Koj puas tau pom ib qho chaw xim av lossis ib pawg me me uas tshwm sim sai sai rau ntawm koj daim tawv nqaij, tshwj xeeb tshaj yog ntawm koj txhais tes lossis ceg, yam tsis tau koj kov nws? Qee zaum cov no zoo li cov qhov txhab, tab sis lawv yeej yog lwm yam. Hauv kev kho mob, peb hu qhov mob no ua purpura. Tsis txhob txhawj, qhov no tsis yog kab mob, tab sis nws tuaj yeem yog ib qho tsos mob ntawm lwm yam mob. Yog li hnub no, cia peb tham txog txhua yam hauv cov lus yooj yim.
Purpura yog dab tsi tiag?
Hais yooj yim xwb, purpura yog ib qho mob uas cov hlab ntsha me me hauv qab peb daim tawv nqaij xau ntshav, ua rau muaj cov pob ntawm daim tawv nqaij. Cov no tuaj yeem tshwm sim ntawm koj daim tawv nqaij lossis ntawm cov ntaub so ntswg xws li koj lub qhov ncauj thiab caj pas.
Cov tsos ntawm cov pob no sib txawv nyob ntawm koj cov xim tawv nqaij.
- Rau ib tug neeg uas muaj daim tawv nqaij dawb: Cov no zoo li xim liab-ntshav.
- Rau ib tus neeg uas muaj daim tawv nqaij sib dua: Cov no yuav yog xim av lossis dub.
Qhov tseem ceeb yog tias purpura tsis yog ib yam kab mob, tab sis yog ib qho tsos mob ntawm lwm yam mob. Qhov mob no tuaj yeem tshwm sim los ntawm qee yam tshuaj, tsis txaus vitamin, lossis txawm tias qee yam mob uas yug los. Yog li ntawd, yog tias cov pob khaus no tshwm sim yam tsis muaj laj thawj pom tseeb, nws yog qhov zoo tshaj plaws los qhia rau kws kho mob txog qhov ntawd.
Puas muaj qhov sib txawv ntawm cov chaw no?
Yog, cov pob no uas los ntawm kev los ntshav hauv qab daim tawv nqaij muaj peb lub npe nyob ntawm seb lawv loj npaum li cas. Nws yog ib qho tseem ceeb heev rau koj kom paub qhov no.
| Lub npe ntawm qhov chaw | Loj | Kev piav qhia yooj yim |
|---|---|---|
| Petechiae | Tsawg dua 4 hli | Cov no, yog hais kom meej, yog cov me me heev, zoo li ib lub cim uas tus cwj mem ua. Feem ntau, cov no sib sau ua ke, yog li qee tus neeg xav tias lawv yog pob khaus. |
| Purpura | Nruab nrab ntawm 4 thiab 10 millimeters (tsawg dua 1 centimeter) | Nov yog hom mole tseem ceeb uas peb tab tom tham txog. Cov no loj dua li petechiae me ntsis. |
| Cov kab mob Ecchymoses | Ntau tshaj 1 centimeter | Cov no yog qhov peb feem ntau hu ua "thale roadways ." Cov no loj heev. |
Qhov tshwj xeeb txog cov pob no yog tias yog koj siv koj tus ntiv tes nias rau lawv, lawv yuav tsis hloov xim (tsis yog dawb). Cov pob khaus ib txwm yuav daj thaum nias thiab yuav rov qab liab dua thaum kov.
Cov ua rau muaj purpura yog dab tsi?
Qhov ua rau muaj purpura nyob ntawm nws hom. Feem ntau nws muab faib ua ob hom. Ib hom yog raws li tus naj npawb ntawm cov platelets hauv peb cov ntshav. Platelets yog cov hlwb me me uas pab tiv thaiv kev los ntshav thiab tsim cov ntshav txhaws thaum peb los ntshav.
1. Mob ntshav txhaws (Thrombocytopenic Purpura): Qhov no yog thaum cov ntshav platelets hauv cov ntshav txo qis.
2. Mob ntshav tsis txaus ntshav (non-thrombocytopenic Purpura): Hauv qhov no, txawm hais tias cov ntshav platelet suav tau zoo li qub, tab sis cov ntshav ntws los ntawm cov hlab ntsha vim lwm yam.
