Kua kite koe i tētahi ira papura, i tētahi puranga ira iti rānei e puta whakarere mai ana i tō kiri, inā koa i ō ringaringa, i ō waewae rānei, kāore koe i pā atu? I ētahi wā he rite ēnei ki ngā marō, engari he rerekē pea. I roto i te rongoā, ka kiia tēnei mate he purpura. Kaua e manukanuka, ehara tēnei i te mate, engari he tohu pea nō tētahi atu mate kei raro. Nō reira, i tēnei rā, me kōrero tātou mō ngā mea katoa i roto i ngā kupu māmā noa iho.
He aha rawa te Purpura?
He māmā noa iho, ko te purpura he āhuatanga e turuturu ai te toto i roto i ngā oko toto iti i raro i tō tātou kiri, ka puta ai he ira ki te mata o te kiri. Ka puta pea ēnei i runga i tō kiri, i ngā kiriuhi mucous rānei pērā i tō waha me tō korokoro.
Ka rerekē te āhua o ēnei ira i runga i te tae o tō kiri.
- Mō te tangata he kiri mā: He whero-papura te āhua o ēnei.
- Mō te tangata he kiri mārama ake: He parauri, he mangu rānei te tae o ēnei.
Ko te mea nui , ehara te purpura i te mate, engari he tohu nō tētahi atu mate. Tērā pea ka puta tēnei mate i ētahi rongoā, i te korenga o ngā huaora, i ētahi mate whānau rānei. Nō reira, ki te puta mai aua ira, kāore he take e kitea ana, he pai ake te whakamōhio atu ki te tākuta.
He rerekētanga kei waenganui i ēnei momo ira?
Ae, e toru ngā ingoa e huaina ana mō ēnei ira i puta mai i te toto i raro i te kiri, i runga i tō rātou rahi. He mea tino nui kia mōhio koe ki tēnei.
| Ingoa o te wāhi | Rahi | Whakaahuatanga māmā |
|---|---|---|
| Petekiae | I raro iho i te 4 mm | He iti noa iho ēnei ira, he rite ki te ira i hangaia e te pito o te pene. He maha ngā wā ka huihui ngātahi ēnei, nō reira ka pohehe ētahi he ponana. |
| Purpura | I waenganui i te 4 me te 10 mirimita (iti iho i te 1 henimita) | Koinei te momo mokomoko matua e kōrerohia ana e tātou. He nui ake ēnei i te petechiae. |
| Ngā Ekimosis | Neke atu i te 1 henimita | Koinei ngā mea e kiia nei e tātou ko ngā "rori o Thale ". He nunui ēnei. |
Ko te mea motuhake mō ēnei ira, ki te pēhia ki tō maihao, kāore e rerekē te tae (kāore e mā). Ka koma te kiri māori ina pēhia, ā, ka whero anō ina pāngia.
He aha ngā tino take o te purpura?
Ko te pūtake o te purpura e whakawhirinaki ana ki tōna momo. E rua ngā momo matua. Ko tētahi e pā ana ki te maha o ngā pereti toto i roto i ō tātou toto. Ko ngā pereti toto he pūtau iti e āwhina ana ki te aukati i te toto me te hanga i ngā pūtoto toto ina toto tātou.
1. Te Purpura Thrombocytopenic: Koinei te wā ka heke te maha o ngā pereti toto i roto i te toto.
2. Kore-thrombocytopenic Purpura: Ahakoa he noa te maha o ngā pereti toto i konei, ka turuturu te toto mai i ngā oko toto mō tētahi atu take.
Kia mārama tātou he aha ēnei take i roto i te ripanga i raro nei.
| Ngā Take o te Purpura | |
|---|---|
| 1. Nā te iti o ngā taumata pereti toto (Thrombocytopenic Purpura) | |
| |
| 2. Ngā take o ngā taumata pereti toto noa (Non-thrombocytopenic Purpura) | |
|
He mea nui: Ka puta anō hoki te purpura hei tauhohenga kino ki ngā rongoā whakaiti toto pēnei i te heparin me te warfarin, i roto rānei i ngā āhuatanga tino kino, engari he onge, pēnei i te DIC (Diseminated Intravascular Coagulation). He āhuatanga ēnei e hiahia ana ki te maimoatanga hauora ohorere.
Me pēhea te tātaritanga a te tākuta i tēnei mate?
Ina haere koe ki te kite i tētahi tākuta he pēnei te momo ira, ko tāna mahi tuatahi he tirotiro i tō kiri. Kātahi ka pātai atu rātou mō tō hītori hauora katoa me ngā rongoā e tangohia ana e koe.
Hei kimi i te tino take o te purpura, ka tonoa pea e tō tākuta ētahi whakamātautau.
- Te Tatau Toto Katoa (CBC): Ko te nuinga o tēnei mahi he tirotiro i te maha o ngā pereti toto i roto i ō toto. Mā te mōhio mēnā he iti, he kore rānei ō pereti toto ka āwhina i te whakatau i te take.
- Kohikohi Kiri: I ētahi wā, ki te mea he noa te maha o ngā pereti toto, ka tangohia pea he wahi kiri iti rawa ka whakamatautauria kia kitea ai mēnā he mate e kiia nei ko te vasculitis.
Ka whakamahia ēnei whakamātautau hei tautuhi i te āhua tūturu e puta ai te purpura.
Me pēhea te rongoā?
Kia maumahara, ehara te rongoā i te mea mō ngā ira purpura, engari mō te mate taketake i puta ai. I ētahi wā, inā koa i roto i ngā tamariki, ka memeha haere ēnei ira me te kore he rongoā.
Kia kitea te take, ka taea e te tākuta te mahi i ngā mea e whai ake nei:
- Mena kei te tango koe i tētahi rongoā e puta ai te purpura, me whakarerekē, me kati rānei.
- Te rongoā i tētahi mate hauora taketake (hei tauira, he mate pāwera, he mate pūnaha ārai mate).
- Mena he iti rawa te tatau pereti toto, me rongoā hei whakapiki ake.
Ko ētahi o ngā maimoatanga e whakamahia ana hei whakanui ake i te maha o ngā pereti toto ko:
- Corticosteroids: Ngā rongoā e aukati ana i te whakangaromanga o ngā pereti toto.
- Maimoatanga IVIG (Immunoglobulin Intravenous): Mā tēnei maimoatanga, ka hoatu mā roto i tētahi uaua, ka tere te whakanui ake i ngā taumata pereti toto.
- Ngā rongoā ārai mate: Hei tauira, ngā rongoā pēnei i te Rituximab.
- Te Whakawhiti Toto: Te whakarato i ngā pereti toto ki te tinana mai i waho, mēnā e tika ana.
- Te tango i te whēkau: I ētahi wā, ka tangohia te whēkau, he mea nui ki te whakangaromanga o ngā pereti toto, mā te pokanga.
Ki te kite koe i ēnei momo ira, ira, ira rānei i runga i tō kiri, kāore he take e kitea ana, kaua e warewaretia. Me toro atu ki tō tākuta. Nā te mea i ētahi wā ehara tēnei i te mea nui, engari i ētahi wā ka waiho hei tohu tuatahi o tētahi mate e morearea ana ki te ora. Nō reira, ko te mea tika ko te rapu tohutohu hauora.
Karere Tangohia ki te Kāinga
- Ko te purpura he ira papura, whero, parauri rānei e puta mai ana i te turuturu toto mai i ngā oko toto iti i raro i te kiri.
- Ehara tēnei i te mate, engari he tohu nō tētahi atu mate e pā ana ki a ia.
- Ka whakarōpūtia ēnei kia rite ki te rahi: te petechiae (te mea iti rawa), te purpura (te mea waenga), me te ecchymosis (ngā marō/te mea nui rawa).
- Ko ngā take ko te iti o te maha o ngā pereti toto, ngā rongoā, ngā mate pāwera, me te ngoikore o ngā uaua toto.
- Ki te kite koe i ēnei momo ira, kāore he marō, kaua e warewaretia. Me rapu tohutohu hauora.
- Kāore te maimoatanga e aro ki ngā ira, engari ki te mate taketake i puta ai aua ira.
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