Yu dɔn ɛva notis wan pepul spat ɔ wan bɔnch smɔl smɔl spat dɛn we de apia wantɛm wantɛm na yu skin, mɔ na yu an ɔ yu leg, we yu nɔ ivin tɔch am? Sɔntɛnde, dɛn tin ya kin tan lɛk brus, bɔt dɛn kin rili bi ɔda tin. Insay mɛrɛsin, wi kin kɔl dis kɔndishɔn purpura. Nɔr wɔri, dis nɔto sik, bɔt e kin bi sayn fɔ ɔda ɔndalayn kɔndishɔn. So tide, lɛ wi tɔk bɔt ɔltin insay simpul wɔd dɛn.
Wetin rili na Purpura?
Fɔ tɔk am simpul wan, purpura na wan sik we smɔl smɔl blɔd vesel dɛn we de ɔnda wi skin kin lik blɔd, ɛn dis kin mek spat dɛn na di skin. Dɛn tin ya kin apin na yu skin ɔ na di mכkus mεmbran dεm lεk yu mכt εn yu trot.
Di we aw dɛn spat ya kin tan kin difrɛn difrɛn wan bay aw yu skin tan.
- Fɔ pɔsin we gɛt fayn skin: Dɛn tin ya kin tan lɛk rɛd-pepul kɔlɔ.
- Fɔ pɔsin we gɛt layt in skin: Dɛn tin ya kin gɛt brawn ɔ blak kɔlɔ.
Di impɔtant tin na dat, purpura nɔto sik, bɔt na sayn fɔ ɔda sik. Dis sik kin kam bikɔs ɔf sɔm mɛrɛsin dɛn, we i nɔ gɛt bɛtɛ vaytamɛn, ɔ ivin sɔm tin dɛn we pɔsin kin bɔn wit. So, if dɛn kayn spat dɛn de apin fɔ no rizin, i go fayn fɔ mek yu tɛl dɔktɔ bɔt am.
Difrɛns de bitwin dɛn kayn spat ya?
Yɛs, dɛn kin kɔl dɛn spat ya we blɔd de kɔmɔt ɔnda di skin wit tri nem dɛn dipen pan dɛn saiz. I rili impɔtant fɔ mek yu no dis.
| Nem fɔ di ples | Sayz | Simpul diskripshɔn |
|---|---|---|
| Petechiae we dɛn kɔl Petechiae | I nɔ rich 4 mm | Fɔ tɔk klia wan, dɛn tin ya na rili smɔl smɔl say dɛn, lɛk dɔt we pen tip mek. Bɔku tɛm, dɛn tin ya kin gɛda togɛda, so sɔm pipul dɛn kin mistek kɔl dɛn rash. |
| Purpura | Bitwin 4 ɛn 10 milimita (lɛs dan 1 sɛntimita) . | Dis na di men kayn mol we wi de tɔk bɔt. Dɛn tin ya big smɔl pas petechiae. |
| Ɛkimɔs | I pas 1 sɛntimita | Dis na wetin wi kin kɔl "thale roadways ." Dɛn tin ya big. |
Wetin spɛshal bɔt dɛn spat ya na dat if yu prɛs pan dɛn wit yu finga, dɛn nɔ de chenj kɔlɔ (nɔ de blanch). Nɔmal rash kin tɔn pale we yu prɛs am ɛn tɔn rɛd bak we yu tɔch am.
Wetin na di men tin dɛn we kin mek pɔsin gɛt purpura?
Di tin we kin mek pɔsin gɛt purpura kin dipen pan di kayn we aw i gɛt. I men wan we dɛn sheb am to tu kayn. Wan na bay di nɔmba fɔ di pletlɛt dɛn we de na wi blɔd. Plɛtlɛt na smɔl smɔl sɛl dɛn we de ɛp fɔ stɔp blɔd ɛn fɔ mek blɔd klot we wi de blɔd.
1. Thrombocytopenic Purpura: Dis na we di nכmba fכ di pletlet dεm na di bכdi de dכn.
2. Nɔn-thrombocytopenic Purpura: Na ya, pan ɔl we di pletlɛt kɔnt nɔmal, blɔd de lik frɔm di blɔd vesel fɔ ɔda rizin.
Lɛ wi si klia wan wetin na dɛn rizin ya na di tebul we de dɔŋ ya.
| Di tin dɛn we kin mek pɔsin gɛt Purpura | |
|---|---|
| 1. Bikɔs ɔf di smɔl smɔl pletlɛt lɛvɛl (Thrombocytopenic Purpura) . | |
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| 2. Di tin dεm we de mek di pletlet lεvεl dεm nכmal (Non-thrombocytopenic Purpura) . | |
|
Impɔtant: Purpura kin apin bak as bad bad riakshɔn to mɛrɛsin dɛn we de mek yu blɔd tan lɛk heparin ɛn warfarin, ɔ pan tin dɛn we rili siriɔs, bɔt we nɔ kin apin so ɔltɛm lɛk DIC (Disseminated Intravascular Coagulation). Dis na tin dɛn we kin mek dɛn nid fɔ gɛt mɛrɛsin kwik kwik wan.
Aw dɔktɔ kin no bɔt dis sik?
We yu go to dɔktɔ we gɛt mol lɛk dis, di fɔs tin we i go du na fɔ tek tɛm chɛk yu skin. Dɔn, dɛn go aks bɔt yu kɔmplit mɛdikal histri ɛn di mɛrɛsin dɛn we yu de tek.
Fɔ no di rayt tin we kin mek pɔsin gɛt purpura, yu dɔktɔ kin tɛl yu fɔ du sɔm tɛst dɛn.
- Kɔmplit Blɔd Kɔnt (CBC): Dis kin mɔs chɛk di nɔmba fɔ di pletlɛt dɛn we de na yu blɔd. If yu no if yu pletlɛt dɛn smɔl ɔ nɔ smɔl, dat go ɛp fɔ no wetin mek yu gɛt am.
- Skin Biopsy: Sɔntɛnde, if di pletlet kɔnt nɔmal, dɛn kin tek wan rili smɔl pat pan di skin ɛn tɛst am fɔ si if wan sik de we dɛn kɔl vasculitis.
Dɛn kin yuz dɛn tɛst ya fɔ no di rayt ɔndalayn kɔndishɔn we de mek di purpura de.
Aw dɛn kin trit am?
Mɛmba se di tritmɛnt nɔto fɔ di purpura spat dɛn, bɔt na fɔ di ɔndalayn kɔndishɔn we mek dɛn gɛt dɛn. Sɔntɛnde, mɔ pan pikin dɛn, dɛn spat ya kin go we dɛn nɔ gɛt ɛni tritmɛnt.
We dɛn dɔn no di rizin, di dɔktɔ kin du dɛn tin ya:
- If yu de tek mɛrɛsin we de mek yu gɛt purpura, chenj ɔ stɔp am.
- Tritmεnt fכ wan כndalayn mεdikal kכndyushכn (e.g., infεkshכn, imyun sik).
- If di pletlɛt dɛn tu smɔl, gi tritmɛnt fɔ mek i bɔku.
Sɔm tritmɛnt dɛn we dɛn kin yuz fɔ mek di pletlɛt dɛn bɔku na:
- Kɔtikosterɔyd: Na drɔgs we de stɔp di pwɛl pwɛl we di pletlɛt dɛn de pwɛl.
- IVIG tritmɛnt (Intravenous Immunoglobulin): Dis tritmɛnt we dɛn kin gi tru wan vein, kin mek di pletlɛt lɛvɛl go ɔp kwik kwik wan.
- Immunosuppressants: Fɔ ɛgzampul, drɔgs lɛk Rituximab.
- Blɔd Transfyushɔn: Fɔ gi pletlɛt to di bɔdi frɔm ɔdasay, if nid de.
- Splenectomy: Sɔntɛnde, dɛn kin ɔpreshɔn di splin we na di men tin we kin mek di pletlɛt dɛn pwɛl.
If yu notis dɛn kayn spat, blemish, ɔ brus na yu skin fɔ no rizin, nɔ ignore dɛn. Fɔ tru, yu go si yu dɔktɔ. Bikɔs sɔntɛnde dis nɔto siriɔs tin, bɔt ɔda tɛm dɛn kin bi di fɔs sayn fɔ se pɔsin gɛt sik we de mek pɔsin in layf de pan denja. So, di rayt tin fɔ du na fɔ go to dɔktɔ.
Mɛsej we dɛn kin kɛr go na os
- Purpura na pepul, rɛd, ɔ brawn spat we kin kam bikɔs blɔd de lik frɔm di smɔl smɔl blɔd vesel dɛn we de ɔnda di skin.
- Dis nɔto sik, bɔt na sayn fɔ ɔda ɔndalayn kɔndishɔn.
- Dɛn kin sheb dɛn tin ya bay saiz lɛk petechiae (smɔl wan), purpura (midul), ɛn ecchymosis (bruis/big wan).
- Di tin dɛn we kin mek i apin na we di pletlɛt dɛn nɔ bɔku, di mɛrɛsin dɛn, di sik dɛn we pɔsin kin gɛt, ɛn di blɔd vesel dɛn we wik.
- If yu notis dɛn kayn spat ya we nɔ gɛt ɛni brus, nɔ ignore dɛn. Fɔ tru, go to dɔktɔ fɔ advays yu.
- Di tritmɛnt nɔr de adrɛs di spat dɛm, bɔt di ɔndalayn kɔndishɔn wae mek dɛn de.
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