I fate hian an taksaah purple spot a nei nghal em? Henoch-Schönlein Purpura (HSP) pawh a ni thei! Hemi chungchang hi kan sawi dawn em ni?

I fain hlim taka a khelh hnuah a taksaah, a bik takin a ke leh a hnuteah, a sen hring dup te te a hmuh thut a nih chuan tlem a lungkham hi thil pangngai tak a ni. A chang chuan heng spot te hi pum na leh ruh na te nen a inzawm thei bawk. Hetiang thil kan hmuh hian thil pakhat hnu pakhat kan ngaihtuah thin. Chuvangin vawiin hian heng symptoms awm thei tur condition kan sawi dawn a, mahse a tam zawkah chuan ngaihtuahawm a ni lo, mahse fimkhur a pawimawh hle. Chu chu Henoch-Schonlein Purpura, a tawi zawngin HSP a ni.

Henoch-Schönlein Purpura (HSP) hi eng nge ni?

A awlsam zawngin sawi ila, Henoch-Schonlein Purpura (HSP) hi kan taksa chhunga thisen kalna kawng te te te chu a hring emaw, a hring emaw a ni. Doctor-te chuan hei hi `` vasculitis .'' an ti a, kan taksa pum puia thisen kalna kawng te tak te te chu a thinrim leh a hring chhuak ang maiin han ngaihtuah teh. He swelling hian heng harsatna zawng zawng hi a thlentu a ni.

Chutianga thisen kalna kawng a lo hring chhuah chuan thisen cell te te chu a chhuak tan thin. Tui pipe-in ​​tui a leak ang maiin. Heng thisen cell te hi vunah, mucous membrane (kan hmui leh hnar chhunga hnim hring ang chi) emaw, chhungril taksa peng hrang hrangah emaw a luang lut thei a ni. Vun chhunga an leak chuan chutiang hmun dum, hliam ang chi chu an siam thin. Chu hmun chu `(purpura)` kan ti a.

A tam zawkah chuan he HSP natna hian vun, ruhkawr, intestine (bowels), leh kidney-a thisen kalna kawngte a nghawng a ni. Mahse thu lawmawm tak chu naupang HSP vei tam zawk chu kar tlemte chhungin hun rei tak chhung harsatna nei lovin an dam chhuak vek a ni . Chuvangin i hlauthawng hmain thudik hriat a pawimawh.

HSP hi engte nge ni?

Doctor-te chuan HSP hi eng nge a thlen tih chiang takin an la sawi thei lo. Mahse an ngaihdan chuan infection hnua intan a nih a rinawm ber . Bacteria, virus emaw, parasitic infection emaw pawh a ni thei. Entirnan, naupang thenkhat chuan an rilru na hnuah he natna hi an nei thei a ni.

Chu bakah chuan damdawi thenkhat leh ei leh in allergy vang pawh a ni thei nia rinhlelh a ni . Mi thenkhat chuan genetic predisposition an nei thei bawk. HSP thlen chhan dik tak hi zirchiangtute chuan an la zawng mek a ni.

HSP hi kan immune system a thawk tha lo a nih chuan a lo awm thin. Kan taksaah hian protein chi khat bik `(Immunoglobulin A - IgA)` kan nei a. A hna ber chu hri kai dona leh natna laka min ven hi a ni. Mahse HSP vei taksaa thil thleng chu he `(IgA)` protein hi chu thisen kalna kawng te tak teah chuan a awm ta a ni. Chu chu chu `(vasculitis)` dinhmun chu a lo awm a, chu chuan thisen kalna kawng a ti na a ni.

Naupang zingah hian HSP hi vasculitis chi khat a ni ber a . Kum eng pawhah a awm thei a, mahse naupang kum 2 leh 6 inkar ah a tam ber a, hmeichhia aiin mipaah ​​a let hnih velin a tam zawk. Tin, thlasik leh thlasik lai (i.e., kum tawp lam)-ah pawh a awm tam zawk bawk.

HSP natna lan chhuah dante chu engte nge ni?

Tunah chuan naupangin HSP a neih chuan eng symptoms nge a lantir theih tih i en ang u.

Vun rawng `(Purpura)`

Hei hi HSP chhinchhiahna ber leh langsar ber a ni . Vunah hian hliam te tak te, purple rawng, hliam ang maia lang a lo lang thin. Heng spot te hi i en chuan a pale lo (a non-blanching rash).

• Heng spot te hi ke hnuai leh ke hnuai lam ah hmuh tur a awm tam ber .
• A châng chuan kut, hmai, leh taksa peng lairil, rilru leh pumah te pawh hmuh theih a ni.
• Heng spot te hi a lo lang nghal thei a, a lo pung zauh zauh thei bawk.

Joint na leh a hring

Naupang tam tak tan chuan vun rawng a lo chhuah hma kar khat emaw kar hnih emaw velin ruh na leh a hring a awm thei.

• Khup leh ke ruh ruh a nghawng tam ber .
• A chang chuan elbow leh wrist ang chi joint te pawh a nghawng thei bawk.
• He natna hian naupang tan kal a harsat phah thei a ni.

Pum a na

Pum natna hi vun rawng a lo chhuah hnuah a awm fo thin.

• I pum chhunga natna (abdominal cramps) i nei thei bawk.
• Nausea leh luak chhuak .
• Naupang thenkhat chuan an ek (blood in BMs/stool) ah thisen an nei thei bawk . Hei hi ngaihtuah tur chhinchhiahna a ni.

Kidney-a nghawng a neih dan

A then phei chuan HSP hian kal (kidney) a nghawng thei bawk .

• Thisen emaw protein emaw tlemte chu zun nen hian a kal tlang thei bawk .
• A chang chuan zun hi a sen (hematuria) angin a lang thei bawk.
• Hei hi a tam zawkah chuan pawi lo mah se, kal (kidney)-ah nghawng a neih leh neih loh enfiah turin doctor pan a pawimawh hle.

HSP symptoms hi thla khat vel a ni tlangpui , chu mi hnuah naupang tam zawk chu anmahni chauhin an dam leh thin.

Engtin nge doctor-te hian HSP hi dik taka an hriat theih?

Doctor hnena i fa i hruai hian an tih hmasak ber chu naupang chu uluk taka enfiah a ni. Chu purpura spot te chu HSP vei zawng zawng deuhthaw ah a awm avangin doctor te tan chuan natna hriatchhuahna kawngah tanpuitu tha tak a ni.

Chu bakah, doctor chuan test a ti thei bawk a, chungte chu:

• Thisen test: Hengte hi kal (kidney) hnathawh dan enfiahna atan te, natna hrik awm leh awm loh enfiah nan te, thisen zam chungchanga harsatna awm leh awm loh enfiah nan te hman theih a ni.
• Urine test: Zun chhungah thisen emaw protein emaw a awm leh awm loh enfiah thin ang che. Hei hian kal (kidney) a nghawng em tih ngaihtuahna a pe thei a ni.
• Stool test: Ekvah thisen a awm leh awm loh enfiah thin ang che.
• Ultrasound scan: I fain pum na nasa tak a neih chuan hei hian a pum chhunga harsatna dang, a bik takin intussusception an tih chu a paih chhuak thei a ni.

Heng test zawng zawng a tih zawh hnu hian doctor chuan HSP i vei leh neih loh leh a nasat dan a rel thin.

HSP enkawlna tur engte nge ni?

A tam zawkah chuan HSP hi enkawlna bik nei lovin a mah chauhin a reh thin . Chu chu chanchin lawmawm tak a ni. Mahse, HSP hian i kal (kidney) a nghawng a nih chuan damdawi lam enkawl a ngai mai thei.

I fa chu a hlim theih nan leh a natna lan chhuah dan control nan i doctor chuan damdawi te chu a rawn rawt thei ang:

• Antibiotics: Hengte hi HSP hi bacteria infection avanga lo awm nia ngaih a nih chauhvin pek thin a ni.
• Natna tidamtu: Entirnan, acetaminophen (paracetamol ang chi) hian ruh natna leh taksa na a tihziaawm thei.
• Anti-inflammatory medicines: Entirnan, ibuprofen ang damdawi hian ruh natna leh ruh natna tihziaawmna atan a pui thei a ni.
• Corticosteroids: Entirnan, damdawi prednisone ang chi te. Hengte hi naupangin pum na tak a neih emaw, kal natna a neih emaw chauhvin pek thin a ni. Hengte hi Doctor enkawlna hnuaiah chauh hman tur a ni.

In lama i tih theih thilte

Damdawi bakah hian i naute a hlim theih nan in lama i tih theih tur a awm a:

• I fa chu chawlh hahdam tir rawh: Tlan leh infiamna te ti tlem la, khumah awm reng tur leh lehkhabu chhiar turin fuih bawk ang che.
• In tur tui tam tak pe rawh:Tui leh thei tui ang chi thil pek hian dehydration a veng thei a ni.
• I ruh a hring a, a na a nih chuan: Hun engemaw chen chu i chawisang thei a, i doctor-in a tih chuan ice pack pawh i dah thei bawk.

A pawimawh ber chu i fain ei leh in a duh loh chuan, a pum na tak a neih chuan, emaw, kal lama harsatna (e.g., zun a tlem, a hring) chhinchhiahna a lan chuan doctor hnenah hruai nghal mai tur a ni. Damdawi inah enkawl an ngai mai thei.

HSP vang hian harsatna dang a awm thei em?

HSP vei naupang zinga a chanve vel chuan an kal (kidney)-ah nghawng engemaw zat an nei thei. A tam zawkah chuan hei hi nghawng tlemte chauh a ni a, enkawlna bik awm lovin a reh thei. Mahse, a tlem hle a, naupang thenkhat chuan kal (kidney failure) ang chi natna khirh tak tak an nei thei a ni. Chutiang naupangte chuan test belh leh tur chuan kidney specialist (nephrologist) an pan a ngai mai thei.

Damdawi lama natna dang hmuh tur awm lo mahse na tak tak chu intussusception a ni. Hei hi intestine peng pakhatin hmun dangah telescope hmanga a kal lai a ni . Hei hian chu hmuna thisen kalna chu a titawp thei a, blockage a siam thei bawk. Hei hi emergency a ni a, enkawl vat a ngai a ni. I fain a pum na tak, a hun laia a natna a neih thut a, a luak chhuak emaw, an ek chhungah jelly ang thisen a awm emaw chuan hei hi i ringhlel tur a ni.

Thil pawimawh dangte kan hriat a ngai

• A tha ber chu, naupang HSP vei tam zawk hi thla khat chhungin an dam vek a , hun rei tak chhung harsatna an nei lo.
• Naupang thenkhat chuan HSP an nei leh thei bawk. Hei hi episode hmasa ber atanga thla engemaw zat hnuah a thleng tlangpui. Mahse, a lo awm leh a nih chuan episode hmasa aiin a na lo zawk fo thin .

Chuti a nih chuan, heng zawng zawng atang hian take-home message chu eng nge ni?

Okay, chuti a nih chuan, kan sawi tawh atang chuan hengte hi kan ngaihtuah tur pawimawh ber berte chu an ni:

• HSP hi naupang tê tê a nghawng thei a, thisen kalna kawng a ti na thei a ni. A lan chhuah dan ber chu purple spots a ni.
• A tam zawkah chuan hei hian a mah chauhin a dam ang.
• Joint na, pum na, kal a chhia a awm thei.
• I fa taksaah hmun mak tak tak i hmuh chuan, pum na a complain a nih chuan, emaw, an ruh a na a nih chuan doctor hnenah hruai ngei ang che. Hlauthawng suh la, damdawi lam thurawn zawng nghal rawh.
• Doctor thupek chu uluk takin zawm rawh. I fa chu chawlh hahdam leh tui tam tak pe rawh.
• Naupang tam zawk chu an dam chhuak vek. Harsatna awm lo tak takte chu hre reng ang che.

Nangmah chauh i ni lo tih hre reng ang che. Doctor te chu nang leh i naute tanpui turin an awm reng a ni. Hetiang thu hriatna hian a hun taka hma la turin chakna nasa tak a pe ang che.

Chuvangin, he thu hi in tan a tangkai ngei ka beisei. I fa chu dam thuai turin duhsakna hlanin!

` Henoch-Schonlein purpura, HSP, naupang natna, vun rawng, vasculitis, IgA vasculitis, naupang natna te