I vunah, a bik takin i kut emaw, i ke emaw-ah, i khawih pawha i khawih lohvin, a rawn lang nghal vek tih i hmu ngai em? A châng chuan hengte hi hliam ang maiin a lang a, mahse a takah chuan thil dang a ni thei. Damdawi lamah chuan he dinhmun hi purpura kan ti thin. Ngaihtuah buai suh, hei hi natna a ni lo a, mahse a hnuaia awm natna dang chhinchhiahna a ni thei bawk. Chuvangin vawiinah hian thumal awlsam takin engkim kan sawi dawn nia.
Purpura hi eng nge ni tak tak?
A awlsam zawngin sawi ila, purpura hi kan vun hnuaia thisen kalna kawng te tak te te hian thisen a chhuah a, vun chunglam ah hian hliam a awm thin. Hengte hi i vunah emaw, i hmui leh i rilru ang chi mucous membrane-ah emaw a awm thei.
Heng spot te hi i vun rawng a zirin a lan dan a inang lo.
- Vun dum nei tan: Hengte hi rawng sen-a sen hring angin a lang.
- Vun rawng hring zawk nei tan: Hengte hi a rawng dum emaw, dum emaw a ni thei.
A pawimawh ber chu purpura hi natna a ni lo va, natna dang chhinchhiahna a ni. Hetiang dinhmun hi damdawi thenkhat vang te, vitamin tlakchham vang te, pianpui natna thenkhat vang pawh a ni thei. Chuvang chuan chhan hriat loha hetiang spot hi a lo lang a nih chuan doctor hnenah hriattir a tha ber.
Heng spot chi hrang hrangte hi a danglamna a awm em?
Ni e, vun hnuaia thisen chhuak avanga heng spot te hi an lian leh te a zirin hming pathumin an ko thin. Hei hi i hriat a pawimawh hle.
| A hmun hming | Lenzawng tehna | A sawifiahna awlsam tak |
|---|---|---|
| Petechiae a ni | 4 mm aia tlem lo | Chûngte chu, a dik tak chuan, hmun tê tê tak tak, pen tip-a dot siam ang mai an ni. Vawi tam tak chu hengte hi an inzawm khawm a, chuvangin mi thenkhat chuan rash tiin an ngai sual thin. |
| Purpura a ni | Millimeter 4 leh 10 inkar (centimeter 1 aia tlem) | Hei hi kan sawi tum mole chi khat ber chu a ni. Hengte hi petechiae aiin a lian deuh hlek a ni. |
| Ecchymoses a ni | Centimeter 1 aia tam a ni | Hengte hi "thale roadways " kan tih tlangpuite chu an ni. Chungte chu a lianin an lian hle. |
Heng spot te hi a danglam bikna chu i kut zungtang hmanga i hmet chuan a rawng a danglam lo (non-blanching). Rash pangngai chu press a nih chuan a rawn sen a, khawih chuan a sen leh bawk.
Purpura thlentu berte chu engte nge ni?
Purpura awm chhan hi a chi hrang hrangah a innghat. A bik takin chi hnih ah then a ni. Pakhat chu kan thisena platelet awm zat a zirin a ni. Platelets hi cell te tak te, thisen chhuah tihtawp nan a pui a, kan thisen chhuah hian thisen zam a siam bawk.
1. Thrombocytopenic Purpura: Hei hi thisen a platelet awm zat a tlahniam lai a ni.
2. Non-thrombocytopenic Purpura: Hetah hian platelet count hi a pangngai viau nachungin, thisen kalna kawng atang hian chhan dang vangin thisen a leak thin.
Heng chhante hi eng nge ni tih chiang takin a hnuaia table-ah hian i en ang u.
| Purpura awm chhan | |
|---|---|
| 1. Platelet level hniam vang (Thrombocytopenic Purpura) . | |
| |
| 2. Platelet level pangngai awm chhan (Non-thrombocytopenic Purpura) . | |
|
Pawimawh: Purpura hi thisen tithianghlimtu damdawi heparin leh warfarin te avanga natna khirh tak angin a awm thei bawk a, DIC (Disseminated Intravascular Coagulation) ang chi natna khirh tak tak, mahse a tlem hle bawk. Hengte hi emergency medical treatment mamawhna dinhmun a ni.
Engtin nge doctor hian he natna hi a hriat theih ang?
Hetiang mole nei doctor i pan dawn chuan a tih hmasak ber tur chu i vun uluk taka enfiah hi a ni. Tichuan, i medical history kimchang leh i damdawi ei turte an zawt ang.
Purpura awm chhan dik tak hriat tumin i doctor chuan test thenkhat a ti thei ang.
- Complete Blood Count (CBC): Hei hian i thisena platelet awm zat a enfiah ber a ni. I platelet a hniam leh tlem loh hriat hian a chhan hriat theih nan a pui thei a ni.
- Skin Biopsy: A chang chuan platelet count a normal a nih chuan vun te tak te tak te lak a, vasculitis tih hming pu natna a awm leh awm loh enfiah theih a ni.
Heng test te hi purpura thlentu underlying condition dik tak hriat nan hman a ni.
Engtin nge enkawl a nih?
Enkawlna chu purpura spots tan ni lovin, a chhan bulpui (underlying condition) a ni tih hre reng ang che. A chang chuan, a bik takin naupangteah chuan heng spot te hi enkawl ngai lovin a bo thin.
A chhan hriat chian hnuah doctor chuan a hnuaia mite hi a ti thei ang:
- Purpura thlentu damdawi i ei a nih chuan thlak emaw, titawp emaw rawh.
- Damdawi lam dinhmun hnuaia awm (e.g., infection, immune disease) enkawlna.
- Platelet count a tlem lutuk chuan a tihpun theih nan enkawlna pe thin ang che.
Platelet count tihpunna atana hmanraw thenkhat chu:
- Corticosteroids: Platelets tihchhiatna titawptu damdawi.
- IVIG treatment (Intravenous Immunoglobulin): He enkawlna hi vein hmanga pek a ni a, rang takin platelet level a tisang a ni.
- Immunosuppressants: Entirnan, damdawi Rituximab ang chi te.
- Thisen pek: Pawn lam atanga taksa tana platelet pek, a tul chuan.
- Splenectomy: A then phei chuan platelet tihchhiatna thlentu lian ber spleen chu operation hmangin an la chhuak thin.
I vunah hian chhan hriat loha heng chi hrang hrang, bawlhhlawh emaw, hliam emaw i hmuh chuan ngaihthah suh. I doctor hmu ngei ang. A chhan chu a chang chuan hei hi thil pawi tak a ni lo va, a chang chuan nunna atana hlauhawm natna chhinchhiahna hmasa ber a ni thei. Chuvangin, tih tur dik tak chu Damdawi lam thurawn lak hi a ni.
Take-Home Thuchah a ni
- Purpura hi vun hnuaia thisen kalna kawng te tak te atanga thisen chhuak avanga lo awm, purple, red, brown spot a ni.
- Hei hi natna a ni lo va, a hnuaia awm dinhmun dang chhinchhiahna a ni.
- Chungte chu a lian leh te angin petechiae (a te ber), purpura (medium), leh ecchymosis (bruise/a lian ber) tiin an thliar hrang a ni.
- A chhan chu platelet count tlem te, damdawi ei te, infection te, thisen kalna kawng chak lo te a ni.
- Heng chi hrang hrang hi hliam awm lovin i hriat chuan ngaihthah suh. Damdawi lam thurawn zawng ngei ang che.
- Enkawlna hian spot te chu a ngaihtuah lo va, a chhan bulpui (underlying condition) a ngaihtuah zawk a ni.
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