Cia peb saib kom meej meej seb cov laj thawj no yog dab tsi nyob rau hauv lub rooj hauv qab no.
| Ua rau muaj Purpura | |
|---|---|
| 1. Vim yog cov ntshav platelet qis (Thrombocytopenic Purpura) | |
| |
| 2. Ua rau cov ntshav platelet tsis hloov pauv li qub (Non-thrombocytopenic Purpura) | |
|
Tseem Ceeb: Purpura kuj tseem tuaj yeem tshwm sim los ntawm kev tsis haum tshuaj hnyav rau cov tshuaj uas ua rau cov ntshav nyias xws li heparin thiab warfarin, lossis hauv cov mob hnyav heev, tab sis tsis tshua muaj, xws li DIC (Disseminated Intravascular Coagulation). Cov no yog cov xwm txheej uas xav tau kev kho mob thaum muaj xwm txheej ceev.
Tus kws kho mob kuaj mob li cas?
Thaum koj mus ntsib kws kho mob uas muaj ib lub qhov zoo li no, thawj qhov uas nws yuav ua yog kuaj xyuas koj daim tawv nqaij kom zoo. Tom qab ntawd, lawv yuav nug txog koj keeb kwm kev kho mob tag nrho thiab cov tshuaj uas koj noj.
Yuav kom paub qhov tseeb ua rau muaj purpura, koj tus kws kho mob yuav xaj kom kuaj qee yam.
- Kev suav cov ntshav tag nrho (CBC): Qhov no feem ntau yog xyuas seb koj cov ntshav puas muaj cov platelets. Kev paub seb koj cov platelets puas tsawg lossis tsis muaj tuaj yeem pab txiav txim seb yog vim li cas.
- Kev Kuaj Tawv Nqaij: Qee zaum, yog tias cov ntshav platelet zoo li qub, yuav muab ib daim tawv nqaij me me coj mus kuaj seb puas muaj mob hu ua vasculitis.
Cov kev kuaj no yog siv los txheeb xyuas qhov mob tseem ceeb uas ua rau muaj purpura.
Yuav kho li cas?
Nco ntsoov tias, kev kho mob tsis yog rau cov pob purpura, tab sis rau qhov mob uas ua rau lawv. Qee zaum, tshwj xeeb tshaj yog rau cov menyuam yaus, cov pob no ploj mus yam tsis tau kev kho mob.
Thaum nrhiav tau qhov ua rau mob lawm, tus kws kho mob yuav ua cov hauv qab no:
- Yog koj noj tshuaj uas ua rau mob purpura, hloov lossis tsum tsis txhob noj.
- Kev kho mob ntawm ib qho mob uas tseem ceeb (piv txwv li, kev kis kab mob, kab mob tiv thaiv kab mob).
- Yog tias cov platelet suav qis dhau, muab kev kho mob kom nce ntxiv.
Qee cov kev kho mob siv los ua kom cov platelet suav ntau ntxiv yog:
- Corticosteroids: Cov tshuaj uas tiv thaiv kev puas tsuaj ntawm cov platelets.
- Kev kho mob IVIG (Intravenous Immunoglobulin): Kev kho mob no, muab los ntawm cov leeg ntshav, ua rau cov ntshav platelet nce sai sai.
- Cov tshuaj tiv thaiv kab mob: Piv txwv li, cov tshuaj xws li Rituximab.
- Kev Hloov Ntshav: Muab cov ntshav platelets rau lub cev los ntawm sab nraud, yog tias tsim nyog.
- Splenectomy: Qee zaum, lub spleen, uas yog ib qho tseem ceeb rau kev puas tsuaj platelet, raug phais tshem tawm.
Yog koj pom cov pob, cov qhov me me, lossis cov qhov txhab ntawm koj daim tawv nqaij yam tsis muaj laj thawj, tsis txhob tsis quav ntsej lawv. Mus ntsib koj tus kws kho mob kom zoo. Vim tias qee zaum qhov no tsis yog qhov loj, tab sis lwm lub sijhawm nws tuaj yeem yog thawj qhov cim ntawm tus kab mob uas yuav ua rau tuag taus. Yog li ntawd, qhov yog ua yog nrhiav kev pab kho mob.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Purpura yog ib qho xim av, liab, lossis xim av uas tshwm sim los ntawm cov ntshav ntws los ntawm cov hlab ntsha me me hauv qab daim tawv nqaij.
- Qhov no tsis yog ib yam kab mob, tab sis yog ib qho tsos mob ntawm lwm yam mob hauv qab.
- Cov no raug faib ua pawg raws li qhov loj me xws li petechiae (me tshaj), purpura (nruab nrab), thiab ecchymosis (mob/loj tshaj).
- Ua rau muaj xws li cov ntshav platelet tsawg, tshuaj, kab mob, thiab cov hlab ntsha tsis muaj zog.
- Yog koj pom cov pob no yam tsis muaj qhov mob, tsis txhob tsis quav ntsej lawv. Mus nrhiav kev pab kho mob.
- Kev kho mob tsis kho cov pob khaus, tab sis qhov mob uas ua rau lawv.
💬 Comments (0)
Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus