I fa hian an taksaah purple spot a nei nghal em? Hei hi Henoch-Schönlein Purpura (IgA Vasculitis) a ni thei.

I fa tê tê chu a ke leh a hnungzang-ah rawng te te, sen hring hring a lo awm thut chuan i hlau tawh em? Pum na leh ruh natna an complain pawh a ni thei. Nu leh pa tu pawhin hetiang thil an hmuh hian an buaipui hi thil pangngai tak a ni. Mahse a tam zawkah chuan a serious lo . Heng symptoms te hi Henoch-Schönlein Purpura (HSP) tih hming pu, tuna IgA Vasculitis an tih ang chi natna avanga lo awm thei a ni. A awlsam zawngin sawi ila.

A awlsam zawngin, Henoch-Schönlein Purpura (HSP) hi eng nge ni?

Henoch-Schönlein Purpura (HSP) hi, damdawi lam atanga thlir chuan ``Vasculitis.`` chi khat a ni.Vasculitis chu kan taksa chhunga thisen kalna kawng, thisen phur tube te tak te ang maia awmte chu a chhung atanga a lo hring chhuak thin hi a ni. Kan vun a hliam a a hring ang bawkin thisen kalna kawng chhungah pawh a hring chhuak thin.

HSP-ah chuan he hliam hi vun hnuaia thisen kalna kawng te tak te, te tak teah a awm ber a ni. Mahse, a châng chuan he nghawng hi kal, intestines leh joint-a thisen kalna kawngah pawh a thleng thei bawk.

Hei hi a chhan chu kan taksa immune system (chu chu natna laka min vengtu system)-a tel, `(Immunoglobulin A)` emaw `(IgA)` emaw tia koh protein (antibody) bik chu thisen kalna kawngah a awm khawm vang a ni. Hetianga `(IgA)` a pung khawm chuan thisen kalna kawng a chhe a, a puak a, vun hnuaiah thisen tlem a leak thin. Chuvang chuan pawn lamah purple leh red spot kan hmu thin. Hriselna te tak te ang maiin.

Hetiang dinhmun hi `(IgA) Vasculitis` an ti bawk a, a chhan chu `(IgA)` antibody a inrawlh vang a ni. Kum eng pawha lo awm thei mah se, naupangte zingah a lang tam ber .

Eng symptoms nge kan hmuh?

HSP symptoms hian naupang vun, ruhkawr, intestine, leh kidney te a nghawng ber a ni. A lan chhuah dan langsar leh langsar ber chu vunah purple-red spot lo lang hi a ni. Heng symptoms te hi a hranin han en ila.

Engvangin nge hetiang hi a lo awm? A chhan engte nge ni?

HSP hi autoimmune natna a ni a . A awlsam zawngin kan taksa "sipai" (immune system) hian tihsualin a thisen kalna hrisel tak takte chu a rawn bei tan ta a ni. Hetiang thil a thlen chhan hi zirchiangtute chuan an la hre chiang lo.

Mahse thil pakhat a chiang a ni: HSP vei naupang 50% vel chuan heng symptoms lo lang hma ni engemaw zat chhungin upper respiratory infection, rilru na emaw, khawsik emaw an nei tawh a ni

HSP tichhuak thei thil dang (Triggers) .

A châng chuan HSP hi immune system-in a chhanna dik lo angin a lo awm thei bawk a:

• Bacteria infection, entirnan strep throat.
• Viral natna hrik kai te.
• Chaw thenkhat.
• Insect te hian an seh thin.
• Damdawi thenkhat.
• Vaccine chi thenkhat (hei hi a tlem hle).

He natna hi tuin nge vei tam ber?

IgA vasculitis hi kum eng pawhah a awm thei a, mahse naupang kum 3 leh 10 inkar ah hian 90% aia tam an awm tih hmuhchhuah a ni .

Risk factor dangte chu:

• Chhungkaw chanchin: 1.1.I chhungkuaa mi pakhatin HSP a lo vei tawh a nih chuan i fa pawhin a vei theihna chance a sang deuh hlek a ni.
• Genetic influence: He natna hi Europe leh Asian hnam chhuak zingah a awm fo tih hmuhchhuah a ni.

HSP vang hian harsatna a awm thei em?

Mi tam zawk chu thla khat emaw thla thum chhungin engmah enkawl ngai lovin an dam vek. A châng chuan natna hi a lo lang leh thei a, mahse chu pawh chu a mah chauhin a reh fo ṭhin.

Mahse, a tlem hle, a bik takin puitling zingah chuan HSP hi a nasat phah thei a, harsatna a thlen thei bawk.

• Kal chhiatna: Hun rei tak chhung kal natna a awm thei. Hei hi HSP-a fimkhur tur complication ber a ni.
• Intestine-a thisen chhuak.
• Intestine chhia emaw block emaw.
• Naupai laiin thisen sang (hmeichhia tan).

Engtin nge hei hi i hmuh theih, Doctor?

I fa chu naupang enkawltu hnena i hruai dawn chuan uluk takin i fa chu a enfiah hmasa ang a, a bik takin vun natna leh ruh hring eng emaw zat a enfiah hmasa ang. Tichuan, i fate natna lan chhuah dan leh tun hnaia natna i neih apiang an zawt ang che.

Diagnosis finfiah tur leh damdawi lam dinhmun dang tihbo nan doctor chuan test thenkhat a ti thei ang.

• Urinalysis: Kal (kidney) a nghawng tawh em tih hriat nan zun chu thisen emaw protein emaw a awm leh awm loh enfiah thin a ni.
• Thisen test: Infection emaw taksaa harsatna dang a awm leh awm loh enfiah nan.
• Kidney ultrasound: Kal dinhmun enfiah thin ang che.
• Abdominal ultrasound: Pum na chhan zawng chhuak rawh.
• Skin biopsy: A then phei chuan vun te tak te tak te chu mole awmna hmun atang hian lakchhuah a ni a, enfiahin a natna hriat chian a ni.
• Kidney biopsy: Kal chhiatna nasa tak a awm nia rinhlelhna a awm chauhvin test tih a ni.

HSP enkawlna tur engte nge ni?

A tam zawkah chuan HSP hian enkawlna bik a mamawh lo. A pawimawh ber chu in lama symptoms enkawl hi a ni.

Joint na leh swelling atan chuan doctor-in a tih angin paracetamol (Tylenol®) emaw NSAID pain reliever (Advil®) emaw i ei thei bawk.

Mahse, pum na ang chi symptoms a nasat chuan doctor chuan steroid damdawi prednisone ang chi a pe thei a ni. Vun rawng leh natna dang a awm reng chuan i fa doctor pan ngei ngei tur a ni.

Engtikah nge Doctor kan hmuh ang?

I fain heng symptoms a neih veleh doctor pan vat a tha ber. Tin, enkawl lai emaw, natna a dam lai emawa a hnuaia symptoms te hi a lo lang a nih chuan doctor pan leh tur a ni.

HSP hi dam chhung zawnga awm tur a ni lo. Thla khat emaw thla thum emaw chhungin a reh tlangpui. Naupang thenkhat chuan second episode an nei thei a, mahse a symptoms hi a na lo zawk tlangpui.

A tawp berah chuan HSP hian i fa chu a ti na thei a, a ti hrehawm thei bawk. Nu leh pate tan chuan an fa hrehawm lai hmuh a harsa thei hle. Mahse, naupang tam zawk chu hun rei tak chhunga harsatna awm lovin an dam vek tih hre reng ang che.Doctor chuan naupang chu a kal dinhmun enfiah turin hun engemaw chen a enkawl a ngai mai thei. Hei hi a pawimawh hle.