Wakamboona here chivara chepepuru kana kuti mavara madiki achingoerekana aonekwa paganda rako, kunyanya pamaoko ako kana makumbo, usina kana kutomboabata? Dzimwe nguva izvi zvinoita semavanga, asi zvinogona kunge zviri chimwe chinhu. Mukurapa, tinodana chirwere ichi kuti purpura. Usazvidya moyo, ichi hachisi chirwere, asi chinogona kunge chiri chiratidzo chechimwe chirwere chiripo. Saka nhasi, ngatitaurei nezvese zviri nyore.
Chii chinonzi Purpura chaizvo?
Zvichitaurwa zviri nyore, purpura chirwere apo mitsipa midiki yeropa iri pasi peganda redu inodonhedza ropa, zvichikonzera mavanga pamusoro peganda. Izvi zvinogona kuitika paganda rako kana paganda remukati semuromo wako nepahuro.
Kuonekwa kwemavara aya kunosiyana zvichienderana neganda rako.
- Kune munhu ane ganda rakanaka: Izvi zvinoonekwa seruvara rutsvuku-pepuru.
- Kune munhu ane ganda rakareruka: Idzi dzinogona kuva neruvara rwebrown kana dema.
Chinhu chakakosha ndechekuti purpura haisi chirwere, asi chiratidzo chechimwe chirwere. Chirwere ichi chinogona kukonzerwa nemishonga yakati, kushomeka kwemavhitamini, kana zvimwe zvirwere zvekuzvarwa nazvo. Saka, kana mavara akadaro achioneka pasina chikonzero chakajeka, zvakanaka kuzivisa chiremba nezvazvo.
Pane musiyano here pakati pemhando idzi dzemavara?
Ehe, mavara aya anokonzerwa nekubuda ropa pasi peganda anodanwa nemazita matatu zvichienderana nehukuru hwawo. Zvakakosha kuti uzive izvi.
| Zita renzvimbo yacho | Saizi | Tsananguro iri nyore |
|---|---|---|
| Petechiae | Zvisingasviki 4 mm | Izvi, kutaura chokwadi, madonhwe madiki, akaita sedonhwe rakagadzirwa nemuromo wepeni. Kazhinji, aya anowanzobatanidzwa pamwe chete, saka vamwe vanhu vanozviti mapundu. |
| Purpura | Pakati pemamirimita mana kusvika gumi (pasi pesendimita imwe) | Urwu ndirwo rudzi rukuru rwemamota atiri kutaura nezvawo. Aya akakura zvishoma pane petechiae. |
| Ecchymoses | Kupfuura sendimita imwe | Idzi ndidzo dzatinowanzodaidza kuti "migwagwa yeThale ." Idzi dzakakura muhukuru. |
Chinonyanya kukosha pamapundu aya ndechekuti kana ukaadzvanya nemunwe wako, haachinje ruvara (haatsvedzeri ruvara). Mapundu akajairika anochinja ruvara kana adzvanywa obva atsvuka zvakare kana abatwa.
Ndezvipi zvikonzero zvikuru zve purpura?
Chikonzero chepurpura chinoenderana nerudzi rwayo. Chinonyanya kukamurwa kuita mhando mbiri. Imwe inobva pahuwandu hwemaplatelet muropa redu. Maplatelet masero madiki anobatsira kumisa kubuda kweropa uye kugadzira mabundu eropa patinobuda ropa.
1. Thrombocytopenic Purpura: Apa ndipo panodzikira huwandu hwemaplatelet muropa.
2. Non-thrombocytopenic Purpura: Pano, kunyange zvazvo huwandu hwemaplatelet huri hwakajairika, ropa rinobuda mutsinga dzeropa nekuda kwechimwe chikonzero.
Ngationei zvakajeka kuti zvikonzero izvi zviri patafura iri pazasi ndezvipi.
| Zvikonzero zvePurpura | |
|---|---|
| 1. Nekuda kwehuwandu hwemaplatelet hwakaderera (Thrombocytopenic Purpura) | |
| |
| 2. Zvinokonzera mwero weplatelet wakajairwa (Non-thrombocytopenic Purpura) | |
|
Zvakakosha: Purpura inogonawo kuitika semhedzisiro yakakomba yemishonga inoderedza ropa yakaita seheparin newarfarin, kana mumamiriro ezvinhu akakomba, asi asingawanzoitiki, akadai seDIC (Disseminated Intravascular Coagulation). Aya mamiriro ezvinhu anoda kurapwa nekukurumidza.
Chiremba anoongorora sei chirwere ichi?
Kana ukaenda kunoona chiremba ane chikosoro chakadai, chinhu chekutanga chaachaita ndechekunyatsoongorora ganda rako. Zvadaro, vachakubvunza nezvenhoroondo yako yese yezvekurapa uye mishonga yauri kutora.
Kuti azive chikonzero chaicho chepurpura, chiremba wako anogona kuraira mimwe miedzo.
- Kuverengwa Kweropa Kwakakwana (CBC): Izvi zvinonyanya kuongorora huwandu hwemaplatelet muropa rako. Kuziva kana maplatelet ako akaderera kana kuti kwete kunogona kubatsira kuziva chikonzero chacho.
- Kuongororwa kweganda: Dzimwe nguva, kana huwandu hwemaplatelet hwakafanana, ganda diki rinogona kutorwa roongororwa kuti rionekwe kana paine chirwere chinonzi vasculitis.
Miedzo iyi inoshandiswa kuona chirwere chaicho chiri kukonzera purpura.
Inorapwa sei?
Yeukai kuti kurapwa hakusi kwemavara epurpura, asi kwechirwere chakakonzera izvozvo. Dzimwe nguva, kunyanya kuvana, mavara aya anopera pasina kurapwa.
Kana chikonzero chacho chaonekwa, chiremba anogona kuita zvinotevera:
- Kana uri kutora mushonga unokonzera purpura, chinja kana kuti urege.
- Kurapa chirwere chiripo (semuenzaniso, hutachiona, chirwere chekudzivirira muviri).
- Kana huwandu hwemaplatelet hwakanyanya kuderera, ipai mushonga wekuwedzera huwandu hwacho.
Mimwe mishonga inoshandiswa kuwedzera huwandu hwemaplatelet muropa ndeiyi:
- Corticosteroids: Mishonga inomisa kuparadzwa kwemaplatelet.
- Kurapwa neIVIG (Intravenous Immunoglobulin): Kurapwa uku, kunoitwa kuburikidza netsinga, kunokurumidza kuwedzera huwandu hwemaplatelet.
- Mishonga inodzvinyirira muviri: Semuenzaniso, mishonga yakaita seRituximab.
- Kuwedzerwa Ropa: Kupa muviri maplatelet kubva kunze, kana zvichidikanwa.
- Kubviswa kweplenectomy: Mune zvimwe zviitiko, plenectomy, iyo inonyanya kukonzera kuparadzwa kwemaplatelet, inobviswa nekuvhiyiwa.
Kana ukaona mavara akadai, mavanga, kana mavanga paganda rako pasina chikonzero chakajeka, usazviregeredza. Ehe ona chiremba wako. Nekuti dzimwe nguva izvi hazvina kuipa, asi dzimwe nguva zvinogona kuva chiratidzo chekutanga chechirwere chinouraya. Saka, chinhu chakakodzera kuita kutsvaga mazano echiremba.
Mharidzo Yekuenda Nayo Kumba
- Purpura ivara repepuru, dzvuku, kana shava rinokonzerwa neropa rinobuda kubva mutsinga diki dzeropa dziri pasi peganda.
- Ichi hachisi chirwere, asi chiratidzo chechimwe chirwere chiripo.
- Izvi zvinorongwa nehukuru se petechiae (diki), purpura (yepakati), uye ecchymosis (mavanga/makuru).
- Zvinokonzera izvi zvinosanganisira kuderera kwehuwandu hwemaplatelet mumuviri, mishonga, hutachiona, uye kushaya simba kwetsinga dzeropa.
- Kana ukaona mavara akadai asina mavanga, usaaregeredza. Tsvaga rubatsiro rwechiremba.
- Kurapa hakugadzirise mavara acho, asi chirwere chakakonzera izvozvo.
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