj xeeb . Qhov ntawd yog xov xwm zoo. Txawm li cas los xij, yog tias HSP tau cuam tshuam rau koj lub raum, ces kev kho mob yuav tsum tau ua.

Yuav kom pab koj tus menyuam xis nyob thiab tswj tau cov tsos mob, koj tus kws kho mob yuav pom zoo kom siv cov tshuaj xws li:

• Cov tshuaj tua kab mob: Cov no tsuas yog muab yog tias nws xav tias HSP yog los ntawm kev kis kab mob.
• Cov Tshuaj Tua Kab Mob: Piv txwv li, acetaminophen (zoo li paracetamol) tuaj yeem pab txo qhov mob pob qij txha thiab mob lub cev.
• Cov tshuaj tiv thaiv kev o: Piv txwv li, cov tshuaj xws li ibuprofen tuaj yeem pab txo qhov mob thiab o ntawm cov pob qij txha.
• Cov tshuaj Corticosteroids: Piv txwv li, cov tshuaj xws li prednisone. Cov no tsuas yog muab rau yog tias tus menyuam mob plab hnyav lossis muaj kab mob raum. Cov no tsuas yog yuav tsum tau siv nyob rau hauv kev saib xyuas ntawm tus kws kho mob.

Tej yam koj ua tau hauv tsev

Ntxiv rau cov tshuaj, muaj tej yam koj ua tau hauv tsev kom koj tus menyuam xis nyob:

• Cia koj tus menyuam so kom zoo: Txo qhov kev khiav thiab ua si ib puag ncig, thiab txhawb kom lawv pw hauv txaj thiab nyeem phau ntawv.
• Muab dej ntau rau haus:Kev pub dej thiab kua txiv hmab txiv ntoo tuaj yeem pab tiv thaiv kom tsis txhob qhuav dej.
• Yog tias koj cov pob qij txha o thiab mob: Koj tuaj yeem ua kom lawv siab ib pliag, thiab tej zaum yuav muab dej khov rau lawv yog tias koj tus kws kho mob hais kom koj ua.

Qhov tseem ceeb tshaj plaws yog coj koj tus menyuam mus ntsib kws kho mob tam sim ntawd yog tias lawv tsis kam noj mov lossis haus dej, yog tias lawv mob plab heev, lossis yog tias lawv muaj cov cim qhia tias muaj teeb meem raum (piv txwv li, tso zis tsawg dua, o). Tej zaum lawv yuav tsum tau mus pw hauv tsev kho mob kom tau txais kev kho mob.

Puas muaj lwm yam teeb meem uas tuaj yeem tshwm sim vim yog HSP?

Kwv yees li ib nrab ntawm cov menyuam uas muaj HSP yuav muaj qee yam cuam tshuam rau lawv lub raum. Feem ntau, qhov no tsuas yog ib qho teeb meem me me xwb thiab yuav ploj mus yam tsis muaj kev kho mob tshwj xeeb. Txawm li cas los xij, tsis tshua muaj, qee tus menyuam yuav muaj cov mob hnyav xws li lub raum tsis ua haujlwm. Cov menyuam zoo li no yuav tsum tau mus ntsib kws kho mob raum (kws kho mob qog ntshav) kom kuaj ntxiv.

Lwm yam mob uas tsis tshua muaj tab sis mob hnyav heev yog intussusception. Qhov no yog thaum ib feem ntawm txoj hnyuv nkag mus rau lwm qhov . Qhov no tuaj yeem txiav cov ntshav mus rau qhov ntawd thiab ua rau txhaws. Qhov no yog qhov xwm txheej ceev uas yuav tsum tau kho tam sim ntawd. Yog tias koj tus menyuam mob plab hnyav, tsis tu ncua, ntuav, lossis muaj ntshav zoo li jelly hauv lawv cov quav, koj yuav tsum xav tias qhov no.

Lwm yam tseem ceeb uas peb yuav tsum paub

• Qhov zoo tshaj plaws yog, feem ntau cov menyuam uas muaj HSP rov zoo tag nrho hauv ib hlis thiab tsis muaj teeb meem mus sij hawm ntev.
• Tej tus menyuam yuav rov qab muaj tus mob HSP dua. Feem ntau qhov no tshwm sim ob peb lub hlis tom qab thawj zaug. Txawm li cas los xij, yog tias nws rov qab tshwm sim dua, nws feem ntau tsis hnyav npaum li thawj zaug .

Yog li, cov lus coj mus tsev los ntawm txhua yam no yog dab tsi?

Zoo, yog li, los ntawm qhov peb tau tham txog, cov no yog cov yam tseem ceeb tshaj plaws uas yuav tsum nco ntsoov:

• HSP yog ib yam mob uas tuaj yeem cuam tshuam rau cov menyuam yaus, ua rau cov hlab ntsha o. Cov tsos mob tseem ceeb yog cov xim av.
• Feem ntau, qhov no yuav kho tau nws tus kheej.
• Mob pob qij txha, mob plab, thiab mob raum yuav tshwm sim tau.
• Yog koj pom tej yam txawv txawv ntawm koj tus menyuam lub cev, yog lawv hais tias mob plab, lossis yog lawv cov pob qij txha mob, coj lawv mus ntsib kws kho mob. Tsis txhob ntshai, tab sis nrhiav kev pab kho mob tam sim ntawd.
• Ua raws li tus kws kho mob cov lus qhia kom zoo zoo. Muab koj tus menyuam so kom txaus thiab haus dej kom ntau.
• Feem ntau cov menyuam yaus zoo tag nrho. Ceev faj txog cov teeb meem tsis tshua muaj.

Nco ntsoov tias, koj tsis nyob ib leeg xwb. Cov kws kho mob yeej npaj txhij pab koj thiab koj tus menyuam. Kev paub txog cov ntaub ntawv no yuav ua rau koj muaj zog ua haujlwm raws sijhawm.

Yog li ntawd, kuv vam tias cov ntaub ntawv no yuav pab tau koj. Kuv vam tias koj tus menyuam yuav zoo sai sai!

Henoch -Schonlein purpura, HSP, cov kab mob rau menyuam yaus, cov pob tawv nqaij, mob vasculitis, IgA vasculitis, cov kab mob rau menyuam yaus